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F0641
D

Inaccurate MDS Discharge Status Documentation

Frackville, Pennsylvania Survey Completed on 04-11-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to ensure the accuracy of the Minimum Data Set (MDS) assessment for one resident, as required by the Resident Assessment Instrument (RAI) User's Manual. Specifically, a review of clinical records and the MDS assessment for Resident 106 revealed a discrepancy in the documented discharge status. The MDS assessment indicated that the resident was discharged to a short-term general hospital, while a progress note on the same date documented that the resident was actually discharged to another long-term care nursing facility. This inaccuracy was confirmed by the Nursing Home Administrator during an interview, who acknowledged that the discharge return-not-anticipated MDS assessment did not accurately reflect the resident's actual discharge location.

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