July 2018 Revisions:

As of 2017, skilled nursing facilities are required by Section 61016 of The Affordable Care Act (ACA) to electronically submit direct care staffing (including contracted agency and contract staff) hours along with the facility’s census information to the Payroll-Based Journal (PBJ) system (data.cms.gov). This information is also submitted to the CMS Nursing Home Compare website and will also be used in calculating the Nursing Home 5-Star Ratings beginning July 2018.

April 2018 Revisions:

Beginning with the April 2018 update of the Nursing Home Compare website and the Five-Star Quality Rating System, the Centers for Medicare and Medicaid Services (CMS) is replacing the existing staffing measures (derived from the CMS-671 form and case-mix based on RUG-III) with staffing reported through the payroll-based journal (PBJ) system, resident census derived from MDS assessments, and case-mix based on RUG-IV. These changes as they affect the Five-Star Quality Rating System are described in detail in the Staffing Domain section of this document.

February 2018 Revisions:

“On November 28, 2017 the CMS instituted a new health inspection process along with an entirely new set of “tags”. Beginning in February 2018, for a period of 12 months, CMS will not use deficiencies cited on surveys conducted on or after November 28, 2017 in calculating the health inspection rating for the Nursing Home Compare Five-Star Quality Rating System, to allow sufficient survey results to accumulate from the new-process surveys. During that time, the health inspection rating will be based on results from the two most recent standard surveys prior to November 28, 2017, as well as deficiencies arising from complaint investigations during the two-year period prior to November 28, 2017. “

“Standard surveys and complaint surveys that occurred on or after November 28, 2017 (under the new survey process) will be displayed on the Nursing Home Compare website but will not be utilized to calculate the health inspection rating during the twelve-month period beginning in February 2018.”

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