Re: (no subject)

[JEMartin6452]

In a message dated 2/11/2004 6:14:06 AM Eastern Standard Time, [EMAIL PROTECTED] writes: Have done a 5 day MDS, working on 14 day full admission. My question is that in my facility we actually have not had this situation, the use of grace days in regard to the 14 d. Did look in the Manual, and this site. Just having a brain freeze and would like info. The resident was out of the building on the 11th day of her stay for the day, and missed her therapy's. This resident was aware she had therapy this day, but a friend took her out, by the time she got back, therapy was gone for the day. The conflicting info is I read you can choose the ARD for the 14 day through day 11-19, the when regs say, the admission must be completed by day 14. I feel uncomfortable using a date past the actual 14th day just to capture the RUG rate. I have used grace days for the 5 d on very rare occasions and for justified causes. My administrator views use of grace days as only an acception, and clearly doesnt like to use unless valid medical reasons or special events oc curing in the residents life at the time. Thank you for any help. Claudia Farrell, RN Seems you have two choices.  1, You can just do the assessment with the admission assessment using day 14 as an ARD date and accept the lower RUGs rate or 2, do the admission assessment (OMRA assessment) by day 14 and do another "14 day" (PPS)assessment on day 19.  That's a pain in the butt to do it that way.  Keep in mind, you're only changing the RUG level for two weeks until you do the 30 day assessment.  Also, it's perfectly fine to use grace days to place the resident in the most appropriate RUG level.  Key word here is appropriate.  If the resident will be receiving a "high" level of therapy, then trying to capture a high RUG level is appropriate.  That's what I've always been told, anyway. J. Martin, RN MDS Coordinator