Inaccurate PBJ Staffing Data Submission Due to Outdated Census Information
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 ensure that direct care staffing information submitted to the Centers for Medicare and Medicaid Services (CMS) for Quarter 3 of 2024 was accurate. Specifically, the Payroll Based Journal (PBJ) submission included staffing data that was reported at a level lower than required by mandated staffing levels. This occurred because resident census data, which was used to calculate staffing levels, was pulled from Minimum Data Set (MDS) assessments that were not current at the time of the PBJ submission. Staff responsible for payroll verified that the census data error was present during the initial submission, resulting in inaccurate staffing information being reported to CMS.