cms_ME: 49
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
49 | NEWTON CENTER | 205012 | 35 JULY STREET | SANFORD | ME | 4073 | 2018-12-13 | 641 | B | 0 | 1 | IWWA11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on medical records review and interviews, the facility failed to ensure that a Minimum Data Set, version 3.0 (MDS) was accurately coded for 3 of 37 residents reviewed for accuracy of assessment (#44, #47 & #61). Findings: 1. Review of Resident #44's MDS, dated [DATE], was coded, in Section A1500, to indicate that the resident did not have a Level II Preadmission Screening and Resident Review (PASRR), by coding no to the question Has the resident been evaluated by Level II PASRR and determined to have a serious mental illness and/or mental [MEDICAL CONDITION] or a related condidtion? Documentation in the medical record revealed that a Level II PASRR was completed on 1/19/18. On 12/13/18, between 9:00 a.m. and 9:30 a.m., in an interview with two MDS Coordinators, a surveyor confirmed that Section A1500 was miscoded for Level II Preadmission Screening and Resident Review. 2. Review of Resident #47's MDS, dated [DATE], was coded, in Section N0400E, to indicate that the resident received an anticoagulant during the 7 day look back period. Documentation in the medical record revealed that the resident did not have a physicia'ns order for an anticoagulant. On 12/13/18, in an interview with two MDS Coordinators, a surveyor confirmed that Section N0400E was miscoded for use of anticoagulant. 3. Resident #61's MDS, dated [DATE], was coded, in Section N: Medications, N0400A to indicate that the resident received an antipsychotic during the 7 day look back period. A medical record review revealed that the resident did not have an order for [REDACTED].>On 12/12/18 at 9:36 a.m. in an interview with the MDS Coordinator, a surveyor confirmed the coding error for Section N0400[NAME] | 2020-09-01 |