Inaccurate MDS Assessment for Pressure Ulcer Care
Penalty
No penalty information released
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Summary
The facility failed to ensure the accuracy of the Minimum Data Set (MDS) assessment for a resident with a pressure ulcer. Review of the resident's Significant Change MDS, with an Assessment Reference Date of 03/09/25, revealed that Sections C (turning and repositioning), D (nutrition), and E (pressure ulcer care) were not marked, despite the resident actively receiving these treatments. This omission was confirmed during an interview with the Director of Nursing (DON) and the Nursing Home Administrator (NHA), who acknowledged that the MDS did not accurately reflect the treatments being provided to the resident at the time.