When an OBRA MDS is missed during a case mix collection period, the default pay rate will be applied. It is a flag for surveyors. When it becomes habitual and rampant then it is a major compliance issue with possible monetary penalties (state-dependent). Suffice it to say, they would want to see what the facility is undertaking to avert mistakes and to comply with the regs.
Depending on how late the missed MDS is, assess the resident status now and review the care plans
, preferably with the IDCP team. If there are no significant changes, complete the missed assessment w/ ARD today. Update the care plans. Submit the MDS. Yes it will be flagged late (as expected) but this late assessment will now put the assessments in the QIES in correct sequence.
If the missed assm't is already superseded by another, there is no point in filling the void. The facility's plan of corrections should be in process or already in place.