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accurate assessments or reassessments as needed to supplement the preliminary evaluation

conducted prior to admission.

Guidance §483.440(c)(3)

For new admissions, the CFA is completed within 30 days after admission and is utilized as the

basis for the IPP.

New, revised or updated assessments completed within the first 30 days of admission,

accurately identify the functional abilities of the client.

"Accurate" assessments refer to assessment data that are current, relevant and valid, and the

skills, abilities, and training needs identified by the assessment correspond to the client's actual,

observed status. Assessments must be administered with appropriate adaptations such as

specialized equipment, use of an interpreter, use of manual communication and tests designed

to measure performance in the presence of visual disability.

The content of or format of the assessments or the particular assessment tools which are to be

used for the CFA are not specified. Assessments must include identification of those functional

life skills in which the client needs to be more independent and those services needed for the

client to become more community integrated.