Failure to Accurately Code Oxygen Therapy on MDS Assessment
Penalty
No penalty information released
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Summary
The facility failed to accurately code the Minimum Data Set (MDS) assessment for a resident who was dependent on supplemental oxygen and had a diagnosis of chronic obstructive pulmonary disease (COPD). The resident was observed receiving continuous oxygen therapy via nasal cannula, and the care plan reflected the need for oxygen therapy. However, the MDS assessment did not indicate that the resident was receiving oxygen therapy due to operator error by the MDS Coordinator. Interviews with the resident, MDS Coordinator, DON, and Administrator confirmed that the omission was not in line with facility expectations and was attributed to a coding error.