I need some input from this fine group - we recently had our survey and
received a significant change deficiency. There were 4 residents that had a
significant change (they were clear "significant" changes and should have been done).
The problem now is the MDS Coordinator is afraid not to do a significant change on
residents for what I feel are minor changes. For example Mood and behavior symptoms (a
2 to a 1) and a change in 2 to 3 in section G in one area. The care plans are current
and don't need to be changed. The care plan team is going crazy because they are not
"significant" changes. She is reading the guidelines in the manual to the letter and
not looking at the whole picture. If anyone can give me any guidance on how you
determine significant change in residents, I would be so appreciative. Thank you in
advance.
Holly QI in CT
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