Failure to Submit Required Staffing Data to CMS
Penalty
Summary
The facility failed to electronically submit complete and accurate direct care staffing data to the Centers for Medicare and Medicaid Services (CMS) for the entire reporting period of Fiscal Year Quarter 2 2025, as required. Review of the Payroll Based Journal (PBJ) Staffing Report and CASPER Report 1705D indicated that no staffing data was submitted for the quarter, resulting in a one-star staffing rating. During an interview, the Director of Operations stated that a change in the corporate Human Resources position occurred at the time of the PBJ submission, and the facility was unaware that the required data had not been submitted. Attempts to submit the data after the deadline were unsuccessful, and the required information remained unreported.