PALTmed Archives | PBJ Central

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PBJ Policy & Enforcement

New Surveyor guidance increases PBJ oversight

March 10, 2025

Our Take: CMS issued revised surveyor guidance effective April 28, 2025, covering PBJ reporting, nursing services, psychotropic medications, infection prevention, and other compliance areas. Surveyors are provided PBJ reports and trained to review…

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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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CMS proposes broad revisions to nursing home participation requirements; Congressional hearings amplify staffing and oversight concerns

July 31, 2019

Our Take: CMS proposed changes to nursing home Requirements for Participation – covering facility assessments, QAPI, infection prevention, and compliance and ethics programs. Senate and House Committee hearings signal intensifying regulatory and legislative…

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Our Take: CMS repealed the nursing home minimum staffing rule in early 2026 following court defeats.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