Failure to Complete Significant Change MDS After Hospice Admission
Penalty
No penalty information released
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Summary
The facility failed to complete a Minimum Data Set (MDS) assessment for a significant change in status after a resident was admitted to hospice care. Clinical record review showed that a physician order was entered indicating the resident began receiving hospice services for Alzheimer's dementia. According to the Resident Assessment Instrument (RAI) User's Manual, an MDS assessment for a significant change in status must be completed within 14 days of determining the change, and specifically when a terminally ill resident enrolls in a hospice program. Staff interview confirmed that the resident started hospice services, but the required significant change MDS assessment was not completed as mandated.