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U S Department of Health and Human Services Improving the health, safety and well-being of America

MDS Quality Indicator and Resident Reports

The Minimum Data Set (MDS) is part of the federally mandated process for clinical assessment of all residents in Medicare or Medicaid certified nursing homes. This process provides a comprehensive assessment of each resident's functional capabilities and helps nursing home staff identify health problems. Resident Assessment Protocols (RAPs), are part of this process, and provide the foundation upon which a resident's individual care plan is formulated. MDS assessment forms are completed for all residents in certified nursing homes, regardless of source of payment for the individual resident. MDS assessments are required for residents on admission to the nursing facility and then periodically, within specific guidelines and time frames. In most cases, participants in the assessment process are licensed health care professionals employed by the nursing home. MDS information is transmitted electronically by nursing homes to the MDS database in their respective States. MDS information from the State databases is captured into the national MDS database at CMS.

MDS assessment data are used to generate the reports available through this website:

  1. Quality Measure/Indicator Report - which present data on 30 "measures/indicators" of quality of care (34 with subcategories). These data are also presented at a state and national level.
  2. Quality Indicator Reports - which present data on 24 "indicators" of quality of care (32 with subcategories). These data are also presented at a state and national level.
  3. Active Resident Reports - which contains data for residents currently in nursing homes presented at a state and national level.
  4. Assessment counts by Reason for Assessment
  5. RUGS
  6. RUGS by Reason for Assessment
  7. Q1a counts by County
  8. Frequency Reports - which give a picture of the characteristics of the nursing home population in each state and nationally through presentation of data on frequency of responses to specific MDS items.

These public use reports are meant to begin the process of sharing information from the national MDS database. It is hoped that interested users will learn from the data and provide feedback in its future presentation and use. For specific questions concerning these reports, please send an E-Mail or fax a written request to the MDS Reports Coordinator at (410) 786-4005.

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Centers for Medicare & Medicaid Services