Failure to Timely Submit Discharge MDS Assessment
Penalty
Summary
The facility failed to ensure that a discharge Minimum Data Set (MDS) assessment was completed and submitted within the required 14 days for one resident. The resident was admitted to the facility and later discharged to the hospital, but review of the electronic health record showed that the discharge MDS was not submitted and accepted until 123 days after the resident’s discharge. During an interview, the MDS Coordinator acknowledged that the discharge MDS for this resident was late, confirmed it was not completed until the following year, and stated that it should have been submitted within 14 days of the resident’s discharge but was not. The report notes that if MDS assessments are not completed and submitted in a timely manner, then the resident is likely to receive less than optimal care.
