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CMS Updates PBJ Manual and FAQs
On July 7, 2025 by Mark Schulz
The Centers for Medicare & Medicaid Services (CMS) has issued an update to payroll-based journal (PBJ) materials on the Staffing Data Submission Payroll Based Journal webpage. Updates to the PBJ Policy Manual include info for PBJ system registration through QIES and clarification that all reported nursing hours must be onsite hours. Updates to the PBJ Policy Manual FAQs reiterate the updates in the policy manual, and also include clarifications related to meal breaks, salaried staff, RN hours requirements and waivers, and questions pertaining to PBJ audits. Check out these updates in the PBJ Policy Manual and the PBJ Policy Manual FAQs located in the Downloads section of the PBJ page on the CMS website.
Upcoming PBJ Submission Deadline and iQIES Service Center Availability
On July 3, 2025 by Mark Schulz
On July 14, 2025, the Nursing Home Survey & Certification functionality will launch in iQIES—just one month prior to the PBJ submission deadline. This rollout is expected to result in a substantial influx of new users, potentially leading to longer hold times.
CMS Announces Changes to Nursing Home Care Compare
On June 26, 2025 by Mark Schulz
On June 18, the Centers for Medicare & Medicaid Services (CMS) released memo QSO-25-20-NH, announcing several impactful changes to the Nursing Home Care Compare website, set to take effect with the July and October 2025 quarterly data refreshes. These updates are part of CMS’s continuing efforts to enhance transparency and improve the accuracy and utility of performance data for nursing home providers, residents, and families.
CMS Issues Fraudulent Fax Alert: What Medicare Providers Need to Know
On June 26, 2025 by Mark Schulz
The Centers for Medicare & Medicaid Services (CMS) has issued a formal alert warning Medicare providers of a new phishing scheme involving fraudulent fax requests. Scammers are impersonating CMS and sending deceptive faxes that request medical records and documentation under the guise of an audit. These communications are crafted to appear official and can easily mislead busy healthcare providers into disclosing sensitive patient or organizational information.
CMS to Accelerate Public Release of Survey Findings for All Certified Providers
On June 26, 2025 by Mark Schulz
On June 17, the Centers for Medicare & Medicaid Services (CMS) issued memo QSO-25-19-ALL, introducing a significant shift in how and when survey findings are publicly released for all CMS-certified providers and suppliers, including nursing homes. Under the updated policy, survey results recorded on Form CMS-2567 will be made available to the public within 14 calendar days of receipt by the provider—and, in many cases, immediately upon receipt.
Nelson Care Center by Vivie Earns Prestigious CMC 5-Star Rating
On June 12, 2025 by LeadingAge Minnesota
Nelson Care Center by Vivie is proud to announce it has been awarded a prestigious 5-star rating from the Centers for Medicare and Medicaid Services (CMS), following its most recent survey in March. This top-tier rating reflects the organization’s commitment to delivering exceptional care and support to the people it serves.
CMS Resumes “Associations Calls”
On May 29, 2025 by Mark Schulz
The Centers for Medicare & Medicaid Services (CMS) Division of Nursing Homes has resumed regular calls with LeadingAge and other national stakeholder associations.
Nursing Homes Must Now Submit Off-cycle Revalidations by Aug. 1
On April 17, 2025 by Mark Schulz
Nursing homes must now submit off-cycle revalidations by August 1. The Centers for Medicare and Medicaid Services (CMS) enacted a final rule in November 2023 implementing portions of the Patient Protection and Affordable Care Act, which added a section to the Social Security Act related to ownership, management, and related parties.
Federal Judge Blocks CMS Staffing Mandate
On April 10, 2025 by Ben Hansen
On April 7, 2025, U.S. District Judge Matthew J. Kacsmaryk (TX) ruled in favor of the American Health Care Association, LeadingAge, and four nursing homes, finding that CMS exceeded its authority by imposing a federal minimum staffing mandate on nursing homes.
Upcoming CMS Surveyor Guidance and F-Tag Revisions: What Providers Need to Know
On February 6, 2025 by Kari Everson
Significant changes are coming for skilled nursing facilities (SNFs). On March 24, 2025, new and revised surveyor guidance, including updated critical element pathways, will take effect.
Litigation Update – State Association CMS Minimum Staffing Lawsuit
On January 16, 2025 by Mark Schulz
On Dec. 5, 2024, Judge Leonard Strand, who is presiding over the lawsuit filed by LeadingAge Minnesota and other LeadingAge state affiliates and state Attorneys General to challenge the Centers for Medicare and Medicaid (CMS) Minimum Staffing Rule, held a hearing on our motion for a preliminary injunction to halt the rule’s enforcement and implementation.
CMS Unveils New Program Offering up to $50k Incentives for RNs in Nursing Homes
On January 9, 2025 by Anna Mowry
Yesterday, McKnight’s Long-Term Care News released a breaking story that Centers for Medicare & Medicaid Services (CMS) will offer nursing students up to $40,000 in tuition reimbursement and/or $10,000 outright to work for a nursing home or state survey agency.
DEED: Regulations and Demographics Converge to Create a Momentous Long-Term Care Workforce Challenge
On January 9, 2025 by Anna Mowry
The Minnesota Department of Employment and Economic Development's (DEED) new article highlights the looming impact of federal minimum staffing regulations on Minnesota's nursing homes.
Updates To CMS Appendix PP: Revised Surveyor Guidance For Nursing Homes
On December 19, 2024 by Kari Everson
On Nov. 18, the Centers for Medicare & Medicaid Services (CMS) released QSO-25-07-NH outlining updates to Appendix PP, including revised surveyor guidance and F-tag changes for nursing homes.
National Healthcare Safety Network Respiratory Illness Reporting Changes Starting Jan. 1
On December 19, 2024 by Kari Everson
The Centers for Medicare & Medicaid Services (CMS) recently released finalized provisions for nursing home reporting through the National Healthcare Safety Network (NHSN).
LeadingAge Minnesota Joins 20 Other State Affiliates in Lawsuit to Overturn CMS Staffing Mandate
On October 10, 2024 by LeadingAge Minnesota
LeadingAge Minnesota has joined with 20 other affiliated organizations, together representing hundreds of not-for-profit aging services providers across the country, in a lawsuit to overturn the Centers for Medicaid and Medicare Services’ (CMS) staffing mandate. The mandate creates an untenable situation for senior care facilities across Minnesota and throughout the country.
CMS Updates Appendix PP for New Facility Assessment
On August 15, 2024 by Mark Schulz
The Centers for Medicare and Medicaid Services has updated the State Operations Manual, Appendix PP, to reflect the previously released advance copy information for the revised facility assessment requirements found in the Quality, Safety and Oversight memoranda, QSO-24-13-NH.
QSO-24-13-NH Revised Guidance for Long-Term Care Facility Assessments Released Yesterday
On June 20, 2024 by Kari Everson
The Centers for Medicare and Medicaid Services released QSO-24-13-NH providing guidance for nursing homes regarding the long-term care facility assessment requirements. LeadingAge Minnesota adapted the facility assessment from Quality Improvement Organizations to include the new requirements in a template for members. Access the Facility Assessment Tool here.
LeadingAge to File to Join Lawsuit to Halt Nursing Home Staffing Mandates Implementation
On May 30, 2024 by LeadingAge
Advancing the aggressive, multi-faceted strategy announced May 22, president and CEO Katie Smith Sloan on May 24 told members that LeadingAge intends to join the American Health Care Association lawsuit against the Department of Health and Human Services (HHS) and the Centers for Medicare and Medicaid Services (CMS).
US House Resolution Introduced to Overturn Final Staffing Rule
On May 16, 2024 by LeadingAge
Representatives Michelle Fischbach (R-MN) and Greg Pence (R-IN) introduced a Congressional Review Act (CRA) resolution of disapproval to overturn the final minimum staffing rule. The resolution was introduced May 10, the same day the final rule was published in the Federal Register.