Re: Facility chooses not to show services?

[RRS2000]

I have noted among some of my clients and participants in educational sessions around the country that many facilities are providing services that they call restorative programs.  In most cases, they are even delivered by specially trained Restorative Nursing Assistants.  However, they do not qualify to be documented on the MDS, because the programs do not meet all of the requirements spelled out in the RAI manual.  Generally, in my experience, the limiting factor is either the programs are not available six days per week (as is the case here with the original question) or their licensed nurses are not routinely monitoring each resident's progress and documenting it in the chart.

Rena

Rena R. Shephard, MHA, RN, FACDONA, RAC-C
Chair, American Association of Nurse Assessment Coordinators
[EMAIL PROTECTED]

Subj: Re: Facility chooses not to show services?
Date: 1/3/04 4:04:03 PM Pacific Standard Time
From: [EMAIL PROTECTED]
Reply-to: [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
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IT would seem to me that the facility should take credit for the restorative minutes that it does give.  Facilities are required to keep the resident at his/her optimum level of functioning.  Restorative nursing is a very important part of that process.  It doesn't make any sense to not take credit for restorative nursing that was done. 
I know in PA, the UMR survey team does give deficiencies if they find that the facility has done restorative and not entered the minutes on the MDS.

----- Original Message -----
From: Corey Ali
To: [EMAIL PROTECTED]
Sent: Friday, January 02, 2004 5:27 PM
Subject: Facility chooses not to show services?


This is a new one for me.  I have a facility that has decided to not show any Restorative Services (due to inadequate number of staff to provide services 6 days a week, although restorative is provided 3-4 days a week) and to not record any Respiratory Therapy services provided from trained nurses (ile.; nebulizer therapy, postural drainage, etc.) because it is too difficult to get the minutes recorded.  Assuming that the MDS nurse follows unwritten directions to not include the restorative or respiratory therapy minutes, is the nurse liable anywhere here?