Inaccurate MDS Assessments for Multiple Residents
Penalty
Summary
The facility failed to ensure the accuracy of Minimum Data Set (MDS) assessments for three residents. For one resident, the MDS inaccurately documented that the resident had adequate vision without corrective lenses, despite both the resident's son and a registered nurse confirming the resident's vision was impaired and required corrective lenses. The optometry evaluation also indicated the use of corrective lenses, and the MDS Coordinator acknowledged the inaccuracy in the assessment. Another resident was reported to be using a tube for medication administration, but the MDS assessment did not reflect the presence of the tube or any related nutritional approaches. The MDS Coordinator confirmed this was incorrect. Additionally, a third resident, who was on a mechanical soft diet due to a broken dental appliance, was not accurately represented in the MDS under the oral/dental status section. The resident expressed frustration about not having the dental appliance, and the MDS Coordinator admitted the annual assessment was marked incorrectly.