DataPoint: PBJ Staffing Data Released After Government Shutdown
(Nov. 24, 2025) The Centers for Medicare and Medicaid Services' (CMS) newly posted Payroll-Based Journal (PBJ) data for daily nurse staffing during the second quarter of 2025 reveals that NYS showed an across-the-board improvement in staffing compliance. Section 2895-b of the Public Health Law (PHL) and Department of Health (DOH) regulations at 10 NY Codes, Rules, and Regulations (NYCRR) §415.13 require a total of 3.5 hours of nurse staffing per resident per day in nursing homes, of which at least 1.1 hours must be provided by Registered Nurses (RNs) or Licensed Practical Nurses (LPNs) and at least 2.2 hours provided by Aides. Compliance with these thresholds is calculated by tallying the sum of a facility’s RN and LPN hours, Aide hours, and total nursing hours for the observed quarter and dividing it by the sum of the Minimum Data Set (MDS) census for each day in the quarter. Failure to meet any one of the three thresholds on the aggregate results in that facility being deemed non-compliant for that quarter.
On a statewide basis for the second quarter of 2025, without regard for sponsorship, 60% of facilities were deemed non-compliant. This represents an improvement of five basis points over the previous quarter. A deeper delve into the data reveals that 70% of for-profit homes were non-compliant, along with 43% of not-for-profit homes and 27% of public homes. Since LeadingAge NY started tracking compliance in the fourth quarter of 2021, this has been the lowest rate of non-compliance for not-for-profit homes. On a regional basis, all seven DOH regions saw an increase in compliance, with the Buffalo region touting the greatest improvement. The Albany region has overtaken the Buffalo region for the highest degree of non-compliance across the state. This quarter’s results represent an improvement from the small backward step we saw in the first quarter of 2025.
|
REGION |
Q1 2025 |
Q2 2025 |
|
1BUFF |
72.1% |
61.8% |
|
2ROCH |
60.3% |
53.4% |
|
3SYR |
64.1% |
61.0% |
|
4TROY |
71.9% |
65.6% |
|
5NYC |
66.7% |
64.0% |
|
6NROC |
62.8% |
58.1% |
|
7LI |
55.8% |
51.9% |
The median nursing staff hours per resident day showed considerable improvement from the previous quarter, too.
|
QUARTER |
ALL HOMES |
FOR-PROFIT |
NOT-FOR-PROFIT |
PUBLIC |
|
Q1 2025 |
3.30 |
3.20 |
3.50 |
3.85 |
|
Q2 2025 |
3.39 |
3.27 |
3.61 |
3.95 |
LeadingAge NY members who are interested in gleaning their daily staffing shortfalls from the PBJ data can do so by accessing our PBJ Member Tool here.
Contact: Eric Dumas, edumas@leadingageny.org, 518-867-8851