MDS/Staffing Focused Survey Reports

From Ohio:  They are expecting 25
Two citations:  Administration for not having a specific policy that states who is responsible for each MDS section, completion of each CAA, development of each care plan & initiation of acute care plans as well as who is responsible for submission and completion of the MDS schedule. MDS accuracy for a discharge assessment:  We have a resident who fell within the facility and hit his head. The nurses notes stated guest had a bump on head order received to send to ED for eval. The discharge assessment was coded as a fall with injury. The resident readmitted 10 days later with a discharge summary that stated he had a subdural hematoma. The surveyor's stated the MDS nurse should have modified the discharge assessment upon readmission to state fall with major injury.

From Massachusetts:

This facility completed the MDS Worksheet by using a recent three month Casper Report.  They told the surveyors this, and the survey team said it was ok.  They asked for policies for MDS completion,  UTI, restraints, psychotropics but did not ask for pressure ulcer policies.  They got two citations:  One for a missed UTI on a PPS 14 day and one for not posting the daily staffing data.  When the survey team was asked what they needed for the "extensive assist of 2"  column, the team did not know.     You may be wondering how they got a UTI citation if they presented the Casper data on the MDS worksheet. The UTI triggered on a Sig Change/5 day and the surveyors saw that it also should have been on the 14 day.  

So far,  all reports are that it is two surveyors and it has taken two days. In Massachusetts the surveyors were from the complaint department.