RUGS IV- 57 - Richter Healthcare Consultantsrichterhc.com/wp-content/uploads/2015/12/richter-rugsiii-rugsiv-57... · [email protected] (866) 806-0799 Page 2 RUGS III to RUGS IV-57

RUGS IV- 57

In November 2015, the State of Ohio made a decision to use the RUGS IV 57-Group Model for Medicaid reimbursement reimbursements. This change will affect your Medicaid reimbursement rate calculation beginning July 1, 2016, using calculations data from 4th quarter 2015 and 1st quarter 2016.

The RUGS IV 57-Group Model is the same as the RUGS IV-66-Group Model, except the Rehabilitation and plus Extensive Services groups have been removed.Also, please note “the category precedence for hierarchical classification is the Rehabilitation category (14 groups), the Extensive Services category (3 groups), the Special Care High category (8 groups), the Special Care Low category (8 groups), the Clinically Complex category (10 groups), the Behavioral Symptoms and Cognitive Performance category (4 groups), and the Reduced Physical Functions category (10 groups).”

At Richter Healthcare Consultants, we advise beginning the crosswalk process by recalculating your ADL scores due to the significant changes in scoring process. such as these:• In RUGS III, the maximum ADL score was 18 and the 4 Late Loss ADLs were unequally weighted.• In RUGS IV, the maximum ADL score is 16 and the 4 Late Loss ADLs are equally weighted.

To recalculate your ADLs in RUGS IV, use the information for Section G on your MDS and follow the table below.

RUGS IV Late Loss ADL Table for CalculationBed Mobility, Transfers, Toileting Eating

G0110 (1) G0110 (2) ADL Score G0110 (1) G0110 (2) ADL Score-, 1, 7, or 8 any number 0 -, 0, 1, 2, 7, or 8 -, 0, 1 or 8 0

2 any number 1 -, 0, 1, 2, 7, or 8 2 or 3 23 -, 0, 1, or 2 2 3 or 4 -, 0, or 1 24 -, 0, 1, or 2 3 3 2 or 3 3

3 or 4 3 4 4 2 or 3 4

Resource Reference: https://www.aanac.org/docs/reference-documents/rugiv-grouper-overview-v1.pdf

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RUGSIIItoRUGSIV-57CrosswalkRUGSIIICURRENTSCORE

CROSSWALKINFORMATION RUGSIV57

SCORETHERAPY RUGSIVADLSCORE

DEPRESSION RESTORATIVENURSING

PROGRAMS

ADDITIONALCRITERIA

SE3NOTHERAPYREQUIREMENT 2-16 NA NA Residentssatisfyingthefollowingtwoconditions:

• HavingaminimumADLdependencyscoreof2ormore.• Whilearesident,receivingcomplexclinicalcareand

haveneedsinvolving:• Tracheostomycareandventilator/respirator

ES3

NOTHERAPYREQUIREMENT 2-16 NA NA Residentssatisfyingthefollowingtwoconditions:• HavingaminimumADLdependencyscoreof2ormore.• Whilearesident,receivingcomplexclinicalcareand

haveneedsinvolving:• Tracheostomycareorventilator/respirator

ES2


haveneedsinvolving:• Isolationforactiveinfectiousdisease

ES1

Ultra(U)720+minuteswhilearesident

11-16 NA NA • RehabilitationRx720minutes/weekminimum• Atleast1rehabilitationdiscipline5days/week• ANDAsecondrehabilitationdiscipline3days/week

RUCUltra(U)720+minuteswhilearesident


RUBUltra(U)720+minuteswhilearesident


RUAVeryHigh(V)500-719minuteswhilearesident

11-16 NA NA • RehabilitationRx500minutes/weekminimum• ANDAtleast1rehabilitationdiscipline5days/week RVC


VeryHigh(V)500-719minuteswhilearesident

6-10 NA NA • RehabilitationRx500minutes/weekminimum• ANDAtleast1rehabilitationdiscipline5days/week RVB


0-5 NA NA • RehabilitationRx500minutes/weekminimum• ANDAtleast1rehabilitationdiscipline5days/week RVA

High(H)325-499minuteswhilearesident

11-16 NA NA • RehabilitationRx325minutes/weekminimum• ANDAtleast1rehabilitationdiscipline5days/week RHC


6-10 NA NA • RehabilitationRx325minutes/weekminimum• ANDAtleast1rehabilitationdiscipline5days/week RHB


0-5 NA NA • RehabilitationRx325minutes/weekminimum• ANDAtleast1rehabilitationdiscipline5days/week RHA

Medium(M)150-324minuteswhilearesident

11-16 NA NA • RehabilitationRx150minutes/weekminimum• AND5daysanycombinationof3rehabilitation

disciplines

RMCMedium(M)150-324minuteswhilearesident


disciplines

RMBMedium(M)150-324minuteswhilearesident


disciplines

RMALow(L)45-149minuteswhilearesident


disciplines;• ANDRestorativenursing6days/week,2services(see

ReducedPhysicalFunctionforrestorativenursingservices)

RLB

Low(L)45-149minutewhilearesident




RLA

NOTHERAPYREQUIREMENT 15-16 YES NA Receivingcomplexclinicalcareorhaveseriousmedicalconditionsinvolvinganyoneofthefollowing:

HE2


• Comatose• Septicemia• Diabeteswithinsulininjectionsandinsulinorder

changes• QuadriplegiawithahigherminimumADLdependence

criterion(ADLscoreof5ormore)• Chronicobstructivepulmonarydisease(COPD)with

shortnessofbreathwhenlyingflat• Feverwithpneumonia,vomiting,weightloss,ortube

feedingmeetingintakerequirement• Parenteral/IVfeeding• Respiratorytherapy

NOTHERAPYREQUIREMENT 15-16 NO NA Receivingcomplexclinicalcareorhaveseriousmedicalconditionsinvolvinganyoneofthefollowing:


changes• QuadriplegiawithahigherminimumADL

dependencecriterion(ADLscoreof5ormore)• Chronicobstructivepulmonarydisease(COPD)

withshortnessofbreathwhenlyingflat• Feverwithpneumonia,vomiting,weightloss,or

tubefeedingmeetingintakerequirement• Parenteral/IVfeeding• Respiratorytherapy

HE1



HD2












HD1



changes

HC2


• QuadriplegiawithahigherminimumADLdependencecriterion(ADLscoreof5ormore)

• Chronicobstructivepulmonarydisease(COPD)withshortnessofbreathwhenlyingflat

• Feverwithpneumonia,vomiting,weightloss,ortubefeedingmeetingintakerequirement

• Parenteral/IVfeeding• Respiratorytherapy







HC1




criterion(ADLscoreof5ormore)

HB2











HB1

NOTHERAPYREQUIREMENT 15-16 YES NA • Cerebralpalsy,multiplesclerosis,orParkinson’sdiseasewithADLscore>=5

• respiratoryfailureandoxygentherapywhilearesident• feedingtube(calories>=51%orcalories=26-50%and

fluid>=501cc)• ulcers(2ormorestageIIor1ormorestageIIIorIV

pressureulcers;or2ormorevenous/arterialulcers;or1stageIIpressureulcerand1venous/arterialulcer)with2ormoreskincaretreatments

• footinfection/diabeticfootulcer/openlesionsoffootwithtreatment

• radiationtherapywhilearesident• dialysiswhilearesident

ANDADLscoreof2ormore

LE2


NOTHERAPYREQUIREMENT 15-16 NO NA • Cerebralpalsy,multiplesclerosis,orParkinson’sdiseasewithADLscore>=5







LE1








LD2




pressureulcers;or2ormorevenous/arterialulcers;or

LD1


1stageIIpressureulcerand1venous/arterialulcer)with2ormoreskincaretreatments



ANDADLscoreof2ormore NOTHERAPYREQUIREMENT 6-10 YES NA • Cerebralpalsy,multiplesclerosis,orParkinson’sdisease

withADLscore>=5• respiratoryfailureandoxygentherapywhilearesident• feedingtube(calories>=51%orcalories=26-50%and






LC2








LC1









LB2








LE1

NOTHERAPYREQUIREMENT 15-16 YES NA • ExtensiveServices,SpecialCareHighorSpecialCareLowqualifierandADLscoreof0or1

OR• Pneumonia;hemiplegiawithADLscore>=5• Surgicalwoundsoropenlesionswithtreatment• Burns

CE2


• Chemotherapywhilearesident• Oxygentherapywhilearesident• IVmedicationswhilearesident• Transfusionswhilearesident

NOTHERAPYREQUIREMENT 15-16 NO NA • ExtensiveServices,SpecialCareHighorSpecialCareLowqualifierandADLscoreof0or1

OR• Pneumonia;hemiplegiawithADLscore>=5• Surgicalwoundsoropenlesionswithtreatment• Burns• Chemotherapywhilearesident• Oxygentherapywhilearesident• IVmedicationswhilearesident• Transfusionswhilearesident

CE1


OR

• Pneumonia;hemiplegiawithADLscore>=5• Surgicalwoundsoropenlesionswithtreatment• Burns• Chemotherapywhilearesident• Oxygentherapywhilearesident• IVmedicationswhilearesident• Transfusionswhilearesident

CD2


OR

• Pneumonia;hemiplegiawithADLscore>=5• Surgicalwoundsoropenlesionswithtreatment• Burns• Chemotherapywhilearesident• Oxygentherapywhilearesident

CD1


• IVmedicationswhilearesident• Transfusionswhilearesident


OR


CC2


OR


CC1


OR


CB2



OR


CB1

NOTHERAPYREQUIREMENT 2-5 NA YES • HavingamaximumADLdependencyscoreof5orless.AND

• Havingbehavioralorcognitiveperformancesymptoms,involvinganyofthefollowing:difficultyinrepeatingwords,temporalorientation,orrecall(scoreontheBriefInterviewforMentalStatus<=9),difficultyinmakingselfunderstood,shorttermmemory,ordecisionmaking(scoreontheCognitivePerformanceScale>=3),hallucinations,delusions,physicalbehavioralsymptomstowardothers,verbalbehavioralsymptomstowardothers,otherbehavioralsymptoms,rejectionofcare,orwandering.

BB2



BA2


NOTHERAPYREQUIREMENT 2-5 NA NO • HavingamaximumADLdependencyscoreof5orless.AND


BB1



BA1

NOTHERAPYREQUIREMENT 15-16 NA YES • Residentswhoseneedsareprimarilyforsupportwithactivitiesofdailylivingandgeneralsupervision. PE2

NOTHERAPYREQUIREMENT 15-16 NA NO • Residentswhoseneedsareprimarilyforsupportwithactivitiesofdailylivingandgeneralsupervision. PE1

NOTHERAPYREQUIREMENT 11-14 NA YES • Residentswhoseneedsareprimarilyforsupportwithactivitiesofdailylivingandgeneralsupervision. PD2

NOTHERAPYREQUIREMENT 11-14 NA NO • Residentswhoseneedsareprimarilyforsupportwithactivitiesofdailylivingandgeneralsupervision. PD1

NOTHERAPYREQUIREMENT 6-10 NA YES • Residentswhoseneedsareprimarilyforsupportwithactivitiesofdailylivingandgeneralsupervision. PC2


NOTHERAPYREQUIREMENT 6-10 NA NO • Residentswhoseneedsareprimarilyforsupportwithactivitiesofdailylivingandgeneralsupervision. PC1

NOTHERAPYREQUIREMENT 2-5 NA YES • Residentswhoseneedsareprimarilyforsupportwithactivitiesofdailylivingandgeneralsupervision. PB2

NOTHERAPYREQUIREMENT 2-5 NA NO • Residentswhoseneedsareprimarilyforsupportwithactivitiesofdailylivingandgeneralsupervision. PB1


RUGSIII

SCORETHERAPY RUGSIV

ADLSCORE


PROGRAMS

ADDITIONALCRITERIA RUGSIVSCORE

SE2 NOTHERAPYREQUIREMENT 2-16 NA NA Residentssatisfyingthefollowingtwoconditions:• HavingaminimumADLdependencyscoreof2ormore.• Whilearesident,receivingcomplexclinicalcareand


ES3



ES2



ES1






















disciplines



disciplines



disciplines





RLB





RLA



changes

HE2












HE1





HD2










HD1





shortnessofbreathwhenlyingflat

HC2










HC1






feedingmeetingintakerequirement

HB2









HB1








LE2



LE1






ANDADLscoreof2ormoreNOTHERAPYREQUIREMENT 11-14 YES NA • Cerebralpalsy,multiplesclerosis,orParkinson’sdisease







LD2






LD1










LC2







• ANDADLscoreof2ormore

LC1

NOTHERAPYREQUIREMENT 2-5 YES NA • Cerebralpalsy,multiplesclerosis,orParkinson’sdiseasewithADLscore>=5 LB2







ANDADLscoreof2ormoreNOTHERAPYREQUIREMENT 2-5 NO NA • Cerebralpalsy,multiplesclerosis,orParkinson’sdisease







LE1


OR• Pneumonia;hemiplegiawithADLscore>=5• Surgicalwoundsoropenlesionswithtreatment• Burns• Chemotherapywhilearesident• Oxygentherapywhilearesident

CE2





CE1


OR


CD2


OR


CD1



OR


CC2


OR


CC1


OR


CB2

NOTHERAPYREQUIREMENT 2-5 NO NA • ExtensiveServices,SpecialCareHighorSpecialCareLowqualifierandADLscoreof0or1 CB1


OR




BB2



BA2

NOTHERAPYREQUIREMENT 2-5 NA NO • HavingamaximumADLdependencyscoreof5orless.AND BB1





BA1











RUGSIII

SCORETHERAPY RUGSIV

ADLSCORE


PROGRAMS


SE1 NOTHERAPYREQUIREMENT 2-16 NA NA Residentssatisfyingthefollowingtwoconditions:• HavingaminimumADLdependencyscoreof2ormore.• Whilearesident,receivingcomplexclinicalcareand


ES3



ES2



ES1






















disciplines



disciplines



disciplines





RLB





RLA


• Comatose• Septicemia

HE2


• Diabeteswithinsulininjectionsandinsulinorderchanges











HE1




HD2





NOTHERAPYREQUIREMENT 11-14 NO NA Receivingcomplexclinicalcareorhaveseriousmedical

conditionsinvolvinganyoneofthefollowing:






HD1




HC2











HC1





HB2










HB1








LE2









LE1








LD2





LD1












LC2








LC1









LB2








LB1


OR

• Pneumonia;hemiplegiawithADLscore>=5• Surgicalwoundsoropenlesionswithtreatment• Burns

CD2




OR


CD1


OR


CC2


OR

• Pneumonia;hemiplegiawithADLscore>=5• Surgicalwoundsoropenlesionswithtreatment• Burns• Chemotherapywhilearesident• Oxygentherapywhilearesident

CC1




OR


CB2


OR


CB1


• Havingbehavioralorcognitiveperformancesymptoms,involvinganyofthefollowing:difficultyinrepeatingwords,temporalorientation,orrecall(scoreontheBriefInterviewforMentalStatus<=9),difficultyinmakingselfunderstood,shorttermmemory,ordecisionmaking(scoreontheCognitivePerformanceScale>=3),hallucinations,delusions,physicalbehavioralsymptomstowardothers,verbalbehavioralsymptomstowardothers,otherbehavioralsymptoms,

BB2


rejectionofcare,orwandering.NOTHERAPYREQUIREMENT 2-5 NA NO • HavingamaximumADLdependencyscoreof5orless.

AND• Havingbehavioralorcognitiveperformancesymptoms,

involvinganyofthefollowing:difficultyinrepeatingwords,temporalorientation,orrecall(scoreontheBriefInterviewforMentalStatus<=9),difficultyinmakingselfunderstood,shorttermmemory,ordecisionmaking(scoreontheCognitivePerformanceScale>=3),hallucinations,delusions,physicalbehavioralsymptomstowardothers,verbalbehavioralsymptomstowardothers,otherbehavioralsymptoms,rejectionofcare,orwandering.

BB1








• Havingbehavioralorcognitiveperformancesymptoms,involvinganyofthefollowing:difficultyinrepeatingwords,temporalorientation,orrecall(scoreontheBriefInterviewforMentalStatus<=9),difficultyinmakingselfunderstood,shorttermmemory,ordecisionmaking(scoreontheCognitivePerformanceScale>=3),hallucinations,delusions,physicalbehavioralsymptomstowardothers,verbalbehavioral

BB2


symptomstowardothers,otherbehavioralsymptoms,rejectionofcare,orwandering.



BA2



BB1


• Havingbehavioralorcognitiveperformancesymptoms,involvinganyofthefollowing:difficultyinrepeatingwords,temporalorientation,orrecall(scoreontheBriefInterviewforMentalStatus<=9),difficultyinmakingselfunderstood,shorttermmemory,ordecisionmaking(scoreontheCognitivePerformanceScale>=3),hallucinations,delusions,physical

BA1


behavioralsymptomstowardothers,verbalbehavioralsymptomstowardothers,otherbehavioralsymptoms,rejectionofcare,orwandering.










RUGSIII

SCORETHERAPY RUGSIV

ADLSCORE


PROGRAMS


RUC Ultra(U)720+minuteswhilearesident




RUBVeryHigh(V)500-719minuteswhilearesident










disciplines



disciplines

RMBNOTHERAPYREQUIREMENT 2-16 NA NA Residentssatisfyingthefollowingtwoconditions:



ES3



ES2




ES1







HE2






tubefeedingmeetingintakerequirement• Parenteral/IVfeeding

HE1


• Respiratorytherapy







HD2






HD1










LE2








LE1

NOTHERAPYREQUIREMENT 11-14 YES NA Receivingcomplexclinicalcareorhaveseriousmedicalconditionsinvolvinganyoneofthefollowing: LD2














LD1


OR

• Pneumonia;hemiplegiawithADLscore>=5

CE2


• Surgicalwoundsoropenlesionswithtreatment• Burns• Chemotherapywhilearesident• Oxygentherapywhilearesident• IVmedicationswhilearesident• Transfusionswhilearesident


OR


CE1


OR


CD2


OR


CD1








RUGSIII

SCORETHERAPY RUGSIV

ADLSCOREDEPRESSI

ONRESTORATIVENURSING

PROGRAMS




RUB













disciplines



disciplines

RMANOTHERAPYREQUIREMENT 2-16 NA NA Residentssatisfyingthefollowingtwoconditions:



ES3



ES2




ES1







HD2






HD1









feedingmeetingintakerequirement• Parenteral/IVfeeding

HC2







HC1


• Parenteral/IVfeedingNOTHERAPYREQUIREMENT 2-5 YES NA Receivingcomplexclinicalcareorhaveseriousmedical







HB2

Receivingcomplexclinicalcareorhaveseriousmedicalconditionsinvolvinganyoneofthefollowing:






HB1









LD2








LD1









LC2








LC1















LB1



OR


CD2


OR


CD1


OR


CC2

NOTHERAPYREQUIREMENT 6-10 NO NA • ExtensiveServices,SpecialCareHighorSpecialCareLowqualifierandADLscoreof0or1 CC1


OR



OR


CB2


OR


CB1

NOTHERAPYREQUIREMENT 2-5 NA YES • HavingamaximumADLdependencyscoreof5orless.AND• Havingbehavioralorcognitiveperformancesymptoms,involvinganyofthefollowing:difficultyinrepeatingwords,

BB2


temporalorientation,orrecall(scoreontheBriefInterviewforMentalStatus<=9),difficultyinmakingselfunderstood,shorttermmemory,ordecisionmaking(scoreontheCognitivePerformanceScale>=3),hallucinations,delusions,physicalbehavioralsymptomstowardothers,verbalbehavioralsymptomstowardothers,otherbehavioralsymptoms,rejectionofcare,orwandering.

NOTHERAPYREQUIREMENT 2-5 NA NO • HavingamaximumADLdependencyscoreof5orless.ANDHavingbehavioralorcognitiveperformancesymptoms,involvinganyofthefollowing:difficultyinrepeatingwords,temporalorientation,orrecall(scoreontheBriefInterviewforMentalStatus<=9),difficultyinmakingselfunderstood,shorttermmemory,ordecisionmaking(scoreontheCognitivePerformanceScale>=3),hallucinations,delusions,physicalbehavioralsymptomstowardothers,verbalbehavioralsymptomstowardothers,otherbehavioralsymptoms,rejectionofcare,orwandering.

BB1








RUGSIII

SCORETHERAPY RUGSIV

ADLSCOREDEPRESSI


PROGRAMS


RUAUltra(U)720+minuteswhilearesident


RUB Ultra(U)720+minuteswhilea

resident0-5 NA NA • RehabilitationRx720minutes/weekminimum

• Atleast1rehabilitationdiscipline5days/week• ANDAsecondrehabilitationdiscipline3days/week











disciplines



disciplines

RMANOTHERAPYREQUIREMENT 2-16 NA NA Residentssatisfyingthefollowingtwoconditions:



ES3



ES2




ES1







HC2






HC1










HB2






HB1










LC2







LC1









LB2








LB1

NOTHERAPYREQUIREMENT 6-10 YES NA • ExtensiveServices,SpecialCareHighorSpecialCareLowqualifierandADLscoreof0or1 CC2


OR



OR


CC1


OR


CB2


ORCB1




OR


CA2


OR


CA1


• Havingbehavioralorcognitiveperformancesymptoms,involvinganyofthefollowing:difficultyinrepeatingwords,temporalorientation,orrecall(scoreontheBriefInterviewforMentalStatus<=9),difficultyin

BB2


makingselfunderstood,shorttermmemory,ordecisionmaking(scoreontheCognitivePerformanceScale>=3),hallucinations,delusions,physicalbehavioralsymptomstowardothers,verbalbehavioralsymptomstowardothers,otherbehavioralsymptoms,rejectionofcare,orwandering.



BB1



BA2


• Havingbehavioralorcognitiveperformancesymptoms,involvinganyofthefollowing:difficultyinrepeatingwords,temporalorientation,orrecall(scoreonthe

BA1


BriefInterviewforMentalStatus<=9),difficultyinmakingselfunderstood,shorttermmemory,ordecisionmaking(scoreontheCognitivePerformanceScale>=3),hallucinations,delusions,physicalbehavioralsymptomstowardothers,verbalbehavioralsymptomstowardothers,otherbehavioralsymptoms,rejectionofcare,orwandering.






RUGSIII

SCORETHERAPY RUGSIV

ADLSCOREDEPRESSI


PROGRAMS


RVCVeryHigh(V)500-719minuteswhilearesident










disciplines



disciplines

RMBLow(L)45-149minuteswhilearesident

11-16 NA YES • RehabilitationRx45minutes/weekminimum• AND3daysanycombinationof3rehabilitation



RLB



ES3



ES2




ES1







Respiratorytherapy

HE2







HE1









Respiratorytherapy

HD2







HD1









LE2








LE1









LD2








LD1

NOTHERAPYREQUIREMENT 15-16 YES NA • ExtensiveServices,SpecialCareHighorSpecialCareLowqualifierandADLscoreof0or1 CE2


OR



OR


CE1


OR


CD2


ORCD1








RUGSIII

SCORETHERAPY RUGSIV

ADLSCOREDEPRESSI


PROGRAMS


RVBVeryHigh(V)500-719minuteswhilearesident



6-10 NA NA • RehabilitationRx500minutes/weekminimumANDAtleast1rehabilitationdiscipline5days/week RVB


0-5 NA NA • RehabilitationRx500minutes/weekminimumANDAtleast1rehabilitationdiscipline5days/week RVA









disciplines



disciplines



disciplines





RLB


Low(L)45-149minuteswhilearesident




RLA



ES3



ES2



ES1






HD2









HD1







HC2









HC1







HB2


• RespiratorytherapyNOTHERAPYREQUIREMENT 2-5 NO NA Receivingcomplexclinicalcareorhaveseriousmedical







HB1








LD2









LD1








LC2

NOTHERAPYREQUIREMENT 6-10 NO NA • Cerebralpalsy,multiplesclerosis,orParkinson’sdiseasewithADLscore>=5 LC1














LB2



LB1






ANDADLscoreof2ormoreNOTHERAPYREQUIREMENT 6-10 YES NA • ExtensiveServices,SpecialCareHighorSpecialCare

LowqualifierandADLscoreof0or1OR


CC2


OR


CC1



OR


CB2


OR


CB1



BB2




BB1



BA2



BA1


rejectionofcare,orwandering. NOTHERAPYREQUIREMENT 6-10 NA YES • Residentswhoseneedsareprimarilyforsupportwith

activitiesofdailylivingandgeneralsupervision. PC2NOTHERAPYREQUIREMENT 6-10 NA NO • Residentswhoseneedsareprimarilyforsupportwith

activitiesofdailylivingandgeneralsupervision. PC1NOTHERAPYREQUIREMENT 2-5 NA YES • Residentswhoseneedsareprimarilyforsupportwith

activitiesofdailylivingandgeneralsupervision. PB2NOTHERAPYREQUIREMENT 2-5 NA NO • Residentswhoseneedsareprimarilyforsupportwith

activitiesofdailylivingandgeneralsupervision. PB1


RUGSIII

SCORETHERAPY RUGSIV

ADLSCOREDEPRESSI


PROGRAMS


RVAVeryHigh(V)500-719minuteswhilearesident

0-5 NA NA • RehabilitationRx500minutes/weekminimumANDAtleast1rehabilitationdiscipline5days/week RVA


0-5 NA NA • RehabilitationRx500minutes/weekminimumANDAtleast1rehabilitationdiscipline5days/week RVB



disciplines;ANDRestorativenursing6days/week,2services(seeReducedPhysicalFunctionforrestorativenursingservices)

RLB




RLA



ES3



ES2



ES1








HC2







HC1








HB2







HB1









LC2








LC1















LB1


ORCC2


• Pneumonia;hemiplegiawithADLscore>=5• Surgicalwoundsoropenlesionswithtreatment• Burns• Chemotherapywhilearesident• Oxygentherapywhilearesident• IVmedicationswhilearesident• 2-5Transfusionswhilearesident


OR


CC1


OR


CB2


OR

• Pneumonia;hemiplegiawithADLscore>=5• Surgicalwoundsoropenlesionswithtreatment

CB1


• Burns• Chemotherapywhilearesident• Oxygentherapywhilearesident• IVmedicationswhilearesident• Transfusionswhilearesident


OR


CA2


OR


CA1


• Havingbehavioralorcognitiveperformancesymptoms,involvinganyofthefollowing:difficultyinrepeatingwords,temporalorientation,orrecall(scoreontheBriefInterviewforMentalStatus<=9),difficultyinmakingselfunderstood,shorttermmemory,ordecisionmaking(scoreontheCognitivePerformance

BB2


Scale>=3),hallucinations,delusions,physicalbehavioralsymptomstowardothers,verbalbehavioralsymptomstowardothers,otherbehavioralsymptoms,rejectionofcare,orwandering.



BA2



BB1


• Havingbehavioralorcognitiveperformancesymptoms,involvinganyofthefollowing:difficultyinrepeatingwords,temporalorientation,orrecall(scoreontheBriefInterviewforMentalStatus<=9),difficultyinmakingselfunderstood,shorttermmemory,or

BA1


decisionmaking(scoreontheCognitivePerformanceScale>=3),hallucinations,delusions,physicalbehavioralsymptomstowardothers,verbalbehavioralsymptomstowardothers,otherbehavioralsymptoms,rejectionofcare,orwandering.





NOTHERAPYREQUIREMENT 0-1 NA YES • Residentswhoseneedsareprimarilyforsupportwithactivitiesofdailylivingandgeneralsupervision. PA2

NOTHERAPYREQUIREMENT 0-1 NA NO • Residentswhoseneedsareprimarilyforsupportwithactivitiesofdailylivingandgeneralsupervision. PAI


RUGSIII

SCORETHERAPY RUGSIV

ADLSCOREDEPRESSI


PROGRAMS


RHCHigh(H)325-499minuteswhilearesident






disciplines



disciplines




RLB



ES3



ES2



ES1








Respiratorytherapy

HE2







HE1


• Comatose

HD2


• Septicemia• Diabeteswithinsulininjectionsandinsulinorder





RespiratorytherapyNOTHERAPYREQUIREMENT 11-14 NO NA Receivingcomplexclinicalcareorhaveseriousmedical







HD1





LE2












LE1





LD2











LD1


OR


CE2

NOTHERAPYREQUIREMENT 15-16 NO NA • ExtensiveServices,SpecialCareHighorSpecialCareLowqualifierandADLscoreof0or1 CE1


OR



OR


CD2


OR


CD1


ORCC2




OR


CC1








RUGSIII

SCORETHERAPY RUGSIV

ADLSCOREDEPRESSI


PROGRAMS


RHBHigh(H)325-499minuteswhilearesident

11-16 NA NA • RehabilitationRx325minutes/weekminimumANDAtleast1rehabilitationdiscipline5days/week RHC


6-10 NA NA • RehabilitationRx325minutes/weekminimumANDAtleast1rehabilitationdiscipline5days/week RHB


0-5 NA NA • RehabilitationRx325minutes/weekminimumANDAtleast1rehabilitationdiscipline5days/week RHA



disciplines



disciplines



disciplines




RLB




RLA


haveneedsinvolving:

ES3


• Tracheostomycareandventilator/respiratorNOTHERAPYREQUIREMENT 2-16 NA NA Residentssatisfyingthefollowingtwoconditions:



ES2



ES1







HD2




dependencecriterion(ADLscoreof5ormore)

HD1











HC2






tubefeedingmeetingintakerequirement

HC1










HB2







HB1









LD2








LD1

NOTHERAPYREQUIREMENT 6-10 YES NA • Cerebralpalsy,multiplesclerosis,orParkinson’sdisease LC2














LC1


• respiratoryfailureandoxygentherapywhilearesident

LB2


• feedingtube(calories>=51%orcalories=26-50%andfluid>=501cc)

• ulcers(2ormorestageIIor1ormorestageIIIorIVpressureulcers;or2ormorevenous/arterialulcers;or1stageIIpressureulcerand1venous/arterialulcer)with2ormoreskincaretreatments










LB1


OR


CD2




OR


CD1


OR


CC2


OR

• Pneumonia;hemiplegiawithADLscore>=5• Surgicalwoundsoropenlesionswithtreatment• Burns• Chemotherapywhilearesident

CC1


• Oxygentherapywhilearesident• IVmedicationswhilearesident• Transfusionswhilearesident


OR


CB2


OR


CB1


• Havingbehavioralorcognitiveperformancesymptoms,involvinganyofthefollowing:difficultyinrepeatingwords,temporalorientation,orrecall(scoreontheBriefInterviewforMentalStatus<=9),difficultyinmakingselfunderstood,shorttermmemory,ordecisionmaking(scoreontheCognitivePerformanceScale>=3),hallucinations,delusions,physicalbehavioralsymptomstowardothers,verbalbehavioral

BB2


symptomstowardothers,otherbehavioralsymptoms,rejectionofcare,orwandering.



BB1








RUGSIIISCORE

THERAPY RUGSIVADLSCORE

DEPRESSION

RESTORATIVENURSING

PROGRAMS


RHAHigh(H)325-499minuteswhilearesident

6-10 NA NA • RehabilitationRx325minutes/weekminimumANDAtleast1rehabilitationdiscipline5days/week RHB


0-5 NA NA • RehabilitationRx325minutes/weekminimumANDAtleast1rehabilitationdiscipline5days/week RHA



disciplines



disciplines




RLB





RLA



ES3


haveneedsinvolving:

ES2


• Tracheostomycareorventilator/respirator NOTHERAPYREQUIREMENT 2-16 NA NA Residentssatisfyingthefollowingtwoconditions:



ES1







HC2







HC1









HB2







HB1









LC2








LC1

NOTHERAPYREQUIREMENT 2-5 YES NA • Cerebralpalsy,multiplesclerosis,orParkinson’sdisease LB2














LB1


ORCC2




OR


CC1


OR


CB2


OR


CB1




OR


CA2


OR


CA1



BB2





BB1



BA2



BA1








NOTHERAPYREQUIREMENT 0-1 NA NO • Residentswhoseneedsareprimarilyforsupportwithactivitiesofdailylivingandgeneralsupervision. PA1


RUGSIIISCORE


DEPRESSION

RESTORATIVENURSING

PROGRAMS



11-16 NA NA • RehabilitationRx150minutes/weekminimumAND5daysanycombinationof3rehabilitationdisciplines






RLB



ES3



ES2



ES1


• Comatose

HE2













HE1




HD2











HD1





• footinfection/diabeticfootulcer/openlesionsoffoot

LE2


withtreatment• radiationtherapywhilearesident• dialysiswhilearesident








LE1






LD2










LD1


OR


CE2



OR


CE1


OR


CD2


OR


CD1

NOTHERAPYREQUIREMENT 6-10 YES NA • ExtensiveServices,SpecialCareHighorSpecialCareLowqualifierandADLscoreof0or1 CC2


OR


NOTHERAPYREQUIREMENT

6-10 NO NA • ExtensiveServices,SpecialCareHighorSpecialCareLowqualifierandADLscoreof0or1

OR


CC1



BB2


• Havingbehavioralorcognitiveperformancesymptoms,

BB1





BA2



BA1









RUGSIIISCORE


DEPRESSION

RESTORATIVENURSING

PROGRAMS


RMAMedium(M)150-324minuteswhilearesident








RLA


haveneedsinvolving:• Tracheostomycareandventilator/respirator•

ES3



ES2



ES1


HC2













HC1



changes

HB2













HB1








LC2


• respiratoryfailureandoxygentherapywhilearesident

LC1


• feedingtube(calories>=51%orcalories=26-50%andfluid>=501cc)











LB2



fluid>=501cc)

LB1





ANDADLscoreof2ormoreNOTHERAPYREQUIREMENT 6-10 YES NA • ExtensiveServices,SpecialCareHighorSpecialCare



CC2


OR


CC1

NOTHERAPYREQUIREMENT 2-5 YES NA • ExtensiveServices,SpecialCareHighorSpecialCareLowqualifierandADLscoreof0or1 CB2


OR



OR


CB1


OR


CA2


ORCA1





BB2



BB1


• Havingbehavioralorcognitiveperformancesymptoms,involvinganyofthefollowing:difficultyinrepeating

BA2


words,temporalorientation,orrecall(scoreontheBriefInterviewforMentalStatus<=9),difficultyinmakingselfunderstood,shorttermmemory,ordecisionmaking(scoreontheCognitivePerformanceScale>=3),hallucinations,delusions,physicalbehavioralsymptomstowardothers,verbalbehavioralsymptomstowardothers,otherbehavioralsymptoms,rejectionofcare,orwandering.



BA1








RUGSIIISCORE


DEPRESSION

RESTORATIVENURSING

PROGRAMS


RLBLow(L)45-149minuteswhilearesident



RLB




RLA



ES3



ES2



ES1


• Comatose

HE2













HE1




HD2











HD1






HC2









HC1








LE2

NOTHERAPYREQUIREMENT 15-16 NO NA • Cerebralpalsy,multiplesclerosis,orParkinson’sdiseasewithADLscore>=5 LE1














LD2





LD1











LC2








LC1

NOTHERAPYREQUIREMENT 15-16 YES NA • ExtensiveServices,SpecialCareHighorSpecialCare CE2






CE1


OR


CD2


OR

• Pneumonia;hemiplegiawithADLscore>=5

CD1


• Surgicalwoundsoropenlesionswithtreatment• Burns• Chemotherapywhilearesident• Oxygentherapywhilearesident• IVmedicationswhilearesident• Transfusionswhilearesident



CC2


OR


CC1



BB2





BB1



BA2



BA1








RUGSIIISCORE


DEPRESSION

RESTORATIVENURSING

PROGRAMS


RLA Low(L)45-149minuteswhilearesident



RLA


haveneedsinvolving:• Tracheostomycareandventilator/respirator•

ES3



ES2



ES1




criterion(ADLscoreof5ormore)

HD2




• Parenteral/IVfeedingRespiratorytherapy







Respiratorytherapy

HD1







HC2









Respiratorytherapy

HC1







HB2








Respiratorytherapy

HB1








LD2





LD1












LC2







LC1









LB2








LB1


• Havingbehavioralorcognitiveperformancesymptoms,involvinganyofthefollowing:difficultyinrepeatingwords,temporalorientation,orrecall(scoreonthe

BB2


BriefInterviewforMentalStatus<=9),difficultyinmakingselfunderstood,shorttermmemory,ordecisionmaking(scoreontheCognitivePerformanceScale>=3),hallucinations,delusions,physicalbehavioralsymptomstowardothers,verbalbehavioralsymptomstowardothers,otherbehavioralsymptoms,rejectionofcare,orwandering.



BB1



BA2


• Havingbehavioralorcognitiveperformancesymptoms,involvinganyofthefollowing:difficultyinrepeating

BA1


words,temporalorientation,orrecall(scoreontheBriefInterviewforMentalStatus<=9),difficultyinmakingselfunderstood,shorttermmemory,ordecisionmaking(scoreontheCognitivePerformanceScale>=3),hallucinations,delusions,physicalbehavioralsymptomstowardothers,verbalbehavioralsymptomstowardothers,otherbehavioralsymptoms,rejectionofcare,orwandering.










RUGSIIISCORE


DEPRESSION

RESTORATIVENURSING

PROGRAMS


SSC NOTHERAPYREQUIREMENT 15-16 YES NA Receivingcomplexclinicalcareorhaveseriousmedicalconditionsinvolvinganyoneofthefollowing:






HE2







HE1








Respiratorytherapy

HD2







HD1



LC2






ANDADLscoreof2ormoreNOTHERAPYREQUIREMENT NO NA • Cerebralpalsy,multiplesclerosis,orParkinson’sdisease







LC1






LC2










LC1


OR


CE2


OR


CE1




OR


CD2


OR


CD1


• Havingbehavioralorcognitiveperformancesymptoms,involvinganyofthefollowing:difficultyinrepeatingwords,temporalorientation,orrecall(scoreontheBriefInterviewforMentalStatus<=9),difficultyinmakingselfunderstood,shorttermmemory,ordecisionmaking(scoreontheCognitivePerformanceScale>=3),hallucinations,delusions,physical

BB2


behavioralsymptomstowardothers,verbalbehavioralsymptomstowardothers,otherbehavioralsymptoms,rejectionofcare,orwandering.



BB1



BA2



BA1








RUGSIIISCORE


DEPRESSION

RESTORATIVENURSING

PROGRAMS


SSB NOTHERAPYREQUIREMENT 15-16 YES YES Receivingcomplexclinicalcareorhaveseriousmedicalconditionsinvolvinganyoneofthefollowing:






HE2

NOTHERAPYREQUIREMENT 15-16 NO NO Receivingcomplexclinicalcareorhaveseriousmedicalconditionsinvolvinganyoneofthefollowing:






HE1


NOTHERAPYREQUIREMENT 11-14 YES YES Receivingcomplexclinicalcareorhaveseriousmedicalconditionsinvolvinganyoneofthefollowing:






HD2







HD1


• Comatose

HC2













HC1

NOTHERAPYREQUIREMENT 15-16 YES YES • Cerebralpalsy,multiplesclerosis,orParkinson’sdiseasewithADLscore>=5



pressureulcers;or2ormorevenous/arterialulcers;or1stageIIpressureulcerand1venous/arterialulcer)

LE2


with2ormoreskincaretreatments• footinfection/diabeticfootulcer/openlesionsoffoot


ANDADLscoreof2ormoreNOTHERAPYREQUIREMENT 15-16 NO NO • Cerebralpalsy,multiplesclerosis,orParkinson’sdisease







LE1

NOTHERAPYREQUIREMENT 11-14 YES YES • Cerebralpalsy,multiplesclerosis,orParkinson’sdiseasewithADLscore>=5







LD2


NOTHERAPYREQUIREMENT 11-14 NO NO • Cerebralpalsy,multiplesclerosis,orParkinson’sdiseasewithADLscore>=5







LD1








LC2





LC1





ANDADLscoreof2ormoreNOTHERAPYREQUIREMENT 15-16 YES YES • ExtensiveServices,SpecialCareHighorSpecialCare



CE2

NOTHERAPYREQUIREMENT 15-16 NO NO • ExtensiveServices,SpecialCareHighorSpecialCareLowqualifierandADLscoreof0or1

OR


CE1


OR


CD2




OR


CD1


OR


CC2


OR


CC1


• Oxygentherapywhilearesident• IVmedicationswhilearesident• Transfusionswhilearesident



BB2



BB1



BA2





BA1






RUGSIIISCORE


DEPRESSION

RESTORATIVENURSING

PROGRAMS


SSA NOTHERAPYREQUIREMENT 6-10 YES YES Receivingcomplexclinicalcareorhaveseriousmedicalconditionsinvolvinganyoneofthefollowing:





feedingmeetingintakerequirement• Parenteral/IVfeedin• Respiratorytherapy

HD2







HD1








HC2







HC1


• Comatose

HB2













HB1





LD2











LD1








LC2

NOTHERAPYREQUIREMENT 6-10 NO NA • Cerebralpalsy,multiplesclerosis,orParkinson’sdisease LC1














LB2




pressureulcers;or2ormorevenous/arterialulcers;or1stageIIpressureulcerand1venous/arterialulcer)

LB1


with2ormoreskincaretreatments• footinfection/diabeticfootulcer/openlesionsoffoot


• ANDADLscoreof2ormoreNOTHERAPYREQUIREMENT 6-10 YES NA • ExtensiveServices,SpecialCareHighorSpecialCare

LowqualifierandADLscoreof0or12-5OR


CD2


OR


CD1


2-5OR


CC2




OR


CC1


OR


CB2


OR


CB1


• Oxygentherapywhilearesident• IVmedicationswhilearesident

• TransfusionswhilearesidentNOTHERAPYREQUIREMENT 0-1 YES NA • ExtensiveServices,SpecialCareHighorSpecialCare


• Pneumonia;hemiplegiawithADLscore>=5• Surgicalwoundsoropenlesionswithtreatment• Burns• Chemotherapywhilearesident• Oxygentherapywhilearesident• IVmedicationswhilearesident

• Transfusionswhilearesident

CA2


OR


CA1



BB2





BB1



BA2



BA1












RUGSIIISCORE


DEPRESSION

RESTORATIVENURSING

PROGRAMS


CC2 NOTHERAPYREQUIREMENT 15-16 NA YES • ExtensiveServices,SpecialCareHighorSpecialCareLowqualifierandADLscoreof0or1

OR


CE2

NOTHERAPYREQUIREMENT 15-16 NA NO • ExtensiveServices,SpecialCareHighorSpecialCareLowqualifierandADLscoreof0or1

OR


CE1

NOTHERAPYREQUIREMENT 11-14 NA YES • ExtensiveServices,SpecialCareHighorSpecialCareLowqualifierandADLscoreof0or1

OR


CD2


• TransfusionswhilearesidentNOTHERAPYREQUIREMENT

11-14 NA NO • ExtensiveServices,SpecialCareHighorSpecialCareLowqualifierandADLscoreof0or1

OR


CD1






RUGSIIISCORE


DEPRESSION

RESTORATIVENURSING

PROGRAMS


CC1 NOTHERAPYREQUIREMENT 15-16 NA YES • ExtensiveServices,SpecialCareHighorSpecialCareLowqualifierandADLscoreof0or1

OR


CE2


OR


CE1


OR


CD2


• TransfusionswhilearesidentNOTHERAPYREQUIREMENT 11-14 NA NO • ExtensiveServices,SpecialCareHighorSpecialCare



CD1






RUGSIIISCORE


DEPRESSION

RESTORATIVENURSING

PROGRAMS


CB2 NOTHERAPYREQUIREMENT 11-14 NA YES • ExtensiveServices,SpecialCareHighorSpecialCareLowqualifierandADLscoreof0or1

OR


CD2


OR


CD1


OR


CC2




OR


CC1


OR


CB2


OR


CB1




BB2



BB1



BA2


rejectionofcare,orwandering.



BA1








RUGSIIISCORE


DEPRESSION

RESTORATIVENURSING

PROGRAMS


CB1 NOTHERAPYREQUIREMENT 11-14 NA YES • ExtensiveServices,SpecialCareHighorSpecialCareLowqualifierandADLscoreof0or1

OR


CD2


OR


CD1


OR


CC2




OR


CC1


OR


CB2


OR


CB1




BB2



BB1



BA2


rejectionofcare,orwandering.



BA1








CA2 NOTHERAPYREQUIREMENT 6-10 NA YES • ExtensiveServices,SpecialCareHighorSpecialCareLowqualifierandADLscoreof0or1

OR


CC2


OR


CC1


OR


CB2



OR


CB1


OR


CA2


OR


CA1

NOTHERAPYREQUIREMENT 2-5 NA YES • HavingamaximumADLdependencyscoreof5orless.AND BB2





BB1



BA2




BA1








RUGSIIISCORE


DEPRESSION

RESTORATIVENURSING

PROGRAMS


IB2 NOTHERAPYREQUIREMENT 2-5 NA YES • HavingamaximumADLdependencyscoreof5orless.AND


BB2



BB1



BA2





BA1








RUGSIIISCORE


DEPRESSION

RESTORATIVENURSING

PROGRAMS


IB1 NOTHERAPYREQUIREMENT 2-5 NA YES • HavingamaximumADLdependencyscoreof5orless.AND


BB2



BB1



BA2





BA1








RUGSIIISCORE


DEPRESSION

RESTORATIVENURSING

PROGRAMS


IA2 NOTHERAPYREQUIREMENT 2-5 NA YES • HavingamaximumADLdependencyscoreof5orless.AND


BB2



BB1



BA2





BA1










RUGSIIISCORE


DEPRESSION

RESTORATIVENURSING

PROGRAMS


IA1 NOTHERAPYREQUIREMENT 2-5 NA YES • HavingamaximumADLdependencyscoreof5orless.AND


BB2



BB1



BA2





BA1








RUGSIIISCORE


DEPRESSION

RESTORATIVENURSING

PROGRAMS


BB2 NOTHERAPYREQUIREMENT 2-5 NA YES • HavingamaximumADLdependencyscoreof5orless.AND


BB2



BB1



BA2





BA1








RUGSIIISCORE


DEPRESSION

RESTORATIVENURSING

PROGRAMS


BB1 NOTHERAPYREQUIREMENT 2-5 NA YES • HavingamaximumADLdependencyscoreof5orless.AND


BB2



BB1



BA2





BA1








RUGSIIISCORE


DEPRESSION

RESTORATIVENURSING

PROGRAMS


BA2 NOTHERAPYREQUIREMENT 2-5 NA YES • HavingamaximumADLdependencyscoreof5orless.AND


BB2



BB1



BA2





BA1






RUGSIIISCORE


DEPRESSION

RESTORATIVENURSING

PROGRAMS


BA2 NOTHERAPYREQUIREMENT 2-5 NA YES • HavingamaximumADLdependencyscoreof5orless.AND


BB2



BB1



BA2



• NOTHERAPYREQUIREMENT 0-1 NA NO • HavingamaximumADLdependencyscoreof5orless.

AND• Havingbehavioralorcognitiveperformancesymptoms,


BA1










RUGSIIISCORE


DEPRESSION

RESTORATIVENURSING

PROGRAMS


PE2 NOTHERAPYREQUIREMENT 15-16 NA YES • Residentswhoseneedsareprimarilyforsupportwithactivitiesofdailylivingandgeneralsupervision. PE2




RUGSIIISCORE


DEPRESSION

RESTORATIVENURSING

PROGRAMS


PE1 NOTHERAPYREQUIREMENT 15-16 NA YES • Residentswhoseneedsareprimarilyforsupportwithactivitiesofdailylivingandgeneralsupervision. PE2





RUGSIIISCORE


DEPRESSION

RESTORATIVENURSING

PROGRAMS


PD2 NOTHERAPYREQUIREMENT 11-14 NA YES • Residentswhoseneedsareprimarilyforsupportwithactivitiesofdailylivingandgeneralsupervision. PD2






RUGSIIISCORE


DEPRESSION

RESTORATIVENURSING

PROGRAMS


PD1 NOTHERAPYREQUIREMENT 11-14 NA YES • Residentswhoseneedsareprimarilyforsupportwithactivitiesofdailylivingandgeneralsupervision. PD2







RUGSIIISCORE


DEPRESSION

RESTORATIVENURSING

PROGRAMS


PC2 NOTHERAPYREQUIREMENT 11-14 NA YES • Residentswhoseneedsareprimarilyforsupportwithactivitiesofdailylivingandgeneralsupervision. PD2






RUGSIIISCORE


DEPRESSION

RESTORATIVENURSING

PROGRAMS


PC1 NOTHERAPYREQUIREMENT 11-14 NA YES • Residentswhoseneedsareprimarilyforsupportwithactivitiesofdailylivingandgeneralsupervision. PD2







RUGSIIISCORE


DEPRESSION

RESTORATIVENURSING

PROGRAMS


PB2 NOTHERAPYREQUIREMENT 6-10 NA YES • Residentswhoseneedsareprimarilyforsupportwithactivitiesofdailylivingandgeneralsupervision. PC2






RUGSIIISCORE


DEPRESSION

RESTORATIVENURSING

PROGRAMS


PB1 NOTHERAPYREQUIREMENT 6-10 NA YES • Residentswhoseneedsareprimarilyforsupportwithactivitiesofdailylivingandgeneralsupervision. PC2







RUGSIIISCORE


DEPRESSION

RESTORATIVENURSING

PROGRAMS


PA2 NOTHERAPYREQUIREMENT 0-1 NA YES • Residentswhoseneedsareprimarilyforsupportwithactivitiesofdailylivingandgeneralsupervision. PA2


RUGSIIISCORE


DEPRESSION

RESTORATIVENURSING

PROGRAMS


PA1 NOTHERAPYREQUIREMENT 0-1 NA YES • Residentswhoseneedsareprimarilyforsupportwithactivitiesofdailylivingandgeneralsupervision. PA2


Documents

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