Based on interview and record review, the facility failed to report Payroll Based Journal (PBJ) information to CMS (Centers for Medicare and Medicaid). This deficient practice resulted in inaccurate reporting of staffing levels with the potential to affect all residents residing in the facility.Findings include:Review of the CMS PBJ Staffing Data Report FY (fiscal year) Quarter 1 2026 (October 1-December 31) revealed the metric Failed to have Licensed Nursing Coverage 24 Hours/Day Triggered with infraction dates being: 10/4, 10/5, 10/16, 10/18, 10/19, 10/21, 11/02, 11/29, 12/14.A request was made for licensed nursing timecards for those infraction dates was requested on 5/5/26 to the Nursing Home Administrator (NHA).Review of the licensed nursing timecards was completed on 5/6/26. …
F851 citations in Michigan
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
Michigan cites F851 less often than its own record predicts
0.24 times the national share — cited less often here than elsewhere.
Of every deficiency written in Michigan 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 Michigan surveyors wrote
F851 findings written in Michigan, 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 interview and record review the facility failed to report Payroll Based Journal (PBJ) information to CMS (Centers for Medicare and Medicaid). This deficient practice resulted in inaccurate reporting of staffing levels with the potential to affect all 115 residents. Findings include: (All times are recorded in Eastern Daylight Time unless otherwise noted.) Review of the CMS PBJ Staffing Data Report FY (fiscal year) Quarter 1 2024 (October 1- December 31) revealed the metric No RN hours and Failed to have Licensed Nursing Coverage 24 hours/day Triggered with Infraction dates being: No RN hours on- 10/8, 10/14, 10/15, 10/21, 10/22, 10/28, 10/29, 11/4, 11/5, 11/11, 11/12, 11/18, 11/19, 11/25, 11/26, 12/2, 12/3, 12/9, 12/10, 12/16, 12/17, 12/23, 12/24, 12/30, and 12/31. …
The short window
Recent years
| Year | Share of Michigan citations | vs expected |
|---|---|---|
| 2023 | 0.15% | 0.65× |
| 2024 | 0.17% | 0.59× |
| 2025 | 0.05% | 0.24× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Michigan surveyors cite →
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