understanding and coding MDS 3.0 Item F0800Z: Staff Assessment - None of the Above Activities

MDS 3.0 Item F0800Z: Staff Assessment - None of the Above Activities

Introduction

Purpose: Residents in long-term care facilities often have a variety of personal preferences when it comes to daily routines and activities. MDS Item F0800Z assesses whether a staff assessment determined that the resident does not have preferences for any of the activities listed in Items F0800A to F0800T. This ensures that if none of the previously mentioned activities are relevant to the resident’s preferences, it is accurately documented in their care plan.

What is MDS Item F0800Z?

Explanation: MDS Item F0800Z is part of Section F: Preferences for Customary Routine and Activities. This item allows staff to document that none of the activities listed in F0800A to F0800T apply to the resident’s preferences, whether it be for personal reasons or lack of interest. These activities include social, spiritual, recreational, and routine preferences. By selecting this item, staff acknowledge that none of the assessed activities are significant to the resident’s routine or well-being.

Guidelines for Conducting and Coding MDS Item F0800Z

Conducting the Staff Assessment: Before coding this item, staff must conduct a thorough assessment of the resident’s preferences for the activities listed in Items F0800A through F0800T. This includes:

• Verifying whether the resident has shown an interest in any of the listed activities, such as social interactions, outdoor activities, spiritual practices, or hobbies.
• Consulting family members or caregivers for additional insight if the resident is unable to communicate their preferences directly.
• Observing the resident’s past behaviors and reactions to various activities.

If the assessment reveals that the resident does not have preferences for any of the listed activities, F0800Z should be coded accordingly.

Coding Instructions: The coding for MDS Item F0800Z depends on whether staff assessed and found that none of the listed activities apply to the resident. The coding option is:

• 0 - No: The resident has preferences for one or more of the activities listed in Items F0800A to F0800T.
• 1 - Yes: The resident does not have preferences for any of the activities listed in Items F0800A to F0800T.

Example Scenario: If a resident does not express interest in any of the listed activities, including social engagement, religious practices, outdoor activities, or favorite hobbies, and the staff determine that none of the activities apply to the resident’s preferences, you would code F0800Z as 1 - Yes. If the resident does express preferences for one or more activities, you would code F0800Z as 0 - No.

Best Practices for Accurate Coding

Thorough Assessment: Ensure that a comprehensive assessment of the resident’s preferences has been conducted, covering all activities in Items F0800A through F0800T. This ensures that if none of the activities apply, it is accurately documented.

Documentation: Clearly document the sources of information used during the assessment, such as observations, family interviews, and resident history. Proper documentation supports the decision to code F0800Z and ensures accuracy in the resident’s care plan.

Communication: Share the results of the staff assessment with the interdisciplinary care team to ensure that the resident’s preferences (or lack thereof) are reflected in their care plan. This helps maintain person-centered care, even when the resident shows no interest in the listed activities.

Respecting Individual Choices: It is important to respect residents who may prefer to opt out of participating in the listed activities. Understanding that each resident has unique preferences or may have different ways of finding fulfillment ensures that their choices are honored.

Conclusion

Summary: MDS Item F0800Z allows staff to document when a resident does not express preferences for any of the listed activities. Conducting a thorough assessment ensures that the resident’s interests or lack of interest are accurately reflected in their care plan, promoting a person-centered approach to care.

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 F0800Z: "Staff Assessment - None of the Above Activities" 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 specific item within MDS 3.0. Additionally, this guide refrains from handling personal patient data and does not provide medical or legal advice.