Measurable Assessment in Recreation
for Resident-Centered Care
(MARRCC)

Annual, C.O.C., and Re-Admit Assessment
The MARRCC-Annual/C.O.C./Re-admit was designed to assist recreational professionals working in Long Term Care (LTC) in assessing and evaluating the effectiveness and appropriateness of the individualized care plan developed for the resident. Where the MDS is utilized, this assessment should be completed prior to the annual MDS, and should constitute the information source for the Activity section of the MDS.

Purpose

1. Assist the recreation professional in evaluating the effectiveness and appropriateness of the resident's individualized care plan.
2. Enable the recreation professional to monitor change in the resident's functioning level and individual needs within each domain.
3. Assist the recreational professional in determining the need to revise the residents' goals and interventions.
4. Enable the recreation professional to track and monitor change in residents' functioning levels and individual needs, and adjust the recreation program designed to meet those needs.

When to Administer
The MARRCC-Annual/C.O.C./Re-admit should be administered upon the resident's readmission to the facility, once per year prior to the resident's annual MDS, and within 14 days of a major change in health or ability.

Time Needed to Administer
Approximately 15-30 minutes.

Description
The following items are updated on the Annual/COC/Re-admit Assessment:

1. Special considerations/safety issues as they relate to recreation
2. Cognitive Domain
3. Social Domain
4. Physical Domain
5. Emotional Domain
6. Current Leisure Interests
7. Change in Functional Level for Each Domain
8. Current Participation Patterns
9. Recreation Narrative Note
10. Goal Attainment
11. Recreation Plan