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F0851
F

Failure to Submit Required Payroll-Based Staffing Data

Portland, Oregon Survey Completed on 04-28-2025

Penalty

Fine: $149,783
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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 direct care staffing information for fiscal year 2024, quarter four, as mandated by their Reporting Direct Care Staffing Information (Payroll-Based Journal) policy. The policy requires that complete and accurate staffing data, based on payroll and other verifiable and auditable sources, be electronically reported to CMS for each fiscal quarter within 45 days after the quarter ends. Review of records showed that the data for the specified quarter was not submitted. During interviews, the staff member responsible for payroll and human resources was unaware of the missing submission and indicated that the corporate office was responsible for this task. The facility administrator was also unaware that the data had not been submitted.

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