OK Tex... first, calm down. Let's set aside your grievance on the SW.
Discharged - Return Not Anticipated:
Depending on your facility practice it is not always necessary to close the record IF the resident is again readmitted. You simply send a correction of the Discharge Tracking and resend a Discharged - Return Anticipated.
But if you start w/ a new medical record and the resident will have a new identifier number (e.g. medical record no.), then you start from scratch again with the MDS stuff.
Assuming a Medicare A resident was discharged and readmitted within a 30-day period, he/she can resume whatever Medicare benefit days were not used. If more than a period of 30 days, remaining benefit days are lost. If 60 days or more, w/o receiving skilled care, + a 3-day hosp. stay, can restart a new benefit period (100 days).
PPS again for a 3 day benefit???
If the resident is a private pay and your facility doesn't mind shouldering the expenses for 3 days, don't bother w/ the PPS then. But I kinda doubt it! Anyhow, use the 8th day of the 5-day PPS as your ARD and dually code this assessment also as an Admission assessment. Walllahh... you just do one assessment satisfying both PPS and OBRA. The next one will be a Quarterly. Ironically this is the industry we're in and must abide by regulatory constraints.
Now for that SW? ------>
..... and you ---->