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F0851
C

Failure to Submit PBJ Staffing Data to CMS

Victorville, California Survey Completed on 05-22-2025

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 the required quarterly Payroll Based Journal (PBJ) Staffing Data report to CMS for quarter 2 of 2024, covering January 1 through March 31. During a record review, it was found that no PBJ data had been submitted by the required deadline of May 15, 2024. When requested, the Director of Nursing (DON) was unable to provide a policy and procedure related to PBJ submission. In a subsequent interview, an Administration Resource confirmed that one of her responsibilities was to ensure timely submission of the PBJ Staffing Data report and verified that the report for the specified quarter was not submitted. The Administration Resource acknowledged the importance of timely PBJ data submission for monitoring staffing adequacy and patient care needs.

See complete original report
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