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F0851
F

Failure to Accurately Report and Maintain Required Staffing Levels

Ridgefield, Connecticut Survey Completed on 04-08-2025

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 complete and accurate direct care staffing information to CMS, as required. Payroll Based Journal (PBJ) submissions for Quarter 1, 2025, showed that the facility had no Registered Nurse (RN) hours and lacked licensed nursing coverage for 24 hours per day on multiple consecutive days. Additionally, the PBJ report for Quarter 2, 2024, indicated excessively low weekend staffing. During an interview, the Administrator stated that these issues were due to incorrect coding by the previous owner and restrictions on using agency staff or allowing licensed staff to work as Nursing Assistants, which contributed to inadequate staffing levels. The facility did not meet the mandatory requirement to electronically submit accurate staffing information based on payroll data.

See complete original report
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