Failure to Complete Timely Admission MDS Assessments
Penalty
Summary
The deficiency involves the facility’s failure to complete comprehensive Minimum Data Set (MDS) admission assessments within 14 calendar days of admission for two residents. Record review showed that one resident was admitted on an unspecified date, but the admission MDS assessment for this resident was not completed until 02/04/26. Another resident was also admitted on an unspecified date, and the admission MDS assessment for this resident was not completed until 01/28/26. During an interview on 03/12/26 at 1:55 PM, the MDS Coordinator confirmed that staff did not complete the admission MDS assessments for these two residents within the required 14-day timeframe. The report states that this deficient practice could likely result in residents’ needs not being met, and it was identified through record review of admission records and MDS assessments, as well as staff interview. No additional medical history or clinical condition details for the residents are provided in the report.
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