Minimum Data Set (Mds) - Resident Assessment And Care Screening Page 5
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9Resident
Identifier
Date
Section
A.
Identification
Information.
A2100. Discharge
Status.
Complete only if A0310F = 10, 11, or 12
01. Community (private home/apt., board/care, assisted living, group
home).
Enter Code
02. Another nursing home or swing
bed.
03. Acute
hospital.
04. Psychiatric
hospital.
05. Inpatient rehabilitation
facility.
06. ID/DD
facility.
Hospice.
07.
08.
Deceased.
09. Long Term Care Hospital
(LTCH).
Other.
99.
A2200. Previous Assessment Reference Date for Significant
Correction.
Complete only if A0310A = 05 or
06.
_
_
Month
Day
Year
A2300. Assessment Reference
Date.
Observation end date:
_
_
Month
Day
Year
A2400. Medicare
Stay.
A. Has the resident had a Medicare-covered stay since the most recent entry?
Enter Code
0. No
Skip to B0100,
Comatose.
1. Yes
Continue to A2400B, Start date of most recent Medicare
stay.
B. Start date of most recent Medicare stay:
_
_
Month
Day
Year
C. End date of most recent Medicare stay - Enter dashes if stay is ongoing:
_
_
Month
Day
Year
MDS 3.0 Nursing Home Sections A and GG Corrected Version 1.14.0 DRAFT
Page 5 of 9
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