Variable Format    Q#/Freq            Description/Label
 
BASEID   $BSIDFMT                      Unique SP Identification Number          
                          7,321        LOW-HIGH          BASEID Count                            
 
SURVEYYR SVYRFMT                       Survey Year                              
                          7,321                    2018  2018                                    
 
VERSION  VERSFMT                       Version Number                           
                          7,321                       1  Version 1                               
 
TRGT_DT  MMDDYYn8                      Target Date                              
                          7,321        MMDDYYYY          Date as MMDDYYYY                        
 
SUB_DT   MMDDYYn8                      Submission Date                          
                          7,321        MMDDYYYY          Date as MMDDYYYY                        
 
SPEC_VCD                               Data Submission Spec Vers                
                          7,321        Range of values   Range of values                         
 
ITM_SVC                                Item Set Vers                            
                          7,321        Range of values   Range of values                         
 
PRCSD_TS MMDDYYn8                      Processed Timestamp                      
                          7,321        MMDDYYYY          Date as MMDDYYYY                        
 
Age                                    Res Age                                  
                          7,321        Range of values   Range of values                         
 
RSDT_MCI                               Res Match Criteria ID                    
                          7,321        Range of values   Range of values                         
 
CURCD                                  CBSA Urban/Rural                         
                          7,321        Range of values   Range of values                         
 
A0050    $M3RCTYP                      Type of Record                           
                          7,057        1                 Add a new record                        
                            264        2                 Modify existing record                  
 
A0200    $M3PROV                       Type of Provider                         
                          7,321        1                 Nursing home (SNF/NF)                   
 
A0310A   $M3OBRA                       Federal OBRA Rsn for Asmt                
                            815        01                Admission                               
                          1,838        02                Quarterly                               
                            432        03                Annual                                  
                            198        04                Significant change in status            
                              1        05                Sig correction - prior comp             
                          4,037        99                Not OBRA required                       
 
A0310B   $MCASS                        PPS Asmt                                 
                            764        01                Sched. 5-day assessment                 
                            517        02                Sched 14-day assessment                 
                            232        03                Sched 30-day assessment                 
                             58        04                Sched 60-day assessment                 
                             21        05                Sched 90-day assessment                 
                            133        07                Unsched assessment                      
                          5,596        99                None of the above                       
 
A0310C   $M3PPSOT                      PPS Oth Mcare Req Asmt (OMRA)            
                          7,110        0                 No                                      
                             25        1                 Start of therapy                        
                             27        2                 End of therapy                          
                            159        4                 Change of therapy                       
 
A0310E   $M3YESNO                      First Asmt Since Most Rec Admsn          
                          6,097        0                 No                                      
                          1,224        1                 Yes                                     
 
A0310F   $M3REPO                       Entry/Dis                                
                          1,390        01                Entry                                   
                            760        10                Discharge, return not anticipated       
                            485        11                Discharge, return anticipated           
                            172        12                Death in facility                       
                          4,514        99                None of the above                       
 
A0310G   $M3DIS                        Planned Dis                              
                          6,076                          Missing                                 
                            716        1                 Planned                                 
                            529        2                 Unplanned                               
 
A0410    $M3SUBRQ                      Submission Req                           
                          7,321        3                 Federal required                        
 
A0800    $SEXFMT                       Sex                                   
                          2,455        1                 Male                                    
                          4,866        2                 Female                                  
 
A0900    MMDDYYn8                      Birth Date                               
                          7,321        MMDDYYYY          Date as MMDDYYYY                        
 
A1000A   $M3INDIC                      R/E: American Indian or Alaskan Native   
                              8        -                 Not assessed/no information             
                          7,265        0                 Not indicated                           
                             48        1                 Indicated                               
 
A1000B   $M3INDIC                      R/E: Asian                               
                              8        -                 Not assessed/no information             
                          7,193        0                 Not indicated                           
                            120        1                 Indicated                               
 
A1000C   $M3INDIC                      R/E: African American                    
                              8        -                 Not assessed/no information             
                          6,580        0                 Not indicated                           
                            733        1                 Indicated                               
 
A1000D   $M3INDIC                      R/E: Hispanic                            
                              8        -                 Not assessed/no information             
                          6,862        0                 Not indicated                           
                            451        1                 Indicated                               
 
A1000E   $M3INDIC                      R/E: Native Hawaiian/Pacific Islander    
                              8        -                 Not assessed/no information             
                          7,304        0                 Not indicated                           
                              9        1                 Indicated                               
 
A1000F   $M3INDIC                      R/E: White                               
                              8        -                 Not assessed/no information             
                          1,550        0                 Not indicated                           
                          5,763        1                 Indicated                               
 
A1100A   $M3YNDET                      Res Need Interpreter                     
                          1,564                          Missing                                 
                              5        -                 Not assessed/no information             
                          5,517        0                 No                                      
                            224        1                 Yes                                     
                             11        9                 Unable to determine                     
 
A1200    $M3MARTL                      Marital Stat                             
                            287        -                 Not assessed/no information             
                            987        1                 Never married                           
                          1,688        2                 Married                                 
                          3,498        3                 Widowed                                 
                             50        4                 Separated                               
                            811        5                 Divorced                                
 
A1300A                                 Medical Record Num                       
                             84                          Missing                                 
                          7,237        Range of values   Range of values                         
 
A1300D                                 Lifetime Occupation(s) Text              
                          3,754                          Missing                                 
                          3,567        Range of values   Range of values                         
 
A1500    $M3SMI                        (PASRR)                                  
                          5,875                          Missing                                 
                              1        -                 Not assessed/no information             
                          1,355        0                 No                                      
                             56        1                 Yes                                     
                             34        9                 Not a Medicaid-certified unit           
 
A1510A   $M3INDIC                      Serious Mntl Illness                     
                          7,264                          Missing                                 
                              1        -                 Not assessed/no information             
                             21        0                 Not indicated                           
                             35        1                 Indicated                               
 
A1510B   $M3INDIC                      Intellectual Disability                  
                          7,264                          Missing                                 
                              1        -                 Not assessed/no information             
                             41        0                 Not indicated                           
                             15        1                 Indicated                               
 
A1510C   $M3INDIC                      Oth Related Conds                        
                          7,264                          Missing                                 
                              1        -                 Not assessed/no information             
                             50        0                 Not indicated                           
                              6        1                 Indicated                               
 
A1550A   $M3INDIC                      ID/DD Stat: Down Syndrome                
                          6,506                          Missing                                 
                              1        -                 Not assessed/no information             
                            813        0                 Not indicated                           
                              1        1                 Indicated                               
 
A1550B   $M3INDIC                      ID/DD Stat: Autism                       
                          6,506                          Missing                                 
                              1        -                 Not assessed/no information             
                            814        0                 Not indicated                           
 
A1550C   $M3INDIC                      ID/DD Stat: Epilepsy                     
                          6,506                          Missing                                 
                              1        -                 Not assessed/no information             
                            812        0                 Not indicated                           
                              2        1                 Indicated                               
 
A1550D   $M3INDIC                      ID/DD Stat: Oth Org ID/DD Cond           
                          6,506                          Missing                                 
                              1        -                 Not assessed/no information             
                            813        0                 Not indicated                           
                              1        1                 Indicated                               
 
A1550E   $M3INDIC                      ID/DD Stat: ID/DD W No Org Cond          
                          6,506                          Missing                                 
                              1        -                 Not assessed/no information             
                            812        0                 Not indicated                           
                              2        1                 Indicated                               
 
A1550Z   $M3INDIC                      ID/DD Stat: None of the Above            
                          6,506                          Missing                                 
                              1        -                 Not assessed/no information             
                              6        0                 Not indicated                           
                            808        1                 Indicated                               
 
A1600    MMDDYYn8                      Entry Date                               
                          7,321        MMDDYYYY          Date as MMDDYYYY                        
 
A1700    $M3TYP                        Type of Entry                            
                          4,801        1                 Admission                               
                          2,520        2                 Reentry                                 
 
A1800    $M3ADFRM                      Entered From                             
                            547        01                Community                               
                            248        02                Another nursing home or swing bed       
                          6,292        03                Acute hospital                          
                             96        04                Psychiatric hospital                    
                             64        05                Inpatient rehabilitation facility       
                             25        07                Hospice                                 
                             22        09                Long Term Care Hospital (LTCH)          
                             27        99                Other                                   
 
A2000    MMDDYYn8                      Dis Date                                 
                          5,904                       .  Inapplicable                            
                          1,417        MMDDYYYY          Date as MMDDYYYY                        
 
A2100    $M3ADFRM                      Dis Stat                                 
                          5,904                          Missing                                 
                            685        01                Community                               
                             47        02                Another nursing home or swing bed       
                            497        03                Acute hospital                          
                              7        04                Psychiatric hospital                    
                              5        07                Hospice                                 
                            172        08                Deceased                                
                              1        09                Long Term Care Hospital (LTCH)          
                              3        99                Other                                   
 
A2300    MMDDYYn8                      Asmt Ref Date                            
                          1,562                       .  Inapplicable                            
                          5,759        MMDDYYYY          Date as MMDDYYYY                        
 
A2400A   $M3YESNO                      Had a Mcare Stay Since Most Rec Admsn    
                          3,403        0                 No                                      
                          3,918        1                 Yes                                     
 
A2400B   MMDDYYn8                      Start Date of Most Rec Mcare Stay        
                          3,403                       .  Inapplicable                            
                          3,918        MMDDYYYY          Date as MMDDYYYY                        
 
A2400C   MMDDYYn8                      End Date of Most Rec Mcare Stay          
                          5,741                       .  Inapplicable                            
                          1,580        MMDDYYYY          Date as MMDDYYYY                        
 
B0100    $M3YESNO                      Comatose                                 
                          1,724                          Missing                                 
                              5        -                 Not assessed/no information             
                          5,591        0                 No                                      
                              1        1                 Yes                                     
 
B0200    $M3HEAR                       Hearing                                  
                          2,987                          Missing                                 
                             12        -                 Not assessed/no information             
                          3,057        0                 Adequate                                
                            800        1                 Minimal difficulty                      
                            397        2                 Moderate difficulty                     
                             68        3                 Highly impaired                         
 
B0300    $M3YESNO                      Hearing Aide                             
                          2,987                          Missing                                 
                              8        -                 Not assessed/no information             
                          3,874        0                 No                                      
                            452        1                 Yes                                     
 
B0600    $M3CLEAR                      Speech Clarity                           
                          2,987                          Missing                                 
                              8        -                 Not assessed/no information             
                          3,702        0                 Clear speech                            
                            519        1                 Unclear speech                          
                            105        2                 No speech                               
 
B0700    $M3UNDER                      Makes Self Understood                    
                          2,862                          Missing                                 
                              9        -                 Not assessed/no information             
                          2,887        0                 Understood                              
                            831        1                 Usually understood                      
                            420        2                 Sometimes understood                    
                            312        3                 Rarely/Never understood                 
 
B0800    $M3UNDRR                      Ability to Understand Oth                
                          2,987                          Missing                                 
                             13        -                 Not assessed/no information             
                          2,628        0                 Understands                             
                            973        1                 Usually understands                     
                            492        2                 Sometimes understands                   
                            228        3                 Rarely/Never understands                
 
B1000    $M3ADQT                       Vision                                   
                          2,987                          Missing                                 
                             24        -                 Not assessed/no information             
                          3,100        0                 Adequate                                
                            707        1                 Impaired                                
                            201        2                 Moderately impaired                     
                            237        3                 Highly impaired                         
                             65        4                 Severely impaired                       
 
B1200    $M3YESNO                      Corr Lenses                              
                          2,987                          Missing                                 
                             13        -                 Not assessed/no information             
                          1,905        0                 No                                      
                          2,416        1                 Yes                                     
 
C0100    $M3YESNO                      Brief Int for Mntl Stat Be Cond          
                          2,177                          Missing                                 
                            101        -                 Not assessed/no information             
                            458        0                 No                                      
                          4,585        1                 Yes                                     
 
C0200    $M3REP3W                      BIMS: Num of Words Rep After First Att   
                          2,635                          Missing                                 
                            161        -                 Not assessed/no information             
                            324        0                 None                                    
                            100        1                 One                                     
                            175        2                 Two                                     
                          3,926        3                 Three                                   
 
C0300A   $M31ORNT                      BIMS: Temp Ortn - Able to Rep Corr Yr    
                          2,635                          Missing                                 
                            164        -                 Not assessed/no information             
                          1,619        0                 Missed by >5 years or no answer         
                            146        1                 Missed by 2-5 years                     
                            179        2                 Missed by 1 year                        
                          2,578        3                 Correct                                 
 
C0300B   $M31ORNT                      BIMS: Temp Ortn - Able to Rep Corr Mon   
                          2,635                          Missing                                 
                            164        -                 Not assessed/no information             
                          1,466        0                 Missed by >5 years or no answer         
                            289        1                 Missed by 2-5 years                     
                          2,767        2                 Missed by 1 year                        
 
C0300C   $M31ORNT                      BIMS: Temp Ortn - Able to Rep Corr Day   
                          2,635                          Missing                                 
                            173        -                 Not assessed/no information             
                          2,237        0                 Missed by >5 years or no answer         
                          2,276        1                 Missed by 2-5 years                     
 
C0400A   $M3CUE                        BIMS: Rcl - Able to Rcl Sock             
                          2,635                          Missing                                 
                            225        -                 Not assessed/no information             
                          1,415        0                 No - could not recall                   
                            758        1                 Yes, after cueing                       
                          2,288        2                 Yes, no cue required                    
 
C0400B   $M3CUE                        BIMS: Rcl - Able to Rcl Blue             
                          2,635                          Missing                                 
                            225        -                 Not assessed/no information             
                          1,165        0                 No - could not recall                   
                            867        1                 Yes, after cueing                       
                          2,429        2                 Yes, no cue required                    
 
C0400C   $M3CUE                        BIMS: Rcl - Able to Rcl Bed              
                          2,635                          Missing                                 
                            224        -                 Not assessed/no information             
                          1,599        0                 No - could not recall                   
                            911        1                 Yes, after cueing                       
                          1,952        2                 Yes, no cue required                    
 
C0500                                  Brief Int for Mntl Stat (BIMS) Score Num 
                          2,635                          Missing                                 
                          4,686        Range of values   Range of values                         
 
C0600    $M3YESNO                      Staff to Cond Brief Int for Mntl Stat    
                          2,635                          Missing                                 
                             50        -                 Not assessed/no information             
                          4,310        0                 No                                      
                            326        1                 Yes                                     
 
C0700    $M3MEMRY                      SA of Mntl Stat - Short Term Memory      
                          6,035                          Missing                                 
                            131        -                 Not assessed/no information             
                            250        0                 Memory OK                               
                            905        1                 Memory problem                          
 
C0800    $M3MEMRY                      SA of Mntl Stat - Long Term Memory       
                          6,590                          Missing                                 
                             54        -                 Not assessed/no information             
                             66        0                 Memory OK                               
                            611        1                 Memory problem                          
 
C0900A   $M3INDIC                      SA of Mntl Stat - Rcls Cur Season        
                          6,590                          Missing                                 
                             41        -                 Not assessed/no information             
                            632        0                 Not indicated                           
                             58        1                 Indicated                               
 
C0900B   $M3INDIC                      SA of Mntl Stat - Rcls Loc of Room       
                          6,590                          Missing                                 
                             40        -                 Not assessed/no information             
                            564        0                 Not indicated                           
                            127        1                 Indicated                               
 
C0900C   $M3INDIC                      SA of Mntl Stat - Rcls Staff Name        
                          6,590                          Missing                                 
                             43        -                 Not assessed/no information             
                            534        0                 Not indicated                           
                            154        1                 Indicated                               
 
C0900D   $M3INDIC                      SA of Mntl Stat - Rcls Nrs Home          
                          6,590                          Missing                                 
                             41        -                 Not assessed/no information             
                            561        0                 Not indicated                           
                            129        1                 Indicated                               
 
C0900Z   $M3INDIC                      SA of Mntl Stat - Rcls None of Above     
                          6,590                          Missing                                 
                             41        -                 Not assessed/no information             
                            235        0                 Not indicated                           
                            455        1                 Indicated                               
 
C1000    $M3DECIS                      Cog Skills for Decision Making           
                          6,035                          Missing                                 
                            117        -                 Not assessed/no information             
                            156        0                 Independent                             
                            171        1                 Modified independence                   
                            305        2                 Moderately impaired                     
                            537        3                 Severely impaired                       
 
D0100    $M3YESNO                      Res Mood Int Be Cond                     
                          2,177                          Missing                                 
                            110        -                 Not assessed/no information             
                            545        0                 No                                      
                          4,489        1                 Yes                                     
 
D0200A1  $M3YNNOR                      Res Mood Int - Interest Loss             
                          2,722                          Missing                                 
                            162        -                 Not assessed/no information             
                          3,898        0                 No                                      
                            327        1                 Yes                                     
                            212        9                 No Response                             
 
D0200A2  $M3DEPRB                      Res Mood Int - Interest Loss Freq        
                          2,934                          Missing                                 
                            163        -                 Not assessed/no information             
                          3,913        0                 Never or 1 day                          
                            146        1                 2 - 6 days                              
                             83        2                 7 - 11 days                             
                             82        3                 12-14 days                              
 
D0200B1  $M3YNNOR                      Res Mood Int - Feel Down                 
                          2,722                          Missing                                 
                            161        -                 Not assessed/no information             
                          3,298        0                 No                                      
                            936        1                 Yes                                     
                            204        9                 No Response                             
 
D0200B2  $M3DEPRB                      Res Mood Int - Feel Down Freq            
                          2,926                          Missing                                 
                            163        -                 Not assessed/no information             
                          3,333        0                 Never or 1 day                          
                            556        1                 2 - 6 days                              
                            191        2                 7 - 11 days                             
                            152        3                 12-14 days                              
 
D0200C1  $M3YNNOR                      Res Mood Int - Trouble Sleep             
                          2,722                          Missing                                 
                            162        -                 Not assessed/no information             
                          3,435        0                 No                                      
                            798        1                 Yes                                     
                            204        9                 No Response                             
 
D0200C2  $M3DEPRB                      Res Mood Int - Trouble Sleep Freq        
                          2,926                          Missing                                 
                            165        -                 Not assessed/no information             
                          3,456        0                 Never or 1 day                          
                            440        1                 2 - 6 days                              
                            154        2                 7 - 11 days                             
                            180        3                 12-14 days                              
 
D0200D1  $M3YNNOR                      Res Mood Int - Little Energy             
                          2,722                          Missing                                 
                            168        -                 Not assessed/no information             
                          2,840        0                 No                                      
                          1,385        1                 Yes                                     
                            206        9                 No Response                             
 
D0200D2  $M3DEPRB                      Res Mood Int - Little Energy Freq        
                          2,928                          Missing                                 
                            171        -                 Not assessed/no information             
                          2,875        0                 Never or 1 day                          
                            734        1                 2 - 6 days                              
                            332        2                 7 - 11 days                             
                            281        3                 12-14 days                              
 
D0200E1  $M3YNNOR                      Res Mood Int - Poor Appetite             
                          2,722                          Missing                                 
                            177        -                 Not assessed/no information             
                          3,689        0                 No                                      
                            534        1                 Yes                                     
                            199        9                 No Response                             
 
D0200E2  $M3DEPRB                      Res Mood Int - Poor Appetite Freq        
                          2,921                          Missing                                 
                            180        -                 Not assessed/no information             
                          3,707        0                 Never or 1 day                          
                            303        1                 2 - 6 days                              
                             99        2                 7 - 11 days                             
                            111        3                 12-14 days                              
 
D0200F1  $M3YNNOR                      Res Mood Int - Self Dprcn                
                          2,722                          Missing                                 
                            180        -                 Not assessed/no information             
                          3,965        0                 No                                      
                            243        1                 Yes                                     
                            211        9                 No Response                             
 
D0200F2  $M3DEPRB                      Res Mood Int - Self Dprcn Freq           
                          2,933                          Missing                                 
                            182        -                 Not assessed/no information             
                          3,972        0                 Never or 1 day                          
                            147        1                 2 - 6 days                              
                             50        2                 7 - 11 days                             
                             37        3                 12-14 days                              
 
D0200G1  $M3YNNOR                      Res Mood Int - Lack of Conc              
                          2,722                          Missing                                 
                            186        -                 Not assessed/no information             
                          3,741        0                 No                                      
                            455        1                 Yes                                     
                            217        9                 No Response                             
 
D0200G2  $M3DEPRB                      Res Mood Int - Lack of Conc Freq         
                          2,939                          Missing                                 
                            188        -                 Not assessed/no information             
                          3,752        0                 Never or 1 day                          
                            264        1                 2 - 6 days                              
                             80        2                 7 - 11 days                             
                             98        3                 12-14 days                              
 
D0200H1  $M3YNNOR                      Res Mood Int - Movement Diff             
                          2,722                          Missing                                 
                            186        -                 Not assessed/no information             
                          3,942        0                 No                                      
                            264        1                 Yes                                     
                            207        9                 No Response                             
 
D0200H2  $M3DEPRB                      Res Mood Int - Movement Diff Freq        
                          2,929                          Missing                                 
                            188        -                 Not assessed/no information             
                          3,954        0                 Never or 1 day                          
                            146        1                 2 - 6 days                              
                             48        2                 7 - 11 days                             
                             56        3                 12-14 days                              
 
D0200I1  $M3YNNOR                      Res Mood Int - Neg Stmnt                 
                          2,722                          Missing                                 
                            187        -                 Not assessed/no information             
                          4,185        0                 No                                      
                             25        1                 Yes                                     
                            202        9                 No Response                             
 
D0200I2  $M3DEPRB                      Res Mood Int - Neg Stmnt Freq            
                          2,924                          Missing                                 
                            188        -                 Not assessed/no information             
                          4,189        0                 Never or 1 day                          
                             16        1                 2 - 6 days                              
                              3        2                 7 - 11 days                             
                              1        3                 12-14 days                              
 
D0300                                  Res Mood Int - Tot Svrty Mood Score      
                          2,722                          Missing                                 
                          4,599        Range of values   Range of values                         
 
D0350    $M3YESNO                      Res Mood Int - Neg Stmnts Notify Staff   
                          7,296                          Missing                                 
                             25        1                 Yes                                     
 
D0500A1  $M3YESNO                      SA of Res Mood - Interest Loss           
                          6,382                          Missing                                 
                             60        -                 Not assessed/no information             
                            736        0                 No                                      
                            143        1                 Yes                                     
 
D0500A2  $M3DEPRB                      SA of Res Mood - Interest Loss Freq      
                          6,382                          Missing                                 
                             61        -                 Not assessed/no information             
                            747        0                 Never or 1 day                          
                             34        1                 2 - 6 days                              
                             48        2                 7 - 11 days                             
                             49        3                 12-14 days                              
 
D0500B1  $M3YESNO                      SA of Res Mood - Feel Down               
                          6,382                          Missing                                 
                             66        -                 Not assessed/no information             
                            756        0                 No                                      
                            117        1                 Yes                                     
 
D0500B2  $M3DEPRB                      SA of Res Mood - Feel Down Freq          
                          6,382                          Missing                                 
                             67        -                 Not assessed/no information             
                            765        0                 Never or 1 day                          
                             47        1                 2 - 6 days                              
                             23        2                 7 - 11 days                             
                             37        3                 12-14 days                              
 
D0500C1  $M3YESNO                      SA of Res Mood - Trouble Sleep           
                          6,382                          Missing                                 
                             58        -                 Not assessed/no information             
                            749        0                 No                                      
                            132        1                 Yes                                     
 
D0500C2  $M3DEPRB                      SA of Res Mood - Trouble Sleep Freq      
                          6,382                          Missing                                 
                             58        -                 Not assessed/no information             
                            753        0                 Never or 1 day                          
                             55        1                 2 - 6 days                              
                             40        2                 7 - 11 days                             
                             33        3                 12-14 days                              
 
D0500D1  $M3YESNO                      SA of Res Mood - Little Energy           
                          6,382                          Missing                                 
                             60        -                 Not assessed/no information             
                            658        0                 No                                      
                            221        1                 Yes                                     
 
D0500D2  $M3DEPRB                      SA of Res Mood - Little Energy Freq      
                          6,382                          Missing                                 
                             61        -                 Not assessed/no information             
                            664        0                 Never or 1 day                          
                             80        1                 2 - 6 days                              
                             61        2                 7 - 11 days                             
                             73        3                 12-14 days                              
 
D0500E1  $M3YESNO                      SA of Res Mood - Poor Appetite           
                          6,382                          Missing                                 
                             61        -                 Not assessed/no information             
                            697        0                 No                                      
                            181        1                 Yes                                     
 
D0500E2  $M3DEPRB                      SA of Res Mood - Poor Appetite Freq      
                          6,382                          Missing                                 
                             62        -                 Not assessed/no information             
                            705        0                 Never or 1 day                          
                             72        1                 2 - 6 days                              
                             45        2                 7 - 11 days                             
                             55        3                 12-14 days                              
 
D0500F1  $M3YESNO                      SA of Res Mood - Self Dprcn              
                          6,382                          Missing                                 
                             66        -                 Not assessed/no information             
                            867        0                 No                                      
                              6        1                 Yes                                     
 
D0500F2  $M3DEPRB                      SA of Res Mood - Self Dprcn Freq         
                          6,382                          Missing                                 
                             67        -                 Not assessed/no information             
                            869        0                 Never or 1 day                          
                              1        1                 2 - 6 days                              
                              2        3                 12-14 days                              
 
D0500G1  $M3YESNO                      SA of Res Mood - Conc                    
                          6,382                          Missing                                 
                             63        -                 Not assessed/no information             
                            641        0                 No                                      
                            235        1                 Yes                                     
 
D0500G2  $M3DEPRB                      SA of Res Mood - Conc Freq               
                          6,382                          Missing                                 
                             63        -                 Not assessed/no information             
                            648        0                 Never or 1 day                          
                             42        1                 2 - 6 days                              
                             39        2                 7 - 11 days                             
                            147        3                 12-14 days                              
 
D0500H1  $M3YESNO                      SA of Res Mood - Movement Diff           
                          6,382                          Missing                                 
                             61        -                 Not assessed/no information             
                            786        0                 No                                      
                             92        1                 Yes                                     
 
D0500H2  $M3DEPRB                      SA of Res Mood - Movement Diff Freq      
                          6,382                          Missing                                 
                             62        -                 Not assessed/no information             
                            787        0                 Never or 1 day                          
                             32        1                 2 - 6 days                              
                             24        2                 7 - 11 days                             
                             34        3                 12-14 days                              
 
D0500I1  $M3YESNO                      SA of Res Mood - Neg Stmnt               
                          6,382                          Missing                                 
                             66        -                 Not assessed/no information             
                            867        0                 No                                      
                              6        1                 Yes                                     
 
D0500I2  $M3DEPRB                      SA of Res Mood - Neg Stmnt Freq          
                          6,382                          Missing                                 
                             66        -                 Not assessed/no information             
                            869        0                 Never or 1 day                          
                              3        1                 2 - 6 days                              
                              1        2                 7 - 11 days                             
 
D0500J1  $M3YESNO                      SA of Res Mood - Short Temper            
                          6,382                          Missing                                 
                             60        -                 Not assessed/no information             
                            766        0                 No                                      
                            113        1                 Yes                                     
 
D0500J2  $M3DEPRB                      SA of Res Mood - Short Temper Freq       
                          6,382                          Missing                                 
                             60        -                 Not assessed/no information             
                            773        0                 Never or 1 day                          
                             60        1                 2 - 6 days                              
                             20        2                 7 - 11 days                             
                             26        3                 12-14 days                              
 
D0600                                  SA Tot Svrty Mood Score                  
                          6,382                          Missing                                 
                            939        Range of values   Range of values                         
 
D0650    $M3YESNO                      SA of Res Mood - Neg Stmnt Notify        
                          7,315                          Missing                                 
                              2        0                 No                                      
                              4        1                 Yes                                     
 
E0100A   $M3INDIC                      Bhvr: Hallucinations                     
                          1,725                          Missing                                 
                             25        -                 Not assessed/no information             
                          5,516        0                 Not indicated                           
                             55        1                 Indicated                               
 
E0100B   $M3INDIC                      Bhvr: Delusion                           
                          1,725                          Missing                                 
                             25        -                 Not assessed/no information             
                          5,419        0                 Not indicated                           
                            152        1                 Indicated                               
 
E0100Z   $M3INDIC                      Bhvr: No Psychosis                       
                          1,725                          Missing                                 
                             25        -                 Not assessed/no information             
                            176        0                 Not indicated                           
                          5,395        1                 Indicated                               
 
E0200A   $M3BEHAV                      Bhvr: Phys Bhvral                        
                          1,725                          Missing                                 
                             39        -                 Not assessed/no information             
                          5,392        0                 Behavior not exhibited                  
                            141        1                 1 to 3 days                             
                             20        2                 4 to 6 days                             
                              4        3                 Behavior exhibited daily                
 
E0200B   $M3BEHAV                      Bhvr: Verbal Bhvral                      
                          1,725                          Missing                                 
                             39        -                 Not assessed/no information             
                          5,287        0                 Behavior not exhibited                  
                            205        1                 1 to 3 days                             
                             45        2                 4 to 6 days                             
                             20        3                 Behavior exhibited daily                
 
E0200C   $M3BEHAV                      Bhvr: Oth Bhvral                         
                          1,725                          Missing                                 
                             38        -                 Not assessed/no information             
                          5,353        0                 Behavior not exhibited                  
                            151        1                 1 to 3 days                             
                             25        2                 4 to 6 days                             
                             29        3                 Behavior exhibited daily                
 
E0300    $M3YESNO                      Overall Pres of Bhvral Sympt             
                          5,778                          Missing                                 
                              3        -                 Not assessed/no information             
                          1,416        0                 No                                      
                            124        1                 Yes                                     
 
E0500A   $M3YESNO                      Bhvr Imp on Res: Risk to Inj Self        
                          7,194                          Missing                                 
                              4        -                 Not assessed/no information             
                            109        0                 No                                      
                             14        1                 Yes                                     
 
E0500B   $M3YESNO                      Bhvr Imp on Res: Int W Care              
                          7,194                          Missing                                 
                              3        -                 Not assessed/no information             
                             87        0                 No                                      
                             37        1                 Yes                                     
 
E0500C   $M3YESNO                      Bhvr Imp on Res: Int W Part              
                          7,194                          Missing                                 
                              4        -                 Not assessed/no information             
                             96        0                 No                                      
                             27        1                 Yes                                     
 
E0600A   $M3YESNO                      Bhvr Imp on Oth: Risk to Inj Oth         
                          7,194                          Missing                                 
                              4        -                 Not assessed/no information             
                            103        0                 No                                      
                             20        1                 Yes                                     
 
E0600B   $M3YESNO                      Bhvr Imp on Oth: Intrude On Priv of Oth  
                          7,194                          Missing                                 
                              3        -                 Not assessed/no information             
                            101        0                 No                                      
                             23        1                 Yes                                     
 
E0600C   $M3YESNO                      Bhvr Imp on Oth: Dis Care or Living Env  
                          7,194                          Missing                                 
                              4        -                 Not assessed/no information             
                             92        0                 No                                      
                             31        1                 Yes                                     
 
E0800    $M3BEHAV                      Rejection of Care: Pres and Freq         
                          1,725                          Missing                                 
                             36        -                 Not assessed/no information             
                          5,214        0                 Behavior not exhibited                  
                            268        1                 1 to 3 days                             
                             63        2                 4 to 6 days                             
                             15        3                 Behavior exhibited daily                
 
E0900    $M3BEHAV                      Wandering: Pres and Freq                 
                          1,725                          Missing                                 
                             34        -                 Not assessed/no information             
                          5,371        0                 Behavior not exhibited                  
                            123        1                 1 to 3 days                             
                             30        2                 4 to 6 days                             
                             38        3                 Behavior exhibited daily                
 
E1000A   $M3YESNO                      Wander Risk Imp                          
                          7,266                          Missing                                 
                              3        -                 Not assessed/no information             
                             35        0                 No                                      
                             17        1                 Yes                                     
 
E1000B   $M3YESNO                      Wandering Intrudes on Priv of Oth        
                          7,266                          Missing                                 
                              3        -                 Not assessed/no information             
                             41        0                 No                                      
                             11        1                 Yes                                     
 
E1100    $M3CHNG                       Change in Bhvr or Oth Sympt              
                          5,778                          Missing                                 
                             11        -                 Not assessed/no information             
                            823        0                 Same                                    
                             17        1                 Improved                                
                             28        2                 Worse                                   
                            664        3                 N/A                                     
 
F0300    $M3YESNO                      Should Dly and Act Pref Int Be Cond      
                          5,778                          Missing                                 
                             22        -                 Not assessed/no information             
                            146        0                 No                                      
                          1,375        1                 Yes                                     
 
F0400A   $M3IMPRT                      Int for Dly Pref: Chooses Clothes        
                          5,924                          Missing                                 
                             28        -                 Not assessed/no information             
                            737        1                 Very important                          
                            384        2                 Somewhat important                      
                            186        3                 Not very important                      
                             28        4                 Not important at all                    
                              9        5                 Important, but cannot do or no choice   
                             25        9                 No response or non-responsive           
 
F0400B   $M3IMPRT                      Int for Dly Pref: Care Personal Items    
                          5,924                          Missing                                 
                             28        -                 Not assessed/no information             
                            880        1                 Very important                          
                            317        2                 Somewhat important                      
                            100        3                 Not very important                      
                             20        4                 Not important at all                    
                             27        5                 Important, but cannot do or no choice   
                             25        9                 No response or non-responsive           
 
F0400C   $M3IMPRT                      Int for Dly Pref: Bathing Option         
                          5,924                          Missing                                 
                             29        -                 Not assessed/no information             
                            866        1                 Very important                          
                            343        2                 Somewhat important                      
                             99        3                 Not very important                      
                             20        4                 Not important at all                    
                             11        5                 Important, but cannot do or no choice   
                             29        9                 No response or non-responsive           
 
F0400D   $M3IMPRT                      Int for Dly Pref: Snack Between Meals    
                          5,924                          Missing                                 
                             29        -                 Not assessed/no information             
                            558        1                 Very important                          
                            465        2                 Somewhat important                      
                            271        3                 Not very important                      
                             40        4                 Not important at all                    
                              9        5                 Important, but cannot do or no choice   
                             25        9                 No response or non-responsive           
 
F0400E   $M3IMPRT                      Int for Dly Pref: Choose Bed Time        
                          5,924                          Missing                                 
                             31        -                 Not assessed/no information             
                            928        1                 Very important                          
                            289        2                 Somewhat important                      
                            103        3                 Not very important                      
                             18        4                 Not important at all                    
                              8        5                 Important, but cannot do or no choice   
                             20        9                 No response or non-responsive           
 
F0400F   $M3IMPRT                      Int for Dly Pref: Fam Involvement        
                          5,924                          Missing                                 
                             31        -                 Not assessed/no information             
                          1,087        1                 Very important                          
                            161        2                 Somewhat important                      
                             64        3                 Not very important                      
                             25        4                 Not important at all                    
                              4        5                 Important, but cannot do or no choice   
                             25        9                 No response or non-responsive           
 
F0400G   $M3IMPRT                      Int for Dly Pref: Priv Phone Time        
                          5,924                          Missing                                 
                             31        -                 Not assessed/no information             
                            438        1                 Very important                          
                            307        2                 Somewhat important                      
                            412        3                 Not very important                      
                            165        4                 Not important at all                    
                             15        5                 Important, but cannot do or no choice   
                             29        9                 No response or non-responsive           
 
F0400H   $M3IMPRT                      Int for Dly Pref: Lock Item              
                          5,924                          Missing                                 
                             32        -                 Not assessed/no information             
                            457        1                 Very important                          
                            258        2                 Somewhat important                      
                            423        3                 Not very important                      
                            197        4                 Not important at all                    
                              6        5                 Important, but cannot do or no choice   
                             24        9                 No response or non-responsive           
 
F0500A   $M3IMPRT                      Int for Act Pref: Reading Mat Available  
                          5,924                          Missing                                 
                             31        -                 Not assessed/no information             
                            535        1                 Very important                          
                            406        2                 Somewhat important                      
                            287        3                 Not very important                      
                             96        4                 Not important at all                    
                             18        5                 Important, but cannot do or no choice   
                             24        9                 No response or non-responsive           
 
F0500B   $M3IMPRT                      Int for Act Pref: Music                  
                          5,924                          Missing                                 
                             31        -                 Not assessed/no information             
                            683        1                 Very important                          
                            451        2                 Somewhat important                      
                            178        3                 Not very important                      
                             30        4                 Not important at all                    
                              3        5                 Important, but cannot do or no choice   
                             21        9                 No response or non-responsive           
 
F0500C   $M3IMPRT                      Int for Act Pref: Animal Pres            
                          5,924                          Missing                                 
                             31        -                 Not assessed/no information             
                            487        1                 Very important                          
                            405        2                 Somewhat important                      
                            332        3                 Not very important                      
                            118        4                 Not important at all                    
                              2        5                 Important, but cannot do or no choice   
                             22        9                 No response or non-responsive           
 
F0500D   $M3IMPRT                      Int for Act Pref: News                   
                          5,924                          Missing                                 
                             31        -                 Not assessed/no information             
                            665        1                 Very important                          
                            407        2                 Somewhat important                      
                            209        3                 Not very important                      
                             58        4                 Not important at all                    
                              3        5                 Important, but cannot do or no choice   
                             24        9                 No response or non-responsive           
 
F0500E   $M3IMPRT                      Int for Act Pref: Group Act              
                          5,924                          Missing                                 
                             31        -                 Not assessed/no information             
                            415        1                 Very important                          
                            593        2                 Somewhat important                      
                            262        3                 Not very important                      
                             69        4                 Not important at all                    
                              3        5                 Important, but cannot do or no choice   
                             24        9                 No response or non-responsive           
 
F0500F   $M3IMPRT                      Int for Act Pref: Favorite Act           
                          5,924                          Missing                                 
                             30        -                 Not assessed/no information             
                            858        1                 Very important                          
                            390        2                 Somewhat important                      
                             65        3                 Not very important                      
                             13        4                 Not important at all                    
                             14        5                 Important, but cannot do or no choice   
                             27        9                 No response or non-responsive           
 
F0500G   $M3IMPRT                      Int for Act Pref: Time Outdoors          
                          5,924                          Missing                                 
                             31        -                 Not assessed/no information             
                            746        1                 Very important                          
                            412        2                 Somewhat important                      
                            133        3                 Not very important                      
                             38        4                 Not important at all                    
                             16        5                 Important, but cannot do or no choice   
                             21        9                 No response or non-responsive           
 
F0500H   $M3IMPRT                      Int for Act Pref: Religion               
                          5,924                          Missing                                 
                             31        -                 Not assessed/no information             
                            628        1                 Very important                          
                            395        2                 Somewhat important                      
                            230        3                 Not very important                      
                             86        4                 Not important at all                    
                              3        5                 Important, but cannot do or no choice   
                             24        9                 No response or non-responsive           
 
F0600    $M3PRIRS                      Dly and Act Pref Primary Respondent      
                          5,924                          Missing                                 
                             29        -                 Not assessed/no information             
                          1,193        1                 Resident                                
                            146        2                 Family or significant other             
                             29        9                 Interview could not be completed        
 
F0700    $M3YESNO                      Cond SA of Dly and Act Pref              
                          5,924                          Missing                                 
                             21        -                 Not assessed/no information             
                          1,340        0                 No                                      
                             36        1                 Yes                                     
 
F0800A   $M3INDIC                      SA: Chooses Clothes                      
                          7,118                          Missing                                 
                             23        -                 Not assessed/no information             
                            134        0                 Not indicated                           
                             46        1                 Indicated                               
 
F0800B   $M3INDIC                      SA: Care Personal Item                   
                          7,118                          Missing                                 
                             23        -                 Not assessed/no information             
                            142        0                 Not indicated                           
                             38        1                 Indicated                               
 
F0800C   $M3INDIC                      SA: Tub Bath                             
                          7,118                          Missing                                 
                             25        -                 Not assessed/no information             
                            160        0                 Not indicated                           
                             18        1                 Indicated                               
 
F0800D   $M3INDIC                      SA: Shower                               
                          7,118                          Missing                                 
                             23        -                 Not assessed/no information             
                             65        0                 Not indicated                           
                            115        1                 Indicated                               
 
F0800E   $M3INDIC                      SA: Bed Bath                             
                          7,118                          Missing                                 
                             22        -                 Not assessed/no information             
                            124        0                 Not indicated                           
                             57        1                 Indicated                               
 
F0800F   $M3INDIC                      SA: Sponge Bath                          
                          7,118                          Missing                                 
                             23        -                 Not assessed/no information             
                            131        0                 Not indicated                           
                             49        1                 Indicated                               
 
F0800G   $M3INDIC                      SA: Snacks Between                       
                          7,118                          Missing                                 
                             22        -                 Not assessed/no information             
                             89        0                 Not indicated                           
                             92        1                 Indicated                               
 
F0800H   $M3INDIC                      SA: Bed Time                             
                          7,118                          Missing                                 
                             22        -                 Not assessed/no information             
                            153        0                 Not indicated                           
                             28        1                 Indicated                               
 
F0800I   $M3INDIC                      SA: Fam Involvement                      
                          7,118                          Missing                                 
                             23        -                 Not assessed/no information             
                             39        0                 Not indicated                           
                            141        1                 Indicated                               
 
F0800J   $M3INDIC                      SA: Priv Phone                           
                          7,118                          Missing                                 
                             23        -                 Not assessed/no information             
                            160        0                 Not indicated                           
                             20        1                 Indicated                               
 
F0800K   $M3INDIC                      SA: Lock Item                            
                          7,118                          Missing                                 
                             23        -                 Not assessed/no information             
                            152        0                 Not indicated                           
                             28        1                 Indicated                               
 
F0800L   $M3INDIC                      SA: Reading Mat Available                
                          7,118                          Missing                                 
                             25        -                 Not assessed/no information             
                            138        0                 Not indicated                           
                             40        1                 Indicated                               
 
F0800M   $M3INDIC                      SA: Music                                
                          7,118                          Missing                                 
                             23        -                 Not assessed/no information             
                             44        0                 Not indicated                           
                            136        1                 Indicated                               
 
F0800N   $M3INDIC                      SA: Animal Pres                          
                          7,118                          Missing                                 
                             24        -                 Not assessed/no information             
                            116        0                 Not indicated                           
                             63        1                 Indicated                               
 
F0800O   $M3INDIC                      SA: News                                 
                          7,118                          Missing                                 
                             25        -                 Not assessed/no information             
                            153        0                 Not indicated                           
                             25        1                 Indicated                               
 
F0800P   $M3INDIC                      SA: Group Act                            
                          7,118                          Missing                                 
                             22        -                 Not assessed/no information             
                             94        0                 Not indicated                           
                             87        1                 Indicated                               
 
F0800Q   $M3INDIC                      SA: Favorite Act                         
                          7,118                          Missing                                 
                             25        -                 Not assessed/no information             
                             69        0                 Not indicated                           
                            109        1                 Indicated                               
 
F0800R   $M3INDIC                      SA: Time Away Nrs Home                   
                          7,118                          Missing                                 
                             24        -                 Not assessed/no information             
                            165        0                 Not indicated                           
                             14        1                 Indicated                               
 
F0800S   $M3INDIC                      SA: Time Outdoors                        
                          7,118                          Missing                                 
                             24        -                 Not assessed/no information             
                            116        0                 Not indicated                           
                             63        1                 Indicated                               
 
F0800T   $M3INDIC                      SA: Part in Rel Act                      
                          7,118                          Missing                                 
                             23        -                 Not assessed/no information             
                             86        0                 Not indicated                           
                             94        1                 Indicated                               
 
F0800Z   $M3INDIC                      SA: None of Above Act                    
                          7,118                          Missing                                 
                             22        -                 Not assessed/no information             
                            167        0                 Not indicated                           
                             14        1                 Indicated                               
 
G0110A1  $M3ADLCT                      ADL Ass: Bed Mob Self Perf               
                          1,722                          Missing                                 
                              4        -                 Not assessed/no information             
                            256        0                 Independent                             
                            669        1                 Supervision                             
                            849        2                 Limited assistance                      
                          3,456        3                 Extensive assistance                    
                            344        4                 Total dependence                        
                             16        7                 Activity occurred only once or twice    
                              5        8                 Activity did not occur                  
 
G0110A2  $M3ADLSP                      ADL Ass: Bed Mob Supp Prov               
                          2,860                          Missing                                 
                              1        -                 Not assessed/no information             
                            143        0                 No setup or physical help from staff    
                            282        1                 Setup help only                         
                          2,225        2                 One person physical assist              
                          1,806        3                 Two+ persons physical assist            
                              4        8                 ADL activity did not occur              
 
G0110B1  $M3ADLCT                      ADL Ass: Trans Self Perf                 
                          1,722                          Missing                                 
                              6        -                 Not assessed/no information             
                            225        0                 Independent                             
                            670        1                 Supervision                             
                            898        2                 Limited assistance                      
                          3,015        3                 Extensive assistance                    
                            648        4                 Total dependence                        
                             88        7                 Activity occurred only once or twice    
                             49        8                 Activity did not occur                  
 
G0110B2  $M3ADLSP                      ADL Ass: Trans Self Supp Prov            
                          2,860                          Missing                                 
                              2        -                 Not assessed/no information             
                            131        0                 No setup or physical help from staff    
                            294        1                 Setup help only                         
                          2,011        2                 One person physical assist              
                          1,977        3                 Two+ persons physical assist            
                             46        8                 ADL activity did not occur              
 
G0110C1  $M3ADLCT                      ADL Ass: Wlk In Room Self Perf           
                          1,849                          Missing                                 
                              7        -                 Not assessed/no information             
                            255        0                 Independent                             
                            784        1                 Supervision                             
                            875        2                 Limited assistance                      
                            727        3                 Extensive assistance                    
                             12        4                 Total dependence                        
                            344        7                 Activity occurred only once or twice    
                          2,468        8                 Activity did not occur                  
 
G0110C2  $M3ADLSP                      ADL Ass: Wlk In Room Supp Prov           
                          2,987                          Missing                                 
                              1        -                 Not assessed/no information             
                            190        0                 No setup or physical help from staff    
                            394        1                 Setup help only                         
                          1,456        2                 One person physical assist              
                            179        3                 Two+ persons physical assist            
                          2,114        8                 ADL activity did not occur              
 
G0110D1  $M3ADLCT                      ADL Ass: Wlk In Corr Self Perf           
                          1,849                          Missing                                 
                              7        -                 Not assessed/no information             
                            200        0                 Independent                             
                            781        1                 Supervision                             
                            838        2                 Limited assistance                      
                            590        3                 Extensive assistance                    
                             13        4                 Total dependence                        
                            379        7                 Activity occurred only once or twice    
                          2,664        8                 Activity did not occur                  
 
G0110D2  $M3ADLSP                      ADL Ass: Wlk In Corr Self Supp Prov      
                          2,987                          Missing                                 
                              2        -                 Not assessed/no information             
                            165        0                 No setup or physical help from staff    
                            361        1                 Setup help only                         
                          1,396        2                 One person physical assist              
                            140        3                 Two+ persons physical assist            
                          2,270        8                 ADL activity did not occur              
 
G0110E1  $M3ADLCT                      ADL Ass: Loc On Self Perf                
                          1,849                          Missing                                 
                              6        -                 Not assessed/no information             
                            377        0                 Independent                             
                          1,077        1                 Supervision                             
                            933        2                 Limited assistance                      
                          2,012        3                 Extensive assistance                    
                            734        4                 Total dependence                        
                            176        7                 Activity occurred only once or twice    
                            157        8                 Activity did not occur                  
 
G0110E2  $M3ADLSP                      ADL Ass: Loc On Supp Prov                
                          2,987                          Missing                                 
                              2        -                 Not assessed/no information             
                            233        0                 No setup or physical help from staff    
                            514        1                 Setup help only                         
                          3,263        2                 One person physical assist              
                            191        3                 Two+ persons physical assist            
                            131        8                 ADL activity did not occur              
 
G0110F1  $M3ADLCT                      ADL Ass: Loc Off Self Perf               
                          1,849                          Missing                                 
                              6        -                 Not assessed/no information             
                            310        0                 Independent                             
                            938        1                 Supervision                             
                            761        2                 Limited assistance                      
                          1,744        3                 Extensive assistance                    
                            850        4                 Total dependence                        
                            445        7                 Activity occurred only once or twice    
                            418        8                 Activity did not occur                  
 
G0110F2  $M3ADLSP                      ADL Ass: Loc Off Supp Prov               
                          2,987                          Missing                                 
                              2        -                 Not assessed/no information             
                            224        0                 No setup or physical help from staff    
                            452        1                 Setup help only                         
                          3,172        2                 One person physical assist              
                            142        3                 Two+ persons physical assist            
                            342        8                 ADL activity did not occur              
 
G0110G1  $M3ADLCT                      ADL Ass: Dress Self Perf                 
                          1,849                          Missing                                 
                              5        -                 Not assessed/no information             
                            147        0                 Independent                             
                            459        1                 Supervision                             
                            877        2                 Limited assistance                      
                          3,446        3                 Extensive assistance                    
                            498        4                 Total dependence                        
                             30        7                 Activity occurred only once or twice    
                             10        8                 Activity did not occur                  
 
G0110G2  $M3ADLSP                      ADL Ass: Dress Supp Prov                 
                          2,987                          Missing                                 
                              1        -                 Not assessed/no information             
                             65        0                 No setup or physical help from staff    
                            182        1                 Setup help only                         
                          3,316        2                 One person physical assist              
                            765        3                 Two+ persons physical assist            
                              5        8                 ADL activity did not occur              
 
G0110H1  $M3ADLCT                      ADL Ass: Eating Self Perf                
                          1,722                          Missing                                 
                              4        -                 Not assessed/no information             
                          1,247        0                 Independent                             
                          2,718        1                 Supervision                             
                            553        2                 Limited assistance                      
                            736        3                 Extensive assistance                    
                            309        4                 Total dependence                        
                             23        7                 Activity occurred only once or twice    
                              9        8                 Activity did not occur                  
 
G0110H2  $M3ADLSP                      ADL Ass: Eating Supp Prov                
                          2,860                          Missing                                 
                              1        -                 Not assessed/no information             
                             79        0                 No setup or physical help from staff    
                          2,436        1                 Setup help only                         
                          1,920        2                 One person physical assist              
                             19        3                 Two+ persons physical assist            
                              6        8                 ADL activity did not occur              
 
G0110I1  $M3ADLCT                      ADL Ass: Toileting Self Perf             
                          1,722                          Missing                                 
                              5        -                 Not assessed/no information             
                            190        0                 Independent                             
                            527        1                 Supervision                             
                            743        2                 Limited assistance                      
                          3,414        3                 Extensive assistance                    
                            681        4                 Total dependence                        
                             26        7                 Activity occurred only once or twice    
                             13        8                 Activity did not occur                  
 
G0110I2  $M3ADLSP                      ADL Ass: Toileting Supp Prov             
                          2,860                          Missing                                 
                              2        -                 Not assessed/no information             
                            107        0                 No setup or physical help from staff    
                            225        1                 Setup help only                         
                          2,669        2                 One person physical assist              
                          1,448        3                 Two+ persons physical assist            
                             10        8                 ADL activity did not occur              
 
G0110J1  $M3ADLCT                      ADL Ass: Personal Hygiene Self Perf      
                          1,849                          Missing                                 
                              6        -                 Not assessed/no information             
                            186        0                 Independent                             
                            719        1                 Supervision                             
                            941        2                 Limited assistance                      
                          3,043        3                 Extensive assistance                    
                            545        4                 Total dependence                        
                             22        7                 Activity occurred only once or twice    
                             10        8                 Activity did not occur                  
 
G0110J2  $M3ADLSP                      ADL Ass: Personal Hygiene Supp Prov      
                          2,987                          Missing                                 
                              2        -                 Not assessed/no information             
                             54        0                 No setup or physical help from staff    
                            318        1                 Setup help only                         
                          3,467        2                 One person physical assist              
                            486        3                 Two+ persons physical assist            
                              7        8                 ADL activity did not occur              
 
G0120A   $M3ADLCT                      ADL Ass: Bathing Self Perf               
                          1,849                          Missing                                 
                             18        -                 Not assessed/no information             
                             65        0                 Independent                             
                            198        1                 Supervision                             
                            262        2                 Limited assistance                      
                          2,533        3                 Extensive assistance                    
                          2,084        4                 Total dependence                        
                            312        8                 Activity did not occur                  
 
G0120B   $M3ADLSP                      ADL Ass: Bathing Supp Prov               
                          2,987                          Missing                                 
                             10        -                 Not assessed/no information             
                             18        0                 No setup or physical help from staff    
                            126        1                 Setup help only                         
                          3,309        2                 One person physical assist              
                            644        3                 Two+ persons physical assist            
                            227        8                 ADL activity did not occur              
 
G0300A   $M3BAL                        Blnce Dur Seated to Standing Pos         
                          2,987                          Missing                                 
                             24        -                 Not assessed/no information             
                            243        0                 Steady at all times                     
                            763        1                 Not steady, but able to stabilize w/o as
                          2,478        2                 Not steady, only able to stabilize w/ as
                            826        8                 Activity did not occur                  
 
G0300B   $M3BAL                        Blnce Dur Wlking                         
                          2,987                          Missing                                 
                             31        -                 Not assessed/no information             
                            245        0                 Steady at all times                     
                            782        1                 Not steady, but able to stabilize w/o as
                          1,343        2                 Not steady, only able to stabilize w/ as
                          1,933        8                 Activity did not occur                  
 
G0300C   $M3BAL                        Blnce When Turning Around                
                          2,987                          Missing                                 
                             43        -                 Not assessed/no information             
                            224        0                 Steady at all times                     
                            739        1                 Not steady, but able to stabilize w/o as
                          1,195        2                 Not steady, only able to stabilize w/ as
                          2,133        8                 Activity did not occur                  
 
G0300D   $M3BAL                        Blnce Moving On and Off Toilet           
                          2,987                          Missing                                 
                             27        -                 Not assessed/no information             
                            231        0                 Steady at all times                     
                            719        1                 Not steady, but able to stabilize w/o as
                          2,399        2                 Not steady, only able to stabilize w/ as
                            958        8                 Activity did not occur                  
 
G0300E   $M3BAL                        Blnce W Surface to Surface Trans         
                          2,987                          Missing                                 
                             26        -                 Not assessed/no information             
                            235        0                 Steady at all times                     
                            765        1                 Not steady, but able to stabilize w/o as
                          3,170        2                 Not steady, only able to stabilize w/ as
                            138        8                 Activity did not occur                  
 
G0400A   $M3RANGE                      Func Lim in ROM: Upper Ext Mtn           
                          2,987                          Missing                                 
                             15        -                 Not assessed/no information             
                          3,463        0                 No impairment                           
                            555        1                 Impairment on one side                  
                            301        2                 Impairment on both sides                
 
G0400B   $M3RANGE                      Func Lim in ROM: Lower Ext Mtn           
                          2,987                          Missing                                 
                             14        -                 Not assessed/no information             
                          2,973        0                 No impairment                           
                            700        1                 Impairment on one side                  
                            647        2                 Impairment on both sides                
 
G0600A   $M3INDIC                      Mob Devices: Cane                        
                          2,987                          Missing                                 
                              1        -                 Not assessed/no information             
                          4,263        0                 Not indicated                           
                             70        1                 Indicated                               
 
G0600B   $M3INDIC                      Mob Devices: Wlker                       
                          2,987                          Missing                                 
                              2        -                 Not assessed/no information             
                          2,452        0                 Not indicated                           
                          1,880        1                 Indicated                               
 
G0600C   $M3INDIC                      Mob Devices: Wheelchair                  
                          2,987                          Missing                                 
                              1        -                 Not assessed/no information             
                            848        0                 Not indicated                           
                          3,485        1                 Indicated                               
 
G0600D   $M3INDIC                      Mob Devices: Limb Prosthesis             
                          2,987                          Missing                                 
                              1        -                 Not assessed/no information             
                          4,326        0                 Not indicated                           
                              7        1                 Indicated                               
 
G0600Z   $M3INDIC                      Mob Devices: None of Above               
                          2,987                          Missing                                 
                              1        -                 Not assessed/no information             
                          3,856        0                 Not indicated                           
                            477        1                 Indicated                               
 
G0900A   $M3YNDET                      Func Rehab Pot: Res Increased Ind        
                          6,506                          Missing                                 
                              3        -                 Not assessed/no information             
                             60        0                 No                                      
                            689        1                 Yes                                     
                             63        9                 Unable to determine                     
 
G0900B   $M3YESNO                      Func Rehab Pot: Staff Increased Ind      
                          6,506                          Missing                                 
                              4        -                 Not assessed/no information             
                             77        0                 No                                      
                            734        1                 Yes                                     
 
H0100A   $M3INDIC                      Bldr and Bwl App: Indwelling Cath        
                          1,849                          Missing                                 
                              1        -                 Not assessed/no information             
                          5,083        0                 Not indicated                           
                            388        1                 Indicated                               
 
H0100B   $M3INDIC                      Bldr and Bwl App: Ext Cath               
                          1,849                          Missing                                 
                              1        -                 Not assessed/no information             
                          5,457        0                 Not indicated                           
                             14        1                 Indicated                               
 
H0100C   $M3INDIC                      Bldr and Bwl App: Ostomy                 
                          1,849                          Missing                                 
                              1        -                 Not assessed/no information             
                          5,349        0                 Not indicated                           
                            122        1                 Indicated                               
 
H0100D   $M3INDIC                      Bldr and Bwl App: Imt Cath               
                          1,849                          Missing                                 
                              2        -                 Not assessed/no information             
                          5,441        0                 Not indicated                           
                             29        1                 Indicated                               
 
H0100Z   $M3INDIC                      Bldr and Bwl App: No Urny App            
                          1,849                          Missing                                 
                              2        -                 Not assessed/no information             
                            505        0                 Not indicated                           
                          4,965        1                 Indicated                               
 
H0200A   $M3YNDET                      Urny Toil Prog: Trial Toileting Prog     
                          2,860                          Missing                                 
                              9        -                 Not assessed/no information             
                          4,038        0                 No                                      
                            395        1                 Yes                                     
                             19        9                 Unable to determine                     
 
H0200B   $M3TOILT                      Urny Toil Prog: Resp To Toileting Prog   
                          7,177                          Missing                                 
                              8        -                 Not assessed/no information             
                             68        0                 No improvement                          
                             32        1                 Decreased wetness                       
                              7        2                 Completely dry                          
                             29        9                 Unable to determine                     
 
H0200C   $M3YESNO                      Urny Toil Prog: Cur Toileting Prog       
                          6,898                          Missing                                 
                             10        -                 Not assessed/no information             
                            162        0                 No                                      
                            251        1                 Yes                                     
 
H0300    $M3CONT                       Urny Continence                          
                          1,849                          Missing                                 
                              5        -                 Not assessed/no information             
                          1,197        0                 Always continent                        
                          1,155        1                 Occasionally incontinent                
                          1,441        2                 Frequently incontinent                  
                          1,332        3                 Always incontinent                      
                            342        9                 Not rated                               
 
H0400    $M3CONT                       Bwl Continence                           
                          1,849                          Missing                                 
                              5        -                 Not assessed/no information             
                          2,171        0                 Always continent                        
                            614        1                 Occasionally incontinent                
                          1,122        2                 Frequently incontinent                  
                          1,440        3                 Always incontinent                      
                            120        9                 Not rated                               
 
H0500    $M3YESNO                      Bwl Toileting Prog                       
                          2,860                          Missing                                 
                              4        -                 Not assessed/no information             
                          4,338        0                 No                                      
                            119        1                 Yes                                     
 
H0600    $M3YESNO                      Constipation                             
                          5,778                          Missing                                 
                              4        -                 Not assessed/no information             
                          1,475        0                 No                                      
                             64        1                 Yes                                     
 
I0100    $M3INDIC                      Actv Diag: Cancer                        
                          5,778                          Missing                                 
                          1,425        0                 Not indicated                           
                            118        1                 Indicated                               
 
I0200    $M3INDIC                      Actv Diag: Anemia                        
                          2,987                          Missing                                 
                              1        -                 Not assessed/no information             
                          3,052        0                 Not indicated                           
                          1,281        1                 Indicated                               
 
I0300    $M3INDIC                      Actv Diag: Dysrhythmia                   
                          5,778                          Missing                                 
                          1,140        0                 Not indicated                           
                            403        1                 Indicated                               
 
I0400    $M3INDIC                      Actv Diag: Coronary Artery Dis (CAD)     
                          5,778                          Missing                                 
                          1,155        0                 Not indicated                           
                            388        1                 Indicated                               
 
I0500    $M3INDIC                      Actv Diag: Deep Vein Thrombosis (DVT)    
                          5,778                          Missing                                 
                          1,492        0                 Not indicated                           
                             51        1                 Indicated                               
 
I0600    $M3INDIC                      Actv Diag: Heart Failure (CHF)           
                          2,987                          Missing                                 
                              1        -                 Not assessed/no information             
                          3,266        0                 Not indicated                           
                          1,067        1                 Indicated                               
 
I0700    $M3INDIC                      Actv Diag: Hypertension                  
                          2,987                          Missing                                 
                            914        0                 Not indicated                           
                          3,420        1                 Indicated                               
 
I0800    $M3INDIC                      Actv Diag: Hypotension                   
                          2,987                          Missing                                 
                          4,235        0                 Not indicated                           
                             99        1                 Indicated                               
 
I0900    $M3INDIC                      Actv Diag: (PVD)                         
                          1,849                          Missing                                 
                          4,896        0                 Not indicated                           
                            576        1                 Indicated                               
 
I1100    $M3INDIC                      Actv Diag: Cirrhosis                     
                          5,778                          Missing                                 
                          1,529        0                 Not indicated                           
                             14        1                 Indicated                               
 
I1200    $M3INDIC                      Actv Diag:  (GERD)                       
                          5,778                          Missing                                 
                            993        0                 Not indicated                           
                            550        1                 Indicated                               
 
I1300    $M3INDIC                      Actv Diag: Ulcrative Colitis             
                          5,778                          Missing                                 
                          1,517        0                 Not indicated                           
                             26        1                 Indicated                               
 
I1400    $M3INDIC                      Actv Diag: (BPH)                         
                          5,778                          Missing                                 
                          1,396        0                 Not indicated                           
                            147        1                 Indicated                               
 
I1500    $M3INDIC                      Actv Diag: (ESRD)                        
                          5,778                          Missing                                 
                          1,247        0                 Not indicated                           
                            296        1                 Indicated                               
 
I1550    $M3INDIC                      Actv Diag: Neurogenic Bldr               
                          1,849                          Missing                                 
                          5,362        0                 Not indicated                           
                            110        1                 Indicated                               
 
I1650    $M3INDIC                      Actv Diag: Obstructive Uropathy          
                          1,849                          Missing                                 
                          5,387        0                 Not indicated                           
                             85        1                 Indicated                               
 
I1700    $M3INDIC                      Actv Diag: (MDRO)                        
                          2,987                          Missing                                 
                          4,308        0                 Not indicated                           
                             26        1                 Indicated                               
 
I2000    $M3INDIC                      Actv Diag: Pneumonia                     
                          2,862                          Missing                                 
                              3        -                 Not assessed/no information             
                          4,254        0                 Not indicated                           
                            202        1                 Indicated                               
 
I2100    $M3INDIC                      Actv Diag: Septicemia                    
                          2,862                          Missing                                 
                              2        -                 Not assessed/no information             
                          4,371        0                 Not indicated                           
                             86        1                 Indicated                               
 
I2200    $M3INDIC                      Actv Diag: Tuberculosis                  
                          2,987                          Missing                                 
                          4,334        0                 Not indicated                           
 
I2300    $M3INDIC                      Actv Diag: Urny Tract Infn (UTI)         
                          1,849                          Missing                                 
                          5,107        0                 Not indicated                           
                            365        1                 Indicated                               
 
I2400    $M3INDIC                      Actv Diag: Viral Hepatitis               
                          2,987                          Missing                                 
                          4,313        0                 Not indicated                           
                             21        1                 Indicated                               
 
I2500    $M3INDIC                      Wound Infn                               
                          2,987                          Missing                                 
                          4,309        0                 Not indicated                           
                             25        1                 Indicated                               
 
I2900    $M3INDIC                      Actv Diag: Diabetes Mellitus (DM)        
                          1,724                          Missing                                 
                              2        -                 Not assessed/no information             
                          3,720        0                 Not indicated                           
                          1,875        1                 Indicated                               
 
I3100    $M3INDIC                      Actv Diag: Hyponatremia                  
                          2,987                          Missing                                 
                          4,237        0                 Not indicated                           
                             97        1                 Indicated                               
 
I3200    $M3INDIC                      Actv Diag: Hyperkalemia                  
                          2,987                          Missing                                 
                              1        -                 Not assessed/no information             
                          4,282        0                 Not indicated                           
                             51        1                 Indicated                               
 
I3300    $M3INDIC                      Actv Diag: Hyperlipidemia                
                          2,987                          Missing                                 
                          2,312        0                 Not indicated                           
                          2,022        1                 Indicated                               
 
I3400    $M3INDIC                      Actv Diag: Thyroid                       
                          5,778                          Missing                                 
                          1,129        0                 Not indicated                           
                            414        1                 Indicated                               
 
I3700    $M3INDIC                      Actv Diag: Arthritis                     
                          5,778                          Missing                                 
                          1,101        0                 Not indicated                           
                            442        1                 Indicated                               
 
I3800    $M3INDIC                      Actv Diag: Osteoporosis                  
                          5,778                          Missing                                 
                          1,353        0                 Not indicated                           
                            190        1                 Indicated                               
 
I3900    $M3INDIC                      Actv Diag: Hip Fracture                  
                          2,987                          Missing                                 
                          4,102        0                 Not indicated                           
                            232        1                 Indicated                               
 
I4000    $M3INDIC                      Actv Diag: Oth Fracture                  
                          2,987                          Missing                                 
                              2        -                 Not assessed/no information             
                          4,023        0                 Not indicated                           
                            309        1                 Indicated                               
 
I4200    $M3INDIC                      Actv Diag: Alzheimers Disease            
                          2,987                          Missing                                 
                              1        -                 Not assessed/no information             
                          3,733        0                 Not indicated                           
                            600        1                 Indicated                               
 
I4300    $M3INDIC                      Actv Diag: Aphasia                       
                          2,987                          Missing                                 
                          4,203        0                 Not indicated                           
                            131        1                 Indicated                               
 
I4400    $M3INDIC                      Actv Diag: Cerebral Palsy                
                          2,862                          Missing                                 
                              2        -                 Not assessed/no information             
                          4,441        0                 Not indicated                           
                             16        1                 Indicated                               
 
I4500    $M3INDIC                      Actv Diag: (CVA or TIA or Stroke)        
                          2,987                          Missing                                 
                          3,863        0                 Not indicated                           
                            471        1                 Indicated                               
 
I4800    $M3INDIC                      Actv Diag: Dementia                      
                          2,987                          Missing                                 
                              6        -                 Not assessed/no information             
                          2,532        0                 Not indicated                           
                          1,796        1                 Indicated                               
 
I4900    $M3INDIC                      Actv Diag: Hemiplegia                    
                          2,862                          Missing                                 
                              2        -                 Not assessed/no information             
                          4,114        0                 Not indicated                           
                            343        1                 Indicated                               
 
I5000    $M3INDIC                      Actv Diag: Paraplegia                    
                          2,987                          Missing                                 
                          4,321        0                 Not indicated                           
                             13        1                 Indicated                               
 
I5100    $M3INDIC                      Actv Diag: Quadriplegia                  
                          2,862                          Missing                                 
                              3        -                 Not assessed/no information             
                          4,434        0                 Not indicated                           
                             22        1                 Indicated                               
 
I5200    $M3INDIC                      Actv Diag: Multiple Sclerosis            
                          2,862                          Missing                                 
                              2        -                 Not assessed/no information             
                          4,435        0                 Not indicated                           
                             22        1                 Indicated                               
 
I5250    $M3INDIC                      Actv Diag: Huntingtons                   
                          1,849                          Missing                                 
                          5,462        0                 Not indicated                           
                             10        1                 Indicated                               
 
I5300    $M3INDIC                      Actv Diag: Parkinsons                    
                          2,862                          Missing                                 
                              2        -                 Not assessed/no information             
                          4,225        0                 Not indicated                           
                            232        1                 Indicated                               
 
I5350    $M3INDIC                      Tourettes                                
                          1,849                          Missing                                 
                          5,472        0                 Not indicated                           
 
I5400    $M3INDIC                      Actv Diag: Seizure                       
                          2,987                          Missing                                 
                          3,959        0                 Not indicated                           
                            375        1                 Indicated                               
 
I5500    $M3INDIC                      Actv Diag: Traumatic Brain Inj (TBI)     
                          2,987                          Missing                                 
                          4,301        0                 Not indicated                           
                             33        1                 Indicated                               
 
I5600    $M3INDIC                      Actv Diag: Malnutrition                  
                          1,849                          Missing                                 
                          5,189        0                 Not indicated                           
                            283        1                 Indicated                               
 
I5700    $M3INDIC                      Actv Diag: Anxiety Disorder              
                          1,849                          Missing                                 
                          3,931        0                 Not indicated                           
                          1,541        1                 Indicated                               
 
I5800    $M3INDIC                      Actv Diag: Depression                    
                          2,987                          Missing                                 
                          2,303        0                 Not indicated                           
                          2,031        1                 Indicated                               
 
I5900    $M3INDIC                      Actv Diag: Manic Depression              
                          1,849                          Missing                                 
                          5,309        0                 Not indicated                           
                            163        1                 Indicated                               
 
I5950    $M3INDIC                      Actv Diag: Psychotic                     
                          1,849                          Missing                                 
                          5,167        0                 Not indicated                           
                            305        1                 Indicated                               
 
I6000    $M3INDIC                      Actv Diag: Schizophrenia                 
                          1,849                          Missing                                 
                          5,144        0                 Not indicated                           
                            328        1                 Indicated                               
 
I6100    $M3INDIC                      Actv Diag:  (PTSD)                       
                          1,849                          Missing                                 
                          5,461        0                 Not indicated                           
                             11        1                 Indicated                               
 
I6200    $M3INDIC                      Actv Diag: Asth, COPD, Chron Lung Dis    
                          2,862                          Missing                                 
                              3        -                 Not assessed/no information             
                          3,388        0                 Not indicated                           
                          1,068        1                 Indicated                               
 
I6300    $M3INDIC                      Actv Diag: Resp Failure                  
                          2,862                          Missing                                 
                              2        -                 Not assessed/no information             
                          4,235        0                 Not indicated                           
                            222        1                 Indicated                               
 
I6500    $M3INDIC                      Actv Diag: Cataracts, Glauc or Mac Deg   
                          5,778                          Missing                                 
                          1,325        0                 Not indicated                           
                            218        1                 Indicated                               
 
I7900    $M3INDIC                      Actv Diag: No Actv Disease               
                          5,778                          Missing                                 
                          1,535        0                 Not indicated                           
                              8        1                 Indicated                               
 
I8000A                                 Addl Actv Diag: ICD 1                    
                          2,116                          Missing                                 
                          5,205        Range of values   Range of values                         
 
I8000B                                 Addl Actv Diag: ICD 2                    
                          2,317                          Missing                                 
                          5,004        Range of values   Range of values                         
 
I8000C                                 Addl Actv Diag: ICD 3                    
                          2,536                          Missing                                 
                          4,785        Range of values   Range of values                         
 
I8000D                                 Addl Actv Diag: ICD 4                    
                          2,861                          Missing                                 
                          4,460        Range of values   Range of values                         
 
I8000E                                 Addl Actv Diag: ICD 5                    
                          3,283                          Missing                                 
                          4,038        Range of values   Range of values                         
 
I8000F                                 Addl Actv Diag: ICD 6                    
                          3,756                          Missing                                 
                          3,565        Range of values   Range of values                         
 
I8000G                                 Addl Actv Diag: ICD 7                    
                          4,235                          Missing                                 
                          3,086        Range of values   Range of values                         
 
I8000H                                 Addl Actv Diag: ICD 8                    
                          4,727                          Missing                                 
                          2,594        Range of values   Range of values                         
 
I8000I                                 Addl Actv Diag: ICD 9                    
                          5,194                          Missing                                 
                          2,127        Range of values   Range of values                         
 
I8000J                                  Addl Actv Diag: ICD 10                  
                          5,652                          Missing                                 
                          1,669        Range of values   Range of values                         
 
J0100A   $M3YESNO                      Pain management: Scheduled Pain Med      
                          1,849                          Missing                                 
                              7        -                 Not assessed/no information             
                          3,228        0                 No                                      
                          2,237        1                 Yes                                     
 
J0100B   $M3YESNO                      Pain management: PRN Pain Med            
                          1,849                          Missing                                 
                              7        -                 Not assessed/no information             
                          3,430        0                 No                                      
                          2,035        1                 Yes                                     
 
J0100C   $M3YESNO                      Pain management: Oth Pain Intervention   
                          1,849                          Missing                                 
                             26        -                 Not assessed/no information             
                          4,409        0                 No                                      
                          1,037        1                 Yes                                     
 
J0200    $M3YESNO                      Should Pain Asmt be Cond                 
                          2,302                          Missing                                 
                             90        -                 Not assessed/no information             
                            426        0                 No                                      
                          4,503        1                 Yes                                     
 
J0300    $M3YNANS                      Pain Asmt Int: Pain Pres                 
                          2,728                          Missing                                 
                            144        -                 Not assessed/no information             
                          2,664        0                 No                                      
                          1,553        1                 Yes                                     
                            232        9                 Unable to answer                        
 
J0400    $M31PAIN                      Pain Asmt Int: Pain Freq                 
                          5,624                          Missing                                 
                            145        -                 Not assessed/no information             
                             88        1                 Almost constantly                       
                            369        2                 Frequently                              
                            919        3                 Occasionally                            
                            156        4                 Rarely                                  
                             20        9                 Unable to answer                        
 
J0500A   $M3YNANS                      Pain Asmt Int: Pain Effect Sleep         
                          5,624                          Missing                                 
                            146        -                 Not assessed/no information             
                          1,311        0                 No                                      
                            215        1                 Yes                                     
                             25        9                 Unable to answer                        
 
J0500B   $M3YNANS                      Pain Asmt Int: Pain Effect Act           
                          5,624                          Missing                                 
                            145        -                 Not assessed/no information             
                          1,213        0                 No                                      
                            311        1                 Yes                                     
                             28        9                 Unable to answer                        
 
J0600A                                 Pain Intensity Numeric Rating Scale Num  
                          6,038                          Missing                                 
                          1,283        Range of values   Range of values                         
 
J0600B   $M32PAIN                      Pain Intensity Verbal Descr Scale Num    
                          6,701                          Missing                                 
                            167        -                 Not assessed/no information             
                            213        1                 Mild                                    
                            207        2                 Moderate                                
                             20        3                 Severe                                  
                              2        4                 Very severe, horrible                   
                             11        9                 Unable to answer                        
 
J0700    $M3YESNO                      Staff Cond Pain Asmt                     
                          5,898                          Missing                                 
                             77        -                 Not assessed/no information             
                          1,305        0                 No                                      
                             41        1                 Yes                                     
 
J0800A   $M3INDIC                      SA for Pain: Nonverbal Sound             
                          6,589                          Missing                                 
                             33        -                 Not assessed/no information             
                            656        0                 Not indicated                           
                             43        1                 Indicated                               
 
J0800B   $M3INDIC                      SA for Pain: Vocal Complaint             
                          6,589                          Missing                                 
                             33        -                 Not assessed/no information             
                            614        0                 Not indicated                           
                             85        1                 Indicated                               
 
J0800C   $M3INDIC                      SA for Pain: Facial Expression           
                          6,589                          Missing                                 
                             33        -                 Not assessed/no information             
                            635        0                 Not indicated                           
                             64        1                 Indicated                               
 
J0800D   $M3INDIC                      SA for Pain: Protective Movement         
                          6,589                          Missing                                 
                             33        -                 Not assessed/no information             
                            669        0                 Not indicated                           
                             30        1                 Indicated                               
 
J0800Z   $M3INDIC                      SA for Pain: None Above Signs of Pain    
                          6,589                          Missing                                 
                             33        -                 Not assessed/no information             
                            144        0                 Not indicated                           
                            555        1                 Indicated                               
 
J0850    $M3PAINI                      SA for Pain: Nonverbal Sound             
                          7,144                          Missing                                 
                             33        -                 Not assessed/no information             
                             79        1                 Indicators of pain 1-2 days             
                             37        2                 Indicators of pain 3-4 days             
                             28        3                 Indicators of pain daily                
 
J1100A   $M3INDIC                      Shortness of Breath W Exertion           
                          1,849                          Missing                                 
                              6        -                 Not assessed/no information             
                          4,869        0                 Not indicated                           
                            597        1                 Indicated                               
 
J1100B   $M3INDIC                      Shortness of Breath When Sitting         
                          1,849                          Missing                                 
                              5        -                 Not assessed/no information             
                          5,226        0                 Not indicated                           
                            241        1                 Indicated                               
 
J1100C   $M3INDIC                      Shortness of Breath When Lying Flat      
                          1,724                          Missing                                 
                              8        -                 Not assessed/no information             
                          5,113        0                 Not indicated                           
                            476        1                 Indicated                               
 
J1100Z   $M3INDIC                      None of Above Shortness of Breath        
                          1,849                          Missing                                 
                              5        -                 Not assessed/no information             
                            805        0                 Not indicated                           
                          4,662        1                 Indicated                               
 
J1300    $M3YESNO                      Tobacco Use                              
                          5,778                          Missing                                 
                              2        -                 Not assessed/no information             
                          1,502        0                 No                                      
                             39        1                 Yes                                     
 
J1400    $M3YESNO                      Life Prognosis Less Than Six Mons        
                          1,849                          Missing                                 
                             10        -                 Not assessed/no information             
                          5,253        0                 No                                      
                            209        1                 Yes                                     
 
J1550A   $M3INDIC                      Prob Conds: Fever                        
                          1,724                          Missing                                 
                              5        -                 Not assessed/no information             
                          5,492        0                 Not indicated                           
                            100        1                 Indicated                               
 
J1550B   $M3INDIC                      Prob Conds: Vomiting                     
                          1,724                          Missing                                 
                              6        -                 Not assessed/no information             
                          5,532        0                 Not indicated                           
                             59        1                 Indicated                               
 
J1550C   $M3INDIC                      Prob Conds: Dehydration                  
                          1,849                          Missing                                 
                              4        -                 Not assessed/no information             
                          5,457        0                 Not indicated                           
                             11        1                 Indicated                               
 
J1550D   $M3INDIC                      Prob Conds: Internal Bleeding            
                          1,849                          Missing                                 
                              3        -                 Not assessed/no information             
                          5,442        0                 Not indicated                           
                             27        1                 Indicated                               
 
J1550Z   $M3INDIC                      Prob Conds: None of Above                
                          1,849                          Missing                                 
                              3        -                 Not assessed/no information             
                            184        0                 Not indicated                           
                          5,285        1                 Indicated                               
 
J1700A   $M3YNDET                      Fall History on Admsn: Fall 30 Day       
                          6,143                          Missing                                 
                              1        -                 Not assessed/no information             
                            675        0                 No                                      
                            463        1                 Yes                                     
                             39        9                 Unable to determine                     
 
J1700B   $M3YNDET                      Fall History on Admsn: Fall 31-180 Day   
                          6,143                          Missing                                 
                              7        -                 Not assessed/no information             
                            797        0                 No                                      
                            279        1                 Yes                                     
                             95        9                 Unable to determine                     
 
J1700C   $M3YNDET                      Fall History on Admsn: Fall Six Mon      
                          6,143                          Missing                                 
                              4        -                 Not assessed/no information             
                            896        0                 No                                      
                            231        1                 Yes                                     
                             47        9                 Unable to determine                     
 
J1800    $M3YESNO                      Falls Since Admsn or Prior Asmt          
                          1,689                          Missing                                 
                              1        -                 Not assessed/no information             
                          4,872        0                 No                                      
                            759        1                 Yes                                     
 
J1900A   $M3FALLS                      Falls Since Adm/Prior Asmt W No Inj      
                          6,561                          Missing                                 
                              4        -                 Not assessed/no information             
                            159        0                 None                                    
                            427        1                 One                                     
                            170        2                 Two or more                             
 
J1900B   $M3FALLS                      Falls Since Adm/Prior Asmt W Inj Ex Maj  
                          6,561                          Missing                                 
                              3        -                 Not assessed/no information             
                            526        0                 None                                    
                            194        1                 One                                     
                             37        2                 Two or more                             
 
J1900C   $M3FALLS                      Falls Since Adm/Prior Asmt W Maj Inj     
                          6,561                          Missing                                 
                              5        -                 Not assessed/no information             
                            720        0                 None                                    
                             35        1                 One                                     
 
K0100A   $M3INDIC                      Swall Disorder: Loss Mouth Eating        
                          2,987                          Missing                                 
                              2        -                 Not assessed/no information             
                          4,304        0                 Not indicated                           
                             28        1                 Indicated                               
 
K0100B   $M3INDIC                      Swall Disorder: Hold Food Mouth          
                          2,987                          Missing                                 
                              2        -                 Not assessed/no information             
                          4,299        0                 Not indicated                           
                             33        1                 Indicated                               
 
K0100C   $M3INDIC                      Swall Disorder: Choke Drinking Meal      
                          2,987                          Missing                                 
                              2        -                 Not assessed/no information             
                          4,254        0                 Not indicated                           
                             78        1                 Indicated                               
 
K0100D   $M3INDIC                      Swall Disorder: Complaint Swall          
                          2,987                          Missing                                 
                              2        -                 Not assessed/no information             
                          4,255        0                 Not indicated                           
                             77        1                 Indicated                               
 
K0100Z   $M3INDIC                      Swall Disorder: None of Above            
                          2,987                          Missing                                 
                              2        -                 Not assessed/no information             
                            165        0                 Not indicated                           
                          4,167        1                 Indicated                               
 
K0200A                                 Height Num                               
                          1,849                          Missing                                 
                          5,472        Range of values   Range of values                         
 
K0200B                                 Weight Num                               
                          1,849                          Missing                                 
                          5,472        Range of values   Range of values                         
 
K0300    $M3WGHT                       Weight Loss                              
                          1,724                          Missing                                 
                             48        -                 Not assessed/no information             
                          5,100        0                 No or unknown                           
                             66        1                 Yes, on physician-prescribed regimen    
                            383        2                 Yes, not on physician-prescribed regimen
 
K0310    $M3WGHT                       Weight Gain                              
                          1,724                          Missing                                 
                             43        -                 Not assessed/no information             
                          5,298        0                 No or unknown                           
                             52        1                 Yes, on physician-prescribed regimen    
                            204        2                 Yes, not on physician-prescribed regimen
 
K0510A1  $M3INDIC                      Nutr App: Prior Par/IV Feeding           
                          7,008                          Missing                                 
                             20        -                 Not assessed/no information             
                            289        0                 Not indicated                           
                              4        1                 Indicated                               
 
K0510A2  $M3INDIC                      Nutr App: Post Par/IV Feeding            
                          1,724                          Missing                                 
                             10        -                 Not assessed/no information             
                          5,557        0                 Not indicated                           
                             30        1                 Indicated                               
 
K0510B1  $M3INDIC                      Nutr App: Prior Feeding Tube             
                          7,008                          Missing                                 
                             18        -                 Not assessed/no information             
                            285        0                 Not indicated                           
                             10        1                 Indicated                               
 
K0510B2  $M3INDIC                      Nutr App: Post Feeding Tube              
                          1,724                          Missing                                 
                              9        -                 Not assessed/no information             
                          5,418        0                 Not indicated                           
                            170        1                 Indicated                               
 
K0510C1  $M3INDIC                      Nutr App: Prior Mech Alt Diet            
                          7,058                          Missing                                 
                             15        -                 Not assessed/no information             
                            210        0                 Not indicated                           
                             38        1                 Indicated                               
 
K0510C2  $M3INDIC                      Nutr App: Post Mech Alt Diet             
                          2,302                          Missing                                 
                              9        -                 Not assessed/no information             
                          3,325        0                 Not indicated                           
                          1,685        1                 Indicated                               
 
K0510D1  $M3INDIC                      Nutr App: Prior Ther Diet                
                          7,058                          Missing                                 
                             18        -                 Not assessed/no information             
                            159        0                 Not indicated                           
                             86        1                 Indicated                               
 
K0510D2  $M3INDIC                      Nutr App: Post Ther Diet                 
                          2,302                          Missing                                 
                              9        -                 Not assessed/no information             
                          2,664        0                 Not indicated                           
                          2,346        1                 Indicated                               
 
K0510Z1  $M3INDIC                      Nutr App: Prior None of Above            
                          7,058                          Missing                                 
                             17        -                 Not assessed/no information             
                            124        0                 Not indicated                           
                            122        1                 Indicated                               
 
K0510Z2  $M3INDIC                      Nutr App: Post None of Above             
                          2,302                          Missing                                 
                              4        -                 Not assessed/no information             
                          3,434        0                 Not indicated                           
                          1,581        1                 Indicated                               
 
L0200A   $M3INDIC                      Dental Stat: Broken Denture              
                          2,987                          Missing                                 
                             21        -                 Not assessed/no information             
                          4,277        0                 Not indicated                           
                             36        1                 Indicated                               
 
L0200B   $M3INDIC                      Dental Stat: No Teeth                    
                          5,778                          Missing                                 
                              2        -                 Not assessed/no information             
                          1,252        0                 Not indicated                           
                            289        1                 Indicated                               
 
L0200C   $M3INDIC                      Dental Stat: Abnormal Mouth Tiss         
                          5,778                          Missing                                 
                              2        -                 Not assessed/no information             
                          1,540        0                 Not indicated                           
                              1        1                 Indicated                               
 
L0200D   $M3INDIC                      Dental Stat: Cavity                      
                          5,778                          Missing                                 
                              2        -                 Not assessed/no information             
                          1,438        0                 Not indicated                           
                            103        1                 Indicated                               
 
L0200E   $M3INDIC                      Dental Stat: Inflamed Gum                
                          5,778                          Missing                                 
                              2        -                 Not assessed/no information             
                          1,529        0                 Not indicated                           
                             12        1                 Indicated                               
 
L0200F   $M3INDIC                      Dental Stat: Mouth or Facial Pain        
                          2,987                          Missing                                 
                             21        -                 Not assessed/no information             
                          4,282        0                 Not indicated                           
                             31        1                 Indicated                               
 
L0200G   $M3INDIC                      Dental Stat: Unable to Examine           
                          5,778                          Missing                                 
                          1,519        0                 Not indicated                           
                             24        1                 Indicated                               
 
L0200Z   $M3INDIC                      Dental Stat: None of Above               
                          5,778                          Missing                                 
                            431        0                 Not indicated                           
                          1,112        1                 Indicated                               
 
M0100A   $M3INDIC                      Det of Press Ulcr Risk: Ulcr Visible     
                          1,849                          Missing                                 
                             12        -                 Not assessed/no information             
                          4,966        0                 Not indicated                           
                            494        1                 Indicated                               
 
M0100B   $M3INDIC                      Det of Press Ulcr Risk: Frml Asmt/Instr  
                          2,987                          Missing                                 
                              4        -                 Not assessed/no information             
                            852        0                 Not indicated                           
                          3,478        1                 Indicated                               
 
M0100C   $M3INDIC                      Det of Press Ulcr Risk: Clinical Asmt    
                          2,987                          Missing                                 
                              2        -                 Not assessed/no information             
                            319        0                 Not indicated                           
                          4,013        1                 Indicated                               
 
M0100Z   $M3INDIC                      Det of Press Ulcr Risk: None of Above    
                          2,987                          Missing                                 
                              1        -                 Not assessed/no information             
                          4,215        0                 Not indicated                           
                            118        1                 Indicated                               
 
M0150    $M3YESNO                      Press Ulcr Risk                          
                          2,987                          Missing                                 
                              1        -                 Not assessed/no information             
                            537        0                 No                                      
                          3,796        1                 Yes                                     
 
M0210    $M3YESNO                      One or More S1 or Higher UPU             
                          1,564                          Missing                                 
                              6        -                 Not assessed/no information             
                          5,206        0                 No                                      
                            545        1                 Yes                                     
 
M0300A                                 Stage 1 Press Ulcr Num                   
                          6,935                          Missing                                 
                            386        Range of values   Range of values                         
 
M0300B1                                Stage 2 Press Ulcr Num                   
                          6,770                          Missing                                 
                            551        Range of values   Range of values                         
 
M0300B2                                Stage 2 Press Ulcr Present on Admsn Num  
                          7,125                          Missing                                 
                            196        Range of values   Range of values                         
 
M0300B3  MMDDYYn8                      Date of Oldest Stage 2 Press Ulcr        
                          7,258                       .  Inapplicable                            
                             63        MMDDYYYY          Date as MMDDYYYY                        
 
M0300C1                                Stage 3 Press Ulcr Num                   
                          6,770                          Missing                                 
                            551        Range of values   Range of values                         
 
M0300C2                                Stage 3 Press Ulcr Present on Admsn Num  
                          7,222                          Missing                                 
                             99        Range of values   Range of values                         
 
M0300D1                                Stage 4 Press Ulcr Num                   
                          6,770                          Missing                                 
                            551        Range of values   Range of values                         
 
M0300D2                                Stage 4 Press Ulcr Present on Admsn Num  
                          7,249                          Missing                                 
                             72        Range of values   Range of values                         
 
M0300E1                                UPU Due To Drsng Num                     
                          6,791                          Missing                                 
                            530        Range of values   Range of values                         
 
M0300E2                                UPU Due To Drsng on Admsn Num            
                          7,314                          Missing                                 
                              7        Range of values   Range of values                         
 
M0300F1                                UPU W Slough or Eschar Num               
                          6,770                          Missing                                 
                            551        Range of values   Range of values                         
 
M0300F2                                UPU W Slough or Eschar on Admsn Num      
                          7,200                          Missing                                 
                            121        Range of values   Range of values                         
 
M0300G1                                UPU W Deep Tiss Inj Num                  
                          6,791                          Missing                                 
                            530        Range of values   Range of values                         
 
M0300G2                                UPU W Deep Tiss Inj on Admsn Num         
                          7,213                          Missing                                 
                            108        Range of values   Range of values                         
 
M0610A                                 Unhealed Stage 3-4 Press Ulcr Length Num 
                          7,144                          Missing                                 
                            177        Range of values   Range of values                         
 
M0610B                                 Unhealed Stage 3-4 Press Ulcr Width Num  
                          7,144                          Missing                                 
                            177        Range of values   Range of values                         
 
M0610C                                 Unhealed Stage 3-4 Press Ulcr Depth Num  
                          7,144                          Missing                                 
                            177        Range of values   Range of values                         
 
M0700    $M3TISSU                      Most Severe Press Ulcr Tiss Type         
                          7,017                          Missing                                 
                             12        -                 Not assessed/no information             
                             51        1                 Epithelial tissue                       
                             73        2                 Granulation tissue                      
                             58        3                 Slough                                  
                             39        4                 Necrotic tissue (Eschar)                
                             71        9                 None of the above                       
 
M0800A                                 Wrsng S2 Press Ulcr Since Prior Asmt Num 
                          7,039                          Missing                                 
                            282        Range of values   Range of values                         
 
M0800B                                 Wrsng S3 Press Ulcr Since Prior Asmt Num 
                          7,039                          Missing                                 
                            282        Range of values   Range of values                         
 
M0800C                                 Wrsng S4 Press Ulcr Since Prior Asmt Num 
                          7,039                          Missing                                 
                            282        Range of values   Range of values                         
 
M0900A   $M3YESNO                      Healed Press Ulcr Present on Prior Asmt  
                          4,128                          Missing                                 
                              3        -                 Not assessed/no information             
                          2,965        0                 No                                      
                            225        1                 Yes                                     
 
M0900B                                 Healed Stage 2 Press Ulcr Num            
                          7,093                          Missing                                 
                            228        Range of values   Range of values                         
 
M0900C                                 Healed Stage 3 Press Ulcr Num            
                          7,093                          Missing                                 
                            228        Range of values   Range of values                         
 
M0900D                                 Healed Stage 4 Press Ulcr Num            
                          7,093                          Missing                                 
                            228        Range of values   Range of values                         
 
M1030                                  Venous and Arterial Ulcr Num             
                          2,862                          Missing                                 
                          4,459        Range of values   Range of values                         
 
M1040A   $M3INDIC                      Oth Foot Skin Probs: Foot Infn           
                          2,862                          Missing                                 
                              2        -                 Not assessed/no information             
                          4,435        0                 Not indicated                           
                             22        1                 Indicated                               
 
M1040B   $M3INDIC                      Oth Foot Skin Probs: Diab Foot Ulcr      
                          2,862                          Missing                                 
                              2        -                 Not assessed/no information             
                          4,432        0                 Not indicated                           
                             25        1                 Indicated                               
 
M1040C   $M3INDIC                      Oth Foot Skin Probs: Oth Open Les Foot   
                          2,862                          Missing                                 
                              2        -                 Not assessed/no information             
                          4,451        0                 Not indicated                           
                              6        1                 Indicated                               
 
M1040D   $M3INDIC                      O/S/P: Oth Than Ulcrs, Rashes, Cuts      
                          2,862                          Missing                                 
                              2        -                 Not assessed/no information             
                          4,430        0                 Not indicated                           
                             27        1                 Indicated                               
 
M1040E   $M3INDIC                      O/S/P: Surgical Wound(s)                 
                          2,862                          Missing                                 
                              1        -                 Not assessed/no information             
                          4,003        0                 Not indicated                           
                            455        1                 Indicated                               
 
M1040F   $M3INDIC                      O/S/P: Burn(s)                           
                          2,862                          Missing                                 
                              2        -                 Not assessed/no information             
                          4,455        0                 Not indicated                           
                              2        1                 Indicated                               
 
M1040G   $M3INDIC                      O/S/P: Skin Tear(s)                      
                          2,862                          Missing                                 
                              2        -                 Not assessed/no information             
                          4,189        0                 Not indicated                           
                            268        1                 Indicated                               
 
M1040H   $M3INDIC                      O/S/P: Moisture Assoc Skin Dmge          
                          2,862                          Missing                                 
                              2        -                 Not assessed/no information             
                          4,164        0                 Not indicated                           
                            293        1                 Indicated                               
 
M1040Z   $M3INDIC                      O/S/P: None of Above                     
                          2,862                          Missing                                 
                              2        -                 Not assessed/no information             
                            989        0                 Not indicated                           
                          3,468        1                 Indicated                               
 
M1200A   $M3INDIC                      S/U Trtmts: Press Reducng Device in Chr  
                          2,862                          Missing                                 
                              8        -                 Not assessed/no information             
                          1,752        0                 Not indicated                           
                          2,699        1                 Indicated                               
 
M1200B   $M3INDIC                      S/U Trtmts: Press Reducng Device in Bed  
                          2,862                          Missing                                 
                              1        -                 Not assessed/no information             
                            778        0                 Not indicated                           
                          3,680        1                 Indicated                               
 
M1200C   $M3INDIC                      S/U Trtmts: Turning/RePosing Prog        
                          2,862                          Missing                                 
                          3,745        0                 Not indicated                           
                            714        1                 Indicated                               
 
M1200D   $M3INDIC                      S/U Trtmts: Nutrition/Hydration          
                          2,862                          Missing                                 
                              1        -                 Not assessed/no information             
                          3,901        0                 Not indicated                           
                            557        1                 Indicated                               
 
M1200E   $M3INDIC                      S/U Trtmts: Ulcr Care                    
                          2,862                          Missing                                 
                              2        -                 Not assessed/no information             
                          4,067        0                 Not indicated                           
                            390        1                 Indicated                               
 
M1200F   $M3INDIC                      S/U Trtmts: Surgical Wound Care          
                          2,862                          Missing                                 
                          4,088        0                 Not indicated                           
                            371        1                 Indicated                               
 
M1200G   $M3INDIC                      S/U Trtmts: App Nonsurgical Drsng        
                          2,862                          Missing                                 
                              1        -                 Not assessed/no information             
                          3,810        0                 Not indicated                           
                            648        1                 Indicated                               
 
M1200H   $M3INDIC                      S/U Trtmts: App Ointments/Meds           
                          2,862                          Missing                                 
                          2,344        0                 Not indicated                           
                          2,115        1                 Indicated                               
 
M1200I   $M3INDIC                      S/U Trtmts: App Drsngs to Foot           
                          2,862                          Missing                                 
                          4,322        0                 Not indicated                           
                            137        1                 Indicated                               
 
M1200Z   $M3INDIC                      S/U Trtmts: None of Above                
                          2,862                          Missing                                 
                          4,124        0                 Not indicated                           
                            335        1                 Indicated                               
 
N0300                                  Num of Days Injections of Any Type       
                          2,862                          Missing                                 
                          4,459        Range of values   Range of values                         
 
N0350A                                 Num of Days Insulin Injections           
                          5,959                          Missing                                 
                          1,362        Range of values   Range of values                         
 
N0350B                                 Num of Days Insulin Orders Changed       
                          5,959                          Missing                                 
                          1,362        Range of values   Range of values                         
 
N0400Z   $M3INDIC                      Meds Rcd: None of Above                  
                          3,039                          Missing                                 
                              7        -                 Not assessed/no information             
                          4,247        0                 Not indicated                           
                             28        1                 Indicated                               
 
N0410A                                 Meds Rcd: Antipsychotic Num Days         
                          1,849                          Missing                                 
                          5,472        Range of values   Range of values                         
 
N0410B                                 Meds Rcd: Antianxiety Num Days           
                          1,849                          Missing                                 
                          5,472        Range of values   Range of values                         
 
N0410C                                 Meds Rcd: Antidepressant Num Days        
                          1,849                          Missing                                 
                          5,472        Range of values   Range of values                         
 
N0410D                                 Meds Rcd: Hypnotic Num Days              
                          1,849                          Missing                                 
                          5,472        Range of values   Range of values                         
 
N0410E                                 Meds Rcd: Anticoagulant Num Days         
                          1,849                          Missing                                 
                          5,472        Range of values   Range of values                         
 
N0410F                                 Meds Rcd: Antibiotic Num Days            
                          1,849                          Missing                                 
                          5,472        Range of values   Range of values                         
 
N0410G                                 Meds Rcd: Diuretic Num Days              
                          1,849                          Missing                                 
                          5,472        Range of values   Range of values                         
 
O0100A1  $M3INDIC                      Spcl T/P: ChemOthapy Pre-admit           
                          5,966                          Missing                                 
                              5        -                 Not assessed/no information             
                          1,343        0                 Not indicated                           
                              7        1                 Indicated                               
 
O0100A2  $M3INDIC                      Spcl T/P: ChemOthapy Post-admit          
                          2,862                          Missing                                 
                             10        -                 Not assessed/no information             
                          4,426        0                 Not indicated                           
                             23        1                 Indicated                               
 
O0100B1  $M3INDIC                      Spcl T/P: Radiation Pre-admit            
                          5,966                          Missing                                 
                              5        -                 Not assessed/no information             
                          1,347        0                 Not indicated                           
                              3        1                 Indicated                               
 
O0100B2  $M3INDIC                      Spcl T/P: Radiation Post-admit           
                          2,862                          Missing                                 
                              7        -                 Not assessed/no information             
                          4,449        0                 Not indicated                           
                              3        1                 Indicated                               
 
O0100C1  $M3INDIC                      Spcl T/P: Oxygen Pre-admit               
                          5,966                          Missing                                 
                             10        -                 Not assessed/no information             
                            986        0                 Not indicated                           
                            359        1                 Indicated                               
 
O0100C2  $M3INDIC                      Spcl T/P: Oxygen Post-admit              
                          2,862                          Missing                                 
                              6        -                 Not assessed/no information             
                          3,687        0                 Not indicated                           
                            766        1                 Indicated                               
 
O0100D1  $M3INDIC                      Spcl T/P: Suctioning Pre-admit           
                          5,966                          Missing                                 
                              5        -                 Not assessed/no information             
                          1,340        0                 Not indicated                           
                             10        1                 Indicated                               
 
O0100D2  $M3INDIC                      Spcl T/P: Suctioning Post-admit          
                          2,987                          Missing                                 
                              5        -                 Not assessed/no information             
                          4,295        0                 Not indicated                           
                             34        1                 Indicated                               
 
O0100E1  $M3INDIC                      Spcl T/P: Tracheostomy Pre-admit         
                          5,966                          Missing                                 
                              5        -                 Not assessed/no information             
                          1,341        0                 Not indicated                           
                              9        1                 Indicated                               
 
O0100E2  $M3INDIC                      Spcl T/P: Tracheostomy Post-admit        
                          2,860                          Missing                                 
                              7        -                 Not assessed/no information             
                          4,423        0                 Not indicated                           
                             31        1                 Indicated                               
 
O0100F1  $M3INDIC                      Spcl T/P: Ventilator Pre-admit           
                          5,966                          Missing                                 
                              5        -                 Not assessed/no information             
                          1,338        0                 Not indicated                           
                             12        1                 Indicated                               
 
O0100F2  $M3INDIC                      Spcl T/P: Ventilator Post-admit          
                          2,860                          Missing                                 
                              7        -                 Not assessed/no information             
                          4,434        0                 Not indicated                           
                             20        1                 Indicated                               
 
O0100G1  $M3INDIC                      Spcl T/P: Cont Pos Arwy Press Pre-A      
                          6,458                          Missing                                 
                              4        -                 Not assessed/no information             
                            828        0                 Not indicated                           
                             31        1                 Indicated                               
 
O0100G2  $M3INDIC                      Spcl T/P: Cont Pos Arwy Press Post-A     
                          5,778                          Missing                                 
                              1        -                 Not assessed/no information             
                          1,504        0                 Not indicated                           
                             38        1                 Indicated                               
 
O0100H1  $M3INDIC                      Spcl T/P: Intravenous Med Pre-admit      
                          5,966                          Missing                                 
                              6        -                 Not assessed/no information             
                            796        0                 Not indicated                           
                            553        1                 Indicated                               
 
O0100H2  $M3INDIC                      Spcl T/P: Intravenous Med Post-admit     
                          2,862                          Missing                                 
                              7        -                 Not assessed/no information             
                          4,281        0                 Not indicated                           
                            171        1                 Indicated                               
 
O0100I1  $M3INDIC                      Spcl T/P: Transfusion Pre-admit          
                          5,966                          Missing                                 
                              4        -                 Not assessed/no information             
                          1,312        0                 Not indicated                           
                             39        1                 Indicated                               
 
O0100I2  $M3INDIC                      Spcl T/P: Transfusion Post-admit         
                          2,862                          Missing                                 
                              7        -                 Not assessed/no information             
                          4,445        0                 Not indicated                           
                              7        1                 Indicated                               
 
O0100J1  $M3INDIC                      Spcl T/P: Dialysis Pre-admit             
                          5,966                          Missing                                 
                              4        -                 Not assessed/no information             
                          1,296        0                 Not indicated                           
                             55        1                 Indicated                               
 
O0100J2  $M3INDIC                      Spcl T/P: Dialysis Post-admit            
                          2,862                          Missing                                 
                              7        -                 Not assessed/no information             
                          4,325        0                 Not indicated                           
                            127        1                 Indicated                               
 
O0100K1  $M3INDIC                      Spcl T/P: Hospice Pre-admit              
                          6,458                          Missing                                 
                              2        -                 Not assessed/no information             
                            850        0                 Not indicated                           
                             11        1                 Indicated                               
 
O0100K2  $M3INDIC                      Spcl T/P: Hospice Post-admit             
                          1,849                          Missing                                 
                             13        -                 Not assessed/no information             
                          5,216        0                 Not indicated                           
                            243        1                 Indicated                               
 
O0100L2  $M3INDIC                      Spcl T/P: Respite Post-admit             
                          5,778                          Missing                                 
                              2        -                 Not assessed/no information             
                          1,538        0                 Not indicated                           
                              3        1                 Indicated                               
 
O0100M1  $M3INDIC                      Spcl T/P: Isolation Pre-admit            
                          6,458                          Missing                                 
                              2        -                 Not assessed/no information             
                            858        0                 Not indicated                           
                              3        1                 Indicated                               
 
O0100M2  $M3INDIC                      Spcl T/P: Isolation Post-admit           
                          2,860                          Missing                                 
                              8        -                 Not assessed/no information             
                          4,434        0                 Not indicated                           
                             19        1                 Indicated                               
 
O0100Z1  $M3INDIC                      Spcl T/P: None Above Pre-A Trtmt Prior   
                          6,458                          Missing                                 
                              6        -                 Not assessed/no information             
                            460        0                 Not indicated                           
                            397        1                 Indicated                               
 
O0100Z2  $M3INDIC                      Spcl T/P: None Above Trtmt Post-admit    
                          5,778                          Missing                                 
                            445        0                 Not indicated                           
                          1,098        1                 Indicated                               
 
O0250A   $M3YESNO                      Influenza Rcd                            
                          1,849                          Missing                                 
                             89        -                 Not assessed/no information             
                          3,093        0                 No                                      
                          2,290        1                 Yes                                     
 
O0250B   MMDDYYn8                      Influenza Rcd Date                       
                          5,034                       .  Inapplicable                            
                          2,287        MMDDYYYY          Date as MMDDYYYY                        
 
O0250C   $M3FLRSN                      Rsn Influenza Not Rcd                    
                          4,139                          Missing                                 
                            111        -                 Not assessed/no information             
                            575        1                 Resident not in facility                
                          1,402        2                 Received outside the facility           
                             56        3                 Not eligible                            
                            780        4                 Offered and declined                    
                            103        5                 Not offered                             
                              7        6                 Inability to obtain vaccine             
                            148        9                 None of the above                       
 
O0300A   $M3YESNO                      Pneumococcal Vaccination                 
                          1,849                          Missing                                 
                            150        -                 Not assessed/no information             
                          1,577        0                 No                                      
                          3,745        1                 Yes                                     
 
O0300B   $M3PNRSN                      Rsn Pneumococcal Vaccination Not Rcd     
                          5,594                          Missing                                 
                            263        -                 Not assessed/no information             
                             56        1                 Not eligible                            
                          1,124        2                 Offered and declined                    
                            284        3                 Not offered                             
 
O0400A1                                Speech Ther/Aud Individual Minutes Num   
                          2,860                          Missing                                 
                          4,461        Range of values   Range of values                         
 
O0400A2                                Speech Ther/Aud ConCur Minutes Num       
                          2,860                          Missing                                 
                          4,461        Range of values   Range of values                         
 
O0400A3                                Speech Ther/Aud Group Minutes Num        
                          2,860                          Missing                                 
                          4,461        Range of values   Range of values                         
 
O0400A4                                Num of Days Speech Ther/Aud Admin        
                          6,307                          Missing                                 
                          1,014        Range of values   Range of values                         
 
O0400A5  MMDDYYn8                      Speech Ther/Audiology Start Date         
                          5,233                       .  Inapplicable                            
                          2,088        MMDDYYYY          Date as MMDDYYYY                        
 
O0400A6  MMDDYYn8                      Speech Ther/Audiology End Date           
                          6,120                       .  Inapplicable                            
                          1,201        MMDDYYYY          Date as MMDDYYYY                        
 
O0400B1                                Occupational Ther Individual Minutes Num 
                          2,860                          Missing                                 
                          4,461        Range of values   Range of values                         
 
O0400B2                                Occupational Ther ConCur Minutes Num     
                          2,860                          Missing                                 
                          4,461        Range of values   Range of values                         
 
O0400B3                                Occupational Ther Group Minutes Num      
                          2,860                          Missing                                 
                          4,461        Range of values   Range of values                         
 
O0400B4                                Num of Days Occ Ther Administered        
                          5,049                          Missing                                 
                          2,272        Range of values   Range of values                         
 
O0400B5  MMDDYYn8                      Occupational Ther Start Date             
                          3,315                       .  Inapplicable                            
                          4,006        MMDDYYYY          Date as MMDDYYYY                        
 
O0400B6  MMDDYYn8                      Occupational Ther End Date               
                          5,490                       .  Inapplicable                            
                          1,831        MMDDYYYY          Date as MMDDYYYY                        
 
O0400C1                                Phys Ther Individual Minutes Num         
                          2,860                          Missing                                 
                          4,461        Range of values   Range of values                         
 
O0400C2                                Phys Ther ConCur Minutes Num             
                          2,860                          Missing                                 
                          4,461        Range of values   Range of values                         
 
O0400C3                                Phys Ther Group Minutes Num              
                          2,860                          Missing                                 
                          4,461        Range of values   Range of values                         
 
O0400C4                                Num of Days Phys Ther Administered       
                          5,016                          Missing                                 
                          2,305        Range of values   Range of values                         
 
O0400C5  MMDDYYn8                      Phys Ther Start Date                     
                          3,280                       .  Inapplicable                            
                          4,041        MMDDYYYY          Date as MMDDYYYY                        
 
O0400C6  MMDDYYn8                      Phys Ther End Date                       
                          5,489                       .  Inapplicable                            
                          1,832        MMDDYYYY          Date as MMDDYYYY                        
 
O0400D1                                Resp Ther Minutes Num                    
                          5,778                          Missing                                 
                          1,543        Range of values   Range of values                         
 
O0400D2                                Num of Days Resp Ther Administered       
                          4,420                          Missing                                 
                          2,901        Range of values   Range of values                         
 
O0400E1                                Psych Ther Minutes Num                   
                          5,778                          Missing                                 
                          1,543        Range of values   Range of values                         
 
O0400E2                                Num of Days Psych Ther Administered      
                          4,592                          Missing                                 
                          2,729        Range of values   Range of values                         
 
O0400F1                                Rec Ther Minutes Num                     
                          5,778                          Missing                                 
                          1,543        Range of values   Range of values                         
 
O0400F2                                Num of Days Rec Ther Administered        
                          7,313                          Missing                                 
                              8        Range of values   Range of values                         
 
O0450A   $M3YESNO                      Has Ther Resumed                         
                          7,295                          Missing                                 
                              2        -                 Not assessed/no information             
                             24        0                 No                                      
 
O0500A                                 Rest Nrs: Passive Range of Mtn Num       
                          2,860                          Missing                                 
                          4,461        Range of values   Range of values                         
 
O0500B                                 Rest Nrs: Actv Range of Mtn Num          
                          2,860                          Missing                                 
                          4,461        Range of values   Range of values                         
 
O0500C                                 Rest Nrs: Splint/Brace Ass Num           
                          2,860                          Missing                                 
                          4,461        Range of values   Range of values                         
 
O0500D                                 Rest Nrs: Bed Mob Training Num           
                          2,860                          Missing                                 
                          4,461        Range of values   Range of values                         
 
O0500E                                 Rest Nrs: Trans Training Num             
                          2,860                          Missing                                 
                          4,461        Range of values   Range of values                         
 
O0500F                                 Rest Nrs: Wlking Training Num            
                          2,860                          Missing                                 
                          4,461        Range of values   Range of values                         
 
O0500G                                 Rest Nrs: Drsng/Grooming Training Num    
                          2,860                          Missing                                 
                          4,461        Range of values   Range of values                         
 
O0500H                                 Rest Nrs: Eating/Swall Training Num      
                          2,860                          Missing                                 
                          4,461        Range of values   Range of values                         
 
O0500I                                 Rest Nrs: Amp/Prosthes Care Training Num 
                          2,860                          Missing                                 
                          4,461        Range of values   Range of values                         
 
O0500J                                 Rest Nrs: Communication Training Num     
                          2,860                          Missing                                 
                          4,461        Range of values   Range of values                         
 
O0600                                  Physician Exam Day Num                   
                          2,987                          Missing                                 
                          4,334        Range of values   Range of values                         
 
O0700                                  Physician Order Day Num                  
                          2,987                          Missing                                 
                          4,334        Range of values   Range of values                         
 
P0100A   $M3USED                       Phys Rstrnts in Bed: Bed Rail            
                          1,849                          Missing                                 
                              6        -                 Not assessed/no information             
                          5,430        0                 Not used                                
                              5        1                 Used less than daily                    
                             31        2                 Used daily                              
 
P0100B   $M3USED                       Phys Rstrnts in Bed: Trunk Rstrnt Bed    
                          1,849                          Missing                                 
                              2        -                 Not assessed/no information             
                          5,470        0                 Not used                                
 
P0100C   $M3USED                       Phys Rstrnts in Bed: Limb Rstrnt Bed     
                          1,849                          Missing                                 
                              2        -                 Not assessed/no information             
                          5,468        0                 Not used                                
                              2        2                 Used daily                              
 
P0100D   $M3USED                       Phys Rstrnts in Bed: Oth Rstrnt Bed      
                          1,849                          Missing                                 
                              2        -                 Not assessed/no information             
                          5,468        0                 Not used                                
                              2        2                 Used daily                              
 
P0100E   $M3USED                       Phys Rstrnts Chair: Trunk Rstrnt Chair   
                          1,849                          Missing                                 
                              2        -                 Not assessed/no information             
                          5,466        0                 Not used                                
                              4        2                 Used daily                              
 
P0100F   $M3USED                       Phys Rstrnts Chair: Limb Rstrnt Chair    
                          1,849                          Missing                                 
                              2        -                 Not assessed/no information             
                          5,466        0                 Not used                                
                              4        2                 Used daily                              
 
P0100G   $M3USED                       Phys Rstrnts Chair: Chair Prevent Rise   
                          1,849                          Missing                                 
                              2        -                 Not assessed/no information             
                          5,468        0                 Not used                                
                              1        1                 Used less than daily                    
                              1        2                 Used daily                              
 
P0100H   $M3USED                       Phys Rstrnts Chair: Oth Rstrnt Chair     
                          1,849                          Missing                                 
                              2        -                 Not assessed/no information             
                          5,456        0                 Not used                                
                              1        1                 Used less than daily                    
                             13        2                 Used daily                              
 
Q0100A   $M3YESNO                      Res Part in Asmt                         
                          2,860                          Missing                                 
                             35        -                 Not assessed/no information             
                            565        0                 No                                      
                          3,861        1                 Yes                                     
 
Q0100B   $M3FAMPR                      Fam Part in Asmt                         
                          2,860                          Missing                                 
                             35        -                 Not assessed/no information             
                          3,004        0                 No                                      
                          1,376        1                 Yes                                     
                             46        9                 No family or significant other available
 
Q0100C   $M3GUAPR                      Guardian Part in Asmt                    
                          2,860                          Missing                                 
                             40        -                 Not assessed/no information             
                          3,354        0                 No                                      
                            314        1                 Yes                                     
                            753        9                 No guardian or legally auth rep availabl
 
Q0300A   $M3OGOAL                      Res Overall Goal                         
                          6,164                          Missing                                 
                             19        -                 Not assessed/no information             
                            795        1                 Discharged to the community             
                            292        2                 Remain in this facility                 
                             19        3                 Discharged to another facility          
                             32        9                 Unknown or uncertain                    
 
Q0300B   $M3SOURC                      Overall Goal Source                      
                          6,164                          Missing                                 
                             19        -                 Not assessed/no information             
                            889        1                 Resident                                
                            218        2                 Family or sig other                     
                             26        3                 Guardian or legally auth rep            
                              5        9                 Unknown or uncertain                    
 
Q0400A   $M3YESNO                      Dis Plan                                 
                          1,849                          Missing                                 
                             51        -                 Not assessed/no information             
                          3,363        0                 No                                      
                          2,058        1                 Yes                                     
 
Q0490    $M3NOINF                      Ress Pref Answering Q0500B               
                          5,121                          Missing                                 
                             54        -                 Not assessed/no information             
                          1,127        0                 No                                      
                          1,019        1                 Yes                                     
 
Q0500B   $M3WNTLK                      Staff Asked Res or Fam Abt Rtn To Comm   
                          5,300                          Missing                                 
                             53        -                 Not assessed/no information             
                          1,771        0                 No                                      
                             82        1                 Yes                                     
                            115        9                 Unknown or uncertain                    
 
Q0550A   $M3NOINF                      Pref In Answering Q0550B                 
                          5,300                          Missing                                 
                             51        -                 Not assessed/no information             
                          1,641        0                 No                                      
                            222        1                 Yes                                     
                            107        8                 Information not available               
 
Q0550B   $M3SOURC                      Source Answering Q0550A                  
                          5,300                          Missing                                 
                             59        -                 Not assessed/no information             
                            941        1                 Resident                                
                            791        2                 Family or sig other                     
                            142        3                 Guardian or legally auth rep            
                             88        9                 Unknown or uncertain                    
 
Q0600    $M3REFER                      Local Contact Agency Referral            
                          1,849                          Missing                                 
                             54        -                 Not assessed/no information             
                          5,020        0                 No - referral not needed                
                            222        1                 No - referral may be needed             
                            176        2                 Yes                                     
 
V0100A   $M3CASS                       Prior Asmt Federal OBRA Rsn for Asmt     
                          6,734                                                                  
                             14        01                5 day sched assessment                  
                            500        02                14 day sched assessment                 
                             11        03                30 day sched assessment                 
                             16        04                60 day sched assessment                 
                             46        99                None of above                           
 
V0100B   $M3CASS                       Prior Asmt PPS Rsn for Asmt              
                          6,734                                                                  
                             22        01                5 day sched assessment                  
                             19        02                14 day sched assessment                 
                              8        03                30 day sched assessment                 
                              1        04                60 day sched assessment                 
                              1        05                90 day sched assessment                 
                            536        99                None of above                           
 
V0100C   MMDDYYn8                      Prior Asmt Ref Date                      
                          6,735                       .  Inapplicable                            
                            586        MMDDYYYY          Date as MMDDYYYY                        
 
V0100D                                 Prior Asmt (BIMS) Summary Score Num      
                          6,816                          Missing                                 
                            505        Range of values   Range of values                         
 
V0100E                                 Prior Asmt  (PHQ-9) Tot Svrty Score Num  
                          6,826                          Missing                                 
                            495        Range of values   Range of values                         
 
V0100F                                 Prior Asmt  (PHQ-9) Tot Svrty Score Num  
                          7,146                          Missing                                 
                            175        Range of values   Range of values                         
 
V200A01A $M3INDIC                      Dlrm Care Area Trigger                   
                          5,875                          Missing                                 
                          1,355        0                 Not indicated                           
                             91        1                 Indicated                               
 
V200A01B $M3INDIC                      Dlrm Adrsd in Care Plan                  
                          5,875                          Missing                                 
                            635        -                 Not assessed/no information             
                            765        0                 Not indicated                           
                             46        1                 Indicated                               
 
V200A02A $M3INDIC                      Dementia Care Area Trigger               
                          5,875                          Missing                                 
                            562        0                 Not indicated                           
                            884        1                 Indicated                               
 
V200A02B $M3INDIC                      Dementia Adrsd in Care Plan              
                          5,875                          Missing                                 
                            274        -                 Not assessed/no information             
                            376        0                 Not indicated                           
                            796        1                 Indicated                               
 
V200A03A $M3INDIC                      Visual Func Care Area Trigger            
                          5,875                          Missing                                 
                            989        0                 Not indicated                           
                            457        1                 Indicated                               
 
V200A03B $M3INDIC                      Visual Func Adrsd in Care Plan           
                          5,875                          Missing                                 
                            491        -                 Not assessed/no information             
                            564        0                 Not indicated                           
                            391        1                 Indicated                               
 
V200A04A $M3INDIC                      Communication Care Area Trigger          
                          5,875                          Missing                                 
                            727        0                 Not indicated                           
                            719        1                 Indicated                               
 
V200A04B $M3INDIC                      Communication Adrsd in Care Plan         
                          5,875                          Missing                                 
                            383        -                 Not assessed/no information             
                            425        0                 Not indicated                           
                            638        1                 Indicated                               
 
V200A05A $M3INDIC                      ADL Care Area Trigger                    
                          5,875                          Missing                                 
                            350        0                 Not indicated                           
                          1,096        1                 Indicated                               
 
V200A05B $M3INDIC                      ADL Adrsd in Care Plan                   
                          5,875                          Missing                                 
                            167        -                 Not assessed/no information             
                            188        0                 Not indicated                           
                          1,091        1                 Indicated                               
 
V200A06A $M3INDIC                      Urny Care Area Trigger                   
                          5,875                          Missing                                 
                             68        0                 Not indicated                           
                          1,378        1                 Indicated                               
 
V200A06B $M3INDIC                      Urny Adrsd in Care Plan                  
                          5,875                          Missing                                 
                             54        -                 Not assessed/no information             
                            162        0                 Not indicated                           
                          1,230        1                 Indicated                               
 
V200A07A $M3INDIC                      Psychosocial Care Area Trigger           
                          5,875                          Missing                                 
                          1,192        0                 Not indicated                           
                            254        1                 Indicated                               
 
V200A07B $M3INDIC                      Psychosocial Adrsd in Care Plan          
                          5,875                          Missing                                 
                            563        -                 Not assessed/no information             
                            645        0                 Not indicated                           
                            238        1                 Indicated                               
 
V200A08A $M3INDIC                      Mood Care Area Trigger                   
                          5,875                          Missing                                 
                          1,298        0                 Not indicated                           
                            148        1                 Indicated                               
 
V200A08B $M3INDIC                      Mood Adrsd in Care Plan                  
                          5,875                          Missing                                 
                            613        -                 Not assessed/no information             
                            693        0                 Not indicated                           
                            140        1                 Indicated                               
 
V200A09A $M3INDIC                      Bhvral Care Area Trigger                 
                          5,875                          Missing                                 
                          1,248        0                 Not indicated                           
                            198        1                 Indicated                               
 
V200A09B $M3INDIC                      Bhvral Adrsd in Care Plan                
                          5,875                          Missing                                 
                            581        -                 Not assessed/no information             
                            679        0                 Not indicated                           
                            186        1                 Indicated                               
 
V200A10A $M3INDIC                      Act Care Area Trigger                    
                          5,875                          Missing                                 
                          1,245        0                 Not indicated                           
                            201        1                 Indicated                               
 
V200A10B $M3INDIC                      Act Adrsd in Care Plan                   
                          5,875                          Missing                                 
                            587        -                 Not assessed/no information             
                            647        0                 Not indicated                           
                            212        1                 Indicated                               
 
V200A11A $M3INDIC                      Fall Care Area Trigger                   
                          5,875                          Missing                                 
                             37        0                 Not indicated                           
                          1,409        1                 Indicated                               
 
V200A11B $M3INDIC                      Fall Adrsd in Care Plan                  
                          5,875                          Missing                                 
                             24        -                 Not assessed/no information             
                             75        0                 Not indicated                           
                          1,347        1                 Indicated                               
 
V200A12A $M3INDIC                      Nutr Care Area Trigger                   
                          5,875                          Missing                                 
                            168        0                 Not indicated                           
                          1,278        1                 Indicated                               
 
V200A12B $M3INDIC                      Nutr Adrsd in Care Plan                  
                          5,875                          Missing                                 
                             85        -                 Not assessed/no information             
                            171        0                 Not indicated                           
                          1,190        1                 Indicated                               
 
V200A13A $M3INDIC                      Feeding Tube Care Area Trigger           
                          5,875                          Missing                                 
                          1,403        0                 Not indicated                           
                             43        1                 Indicated                               
 
V200A13B $M3INDIC                      Feeding Tube Adrsd in Care Plan          
                          5,875                          Missing                                 
                            657        -                 Not assessed/no information             
                            745        0                 Not indicated                           
                             44        1                 Indicated                               
 
V200A14A $M3INDIC                      Dehydration Care Area Trigger            
                          5,875                          Missing                                 
                          1,114        0                 Not indicated                           
                            332        1                 Indicated                               
 
V200A14B $M3INDIC                      Dehydration Adrsd in Care Plan           
                          5,875                          Missing                                 
                            507        -                 Not assessed/no information             
                            645        0                 Not indicated                           
                            294        1                 Indicated                               
 
V200A15A $M3INDIC                      Dental Care Area Trigger                 
                          5,875                          Missing                                 
                          1,064        0                 Not indicated                           
                            382        1                 Indicated                               
 
V200A15B $M3INDIC                      Dental Adrsd in Care Plan                
                          5,875                          Missing                                 
                            495        -                 Not assessed/no information             
                            629        0                 Not indicated                           
                            322        1                 Indicated                               
 
V200A16A $M3INDIC                      Press Ulcr Care Area Trigger             
                          5,875                          Missing                                 
                             25        0                 Not indicated                           
                          1,421        1                 Indicated                               
 
V200A16B $M3INDIC                      Press Ulcr Adrsd in Care Plan            
                          5,875                          Missing                                 
                             23        -                 Not assessed/no information             
                             91        0                 Not indicated                           
                          1,332        1                 Indicated                               
 
V200A17A $M3INDIC                      Psychotropic Drug Care Area Trigger      
                          5,875                          Missing                                 
                            626        0                 Not indicated                           
                            820        1                 Indicated                               
 
V200A17B $M3INDIC                      Psychotropic Drug Adrsd in Care Plan     
                          5,875                          Missing                                 
                            299        -                 Not assessed/no information             
                            356        0                 Not indicated                           
                            791        1                 Indicated                               
 
V200A18A $M3INDIC                      Rstrnt Care Area Trigger                 
                          5,875                          Missing                                 
                          1,427        0                 Not indicated                           
                             19        1                 Indicated                               
 
V200A18B $M3INDIC                      Rstrnt Adrsd in Care Plan                
                          5,875                          Missing                                 
                            675        -                 Not assessed/no information             
                            761        0                 Not indicated                           
                             10        1                 Indicated                               
 
V200A19A $M3INDIC                      Pain Care Area Trigger                   
                          5,875                          Missing                                 
                          1,176        0                 Not indicated                           
                            270        1                 Indicated                               
 
V200A19B $M3INDIC                      Pain Adrsd in Care Plan                  
                          5,875                          Missing                                 
                            554        -                 Not assessed/no information             
                            616        0                 Not indicated                           
                            276        1                 Indicated                               
 
V200A20A $M3INDIC                      Rtn to Comm Care Area Trigger            
                          5,875                          Missing                                 
                          1,368        0                 Not indicated                           
                             78        1                 Indicated                               
 
V200A20B $M3INDIC                      Rtn to Comm Adrsd in Care Plan           
                          5,875                          Missing                                 
                            637        -                 Not assessed/no information             
                            730        0                 Not indicated                           
                             79        1                 Indicated                               
 
