We have never run into this situation before:
Resident used 100 days of Medicare at another facility - 100th day was
1/30/04.  Was Medical Assistance and started to build toward his next
100 days but had a break in stay due to hospitalization -  3/17 until
3/29. Returned to previous LTC setting on 3/29.  Hospitalized again on
4/11 with placement of feeding tube.  Admitted to our facility on 4/24,
directly from hospital.

In my estimation this resident is Medical Assistance but skilled so will
not build toward his 100 days again (unless the tube would be removed,
or feedings and fluids fell below the required intake).  Is that
correct?

Thanks for any input,
Bonnie

I would say that you are correct as he did not have a 60 day window
where he remained unskilled.

Pat Whitcomb, RN
MDS Coordinator
Madonna Towers
507-288-3911, Ext. 3050
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