Turnover is more accurately described by CMS as “ the percentage of staff that left the home over a 12-month period” or, in the case of Administrators, “ the number of administrators that left the home over a 12-month period“. The person in this top-level, separately licensed role is singularly responsible for all the operations inside the home, so consistent leadership is key. So CMS has incorporated turnover measures for both Total and RN staff, as well as a role that we haven’t looked at before - the Nursing Home Administrator. Studies have shown that patients receive better care when employees are happy and want to stay in their jobs. The next three elements of the Staffing star rating calculation concern measures of turnover or employee retention. With StarNow for Staffing, operators can gain that visibility. Since the lag in time between data submission and publication on CMS ranges anywhere between 3 and 6 months, facilities with access to real-time data are at an advantage when it comes to avoiding penalties, and knowing what will be published. Needless to say, a 1 star rating has an even wider impact than “Data Not Available”, so facilities need to ensure that their staffing levels are being reported in a timely and accurate fashion.Īs such, it helps to get a handle on your Staffing situation well before it needs to be submitted. Failure to respond to, submit documentation for, or failure to pass a CMS audit designed to discover discrepancies in PBJ data.More than 4 days in a row without RN Staffing hours.
Failure to submit PBJ data by the deadline.If a facility submits data with one or more of these problems, their Staffing Rating is removed and the message “Data Not Available” is displayed prominently.Īdditionally, there are other compliance checks that carry a harsher penalty - being downgraded to 1 Staffing Star:
#Cms nursing home compare reports full#
Excessive Nurse Aid/CNA Staffing, both full week and weekends ( > 5.25 HRD).Excessive Total Nurse Staffing, both full week and weekends ( > 12 HRD).No Total Nurse Staffing, both full week and weekends (0 HRD).CMS runs several compliance checks to ensure that staffing hours fall within reasonable ranges: What’s key in this process is to ensure both the accuracy and completeness of this data.
Some operators submit staffing data automatically from their payroll systems, others fill out an Excel template provided by CMS, and others use third parties to extract, compile, and submit their data. As mentioned above, Staffing data must be submitted each quarter via Payroll-Based Journal or PBJ.
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