Research and Studies of PBJ Data
Review studies of payroll-based journal data & how the media reported research findings
How is PBJ Data Being Studied and Analyzed?
Payroll-based journal data is publicly available to anyone at data.cms.gov. Academic researchers, policy and patient advocates and the media began analyzing and publishing studies of PBJ data in 2018. With the COVID pandemic, there was even more interest in how nursing homes manage staffing.
PBJ Central is cataloguing all published studies of payroll-based journal data to see how PBJ data is used and interpreted. Let us know of any PBJ research to be added.
Understanding Research Caveats
We recommend all readers fully understand the research methodology before extrapolating the findings of these studies more broadly or comparing them to each other. Studies may examine different sets of nursing homes, or may include / exclude certain data differently. Some analysis differences may include:
- Studies may take different approaches on how data is included vs. excluded
- Data may be aggregated, grouped or summarized differently
- Methodologies used to calculate staff tenure or turnover are not all the same
- Submission errors by nursing homes may sometimes be interpreted as accurate when it should have been excluded. CMS provides no means for facilities to go back and correct erroneous data once the submission deadline is passed.
- CMS audits help facilities uncover errors which only get fixed in upcoming submissions, not retroactively
PBJ Research by Year


New Dimensions of Staffing Patterns in Nursing Homes and Nursing Home Quality: Comparing Staffing Instability to Staffing Turnover



Assessment of CMS’s Early Use of Payroll-Based Journal Data To Improve Enforcement of Nursing Home Staffing Standards

More Than a Thousand Nursing Homes Reached Infection Rates of 75 Percent or More in the First Year of the COVID-19 Pandemic

Association between long-term care facility staffing levels and antipsychotic use in US long-term care facilities

Association of State COVID-19 Vaccine Mandates With Staff Vaccination Coverage and Staffing Shortages in US Nursing Homes


The Need for an Economically Feasible Nursing Home Staffing Regulation: Evaluating an Acuity-Based Nursing Staff Benchmark

Additional Reporting on Key Staffing Information and Stronger Payment Incentives Needed for Skilled Nursing Facilities

Medicare’s New Patient Driven Payment Model Resulted In Reductions In Therapy Staffing In Skilled Nursing Facilities

Some Nursing Homes’ Reported Staffing Levels in 2018 Raise Concerns; Consumer Transparency Could Be Increased

Special Focus Nursing Facilities That “Have Not Improved:” Poor Care for Residents, Overall Ratings Artificially Boosted by 5-Star Ratings in Self-Reported Quality Measures

Special Focus Nursing Facilities That “Have Not Improved:” Poor Care for Residents, Overall Ratings Artificially Boosted by 5-Star Ratings in Self-Reported Quality Measures

Some Nursing Homes’ Reported Staffing Levels in 2018 Raise Concerns; Consumer Transparency Could Be Increased

Additional Reporting on Key Staffing Information and Stronger Payment Incentives Needed for Skilled Nursing Facilities

Medicare’s New Patient Driven Payment Model Resulted In Reductions In Therapy Staffing In Skilled Nursing Facilities

Association between long-term care facility staffing levels and antipsychotic use in US long-term care facilities

Association of State COVID-19 Vaccine Mandates With Staff Vaccination Coverage and Staffing Shortages in US Nursing Homes


The Need for an Economically Feasible Nursing Home Staffing Regulation: Evaluating an Acuity-Based Nursing Staff Benchmark


New Dimensions of Staffing Patterns in Nursing Homes and Nursing Home Quality: Comparing Staffing Instability to Staffing Turnover



Assessment of CMS’s Early Use of Payroll-Based Journal Data To Improve Enforcement of Nursing Home Staffing Standards
