F-13-903 Functional Assessment Tool
🎯 PURPOSE
The OASIS Functional Assessment Tool (Fazzi’s “OASIS Walk” ®) provides a structured room-by-room process for observing and documenting a client’s functional status during applicable OASIS assessment timeframes, including SOC, ROC, Recertification, Follow-Up, and Discharge. The tool is designed to help clinicians observe what the client does in their home, identify the level of assistance required, and support accurate OASIS documentation.
🔄 PROCESS
How to Use the OASIS Functional Assessment Tool:
As you move through the client’s home, use the prompts to ask the client to demonstrate routine activities whenever it is safe and appropriate to do so.
For each activity:
- Ask the client to show you how they normally perform the task.
- Observe the client’s actual performance rather than relying only on their verbal report.
- Identify the type and amount of assistance required, including setup, queueing, supervision, or physical assistance.
- Note the use of assistive devices, adaptive equipment, and environmental supports.
- Assess safety, balance, endurance, sequencing, and ability to complete the task.
- Determine whether the observed performance represents the client’s usual performance.
- Document observations that support the applicable OASIS response.
KEY REMINDER: Don’t just ask—observe.
The goal is to determine what the client is performing, how much assistance they require, and whether they can perform the activity SAFELY in their home environment. Use the client's usual routine whenever possible. Do not ask the client to perform an activity if doing so would create an unsafe situation. The OASIS functional assessment tool can also provide opportunities to observe or assess other applicable OASIS items during the visit.
For example:
- Dyspnea: Observe respiratory status during activity and recovery (M1400).
- Medication management: Observe the client's ability to obtain, access, and manage medications when applicable (M2020).
- Pain: Consider how pain affects the patient's ability to perform activities and function (J0530).
- Safety: Observe fall risks, environmental barriers, device use, and caregiver assistance throughout the home.
- Hospitalization: Ask yourself, would I be surprised if they were hospitalized? Check the appropriate boxes (M1033)
Functional Assessment Prompts by Room
Bedroom:
|
Room |
OASIS Item |
"Show Me"/ Assessment Prompt |
Tips for What to Observe |
|
BEDROOM |
M1850- Transferring |
• “Show me how you get on and off the bed/sleeping surface from a supine position.” • “Show me how you get from your bed to the nearest chair.” • “Show me how you get up and down from the chair.” |
• Unsafe transfer techniques • Level of assistance needed • Need for verbal or physical cues •Use of furniture or other objects for support •Include M1860 observation if there is not a seating surface next to the bed. |
|
BEDROOM |
M1810 – Upper Body Dressing (GG0130- upper body dressing) |
• “Show me how you get a shirt out of the closet.” • “Have you made any recert modifications to your clothing worn or where stored.” • “Show me how you put on and take off shirt/bra/slings/prosthetics/etc.” |
• Ability to safely reach clothing • Balance while reaching • Use of dressing aids • Need for assistance or cueing for dressing or obtaining clothing |
|
BEDROOM |
M1820 – Lower Body Dressing (GG0130- lower body dressing, GG0130- putting on/taking off footwear) |
• “Show me how you get your pants out of the dresser.” • “Show me how you take off your pants, shoes, and socks. I need to check your feet.” • “Have you made any recert modifications to your clothing worn or where stored.” |
• Ability to safely reach feet/clothing • Balance • Use of dressing aids • Need for assistance or cueing for dressing or obtaining clothing |
Bathroom:
|
Room |
OASIS Item |
"Show Me"/ Assessment Prompt |
Tips for What to Observe |
|
BATHROOM |
M1840 – Toilet Transferring (GG0170- toilet transfer) |
• “Show me how you get to the bathroom from the other rooms.” • “Show me how you get on and off the toilet (Or commode/urinal/bedpan if applicable).” |
• Raised toilet seat/commode • Toilet safety frame • Grab bars • Unsafe reliance on towel racks, toilet paper holders, or countertops. •Level of assistance needed. |
|
BATHROOM |
M1845- Toileting Hygiene (GG0130-toilet hygiene) |
• “Show me how you pull up and down your clothing” • “Show me how you clean perineal area” • “Show me how you perform catheter/Ostomy care” |
• Ability to reach and perform hygiene • Balance • Catheter/ostomy management, if applicable • Use of adaptive equipment/toileting aids • Need for setup, cueing, supervision, or physical assistance |
|
BATHROOM |
M1830- Bathing (GG0130- shower/bathe self) |
• “Show me how you get into your tub/shower.” • “Show me how you reach your feet and back while bathing.” |
• Grab bars • Hand-held shower head • Shower/tub seat • Safe use of fixtures• Unsafe reliance on towel racks, shower doors/frames, or curtain rods •Level of assistance needed. |
|
BATHROOM |
M1800 – Grooming (GG0130- Oral hygiene) |
• “Where do you keep your grooming supplies?” • “Can you get them out for me?” |
• Ability to locate and retrieve supplies • Items stored outside of safe reach • Balance and safety while reaching |
Living Room:
|
Room |
OASIS Item |
"Show Me"/ Assessment Prompt |
Tips for What to Observe |
|
LIVING ROOM |
M1860 – Ambulation/Locomotion (GG0170- Sit to lying, lying to sitting on the side of the bed, sit to stand, chair/bed-to-chair transfer, walk 10 ft., walk 50 ft. with two turns, walk 150ft, walking 10 ft. on uneven surfaces, 1 step, 4 steps, 12 steps, picking up object, wheeling self-50 ft. with two turns, wheel 150 ft.) |
• “Show me how you get around your house.” • “Show me how you get up and down the stairs.” |
• Safety with current ambulation/locomotion (have them ambulate at least 10 feet or up to 150ft if safe) • Use of assistive devices • Gait and balance • Ability to safely negotiate stairs • Need for verbal or physical cues • If chairfast observe ability to wheel self • What type of wheelchair is used |
Car:
|
Room |
OASIS Item |
"Show Me"/ Assessment Prompt |
Tips for What to Observe |
|
CAR |
GG0170- Car Transfer |
• “Can you show me how you transfer in and our of the passenger side of the vehicle” |
• Ability to lower into and rise from seat • Ability to lift/swing legs into/out of vehicle • Balance during transfer • Use of assistive device or adaptive equipment • Need for cueing, supervision, or physical assistance |
📅 Effective: 10/30/2026 | 🛠️ Revised:  |  ✅ Approved: KD