Failure to Submit PBJ Staffing Data to CMS
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 mandatory Provider Enhanced Reporting Payroll Based Journal (PBJ) staffing data to the Centers for Medicare and Medicaid Services (CMS) for the 2nd Quarter of 2025. Record review showed that while PBJ data for January, February, and March 2025 was submitted to the state, it was not sent to CMS. During an interview, the Administrator, who was responsible for submitting the reports, stated that they were unaware the data was not reaching CMS due to a lack of proper training and absence of notification from CMS. The Administrator also confirmed that there was no existing policy or procedure regarding PBJ data reporting at the facility.