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Search Results Type: Posts; User: ibtootie

From Date
  1. Section G
    We have a resident who is total care with assist times 2 for all of his ADL's except eating which requires set up and supervision. All of the nursing aides except one scored him as Self Performance...
    Dec 10, '15
    Forum: MDS Coordinator Information
  2. Overworked or slow, I want to know
    I work in a 20 bed Hospital affiliated Medicare SNF that averages 44 admissions and discharges per month with an ALOS of 13.7 days. I am responsible for the entire MDS assessment, including all of...
    Nov 19, '15
    Forum: MDS Coordinator Information
  3. Assessment out of sequence
    Resident admitted on 8/24/15 and then sent back to acute care on 8/29/15. She didn't qualify for a short stay assessment. I completed a 5 day assessment combined with a discharge-return...
    Sep 4, '15
    Forum: MDS Coordinator Information
  4. Omitted POA PU on last Quarterly
    Resident admitted to our facility with 2 POA stage 4 pressure ulcers. On his last assessment one of the ulcers healed to stage 2, and the one on his coccyx was still stage 4, but decreased in size...
    Oct 20, '14
    Forum: MDS Coordinator Information
  5. OBRA discharge correction
    Resident sent to hospital 8/7 for worsening wound infection for which he was admitted. The wound was documented in chart, but nurse failed to also document in the chart a fall with no reported...
    Sep 11, '14
    Forum: MDS Coordinator Information
  6. Albumin infusion
    Does an IV Albumin infusion count as a blood product or simply an IV med?
    Jul 8, '14
    Forum: MDS Coordinator Information
  7. SOT or not?
    Resident admitted for IV antibiotics and therapy. After 2 days of therapy, the doctor put him on strict bedrest, so 5 day PPS captured a Medical RUG, not rehab. On day 9 he resumed therapy, but...
    Jul 2, '14
    Forum: MDS Coordinator Information
  8. I think I already know the answer
    MCR resident admitted to SNF from acute care at 5:00 pm and was transferred back to acute care at 9:15 pm the same day. No midnight stay. She didn't return to the SNF, but went home instead. Since...
    May 22, '14
    Forum: MDS Coordinator Information
  9. ARD dates with MCR Advantage Plans
    Does anyone know of any of the Medicare Advantage plans that adhere strictly to the PPS schedule?
    May 19, '14
    Forum: MDS Coordinator Information
  10. ARD dates with MCR Advantage Plans
    Whenever I have a Resident with a Medicare Advantage Plan, I usually adhere to the PPS timing of ARD dates since I have encountered a few that prefer the timing to be the same, even though the...
    May 8, '14
    Forum: MDS Coordinator Information
  11. ADLs
    First I just need to blow my stack that no matter how much I instruct and educate the Unit Assistants on ADL documentation, they still either don't get it or don't care to get it. No matter how much...
    Mar 18, '14
    Forum: MDS Coordinator Information
  12. Fatal Error Message-Not sure why
    Thank you Talino!
    Feb 26, '14
    Forum: MDS Coordinator Information
  13. Fatal Error Message-Not sure why
    Resident admitted to SNF post Rt Knee Arthroplasty that developed stitch abcess for continued rehab and antibiotics. On day 7 Ortho Doctor placed her on bedrest and suspended therapy due to concern...
    Feb 26, '14
    Forum: MDS Coordinator Information
  14. Is a Correction Record needed?
    We discharged a resident to home on 1/16. She returned to the hospital 1/25, and was readmitted back to our facility on 1/30. I submitted her NT A1700 as Reentry rather than Admission in error and...
    Feb 7, '14
    Forum: MDS Coordinator Information
    This morning I went to a new residents room for her Comprehensive assessment. Upon entering the room and introducing myself and why I was there, she said, "Oh you are here for the MDS assessment. ...
    Jan 27, '14
    Forum: MDS Coordinator Information
  16. CNA ADL training
    At my facility I do an orientation with the CNA's and participate in the Daily Huddles to pass along tips and pointers for accurate documentation. The SNF CNA's are for the most part accurate in...
    Jan 14, '14
    Forum: MDS Coordinator Information
  17. EOT
    I know this question has been asked before, but I can't seem to find it in the archives. If the resident is getting therapy and skilled nursing services, but the therapy minutes are so low that the...
    Nov 4, '13
    Forum: MDS Coordinator Information
  18. Admission History and Physical
    We seem to have some conflict in our SNF over how long the SNF admitting/attending physicians has to see the admitted resident and get their SNF H&P in the chart. I have seen it loosely mentioned...
    Oct 22, '13
    Forum: LTC: Directors Nursing / Assistant
  19. Admission History and Physical
    Can someone tell me where to locate the CMS required timeframe for the physician to complete the admitting history and physical? I have found some documents that says 48 hrs and some that say 72 hrs.
    Oct 18, '13
    Forum: LTC: Directors Nursing / Assistant
  20. Does Midnight Rule exception apply if Resident leaves AMA?
    Generally, the day of discharge, death, or a day on which a patient begins a leave of absence, is not counted as a utilization day. (See the Medicare Benefit Policy Manual, Chapter 3, "Duration of...
    Oct 14, '13
    Forum: MDS Coordinator Information
  21. No Qualifying Hospital Stay
    Yes, PT and OT services were ordered. It is doubtful that the observation stay will be reversed.
    Oct 7, '13
    Forum: MDS Coordinator Information
  22. No Qualifying Hospital Stay
    Our admissions director accepted a Resident from Acute care who was in OBS status, and did not meet criteria for an Inpatient hospital stay. The resident has Medicare, but I'm thinking that I should...
    Oct 4, '13
    Forum: MDS Coordinator Information
  23. HELP! Lost OBRA assessment
    In May of this year my computer was exposed to a freak power surge that crashed all of my data drives, causing me to completely lose everything pertaining to jRAVEN, (the system we use) along with...
    Sep 11, '13
    Forum: MDS Coordinator Information
  24. Therapy minutes
    I know if a resident participates in only 14 minutes of therapy on one day, the day can not be counted as a therapy day, but can the 14 minutes be counted in the total minutes of therapy?
    Aug 12, '13
    Forum: MDS Coordinator Information
  25. Not OBRA after all
    Resident admitted 2/13 for wound care for an ORIF wound infection and IV antibiotics. Injury was presented as work related even though the resident has MCR, and the claims adjuster preauth'd his SNF...
    Feb 27, '13
    Forum: MDS Coordinator Information