At the time of discharge, the clinical team’s understanding was that this was a ‘Discharge Return Not Anticipated’ because the resident was returning home. A discharge assessment would need to be completed indicating return not anticipated, followed by an entry assessment. He would then be treated as a new resident with the MDS schedule starting over with an OBRA Admission assessment.
If the resident was previously Med A, the team would need to review the condition upon return and determine if skilled services would be appropriate and related to the original qualifying hospital stay.
Blog by Angie Hamer, RN, RAC-CT, Proactive Medical Review
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