cms_GA: 1450
Data source: Big Local News · About: big-local-datasette
| rowid | facility_name | facility_id | address | city | state | zip | inspection_date | deficiency_tag | scope_severity | complaint | standard | eventid | inspection_text | filedate |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1450 | OAKS - ATHENS SKILLED NURSING, THE | 115419 | 490 KATHWOOD DR | ATHENS | GA | 30607 | 2019-03-21 | 640 | B | 0 | 1 | JLDH11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and staff interview, the facility failed to ensure that Minimum Data Set (MDS) assessments were transmitted within 14 days of completion to CMS's (Centers for Medicare and Medicaid Services) Quality Improvement Evaluation System (QIES) Assessment Submission and Processing (ASAP) system for two residents (R) (R#2 and R#6) of 39 sampled residents. Findings include: 1. Review of R#2's completed and transmitted MDS records revealed that an Entry Tracking Record dated 9/18/18 and an Admission assessment dated [DATE]. Review of the alphabetic resident census revealed that R#2 was not currently a resident in the facility. There is no evidence that a Discharge Assessment was completed. Review of an unlabeled report provided by MDS Case Mix Director, dated 3/19/19 at 6:27 p.m., revealed that a discharge assessment was transmitted 10/16/18 with an accepted status dated 10/19/18 at 2:41 p.m. Interview on 3/19/18 at 4:40 p.m., with MDS Coordinator GG, stated that there was a discharge assessment in the facility computer system; however, she was unable to provide a submission identification number. Interview on 3/20/19 at 10:31 a.m., interview with Case Mix Director, revealed that resident's discharge assessment was batched in a zip file to corporate on 10/16/18. She further stated that corporate sends the assessments into the national QIES system. She stated that the transmit by date is the end date for the facility to submit the MDS and the status date is the date the corporate marks the assessment as accepted or rejected and posts the reports in the national QIES system. She confirmed that the discharge assessment for R#2 was not submitted by corporate into the national QIES system. 2. Review of R#6's completed and transmitted MDS records revealed that an Entry Tracking Record dated 10/2/18, an Admission assessment dated [DATE] and a 14 day Prospective Payment System (PPS) dated 10/16/18. Review of the alphabetic resident census revealed that R#6 was not currently a resident in the facility. There is no evidence that a Discharge Assessment was completed. Review of an unlabeled report provided by MDS Case Mix Director, dated 3/20/19 at 7:26 a.m., revealed that a discharge assessment was transmitted 11/2/18 with an accepted status dated 11/5/18 at 3:18 p.m. Interview on 3/19/18 at 4:40 p.m., with MDS Coordinator GG, stated that there was a discharge assessment in the facility computer system; however, she was unable to provide a submission identification number. Interview on 3/20/19 at 10:31 a.m., interview with Case Mix Director, revealed that resident's discharge assessment was batched in a zip file to corporate on 11/2/18. She further stated that corporate sends the assessments into the national QIES system. She stated that the transmit by date is the end date for the facility to submit the MDS and the status date is the date the corporate marks the assessment as accepted or rejected and posts the reports in the national QIES system. She confirmed that the discharge assessment for R#2 was not submitted by corporate into the national QIES system. | 2020-09-01 |