§483.20(f) Automated data processing requirement- §483.20(f)(1) Encoding data. Within 7 days after a facility completes a resident's assessment, a facility must encode the following information for each resident in the facility: (i) Admission assessment. (ii) Annual assessment updates. (iii) Significant change in status assessments. (iv) Quarterly review assessments. (v) A subset of items upon a resident's transfer, reentry, discharge, and death. (vi) Background (face-sheet) information, if there is no admission assessment.
§483.20(f)(2) Transmitting data. Within 7 days after a facility completes a resident's assessment, a facility must be capable of transmitting to the CMS System information for each resident contained in the MDS in a format that conforms to standard record layouts and data dictionaries, and that passes standardized edits defined by CMS and the State.
§483.20(f)(3) Transmittal requirements. Within 14 days after a facility completes a resident's assessment, a facility must electronically transmit encoded, accurate, and complete MDS data to the CMS System, including the following: (i)Admission assessment. (ii) Annual assessment. (iii) Significant change in status assessment. (iv) Significant correction of prior full assessment. (v) Significant correction of prior quarterly assessment. (vi) Quarterly review. (vii) A subset of items upon a resident's transfer, reentry, discharge, and death. (viii) Background (face-sheet) information, for an initial transmission of MDS data on resident that does not have an admission assessment.
§483.20(f)(4) Data format. The facility must transmit data in the format specified by CMS or, for a State which has an alternate RAI approved by CMS, in the format specified by the State and approved by CMS.
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Observations:
Based on clinical record reviews and interviews with staff, it was determined that the facility failed to transmit a MDS assessment within the required timeframes for one of 16 residents reviewed (Resident R4).
Findings include:
Review of Resident R4's Quarterly MDS (Minimum Data Set - a mandatory periodic resident assessment tool), dated November 10, 2023, revealed that it was not signed by the RNAC (Registered Nurse Assessment Coordinator) until December 17, 2023, and that it was not transmitted until December 17, 2023.
Interview on December 21, 2023, at 12:06 p.m. Employee E9, RNAC, stated that Resident R4's assessment was late and confirmed that it was not transmitted within the required timeframes.
28 Pa. Code 201.14(a) Responsibility of licensee
| | Plan of Correction - To be completed: 02/19/2024
I hereby acknowledge the CMS 2567-A, issued to TULIP SPECIAL CARE, LLC for the survey ending 12/21/2023, AND attest that all deficiencies listed on the form will be corrected in a timely manner.
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