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The Latest PBJ News

cms-monitor-nursing-home-performance
Nov 16 2023

‘Only the Beginning’: Staffing Mandate Assessments May Push Operators to the Brink

‘Only the Beginning’: Staffing Mandate Assessments May Push Operators to the BrinkBeyond minimum staffing requirements, operators may need to prepare for updated assessment requirements, which leaders say will be a “core” aspect of the mandate,...
LPN-Exclusion-Confusing
Nov 14 2023

LPN Exclusion Triggers Confusion & Questions

News Digest: Mandated Nursing Minimums Ignores Key Nursing Role CNA's, LPN's and RN's form the backbone of skilled nursing facilities.  All three roles are used in calculating and determining a facility's Five Star staffing rating.  Yet the...
cms-crackdown-staffing
Nov 13 2023

Understanding Staffing Compliance Issues & Exemptions

News Digest: Proposed Rule Includes More than Minimum Staffing Lost in the uproar over minimum staffing requirements for RN's and CNA's are a number of additional provisions in CMS' Proposed Minimum Staffing Rule.  A delayed rollout and provisions...
ready-for-pbj-report-submission
Nov 12 2023

How Can Facilities Get Ready for Minimum Staffing Requirements?

News Digest: Resolving Staffing Shortages Is Key to Compliance with Mandate PBJ data and labor force participation data illustrate the challenge for the senior care industry to add staff to the required levels.  Various studies and interpretations...
comments-minimum-staffing-proposals
Nov 06 2023

Comments on Staffing Rule Pour in to CMS

News Digest: Overwhelming Response to CMS' Proposed Rule on Minimum Staffing The 60 day comment period for the Proposed Minimum Staffing Rule ended November 6, 2023.  AHCA and Leading Age associations led efforts to generate industry response. ...
proposed-rule-snf-pps-2023
Nov 04 2023

Plans to Defeat CMS’ Proposed Minimums Rule

News Digest: Various Strategies Floated to Avoid Proposed Minimum Staffing Rule With widespread opposition to CMS' Proposed Rule, a variety of tactics are under consideration to overcome the potential regulations.  Both a Congressional over ride...
cms-launches-review-nursing-homes-regulation
Nov 02 2023

Congress Weighs in on Proposed Staffing Rule

News Digest: Legislative branch questions proposed executive rule Federal legislators in Congress vocally responded to CMS' proposed rule.  While CMS considers public comments and works on the Final Rule in 2024, the congressional push back can...
changes-to-staffing-measures
Oct 31 2023

Ideas Emerge to Overcome Workforce Shortages

News Digest: Minimum Staffing Rules Incent Plan to Hire More Nurses As some view a minimum staffing requirement as almost an inevitability, strategies begin to emerge to accomplish tactics such as increasing the available pool of nursing, lowering...
New-Staffing-Measures-Posted-Care-Compare
Oct 25 2023

Supporters of Staffing Mandate Speak Out

News Digest: Consumer Advocates, Unions and Some Congressman Support the Staffing Mandate With the loud and consistent negative reaction to CMS' proposed minimum staffing standards, one could fail to recognize that supporters of the new rule...
nursing-home-staffing-headed-for-scrutiny
Oct 20 2023

Scrutiny on Private Equity & REIT Staffing Performance

News Digest: How does private equity investment affect nursing home staffing and minimum staffing requirementsOnly 6% of real estate investment trust (REIT) assets are in compliance with the federal minimum staffing proposal for nursing homes,...

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Minimum Staffing News
Congress Weighs in on Proposed Staffing Rule

News Digest: Legislative branch questions proposed executive rule Federal legislators in Congress vocally responded to CMS' proposed rule.  While CMS considers public comments and works on the Final Rule in 2024, the...

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Ideas Emerge to Overcome Workforce Shortages

News Digest: Minimum Staffing Rules Incent Plan to Hire More Nurses As some view a minimum staffing requirement as almost an inevitability, strategies begin to emerge to accomplish tactics such as increasing the...

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Supporters of Staffing Mandate Speak Out

News Digest: Consumer Advocates, Unions and Some Congressman Support the Staffing Mandate With the loud and consistent negative reaction to CMS' proposed minimum staffing standards, one could fail to recognize that...

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Analyses predict high cost of staffing mandate

News Digest: Billions needed to comply with minimim staffing mandate Competing estimates of the cost to get all skilled nursing facilities to a minimum staffing level all come in with multi-billion dollar price tags....

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Union Impact on Minimum Staffing Rule

News Digest: Unions play a role in the minimum staffing pushHealth and Human Services Secretary Xavier Becerra this week took part in a national union event supporting the proposed nursing home staffing rule, giving...

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Five Star Staffing News
Staffing Rating Under 4 Stars? Review PBJ Data; Set and Monitor Goals

Staffing is difficult—that was a defining truth for nursing homes before the COVID-19 public health emergency created a full-blown staffing crisis that still is harming providers throughout healthcare. So, it may seem like the wrong time for directors of nursing services (DNSs) to pay much attention to the staffing domain in the Five-Star Quality Rating System.

“However, all of the Five-Star data—the staffing, health inspections, and quality measures domains—funnels into multiple parts of a facility’s life,” says Shelly Maffia, RN, MSN, MBA, NHA, QCP, CHC, director of regulatory services for Proactive Medical Review and Consulting in Evansville, IN.

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5 Star, QMs, and PBJ Data Updates

5 Star, QM’s and PBJ data updates have been released. Last week, we shared that QRP’s were released for review. All are critical reporting which impacts our 2022 FY reimbursement and our publicly displayed information on Care Compare. There are a few small windows of time for review and correction if needed.

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CMS Announces Updates to Five Star Quality Rating System

CMS announced on December 4 that the Five Star Quality Rating system will resume all updates with the January 2021 refresh. Due to the public health emergency (PHE) first issued in March 2020, the 3 domains of the rating system had previously been held constant at varying times throughout the past 9 months as a result of changes to health inspections and certain temporary regulatory waivers.

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Cutting through the COVID staffing star confusion

COVID-19 has dominated the news — and the senior care industry. Over the past few months, CMS has issued waivers, updated waivers, and repealed waivers. Amidst this COVID chaos is confusion over what PBJ Staffing data is currently posted on Nursing Home Compare. Is it Q1?…Q2? When do you see Q3? What about Q4?

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