Failure to Complete Required Resident Assessments Within Regulatory Timeframes
Penalty
Summary
The facility failed to complete comprehensive resident assessments within the required timeframes for two residents. For one resident who was discharged, the discharge Minimum Data Set (MDS) assessment was not completed within 14 days of discharge, as required. This omission was identified during a review of the clinical record and confirmed by staff interviews, which revealed that a dating error in the facility's system led to the delay in completing the discharge MDS. Additionally, another resident's comprehensive admission assessment was not completed within 14 days of admission, as mandated by regulations. Review of the resident's MDS information confirmed the absence of the required assessment, and staff interviews corroborated that the assessment was overdue. These findings were based on clinical record reviews and staff interviews, demonstrating noncompliance with required assessment timeframes.