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F0851
F

Failure to Submit Required Staffing Data to CMS

Honolulu, Hawaii Survey Completed on 04-30-2025

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 electronically submit complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data, to the Centers for Medicare and Medicaid Services (CMS) for fiscal quarter 3 of 2024. Review of the CMS Payroll-Based Journal (PBJ) Staffing Data Report indicated that no staffing data was submitted for the specified quarter. During an interview, the Administrator confirmed that there were two instances when the facility did not submit the required PBJ information on time and stated that once the deadline is missed, submission is no longer allowed. This deficiency was identified through record review and staff interview.

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