This dataset provides quarterly data submitted by nursing homes, detailing their daily nurse and non-nurse staffing levels. The data includes the hours staff are paid to work each day, categorized by staff roles such as Registered Nurses (RN), Licensed Practical Nurses (LPN), Certified Nurse Aides (CNA), and other non-nurse roles like therapists and social workers. It also incorporates the facility's daily census, derived from Minimum Data Set (MDS) submissions. The data is collected through the Payroll Based Journal (PBJ) system, a CMS initiative to obtain verifiable staffing information from nursing facilities.

Data Source:

• Centers for Medicare & Medicaid Services (CMS)
• Payroll Based Journal (PBJ) system

Purpose & Usage:

• Quality Rating: Used to calculate the staffing component of the CMS Five-Star Quality Rating System for nursing homes.
• Staffing Evaluation: Helps in evaluating the adequacy of staffing levels in nursing facilities.
• Value-Based Purchasing: Will be used in Skilled Nursing Facility (SNF) Value-Based Purchasing programs.
• Enforcement of Standards: CMS uses PBJ data to enhance the enforcement of federal nursing home staffing standards and investigate noncompliance.
• Research & Analysis: Useful for researchers and analysts studying nursing home staffing, quality of care, and healthcare policy.
• Sales & Strategy: Potentially valuable for staffing agencies to understand staffing trends and optimize resource allocation.

Update Frequency:

• Typically updated quarterly (4 times a year).

Key Data Points:

• Daily staffing hours by various staff categories (RN Director of Nursing, Registered Nurses, Licensed Practical Nurses, Certified Nurse Aides, etc.)
• Employee and contract hours for each staff category
• Facility's daily census
• Facility information (Medicare Provider Number, Name, City, State, County)
• Calendar Quarter and Work Date

Data Dictionary:

• A data dictionary is available which provides definitions for each column in the dataset. You can find it here: Payroll Based Journal Daily Nurse Staffing Data Dictionary. This data dictionary is also listed as a featured resource on the main dataset page: Payroll Based Journal Daily Nurse Staffing - CMS Data.

The Payroll Based Journal (PBJ) Employee Detail Nursing Home Staffing dataset provides information submitted by nursing homes including rehabilitation services on a quarterly basis. The data include a system generated employee identification number, work date, job type and employment status, and hours worked for each nursing home employee.

The Payroll Based Journal (PBJ) Nurse Staffing and Non-Nurse Staffing datasets provide information submitted by nursing homes including rehabilitation services on a quarterly basis. The data include the hours staff are paid to work each day, for each facility. Examples of reporting categories include Director of Nursing, Administrative Registered Nurses, Registered Nursing, Administrative Licensed Practice Nurses, Licensed Practice Nurses, Certified Nurse Aides, Certified Medication Aides, and Nurse Aides in Training. There are also other non-nurse staff categories provided in the data such as Respiratory Therapist, Occupational Therapist, and Social Worker. The datasets also include a facility’s daily census calculated using the Minimum Data Set (MDS) submission.

This dataset contains quarterly data on non-nurse staffing levels in nursing homes, as reported through the Payroll Based Journal (PBJ) system. It includes daily hours that non-nurse staff are paid to work, along with the facility's daily census derived from Minimum Data Set (MDS) submissions. The dataset is designed to provide verifiable staffing information for non-nurse roles in nursing facilities. It's important to note that this dataset is very large and requires database or statistical software to handle effectively.

Source Organization: Centers for Medicare & Medicaid Services (CMS)

Data Collection System: Payroll Based Journal (PBJ) system

Purpose of Data Collection:
To obtain verifiable and standardized daily non-nurse staffing information from Medicare and Medicaid-certified nursing homes. This data is used for:

• Comprehensive staffing analysis in nursing homes, covering roles beyond nursing staff.
• Contributing to quality assessments and potentially value-based purchasing programs.
• Enhancing oversight and enforcement of staffing standards across all roles.
• Public transparency and research into the broader spectrum of nursing home staffing.

Data Scope:
Daily staffing levels reported by nursing homes for non-nurse staff, including:

• Hours paid for various non-nurse staff roles (e.g., therapists, social workers, activities staff, etc.).
• Employee and contract staff hours for non-nurse roles.
• Daily facility census (derived from MDS submissions).
• Facility characteristics (location, Medicare Provider Number, etc.).

Geographic Coverage: United States

Time Period:
Quarterly data, updated approximately four times per year. Check the CMS Data website for the latest data quarters.

Accessibility:
Publicly available on the CMS Data website.

Intended Use:
This dataset is valuable for understanding the roles of non-nurse staff in nursing homes. It can be used for research on:

• Analyzing non-nurse staffing trends.
• Investigating the impact of non-nurse staffing on quality of care and resident outcomes.
• Developing staffing models that consider the contributions of all staff roles.
• Informing policy related to comprehensive staffing in nursing facilities.

This dataset tracks the updates made on the dataset "Payroll Based Journal Daily Non-Nurse Staffing" as a repository for previous versions of the data and metadata.

This dataset tracks the updates made on the dataset "Payroll Based Journal Employee Detail Nursing Home Staffing" as a repository for previous versions of the data and metadata.

This dataset tracks the updates made on the dataset "Payroll Based Journal Daily Nurse Staffing" as a repository for previous versions of the data and metadata.