OIG Archives | PBJ Central

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Analysis of selected nursing facilities’ use of Medicaid reimbursement for direct care compensation

August 1, 2025

Our Take: An HHS OIG data brief analyzed 26 nursing facilities and found that 17 increased spend on direct care compensation between 2018 and 2021 as a share of Medicaid reimbursement. Yet 12…

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OIG looks at CMS use of staffing data to inform state oversight of nursing homes

May 29, 2025

Our Take: A May 2025 OIG evaluation found that CMS is not fully using PBJ data to help states identify nursing homes falling short of the required 8 hours of daily RN coverage.…

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OIG: Nursing homes reported widespread barriers to emergency preparedness

September 1, 2023

Our Take: A September 2023 HHS Office of Inspector General report found that 77% of nursing homes in high-risk natural disaster areas faced challenges with emergency preparedness activities. Staffing shortages were identified as…

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OIG: More than a thousand nursing homes reached infection rates of 75 percent or more in the first year of the COVID-19 pandemic

January 19, 2023

Our Take: A January 2023 HHS Office of Inspector General report found that more than 1,300 nursing homes reached COVID-19 infection rates of 75% or higher during 2020 surge periods. OIG recommends CMS…

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OIG reports on CMS use of data on nursing home staffing: progress and opportunities to do more

March 9, 2021

Our Take: An OIG review found CMS is making progress using PBJ staffing data to improve transparency. However OIG recommended CMS add turnover and staff tenure data to Care Compare to strengthen oversight…

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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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PBJ News Topics

Read about PBJ regulations, research & news impacting SNFs

Most Recent PBJ News

New Administration signals repeal of staffing mandate

April 1, 2026

Minimum Staffing Roundup

Our Take: From election night through early 2025, the Trump administration has consistently signaled that repealing the Biden-era…

Democratic bills revive minimum staffing debate

March 25, 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…

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…

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…

Medicaid staffing bonus increases nurse levels

January 26, 2026

PBJ Research & Analysis

Our Take: A study found that an Illinois Medicaid bonus program increased nurse staffing by 12.2% and reduced…

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