Failure to Transmit Completed MDS Assessment
Penalty
Summary
The facility failed to complete and transmit a quarterly Minimum Data Set (MDS) assessment for one resident within the required timeframe. The assessment was completed but not transmitted to the CMS system as required by regulations. During an interview, the MDS Coordinator stated she was unsure why the assessment was not transmitted and noted that the MDS was marked as 'do not transmit' due to a system error. The Coordinator confirmed she was responsible for the transmission process. Record review showed that the resident involved had multiple medical diagnoses, including hemiplegia and hemiparesis following a stroke, COVID-19, malignant neoplasm of the prostate, and type 2 diabetes mellitus. Facility policy requires all MDS assessments to be completed and transmitted electronically in accordance with OBRA regulations, and staff responsible for MDS completion must be trained in the process. Despite these requirements, the quarterly MDS for this resident was not transmitted as required.