DiraChart MDS item reference
Item Rationale
Use the item-specific response choices below when structured codes apply.
if the resident was discharged to 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.
if the resident was discharged to an institution that is primarily engaged in providing medical and non-
medical care to people who have a chronic illness or disability.
if the resident was discharged to 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 patients 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.
if the resident was discharged to a hospital that is contracted with Medicare to provide acute, inpatient
care and accepts a predetermined rate as payment in full.
if the resident was discharged to 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 discharged to a rehabilitation hospital or a distinct
rehabilitation unit of a hospital that provides an intensive rehabilitat
if the resident was discharged to an institution that provides, by or under the supervision of
a physician, psychiatric services for the diagnosis and treatment of mentally ill residents.
This category also includes residents discharged to a psychiatric unit of a critical access
hospital.
if the resident was discharged to an institution that is engaged in providing, under the supervision of a physician, any
health and rehabilitative services for individuals who have intellectual disabilities (ID) or
developmental disabilities (DD).
if the resident was discharged to a community-based program for terminally ill persons.
if the resident was discharged to 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.
if the resident was discharged to 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 discharged home under care of an organized home
health service organization. This includes only skilled services provided by a home hea
if resident is deceased.
if the resident was discharged to none of the above.
Review what the item asks, how to choose the response, and what should be verified before submission.
1. Review the medical record including the discharge plan and discharge orders for
documentation of discharge location.
Select the two-digit code that corresponds to the resident’s discharge status.
•
Code 01, Home/Community: if the resident was discharged to 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
discharged to an institution that is primarily engaged in providing medical and non-
medical care to people who have a chronic illness or disability.
A2105: Discharge Status (cont.)
•
Code 03, Skilled Nursing Facility (SNF, swing beds): if the resident was
discharged to 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 patients 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.
•
Code 04, Short-Term General Hospital (acute hospital/IPPS): if the resident
was discharged to a hospital that is contracted with Medicare to provide acute, inpatient
care and accepts a predetermined rate as payment in full.
•
Code 05, Long-Term Care Hospital (LTCH): if the resident was discharged to 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 discharged to a rehabilitation hospital or a distinct
rehabilitation unit of a hospital that provides an intensive rehabilitation program to
inpatients. This category also includes residents discharged to a rehabilitation unit of a
critical access hospital.
•
Code 07, Inpatient Psychiatric Facility (psychiatric hospital or unit): if
the resident was discharged to an institution that provides, by or under the supervision of
a physician, psychiatric services for the diagnosis and treatment of mentally ill residents.
This category also includes residents discharged to a psychiatric unit of a critical access
hospital.
•
Code 08, Intermediate Care Facility (ID/DD): if the resident was discharged to
an institution that is engaged in providing, under the supervision of a physician, any
health and rehabilitative services for individuals who have intellectual disabilities (ID) or
developmental disabilities (DD).
•
Code 09, Hospice (home/non-institutional): if the resident was discharged to a
community-based program for terminally ill persons.
•
Code 10, Hospice (institutional facility): if the resident was discharged to 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.
•
Code 11, Critical Access Hospital (CAH): if the resident was discharged to 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.
A2105: Discharge Status (cont.)
•
Code 12, Home under care of organized home health service
organization: if the resident was discharged home under care of an organized home
health service organization. This includes only skilled services provided by a home health
agency.
•
Code 13, deceased: if resident is deceased.
•
Code 99, Not listed: if the resident was discharged to none of the above.
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