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The Centers for Medicare & Medicaid Services (CMS) has updated the Five-Star Quality Rating System Technical Users’ Guide (April 2018) for the second time this year, this time to address the switch to using Payroll-Based Journal (PBJ) staffing data in the Five-Star Quality Rating System on Nursing Home Compare. The change to PBJ data from survey data is not an “apples to apples” transition, says Jane Belt, MS, RN, RAC-MT, QCP, curriculum development specialist for AANAC. “There is really no good comparison between the old way and the new way. This is an ‘apples to furniture’ change.”
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