MDS 3.0 Item F0800H: Staff Assessment - Staying Up Past 8 PM

Introduction

Purpose: Residents in long-term care settings often have individual preferences for their daily routines, including when they prefer to go to bed. MDS Item F0800H assesses whether staff conducted an assessment to determine the resident’s preference for staying up past 8 PM, especially when the resident cannot express this preference themselves. Understanding these preferences helps ensure that the resident’s routine aligns with their personal comfort, contributing to better sleep quality and overall well-being.

What is MDS Item F0800H?

Explanation: MDS Item F0800H is part of Section F: Preferences for Customary Routine and Activities. This item evaluates whether the staff conducted an assessment to determine if the resident prefers staying up past 8 PM. Evening routines can vary greatly among residents, with some preferring to go to bed early while others enjoy staying up later. Conducting this assessment helps ensure that the resident’s evening routine is personalized to their preferences, even if they cannot communicate those preferences themselves.

Guidelines for Conducting and Coding MDS Item F0800H

Conducting the Staff Assessment: When a resident is unable to communicate their preference for staying up past 8 PM, staff should assess this preference based on observations, family input, and the resident’s previous behavior. Key considerations include:

• Has the resident previously expressed a preference for staying up late?
• Does the resident exhibit signs of being more active or alert in the evening?
• Have family members or caregivers indicated a known preference for the resident to stay up past 8 PM?

This assessment helps staff determine the most appropriate evening routine for the resident, promoting comfort and respect for their preferences.

Coding Instructions: The coding for MDS Item F0800H depends on whether staff conducted an assessment to determine the resident’s preference for staying up past 8 PM. The coding options are:

• 0 - No: No staff assessment was conducted to determine the resident’s preference for staying up past 8 PM.
• 1 - Yes: A staff assessment was conducted to determine the resident’s preference for staying up past 8 PM.

Example Scenario: If a resident is unable to express their bedtime preferences, and staff assess, based on family input and past behavior, that the resident enjoys staying up to watch television or engage in evening activities, you would code F0800H as 1 - Yes. If no assessment was conducted, you would code F0800H as 0 - No.

Best Practices for Accurate Coding

Comprehensive Assessment: Ensure that the staff assessment includes input from family members or caregivers, staff observations, and any relevant past records. This helps determine the resident’s evening routine preferences and ensures that the resident’s comfort is prioritized.

Documentation: Clearly document the sources used in the assessment, such as family input or staff observations, to ensure that the resident’s preferences are understood and respected over time.

Communication: Share the results of the staff assessment with the care team to ensure that the resident’s preference for staying up past 8 PM is reflected in their care plan. This helps maintain consistency in the resident’s evening routine.

Training: Provide staff with training on how to conduct assessments for residents who cannot express their preferences. This includes understanding how individual preferences, such as staying up past 8 PM, can contribute to the resident’s overall well-being and comfort.

Conclusion

Summary: MDS Item F0800H ensures that residents who cannot communicate their bedtime preferences still have their routines respected. Conducting a staff assessment helps ensure that the resident’s preference for staying up past 8 PM is incorporated into their care plan, promoting a more personalized, comfortable evening routine.

Click here to see a detailed Step-by-Step on how to complete this item set.

Reference

This guide is based on the CMS's Long-Term Care Facility Resident Assessment Instrument 3.0 User’s Manual, Version 1.19.1, October 2024, Page F-5.

Disclaimer

Please note that the information provided in this guide for MDS 3.0 Item F0800H: "Staff Assessment - Staying Up Past 8 PM" was originally based on the CMS's Long-Term Care Facility Resident Assessment Instrument 3.0 User’s Manual, Version 1.19.1, October 2024. Every effort will be made to update it to the most current version. The MDS 3.0 Manual is typically updated every October. If there are no changes to the Item Set, there will be no changes to this guide.

This guidance is intended to assist healthcare professionals, particularly new nurses or MDS coordinators, in understanding and applying the correct coding procedures for this item within MDS 3.0. Additionally, this guide refrains from handling personal patient data and does not provide medical or legal advice.