Transferring Tipsheet: M1850

🎯Purpose:

This tool can be used to aid in the interpretation and coding of this OASIS item. Review the General Instructions and CMS Instructions for each answer.

(M1850) Transferring: Current ability to move SAFELY from bed to chair, or ability to turn and position self in bed if patient is bedfast.

ANSWER	M1850 TRANSFERRING DESCRIPTION	CMS INSTRUCTIONS
0	Able to independently* transfer	Transfers SAFELY* supine to sit, sit to stand, and bed to chair (independent in bed mobility and transfers) *SAFELY ambulates to nearest sitting surface if not adjacent to the bed *No device or human assistance needed with all of the above tasks
1	*Able to transfer with minimal human assistance OR with use of an assistive device	Independent/SAFE* with device, and no assistance needed, OR assistance, and no device needed If require both assistance AND* a device, it is not a 1, continue down the responses *"Minimal human assistance" includes verbal cueing, supervision <25% manual assist, and environmental set up
2	*Able to bear weight AND pivot during the transfer process but unable to transfer self	Able to SAFELY* bear weight AND pivot If not able to complete both, it is not a 2, continue down the responses Requires ANY assistance AND a device Requires > or = 25% manual assistance Able to bear weight refers to the client's ability to support the majority of his/her body weight through any combination of weight bearing-exercises
3	*Unable to transfer self AND is unable to bear weight OR pivot when transferred by another person	Not bedfast (able to tolerate being out of bed) Likely a CHAIRFAST client *If client is able to bear weight and pivot, it is not a 3, look at response 2
4	*Bedfast, unable to transfer but is able to turn and position self in bed	Unable to tolerate being out of bed Independent bed mobility *Able to turn/position self
5	*Bedfast, unable to transfer and is unable to turn and position self	Unable to tolerate being out of bed Requires assistance with turning and positioning

General Instructions:

Observe the client during transfers and determine the amount assistance required for SAFE transfers.
If the client is able to perform the transfer, but not safe, need to score the lower item
It is not transferring from the toilet or into/out of the shower
It is not taking into account if there is a caregiver available
**If there is no chair in the client's bedroom or the client does not routinely transfer from the bed directly into a chair in the bedroom, report the client's ability to move from a supine position in bed to a sitting position at the side of the bed, and then the ability to stand and then sit on whatever surface is applicable to the client's environment and need (e.g. a chair in another room, a bedside commode, the toilet, a bench, etc). Include the ability to return back into bed from the sitting surface
GG0170 A-E, Clinical Summary and therapy evaluations should correlate with this response
Reminder: the item is scored PRIOR to intervention provided.

📅 Effective: 08/18/2021 | 🛠️ Revised: 7/9/26 | ✅ Approved: JM