Understanding and Coding MDS 3.0 Item GG0170A1: Roll Left and Right (Admission Performance)

Understanding and Coding MDS 3.0 Item GG0170A1: Roll Left and Right (Admission Performance)

Introduction

Purpose:
MDS Item GG0170A1 assesses a resident’s ability to roll left and right at the time of admission. This is an important part of the resident’s mobility assessment, helping to create a care plan that addresses any mobility limitations.

What is MDS Item GG0170A1?

Explanation:
GG0170A1 evaluates how much assistance the resident requires to roll from side to side in bed. This admission assessment is critical for understanding the resident’s baseline mobility, which is necessary for creating an individualized care plan.

Guidelines for Coding GG0170A1

Coding Instructions:
Use 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 D requires help initiating a roll to their left side but can roll back to their right side independently. Code GG0170A1 as 03 (Partial/moderate assistance).

Best Practices for Accurate Coding

Documentation:

Document the resident’s performance within the first three days after admission to ensure accurate baseline data.

Communication:

Ensure interdisciplinary communication so that all relevant observations on mobility are included in the care plan.

Training:

Train staff on assessing rolling performance without influencing the resident’s abilities, ensuring correct coding.

Conclusion

Summary:
Accurately coding MDS Item GG0170A1 ensures a proper understanding of the resident’s mobility abilities at admission, helping to inform their care plan.

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-47.

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.