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

Section F: Preferences for Customary Routine and Activities

43 of 43 items loaded.

All sections
F0300

Should Interview for Daily and Activity Preferences Be

Conducted? (cont.)

2 governed answer/subitem rows
F0400

Interview for Daily Preferences

Item Rationale

6 governed answer/subitem rows
F0400A

Res interview: choose clothes to wear

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 5
F0400B

Res interview: take care of personal belongings

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 5
F0400C

Res interview: choose tub, bath, shower, sponge

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 5
F0400D

Res interview: have snacks between meals

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 5
F0400E

Res interview: choose own bedtime

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 5
F0400F

Res interview: discuss care with family/friend

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 5
F0400G

Res interview: use phone in private

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 5
F0400H

Res interview: lock things to keep them safe

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 5
F0500

Interview for Activity Preferences

Item Rationale

Manual page F-9
F0500A

Res interview: have books, newspaper, mags to read

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 5
F0500B

Res interview: listen to music

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 5
F0500C

Res interview: be around animals/pets

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 5
F0500D

Res interview: keep up with news

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 5
F0500E

Res interview: do things with groups of people

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 5
F0500F

Res interview: do favorite activities

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 5
F0500G

Res interview: go outside when good weather

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 5
F0500H

Res interview: participate in religious practices

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 5
F0600

Daily and Activity Preferences Primary Respondent

Item Rationale

3 governed answer/subitem rows
F0700

Should the Staff Assessment of Daily and Activity

Preferences Be Conducted? (cont.)

2 governed answer/subitem rows
F0800

Staff Assessment of Daily and Activity Preferences

Item Rationale

5 governed answer/subitem rows
F0800A

Staff assessment: choosing clothes to wear

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 5
F0800B

Staff assessment: caring for personal belongings

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 5
F0800C

Staff assessment: receiving tub bath

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 5
F0800D

Staff assessment: receiving shower

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 5
F0800E

Staff assessment: receiving bed bath

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 5
F0800F

Staff assessment: receiving sponge bath

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 5
F0800G

Staff assessment: snacks between meals

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 5
F0800H

Staff assessment: staying up past 8PM

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 5
F0800I

PDPM Staff assessment: discuss care with family/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 6
F0800J

Staff assessment: use phone in private

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 6
F0800K

Staff assessment: place to lock personal things

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 6
F0800L

Staff assessment: reading books, newspapers, mags

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 6
F0800M

Staff assessment: listening to music

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 6
F0800N

Staff assessment: being around animals/pets

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 6
F0800O

Staff assessment: keeping up with news

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 6
F0800P

Staff assessment: doing things with groups

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 6
F0800Q

Staff assessment: participating in favorite activities

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 6
F0800R

Staff assessment: spend time away from nursing home

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 6
F0800S

Staff assessment: spend time outdoors

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 6
F0800T

Staff assessment: participating in religious activities

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 6
F0800Z

Staff assessment: none of above activities

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 6