Source anchor
CMS MDS 3.0 RAI Manual v1.20.1 is the governed baseline currently attached to this lookup item.
Item Rationale
CMS MDS 3.0 RAI Manual v1.20.1 is the governed baseline currently attached to this lookup item.
6 matrix group(s) are already attached for review on this item.
2 governed answer row(s) are attached for this item.
Item Rationale
Use this item when the facility is completing content tied to Section B and needs to stay anchored to v1.20.1.
This page is grounded in CMS MDS 3.0 RAI Manual v1.20.1. Review the exact text and locators before treating the item as final reference content.
Residents who are in a coma or persistent vegetative state are at risk for the complications of immobility, including skin breakdown and joint contractures.
Care planning should center on eliminating or minimizing complications and providing care consistent with the resident’s health care goals.
1. Review the medical record to determine if a neurological diagnosis of comatose or persistent
vegetative state has been documented by a physician, or nurse practitioner, physician assistant, or clinical nurse specialist if allowable under state licensure laws.
Code 0, no: if a diagnosis of coma or persistent vegetative state is not present during
the 7-day look-back period. Continue to B0200, Hearing.
Code 1, yes: if the record indicates that a physician, nurse practitioner or clinical nurse
specialist has documented a diagnosis of coma or persistent vegetative state that is applicable during the 7-day look-back period. Skip to GG0100, Prior Functioning: Everyday Activities.
COMATOSE (coma) A pathological state in which neither arousal (wakefulness, alertness) nor awareness exists. The person is unresponsive and cannot be aroused; they do not open their eyes, do not speak and do not move their extremities on command or in response to noxious stimuli (e.g., pain).
Only code if a diagnosis of coma or persistent vegetative state has been assigned. For example, some residents in advanced stages of progressive neurologic disorders such as Alzheimer’s disease may have severe cognitive impairment, be non-communicative and sleep a great deal of time; however, they are usually not comatose or in a persistent vegetative state, as defined here.