Failure to Complete Required Discharge MDS Assessment
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 and encode a discharge assessment for one resident who was admitted for short-term rehabilitation and discharged in stable condition. Review of the resident's medical record showed no evidence that the required Minimum Data Set (MDS) discharge assessment was completed. This omission was confirmed through interviews with both MDS staff and the Director of Nursing, who validated that the discharge assessment was missed. The deficiency was identified during a review of MDS assessment documentation as part of the recertification and complaint survey.