Failure to Complete Admission MDS Assessment Within Required Timeframe
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 within 14 calendar days after admission for one resident. Record review showed that the resident was admitted on a specific date, but the Admission MDS assessment was not accepted until a much later date, exceeding the required 14-day timeframe. During an interview, the MDS Coordinator confirmed that the assessment was not completed within the mandated period and acknowledged that Admission MDS assessments should be completed within 14 days of admission. This lapse in timely assessment was identified through record review and staff interview, and it specifically affected one of nine residents reviewed for MDS compliance.