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F0641
E

Inaccurate MDS Assessments for Medication Administration

Altoona, Pennsylvania Survey Completed on 08-07-2025

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 complete accurate Minimum Data Set (MDS) assessments for six residents, as required by the Resident Assessment Instrument (RAI) User's Manual. Specifically, the assessments did not accurately reflect the medications administered to the residents during the seven-day assessment periods. For example, residents who received antidepressants, insulin, anticonvulsants, diuretics, opioids, and antibiotics according to physician orders and Medication Administration Records (MARs) were not properly coded in the corresponding MDS sections. These discrepancies were identified through a review of clinical records, MARs, and staff interviews. The affected residents had documented orders and received medications such as Venlafaxine, Escitalopram, Keppra, Insulin Glargine, Mirtazapine, Lasix, Gabapentin, Tramadol, and Bacitracin-Polymixin B ointment. However, their MDS assessments failed to indicate the administration of these medications in the relevant sections. The Registered Nurse Assessment Coordinator confirmed that the assessments for these residents were coded incorrectly, resulting in inaccurate documentation of their care needs and treatments.

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