Failure to Complete Timely MDS Assessments
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 both the annual and discharge return-anticipated Minimum Data Set (MDS) assessments for a long-term resident within the required 14 calendar days after the Assessment Reference Date (ARD). Specifically, the annual MDS assessment had an ARD of 4/25/25 and remained incomplete 21 days after the ARD, while the discharge return-anticipated MDS assessment had an ARD of 4/29/25 and was incomplete 17 days after the ARD. The resident had been readmitted to the facility and was later transferred to an acute care hospital with the expectation of returning. The Director of Nursing confirmed that these assessments were overdue and should have been completed within the mandated timeframe.