If your skilled nursing facility is doing everything right on the floor but still struggling to hold onto four or five stars, the culprit might not be care quality. It might be buried in your Payroll Based Journal (PBJ) data. ...
This scenario happens more often than we realize: your facility got dinged on your CMS Five-Star rating and your Total Nursing Hours score dropped, even though you know your staffing levels haven’t changed. You check your PBJ reports, and everything looks accurate. Even your...
Over the course of 18 months, SNF leaders watched the federal 3.48 HPPD requirement go from finalized rule (May 2024), to postponed until 2034 (July 2025), to fully repealed (December 2025). If you’re an HR Director or Finance Officer at...
You run payroll every two weeks. The checks go out on time. The math adds up. Your team thinks everything’s fine. But here’s what many home care agencies miss: accurate payroll can still bleed money. Maybe it’s overtime you didn’t...
If your nursing home runs on a calendar-year fiscal cycle, the clock is officially ticking. CMS rolled out major updates to the Medicare cost report. This is the biggest shift since PDPM, and what you need to do depends on...
When a healthcare operator needed to transition their entire payroll system in just two weeks — a timeline that can take over a month — Israel Bernstein, Vice President of Payroll Solutions at Limestone Fiscal Services, wasn’t sure it could...
Between last-minute call-outs, compliance alerts, and staffing crises, healthcare HR can feel like playing defense 24/7. But what if your workforce management strategy could actually get ahead of the chaos instead of constantly reacting to it? If you’re managing HR...
On January 1, 2026, hospitals in 797 geographic areas across the U.S. will be mandatorily enrolled in the Centers for Medicare & Medicaid Services (CMS) Transforming Episode Accountability Model (TEAM). Here’s why this is critical to understand and plan for:...
Imagine a nursing home administrator reviewing payroll and instantly seeing that 10 CNAs have pay increases of 50% or more compared to last week. Instead of manually comparing each timesheet to previous periods, a batch comparison tool highlights these changes...
