Inaccurate MDS Coding for Prosthetics
Penalty
No penalty information released
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Summary
The facility failed to accurately code the Minimum Data Set (MDS) assessment for a resident with bilateral below the knee amputations and a history of hemiplegia and hemiparesis following cerebral infarction. Record review showed that the resident's care plan included the use of bilateral prosthetic legs, but the quarterly MDS assessment did not indicate the presence of limb prostheses. During interviews, the MDS Coordinator acknowledged that the assessment should have reflected the resident's use of bilateral prosthetics and confirmed the coding error. The Administrator also confirmed that the MDS assessments should have been coded accurately for the resident's prosthetics.