cms_GA: 191
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
191 | SIGNATURE HEALTHCARE OF BUCKHEAD | 115110 | 54 PEACHTREE PARK DRIVE N.E. | ATLANTA | GA | 30309 | 2019-08-01 | 640 | B | 0 | 1 | FRPF11 | Based on record review and staff interview, the facility failed to ensure that a discharge Minimum Data Set (MDS) assessment was transmitted within 14 days of discharge to the Centers for Medicare and Medicaid Services (CMS) Quality Improvement Evaluation System (QIES) Assessment Submission and Processing (ASAP) System for four of seven discharged residents (R) reviewed (#1, #3, #4, and #6). Findings include: 1. Review of the discharge record revealed R#1 was discharged from the facility on 3/22/19. Review of R#1's MDS list revealed there was an Admission assessment completed on 2/15/19, and the MDS discharge assessment was not completed until 6/12/19. 2. Review of the discharge record revealed R#3 was discharged from the facility on 2/20/19. Review of R#3's MDS list revealed there was an Admission assessment completed on 2/13/19, but there was no MDS discharge assessment listed. 3. Review of the discharge record revealed R#4 was discharged from the facility on 4/15/19. Review of R#4's MDS list revealed there was an Admission assessment completed on 2/7/19, but there was no MDS discharge assessment listed. 4. Review of the discharge record revealed R#6 was discharged from the facility on 4/26/19. Review of R#6's MDS list revealed there was an Admission assessment completed on 3/23/19, but there was no MDS discharge assessment listed. During an interview on 8/1/19 at 1:45 p.m. MDS Coordinator Licensed Practical Nurse JJ revealed that she left in (MONTH) of (YEAR) and assessments were current. She stated when she returned in (MONTH) of 2019, the assessments were behind. The four late discharge assessments were completed on 8/1/19. | 2020-09-01 |