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Yes you can use grace days on any
PPS assessment as long as the use is specific to the resident situation or to a
specific situation arising in the facility, i.e. staff illness, etc. Since you completed the admission assessment
when the resident was first admitted, you will not be limited to non-grace days
for your 14 day assessment. Grace days can be
added to the Assessment Reference Date in situations such as an absence/illness
of the RN assessor, reassignment of the assessor to other duties for a short
period of time, or an unusually large number of assessments due at
approximately the same time. Grace days may also be used to more fully capture
therapy minutes or other treatments. The use of grace days allows clinical
flexibility in setting ARDs, and should be used sparingly. If a facility
chooses to routinely use grace days, it may be subject to review through the
survey process, by the fiscal intermediary, or by the Data Assessment and
Verification (DAVE) contractor. From the RAI Manual p2-28 “Grace days can be
added to the Assessment Reference Date in situations such as an absence/illness
of the RN assessor, reassignment of the assessor to other duties for a short
period of time, or an unusually large number of assessments due at
approximately the same time. Grace days may also be used to more fully capture
therapy minutes or other treatments. The use of grace days allows clinical
flexibility in setting ARDs, and should be used sparingly. If a facility
chooses to routinely use grace days, it may be subject to review through the
survey process, by the fiscal intermediary, or by the Data Assessment and
Verification (DAVE) contractor.” Roberta S.
Cline, MS, LNHA, RAC-C Consultant Pathway Health Services 2025 Fourth Street White Bear Lake, MN 55110 C:
651-260-6940 e-mail: [EMAIL PROTECTED] Confidentiality Notice: This e-mail
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not the intended recipient, please contact the sender by reply e-mail and
destroy all copies of the original message. -----Original
Message----- Resident admitted to a Med A s/p fracture, recieves
PT. Moves to non Med A bed, PT reached max with NWB status.
He has ortho doc appt. and weight bearing is increased. He is pulled back
to Med A for more PT. He had admission assessment while in
Med A first time and he is not a sig. change. Question, can I use grace
days on day 5 and 14? Michelle This message is confidential, intended only for the named
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