OASIS-C Living Arrangements Contact: Cindy Skogen, RN (OEC) , or for questions. Source: Center for Medicare and Medicaid Services Living Arrangements 1

M1100 Patient Living Situation Living Arrangement Availability of Assistance Around the clock Regular Daytime Regular Nighttime Occasional/ short-term assistance No assistance available a. Patient lives alone b. Patient lives with other person(s) in the home c. Patient lives in congregate situation (e.g., assisted living) Living Arrangements 2

M1100 Patient Living Situation (cont.) Determine in the care providers professional judgment – a) Whether the patient is living alone or with other(s) and – b) The availability of caregivers to provide assistance To answer this question: – First, select the row that reflects the patients living situation – Second, select the column that reflects how frequently caregivers are in the home and available to provide assistance, if needed Living Arrangements 3

M1100 Patient Living Situation (cont.) Select a response from Row a if t he patient lives alone in an independent (non-assisted) setting Example: the patient lives alone in a home, in their own apartment or in their own room at a boarding house A patient with only live-in, paid help is considered to be living alone Living Arrangements 4

M1100 Patient Living Situation (cont.) Living Arrangements 5 Select a response from Row b if the patient lives with others in an independent (non-assisted) setting – Example: the patient lives with a spouse, family member or another significant other in an independent (non-assisted) setting – If a person living in the patients home is completely unable to, or unwilling to, provide any assistance to the patient, do not count them as a caregiver (Response 10) Select a response from Row c if the patient lives in an assisted living setting. Assistance, supervision and/or oversight are provided as part of the living arrangement – Example: the patient lives alone or with a spouse or partner in an apartment or room that is part of an assisted living facility, residential care home, or personal care home

M1100 Patient Living Situation (cont.) Living Arrangements 6 If the patient living situation varies: – A caregiver temporarily staying with the patient to provide care – A family member living with the patient who occasionally travels out of town Select the response that best reflects the usual living arrangements – Usual status is considered the living conditions prior to illness, injury, or exacerbation of condition for which the patient is receiving care for this episode. – If patient has recently changed their living arrangement, report the usual living situation prior to the illness, unless the new living arrangement is expected to be permanent

M1100 Patient Living Situation (cont.) Identify the frequency with which in-person assistance is provided – Availability of assistance refers to the expected availability and willingness of caregiver(s) for this upcoming episode of care Assistance includes any type of in-person assistance – Including, but not limited to, ADLs and IADLs Does not include assistance from someone by phone or emergency assistance (Lifeline or 911) A call-bell that can summon onsite help in any congregate setting is considered in-person assistance Living Arrangements 7

M1100 Patient Living Situation (cont.) Use your professional judgment to determine if the caregivers can/will provide assistance to the patient if needed – Consider caregivers cognitive, physical and emotional ability to provide needed physical assistance with ADLs and IADLs Consider when they are in the home and the relationship the patient has with caregivers Living Arrangements 8

M1100 Patient Living Situation (cont.) Around the clock – means someone is available in the home to provide assistance to the patient 24 hours a day (with infrequent exceptions) Regular daytime/nighttime – means someone is in the home and available to provide assistance during daytime/nighttime hours every day/night with infrequent exceptions – Regular daytime/nighttime is not defined by CMS – Use clinical judgment to determine which hours constitute regular day and night time for each patient based on their specific activities or routines Living Arrangements 9

M1100 Patient Living Situation (cont.) Occasional/short-term assistance – means someone is available to provide in-person assistance only for a few hours a day or on an irregular basis, or may be only able to help occasionally No assistance available – means there is no one available to provide any in-person assistance Living Arrangements 10

Questions??? Cindy Skogen, RN; Oasis Education Coordinator Living Arrangements 11