Failure to Accurately Complete MDS Assessment for Mental Illness
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 the Minimum Data Set (MDS) assessment for one resident with multiple diagnoses, including hypertension, diabetes, and PTSD, a serious mental illness. The resident's MDS assessment did not indicate the presence of a serious mental illness in section A1500, despite a state level II PASRR documenting a diagnosis of PTSD. The medical record did not show that a correction was made to the MDS after the PASRR was received. The Director of Nursing confirmed that section A1500 should have been corrected following the receipt of the PASRR documentation.