Incorrect MDS Coding of Diabetes 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 ensure accurate coding of medications on the Minimum Data Set (MDS) for one resident with diabetes. The resident's quarterly MDS indicated that they had received both insulin injections and hypoglycemic medication. However, a review of the Medication Administration Record (MAR) for the relevant month showed that the resident only received Trulicity, a non-insulin diabetes medication, and did not receive any insulin during the assessment period. Interviews with nursing staff confirmed that the MDS was incorrectly coded, as Trulicity is not insulin and no insulin was administered. The facility's policy required staff to use information from the electronic health record to complete the MDS accurately.