In the past our ADON(LVN) was also doing the MDS but our DON would sign them. Since I have started to do MDS, the ADON has insisted on continueing to do the Careplans. Fine with me, but I'm concerned since in the past surveys her careplans have not been " well liked" by the surveyors. Her excuse has always been that she has too much on her plate. But from what I have been reading here. She nor the DON have been doing a whole lot. They are under the impression that they(DON and ADON) are not to do any assessments(admits/readmits) on any of our residents and chart a little as possible on residents especially our medicare residents. They have been told in the past that since the ADON is doing MDS, their entries or assessments can "fluff" the payment levels. This also goes to any changes to ADLs, tx, svn tx. I have since worked a few weekends to relieve some of the RNs as charge but have been told to limit my charting to a minimum and any changes need to be charted, to have one of the lvns working to chart. Is this common practice?
I know that in order to complete the MDS, I have to do a current assessment of the resident and audit the chart to make sure I have documentation to sustain the MDS. But according to them any changes or discrepencies that I find, either I will not be able to claim, and have someone correct it at that time so that I will be able to claim it. I think that by doing this we are not claiming the maximum $$. Any suggestions will be greatly appreciated.
