Understanding and Coding MDS 3.0 Item GG0130G3: Lower Body Dressing (Discharge Performance)

Understanding and Coding MDS 3.0 Item GG0130G3: Lower Body Dressing (Discharge Performance)

Introduction

Purpose:
MDS 3.0 Item GG0130G3 assesses a resident’s lower body dressing performance at discharge. Accurate assessment of dressing capabilities informs care planning for post-discharge needs.

What is MDS Item GG0130G3?

Explanation:
This item measures the resident’s ability to dress their lower body, including putting on pants, socks, shoes, and lower extremity prostheses if applicable. The resident's performance is observed and documented as part of their discharge assessment.

Guidelines for Coding GG0130G3

Coding Instructions:
Use the six-point scale based on how much assistance the resident needs to dress their lower body:

• 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 Z is able to pull up their pants but needs help steadying themselves to put on their socks. GG0130G3 would be coded 04 (Supervision or touching assistance).

Best Practices for Accurate Coding

Documentation:

Ensure the discharge assessment reflects the resident's usual performance in the days before discharge.

Communication:

Collaborate with therapists and nurses to confirm the accuracy of the resident's performance level.

Training:

Staff should be trained to assess lower body dressing tasks without influencing the resident's performance.

Conclusion

Summary:
Coding GG0130G3 ensures accurate discharge planning and continuity of care. Accurate documentation of lower body dressing performance helps facilitate a smooth transition to the next care setting.

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-31.

Disclaimer

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