Minimum Data Set (Mds) - Resident Assessment And Care Screening Page 6
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9Resident
Identifier
Date
Section
GG.
Functional Abilities and Goals - Admission (Start of SNF PPS
Stay).
GG0130. Self-Care (Assessment period is days 1 through 3 of the SNF PPS Stay starting with
A2400B).
Complete only if A0310B =
01.
Code the resident's usual performance at the start of the SNF PPS stay for each activity using the 6-point scale. If activity was not attempted at
the start of the SNF PPS stay, code the reason. Code the patient's end of SNF PPS stay goal(s) using the 6-point scale.
Coding:
Safety and Quality of Performance - If helper assistance is required because resident's performance is
If activity was not attempted, code
unsafe or of poor quality, score according to amount of assistance provided.
reason:
Activities may be completed with or without assistive devices.
07. Resident refused.
06. Independent - Resident completes the activity by him/herself with no assistance from a helper.
09. Not applicable.
05. Setup or clean-up assistance - Helper SETS UP or CLEANS UP; resident completes activity. Helper
88. Not attempted due to medical
assists only prior to or following the activity.
condition or safety concerns.
04. Supervision or touching assistance - Helper provides VERBAL CUES or TOUCHING/STEADYING
assistance as resident completes activity. Assistance may be provided throughout the activity or
intermittently.
03. Partial/moderate assistance - Helper does LESS THAN HALF the effort. Helper lifts, holds, or
supports trunk or limbs, but provides less than half the
effort..
02. Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds
trunk or limbs and provides more than half the
effort..
01. Dependent - Helper does ALL of the effort. Resident does none of the effort to complete the activity.
Or the assistance of 2 or more helpers is required for the resident to complete the activity.
1.
2.
Admission
Discharge
Performance.
Goal.
Enter Codes in Boxes
A. Eating: The ability to use suitable utensils to bring food to the mouth and swallow food once the meal is
presented on a table/tray. Includes modified food consistency.
B. Oral hygiene: The ability to use suitable items to clean teeth. [Dentures (if applicable): The ability to remove and
replace dentures from and to the mouth, and manage equipment for soaking and rinsing them.]
C. Toileting hygiene: The ability to maintain perineal hygiene, adjust clothes before and after using the toilet,
commode, bedpan, or urinal. If managing an ostomy, include wiping the opening but not managing
equipment..
MDS 3.0 Nursing Home Sections A and GG Corrected Version 1.14.0 DRAFT
Page 6 of 9
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