understanding and coding MDS Item GG0130C5, Toileting Hygiene (OBRA/Interim Performance)

MDS Item GG0130C5 – Toileting Hygiene (OBRA/Interim Performance)

Introduction:

Purpose: MDS Item GG0130C5 assesses a resident’s toileting hygiene performance during OBRA or Interim Payment Assessments (IPA). It captures the resident's ability to manage clothing and perform perineal hygiene before and after voiding or bowel movements.

What is MDS Item GG0130C5?

Explanation: This item records a resident's ability to perform toileting hygiene tasks during OBRA or interim assessments, including managing their clothing and performing perineal cleansing. It helps evaluate the resident's independence or the assistance they require for this critical self-care task.

Guidelines for Coding GG0130C5:

Coding Instructions:

1. Medical Record Review: Review documentation about the resident’s toileting hygiene over the 3-day assessment period.
2. Consultation: Discuss with staff any assistance provided during toileting hygiene.
3. Observation: Observe how the resident manages their clothing and performs perineal hygiene before and after using the toilet.

Example Scenario:

• A resident pulls down their pants but needs assistance with perineal hygiene after voiding. GG0130C5 would be coded as 03, Partial/moderate assistance.

Best Practices for Accurate Coding:

• Documentation: Ensure the resident’s toileting hygiene abilities are consistently recorded in their care plan.
• Communication: Coordinate with caregivers to verify observations of the resident’s toileting hygiene tasks.
• Training: Provide staff with ongoing training on accurate assessment and coding for OBRA/interim assessments.

Conclusion:

Accurately coding GG0130C5 ensures that a resident’s toileting hygiene needs are properly documented, which informs care planning and adjustments as necessary during their stay.

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​.

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

Disclaimer:

Please note that the information provided in this guide for MDS 3.0 Item GG0130C5 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.