SMQT Resident Assessment and PASRR 3 — Questions and Answers
Question 1: Which section of the MDS captures a resident's cognitive skills for daily decision-making?
- Section B
- Section C (Correct answer)
- Section D
- Section E
Correct answer: Section C
Section C (Cognitive Patterns) of the MDS assesses cognitive skills including the Brief Interview for Mental Status (BIMS).
Question 2: A resident with a serious mental illness (SMI) is identified during PASRR Level I. Which statement is correct?
- The resident may not be admitted to a NF under any circumstances
- A Level II evaluation must be completed before admission (Correct answer)
- The resident is automatically eligible for specialized services in the NF
- The admitting physician waives the Level II requirement
Correct answer: A Level II evaluation must be completed before admission
A positive Level I screen for SMI requires a Level II evaluation before or shortly after admission to determine appropriate placement and services.
Question 3: What is the primary purpose of the Resident Assessment Instrument (RAI) process?
- To determine Medicare payment rates only
- To identify residents' functional strengths, needs, and preferences to guide individualized care planning (Correct answer)
- To document staffing ratios for state licensing
- To generate quality measure data for public reporting only
Correct answer: To identify residents' functional strengths, needs, and preferences to guide individualized care planning
The RAI process is designed to guide individualized care planning by comprehensively identifying each resident's strengths, needs, and preferences.
Question 4: A quarterly MDS assessment is required approximately every:
- 30 days
- 60 days
- 90 days (Correct answer)
- 180 days
Correct answer: 90 days
Quarterly MDS assessments must be completed no less frequently than every 92 days following the annual comprehensive assessment.
Question 5: During PASRR review, a surveyor should verify that the state's PASRR determination was:
- Filed in the corporate office records
- Included in the resident's clinical record and used in care planning (Correct answer)
- Sent only to the state Medicaid agency
- Completed exclusively by the facility's social worker
Correct answer: Included in the resident's clinical record and used in care planning
PASRR determinations must be in the resident's clinical record and must inform the individualized plan of care.
Question 6: Which MDS item set is used when a resident returns from a hospital stay under a Medicare Part A benefit?
- Admission assessment
- Significant Change in Status Assessment
- Return from Hospital tracking record (Correct answer)
- Quarterly assessment
Correct answer: Return from Hospital tracking record
A Return from Hospital tracking record is completed when a resident returns to the NF following a hospitalization during a Part A stay.
Question 7: A resident's PASRR Level II evaluation concludes specialized services are needed. Who is responsible for ensuring those services are provided?
- The hospital that referred the resident
- The state mental health authority, coordinated with the nursing facility (Correct answer)
- The resident's family members
- The Centers for Medicare & Medicaid Services directly
Correct answer: The state mental health authority, coordinated with the nursing facility
The state mental health or intellectual disability authority is responsible for ensuring specialized services are arranged and delivered in coordination with the NF.
SMQT Resident Assessment and PASRR 3
Which section of the MDS captures a resident's cognitive skills for daily decision-making?