Failure to Timely Submit MDS Assessment Data
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 transmit Minimum Data Set (MDS) assessment data to the Centers for Medicare & Medicaid Services (CMS) within the required timeframe for four out of twelve sampled residents. According to the facility's policy, resident assessments are to be conducted and submitted in accordance with federal and state submission timeframes. Record review showed that quarterly and annual assessments for these residents were completed but not submitted within the mandated period, with submission and acceptance dates exceeding the allowed timeframe. The Director of Nursing (DON) confirmed that the assessments for these residents were submitted outside the 14-day window required by CMS guidelines.