Penalty

No penalty information released

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 complete a required Quarterly Minimum Data Set (MDS) Assessment within the federally mandated timeframe for one resident. Clinical record review showed that after the resident's re-entry, the next quarterly MDS was due but was neither scheduled nor completed, as confirmed by the MDS tracker in the electronic health record. The last assessment completed was a Medicare 5-day MDS, which is a payment assessment and does not fulfill the OBRA assessment schedule requirements. The MDS Coordinator stated she was unaware that the quarterly assessment was still required after completing the 5-day assessment. The facility did not have a policy regarding MDS Assessments and relied on the RAI Manual guidelines.