Delayed 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 14 calendar days of admission for one resident. Record review showed that the resident was admitted on 04/09/25, but the admission MDS assessment was not completed by the registered nurse until 04/26/25, exceeding the required timeframe. During an interview, both the administrator and the director of clinical services confirmed that the assessment was not completed within the mandated period. This deficiency was identified through record review and staff interviews.