Long-Term Care

MDS 3.0 tip: Be aware of changes to coding fractures

MDS 3.0 Insider, March 9, 2009

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The most recent MDS 3.0 draft asks under Section J, Health Conditions, whether residents had any fractures related to a fall in the six months prior to admission and whether the resident had any falls since admission or the prior OBRA or PPS assessment.

Assessors should code whether the resident sustained no injury, an injury (such as skin tears or superficial bruises), or a major injury (such as bone fractures or head injuries).

The draft also asks assessors to code falls within several time windows prior to admission. Under J1700, assessors are asked whether residents fell one or more times:

  • In the last month prior to admission
  • In the last 1-6 months prior to admission



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