{
 "id": "cms:7e0d53ba-8f02-4c66-98a5-14a1c997c50d",
 "slug": "payroll-based-journal-daily-nurse-staffing",
 "source": "data.cms.gov",
 "title": "Payroll Based Journal Daily Nurse Staffing",
 "summary": "Hours that nursing home staff are paid to work each day, for each facility, by staffing category such as registered nurses and certified nurse aides, plus a daily resident census.",
 "description": "The Payroll Based Journal (PBJ) Nurse Staffing and Non-Nurse Staffing datasets provide information submitted by nursing homes including rehabilitation services on a quarterly basis. The View Data link above includes the hours staff are paid to work each day, for each facility, aggregated by staff reporting category. Examples of reporting categories include Director of Nursing, Administrative Registered Nurses, Registered Nursing, Administrative Licensed Practice Nurses, Licensed Practice Nurses, Certified Nurse Aides, Certified Medication Aides, and Nurse Aides in Training. There are also other non-nurse staff categories provided in the data such as Respiratory Therapist, Occupational Therapist, and Social Worker. The datasets also include a facility’s daily census calculated using the Minimum Data Set (MDS) submission.",
 "aliases": [
  "nursing home staffing",
  "PBJ",
  "payroll based journal",
  "nurse staffing hours",
  "CNA hours"
 ],
 "keywords": [
  "Medicare",
  "Original Medicare",
  "Hospitals & Facilities",
  "Skilled Nursing",
  "Health Care Use & Payments"
 ],
 "themes": [
  "Medicare"
 ],
 "topics": [
  "nursing-homes",
  "hospitals",
  "spending-utilization",
  "quality"
 ],
 "category": "quality-of-care",
 "publisher": "Office of Enterprise Data and Analytics (OEDA)",
 "contact": "nhstaffing@cms.hhs.gov",
 "landing_url": "https://data.cms.gov/quality-of-care/payroll-based-journal-daily-nurse-staffing",
 "csv_url": "https://data.cms.gov/sites/default/files/2026-06/5c2f045b-7246-457a-9fac-c7fb92f7c352/PBJ_dailynursestaffing_CY2026Q1.csv",
 "api_url": "https://data.cms.gov/data-api/v1/dataset/7e0d53ba-8f02-4c66-98a5-14a1c997c50d/data",
 "api_kind": "cms-data-api",
 "preview_url": "https://data.cms.gov/data-api/v1/dataset/7e0d53ba-8f02-4c66-98a5-14a1c997c50d/data?size=10",
 "dictionary_url": "https://data.cms.gov/resources/payroll-based-journal-daily-nurse-staffing-data-dictionary",
 "dictionary_kind": "page",
 "methodology_urls": [
  "https://data.cms.gov/resources/payroll-based-journal-methodology-0"
 ],
 "state_column": "STATE",
 "row_count": 1303830,
 "posted": "2026-07-29",
 "modified": "2026-07-29",
 "period_start": "2017-01-01",
 "period_end": "2026-03-31",
 "latest_period": "2026-01-01 to 2026-03-31",
 "cadence": "quarterly",
 "next_update": null,
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 ],
 "columns": [
  {
   "name": "PROVNUM",
   "label": "PROVNUM",
   "type": "string",
   "meaning": "Medicare provider number",
   "source": "cms-dictionary"
  },
  {
   "name": "PROVNAME",
   "label": "PROVNAME",
   "type": "string",
   "meaning": "Provider name",
   "source": "cms-dictionary"
  },
  {
   "name": "CITY",
   "label": "CITY",
   "type": "string",
   "meaning": "Provider City",
   "source": "cms-dictionary"
  },
  {
   "name": "STATE",
   "label": "STATE",
   "type": "string",
   "meaning": "Postal abbreviation for State",
   "source": "cms-dictionary"
  },
  {
   "name": "COUNTY_NAME",
   "label": "COUNTY_NAME",
   "type": "string",
   "meaning": "Name of Provider County, unique within state",
   "source": "cms-dictionary"
  },
  {
   "name": "COUNTY_FIPS",
   "label": "COUNTY_FIPS",
   "type": "string",
   "meaning": "FIPS Code for Provider County, unique within state",
   "source": "cms-dictionary"
  },
  {
   "name": "CY_Qtr",
   "label": "CY_Qtr",
   "type": "string",
   "meaning": "Calendar Quarter (yyyyQq, e.g. 2018Q4)",
   "source": "cms-dictionary"
  },
  {
   "name": "WorkDate",
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   "type": "number",
   "meaning": "Day for Reported Hours (yyyymmdd)",
   "source": "cms-dictionary"
  },
  {
   "name": "MDScensus",
   "label": "MDScensus",
   "type": "number",
   "meaning": "Resident Census from MDS",
   "source": "cms-dictionary"
  },
  {
   "name": "Hrs_RNDON",
   "label": "Hrs_RNDON",
   "type": "number",
   "meaning": "Total Hours for RN Director of Nursing",
   "source": "cms-dictionary"
  },
  {
   "name": "Hrs_RNDON_emp",
   "label": "Hrs_RNDON_emp",
   "type": "number",
   "meaning": "Employee Hours for RN Director of Nursing",
   "source": "cms-dictionary"
  },
  {
   "name": "Hrs_RNDON_ctr",
   "label": "Hrs_RNDON_ctr",
   "type": "number",
   "meaning": "Contract Hours for RN Director of Nursing",
   "source": "cms-dictionary"
  },
  {
   "name": "Hrs_RNadmin",
   "label": "Hrs_RNadmin",
   "type": "number",
   "meaning": "Hours for RN with administrative duties",
   "source": "cms-dictionary"
  },
  {
   "name": "Hrs_RNadmin_emp",
   "label": "Hrs_RNadmin_emp",
   "type": "number",
   "meaning": "Employee Hours for RN with administrative duties",
   "source": "cms-dictionary"
  },
  {
   "name": "Hrs_RNadmin_ctr",
   "label": "Hrs_RNadmin_ctr",
   "type": "number",
   "meaning": "Contract Hours for RN with administrative duties",
   "source": "cms-dictionary"
  },
  {
   "name": "Hrs_RN",
   "label": "Hrs_RN",
   "type": "number",
   "meaning": "Total Hours for RN",
   "source": "cms-dictionary"
  },
  {
   "name": "Hrs_RN_emp",
   "label": "Hrs_RN_emp",
   "type": "number",
   "meaning": "Employee Hours for RN",
   "source": "cms-dictionary"
  },
  {
   "name": "Hrs_RN_ctr",
   "label": "Hrs_RN_ctr",
   "type": "number",
   "meaning": "Contract Hours for RN",
   "source": "cms-dictionary"
  },
  {
   "name": "Hrs_LPNadmin",
   "label": "Hrs_LPNadmin",
   "type": "number",
   "meaning": "Total Hours for LPN w/ admin duties",
   "source": "cms-dictionary"
  },
  {
   "name": "Hrs_LPNadmin_emp",
   "label": "Hrs_LPNadmin_emp",
   "type": "number",
   "meaning": "Employee Hours for LPN w/ admin duties",
   "source": "cms-dictionary"
  },
  {
   "name": "Hrs_LPNadmin_ctr",
   "label": "Hrs_LPNadmin_ctr",
   "type": "number",
   "meaning": "Contract Hours for LPN w/ admin duties",
   "source": "cms-dictionary"
  },
  {
   "name": "Hrs_LPN",
   "label": "Hrs_LPN",
   "type": "number",
   "meaning": "Total Hours for LPN",
   "source": "cms-dictionary"
  },
  {
   "name": "Hrs_LPN_emp",
   "label": "Hrs_LPN_emp",
   "type": "number",
   "meaning": "Employee Hours for LPN",
   "source": "cms-dictionary"
  },
  {
   "name": "Hrs_LPN_ctr",
   "label": "Hrs_LPN_ctr",
   "type": "number",
   "meaning": "Contract Hours for LPN",
   "source": "cms-dictionary"
  },
  {
   "name": "Hrs_CNA",
   "label": "Hrs_CNA",
   "type": "number",
   "meaning": "Total Hours for CNA",
   "source": "cms-dictionary"
  },
  {
   "name": "Hrs_CNA_emp",
   "label": "Hrs_CNA_emp",
   "type": "number",
   "meaning": "Employee Hours for CNA",
   "source": "cms-dictionary"
  },
  {
   "name": "Hrs_CNA_ctr",
   "label": "Hrs_CNA_ctr",
   "type": "number",
   "meaning": "Contract Hours for CNA",
   "source": "cms-dictionary"
  },
  {
   "name": "Hrs_NAtrn",
   "label": "Hrs_NAtrn",
   "type": "number",
   "meaning": "Total Hours for Nurse aide in training",
   "source": "cms-dictionary"
  },
  {
   "name": "Hrs_NAtrn_emp",
   "label": "Hrs_NAtrn_emp",
   "type": "number",
   "meaning": "Employee Hours for Nurse aide in training",
   "source": "cms-dictionary"
  },
  {
   "name": "Hrs_NAtrn_ctr",
   "label": "Hrs_NAtrn_ctr",
   "type": "number",
   "meaning": "Contract Hours for Nurse aide in training",
   "source": "cms-dictionary"
  },
  {
   "name": "Hrs_MedAide",
   "label": "Hrs_MedAide",
   "type": "number",
   "meaning": "Total Hours for Med Aide/Technician",
   "source": "cms-dictionary"
  },
  {
   "name": "Hrs_MedAide_emp",
   "label": "Hrs_MedAide_emp",
   "type": "number",
   "meaning": "Employee Hours for Med Aide/Technician",
   "source": "cms-dictionary"
  },
  {
   "name": "Hrs_MedAide_ctr",
   "label": "Hrs_MedAide_ctr",
   "type": "number",
   "meaning": "Contract Hours for Med Aide/Technician",
   "source": "cms-dictionary"
  }
 ],
 "caveats": [
  "Nursing homes submit these data every quarter. The daily census is calculated from Minimum Data Set (MDS) submissions."
 ],
 "curated": true,
 "license": "https://www.usa.gov/government-works",
 "detail_key": "7e0d53ba-8f02-4c66-98a5-14a1c997c50d|2026-07-29",
 "checked": "2026-10-25",
 "cms365": 5,
 "source_name": "data.cms.gov"
}