Late Completion of MDS and CAA Assessments
Penalty
Summary
The facility failed to complete the Minimum Data Set (MDS) and Care Area Assessment (CAA) within the required timeframe for one resident. Specifically, the MDS and CAA for a resident who was re-admitted with a history of pulmonary fibrosis were not completed and transmitted to the state within 14 days of the assessment reference date, as mandated by federal regulations. Record review showed that the assessment completion and care plan updates were late, with the MDS nurse confirming that the required assessments had not been completed on time. Interviews with the MDS nurse and the Director of Nursing confirmed that the assessments and care plan updates were delayed, which could have resulted in delays in care planning and unmet care needs for the resident. The MDS nurse acknowledged that the late completion of the MDS could have delayed necessary care updates and may have impacted the resident's ability to maintain or improve their independence in activities of daily living.