ADL CAA

Your BIMS score was lower than 5 to trigger ADLs. Although you may need to care plan the ADL need, it does not trigger on the new MDS 3.0 unless your BIMS is at least 5. I quoted below Chap. 4 from RAI. Hope that helps. Goodluck!

The new CAT logic does not trigger ADLs if the following were not met:

1. Cognitive skills for daily decision making has a value of 0 through 2 or BIMS summary score is 5 or greater, while ADL assistance for bed mobility was needed as indicated by:

(G0110A1 >= 1 AND G0110A1

( (C1000 >= 0 AND C1000

(C0500 >= 5 AND C0500

2. Cognitive skills for daily decision making has a value of 0 through 2 or BIMS summary score is 5 or greater, while ADL assistance for transfer between surfaces (excluding to/from bath/toilets) was needed as indicated by:

(G0110B1 >= 1 AND G0110B1

( (C1000 >= 0 AND C1000

(C0500 >= 5 AND C0500

3.Cognitive skills for daily decision making has a value of 0 through 2 or BIMS summary score is 5 or greater, while ADL assistance for walking in his/her room was needed as indicated by:

(G0110C1 >= 1 AND G0110C1

( (C1000 >= 0 AND C1000

C0500 >= 5 AND C0500

4. Cognitive skills for daily decision making has a value of 0 through 2 or BIMS summary score is 5 or greater, while ADL assistance for walking in corridor was needed as indicated by:

(G0110D1 >= 1 AND G0110D1

( (C1000 >= 0 AND C1000

(C0500 >= 5 AND C0500

5. Cognitive skills for daily decision making has a value of 0 through 2 or BIMS summary score is 5 or greater, while ADL assistance for locomotion on unit (including with wheel chair, if applicable) was needed as indicated by:

(G0110E1 >= 1 AND G0110E1

( (C1000 >= 0 AND C1000

(C0500 >= 5 AND C0500

6. Cognitive skills for daily decision making has a value of 0 through 2 or BIMS summary score is 5 or greater, while ADL assistance for locomotion off unit (including with wheel chair, if applicable) was needed as indicated by:

(G0110F1 >= 1 AND G0110F1

( (C1000 >= 0 AND C1000

(C0500 >= 5 AND C0500

7. Cognitive skills for daily decision making has a value of 0 through 2 or BIMS summary score is 5 or greater, while ADL assistance for dressing was needed as indicated by:

(G0110G1 >= 1 AND G0110G1

( (C1000 >= 0 AND C1000

(C0500 >= 5 AND C0500

8. Cognitive skills for daily decision making has a value of 0 through 2 or BIMS summary score is 5 or greater, while ADL assistance for eating was needed as indicated by:

(G0110H1 >= 1 AND G0110H1

( (C1000 >= 0 AND C1000

(C0500 >= 5 AND C0500

9. Cognitive skills for daily decision making has a value of 0 through 2 or BIMS summary score is 5 or greater, while ADL assistance for toilet use was needed as indicated by:

(G0110I1 >= 1 AND G0110I1

( (C1000 >= 0 AND C1000

(C0500 >= 5 AND C0500

10. Cognitive skills for daily decision making has a value of 0 through 2 or BIMS summary

as indicated by:

(G0110J1 >= 1 AND G0110J1

( (C1000 >= 0 AND C1000

(C0500 >= 5 AND C0500

11. Cognitive skills for daily decision making has a value of 0 through 2 or BIMS summary score is 5 or greater, while ADL assistance for self-performance bathing (excluding washing of back and hair) has a value of 1 through 4 as indicated by:

(G0120A>= 1 AND G0120A

( (C1000 >= 0 AND C1000

(C0500 >= 5 AND C0500

12. Cognitive skills for daily decision making has a value of 0 through 2 or BIMS summary score is 5 or greater, while balance during transition has a value of 1 or 2 for any item as indicated by:

( (G0300A = 1 OR G0300A = 2) OR

(G0300B = 1 OR G0300B = 2) OR

(G0300C = 1 OR G0300C = 2) OR

(G0300D = 1 OR G0300D = 2) OR

(G0300E = 1 OR G0300E = 2) ) AND

( (C1000 >= 0 AND C1000

(C0500 >= 5 AND C0500

13. Cognitive skills for daily decision making has a value of 0 through 2 or BIMS summary score is 5 or greater, while resident believes he/she is capable of increased independence as indicated by:

G0900A = 1 AND

( (C1000 >= 0 AND C1000

(C0500 >= 5 AND C0500

14. Cognitive skills for daily decision making has a value of 0 through 2 or BIMS summary score is 5 or greater, while direct care staff believe resident is capable of increased independence as indicated by:

G0900B = 1 AND

((C1000 >= 0 AND C1000

(C0500 >= 5 AND C0500

It doesn't trigger because with a BIMS so low, they assume she is not rehab/restorative potential.