Nursing homes and other healthcare facilities must assess residents using the CMS-specified quarterly review assessment at least every three months between comprehensive assessments. The assessment includes tracking critical indicators of gradual changes in a resident's status, but does not require the completion of Care Area Assessments (CAAs). After each assessment, the resident's care plan must be reviewed and revised by the interdisciplinary team. Nursing homes and healthcare facilities must ensure that the Assessment Reference Date (ARD) of the Quarterly MDS is within 92 days (ARD of most recent OBRA assessment +92 days) after the ARD of the previous OBRA assessment, and that the MDS completion date (Item ZOS00B) is no later than 14 days after the ARD (ARD + 14 calendar days). This letter requires nursing homes and healthcare facilities to ensure that their residents are assessed using the standardized quarterly review assessment at least every three months between comprehensive assessments, and to review and revise the resident's care plan after each assessment.

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