Understanding and Coding MDS 3.0 Item GG0170R3: Wheel 50 Feet with Two Turns (Discharge Performance)

Introduction

Purpose:
MDS Item GG0170R3 evaluates a resident’s ability to wheel 50 feet and make two 90-degree turns at discharge. This helps determine any changes in mobility and informs discharge planning.

What is MDS Item GG0170R3?

Explanation:
GG0170R3 measures the assistance a resident requires to wheel 50 feet and make two 90-degree turns at discharge. This is critical for assessing improvements or declines in mobility since admission.

Guidelines for Coding GG0170R3

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 M requires assistance to control the wheelchair while making turns but completes the task independently after setup. Code GG0170R3 as 04 (Supervision or touching assistance).

Best Practices for Accurate Coding

Documentation:

Ensure the resident’s performance is documented during the last three days of their stay to reflect their mobility at discharge.

Communication:

Coordinate with therapists and nursing staff to ensure accurate documentation of wheelchair use during discharge.

Training:

Provide staff training on recognizing and coding wheelchair mobility tasks at discharge.

Conclusion

Summary:
Accurately coding GG0170R3 helps ensure the resident’s discharge plan reflects their current mobility abilities, supporting safe transitions to the next care setting.

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.