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Section Navigation Part 15 of 20 1. General Section 2. 6.1 “WNL” alone 3. What changed 4. 6.2 Vague daily-skilled need (the homebound-replacement failure) 5. What changed 6. 6.3 Teaching without mastery 7. What changed 8. Extended recurring patterns (SNF) 9. The daily-skilled gap 10. Cloned / carried-forward note 11. Reference to “baseline” with no value 12. Unquantified outcome 13. MDS not supported by the record 14. Care plan not individualized or not updated 15. Restorative program not documented 16. Open-loop coordination or missed notification 17. Maintenance coverage misframed 18. Restraint / psychotropic documentation gap 19. Notice not issued or not documented 20. Sources and clinical references Previous Next Restorative program not documented Fails: O0500 coded but no program design, minutes, technique, or RN evaluation in the record — the nursing-component payment is unsupported and the maintenance skilled need is unproven. Survives: the program, minutes/day, days in the look-back, CNA carryover, resident response, and periodic RN evaluation are documented. Section Navigation Part 15 of 20 1. General Section 2. 6.1 “WNL” alone 3. What changed 4. 6.2 Vague daily-skilled need (the homebound-replacement failure) 5. What changed 6. 6.3 Teaching without mastery 7. What changed 8. Extended recurring patterns (SNF) 9. The daily-skilled gap 10. Cloned / carried-forward note 11. Reference to “baseline” with no value 12. Unquantified outcome 13. MDS not supported by the record 14. Care plan not individualized or not updated 15. Restorative program not documented 16. Open-loop coordination or missed notification 17. Maintenance coverage misframed 18. Restraint / psychotropic documentation gap 19. Notice not issued or not documented 20. Sources and clinical references Previous Next 