Inaccurate MDS Coding for Oxygen Use
Penalty
No penalty information released
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Summary
The facility failed to accurately code the Minimum Data Set (MDS) assessment regarding oxygen use for one resident. The resident was admitted with chronic obstructive pulmonary disease and chronic respiratory failure with hypoxia, and had a physician's order for continuous oxygen via nasal cannula at 3 liters per minute, with instructions to titrate to maintain oxygen saturation above 90%. Despite this order and an observation confirming the resident was receiving oxygen via nasal cannula, the admission MDS did not reflect the resident's oxygen use.