RUGS-II Definitions

Special Care. This group includes very heavy care patients, i.e., their functional level is on the whole very low. Characteristics involved in placing a resident in this group are one or more of the following: coma, quadriplegia, multiple sclerosis, stage 4 decubiti, nasal-gastric feeding, parenteral feeding, suctioning. To qualify, an ADL Index score of 5 or more is also required.

SUBGROUP	ADL INDEX
Special A	5-7
Special B	8-10

Rehabilitation. The rehabilitation group consists of those residents who receive physical or occupational therapy services at least five days a week and have a restorative goal.

SUBGROUP	ADL INDEX
Rehabilitation A	3-4
Rehabilitation B	5-9

Clinically Complex. This group, as contrasted with special care, is distinguished by more acute medical problems or otherwise extensive medical needs. The residents as a group are not so functionally impaired in Activities of Daily Living as the special care group. A clinically complex resident is characterized by one or more of the following: Cerebral palsy, hemiplegia, urinary tract infection, dehydration, internal bleeding, stasis ulcer, late stages of terminal illness, oxygen therapy, wound/lesion care, chemotherapy, transfusions, dialysis, or physician care at least weekly.

SUBGROUP	ADL INDEX
Clinically Complex A	3
Clinically Complex B	4-6
Clinically Complex C	7-8
Clinically Complex D	9

Severe Behavioral Problem. This group is characterized by high frequency and severe level of one or more of the following problems: physical aggression, regression, verbal abuse, or hallucinations.

SUBGROUP	ADL INDEX
Behavioral A	3
Behavioral B	4-7
Behavioral C	8-9

Reduced Physical Functioning. This group includes all residents that do not qualify in the above four hierarchy groups. This group is characterized by reduced levels of Activity of Daily Living functioning.

SUBGROUP	ADL INDEX
Physical A	3
Physical B	4
Physical C	5-7
Physical D	8
Physical E	9