Failure to Timely Submit MDS Assessments
Penalty
Summary
The facility failed to submit Minimum Data Set (MDS) assessment data to the State within the required 14-day timeframe for four sampled residents. For one resident with diagnoses including Paroxysmal Atrial Fibrillation, Hemiplegia, and Chronic Obstructive Pulmonary Disease, the annual MDS assessment was completed and submitted on day 15. Another resident with Congestive Heart Failure had a quarterly MDS completed and submitted 17 days after completion. A third resident with a history of cerebral infarction had an entry assessment submitted more than 14 days after the Assessment Reference Date. The fourth resident, diagnosed with Atherosclerotic Heart Disease, had a quarterly MDS submitted 22 days after completion. Interviews with the MDS coordinator confirmed that all four MDS submissions were late. The coordinator explained that although she attempts to submit assessments weekly, workload sometimes causes her to submit every two weeks, resulting in delayed submissions. These findings were based on observation, interview, and record review.