The PBJ Policy Manual describes how skilled nursing facilities must report quarterly staffing levels with data on employee identifiers, date worked, hours worked and paid and unique job title and pay type codes.
View the latest PBJ Policy Manual Version 2.6, published in June 2022.
CMS communicates major policy changes and updates through memorandum and letters from the Quality, Safey & Oversight (QSO) Group sent to State Survey Agencies.
The PBJ-specific QSO memos since 2015 outline the increased enforcement of staffing requirements and use PBJ data.
Since 2018, academic and media analysis of publicly available PBJ data has made headlines and influenced policy makers.
The PBJ Library includes our compilation of all known PBJ research studies, as well as the associated media coverage of these research studies and publications.
CMS provides PBJ guides, spreadsheets, instructions, and online software tools to help skilled nursing providers and their vendors comply with PBJ reporting requirements.
The PBJ Library provides a hub of important links to these critical PBJ tools.
Care Compare is the public listing of skilled nursing facilities and their Five Star ratings.
The Five Star Technical Users’ Guide describes the methods CMS uses to compute the overall Five Star rating for as well as the Five Star ratings for Staffing, Quality and Inspections.
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Read the studies & media coverage of PBJ based research
Links to key PBJ resources for skilled nursing facilities
Memos to states with CMS' PBJ guidance and policies
How to calculate the Five Star ratings on Care Compare
CMS' rules & requirements for quarterly PBJ submissions
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