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ASSIGN
001
F635
483.20(a)
ORDERS - RECEIVED ON ADMISSION
002
F635
483.20(a)
ADMISSION ORDERS - IMMEDIATE CARE
003
F635
483.20(a)
ORDERS - SIGNED BY PHYSICIAN
004
F635
483.20(a)
ADMISSION ORDERS - TRANSFER ORDERS
005
F636
483.20
RESIDENT ASSESSMENT
006
F636
483.20(b)(1)
COMPREHENSIVE ASSESSMENT
007
F636
483.20(b)(1)(i)
IDENTIFICATION AND DEMOGRAPHIC INFORMATION
008
F636
483.20(b)(1)(i)
IDENTIFICATION - LOCATION
009
F636
483.20(b)(1)(i)
COMPREHENSIVE RESIDENT ASSESSMENT
010
F636
483.20(b)(1)(ii)
CUSTOMARY ROUTINE
011
F636
483.20(b)(1)(iii)
COGNITIVE PATTERNS
012
F636
483.20(b)(1)(iii)
SAFETY AWARENESS
013
F636
483.20(b)(1)(iv)
COMMUNICATION
014
F636
483.20(b)(1)(v)
VISION
015
F636
483.20(b)(1)(vi)
MOOD AND BEHAVIOR PATTERNS
016
F636
483.20(b)(1)(vii)
PSYCHOLOGICAL WELL-BEING
017
F636
483.20(b)(1)(viii)
PHYSICAL FUNCTIONING - ADLs
018
F636
483.20(b)(1)(viii)
STRUCTURAL PROBLEMS
019
F636
483.20(b)(1)(ix)
CONTINENCE - BOWEL - BLADDER
020
F636
483.20(b)(1)(ix)
CONTINENCE - APPLIANCES
021
F636
483.20(b)(1)(x)
DISEASE DIAGNOSES & HEALTH CONDITIONS
022
F636
483.20(b)(1)(xi)
DENTAL CONDITION
023
F636
483.20(b)(1)(xi)
DENTAL CONDITION STATUS
024
F636
483.20(b)(1)(xi)
NUTRITIONAL STATUS - INTAKE
025
F636
483.20(b)(1)(xi)
NUTRITION - WEIGHT - HEIGHT
026
F636
483.20(b)(1)(xi)
NUTRITIONAL STATUS
027
F636
483.20(b)(1)(xii)
SKIN CONDITION - PRESSURE SORE RISK
028
F636
483.20(b)(1)(xiii)
ACTIVITY PURSUIT - ABILITY - DESIRE
029
F636
483.20(b)(1)(xiv)
MEDICATIONS - OTC
030
F636
483.20(b)(1)(xiv)
MEDICATIONS - PRESCRIPTION
031
F636
483.20(b)(1)(xv)
SPECIAL TREATMENTS AND PROCEDURES
032
F636
483.20(b)(1)(xv)
SPECIAL TREATMENTS
033
F636
483.20(b)(1)(xvi)
3 MONTH DISCHARGE POTENTIAL
034
F636
483.20(b)(1)(xvii)
MDS - TRIGGERED CARE AREAS
035
F636
483.20(b)(1)(xviii)
DIRECT OBSERVATION - COMMUNICATION
036
F636
483.20(b)(1)(xviii)
DOCUMENTATION PARTICIPATION
037
F636
483.20(b)(1)(xviii)
COMMUNICATION
038
F636
483.20(b)(1)(xviii)
DIRECT OBSERVATION
039
F636
483.20(b)(1)(xviii)
COMMUNICATION
040
F636
483.20(b)(1)(xviii)
OBSERVATION
041
F636
483.20(b)(1)(xviii)
RESIDENT INTERVIEW
042
F636
483.20(b)(1)(xviii)
LICENSED STAFF INTERVIEW
043
F636
483.20(b)(1)(xviii)
COMMUNICATION - STAFF
044
F636
483.20(b)(2)(i)
14 DAY ASSESSMENT
045
F636
483.20(b)(2)(iii)
ANNUAL ASSESSMENT
046
F637
483.20(b)(2)(ii)
SIGNIFICANT CHANGE
047
F638
483.20(c)
QUARTERLY ASSESSMENT
048
F639
483.20(d)
MDS - 15 MONTHS
049
F639
483.20(d)
ASSESSMENT RETENTION
050
F639
483.20(d)
MDS - USE OF RESULTS FOR COMPREHENSIVE CARE PLAN
051
F639
483.20(d)
SIGNATURE PAGE
052
F640
483.20(f)(1)(i)
ENCODING DATA - ADMIT 7 DAY
053
F640
483.20(f)(1)(ii)
ENCODING DATA - ANNUAL 7 DAY
054
F640
483.20(f)(1)(iii)
ENCODING DATA - CHANGE 7 DAY
055
F640
483.20(f)(1)(iv)
ENCODING DATA - 1/4LY 7 DAY
056
F640
483.20(f)(1)(v)
ENCODING DATA - D/C 7 DAY
057
F640
483.20(f)(1)(vi)
ENCODING DATA - ENTRY 7 DAY
058
F640
483.20(f)(2)
TRANSMITTING DATA - 7 DAYS
059
F640
483.20(f)(2)
TRANSMITTING DATA - COMPLIANCE
060
F640
483.20(f)(3)(i)
MONTHLY TRANSMITTAL REQ'T - ADMISSION
061
F640
483.20(f)(3)(ii)
MONTHLY TRANSMITTAL REQ'T - ANNUAL
062
F640
483.20(f)(3)(iii)
MONTHLY TRANSMITTAL REQ'T - CHANGE
063
F640
483.20(f)(3)(iv)
MONTHLY TRANSMITTAL REQ'T - CORRECTION - FULL
064
F640
483.20(f)(3)(v)
MONTHLY TRANSMITTAL REQ'T - CORRECTION - QUARTERLY
065
F640
483.20(f)(3)(vii)
MONTHLY TRANSMITTAL REQ'T - CORRECTION
066
F640
483.20(f)(3)(vi)
MONTHLY TRANSMITTAL REQ'T - 1/4LY
067
F640
483.20(f)(4)
MONTHLY TRANSMISSION - APPROVED FORMAT
068
F641
483.20(g)
ASSESSMENT BY PROFESSIONALS
069
F641
483.20(g)
RESIDENT PROBLEMS
070
F641
483.20(g)
RESIDENT STATUS
071
F641
483.20(g)
RESIDENT STRENGTHS
072
F641
483.20(g)
PROFESSIONALS
073
F642
483.20(h)
COORDINATION - RN
074
F642
483.20(i)(1)
CERTIFICATION - RN SIGNED
075
F642
483.20(i)(2)
CERTIFICATION - OTHERS SIGNED
076
F642
483.20(j)(1)(i)
FALSIFICATION
077
F642
483.20(j)(1)(ii)
MDS - FALSIFICATION - CAUSES ANOTHER
078
F642
483.20(j)(2)
CLINICAL DISAGREEMENT
079
F644
483.20(e)
COORDINATION - PASARR
080
F644
483.20(e)
COORDINATION - PASARR - COMPLETION ON DAY OF ADMISSION
081
F644
483.20(e)(1)
COORDINATION - PASARR - LEVEL II
082
F644
483.20(e)(2)
COORDINATION - PASARR LEVEL II REFERRAL
083
F645
483.20(k)(1)(i)(A)
PASARR - PREADMISSION SCREENING - MENTAL DISORDER
084
F645
483.20(k)(1)(i)(B)
PASARR - SPECIALIZED SERVICES - MENTAL DISORDER
085
F645
483.20(k)(1)(ii)(A)
PASRR - PREADMISSION SCREENING - INTELLECTUAL DISABILITY
086
F645
483.20(k)(1)(ii)(B)
PASARR - SPECIALIZED SERVICES - INTELLECTUAL DISABILITY
087
F645
483.20(k)(2)(i)
PREADMISSION SCREENING - NOT REQUIRED
088
F645
483.20(k)(2)(ii)(A)
PASARR - ADMITTED AFTER INPATIENT CARE
089
F645
483.20(k)(2)(ii)(B)
PASARR - SAME CARE AT HOSPITAL
090
F645
483.20(k)(2)(ii)(C)
PASARR - PHYSICIAN CERTIFICATION
091
F646
483.20(k)(4)
PASARR - NOTIFY STATE MENTAL HEALTH/INTELLECTUAL DISABILITY AUTHORITY
092
F655
483.21(a)(1)(i)
BASELINE CARE PLANS - 48 HOURS
093
F655
483.21(a)(1)(ii)(A)
BASELINE CARE PLANS - INITIAL GOALS
094
F655
483.21(a)(1)(ii)(B)
BASELINE CARE PLANS - PHYSICIAN'S ORDERS
095
F655
483.21(a)(1)(ii)(C)
BASELINE CARE PLANS - DIETARY ORDERS
096
F655
483.21(a)(1)(ii)(D)
BASELINE CARE PLANS - THERAPY SERVICES
097
F655
483.21(a)(1)(ii)(E)
BASELINE CARE PLANS - SOCIAL SERVICES
098
F655
483.21(a)(1)(ii)(F)
BASELINE CARE PLANS - PASARR
099
F655
483.21(a)(2)(i)
COMPREHENSIVE CARE PLAN IN PLACE OF BASELINE CARE PLAN
100
F655
483.21(a)(2)(ii)
COMPREHENSIVE CARE PLAN IN PLACE OF BASELINE CARE PLAN - MEET NEEDS
101
F655
483.21(a)(3)(i)
SUMMARY - BASELINE CARE PLAN - INITIAL GOALS
102
F655
483.21(a)(3)(ii)
SUMMARY - BASELINE CARE PLAN - MEDICATION AND DIETARY INSTRUCTION
103
F655
483.21(a)(3)(iii)
SUMMARY - BASELINE CARE PLAN - SERVICES AND TREATMENTS
104
F655
483.21(a)(3)(iv)
SUMMARY - BASELINE CARE PLAN - UPDATED INFORMATION
105
F656
483.21(b)(1)
CARE PLANS - MEDICAL NEEDS
106
F656
483.21(b)(1)
CARE PLANS - NURSING NEEDS
107
F656
483.21(b)(1)
CARE PLANS - MENTAL - PSYCHOSOCIAL NEEDS
108
F656
483.21(b)(1)
CARE PLANS - PROFESSIONALS
109
F656
483.21(c)(3)(i)
CARE PLANS - PHYSICAL WELL-BEING
110
F656
483.21(c)(3)(i)
CARE PLANS - PSYCHSOCIAL WELL-BEING
111
F656
483.21(c)(3)(i)
CARE PLANS - MENTAL WELL-BEING
112
F656
483.21(c)(3)(ii)
CARE PLANS - PROVIDED SERVICES
113
F656
483.21(c)(3)(iii)
CARE PLANS - PASARR RECOMMENDATIONS
114
F656
483.21(c)(3)(iv)(A)
CARE PLANS - GOALS - OUTCOMES
115
F656
483.21(C)(3)(iv)(B)
CARE PLANS - DISCHARGE PREFERENCE
116
F656
483.21(C)(3)(iv)(C)
CARE PLANS - DISCHARGE PLANS
117
F657
483.21(b)(2)(i)
COMPREHENSIVE CARE PLANS - 7 DAYS
118
F657
483.21(b)(2)(ii)
CARE PLAN - PREPARATION BY IDT
119
F657
483.21(b)(2)(ii)
CARE PLANS - RESIDENT AND REPRESENTATIVE NOT A PARTICIPANT
120
F657
483.21(b)(2)(iii)
CARE PLANS - IDT REVIEW AND UPDATE
121
F658
483.21(b)(3)
PROFESSIONAL STANDARDS
122
F658
483.21(b)(3)(i)
PROFESSIONAL STANDARDS OF QUALITY - MD NOTIFICATION
123
F658
483.21(b)(3)(i)
PROFESSIONAL STANDARD OF QUALITY - MD ORDERS - CARRIED OUT
124
F658
483.21(b)(3)(i)
PROFESSIONAL STANDARDS OF QUALITY - PROMPT HOSPITALIZATION
125
F658
483.21(b)(3)(i)
PROFESSIONAL STANDARDS OF QUALITY - CARE PLAN - NEEDS MET
126
F658
483.21(b)(3)(i)
PROFESSIONAL STANDARDS OF QUALITY - MEDICATIONS AVAILABLE
127
F659
483.21(b)(3)(ii)
QUALIFIED PERSONS - CARE AND SERVICES
128
F659
483.21(b)(3)(ii)
QUALIFIED PERSONS - CARE & SERVICES PROVIDED BY OTHERS
129
F659
483.21(b)(3)(ii)
QUALIFIED PERSONS - EXPECTED OUTCOMES
130
F659
483.21(b)(3)(ii)
QUALIFIED PERSONS - LN - EXPECTED OUTCOMES - CARE PROVIDED
131
F659
483.21(b)(3)(iii)
QUALIFIED PERSONS - CULTURALLY COMPETENT AND TRAUMA INFORMED
132
F660
483.21(c)(1)
DISCHARGE PLANNING PROCESS - GOALS
133
F660
483.21(c)(1)
DISCHARGE PLANNING PROCESS - ACTIVE PARTNER
134
F660
483.21(c)(1)
DISCHARGE PLANNING PROCESS - READMISSIONS
135
F660
483.21(c)(1)(i)
DISCHARGE PLANNING PROCESS - DISCHARGE NEEDS
136
F660
483.21(c)(1)(ii)
DISCHARGE PLANNING PROCESS - RE-EVALUATION
137
F660
483.21(c)(1)(iii)
DISCHARGE PLANNING PROCESS - IDT
138
F660
483.21(c)(1)(iv)
DISCHARGE PLANNING PROCESS - CAREGIVER SUPPORT
139
F660
483.21(c)(1)(v)
DISCHARGE PLANNING PROCESS - RESIDENT INVOLVEMENT
140
F660
483.21(c)(1)(vi)
DISCHARGE PLANNING PROCESS - GOALS OF CARE
141
F660
483.21(c)(1)(vii)
DISCHARGE PLANNING PROCESS - RESIDENT INTEREST
142
F660
483.21(c)(1)(vii)(A)
DISCHARGE PLANNING PROCESS - REFERRALS
143
F660
483.21(c)(1)(vii)(B)
DISCHARGE PLANNING PROCESS - CARE PLAN
144
F660
483.21(c)(1)(vii)(C)
DISCHARGE PLANNING PROCESS - NOT FEASIBLE
145
F660
483.21(c)(1)(viii)
DISCHARGE PLANNING PROCESS - STANDARDIZED ASSESSMENT DATA
146
F660
483.21(c)(1)(ix)
DISCHARGE PLANNING PROCESS - EVALUATION OF DISCHARGE NEEDS
147
F661
483.21(c)(2)(i)
DISCHARGE SUMMARY - RECAP OF STAY
148
F661
483.21(c)(2)(ii)
DISCHARGE SUMMARY - CONSENT
149
F661
483.21(c)(2)(iii)
DISCHARGE - RECONCILIATION OF MEDICATIONS
150
F661
483.21(c)(2)(iv)
DISCHARGE - PARTICIPATION AND CONSENT
151
F661
483.21(c)(2)(iv)
DISCHARGE - FOLLOW-UP CARE
152
F661
483.21(c)(2)(iv)
DISCHARGE SUMMARY - POST DISCHARGE PLAN OF CARE
153
F661
483.21(c)(2)(iv)
DISCHARGE - FOLLOW-UP CARE
154
F661
483.21(c)(2)(iv)
DISCHARGE SUMMARY - PLAN OF CARE REQUIREMENTS
155
F675
483.24
CARE AND SERVICES TO ATTAIN OR MAINTAIN
156
F675
483.24
HIGHEST PRACTICABLE MENTAL WELL-BEING
157
F675
483.24
HIGHEST PSYCHOSOCIAL WELL-BEING
158
F675
483.24
HIGHEST PRACTICABLE PHYSICAL WELL BEING
159
F676
483.24(a)
ADL DECLINE - UNAVOIDABLE
160
F676
483.24(b)(1)
ADLs - ABILITY - BATHING -GROOMING
161
F676
483.24(b)(1)
ADLs - BATHING - GROOMING - DRESSING
162
F676
483.24(b)(2)
ADLs - TRANSFER - AMBULATION
163
F676
483.24(b)(2)
ADLs - DIMINISHED ABILITIES
164
F676
483.24(b)(3)
ADLs - TOILET USE ABILITY
165
F676
483.24(b)(3)
ADLS - TOILETING - DIMINISHED ABILITIES
166
F676
483.24(b)(4)
ADLs - DIMINISHED EATING ABILITY
167
F676
483.24(b)(4)
ADLs - EATING ABILITY IDENTIFICATION
168
F676
483.24(b)(5)(i)
ADLs - DIMINISHED SPEECH
169
F676
483.24(b)(5)(iii)
ADLs - DIMINISHED FUNCTIONAL COMMUNICATION SYSTEM
170
F676
483.24(a)(1)
ADLs - MAINTAIN - IMPROVE FUNCTIONAL ADLs
171
F676
483.24(b)(5)(ii)
ADLs - DIMINISHED LANGUAGE
172
F677
483.24(a)(2)
ADLs - MAINTAIN - IMPROVE GROOMING
173
F677
483.24(a)(2)
ADLs - MAINTAIN - IMPROVE ORAL CARE
174
F677
483.24(a)(2)
ADLs - MAINTAIN, IMPROVE NUTRITIONAL
175
F677
483.24(a)(2)
ADLs - MAINTAIN - IMPROVE PERSONAL CARE
176
F678
483.24(a)(3)
CPR
177
F678
483.24(a)(3)
CPR CERTIFIED STAFF
178
F679
483.24(c)(1)
ACTIVITY CALENDARS
179
F679
483.24(c)(1)
ENCOURAGEMENT TO ATTEND ACTIVITIES
180
F679
483.24(c)(1)
MOTIVATION
181
F679
483.24(c)(1)
ACTIVITY SUPPLIES
182
F679
483.24(c)(1)
SUPERVISION DURING ACTIVITIES
183
F679
483.24(c)(1)
ACTIVITIES CARE PLAN UPDATE
184
F679
483.24(c)(1)
ADAPTIVE TECHNIQUES
185
F679
483.24(c)(1)
LATECOMERS TO ACTIVITIES
186
F679
483.24(c)(1)
ACTIVITIES LEADERSHIP
187
F679
483.24(c)(1)
RESIDENT BEHAVIOR DURING ACTIVITIES
188
F679
483.24(c)(1)
INFORMED OF DAILY ACTIVITIES
189
F679
483.24(c)(1)
SEATING
190
F679
483.24(c)(1)
ENVIRONMENT
