Failure to Complete Timely Quarterly MDS Assessment
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 complete a required Quarterly Minimum Data Set (MDS) Assessment within the federally mandated timeframe for one resident. Clinical record review showed that after the resident's re-entry, the next quarterly MDS was due but was neither scheduled nor completed, as confirmed by the MDS tracker in the electronic health record. The last assessment completed was a Medicare 5-day MDS, which is a payment assessment and does not fulfill the OBRA assessment schedule requirements. The MDS Coordinator stated she was unaware that the quarterly assessment was still required after completing the 5-day assessment. The facility did not have a policy regarding MDS Assessments and relied on the RAI Manual guidelines.