Resident Assessment and PASRR Flashcards

A surveyor is reviewing whether a facility properly conducted a PASRR screen. Which individual is exempt from PASRR requirements?

Answer: A resident admitted for respite care of 30 days or less

Federal regulations exempt individuals admitted for a short-term stay of 30 days or fewer for respite care from full PASRR requirements.

The Brief Interview for Mental Status (BIMS) is scored on a scale of 0 to:

Answer: 15

The BIMS is scored from 0 to 15, with scores of 13–15 indicating intact cognition.

When assessing pain in a resident who cannot self-report, the MDS directs staff to use:

Answer: Staff observation of pain-related behaviors

For non-verbal residents, the MDS directs assessment of observable pain-related behaviors such as facial grimacing, crying, or guarding.

A facility fails to transmit MDS data to the CMS national repository within the required timeframe. Which consequence can a surveyor cite?

Answer: A deficiency citation under F-tag regulations governing assessments and care planning

Failure to submit MDS data within required timeframes is citable as a deficiency under the F-tag regulatory framework.

Under PASRR, an 'exempted hospital discharge' provision allows admission without a prior Level I screen when:

Answer: The resident is discharged directly from a hospital after a short acute-care stay

Individuals discharged from a hospital after a short-term acute care stay may be admitted under the exempted hospital discharge provision, with PASRR screening completed after admission.

The Care Area Assessment (CAA) process that follows MDS completion requires the facility to:

Answer: Investigate each triggered care area and document whether it will be addressed in the care plan

The CAA process requires clinical investigation of triggered areas and documentation of care planning decisions, but intervention is not automatic for every trigger.

A surveyor reviews MDS Section GG to evaluate a resident's functional abilities. What does Section GG primarily capture?

Answer: Self-care and mobility functional abilities used in Medicare payment and quality reporting

Section GG captures functional abilities related to self-care and mobility, which are used for Medicare SNF payment classification and quality measure reporting.