0
Always continent
if throughout the 7-day look-back period the resident has
been continent of urine, without any episodes of incontinence.
DiraChart MDS item reference
H0300Section Hv1.20.1Manual page H-9
Urinary Continence
Item Rationale
Quick coding
Answer Codes
Use the item-specific response choices below when structured codes apply.
Response format: Coded response
1
Occasionally incontinent
if during the 7-day look-back period the resident was incontinent less than 7 episodes. This includes incontinence of any amount
of urine sufficient to dampen undergarments, briefs, or pads during daytime or nighttime.
2
Frequently incontinent
if during the 7-day look-back period, the resident
was incontinent of urine during seven or more episodes but had at least one continent
void. This includes incontinence of any amount of urine, daytime and nighttime.
3
Always incontinent
if during the 7-day look-back period, the resident had
no continent voids.
9
Not rated
if during the 7-day look-back period the resident had an indwelling
bladder catheter, condom catheter, ostomy, or no urine output (e.g., is on chronic dialysis
with no urine output) for the entire 7 days.
Item-specific instructions
Coding Guidance
Review what the item asks, how to choose the response, and what should be verified before submission.
Steps for Assessment
1. Review the medical record for bladder or incontinence records or flow sheets, nursing
assessments and progress notes, physician history, and physical examination.
2. Interview the resident if they are capable of reliably reporting their continence. Speak with
family members or significant others if the resident is not able to report on continence.
3. Ask direct care staff who routinely work with the resident on all shifts about incontinence
episodes.
DEFINITIONS
URINARY
INCONTINENCE
The involuntary loss of urine.
CONTINENCE
Any void that occurs
voluntarily, or as the result of
prompted toileting, assisted
toileting, or scheduled
toileting.
H0300: Urinary Continence (cont.)
Coding Instructions
•
Code 0, always continent: if throughout the 7-day look-back period the resident has
been continent of urine, without any episodes of incontinence.
•
Code 1, occasionally incontinent: if during the 7-day look-back period the
resident was incontinent less than 7 episodes. This includes incontinence of any amount
of urine sufficient to dampen undergarments, briefs, or pads during daytime or nighttime.
•
Code 2, frequently incontinent: if during the 7-day look-back period, the resident
was incontinent of urine during seven or more episodes but had at least one continent
void. This includes incontinence of any amount of urine, daytime and nighttime.
•
Code 3, always incontinent: if during the 7-day look-back period, the resident had
no continent voids.
•
Code 9, not rated: if during the 7-day look-back period the resident had an indwelling
bladder catheter, condom catheter, ostomy, or no urine output (e.g., is on chronic dialysis
with no urine output) for the entire 7 days.
Coding Tips
and Special Populations
•
If intermittent catheterization is used to drain the bladder, code continence level based on
continence between catheterizations.
MDS item matrixAssessment Applicability
See where this item applies across Nursing Home, Swing Bed, discharge, required-use, OBRA, and program or policy columns.
16 relationships6 groups+
Assessment Applicability
See where this item applies across Nursing Home, Swing Bed, discharge, required-use, OBRA, and program or policy columns.
Nursing Home Subsets
Swing Bed Subsets
OBRA Stand Alone Assessments
OBRA Admission A=01, B=99, F=99, G=^, H=0
MDS Item Matrix v1.20.1 v4
OBRA Quarterly A=02, B=99, F=99, G=^, H=0
MDS Item Matrix v1.20.1 v4
OBRA Annual / Sig Chg A=03, B=99, F=99, G=^, H=0 A= 04, B=99, F=99, G=^, H=0
MDS Item Matrix v1.20.1 v4
OBRA Discharge A=99, B=99, F=10, 11, G=1, 2, H=0
MDS Item Matrix v1.20.1 v4
Program and Policy Use
D/C Items (Only when A0310F = 10 or 11)
Item Subset Required Use ISC Skip Patterns
Official CMS source
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Reference details
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