Failure to Complete and Submit Quarterly MDS Assessment Timely
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 that a resident's quarterly Minimum Data Set (MDS) assessment was completed and submitted to CMS within the required timeframe. Record review showed that the assessment for one resident had an Assessment Reference Date (ARD) of 05/06/2025, but the assessment was not completed and signed until 06/05/2025, exceeding the 14-day completion requirement. During an interview, the staff member responsible for MDS assessments confirmed that the assessment was not completed within the CMS-mandated period.