Journal Of American Geriatrics Society Archives

PBJ News Topic

PBJ Research & Analysis

Medical director presence and time in US nursing homes

September 2, 2024

Our Take: A peer-reviewed study found that 36.1% of U.S. nursing homes reported zero medical director presence in Q1 2023, based on federal PBJ data from 2017–2023. The findings raise compliance and PBJ…

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Nursing Home Compare star ratings before versus after a change in nursing home ownership

July 29, 2024

Our Take: A study of 15,471 SNFs found that CMS Five-Star ratings declined slightly following ownership changes between 2016 and 2022. The primary driver is lower staffing ratings, with RN hours per resident…

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Study: Nursing home staffing in disadvantaged neighborhoods

August 8, 2022

Our Take: A study found that nursing homes located in severely disadvantaged neighborhoods had RN staffing rates 30% lower and PT/OT staffing 38% lower than facilities in less deprived areas. This analysis used…

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Study confirms lower turnover linked to higher quality of care

May 7, 2022

Our Take: A peer-reviewed study using PBJ data found that higher staff turnover was consistently associated with lower quality across all Five-Star Quality Rating System domains. Total nurse staff turnover averaged 53.4% at…

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Our Take: CMS repealed the nursing home minimum staffing rule in early 2026 following court defeats.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