Based on staff interviews, facility documentation, and policy review, the facility failed to ensure that staffing information (Payroll-Based Journal, PBJ) submitted to the Centers for Medicare and Medicaid Services (CMS) was accurate and submitted in a timely manner. The universe was 23. This deficient practice could have resulted in residents receiving inadequate care due to a potential lack of staffing. Findings included:The PBJ Staffing Data Report for Fiscal Year (FY) Quarter 1, 2026 (October 1-December 31), revealed that the facility failed to submit data for the quarter. A request made during the entrance meeting on April 7, 2026 at 8:38 a.m. for the PBJ staff data for the Quarter 1 FY 2026. …
F851 citations in Arizona
Staffing data submission · Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Arizona cites F851 more often than its own record predicts
2.35 times the share F851 takes of citations nationally.
Of every deficiency written in Arizona in 2025, this is the portion that was F851.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Arizona surveyors wrote
F851 findings written in Arizona, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
The short window
Recent years
| Year | Share of Arizona citations | vs expected |
|---|---|---|
| 2023 | 0.17% | 0.75× |
| 2024 | 0.15% | 0.52× |
| 2025 | 0.51% | 2.35× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Arizona surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction