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F0851
F

Failure to Submit Accurate Staffing Data to CMS

New Brighton, Minnesota Survey Completed on 06-13-2025

Penalty

No penalty information released
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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 accurate and complete direct care staffing information to CMS for one reviewed quarter, as required. Payroll Based Journal (PBJ) data for the specified quarter indicated excessively low weekend staffing, while daily staff schedules for the same period showed adequate staffing levels on weekends. During an interview, the regional director of operations acknowledged awareness of the report indicating low weekend staffing and stated she would analyze the cause, suggesting possible factors such as bonuses, on-call nurse managers, or use of pool staff, but was uncertain about the specific reason for the discrepancy. The administrator was unavailable during the survey, and the facility's policy was requested but not provided.

See complete original report
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