
Special Focus Facilities, Minus the PDF
CMS publishes its nursing home Special Focus Facility list as recurring PDFs. PBJ320 turns those postings into searchable SFF history — by state and status, connected to staffing and facility profiles.
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CMS publishes its nursing home Special Focus Facility list as recurring PDFs. PBJ320 turns those postings into searchable SFF history — by state and status, connected to staffing and facility profiles.

Grandma: Sir, can I trouble you for a glass of warm milk? It helps me go to sleep. Hal L.: You can trouble me for a warm glass of shut-the-hell-up! Now, you will go to sleep! Or I will PUT you to sleep. Check out the name tag. You're in MY world now, grandma!” My introduction to the world of long-term care came not from a grandparent, nor a college course, nor from some formative teenage volunteer stint at a nursing home. It came from a mustachioed Ben Stiller in what,…

Hi, friends. The 320 is where I write — and talk — about nursing homes and numbers that tell stories. On this episode I chatted with healthcare entrepreneur Zweli Tunyiswa (CEO Open Wound Research) about bayes, basketball, nursing home data, why a smell test can be better than a t-test, and how AI allows you to be very stupid, very quickly, at scale. Produced by Dalton Miksa . Recorded April 2026. The 320 is sponsored by Dog of Day. Woof.
PBJ320 nursing home report: facility staffing, state trends, chain data

Hi friends. The 320 is where I write — and talk — about nursing homes and numbers that tell stories. The following conversation has been lightly edited for clarity. Eric Goldwein: So there’s a Venn diagram of people that spend half their waking hours thinking about nursing home policy, nursing home data, nursing home advocacy. That’s one circle. And in the other circle, there’s the people that are running 50 miles a week. Now, in the…

Day-by-day CMS PBJ analysis: reported staffing below the 3.50 HPRD NY-mapped direct-care standard on more than half of facility-days; quarterly statutory-style rollups in the 596-home facility table.

People love nursing home rankings, Top 10s, Bottom 10s, and listicles. Which means rankings, Top 10s, Bottom 10s, and listicles are good for SEO, good for marketing, and good for 320 Consulting’s web traffic. So now that you’re here — thanks, Google — some bad news: this article is not exactly about 2025 nursing home staffing rankings or Top 10s or Bottom 10s. Sorry. The thing about 1 nursing home staffing rankings is: they’re kind of garbage.…
Patterns and perspectives from 10 years of US nursing home payroll-based journal (PBJ) staffing data.
Last month, Super Bowl audiences saw the usual ads for beer, AI, donuts, jeans, and insurance. But in select markets — and on Long-Term Care LinkedIn — viewers also caught a 30-second spot for a nursing home. The ad follows a woman through a rehab journey filled with friends, jello shots, and O-6-7 Bingo dances. By day 30, #TheHipComeback is complete. “10 out of 10,” she says, walking out of the for-profit Wyoming facility. “This place…

In September, a Brooklyn nursing home just a few miles from my apartment made national headlines after the violent death of an 89-year-old Holocaust survivor and great-grandmother. Police say the resident was attacked by her 95-year-old roommate and later died at the hospital. This was a tragedy, but federal records point to a deeper problem. Seagate Rehabilitation and Nursing Center has long been marked by chronic understaffing—one of thousands of U.S. nursing homes…