Failure to Submit Required Staffing Data to CMS
Penalty
Summary
The facility failed to electronically submit complete and accurate direct care staffing data to CMS for the entire reporting period of Fiscal Year Quarter 2 2025, as required. Review of the CASPER Report 1705D indicated that no data was submitted for the specified quarter. Although a PBJ data file was uploaded to CMS, the submission report noted that the data would be checked for errors within 24 hours and that the status should be verified in the CASPER system. The Quality and Regulatory Compliance Nurse, who was responsible for the submission, uploaded the data file but did not check the submission status for errors within the required timeframe, as she went on vacation immediately after uploading. As a result, the facility did not identify that the PBJ data submission had been rejected due to errors. The Administrator confirmed that while the data was uploaded on time, the error in the submission was not detected because the verification step was missed. This failure to confirm acceptance of the data led to the facility not meeting the CMS requirement for timely and accurate staffing data submission for the reporting period.