CMS Manual System - Louisiana Department of Health and Hospitals

The resident experienced daily or less than daily discomfort with no compromise
in physical, mental, or psychosocial functioning as a result of the facility‘s failure
to adequately recognize or address the situation, or failure to develop, implement,
monitor, or modify a pain management plan to try to meet the resident‘s needs; or
The resident experienced minimal episodic pain or discomfort (that was not
significant pain) related to care/treatment, as a result of the facility‘s failure to
develop, implement, monitor, or modify a pain management plan.
Severity Level 1: No actual harm with potential for no more than minimal harm for
a resident with pain or potential for pain.
The failure of the facility to provide appropriate care and services for pain management
places the resident at risk for more than minimal harm. Therefore, Severity Level 1 does
not apply for this regulatory requirement.
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§483.25(a) Activities of Daily Living.
Based on the comprehensive assessment of a resident, the facility must ensure that
Intent §483.25(a)
The intent of this regulation is that the facility must ensure that a resident‘s abilities in
ADLs do not deteriorate unless the deterioration was unavoidable.
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F310
(Rev. 66, Issued: 10-01-10, Effective: 10-01-10 Implementation: 10-01-10)
§483.25(a)(1) A resident’s abilities in activities of daily living do not diminish unless
circumstances of the individual’s clinical condition demonstrate that diminution was
unavoidable. This includes the resident’s ability to --
(i) Bathe, dress, and groom;
(ii) Transfer and ambulate;
(iii) Toilet;
(iv) Eat; and
(v) Use speech, language, or other functional communication systems.