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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 injury that occured the day prior (8/6/14). I just found out about the fall, but his discharge assessment has been long sent. Would a modification suffice?


Specializes in ER CCU MICU SICU LTC/SNF.