Based on record review and interview it was determined that the facility failed to submit their Payroll Based Journal (PBJ) information to Medicare. This was evident in the off-site preparation portion and during the on-site recertification survey. The findings include: During the off-site preparation for the recertification survey, the survey team was provided a copy of the facility's Payroll Based Journal Report which indicated that no data was submitted. On 11/12/24 at 9:31 AM during the entrance conference with the Director of Nursing (DON) and the Nursing Home Administrator (NHA) the surveyor provided the [NAME] report and PBJ staffing Data Report which indicated that no data was submitted for the 3rd quarter which ended June 30, 2024. …
F851 citations in Maryland
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
Maryland cites F851 less often than its own record predicts
0.55 times the national share — cited less often here than elsewhere.
Of every deficiency written in Maryland 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 Maryland surveyors wrote
F851 findings written in Maryland, 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, interview, and facility policy review, the facility failed to submit the required staffing information based on payroll data in a uniform format by the required deadline. The facility failed to submit data for quarter three (April 1-June 30, 2024) of the federal fiscal year. Findings include: Review of the facility's policy titled, [Facility Name] Reporting Direct Care Staffing Information (Payroll-Based Journal), dated 08/2022 (sic), revealed Policy Statement: Direct care staffing information is reported electronically to Centers for Medicare & Medicaid Services (CMS) through the Payroll-Based Journal system. Policy Interpretation and Implementation: 1. …
What else Maryland surveyors cite →
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