Inaccurate MDS Coding for Oxygen Administration
Penalty
Summary
The facility failed to ensure that a Minimum Data Set (MDS) assessment was accurately coded for a resident with significant respiratory diagnoses, including saddle embolus of the pulmonary artery with cor pulmonale, pulmonary fibrosis, and atelectasis. Multiple observations over several days confirmed that the resident was receiving supplemental oxygen via a portable tank, in accordance with a physician's order to administer four liters per minute as needed to maintain oxygen saturation above 92 percent. Despite this, the resident's quarterly MDS assessment indicated that the resident was not receiving oxygen administration. Interviews with the DON and the MDS Coordinator confirmed that the resident was on supplemental oxygen and that the MDS assessment was not coded correctly to reflect this.