Late Completion of Admission MDS Assessment
Penalty
Summary
The facility failed to complete the admission Minimum Data Set (MDS) assessment within the required timeframe for one resident. According to the Resident Assessment Instrument (RAI) User's Manual, the admission MDS must be completed no later than the 14th calendar day after admission. Record review showed that the resident's admission MDS was still in progress 16 days after admission. During interviews, the MDS nurse stated that she typically scheduled the MDS assessment for seven days after admission and aimed to complete it one week after the assessment reference date (ARD). She acknowledged that the assessment was not completed on time because she was on vacation, and it should have been finished two days prior. The Director of Nursing confirmed the expectation that the admission MDS be completed by the 14th day of admission.