Failure to Timely 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 within the required 14-day timeframe after a major change in a resident's condition. Specifically, a resident was admitted to hospice care as ordered by the physician, indicating a significant change in health status. However, the significant change MDS assessment was not signed off by the RN until several weeks later, exceeding the 14-day requirement. This was confirmed by both record review and interview with the MDS coordinator, who acknowledged the assessment was not completed within the mandated period.