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F0851
F

Failure to Accurately Report Staffing Data in PBJ Submission

George, Iowa Survey Completed on 08-21-2025

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 meet staffing requirements in all metrics as evidenced by the CMS Payroll Based Journal (PBJ) Staffing Data Report for Fiscal Quarter 2, 2025, which showed excessively low weekend staffing data. The facility reported a census of 31 residents during this period. Staffing schedules for nurses and CNAs were reportedly similar for both weekdays and weekends, but the PBJ data submitted indicated otherwise. The Administrator stated he was unaware of how the corporate office submitted staffing data and confirmed there was no facility policy regarding PBJ. The Director of Nursing (DON) suggested the low weekend staffing data may have resulted from the use of corporate-supplied staffing pool personnel, but maintained that actual staffing levels did not differ between weekdays and weekends and that insufficient staffing did not occur during the quarter.

See complete original report
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