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F0641
D

Inaccurate MDS Assessment Coding for Insulin Use

Monticello, Indiana Survey Completed on 05-19-2025

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 Minimum Data Set (MDS) assessment was accurately completed for a resident with diagnoses including Parkinson's disease, diabetes, and schizophrenia. The resident's quarterly MDS assessment indicated insulin use, but a review of the Medication Administration Record (MAR) for the assessment period showed the resident only received Ozempic (semaglutide), a non-insulin injectable medication for diabetes. There was no documentation that the resident received insulin during the assessment period. The MDS Coordinator stated she coded insulin use because Ozempic lowers blood sugar, but later acknowledged uncertainty and sought further guidance. The DON clarified that Ozempic should be coded as an injected medication, not as insulin. Facility policy requires documentation to be consistent with physician orders and insulin administration records.

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