01
PBJ preparation & submission
Bring employee and agency hours together. Review classifications, resolve exceptions and manage the work from payroll import through CMS submission and follow-up.
Explore PBJ reporting
PBJ & compliance for skilled nursing
Clearer reporting.
Clearer reporting.
Smarter staffing.
Stronger performance.
PBJ submissions, Five-Star insight and staffing compliance support built around skilled nursing. Connect the information, people and processes behind confident decisions.
Skilled nursing facilities · Long-term care · Multi-facility operators
Behind every reportPeople. Care. Accountability.
Our solutionsCompliance connected
Compliance connected
to daily performance.
A reporting deadline is only one part of the picture. We bring PBJ, staffing and quality information together to help your team prepare accurately, see risk sooner and act with purpose.
02
Five-Star analysis & improvement
Forecast staffing stars before CMS submission. Compare scenarios, identify missing evidence and understand the staffing changes that could improve your score.
Explore Five-Star support03
Staffing & scheduling compliance
Plan coverage around census, staffing mix and applicable standards. Compare the schedule with hours actually worked to identify gaps before they become recurring problems.
Explore staffing support04
Required reporting support
Bring clarity to the reporting your facilities are responsible for. Organize deadlines, supporting information, review steps and follow-up across applicable requirements.
Explore reporting supportPayroll-Based JournalFrom payroll files
From payroll files
to submission confidence.
Replace a disconnected quarter-end process with a consistent workflow. PBJConnect combines cloud-based tools, reporting dashboards and support for the people responsible for getting it right.
- 01 / Connect
Bring the hours together.
Import payroll and contract-staff data. Map employee identifiers, facilities and job roles into a consistent reporting structure.
- 02 / Review
Resolve the exceptions.
Reconcile source records, inspect missing or inconsistent entries and give the right people a clear approval process.
- 03 / Submit
Manage the deadline.
Prepare and submit PBJ files through the applicable CMS process. Review validation feedback and address rejected records before the deadline.
- 04 / Follow through
Keep the evidence.
Track submission status, maintain supporting records and use reporting dashboards to make the next reporting cycle easier to manage.
Connect the systems you already use
ADP · Kronos · PointClickCare · American HealthTech
Source compatibility and submission setup are confirmed during onboarding.Staffing & schedulingPlan the coverage.
Plan the coverage.
Verify the hours.
Connect census, schedules, payroll and agency staffing so your team can see where coverage may fall short—and compare the plan with what actually happened.
- Plan by facility and day. Translate census and applicable staffing standards into coverage targets.
- Keep staffing mix in view. Review direct-care and CNA hours alongside your facility’s other staffing obligations.
- Reconcile scheduled and actual hours. Surface missed shifts, changes in census and discrepancies that need follow-up.
California 3.5-hour planning. For covered California freestanding SNFs, plan around 3.5 direct-care hours per patient day, including 2.4 CNA hours. Actual eligible hours worked determine compliance; exceptions, approved waivers and resident needs also matter.
An illustration of daily planningTurn census into
Turn census into
a staffing target.
Explore the California 3.5 / 2.4-hour example.
residents
Total direct-care hoursDaily census × 3.5
CNA hours included in totalDaily census × 2.4
Illustrative hours calculation, not a determination of compliance or an individual care plan. It does not account for all staffing rules, eligible-hour definitions, exceptions or resident acuity. PBJ and California staffing audits use different reporting definitions.
Review your staffing process
Built around skilled nursingBehind the numbers,
Behind the numbers,
there is a care team.
Administrators, nursing leaders, schedulers, payroll teams and corporate offices each see a different part of the operation. PBJConnect helps bring those perspectives together.
- Facility-level detail for everyday follow-up
- Portfolio visibility for regional and corporate leaders
- Shared definitions and clear responsibility
- Technology supported by healthcare experience
Required reporting supportMore than a deadline.
More than a deadline.
A process you can manage.
Start with PBJ. Extend the same discipline to the other reporting obligations your facilities need to manage: clear ownership, reliable source data, review steps and evidence of completion.
We help map applicable requirements and improve the workflows around them. Scope is tailored to your facilities, systems and reporting responsibilities.
Discuss your reporting requirementsPayroll-Based Journal
Prepare staffing records, reconcile employee and agency hours, review validation results and retain submission evidence.
MDS & SNF Quality Reporting
Support data reconciliation, deadline ownership and follow-up around assessment and quality-reporting workflows.
NHSN reporting coordination
Organize the source information, responsibilities and review process for applicable infection-surveillance reporting.
SNF Value-Based Purchasing
Bring visibility to the PBJ, MDS and claims-based measures that inform performance and reimbursement.
State reporting & audit readiness
Coordinate applicable staffing reports, supporting documentation and facility-specific requirements in an accountable reporting calendar.
Your engagement defines the reporting support, system connections and submission responsibilities that fit your facilities.
Our approachA clear process.
A clear process.
A team you can work with.
From an individual facility to a multi-state organization, begin with your reporting needs and build a practical plan around the people doing the work.
Understand your requirements.
Review your facilities, reporting obligations, source systems and current process. Identify the gaps and agree on what support is needed.
Connect and reconcile.
Map the relevant information, validate the data and establish clear definitions for PBJ, staffing analysis and reporting in scope.
Put the workflow to work.
Set review and approval steps, train users and make ownership visible. Build a repeatable process around the reporting calendar.
Review and improve.
Use dashboards and recurring reviews to track exceptions, reporting outcomes and improvement priorities as your organization evolves.
About PBJConnectFocused expertise.
Focused expertise.
Connected information.
Practical support.
PBJConnect brings together staffing-data technology and healthcare consulting to support skilled nursing and long-term care organizations.
Our focus is the connection between what you report and how your facilities operate. From PBJ preparation to Five-Star analysis, staffing planning and broader compliance workflows, we help teams use their information with greater clarity and accountability.
With a shared commitment to practical technology and operational understanding, we help facility teams and leadership turn reporting into a stronger foundation for management.
Skilled nursing focus
Work grounded in the staffing, quality and reporting demands of long-term care.
Connected data
Bring payroll, agency, census and performance information into a consistent view.
Hands-on follow-through
Pair technology with practical guidance, clear workflows and support for your team.
Common questionsAnswers for
Answers for
your next step.
Can we work with our existing payroll and clinical systems?
Yes. PBJConnect offers integrations and data-import workflows, including ADP, Kronos, PointClickCare and American HealthTech. We review your systems, exports and reporting needs during onboarding to confirm the appropriate setup.
How do you support 3.5-hour staffing planning?
We connect census, schedules and actual worked hours to help teams identify coverage gaps. The 3.5-hour example on this page applies to covered California freestanding skilled nursing facilities, including the 2.4-CNA-hour component. Requirements vary by facility and jurisdiction, and actual eligible hours must be verified.
How can PBJConnect help improve Five-Star performance?
We analyze staffing, turnover and quality trends, connect them with survey findings, and help teams prioritize measurable improvement actions. Accurate PBJ data support reliable analysis. Ratings reflect multiple CMS measures, so results depend on underlying facility performance and follow-through.
What reporting support is available beyond PBJ?
PBJ is our core reporting-software offering. Broader mandatory-reporting support can include requirements mapping, source-data reconciliation, review workflows and submission tracking. Specific filing connections and responsibilities are confirmed in the engagement scope.
Can you support multiple facilities?
Yes. Our approach supports individual facilities and multi-facility organizations, with consistent definitions, reporting responsibilities and views for facility teams, regional leaders and corporate oversight.
Contact usBring clarity to your
Start a conversationBring clarity to your
next reporting cycle.
Tell us where you need support—PBJ submissions, Five-Star performance, staffing coverage or a broader reporting process. We’ll help define a practical next step.
PBJConnect
PBJ reporting & submission
Five-Star analysis & improvement
Staffing & scheduling compliance
Required reporting support