Failure to Complete Required Care Area Assessments in MDS
Penalty
No penalty information released
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 complete the comprehensive Minimum Data Set (MDS) assessments for several residents as required. Specifically, for six residents, the comprehensive MDS assessments did not include the completion of the triggered Care Area Assessments (CAAs), as mandated by the Resident Assessment Instrument (RAI). Record reviews showed that for each of these residents, both quarterly and comprehensive MDS assessments were present in the electronic medical records, but the required CAAs were missing. This deficiency was identified through review of the residents' electronic medical records and confirmed by staff interviews.