Source anchor
CMS MDS 3.0 RAI Manual v1.20.1 is the governed baseline currently attached to this lookup item.
C1000) Be Conducted? (cont.)
CMS MDS 3.0 RAI Manual v1.20.1 is the governed baseline currently attached to this lookup item.
7 matrix group(s) are already attached for review on this item.
2 governed answer row(s) are attached for this item.
C1000) Be Conducted? (cont.)
Use this item when the facility is completing content tied to Section C 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.
C1000) Be Conducted? (cont.) Coding Instructions
Code 0, no: if the BIMS was completed and scored between 00 and 15. Skip to C1310.
Code 1, yes: if the resident chooses not to participate in the BIMS or if four or more
items were coded 0 because the resident chose not to answer or gave a nonsensical response. Continue to C0700, Short-term Memory OK, to perform the Staff Assessment for Mental Status. Note: C0500 should be coded 99.
If a resident is scored 00 on C0500, the Staff Assessment for Mental Status should not be completed. 00 is a legitimate value for C0500 and indicates that the interview was complete. To have an incomplete interview, a resident had to choose not to answer or had to give completely unrelated, nonsensical responses to four or more BIMS items. C0700–C1000: Staff Assessment of Mental Status Item C0700–C1000: Staff Assessment of Mental Status Item (cont.)
Cognitive impairment is prevalent among some groups of residents, but not all residents are cognitively impaired. Many persons with memory problems can function successfully in a structured, routine environment. Residents may appear to be cognitively impaired because of communication challenges or lack of interaction but may be cognitively intact. When cognitive impairment is incorrectly diagnosed or missed, appropriate communication, worthwhile activities, and therapies may not be offered.
Abrupt changes in cognitive status (as indicative of a delirium) often signal an underlying potentially life-threatening illness and a change in cognition may be the only indication of an underlying problem. The level and specific areas of impairment affect daily function and care needs. By identifying specific aspects of cognitive impairment, nursing interventions can be directed toward facilitating greater function. Probing beyond first, perhaps mistaken, impressions is critical to accurate assessment and appropriate care planning.