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CMS Releases Memo on Payroll-Based Journal Staffing Measures on Nursing Home Compare Tool

April 10, 2018

The Centers for Medicare & Medicaid Services (CMS) has released a memo regarding - Transition to Payroll-Based Journal (PBJ) Staffing Measures on the Nursing Home Compare tool on Medicare.gov and the Five Star Quality Rating System.  The memo announced that beginning in April 2018, CMS will use PBJ data to determine each facility's staffing measure on the Nursing Home Compare tool and will calculate the staffing rating used in the Nursing Home Five Star Quality Rating System.  It also noted that nusing homes whose staffing data audit identified significant inaccuracies between the hours reported and the hours verified or facilities who have failed to submit data by the deadline will receive a one-star rating in the staffing domain.  Nursing homes will also receive a one-star rating in the staffing domain if they report seven or more days in a quarter with no RN hours.

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