Understanding and Coding MDS 3.0 Item GG0170F1: Toilet Transfer (Admission Performance)

Understanding and Coding MDS 3.0 Item GG0170F1: Toilet Transfer (Admission Performance)

Introduction

Purpose:
MDS Item GG0170F1 evaluates a resident’s ability to transfer on and off the toilet at the time of admission. This measure helps establish a baseline for the resident’s mobility, crucial for individualized care planning.

What is MDS Item GG0170F1?

Explanation:
GG0170F1 measures how much assistance a resident needs to transfer onto and off the toilet at admission. It does not include toileting hygiene or clothing management, which are coded under a separate item (GG0130C).

Guidelines for Coding GG0170F1

Coding Instructions:
Use the six-point scale to code the item:

• 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 B can transfer onto the toilet with steadying assistance from a caregiver. Code GG0170F1 as 04 (Supervision or touching assistance).

Best Practices for Accurate Coding

Documentation:

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

Communication:

Coordinate with the interdisciplinary team to ensure accurate documentation and observations during the transfer process.

Training:

Provide staff with training on how to assess and document toilet transfers accurately using the six-point scale.

Conclusion

Summary:
Properly coding GG0170F1 at admission ensures the resident’s mobility abilities are well understood and addressed in 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-55​.

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.