Minimum Data Set (Mds) - Resident Assessment And Care Screening Page 9
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9Resident
Identifier
Date
Section
GG.
Functional Abilities and Goals - Discharge (End of SNF PPS
Stay).
GG0170. Mobility (Assessment period is the last 3 days of the SNF PPS Stay ending on
A2400C).
Complete only if A0310G is not = 2 and A0310H = 1 and A2400C minus A2400B is greater than 2 and A2100 is not =
03.
Code the resident's usual performance at the end of the SNF PPS stay for each activity using the 6-point scale. If an activity was not attempted
at the end of the SNF PPS stay, code the reason.
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.
3.
Discharge
Performance.
Enter Codes in Boxes
B. Sit to lying: The ability to move from sitting on side of bed to lying flat on the bed.
C. Lying to sitting on side of bed: The ability to safely move from lying on the back to sitting on the side of the bed with feet
flat on the floor, and with no back support.
D. Sit to stand: The ability to safely come to a standing position from sitting in a chair or on the side of the
bed..
E. Chair/bed-to-chair transfer: The ability to safely transfer to and from a bed to a chair (or wheelchair).
F. Toilet transfer: The ability to safely get on and off a toilet or commode.
H3. Does the resident walk?
0. No
Skip to GG0170Q3, Does the resident use a wheelchair/scooter?
2. Yes
Continue to GG0170J, Walk 50 feet with two turns
J. Walk 50 feet with two turns: Once standing, the ability to walk at least 50 feet and make two turns.
K. Walk 150 feet: Once standing, the ability to walk at least 150 feet in a corridor or similar space.
Q3. Does the resident use a wheelchair/scooter?
0. No
Skip to H0100, Appliances
Yes.
1.
Continue to GG0170R, Wheel 50 feet with two turns
R. Wheel 50 feet with two turns: Once seated in wheelchair/scooter, can wheel at least 50 feet and make two
turns..
RR3. Indicate the type of wheelchair/scooter used.
1.
Manual.
Motorized.
2.
S. Wheel 150 feet: Once seated in wheelchair/scooter, can wheel at least 150 feet in a corridor or similar space.
SS3. Indicate the type of wheelchair/scooter used.
1.
Manual.
Motorized.
2.
MDS 3.0 Nursing Home Sections A and GG Corrected Version 1.14.0 DRAFT
Page 9 of 9
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