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The ability to use suitable utensils to bring food and/or liquid to the mouth and swallow food and/or liquid once the meal is placed before the resident .

  The ability to use suitable items to clean teeth. Dentures (if applicable): The ability to insert and remove dentures into and from the mouth, and manage denture soaking and rinsing with use of equipment.

 The ability to maintain perineal hygiene, adjust clothes before and after voiding or having a bowel movement. If managing an ostomy, include wiping the opening but not managing equipment 

 The ability to move from sitting on side of bed to lying flat on the bed 

 The ability to move from lying on the back to sitting on the side of the bed with no back support 

 The ability to move from lying on the back to sitting on the side of the bed with no back support 

 The ability to come to a standing position from sitting in a chair, wheelchair, or on the side of the bed 

 The ability to transfer to and from a bed to a chair (or wheelchair) 

 The ability to get on and off a toilet or commode 

 The resident completes the activity by him/herself with no assistance from a helper 

 Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity, but not during the activity. For example, the resident requires assistance cutting up food or opening containers or requires setup of hygiene item(s) or assistive device(s) 

 Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently. For example, the resident requires verbal cueing, coaxing, or general supervision for safety to complete activity; or resident may require only incidental help such as contact guard or steadying assist during the activity 

 Helper does LESS THAN HALF the effort. Helper lifts, holds, or supports trunk or limbs, but provides less than half the effort 

  Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort 

Helper does ALL ofthe effort. Resident does none of the effort to complete the activity; or the assistance of two or more helpers is required for the resident to complete the activity

Based on documentation, the NAC and/or qualified clinicians will determine which “activity was not attempted” code is selected for the coding of the MDS. Medical record documentation may help support the reason the activity was not attempted: 

07, Resident refused

09, Not applicable

10, Not attempted due to environmental limitations

88, Not attempted due to medical condition or safety concerns