ADL Self-Performance
ADL Support Provided
ADL Category
Type of Assist
100

Resident performs ADL even when staff is not present and w/o any physical or verbal help at all

Independent

100

Resident did not do an activity, or someone other than staff performed the activity (ie-feeding, changing, turning)

Activity Did Not Occur

100

Moves to or from the lying position. Turns side to side, positions body while in type of furniture the resident prefers to sleep in.

Bed Mobility

100

The staff member physically lifted the resident's hand and assisted to bring the food to his mouth.

Extensive Assist, 1 Person Physical Assist

200

Bearing any of the resident's weight, even light lifting to help steady self to maintain balance or assisting to place feet in bed, assisting to lift hand holding a spoon

Extensive Assist

200

Handing resident their cane or walker, locking wheelchair brakes, cutting food, opening containers, giving cup

Set Up Help Only
200

Moves from chair to bed, bed to chair, chair to chair, etc. Stands from a sitting position or sits from a standing position.

Transfer

200

The resident required the assistance of two staff members to turn, and sit up/lie down in bed. The resident was not able to help at all.

Dependent, 2 Person Assist

300

Guiding the resident, touching them but not lifting or bearing any weight

Limited Assist

300

Resident gathers his/her own supplies

No Set Up or Physical Help From Staff

300

Eats and Drinks; receives tube feeding, IV nutrition or IV fluids.

Eating

300

The staff member assisted resident by zipping his pants.

Limited Assist, 1 Person

400

Resident not willing/able to help at all, not even one time.

Dependent

400

Support Provided coded when staff helped resident to do ADL (ie-lifted one leg into bed)

1 Person Physical Assist

400

Uses the toilet room, commode, bedpan, urinal or brief; manages ostomy or catheter; adjust clothes

Toilet Use

400

The resident's tray was given to him. He opened all the packages and cut his own meat, etc. The resident performed his own set up and ate without assistance.

Independent, No Setup or Physical Help From Staff

500

Resident needs observation, encouragement, verbal cues, reminders or step-by-step instructions from staff to complete the activity

Supervision

500

Support Provided coded for transfer by Hoyer lift, 1 person helped resident stay in chair while another pushed w/c or showered resident, or 2 people required to pull resident up in bed.

2 person assist

500

450 days x $20/day lost due to under-coding of ADLs= $9000/month or $108,000/year.

Financial Impact of Improper/Inaccurate Documentation

500

The resident remained in the bed the entire shift and did not transfer at all.

Activity Did Not Occur