**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** 3. Resident #106 was admitted to the facility on [DATE]. A review of a physician's order for Resident #106 dated 8/29/24 revealed 81 milligrams of aspirin delayed release 1 tablet by mouth every day. A review of Resident #106's August 2024 Medication Administration Record revealed documentation of 81 milligrams of aspirin delayed release 1 tablet by mouth was administered to Resident #106 on 8/29/24, 8/30/24 and 8/31/24. A review of Resident #106's admission Minimum Data Set (MDS) assessment dated [DATE] did not indicate she received anti-platelet medication during the 7 look-back period days of this assessment. On 9/18/24 at 10:45 AM an interview with the Director of Nursing (DON) indicated she completed the section of Resident #106's MDS assessment dated [DATE] indicating Resident #106 did not receive anti-platelet medication during the 7 look-back period days of the assessment. She stated this was an error. She went onto say resident MDS assessments should accurately reflect the medication they were receiving. During an interview on 9/18/24 at 9:29 AM the Administrator stated Minimum Data Set assessments should accurately reflect the medications of residents. 4. Resident #1 was admitted to the facility on [DATE]. A review of a physician's order for Resident #1 dated 9/9/24 revealed insulin lispro (a fast acting insulin) 6 units subcutaneously (under the skin) 3 times daily for diabetes. A review of Resident #1's September 2024 Medication Administration Record (MAR) revealed documentation insulin lispro 6 units was administered to Resident #1 subcutaneously on 9/9/24, 9/10/24, 9/11/24, and 9/12/24. A review of Resident #1's admission Minimum Data Set (MDS) assessment dated [DATE] revealed he received insulin injections on 7 of 7 look-back period days of this assessment. On 9/18/24 at 9:04 AM an interview with the Director of Nursing (DON) indicated she completed the section of Resident #1's MDS assessment dated [DATE] indicating he received insulin injections on 7 of the 7 look-back period days of the assessment. She stated she used the hospital record of insulin injections he received prior to his admission to the facility in addition to his facility MAR to complete the section. During an interview on 9/18/24 at 9:29 AM the Administrator stated Minimum Data Set assessments should accurately reflect the medications of residents. Based on record review and staff interviews the facility failed to accurately code the Minimum Data Set (MDS) assessment in the areas of antidepressant medication (Resident #2), discharge status (Resident #4), antiplatelet medication (Resident #106), and insulin injections (Resident #1). This was for 4 of 6 resident Minimum Data Set assessments reviewed. Findings included: 1. Resident #2 was admitted to the facility on [DATE]. Her active diagnoses included non-traumatic intracerebral hemorrhage, and history of cerebral infarction. Review of Resident #2's physician orders revealed on 8/22/24 she was ordered Duloxetine (an antidepressant medication) 20 milligram delayed release capsule by mouth every day for pain. Review of Resident #2's Minimum Data Set assessment dated [DATE] did not indicate she had received antidepressant medication. During an interview on 9/18/24 at 9:14 AM the Director of Nursing stated she was responsible for the Minimum Data Set assessments for skilled nursing. She concluded Resident #2 did receive an antidepressant during the lookback period of the 8/22/24 Minimum Data Set assessment and she must have coded it according to the medication's usage and not the medication classification as it was used for nerve pain for Resident #2. During an interview on 9/18/24 at 9:29 AM the Administrator stated Minimum Data Set assessments should accurately reflect the medications of residents. 2. Resident #4 was admitted to the facility on [DATE]. His active diagnoses included urinary tract infection, weakness, and polymyalgia with rheumatica. Review of Resident #4's progress note dated 8/15/24 and noted as a late entry for 8/13/24 revealed Resident #4 requested to discharge on [DATE]. The resident felt he was ready to discharge and was comfortable going home. Review of Resident #4's discharge nursing summary dated 8/13/24 revealed Resident #4 was admitted to skilled nursing on 8/6/24. Resident #4's own ability to perform his own activities of daily living had improved to the point that he was able to perform them independently. He was walking without a walker and had good strength and balance in the hallways. Resident #4 was discharged from skilled nursing services to home. He was being discharged per his own wishes. Review of Resident #4's Minimum Data Set assessment dated [DATE] revealed he was coded as discharged to a short-term general hospital. During an interview on 9/18/24 at 9:14 AM the Director of Nursing stated she was responsible for the Minimum Data Set assessments for skilled nursing. She concluded Resident #4 was discharged home and the discharge assessment dated [DATE] was incorrect. During an interview on 9/18/24 at 9:29 AM the Administrator stated Minimum Data Set assessments should accurately reflect the discharge status of residents.