Quarterly Notes

[IrishRNAC]

We are having a problem at my new facility and your input would really help.   When I do a quarterly MDS  or any MDS for that matter there is not enough documentation.  An example would be  doing a quarterly note with only 1 progress note in 3 months and CNA records half filled out. How do you handle these situations? I spoke with the head of my department on the corporate level who tells me to go and do a full assessment my self and do a late entry for the ARD. I do not feel confortable doing this.  I've been an RNAC for a long time and this is the first time I have encountered this.  The documentation is HORRIBLE.   Thanks for the imput in advance