Check out the website below for MDS information.
From: Centers for Medicare and Medicaid Services (CMS)
Long Term Care Resident Assessment Instrument
RAI Version 2.0 Questions and Answer
QUESTION 3 - 10: Must a facility maintain both the hand written and computer-generated MDS forms on the resident's clinical record? If not, which is preferred?
July 2001 5
CMM MDS 2.0 Q & A Addendum 2 Not every facility prints computer generated resident assessment records. In some facilities, the records are manually completed. There is no requirement to maintain two copies of the form in the resident's record. Either a hand written or a computer-generated form is equally acceptable. It is required that the record be completed, signed and dated within the regulatory timeframes, and maintained for 15 months in the resident's active record.
If changes are made after completion, those changes must be made to the electronic record, and indicated on the form using standard medical records procedure. It may also be appropriate to update the resident's care plan, based on the revised assessment record. Resident assessment forms must accurately reflect the resident's status, and agree with the record that is submitted to the CMS standard system at the State. For additional information, refer to Resident Assessment Requirements for Long Term Care Facilities in the Code of Federal Regulation
at 42 CFR 483.20.