Failure to Complete CAA Analyses for Two Residents
Penalty
Summary
The facility failed to complete the Care Area Assessment (CAA) analysis of findings for two residents following their admission, as required by the Comprehensive Minimum Data Set (MDS) process. For one resident, the Admission MDS triggered CAAs for functional abilities, urinary incontinence and indwelling catheter, pressure ulcer, and nutritional status, but none of these CAAs included a completed analysis of findings. For another resident, the Admission MDS triggered CAAs for functional abilities, urinary incontinence and indwelling catheter, pressure ulcer, psychotropic drug use, falls, and nutritional status, with all triggered CAAs also lacking the required analysis. Interviews with administrative nursing staff revealed they were unable to provide information regarding the missing analyses. The facility's policy states that a registered nurse is responsible for conducting and coordinating the completion of the resident assessment.