Inaccurate PBJ Weekend Staffing Reporting
Penalty
No penalty information released
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 ensure accurate reporting of weekend staffing hours in its Payroll Based Journal (PBJ) submission for Quarter 1 2025, which covered the period from October 1 to December 31, 2024. Review of the PBJ report revealed that the facility triggered for excessively low weekend staffing during this time. During an interview, the Administrator acknowledged that agency hours had not been entered correctly. Additionally, when requested, the facility reported that they did not have a policy related to PBJ reporting. The facility reported a census of 88 residents during the period in question.