Inaccurate MDS Assessments for Discharge and Dental Status
Penalty
Summary
The facility failed to ensure the accuracy of Minimum Data Set (MDS) assessments for multiple residents. For one resident, the discharge MDS was marked as a planned discharge, despite documentation and staff confirmation that the resident was discharged unplanned to an acute hospital. This discrepancy was confirmed by the Director of Nursing during an interview. Additionally, two other residents had inaccuracies in their MDS assessments regarding dental status. One resident, who was edentulous and had issues with lower dentures, was incorrectly documented as not being edentulous and as having obvious or likely cavities or broken natural teeth. Another resident, who had some natural teeth and lower partial dentures, was incorrectly assessed as being edentulous. These errors were confirmed by staff interviews and review of care plans and medical records.