In height assessment for MDS, what should you do if the last recorded height was more than one year ago?

• A. Measure a new height
• B. Use the last recorded height
• C. Estimate height
• D. Wait for the next annual review

Answer: (A)

Height data used for BMI and nutrition risk in MDS must be current. In older adults, even small errors or changes in height over time can alter BMI calculations enough to affect care decisions. When the last recorded height was more than a year ago, you should measure a new height to ensure the BMI and subsequent nutrition assessment reflect the resident’s present size. Use a proper method (standing, no shoes, with a calibrated stadiometer) to obtain an accurate measurement. Relying on an older height or estimating can misclassify weight status and delay appropriate interventions, so re-measuring promptly is best practice rather than waiting for the next annual review.