Re: Assisted Living to Skilled

[JEMartin6452]

In a message dated 1/23/2004 9:07:32 PM Eastern Standard Time, [EMAIL PROTECTED] writes: Hey folks,   Got a gal who went to the assisted living unit in the same building for 3-4 weeks.  Things didn't work out and she's been readmitted to the skilled unit she left.  I've got MDS's and her care plan in the chart from her old chart.  She's coming back Medicaid.  I don't know yet if she d/c'd with no return anticipated or not.  Talking with staff they felt like she shouldn't have tried it and hasn't really changed since her discharge to the assisted living.  Do I need to do her admission (OBRA) assessment again?  Thanks!    Susann Irwin, RN MDS Coordinator Garner, NC Susann, My understanding is that if she was dc'd return not anticipated you have to start over with a readmission assessment and then continue with a regular OBRA schedule.  If she went out return anticipated, and is not significantly changed, you can pick up with the old schedule and do a Quarterly or Annual when it would have been due had she not left.  Anyone else know any different? Janice Martin, RN MDS Coordinator Plymouth, MI