Bed Mobility
Transfers
Eating
Toileting
Random
100

Charmain is not feeling well this evening. Today she ate too many chocolate brownies. Two nurse aides have to reposition her in bed to her right side this evening. The aides support her head and legs during repositioning, and she is able to hold on to the side rail and assist
How would you document this episode of bed mobility?

What is 3/3


Extensive assist of two

Weight-bearing support provided, but resident 

did participate

100

How would you code a transfer with a serita lift?

What is 3/3

100
Resident is a quadriplegic and is dependent on staff for feeding. How would you code eating?
What is 4/2
100
Resident is on toilet and is unable to cleanse herself. Able to stand and hold onto grab bars while you toilet her. How would you code toileting?
What is 3/2.
100

Resident propels self in wheelchair to lunch. She is tired after a full meal and you have to push her back to her room. How would you code wheelchair mobility?

What is 3/2

200

Sonya had an unfortunate accident and broke both her  legs. Today, two nurse aides transfer her into her wheelchair using a full-body mechanical lift. She is not able to assist with any part of the transfer
 How would you document this transfer activity?

What is 4/3


200
Resident is laying in bed and you place her walker at her bedside. She is able to transfer while you observe. How would you code transfers?
What is 1/1
200
Resident has Parkinson's disease and has trouble guiding food to her mouth due to her shaky hands. You assist by guiding her hands to her mouth. How would you code eating?
What is 2/2
200
Resident is able to bring herself to the toilet by herself. She requires no staff assist or oversight. How would you code?
What is 0/0
200
Resident has left sided weakness due to having a stroke. While ambulating in halls with use of a rolling walker, you support her left side. How would you code ambulating?
What is 3/2
300

Is 1/2 a appropriate code for bed mobility?

What is No. You CANNOT be supervised and also be providing on person physical assist.

300
Is 2/1 a appropriate code for transferring a resident?
What is No. You CANNOT be providing limited assist while while providing setup help.
300
Is 4/3 a appropriate code for eating?
What is No. It should not require total assist x2 staff members to feed a resident.
300
Is 3/3 a appropriate code for toileting?
What is Yes. Some residents are able to participate in their toileting but may also require the assist of two staff members.
300
Resident is getting dressed and is able to put on his shirt and pants. Has poor dexterity in his hands and so you assist by zipping up his pants zipper. How would you code dressing?
What is 2/2
400

Resident frequently slides down in her bed. Two staff members had to physically lift and reposition her towards the head of the bed while resident assisted by bending her knees and pushing against the bed. How would you code bed mobilty?

What is 3/3

400
Mrs. Johnson has kidney failure and is a dialysis patient. Today is Monday and is her scheduled dialysis day. Ambulance arrives with two EMT's and they transfer her onto a stretcher. How would you code transfers?
What is 8/8
400
After staff deliver Mr. Johnson his tray, he consumes all of the food without any cueing or physical help. How would you code eating?
What is 0/0.
400
Staff members must remind resident to toilet frequently during the day and to unzip and zip pants and to wash hands after using toilet. How would you code toileting?
What is 1/0.
400
The CNA takes Mr. Thompsons toothbrush, comb and toothpaste from the drawer and places them on the bathroom sink. Mr. Thompson is then able to brush his own teeth and comb his own hair while CNA is in the room making his bed. CNA occasionally glances over to make sure Mr. Thompson is doing a good job. How would you code hygiene?
What is 1/1.
500

Mrs. Johnson is laying in bed and must turn every two hours due to a history of skin breakdown. Mrs. Johnson can sometimes be lazy and requires prompting. You're in the room and encourage her to turn while gently guiding her hands onto the side rail. How would you code bed mobility?

What is 2/2.

500
Resident is totally dependent on transfers and is a hoyer lift. You are by yourself in the room and have resident laying on pad hooked up to hoyer lift. Is 4/2 a appropriate code? If not, what?
What is No. Hoyer lifts are a two person transfer. You need another staff member in the room. 4/3.
500
Mr. Smith begins eating lunch by himself. He tires fast and a staff member has to physically support his hand to bring food to his mouth and provide verbal cueing to swallow the food. How would you code eating?
What is 3/2.
500
Staff must assist Mr. Johnson to zip his pants, hand him a washcloth, and remind him to wahs his hands after using toilet daily. How would you code toileting?
What is 2/2.
500
Mr. Thompson is requesting to take a shower. He is physically able to wash himself but states "I dont feel like washing myself today". This is a noted behavior of Mr. Thompson and CNA completly bathes resident despite knowing he is perfectly capable of bathing himself. How would you code bathing?
What is 4/2.
M
e
n
u