| 42 |
BOYINGTON HEALTH AND REHABILITATION |
255092 |
1530 BROAD AVE |
GULFPORT |
MS |
39501 |
2017-01-13 |
278 |
E |
0 |
1 |
QXQE11 |
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, staff interview, and facility policy review, the facility failed to accurately code the Minimum data Set (MDS) for two (2) of 23 MDS's reviewed. Resident #1 and Resident #2. Findings include: A review of the facility's policy titled Assessment Coordinator, dated (MONTH) 2001, revealed that each individual who completes a portion of the MDS assessment must certify the accuracy of that portion of the assessment. Resident #1 A review of the Quarterly Minimum Data Set (MDS) with the Assessment Reference Date (ARD) of (MONTH) 11, (YEAR), revealed under section H0100A, Resident #1 was coded as having an indwelling catheter, and Section H revealed Resident #1 as being occasionally incontinent of bladder. A review of the cumulative physician orders [REDACTED]. A review of the monthly Nursing Summary dated for (MONTH) 10, (YEAR) revealed Resident #1 was assessed, and required the use of an indwelling catheter related to a [DIAGNOSES REDACTED].#1. A staff interview on 01/13/2017 at 10:30 AM, with Registered Nurse (RN) #1, revealed it was confirmed the quarterly MDS with the ARD of 11/11/2016 was coded correctly under Section 0H0100A indicating an indwelling catheter, and coded incorrectly under Section 0H indicating the resident was occasionally incontinent of bladder. RN #1 confirmed she completed Section H for the quarterly MDS with the ARD of 11/11/2016, and electronically signed the MDS as complete on 11/23/2016 . During an interview on 1/12/2017 at 3:00 PM, with the MDS Coordinator/ Registered Nurse (RN) #2, it was confirmed Section H0100A was coded correctly, and section H was coded incorrectly. RN #2 stated the facility admitted Resident #1 with an indwelling catheter. A review of the Face Sheet revealed the facility admitted Resident #1 on 02/27/2014, with [DIAGNOSES REDACTED]. A review of Resident #1's Quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 11/11/2016, revealed the Resident's Brief Interview for Mental Status (BIMS) score was 13, indicating intact cognition. Resident #2 Review of Resident #2's quarterly MDS with an ARD of 12/23/16, under Section H, H0400, revealed Resident #2 was coded a one (1) occasionally incontinent, instead of nine (9) not rated, because the resident had an Ostomy. This MDS under Section H, H0100 indicated Resident #2 had an Ostomy, documented by C. This Assessment revealed Resident #2 had a Brief Interview for Mental Status (BIMS) score of two (2) that indicated Resident #2 was severely cognitively impaired. In an interview with Registered Nurse (RN) #6 on 1/13/17 at 11:52 AM, it was revealed Resident #2 was admitted to the facility with a [MEDICAL CONDITION]. During an interview on 1/13/17 at 2:40 PM, RN #1 confirmed Resident #2 should have been coded a nine (9) instead of a one (1) because Resident #2 had a [MEDICAL CONDITION]. The Face Sheet indicated the facility admitted Resident #2 on 6/4/14, with the [DIAGNOSES REDACTED]. |
2020-09-01 |