Q: I’m the RNAC at a small hospital-based transitional care unit, and most of our residents are short stay (8-14 days). The 5-day MDS is used as the assessment tool for most of our residents. Is it necessary to complete the admission (also known as the 14-day) MDS if the resident is discharged on the 14th day of his or her stay?
Diane: If the resident is discharged before midnight on the 14th day, you are not required to complete the 14-day MDS. In these situations, you would indicate that the resident was discharged prior to completion of the assessment.
However, if you have already completed the 14-day MDS, code the resident as discharged, return not anticipated, rather than discharged prior to completion of the assessment.