Resident Assessment Instrument (RAI)

Resident Assessment Instrument (RAI) A. Nursing facilities must complete the Minimum Data Set (MDS) 3.0, including Section S, which is the Resident Assessment Instrument (RAI) specified by the Division of Medicaid and approved by the Centers of Medicare and Medicaid Services (CMS), on all residents regardless of source of payment. B. Section S identifies beneficiaries residing in an Alzheimer’s/dementia care unit of a nursing facility which must be completed on all residents during the specified time period of each of the following MDS assessments including, but not limited to: 1. Comprehensive (NC) which includes: a) Admission, b) Annual, c) Significant Change in Status Assessment (SCSA), and d) Significant Correction to Prior Comprehensive Assessment (SCPA), 2. Prospective Payment System (PPS), 3. Quarterly (NQ), 4. Significant Correction to Prior Quarterly Assessment (SCQA), 5. Entry Tracking Record (NT), 6. Death in Facility Tracking Record (NT), 7. Discharge Assessment – Return not anticipated (ND), and 8. Discharge Assessment – Return Anticipated (ND). C. Nursing facilities cannot indicate in Section S that a resident has received care in an Alzheimer’s/dementia care unit if the nursing facility does not have a designated Alzheimer’s/dementia care unit. The fourteen (14) day look-back period cannot include: A resident’s hospital stay in a geriatric psychiatric unit, or An Alzheimer’s/dementia care unit stay in another nursing facility. D. The RAI must be completed in accordance with the most current CMS Long-Term Care Facility Resident Assessment Instrument User’s Manual.