Failure to Obtain RN Signature on MDS Assessments
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
For three of forty sampled residents, the facility failed to ensure that a registered nurse (RN) signed and certified the completion of Minimum Data Set (MDS) assessments before submission to CMS. Specifically, the entry MDS assessments for three residents did not contain the required RN signature. Review of medical records and MDS assessments confirmed the absence of RN certification for these assessments. During interviews, the MDS Coordinator stated that he typically meets weekly with an RN from the memory care unit for MDS sign-off, while the Director of Nursing indicated that the MDS Coordinator is responsible for completing the assessments.