Failure to Complete Timely Quarterly MDS Assessments
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 that Minimum Data Set (MDS) assessments were completed every three months for two of nine residents reviewed. Specifically, quarterly MDS assessments for these residents were not completed within the required timeframe, as they were conducted 92 days after the previous assessment reference date. This was confirmed through record review and an interview with the MDS Coordinator, who acknowledged that the quarterly MDS assessments for the affected residents were not completed on time.