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The manual clearly states that you don’t do a significant change with the MC assessments until therapy has been completed and the resident is functioning at the highest maximum potential. At that point is when the significant change is done, if required.
Brenda W. Chance, RN, RAC-C MDS Coordinator
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That is the way I do it at my facility and it was talked about with my administrator and the DON. If a skilled person is making improvement and this was the goal of therapy then a SCSA does not need to be done. Now say they came in with behaviors that were not easily altered and those improved and they came in being incontinent and that improved, etc.I would then do a SCSA. Mainly I am talking about improvements in section G, otherwise we might be doing SCSA with every 14, 30, 60, 90 assessment.
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