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F0640
D

Failure to Timely Complete and Transmit MDS Assessments

Broomall, Pennsylvania Survey Completed on 08-26-2025

Penalty

No penalty information released
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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 Minimum Data Set (MDS) assessments were encoded and transmitted to the State within the required 7-day timeframe for five residents. Specifically, review of the Resident Assessment Instrument (RAI) Manual, clinical records, and staff interviews revealed that both entry and discharge MDS assessments for several residents were not completed within the mandated period. For example, discharge and entry assessments for multiple residents were finalized well beyond the 7-day window after the assessment reference date (ARD), with some delays extending to several weeks. The Registered Nurse Assessment Coordinator Consultant confirmed that these comprehensive MDS assessments were not completed as required by regulation.

See complete original report
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