Variable Format    Q#/Freq            Description/Label
 
BASEID   $BSIDFMT                      Unique SP Identification Number          
                          1,765        LOW-HIGH          BASEID Count                            
 
SURVEYYR SVYRFMT                       Survey year                              
                          1,765                    2019  2019                                    
 
VERSION  VERSFMT                       Version Number                           
                          1,765                       1  Version 1                               
 
D_SOURCE SOURCE                        Data source                              
                            752                       1  Facility Survey Data Only               
                            444                       2  Blended Admin Claims/POS Data           
                            569                       3  Blended Facility Survey/CASPER Data     
         Notes:  Formerly SOURCE.
 
PLACTYPE PLAC7FMT  FA1                 Facility description                     
                          1,119                       4  Nursing home                            
                              1                       6  Hospital                                
                             11                       7  Hospital-based SNF unit                 
                            368                       8  Assisted living                         
                             26                       9  Board & care home                       
                              4                      10  Domiciliary care facility               
                             39                      11  Personal care facility                  
                             14                      12  Rest home/retirement home               
                              1                      15  Mental health center psychiatric setting
                             29                      16  Mentally ret/developmentally disabled   
                             24                      17  Rehabilitation facility                 
                             50                      18  Adult/group home                        
                             79                      91  Other                                   
 
ELIGSTAT YES1FMT                       Does facility provide long term care?    
                            444                       .  Inapplicable/Missing                    
                          1,321                       1  Yes                                     
         Notes:  Applies only if D_SOURCE = 1,3.
 
COMPLEXF YES1FMT   FA3                 Facility part of larger facility/campus  
                            444                       .  Inapplicable/Missing                    
                            219                       1  Yes                                     
                          1,102                       2  No                                      
         Notes:  Applies only if D_SOURCE = 1,3.
 
LARGTYPE LARGFMT   FA4                 Type of place facility is part of        
                              7                       D  Don't know                              
                          1,546                       .  Inapplicable/Missing                    
                            129                       3  Continuing Care Retirement Comm.        
                             19                       5  Retirement Community                    
                              9                       6  Hospital                                
                              5                       8  Assisted Living Facility                
                              4                       9  Board and Care Home                     
                              1                      10  Domiciliary Care Home                   
                              2                      11  Personal Care Home                      
                              6                      12  Rest Home/Retirement Home               
                             37                      91  Other                                   
         Notes:  Applies only if COMPLEXF = 1
 
FACOWNED OWNDES    FA5A                Description of ownership of facility     
                          1,216                       1  Proprietary                             
                            463                       2  Private non-profit                      
                             40                       3  City/county government                  
                             24                       4  State government                        
                             10                       5  Veterans Administration                 
                             12                      91  Other, specify                          
 
D_TOTBED BEDSFMT                       Total number of beds in facility         
                              6                       D  Don't know                              
                          1,759        Range of values   Number of beds                          
 
FACLTBED BEDSFMT   FB18                Number of long term beds only            
                              3                       D  Don't know                              
                            444                       .  Inapplicable                            
                          1,318        Range of values   Number of beds                          
         Notes:  Applies only if D_SOURCE = 1,3.
 
CANDCBED BEDSFMT   FA26,FB20           # of beds certified for Mcare & Mcaid    
                              1                       D  Don't know                              
                            698                       0  No beds of this type                    
                          1,066        Range of values   Number of beds                          
 
CAIDBEDS BEDSFMT   FA27,FB21           Number of Medicaid-only certified beds   
                              1                       D  Don't know                              
                              1                       .  Inapplicable                            
                          1,707                       0  No beds of this type                    
                             56        Range of values   Number of beds                          
 
CAREBEDS BEDSFMT   FA28,FB22           Number of Medicare-only certified beds   
                              2                       D  Don't know                              
                          1,567                       0  No beds of this type                    
                            196        Range of values   Number of beds                          
 
FMRBEDS  BEDSFMT   FA30,FB24           Number of ICF/MR certified beds          
                            444                       .  Inapplicable                            
                          1,292                       0  No beds of this type                    
                             29        Range of values   Number of beds                          
         Notes:  Applies only if D_SOURCE = 1,3.
 
D_UNCBED BEDSFMT                       Number of uncertified beds               
                             14                       D  Don't know                              
                          1,227                       0  No beds of this type                    
                            524        Range of values   Number of beds                          
 
HDLICBED BEDSFMT   FA29,FB23           Beds not certified, but licensed for NH  
                              1                       D  Don't know                              
                            444                       .  Inapplicable                            
                          1,308                       0  No beds of this type                    
                             12        Range of values   Number of beds                          
         Notes:  Applies only if D_SOURCE = 1,3.
 
PCHBED   BEDSFMT   FA31,FB25           Number of other long term care beds      
                             13                       D  Don't know                              
                            444                       .  Inapplicable                            
                            826                       0  No beds of this type                    
                            482        Range of values   Number of beds                          
         Notes:  Applies only if D_SOURCE = 1,3.
 
OTHERBED BEDSFMT                       # of beds where certification is unknown 
                              4                       D  Don't know                              
                            444                       .  Inapplicable                            
                          1,179                       0  No beds of this type                    
                            138        Range of values   Number of beds                          
         Notes:  Applies only if D_SOURCE = 1,3.
 
NORMCARE YES1FMT   FA19,FB15           Facility provide nursing/medical care?   
                            444                       .  Inapplicable/Missing                    
                          1,183                       1  Yes                                     
                            138                       2  No                                      
         Notes:  Applies only if D_SOURCE = 1,3.
 
SUPRMEDI YES1FMT   FA19,FB15           Facil supervises self-administered meds? 
                            444                       .  Inapplicable/Missing                    
                          1,316                       1  Yes                                     
                              5                       2  No                                      
         Notes:  Applies only if D_SOURCE = 1,3.
 
BATHHELP YES1FMT   FA19                Does facility provide help w/bathing?    
                            444                       .  Inapplicable/Missing                    
                          1,308                       1  Yes                                     
                             13                       2  No                                      
         Notes:  Applies only if D_SOURCE = 1,3.
 
DRESHELP YES1FMT   FA19                Does facility provide help w/dressing?   
                            444                       .  Inapplicable/Missing                    
                          1,308                       1  Yes                                     
                             13                       2  No                                      
         Notes:  Applies only if D_SOURCE = 1,3.
 
EATHELP  YES1FMT   FA19                Does facility provide help w/eating?     
                            444                       .  Inapplicable/Missing                    
                          1,262                       1  Yes                                     
                             59                       2  No                                      
         Notes:  Applies only if D_SOURCE = 1,3.
 
D_24CARE YES1FMT                       Does facil provide 24-hour on-site care? 
                            444                       .  Inapplicable/Missing                    
                          1,017                       1  Yes                                     
                            304                       2  No                                      
         Notes:  Applies only if D_SOURCE = 1,3.
 
MIDNTRES RESFMT    FA35,FB27           Midnight census count last night         
                             17                       D  Don't know                              
                            444                       .  Inapplicable/Missing                    
                          1,304        Range of values   Number of residents                     
         Notes:  Applies only if D_SOURCE = 1,3.
 
D_HIGHRT COST2FMT  FR3,FR5             High monthly facility rate               
                            140                       D  Don't know                              
                            444                       .  Inapplicable/Missing                    
                             49                       N  Not ascertained                         
                          1,132        Range of values   Amount in dollars                       
         Notes:  Applies only if D_SOURCE = 1,3.
 
D_LOWRT  COST2FMT  FR4,FR5             Low monthly facility rate                
                            143                       D  Don't know                              
                            444                       .  Inapplicable/Missing                    
                             50                       N  Not ascertained                         
                          1,128        Range of values   Amount in dollars                       
         Notes:  Applies only if D_SOURCE = 1,3.
 
RECADMN  MMDDYYn8  RH2                 Most recent admission date               
                          1,765        MMDDYYYY          Date as MMDDYYYY                        
 
ORIGADMN MMDDYYn8  RH2A                First MCBS admission date                
                            444                       .  Inapplicable                            
                          1,321        MMDDYYYY          Date as MMDDYYYY                        
         Notes:  Constant value; same as ADMIN until SP is readmitted to a facility
                 Applies only if D_SOURCE = 1,3.
 
BEFORADM BEFORFMT  BQRH22A             Place SP was admitted from               
                             93                       D  Don't know                              
                            444                       .  Missing                                 
                            147                       1  Nursing home/rehab center               
                             82                       2  Pers care home/resident care fac        
                             32                       3  CCRC/retirement home                    
                            376                       4  Hospital                                
                            508                       5  Private home or apartment               
                             59                       7  Other LTC facility                      
                             24                      91  Other                                   
         Notes:  Applies only if D_SOURCE = 1,3.
 
D_LIVWTH LIVWFMT   RH30                With whom was SP living prior to admit   
                             62                       D  Don't know                              
                          1,233                       .  Inapplicable/Missing                    
                            237                       1  With relatives                          
                             28                       2  With non relatives                      
                              3                       3  Both relatives and non relatives        
                            202                       4  Alone                                   
         Notes:  Applies only if BEFORADM = 5,91
 
PROV     $FIDFMT                       Medicare provider number                 
                            752                          Missing                                 
                          1,013        Provider ID       Provider Number                         
 
