Failure to Complete and Transmit Discharge 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 ensure that a discharge Minimum Data Set (MDS) assessment was completed and transmitted for one of five residents reviewed for resident assessment. Specifically, a resident was admitted to the facility and later discharged to a local hospital, but a review of the clinical record showed that no discharge MDS assessment was opened, completed, or transmitted as required. During interviews, an MDS nurse and the Assistant Director of Nursing both confirmed that the resident had been discharged and that the necessary discharge assessment had not been initiated or submitted, despite facility policy and regulatory requirements.