Residents with valid assessments whose bladder continence could worsen (did not have maximum score on prior assessment)
1. Residents with valid assessments. To be considered valid, the target assessment must
a. Be the latest assessment in the quarter
b. Be carried out more than 92 days after the Admission Date
c. Not be an Admission Full Assessment
As this is an incidence indicator, the resident must also have had an assessment in the previous quarter, with 45 to 165 days between the target and prior assessments. If multiple assessments in the previous quarter meet the time period criteria, the latest assessment is selected as the prior assessment.
1. Residents who are comatose (B1 = 1), end-stage (J5c = 1) or receiving hospice care (P1ao = 1)
2. Residents who have the maximum score for bladder incontinence (H1b = 4) on the previous assessment (cannot get worse)