Appendix PP Regulatory Updates - 2025 On-Demand Workshop-F851 Payroll-Based Journal

Video Transcription

Video Summary

The F-851 Payroll-Based Journal regulation, effective 2025, mandates long-term care facilities to electronically submit complete, accurate direct care staffing data—including agency and contract staff—using payroll-verifiable information in a CMS-specified format, at least quarterly. Facilities must report staff categories, census, turnover, tenure, and hours worked. Noncompliance can lead to deficiency citations, with severity F for data submission failures. Surveyors also assess nurse staffing adequacy (F-725, F-727). Facilities should update policies, educate staff, audit data accuracy, and ensure federal staffing standards are met. Additional resources and training support compliance and survey readiness.

Keywords

F-851 Payroll-Based Journal

long-term care staffing

CMS staffing data submission

staffing data compliance

nurse staffing adequacy