The facility failed to submit complete and accurate direct care staffing data to CMS via the PBJ system, resulting in reports that showed excessively low weekend staffing for multiple fiscal quarters. An administrative staff member acknowledged that a former business office manager had submitted the PBJ data incorrectly. This failure occurred despite a facility policy requiring uniform electronic submission of verifiable payroll data for all direct care staff, including agency and contract personnel, and specifying whether staff were employees or contracted workers.
The facility did not accurately submit direct care staffing information through PBJ, as required, resulting in reported gaps in licensed nurse coverage that did not reflect actual staffing. The issue was attributed to incomplete documentation of agency nurse hours, despite facility policy requiring all staffing, including agency and contract staff, to be reported.
The facility did not accurately submit nurse staffing data through the PBJ system, resulting in reports that incorrectly showed missing RN and LN coverage on several dates, despite internal records confirming appropriate staffing. Reporting errors occurred due to system recognition issues and manual entry mistakes for agency and contracted staff.
The facility did not accurately submit hourly staffing data for all weekend personnel through the PBJ system, despite having sufficient staff coverage according to internal schedules and payroll records. Administrative staff confirmed that inaccuracies in reported time were due to automatic lunch deductions and discrepancies between scheduled and reported hours.
The facility did not submit accurate PBJ staffing data to CMS, as the time-keeping system automatically deducted a 30-minute lunch period from nurses' hours, resulting in reported gaps in 24-hour licensed nursing coverage, despite schedules and payroll confirming continuous coverage. No policy for PBJ reporting was provided.
The facility did not submit accurate PBJ staffing data to CMS, resulting in reports of low weekend nurse staffing and missing 24-hour licensed nurse coverage, despite internal records showing adequate staffing. The facility also lacked a policy for PBJ submission, and the process was managed by corporate staff with administrative nurse review.
The facility did not accurately submit direct care staffing information to CMS, resulting in missing RN hours and lack of documented 24-hour licensed nurse coverage on several occasions. Administrative staff confirmed that, except for one day, licensed nurse coverage was present but not properly reported, and the facility lacked a policy for PBJ reporting.
The facility did not accurately document and submit weekend staffing coverage hours in its Payroll Based Journaling (PBJ) reports to CMS, despite using agency staff and having no gaps in internal schedules or time sheets. This discrepancy was identified when the facility's PBJ data triggered for excessively low weekend staffing, and an administrative nurse acknowledged that agency staff hours may not have been properly reported.
The facility did not submit complete and accurate staffing data through PBJ, with missing documentation of licensed nursing and RN hours on several days across multiple quarters. Although adequate staff were present, hours worked by salaried staff and agency personnel were not properly recorded, and shift hours crossing midnight were miscalculated, resulting in inaccurate CMS reporting and a one-star PBJ rating.
The facility did not submit complete and accurate RN staffing information to CMS, with payroll records missing for several days when no RN hours were reported, despite policy requiring daily RN coverage.
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