Two MDS/Staffing Focused Surveys in Virginia, THIS MAKE 3. WE ARE LOOKING FOR TWO MORE.

First Virginia MDS Survey:
2 deficiencies – 
1 tag ---unnecessary med (resident sent out to hospital x 2 days and when he returned we failed to reactivate behavior monitoring on the MARs for his Seroquel, 
another tag ADM – incomplete, inaccurate medical record tag on same resident for having the seroquel listed as PO on MARs when it was given via PEG

Second Virginia MDS Survey:
Three citations:
F278 MDS Accuracy:  
Missed coding a UTI on a quarterly. The surveyor correctly identified the four criteria for coding UTI and they were all in the chart.  It was just missed by the MDSC.
Coded an indwelling catheter when it was discontinued prior to the lookback
Incorrectly coded a pressure ulcer as unstageable when it was Stage IV.  It had been unstageable prior to  lookback but was stage 4 in lookback.

F329  unnecessary drugs
failed to monitor for effectiveness,  side effects, interventions and behaviors for Seroquel on two residents. Seroquel with inadequate reason for one resident.

F356:   Didn't post staffing per requirements

Judy's opinion on this one:  These MDS citations suggest to me that they may have been copying and pasting previous MDSs without verifying accuracy for lookback


THIS IS THREE VIRGINIA SURVEYS NOW.  WE ARE LOOKING FOR TWO MORE THEN WE ARE DONE FOR THIS FY.  IF ANYONE KNOWS OF THE OTHER TWO,  PLEASE LET ME KNOW.