Late Completion of Quarterly MDS Assessment
Penalty
No penalty information released
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 complete the Quarterly Minimum Data Set (MDS) assessment for one resident within the required regulatory timeframe. According to interview and record review, the MDS/Care Plan Coordinator confirmed that the MDS, which is used to describe the resident and guide their care, must be submitted to CMS every quarter or more frequently if there is a significant change in the resident's condition. For the resident in question, the Assessment Reference Date (ARD) was completed late, and the assessment was not finalized within 14 days as required by the RAI manual. Documentation showed that the assessment completion date exceeded the 14-day window, resulting in a late submission.