Understanding and Coding MDS 3.0 Item GG0170R1: Wheel 50 Feet with Two Turns (Admission Performance)

Understanding and Coding MDS 3.0 Item GG0170R1: Wheel 50 Feet with Two Turns (Admission Performance)

Introduction

Purpose:
MDS Item GG0170R1 assesses a resident’s ability to wheel 50 feet and make two 90-degree turns at admission. This information helps establish a baseline for wheelchair mobility and aids in care planning.

What is MDS Item GG0170R1?

Explanation:
GG0170R1 captures the assistance a resident needs to wheel 50 feet and make two 90-degree turns. This item is essential for assessing wheelchair mobility and ensuring safety during wheelchair use.

Guidelines for Coding GG0170R1

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 T wheels 50 feet and completes two turns independently but needs help setting up the wheelchair. Code GG0170R1 as 05 (Setup or clean-up assistance).

Best Practices for Accurate Coding

Documentation:

Ensure that documentation reflects the resident’s typical performance within the first three days of admission.

Communication:

Work with care teams to observe and accurately document wheelchair use.

Training:

Train staff on recognizing and coding various levels of assistance for wheelchair mobility.

Conclusion

Summary:
Accurately coding GG0170R1 helps ensure that care plans address the resident’s wheelchair mobility needs at admission, supporting safe and effective use of assistive devices.

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-65​.

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 latest version for updates.