Inaccurate MDS Coding for Dialysis Services
Penalty
Summary
The deficiency involves the facility’s failure to ensure an accurate Minimum Data Set (MDS) assessment for a resident receiving dialysis. Record review showed that a resident was readmitted with end-stage renal disease requiring dialysis, yet the quarterly MDS assessment, dated after readmission, documented the diagnosis of end-stage renal disease but did not indicate that dialysis services were being provided. During an interview, the current MDS nurse stated that the former MDS nurse should have coded that the resident was receiving dialysis services and acknowledged that the MDS assessment was inaccurate. An attempted interview with the former MDS nurse was unsuccessful, and the Administrator stated that the expectation was for all MDS assessments to be accurately coded.
We Help Long-Term Care Teams Stay Survey-Ready
We process and analyze inspection reports and plan of correction using AI to extract insights and trends so providers can improve care quality and stay ahead of compliance risks.