Based on record review and interview, the facility failed to ensure that the Payroll Based Journal was submitted for the first quarter of 2026 by the due date of February 14, 2026. This had the potential to affect all residents. The facility census was 29. Record review of the Centers for Medicare and Medicaid Services (CMS) Payroll Based Journal (PBJ) Staffing Data Report (PBJ) (a CMS-mandated system for nursing facilities to electronically report auditable staffing data, including hours worked, job roles, and pay types, to ensure transparency and quality of care, revealed that the PBJ data which must be submitted and received by the end of the 45th calendar day (11:59 PM Eastern Standard Time) after the last day in each fiscal quarter to be considered timely) was not submitted to or… …
F851 citations in Nebraska
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
Nebraska cites F851 more often than its own record predicts
1.23 times the share F851 takes of citations nationally.
Of every deficiency written in Nebraska 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 Nebraska surveyors wrote
F851 findings written in Nebraska, 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 reviews and interview, the facility failed to submit data for the third quarter of 2024 for the Payroll Based Journal (PBJ, a collection of staffing information and a requirement of all long-term care facilities.) This had the potential to affect all resident residing within the facility. The facility identified a census of 32. Findings are: A record review of a facility policy Payroll Based Journal with a last reviewed/revised date of 8/31/2024 revealed the facility shall submit information as per Centers for Medicare and Medicaid Services (CMS) requirements and no later than the deadline specified for the specific quarter in which the data is to be reported. …
What else Nebraska surveyors cite →
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