Payroll-Based Journal news

Stay on top of the latest updates on PBJ, assembled from a variety of industry news sources.


SNF Workforce of the Future: Inside SNN’s Coverage of an Evolving Labor Model

Skilled Nursing News (12/21/2022) – This year, Skilled Nursing News held a magnifying glass to various roles within the nursing home as the sector continues to evolve – and receive mandated change from federal and state entities.

All the while, skilled nursing staff shortages fuel a reshaping of roles to take on more responsibilities and rely more on technology to fill the gaps.

Our stories examined positions from top executive roles to certified nursing assistants (CNAs), the backbone of the direct care workforce. Full story »

Operators See ‘Glimmer of Relief’ As Staffing Concerns Shrink

Skilled Nursing News (10/22/2022) – While the ever-present staffing shortages have continued to challenge operators across the industry, some indications may show a “glimmer of relief” as the most severe workforce woes could be behind the industry.

Just 9% of senior care operators reported severe staffing shortages at their organization — down from 25% of respondents who reported the same back in March, according to the most recent NIC Executive Insights Survey collected between Sept. 19 and Oct. 16. Full story »

‘The World is Changing’: How HDG Is Adapting for the Future of Skilled Nursing

Skilled Nursing News (09/27/2022) – “Wild” and “crazy” are adjectives that describe aspects of the skilled nursing business at the moment, according to Health Dimensions Group (HDG) CEO Erin Shvetzoff Hennessey.

Labor is “just wild,” she told Skilled Nursing News during an interview at the recent National Investment Center for Seniors Housing & Care (NIC) conference in Washington, D.C.

And the high prices that skilled nursing facilities have commanded in M&A transactions have been “crazy,” she said. Full story »

Providers, Congress ratchet up pressure on CMS to extend nurse-aide certification waiver

McKnights (09/14/2022) – Members of Congress from both major parties last week asked Centers for Medicare & Medicaid Services to support flexibilities to help with the nation’s long-term care facilities staffing crisis.

A group of 14 legislators asked CMS in a letter to encourage passage of The Building America’s Healthcare Workforce Act. The proposed legislation would extend the 1135 waiver flexibilities for a period of 24 months upon the end of the COVID-19 public health emergency declaration. The current statute gives nurse-aide applicants only four months to complete training once the PHE ends. Full story »

Warning on staffing minimum: Studying costs won’t matter if pay doesn’t add up

McKnights (08/30/2022) – Cost analysis will be “an important part” of a final report on federal minimum staffing standards, the head of a national study assured nursing home stakeholders Monday.

“I think these cost analyses are really important,“ said Alan White, PhD, principal at Abt Associates, the firm contracted by the Centers for Medicare & Medicaid Services to research the agency’s possible staffing mandate. Full story »

Providers Push Back on CMS’s Move to Zero in on Nursing Roles in Minimum Staffing Study

Skilled Nursing News (08/30/2022) – Nursing home providers and industry leaders renewed their pleas this week to federal government officials to consider non-nursing positions in its proposed minimum staffing requirements, perhaps to no avail.

An upcoming study to help determine an appropriate staffing level will squarely focus on nursing staff, specifically registered nurses (RNs), licensed practical nurses (LPNs), licensed vocational nurses (LVNs) and certified nursing assistants (CNAs), according to Abt Associates Principal Alan White, the research firm contracted by CMS to study the issue. Full story »

CMS outlines 4-pronged minimum staffing study

McKnights (08/23/2022) – The Centers for Medicare & Medicaid Services on Monday revealed more details about how it will use nursing home site visits, data and other tools to formulate a minimum staffing standard, one that is meant to “build on” rather than replace previous studies.

That may mean bad news for operators who had hoped the agency would take a broader view of staffing by including non-nursing positions in its calculations or by creating shift coverage rules instead of hourly minimums. Full story »

CMS reveals differing opinions on minimum staffing approach

McKnights (08/05/2022) – A study meant to underpin a new federal nursing home staffing minimum will last about seven months and end in December, a Centers for Medicare & Medicaid Services official said Thursday.

That confirmation came during an Open Door Forum conference call Thursday, and amid a fierce, ongoing debate how mandated staffing levels can be equitably determined at all.

The CMS call came nearly a week after the agency issued its final 2023 pay rule. In it, CMS acknowledged there had been a “significant response” to its request for information on establishing mandatory minimum staffing levels. Full story »

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