PBJ: Revised Nursing-Home Level Exclusion Criteria for Administrators

• By: Maureen Carland
• On: 07/26/2023 12:37:41
• In: Quality/Regulatory

Starting with the July 2023 update, CMS has made changes to the nursing-home level exclusion criteria concerning the number of administrators considered for the administrator turnover measure. Previously, if a nursing home submitted Payroll-Based Journal (PBJ) data and reported administrator hours (PBJ job code 1) for five or more individuals (based on employee IDs in the PBJ system) on 12 or more days during the three-quarter denominator eligibility period, the administrator turnover measure would be excluded.
 
As of July 2023, the exclusion criteria have been updated. Now, if a nursing home reports administrator hours (PBJ job code 1) for five or more individuals (based on employee IDs) on four or more days in a single quarter within any of the six quarters required for calculating the administrator turnover measure, the administrator turnover measure will be excluded.
 
For detailed information on these changes, please refer to the Specifications for Staff Turnover Measures section of the  Five-Star Users' Guide 2023 - Updated 7/14/2023 (PDF). The revised sections are highlighted in red and italicized text for easy identification.
 
Staff contact: mcarland@mehca.org