Consultant-Led Value Engineering

Long-Term Care & Skilled Nursing Operational ROI

Quantify current workforce leakage, isolate Paycor-influenced financial value, and disclose correlated CMS, census and SNF VBP upside separately.

Paycor — Empowering Leaders

CMS Nursing Home Provider Directory

Applies only values reported by CMS. Employee headcount, wage rates, labor hours, software cost and Medicare Part A revenue remain prospect-entered discovery inputs.

Dataset 4pq5-n9py. Missing CMS values remain unchanged and are not replaced with averages.

Missing a discovery input?

Generate a transparent planning estimate, preserve confirmed actuals, and carry the method and confidence into the customer report.

Data Readiness

7 key values to validate

0 CMS fields · 0 prospect-confirmed · 0 estimates · 39 defaults

Facility and CMS Quality Profile

CMS Five-Star ratings are separate from the SNF Value-Based Purchasing program.

Workforce and Premium Labor Drivers

Use prospect actuals whenever available. CMS-reported values are labeled; other fields require prospect confirmation.

Turnover Cost Model

Make the replacement-cost assumption and the workforce population explicit. CMS reports nursing-staff turnover, so CMS-sourced rates default to the nursing workforce rather than every employee.

Editable planning assumptiondefault

Apply turnover rate to

The rate has been entered or confirmed outside CMS. Select the population that matches the source.

Turnover cost method

Eligible workforce

78

Estimated turnover events

42.9

Cost per turnover

$26,624

Modeled turnover burden

$1,142,170

Formula: 78 eligible employees × 55.0% turnover × $26,624 per turnover = $1,142,170 current modeled burden.

What these numbers mean operationally

Translate annual inputs into events, weekly hours, and full-time-equivalent workload without adding more discovery questions.

View calculations

Turnover events / year

42.9

78 eligible employees

Cost per turnover

$26,624

40% of annual compensation

Overtime hours / week

92.3

0.77 hrs per employee / week

Overtime share

1.9%

of total theoretical paid hours

Overtime FTE equivalent

2.31

annual overtime hours ÷ 2,080

Agency FTE equivalent

1.00

40.0 agency hours / week

PBJ admin days / year

18.0

8-hour workday equivalent

Sensitivity note: Results are most affected by the turnover population, replacement-cost method, annual overtime hours, technology contracts, and approved Paycor investment. Overtime normalization currently uses total headcount × 2,080 as a planning denominator and should be replaced with overtime-eligible paid hours when available.
Advanced PBJ costing input

Investment Input

Keep the primary diagnostic flow focused. Strategic financial refinements appear beside the downstream scenario they affect.

When an approved quote is unavailable, the Guided Estimate Assistant uses $20 PEPM with no hidden annual base fee. Medicare Part A revenue, resident value, modeled rating, referral assumptions and compliance exposure are refined later inside the Strategic Downstream Opportunity card.

Technology Consolidation Opportunity

Estimate the fragmented stack at up to $33 PEPM, then include only systems that can realistically be consolidated, eliminated or not renewed.

Current technology stack estimate

$0

$0 PEPM across enabled systems

Technology Consolidation Baseline

$0

This amount is not deducted from the Paycor investment. The confirmed consolidatable portion is counted once as annual avoided cost based on the selected scenario.