MANUAL v1.20.1 · 2025-10-01MATRIX v1.20.1v4 · 2025-10-01
Q

Section Q: Participation in Assessment and Goal Setting

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Q0110

Participation in Assessment and Goal Setting

Item Rationale

Manual page Q-1Q0110A

Asmt and Goal Participation: Resident

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 18Q0110B

Asmt and Goal Participation: Family

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 18Q0110C

Asmt and Goal Participation: Significant other

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 18Q0110D

Asmt and Goal Participation: Legal guardian

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 18Q0110E

Asmt and Goal Participation: Other legally authorized representative

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 18Q0110Z

Asmt and Goal Participation: None of the 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 18Q0310

Resident’s Overall Goal

Item Rationale

6 governed answer/subitem rowsQ0310A

Resident's overall goal for discharge

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 18Q0310B

Information source for Q0310A

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 18Q0400

Discharge Plan

Item Rationale

2 governed answer/subitem rowsQ0400A

Active discharge plan for return to community

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 18Q0490

Resident’s Documented Preference to Avoid Being Asked

Question Q0500B (cont.)

Manual page Q-14Q0500

Return to Community

For Admission, Quarterly, and Annual Assessments.

7 governed answer/subitem rowsQ0500B

Do you want to talk about returning to community

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 18Q0500C

Information source for Q500B

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 18Q0550

Resident’s Preference to Avoid Being Asked Question

Q0500B (cont.)

2 governed answer/subitem rowsQ0550A

Reasking resident preference

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 18Q0550C

Information source for Q0550A

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 18Q0610

Referral

Item Rationale

2 governed answer/subitem rowsQ0610A

Referral been made to local contact agency

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 18Q0620

Reason Referral to Local Contact Agency (LCA) Not

Made (cont.)

2 governed answer/subitem rows