Inaccurate MDS Coding for PASRR Status
Penalty
Fine: $146,520
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 that a resident's assessment accurately reflected the resident's status by incorrectly coding the Minimum Data Set (MDS) regarding the Pre-admission Screening and Resident Review (PASRR). A review of the clinical record showed that the resident was admitted with a Form 142 indicating approval for admission by the state Level II Authority. However, the annual MDS assessment did not accurately document this, as Section A1500 was coded as 'No' for Level II PASRR evaluation, and Section A1510 was left blank. Both the MDS coordinator and the Director of Nursing confirmed upon review that the MDS should have indicated a Level II PASRR approval, but it was not properly coded.