F851 in Virginia. Pick another state for the same tag.
Against expectation — 2024
Virginia cites F851 less often than its own record predicts
Versus expected share0.18×
0.18 times the national share — cited less often here than elsewhere.
Share of Virginia citations0.05%
Of every deficiency written in Virginia in 2024, this is the portion that was F851.
Virginia0.05%
National0.29%
Share of all citations that were F851.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Virginia surveyors wrote
F851 findings written in Virginia, 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.
F · No harm, potential for more than minimal, widespreadAugust 14, 2024
Based on staff interview and facility document review, the facility staff failed to ensure information provided on the payroll-based journal (PBJ) was accurate.
The findings include:
The facility staff were including Hospice staff not employed by the facility on the PBJ report.
This facility had triggered for one star staff rating and No Registered Nurse (RN) coverage for quarter 3 of 2023 (April, May, June).
When reviewing these reports, the surveyor noted the facility staff had included Hospice staff on the report.
On 08/14/24 at 9:15 a.m., the surveyor interviewed the staff the facility identified as being responsible for these reports RN #3. This staff stated Hospice personnel were contracted and they were patient care givers. …
C · No harm, potential for minimal, widespreadAugust 16, 2023
Based on facility document review and staff interview, the facility staff failed to submit payroll data prior to the deadline for quarter January 1 through March 31, 2023.
The findings include:
The PBJ (payroll-based journal) data report for the facility's fiscal year quarter 2 (1/1/23 through 3/31/23) documented no data regarding excessively low weekend staffing, RN (registered nurse) hours or licensed nursing coverage 24 hours per day.
On 8/16/23 at 9:40 a.m., the business office manager (other staff #4) and the administrator were interviewed about the missing PBJ data for March quarter 2023. The business office manager stated she usually gathered data, placed in a zip file and then posted to the website. …
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