Failure to Submit Required 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 for the 1st quarter Payroll Based Journal (PBJ) report, specifically omitting Registered Nurse hours and licensed nursing coverage for a ten-day period. Documentation review showed no PBJ submittals for the period of 10/1/24 through 10/10/24. Interviews with the Administrator revealed that the former owners were responsible for PBJ submissions during this time and did not complete the required transmissions due to an oversight prior to a change of ownership effective 10/10/24. Additionally, when requested, the facility was unable to provide a policy for PBJ submission.