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F0851
F

Failure to Accurately Submit RN Staffing Data in PBJ

Moundridge, Kansas Survey Completed on 05-06-2025

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 the Payroll-Based Journal (PBJ) system as required by CMS. Specifically, the PBJ report for Fiscal Year 2024 Quarter 1 indicated no Registered Nurse (RN) hours for several days in October and November, despite a review of facility records showing that RN coverage was present on those days. Administrative staff acknowledged issues with the PBJ submission process, including possible errors in pulling over salaried staff data and uncertainty regarding manual data entry for the affected quarter. The facility's policy required timely and accurate electronic submission of staffing information, including agency and contract staff, but this was not achieved for the period in question.

See complete original report
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