Long-Term Care

CMS releases updated Appendix A and Section M

MDS 3.0 Insider, July 25, 2011

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On July 13, CMS released updated versions of Appendix A and Section M of the RAI User’s Manual. The only change included in both Appendix A and Section M was a new definition of a worsening in pressure ulcer status. This new definition is as follows:

“Pressure ulcer ‘worsening’ is defined as a pressure ulcer that has progressed to a deeper level of tissue damage and is therefore staged at a higher number using a numerical scale of 1-4 (using the staging assessment determinations assigned to each stage; starting at the stage 1, and increasing in severity to stage 4) on an assessment as compared to the previous assessment. For the purposes of identifying the absence of a pressure ulcer, zero pressure ulcers is used when there is no skin breakdown or evidence of damage.”

To access the RAI User’s Manual in its entirety, visit CMS’ MDS 3.0 Training Material’s webpage.
 



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