If therapy services are available at the SNF 7 days per week, then the definition of "daily" therapy for that SNF is 7 days per week.  If staffing problems interfere with 7-day per week therapy on rare occasion, I doubt that would be a problem from an FI review perspective.  However, if it happens often, I would recommend that the facility reevaluate its policy of providing "7-day per week" therapy, since it would seem that the facility is not able to consistently carry out its policy.

Rena

Subj: Therapy services
Date: 12/11/03 4:51:45 AM Pacific Standard Time
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Rena,

Would you please clarify 214.5 of the SNF manual please.  If services are available 7days a week but only provided 5 days a week due to being short staffed, are the guidelines for daily services still being met?
Libby
 






Libby Cawthorn, RN
Director/MDS Coordinator SNF
TJ Samson Community Hospital
1301 N. Race Street
Glasgow, Ky. 42141-3483
Fax# 270-651-4786
Phone# 270-651-4783
 



Rena R. Shephard, MHA, RN, FACDONA, RAC-C
Healthcare Consultant

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