Re-Creative Resources
By Kimberly Grandal, BA, CTRS, ACC, Executive Director
http://www.recreativeresources.com/index.htm
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KIMBERLY GRANDAL
Executive Director
Re-Creative Resources
About Kim

Kimberly Grandal, Founder
and Executive Director of Re-
Creative Resources, Inc., is a
strong advocate for the field of
Therapeutic Recreation and
Activities, with over fifteen
years of experience working
with the elderly in numerous
management and consultant
positions.  She is an Activity
Consultant Certified and a
Certified Therapeutic
Recreation Specialist. Kim is a
member of the New Jersey
Activity Professionals
Association and the New
Jersey/Eastern Pennsylvania
Therapeutic Recreation
Association.

In 1990, Kim graduated from
William Paterson University
with a BA in Sociology and
later studied gerontology
courses at Union County
College and Therapeutic
Recreation courses at Kean
University. Throughout her
career, Kim has been the
Director of Therapeutic
Recreation for several long-
term care facilities, including
one of NJ’s largest.

In 2006, Kim founded Re-
Creative Resources Inc. She is
a speaker for various state and
local activity associations such
as NJAPA, MOCAP, and
NJACA, as well as the Society
of Licensed Nursing Home
Administrators of NJ. She also
offers lectures for Re-Creative
Resources Inc., local colleges,
and community groups, and
provides consultation and
support to numerous facilities
in the state.

Kim is the editor and writer for
the “The Rec-Room", a
monthly newsletter published
by her company. In addition,
she writes monthly articles for
the Activity Directors Office
newsletter, and has contributed
articles to Creative Forecasting
Magazine, and The
Continuing Care Insite
newsletter.

Kim is a recipient of the
Kessler Institute of
Rehabilitation 1997 Triumph
of the Human Spirit Award.  
Her passion is to promote the
field of Therapeutic
Recreation and Activities and
to unite Recreation Therapists
and Activity Professionals. Kim
currently serves on the NJAPA
board as the Chairperson for
the Legislation Committee.
About
Re-Creative
Resources Inc.

Re-Creative Resources, Inc. is
committed to enhancing the
lives of long-term care
residents through the use of
Therapeutic Recreation. We
provide a variety of services
such as Therapeutic
Recreation seminars,
in-services, resources, form
development, program analysis
and development,
consultation, and support for
activity professionals and
recreational therapists. A
selection of downloadable
training materials and forms
are available for your
convenience as well as a free
job posting site.
Subscribe to Kimberly's Newsletter
See Kim's You-Tube videos (Click Here)
MDS 3.0 Update
Kimberly Grandal, BA, CTRS, ACC/EDU
kimgrandal@aol.com


MDS 3.0 Update
11/1/09

CMS recently added new MDS 3.0 files and downloads on their website. The following
items were added in late October, 2009:

•        MDS 3.0 Item Subsets  – A file that contains the various subsets of the  MDS 3.0
assessment and tracking document such as admission, quarterly, annual, significant
change, discharge, etc.
•        MDS 3.0 Item Matrix  - This document identifies the items required for each type of
assessment along with how the item is used (e.g. QMs, QIs, CATs, RUG-IV, or RUG-III).
•        MDS 3.0 Data Submission Specifications - Detailed data submission
specifications for MDS 3.0.
•        MDS 3.0 CATs Specifications - This document provides Care Area Trigger (CAT)
specifications for the MDS 3.0 items used in triggering the Care Area, the conditions for
triggering, and Visual Basic code for triggering. The CATs are replacing the MDS 2.0
Resident Assessment Protocols RAPs. Psychosocial well-being and activities still have
areas that will trigger.

If you are eagerly awaiting the MDS 3.0 RAI Manual as I am, chapters 1, 2, 3, 5, and 6
are expected to be published in November. Chapter 4 (Care Area Assessments (CAAs)
& Appendix C (CAA resources) should be posted in December. The manual will
include: Description and instructions for types of assessments and tracking
documents, each MDS 3.0 item, the Care Area Assessment, submission and
correction of MDS 3.0 records, Skilled Nursing Facility and Swing Bed Prospective
Payment System (SNF PPS) policy for the MDS 3.0, and the RUG-IV classification
system.

CMS highly recommends that everyone should hold back from training until after the
"Train-the-Trainer" sessions have been completed. The Train-The Trainer sessions are
scheduled for the spring of 2010.

Download all of the MDS 3.0 forms and information at
http://www.cms.hhs.
gov/NursingHomeQualityInits/25_NHQIMDS30.asp
MDS 3.0 implementation date is scheduled for October 1, 2010
Questions regarding the data specifications should be directed to
MDS30Comments@cms.hhs.gov.