Failure to Complete and Submit Discharge MDS Assessment Timely
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 and submit a discharge Minimum Data Set (MDS) assessment in a timely manner for one resident who was discharged to the hospital. Record review showed that the resident was admitted to the facility and later discharged, but no discharge MDS assessment was found in the electronic medical record. The MDS Coordinator acknowledged during interview that the discharge assessment was missed, despite daily census activity reports and morning meetings intended to track discharges. The Director of Nursing confirmed the expectation that all necessary MDS assessments should be completed.