Understanding and Coding MDS Item GG0130C3, Toileting Hygiene (Discharge Performance)

Understanding and Coding MDS Item GG0130C3 – Toileting Hygiene (Discharge Performance)

Introduction:

Purpose: MDS Item GG0130C3 assesses the resident’s ability to perform toileting hygiene tasks at discharge. Proper coding ensures that residents who require assistance with toileting hygiene receive appropriate post-discharge care.

What is MDS Item GG0130C3?

Explanation: This item captures how well a resident manages toileting hygiene, such as perineal cleaning and managing clothing, at the time of discharge. It includes assistance required before and after voiding or bowel movements.

Guidelines for Coding GG0130C3:

Coding Instructions:

1. Medical Record Review: Review documentation of toileting hygiene performance in the final three days before discharge.
2. Consultation: Consult with staff who assisted the resident with toileting hygiene.
3. Observation: Observe the resident's toileting hygiene to assess independence or assistance required.

Example Scenario:

• A resident requires steadying assistance while wiping after using the toilet. GG0130C3 would be coded as 04, Supervision or Touching Assistance.

Best Practices for Accurate Coding:

• Documentation: Ensure the resident’s toileting hygiene abilities are thoroughly documented before discharge.
• Communication: Collaborate with caregivers to ensure consistent observations and documentation.
• Training: Train staff to assess and document toileting hygiene accurately during discharge assessments.

Conclusion:

Accurately coding GG0130C3 helps ensure that the resident's toileting hygiene needs are properly addressed in post-discharge care planning.

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

Reference:

Please refer to CMS’s Long-Term Care Facility Resident Assessment Instrument 3.0 User’s Manual, Version 1.19.1, October 2024, Page GG-26​.

Disclaimer:

Please note that the information provided in this guide for MDS 3.0 Item GG0130C3 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.