Inaccurate MDS Coding for Antipsychotic Medication Use
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 accurately code the Minimum Data Set (MDS) Assessment for a resident who was admitted with dementia with delusions and was receiving antipsychotic medication, specifically Quetiapine Fumarate. Review of the resident's Medication Administration Record (MAR) showed that the antipsychotic was administered on multiple dates, but the admission MDS assessment incorrectly indicated that the resident had not received antipsychotic medications on a scheduled or routine basis. This inaccuracy was confirmed during interviews with both the Regional MDS Consultant and the Administrator, who acknowledged that the MDS should have reflected the resident's regular antipsychotic use.