Understanding and Coding MDS 3.0 Item GG0170D5: Sit to Stand (OBRA/Interim Performance)

Introduction

Purpose:
MDS Item GG0170D5 assesses the resident's ability to transition from a seated to a standing position during OBRA or interim assessments. This item helps track changes in mobility and adjust care plans based on the resident's current functional status.

What is MDS Item GG0170D5?

Explanation:
GG0170D5 evaluates how much assistance the resident needs to move from sitting to standing during OBRA or interim assessments. This is important for understanding the resident's evolving mobility capabilities and ensuring appropriate care interventions.

Guidelines for Coding GG0170D5

Coding Instructions:
Use the standard 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 P can rise from a seated position but requires light touch assistance for balance. Code GG0170D5 as 04 (Supervision or touching assistance).

Best Practices for Accurate Coding

Documentation:

Ensure that documentation captures the resident’s usual performance over the last three days of the OBRA or interim assessment period.

Communication:

Collaborate with the care team to accurately assess and document the resident's mobility during OBRA assessments.

Training:

Train staff on the proper assessment of sit-to-stand transitions, ensuring accurate coding using the six-point scale.

Conclusion

Summary:
Accurately coding GG0170D5 helps keep the resident’s care plan up-to-date, reflecting any changes in mobility during OBRA or interim assessments.

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-51​.

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 most current version for updates.