Section GG 3 Day

Performance Observation Worksheet

Accurate Section GG coding doesn't start at the MDS, it starts at the bedside. And without a consistent, structured observation tool in the hands of your nursing and CNA staff, the data your MDS coordinator needs to code Section GG accurately is left to memory, inconsistent notes, and best guesses. The Section GG 3-Day Functional Performance & Support Observation Worksheet by Insight MDS & Therapy Solutions closes that gap, giving your entire care team a simple, intuitive tool to capture what they are actually observing, shift by shift, across the full three-day observation window.

Designed specifically for Skilled Nursing and Long-Term Care settings, this one-page observation worksheet guides nursing and CNA staff through every Section GG self-care and mobility item, capturing AM, PM, and NOC shift observations across all three days so your MDS coordinator has a complete, shift-level picture of each resident's usual functional performance when it's time to code.

Why accurate Section GG documentation matters:
Section GG drives some of the most significant reimbursement and quality outcomes in Skilled Nursing today. Under PDPM, Section GG directly impacts the Physical Therapy and Occupational Therapy components, and inaccurate functional coding can mean both lost reimbursement and incorrect care planning. Under the Five-Star Quality Measure program, the Discharge Function Score, one of the highest-weighted short-stay measures, is built entirely on Section GG data. A resident who doesn't meet their expected discharge function score doesn't just affect one stay, it follows your facility in CMS data for up to a full year.

Without a structured observation process, facilities are vulnerable to:
❌ Inconsistent coding between assessors and shifts
❌ Functional scores that don't reflect the resident's true usual performance
❌ Missed reimbursement due to under coded functional status
❌ Five-Star Discharge Function Score triggers that could have been prevented
❌ Audit exposure when documentation doesn't support the coded level of assistance

What this worksheet gives your team:
✅ A clean, structured grid capturing every Section GG self-care and mobility item across three days and three shifts
✅ A built-in GG Performance Code Quick Reference so nursing and CNA staff always know exactly which code to apply, no guesswork, no inconsistency
✅ Shift sign-off fields, creating a clear, dated, and signed documentation trail that supports your MDS coding and satisfies auditor review
✅ A dedicated usual performance score column so your MDS coordinator can quickly identify the code that reflects the resident's typical performance across the observation period

This worksheet is designed to be used at every new admission and readmission, integrated into your nursing workflow as a standard part of the admission process, ensuring your MDS coordinator always has complete, consistent, shift-level observation data to support every Section GG coding decision.

This worksheet supports, and does not replace, official MDS Section GG coding. Always verify current item definitions and numbers in the CMS RAI User's Manual in effect at the time of assessment.

📌 Licensed for use by one facility only. Not for redistribution or resale. Full Terms & Conditions provided upon purchase.