Based on interview and document review, the facility failed to ensure accurate and complete submission of required staffing information to the Centers for Medicare & Medicaid Services (CMS). This deficient practice resulted in inaccurate federal reporting of staffing levels.Findings include:The Payroll-Based Journal (PBJ) Staffing Data Report 1705D October through December 2025 documented the following dates with no Registered Nurse (RN) coverage reported:10/01; 10/02; 10/03; 10/06; 10/08; 10/09; 10/14; 10/15; 10/20; 10/21; 10/23; 10/27; 10/28; 10/29; 10/30.11/03; 11/05; 11/06; 11/08; 11/12; 11/13; 11/14; 11/19; 11/20; 11/21; 11/26; 11/28; 11/29; 11/30.12/03; 12/04; 12/05; 12/06; 12/10; 12/11; 12/12; 12/13; 12/18; 12/19; 12/20; 12/21; 12/23; 12/25; 12/29; 12/31.A review of the Long-Term… …
F851 citations in Nevada
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
Nevada cites F851 more often than its own record predicts
2.18 times the share F851 takes of citations nationally.
Of every deficiency written in Nevada 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 Nevada surveyors wrote
F851 findings written in Nevada, 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, review of the payroll-based journal (PBJ) submitted to the Centers for Medicare and Medicaid (CMS), the facility failed to ensure one quarter (third quarter of fiscal year 2023) out of three quarters reviewed for PBJ that the direct care staffing information was submitted accurately to CMS. This failure had the potential for staffing issues related to Registered Nurse (RN) coverage for eight consecutive hours per day. Findings include: Review of the PBJ report from CMS showed no RN coverage for eight consecutive hours per day during the third quarter (October, November, December) of 2023. …
What else Nevada surveyors cite →
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