Failure to Timely Transmit MDS Assessments
Penalty
Summary
The facility failed to transmit completed Minimum Data Set (MDS) assessments to the State within the required 14-day period for seven residents. For each of these residents, quarterly or significant change MDS assessments were completed, but the transmission to the Centers for Medicare & Medicaid Services (CMS) was delayed well beyond the 14-day window. Specific examples include assessments with Assessment Reference Dates (ARDs) and completion dates in January and February, but transmissions not occurring until April, resulting in delays of more than 14 days for each case. During a concurrent interview and record review, the MDS Nurse confirmed that the assessments for these residents were submitted late, as evidenced by the facility's CMS transmittal validation report. The deficiency was identified through a review of both the electronic clinical records and the transmittal validation reports, which consistently showed late submission for the affected residents. No information was provided regarding the residents' medical histories or conditions at the time of the deficiency.