returnexpected

Thank you both for your replies. The therapy mgr was trying to get me to use Day 9 of actual stay since the one day would be a skip day, but that didn't sound right, nor fit into the guidelines in my opinion. The 14 day PPS won't be an issue then, as they are projecting using day 14 as the ARD. I appreciate the help!

A resident was admitted on 4/4/11. They were out to the ER from 2230 4/10 until 0330 4/11, being gone over midnight, but not admitted. I understand 4/10 will be the skip day, and that I may need to adjust the PPS schedule. My question is, if I need to use grace days for the 5day PPS, would it then be ok to use day 8 as 4/12/11 including the skip day? I am also concerned my software and QIES will flag it as a late assessment as it would be the 9th day from their admission date. Would I be better off going no later than actual Day 8 (not counting the skip day)? The only info I found on skip days in the RAI was on page 2-64. Is there more info I overlooked?

What Bella said... the nurses here do the assessments (pain, Braden's, fall, elopement risk, hydration, incontinence risk) and those go on the residents' charts. The nurses use those same assessments and observations to complete assigned sections of the MDS (parts of B, E, F, J, K, and L). I do the data entry for those only.

I'd like to thank you all for posting such helpful insight and information in regards to the transitions that will need to be done. The information from CMS and LSN (teleconferences) were clear as mud! LOL Thanks to the info here, I was able to review the PPS assessments I would have due or have done in mid to late Sept to see what transitions I will need to do and how to proceed. I was also able to utilize grace days for some and move them into October to avoid the transition assessments....saved our team a ton of work, thank you!

Hi I noticed you were having trouble finding the section in the RAI manual that gives information on making someone a significant change when they are made a Hospice patient while in-house. That information is in Chapter 2, page 2-21, the fourth bullet down. I am at home now, so cannot post it word for word. Hope that helps! :) ETA: I agree with Nascar nurse....if someone is being admitted to Hospice, there must have been changes in their status that would indicate a SCSA would be appropriate.