Failure to Timely Complete and Transmit MDS Assessments
Penalty
Summary
The facility failed to complete and transmit the Minimum Data Set (MDS) assessments within the required regulatory timeframes for two residents. For one resident with diagnoses including squamous cell carcinoma, dysphagia, and malignant neoplasm of the glottis, the MDS 5-day assessment was submitted more than 13 days after the entry date due to an incorrect entry date being recorded by the MDS nurse. This error resulted in the assessment being completed and transmitted late to CMS. For another resident with metabolic encephalopathy, respiratory failure, and sepsis, the discharge MDS assessment was completed and transmitted late, with the assessment being finalized and sent to CMS more than 14 days after the Assessment Reference Date (ARD). The MDS nurse confirmed that the discharge assessment was not completed within the required 14-day period, which is necessary for timely notification to CMS regarding the resident's discharge. The facility's policy requires adherence to federal and state submission timeframes for MDS completion and submission.