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The document refers to RUG-III, Version 5.12, which is a classification system used for determining reimbursement rates in skilled nursing facilities.
Activities of Daily Living (ADLs) are scored on a scale from 4 to 18, where lower scores indicate greater independence and higher scores indicate greater dependence.
Criteria for impaired cognition include a BIMS Summary Score of less than or equal to 9, coma status, or severely impaired decision-making skills.
For patients with skin issues, at least two treatments must be provided, including pressure-relieving devices and ulcer care.
The guide outlines various intensity levels for rehabilitation therapy ranging from ultra-high to low intensity based on minutes of therapy provided per week.
Nursing restorative programs must be documented with measurable objectives and evaluated periodically by licensed nurses.
Patients can qualify for special care services if their ADL score is less than 7 while meeting specific clinical criteria.