Understanding and Coding MDS 3.0 Item GG0170J5: Walk 50 Feet with Two Turns (OBRA/Interim Performance)

Understanding and Coding MDS 3.0 Item GG0170J5: Walk 50 Feet with Two Turns (OBRA/Interim Performance)

Introduction

Purpose:
MDS Item GG0170J5 assesses a resident’s ability to walk 50 feet with two turns during OBRA or Interim assessments. This item helps track mobility changes over time and informs necessary care adjustments.

What is MDS Item GG0170J5?

Explanation:
GG0170J5 evaluates how much assistance a resident needs to walk 50 feet and make two 90-degree turns during OBRA or Interim assessments. This measure is crucial for monitoring functional changes and updating care plans accordingly.

Guidelines for Coding GG0170J5

Coding Instructions:
Use the 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 Z requires substantial support to walk 50 feet with two turns, as they are unsteady when turning. Code GG0170J5 as 02 (Substantial/maximal assistance).

Best Practices for Accurate Coding

Documentation:

Ensure that the resident’s usual performance over the three-day OBRA or Interim assessment period is captured.

Communication:

Work with the interdisciplinary team to ensure consistent assessment and documentation of mobility.

Training:

Provide training on evaluating walking abilities during OBRA or Interim assessments, ensuring accurate application of the six-point scale.

Conclusion

Summary:
Accurate coding of GG0170J5 ensures that any mobility changes are identified and addressed promptly in the resident’s 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-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.