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Resident Identifier Date MINIMUM DATA SET (MDS) - Version …

A0310 continued on next Nursing Home Comprehensive (NC) Corrected Version DRAFT Page 1 of 45 ResidentIdentifierDateMINIMUM DATA SET (MDS) - Version Resident ASSESSMENT AND CARE SCREENING. Nursing Home Comprehensive (NC) Item Type of new recordContinue to A0100, Facility Provider existing recordContinue to A0100, Facility Provider existing recordSkip to X0150, Type of CodeA0100. Facility Provider National Provider Identifier (NPI):B. CMS Certification Number (CCN):C. State Provider Number:A0200. Type of of provider. home (SNF/NF). CodeA0310. Type of Federal OBRA Reason for Assessment. assessment (required by day 14). review change in status assessment.

C0100. Should Brief Interview for Mental Status (C0200-C0500) be Conducted? Attempt to conduct interview with all residents. 0. No (resident is rarely/never understood) Skip to and complete C0700-C1000, Staff Assessment for Mental Status.

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