Staff Turnover and Vacancy Rate (and the CMS PBJ Turnover Measure)
Staff turnover and vacancy rates, and CMS's PBJ turnover: spells ended in a 90-day gap over eligible spells.
Open the tool → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.
Example
- Separations in the period
- 12
- Headcount at the start
- 38
- Headcount at the end
- 42
- Budgeted positions
- 45
- Filled positions
- 41
Result: Turnover 30%: 12 separations ÷ an average headcount of 40.
The tool opens with these values already filled in. Replace them with your own.
What you enter
- Separations in the period
- Headcount at the start
- Headcount at the end
- Budgeted positions
- Filled positions
- CMS method: employment spells ended in a 90-day gap
- CMS method: eligible employment spells
How this is calculated
Citation
Stated arithmetic for turnover (separations over average headcount) and vacancy (unfilled over budgeted positions). CMS. Nursing Home Five-Star Quality Rating System: Technical Users' Guide, September 2026: Specifications for Staff Turnover Measures. Read the source ↗
A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.