Failure to Timely Complete and Transmit MDS Assessments
Penalty
Summary
The facility failed to ensure that Minimum Data Set (MDS) assessments were completed and transmitted to the State within the required 14-day timeframe for two residents. For one resident with a history of cellulitis, asthma, and type 2 diabetes, the admission MDS was completed, but both the discharge return anticipated (DRA) MDS assessments dated 04/19/25 and 04/21/25 remained in progress and were not transmitted as required. This resident had left the facility for the emergency room and later returned, before ultimately being discharged home, but the necessary MDS documentation was not finalized or sent within the mandated period. Similarly, another resident with diagnoses including cerebral infarction, generalized anxiety disorder, and major depressive disorder had an admission MDS completed, but both the quarterly and DRA MDS assessments were still in progress and had not been transmitted within 14 days. Staff interviews confirmed that these assessments were not completed and transmitted as required by regulation, affecting the facility's compliance with timely MDS data submission.