by Proactive LTC Consulting | May 4, 2022 | MDS, Medicare, Q&A
Q: A Medicare patient was admitted to our SNF in the morning and went home AMA later that same afternoon. What MDS assessments need to be completed? A: The Entry record and the unplanned discharge return not anticipated are required to be completed. In addition,... by Proactive LTC Consulting | Apr 27, 2022 | Falls, Q&A
Q: Can you please clarify if we can skill our patient returning to the facility following a 3-day qualifying stay at a psychiatric hospital? We have a new RAI Nurse who is hesitant to skill. A: CMS speaks to skilled days following a psych stay in Chapter 8 of the... by Proactive LTC Consulting | Apr 13, 2022 | Falls, Q&A
Q: A nursing home resident rose out of his wheelchair, walked 2 steps, and stated “I am too weak to move any further” as staff noticed his knees beginning to buckle. Two aides assisted him onto his roommate’s bed. Is this considered a fall? A: Yes, this is an... by Proactive LTC Consulting | Apr 6, 2022 | CMS, Q&A
Q: My facility considers October through March as “flu season.” Does this mean flu season is officially over for MDS Section O coding purposes? A: It’s best not to restrict yourself to specific date ranges for influenza vaccination seasons and reporting... by Proactive LTC Consulting | Mar 30, 2022 | CMS, Q&A
Q: A resident went out to the ER, and while he was there, he received IV medication. Can I count that as ‘IV Medication while a resident’ under O0100H2? A: If the resident was not admitted to the hospital, then he would be considered a resident of the facility... by Proactive LTC Consulting | Mar 22, 2022 | CMS, Q&A
Q: What are some best practices for residents who refuse care? A: In the CMS State Operations Manual – Appendix PP in F 578 §483.10(c)(6), (c)(8), (g)(12) CMS has provided guidance regarding resident refusals: While the resident also has the right to refuse any...