Failure to Complete Timely Significant Change MDS Assessment After Hospice Admission
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 significant change Minimum Data Set (MDS) assessment within the required 14-day timeframe for a resident who was admitted to hospice care. The resident, who had a history of multiple sclerosis, cerebral infarction, and vascular dementia, was noted to have severely impaired cognition and required total assistance with activities of daily living (ADLs). Record review showed that the significant change MDS assessment was not completed in a timely manner following the hospice admission order, as confirmed by the MDS Coordinator. Facility policy required comprehensive assessments to be conducted according to the timeframes established in the Resident Assessment Instrument (RAI) manual.