DiraChart MDS item reference
A1805Section Av1.20.1Manual page A-34
Entered From
Item Rationale
Quick codingAnswer Codes
Use the item-specific response choices below when structured codes apply.
Response format: Coded response
01
Home/Community
if the resident was admitted from a private home, apartment, board and
care, assisted living facility, group home, transitional
living, or adult foster care. A community residential
setting is defined as any house, condominium, or apartment in the community, whether owned by the resident or another person; retirement communities; or
independent housing for the elderly.
Code 02, Nursing Home (long-term care
facility): if the resident was admitted from an institution that is primarily engaged in p
03
Skilled Nursing Facility (SNF, swing bed)
if the resident was admitted from a nursing facility with staff and equipment for the provision of skilled
nursing services, skilled rehabilitative services, and/or other related health services. This
category also includes residents admitted from a SNF swing bed in a swing bed hospital.
A swing bed hospital is a hospital or critical access hospital (CAH) participating in
Medicare that has CMS approval to provide posthospital SNF care and meets certain
requirements.
04
Short-Term General Hospital (acute hospital/IPPS)
if the resident was admitted from a hospital that is contracted with Medicare to provide acute inpatient
care and accepts a predetermined rate as payment in full.
05
Long-Term Care Hospital (LTCH)
if the resident was admitted from a Medicare certified acute care hospital that focuses on patients who stay, on average, more
than 25 days. Most patients in LTCHs are chronically and critically ill and have been
transferred there from an intensive or critical-care unit.
Code 06, Inpatient Rehabilitation Facility (IRF, free standing facility or
unit): if the resident was admitted from a rehabilitation hospital or a distinct
rehabilitation unit of a hospital that provides an intensive rehabilitat
07
Inpatient Psychiatric Facility (psychiatric hospital or unit)
if the resident was admitted from an institution that provides, by or under the supervision of
a physician, psychiatric services for the diagnosis and treatment of mentally ill patients.
This category also includes residents admitted from a psychiatric unit of a critical access
hospital.
08
Intermediate Care Facility (ID/DD)
if the resident was admitted from an institution that is engaged in providing, under the supervision of a physician, any
health and rehabilitative services for individuals with intellectual disabilities (ID) or
developmental disabilities (DD).
09
Hospice (home/non-institutional)
if the resident was admitted from a community-based program for terminally ill persons.
10
Hospice (institutional facility)
if the resident was admitted from an inpatient program for terminally ill persons where an array of services is necessary for the
palliation and management of terminal illness and related conditions. The hospice must
be licensed by the State as a hospice provider and/or certified under the Medicare
program as a hospice provider.
11
Critical Access Hospital (CAH)
if the resident was admitted from a Medicare-participating hospital located in a rural area or an area that is treated as rural
and that meets all of the criteria to be designated by CMS as a CAH and was receiving
acute care services from the CAH at the time of discharge.
Code 12, Home under care of organized home health service
organization: if the resident was admitted from home under care of an organized home
health service organization. This includes only skilled services provided by a home
99
Not listed
if the resident was admitted from none of the above.
Item-specific instructionsCoding Guidance
Review what the item asks, how to choose the response, and what should be verified before submission.
RAI Manual v1.20.1CMS item guidance
A1600–A1805: Most Recent Admission/Entry or Reentry into this
Facility
DEFINITION
OTHER ORGANIC
CONDITION RELATED
TO ID/DD
Examples of diagnostic
conditions include congenital
syphilis, maternal
intoxication, mechanical
injury at birth, prenatal
hypoxia, neuronal lipid
storage diseases,
phenylketonuria (PKU),
neurofibromatosis,
microcephalus,
macroencephaly,
meningomyelocele,
congenital hydrocephalus,
etc.
Manual page A-34 MDS item matrixAssessment Applicability
See where this item applies across Nursing Home, Swing Bed, discharge, required-use, OBRA, and program or policy columns.
14 relationships5 groups+
OBRA Stand Alone Assessments
OBRA Admission A=01, B=99, F=99, G=^, H=0
MDS Item Matrix v1.20.1 v4
OBRA Quarterly A=02, B=99, F=99, G=^, H=0
MDS Item Matrix v1.20.1 v4
OBRA Annual / Sig Chg A=03, B=99, F=99, G=^, H=0 A= 04, B=99, F=99, G=^, H=0
MDS Item Matrix v1.20.1 v4
OBRA Discharge A=99, B=99, F=10, 11, G=1, 2, H=0
MDS Item Matrix v1.20.1 v4
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