Source anchor
CMS MDS 3.0 RAI Manual v1.20.1 is the governed baseline currently attached to this lookup item.
Question Q0500B (cont.)
CMS MDS 3.0 RAI Manual v1.20.1 is the governed baseline currently attached to this lookup item.
4 matrix group(s) are already attached for review on this item.
No governed answer rows are attached yet. Add sub-items to populate the answer-codes view.
Question Q0500B (cont.)
Use this item when the facility is completing content tied to Section Q 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.
Question Q0500B (cont.) Examples
1. Resident G is a 45-year-old individual weighing 300 pounds who is cognitively intact. They
have congestive heart failure and shortness of breath requiring oxygen at all times. Resident G also requires 2 person assistance with bathing and transfers to the commode. They were admitted to the NH 3 years ago after their adult child who was caring for them passed away. During their Quarterly assessment, the NH social worker discussed options in which they could be cared for in the community but Resident G refused to consider leaving the NH. During the review of their clinical record, the assessor found that on their last MDS assessment, Resident G stated that they did not want to be asked again about returning to community living, that they have friends in the NH and really like the activities.
Coding: Q0490 would be coded 1, Yes, skip to Q0610; because this is a
Quarterly assessment. If this was a comprehensive assessment, then proceed to the next item Q0500B.
Rationale: On their last MDS 3.0 assessment, Resident G indicated their preference to
not want to be asked again about returning to community living (0. No on Q0550A).
2. Resident R is an 82-year-old widowed individual with advanced Alzheimer’s disease. They
have resided at the nursing home for 4½ years and their family requests that they not be interviewed because they become agitated and upset and cannot be cared for by family members or in the community.
Coding: Q0490 would be coded 1, Yes, skip to Q0610.
If this is a comprehensive assessment proceed to the next item, Q0500B.
Rationale: Resident R’s family requests that they opt out of the return to the
community question because they become agitated when asked about return to community. They are only asked with comprehensive assessments.