Failure to Accurately Code Mood Assessment on MDS
Penalty
No penalty information released
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Summary
The facility failed to accurately code the mood section of the Minimum Data Set (MDS) assessment for one resident who had a diagnosis of mood disorder. The resident was admitted with this diagnosis and, according to the annual MDS assessment, was rarely or never understood, which required a staff assessment for mood to be conducted. However, the staff assessment for mood was not completed as required. The Social Worker responsible for this section of the MDS acknowledged during an interview that the staff assessment should have been done but was missed due to oversight. The Administrator also confirmed that the assessment for mood should have been completed to ensure the MDS was accurate.