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F0851
F

Failure to Submit PBJ Staffing Data Due to Software Discontinuation

Cary, North Carolina Survey Completed on 06-18-2025

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 required Payroll Based Journal (PBJ) staffing data to the Centers for Medicare and Medicaid Services (CMS) for two consecutive quarters: the 4th quarter of fiscal year 2024 and the 1st quarter of fiscal year 2025. This deficiency was identified through a review of the CMS PBJ Staffing Data Report Certification and Survey Provider Enhanced Reports (CASPER Report 1705D), which showed no data submission for the specified periods. During an interview, the administrator explained that after reducing the facility's bed count from 28 to 3, they reevaluated and discontinued the use of a specific software that was responsible for collecting payroll data and facilitating PBJ submissions. The administrator was unaware that discontinuing this software would prevent corporate from submitting the required PBJ data, resulting in the omission for those two quarters.

See complete original report
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