Failure to Timely Transmit MDS Assessment Data
Penalty
Summary
The facility failed to transmit Minimum Data Set (MDS) assessment data to the State within 14 days after completion for four residents. According to the facility's policy, all MDS assessments must be completed accurately and submitted electronically to the Quality Improvement and Evaluation System (QIES) within mandated timelines. Record review showed that for four sampled residents, the assessments were completed but not transmitted within the required 14-day period. Batch transmittal forms confirmed that the submission dates for these assessments exceeded the 14-day window. The Assistant Director of Nursing (ADON)/MDS coordinator reported that they had recently assumed responsibility for MDS assessments and, despite assistance, were still behind in completing and submitting the assessments on time.