Understanding and Coding MDS 3.0 Item GG0170C5: Lying to Sitting on Bedside (OBRA/Interim Performance)

Understanding and Coding MDS 3.0 Item GG0170C5: Lying to Sitting on Bedside (OBRA/Interim Performance)

Introduction

Purpose:
MDS Item GG0170C5 evaluates a resident’s ability to move from lying down to sitting on the bedside during OBRA or interim assessments. This item helps identify changes in functional mobility that occur over time and informs care plan adjustments.

What is MDS Item GG0170C5?

Explanation:
GG0170C5 assesses how much assistance a resident needs to transition from lying on their back to sitting on the side of the bed. This measure is critical for tracking mobility changes and maintaining updated care plans.

Guidelines for Coding GG0170C5

Coding Instructions:
Use the six-point scale to code this item:

• 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 can push themselves up but needs help positioning their legs. Code GG0170C5 as 03 (Partial/moderate assistance).

Best Practices for Accurate Coding

Documentation:

Ensure accurate documentation of the resident’s usual performance over the last three days of the OBRA or interim assessment period.

Communication:

Communicate with the care team to get input on the resident’s mobility performance for consistency.

Training:

Train staff to assess the resident’s lying-to-sitting mobility and ensure correct application of the six-point scale.

Conclusion

Summary:
Accurately coding GG0170C5 helps keep the resident’s care plan updated, particularly if changes in their mobility are observed during OBRA or interim assessments.

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

Reference

Consult CMS's Long-Term Care Facility Resident Assessment Instrument 3.0 User’s Manual, Version 1.19.1, October 2024, Chapter 3, Page GG-49​.

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.