Late Completion of Quarterly MDS Assessment
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 quarterly Minimum Data Set (MDS) assessments were completed within the required timeframe for one resident. According to the Long-Term Care Facility Resident Assessment Instrument (RAI) User's Manual, quarterly MDS assessments must be completed no later than 14 calendar days after the Assessment Reference Date (ARD). For one resident, the quarterly ARD was set, and the assessment was due by a specific date, but the MDS was not signed as completed until eight days after the required deadline. This failure was confirmed by the Registered Nurse Assessment Coordinator during an interview.