Inaccurate PBJ Staffing Data Submission for Weekend Coverage
Penalty
Summary
The facility failed to submit accurate direct care staffing information to CMS through Payroll Based Journaling (PBJ) for two consecutive quarters, specifically regarding weekend staffing hours. Although the facility's schedules, time sheets, and posted staffing hours showed no missed coverage or gaps for the periods reviewed, the PBJ data submitted to CMS triggered for low weekend staff. Interviews with administrative staff revealed that some agency staff hours and administrative nurse hours used to fill weekend shifts may not have been accurately reported in the PBJ submissions. The facility's policy required complete and accurate payroll data that could be validated and audited, but this was not followed, resulting in inaccurate reporting.