Based on record review and interview, the facility failed to electronically submit payroll based staffing information for direct care staff as required. The deficient practice had the potential to affect the 48 residents residing in the facility.Findings: Review of the facility's policy titled Reporting Direct Care Staffing Information (Payroll-Based Journal) revealed in part: 1. Complete and accurate direct care staffing information is reported electronically to CMS through the Payroll-Based Journal (PBJ) system in a uniform format specified by CMS. 7. Data is submitted only by designated personnel with training on the PBJ user interface. 8. …
F851 citations in Louisiana
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
Louisiana cites F851 more often than its own record predicts
2.17 times the share F851 takes of citations nationally.
Of every deficiency written in Louisiana 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 Louisiana surveyors wrote
F851 findings written in Louisiana, 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.
Based on record review and interview, the facility failed to electronically submit (PBJ) Payroll Based Journal staffing data as required. The facility census was 46 residents. Findings: Review of the facility's PBJ Staffing Data Report - [NAME] Report 1705D Fiscal Year Quarter 1 (10/2023 - 12/2023) revealed, in part, the facility triggered regarding they failed to electronically submit PBJ staffing data as required. During an interview on 06/04/2024 at 4:00 p.m., S1Administrator reported he failed to submit PBJ staffing data for the above Quarter 1 of 2024 (10/2023 - 12/2023). 30115 37867
The short window
Recent years
| Year | Share of Louisiana citations | vs expected |
|---|---|---|
| 2023 | 1.00% | 4.34× |
| 2024 | 0.81% | 2.75× |
| 2025 | 0.47% | 2.17× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Louisiana surveyors cite →
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