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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MDS Lookup
Corrective Lenses
Item Rationale
Matrix review
3 matrix group(s) are already attached for review on this item.
Answer coverage
2 governed answer row(s) are attached for this item.
Answer Codes
Code 0
No
if the resident did not use eyeglasses or other vision aid during the B1000, Vision assessment.
Code 1
Yes
if corrective lenses or other visual aids were used when visual ability was assessed in completing B1000, Vision.
What this item is
Item Rationale
When to use it
Use this item when the facility is completing content tied to Section B and needs to stay anchored to v1.20.1.
Reminders
- Current source status: Published.
- Item locator: Manual page B-13
- CMS exact locator: Manual page B-13
- This item has 2 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 B-13
CMS exact locator
Manual page B-13
Full CMS Text
Item Rationale
Health-related Quality of Life
Decreased ability to see can limit the enjoyment of everyday activities and can contribute to social isolation and mood and behavior disorders. Many residents who do not have corrective lenses could benefit from them, and others have corrective lenses that are not sufficient. Many persons who benefit from and own visual aids do not have them on arrival at the nursing home.
Planning for Care
Knowing if corrective lenses were used when determining ability to see allows better identification of evaluation and management needs. Residents with eyeglasses or other visual appliances should be assisted in accessing them. Use and maintenance should be included in care planning. Residents who do not have adequate vision without eyeglasses or other visual appliances should be asked about history of corrective lens use. Residents who do not have adequate vision, despite using a visual appliance, might benefit from a re-evaluation of the appliance or assessment for new causes of vision impairment.
Steps for Assessment
1. Prior to beginning the assessment, ask the resident whether they use eyeglasses or other
vision aids and whether the eyeglasses or vision aids are at the nursing home. Visual aids do not include surgical lens implants.
2. If the resident cannot respond, check with family and care staff about the resident’s use of
vision aids during the 7-day look-back period.
3. Observe whether the resident used eyeglasses or other vision aids during reading vision test
(B1000).
4. Check the medical record for evidence that the resident used corrective lenses when ability to
see was recorded.
5. Ask staff and significant others whether the resident was using corrective lenses when they
observed the resident’s ability to see.
Coding Instructions
Code 0, no: if the resident did not use eyeglasses or other vision aid during the
B1000, Vision assessment.
Code 1, yes: if corrective lenses or other visual aids were used when visual ability was
assessed in completing B1000, Vision.
Matrix Applicability
Nursing Home Subsets
NC - Comprehensive
Marker: x
applies
Locator: MDS Item Matrix v1.20.1 v4
NQ - Quarterly
Marker: x
applies
Locator: MDS Item Matrix v1.20.1 v4
NP - PPS 5 Day
Marker: x
applies
Locator: MDS Item Matrix v1.20.1 v4
Swing Bed Subsets
SP - PPS 5 Day
Marker: x
applies
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 Quarterly A=02, 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