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Uniform assessment instrument 2026

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  1. Click ‘Get Form’ to open the Uniform Assessment Instrument in the editor.
  2. Begin by filling out Section One, which includes General Information. Enter the resident's name, Social Security number, date of birth, sex, and date of admission. Select the type of assessment being conducted.
  3. Proceed to Section Two, focusing on Functional Abilities. For each Activity of Daily Living (ADL), check the appropriate box that reflects the resident's level of independence or assistance required.
  4. In Section Three, provide Health Information. Fill in details about the primary physician, recent hospitalizations, vital signs, and any relevant medical conditions by checking applicable boxes.
  5. Complete Section Four by assessing Psychological/Social/Cognitive Information. Indicate orientation status and any behavioral concerns that may affect care.

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VIRGINIA UNIFORM ASSESSMENT INSTRUMENT

1. Evidence of medical instability. 2. Need for observation/assessment to prevent destabilization. 3. Complexity created by multiple medical conditions.Read more

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