Inaccurate MDS Coding for Antiplatelet Medication
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 accurately code a resident's Minimum Data Set (MDS) assessment regarding the use of antiplatelet medication. Specifically, the quarterly MDS for a resident with an Assessment Reference Date (ARD) of 02/12/2025 indicated that the resident was taking an anticoagulant but not an antiplatelet medication. However, review of the electronic medication administration record (EMAR) for February 2025 showed that the resident had been administered Plavix, which is an antiplatelet medication, during the MDS lookback period. This discrepancy was confirmed during an interview and record review with the staff member responsible for MDS coding, who acknowledged the incorrect coding on the assessment.