Delayed Significant Change MDS Assessment for Hospice Admission
Penalty
No penalty information released
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Summary
The facility failed to complete a Significant Change Minimum Data Set (MDS) assessment within the required 14-day timeframe for a resident who was admitted to hospice services. The resident, who had a diagnosis of heart failure and was admitted to the facility in December 2024, began receiving hospice care on April 25, 2025. However, the Significant Change MDS assessment was not completed until May 21, 2025, which was 27 days after the resident's admission to hospice. This delay was confirmed by the RN MDS Coordinator, who acknowledged that the assessment was not performed within the mandated period.