Precision Insights. Powerful Leverage.
Skilled Nursing Facility Staffing analytics built for accountability and investment confidence.
Expert Healthcare Consulting Solutions
At GeroTrend Research, we empower legal advocates and healthcare investors with unrivaled analytical clarity into skilled nursing facility (SNF) staffing operations. Whether you’re building a compelling case for accountability or assessing the operational viability of a nursing home investment, our proprietary analytical tools and approaches translate complex staffing data into actionable intelligence.
With deep expertise in skilled nursing datasets like Payroll-Based Journal (PBJ) records, CMS Five-Star scoring and advanced staffing efficiency metrics, we deliver insight where it matters most: clinical performance, staffing integrity and operational transparency.
150+
15
Trusted by Professionals
Proven Results


Uncover the Truth Behind the Numbers
Each of our analytical products is designed to expose strengths, weaknesses and anomalies in nursing home staffing, whether for litigation or acquisition.
Five-Star Profile
We deconstruct a facility’s CMS Five-Star rating to show exactly how the score was derived, staffing levels, inspection history, and quality measures, all benchmarked against local peers and national averages.
Ideal For:
Plaintiff attorneys needing expert-backed validation of care deficiencies
Investors evaluating risk and compliance history


Staffing Profile
Using Payroll-Based Journal (PBJ) data, we create a detailed profile of a facility’s staffing levels, RN/LPN/CNA mix, and care hours. This is then compared to a cohort of geographically and demographically similar SNFs.
Ideal For:
Legal teams investigating chronic understaffing or role misallocation
Buyers assessing staffing adequacy and market competitiveness
Our granular timecard-based analysis evaluates how staffing fluctuates throughout the day, identifying care gaps during key risk windows (e.g., shift changes, overnight hours).
Ideal For:
Legal cases involving neglect during specific times of day
Operators seeking to pinpoint inefficiencies or optimize shift allocation
Time-Card Analysis


Staffing Profile
NFIR Clinical Efficiency Program
We apply the advanced technique of Data Envelopment Analysis (DEA) to determine how efficiently a facility converts clinical labor and inputs into resident care outcomes, relative to peers.
Ideal For:
Brokers and investors determining true value beyond surface metrics
Attorneys quantifying the systemic impact of operational neglect
Get evidence-ready reports and visuals to strengthen cases of abuse, neglect, and wrongful death.
Gain a competitive edge with data-backed expert findings on staffing shortfalls.
John Doe
Where Data Meets Impact
At GeroTrend Research, we believe numbers tell stories—stories of neglect, of excellence, of systemic imbalance. We help our clients interpret those stories with statistical precision and practical context.
For Attorneys
For Investors & Brokers
Identify distressed assets or operationally efficient stars.
Assess hidden liabilities or strengths in staffing patterns before a deal closes.
Justify pricing with a new layer of operational intelligence.
Read Our Latest Article
This article explains how SNF investors can use existing CMS data to calculate the clinical efficiency of SNF staff.
The clinical efficiency of Tennessee SNFs using the June 2025 CMS database is showcased, to include the shift in clinical efficiency since 2017.
The article concludes by discussing specific ways investors could use this data in their practice.
In Plain Sight: A Powerful Approach For Assessing SNF Staff Performance
June 2025
Precision Insights. Powerful Leverage.
Staffing analytics built for accountability and investment confidence.
Lorren.Pettit@GeroTrendResearch.com
615.674.4001
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Contact Lorren Pettit at
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