Understanding and Coding MDS 3.0 Item GG0170I5: Walk 10 Feet (OBRA/Interim Performance)

Understanding and Coding MDS 3.0 Item GG0170I5: Walk 10 Feet (OBRA/Interim Performance)

Introduction

Purpose:
MDS Item GG0170I5 evaluates a resident’s ability to walk 10 feet during OBRA or Interim assessments. This is vital for tracking changes in mobility and ensuring that care plans remain up-to-date with the resident’s current abilities.

What is MDS Item GG0170I5?

Explanation:
GG0170I5 assesses how much assistance a resident needs to walk 10 feet during OBRA or interim assessments. This item helps capture any functional changes that may require modifications to the care plan.

Guidelines for Coding GG0170I5

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 needs significant assistance to walk 10 feet due to muscle weakness. Code GG0170I5 as 02 (Substantial/maximal assistance).

Best Practices for Accurate Coding

Documentation:

Ensure accurate documentation of the resident’s usual performance during the three-day assessment period for OBRA or interim assessments.

Communication:

Collaborate with the care team to ensure consistency in assessment and documentation of mobility performance.

Training:

Train staff to evaluate walking ability, focusing on accurate application of the six-point scale.

Conclusion

Summary:
Accurately coding GG0170I5 ensures that the care plan reflects the resident’s true mobility capabilities, enabling appropriate adjustments to interventions.

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-58​.

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.