Understanding and Coding MDS 3.0 Item GG0170F3: Toilet Transfer (Discharge Performance)

Understanding and Coding MDS 3.0 Item GG0170F3: Toilet Transfer (Discharge Performance)

Introduction

Purpose:
MDS Item GG0170F3 evaluates a resident’s ability to transfer on and off the toilet at discharge. This helps track changes in mobility since admission and informs the discharge care plan.

What is MDS Item GG0170F3?

Explanation:
GG0170F3 assesses how much assistance a resident needs to transfer on and off the toilet at discharge. It is essential for determining what level of support the resident will need post-discharge.

Guidelines for Coding GG0170F3

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 C uses a raised toilet seat and requires substantial help to complete the transfer. Code GG0170F3 as 02 (Substantial/maximal assistance).

Best Practices for Accurate Coding

Documentation:

Ensure documentation reflects the resident’s performance during the last three days before discharge to accurately capture any changes.

Communication:

Collaborate with the care team to ensure that the resident’s toilet transfer abilities are well-documented and consistent across assessments.

Training:

Provide staff with training on the correct evaluation and documentation of toilet transfers at discharge, using the six-point scale.

Conclusion

Summary:
Accurately coding GG0170F3 ensures that the resident’s discharge plan addresses their current mobility needs, helping them transition smoothly to the next level of care.

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.