Failure to Complete Timely 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 a comprehensive Minimum Data Set (MDS) assessment in a timely manner for one resident who was admitted with a diagnosis of acute pancreatitis and was cognitively intact, as indicated by a Brief Interview for Mental Status (BIMS) score of 15/15. Review of the resident's electronic medical record showed that the MDS assessment was overdue by more than 120 days. During interviews, the MDS nurse did not respond when asked about receiving alerts for late assessments, and the DON stated that the MDS nurse should follow the facility's policy for MDS assessments.