Source anchor
CMS MDS 3.0 RAI Manual v1.20.1 is the governed baseline currently attached to this lookup item.
Steps for Assessment
CMS MDS 3.0 RAI Manual v1.20.1 is the governed baseline currently attached to this lookup item.
4 matrix group(s) are already attached for review on this item.
3 governed answer row(s) are attached for this item.
Steps for Assessment
Use this item when the facility is completing content tied to Section J and needs to stay anchored to v1.20.1.
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.
1. Ask the resident: “Have you had pain or hurting at any time
in the last 5 days?” Coding Instructions for J0300, Pain Presence Code for the presence or absence of pain regardless of pain management efforts in the last 5 days.
Code 0, no: if the resident responds “no” to having
any pain or hurting in the last 5 days. Code 0, no: even if the reason for no pain is that the resident received pain management interventions. If coded 0, the pain interview is complete. Skip to Shortness of Breath item (J1100).
Code 1, yes: if the resident responds “yes” to having any pain or hurting in the last 5
days. If coded 1, proceed to the Pain Assessment Interview.
Code 9, unable to answer: if the resident is unable to answer, does not respond, or
gives a nonsensical response. If coded 9, skip to the Staff Assessment for Pain.
Rates of self-reported pain are higher than observed rates. Although some observers have expressed concern that residents may not complain and may deny pain, the regular and objective use of self-report pain scales enhances residents’ willingness to report.
1. When asked about pain, Resident S responds, “No. I have been taking the pain medication
regularly, so fortunately I have had no pain.” Coding: J0300 would be coded 0, no.
Rationale: Resident S reports having no pain during the look-back period. Even though
they received pain management interventions during the look-back period, the item is coded “No,” because there was no pain.
2. When asked about pain, Resident T responds, “No pain, but I have had a terrible burning
sensation all down my leg.” Coding: J0300 would be coded 1, yes.
Rationale: Although Resident T’s initial response is “no,” the comments indicate that
they have experienced pain (burning sensation) during the look-back period.
NONSENSICAL RESPONSE Any unrelated, incomprehensible, or incoherent response that is not informative with respect to the item being coded.
3. When asked about pain, Resident G responds, “I was on a train in 1905.”
Coding: J0300 would be coded 9, unable to respond.
Rationale: Resident G has provided a nonsensical answer to the question. The assessor
will complete the Staff Assessment for Pain.