MANUAL v1.20.1 · 2025-10-01MATRIX v1.20.1v4 · 2025-10-01
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Section O: Special Treatments, Procedures, and Programs

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O0110

Special Treatments, Procedures, and Programs

Facilities may code treatments, programs and procedures that the resident performed themselves

Manual page O-1O0250

Influenza Vaccine

Item Rationale

7 governed answer/subitem rowsO0250A

Was influenza vaccine received

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.

MDS Item Matrix page 17O0250B

Date influenza vaccine received

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.

MDS Item Matrix page 17O0250C

If influenza vaccine not received, state reason

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.

MDS Item Matrix page 17O0300

Pneumococcal Vaccine

Item Rationale

4 governed answer/subitem rowsO0300A

Is pneumococcal vaccination up to date

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.

MDS Item Matrix page 17O0300B

If pneumococcal vaccination not received, state reason

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.

MDS Item Matrix page 17O0350

Resident’s COVID-19 vaccination is up to date

Item Rationale

Manual page O-19O0390

Therapy Services

Track Changes

Manual page 3O0390A

Therapy Svcs: Speech-Lang Path and Aud

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.

MDS Item Matrix page 17O0390B

Therapy Svcs: Occup Therapy

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.

MDS Item Matrix page 17O0390C

Therapy Svcs: Phys Therapy

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.

MDS Item Matrix page 17O0390D

Therapy Svcs: Resp Therapy

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.

MDS Item Matrix page 17O0390E

Therapy Svcs: Psych Therapy

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.

MDS Item Matrix page 17O0390Z

Therapy Svcs: None of Above

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.

MDS Item Matrix page 17O0400

Therapies

Steps for Assessment

Manual page O-34O0400D2

Respiratory therapy: number of days

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.

MDS Item Matrix page 17O0420

Distinct Calendar Days of Therapy

Track Changes

Manual page 55O0425

Part A Therapies

Item Rationale

Manual page O-35O0425A1

SLP and Audiology Services: Individual Minutes

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.

MDS Item Matrix page 17O0425A2

SLP and Audiology Services: Concurrent Minutes

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.

MDS Item Matrix page 17O0425A3

SLP and Audiology Services: Group Minutes

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.

MDS Item Matrix page 17O0425A4

SLP and Audiology Services: Co-treatment Minutes

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.

MDS Item Matrix page 17O0425A5

SLP and Audiology Services: Days

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.

MDS Item Matrix page 17O0425B1

Occupational Therapy: Individual Minutes

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.

MDS Item Matrix page 17O0425B2

Occupational Therapy: Concurrent Minutes

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.

MDS Item Matrix page 17O0425B3

Occupational Therapy: Group Minutes

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.

MDS Item Matrix page 17O0425B4

Occupational Therapy: Co-treatment Minutes

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.

MDS Item Matrix page 17O0425B5

Occupational Therapy: Days

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.

MDS Item Matrix page 17O0425C1

Physical Therapy: Individual Minutes

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.

MDS Item Matrix page 17O0425C2

Physical Therapy: Concurrent Minutes

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.

MDS Item Matrix page 17O0425C3

Physical Therapy: Group Minutes

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.

MDS Item Matrix page 17O0425C4

Physical Therapy: Co-treatment Minutes

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.

MDS Item Matrix page 17O0425C5

Physical Therapy: Days

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.

MDS Item Matrix page 17O0430

Distinct Calendar Days of Part A Therapy

Item Rationale

Manual page O-42O0500

Restorative Nursing Programs

Item Rationale

Manual page O-43O0500A

Range of motion (passive): number of days

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.

MDS Item Matrix page 17O0500B

Range of motion (active): number of days

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.

MDS Item Matrix page 17O0500C

Splint or brace assistance: number of days

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.

MDS Item Matrix page 17O0500D

PDPM Bed mobility training: number of days

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.

MDS Item Matrix page 18O0500E

Transfer training: number of days

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.

MDS Item Matrix page 18O0500F

Walking training: number of days

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.

MDS Item Matrix page 18O0500G

Dressing and/or grooming training: number of days

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.

MDS Item Matrix page 18O0500H

Eating and/or swallowing training: number of days

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.

MDS Item Matrix page 18O0500I

Amputation/prosthesis training: number of days

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.

MDS Item Matrix page 18O0500J

Communication training: number of days

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.

MDS Item Matrix page 18