Failure to Timely Submit PBJ Staffing Data to CMS
Penalty
Summary
The facility failed to submit the required Payroll-Based Journal (PBJ) direct care staffing data to CMS within the mandated timeframe for FY Quarter 4 2025. Record review of the PBJ Staffing Data Report for FY Quarter 4 2025 (covering 07/01/25 through 09/30/25) showed that the facility had not provided staffing data to CMS for that quarter, despite having 20 residents residing in the facility during this period. During an interview on 01/21/26 at 11:30 a.m., the administrator stated that the PBJ data was not submitted by the deadline, explaining that they attempted to submit it on the 16th of January, but the system did not accept the submission because it was late and had been due on the 15th. The administrator further reported that, after contacting customer service, they were informed the deadline had been missed and to try submitting the data the following month. No additional resident-specific clinical information, medical history, or condition at the time of the deficiency was documented in the report beyond the census of 20 residents residing in the facility.
