Inaccurate MDS Assessment for Hospice Care
Penalty
Summary
The facility failed to ensure a complete and accurate Minimum Data Set (MDS) assessment for a resident receiving hospice care. Record review showed that the resident had physician orders for hospice care and a care plan confirming hospice services. While the quarterly MDS assessment with an earlier assessment reference date correctly documented hospice services, a subsequent quarterly MDS assessment incorrectly indicated that the resident was not receiving hospice care. This error was confirmed by the Director of Nursing during staff interview, who acknowledged the inaccuracy in the MDS documentation. This deficiency was identified through review of medical records and staff interviews, specifically affecting one resident who was actively receiving hospice services at the time of the incorrect MDS assessment.