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 ensure the accurate coding of Section N of the Minimum Data Set (MDS) for one resident reviewed for unnecessary medications. The resident, who had a diagnosis of diabetes mellitus, was documented in the MDS as having received insulin injections twice during the assessment period. However, a review of the provider's orders and the resident's medication administration record revealed that the resident was prescribed dulaglutide, a GLP-1 receptor agonist, administered once weekly, and was not receiving insulin during the look-back period. This discrepancy was confirmed by both an LPN and the MDS coordinator, who acknowledged the inaccuracy in the MDS coding. A policy regarding MDS completion and accuracy was requested but not provided.