PPS Question

[Eileen Hall]

A resident of our facility was hospitalized with R/O MI. She returned to the facility after a 3 day qualifying stay as Medicare. Nursing assessment was completed at 5pm and orders were verified and sent to the pharmacy. To make a long story short she fell 3 hours later and hit her head. She was readmitted to the hospital with traumatic head injury. I proceeded as follows: re-entry assessment, 5 day PPS (as she met the presumption of care falling into the upper 26 RUG's) a discharge return anticipated, all reflecting the same date of event (ARD). My Administrator did not want these assessments done stating it would "mess up" the Medicaid bedhold. I contacted the corporate office and was told that these assessments needed to be done. I proceeded as instructed by the corporate office. Today these assessments were deleted from the database (by Administration) and it now looks like she still has not returned from the original hospitalization. Was I right in doing these assessments? Regardless of pay status, aren't the re-entry and discharge federal requirements at least?