Failure to Accurately Report Direct Care Staffing Data via PBJ
Penalty
Summary
The facility failed to submit complete and accurate direct care staffing information through the Payroll-Based Journal (PBJ) system as required by CMS. During the review period, the PBJ report for two consecutive fiscal quarters indicated excessively low weekend staffing, despite the facility's own nursing staffing schedules showing adequate staff on duty. Administrative staff confirmed that daily schedule sheets, including updates, were sent to the regional office, and any changes were also communicated. The facility's policy required that direct staffing information be collected daily and reported electronically in a uniform format, but the submitted PBJ data did not accurately reflect the actual staffing levels provided, leading to the deficiency.