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F0851
F

Failure to Submit PBJ Staffing Data for Required Quarter

Winter Haven, Florida Survey Completed on 04-10-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to submit the required Payroll Based Journal (PBJ) staffing data for the first quarter of Fiscal Year 2025, covering the period from October 1 to December 31. Review of the CMS PBJ Staffing data report (CASPER Report 1705D) confirmed that no staffing data was submitted for this timeframe. During an interview, the Nursing Home Administrator (NHA) stated he was not involved with PBJ submissions and was unaware that the facility had failed to report the data, noting that a third-party company was responsible for submitting their PBJ staffing hours. The NHA also mentioned that he could access the relevant report but rarely reviewed it. Additionally, the facility did not have a policy or procedure outlining the expectations for reporting PBJ staffing hours.

See complete original report
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