Surveyors

[IBARN96]

Monday I started at a new facility knowing that I was walking into poop chest high.  MDs had not been done for the month of February.  90 minutes after walking in to a new job state showed up.  I was speechless.  MDS were a mess to put it mildly.  Example patient admitted in September ARD was 09/18/03, signatures on front were 01/30/04 and the close date 02/06/04.  Explain that to a surveyor!  Also they found an MDS ARD 12/19/03 that had been coded 8 on bathing.  When I looked at the CNA documentation, it clearly stated on 12/17/03 that person had got a bath and was a 4/2.  I copied that and then did a modification.  Luckily the surveyors knew that I had just started and I feel they were easy.  Obviously I got cited for MDS but I think it will be at an E level.  ANy words of wisdom to clear all this mess up would be appreciated.  Obviously due to coding errors I probably will be doing a lot of sig changes.  Upon looking at the history of the MDS it appears this nurse did modifications on almost every assessment she did.  Crazy! Lisa