Failure to Complete Comprehensive MDS Assessment Within Regulatory 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 the required regulatory timeframe for one resident. The resident was admitted on a specified date, but review of the admission MDS assessment revealed it was still in progress and not completed as of the review date. During interviews, the MDS nurse acknowledged that the assessment was late, attributing the delay to a recent influx of new admissions. The Director of Nursing was unaware of the reason for the delay but confirmed that the assessment should have been completed within 14 days of admission.