Understanding and Coding MDS 3.0 Item GG0170J3: Walk 50 Feet with Two Turns (Discharge Performance)

Understanding and Coding MDS 3.0 Item GG0170J3: Walk 50 Feet with Two Turns (Discharge Performance)

Introduction

Purpose:
MDS Item GG0170J3 evaluates a resident’s ability to walk 50 feet with two turns at discharge. This item is crucial for identifying changes in mobility since admission and for planning post-discharge care.

What is MDS Item GG0170J3?

Explanation:
GG0170J3 assesses how much assistance a resident requires to walk 50 feet and complete two 90-degree turns at discharge. It ensures that the resident’s mobility progress is documented and used to guide care planning.

Guidelines for Coding GG0170J3

Coding Instructions:
Use the six-point scale to code this 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 Y completes a 50-foot walk with two turns but requires the caregiver’s assistance for balance. Code GG0170J3 as 03 (Partial/moderate assistance).

Best Practices for Accurate Coding

Documentation:

Ensure that the resident’s usual performance over the last three days before discharge is recorded.

Communication:

Coordinate with the care team to document the resident’s progress and current mobility status accurately.

Training:

Train staff on assessing walking abilities and documenting necessary assistance levels.

Conclusion

Summary:
Accurate coding of GG0170J3 at discharge helps ensure the care team provides the resident with the right support after leaving the facility.

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-60​.

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.