The RAI Manual is fairly lenient regarding the use of grace days. They should be used to get an accurate picture of the what the resident is doing, so if that day off is an exception, you would certainly be justified using grace days to capture the correct RUG. As long as your RAPs have been completed by day 14 (assuming you did them with your 5 Day) you should have no problem using grace days with your 14. But it does matter what your DON and administrators view of grace day use is. Renee Pass, RN MDS/ Medicare Coordinator The Lutheran Home: Belle Plaine -----Original Message----- From: claudia farrell [mailto:[EMAIL PROTECTED] Sent: Wednesday, February 11, 2004 4:58 AM To: [EMAIL PROTECTED] Subject: 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 lik! e 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 _____ Choose now from 4 levels of MSN Hotmail Extra Storage - no more account overload! <http://g.msn.com/8HMBENUS/2737??PS=> /---------------------------------------------------------- The Case Mix Discussion Group is a free service of the American Association of Nurse Assessment Coordinators "Committed to the Assessment Professional" Be sure to visit the AANAC website. Accurate answers to your questions posted to NAC News and FAQs. For more info visit us at http://www.aanac.org -----------------------------------------------------------/ /---------------------------------------------------------- The Case Mix Discussion Group is a free service of the American Association of Nurse Assessment Coordinators "Committed to the Assessment Professional" Be sure to visit the AANAC website. Accurate answers to your questions posted to NAC News and FAQs. For more info visit us at http://www.aanac.org -----------------------------------------------------------/
