Failure to Timely Transmit MDS Assessments
Penalty
Summary
The facility failed to transmit Minimum Data Set (MDS) assessments to the Centers for Medicare and Medicaid Services (CMS) Quality Improvement and Evaluation System (QIES) Assessment Submission and Processing (ASAP) System within the required 14-day timeframe for three residents. According to the Long-Term Care Facility Resident Assessment Instrument (RAI) User's Manual, comprehensive MDS assessments must be transmitted electronically within 14 days of the Care Plan Completion Date, and all other MDS assessments must be submitted within 14 days of the MDS Completion Date. Review of the MDS validation report from iQIES revealed that three residents had quarterly MDS assessments that were submitted late. Specifically, one resident's quarterly MDS assessment was completed but not submitted until over six months later, another resident's assessment was submitted more than three weeks after completion, and a third resident's assessment was submitted nearly a month late. An interview with the Registered Nurse Assessment Coordinator (RNAC) confirmed that these MDS assessments were not completed and transmitted within the required timeframes.