Failure to Complete MDS Assessments Within Required Time Frame
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 comprehensive Minimum Data Set (MDS) assessments within the required time frame for four of eight residents reviewed. According to the Resident Assessment Instrument (RAI) User's Manual, an admission MDS assessment must be completed no later than 14 days following admission. Documentation showed that the MDS assessments for these residents were completed after the required 14-day period. This was confirmed by both the Director of Nursing and the Nursing Home Administrator during interviews, who acknowledged that the assessments were not completed on time as required by regulation.