Rancho Scale copy - tbims.org

1 Rancho LOS AMIGOS SCALEAKA Level of cognitive Functioning Scale (LCFS)____ (1)Level I - No does not respond to external stimuli and appears (2)Level II - Generalized reacts to external stimuli in nonspecific, inconsistent, and nonpurposeful manner withstereotypic and limited (3)Level III - Localized responds specifically and inconsistently with delays to stimuli, but may follow simplecommands for motor (4)Level IV - Confused, Agitated exhibits bizarre, nonpurposeful, incoherent or inappropriate behaviors, has no short-term recall, attention is short and (5)Level V - Confused, Inappropriate, Nonagitated gives random, fragmented, and nonpurposeful responses to complex or unstructuredstimuli - Simple commands are followed consistently, memory and selective attention areimpaired, and new information is not (6)Level VI - Confused, Appropriate gives context appropriate, goal-directed responses, dependent upon external input fordirection.

2 There is carry-over for relearned, but not for new tasks, and recent memoryproblems (7)Level VII - Automatic, Appropriate behaves appropriately in familiar settings, performs daily routines automatically, andshows carry-over for new learning at lower than normal rates. Patient initiates socialinteractions, but judgment remains (8)Level VIII - Purposeful, Appropriate oriented and responds to the environment but abstract reasoning abilities aredecreased relative to premorbid levels.