Inaccurate MDS Assessment Documentation
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 the accurate completion of Minimum Data Set (MDS) assessments for one resident. Clinical record review showed that a resident with a diagnosis of End Stage Renal Disease did not have this diagnosis documented on their Quarterly MDS assessment dated March 17, 2025. This omission was confirmed during an interview with a licensed employee, who acknowledged that the MDS was inaccurately completed. The deficiency was identified through both clinical record review and staff interview.