PBJ Research Studies published in

2019

jama network

Health Care Staff Turnover and Quality of Care at Nursing Homes

PUBLISHED: October 9, 2023 Related News Coverage Within-facility variation in staff turnover was associated with decreased quality of care. These findings suggest that efforts to monitor and reduce staff turnover may be able to improve patient...
Get Details
individual unpublished

Effects of Mandatory Staffing Requirements on Quality Indicators in Long-Term Care

PUBLISHED: November 2023 Related News Coverage Long term care facilities continue to struggle to improve the quality of care, which affects publicly reported data and reimbursement. The purpose of this study was to evaluate if state-mandated...
Get Details
office of inspector general

Audit of Nursing Homes’ Nurse Staffing Hours Reported in CMS’s Payroll-Based Journal

The Office of the Inspector General announced a new research study in November 2023.  Scheduled to be issued in 2025, the research study will audit the PBJ reporting of staffing hours by nursing homes. Nursing homes are required to electronically...
Get Details
office of inspector general

Nursing Home Capabilities and Collaboration to Ensure Resident Care During Emergencies

PUBLISHED: September 2023 Related News Coverage Although 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...
Get Details
clifton larson allen logo

Staffing Mandate Analysis In-Depth Analysis on Minimum Nurse Staffing Levels & Local Impact

Updated September 2023 | Updated December 2022 | Published July, 2022 Related News Coverage On April 11, 2022, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that would update Medicare payment policies and rates for...
Get Details
jama network

Examination of Staffing Shortages at US Nursing Homes During the COVID-19 Pandemic

PUBLISHED: July 27, 2023 Related News Coverage 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...
Get Details
jama network

Association of Receipt of Paycheck Protection Program Loans With Staffing Patterns Among US Nursing Homes

PUBLISHED: July 27, 2023 Related News Coverage 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...
Get Details
journal of post-acute and long-term care medicine

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

PUBLISHED: July 27, 2023 Related News Coverage 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...
Get Details
abt associates

Nursing Home Staffing Study: Comprehensive Report

PUBLISHED: June 2023 Related News Coverage A comprehensive report prepared under contract to CMS by ABT Associates summarizes results from a Nursing Home Staffing Study including research activities between May and December of 2022.  The report...
Get Details
journal of post-acute and long-term care medicine

Staffing Shortages, Staffing Hours, and Resident Deaths in U.S. Nursing Homes During the COVID-19 Pandemic

PUBLISHED: May 08, 2023 Related News Coverage 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...
Get Details
health affairs journal

Understanding Nursing Home Spending And Staff Levels In The Context Of Recent Nursing Staff Recommendations

PUBLISHED: February 2023 Related News Coverage This study examined the proportion of facility revenues spent on nursing staff, as well as nursing staff levels in hours worked and paid per resident day, in 2019. Nationally, the median proportion of...
Get Details
office of inspector general

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

Expected Issue Date 2024 Announced January 2023 October 2022, CMS began to provide State Survey Agency surveyors (State surveyors) with extracts of Payroll-Based Journal (PBJ) staffing data for use in annual nursing home certification surveys (also...
Get Details
office of inspector general

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

PUBLISHED: January 2023 Related News Coverage 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...
Get Details
health affairs journal

The Role Of Real Estate Investment Trusts In Staffing US Nursing Homes

PUBLISHED: January 25, 2023 Related News Coverage 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....
Get Details
jama network

Association of Staffing Instability With Quality of Nursing Home Care

Published: January 10, 2023 Related News Coverage 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...
Get Details
medicare payment advisory commission

Nursing facility staffing

Published: September 29, 2022 Related News Coverage Federal staffing requirements have been unchanged since 1987.  38 states and DC have implemented stricter minimum staffing requirements than federal requirements. The PBJ system has improved the...
Get Details
macpac

State Policy Levers to Address Nursing Facility Staffing Issues

Published: March, 2022 Related MEDPAC Publications MEDPAC comments to CMS on Proposed Rule MEDPAC transcript of Public Meeting (including Nursing Facility Staffing discussion). Sept. 29, 2022 MEDPAC Analysis of PBJ Data.  Presented Sept. 29, 2022...
Get Details
journal of american geriatrics society

Severe neighborhood deprivation and nursing home staffing in the United States

Published: August 8, 2022 Related News Coverage Significant staffing disparities were observed within facilities located in severely deprived neighborhoods. Targeted interventions, including workforce recruitment and retention efforts, may be...
Get Details
journal of post-acute and long-term care medicine

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

Published: August 1, 2022 Related News Coverage This study sought to examine the association between staffing and antipsychotic prescribing in LTC facilities. These findings provide support for policy-based interventions to decrease antipsychotic...
Get Details
jama network

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

Published: July 29, 2022 Related News Coverage This cohort study of nursing homes in 38 states found that states with a vaccine mandate experienced an increase in staff vaccination coverage compared with facilities in states with no mandate and no...
Get Details

All PBJ Research Studies

All
43
2017 & 2016
2
2018
3
2019
4
2020
3
2021
7
2022
9
2023
15
2024
0
jama network
Nov 30, 2023
Health Care Staff Turnover and Quality of Care at Nursing Homes
PUBLISHED: October 9, 2023 Related News Coverage Within-facility variation in staff turnover was associated with decreased quality of care. These findings suggest that efforts...
Read More
individual unpublished
Nov 30, 2023
Effects of Mandatory Staffing Requirements on Quality Indicators in Long-Term Care
PUBLISHED: November 2023 Related News Coverage Long term care facilities continue to struggle to improve the quality of care, which affects publicly reported data and reimburs...
Read More
office of inspector general
Nov 30, 2023
Audit of Nursing Homes’ Nurse Staffing Hours Reported in CMS’s Payroll-Based Journal
The Office of the Inspector General announced a new research study in November 2023.  Scheduled to be issued in 2025, the research study will audit the PBJ reporting of staffi...
Read More
office of inspector general
Sep 30, 2023
Nursing Home Capabilities and Collaboration to Ensure Resident Care During Emergencies
PUBLISHED: September 2023 Related News Coverage Although most nursing homes met Federal emergency preparedness requirements, an estimated 77 percent reported challenges with p...
Read More
clifton larson allen logo
Sep 30, 2023
Staffing Mandate Analysis In-Depth Analysis on Minimum Nurse Staffing Levels & Local Impact
Updated September 2023 | Updated December 2022 | Published July, 2022 Related News Coverage On April 11, 2022, the Centers for Medicare & Medicaid Services (CMS) issued a ...
Read More
jama network
Jul 27, 2023
Examination of Staffing Shortages at US Nursing Homes During the COVID-19 Pandemic
PUBLISHED: July 27, 2023 Related News Coverage Staffing shortages have been widely reported in US nursing homes during the COVID-19 pandemic, but traditional quantitative rese...
Read More
jama network
Jul 27, 2023
Association of Receipt of Paycheck Protection Program Loans With Staffing Patterns Among US Nursing Homes
PUBLISHED: July 27, 2023 Related News Coverage Did staffing hours change among nursing homes that received forgivable loans through the Paycheck Protection Program (PPP), whic...
Read More
journal of post-acute and long-term care medicine
Jul 27, 2023
New Dimensions of Staffing Patterns in Nursing Homes and Nursing Home Quality: Comparing Staffing Instability to Staffing Turnover
PUBLISHED: July 27, 2023 Related News Coverage This study examines how measures of staffing—turnover and instability—are associated with one another and how they independently...
Read More
abt associates
Jun 30, 2023
Nursing Home Staffing Study: Comprehensive Report
PUBLISHED: June 2023 Related News Coverage A comprehensive report prepared under contract to CMS by ABT Associates summarizes results from a Nursing Home Staffing Study includ...
Read More
journal of post-acute and long-term care medicine
May 8, 2023
Staffing Shortages, Staffing Hours, and Resident Deaths in U.S. Nursing Homes During the COVID-19 Pandemic
PUBLISHED: May 08, 2023 Related News Coverage Staffing shortages at nursing homes during the COVID-19 pandemic may have impacted care providers’ staffing hours and affected re...
Read More
health affairs journal
Feb 28, 2023
Understanding Nursing Home Spending And Staff Levels In The Context Of Recent Nursing Staff Recommendations
PUBLISHED: February 2023 Related News Coverage This study examined the proportion of facility revenues spent on nursing staff, as well as nursing staff levels in hours worked ...
Read More
office of inspector general
Jan 30, 2023
Assessment of CMS’s Early Use of Payroll-Based Journal Data To Improve Enforcement of Nursing Home Staffing Standards
Expected Issue Date 2024 Announced January 2023 October 2022, CMS began to provide State Survey Agency surveyors (State surveyors) with extracts of Payroll-Based Journal (PBJ)...
Read More
office of inspector general
Jan 30, 2023
More Than a Thousand Nursing Homes Reached Infection Rates of 75 Percent or More in the First Year of the COVID-19 Pandemic
PUBLISHED: January 2023 Related News Coverage This is the second report in the series and builds on the first OIG report by focusing on nursing homes themselves. It looks at t...
Read More
health affairs journal
Jan 25, 2023
The Role Of Real Estate Investment Trusts In Staffing US Nursing Homes
PUBLISHED: January 25, 2023 Related News Coverage REIT investment was associated with average relative staffing increases of 2.15 percent and 1.55 percent for licensed practic...
Read More
jama network
Jan 10, 2023
Association of Staffing Instability With Quality of Nursing Home Care
Published: January 10, 2023 Related News Coverage This study examined whether staffing instability, defined as the percentage of days below average staffing levels, is associa...
Read More
medicare payment advisory commission
Sep 29, 2022
Nursing facility staffing
Published: September 29, 2022 Related News Coverage Federal staffing requirements have been unchanged since 1987.  38 states and DC have implemented stricter minimum staffing ...
Read More
macpac
Sep 29, 2022
State Policy Levers to Address Nursing Facility Staffing Issues
Published: March, 2022 Related MEDPAC Publications MEDPAC comments to CMS on Proposed Rule MEDPAC transcript of Public Meeting (including Nursing Facility Staffing discussion)...
Read More
journal of american geriatrics society
Aug 8, 2022
Severe neighborhood deprivation and nursing home staffing in the United States
Published: August 8, 2022 Related News Coverage Significant staffing disparities were observed within facilities located in severely deprived neighborhoods. Targeted intervent...
Read More
journal of post-acute and long-term care medicine
Aug 1, 2022
Association between long-term care facility staffing levels and antipsychotic use in US long-term care facilities
Published: August 1, 2022 Related News Coverage This study sought to examine the association between staffing and antipsychotic prescribing in LTC facilities. These findings p...
Read More
jama network
Jul 29, 2022
Association of State COVID-19 Vaccine Mandates With Staff Vaccination Coverage and Staffing Shortages in US Nursing Homes
Published: July 29, 2022 Related News Coverage This cohort study of nursing homes in 38 states found that states with a vaccine mandate experienced an increase in staff vaccin...
Read More
jama network
Jul 22, 2022
Staffing Patterns in US Nursing Homes During COVID-19 Outbreaks
Published: July 22, 2022 Related News Coverage Findings In this cohort study of 2967 nursing homes in 2020, owing to increased absences and departures, there were statisticall...
Read More
journal of american geriatrics society
May 7, 2022
Association between staff turnover and nursing home quality – evidence from payroll-based journal data
Published: May 7, 2022 Related News Coverage PBJ Central Notes: This study is of particular interest as it was funded by a grant from CMS.  Authors include Evan Shulman, curre...
Read More
innovation in aging
Mar 21, 2022
The Need for an Economically Feasible Nursing Home Staffing Regulation: Evaluating an Acuity-Based Nursing Staff Benchmark
Published: March 21, 2022 Despite concerns about the adequacy of nursing home (NH) staffing, the federal agency responsible for NH certification and regulation has never adopt...
Read More
jama network
Mar 14, 2022
Daily Variation in Nursing Home Staffing and Its Association With Quality Measures
Published: March 14, 2022 Related News Coverage Is daily variation in nursing home staffing associated with quality, and does it offer additional information to measures of av...
Read More
health services research
Sep 6, 2021
Association between Nursing Home Staff Turnover and Infection Control Citations
Published: September 6, 2021 We estimated the association between nurse turnover and the probability of an infection control citation and the scope of the citation while contr...
Read More
Government Accountability Office
Aug 9, 2021
Additional Reporting on Key Staffing Information and Stronger Payment Incentives Needed for Skilled Nursing Facilities
Published: March 9, 2021, Revised August 10, 2021 CMS has taken important steps to build a new source for data on nursing home staffing and to use these data to better inform ...
Read More
health affairs journal
Jul 14, 2021
Larger Nursing Home Staff Size Linked To Higher Number Of COVID-19 Cases In 2020
Published: July 14, 2021 Staff in skilled nursing facilities (SNFs) are essential health care workers, yet they can also be a source of COVID-19 transmission. We used detailed...
Read More
health affairs journal
May 30, 2021
Nursing Home Staffing Levels Did Not Change Significantly During COVID-19
Published: May 2021 Related News Coverage Prior research and the popular press have anecdotally reported inadequate nursing home staffing levels during the COVID-19 pandemic. ...
Read More
health affairs journal
Mar 30, 2021
Medicare’s New Patient Driven Payment Model Resulted In Reductions In Therapy Staffing In Skilled Nursing Facilities
Published: March 2021 Related News Coverage Medicare’s Patient Driven Payment Model (PDPM) significantly altered the way skilled nursing facilities (SNFs) are paid, removing t...
Read More
health affairs journal
Mar 30, 2021
High Nursing Staff Turnover In Nursing Homes Offers Important Quality Information
Published: March 2021 Related News Coverage Nursing staff turnover has long been considered an important indicator of nursing home quality. However, turnover has never been re...
Read More
office of inspector general
Mar 9, 2021
CMS Use of Data on Nursing Home Staffing: Progress and Opportunities To Do More
Published: March 9, 2021 Related News Coverage CMS has taken important steps to build a new source for data on nursing home staffing and to use these data to better inform con...
Read More
Research Gate
Sep 17, 2020
Impact of Medication Assistant use on Nursing Home Staffing Levels and Inspection Results
Published: September 17, 2020 The purpose of this case study is to describe inspection outcomes 1-2 years after the addition of Medication Assistants (MAs) and the reduction o...
Read More
office of inspector general
Aug 3, 2020
Some Nursing Homes’ Reported Staffing Levels in 2018 Raise Concerns; Consumer Transparency Could Be Increased
Published: August 3, 2020 Related News Coverage Nurse staffing is a key contributor to the quality of care provided in nursing homes. This review, initiated before the COVID-1...
Read More
health services sage publications
Jun 29, 2020
Appropriate Nurse Staffing Levels for U.S. Nursing Homes
Published: June 29, 2020 US nursing homes are required to have sufficient nursing staff with the appropriate competencies to assure resident safety and attain or maintain the ...
Read More
innovation in aging
Nov 8, 2019
Payroll-based Staffing Measures for Nursing Homes
Published: November 8, 2019 The Centers for Medicare & Medicaid Services (CMS) developed the Payroll-Based Journal (PBJ) system for nursing homes to electronically submit ...
Read More
health affairs journal
Jul 30, 2019
Daily Nursing Home Staffing Levels Highly Variable, Often Below CMS Expectations
Published: July 2019 Related News Coverage Staffing is an important quality measure that is included on the federal Nursing Home Compare website. New payroll-based data reveal...
Read More
strategic management journal
Jul 18, 2019
Under Pressure: Reputation, Ratings, and Inaccurate Self-reporting in the Nursing Home Industry
Published: July 18, 2019 Related News Coverage This paper examines firms’ strategic responses to reputational pressures in a critical healthcare domain—the U.S. nursing ...
Read More
kaiser health news
May 3, 2019
Look-Up: How Nursing Home Staffing Fluctuates Nationwide
Published: May 2, 2019 Related News Coverage This tool shows how Medicare rates overall staffing and registered nurse staffing by facility.  It also shows the average number o...
Read More
individual unpublished
Aug 15, 2018
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
Published: August 15, 2018 The Centers for Medicare & Medicaid Services (CMS) identifies some of the worst performing nursing facilities in the country as Special Focus Fa...
Read More
kaiser health news
Jul 13, 2018
It’s Almost Like a Ghost Town.’ Most Nursing Homes Overstated Staffing for Years
Published: July 2018 Related News Coverage Medicare has lowered its star ratings for staffing levels in 1 in 11 of the nation’s nursing homes — almost 1,400 of them — because ...
Read More
kaiser family foundation
Apr 3, 2018
Nursing Facilities, Staffing, Residents and Facility Deficiencies, 2009 Through 2016
Published: April 3, 2018 Nursing facilities are one part of the long-term care delivery system that also includes home and community based services, but their relatively high ...
Read More
kaiser family foundation
Aug 11, 2017
Nursing Home Response to Nursing Home Compare: The Provider Perspective
Published: August 11, 2017 Nursing Home Compare (NHC) publishes composite quality ratings of nursing homes based on a five-star rating system, a system that has been subject t...
Read More
health affairs journal
Apr 30, 2016
Use of Nursing Home Compare Website Appears Limited By Lack of Awareness and Initial Mistrust of the Data
Published: April 2016 In December 2008 the Centers for Medicare and Medicaid Services (CMS) launched a five-star rating system of nursing homes as part of Nursing Home Compare...
Read More
kaiser family foundation
Aug 11, 2017
Nursing Home Response to Nursing Home Compare: The Provider Perspective
Published: August 11, 2017 Nursing Home Compare (NHC) publishes composite quality ratings of nursing homes based on a five-star rating system, a system that has been subject t...
Read More
health affairs journal
Apr 30, 2016
Use of Nursing Home Compare Website Appears Limited By Lack of Awareness and Initial Mistrust of the Data
Published: April 2016 In December 2008 the Centers for Medicare and Medicaid Services (CMS) launched a five-star rating system of nursing homes as part of Nursing Home Compare...
Read More
individual unpublished
Aug 15, 2018
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
Published: August 15, 2018 The Centers for Medicare & Medicaid Services (CMS) identifies some of the worst performing nursing facilities in the country as Special Focus Fa...
Read More
kaiser health news
Jul 13, 2018
It’s Almost Like a Ghost Town.’ Most Nursing Homes Overstated Staffing for Years
Published: July 2018 Related News Coverage Medicare has lowered its star ratings for staffing levels in 1 in 11 of the nation’s nursing homes — almost 1,400 of them — because ...
Read More
kaiser family foundation
Apr 3, 2018
Nursing Facilities, Staffing, Residents and Facility Deficiencies, 2009 Through 2016
Published: April 3, 2018 Nursing facilities are one part of the long-term care delivery system that also includes home and community based services, but their relatively high ...
Read More
innovation in aging
Nov 8, 2019
Payroll-based Staffing Measures for Nursing Homes
Published: November 8, 2019 The Centers for Medicare & Medicaid Services (CMS) developed the Payroll-Based Journal (PBJ) system for nursing homes to electronically submit ...
Read More
health affairs journal
Jul 30, 2019
Daily Nursing Home Staffing Levels Highly Variable, Often Below CMS Expectations
Published: July 2019 Related News Coverage Staffing is an important quality measure that is included on the federal Nursing Home Compare website. New payroll-based data reveal...
Read More
strategic management journal
Jul 18, 2019
Under Pressure: Reputation, Ratings, and Inaccurate Self-reporting in the Nursing Home Industry
Published: July 18, 2019 Related News Coverage This paper examines firms’ strategic responses to reputational pressures in a critical healthcare domain—the U.S. nursing ...
Read More
kaiser health news
May 3, 2019
Look-Up: How Nursing Home Staffing Fluctuates Nationwide
Published: May 2, 2019 Related News Coverage This tool shows how Medicare rates overall staffing and registered nurse staffing by facility.  It also shows the average number o...
Read More
Research Gate
Sep 17, 2020
Impact of Medication Assistant use on Nursing Home Staffing Levels and Inspection Results
Published: September 17, 2020 The purpose of this case study is to describe inspection outcomes 1-2 years after the addition of Medication Assistants (MAs) and the reduction o...
Read More
office of inspector general
Aug 3, 2020
Some Nursing Homes’ Reported Staffing Levels in 2018 Raise Concerns; Consumer Transparency Could Be Increased
Published: August 3, 2020 Related News Coverage Nurse staffing is a key contributor to the quality of care provided in nursing homes. This review, initiated before the COVID-1...
Read More
health services sage publications
Jun 29, 2020
Appropriate Nurse Staffing Levels for U.S. Nursing Homes
Published: June 29, 2020 US nursing homes are required to have sufficient nursing staff with the appropriate competencies to assure resident safety and attain or maintain the ...
Read More
health services research
Sep 6, 2021
Association between Nursing Home Staff Turnover and Infection Control Citations
Published: September 6, 2021 We estimated the association between nurse turnover and the probability of an infection control citation and the scope of the citation while contr...
Read More
Government Accountability Office
Aug 9, 2021
Additional Reporting on Key Staffing Information and Stronger Payment Incentives Needed for Skilled Nursing Facilities
Published: March 9, 2021, Revised August 10, 2021 CMS has taken important steps to build a new source for data on nursing home staffing and to use these data to better inform ...
Read More
health affairs journal
Jul 14, 2021
Larger Nursing Home Staff Size Linked To Higher Number Of COVID-19 Cases In 2020
Published: July 14, 2021 Staff in skilled nursing facilities (SNFs) are essential health care workers, yet they can also be a source of COVID-19 transmission. We used detailed...
Read More
health affairs journal
May 30, 2021
Nursing Home Staffing Levels Did Not Change Significantly During COVID-19
Published: May 2021 Related News Coverage Prior research and the popular press have anecdotally reported inadequate nursing home staffing levels during the COVID-19 pandemic. ...
Read More
health affairs journal
Mar 30, 2021
Medicare’s New Patient Driven Payment Model Resulted In Reductions In Therapy Staffing In Skilled Nursing Facilities
Published: March 2021 Related News Coverage Medicare’s Patient Driven Payment Model (PDPM) significantly altered the way skilled nursing facilities (SNFs) are paid, removing t...
Read More
health affairs journal
Mar 30, 2021
High Nursing Staff Turnover In Nursing Homes Offers Important Quality Information
Published: March 2021 Related News Coverage Nursing staff turnover has long been considered an important indicator of nursing home quality. However, turnover has never been re...
Read More
office of inspector general
Mar 9, 2021
CMS Use of Data on Nursing Home Staffing: Progress and Opportunities To Do More
Published: March 9, 2021 Related News Coverage CMS has taken important steps to build a new source for data on nursing home staffing and to use these data to better inform con...
Read More
medicare payment advisory commission
Sep 29, 2022
Nursing facility staffing
Published: September 29, 2022 Related News Coverage Federal staffing requirements have been unchanged since 1987.  38 states and DC have implemented stricter minimum staffing ...
Read More
macpac
Sep 29, 2022
State Policy Levers to Address Nursing Facility Staffing Issues
Published: March, 2022 Related MEDPAC Publications MEDPAC comments to CMS on Proposed Rule MEDPAC transcript of Public Meeting (including Nursing Facility Staffing discussion)...
Read More
journal of american geriatrics society
Aug 8, 2022
Severe neighborhood deprivation and nursing home staffing in the United States
Published: August 8, 2022 Related News Coverage Significant staffing disparities were observed within facilities located in severely deprived neighborhoods. Targeted intervent...
Read More
journal of post-acute and long-term care medicine
Aug 1, 2022
Association between long-term care facility staffing levels and antipsychotic use in US long-term care facilities
Published: August 1, 2022 Related News Coverage This study sought to examine the association between staffing and antipsychotic prescribing in LTC facilities. These findings p...
Read More
jama network
Jul 29, 2022
Association of State COVID-19 Vaccine Mandates With Staff Vaccination Coverage and Staffing Shortages in US Nursing Homes
Published: July 29, 2022 Related News Coverage This cohort study of nursing homes in 38 states found that states with a vaccine mandate experienced an increase in staff vaccin...
Read More
jama network
Jul 22, 2022
Staffing Patterns in US Nursing Homes During COVID-19 Outbreaks
Published: July 22, 2022 Related News Coverage Findings In this cohort study of 2967 nursing homes in 2020, owing to increased absences and departures, there were statisticall...
Read More
journal of american geriatrics society
May 7, 2022
Association between staff turnover and nursing home quality – evidence from payroll-based journal data
Published: May 7, 2022 Related News Coverage PBJ Central Notes: This study is of particular interest as it was funded by a grant from CMS.  Authors include Evan Shulman, curre...
Read More
innovation in aging
Mar 21, 2022
The Need for an Economically Feasible Nursing Home Staffing Regulation: Evaluating an Acuity-Based Nursing Staff Benchmark
Published: March 21, 2022 Despite concerns about the adequacy of nursing home (NH) staffing, the federal agency responsible for NH certification and regulation has never adopt...
Read More
jama network
Mar 14, 2022
Daily Variation in Nursing Home Staffing and Its Association With Quality Measures
Published: March 14, 2022 Related News Coverage Is daily variation in nursing home staffing associated with quality, and does it offer additional information to measures of av...
Read More
jama network
Nov 30, 2023
Health Care Staff Turnover and Quality of Care at Nursing Homes
PUBLISHED: October 9, 2023 Related News Coverage Within-facility variation in staff turnover was associated with decreased quality of care. These findings suggest that efforts...
Read More
individual unpublished
Nov 30, 2023
Effects of Mandatory Staffing Requirements on Quality Indicators in Long-Term Care
PUBLISHED: November 2023 Related News Coverage Long term care facilities continue to struggle to improve the quality of care, which affects publicly reported data and reimburs...
Read More
office of inspector general
Nov 30, 2023
Audit of Nursing Homes’ Nurse Staffing Hours Reported in CMS’s Payroll-Based Journal
The Office of the Inspector General announced a new research study in November 2023.  Scheduled to be issued in 2025, the research study will audit the PBJ reporting of staffi...
Read More
office of inspector general
Sep 30, 2023
Nursing Home Capabilities and Collaboration to Ensure Resident Care During Emergencies
PUBLISHED: September 2023 Related News Coverage Although most nursing homes met Federal emergency preparedness requirements, an estimated 77 percent reported challenges with p...
Read More
clifton larson allen logo
Sep 30, 2023
Staffing Mandate Analysis In-Depth Analysis on Minimum Nurse Staffing Levels & Local Impact
Updated September 2023 | Updated December 2022 | Published July, 2022 Related News Coverage On April 11, 2022, the Centers for Medicare & Medicaid Services (CMS) issued a ...
Read More
jama network
Jul 27, 2023
Examination of Staffing Shortages at US Nursing Homes During the COVID-19 Pandemic
PUBLISHED: July 27, 2023 Related News Coverage Staffing shortages have been widely reported in US nursing homes during the COVID-19 pandemic, but traditional quantitative rese...
Read More
jama network
Jul 27, 2023
Association of Receipt of Paycheck Protection Program Loans With Staffing Patterns Among US Nursing Homes
PUBLISHED: July 27, 2023 Related News Coverage Did staffing hours change among nursing homes that received forgivable loans through the Paycheck Protection Program (PPP), whic...
Read More
journal of post-acute and long-term care medicine
Jul 27, 2023
New Dimensions of Staffing Patterns in Nursing Homes and Nursing Home Quality: Comparing Staffing Instability to Staffing Turnover
PUBLISHED: July 27, 2023 Related News Coverage This study examines how measures of staffing—turnover and instability—are associated with one another and how they independently...
Read More
abt associates
Jun 30, 2023
Nursing Home Staffing Study: Comprehensive Report
PUBLISHED: June 2023 Related News Coverage A comprehensive report prepared under contract to CMS by ABT Associates summarizes results from a Nursing Home Staffing Study includ...
Read More
journal of post-acute and long-term care medicine
May 8, 2023
Staffing Shortages, Staffing Hours, and Resident Deaths in U.S. Nursing Homes During the COVID-19 Pandemic
PUBLISHED: May 08, 2023 Related News Coverage Staffing shortages at nursing homes during the COVID-19 pandemic may have impacted care providers’ staffing hours and affected re...
Read More
health affairs journal
Feb 28, 2023
Understanding Nursing Home Spending And Staff Levels In The Context Of Recent Nursing Staff Recommendations
PUBLISHED: February 2023 Related News Coverage This study examined the proportion of facility revenues spent on nursing staff, as well as nursing staff levels in hours worked ...
Read More
office of inspector general
Jan 30, 2023
Assessment of CMS’s Early Use of Payroll-Based Journal Data To Improve Enforcement of Nursing Home Staffing Standards
Expected Issue Date 2024 Announced January 2023 October 2022, CMS began to provide State Survey Agency surveyors (State surveyors) with extracts of Payroll-Based Journal (PBJ)...
Read More
office of inspector general
Jan 30, 2023
More Than a Thousand Nursing Homes Reached Infection Rates of 75 Percent or More in the First Year of the COVID-19 Pandemic
PUBLISHED: January 2023 Related News Coverage This is the second report in the series and builds on the first OIG report by focusing on nursing homes themselves. It looks at t...
Read More
health affairs journal
Jan 25, 2023
The Role Of Real Estate Investment Trusts In Staffing US Nursing Homes
PUBLISHED: January 25, 2023 Related News Coverage REIT investment was associated with average relative staffing increases of 2.15 percent and 1.55 percent for licensed practic...
Read More
jama network
Jan 10, 2023
Association of Staffing Instability With Quality of Nursing Home Care
Published: January 10, 2023 Related News Coverage This study examined whether staffing instability, defined as the percentage of days below average staffing levels, is associa...
Read More