Late Completion of Admission 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 comprehensive Minimum Data Set (MDS) assessment within the required regulatory time frame for one resident. Specifically, the admission MDS assessment, which is mandated to be completed by the end of day 14 following admission, was not finalized until day 18, resulting in a four-day delay. This was confirmed through record review and staff interviews, with the MDS Coordinator acknowledging the late completion. The deficiency was identified during a review of residents assessed for accidents, and the late assessment led to a lapse in maintaining current and accurate assessment records necessary for appropriate care planning.