When a resident is discharged back to the hospital, the discharge tracking code should reflect return anticipated (unless the initial Admission assessment was not completed prior to the discharge) unless the physician or family informs the facility on the way out the door that the resident will not be returning - that establishes that the resident is not expected to return. On return to the facility after a discharge return anticipated, the Part A schedule would start with a readmission/return assessment, and the OBRA assessment schedule would resume where it left off prior to discharge unless a SCSA is warranted. See chapter 2 of the RAI User's Manual, starting on page 2-24.
A new admission date (Date of Entry, AB1) is not appropriate unless a resident is readmitted after a discharge return not anticipated (RAI User's Manual, page 3-13).
Rena
I was under the impression that you would start with a Readmission Assessment and then would continue on with the 14-day, etc. again. Is this wrong??
