Inaccurate PBJ Staffing Data Submission Due to Time Clock Error
Penalty
Summary
The facility failed to submit accurate direct care staffing information to CMS for the Payroll Based Journal (PBJ) Staffing Data Report for Fiscal Year 2025, Quarter 2. Specifically, the PBJ Staffing Report indicated that the facility did not have licensed nursing coverage for 24 hours a day on seven days during the quarter. Upon review, it was determined that a Registered Nurse (RN) worked all seven days in question at the facility, but due to an error, the RN clocked in under the code for a nearby sister facility instead of the correct facility. This time clock error resulted in the RN's hours not being included in the staffing data submitted to CMS, leading to the inaccurate report. The Administrator was aware of previous time clock issues and relied on a consultant group to submit PBJ data, but the error persisted due to the incorrect facility code being used.