PBJ reporting is required for all long term care facilities that obtain funding through Medicare or Medicaid. Reporting requirements differ, however, based on the specific type of care your facility provides.
1. Nursing facilities (NFs)
Nursing facilities are not required to have a licensed nurse on staff at all times, but they are still required to submit data on registered nurses (RNs), certified nursing assistants (CNAs), and licensed practical nurses (LPNs). NFs must report the total hours staff members worked (including pathologists, occupational therapists, and others).
2. Hospice inpatient facilities (HIFs)
Hospice facilities generally only provide care in the short term, but they still need to report to the CMS. Like other facilities, they must report the hours PNs, RNs, and CNAs that they employ worked. They also have to include the hours of all other staff members, including counselors, chaplains, and social workers.
3. Intermediate care facilities for individuals with intellectual disabilities (ICFs/IID)
Intermediate care facilities provide care to people living with intellectual or developmental disabilities who need to receive 24-hour supervision and care. ICFs/IID facilities need to submit data for PBJ reporting, but not as much as most. They’re only required to submit data on direct care staff, which may include CNAs, LPNs, and RNs.
4. Skilled nursing facilities (SNFs)
Skilled nursing facilities have significant reporting requirements including reporting 24-hour skilled nursing staff data. These facilities should report LPN, RN, and CNA data as well as staff member hours for physical or occupational therapists as well as others. In general, SNFs must record and report all staff member hours.
Every facility is different, and the requirements vary based on the services it offers. If long-term care of any kind is part of its services, the PBJ reporting applies in at least some manner.