Failure to Accurately Report Staffing Data in PBJ Submission
Penalty
Summary
The facility failed to submit complete and accurate staffing information through the Payroll Based Journaling (PBJ) system as required by CMS. Although the facility maintained licensed nurse coverage 24 hours a day and had adequate staffing on the dates in question, the PBJ report for Fiscal Year Quarter 4, 2024, indicated missing licensed nurse coverage on several specific dates. Review of the facility's daily nursing staff coverage confirmed that licensed nurse coverage was present on those dates, but the submitted PBJ data did not accurately reflect this. The human resource staff member responsible for submitting the PBJ during that period was no longer employed at the facility. The facility's policy required complete and accurate reporting of direct care staffing information to CMS in the specified format.