Failure to Submit Complete and Accurate RN 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 to the Centers for Medicare & Medicaid Services (CMS) through Payroll Based Journaling (PBJ) for a census of 95 residents. CMS reports for two consecutive quarters indicated that the facility had no Registered Nurse (RN) hours reported for 10 days. While payroll documentation was provided for RN coverage on four of those days, administrative staff were unable to provide payroll documentation for the remaining six days. The facility's policy required a sufficient number of nursing staff, including RN coverage for at least eight consecutive hours every 24 hours, seven days a week. This deficiency was identified through interview and record review.