Failure to Complete Timely Comprehensive Assessments
Penalty
Summary
The facility failed to complete comprehensive assessments for residents within the required timeframes as specified by the Resident Assessment Instrument (RAI) guidelines. Specifically, four residents did not have their admission or annual comprehensive assessments completed within 14 days of admission or within the annual timeframe. One resident's assessment was completed 15 days late, another's annual assessment was completed four days late, a third resident's assessment was nine days late, and a fourth resident's assessment had not been completed as of the date of review. During interviews, the MDS Director confirmed the required timeframes for assessment completion, and the Regional MDS Director was unable to provide an explanation for the delays. These findings were based on record review and staff interviews, with no additional information provided regarding the residents' medical histories or conditions at the time of the deficiency.