Failure to Complete Timely Comprehensive Assessment After Multiple Hospitalizations
Penalty
Summary
The facility failed to complete a comprehensive assessment for one resident who had a history of chronic kidney disease and multiple recent hospitalizations. Upon review, it was found that the resident's annual Minimum Data Set (MDS) assessment, which was due, remained incomplete beyond the required timeframe. Additionally, there was no evidence in the clinical record that a significant change assessment or an admissions assessment had been completed following the resident's multiple hospitalizations and subsequent return to the facility. Both the Regional Reimbursement Analyst and the Administrator acknowledged that the comprehensive assessment was not completed in a timely manner, despite the expectation for timely and accurate MDS assessments for each resident.