Inaccurate Coding of Significant Change MDS Assessment for Hospice Resident
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 accurately code a significant change Minimum Data Set (MDS) assessment for one resident who was admitted to hospice care. The resident, who was cognitively intact with a BIMS score of 15, had a physician's order for hospice admission due to late effects of a cerebrovascular accident. However, the significant change MDS assessment did not reflect the resident's life expectancy of less than six months, as required, and was not coded to indicate the resident's hospice status at the time. The MDS coordinator confirmed that the assessment was related to the initiation of hospice services but acknowledged that the MDS was not accurately coded to reflect the resident's current condition.