Failure to Update MDS Assessment After New Mental Health Diagnosis
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 the accuracy of Minimum Data Set (MDS) assessments for one resident. Specifically, a resident with multiple diagnoses, including acute hepatitis C and alcoholic cirrhosis of the liver, was given a new diagnosis of bipolar disorder. Despite this significant change in the resident's mental health status, the facility did not submit a significant change in status assessment to update the resident's MDS. This omission was confirmed through record review and staff interview, where social services staff acknowledged that the MDS had not been updated following the new diagnosis.