Failure to Accurately Document Parkinsonism Diagnosis in MDS
Penalty
No penalty information released
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Summary
The facility failed to provide an accurate Minimum Data Set (MDS) diagnosis for a resident with a documented medical condition. Record review showed that a neurologist had diagnosed the resident with Parkinsonism, as indicated in a consultation record. However, when reviewing the resident's MDS, completed several months after the neurologist's diagnosis, Parkinsonism was not marked under the Neurological section. This omission was confirmed by the Director of Nursing during an interview, verifying that the diagnosis was not identified in the MDS.