Variable Format    Q#/Freq            Description/Label
 
BASEID   $BSIDFMT                      Unique SP Identification Number          
                          1,953        LOW-HIGH          BASEID Count                            
 
SURVEYYR SVYRFMT                       Survey year                              
                          1,953                    2018  2018                                    
 
VERSION  VERSFMT                       Version Number                           
                          1,953                       1  Version 1                               
 
SOURCE   SOURCE                        Data source                              
                          1,345                       1  Survey data only                        
                            608                       2  CMS administrative data only            
 
PLACTYPE PLAC7FMT  FA1                 Facility description                     
                              3                       .  Inapplicable/Missing                    
                          1,317                       4  Nursing home                            
                              2                       6  Hospital                                
                             16                       7  Hospital-based SNF unit                 
                            340                       8  Assisted living                         
                             25                       9  Board & care home                       
                              6                      10  Domiciliary care facility               
                             43                      11  Personal care facility                  
                             14                      12  Rest home/retirement home               
                              3                      15  Mental health center psychiatric setting
                             30                      16  Mentally ret/developmentally disabled   
                             24                      17  Rehabilitation facility                 
                             49                      18  Adult/group home                        
                             81                      91  Other                                   
 
ELIGSTAT YES1FMT                       Does facility provide long term care?    
                            608                       .  Inapplicable/Missing                    
                          1,345                       1  Yes                                     
         Notes:  Applies only if SOURCE = 1
 
COMPLEXF YES1FMT   FA3                 Facility part of larger facility/campus  
                            608                       .  Inapplicable/Missing                    
                            233                       1  Yes                                     
                          1,112                       2  No                                      
         Notes:  Applies only if SOURCE = 1
 
LARGTYPE LARGFMT   FA4                 Type of place facility is part of        
                              6                       D  Don't know                              
                          1,720                       .  Inapplicable/Missing                    
                            141                       3  Continuing Care Retirement Comm.        
                             18                       5  Retirement Community                    
                             12                       6  Hospital                                
                              8                       8  Assisted Living Facility                
                              2                       9  Board and Care Home                     
                              3                      11  Personal Care Home                      
                              8                      12  Rest Home/Retirement Home               
                             35                      91  Other                                   
         Notes:  Applies only if COMPLEXF = 1
                 First available in 2012
 
FACOWNED OWNDES    FA5A                Description of Ownership of facility     
                              2                       .  Inapplicable/Missing                    
                          1,365                       1  Proprietary                             
                            489                       2  Private non-profit                      
                             46                       3  City/county government                  
                             25                       4  State government                        
                              9                       5  Veterans Administration                 
                             17                      91  Other, specify                          
 
D_TOTBED BEDSFMT                       Total number of beds in facility         
                              6                       D  Don't know                              
                          1,947        Range of values   Number of beds                          
 
FACLTBED BEDSFMT   FB18                Number of long term beds only            
                              3                       D  Don't know                              
                            608                       .  Inapplicable                            
                              2                       0  No beds of this type                    
                          1,340        Range of values   Number of beds                          
         Notes:  Applies only if SOURCE = 1
 
CANDCBED BEDSFMT   FA26,FB20           # of beds certified for Mcare & Mcaid    
                              5                       D  Don't know                              
                            706                       0  No beds of this type                    
                          1,242        Range of values   Number of beds                          
 
CAIDBEDS BEDSFMT   FA27,FB21           Number of Medicaid-only certified beds   
                             13                       D  Don't know                              
                              1                       R  Refused                                 
                          1,875                       0  No beds of this type                    
                             64        Range of values   Number of beds                          
 
CAREBEDS BEDSFMT   FA28,FB22           Number of Medicare-only certified beds   
                             11                       D  Don't know                              
                          1,743                       0  No beds of this type                    
                            199        Range of values   Number of beds                          
 
FMRBEDS  BEDSFMT   FA30,FB24           Number of ICF/MR certified beds          
                             12                       D  Don't know                              
                            608                       .  Inapplicable                            
                          1,301                       0  No beds of this type                    
                             32        Range of values   Number of beds                          
         Notes:  Applies only if SOURCE = 1
 
D_UNCBED BEDSFMT                       Number of uncertified beds               
                             22                       D  Don't know                              
                              1                       R  Refused                                 
                          1,454                       0  No beds of this type                    
                            476        Range of values   Number of beds                          
 
HDLICBED BEDSFMT   FA29,FB23           Beds not certified, but licensed for NH  
                              4                       D  Don't know                              
                            608                       .  Inapplicable                            
                          1,314                       0  No beds of this type                    
                             27        Range of values   Number of beds                          
         Notes:  Applies only if SOURCE = 1
 
PCHBED   BEDSFMT   FA31,FB25           Number of other long term care beds      
                             19                       D  Don't know                              
                            608                       .  Inapplicable                            
                              1                       R  Refused                                 
                            906                       0  No beds of this type                    
                            419        Range of values   Number of beds                          
         Notes:  Applies only if SOURCE = 1
 
OTHERBED BEDSFMT                       # of beds where certification is unknown 
                              3                       D  Don't know                              
                            608                       .  Inapplicable                            
                          1,151                       0  No beds of this type                    
                            191        Range of values   Number of beds                          
         Notes:  Applies only if SOURCE = 1
 
NORMCARE YES1FMT   FA19,FB15           Facility provide nursing/medical care?   
                            608                       .  Inapplicable/Missing                    
                             13                       N  Not ascertained                         
                          1,209                       1  Yes                                     
                            123                       2  No                                      
         Notes:  Applies only if SOURCE = 1
 
SUPRMEDI YES1FMT   FA19,FB15           Facil supervises self-administered meds? 
                            608                       .  Inapplicable/Missing                    
                             13                       N  Not ascertained                         
                          1,324                       1  Yes                                     
                              8                       2  No                                      
         Notes:  Applies only if SOURCE = 1
 
BATHHELP YES1FMT   FA19                Does facility provide help w/bathing?    
                            608                       .  Inapplicable/Missing                    
                             13                       N  Not ascertained                         
                          1,319                       1  Yes                                     
                             13                       2  No                                      
         Notes:  Applies only if SOURCE = 1
 
DRESHELP YES1FMT   FA19                Does facility provide help w/dressing?   
                            608                       .  Inapplicable/Missing                    
                             13                       N  Not ascertained                         
                          1,317                       1  Yes                                     
                             15                       2  No                                      
         Notes:  Applies only if SOURCE = 1
 
SHOPHELP YES1FMT   FA19                Does facility provide help w/shopping?   
                            608                       .  Inapplicable/Missing                    
                             13                       N  Not ascertained                         
                          1,290                       1  Yes                                     
                             42                       2  No                                      
         Notes:  Applies only if SOURCE = 1
 
WALKHELP YES1FMT   FA19                Does facility provide help w/walking?    
                              1                       D  Don't know                              
                            608                       .  Inapplicable/Missing                    
                             13                       N  Not ascertained                         
                          1,282                       1  Yes                                     
                             49                       2  No                                      
         Notes:  Applies only if SOURCE = 1
 
EATHELP  YES1FMT   FA19                Does facility provide help w/eating?     
                            608                       .  Inapplicable/Missing                    
                             13                       N  Not ascertained                         
                          1,266                       1  Yes                                     
                             66                       2  No                                      
         Notes:  Applies only if SOURCE = 1
 
COMMHELP YES1FMT   FA19                Does facil provide help w/communication? 
                            608                       .  Inapplicable/Missing                    
                             13                       N  Not ascertained                         
                          1,303                       1  Yes                                     
                             29                       2  No                                      
         Notes:  Applies only if SOURCE = 1
 
D_24CARE YES1FMT                       Does facil provide 24-hour on-site care? 
                            608                       .  Inapplicable/Missing                    
                          1,065                       1  Yes                                     
                            280                       2  No                                      
         Notes:  Applies only if SOURCE = 1
 
MIDNTRES RESFMT    FA35,FB27           Midnight census count last night         
                             21                       D  Don't know                              
                            608                       .  Inapplicable/Missing                    
                             13                       N  Not ascertained                         
                              3                       0  None                                    
                          1,308        Range of values   Number of residents                     
         Notes:  Applies only if SOURCE = 1
 
D_HIGHRT COST2FMT  FR3,FR5             High monthly facility rate               
                            154                       D  Don't know                              
                            608                       .  Inapplicable/Missing                    
                             51                       N  Not ascertained                         
                              2                       R  Refused                                 
                          1,138        Range of values   Amount in dollars                       
         Notes:  Applies only if SOURCE = 1
 
D_LOWRT  COST2FMT  FR4,FR5             Low monthly facility rate                
                            165                       D  Don't know                              
                            608                       .  Inapplicable/Missing                    
                             55                       N  Not ascertained                         
                              3                       R  Refused                                 
                          1,122        Range of values   Amount in dollars                       
         Notes:  Applies only if SOURCE = 1
 
RECADMN  MMDDYYn8  RH2                 Most recent admission date               
                          1,953        MMDDYYYY          Date as MMDDYYYY                        
 
ORIGADMN MMDDYYn8  RH2A                First MCBS admission date                
                            608                       .  Inapplicable                            
                          1,345        MMDDYYYY          Date as MMDDYYYY                        
         Notes:  Constant value; same as ADMIN until SP is readmitted to a facility
                 Applies only if SOURCE = 1
 
BEFORADM BEFORFMT  BQRH22A             Place SP was admitted from               
                             76                       D  Don't know                              
                            608                       .  Missing                                 
                            149                       1  Nursing home/rehab center               
                             85                       2  Pers care home/resident care fac        
                             33                       3  CCRC/retirement home                    
                            411                       4  Hospital                                
                            499                       5  Private home or apartment               
                             60                       7  Other LTC facility                      
                             32                      91  Other                                   
         Notes:  Applies only if SOURCE = 1
 
D_LIVWTH LIVWFMT   RH30                With whom was SP living prior to admit   
                             65                       D  Don't know                              
                          1,422                       .  Inapplicable/Missing                    
                            217                       1  With relatives                          
                             29                       2  With non relatives                      
                              1                       3  Both relatives and non relatives        
                            219                       4  Alone                                   
         Notes:  Applies only if BEFORADM = 5,91
 
PROV     $FIDFMT                       Medicare provider number                 
                          1,345                          Missing                                 
                            608        Provider ID       Provider Number                         
 
