Failure to Accurately Document Dialysis on MDS Assessment
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 that the Minimum Data Set (MDS) assessment accurately reflected the clinical status of a resident who was admitted with end stage renal disease and was dependent on dialysis. Review of the resident's clinical record showed that the resident was receiving dialysis three times a week at a local dialysis center, as indicated by physician orders. However, the admission MDS did not identify the resident as receiving dialysis services. This omission was confirmed during an interview with the Director of Nursing, who acknowledged that Section O of the MDS should have been triggered for dialysis.