Understanding and Coding MDS 3.0 Item GG0130G1: Lower Body Dressing (Admission Performance)

Introduction

Purpose:
MDS Item GG0130G1 assesses the resident's ability to dress their lower body at the time of admission. This includes putting on and removing clothing like pants, skirts, and footwear.

What is MDS Item GG0130G1?

Explanation:
GG0130G1 focuses on the resident's performance in dressing the lower body. This includes donning pants, socks, shoes, and any medical devices like orthotics. This item is essential for determining the level of assistance required and creating an individualized care plan.

Guidelines for Coding GG0130G1

Coding Instructions:
Code GG0130G1 based on the six-point scale:

• 06 (Independent)
• 05 (Setup or clean-up assistance)
• 04 (Supervision or touching assistance)
• 03 (Partial/moderate assistance)
• 02 (Substantial/maximal assistance)
• 01 (Dependent)

Example Scenario:
Resident X requires minimal assistance to put on socks but can manage pants and shoes independently. In this case, GG0130G1 would be coded as 03 (Partial/moderate assistance).

Best Practices for Accurate Coding

Documentation:

Record the resident’s performance within the first three days after admission, ensuring the data reflects their ability across all relevant tasks.

Communication:

Coordinate with occupational therapists and other staff to ensure a clear understanding of the resident’s abilities during lower body dressing.

Training:

Staff should be trained to use the six-point scale and understand how to assess and document dressing abilities without influencing the resident’s performance.

Conclusion

Summary:
Accurate coding of GG0130G1 allows the healthcare team to provide tailored support for residents, ensuring that their independence is maximized, and their care needs are appropriately addressed.

Click here to see a detailed Step-by-Step on how to complete this item set.

Reference

Refer to CMS's Long-Term Care Facility Resident Assessment Instrument 3.0 User’s Manual, Version 1.19.1, October 2024, Chapter 3, Page GG-34 for detailed guidelines.

Disclaimer

This article is based on the CMS's Long-Term Care Facility Resident Assessment Instrument 3.0 User’s Manual, Version 1.19.1, October 2024.