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.
6 matrix group(s) are already attached for review on this item.
6 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. Read the question and response choices as written.
Code for pain interference with therapy activities over the last 5 days.
Code 0, Does not apply: if the resident responds
that they did not participate in rehabilitation therapy for reasons unrelated to pain (e.g., therapy not needed, unable to schedule) over the past 5 days.
Code 1, Rarely or not at all: if the resident
responds that pain has rarely or not at all limited their participation in rehabilitation therapy sessions over the past 5 days.
Code 2, Occasionally: if the resident responds that
pain has occasionally limited their participation in rehabilitation therapy sessions over the past 5 days.
Code 3, Frequently: if the resident responds that
pain has frequently limited their participation in rehabilitation therapy sessions over the past 5 days.
Code 4, Almost constantly: if the resident
responds that pain has almost constantly limited their participation in rehabilitation therapy sessions over the past 5 days.
Code 8, Unable to answer: if the resident is unable to answer the question, does not
respond, or gives a nonsensical response.
This item should be coded based on the resident’s interpretation of the provided response options for frequency. If the resident is unable to decide between two options, then the assessor should code for the option with the higher frequency.
REHABILITATION THERAPY Special healthcare services or programs that help a person regain physical, mental, and/or cognitive (thinking and learning) abilities that have been lost or impaired as a result of disease, injury, or treatment. Can include, for example, physical therapy, occupational therapy, speech therapy, and cardiac and pulmonary therapies. Rehabilitation therapies may include treatment supervised in person by a therapist or nurse or other staff or the resident carrying out a prescribed therapy program without staff members present. Rehabilitation therapies do not include restorative nursing programs. Example 1. When asked, “Over the past 5 days, how often have you limited your participation in rehabilitation therapy sessions due to pain?” the resident responded, “Since the surgery a week ago, the pain has made it hard to even get out of bed. I try to push myself, but the pain frequently limits how much I can do with my therapist.”
Coding: J0520 would be coded 3, Frequently.
Rationale: The resident reports that pain frequently limited participation in therapies
over the past 5 days.