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GenderSex
A0800
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What this item is
A0800
When to use it
Use this item when the facility is completing content tied to Section A and needs to stay anchored to v1.20.1.
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- Current source status: Published.
- Item locator: Manual page 1
- CMS exact locator: Manual page 1
- This item does not yet have governed answer rows 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 1
CMS exact locator
Manual page 1
Full CMS Text
A0800
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OLD NEW A0800
Item Rationale
Assists in correct identification. Provides demographic gendersex specific health trend information.
Coding Instructions
Code 1: if resident is male. Code 2: if resident is female.
Coding Tips and Special Populations
Resident gendersex on the MDS must match what is in the Social Security system.
Chapter Section Page(s) version 1.20.1 Change A1005
Item Rationale
The ability to improve understanding of and address ethnic disparities in health care outcomes requires the availability of better data related to social determinants of health, including ethnicity. The ethnicity data element uses a one-question multi- response format based on whether or not the resident is of Hispanic, Latino/a, or Spanish origin. Collection of ethnic data provides data granularity important for documenting and tracking health disparities and conforms to the 2011 Health and Human Services Data Standards. This item uses the common uniform language approved by the Office of Management and Budget (OMB) to report ethnic categories. Response choices A1005B through A1005E roll up to the Hispanic or Latino/a category of the OMB standard (see Definition Ethnicity). The categories in this classification are social-political constructs and should not be interpreted as being scientific or anthropological in nature. Collection of ethnicity data is an important step in improving quality of care and health outcomes. Standardizing self-reported data collection for ethnicity allows for the comparison of data within and across multiple post-acute-healthcare settings and is an important step in improving quality of care and health outcomes. These categories are NOT used to determine eligibility for participation in any Federal program. For the source of these categories and definitions, see “Racial and Ethnic Categories and Definitions for NIH Diversity Programs and for Other Reporting Purposes, Notice Number: NOT-OD-15-089” available at https://grants.nih.gov/grants/guide/notice-files/NOT- OD-15-089.html. Additional information on Data Collection Standards for Race, Ethnicity, Sex, Primary Language, and Disability Status is available at https://minorityhealth.hhs.gov/omh/browse.aspx?lvl=3 &lvlid=53.
Chapter Section Page(s) version 1.20.1 Change A1005
Steps for Assessment: Interview Instructions reordered for clarity. A1005
Steps for Assessment: Interview Instructions
1. Ask the resident to select the category or categories that
most closely correspond to their ethnicity from the list in A1005. Individuals may be more comfortable if this question is introduced by saying, “We want to make sure that all our residents get the best care possible, regardless of their ethnic background. We would like you to tell us your ethnic background so that we can review the treatment that all residents receive and make sure that everyone gets the highest quality of care” (Baker et al., 2005).
2. Ethnic category definitions are provided only if requested
in order to answer the item.
3. Respondents should be offered the option of selecting one
or more ethnic designations.
4. If the resident declines to respond, code Y, Resident
declines to respond, and do not code based on other resources (family, significant other, or guardian/legally authorized representative or medical records).
Chapter Section Page(s) version 1.20.1 Change A1005
Item Rationale
The ability to improve understanding of and address racial disparities in health care outcomes requires the availability of better data related to social determinants of health, including race. Collection of A1010. Race provides data granularity important for documenting and tracking health disparities and conforms to the 2011 Health and Human Services Data Standards. This item uses the common uniform language approved by the Office of Management and Budget (OMB) to report racial categories (see Definitions: Race). Response choices A1010D through A1010J roll up to the Asian category of the OMB standard. Response choices A1010K through A1010N roll up to the Native Hawaiian or Other Pacific Islander category of the OMB standard. The categories in this classification are social-political constructs and should not be interpreted as being scientific or anthropological in nature. Collection of race data is an important step in improving quality of care and health outcomes. Standardizing self-reported data collection for race allows for the equal comparison of data across multiple post-acute-healthcare settings and is an important step in improving quality of care and health outcomes. These categories are NOT used to determine eligibility for participation in any Federal program. A1005
Steps for Assessment: Interview Instructions reordered for clarity.
Chapter Section Page(s) version 1.20.1 Change A1005
Steps for Assessment: Interview Instructions
1. Ask the resident to select the category or categories that
most closely correspond to the resident’s race from the list in A1010, Race. Individuals may be more comfortable if this question is introduced by saying, “We want to make sure that all our residents get the best care possible, regardless of their racial background. We would like you to tell us your racial background so that we can review the treatment that all residents receive and make sure that everyone gets the highest quality of care” (Baker et al., 2005).
3. Racial category definitions are provided only if requested
in order to answer the item.
4. Respondents should be offered the option of selecting
one or more racial designations.
5. If the resident declines to respond, code Y, Resident
declines to respond, and do not code based on other resources (family, significant other, or legally authorized representative or medical records). A1255
A12505. Transportation
Chapter Section Page(s) version 1.20.1 Change A1255
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Transportation item has been derived from the national PRAPARE® social drivers of health assessment tool (2016), which was developed and is owned by the National Association of Community Health Centers (NACHC). This tool was developed in collaboration with the Association of Asian Pacific Community Health Organizations (AAPCHO) and the Oregon Primary Care Association (OPCA). For additional information, please visit www.prapare.org. Complete only if A0310B = 01 and A2300 minus A1900 is less than 366 days.
Chapter Section Page(s) version 1.20.1 Change A1255
Item Rationale
Health-related Quality of Life
Access to transportation for ongoing health care and medication access needs, particularly for those with chronic diseases, is essential for effectivesuccessful care management. Understanding resident transportation needs can help organizations assess barriers to care and facilitate connections with available community resources.
Planning for Care
Assessing forInformation regarding transportation barriers will help facilitate better care coordination and discharge planning for follow-up care. A1255
Steps for Assessment reordered for clarity.
Chapter Section Page(s) version 1.20.1 Change A1255
Steps for Assessment: Interview Instructions
1. Ask the resident:, “In the past 12 months, has lack of
reliable transportation kept you from medical appointments, meetings, work or from getting things needed for daily living?” “In the past six months to a year, has lack of transportation kept you from medical appointments or from getting your medications?” “In the past six months to a year, has lack of transportation kept you from non-medical meetings, appointments, work, or from getting things that you need?” 2. Respondents should be offered the option of selecting more than one “yes” designation, if applicable.
2. Ask the resident to select the response that most closely
corresponds to the resident’s transportation status from the list in A1255.
3. If the resident declines to respond, code 7, Resident
declines to respond, and do not code based on other resources (family, significant other, or legally authorized representative or medical records).
4. If the resident is unable to respond, the assessor may ask a
family member, significant other, and/or guardian/legally authorized representative.
5. Only use medical record documentation to code A1255,
Transportation if the resident is unable to respond and no family member, significant other, and/or guardian/legally authorized representative may provides a response for this item, use medical record documentation. A1255
Coding Instructions reordered due to new item structure.
Chapter Section Page(s) version 1.20.1 Change A1255
Coding Instructions
Code A0, Yes, it has kept me from medical appointments or from getting my medications: if the resident indicates that in the past 12 months, a lack of reliable transportation has kept the residentthem from medical appointments, meetings, work or from getting medicationsthings needed for daily living. Code B, Yes, it has kept me from non- medical meetings, appointments, work, or from getting things that I need: if the resident indicates that lack of transportation has kept the resident from non-medical meetings, appointments, work, or from getting things that the resident needs. Code C1, No: if the resident indicates that in the past 12 months, a lack of reliable transportation has not kept the residentthem from medical appointments, getting medications, non-medical meetings, appointments, work, or from getting things that the resident needsneeded for daily living.
Chapter Section Page(s) version 1.20.1 Change A1255
Code Y7, Resident declines to respond: if the resident declines to respond. — When the resident declines to respond, code only
Y. Resident declines to respond.
— When the resident declines to respond, do not code based on other resources (family, significant other, or legally authorized representative or medical records). Code X8, Resident unable to respond: if the resident is unable to respond. — In the cases where the resident is unable to respond and the response is determined via family, significant other, or legally authorized representative input or medical records, check all boxes that apply, including X. Resident unable to respond. — If the resident is unable to respond and no other resources (family, significant other, or legally authorized representative or medical records) provided the necessary information, code A1250 as only X. Resident unable to respond. A1255
Coding Tips
A dash (–) value is a valid response for this item; however, CMS expects dash use to be a rare occurrence. If the resident is unable to respond and the response is determined via family, significant other, or legally authorized representative input or medical records, select the response that applies. This item is only collected for residents whose episode of care is less than 366 days (i.e., A2300 minus A1900 is less than 366 days).
Chapter Section Page(s) version 1.20.1 Change A1255
Examples
1. Resident E is admitted with Multiple Sclerosis. They are
confused and unable to understand when asked if they have had a lack of transportation that has kept them from medical appointments, meetings, work, or from getting things needed for daily living. No family, significant other, or legally authorized representative with related information about transportation is available, but their medical record indicates that in the past 12 months, their spouse usesused their car to transport Resident E wherever they needed to go.
Coding: A12505, Transportation would be coded as
C.1, No and X. Resident unable to respond.
Rationale: If nNeither Resident E nor their family,
significant other, or legally authorized representative was able to provide a response, but the medical record documentation can provided the necessary information, code both the information in the medical record and X. Resident unable to respond regarding transportation.
2. Resident B indicates that in the last 12 months, they have
not had reliable transportation, which has occasionally kept them from attending medical appointments.
Coding: A1255, Transportation would be coded as 0,
Yes.
Rationale: Resident B reported they have not had access to reliable transportation in the last 12 months,
which has kept them from medical appointments, meetings, work or from getting things needed for daily living.
Chapter Section Page(s) version 1.20.1 Change D0150
Copyright © Pfizer Inc. All rights reserved. Reproduced with permission. D0150
Some items (e.g., item D0150F) contain more than one phrase. If a resident gives different frequencies for the different parts of a single item, select the highest frequency as the score for that item. In the rare situation that the resident cannot provide a frequency, following a yes response to a symptom in Column 1, enter a dash in Column 2. CMS expects a dash response to be rare. Residents may respond to questions: — verbally, — by pointing to their answers on the cue card, OR — by writing out their answers. D0160
If the PHQ-9© was completed (that is, D0150C–I were not blank due to the responses in D0150A and B) and if the resident answered the frequency responses of at least 7 of the 9 items on the PHQ-9©, add the numeric scores from D0150A2–D0150I2, following the instructions in Appendix E, and enter in D0160. If symptom frequency in items D0150A2 through D0150I2 is blank or dashed for 3 or more items, the interview is deemed NOT complete. Total Severity Score should be coded as “99,” do not complete the Staff Assessment of Mood, and skip to D0700, Social Isolation. Enter the total score as a two-digit number. The Total Severity Score will be between 00 and 27 (or “99” if symptom frequency is blank for 3 or more items). D0500
* Copyright © Pfizer Inc. All rights reserved. Reproduced with permission.
Chapter Section Page(s) version 1.20.1 Change F0500
Coding Instructions
See Coding Instructions on page F- 5 . Coding approach is identical to that for daily preferences. See Coding Instructions on page F-(begin delet ed text) 4 (end deleted text) 5 . Coding approach is identical to that for daily preferences.
Coding Tips and Special Populations
See Coding Tips on page F-5. Coding tips include those for daily preferences. Include Braille and or audio recorded material when coding items in F0500A. Interviewing Tips and Techniques See Interview Tips and Techniques on page F- 6 . Coding tips and techniques are identical to those for daily preferences. See Interview Tips and Techniques on page F-(begin d eleted text) 5 (end deleted text) 6 . Coding tips and techniques are identical to those for daily preferences.
Chapter Section Page(s) version 1.20.1 Change GG-2–
Page length changed due to revised content. GG0100
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.
Chapter Section Page(s) version 1.20.1 Change GG0100
Examples for Coding Prior Functioning: Everyday Activities 1. Self-Care: Resident T was admitted to an acute care facility after sustaining a stroke and subsequently admitted to the SNF for rehabilitation. Prior to the stroke, Resident T was independent in eating and using the toilet; however, Resident T required assistance for bathing and putting on and taking off their shoes and socks. The assistance needed was due to severe arthritic lumbar pain upon bending, which limited their ability to access their feet.
Coding: GG0100A would be coded 2, Needed Some
Help.
Rationale: Resident T needed partial assistance from
a helper to complete the activities of bathing and dressing. While Resident T did not need help for all self-care activities, they did need some help. Code 2 is used to indicate that Resident T needed some help for self-care.
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.
Chapter Section Page(s) version 1.20.1 Change GG0100
3. Indoor Mobility (Ambulation): Approximately three
months ago, Resident K had a cardiac event that resulted in anoxia, and subsequently a swallowing disorder. Resident K has been living at home with their spouse and developed aspiration pneumonia. After this most recent hospitalization, they were admitted to the SNF for a diagnosis of aspiration pneumonia and severe deconditioning. Prior to the most recent acute care hospitalization, Resident K needed some assistance when walking.
Coding: GG0100B would be coded 2, Needed Some
Help.
Rationale: While the resident experienced a cardiac
event three months ago, they recently had an exacerbation of a prior condition that required care in an acute care hospital and skilled nursing facility. The resident’s prior functioning is based on the time immediately before their most recent condition exacerbation that required acute care.
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).
Chapter Section Page(s) version 1.20.1 Change GG0100
5. Stairs: Prior to admission to the hospital for bilateral knee
surgery, followed by their recent admission to the SNF for rehabilitation, Resident V experienced severe knee pain upon ascending and particularly descending their internal and external stairs at home. Resident V required assistance from their spouse when using the stairs to steady them in the event their left knee would buckle. Resident V’s spouse was interviewed about their spouse’s functioning prior to admission, and the therapist noted Resident V’s prior functional level information in their medical record.
Coding: GG0100C would be coded 2, Needed Some
Help.
Rationale: Prior to admission, Resident V required
some help in order to manage internal and external stairs.
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.
Chapter Section Page(s) version 1.20.1 Change GG0100
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.
8. Functional Cognition: Resident R had a stroke, resulting
in a severe communication disorder. Their family members have not returned phone calls requesting information about Resident R’s prior functional status, and their medical records do not include information about their functional cognition prior to the stroke.
Coding: GG0100D would be coded 8, Unknown.
Rationale: Attempts to seek information regarding Resident R’s prior functioning were made; however,
no information was available. GG0110
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.
Chapter Section Page(s) version 1.20.1 Change GG0130 and GG0170 GG-10–
Matrix Applicability
Matrix values will appear here after they are imported into the governed matrix tables.