Inaccurate MDS Assessments for Two Residents
Penalty
No penalty information released
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Summary
The facility failed to ensure the accuracy of Minimum Data Set (MDS) assessments for two residents. For one resident with diagnoses including traumatic brain injury, diabetes mellitus, protein calorie malnutrition, gastrostomy, and tracheostomy, the quarterly MDS assessment incorrectly indicated significant weight loss, which was not supported by the resident's weight summary. Staff confirmed this was an error. For another resident, the MDS assessment failed to indicate that the resident was receiving hospice care, despite physician orders documenting hospice services since December 11, 2024. Staff interviews confirmed the inaccuracies in both cases.