Failure to Complete Timely Significant Change MDS Assessment After Hospice Admission
Penalty
Summary
The facility failed to complete a significant change in status Minimum Data Set (MDS) assessment within the required 14-day period following a resident's election of hospice services. The resident, who had diagnoses including Alzheimer's disease, unspecified dementia, and senile degeneration of the brain, was admitted to hospice with a primary diagnosis of senile degeneration of the brain. Despite this significant change in condition, the significant change in status MDS assessment was not completed until nearly a month after hospice admission. The MDS Nurse acknowledged that the assessment was overlooked due to multiple residents being admitted to hospice around the same time. Both the MDS Nurse and the Director of Nursing confirmed that a significant change in status MDS assessment should have been completed within 14 days of hospice admission, but this did not occur for the resident in question.