by Proactive LTC Consulting | Jun 8, 2022 | Q&A, RAI Manual
Q: If someone uses a lift for transfers, how should I code G0300E, Surface-to-Surface Transfer (Transfer between bed and chair or wheelchair)? A: The RAI Manual states “If a lift device (a mechanical device that is completely operated by another person) is used, and...
by Proactive LTC Consulting | May 11, 2022 | MDS, Q&A, RAI Manual
Q: I conducted the pain interview with a resident recently and they stated that they have ‘almost constant’ pain and rated it as ‘moderate’. I reviewed the chart and the resident has PRN analgesic available, but never requests it, and the Q shift Pain monitoring on...
by Proactive LTC Consulting | Feb 23, 2022 | MDS, Q&A, RAI Manual
Q: A resident was admitted with a pressure injury (PI) that was unstageable because it was covered with slough and eschar. I coded it on the admission MDS under M0300F(Unstageable Pressure Ulcers Related to Slough and/or Eschar). I’m now doing a quarterly and the...
by Proactive LTC Consulting | Aug 10, 2020 | Blog, PDPM, Q&A, RAI Manual
Q: We have isolated new admissions in our facility during the Coronavirus pandemic. Can we report and get “credit” for this precautionary isolation or does the resident have to have an active infection? A: Precautionary isolation should not be reported in the...
by Proactive LTC Consulting | Jul 15, 2020 | Blog, Education, MDS, PDPM, Q&A, RAI Manual
Q: How often do restorative progress notes need to be written? A: The RAI Manual, p. O-43 states, “Evidence of periodic evaluation by the licensed nurse must be present in the resident’s medical record.” Facility policy should determine the frequency of the...
by Proactive LTC Consulting | Jun 8, 2020 | MDS, PHQ2-9, RAI Manual
Q: When interviewing the resident using the questions in the PHQ-9, what do you do when they answer them all as “no”, but in the charting and documentation, you see they had episodes of crying or tearfulness, pain, insomnia, etc.? Is this information to be...