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F0851
F

Failure to Submit Payroll Data to CMS for Two Quarters

Lake Waccamaw, North Carolina Survey Completed on 06-26-2025

Penalty

Fine: $176,58021 days payment denial
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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 required payroll data to the Centers for Medicare and Medicaid Services (CMS) through the Payroll Based Journal (PBJ) system for two consecutive federal fiscal year quarters: October through December 2024 and January through March 2025. Review of the PBJ Staffing Data Reports for both quarters revealed that no data was submitted, which triggered areas of concern. During an interview, the Administrator, who was responsible for submitting the PBJ data, stated that the last submission occurred in November 2024. The Administrator reported being unable to log in to the PBJ system after that date and did not know how to resolve the issue. Although the Administrator reached out for assistance with the log-in problem, she did not receive a response and did not follow up further. She acknowledged awareness of the requirement to submit PBJ data but confirmed that she had not done so for the affected quarters.

See complete original report
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