Failure to Submit Accurate PBJ Staffing Data
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 submit complete and accurate direct care staffing information through Payroll Based Journaling (PBJ) as required by CMS. Although the PBJ report for Fiscal Year 2024, Quarters 1 and 2, indicated excessively low weekend nurse staffing, a review of the facility's weekend nursing schedules for those quarters showed that adequate staffing was actually present. Administrative staff confirmed that the correct information for weekend nursing staffing had not been submitted, with responsibility for PBJ submission assigned to a specific administrative staff member. The facility's policy required maintaining and reporting accurate staffing data, including agency and contract staff, in accordance with federal regulations.