Inaccurate Discharge MDS Assessment Coding
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 ensure the accuracy of a discharge Minimum Data Set (MDS) assessment for one resident. The clinical record showed that the resident was admitted to the facility and later found unresponsive, resulting in a transfer to the hospital where the resident subsequently died. However, review of the discharge MDS revealed that question A2105 was incorrectly coded to indicate the resident went home, rather than being transferred to an acute care hospital. During interviews, MDS coordinators confirmed that the resident was not discharged home and that the MDS should have been coded to reflect a hospital transfer.