Inaccurate MDS Assessment for Discharge Status
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 an accurate assessment was completed for one resident. The Minimum Data Set (MDS) for this resident indicated a discharge status of transfer to a short-term general hospital, while the resident's progress notes documented that the resident was actually discharged home with a family member to receive home health care. During interviews, the Director of Nursing confirmed that the MDS was completed in error and that the resident was not hospitalized, as supported by the progress notes. The Chief Executive Officer stated that the facility does not have a specific policy on assessments and relies on the Resident Assessment Instrument (RAI) procedure for timely and accurate MDS submissions.