JAMDA Archives | PBJ Central

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PBJ Research & Analysis

The relationship between nursing home staffing and health outcomes revisited

July 16, 2024

Our Take: A JAMDA study using 2017–2019 PBJ data found that staffing type, not just total hours, produces meaningfully different and sometimes opposite quality outcomes. RNs are linked to fewer hospitalizations and ER…

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Study recommends adding measures of staffing instability to Care Compare

August 15, 2023

Our Take: A peer-reviewed study of 11,840 nursing homes found that staffing instability and staffing turnover are weakly correlated and independently associated with nursing home quality. Researchers recommend CMS add staffing instability as…

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Research finds nurse staffing shortages linked to 10 percent jump in resident deaths

May 10, 2023

Our Take: A peer-reviewed study found that staffing shortages during the COVID-19 pandemic were directly associated with reduced nurse staffing hours and a statistically significant 10.5% increase in weekly resident deaths. The findings…

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Study of antipsychotic use connection to staffing levels

August 1, 2022

Our Take: A cross-sectional study found that higher licensed nurse staffing hours are statistically associated with lower rates of inappropriate antipsychotic prescribing, with RN and LPN hours showing the strongest effect. ▼ For…

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PBJ News Topics

Read about PBJ regulations, research & news impacting SNFs

Most Recent PBJ News

Democratic bills revive minimum staffing debate

March 30, 2026

Minimum Staffing Roundup

Our Take: CMS repealed the nursing home minimum staffing rule in early 2026 following court defeats. Key provisions…

CMS nursing home funding campaign grows to $200 million

March 16, 2026

Minimum Staffing Roundup

Our Take: CMS has expanded its nursing home staffing campaign from $75 million to $200 million. Proposed with…

PBJ technical specifications changed

March 16, 2026

PBJ Policy & Enforcement

Our Take: CMS made minor updates to the PBJ data specification for uploaded PBJ files. Users can no…

The effects of labor unions on nurse staffing ratios

March 2, 2026

PBJ Research & Analysis

Our Take: A Health Affairs study of 321 newly unionized nursing homes from 2013 to 2021 found that…

Did state staffing mandates add direct care staff or hurt SNF finances?

March 2, 2026

PBJ Research & Analysis

Our Take: A study of 6,849 nursing homes in 22 states found that state minimum staffing mandates raised…

Medical Director compliance under increasing federal and state scrutiny

February 23, 2026

Latest PBJ News

Our Take: Federal regulators and state lawmakers are intensifying scrutiny of SNF medical directors. OIG is actively reviewing…

State Attorneys General ask CMS for staffing rule on for-profit SNFs

February 1, 2026

Minimum Staffing Roundup

Our Take: Following CMS’s repeal of a federal staffing mandate, attorneys general from 18 states are urging the…

SNF benchmarking report points to value based care, Medicare Advantage, and PBJ scrutiny

January 30, 2026

Latest PBJ News

Our Take: Plante Moran’s 2025 SNF Benchmarking Report analyzes data from over 12,000 skilled nursing facilities. They highlighted…

AHCA: Nursing homes added 40,700 jobs in 2025 as turnover, agency use declined

January 28, 2026

PBJ Research & Analysis

Our Take: AHCA/NCAL’s January 2026 Nursing Home Workforce Report shows that the nursing home sector added 40,700 jobs…

CMS Special Focus Facility program ‘crack down’ on troubled nursing homes ends use of staffing

January 28, 2026

PBJ Policy & Enforcement

Our Take: A CMS memo originally added staffing to the Special Focus Facility program but later shifted away…

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