F851 in Illinois. Pick another state for the same tag.
Against expectation — 2025
Illinois cites F851 less often than its own record predicts
Versus expected share0.34×
0.34 times the national share — cited less often here than elsewhere.
Share of Illinois citations0.07%
Of every deficiency written in Illinois in 2025, this is the portion that was F851.
Illinois0.07%
National0.22%
Share of all citations that were F851.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Illinois surveyors wrote
F851 findings written in Illinois, 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.
F · No harm, potential for more than minimal, widespreadJune 6, 2025
Based on interview and record review, the facility failed to accurately report Registered Nurse (RN) hours to the payroll-based journal. This has the potential to affect all 17 residents residing in the facility.
Findings Include:
Review of Staffing Data Submission Payroll Based Journal (PBJ) found at, https://www.cms.gov/medicare/quality/nursing-home-improvement/staffing-data-submission and last modified 9/23/23 stated, .CMS (Centers for Medicare & Medicaid Services) has developed a system for facilities to submit staffing information - Payroll Based Journal (PBJ). This system allows staffing information to be collected on a regular and more frequent basis than previously collected. It is auditable to ensure accuracy. …
C · No harm, potential for minimal, widespreadApril 30, 2025
Based on interview and records reviewed the facility failed to meet Payroll Based Journal requirements for staffing. This failure has the potential to affect all 76 residents in the facility.
The findings include:
On 04/29/25 at 10:50 AM V1, Administrator, said corporate submits the Payroll Based Journal for us.
The [NAME] PBJ report for this survey identifies excessively low weekend staffing and 1 star staffing rating for the facility first quarter of 2025.
On 04/29/25 at 10:50 AM V1, Administrator, said corporate submits the Payroll Based Journal for us.
Review of time cards presented for day shift on 4/5/25 and 4/6/25 identify 2 nurses for day shift in the facility (V21 LPN and V22, RN). …
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