Inaccurate MDS Assessment Regarding Physical Restraint Use
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 ensure the accuracy of the Minimum Data Set (MDS) assessment for one resident. A review of the resident's clinical record showed an admission with a diagnosis of dementia. The quarterly MDS assessment indicated that a limb restraint was used less than daily, as documented in Section P0100. However, a review of the physician's orders did not reveal any orders for a physical restraint for this resident. Furthermore, the Regional Nurse Consultant confirmed in an interview that the resident had never had any type of physical restraint while residing in the facility.