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Ask Proactive – A Medicare patient was admitted to our SNF in the morning and went home AMA later that same afternoon. What MDS assessments need to be completed?

Q: A Medicare patient was admitted to our SNF in the morning and went home AMA later that same afternoon.  What MDS assessments need to be completed? A: The Entry record and the unplanned discharge return not anticipated are required to be completed. In addition,...

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Ask Proactive – Can you please clarify if we can skill our patient returning to the facility following a 3 day qualifying stay at a psychiatric hospital? We have a new RAI Nurse who is hesitant to skill.

Q: Can you please clarify if we can skill our patient returning to the facility following a 3-day qualifying stay at a psychiatric hospital? We have a new RAI Nurse who is hesitant to skill. A: CMS speaks to skilled days following a psych stay in Chapter 8 of the...

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Ask Proactive – A nursing home resident rose out of his wheelchair, walked 2 steps, and stated “I am too weak to move any further” as staff noticed his knees beginning to buckle. Two aides assisted him onto his roommate’s bed. Is this considered a fall?

Q: A nursing home resident rose out of his wheelchair, walked 2 steps, and stated “I am too weak to move any further" as staff noticed his knees beginning to buckle. Two aides assisted him onto his roommate’s bed. Is this considered a fall? A: Yes, this is an...

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Ask Proactive – A resident went out to the ER, and while he was there, he received IV medication. Can I count that as ‘IV Medication while a resident’ under O0100H2?

Q: A resident went out to the ER, and while he was there, he received IV medication. Can I count that as ‘IV Medication while a resident’ under O0100H2?   A: If the resident was not admitted to the hospital, then he would be considered a resident of the facility...

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