We are having an issue that I'm sure one of you can set us straight on. Our ADL Decline is through the roof. But we've found out why. We have 2 facliities, one will code let's say 8 of 52 residents for a 10-15% adl decline which is the norm. The other will code as 10 of 10 or 8 of 8. for 100% ADL decline which kills us on the 5 star/qm's. So, my question is.. Very specifically what causes a person to be in the denominator group for ADL Decline? We have 60-65 long term residents and there seems to be something very simple that we're not coding on the MDS's because 40-50 of these residents aren't being included in the sample group. Any help would be very much appreciated.