Failure to Complete Timely Comprehensive Assessment After Significant Change
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 a comprehensive assessment following a significant change in condition for one resident. The resident, who had diagnoses including cerebrovascular disease, atrial fibrillation, and hypertension, was admitted to hospice services. Review of the clinical record showed that the Minimum Data Set (MDS) assessment, which is required to evaluate all care areas after a significant change, was not completed in a timely manner. At the time of review, the MDS assessment was still in progress with several sections incomplete, and staff interviews confirmed that the significant change MDS had not been submitted as required.