Is it correct that CNA’s are not allowed to complete section GG? Is it possible to have CNAs submit documentation to an RN who then completes the assessment for GG?


As per the RAI – assess the resident’s self-care and mobility performance based on direct observation, incorporating resident self-reports and reports from qualified clinicians, care staff, or family documented in the medical record during the three-day assessment period. As CNA’s are “care staff”, their reports should be incorporated into the assessment process. The RAI defines a “qualified clinician” as – Healthcare professionals practicing within their scope of practice and consistent with Federal, State, and local law and regulations. (See Chapter 3, GG-10). https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/MDS30RAIManual

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Blog by Eleisha Wilkes, RN, RAC-CT, RAC-CTA, Proactive Medical Review

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