Stay Ahead of Compliance with Monthly Citation Updates


In your State Survey window and need a snapshot of your risks?

Survey Preparedness Report

One Time Fee
$79
  • Last 12 months of citation data in one tailored report
  • Pinpoint the tags driving penalties in facilities like yours
  • Jump to regulations and pathways used by surveyors
  • Access to your report within 2 hours of purchase
  • Easily share it with your team - no registration needed
Get Your Report Now →

Monthly citation updates straight to your inbox for ongoing preparation?

Monthly Citation Reports

$18.90 per month
  • Latest citation updates delivered monthly to your email
  • Citations organized by compliance areas
  • Shared automatically with your team, by area
  • Customizable for your state(s) of interest
  • Direct links to CMS documentation relevant parts
Learn more →

Save Hours of Work with AI-Powered Plan of Correction Writer


One-Time Fee

$49 per Plan of Correction
Volume discounts available – save up to 20%
  • Quickly search for approved POC from other facilities
  • Instant access
  • Intuitive interface
  • No recurring fees
  • Save hours of work
F0641
D

Inaccurate MDS Assessment Due to POLST Discrepancy

Mill Valley, California Survey Completed on 07-29-2025

Penalty

No penalty information released
tooltip icon
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 medically complex condition. The resident's MDS assessment, specifically section S which documents Physician Orders for Life-Sustaining Treatment (POLST), indicated that the resident had chosen to receive full treatment, including resuscitation and a trial period of artificial nutrition via feeding tube. However, a review of the resident's signed POLST form revealed that the resident had actually chosen Do Not Resuscitate (DNR), selective treatment, and no artificial means of nutrition, including feeding tubes. This discrepancy was confirmed during interviews with the MDS coordinator and the Director of Nursing (DON), both of whom acknowledged that the MDS assessment did not accurately reflect the resident's documented wishes as indicated on the POLST form. Further investigation revealed that the facility did not have a policy or procedure in place regarding the completion of MDS assessments. The DON confirmed that the information in section S of the MDS should be transcribed directly from the signed POLST form, and that any mismatch would render the MDS assessment inaccurate. The lack of an accurate MDS assessment could result in care and treatment that does not align with the resident's documented preferences. The findings were supported by a review of relevant professional guidance, which emphasized the importance of accurate documentation for MDS accuracy.

An unhandled error has occurred. Reload 🗙