Payroll-Based Journal (PBJ) data is now the basis for staffing Five-Star ratings. Learn how CMS is sharing PBJ data with the public and state surveyors, plus how that data is being used. By understanding how PBJ determines the staffing Five-Star rating, SNF operators can take proactive action to manage staffing levels; tighten up MDS steps that affect staffing ratings; and prepare for potential audits, state survey inquiries, and/or public scrutiny.