Failure to Complete Timely Quarterly Resident Assessments
Penalty
Summary
The facility failed to complete quarterly assessments for three residents within the required timeframes as specified by the Resident Assessment Instrument (RAI) guidelines. Record reviews showed that multiple quarterly assessments for these residents were not completed within 92 calendar days after the previous assessment, nor within the 14-day window following the Assessment Reference Date (ARD). Specific instances included assessments for one resident with ARDs on 06/10/24, 09/10/24, and 03/11/25, which were completed significantly later than required. Similar delays were found for two other residents, with assessments completed past the regulatory deadlines. During an interview, both the MDS Coordinator and the Regional MDS Director acknowledged and agreed with these findings. No additional information about the residents' medical history or condition at the time of the deficiency was provided in the report.