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F0641
D

Inaccurate MDS Coding for Insulin Administration

Broomall, Pennsylvania Survey Completed on 02-06-2026

Penalty

No penalty information released
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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 ensure an accurate assessment for one resident when completing a quarterly MDS dated December 11, 2025. In section N0350 (Insulin) of this MDS, the resident was not coded as receiving insulin. However, review of the physician’s orders showed an active order for insulin for this resident, and review of the MAR confirmed that insulin was administered on two days within the seven-day look-back period, specifically December 9 and 10, 2026. In an interview on February 5, 2026, at 10:40 a.m., a licensed nurse (Employee E3) confirmed that the MDS assessment for this resident had been marked incorrectly. This deficiency was cited under 42 CFR 483.20 for accuracy of assessments and was noted as previously cited on November 22, 2024, along with related state regulations 28 Pa. Code 211.5(f) regarding clinical records and 28 Pa. Code 211.12(c) regarding nursing services, which were also previously cited on that date.

See complete original report
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