Insufficient Weekend Staffing Documented by PBJ Report
Penalty
Fine: $15,935
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 provide sufficient direct care staff to meet the needs of all residents on weekends during the first quarter of 2025, as evidenced by the Payroll Based Journal (PBJ) report. The PBJ data indicated that the facility triggered for low weekend staffing during this period. During an interview, the Administrator confirmed the accuracy of the PBJ report and acknowledged the low weekend staffing finding, with no additional information provided to dispute the data.