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]
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-----Original
Message-----
From:
[EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Michelle Witges
Sent: Monday, January 19, 2004 9:55
AM
To:
[EMAIL PROTECTED]
Subject: use
of grace days
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
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Thank
You.
Michelle
Witges
