Understanding and Coding MDS 3.0 Item GG0170M3: 1 Step (Curb) (Discharge Performance)

Understanding and Coding MDS 3.0 Item GG0170M3: 1 Step (Curb) (Discharge Performance)

Introduction

Purpose:
MDS Item GG0170M3 assesses a resident’s ability to step up and down a curb or one step at discharge. This evaluation helps identify any changes in the resident’s mobility since admission, ensuring the discharge plan is appropriate for their current capabilities.

What is MDS Item GG0170M3?

Explanation:
GG0170M3 measures the assistance a resident needs to step up and down one curb or step during discharge. This item assesses functional mobility and reflects the resident’s ability to safely navigate curbs or steps after leaving the facility.

Guidelines for Coding GG0170M3

Coding Instructions:
Code this item using 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 A steps down a curb with assistance from a helper who provides steadying support. Code GG0170M3 as 04 (Supervision or touching assistance).

Best Practices for Accurate Coding

Documentation:

Ensure that documentation reflects the resident’s typical performance over the last three days before discharge.

Communication:

Work with interdisciplinary teams to ensure consistency in observations and coding for the curb or step activity.

Training:

Train staff on assessing and coding stair and curb activities, focusing on accurate application of the six-point scale.

Conclusion

Summary:
Accurate coding of GG0170M3 ensures the care plan and discharge recommendations reflect the resident’s ability to navigate curbs or steps safely.

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 refer to the latest version for updates.