Having Restorative involved in the early stages of therapy helps to transition to Rehab Low at the appropriate time. Remember that you need to have two Restorative Programs and a formal Toileting Plan can count as one and at least 45 minutes of skilled rehab services (any combination) at least 3 dys acrosss 7.  As far as the ARD,  just follow the schedule and the grouper will adjust the RUG to RL. I like to use the RL category either at the beginning of the resident's stay if the resident is too weak to participate in a more rigerous therapy program and build minutes up or at the end of treatment to assure that the program when discharged is safe and effective!
 
Gail Neustadt, NHA
----- Original Message -----
Sent: Monday, March 15, 2004 12:51 PM
Subject: Rehab Low Category

Hi everyone. Have a question regarding Rehab Low category. We finally have a well coordinated restorative nursing program. Also a new rehab manager. Now we can actually progress a resident to a rehab low category, but, I've never used this sucessfully before. Does anyone have any suggestions on how to organize and begin this? Do you plan this from the onset of care or when ? What about the ARD. If you must wait for the next MDS due and use the appropriate lookback period do you bill for the lower RUG for that week? I would apprciate any help.
Betty H
 

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