Failure to Submit Complete Direct Care 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 electronically submit complete and accurate direct care staffing information to the federal agency responsible for certification of long-term care facilities for the period of July 2024 through December 2024. Record review of the Payroll Based Journal (PBJ) Staffing Data Report for the third and fourth quarters of 2024 showed low weekend staffing. During an interview, the Administrator acknowledged that contracted staff were not being included in the PBJ report because they do not clock in and out at the facility, and their time is tracked by their agency instead. The Administrator indicated that this issue was being addressed with the corporate office.