Category: Rules for Staff, Hours & Census

Rules for Staff, Hours & Census


More PBJ Topics

  • Minimum Staffing
  • Five Star Staffing Ratings
  • Research & Studies of PBJ Data
  • Survey & FTags for Staffing
  • PBJ Audits by CMS

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).

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

Studies PBJ Data

Read the studies & media coverage of PBJ based research

Provider PBJ Hub

Links to key PBJ resources for skilled nursing facilities


Memos to states with CMS' PBJ guidance and policies

Tech Users Guide

How to calculate the Five Star ratings on Care Compare

PBJ Policy Manual

CMS' rules & requirements for quarterly PBJ submissions

Get Access to the PBJ Library

Get a free Library Pass to the archives of key PBJ manuals, research, communications and web tools.