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Understanding and Coding MDS 3.0 Item GG0170B1: Sit to Lying (Admission Performance)

Section GG. Functional Abilities and Goals - Admission (Start of SNF PPS Stay).

Understanding and Coding MDS 3.0 Item GG0170B1: Sit to Lying (Admission Performance)

Introduction

Purpose:
MDS Item GG0170B1 evaluates a resident’s ability to move from a sitting position to lying flat in bed at admission. This measure is vital for developing a care plan that addresses their mobility limitations and needs.

What is MDS Item GG0170B1?

Explanation:
GG0170B1 assesses the amount of assistance a resident needs to transition from sitting to lying. Understanding the resident’s initial ability to perform this task helps plan for necessary mobility support.

Guidelines for Coding GG0170B1

Coding Instructions:
Use the six-point scale:

  • 06 (Independent): The resident can lie down without help.
  • 05 (Setup or clean-up assistance): The resident can lie down, but someone sets up or cleans up.
  • 04 (Supervision or touching assistance): The resident needs supervision or light physical help.
  • 03 (Partial/moderate assistance): The resident completes more than half the task but needs help for the rest.
  • 02 (Substantial/maximal assistance): The resident can complete less than half the task.
  • 01 (Dependent): The resident is fully dependent on the helper to lie down.

Example Scenario:
Resident H requires help positioning their legs but can use their arms to lower their upper body. Code GG0170B1 as 03 (Partial/moderate assistance).

Best Practices for Accurate Coding

Documentation:

Document the resident’s usual performance within the first three days of admission to capture their baseline mobility.

Communication:

Ensure interdisciplinary communication to include all team members' input on the resident's mobility performance.

Training:

Provide training on how to observe and document sitting-to-lying transitions without influencing the resident's actions.

Conclusion

Summary:
Correctly coding GG0170B1 ensures the care team can address the resident’s mobility needs effectively from the beginning of their stay.

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

Reference

Consult CMS's Long-Term Care Facility Resident Assessment Instrument 3.0 User’s Manual, Version 1.19.1, October 2024, Chapter 3, Page GG-48.

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. Always refer to the latest version for updates.

Tags
MDS 3.0
Sit to Lying
Admission Performance
Mobility Assessment
Nursing Home
CMS
GG0170B1
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Section GG. Functional Abilities and Goals - Admission (Start of SNF PPS Stay).

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