Staffing ratios. PBJ. Shift differentials. All handled automatically.
Netchex is the only HCM platform that generates CMS-compliant Payroll Based Journaling natively — protecting your Five-Star Quality Rating while handling shift differentials, credential compliance, and ACA tracking for your full workforce.
The operational challenges nursing homes can’t ignore.
Running HR for a skilled nursing facility means managing one of the most regulated, high-stakes workforce environments in healthcare. When payroll is wrong or documentation is missing, the consequences go beyond the back office.
Payroll Based Journaling is a compliance requirement
CMS requires PBJ data — detailed staffing records tied to actual time and attendance — every quarter. Non-compliance directly impacts your Five-Star Quality Rating, Medicare reimbursement, and referral volume. Most payroll platforms don’t generate PBJ natively.
Staffing ratio requirements keep tightening
CMS finalized minimum staffing rules requiring 3.48 hours of nursing care per resident per day. Facilities that can’t document compliance — tied directly to payroll and scheduling data — face audit risk and enforcement actions.
Shift differentials are prone to errors
SNF staff work nights, weekends, and holidays at different rates. CNAs, LPNs, and RNs may carry certification-based differentials on top of base rate. When these calculations happen manually, errors compound and erode trust with clinical staff.
Credential expirations create survey risk
When a CMS or state surveyor arrives, they want to see current credentials for every staff member on the floor. Tracking nursing licenses, CNA certifications, and CPR/BLS across a large facility without an automated system is a liability.
ACA compliance is complicated by staff mix
Skilled nursing facilities run full-time, part-time, PRN, and agency staff. ACA eligibility tracking across that mix — and the 1094-C/1095-C filings — requires automation. Manual tracking creates exposure that compounds as headcount grows.
There’s a better way to run it
Netchex generates PBJ natively, calculates shift differentials automatically, and tracks credentials across your entire facility — protecting your rating and reducing compliance risk.
How the skilled nursing industry is changing.
Staffing mandates are reshaping operations
Facilities must document nurse staffing levels with greater precision than ever. Those relying on manual PBJ processes carry both audit risk and competitive risk — because buyers and referral sources check Five-Star ratings.
The RN shortage is getting worse
SNFs competing with hospitals and home health agencies for the same RNs need fast recruiting and strong onboarding. Every agency nurse you avoid saves real margin.
Accurate records protect reimbursement
MDS and cost reporting accuracy directly affects reimbursement rates. Facilities with clean, connected HR data — certified, verified, automated — are better positioned for audits and reimbursement submissions.
FMLA utilization is rising
SNF workforces have high FMLA utilization given the physical demands of the work. Tracking leave accurately and managing coverage during leave periods requires more than a spreadsheet.
7,500+ organizations trust Netchex
Every tool your skilled nursing facility demands.
Netchex is one of the only HCM platforms that handles Payroll Based Journaling natively — and it’s built around the payroll accuracy, credential compliance, and ACA tracking that SNFs require.
Payroll Based Journaling — Built In
CMS-compliant PBJ submissions generate directly from Netchex time and attendance data. No third-party tool. No manual compilation. Every quarter, your PBJ data is accurate and ready to submit — protecting your Five-Star Quality Rating.
Shift Differentials & Certification Pay
Night shifts, weekend rates, holiday premiums, and certification-based differentials are configured in Netchex and calculate accurately on every payroll run. OneScreen Payroll surfaces discrepancies before the run submits.
ACA Compliance — All Staff Types
Netchex tracks ACA eligibility in real time across full-time, PRN, and part-time staff. 1094-C and 1095-C filings are generated automatically. No manual hour calculations. No compliance gaps.
License & Certification Tracking
A dedicated dashboard monitors expiration dates for every credential across your facility — RN and LPN licenses, CNA certifications, DEA registrations, CPR/BLS, and Joint Commission-required training. Alerts at 30, 60, and 90 days.
FMLA & Leave Tracking
Netchex includes integrated HR compliance support through Mineral, providing FMLA policy templates, employment law guidance, and HR decision support — critical for a workforce with high physical demands and frequent leave needs.
Built-In LMS for Compliance Training
2,000+ courses: CNA in-service training, HIPAA, infection control, dementia care, OSHA, and Joint Commission content. Training completions link directly to the employee record — no separate LMS required.
Violation Points & Audit Trail
In a regulated environment, consistent disciplinary documentation is non-negotiable. Violation Points creates a complete, defensible audit trail — critical when CMS or state surveyors review your facility’s practices.
One connected platform
Hiring feeds onboarding, onboarding feeds payroll, credentials feed scheduling — and PBJ generates from time data automatically. Every system stays current because the employee layer underneath it is accurate.
What skilled nursing facilities achieve with Netchex.
SNFs using Netchex report measurable results across compliance protection, payroll accuracy, and administrative efficiency.
PBJ generation — no manual compilation, Five-Star Rating protected
Reduction in payroll errors on shift differential runs
From offer to onboarded — down from 3 weeks
Reduction in interview no-shows with Netchex Recruit
Average time from application to offer accepted
New hires stay through their first month
Average cost to replace one RN — faster retention saves real dollars
Saved per week on HR administrative tasks
For SNFs, a payroll error or a missed PBJ submission isn’t just operational — it flows directly into reimbursement and ratings. Netchex gives your team the accuracy and documentation infrastructure to protect both.
Support that knows skilled nursing.
Netchex service professionals understand CMS compliance, PBJ requirements, shift differential structures, and the operational realities of running a skilled nursing facility. You reach people who can answer your specific question — not a generic support queue.
Ranked #1 for service on G2
Customer satisfaction score
Most calls answered under a minute
A dedicated team that knows your account
Common questions, answered.
Does Netchex generate Payroll Based Journaling submissions?
How does Netchex handle shift differentials and certification-based pay for SNF staff?
Does Netchex support ACA filing for facilities with full-time and PRN staff?
Can Netchex help us prepare for unannounced CMS surveys?
How does Netchex help SNFs compete for nurses in a tight labor market?
Built for the way your industry actually works.
PBJ submitted. Credentials tracked. Team protected.
See how Netchex handles Payroll Based Journaling, shift differentials, and credential compliance for skilled nursing facilities.