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Latest from the blog
Yes — agency and contract clinicians count toward your nursing home’s turnover rate, the same as employees. CMS puts it plainly: both are included if they work enough hours to be eligible. What decides it isn’t who signs their paycheck. It’s how many hours they worked and whether they came […]
Learn MoreYour CMS Five-Star staffing rating is built from six measures, all computed from the payroll-based staffing data you already report to Medicare — two on registered nurse and total nurse hours, one on weekend coverage, and three on turnover. Roughly a third of the score isn’t about hours at all. […]
Learn MoreCMS is moving Payroll-Based Journal submissions from QIES to iQIES on August 17, 2026. QIES stops accepting PBJ data after 11:59 PM ET on August 14. Your quarterly deadlines and reporting requirements don’t change — but if your vendor isn’t set up in iQIES before the switch, your Q4 submission […]
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