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F0851
C

Failure to Accurately Report Nurse Staffing Data via PBJ

Smith Center, Kansas Survey Completed on 04-16-2025

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 complete and accurate direct care staffing information through Payroll Based Journaling (PBJ) as required by CMS. Specifically, the PBJ report for Fiscal Year 2024 Quarters 3 and 4 indicated excessively low weekend nurse staffing, while a review of the facility's actual weekend nursing schedules for those quarters showed adequate staffing levels. This discrepancy was confirmed by the administrative nurse, who acknowledged that the correct information for weekend nursing staffing had not been submitted, and identified the staff member responsible for PBJ submissions. The facility's own Nursing Services Policy required accurate reporting of RN hours, 24-hour licensed nursing coverage, weekend staffing, and compliance with reporting guidelines.

See complete original report
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