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F0641
D

Inaccurate MDS Assessment for Wandering Behavior

Clifton, Illinois Survey Completed on 05-22-2025

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 that a resident's Minimum Data Set (MDS) accurately reflected the resident's wandering behavior. The MDS for a resident with severe cognitive impairment did not document any wandering during the look-back period, despite behavior tracking records showing that the resident exhibited wandering on two separate days and a nursing note indicating the resident entered another resident's room and disturbed them. The MDS Coordinator confirmed that the MDS did not capture these behaviors and acknowledged the discrepancy after reviewing the behavior tracking and nursing notes.

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