Failure to Complete and Transmit MDS Assessment Within Required Timeframe
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
Facility staff failed to complete and transmit a Minimum Data Set (MDS) assessment for one resident within the required 14-day timeframe. Record review showed that the assessment reference date was 04/05/25, but the assessment was not signed until 04/25/25, which exceeded the allowed window for completion and transmission. During an interview, the MDS Coordinator explained that the delay occurred because staff responsible for completing Section E and Section Q did not do so in a timely manner. The MDS Coordinator also stated that neither the Director of Nursing nor the Administrator were informed about the difficulties in obtaining timely completion from staff.