Payroll Based Journal (PBJ) Mandatory Reporting


 PBJ Overview

The Affordable Care Act requires CMS to collect electronic staffing data from nursing centers. The Act requires this data to be auditable and verifiable. The information is intended to collect direct care staff (employed and contracted), employee turnover and tenure, and must include census data and case mix. CMS developed the Payroll-Based Journal (PBJ) to collect this data. Details on the collection methodology and other policies related to staffing data submission can be found in the latest PBJ Policy Manual and FAQs can be found here

In April 2018, CMS started to use PBJ data to determine each facility’s staffing rating used in the Nursing Home Five-Star Quality Rating System.

In April 2019, CMS announced changes to the staffing component of Five-Star. CMS adjusted the thresholds for overall staffing ratings, which provides a greater emphasis on RN staffing. Additionally, CMS added one-star staffing rating to those facilities that report four or more days without an RN in a quarter. More information on these changes can be found in the Five-Star Technical Us​er Guide​

 Resources on ahcancalED

ahcancalED is a one stop shop for members needing information about the Payroll Based Journal (PBJ) Mandatory Reporting requirement. Check out our dedicated members-only webinars, background information, and more resources.

NOTE: To access ahcancalED, members MUST 1) login using their AHCA username and password and 2) register for FREE to gain access to resources on ahcancalED. Email if you have any questions or concerns.