Category: Rules for Staff, Hours & Census
Rules for Staff, Hours & Census
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CMS says final hours requirement still undecided on looming staffing rule
CMS says final hours requirement still undecided on looming staffing rule CMS says final hours...
Rules for Staff, Hours & Census
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Things to remember when submitting PBJ data
CMS will provide further information as soon as possible but are encouraging facilities to still report data as they are able. There will be no penalties or negative impacts to staffing ratings for not submitting by May 15. As facilities work to gather the necessary information, here are some reminders to help perform a successful submission:
More PBJ Topics
- Minimum Staffing
- Five Star Staffing Ratings
- Research & Studies of PBJ Data
- Survey & FTags for Staffing
- PBJ Audits by CMS
Higher Spending on Nursing Home Staff is Not Tied to Better Staffing Levels
Higher Spending on Nursing Home Staff is Not Tied to Better Staffing Levels Higher Spending on...
Ensuring Accuracy of Staffing Ratings in Nursing Home Care Compare
The Nursing Home Care Compare quarterly refresh on July 27 incorporated new staffing measures into ratings on the Five Star Quality Rating System. The six new measures, first publicly reported beginning in January 2022, include total nurse staffing, nurse staffing on weekends, Registered Nurse (RN) staffing, total nurse staffing turnover, RN turnover, and administrator turnover. These measures were calculated in the staffing domain rating, which impacts the overall star rating. More information on these measures is available in the Five Star Quality Rating System Technical Users Guide.
‘Powerful Data’ Could Inform CMS’ Nursing Home Minimum Staffing Standards
As federal minimum staffing requirements loom for skilled nursing providers, analysts with the Medicare Payment Advisory Commission (MedPAC) unveiled crucial data detailing the effects of state-level standards on the industry. While research found state minimum staffing requirements increased staffing levels and in some cases improved quality measures, there were some unintended consequences: a decrease in indirect staffing and skill mix, or the number of registered nurses (RNs) and licensed practical nurses (LPNs) relative to certified nursing assistants (CNAs).
CMS Announces Immediate, Aggressive Enforcement for Special Focus Facilities (SFF) Participants
On Friday, Oct. 21, CMS announced new actions "to significantly strengthen accountability for nursing homes in the Special Focus Facilities (SFF) Program." According to the White House press release, the "SFF Program already provides more frequent inspections of these nursing homes, but more action is needed to ensure these nursing homes improve."
PBJ audits: Why me?
We often get asked the “Why Me?” question when a facility gets audited. Unfortunately, there’s very little disclosure from CMS on the triggers and reasons for PBJ audits. Even the associations are unable to learn much about PBJ audits.
- CMS' PBJ Policies
- Rules for Staff, Hours & Census
- PBJ Report Submission
- State Mandates & Medicaid
- Nursing Turnover & Hours
The Impact of the Public Health Emergency on Skilled Nursing Facilities
The Impact of the Public Health Emergency on Skilled Nursing Facilities The Impact of the Public...
Federal bill returning temporary nurse aide waiver gets new life
Federal bill returning temporary nurse aide waiver gets new life Federal bill returning temporary...
Revised CMS PBJ Manual
The Centers for Medicare & Medicaid released an updated Electronic Staffing Data Submission Payroll-Based Journal (PBJ) Long-Term Care Facility Policy Manual.
Defiant Sloan to nursing home critics: Address funding to tackle staffing challenge
Defiant Sloan to nursing home critics: Address funding to tackle staffing challenge Defiant Sloan...
REIT ownership linked to decline in RN staffing, increases in LPN, CNA use
REIT ownership linked to decline in RN staffing, increases in LPN, CNA use REIT ownership linked...
