Based on interview, record review, and facility policy review, the facility failed to submit Payroll-Based Journal (PBJ) staffing data to the Centers for Medicare & Medicaid Services (CMS) for one (1) of (1) quarter reviewed. (Fiscal Year Quarter 2 2026) Findings include:A review of the facility's, Payroll-Based Journal (PBJ) Reporting Policy and Procedure undated revealed, .Purpose To establish standardized procedures for the accurate collection, verification, maintenance, and submission of Payroll-Based Journal. (PBJ) staffing data in compliance with CMS requirements. …
F851 citations in Mississippi
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
Mississippi cites F851 more often than its own record predicts
7.53 times the share F851 takes of citations nationally.
Of every deficiency written in Mississippi 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 Mississippi surveyors wrote
F851 findings written in Mississippi, 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 Mississippi citations | vs expected |
|---|---|---|
| 2023 | 0.14% | 0.59× |
| 2024 | 2.02% | 6.90× |
| 2025 | 1.63% | 7.53× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Mississippi 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