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PBJ News Topic

PBJ Research & Analysis

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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To advance information on quality of care, CMS makes nursing home staffing data available

January 30, 2022

Our Take: CMS began publicly posting nursing home staff turnover rates and weekend staffing levels on Care Compare in January 2022, using PBJ data since 2016. These turnover and weekend measures will be…

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Maggots, rape and yet five stars: how U.S. ratings of nursing homes mislead the public

March 16, 2021

Our Take: The payroll-based journal data collection is a new playground for journalists and researchers. The more data you have, the more you can analyze and interpret it. The New York Times claimed…

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New research examines if nursing home staff turnover a good quality metric

March 1, 2021

Our Take: Research using PBJ staffing data shows nursing home staff turnover is associated with quality outcomes, but questions remain about whether turnover alone fully reflects facility performance. Labor shortages and market conditions…

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OIG Study: HHS watchdog probes enforcement of nursing home staffing standards

August 30, 2020

Our Take: The HHS Office of Inspector General’s review of how CMS enforces nursing home staffing requirements signals continued federal scrutiny of staffing compliance and reporting accuracy. Skilled nursing facilities should expect increased…

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Study finds nursing homes rarely have enough RNs on staff

July 30, 2019

Our Take: A review of PBJ staffing data found that most nursing homes rarely met expected registered nurse (RN) staffing levels based on resident acuity and CMS expectations. The findings highlight the growing…

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CMS strengthens nursing home oversight and safety to ensure adequate staffing

November 30, 2018

Our Take: CMS issued a November 2018 directive after using PBJ data to identify facilities with low weekend staffing or recurring days without an RN onsite. The directive requires state agencies to conduct…

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Skilled Nursing Facilities can’t just ‘check the box’ under new payroll requirements

August 14, 2018

Our Take: A QSO memo from CMS alerted PBJ world that the Five Star ratings are now going to be based on payroll-based journal data. With the transition away from 671 collected data,…

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PBJ data goes public

September 30, 2017

Our Take: The payroll based journal program shifted into a higher gear with the publication of a new CMS Survey and Certification letter. PBJ data is now publicly available and visitors to Nursing…

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CMS announces a new Payroll-Based Journal system

April 30, 2015

Our Take: The Payroll-Based Journal staffing data system was launched in April, 2015 when CMS documented the PBJ plan with several Policy Memos. These Survey & Certification Letters defined the outlines and purpose of…

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PBJ News Topics

Read about PBJ regulations, research & news impacting SNFs

Most Recent PBJ News

Industry analyses project $6.5B annual cost and widespread compliance gaps

April 18, 2026

Minimum Staffing Roundup

Our Take: Multiple analyses drawing from AHCA/NCAL, Altarum, and independent consultants project that CMS’s minimum staffing mandate will…

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…

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