Source anchor
CMS MDS 3.0 RAI Manual v1.20.1 is the governed baseline currently attached to this lookup item.
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Staff Assessment of Daily and Activity Preferences
Item Rationale
Matrix review
3 matrix group(s) are already attached for review on this item.
Answer coverage
5 governed answer row(s) are attached for this item.
Answer Codes
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...
Code 2
Needed Some Help
if the resident needed partial assistance from another person to complete the 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 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.
What this item is
Item Rationale
When to use it
Use this item when the facility is completing content tied to Section F and needs to stay anchored to v1.20.1.
Reminders
- Current source status: Published.
- Item locator: Manual page F-16
- CMS exact locator: Manual page F-16
- This item has 5 governed answer row(s) attached.
Source awareness
This page is grounded in CMS MDS 3.0 RAI Manual v1.20.1. Review the exact text and locators before treating the item as final reference content.
Source & Review
Manual
CMS MDS 3.0 RAI Manual v1.20.1
Status
Published
Effective start
2025-10-01
Item locator
Manual page F-16
CMS exact locator
Manual page F-16
Full CMS Text
Item Rationale
Health-related Quality of Life
Alternate means of assessing daily preferences must be used for residents who cannot communicate. This ensures that information about their preferences is not overlooked. Activities allow residents to establish meaning in their lives. A lack of meaningful and enjoyable activities can result in boredom, depression, and behavioral symptoms.
Planning for Care
Caregiving staff should use observations of resident behaviors to understand resident likes and dislikes in cases where the resident, family, or significant other cannot report the resident’s preferences. This allows care plans to be individualized to each resident.
Steps for Assessment
1. Observe the resident when the care, routines, and activities specified in these items are made
available to the resident.
2. Observations should be made by staff across all shifts and departments and others with close
contact with the resident.
3. If the resident appears happy or content (e.g., is involved, pays attention, smiles) during an
activity listed in Staff Assessment of Daily and Activity Preferences item (F0800), then that item should be checked. If the resident seems to resist or withdraw when these are made available, then do not check that item.
Coding Instructions
Check all that apply in the last 7 days based on staff observation of resident preferences. F0800A. Choosing clothes to wear F0800B. Caring for personal belongings F0800C. Receiving tub bath F0800D. Receiving shower F0800E. Receiving bed bath F0800F. Receiving sponge bath F0800G. Snacks between meals F0800H. Staying up past 8:00 p.m. F0800I. Family or significant other involvement in care discussions F0800J. Use of phone in private F0800K. Place to lock personal belongings F0800L. Reading books, newspapers, or magazines F0800M. Listening to music F0800N. Being around animals such as pets F0800O. Keeping up with the news F0800P. Doing things with groups of people F0800Q. Participating in favorite activities F0800R. Spending time away from the nursing home F0800S. Spending time outdoors F0800T. Participating in religious activities or practices F0800Z. None of the above Intent: This section includes items about functional abilities. It includes items focused on prior function, admission and discharge performance, performance throughout a resident’s stay, mobility device use, and range of motion. Functional status is assessed based on the need for assistance when performing self-care and mobility activities. GG0100. Prior Functioning: Everyday Activities Item Rationale Knowledge of the resident’s functioning prior to the current illness, exacerbation, or injury may inform treatment goals.
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.
Coding Instructions
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.
Coding Tips
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. Examples for Coding Prior Functioning: Everyday Activities
1. Self-Care: Resident R was diagnosed with a progressive neurologic condition five years ago.
They live in a long-term nursing facility and were recently hospitalized for surgery and have now been admitted to the SNF for skilled services. According to Resident R’s spouse, prior to the surgery, Resident R required complete assistance with self-care activities, including eating, bathing, dressing, and using the toilet.
Coding: GG0100A would be coded 1, Dependent.
Rationale: Resident R’s spouse has reported that Resident R was completely dependent
in self-care activities that included eating, bathing, dressing, and using the toilet. Code 1, Dependent, is appropriate based upon this information.
2. Indoor Mobility (Ambulation): Resident L had a stroke one year ago that resulted in their
using a wheelchair to self-mobilize, as they were unable to walk. Resident L subsequently had a second stroke and was transferred from an acute care unit to the SNF for skilled services.
Coding: GG0100B would be coded 9, Not Applicable.
Rationale: The resident did not ambulate immediately prior to the current illness,
injury, or exacerbation (the second stroke).
3. Stairs: Resident P has expressive aphasia and difficulty communicating. SNF staff have not
received any response to their phone messages to Resident P’s family members requesting a return call. Resident P has not received any visitors since their admission. The medical record from their prior facility does not indicate Resident P’s prior functioning. There is no information to code item GG0100C, but there have been attempts at seeking this information.
Coding: GG0100C would be coded 8, Unknown.
Rationale: Attempts were made to seek information regarding Resident P’s prior
functioning; however, no information was available.
4. Functional Cognition: Resident K has mild dementia and recently sustained a fall resulting
in complex multiple fractures requiring multiple surgeries. Resident K has been admitted to the SNF for rehabilitation. Resident K’s caregiver reports that when living at home, Resident K needed reminders to take their medications on time, manage their money, and plan tasks, especially when they were fatigued.
Coding: GG0100D would be coded 2, Needed Some Help.
Rationale: Resident K required some help to recall, perform, and plan regular daily
activities as a result of cognitive impairment. GG0110. Prior Device Use Item Rationale Knowledge of the resident’s routine use of devices and aids immediately prior to the current illness, exacerbation, or injury may inform treatment goals.
Steps for Assessment
1. Ask the resident or their family or review the resident’s medical records to determine the
resident’s use of prior devices and aids.
Coding Instructions
Check all devices that apply. Check Z, None of the above: if the resident did not use any of the listed devices or aids immediately prior to the current illness, exacerbation, or injury.
Coding Tips
For GG0110D, Prior Device Use - Walker: “Walker” refers to all types of walkers (for example, pickup walkers, hemi-walkers, rolling walkers, and platform walkers). GG0110C, Mechanical lift, includes sit-to-stand, stand assist, stair lift, and full-body- style lifts. Clinical judgment may be used to determine whether other devices meet the definition provided. Example for Coding Prior Device Use 1. Resident M is a bilateral lower extremity amputee and has multiple diagnoses, including diabetes, obesity, and peripheral vascular disease. They are unable to walk and did not walk prior to the current episode of care, which started because of a pressure ulcer and respiratory infection. They use a motorized wheelchair to mobilize.
Coding: GG0110B would be checked.
Rationale: Resident M used a motorized wheelchair prior to the current illness/injury.
Matrix Applicability
Nursing Home Subsets
NC - Comprehensive
Marker: x
applies
Locator: MDS Item Matrix v1.20.1 v4
NQ - Quarterly
Marker: s
state optional
Locator: MDS Item Matrix v1.20.1 v4
NP - PPS 5 Day
Marker: s
state optional
Locator: MDS Item Matrix v1.20.1 v4
Program and Policy Use
Care Area Triggers
Marker: x
applies
Locator: MDS Item Matrix v1.20.1 v4
Administrative (Tech Need / Edits / Processing)
Marker: +
supporting item
Locator: MDS Item Matrix v1.20.1 v4
OBRA Stand Alone Assessments
OBRA Admission A=01, B=99, F=99, G=^, H=0
Marker: x
applies
Locator: 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
Marker: x
applies
Locator: MDS Item Matrix v1.20.1 v4