Table 1.

Items Considered for Social Connectedness Index After Initial Nursing Expert Review

Concept	MDS 3.0 Item(s) and Wording
Isolation	O0100m2: Isolation or quarantine for active infectious disease in past 14 days
Use of Restorative Nursing	Any restorative nursing performed in the last 7 days O0500a: Passive range of motion O0500b: Active range of motion O0500c: Splint or brace assistance Training and Skill Practice in: O0500d: Bed mobility O0500e: Transfer O0500f: Walking O0500g: Dressing and/or grooming O0500h: Eating and/or swallowing O0500i: Amputation/prostheses care O0500j: Communication
Presence of Behavioral Symptoms	E0200a: Physical behavioral symptoms directed towards others (e.g., hitting, kicking, pushing, scratching, grabbing, abusing others sexually) E0200b: Verbal behavioral symptoms directed toward others (e.g., threatening others, screaming at others, cursing at others) E0200c: Other behavioral symptoms directed at others (e.g., physical symptoms such as hitting or scratching self, pacing, rummaging, public sexual acts, disrobing in public, throwing or smearing food or bodily wastes, or verbal/vocal symptoms like screaming, disruptive sounds)
Behavioral Symptoms Interfere with Social Participation	E0500c: Behavioral symptoms significantly interfere with the resident’s participation in activities or social interactions E0300: Were any behavioral symptoms in questions E0200 coded 1, 2, or 3?
Behavioral Symptoms Impact Others	E0600a: Behavioral symptoms put others at significant risk for physical injury E0600b: Behavioral symptoms significantly intrude on the privacy or activity of others E0600c: Behavioral symptoms significantly disrupt care or living environment E0300: Were any behavioral symptoms in questions E0200 coded 1, 2, or 3?
Intrusive Wandering	E1000b: Does the {resident’s} wandering significantly intrude on the privacy or activities of others? E0900: Has the resident wandered?
Rejection of Care	E0800: Did the resident reject evaluation of care (e.g., bloodwork, taking medications, ADL assistance) that is necessary to achieve the resident’s goals for health and well-being?
Prefers Group Activities	F0500e: How important is it to you to do things with groups of people? F0800p: {Staff} Resident prefers doing things with groups of people
Others Involved in Care Decisions	F0400f: How important is it to you to have your family or a close friend involved in discussions about your care? F0800i: {Staff} Resident prefers family or significant other involvement in care discussions
Prefers Spending Time Away	F0800r: {Staff} Resident prefers spending time away from the nursing home
Prefers Religious Participation	F0500h: How important is it to you to participate in religious activities or practices? F0800t: {Staff} Resident prefers participating in religious activities or practices
Presence of Depressive Symptoms	D0300: {sum of PHQ-9 symptom frequency scores} D0600: {sum of PHQ-9-OV symptom frequency scores}
Staff Needs Interpretation Services	A1100: Does the resident need or want an interpreter to communicate with a doctor or health care staff?
Vision	B1000: Ability to see in adequate light (with glasses or other visual appliances)
Hearing	B0200: Ability to hear (with hearing aid or hearing appliances if normally used)
Speech Clarity	B0600: Select best description of speech pattern
Makes Self Understood	B0700: Ability to express ideas and wants, consider both verbal and non-verbal expression
Understands Others	B0800: Understanding verbal content, however able (with hearing aid or device if used)
Daily Decision-Making Capacity	C1000: {Staff} Made decisions regarding tasks of daily file
Serious Mental Illness	A1510a: Level II Preadmission Screening and Resident Review Conditions: Serious mental illness I5900: Manic depression (bipolar disease) I5950: Psychotic disorder (other than schizophrenia) I6000: Schizophrenia (e.g., schizoaffective and schizophreniform disorders)
Intellectual Disability	A1510b: Level II Preadmission Screening and Resident Review Conditions: Intellectual disability A1550a: Down syndrome A1550b: Autism A1550d: Other organic condition related to ID/DD A1550e: ID/DD with no organic condition I8000a-I8000j: Intellectual disability (ICD-10: F70*-F70; ICD-9: 317*-319*) I8000a-I8000j: Pervasive developmental disorder (ICD-10: F84*; ICD-9: 299*) I8000a-I8000j: Down syndrome (ICD-10: Q90; ICD-9: 758.0*)
Mobility On Unit	G0110e1: {Self-performance} Locomotion on unit – how resident moves between locations in his/her room and adjacent corridor on same floor. If in wheelchair, self-sufficiency once in chair. G0110e2: {Support provided}
Mobility Off Unit	G0110f1: {Self-performance} Locomotion off unit – how resident moves to and returns from off-unit locations {e.g., areas set aside for dining, activities or treatments). If facility has only one floor, how resident moves to and from distant areas on the floor. If in wheelchair, self-sufficiency once in chair. G0110f2: {Support provided}
Urinary Continence	H0300: Urinary continence – select the one category that best describes the resident
Bowel Continence	H0400: Bowel continence – select the one category that best describes the resident
Hallucinations	E0100a: Hallucinations (perceptual experiences in the absence of real external sensory stimuli)