Steps for Assessment
1. Ask the resident or their family about, or review the resident’s medical records
describing, the resident’s prior functioning with everyday activities.
DiraChart MDS item reference
This item is referenced against CMS MDS source materials. Verify coding against the current CMS RAI Manual, item set instructions, and facility documentation before submission.
Use the item-specific response choices below when structured codes apply.
GG0100. Prior Functioning: Everyday Activities
Indicate the resident’s usual ability with everyday activities prior to the current illness, exacerbation, or injury
Complete only if AO310B = 01
3. Independent - Resident completed all the [ ] A. Self-Care: Code the resident’s need for assistance with bathing, dressing, using the
activities by themself, with or without an toilet, or eating prior to the current illness, exacerbation, or injury.
assistive device, with no assistance from
a helper. [ ] B. Indoor Mobility (Ambulation): Code the resident’s need for assistance with walking
; from room to room (with or without a device such as cane, crutch, or walker) prior to
2. Needed Some Help - Resident needed the current illness, exacerbation, or injury.
partial assistance from another person to
complete any activities. [ ] C. Stairs: Code the resident’s need for assistance with internal or external stairs (with
1. Dependent - A helper completed all the or without a device such as cane, crutch, or walker) prior to the current illness,
figs exacerbation, or injury.
activities for the resident.
8. Unknown. [ ] D. Functional Cognition: Code the resident’s need for assistance with planning
regular tasks, such as shopping or remembering to take medication prior to the
9. Not Applicable. current illness, exacerbation, or injury.
Review what the item asks, how to choose the response, and what should be verified before submission.
1. Ask the resident or their family about, or review the resident’s medical records
describing, the resident’s prior functioning with everyday activities.
•
Code 3, Independent: if the resident completed the activities by themself, with or
without an assistive device, with no assistance from a helper.
•
Code 2, Needed Some Help: if the resident needed partial assistance from another
person to complete the activities.
•
Code 1, Dependent: if the helper completed the activities for the resident, or the
assistance of two or more helpers was required for the resident to complete the activities.
•
Code 8, Unknown: if the resident’s usual ability prior to the current illness,
exacerbation, or injury is unknown.
•
Code 9, Not Applicable: if the activities were not applicable to the resident prior to
the current illness, exacerbation, or injury.
GG0100: Prior Functioning: Everyday Activities (cont.)
•
Record the resident’s usual ability to perform self-care, indoor mobility (ambulation),
stairs, and functional cognition prior to the current illness, exacerbation, or injury.
•
If no information about the resident’s ability is available after attempts to interview the
resident or their family and after reviewing the resident’s medical record, code as 8,
Unknown.
•
Completing the stair activity for GG0100C indicates that a resident went up and down the
stairs, by any safe means, with or without handrails or assistive devices or equipment
(such as a cane, crutch, walker, or stair lift) and/or with or without some level of
assistance.
•
For the GG0100C stair activity, “by any safe means” may include a resident scooting up
and down stairs on their buttocks.
•
Going up and down a ramp is not considered going up and down stairs for coding
GG0100C.
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