Failure to Complete Significant Change MDS Assessment After Hospice Admission
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 a significant change Minimum Data Set (MDS) assessment for a resident who experienced a notable change in condition. Clinical record review showed that the resident, who had diagnoses including high blood pressure, dysphagia, and dementia, was admitted to hospice services as indicated by a physician order. Despite this significant change in care status, the facility did not complete the required comprehensive MDS assessment to reflect the initiation of hospice services. This deficiency was confirmed during staff interview, where the Registered Nurse Assessment Coordinator acknowledged the omission.