Restorative Nursing

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DiraChart Clinical Reference
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1. Purpose and clinical relevance

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12. Sources and clinical references

  • CMS MDS 3.0 RAI User’s Manual v1.20.1 (eff. 1 Oct 2025), Section O0500 restorative-nursing coding rules (15-minute/day threshold).
  • 42 CFR 483 §483.24 (quality of life; ADL) and §483.25 with State Operations Manual Appendix PP F676; F677; F684; F726.
  • CMS Pub. 100-02 Chapter 8 (rehabilitation nursing / restorative program as a skilled service).
  • SNF PPS / PDPM nursing-component rules (verify current fiscal-year final rule). DiraChart Foundations 1.1–1.11.

Standing flags. Model notes are scaffolds — fill with the shift’s actual values and confirm every threshold against current orders and the care plan. Coverage rules, MDS item sets, and F-tag guidance change; verify against the current published source. MAC/LCD and accreditation items are facility-fill.

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