Based on interview and record review, the facility failed to submit direct care staffing information to the Centers for Medicare and Medicaid Services (CMS, a federal agency managing healthcare programs and health insurance standards) for Quarter 1 (Q1, January February, and March 2026) 2026 reviewed for Payroll Based Journal (PBJ, mandatory reporting of staffing information based on payroll data) submission. This failure affected the accuracy of Nursing Home (NH) staffing level data collected by CMS and had the potential to impact provisions of resident care and services. Findings included. …
F851 citations in Washington
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
Washington cites F851 less often than its own record predicts
0.81 times the national share — cited less often here than elsewhere.
Of every deficiency written in Washington 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 Washington surveyors wrote
F851 findings written in Washington, 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, the facility failed to ensure that direct care staffing information was accurate upon submission to the Centers for Medicare and Medicaid Services (CMS) for Quarter 3 of 2024 (July 1, 2024 through September 30, 2024) reviewed for Payroll Based Journal (PBJ - mandatory reporting of staffing information based on payroll data) submission. This failure caused CMS to have inaccurate data related to facility staffing levels and had the potential to impact resident care and services. Findings included . Review of the Certification and Survey Provider Enhanced Reports (CASPER) PBJ Staffing Data Report showed the facility reported data for Quarter 3, 2024 at a level lower than required by mandated staffing levels. …
The short window
Recent years
| Year | Share of Washington citations | vs expected |
|---|---|---|
| 2023 | 0.11% | 0.47× |
| 2024 | 0.43% | 1.46× |
| 2025 | 0.17% | 0.81× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Washington surveyors cite →
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