Failure to Complete Timely 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
Facility staff failed to complete an admission Minimum Data Set (MDS) assessment in a timely manner for one resident. The resident was admitted with multiple diagnoses, including vascular dementia, type II diabetes mellitus, major depressive disorder, Alzheimer's disease, cerebral atherosclerosis, and a history of mini stroke. Documentation showed the resident arrived at the facility, but there was no record of an admission MDS being completed. Interviews with the Social Services Director, MDS Coordinator, and Administrator confirmed that the admission MDS should be completed within 14 days of admission, and acknowledged that it was not done for this resident. Additionally, the facility did not provide a policy related to MDS assessments.