COS due to coming off of Hospice services

[glm777, BSN, RN]

Well, this just occurred to me:

I know that when a resident disenrolls from hospice services, a COS is required. However the usual rule for COS is that when a COS is noted, you have 14 days to complete the COS MDS. How does this work with coming off Hospice? If the MDS has to be completed within 14 day of the change, won't we then have to code section O as a "yes" for "has the resident received hospice services in the past 14 days"? But if we wait until day 15 so we can code that question as "no" - aren't we out of compliance?

[Talino]

Regardless if received only once, twice, daily, ongoing or discontinued but within 14 days, yes.