A proactive operator ready to turn compliance data into a strategic advantage
ProPayHR serves long-term care facilities where CMS star ratings directly influence admissions, occupancy, and revenue. Already a strong operator in payroll services, ProPayHR recognized an opportunity to give clients something the industry lacked: a forward-looking view of compliance performance rather than waiting on government feedback cycles to close.
The CMS reporting structure is inherently retrospective — a facility submits quarterly staffing data and receives a star rating weeks later, after the quarter has already ended. ProPayHR saw this structural gap as an opportunity to differentiate by building real-time predictive visibility into the process, while also capturing the full breadth of hours worked — agency nurses, therapy staff, and corporate consultants — so every submission reflects each facility’s true staffing investment.
PBJ Navigator — real-time compliance intelligence, built for operators not auditors
We designed and built PBJ Navigator, a cloud-based platform that connects directly to ProPayHR clients’ time and attendance systems (Infotronics) and census data (PointClickCare). Every day, staffing hours and resident census are pulled automatically, CMS calculations run in the background, and a live predicted star rating surfaces on the dashboard — weeks or months before any government feedback arrives.
Agency, consultant, and therapy hours can be uploaded via spreadsheet or entered directly, ensuring every hour worked flows into the CMS submission. Automated alerts fire the moment staffing drops below safe thresholds, RN hours go missing, or a submission deadline is approaching. Corporate and regional leaders see every facility they oversee in one view.
Replicates the CMS calculation methodology in real time using actual staffing and census data — giving facilities a predicted score today rather than waiting on the quarterly government cycle.
CSV upload and manual entry tools ensure agency, therapy, and consultant hours flow into every CMS submission, so each facility’s reported staffing ratio reflects the full scope of care delivered.
Countdown timers, submission status tracking, and configurable alerts keep every facility submission-ready well ahead of each quarterly CMS deadline.
One dashboard. Every facility. Full portfolio intelligence.
For ProPayHR’s multi-facility clients, PBJ Navigator delivers a corporate-level view aggregating predicted star ratings, submission status, compliance indicators, and staffing trends across every building in a portfolio. Regional managers receive automated reports without logging in daily. Real-time alerts surface emerging issues — staffing thresholds, data sync confirmations, approaching deadlines — the moment they appear.
“You have a real-time view into where you’re holding. You’re not surprised 3 months after you make a submission that you thought you were providing care on one level — and all of a sudden you get a one-star rating.”
For nursing homes, stars are not vanity metrics — they are an occupancy and revenue lever
CMS star ratings are published publicly and drive where families place loved ones. Moving from 3 stars to 4 stars does not just improve standing — it drives admissions. For an operator running a 100-bed facility at $250 per bed per day, even a modest improvement in occupancy translates to hundreds of thousands in additional annual revenue. ProPayHR recognized that giving clients real-time visibility into their predicted star rating was not just a compliance upgrade — it was a revenue strategy.
Finance & Compliance
Operations
Long-Term Care
