Below are examples of how to frame CAA "scripts" or narrative summaries for common triggers: 1. Activities (Care Area 4)
“Mr. Jones triggered for Nutritional Status due to a 5% weight loss in 30 days (Section K). Investigation shows he has been refusing mechanical soft textures and coughing during meals. SLP evaluation (dated 4/25) indicates mild oropharyngeal dysphagia. Resident reports he 'hates the taste' of supplements. Risk factors include poor dentition and recent medication changes affecting appetite. Rationale: Care plan will address weight stabilization through preferred high-calorie snacks and a transition to a regular diet with SLP monitoring” . 3. Psychotropic Medication Use (Care Area 10) Mds 3.0 Caa Script Examples
To ensure your CAA summaries meet regulatory standards found in the CMS RAI Manual, always include these four elements: Section V Care Area Assessment (CAA) Summary Below are examples of how to frame CAA