Inaccurate MDS Coding for Anticoagulation Therapy
Penalty
Summary
The facility failed to ensure an accurate assessment for a resident receiving anticoagulation therapy. A quarterly assessment dated 11/05/25 documented that Resident #25 was receiving anticoagulant therapy. However, review of the resident’s November 2025 medication administration record showed no anticoagulant medication was ordered or administered for this resident. During an interview on 12/31/25 at 12:42 p.m., the MDS coordinator confirmed that Resident #25 did not take an anticoagulant medication and acknowledged that the assessment had been coded in error.
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