Understanding and Coding MDS 3.0 Item GG0170M1: 1 Step (Curb) (Admission Performance)

Understanding and Coding MDS 3.0 Item GG0170M1: 1 Step (Curb) (Admission Performance)

Introduction

Purpose:
MDS Item GG0170M1 assesses a resident’s ability to step up and down one curb or step at admission. This information is essential for establishing a baseline of the resident’s functional mobility.

What is MDS Item GG0170M1?

Explanation:
GG0170M1 evaluates how much assistance a resident needs to step up and down one curb or step at admission. It provides insight into their functional mobility, helping to determine appropriate interventions for support.

Guidelines for Coding GG0170M1

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 steps up and down one curb with the help of a therapist providing steadying assistance. Code GG0170M1 as 04 (Supervision or touching assistance).

Best Practices for Accurate Coding

Documentation:

Ensure documentation accurately reflects the resident’s typical performance over the first three days of admission.

Communication:

Collaborate with the care team to ensure consistency in coding and observation for stepping activities.

Training:

Provide staff training on how to assess stepping up and down curbs, using the six-point scale.

Conclusion

Summary:
Accurately coding GG0170M1 helps create a care plan that supports the resident’s current mobility needs, particularly their ability to navigate curbs and steps.

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-62 .

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.