Inaccurate MDS Assessment for Resident with Upper Extremity Impairment
Penalty
No penalty information released
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Summary
The facility failed to ensure the accuracy of the Minimum Data Set (MDS) assessment for one resident. The resident, who had diagnoses including paraplegia, chronic obstructive pulmonary disease, and chronic pain, was observed in a wheelchair with a bent inward left hand and reported no longer receiving restorative services or assistance with a hand splint. Despite these impairments, the resident's quarterly MDS assessment indicated 'No Impairment' in the Upper Extremity section. Staff interviews confirmed that the MDS was coded incorrectly and that the expectation was for assessments to be accurate.