Pruitthealth - Savannah

Review of the MDS assessments for R2 revealed a discharge MDS was not completed within the 14-day requirement.

Review of the list of current MDS assessments provided by the facility revealed 36 MDS assessments were not completed within the required time frames.An interview on 12/17/2025 at 10:15 am with Registered Nurse (RN) MDS Coordinator FF revealed the resident was discharged on 12/1/2025. RN FF reviewed the discharge MDS for R2 and indicated it was in progress and not yet completed.

She indicated the due date was 12/15/2025.

She stated they were behind in getting them completed, even using remote employees. RN FF stated it was her expectation that assessments would be completed on time and follow the RAI Manual instructions as policy. An interview on 12/17/2025 at 11:37 am with RN MDS Coordinator GG confirmed they have 36 MDS assessments currently in progress that are late.

She stated there are three MDS Coordinators that share the duties equally and a person completing parts of the MDS assessments remotely.

She confirmed they follow the RAI manual as policy. MDS Coordinator GG also confirmed the MDS department is responsible for completing the MDS Assessments in a timely manner.

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE

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