Inaccurate MDS Assessment Coding for Resident
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 complete an accurate Minimum Data Set (MDS) assessment for one resident. Clinical record review showed that the resident had diagnoses of multiple sclerosis and diabetes. However, the MDS assessment incorrectly indicated that the resident was on dialysis, despite there being no documentation in the clinical record to support this. During an interview, the Director of Nursing confirmed that the MDS assessment was inaccurately coded and that the resident was not on dialysis at the time.