Understanding and Coding MDS 3.0 Item GG0170N1: 4 Steps (Admission Performance)

Understanding and Coding MDS 3.0 Item GG0170N1: 4 Steps (Admission Performance)

Introduction

Purpose:
MDS Item GG0170N1 evaluates a resident’s ability to go up and down four steps at admission. This assessment is crucial for creating a baseline of the resident’s mobility and determining their initial care plan.

What is MDS Item GG0170N1?

Explanation:
GG0170N1 measures how much assistance a resident needs to ascend and descend four steps at admission. This activity assesses the resident’s ability to manage stairs, which is critical for their safety and independence.

Guidelines for Coding GG0170N1

Coding Instructions:
Code the 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 B requires steadying assistance while ascending and descending four steps. Code GG0170N1 as 04 (Supervision or touching assistance).

Best Practices for Accurate Coding

Documentation:

Ensure that the resident’s typical performance over the first three days of admission is documented accurately.

Communication:

Collaborate with team members to ensure consistent observation and documentation of stair-related activities.

Training:

Provide training on assessing stair mobility, ensuring staff understands the six-point scale and proper documentation.

Conclusion

Summary:
Accurate coding of GG0170N1 ensures the care plan is aligned with the resident’s current mobility, particularly their ability to navigate 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.