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F0851
F

Failure to Submit Complete and Accurate PBJ Direct Care Staffing Data

Socorro, New Mexico Survey Completed on 12-16-2025

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 the federal agency overseeing certification for long term care facilities for Quarter #4 (July 1, 2024–September 30, 2024), affecting all 59 residents identified on the Resident Matrix. Review of the Payroll Based Journal (PBJ) Staffing Data Report for that quarter showed no licensed nursing coverage documented for 24 hours per day on thirteen specific dates: 07/14/24, 08/04/24, 08/11/24, 08/18/24, 08/25/24, 09/01/24, 09/08/24, 09/13/24, 09/14/24, 09/15/24, 09/21/24, 09/22/24, and 09/28/24. During an interview on 12/12/2025 at 12:47 PM, the Regional Director stated that the current company assumed ownership on 11/01/25 and was unable to obtain clock-in and clock-out records for nursing staff from the previous ownership for those same dates in Quarter #4, resulting in incomplete PBJ staffing data submission.

See complete original report
Long-term care team reviewing survey readiness and plan of correction

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