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F0851
F

Failure to Submit Required Payroll Based Journal Staffing Data

Buffalo, Wyoming Survey Completed on 01-23-2026

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 electronically submit complete and accurate direct care staffing information to CMS through the Payroll Based Journal (PBJ) system as required. Review of the PBJ staffing reports for fiscal year 2025 quarter 2 (January 1–March 31), quarter 3 (April 1–June 30), and quarter 4 (July 1–September 30) showed the facility triggered the metric “Failed to Submit Data for the Quarter” for each of these three consecutive quarters, during which the census was 24. In an interview, the DON stated the facility was aware that PBJ reporting was not consistent and further explained that the previous HR director had inconsistent access to the PBJ reporting system, contributing to the failure to submit the mandatory staffing data.

See complete original report
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