Late Completion of Annual Comprehensive 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 complete an annual comprehensive assessment for one resident within the required 366-day timeframe. Record review showed that the resident, who was cognitively intact and had a diagnosis of diabetes mellitus, had an annual assessment completed late, with no prior assessment found within the mandated period. The administrator confirmed that the delay occurred because the facility did not have an MDS coordinator and was relying on a corporate MDS coordinator, resulting in late completion of assessments.