CMS Pub. 100-02 Chapter 8 (SNF skilled coverage — observation and assessment as a covered service; the daily-basis and practical-matter tests; routine monitoring of a stable resident is not skilled).
CMS MDS 3.0 RAI User’s Manual v1.20.1 (eff. 1 Oct 2025) — Section J and the observation basis across sections.
Standard vital-sign and early-warning-score references (verify facility protocol).
42 CFR 483 §483.25 with State Operations Manual Appendix PP F684 (secondary to coverage). 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.
