Tube Feeding & 60 day spell of wellness

[MickRN07]

I am having trouble finding the answer to this:

A new resident admit with new feeding tube...and other skilled nsg needs/rehab, exhausts 100 day. Continues with feeding tube/NPO in facility. Discharges to hospital more than 60 days after exhausting 100 day. Readmit to hospital with a 3 day hospital stay (lets say for pneumonia). Can this resident start another 100 day Medicare stay or since continued to be tube fed/NPO there was never a 60 day break in illness? Please help!

[destiny424]

does a stage 2 (blister) on the side of the foot consider a skilled service

[edhcinc]

Hi.

Having a condition or disease does not necessarily mean that the person requires daily direct care or monitoring/assessment by licensed staff to take care of it.

Can think of no situation where a blister on a foot, of or by itself, would require daily skilled monitoring or care.

[lisaRN37]

Once a person has been skilled the entire 100 days for a feeding tube they cannot be skilled again unless the feeding tube has been removed and stayed out for more than 6 months, (not sure if that's the right time frame). It doesn't matter if there is a 60 day break, a 3 day hospital stay or a new illness.

[CapeCodMermaid, RN]

So I don't know any facility that would consider a tube feed a skill. I've sent plenty of people home with them. I think it's the number of calories they receive through the tube. I seem to remember something about > 51% of their daily calories ...but I could be wrong. It happens on rare occasion.