Based on interview and document review, the facility failed to report 2025 4th quarter Payroll Based Journal (PBJ) information for the facility as required. This failure created the potential for CMS not to confirm adequate nurse staffing and potential for residents to experience longer waiting times for needed cares. Findings include:On 2/23/26 at 8:00 AM, the surveyor noted the lacked submission of 2025 4th quarter PBJ data to CMS.On 2/23/26 at 10:33 AM, the Executive Director stated the facility failed to submit 2025 4th quarter PBJ data to CMS as required.
F851 citations in Idaho
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 — 2024
Idaho cites F851 less often than its own record predicts
0.71 times the national share — cited less often here than elsewhere.
Of every deficiency written in Idaho in 2024, 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 Idaho surveyors wrote
F851 findings written in Idaho, 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 Idaho citations | vs expected |
|---|---|---|
| 2023 | 0.95% | 4.14× |
| 2024 | 0.21% | 0.71× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Idaho 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