The Nursing Home Care Compare quarterly refresh on July 27 incorporated new staffing measures into ratings on the Five Star Quality Rating System. The six new measures, first publicly reported beginning in January 2022, include total nurse staffing, nurse staffing on weekends, Registered Nurse (RN) staffing, total nurse staffing turnover, RN turnover, and administrator turnover. These measures were calculated in the staffing domain rating, which impacts the overall star rating. More information on these measures is available in the Five Star Quality Rating System Technical Users Guide.

To ensure accurate staffing data, the Centers for Medicare and Medicaid Services (CMS) strongly encourages providers to double-check data submissions through the use of 5 key reports in the Certification and Survey Provider Enhanced Reporting (CASPER) system. After initially submitting payroll-based journal (PBJ) data, providers should first check the Final Validation Report, delivered to the CASPER folder usually within 24 hours of PBJ data submission. This report confirms that data has been submitted, though it does not confirm accuracy or completeness of data. For these issues, providers should utilize the following reports:

• 1700 Employee Report
• 1702D Individual Daily Staffing Report
• 1702S Staffing Summary Report
• MDS Census Report

More information about these reports is available here.

Providers can correct or resubmit data as many times as necessary prior to the final data submission deadline, 45 days after the end of each quarter. For data submissions for calendar year 2022 Quarter 2 that ended on June 30, providers must submit data by August 14, 2022. No corrections or submissions will be accepted after August 14. The next quarterly refresh on Nursing Home Care Compare will take place on October 26.