Failure to Complete Significant Change MDS Assessment After Hospice Discharge
Penalty
Fine: $20,670
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 a Significant Change MDS assessment (SCSA) within the required 14 days after a significant change in condition for a resident who was discharged from hospice care. The resident, admitted with heart and kidney disease, was noted to be cognitively intact and on hospice as of the last quarterly MDS. Staff confirmed that the resident graduated from hospice, but the MDS Coordinator did not discuss this change with the resident or complete the required SCSA. The Director of Nursing also acknowledged that the SCSA was not completed following the resident's discharge from hospice.