PDFWAC 388-106-0105

How does the CARE tool measure activities of daily living (ADLs)?

(1) CARE determines an ADL score ranging from zero to twenty-eight for each of the following ADLs.
(a) Personal hygiene;
(b) Bed mobility;
(c) Transfers;
(d) Eating;
(e) Toilet use;
(f) Dressing;
(g) Locomotion in room;
(h) Locomotion outside room; and
(i) Walk in room.
(2) The department through the CARE tool determines the ADL score by using the definitions in WAC 388-106-0010 under "Self-performance for ADLs." The CARE tool assigns the following points to the level of self performance for each of the ADLs listed in subsection (1) of this section. For the locomotion in room, locomotion outside of room and walk in room, the department uses the highest score of the three in determining the total ADL score.
ADL Scoring Chart
If Self Performance is:
Score Equals
Independent
0
Supervision
1
Limited assistance
2
Extensive assistance
3
Total dependence
4
Did not occur/no provider
4
Did not occur/client not able
4
Did not occur/client declined
0
(3) Although assessed by CARE, the department does not score bathing and medication management to determine classification groups.
[Statutory Authority: RCW 74.08.090, 74.09.520. WSR 05-11-082, § 388-106-0105, filed 5/17/05, effective 6/17/05.]