June,
 
I think you and I are in the same boat.  I have an administrator, DON, and ADON that are very supportive.  If I need help they will roll up their sleeves and help.  They will run all my meetings and run PPS with precise notes so I can lock myself in my office to get caught up.  We have 129 beds.  I do all the MDS Assessments (Skilled and LTC) now and our Medicare is 39.
 
Glenn Gorleski (Barnes) RAC-C
Case Manager, MDS Coordinator
Quality Assurance Nurse

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