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F0851
F

Inaccurate PBJ Staffing Data Submission Due to Timekeeping Error

Grand Bay, Alabama Survey Completed on 04-15-2025

Penalty

15 days payment denial
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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 report accurate direct care staffing information to the Centers for Medicare and Medicaid Services (CMS) for Fiscal Year Quarter 1, affecting all 65 residents. Review of the Payroll Based Journal (PBJ) report for the quarter revealed excessively low weekend staffing data, which was triggered as an area of concern. The Director of Informatics, responsible for PBJ submission, explained that the previous ownership submitted data for the first part of the quarter, while she submitted data for the latter part. She further stated that the facility's time and attendance system incorrectly clocked salaried employees at 7.5 hours per workday instead of 8.5 hours, due to not accounting for a 30-minute lunch period, and attributed the error to a system malfunction.

See complete original report
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