10/17/2026
If COPD and shortness of breath while lying flat are being coded on the MDS, make sure your team knows what the record needs to support.
This is an area receiving significant audit attention, and simply documenting that the head of the bed was elevated is not enough on its own.
The medical record should support what the resident experienced during the 7-day lookback period, including observed symptoms, staff-reported symptoms, or documentation that the resident avoids lying flat because of shortness of breath and what interventions were used.
📣 Share this with your MDS and clinical teams. This is one they’ll want to have on their radar. What are you seeing in your facility when it comes to documenting shortness of breath while lying flat? 👇
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Note - Always refer to the RAI Manual.