Failure to Submit Required 4th Quarter PBJ Staffing Data
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 electronically submit complete and accurate direct care staffing information for the 2025 4th quarter to CMS through the Payroll Based Journal (PBJ) system as required. On 2/23/26 at 8:00 AM, the surveyor identified that the 2025 4th quarter PBJ data had not been submitted. During an interview on 2/23/26 at 10:33 AM, the Executive Director confirmed that the facility did not submit the required 2025 4th quarter PBJ data to CMS. This failure created the potential for CMS not to confirm adequate nurse staffing and for residents to experience longer waiting times for needed cares.
