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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 .

RESIDENT ASSESSMENT AND CARE SCREENING. Nursing Home Comprehensive (NC) Item Set. Section A. Identification Information. A0050. Type of Record. 1. Add new record. Continue to A0100, Facility Provider Numbers. 2. Modify existing record. Continue to A0100, Facility Provider Numbers. 3. Inactivate existing record.

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