WAC 388-106-0090. How does the CARE tool measure cognitive performance?

(1) The CARE tool uses the cognitive performance scale (CPS) to evaluate your cognitive impairment. The CPS results in a score that ranges from zero (intact) to six (very severe impairment). Your CPS score is based on information given at your assessment and documented in the CARE tool: (a) Whether you are comatose. (b) Your ability to make decisions, as defined in WAC 388-106-0010 "Decisions." (c) Your ability to make yourself understood, as defined in WAC 388-106-0010 "Ability to make self understood." (d) Whether you have short-term memory problem (e.g. can you remember recent events?) as determined by the following: (i) Information given at your assessment and documented in the CARE tool showed there is evidence that you have short-term memory loss; or (ii) You could not recall at least one of the three words you were asked to recall during the mini mental status exam completed during your assessment using the CARE tool; and (e) Whether you score as total dependence for self-performance in eating, as defined in WAC 388-106-0010 "Self-performance of ADLs." (2) You will receive a CPS score of: (a) Zero when you do not have problems with decision-making ability, making yourself understood, or recent memory. (b) One when you meet one of the following: (i) Decisions are scored as difficulty in new situations or poor decisions/unaware of consequences as defined in WAC 388-106-0010 ; (ii) Your ability to make yourself understood is scored as usually, sometimes, or rarely/never understood as defined in WAC 388-106-0010 ; or (iii) You have a short-term memory problem. (c) Two when you meet two of the following: (i) Decisions are scored as difficulty in new situations or poor decisions/unaware of consequences as defined in WAC 388-106-0010 ; (ii) Your ability to make yourself understood is scored as usually, sometimes, or rarely/never understood; and/or (iii) You have a short-term memory problem or delayed recall. (d) Three when you meet at least two of the criteria listed in subsection (2)(b) of this section and one of the following applies: (i) Decisions are scored as poor decisions/unaware of consequences as defined in WAC 388-106-0010 ; or (ii) Your ability to make yourself understood is scored as sometimes or rarely/never understood as defined in WAC 388-106-0010 . (e) Four when both of the following criteria applies: (i) Decisions are scored as poor decisions/unaware of consequences as defined in WAC 388-106-0010 ; and (ii) Your ability to make yourself understood is scored as sometimes or rarely/never understood as defined in WAC 388-106-0010 . (f) Five Decisions are scored as no/few decisions as defined in WAC 388-106-0010 . (g) Six when one of the following applies: (i) Decisions are scored as no/few decisions and you require total dependence in eating as defined in WAC 388-106-0010 ; or (ii) You are comatose.