They really aren't necessarily going to be sig changes since they are "probably"
coding errors. You can't due modifications as you weren't in the building. I suggest
you do early annuals on everyone and then spread them out when they come due again so
you don't do that every year.
>
> From: [EMAIL PROTECTED]
> Date: 2004/02/27 Fri AM 05:32:13 CST
> To: [EMAIL PROTECTED]
> Subject: Surveyors
>
> 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
>
>
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 t
his nurse did modifications on almost every assessment she did. Crazy!
Lisa
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