The Congressional Seniors Task Force is recommending that federal regulators start collecting nursing home staffing information directly from payroll systems rather than relying on self-reported criteria from facilities.
The recommendation comes in the wake of a New York Times article that criticizes CMS's Five-Star Quality Rating System. Because the Five-Star data is self-reported, the article said, facilities can increase their staff numbers in the weeks before a survey (AKA "staffing up"), leading to artificially inflated figures. The article also noted that staffing data is not routinely audited.
A provision of the Affordable Care Act requires nursing home staffing information to be based on actual payroll data, but this requirement has yet to be implemented despite a March 2012 deadline. The Congressional Seniors Task Force is asking CMS Administrator Marilyn Tavenner to announce when the payroll data collection system will be available.
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