PBJ News Category

Research Studies of PBJ Data

Oct 09 2023

New Research on Health Care Staff Turnover and Quality of Care at Nursing Homes

News Digest: Research into union impact on turnover and retentionIn this cross-sectional study of 1.45 million facility-weeks (corresponding to 13 826 unique facilities), within a given facility periods of greater turnover of nursing staff were associated with lower quality of care along multiple...
Sep 30 2023

AHCA & CliftonLarsonAllen Study the Cost of Minimum Staffing Proposals

Analysis from CliftonLarsonAllen compares the potential cost to the long term care industry for meeting (proposed) minimum staffing requirements at three potential levels.

Sep 01 2023

OIG: Nursing Homes Reported Wide-Ranging Challenges Preparing for Public Health Emergencies and Natural Disasters

News Digest: OIG finds challenges with nursing homes pandemic preparationAlthough most nursing homes met Federal emergency preparedness requirements, an estimated 77 percent reported challenges with preparedness activities intended to ensure that resident care needs are met during an emergency....
Aug 31 2023

Leaked CMS Study Conflicts with Minimum Staffing Plans

News Digest: Leaked CMS Study Conflicts with Minimum Staffing Plans A comprehensive report prepared under contract to CMS by ABT Associates summarizes results from a Nursing Home Staffing Study including reseach activities between May and December of 2022. The report presents options for minimum...
Jul 30 2023

Research Shows Impact of PPP Loans on Staffing in US Nursing Homes

PBJ research report and related news: Did staffing hours change among nursing homes that received forgivable loans through the Paycheck Protection Program (PPP), which required recipients to appropriate 60% to 75% of the loan toward staffing? In this economic analysis of 6008 US nursing homes, 12...
Jul 30 2023

Study suggests staffing shortages during the pandemic strained nursing homes

PBJ research report and related news: Staffing shortages have been widely reported in US nursing homes during the COVID-19 pandemic, but traditional quantitative research analyses have found mixed evidence of staffing shortfalls. In this study, qualitative and quantitative data from 40 US nursing...
May 30 2023

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

PBJ research report and related news:Staffing shortages at nursing homes during the COVID-19 pandemic may have impacted care providers’ staffing hours and affected residents’ care and outcomes. This study examines the association of staffing shortages with staffing hours and resident deaths in...
May 26 2023

Study recommends adding measures of staffing instability to Care Compare

PBJ research report and related news: This study examines how measures of staffing—turnover and instability—are associated with one another and how they independently contribute to quality of care in nursing homes.  A total of 11,840 nursing homes nationally reporting data on daily staffing and...
Mar 13 2023

Advocacy group claims nursing home administrators spent 20 percent less time on-site in recent years

Nursing home administrators spent 20 percent less time on-site in recent years, group claimsAccusations that nursing home administrators are spending 20% less time with residents and on-site miss the mark, said two people who closely observe top facility staff. The claims come from the Long-Term...
Jan 30 2023

OIG: Pandemic Data Shows Major Changes Needed in Nursing Home Staffing, Surveys, Infection Control

PBJ research report and related news: This is the second report in the series and builds on the first OIG report by focusing on nursing homes themselves. It looks at the extent to which they had residents who were diagnosed with COVID-19 or likely COVID-19, and the characteristics of nursing homes...
Jan 30 2023

Study shows that REIT ownership linked to decline in RN staffing, increases in LPN, CNA use

PBJ research report and related news: REIT investment was associated with average relative staffing increases of 2.15 percent and 1.55 percent for licensed practical nurses (LPNs) and certified nursing assistants (CNAs), respectively. After the three largest REIT deals were excluded, REIT...
Jan 30 2023

Research Finds Staffing Stability Is Marker of Better Quality of Nursing Homes

PBJ research report and related news: This study examined whether staffing instability, defined as the percentage of days below average staffing levels, is associated with nursing home quality when controlling for average staffing levels. Findings included: staffing instability of licensed...
Aug 30 2022

Study: Nursing Home Staffing in Disadvantaged Neighborhoods

Nursing home staffing in severely disadvantaged neighborhoods is significantly lower than staffing in more well-off neighborhoods, according to a new study in which the LTSS Center participated.

Aug 30 2022

CMS starts study to support minimum staffing proposal

There was a stark, though not at all unexpected, dichotomy between participants in Monday’s listening session to gather input on coming nursing home staff minimums. On the one hand, you had consumer advocates — armed with the Biden administration’s aggressive reform push and 20 years of resentment...
Aug 05 2022

Study of Antipsychotic Use Connection to Staffing Levels

Researchers reported a 0.75% decrease in inappropriate antipsychotic prescribing per unit increase in overall staff-to-patient ratio. There was a 3.09% decrease in inappropriate antipsychotic prescribing per unit increase in licensed staff hours.

Aug 01 2022

Research shows COVID-19 vaccination mandates don’t negatively affect nursing home staffing

State COVID-19 vaccination mandates increased vaccinations among direct caregivers without negatively affecting staffing levels, according to the results of a study published Friday in JAMA Health Forum. The researchers studied vaccination rates and staffing shortages that were reported via the...
Aug 01 2022

Nursing home staff turnover up 25 percent from last year

The national nursing home staff turnover rate for all employees is up 25% from last year. That’s according to findings included in the 45th annual Nursing Home Salary & Benefits Report released Thursday by Hospital & Healthcare Compensation Service. The average national turnover rate...
Jul 30 2022

Research on COVID staffing finds policy action can stabilize staffing levels

Provider and policy action is needed to counter the effects of staff absences and departures, particularly during infectious disease outbreaks such as COVID-19, that may put nursing home residents at risk, according to the authors of a study published in the journal JAMA Health Forum.

Jun 23 2022

New research shows staffing laws, unionization can improve nurse retention

More than half of the nurses surveyed said they are considering leaving the profession within the next 12 months. Unresolved feelings of moral distress and unsafe staffing were the top reasons cited by nurses considering leaving their roles, according to the study.

May 30 2022

Study confirms lower turnover linked to higher quality of care

Nursing home providers should consider implementing innovative strategies for retaining workers after a new study found that low staff turnover was consistently associated with higher quality of care, researchers said. “While these actions are challenging — especially given that nursing homes are...
Apr 04 2022

Nursing Facility Staffing Shortages During the COVID-19 Pandemic

Nursing Facility Staffing Shortages During the COVID-19 PandemicThe disproportionate impact of the COVID-19 pandemic on nursing facility residents and staff has brought increased attention to long-standing workforce issues that can affect care quality and safety, such as staffing shortages and...
Mar 30 2022

Study Shows Weekend and Daily Variation in Nursing Home Staffing Led to Poorer Clinical Quality

Daily variation in nursing home staffing was associated with poorer clinical quality in Medicare and Medicaid-certified nursing homes, suggesting that reporting staffing variation could help provide new quality improvement information, according to a study published in JAMA Network Open....
Jul 29 2021

Appropriate Staffing Standards in Post-Acute and Long-Term Care

A push to mandate staffing levels at both state and federal levels persists after several decades. Skilled Nursing Facilities (SNFs) and long-term care (LTC) facilities (also referred to as nursing homes or nursing facilities) are no longer just for aging geriatric residents. Acuity level has...
May 30 2021

Study Finds Nursing Home Staffing Hours Held Steady or Rose During Pandemic

In the May issue of Health Affairs, a new study of government data show nursing home staffing levels during the COVID-19 pandemic held steady or actually increased, dispelling at least in part prior research and coverage in the media that staffing hours declined during the crisis.

Mar 30 2021

OIG Reports on CMS Use of Data on Nursing Home Staffing: Progress and Opportunities to Do More

However, CMS has opportunities to better use the staffing information that nursing homes report. Specifically, the staffing information that CMS provides on Care Compare could be more useful to consumers if it included data on nurse staff turnover and tenure, as required by Federal law. CMS...
Mar 10 2021

Research on How Skilled Nursing Facility Staffing Impacted by New Payment Rules

Skilled nursing facility (SNF) staffing levels across several provider types have fallen since Medicare implemented new payment rules meant to drive value over volume of services, according to a new Health Affairs study. The study published last week found that physical therapist and occupational...
Mar 05 2021

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

here are a few sub-questions we need to break down to answer before answering this one larger question. These sub-questions include: Is nursing staff turnover at nursing homes a big problem? Is nursing staff turnover correlated with quality of care? Does using nursing staff turnover as a quality...
Aug 30 2020

OIG Study: HHS Watchdog Probes Enforcement Of Nursing Home Staffing Standards

The inspector general at the Department of Health and Human Services this month launched an examination into federal oversight of skilled nursing facilities amid signs some homes aren’t meeting Medicare’s minimum staffing requirements. The review comes on the heels of a Kaiser Health News and New...
Nov 30 2019

Research Claims that Under Competitive Pressure, Nursing Homes Appear to Game Rating System

In a new article with Amanda Sharkey at the University of Chicago, Ody-Brasier took advantage of a tightening of regulations to study how closely star ratings actually track a patient outcome known to be highly correlated with quality of care. In April of 2012, the Centers for Medicare and...
Jul 30 2019

Study finds nursing homes rarely have enough RNs on staff

RN staffing levels fall much lower than CMS standards in most nursing homes, according to a study published July 1 in Health Affairs. “Seventy-five percent of nursing homes were almost never in compliance with what CMS expected their RN staffing level to be,” the study’s authors...
Jul 30 2018

Kaiser and NYT analysis: ‘It’s Almost Like a Ghost Town.’ Most Nursing Homes Overstated Staffing for Years

A research study by Kaiser Health News and published in the New York Times found most nursing homes had fewer nurses and caretaking staff than they had reported to the government for years, according to new federal data, bolstering the long-held suspicions of many families that staffing levels...
Aug 12 2016

Studies: Five-Star Ratings Linked To Consumer Demand, Nurse Training

As reported in Provider Magazine, consumers increasingly are more likely to choose a skilled nursing care center if it has a Five-Star Rating of five stars, according to a recent study by Health Services Research

PBJ News by Topic

All Topics
CMS' PBJ Policies
PBJ news in the topic includes CMS' PBJ Policies
Five Star Staffing Ratings
PBJ news in the topic includes Five Star Staffing Ratings
Minimum Staffing
PBJ news in the topic includes Minimum Staffing HPRDD
Nursing HPRD & Turnover
PBJ news in the topic includes Nursing Hours per resident day & staff turnover and RN nursing hours
PBJ Audits by CMS
PBJ news in the topic includes PBJ Audits by CMS
Research Studies of PBJ Data
PBJ news in the topic includes Research Studies of PBJ Data
Rules for PBJ Reporting
PBJ news in the topic includes CMS Rules for PBJ Reporting and submission
State Mandates & Medicaid
PBJ news in the topic includes state nursing homes staffing mandates or state Medicaid funding for staffing
Survey & FTags for Staffing
PBJ news in the topic Survey & FTags for Staffing