Every resident admitted to a Nursing Facility must follow the OBRA assessment rules.
Comprehensive Assessments: Includes the completion of the MDS, the Care Area Assessment (CAA) process and care planning. Comprehensive MDSs include:
· Significant Change in Status Assessment (SCSA), and
· Significant Correction to Prior Comprehensive Assessment (SCPA ).
Non-Comprehensive: Includes a select number of items from the MDS used to track the resident’s status between comprehensive assessments and to ensure monitoring of critical indicators of the gradual onset of significant changes in resident status. They do not include completion of the CAA process and care planning. Non-comprehensive assessments include:
· Quarterly and
· Significant Correction to Prior Quarterly (SCQA) assessments.
Significant Correction to Prior Comprehensive Assessment (SCPA) (A0310A=05): The SCPA is a comprehensive assessment for an existing resident that must be completed when the IDT determines that a resident’s prior comprehensive assessment contains a significant error. It can be performed at any time after the completion of an Admission assessment, and its ARD and completion dates (MDS/CAA(s)/care plan) depend on the date the determination was made that the significant error exists in a comprehensive assessment.
OBRA-required non-comprehensive MDS assessments: include a select number of MDS items, but not completion of the CAA process and care planning. The OBRA non-comprehensive assessments include:
· Quarterly Assessment
· Significant Correction to Prior Quarterly Assessment
· Discharge Assessment – Return not Anticipated
· Discharge Assessment – Return Anticipated.