Failure to Complete and Transmit Discharge Assessment
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 ensure that a discharge assessment was completed, encoded, and transmitted for a resident who was discharged to another facility. Record review showed that the resident, who had diagnoses including dementia and bipolar disorder, was discharged on 12/30/24, with documentation indicating the time of discharge and that discharge paperwork was provided to the transport and power of attorney. However, there was no documentation that a discharge resident assessment was completed as required. During interviews, the MDS coordinator confirmed that discharge assessments are typically completed on the day of discharge but acknowledged that the assessment for this resident was not completed.