Failure to Submit MDS Assessments Timely
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 submit Minimum Data Set (MDS) assessments in a timely manner for one resident out of 17 reviewed. The resident, who had diagnoses including aphasia, dementia, and atrial fibrillation, was admitted on 10/03/23. Review of the medical record showed that the MDS assessment for January had a target date of 01/06/25 but was not completed until 01/27/25, and the April assessment had a target date of 04/07/25 but was not completed until 04/29/25. Staff interview with the MDS Coordinator confirmed that both assessments were completed late and were not transmitted within the required 14-day timeframe.