Failure to Complete MDS Assessments Timely
Penalty
Summary
The facility failed to complete comprehensive Minimum Data Set (MDS) assessments in a timely manner for six residents, as required by regulation. Specifically, the MDS assessments for these residents were either completed or submitted late, with delays ranging from 9 to 52 days, and in one case, the assessment was still in progress and not completed or submitted as required. The issue was confirmed through review of electronic medical records and interviews with the facility's MDS Nurse and another administrative nurse, both of whom acknowledged that MDS assessments were in progress or completed late. The facility's own policy states a commitment to ensuring the accuracy, timeliness, and completeness of all MDS assessments, referencing the RAI manual.