Based on interview and record review, facility staff failed to electronically submit to Centers for Medicare and Medicaid Services (CMS), a complete and accurate direct care staffing information to the Payroll Based Journal (PBJ) data for the first and second quarter of 2025. The facility census was 53.1.Review of the facility's Registered Nurse (RN) policy, revised 04/30/24, showed the facility is responsible for submitting timely and accurate staffing data through the CMS PBJ system. 2. Review of the facility's CMS PBJ Staffing Data Report, dated April 17, 2026, did not contain a report for the first and second quarter of 2025. 3. …
F851 citations in Missouri
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
Missouri cites F851 less often than its own record predicts
0.98 times the national share — cited less often here than elsewhere.
Of every deficiency written in Missouri 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 Missouri surveyors wrote
F851 findings written in Missouri, 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, facility staff failed to electronically submit to Centers for Medicare and Medicaid Services (CMS), a complete and accurate direct care staffing information to the Payroll Based Journal (PBJ) data from April 1, 2024 through June 30, 2024. The facility census was 87. The facility provided no policy regarding PBJ upon request. 1. Review of the CMS PBJ Staffing Data Report, dated 11/12/24, showed no staffing data reported for the period of April 1, 2024 through June 30, 2024. During an interview on 11/20/24 at 11:00 A.M., the Business Office Manager (BOM) said she was new to the facility. She was not employed during the reporting time on the report (when data submission was due for April 1, 2024 through June 30, 2024). …
The short window
Recent years
| Year | Share of Missouri citations | vs expected |
|---|---|---|
| 2023 | 0.23% | 1.00× |
| 2024 | 0.16% | 0.56× |
| 2025 | 0.21% | 0.98× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Missouri surveyors cite →
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