Understanding and Coding MDS 3.0 Item GG0170N3: 4 Steps (Discharge Performance)

Understanding and Coding MDS 3.0 Item GG0170N3: 4 Steps (Discharge Performance)

Introduction

Purpose:
MDS Item GG0170N3 assesses a resident’s ability to go up and down four steps at discharge. This item is important for determining any changes in mobility since admission, and for making discharge care recommendations.

What is MDS Item GG0170N3?

Explanation:
GG0170N3 evaluates how much assistance a resident requires to ascend and descend four steps at discharge. This information is used to assess the resident’s current mobility and their readiness for discharge.

Guidelines for Coding GG0170N3

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

• 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 C ascends and descends four steps but requires help with trunk support while descending. Code GG0170N3 as 03 (Partial/moderate assistance).

Best Practices for Accurate Coding

Documentation:

Document the resident’s typical performance over the last three days before discharge.

Communication:

Work with the care team to ensure consistency in assessing and documenting stair-related activities at discharge.

Training:

Ensure that staff are trained in assessing and coding stair mobility, using the six-point scale effectively.

Conclusion

Summary:
Accurate coding of GG0170N3 ensures that the discharge plan reflects the resident’s current mobility, particularly their ability to manage stairs.

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-62 .

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.