Inaccurate MDS Assessment of Resident's Vision
Penalty
No penalty information released
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Summary
The facility failed to ensure that the Minimum Data Set (MDS) assessment accurately reflected the status of a resident with diagnoses including depression, macular degeneration, and muscle wasting. The MDS indicated that the resident's vision was adequate, despite the resident stating he was visually impaired and unable to see much. During observation, the resident was unable to identify the food on his lunch tray and reported that no one had informed him about it. The Registered Nurse Assessment Coordinator confirmed that the MDS did not accurately represent the resident's actual visual status. This deficiency was identified through review of clinical records, resident interviews, and staff interviews.