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F0640
D

Failure to Complete and Submit Timely MDS Assessments

Ontario, California Survey Completed on 06-19-2025

Penalty

No penalty information released
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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 that required Resident Assessment Instrument/Minimum Data Set (RAI/MDS) assessments were completed and transmitted to the State within the federally mandated timeframes for two residents. For one resident with chronic obstructive pulmonary disease, heart failure, mild cognitive impairment, and acute on chronic respiratory failure, the annual comprehensive MDS assessment was completed 146 days late. For another resident with type 2 diabetes mellitus, chronic kidney disease, hypertension, and anemia, the quarterly MDS assessment was completed 122 days late. These delays were confirmed through record review and interviews with the Director of Nursing (DON), who acknowledged responsibility for timely completion of MDS assessments and stated that the assessments were not completed within the required 92-day interval. Facility policy and procedure documents, reviewed during the survey, specified that the resident assessment coordinator and interdisciplinary team are responsible for ensuring timely and appropriate assessments, including quarterly and annual assessments as required by OBRA regulations. The DON confirmed that these policies were not followed, resulting in the late completion and submission of the assessments. The failure to adhere to these requirements led to inadequate monitoring of the residents' progress or decline and the lack of timely resident-specific information being submitted to CMS for payment and quality measure monitoring.

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