Understanding and Coding MDS 3.0 Item GG0170F5: Toilet Transfer (OBRA/Interim Performance)

Understanding and Coding MDS 3.0 Item GG0170F5: Toilet Transfer (OBRA/Interim Performance)

Introduction

Purpose:
MDS Item GG0170F5 evaluates a resident's ability to transfer on and off the toilet during OBRA or interim assessments. This item helps track changes in functional mobility and adjust care plans based on the resident's needs.

What is MDS Item GG0170F5?

Explanation:
GG0170F5 measures how much assistance a resident requires to transfer on and off the toilet or bedside commode during OBRA or interim assessments. This ensures an up-to-date understanding of the resident’s mobility.

Guidelines for Coding GG0170F5

Coding Instructions:
Use the six-point scale for accurate coding:

• 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 D uses a raised toilet seat and requires a helper to support them while transferring onto the toilet. Code GG0170F5 as 04 (Supervision or touching assistance).

Best Practices for Accurate Coding

Documentation:

Record the resident’s typical performance across the three-day assessment period for OBRA or interim assessments.

Communication:

Communicate with interdisciplinary teams to ensure consistency in observations and documentation.

Training:

Train staff to assess and document toilet transfers objectively, following the six-point scale.

Conclusion

Summary:
Properly coding GG0170F5 ensures that care plans reflect the resident’s current functional abilities, allowing for adjustments to mobility support as needed during OBRA 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-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 consult the most current version for updates.