LOA

Who was paying for the bedhold while on LOA?

Technically you cannot do a DC tracking 12/23 since you will be out of compliance (Z0500B must not be >14 days from ARD). 1/19 is the most appropriate ARD then dash-fill all items where info is not available.

She was paying privately. I thought bedholds did not count according to CMS.She never returned to the facility was given DC instructions verbally.

Please clarify "bedholds did not count according to CMS"

If she left on physician approved "leave" and continued to pay for the bed until 1/19, she was an active resident of the facility. Albeit, it would have been prudent if the resident was discharged sooner and offered an option to reserve the bed instead.

Nursing home bed hold status has no effect on DC assessments per RAI manuel P2-36.

RAI 2-36

Nursing home bed hold status and opening and closing of the medical record have no effect on these requirements

...just to explain

Some facilities close records when a resident is admitted to the hospital and opens a new one when they come back. Some gets paid for bedhold privately or thru Medicaid and retains the same record when they come back. Regardless of facility practice, it has no effect on the requirement to complete a DC tracking.

Since bed hold status has no relevance to the MDS I felt it should be the day she left the building.