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Printed on 4/21/2026
For informational purposes only. This is not medical advice.
BIMS is a brief structured cognitive screen used widely in nursing-home and post-acute workflows. It assesses immediate repetition, temporal orientation, and delayed recall/cued recall. Total score ranges from 0 to 15, with lower scores indicating greater cognitive impairment signal.
Formula: BIMS total = repetition (0-3) + orientation (0-6) + delayed recall (0-6), range 0-15.
BIMS score bands (13-15, 8-12, 0-7) are widely used operational thresholds in U.S. post-acute and long-term-care workflows.
Lower BIMS totals indicate greater cognitive concern and support escalation to structured diagnostic and functional workup.
Use in long-term care, post-acute, and geriatric follow-up settings for quick cognitive-status screening and trend monitoring.
BIMS is a short screen and may miss important executive/language deficits; sensory impairment, language barriers, and acute illness can affect scores.
For related assessments, see SLUMS Score, MoCA Score and Mini-Cog.
Disclaimer: This tool is for educational and informational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider with questions about your health.
Classify SLUMS cognitive-screen totals (0-30) to support triage for fuller neurocognitive evaluation.
Mental HealthInterpret Montreal Cognitive Assessment (MoCA) scores. The leading cognitive screening tool for mild cognitive impairment and dementia.
GeriatricsScreen for possible cognitive impairment using delayed 3-word recall plus clock drawing (score 0-5).
GeriatricsScreen for delirium using the CAM (Confusion Assessment Method). Gold standard with ~94% sensitivity and ~89% specificity. Requires acute onset + inattention, plus disorganized thinking or altered consciousness.