Inaccurate MDS Assessment for Antipsychotic Medication Use
Penalty
Summary
The facility failed to ensure the accuracy of a comprehensive assessment for one resident, as required by policy. Specifically, the annual Minimum Data Set (MDS) assessment for the resident contained conflicting information in Section N, indicating both that the resident was and was not receiving antipsychotic medications. Review of the resident's medication administration record (MAR) confirmed that the resident had been administered the antipsychotic medication Latuda during the week prior to the assessment. Interviews with the Corporate Vice President and the Director of Nursing (DON) confirmed the inconsistency in the MDS and acknowledged that the resident was indeed taking an antipsychotic at the time of the assessment. The DON stated that while the Corporate VP spot-checked the MDS coordinator's work, they themselves did not review each assessment, and the MDS was found to be inaccurate.