Star Guide

Page 17 of 19

Glossary

Every term in the guide, in one plain-language list.

SNF
Skilled Nursing Facility; a home where trained nurses care for residents.
HPRD
Hours Per Resident Day; nurse hours ÷ residents, summed over the quarter.
PBJ
Payroll-Based Journal; the quarterly, payroll-backed report of worked-and-paid nurse hours (agency hours included).
MDS
Minimum Data Set; the resident assessment that drives case-mix/acuity.
Case-mix / case-mix hours
Acuity adjustment (PDPM nursing categories) applied to raw hours before scoring; formerly "expected hours."
RN / LPN / CNA
Registered Nurse / Licensed Practical Nurse / Certified Nursing Assistant; RN+LPN+CNA = total nurse hours.
Turnover (eligibility vs. event)
Eligible = 120+ hrs in a 90-day period; event = an eligible worker then has 90 consecutive days with no recorded shift, tied to the employee system ID.
Lane / cut-point
A row in a measure’s points table mapping a value range to points; frozen nationally.
Star bands
The point totals that map to 1–5 staffing stars (<155 … 320–380).
QM
Quality Measures; the separate health-outcomes star.
CMS / Care Compare
CMS is the federal agency that runs the rating; Care Compare is the public site that displays it.
Administrator
The facility’s top manager; departures are a scored measure.
VBP
Value-Based Purchasing; Medicare program tying a withhold to quality performance.
Auto-1★
Forced 1★ for HPRD non-submission, 4+ days/quarter with zero RN hours, or audit failure.