Understanding and Coding MDS 3.0 Item GG0170C1: Lying to Sitting on Bedside (Admission Performance)

Introduction

Purpose:
MDS Item GG0170C1 evaluates a resident’s ability to move from lying down to sitting on the edge of the bed at admission. This assessment is crucial for determining the resident’s baseline mobility upon entering the facility.

What is MDS Item GG0170C1?

Explanation:
GG0170C1 measures the amount of assistance a resident requires to transition from lying in bed to sitting upright. Understanding this task's difficulty helps create a care plan to support the resident’s mobility needs during their stay.

Guidelines for Coding GG0170C1

Coding Instructions:
Use the six-point scale:

• 06 (Independent): The resident completes the task without help.
• 05 (Setup or clean-up assistance): The resident can perform the task after someone sets up or removes items.
• 04 (Supervision or touching assistance): The resident needs light touch or supervision.
• 03 (Partial/moderate assistance): The resident completes more than half of the task.
• 02 (Substantial/maximal assistance): The resident performs less than half of the task and requires significant assistance.
• 01 (Dependent): The helper performs the entire task.

Example Scenario:
Resident K needs help to lift their legs but can push up to a sitting position. Code GG0170C1 as 03 (Partial/moderate assistance).

Best Practices for Accurate Coding

Documentation:

Record the resident’s usual performance during the first three days of admission to ensure an accurate assessment of their mobility.

Communication:

Encourage team collaboration to ensure the resident’s mobility is consistently observed and documented.

Training:

Provide staff training on observing and recording transitions from lying to sitting objectively without influencing the resident’s ability.

Conclusion

Summary:
Accurately coding MDS Item GG0170C1 ensures that the resident’s care plan reflects their mobility at admission, helping address any needs during their stay.

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-49.

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.