Late Completion of Significant Change MDS Assessment After Hospice Admission
Penalty
Fine: $13,250
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 Significant Change in Status Minimum Data Set (MDS) assessment within the required 14-day timeframe for a resident who was admitted to hospice care. Record review showed that the resident had been in the facility since May 2023 and was admitted to hospice on 1/22/25. The Significant Change in Status MDS assessment was not completed and signed until 2/19/25, which was 29 days after hospice admission and 15 days past the required deadline. During staff interview, the MDS coordinator acknowledged being unaware of the required timeframe for completing the assessment following a resident's admission to hospice care.