Variable Format    Q#/Freq            Description/Label
 
BASEID   $BSIDFMT                      Unique SP Identification Number          
                          6,705        LOW-HIGH          BASEID Count                            
 
SURVEYYR SVYRFMT                       Survey Year                              
                          6,705                    2019  2019                                    
 
VERSION  VERSFMT                       Version Number                           
                          6,705                       1  Version 1                               
 
TRGT_DT  MMDDYYn8                      Target Date                              
                          6,705        MMDDYYYY          Date as MMDDYYYY                        
 
SUB_DT   MMDDYYn8                      Submission Date                          
                          6,705        MMDDYYYY          Date as MMDDYYYY                        
 
SPEC_VCD                               Data Submission Spec Vers                
                          6,705        Range of values   Range of values                         
 
ITM_SVC                                Item Set Vers                            
                          6,705        Range of values   Range of values                         
 
PRCSD_TS MMDDYYn8                      Processed Timestamp                      
                          6,705        MMDDYYYY          Date as MMDDYYYY                        
 
Age                                    Res Age                                  
                          6,705        Range of values   Range of values                         
 
RSDT_MCI                               Res Match Criteria ID                    
                          6,705        Range of values   Range of values                         
 
CURCD                                  CBSA Urban/Rural                         
                          6,705        Range of values   Range of values                         
 
A0050    $M3RCTYP                      Type of Record                           
                          6,473        1                 Add a new record                        
                            232        2                 Modify existing record                  
 
A0200    $M3PROV                       Type of Provider                         
                          6,705        1                 Nursing home (SNF/NF)                   
 
A0310A   $M3OBRA                       Federal OBRA Rsn for Asmt                
                            719        01                Admission                               
                          1,892        02                Quarterly                               
                            466        03                Annual                                  
                            181        04                Significant change in status            
                          3,447        99                Not OBRA required                       
 
A0310B   $MCASS                        PPS Asmt                                 
                            644        01                Sched. 5-day assessment                 
                            303        02                Sched 14-day assessment                 
                            131        03                Sched 30-day assessment                 
                             35        04                Sched 60-day assessment                 
                             18        05                Sched 90-day assessment                 
                             88        07                Unsched assessment                      
                             57        08                Not PPS assessment                      
                          5,429        99                None of the above                       
 
A0310C   $M3PPSOT                      PPS Oth Mcare Req Asmt (OMRA)            
                          1,556                          Missing                                 
                          5,008        0                 No                                      
                             16        1                 Start of therapy                        
                             20        2                 End of therapy                          
                            105        4                 Change of therapy                       
 
A0310E   $M3YESNO                      First Asmt Since Most Rec Admsn          
                          5,665        0                 No                                      
                          1,040        1                 Yes                                     
 
A0310F   $M3REPO                       Entry/Dis                                
                          1,244        01                Entry                                   
                            700        10                Discharge, return not anticipated       
                            452        11                Discharge, return anticipated           
                            182        12                Death in facility                       
                          4,127        99                None of the above                       
 
A0310G   $M3DIS                        Planned Dis                              
                          5,553                          Missing                                 
                            653        1                 Planned                                 
                            499        2                 Unplanned                               
 
A0410    $M3SUBRQ                      Submission Req                           
                              5        2                 State but not federal required          
                          6,700        3                 Federal required                        
 
A0800    $M3GEND                       Sex                                   
                          2,409        1                 Male                                    
                          4,296        2                 Female                                  
 
A0900    MMDDYYn8                      Birth Date                               
                          6,705        MMDDYYYY          Date as MMDDYYYY                        
 
A1000A   $M3INDIC                      R/E: American Indian or Alaskan Native   
                              7        -                 Not assessed/no information             
                          6,664        0                 Not indicated                           
                             34        1                 Indicated                               
 
A1000B   $M3INDIC                      R/E: Asian                               
                              7        -                 Not assessed/no information             
                          6,584        0                 Not indicated                           
                            114        1                 Indicated                               
 
A1000C   $M3INDIC                      R/E: African American                    
                              7        -                 Not assessed/no information             
                          6,102        0                 Not indicated                           
                            596        1                 Indicated                               
 
A1000D   $M3INDIC                      R/E: Hispanic                            
                              7        -                 Not assessed/no information             
                          6,256        0                 Not indicated                           
                            442        1                 Indicated                               
 
A1000E   $M3INDIC                      R/E: Native Hawaiian/Pacific Islander    
                              7        -                 Not assessed/no information             
                          6,677        0                 Not indicated                           
                             21        1                 Indicated                               
 
A1000F   $M3INDIC                      R/E: White                               
                              7        -                 Not assessed/no information             
                          1,447        0                 Not indicated                           
                          5,251        1                 Indicated                               
 
A1100A   $M3YNDET                      Res Need Interpreter                     
                          1,431                          Missing                                 
                              1        -                 Not assessed/no information             
                          5,010        0                 No                                      
                            248        1                 Yes                                     
                             15        9                 Unable to determine                     
 
A1200    $M3MARTL                      Marital Stat                             
                            221        -                 Not assessed/no information             
                          1,012        1                 Never married                           
                          1,735        2                 Married                                 
                          2,953        3                 Widowed                                 
                             46        4                 Separated                               
                            738        5                 Divorced                                
 
A1300A                                 Medical Record Num                       
                             90                          Missing                                 
                          6,615        Range of values   Range of values                         
 
A1300D                                 Lifetime Occupation(s) Text              
                          3,296                          Missing                                 
                          3,409        Range of values   Range of values                         
 
A1500    $M3SMI                        (PASRR)                                  
                          5,339                          Missing                                 
                              1        -                 Not assessed/no information             
                          1,276        0                 No                                      
                             58        1                 Yes                                     
                             31        9                 Not a Medicaid-certified unit           
 
A1510A   $M3INDIC                      Serious Mntl Illness                     
                          6,646                          Missing                                 
                              1        -                 Not assessed/no information             
                             11        0                 Not indicated                           
                             47        1                 Indicated                               
 
A1510B   $M3INDIC                      Intellectual Disability                  
                          6,646                          Missing                                 
                              1        -                 Not assessed/no information             
                             49        0                 Not indicated                           
                              9        1                 Indicated                               
 
A1510C   $M3INDIC                      Oth Related Conds                        
                          6,646                          Missing                                 
                              1        -                 Not assessed/no information             
                             50        0                 Not indicated                           
                              8        1                 Indicated                               
 
A1550A   $M3INDIC                      ID/DD Stat: Down Syndrome                
                          5,986                          Missing                                 
                            717        0                 Not indicated                           
                              2        1                 Indicated                               
 
A1550B   $M3INDIC                      ID/DD Stat: Autism                       
                          5,986                          Missing                                 
                            716        0                 Not indicated                           
                              3        1                 Indicated                               
 
A1550C   $M3INDIC                      ID/DD Stat: Epilepsy                     
                          5,986                          Missing                                 
                            717        0                 Not indicated                           
                              2        1                 Indicated                               
 
A1550D   $M3INDIC                      ID/DD Stat: Oth Org ID/DD Cond           
                          5,986                          Missing                                 
                            717        0                 Not indicated                           
                              2        1                 Indicated                               
 
A1550E   $M3INDIC                      ID/DD Stat: ID/DD W No Org Cond          
                          5,986                          Missing                                 
                            715        0                 Not indicated                           
                              4        1                 Indicated                               
 
A1550Z   $M3INDIC                      ID/DD Stat: None of the Above            
                          5,986                          Missing                                 
                              9        0                 Not indicated                           
                            710        1                 Indicated                               
 
A1600    MMDDYYn8                      Entry Date                               
                             57                       .  Inapplicable                            
                          6,648        MMDDYYYY          Date as MMDDYYYY                        
 
A1700    $M3TYP                        Type of Entry                            
                             57                          Missing                                 
                          4,361        1                 Admission                               
                          2,287        2                 Reentry                                 
 
A1800    $M3ADFRM                      Entered From                             
                             57                          Missing                                 
                            522        01                Community                               
                            300        02                Another nursing home or swing bed       
                          5,632        03                Acute hospital                          
                             82        04                Psychiatric hospital                    
                             33        05                Inpatient rehabilitation facility       
                             23        07                Hospice                                 
                             15        09                Long Term Care Hospital (LTCH)          
                             41        99                Other                                   
 
A2000    MMDDYYn8                      Dis Date                                 
                          5,371                       .  Inapplicable                            
                          1,334        MMDDYYYY          Date as MMDDYYYY                        
 
A2100    $M3ADFRM                      Dis Stat                                 
                          5,371                          Missing                                 
                            616        01                Community                               
                             42        02                Another nursing home or swing bed       
                            467        03                Acute hospital                          
                              8        04                Psychiatric hospital                    
                              3        05                Inpatient rehabilitation facility       
                             11        07                Hospice                                 
                            182        08                Deceased                                
                              2        09                Long Term Care Hospital (LTCH)          
                              3        99                Other                                   
 
A2300    MMDDYYn8                      Asmt Ref Date                            
                          1,426                       .  Inapplicable                            
                          5,279        MMDDYYYY          Date as MMDDYYYY                        
 
A2400A   $M3YESNO                      Had a Mcare Stay Since Most Rec Admsn    
                          3,374        0                 No                                      
                          3,331        1                 Yes                                     
 
A2400B   MMDDYYn8                      Start Date of Most Rec Mcare Stay        
                          3,374                       .  Inapplicable                            
                          3,331        MMDDYYYY          Date as MMDDYYYY                        
 
A2400C   MMDDYYn8                      End Date of Most Rec Mcare Stay          
                          5,203                       .  Inapplicable                            
                          1,502        MMDDYYYY          Date as MMDDYYYY                        
 
B0100    $M3YESNO                      Comatose                                 
                          1,565                          Missing                                 
                              3        -                 Not assessed/no information             
                          5,132        0                 No                                      
                              5        1                 Yes                                     
 
B0200    $M3HEAR                       Hearing                                  
                          2,790                          Missing                                 
                             15        -                 Not assessed/no information             
                          2,801        0                 Adequate                                
                            749        1                 Minimal difficulty                      
                            314        2                 Moderate difficulty                     
                             36        3                 Highly impaired                         
 
B0300    $M3YESNO                      Hearing Aide                             
                          2,790                          Missing                                 
                              8        -                 Not assessed/no information             
                          3,577        0                 No                                      
                            330        1                 Yes                                     
 
B0600    $M3CLEAR                      Speech Clarity                           
                          2,790                          Missing                                 
                             10        -                 Not assessed/no information             
                          3,276        0                 Clear speech                            
                            466        1                 Unclear speech                          
                            163        2                 No speech                               
 
B0700    $M3UNDER                      Makes Self Understood                    
                          2,653                          Missing                                 
                             11        -                 Not assessed/no information             
                          2,551        0                 Understood                              
                            770        1                 Usually understood                      
                            375        2                 Sometimes understood                    
                            345        3                 Rarely/Never understood                 
 
B0800    $M3UNDRR                      Ability to Understand Oth                
                          2,790                          Missing                                 
                             11        -                 Not assessed/no information             
                          2,316        0                 Understands                             
                            853        1                 Usually understands                     
                            432        2                 Sometimes understands                   
                            303        3                 Rarely/Never understands                
 
B1000    $M3ADQT                       Vision                                   
                          2,790                          Missing                                 
                             27        -                 Not assessed/no information             
                          2,730        0                 Adequate                                
                            667        1                 Impaired                                
                            206        2                 Moderately impaired                     
                            241        3                 Highly impaired                         
                             44        4                 Severely impaired                       
 
B1200    $M3YESNO                      Corr Lenses                              
                          2,790                          Missing                                 
                             17        -                 Not assessed/no information             
                          1,862        0                 No                                      
                          2,036        1                 Yes                                     
 
C0100    $M3YESNO                      Brief Int for Mntl Stat Be Cond          
                          2,016                          Missing                                 
                             81        -                 Not assessed/no information             
                            439        0                 No                                      
                          4,169        1                 Yes                                     
 
C0200    $M3REP3W                      BIMS: Num of Words Rep After First Att   
                          2,455                          Missing                                 
                            134        -                 Not assessed/no information             
                            283        0                 None                                    
                             90        1                 One                                     
                            198        2                 Two                                     
                          3,545        3                 Three                                   
 
C0300A   $M31ORNT                      BIMS: Temp Ortn - Able to Rep Corr Yr    
                          2,455                          Missing                                 
                            133        -                 Not assessed/no information             
                          1,541        0                 Missed by >5 years or no answer         
                            131        1                 Missed by 2-5 years                     
                            160        2                 Missed by 1 year                        
                          2,285        3                 Correct                                 
 
C0300B   $M31ORNT                      BIMS: Temp Ortn - Able to Rep Corr Mon   
                          2,455                          Missing                                 
                            136        -                 Not assessed/no information             
                          1,388        0                 Missed by >5 years or no answer         
                            246        1                 Missed by 2-5 years                     
                          2,480        2                 Missed by 1 year                        
 
C0300C   $M31ORNT                      BIMS: Temp Ortn - Able to Rep Corr Day   
                          2,455                          Missing                                 
                            147        -                 Not assessed/no information             
                          2,037        0                 Missed by >5 years or no answer         
                          2,066        1                 Missed by 2-5 years                     
 
C0400A   $M3CUE                        BIMS: Rcl - Able to Rcl Sock             
                          2,455                          Missing                                 
                            201        -                 Not assessed/no information             
                          1,309        0                 No - could not recall                   
                            681        1                 Yes, after cueing                       
                          2,059        2                 Yes, no cue required                    
 
C0400B   $M3CUE                        BIMS: Rcl - Able to Rcl Blue             
                          2,455                          Missing                                 
                            203        -                 Not assessed/no information             
                          1,088        0                 No - could not recall                   
                            800        1                 Yes, after cueing                       
                          2,159        2                 Yes, no cue required                    
 
C0400C   $M3CUE                        BIMS: Rcl - Able to Rcl Bed              
                          2,455                          Missing                                 
                            204        -                 Not assessed/no information             
                          1,432        0                 No - could not recall                   
                            843        1                 Yes, after cueing                       
                          1,771        2                 Yes, no cue required                    
 
C0500                                  Brief Int for Mntl Stat (BIMS) Score Num 
                          2,455                          Missing                                 
                          4,250        Range of values   Range of values                         
 
C0600    $M3YESNO                      Staff to Cond Brief Int for Mntl Stat    
                          2,455                          Missing                                 
                             58        -                 Not assessed/no information             
                          3,911        0                 No                                      
                            281        1                 Yes                                     
 
C0700    $M3MEMRY                      SA of Mntl Stat - Short Term Memory      
                          5,481                          Missing                                 
                            138        -                 Not assessed/no information             
                            208        0                 Memory OK                               
                            878        1                 Memory problem                          
 
C0800    $M3MEMRY                      SA of Mntl Stat - Long Term Memory       
                          6,016                          Missing                                 
                             57        -                 Not assessed/no information             
                             43        0                 Memory OK                               
                            589        1                 Memory problem                          
 
C0900A   $M3INDIC                      SA of Mntl Stat - Rcls Cur Season        
                          6,016                          Missing                                 
                             43        -                 Not assessed/no information             
                            597        0                 Not indicated                           
                             49        1                 Indicated                               
 
C0900B   $M3INDIC                      SA of Mntl Stat - Rcls Loc of Room       
                          6,016                          Missing                                 
                             44        -                 Not assessed/no information             
                            540        0                 Not indicated                           
                            105        1                 Indicated                               
 
C0900C   $M3INDIC                      SA of Mntl Stat - Rcls Staff Name        
                          6,016                          Missing                                 
                             45        -                 Not assessed/no information             
                            501        0                 Not indicated                           
                            143        1                 Indicated                               
 
C0900D   $M3INDIC                      SA of Mntl Stat - Rcls Nrs Home          
                          6,016                          Missing                                 
                             43        -                 Not assessed/no information             
                            550        0                 Not indicated                           
                             96        1                 Indicated                               
 
C0900Z   $M3INDIC                      SA of Mntl Stat - Rcls None of Above     
                          6,016                          Missing                                 
                             43        -                 Not assessed/no information             
                            189        0                 Not indicated                           
                            457        1                 Indicated                               
 
C1000    $M3DECIS                      Cog Skills for Decision Making           
                          5,481                          Missing                                 
                            120        -                 Not assessed/no information             
                            125        0                 Independent                             
                            159        1                 Modified independence                   
                            278        2                 Moderately impaired                     
                            542        3                 Severely impaired                       
 
D0100    $M3YESNO                      Res Mood Int Be Cond                     
                          2,016                          Missing                                 
                             86        -                 Not assessed/no information             
                            500        0                 No                                      
                          4,103        1                 Yes                                     
 
D0200A1  $M3YNNOR                      Res Mood Int - Interest Loss             
                          2,516                          Missing                                 
                            129        -                 Not assessed/no information             
                          3,494        0                 No                                      
                            354        1                 Yes                                     
                            212        9                 No Response                             
 
D0200A2  $M3DEPRB                      Res Mood Int - Interest Loss Freq        
                          2,728                          Missing                                 
                            131        -                 Not assessed/no information             
                          3,506        0                 Never or 1 day                          
                            156        1                 2 - 6 days                              
                             91        2                 7 - 11 days                             
                             93        3                 12-14 days                              
 
D0200B1  $M3YNNOR                      Res Mood Int - Feel Down                 
                          2,516                          Missing                                 
                            129        -                 Not assessed/no information             
                          2,937        0                 No                                      
                            909        1                 Yes                                     
                            214        9                 No Response                             
 
D0200B2  $M3DEPRB                      Res Mood Int - Feel Down Freq            
                          2,730                          Missing                                 
                            129        -                 Not assessed/no information             
                          2,972        0                 Never or 1 day                          
                            529        1                 2 - 6 days                              
                            191        2                 7 - 11 days                             
                            154        3                 12-14 days                              
 
D0200C1  $M3YNNOR                      Res Mood Int - Trouble Sleep             
                          2,516                          Missing                                 
                            129        -                 Not assessed/no information             
                          3,008        0                 No                                      
                            834        1                 Yes                                     
                            218        9                 No Response                             
 
D0200C2  $M3DEPRB                      Res Mood Int - Trouble Sleep Freq        
                          2,734                          Missing                                 
                            130        -                 Not assessed/no information             
                          3,037        0                 Never or 1 day                          
                            410        1                 2 - 6 days                              
                            183        2                 7 - 11 days                             
                            211        3                 12-14 days                              
 
D0200D1  $M3YNNOR                      Res Mood Int - Little Energy             
                          2,516                          Missing                                 
                            135        -                 Not assessed/no information             
                          2,532        0                 No                                      
                          1,312        1                 Yes                                     
                            210        9                 No Response                             
 
D0200D2  $M3DEPRB                      Res Mood Int - Little Energy Freq        
                          2,726                          Missing                                 
                            137        -                 Not assessed/no information             
                          2,569        0                 Never or 1 day                          
                            639        1                 2 - 6 days                              
                            353        2                 7 - 11 days                             
                            281        3                 12-14 days                              
 
D0200E1  $M3YNNOR                      Res Mood Int - Poor Appetite             
                          2,516                          Missing                                 
                            148        -                 Not assessed/no information             
                          3,288        0                 No                                      
                            543        1                 Yes                                     
                            210        9                 No Response                             
 
D0200E2  $M3DEPRB                      Res Mood Int - Poor Appetite Freq        
                          2,726                          Missing                                 
                            149        -                 Not assessed/no information             
                          3,311        0                 Never or 1 day                          
                            300        1                 2 - 6 days                              
                            120        2                 7 - 11 days                             
                             99        3                 12-14 days                              
 
D0200F1  $M3YNNOR                      Res Mood Int - Self Dprcn                
                          2,516                          Missing                                 
                            146        -                 Not assessed/no information             
                          3,581        0                 No                                      
                            251        1                 Yes                                     
                            211        9                 No Response                             
 
D0200F2  $M3DEPRB                      Res Mood Int - Self Dprcn Freq           
                          2,727                          Missing                                 
                            146        -                 Not assessed/no information             
                          3,584        0                 Never or 1 day                          
                            149        1                 2 - 6 days                              
                             51        2                 7 - 11 days                             
                             48        3                 12-14 days                              
 
D0200G1  $M3YNNOR                      Res Mood Int - Lack of Conc              
                          2,516                          Missing                                 
                            143        -                 Not assessed/no information             
                          3,262        0                 No                                      
                            559        1                 Yes                                     
                            225        9                 No Response                             
 
D0200G2  $M3DEPRB                      Res Mood Int - Lack of Conc Freq         
                          2,741                          Missing                                 
                            144        -                 Not assessed/no information             
                          3,283        0                 Never or 1 day                          
                            290        1                 2 - 6 days                              
                            121        2                 7 - 11 days                             
                            126        3                 12-14 days                              
 
D0200H1  $M3YNNOR                      Res Mood Int - Movement Diff             
                          2,516                          Missing                                 
                            141        -                 Not assessed/no information             
                          3,512        0                 No                                      
                            312        1                 Yes                                     
                            224        9                 No Response                             
 
D0200H2  $M3DEPRB                      Res Mood Int - Movement Diff Freq        
                          2,740                          Missing                                 
                            142        -                 Not assessed/no information             
                          3,522        0                 Never or 1 day                          
                            171        1                 2 - 6 days                              
                             72        2                 7 - 11 days                             
                             58        3                 12-14 days                              
 
D0200I1  $M3YNNOR                      Res Mood Int - Neg Stmnt                 
                          2,516                          Missing                                 
                            147        -                 Not assessed/no information             
                          3,797        0                 No                                      
                             34        1                 Yes                                     
                            211        9                 No Response                             
 
D0200I2  $M3DEPRB                      Res Mood Int - Neg Stmnt Freq            
                          2,727                          Missing                                 
                            148        -                 Not assessed/no information             
                          3,800        0                 Never or 1 day                          
                             22        1                 2 - 6 days                              
                              4        2                 7 - 11 days                             
                              4        3                 12-14 days                              
 
D0300                                  Res Mood Int - Tot Svrty Mood Score      
                          2,516                          Missing                                 
                          4,189        Range of values   Range of values                         
 
D0350    $M3YESNO                      Res Mood Int - Neg Stmnts Notify Staff   
                          6,682                          Missing                                 
                              1        0                 No                                      
                             22        1                 Yes                                     
 
D0500A1  $M3YESNO                      SA of Res Mood - Interest Loss           
                          5,841                          Missing                                 
                             66        -                 Not assessed/no information             
                            682        0                 No                                      
                            116        1                 Yes                                     
 
D0500A2  $M3DEPRB                      SA of Res Mood - Interest Loss Freq      
                          5,841                          Missing                                 
                             66        -                 Not assessed/no information             
                            682        0                 Never or 1 day                          
                             30        1                 2 - 6 days                              
                             40        2                 7 - 11 days                             
                             46        3                 12-14 days                              
 
D0500B1  $M3YESNO                      SA of Res Mood - Feel Down               
                          5,841                          Missing                                 
                             71        -                 Not assessed/no information             
                            686        0                 No                                      
                            107        1                 Yes                                     
 
D0500B2  $M3DEPRB                      SA of Res Mood - Feel Down Freq          
                          5,841                          Missing                                 
                             71        -                 Not assessed/no information             
                            687        0                 Never or 1 day                          
                             51        1                 2 - 6 days                              
                             35        2                 7 - 11 days                             
                             20        3                 12-14 days                              
 
D0500C1  $M3YESNO                      SA of Res Mood - Trouble Sleep           
                          5,841                          Missing                                 
                             66        -                 Not assessed/no information             
                            666        0                 No                                      
                            132        1                 Yes                                     
 
D0500C2  $M3DEPRB                      SA of Res Mood - Trouble Sleep Freq      
                          5,841                          Missing                                 
                             66        -                 Not assessed/no information             
                            669        0                 Never or 1 day                          
                             51        1                 2 - 6 days                              
                             37        2                 7 - 11 days                             
                             41        3                 12-14 days                              
 
D0500D1  $M3YESNO                      SA of Res Mood - Little Energy           
                          5,841                          Missing                                 
                             66        -                 Not assessed/no information             
                            627        0                 No                                      
                            171        1                 Yes                                     
 
D0500D2  $M3DEPRB                      SA of Res Mood - Little Energy Freq      
                          5,841                          Missing                                 
                             66        -                 Not assessed/no information             
                            630        0                 Never or 1 day                          
                             52        1                 2 - 6 days                              
                             46        2                 7 - 11 days                             
                             70        3                 12-14 days                              
 
D0500E1  $M3YESNO                      SA of Res Mood - Poor Appetite           
                          5,841                          Missing                                 
                             69        -                 Not assessed/no information             
                            628        0                 No                                      
                            167        1                 Yes                                     
 
D0500E2  $M3DEPRB                      SA of Res Mood - Poor Appetite Freq      
                          5,841                          Missing                                 
                             69        -                 Not assessed/no information             
                            634        0                 Never or 1 day                          
                             64        1                 2 - 6 days                              
                             63        2                 7 - 11 days                             
                             34        3                 12-14 days                              
 
D0500F1  $M3YESNO                      SA of Res Mood - Self Dprcn              
                          5,841                          Missing                                 
                             74        -                 Not assessed/no information             
                            779        0                 No                                      
                             11        1                 Yes                                     
 
D0500F2  $M3DEPRB                      SA of Res Mood - Self Dprcn Freq         
                          5,841                          Missing                                 
                             74        -                 Not assessed/no information             
                            780        0                 Never or 1 day                          
                              3        1                 2 - 6 days                              
                              4        2                 7 - 11 days                             
                              3        3                 12-14 days                              
 
D0500G1  $M3YESNO                      SA of Res Mood - Conc                    
                          5,841                          Missing                                 
                             69        -                 Not assessed/no information             
                            568        0                 No                                      
                            227        1                 Yes                                     
 
D0500G2  $M3DEPRB                      SA of Res Mood - Conc Freq               
                          5,841                          Missing                                 
                             69        -                 Not assessed/no information             
                            572        0                 Never or 1 day                          
                             36        1                 2 - 6 days                              
                             36        2                 7 - 11 days                             
                            151        3                 12-14 days                              
 
D0500H1  $M3YESNO                      SA of Res Mood - Movement Diff           
                          5,841                          Missing                                 
                             66        -                 Not assessed/no information             
                            720        0                 No                                      
                             78        1                 Yes                                     
 
D0500H2  $M3DEPRB                      SA of Res Mood - Movement Diff Freq      
                          5,841                          Missing                                 
                             66        -                 Not assessed/no information             
                            720        0                 Never or 1 day                          
                             16        1                 2 - 6 days                              
                             25        2                 7 - 11 days                             
                             37        3                 12-14 days                              
 
D0500I1  $M3YESNO                      SA of Res Mood - Neg Stmnt               
                          5,841                          Missing                                 
                             72        -                 Not assessed/no information             
                            787        0                 No                                      
                              5        1                 Yes                                     
 
D0500I2  $M3DEPRB                      SA of Res Mood - Neg Stmnt Freq          
                          5,841                          Missing                                 
                             72        -                 Not assessed/no information             
                            787        0                 Never or 1 day                          
                              2        1                 2 - 6 days                              
                              2        2                 7 - 11 days                             
                              1        3                 12-14 days                              
 
D0500J1  $M3YESNO                      SA of Res Mood - Short Temper            
                          5,841                          Missing                                 
                             67        -                 Not assessed/no information             
                            649        0                 No                                      
                            148        1                 Yes                                     
 
D0500J2  $M3DEPRB                      SA of Res Mood - Short Temper Freq       
                          5,841                          Missing                                 
                             67        -                 Not assessed/no information             
                            658        0                 Never or 1 day                          
                             77        1                 2 - 6 days                              
                             38        2                 7 - 11 days                             
                             24        3                 12-14 days                              
 
D0600                                  SA Tot Svrty Mood Score                  
                          5,841                          Missing                                 
                            864        Range of values   Range of values                         
 
D0650    $M3YESNO                      SA of Res Mood - Neg Stmnt Notify        
                          6,701                          Missing                                 
                              4        1                 Yes                                     
 
E0100A   $M3INDIC                      Bhvr: Hallucinations                     
                          1,570                          Missing                                 
                             24        -                 Not assessed/no information             
                          5,028        0                 Not indicated                           
                             83        1                 Indicated                               
 
E0100B   $M3INDIC                      Bhvr: Delusion                           
                          1,570                          Missing                                 
                             24        -                 Not assessed/no information             
                          4,945        0                 Not indicated                           
                            166        1                 Indicated                               
 
E0100Z   $M3INDIC                      Bhvr: No Psychosis                       
                          1,570                          Missing                                 
                             24        -                 Not assessed/no information             
                            202        0                 Not indicated                           
                          4,909        1                 Indicated                               
 
E0200A   $M3BEHAV                      Bhvr: Phys Bhvral                        
                          1,570                          Missing                                 
                             40        -                 Not assessed/no information             
                          4,919        0                 Behavior not exhibited                  
                            142        1                 1 to 3 days                             
                             26        2                 4 to 6 days                             
                              8        3                 Behavior exhibited daily                
 
E0200B   $M3BEHAV                      Bhvr: Verbal Bhvral                      
                          1,570                          Missing                                 
                             40        -                 Not assessed/no information             
                          4,822        0                 Behavior not exhibited                  
                            190        1                 1 to 3 days                             
                             63        2                 4 to 6 days                             
                             20        3                 Behavior exhibited daily                
 
E0200C   $M3BEHAV                      Bhvr: Oth Bhvral                         
                          1,570                          Missing                                 
                             41        -                 Not assessed/no information             
                          4,915        0                 Behavior not exhibited                  
                            119        1                 1 to 3 days                             
                             33        2                 4 to 6 days                             
                             27        3                 Behavior exhibited daily                
 
E0300    $M3YESNO                      Overall Pres of Bhvral Sympt             
                          5,267                          Missing                                 
                              3        -                 Not assessed/no information             
                          1,311        0                 No                                      
                            124        1                 Yes                                     
 
E0500A   $M3YESNO                      Bhvr Imp on Res: Risk to Inj Self        
                          6,578                          Missing                                 
                              3        -                 Not assessed/no information             
                            107        0                 No                                      
                             17        1                 Yes                                     
 
E0500B   $M3YESNO                      Bhvr Imp on Res: Int W Care              
                          6,578                          Missing                                 
                              3        -                 Not assessed/no information             
                             87        0                 No                                      
                             37        1                 Yes                                     
 
E0500C   $M3YESNO                      Bhvr Imp on Res: Int W Part              
                          6,578                          Missing                                 
                              3        -                 Not assessed/no information             
                             87        0                 No                                      
                             37        1                 Yes                                     
 
E0600A   $M3YESNO                      Bhvr Imp on Oth: Risk to Inj Oth         
                          6,578                          Missing                                 
                              3        -                 Not assessed/no information             
                            102        0                 No                                      
                             22        1                 Yes                                     
 
E0600B   $M3YESNO                      Bhvr Imp on Oth: Intrude On Priv of Oth  
                          6,578                          Missing                                 
                              3        -                 Not assessed/no information             
                            101        0                 No                                      
                             23        1                 Yes                                     
 
E0600C   $M3YESNO                      Bhvr Imp on Oth: Dis Care or Living Env  
                          6,578                          Missing                                 
                              3        -                 Not assessed/no information             
                             85        0                 No                                      
                             39        1                 Yes                                     
 
E0800    $M3BEHAV                      Rejection of Care: Pres and Freq         
                          1,570                          Missing                                 
                             43        -                 Not assessed/no information             
                          4,739        0                 Behavior not exhibited                  
                            274        1                 1 to 3 days                             
                             52        2                 4 to 6 days                             
                             27        3                 Behavior exhibited daily                
 
E0900    $M3BEHAV                      Wandering: Pres and Freq                 
                          1,570                          Missing                                 
                             39        -                 Not assessed/no information             
                          4,930        0                 Behavior not exhibited                  
                             98        1                 1 to 3 days                             
                             32        2                 4 to 6 days                             
                             36        3                 Behavior exhibited daily                
 
E1000A   $M3YESNO                      Wander Risk Imp                          
                          6,656                          Missing                                 
                              4        -                 Not assessed/no information             
                             31        0                 No                                      
                             14        1                 Yes                                     
 
E1000B   $M3YESNO                      Wandering Intrudes on Priv of Oth        
                          6,656                          Missing                                 
                              4        -                 Not assessed/no information             
                             36        0                 No                                      
                              9        1                 Yes                                     
 
E1100    $M3CHNG                       Change in Bhvr or Oth Sympt              
                          5,267                          Missing                                 
                              4        -                 Not assessed/no information             
                            797        0                 Same                                    
                             15        1                 Improved                                
                             31        2                 Worse                                   
                            591        3                 N/A                                     
 
F0300    $M3YESNO                      Should Dly and Act Pref Int Be Cond      
                          5,267                          Missing                                 
                             15        -                 Not assessed/no information             
                            136        0                 No                                      
                          1,287        1                 Yes                                     
 
F0400A   $M3IMPRT                      Int for Dly Pref: Chooses Clothes        
                          5,403                          Missing                                 
                             24        -                 Not assessed/no information             
                            638        1                 Very important                          
                            380        2                 Somewhat important                      
                            188        3                 Not very important                      
                             41        4                 Not important at all                    
                              7        5                 Important, but cannot do or no choice   
                             24        9                 No response or non-responsive           
 
F0400B   $M3IMPRT                      Int for Dly Pref: Care Personal Items    
                          5,403                          Missing                                 
                             24        -                 Not assessed/no information             
                            803        1                 Very important                          
                            306        2                 Somewhat important                      
                            100        3                 Not very important                      
                             24        4                 Not important at all                    
                             21        5                 Important, but cannot do or no choice   
                             24        9                 No response or non-responsive           
 
F0400C   $M3IMPRT                      Int for Dly Pref: Bathing Option         
                          5,403                          Missing                                 
                             25        -                 Not assessed/no information             
                            824        1                 Very important                          
                            292        2                 Somewhat important                      
                            102        3                 Not very important                      
                             26        4                 Not important at all                    
                             10        5                 Important, but cannot do or no choice   
                             23        9                 No response or non-responsive           
 
F0400D   $M3IMPRT                      Int for Dly Pref: Snack Between Meals    
                          5,403                          Missing                                 
                             25        -                 Not assessed/no information             
                            529        1                 Very important                          
                            401        2                 Somewhat important                      
                            255        3                 Not very important                      
                             64        4                 Not important at all                    
                              6        5                 Important, but cannot do or no choice   
                             22        9                 No response or non-responsive           
 
F0400E   $M3IMPRT                      Int for Dly Pref: Choose Bed Time        
                          5,403                          Missing                                 
                             24        -                 Not assessed/no information             
                            849        1                 Very important                          
                            262        2                 Somewhat important                      
                            109        3                 Not very important                      
                             28        4                 Not important at all                    
                              6        5                 Important, but cannot do or no choice   
                             24        9                 No response or non-responsive           
 
F0400F   $M3IMPRT                      Int for Dly Pref: Fam Involvement        
                          5,403                          Missing                                 
                             24        -                 Not assessed/no information             
                            971        1                 Very important                          
                            190        2                 Somewhat important                      
                             65        3                 Not very important                      
                             22        4                 Not important at all                    
                              7        5                 Important, but cannot do or no choice   
                             23        9                 No response or non-responsive           
 
F0400G   $M3IMPRT                      Int for Dly Pref: Priv Phone Time        
                          5,403                          Missing                                 
                             25        -                 Not assessed/no information             
                            412        1                 Very important                          
                            275        2                 Somewhat important                      
                            397        3                 Not very important                      
                            159        4                 Not important at all                    
                             10        5                 Important, but cannot do or no choice   
                             24        9                 No response or non-responsive           
 
F0400H   $M3IMPRT                      Int for Dly Pref: Lock Item              
                          5,403                          Missing                                 
                             24        -                 Not assessed/no information             
                            444        1                 Very important                          
                            235        2                 Somewhat important                      
                            392        3                 Not very important                      
                            174        4                 Not important at all                    
                              7        5                 Important, but cannot do or no choice   
                             26        9                 No response or non-responsive           
 
F0500A   $M3IMPRT                      Int for Act Pref: Reading Mat Available  
                          5,403                          Missing                                 
                             21        -                 Not assessed/no information             
                            509        1                 Very important                          
                            329        2                 Somewhat important                      
                            307        3                 Not very important                      
                             94        4                 Not important at all                    
                             21        5                 Important, but cannot do or no choice   
                             21        9                 No response or non-responsive           
 
F0500B   $M3IMPRT                      Int for Act Pref: Music                  
                          5,403                          Missing                                 
                             21        -                 Not assessed/no information             
                            665        1                 Very important                          
                            422        2                 Somewhat important                      
                            148        3                 Not very important                      
                             25        4                 Not important at all                    
                             21        9                 No response or non-responsive           
 
F0500C   $M3IMPRT                      Int for Act Pref: Animal Pres            
                          5,403                          Missing                                 
                             22        -                 Not assessed/no information             
                            472        1                 Very important                          
                            363        2                 Somewhat important                      
                            316        3                 Not very important                      
                            107        4                 Not important at all                    
                              1        5                 Important, but cannot do or no choice   
                             21        9                 No response or non-responsive           
 
F0500D   $M3IMPRT                      Int for Act Pref: News                   
                          5,403                          Missing                                 
                             21        -                 Not assessed/no information             
                            613        1                 Very important                          
                            358        2                 Somewhat important                      
                            220        3                 Not very important                      
                             68        4                 Not important at all                    
                              2        5                 Important, but cannot do or no choice   
                             20        9                 No response or non-responsive           
 
F0500E   $M3IMPRT                      Int for Act Pref: Group Act              
                          5,403                          Missing                                 
                             22        -                 Not assessed/no information             
                            409        1                 Very important                          
                            486        2                 Somewhat important                      
                            292        3                 Not very important                      
                             66        4                 Not important at all                    
                              5        5                 Important, but cannot do or no choice   
                             22        9                 No response or non-responsive           
 
F0500F   $M3IMPRT                      Int for Act Pref: Favorite Act           
                          5,403                          Missing                                 
                             21        -                 Not assessed/no information             
                            766        1                 Very important                          
                            394        2                 Somewhat important                      
                             65        3                 Not very important                      
                             13        4                 Not important at all                    
                             20        5                 Important, but cannot do or no choice   
                             23        9                 No response or non-responsive           
 
F0500G   $M3IMPRT                      Int for Act Pref: Time Outdoors          
                          5,403                          Missing                                 
                             21        -                 Not assessed/no information             
                            709        1                 Very important                          
                            372        2                 Somewhat important                      
                            145        3                 Not very important                      
                             30        4                 Not important at all                    
                              4        5                 Important, but cannot do or no choice   
                             21        9                 No response or non-responsive           
 
F0500H   $M3IMPRT                      Int for Act Pref: Religion               
                          5,403                          Missing                                 
                             21        -                 Not assessed/no information             
                            566        1                 Very important                          
                            336        2                 Somewhat important                      
                            245        3                 Not very important                      
                            111        4                 Not important at all                    
                              3        5                 Important, but cannot do or no choice   
                             20        9                 No response or non-responsive           
 
F0600    $M3PRIRS                      Dly and Act Pref Primary Respondent      
                          5,403                          Missing                                 
                             23        -                 Not assessed/no information             
                          1,132        1                 Resident                                
                            124        2                 Family or significant other             
                             23        9                 Interview could not be completed        
 
F0700    $M3YESNO                      Cond SA of Dly and Act Pref              
                          5,403                          Missing                                 
                             17        -                 Not assessed/no information             
                          1,253        0                 No                                      
                             32        1                 Yes                                     
 
F0800A   $M3INDIC                      SA: Chooses Clothes                      
                          6,520                          Missing                                 
                             18        -                 Not assessed/no information             
                            122        0                 Not indicated                           
                             45        1                 Indicated                               
 
F0800B   $M3INDIC                      SA: Care Personal Item                   
                          6,520                          Missing                                 
                             18        -                 Not assessed/no information             
                            120        0                 Not indicated                           
                             47        1                 Indicated                               
 
F0800C   $M3INDIC                      SA: Tub Bath                             
                          6,520                          Missing                                 
                             19        -                 Not assessed/no information             
                            154        0                 Not indicated                           
                             12        1                 Indicated                               
 
F0800D   $M3INDIC                      SA: Shower                               
                          6,520                          Missing                                 
                             17        -                 Not assessed/no information             
                             44        0                 Not indicated                           
                            124        1                 Indicated                               
 
F0800E   $M3INDIC                      SA: Bed Bath                             
                          6,520                          Missing                                 
                             17        -                 Not assessed/no information             
                            132        0                 Not indicated                           
                             36        1                 Indicated                               
 
F0800F   $M3INDIC                      SA: Sponge Bath                          
                          6,520                          Missing                                 
                             18        -                 Not assessed/no information             
                            128        0                 Not indicated                           
                             39        1                 Indicated                               
 
F0800G   $M3INDIC                      SA: Snacks Between                       
                          6,520                          Missing                                 
                             18        -                 Not assessed/no information             
                             69        0                 Not indicated                           
                             98        1                 Indicated                               
 
F0800H   $M3INDIC                      SA: Bed Time                             
                          6,520                          Missing                                 
                             18        -                 Not assessed/no information             
                            133        0                 Not indicated                           
                             34        1                 Indicated                               
 
F0800I   $M3INDIC                      SA: Fam Involvement                      
                          6,520                          Missing                                 
                             18        -                 Not assessed/no information             
                             43        0                 Not indicated                           
                            124        1                 Indicated                               
 
F0800J   $M3INDIC                      SA: Priv Phone                           
                          6,520                          Missing                                 
                             18        -                 Not assessed/no information             
                            150        0                 Not indicated                           
                             17        1                 Indicated                               
 
F0800K   $M3INDIC                      SA: Lock Item                            
                          6,520                          Missing                                 
                             18        -                 Not assessed/no information             
                            138        0                 Not indicated                           
                             29        1                 Indicated                               
 
F0800L   $M3INDIC                      SA: Reading Mat Available                
                          6,520                          Missing                                 
                             17        -                 Not assessed/no information             
                            127        0                 Not indicated                           
                             41        1                 Indicated                               
 
F0800M   $M3INDIC                      SA: Music                                
                          6,520                          Missing                                 
                             17        -                 Not assessed/no information             
                             34        0                 Not indicated                           
                            134        1                 Indicated                               
 
F0800N   $M3INDIC                      SA: Animal Pres                          
                          6,520                          Missing                                 
                             17        -                 Not assessed/no information             
                            106        0                 Not indicated                           
                             62        1                 Indicated                               
 
F0800O   $M3INDIC                      SA: News                                 
                          6,520                          Missing                                 
                             17        -                 Not assessed/no information             
                            136        0                 Not indicated                           
                             32        1                 Indicated                               
 
F0800P   $M3INDIC                      SA: Group Act                            
                          6,520                          Missing                                 
                             17        -                 Not assessed/no information             
                             86        0                 Not indicated                           
                             82        1                 Indicated                               
 
F0800Q   $M3INDIC                      SA: Favorite Act                         
                          6,520                          Missing                                 
                             17        -                 Not assessed/no information             
                             64        0                 Not indicated                           
                            104        1                 Indicated                               
 
F0800R   $M3INDIC                      SA: Time Away Nrs Home                   
                          6,520                          Missing                                 
                             18        -                 Not assessed/no information             
                            152        0                 Not indicated                           
                             15        1                 Indicated                               
 
F0800S   $M3INDIC                      SA: Time Outdoors                        
                          6,520                          Missing                                 
                             17        -                 Not assessed/no information             
                             95        0                 Not indicated                           
                             73        1                 Indicated                               
 
F0800T   $M3INDIC                      SA: Part in Rel Act                      
                          6,520                          Missing                                 
                             19        -                 Not assessed/no information             
                             73        0                 Not indicated                           
                             93        1                 Indicated                               
 
F0800Z   $M3INDIC                      SA: None of Above Act                    
                          6,520                          Missing                                 
                             17        -                 Not assessed/no information             
                            160        0                 Not indicated                           
                              8        1                 Indicated                               
 
G0110A1  $M3ADLCT                      ADL Ass: Bed Mob Self Perf               
                          1,617                          Missing                                 
                              1        -                 Not assessed/no information             
                            264        0                 Independent                             
                            629        1                 Supervision                             
                            707        2                 Limited assistance                      
                          3,165        3                 Extensive assistance                    
                            303        4                 Total dependence                        
                             18        7                 Activity occurred only once or twice    
                              1        8                 Activity did not occur                  
 
G0110A2  $M3ADLSP                      ADL Ass: Bed Mob Supp Prov               
                          2,700                          Missing                                 
                            158        0                 No setup or physical help from staff    
                            283        1                 Setup help only                         
                          1,955        2                 One person physical assist              
                          1,609        3                 Two+ persons physical assist            
 
G0110B1  $M3ADLCT                      ADL Ass: Trans Self Perf                 
                          1,617                          Missing                                 
                              1        -                 Not assessed/no information             
                            211        0                 Independent                             
                            639        1                 Supervision                             
                            812        2                 Limited assistance                      
                          2,661        3                 Extensive assistance                    
                            613        4                 Total dependence                        
                             88        7                 Activity occurred only once or twice    
                             63        8                 Activity did not occur                  
 
G0110B2  $M3ADLSP                      ADL Ass: Trans Self Supp Prov            
                          2,700                          Missing                                 
                            141        0                 No setup or physical help from staff    
                            296        1                 Setup help only                         
                          1,695        2                 One person physical assist              
                          1,819        3                 Two+ persons physical assist            
                             54        8                 ADL activity did not occur              
 
G0110C1  $M3ADLCT                      ADL Ass: Wlk In Room Self Perf           
                          1,702                          Missing                                 
                              6        -                 Not assessed/no information             
                            285        0                 Independent                             
                            811        1                 Supervision                             
                            695        2                 Limited assistance                      
                            604        3                 Extensive assistance                    
                              4        4                 Total dependence                        
                            301        7                 Activity occurred only once or twice    
                          2,297        8                 Activity did not occur                  
 
G0110C2  $M3ADLSP                      ADL Ass: Wlk In Room Supp Prov           
                          2,785                          Missing                                 
                              2        -                 Not assessed/no information             
                            234        0                 No setup or physical help from staff    
                            373        1                 Setup help only                         
                          1,229        2                 One person physical assist              
                            143        3                 Two+ persons physical assist            
                          1,939        8                 ADL activity did not occur              
 
G0110D1  $M3ADLCT                      ADL Ass: Wlk In Corr Self Perf           
                          1,702                          Missing                                 
                              6        -                 Not assessed/no information             
                            240        0                 Independent                             
                            783        1                 Supervision                             
                            635        2                 Limited assistance                      
                            511        3                 Extensive assistance                    
                              9        4                 Total dependence                        
                            354        7                 Activity occurred only once or twice    
                          2,465        8                 Activity did not occur                  
 
G0110D2  $M3ADLSP                      ADL Ass: Wlk In Corr Self Supp Prov      
                          2,785                          Missing                                 
                              3        -                 Not assessed/no information             
                            219        0                 No setup or physical help from staff    
                            357        1                 Setup help only                         
                          1,168        2                 One person physical assist              
                            105        3                 Two+ persons physical assist            
                          2,068        8                 ADL activity did not occur              
 
G0110E1  $M3ADLCT                      ADL Ass: Loc On Self Perf                
                          1,702                          Missing                                 
                              2        -                 Not assessed/no information             
                            396        0                 Independent                             
                          1,039        1                 Supervision                             
                            768        2                 Limited assistance                      
                          1,786        3                 Extensive assistance                    
                            689        4                 Total dependence                        
                            164        7                 Activity occurred only once or twice    
                            159        8                 Activity did not occur                  
 
G0110E2  $M3ADLSP                      ADL Ass: Loc On Supp Prov                
                          2,785                          Missing                                 
                            265        0                 No setup or physical help from staff    
                            467        1                 Setup help only                         
                          2,900        2                 One person physical assist              
                            161        3                 Two+ persons physical assist            
                            127        8                 ADL activity did not occur              
 
G0110F1  $M3ADLCT                      ADL Ass: Loc Off Self Perf               
                          1,702                          Missing                                 
                              3        -                 Not assessed/no information             
                            313        0                 Independent                             
                            938        1                 Supervision                             
                            662        2                 Limited assistance                      
                          1,509        3                 Extensive assistance                    
                            780        4                 Total dependence                        
                            412        7                 Activity occurred only once or twice    
                            386        8                 Activity did not occur                  
 
G0110F2  $M3ADLSP                      ADL Ass: Loc Off Supp Prov               
                          2,785                          Missing                                 
                            237        0                 No setup or physical help from staff    
                            428        1                 Setup help only                         
                          2,810        2                 One person physical assist              
                            121        3                 Two+ persons physical assist            
                            324        8                 ADL activity did not occur              
 
G0110G1  $M3ADLCT                      ADL Ass: Dress Self Perf                 
                          1,702                          Missing                                 
                              2        -                 Not assessed/no information             
                            122        0                 Independent                             
                            470        1                 Supervision                             
                            792        2                 Limited assistance                      
                          3,153        3                 Extensive assistance                    
                            436        4                 Total dependence                        
                             24        7                 Activity occurred only once or twice    
                              4        8                 Activity did not occur                  
 
G0110G2  $M3ADLSP                      ADL Ass: Dress Supp Prov                 
                          2,785                          Missing                                 
                             59        0                 No setup or physical help from staff    
                            204        1                 Setup help only                         
                          2,976        2                 One person physical assist              
                            679        3                 Two+ persons physical assist            
                              2        8                 ADL activity did not occur              
 
G0110H1  $M3ADLCT                      ADL Ass: Eating Self Perf                
                          1,617                          Missing                                 
                              1        -                 Not assessed/no information             
                          1,195        0                 Independent                             
                          2,431        1                 Supervision                             
                            474        2                 Limited assistance                      
                            658        3                 Extensive assistance                    
                            310        4                 Total dependence                        
                             15        7                 Activity occurred only once or twice    
                              4        8                 Activity did not occur                  
 
G0110H2  $M3ADLSP                      ADL Ass: Eating Supp Prov                
                          2,700                          Missing                                 
                             80        0                 No setup or physical help from staff    
                          2,217        1                 Setup help only                         
                          1,689        2                 One person physical assist              
                             16        3                 Two+ persons physical assist            
                              3        8                 ADL activity did not occur              
 
G0110I1  $M3ADLCT                      ADL Ass: Toileting Self Perf             
                          1,617                          Missing                                 
                              1        -                 Not assessed/no information             
                            171        0                 Independent                             
                            525        1                 Supervision                             
                            669        2                 Limited assistance                      
                          3,039        3                 Extensive assistance                    
                            653        4                 Total dependence                        
                             18        7                 Activity occurred only once or twice    
                             12        8                 Activity did not occur                  
 
G0110I2  $M3ADLSP                      ADL Ass: Toileting Supp Prov             
                          2,700                          Missing                                 
                            101        0                 No setup or physical help from staff    
                            238        1                 Setup help only                         
                          2,354        2                 One person physical assist              
                          1,302        3                 Two+ persons physical assist            
                             10        8                 ADL activity did not occur              
 
G0110J1  $M3ADLCT                      ADL Ass: Personal Hygiene Self Perf      
                          1,702                          Missing                                 
                              1        -                 Not assessed/no information             
                            154        0                 Independent                             
                            648        1                 Supervision                             
                            827        2                 Limited assistance                      
                          2,851        3                 Extensive assistance                    
                            496        4                 Total dependence                        
                             20        7                 Activity occurred only once or twice    
                              6        8                 Activity did not occur                  
 
G0110J2  $M3ADLSP                      ADL Ass: Personal Hygiene Supp Prov      
                          2,785                          Missing                                 
                             57        0                 No setup or physical help from staff    
                            263        1                 Setup help only                         
                          3,125        2                 One person physical assist              
                            471        3                 Two+ persons physical assist            
                              4        8                 ADL activity did not occur              
 
G0120A   $M3ADLCT                      ADL Ass: Bathing Self Perf               
                          1,702                          Missing                                 
                             14        -                 Not assessed/no information             
                             74        0                 Independent                             
                            196        1                 Supervision                             
                            270        2                 Limited assistance                      
                          2,148        3                 Extensive assistance                    
                          1,977        4                 Total dependence                        
                            324        8                 Activity did not occur                  
 
G0120B   $M3ADLSP                      ADL Ass: Bathing Supp Prov               
                          2,785                          Missing                                 
                              6        -                 Not assessed/no information             
                             21        0                 No setup or physical help from staff    
                            139        1                 Setup help only                         
                          2,966        2                 One person physical assist              
                            563        3                 Two+ persons physical assist            
                            225        8                 ADL activity did not occur              
 
G0300A   $M3BAL                        Blnce Dur Seated to Standing Pos         
                          2,785                          Missing                                 
                             12        -                 Not assessed/no information             
                            249        0                 Steady at all times                     
                            738        1                 Not steady, but able to stabilize w/o as
                          2,201        2                 Not steady, only able to stabilize w/ as
                            720        8                 Activity did not occur                  
 
G0300B   $M3BAL                        Blnce Dur Wlking                         
                          2,785                          Missing                                 
                             13        -                 Not assessed/no information             
                            263        0                 Steady at all times                     
                            763        1                 Not steady, but able to stabilize w/o as
                          1,085        2                 Not steady, only able to stabilize w/ as
                          1,796        8                 Activity did not occur                  
 
G0300C   $M3BAL                        Blnce When Turning Around                
                          2,785                          Missing                                 
                             21        -                 Not assessed/no information             
                            244        0                 Steady at all times                     
                            749        1                 Not steady, but able to stabilize w/o as
                            966        2                 Not steady, only able to stabilize w/ as
                          1,940        8                 Activity did not occur                  
 
G0300D   $M3BAL                        Blnce Moving On and Off Toilet           
                          2,785                          Missing                                 
                              8        -                 Not assessed/no information             
                            231        0                 Steady at all times                     
                            684        1                 Not steady, but able to stabilize w/o as
                          2,129        2                 Not steady, only able to stabilize w/ as
                            868        8                 Activity did not occur                  
 
G0300E   $M3BAL                        Blnce W Surface to Surface Trans         
                          2,785                          Missing                                 
                              9        -                 Not assessed/no information             
                            244        0                 Steady at all times                     
                            713        1                 Not steady, but able to stabilize w/o as
                          2,797        2                 Not steady, only able to stabilize w/ as
                            157        8                 Activity did not occur                  
 
G0400A   $M3RANGE                      Func Lim in ROM: Upper Ext Mtn           
                          2,785                          Missing                                 
                             15        -                 Not assessed/no information             
                          3,059        0                 No impairment                           
                            539        1                 Impairment on one side                  
                            307        2                 Impairment on both sides                
 
G0400B   $M3RANGE                      Func Lim in ROM: Lower Ext Mtn           
                          2,785                          Missing                                 
                             17        -                 Not assessed/no information             
                          2,658        0                 No impairment                           
                            641        1                 Impairment on one side                  
                            604        2                 Impairment on both sides                
 
G0600A   $M3INDIC                      Mob Devices: Cane                        
                          2,785                          Missing                                 
                              1        -                 Not assessed/no information             
                          3,854        0                 Not indicated                           
                             65        1                 Indicated                               
 
G0600B   $M3INDIC                      Mob Devices: Wlker                       
                          2,785                          Missing                                 
                              1        -                 Not assessed/no information             
                          2,273        0                 Not indicated                           
                          1,646        1                 Indicated                               
 
G0600C   $M3INDIC                      Mob Devices: Wheelchair                  
                          2,785                          Missing                                 
                              2        -                 Not assessed/no information             
                            802        0                 Not indicated                           
                          3,116        1                 Indicated                               
 
G0600D   $M3INDIC                      Mob Devices: Limb Prosthesis             
                          2,785                          Missing                                 
                              1        -                 Not assessed/no information             
                          3,906        0                 Not indicated                           
                             13        1                 Indicated                               
 
G0600Z   $M3INDIC                      Mob Devices: None of Above               
                          2,785                          Missing                                 
                              1        -                 Not assessed/no information             
                          3,450        0                 Not indicated                           
                            469        1                 Indicated                               
 
G0900A   $M3YNDET                      Func Rehab Pot: Res Increased Ind        
                          5,986                          Missing                                 
                              4        -                 Not assessed/no information             
                             45        0                 No                                      
                            625        1                 Yes                                     
                             45        9                 Unable to determine                     
 
G0900B   $M3YESNO                      Func Rehab Pot: Staff Increased Ind      
                          5,986                          Missing                                 
                              5        -                 Not assessed/no information             
                             52        0                 No                                      
                            662        1                 Yes                                     
 
H0100A   $M3INDIC                      Bldr and Bwl App: Indwelling Cath        
                          1,702                          Missing                                 
                          4,662        0                 Not indicated                           
                            341        1                 Indicated                               
 
H0100B   $M3INDIC                      Bldr and Bwl App: Ext Cath               
                          1,702                          Missing                                 
                          4,994        0                 Not indicated                           
                              9        1                 Indicated                               
 
H0100C   $M3INDIC                      Bldr and Bwl App: Ostomy                 
                          1,645                          Missing                                 
                          4,927        0                 Not indicated                           
                            133        1                 Indicated                               
 
H0100D   $M3INDIC                      Bldr and Bwl App: Imt Cath               
                          1,645                          Missing                                 
                          5,048        0                 Not indicated                           
                             12        1                 Indicated                               
 
H0100Z   $M3INDIC                      Bldr and Bwl App: No Urny App            
                          1,645                          Missing                                 
                            455        0                 Not indicated                           
                          4,605        1                 Indicated                               
 
H0200A   $M3YNDET                      Urny Toil Prog: Trial Toileting Prog     
                          2,700                          Missing                                 
                          3,693        0                 No                                      
                            295        1                 Yes                                     
                             17        9                 Unable to determine                     
 
H0200B   $M3TOILT                      Urny Toil Prog: Resp To Toileting Prog   
                          6,611                          Missing                                 
                             47        0                 No improvement                          
                             23        1                 Decreased wetness                       
                             11        2                 Completely dry                          
                             13        9                 Unable to determine                     
 
H0200C   $M3YESNO                      Urny Toil Prog: Cur Toileting Prog       
                          6,336                          Missing                                 
                            181        0                 No                                      
                            188        1                 Yes                                     
 
H0300    $M3CONT                       Urny Continence                          
                          1,702                          Missing                                 
                              2        -                 Not assessed/no information             
                          1,028        0                 Always continent                        
                          1,014        1                 Occasionally incontinent                
                          1,339        2                 Frequently incontinent                  
                          1,324        3                 Always incontinent                      
                            296        9                 Not rated                               
 
H0400    $M3CONT                       Bwl Continence                           
                          1,702                          Missing                                 
                              4        -                 Not assessed/no information             
                          1,853        0                 Always continent                        
                            542        1                 Occasionally incontinent                
                          1,097        2                 Frequently incontinent                  
                          1,367        3                 Always incontinent                      
                            140        9                 Not rated                               
 
H0500    $M3YESNO                      Bwl Toileting Prog                       
                          2,643                          Missing                                 
                              4        -                 Not assessed/no information             
                          3,958        0                 No                                      
                            100        1                 Yes                                     
 
H0600    $M3YESNO                      Constipation                             
                          5,265                          Missing                                 
                              1        -                 Not assessed/no information             
                          1,378        0                 No                                      
                             61        1                 Yes                                     
 
I0100    $M3INDIC                      Actv Diag: Cancer                        
                          4,774                          Missing                                 
                              2        -                 Not assessed/no information             
                          1,783        0                 Not indicated                           
                            146        1                 Indicated                               
 
I0200    $M3INDIC                      Actv Diag: Anemia                        
                          2,785                          Missing                                 
                          2,660        0                 Not indicated                           
                          1,260        1                 Indicated                               
 
I0300    $M3INDIC                      Actv Diag: Dysrhythmia                   
                          5,265                          Missing                                 
                          1,071        0                 Not indicated                           
                            369        1                 Indicated                               
 
I0400    $M3INDIC                      Actv Diag: Coronary Artery Dis (CAD)     
                          4,774                          Missing                                 
                              1        -                 Not assessed/no information             
                          1,475        0                 Not indicated                           
                            455        1                 Indicated                               
 
I0500    $M3INDIC                      Actv Diag: Deep Vein Thrombosis (DVT)    
                          5,265                          Missing                                 
                          1,381        0                 Not indicated                           
                             59        1                 Indicated                               
 
I0600    $M3INDIC                      Actv Diag: Heart Failure (CHF)           
                          2,785                          Missing                                 
                          2,961        0                 Not indicated                           
                            959        1                 Indicated                               
 
I0700    $M3INDIC                      Actv Diag: Hypertension                  
                          2,785                          Missing                                 
                            805        0                 Not indicated                           
                          3,115        1                 Indicated                               
 
I0800    $M3INDIC                      Actv Diag: Hypotension                   
                          2,785                          Missing                                 
                          3,821        0                 Not indicated                           
                             99        1                 Indicated                               
 
I0900    $M3INDIC                      Actv Diag: (PVD)                         
                          1,702                          Missing                                 
                          4,417        0                 Not indicated                           
                            586        1                 Indicated                               
 
I1100    $M3INDIC                      Actv Diag: Cirrhosis                     
                          5,265                          Missing                                 
                          1,429        0                 Not indicated                           
                             11        1                 Indicated                               
 
I1200    $M3INDIC                      Actv Diag:  (GERD)                       
                          5,265                          Missing                                 
                            899        0                 Not indicated                           
                            541        1                 Indicated                               
 
I1300    $M3INDIC                      Actv Diag: Ulcrative Colitis             
                          4,717                          Missing                                 
                          1,960        0                 Not indicated                           
                             28        1                 Indicated                               
 
I1400    $M3INDIC                      Actv Diag: (BPH)                         
                          5,265                          Missing                                 
                          1,292        0                 Not indicated                           
                            148        1                 Indicated                               
 
I1500    $M3INDIC                      Actv Diag: (ESRD)                        
                          4,774                          Missing                                 
                          1,516        0                 Not indicated                           
                            415        1                 Indicated                               
 
I1550    $M3INDIC                      Actv Diag: Neurogenic Bldr               
                          1,702                          Missing                                 
                          4,887        0                 Not indicated                           
                            116        1                 Indicated                               
 
I1650    $M3INDIC                      Actv Diag: Obstructive Uropathy          
                          1,702                          Missing                                 
                          4,892        0                 Not indicated                           
                            111        1                 Indicated                               
 
I1700    $M3INDIC                      Actv Diag: (MDRO)                        
                          2,728                          Missing                                 
                          3,942        0                 Not indicated                           
                             35        1                 Indicated                               
 
I2000    $M3INDIC                      Actv Diag: Pneumonia                     
                          2,648                          Missing                                 
                          3,867        0                 Not indicated                           
                            190        1                 Indicated                               
 
I2100    $M3INDIC                      Actv Diag: Septicemia                    
                          2,648                          Missing                                 
                          3,965        0                 Not indicated                           
                             92        1                 Indicated                               
 
I2200    $M3INDIC                      Actv Diag: Tuberculosis                  
                          2,785                          Missing                                 
                          3,918        0                 Not indicated                           
                              2        1                 Indicated                               
 
I2300    $M3INDIC                      Actv Diag: Urny Tract Infn (UTI)         
                          1,702                          Missing                                 
                          4,691        0                 Not indicated                           
                            312        1                 Indicated                               
 
I2400    $M3INDIC                      Actv Diag: Viral Hepatitis               
                          2,785                          Missing                                 
                          3,902        0                 Not indicated                           
                             18        1                 Indicated                               
 
I2500    $M3INDIC                      Wound Infn                               
                          2,728                          Missing                                 
                          3,962        0                 Not indicated                           
                             15        1                 Indicated                               
 
I2900    $M3INDIC                      Actv Diag: Diabetes Mellitus (DM)        
                          1,565                          Missing                                 
                          3,471        0                 Not indicated                           
                          1,669        1                 Indicated                               
 
I3100    $M3INDIC                      Actv Diag: Hyponatremia                  
                          2,785                          Missing                                 
                          3,834        0                 Not indicated                           
                             86        1                 Indicated                               
 
I3200    $M3INDIC                      Actv Diag: Hyperkalemia                  
                          2,785                          Missing                                 
                          3,877        0                 Not indicated                           
                             43        1                 Indicated                               
 
I3300    $M3INDIC                      Actv Diag: Hyperlipidemia                
                          2,785                          Missing                                 
                          2,003        0                 Not indicated                           
                          1,917        1                 Indicated                               
 
I3400    $M3INDIC                      Actv Diag: Thyroid                       
                          5,265                          Missing                                 
                          1,082        0                 Not indicated                           
                            358        1                 Indicated                               
 
I3700    $M3INDIC                      Actv Diag: Arthritis                     
                          5,265                          Missing                                 
                          1,000        0                 Not indicated                           
                            440        1                 Indicated                               
 
I3800    $M3INDIC                      Actv Diag: Osteoporosis                  
                          5,265                          Missing                                 
                          1,283        0                 Not indicated                           
                            157        1                 Indicated                               
 
I3900    $M3INDIC                      Actv Diag: Hip Fracture                  
                          2,785                          Missing                                 
                          3,744        0                 Not indicated                           
                            176        1                 Indicated                               
 
I4000    $M3INDIC                      Actv Diag: Oth Fracture                  
                          2,785                          Missing                                 
                          3,641        0                 Not indicated                           
                            279        1                 Indicated                               
 
I4200    $M3INDIC                      Actv Diag: Alzheimers Disease            
                          2,785                          Missing                                 
                          3,364        0                 Not indicated                           
                            556        1                 Indicated                               
 
I4300    $M3INDIC                      Actv Diag: Aphasia                       
                          2,728                          Missing                                 
                          3,817        0                 Not indicated                           
                            160        1                 Indicated                               
 
I4400    $M3INDIC                      Actv Diag: Cerebral Palsy                
                          2,648                          Missing                                 
                          4,026        0                 Not indicated                           
                             31        1                 Indicated                               
 
I4500    $M3INDIC                      Actv Diag: (CVA or TIA or Stroke)        
                          2,728                          Missing                                 
                              1        -                 Not assessed/no information             
                          3,483        0                 Not indicated                           
                            493        1                 Indicated                               
 
I4800    $M3INDIC                      Actv Diag: Dementia                      
                          2,785                          Missing                                 
                          2,149        0                 Not indicated                           
                          1,771        1                 Indicated                               
 
I4900    $M3INDIC                      Actv Diag: Hemiplegia                    
                          2,648                          Missing                                 
                          3,691        0                 Not indicated                           
                            366        1                 Indicated                               
 
I5000    $M3INDIC                      Actv Diag: Paraplegia                    
                          2,785                          Missing                                 
                          3,906        0                 Not indicated                           
                             14        1                 Indicated                               
 
I5100    $M3INDIC                      Actv Diag: Quadriplegia                  
                          2,648                          Missing                                 
                          4,018        0                 Not indicated                           
                             39        1                 Indicated                               
 
I5200    $M3INDIC                      Actv Diag: Multiple Sclerosis            
                          2,648                          Missing                                 
                          4,032        0                 Not indicated                           
                             25        1                 Indicated                               
 
I5250    $M3INDIC                      Actv Diag: Huntingtons                   
                          1,702                          Missing                                 
                          4,994        0                 Not indicated                           
                              9        1                 Indicated                               
 
I5300    $M3INDIC                      Actv Diag: Parkinsons                    
                          2,648                          Missing                                 
                          3,781        0                 Not indicated                           
                            276        1                 Indicated                               
 
I5350    $M3INDIC                      Tourettes                                
                          1,702                          Missing                                 
                          5,003        0                 Not indicated                           
 
I5400    $M3INDIC                      Actv Diag: Seizure                       
                          2,785                          Missing                                 
                          3,482        0                 Not indicated                           
                            438        1                 Indicated                               
 
I5500    $M3INDIC                      Actv Diag: Traumatic Brain Inj (TBI)     
                          2,728                          Missing                                 
                          3,940        0                 Not indicated                           
                             37        1                 Indicated                               
 
I5600    $M3INDIC                      Actv Diag: Malnutrition                  
                          1,645                          Missing                                 
                          4,742        0                 Not indicated                           
                            318        1                 Indicated                               
 
I5700    $M3INDIC                      Actv Diag: Anxiety Disorder              
                          1,702                          Missing                                 
                          3,498        0                 Not indicated                           
                          1,505        1                 Indicated                               
 
I5800    $M3INDIC                      Actv Diag: Depression                    
                          2,785                          Missing                                 
                          2,019        0                 Not indicated                           
                          1,901        1                 Indicated                               
 
I5900    $M3INDIC                      Actv Diag: Manic Depression              
                          1,702                          Missing                                 
                          4,844        0                 Not indicated                           
                            159        1                 Indicated                               
 
I5950    $M3INDIC                      Actv Diag: Psychotic                     
                          1,702                          Missing                                 
                          4,658        0                 Not indicated                           
                            345        1                 Indicated                               
 
I6000    $M3INDIC                      Actv Diag: Schizophrenia                 
                          1,702                          Missing                                 
                          4,719        0                 Not indicated                           
                            284        1                 Indicated                               
 
I6100    $M3INDIC                      Actv Diag:  (PTSD)                       
                          1,702                          Missing                                 
                          4,977        0                 Not indicated                           
                             26        1                 Indicated                               
 
I6200    $M3INDIC                      Actv Diag: Asth, COPD, Chron Lung Dis    
                          2,648                          Missing                                 
                          3,050        0                 Not indicated                           
                          1,007        1                 Indicated                               
 
I6300    $M3INDIC                      Actv Diag: Resp Failure                  
                          2,648                          Missing                                 
                          3,886        0                 Not indicated                           
                            171        1                 Indicated                               
 
I6500    $M3INDIC                      Actv Diag: Cataracts, Glauc or Mac Deg   
                          5,265                          Missing                                 
                          1,236        0                 Not indicated                           
                            204        1                 Indicated                               
 
I7900    $M3INDIC                      Actv Diag: No Actv Disease               
                          5,208                          Missing                                 
                          1,475        0                 Not indicated                           
                             22        1                 Indicated                               
 
I8000A                                 Addl Actv Diag: ICD 1                    
                          1,863                          Missing                                 
                          4,842        Range of values   Range of values                         
 
I8000B                                 Addl Actv Diag: ICD 2                    
                          1,996                          Missing                                 
                          4,709        Range of values   Range of values                         
 
I8000C                                 Addl Actv Diag: ICD 3                    
                          2,197                          Missing                                 
                          4,508        Range of values   Range of values                         
 
I8000D                                 Addl Actv Diag: ICD 4                    
                          2,442                          Missing                                 
                          4,263        Range of values   Range of values                         
 
I8000E                                 Addl Actv Diag: ICD 5                    
                          2,755                          Missing                                 
                          3,950        Range of values   Range of values                         
 
I8000F                                 Addl Actv Diag: ICD 6                    
                          3,093                          Missing                                 
                          3,612        Range of values   Range of values                         
 
I8000G                                 Addl Actv Diag: ICD 7                    
                          3,487                          Missing                                 
                          3,218        Range of values   Range of values                         
 
I8000H                                 Addl Actv Diag: ICD 8                    
                          3,893                          Missing                                 
                          2,812        Range of values   Range of values                         
 
I8000I                                 Addl Actv Diag: ICD 9                    
                          4,330                          Missing                                 
                          2,375        Range of values   Range of values                         
 
I8000J                                  Addl Actv Diag: ICD 10                  
                          4,785                          Missing                                 
                          1,920        Range of values   Range of values                         
 
J0100A   $M3YESNO                      Pain management: Scheduled Pain Med      
                          1,702                          Missing                                 
                              1        -                 Not assessed/no information             
                          2,828        0                 No                                      
                          2,174        1                 Yes                                     
 
J0100B   $M3YESNO                      Pain management: PRN Pain Med            
                          1,702                          Missing                                 
                              2        -                 Not assessed/no information             
                          3,230        0                 No                                      
                          1,771        1                 Yes                                     
 
J0100C   $M3YESNO                      Pain management: Oth Pain Intervention   
                          1,702                          Missing                                 
                              9        -                 Not assessed/no information             
                          4,206        0                 No                                      
                            788        1                 Yes                                     
 
J0200    $M3YESNO                      Should Pain Asmt be Cond                 
                          2,153                          Missing                                 
                             35        -                 Not assessed/no information             
                            369        0                 No                                      
                          4,148        1                 Yes                                     
 
J0300    $M3YNANS                      Pain Asmt Int: Pain Pres                 
                          2,522                          Missing                                 
                            118        -                 Not assessed/no information             
                          2,512        0                 No                                      
                          1,332        1                 Yes                                     
                            221        9                 Unable to answer                        
 
J0400    $M31PAIN                      Pain Asmt Int: Pain Freq                 
                          5,255                          Missing                                 
                            118        -                 Not assessed/no information             
                             89        1                 Almost constantly                       
                            304        2                 Frequently                              
                            759        3                 Occasionally                            
                            154        4                 Rarely                                  
                             26        9                 Unable to answer                        
 
J0500A   $M3YNANS                      Pain Asmt Int: Pain Effect Sleep         
                          5,255                          Missing                                 
                            120        -                 Not assessed/no information             
                          1,082        0                 No                                      
                            220        1                 Yes                                     
                             28        9                 Unable to answer                        
 
J0500B   $M3YNANS                      Pain Asmt Int: Pain Effect Act           
                          5,255                          Missing                                 
                            121        -                 Not assessed/no information             
                          1,036        0                 No                                      
                            264        1                 Yes                                     
                             29        9                 Unable to answer                        
 
J0600A                                 Pain Intensity Numeric Rating Scale Num  
                          5,630                          Missing                                 
                          1,075        Range of values   Range of values                         
 
J0600B   $M32PAIN                      Pain Intensity Verbal Descr Scale Num    
                          6,177                          Missing                                 
                            128        -                 Not assessed/no information             
                            188        1                 Mild                                    
                            162        2                 Moderate                                
                             20        3                 Severe                                  
                              5        4                 Very severe, horrible                   
                             25        9                 Unable to answer                        
 
J0700    $M3YESNO                      Staff Cond Pain Asmt                     
                          5,528                          Missing                                 
                             40        -                 Not assessed/no information             
                          1,089        0                 No                                      
                             48        1                 Yes                                     
 
J0800A   $M3INDIC                      SA for Pain: Nonverbal Sound             
                          6,069                          Missing                                 
                             30        -                 Not assessed/no information             
                            577        0                 Not indicated                           
                             29        1                 Indicated                               
 
J0800B   $M3INDIC                      SA for Pain: Vocal Complaint             
                          6,069                          Missing                                 
                             30        -                 Not assessed/no information             
                            550        0                 Not indicated                           
                             56        1                 Indicated                               
 
J0800C   $M3INDIC                      SA for Pain: Facial Expression           
                          6,069                          Missing                                 
                             30        -                 Not assessed/no information             
                            555        0                 Not indicated                           
                             51        1                 Indicated                               
 
J0800D   $M3INDIC                      SA for Pain: Protective Movement         
                          6,069                          Missing                                 
                             30        -                 Not assessed/no information             
                            588        0                 Not indicated                           
                             18        1                 Indicated                               
 
J0800Z   $M3INDIC                      SA for Pain: None Above Signs of Pain    
                          6,069                          Missing                                 
                             30        -                 Not assessed/no information             
                            106        0                 Not indicated                           
                            500        1                 Indicated                               
 
J0850    $M3PAINI                      SA for Pain: Nonverbal Sound             
                          6,569                          Missing                                 
                             30        -                 Not assessed/no information             
                             58        1                 Indicators of pain 1-2 days             
                             28        2                 Indicators of pain 3-4 days             
                             20        3                 Indicators of pain daily                
 
J1100A   $M3INDIC                      Shortness of Breath W Exertion           
                          1,702                          Missing                                 
                              8        -                 Not assessed/no information             
                          4,493        0                 Not indicated                           
                            502        1                 Indicated                               
 
J1100B   $M3INDIC                      Shortness of Breath When Sitting         
                          1,702                          Missing                                 
                              7        -                 Not assessed/no information             
                          4,797        0                 Not indicated                           
                            199        1                 Indicated                               
 
J1100C   $M3INDIC                      Shortness of Breath When Lying Flat      
                          1,565                          Missing                                 
                              9        -                 Not assessed/no information             
                          4,679        0                 Not indicated                           
                            452        1                 Indicated                               
 
J1100Z   $M3INDIC                      None of Above Shortness of Breath        
                          1,645                          Missing                                 
                              7        -                 Not assessed/no information             
                            749        0                 Not indicated                           
                          4,304        1                 Indicated                               
 
J1300    $M3YESNO                      Tobacco Use                              
                          5,265                          Missing                                 
                              1        -                 Not assessed/no information             
                          1,387        0                 No                                      
                             52        1                 Yes                                     
 
J1400    $M3YESNO                      Life Prognosis Less Than Six Mons        
                          1,702                          Missing                                 
                              5        -                 Not assessed/no information             
                          4,794        0                 No                                      
                            204        1                 Yes                                     
 
J1550A   $M3INDIC                      Prob Conds: Fever                        
                          1,565                          Missing                                 
                              2        -                 Not assessed/no information             
                          5,071        0                 Not indicated                           
                             67        1                 Indicated                               
 
J1550B   $M3INDIC                      Prob Conds: Vomiting                     
                          1,565                          Missing                                 
                              1        -                 Not assessed/no information             
                          5,068        0                 Not indicated                           
                             71        1                 Indicated                               
 
J1550C   $M3INDIC                      Prob Conds: Dehydration                  
                          1,702                          Missing                                 
                              1        -                 Not assessed/no information             
                          4,995        0                 Not indicated                           
                              7        1                 Indicated                               
 
J1550D   $M3INDIC                      Prob Conds: Internal Bleeding            
                          1,702                          Missing                                 
                              1        -                 Not assessed/no information             
                          4,983        0                 Not indicated                           
                             19        1                 Indicated                               
 
J1550Z   $M3INDIC                      Prob Conds: None of Above                
                          1,645                          Missing                                 
                              1        -                 Not assessed/no information             
                            152        0                 Not indicated                           
                          4,907        1                 Indicated                               
 
J1700A   $M3YNDET                      Fall History on Admsn: Fall 30 Day       
                          5,711                          Missing                                 
                              4        -                 Not assessed/no information             
                            552        0                 No                                      
                            390        1                 Yes                                     
                             48        9                 Unable to determine                     
 
J1700B   $M3YNDET                      Fall History on Admsn: Fall 31-180 Day   
                          5,711                          Missing                                 
                              7        -                 Not assessed/no information             
                            645        0                 No                                      
                            252        1                 Yes                                     
                             90        9                 Unable to determine                     
 
J1700C   $M3YNDET                      Fall History on Admsn: Fall Six Mon      
                          5,711                          Missing                                 
                              5        -                 Not assessed/no information             
                            755        0                 No                                      
                            188        1                 Yes                                     
                             46        9                 Unable to determine                     
 
J1800    $M3YESNO                      Falls Since Admsn or Prior Asmt          
                          1,568                          Missing                                 
                          4,373        0                 No                                      
                            764        1                 Yes                                     
 
J1900A   $M3FALLS                      Falls Since Adm/Prior Asmt W No Inj      
                          5,941                          Missing                                 
                            162        0                 None                                    
                            434        1                 One                                     
                            168        2                 Two or more                             
 
J1900B   $M3FALLS                      Falls Since Adm/Prior Asmt W Inj Ex Maj  
                          5,941                          Missing                                 
                            543        0                 None                                    
                            189        1                 One                                     
                             32        2                 Two or more                             
 
J1900C   $M3FALLS                      Falls Since Adm/Prior Asmt W Maj Inj     
                          5,941                          Missing                                 
                            730        0                 None                                    
                             34        1                 One                                     
 
K0100A   $M3INDIC                      Swall Disorder: Loss Mouth Eating        
                          2,728                          Missing                                 
                              3        -                 Not assessed/no information             
                          3,922        0                 Not indicated                           
                             52        1                 Indicated                               
 
K0100B   $M3INDIC                      Swall Disorder: Hold Food Mouth          
                          2,728                          Missing                                 
                              3        -                 Not assessed/no information             
                          3,921        0                 Not indicated                           
                             53        1                 Indicated                               
 
K0100C   $M3INDIC                      Swall Disorder: Choke Drinking Meal      
                          2,728                          Missing                                 
                              3        -                 Not assessed/no information             
                          3,871        0                 Not indicated                           
                            103        1                 Indicated                               
 
K0100D   $M3INDIC                      Swall Disorder: Complaint Swall          
                          2,728                          Missing                                 
                              3        -                 Not assessed/no information             
                          3,883        0                 Not indicated                           
                             91        1                 Indicated                               
 
K0100Z   $M3INDIC                      Swall Disorder: None of Above            
                          2,728                          Missing                                 
                              3        -                 Not assessed/no information             
                            212        0                 Not indicated                           
                          3,762        1                 Indicated                               
 
K0200A                                 Height Num                               
                          1,702                          Missing                                 
                          5,003        Range of values   Range of values                         
 
K0200B                                 Weight Num                               
                          1,702                          Missing                                 
                          5,003        Range of values   Range of values                         
 
K0300    $M3WGHT                       Weight Loss                              
                          1,565                          Missing                                 
                             32        -                 Not assessed/no information             
                          4,714        0                 No or unknown                           
                             71        1                 Yes, on physician-prescribed regimen    
                            323        2                 Yes, not on physician-prescribed regimen
 
K0310    $M3WGHT                       Weight Gain                              
                          1,622                          Missing                                 
                             28        -                 Not assessed/no information             
                          4,850        0                 No or unknown                           
                             50        1                 Yes, on physician-prescribed regimen    
                            155        2                 Yes, not on physician-prescribed regimen
 
K0510A1  $M3INDIC                      Nutr App: Prior Par/IV Feeding           
                          6,301                          Missing                                 
                             14        -                 Not assessed/no information             
                            348        0                 Not indicated                           
                             42        1                 Indicated                               
 
K0510A2  $M3INDIC                      Nutr App: Post Par/IV Feeding            
                          1,565                          Missing                                 
                              6        -                 Not assessed/no information             
                          5,077        0                 Not indicated                           
                             57        1                 Indicated                               
 
K0510B1  $M3INDIC                      Nutr App: Prior Feeding Tube             
                          6,301                          Missing                                 
                             14        -                 Not assessed/no information             
                            377        0                 Not indicated                           
                             13        1                 Indicated                               
 
K0510B2  $M3INDIC                      Nutr App: Post Feeding Tube              
                          1,565                          Missing                                 
                              6        -                 Not assessed/no information             
                          4,962        0                 Not indicated                           
                            172        1                 Indicated                               
 
K0510C1  $M3INDIC                      Nutr App: Prior Mech Alt Diet            
                          6,536                          Missing                                 
                             14        -                 Not assessed/no information             
                            122        0                 Not indicated                           
                             33        1                 Indicated                               
 
K0510C2  $M3INDIC                      Nutr App: Post Mech Alt Diet             
                          2,091                          Missing                                 
                             11        -                 Not assessed/no information             
                          3,125        0                 Not indicated                           
                          1,478        1                 Indicated                               
 
K0510D1  $M3INDIC                      Nutr App: Prior Ther Diet                
                          6,536                          Missing                                 
                             15        -                 Not assessed/no information             
                            110        0                 Not indicated                           
                             44        1                 Indicated                               
 
K0510D2  $M3INDIC                      Nutr App: Post Ther Diet                 
                          2,148                          Missing                                 
                             13        -                 Not assessed/no information             
                          2,437        0                 Not indicated                           
                          2,107        1                 Indicated                               
 
K0510Z1  $M3INDIC                      Nutr App: Prior None of Above            
                          6,343                          Missing                                 
                             18        -                 Not assessed/no information             
                            117        0                 Not indicated                           
                            227        1                 Indicated                               
 
K0510Z2  $M3INDIC                      Nutr App: Post None of Above             
                          2,091                          Missing                                 
                             10        -                 Not assessed/no information             
                          3,113        0                 Not indicated                           
                          1,491        1                 Indicated                               
 
L0200A   $M3INDIC                      Dental Stat: Broken Denture              
                          2,785                          Missing                                 
                             38        -                 Not assessed/no information             
                          3,836        0                 Not indicated                           
                             46        1                 Indicated                               
 
L0200B   $M3INDIC                      Dental Stat: No Teeth                    
                          5,265                          Missing                                 
                              6        -                 Not assessed/no information             
                          1,168        0                 Not indicated                           
                            266        1                 Indicated                               
 
L0200C   $M3INDIC                      Dental Stat: Abnormal Mouth Tiss         
                          5,265                          Missing                                 
                              8        -                 Not assessed/no information             
                          1,429        0                 Not indicated                           
                              3        1                 Indicated                               
 
L0200D   $M3INDIC                      Dental Stat: Cavity                      
                          5,265                          Missing                                 
                              7        -                 Not assessed/no information             
                          1,333        0                 Not indicated                           
                            100        1                 Indicated                               
 
L0200E   $M3INDIC                      Dental Stat: Inflamed Gum                
                          5,265                          Missing                                 
                              7        -                 Not assessed/no information             
                          1,427        0                 Not indicated                           
                              6        1                 Indicated                               
 
L0200F   $M3INDIC                      Dental Stat: Mouth or Facial Pain        
                          2,785                          Missing                                 
                             35        -                 Not assessed/no information             
                          3,862        0                 Not indicated                           
                             23        1                 Indicated                               
 
L0200G   $M3INDIC                      Dental Stat: Unable to Examine           
                          5,265                          Missing                                 
                              5        -                 Not assessed/no information             
                          1,408        0                 Not indicated                           
                             27        1                 Indicated                               
 
L0200Z   $M3INDIC                      Dental Stat: None of Above               
                          5,265                          Missing                                 
                              6        -                 Not assessed/no information             
                            404        0                 Not indicated                           
                          1,030        1                 Indicated                               
 
M0100A   $M3INDIC                      Det of Press Ulcr Risk: Ulcr Visible     
                          1,702                          Missing                                 
                             10        -                 Not assessed/no information             
                          4,559        0                 Not indicated                           
                            434        1                 Indicated                               
 
M0100B   $M3INDIC                      Det of Press Ulcr Risk: Frml Asmt/Instr  
                          2,785                          Missing                                 
                              2        -                 Not assessed/no information             
                            800        0                 Not indicated                           
                          3,118        1                 Indicated                               
 
M0100C   $M3INDIC                      Det of Press Ulcr Risk: Clinical Asmt    
                          2,785                          Missing                                 
                            283        0                 Not indicated                           
                          3,637        1                 Indicated                               
 
M0100Z   $M3INDIC                      Det of Press Ulcr Risk: None of Above    
                          2,785                          Missing                                 
                          3,821        0                 Not indicated                           
                             99        1                 Indicated                               
 
M0150    $M3YESNO                      Press Ulcr Risk                          
                          2,785                          Missing                                 
                              1        -                 Not assessed/no information             
                            446        0                 No                                      
                          3,473        1                 Yes                                     
 
M0210    $M3YESNO                      One or More S1 or Higher UPU             
                          1,431                          Missing                                 
                              1        -                 Not assessed/no information             
                          4,828        0                 No                                      
                            445        1                 Yes                                     
 
M0300A                                 Stage 1 Press Ulcr Num                   
                          6,389                          Missing                                 
                            316        Range of values   Range of values                         
 
M0300B1                                Stage 2 Press Ulcr Num                   
                          6,259                          Missing                                 
                            446        Range of values   Range of values                         
 
M0300B2                                Stage 2 Press Ulcr Present on Admsn Num  
                          6,544                          Missing                                 
                            161        Range of values   Range of values                         
 
M0300C1                                Stage 3 Press Ulcr Num                   
                          6,259                          Missing                                 
                            446        Range of values   Range of values                         
 
M0300C2                                Stage 3 Press Ulcr Present on Admsn Num  
                          6,635                          Missing                                 
                             70        Range of values   Range of values                         
 
M0300D1                                Stage 4 Press Ulcr Num                   
                          6,259                          Missing                                 
                            446        Range of values   Range of values                         
 
M0300D2                                Stage 4 Press Ulcr Present on Admsn Num  
                          6,630                          Missing                                 
                             75        Range of values   Range of values                         
 
M0300E1                                UPU Due To Drsng Num                     
                          6,276                          Missing                                 
                            429        Range of values   Range of values                         
 
M0300E2                                UPU Due To Drsng on Admsn Num            
                          6,698                          Missing                                 
                              7        Range of values   Range of values                         
 
M0300F1                                UPU W Slough or Eschar Num               
                          6,259                          Missing                                 
                            446        Range of values   Range of values                         
 
M0300F2                                UPU W Slough or Eschar on Admsn Num      
                          6,641                          Missing                                 
                             64        Range of values   Range of values                         
 
M0300G1                                UPU W Deep Tiss Inj Num                  
                          6,276                          Missing                                 
                            429        Range of values   Range of values                         
 
M0300G2                                UPU W Deep Tiss Inj on Admsn Num         
                          6,629                          Missing                                 
                             76        Range of values   Range of values                         
 
M1030                                  Venous and Arterial Ulcr Num             
                          2,648                          Missing                                 
                          4,057        Range of values   Range of values                         
 
M1040A   $M3INDIC                      Oth Foot Skin Probs: Foot Infn           
                          2,648                          Missing                                 
                          4,036        0                 Not indicated                           
                             21        1                 Indicated                               
 
M1040B   $M3INDIC                      Oth Foot Skin Probs: Diab Foot Ulcr      
                          2,648                          Missing                                 
                          4,003        0                 Not indicated                           
                             54        1                 Indicated                               
 
M1040C   $M3INDIC                      Oth Foot Skin Probs: Oth Open Les Foot   
                          2,648                          Missing                                 
                          4,041        0                 Not indicated                           
                             16        1                 Indicated                               
 
M1040D   $M3INDIC                      O/S/P: Oth Than Ulcrs, Rashes, Cuts      
                          2,648                          Missing                                 
                              1        -                 Not assessed/no information             
                          4,005        0                 Not indicated                           
                             51        1                 Indicated                               
 
M1040E   $M3INDIC                      O/S/P: Surgical Wound(s)                 
                          2,648                          Missing                                 
                          3,682        0                 Not indicated                           
                            375        1                 Indicated                               
 
M1040F   $M3INDIC                      O/S/P: Burn(s)                           
                          2,648                          Missing                                 
                              2        -                 Not assessed/no information             
                          4,053        0                 Not indicated                           
                              2        1                 Indicated                               
 
M1040G   $M3INDIC                      O/S/P: Skin Tear(s)                      
                          2,705                          Missing                                 
                          3,783        0                 Not indicated                           
                            217        1                 Indicated                               
 
M1040H   $M3INDIC                      O/S/P: Moisture Assoc Skin Dmge          
                          2,705                          Missing                                 
                          3,718        0                 Not indicated                           
                            282        1                 Indicated                               
 
M1040Z   $M3INDIC                      O/S/P: None of Above                     
                          2,648                          Missing                                 
                              3        -                 Not assessed/no information             
                            900        0                 Not indicated                           
                          3,154        1                 Indicated                               
 
M1200A   $M3INDIC                      S/U Trtmts: Press Reducng Device in Chr  
                          2,648                          Missing                                 
                              9        -                 Not assessed/no information             
                          1,484        0                 Not indicated                           
                          2,564        1                 Indicated                               
 
M1200B   $M3INDIC                      S/U Trtmts: Press Reducng Device in Bed  
                          2,648                          Missing                                 
                            627        0                 Not indicated                           
                          3,430        1                 Indicated                               
 
M1200C   $M3INDIC                      S/U Trtmts: Turning/RePosing Prog        
                          2,648                          Missing                                 
                          3,389        0                 Not indicated                           
                            668        1                 Indicated                               
 
M1200D   $M3INDIC                      S/U Trtmts: Nutrition/Hydration          
                          2,648                          Missing                                 
                          3,510        0                 Not indicated                           
                            547        1                 Indicated                               
 
M1200E   $M3INDIC                      S/U Trtmts: Ulcr Care                    
                          2,648                          Missing                                 
                          3,735        0                 Not indicated                           
                            322        1                 Indicated                               
 
M1200F   $M3INDIC                      S/U Trtmts: Surgical Wound Care          
                          2,648                          Missing                                 
                          3,755        0                 Not indicated                           
                            302        1                 Indicated                               
 
M1200G   $M3INDIC                      S/U Trtmts: App Nonsurgical Drsng        
                          2,648                          Missing                                 
                          3,449        0                 Not indicated                           
                            608        1                 Indicated                               
 
M1200H   $M3INDIC                      S/U Trtmts: App Ointments/Meds           
                          2,648                          Missing                                 
                          2,166        0                 Not indicated                           
                          1,891        1                 Indicated                               
 
M1200I   $M3INDIC                      S/U Trtmts: App Drsngs to Foot           
                          2,648                          Missing                                 
                              1        -                 Not assessed/no information             
                          3,871        0                 Not indicated                           
                            185        1                 Indicated                               
 
M1200Z   $M3INDIC                      S/U Trtmts: None of Above                
                          2,648                          Missing                                 
                          3,794        0                 Not indicated                           
                            263        1                 Indicated                               
 
N0300                                  Num of Days Injections of Any Type       
                          2,705                          Missing                                 
                          4,000        Range of values   Range of values                         
 
N0350A                                 Num of Days Insulin Injections           
                          5,423                          Missing                                 
                          1,282        Range of values   Range of values                         
 
N0350B                                 Num of Days Insulin Orders Changed       
                          5,423                          Missing                                 
                          1,282        Range of values   Range of values                         
 
N0410A                                 Meds Rcd: Antipsychotic Num Days         
                          1,702                          Missing                                 
                          5,003        Range of values   Range of values                         
 
N0410B                                 Meds Rcd: Antianxiety Num Days           
                          1,702                          Missing                                 
                          5,003        Range of values   Range of values                         
 
N0410C                                 Meds Rcd: Antidepressant Num Days        
                          1,702                          Missing                                 
                          5,003        Range of values   Range of values                         
 
N0410D                                 Meds Rcd: Hypnotic Num Days              
                          1,702                          Missing                                 
                          5,003        Range of values   Range of values                         
 
N0410E                                 Meds Rcd: Anticoagulant Num Days         
                          1,702                          Missing                                 
                          5,003        Range of values   Range of values                         
 
N0410F                                 Meds Rcd: Antibiotic Num Days            
                          1,702                          Missing                                 
                          5,003        Range of values   Range of values                         
 
N0410G                                 Meds Rcd: Diuretic Num Days              
                          1,702                          Missing                                 
                          5,003        Range of values   Range of values                         
 
O0100A1  $M3INDIC                      Spcl T/P: ChemOthapy Pre-admit           
                          5,579                          Missing                                 
                              1        -                 Not assessed/no information             
                          1,121        0                 Not indicated                           
                              4        1                 Indicated                               
 
O0100A2  $M3INDIC                      Spcl T/P: ChemOthapy Post-admit          
                          2,648                          Missing                                 
                              7        -                 Not assessed/no information             
                          4,040        0                 Not indicated                           
                             10        1                 Indicated                               
 
O0100B1  $M3INDIC                      Spcl T/P: Radiation Pre-admit            
                          5,579                          Missing                                 
                              1        -                 Not assessed/no information             
                          1,124        0                 Not indicated                           
                              1        1                 Indicated                               
 
O0100B2  $M3INDIC                      Spcl T/P: Radiation Post-admit           
                          2,648                          Missing                                 
                              7        -                 Not assessed/no information             
                          4,047        0                 Not indicated                           
                              3        1                 Indicated                               
 
O0100C1  $M3INDIC                      Spcl T/P: Oxygen Pre-admit               
                          5,579                          Missing                                 
                             11        -                 Not assessed/no information             
                            810        0                 Not indicated                           
                            305        1                 Indicated                               
 
O0100C2  $M3INDIC                      Spcl T/P: Oxygen Post-admit              
                          2,648                          Missing                                 
                              7        -                 Not assessed/no information             
                          3,430        0                 Not indicated                           
                            620        1                 Indicated                               
 
O0100D1  $M3INDIC                      Spcl T/P: Suctioning Pre-admit           
                          5,579                          Missing                                 
                              2        -                 Not assessed/no information             
                          1,118        0                 Not indicated                           
                              6        1                 Indicated                               
 
O0100D2  $M3INDIC                      Spcl T/P: Suctioning Post-admit          
                          2,728                          Missing                                 
                              7        -                 Not assessed/no information             
                          3,936        0                 Not indicated                           
                             34        1                 Indicated                               
 
O0100E1  $M3INDIC                      Spcl T/P: Tracheostomy Pre-admit         
                          5,579                          Missing                                 
                              1        -                 Not assessed/no information             
                          1,119        0                 Not indicated                           
                              6        1                 Indicated                               
 
O0100E2  $M3INDIC                      Spcl T/P: Tracheostomy Post-admit        
                          2,643                          Missing                                 
                              7        -                 Not assessed/no information             
                          4,018        0                 Not indicated                           
                             37        1                 Indicated                               
 
O0100F1  $M3INDIC                      Spcl T/P: Ventilator Pre-admit           
                          5,579                          Missing                                 
                              3        -                 Not assessed/no information             
                          1,113        0                 Not indicated                           
                             10        1                 Indicated                               
 
O0100F2  $M3INDIC                      Spcl T/P: Ventilator Post-admit          
                          2,643                          Missing                                 
                              7        -                 Not assessed/no information             
                          4,047        0                 Not indicated                           
                              8        1                 Indicated                               
 
O0100G1  $M3INDIC                      Spcl T/P: Cont Pos Arwy Press Pre-A      
                          5,929                          Missing                                 
                              2        -                 Not assessed/no information             
                            749        0                 Not indicated                           
                             25        1                 Indicated                               
 
O0100G2  $M3INDIC                      Spcl T/P: Cont Pos Arwy Press Post-A     
                          5,265                          Missing                                 
                              1        -                 Not assessed/no information             
                          1,406        0                 Not indicated                           
                             33        1                 Indicated                               
 
O0100H1  $M3INDIC                      Spcl T/P: Intravenous Med Pre-admit      
                          5,579                          Missing                                 
                              5        -                 Not assessed/no information             
                            591        0                 Not indicated                           
                            530        1                 Indicated                               
 
O0100H2  $M3INDIC                      Spcl T/P: Intravenous Med Post-admit     
                          2,648                          Missing                                 
                              7        -                 Not assessed/no information             
                          3,932        0                 Not indicated                           
                            118        1                 Indicated                               
 
O0100I1  $M3INDIC                      Spcl T/P: Transfusion Pre-admit          
                          5,579                          Missing                                 
                              2        -                 Not assessed/no information             
                          1,088        0                 Not indicated                           
                             36        1                 Indicated                               
 
O0100I2  $M3INDIC                      Spcl T/P: Transfusion Post-admit         
                          2,648                          Missing                                 
                              7        -                 Not assessed/no information             
                          4,049        0                 Not indicated                           
                              1        1                 Indicated                               
 
O0100J1  $M3INDIC                      Spcl T/P: Dialysis Pre-admit             
                          5,579                          Missing                                 
                              2        -                 Not assessed/no information             
                          1,089        0                 Not indicated                           
                             35        1                 Indicated                               
 
O0100J2  $M3INDIC                      Spcl T/P: Dialysis Post-admit            
                          2,648                          Missing                                 
                              7        -                 Not assessed/no information             
                          3,956        0                 Not indicated                           
                             94        1                 Indicated                               
 
O0100K1  $M3INDIC                      Spcl T/P: Hospice Pre-admit              
                          5,929                          Missing                                 
                            761        0                 Not indicated                           
                             15        1                 Indicated                               
 
O0100K2  $M3INDIC                      Spcl T/P: Hospice Post-admit             
                          1,702                          Missing                                 
                             14        -                 Not assessed/no information             
                          4,742        0                 Not indicated                           
                            247        1                 Indicated                               
 
O0100L2  $M3INDIC                      Spcl T/P: Respite Post-admit             
                          5,600                          Missing                                 
                              1        -                 Not assessed/no information             
                          1,096        0                 Not indicated                           
                              8        1                 Indicated                               
 
O0100M1  $M3INDIC                      Spcl T/P: Isolation Pre-admit            
                          5,929                          Missing                                 
                              1        -                 Not assessed/no information             
                            767        0                 Not indicated                           
                              8        1                 Indicated                               
 
O0100M2  $M3INDIC                      Spcl T/P: Isolation Post-admit           
                          2,643                          Missing                                 
                              7        -                 Not assessed/no information             
                          4,025        0                 Not indicated                           
                             30        1                 Indicated                               
 
O0100Z1  $M3INDIC                      Spcl T/P: None Above Pre-A Trtmt Prior   
                          5,929                          Missing                                 
                              1        -                 Not assessed/no information             
                            460        0                 Not indicated                           
                            315        1                 Indicated                               
 
O0100Z2  $M3INDIC                      Spcl T/P: None Above Trtmt Post-admit    
                          5,208                          Missing                                 
                              1        -                 Not assessed/no information             
                            409        0                 Not indicated                           
                          1,087        1                 Indicated                               
 
O0250A   $M3YESNO                      Influenza Rcd                            
                          1,702                          Missing                                 
                             51        -                 Not assessed/no information             
                          2,666        0                 No                                      
                          2,286        1                 Yes                                     
 
O0250B   MMDDYYn8                      Influenza Rcd Date                       
                          4,419                       .  Inapplicable                            
                          2,286        MMDDYYYY          Date as MMDDYYYY                        
 
O0250C   $M3FLRSN                      Rsn Influenza Not Rcd                    
                          3,988                          Missing                                 
                             64        -                 Not assessed/no information             
                            423        1                 Resident not in facility                
                          1,221        2                 Received outside the facility           
                             48        3                 Not eligible                            
                            700        4                 Offered and declined                    
                            139        5                 Not offered                             
                              8        6                 Inability to obtain vaccine             
                            114        9                 None of the above                       
 
O0300A   $M3YESNO                      Pneumococcal Vaccination                 
                          1,702                          Missing                                 
                             68        -                 Not assessed/no information             
                          1,542        0                 No                                      
                          3,393        1                 Yes                                     
 
O0300B   $M3PNRSN                      Rsn Pneumococcal Vaccination Not Rcd     
                          5,095                          Missing                                 
                            135        -                 Not assessed/no information             
                             95        1                 Not eligible                            
                          1,117        2                 Offered and declined                    
                            263        3                 Not offered                             
 
O0400A1                                Speech Ther/Aud Individual Minutes Num   
                          2,700                          Missing                                 
                          4,005        Range of values   Range of values                         
 
O0400A2                                Speech Ther/Aud ConCur Minutes Num       
                          2,700                          Missing                                 
                          4,005        Range of values   Range of values                         
 
O0400A3                                Speech Ther/Aud Group Minutes Num        
                          2,700                          Missing                                 
                          4,005        Range of values   Range of values                         
 
O0400A4                                Num of Days Speech Ther/Aud Admin        
                          5,895                          Missing                                 
                            810        Range of values   Range of values                         
 
O0400A5  MMDDYYn8                      Speech Ther/Audiology Start Date         
                          4,799                       .  Inapplicable                            
                          1,906        MMDDYYYY          Date as MMDDYYYY                        
 
O0400A6  MMDDYYn8                      Speech Ther/Audiology End Date           
                          5,493                       .  Inapplicable                            
                          1,212        MMDDYYYY          Date as MMDDYYYY                        
 
O0400B1                                Occupational Ther Individual Minutes Num 
                          2,700                          Missing                                 
                          4,005        Range of values   Range of values                         
 
O0400B2                                Occupational Ther ConCur Minutes Num     
                          2,700                          Missing                                 
                          4,005        Range of values   Range of values                         
 
O0400B3                                Occupational Ther Group Minutes Num      
                          2,700                          Missing                                 
                          4,005        Range of values   Range of values                         
 
O0400B4                                Num of Days Occ Ther Administered        
                          4,889                          Missing                                 
                          1,816        Range of values   Range of values                         
 
O0400B5  MMDDYYn8                      Occupational Ther Start Date             
                          3,220                       .  Inapplicable                            
                          3,485        MMDDYYYY          Date as MMDDYYYY                        
 
O0400B6  MMDDYYn8                      Occupational Ther End Date               
                          4,926                       .  Inapplicable                            
                          1,779        MMDDYYYY          Date as MMDDYYYY                        
 
O0400C1                                Phys Ther Individual Minutes Num         
                          2,700                          Missing                                 
                          4,005        Range of values   Range of values                         
 
O0400C2                                Phys Ther ConCur Minutes Num             
                          2,700                          Missing                                 
                          4,005        Range of values   Range of values                         
 
O0400C3                                Phys Ther Group Minutes Num              
                          2,700                          Missing                                 
                          4,005        Range of values   Range of values                         
 
O0400C4                                Num of Days Phys Ther Administered       
                          4,865                          Missing                                 
                          1,840        Range of values   Range of values                         
 
O0400C5  MMDDYYn8                      Phys Ther Start Date                     
                          3,185                       .  Inapplicable                            
                          3,520        MMDDYYYY          Date as MMDDYYYY                        
 
O0400C6  MMDDYYn8                      Phys Ther End Date                       
                          4,907                       .  Inapplicable                            
                          1,798        MMDDYYYY          Date as MMDDYYYY                        
 
O0400D1                                Resp Ther Minutes Num                    
                          5,265                          Missing                                 
                          1,440        Range of values   Range of values                         
 
O0400D2                                Num of Days Resp Ther Administered       
                          4,075                          Missing                                 
                          2,630        Range of values   Range of values                         
 
O0400E1                                Psych Ther Minutes Num                   
                          5,265                          Missing                                 
                          1,440        Range of values   Range of values                         
 
O0400E2                                Num of Days Psych Ther Administered      
                          4,233                          Missing                                 
                          2,472        Range of values   Range of values                         
 
O0400F1                                Rec Ther Minutes Num                     
                          5,265                          Missing                                 
                          1,440        Range of values   Range of values                         
 
O0400F2                                Num of Days Rec Ther Administered        
                          6,688                          Missing                                 
                             17        Range of values   Range of values                         
 
O0450A   $M3YESNO                      Has Ther Resumed                         
                          6,685                          Missing                                 
                              1        -                 Not assessed/no information             
                             19        0                 No                                      
 
O0500A                                 Rest Nrs: Passive Range of Mtn Num       
                          2,643                          Missing                                 
                          4,062        Range of values   Range of values                         
 
O0500B                                 Rest Nrs: Actv Range of Mtn Num          
                          2,643                          Missing                                 
                          4,062        Range of values   Range of values                         
 
O0500C                                 Rest Nrs: Splint/Brace Ass Num           
                          2,643                          Missing                                 
                          4,062        Range of values   Range of values                         
 
O0500D                                 Rest Nrs: Bed Mob Training Num           
                          2,643                          Missing                                 
                          4,062        Range of values   Range of values                         
 
O0500E                                 Rest Nrs: Trans Training Num             
                          2,643                          Missing                                 
                          4,062        Range of values   Range of values                         
 
O0500F                                 Rest Nrs: Wlking Training Num            
                          2,643                          Missing                                 
                          4,062        Range of values   Range of values                         
 
O0500G                                 Rest Nrs: Drsng/Grooming Training Num    
                          2,643                          Missing                                 
                          4,062        Range of values   Range of values                         
 
O0500H                                 Rest Nrs: Eating/Swall Training Num      
                          2,643                          Missing                                 
                          4,062        Range of values   Range of values                         
 
O0500I                                 Rest Nrs: Amp/Prosthes Care Training Num 
                          2,643                          Missing                                 
                          4,062        Range of values   Range of values                         
 
O0500J                                 Rest Nrs: Communication Training Num     
                          2,643                          Missing                                 
                          4,062        Range of values   Range of values                         
 
O0600                                  Physician Exam Day Num                   
                          2,785                          Missing                                 
                          3,920        Range of values   Range of values                         
 
O0700                                  Physician Order Day Num                  
                          2,785                          Missing                                 
                          3,920        Range of values   Range of values                         
 
P0100A   $M3USED                       Phys Rstrnts in Bed: Bed Rail            
                          1,702                          Missing                                 
                          4,990        0                 Not used                                
                             13        2                 Used daily                              
 
P0100B   $M3USED                       Phys Rstrnts in Bed: Trunk Rstrnt Bed    
                          1,702                          Missing                                 
                          5,002        0                 Not used                                
                              1        1                 Used less than daily                    
 
P0100C   $M3USED                       Phys Rstrnts in Bed: Limb Rstrnt Bed     
                          1,702                          Missing                                 
                          5,003        0                 Not used                                
 
P0100D   $M3USED                       Phys Rstrnts in Bed: Oth Rstrnt Bed      
                          1,702                          Missing                                 
                          5,000        0                 Not used                                
                              3        2                 Used daily                              
 
P0100E   $M3USED                       Phys Rstrnts Chair: Trunk Rstrnt Chair   
                          1,702                          Missing                                 
                          4,999        0                 Not used                                
                              1        1                 Used less than daily                    
                              3        2                 Used daily                              
 
P0100F   $M3USED                       Phys Rstrnts Chair: Limb Rstrnt Chair    
                          1,702                          Missing                                 
                          5,002        0                 Not used                                
                              1        2                 Used daily                              
 
P0100G   $M3USED                       Phys Rstrnts Chair: Chair Prevent Rise   
                          1,702                          Missing                                 
                          5,001        0                 Not used                                
                              2        2                 Used daily                              
 
P0100H   $M3USED                       Phys Rstrnts Chair: Oth Rstrnt Chair     
                          1,702                          Missing                                 
                          5,000        0                 Not used                                
                              3        2                 Used daily                              
 
Q0100A   $M3YESNO                      Res Part in Asmt                         
                          2,700                          Missing                                 
                             25        -                 Not assessed/no information             
                            501        0                 No                                      
                          3,479        1                 Yes                                     
 
Q0100B   $M3FAMPR                      Fam Part in Asmt                         
                          2,700                          Missing                                 
                             26        -                 Not assessed/no information             
                          2,705        0                 No                                      
                          1,238        1                 Yes                                     
                             36        9                 No family or significant other available
 
Q0100C   $M3GUAPR                      Guardian Part in Asmt                    
                          2,700                          Missing                                 
                             26        -                 Not assessed/no information             
                          3,000        0                 No                                      
                            292        1                 Yes                                     
                            687        9                 No guardian or legally auth rep availabl
 
Q0300A   $M3OGOAL                      Res Overall Goal                         
                          5,727                          Missing                                 
                             11        -                 Not assessed/no information             
                            673        1                 Discharged to the community             
                            237        2                 Remain in this facility                 
                             19        3                 Discharged to another facility          
                             38        9                 Unknown or uncertain                    
 
Q0300B   $M3SOURC                      Overall Goal Source                      
                          5,727                          Missing                                 
                             11        -                 Not assessed/no information             
                            701        1                 Resident                                
                            227        2                 Family or sig other                     
                             28        3                 Guardian or legally auth rep            
                             11        9                 Unknown or uncertain                    
 
Q0400A   $M3YESNO                      Dis Plan                                 
                          1,702                          Missing                                 
                             45        -                 Not assessed/no information             
                          3,200        0                 No                                      
                          1,758        1                 Yes                                     
 
Q0490    $M3NOINF                      Ress Pref Answering Q0500B               
                          4,651                          Missing                                 
                             35        -                 Not assessed/no information             
                          1,101        0                 No                                      
                            918        1                 Yes                                     
 
Q0500B   $M3WNTLK                      Staff Asked Res or Fam Abt Rtn To Comm   
                          4,743                          Missing                                 
                             31        -                 Not assessed/no information             
                          1,823        0                 No                                      
                             43        1                 Yes                                     
                             65        9                 Unknown or uncertain                    
 
Q0550A   $M3NOINF                      Pref In Answering Q0550B                 
                          4,743                          Missing                                 
                             40        -                 Not assessed/no information             
                          1,681        0                 No                                      
                            181        1                 Yes                                     
                             60        8                 Information not available               
 
Q0550B   $M3SOURC                      Source Answering Q0550A                  
                          4,743                          Missing                                 
                             34        -                 Not assessed/no information             
                          1,003        1                 Resident                                
                            728        2                 Family or sig other                     
                            138        3                 Guardian or legally auth rep            
                             59        9                 Unknown or uncertain                    
 
Q0600    $M3REFER                      Local Contact Agency Referral            
                          1,702                          Missing                                 
                             50        -                 Not assessed/no information             
                          4,612        0                 No - referral not needed                
                            165        1                 No - referral may be needed             
                            176        2                 Yes                                     
 
V0100A   $M3CASS                       Prior Asmt Federal OBRA Rsn for Asmt     
                          6,108                                                                  
                              6        01                5 day sched assessment                  
                            514        02                14 day sched assessment                 
                             17        03                30 day sched assessment                 
                             21        04                60 day sched assessment                 
                             39        99                None of above                           
 
V0100B   $M3CASS                       Prior Asmt PPS Rsn for Asmt              
                          6,113                                                                  
                             21        01                5 day sched assessment                  
                              9        02                14 day sched assessment                 
                              8        03                30 day sched assessment                 
                              3        04                60 day sched assessment                 
                              1        05                90 day sched assessment                 
                              1        07                Unsched assessment for PPS              
                            549        99                None of above                           
 
V0100C   MMDDYYn8                      Prior Asmt Ref Date                      
                          6,108                       .  Inapplicable                            
                            597        MMDDYYYY          Date as MMDDYYYY                        
 
V0100D                                 Prior Asmt (BIMS) Summary Score Num      
                          6,188                          Missing                                 
                            517        Range of values   Range of values                         
 
V0100E                                 Prior Asmt  (PHQ-9) Tot Svrty Score Num  
                          6,198                          Missing                                 
                            507        Range of values   Range of values                         
 
V0100F                                 Prior Asmt  (PHQ-9) Tot Svrty Score Num  
                          6,543                          Missing                                 
                            162        Range of values   Range of values                         
 
V200A01A $M3INDIC                      Dlrm Care Area Trigger                   
                          5,339                          Missing                                 
                          1,283        0                 Not indicated                           
                             83        1                 Indicated                               
 
V200A01B $M3INDIC                      Dlrm Adrsd in Care Plan                  
                          5,339                          Missing                                 
                            713        -                 Not assessed/no information             
                            600        0                 Not indicated                           
                             53        1                 Indicated                               
 
V200A02A $M3INDIC                      Dementia Care Area Trigger               
                          5,339                          Missing                                 
                            483        0                 Not indicated                           
                            883        1                 Indicated                               
 
V200A02B $M3INDIC                      Dementia Adrsd in Care Plan              
                          5,339                          Missing                                 
                            285        -                 Not assessed/no information             
                            270        0                 Not indicated                           
                            811        1                 Indicated                               
 
V200A03A $M3INDIC                      Visual Func Care Area Trigger            
                          5,339                          Missing                                 
                            911        0                 Not indicated                           
                            455        1                 Indicated                               
 
V200A03B $M3INDIC                      Visual Func Adrsd in Care Plan           
                          5,339                          Missing                                 
                            534        -                 Not assessed/no information             
                            429        0                 Not indicated                           
                            403        1                 Indicated                               
 
V200A04A $M3INDIC                      Communication Care Area Trigger          
                          5,339                          Missing                                 
                            691        0                 Not indicated                           
                            675        1                 Indicated                               
 
V200A04B $M3INDIC                      Communication Adrsd in Care Plan         
                          5,339                          Missing                                 
                            412        -                 Not assessed/no information             
                            339        0                 Not indicated                           
                            615        1                 Indicated                               
 
V200A05A $M3INDIC                      ADL Care Area Trigger                    
                          5,339                          Missing                                 
                            349        0                 Not indicated                           
                          1,017        1                 Indicated                               
 
V200A05B $M3INDIC                      ADL Adrsd in Care Plan                   
                          5,339                          Missing                                 
                            164        -                 Not assessed/no information             
                            180        0                 Not indicated                           
                          1,022        1                 Indicated                               
 
V200A06A $M3INDIC                      Urny Care Area Trigger                   
                          5,339                          Missing                                 
                             92        0                 Not indicated                           
                          1,274        1                 Indicated                               
 
V200A06B $M3INDIC                      Urny Adrsd in Care Plan                  
                          5,339                          Missing                                 
                             64        -                 Not assessed/no information             
                            150        0                 Not indicated                           
                          1,152        1                 Indicated                               
 
V200A07A $M3INDIC                      Psychosocial Care Area Trigger           
                          5,339                          Missing                                 
                          1,097        0                 Not indicated                           
                            269        1                 Indicated                               
 
V200A07B $M3INDIC                      Psychosocial Adrsd in Care Plan          
                          5,339                          Missing                                 
                            629        -                 Not assessed/no information             
                            511        0                 Not indicated                           
                            226        1                 Indicated                               
 
V200A08A $M3INDIC                      Mood Care Area Trigger                   
                          5,339                          Missing                                 
                          1,178        0                 Not indicated                           
                            188        1                 Indicated                               
 
V200A08B $M3INDIC                      Mood Adrsd in Care Plan                  
                          5,339                          Missing                                 
                            650        -                 Not assessed/no information             
                            547        0                 Not indicated                           
                            169        1                 Indicated                               
 
V200A09A $M3INDIC                      Bhvral Care Area Trigger                 
                          5,339                          Missing                                 
                          1,168        0                 Not indicated                           
                            198        1                 Indicated                               
 
V200A09B $M3INDIC                      Bhvral Adrsd in Care Plan                
                          5,339                          Missing                                 
                            646        -                 Not assessed/no information             
                            543        0                 Not indicated                           
                            177        1                 Indicated                               
 
V200A10A $M3INDIC                      Act Care Area Trigger                    
                          5,339                          Missing                                 
                          1,163        0                 Not indicated                           
                            203        1                 Indicated                               
 
V200A10B $M3INDIC                      Act Adrsd in Care Plan                   
                          5,339                          Missing                                 
                            659        -                 Not assessed/no information             
                            504        0                 Not indicated                           
                            203        1                 Indicated                               
 
V200A11A $M3INDIC                      Fall Care Area Trigger                   
                          5,339                          Missing                                 
                             39        0                 Not indicated                           
                          1,327        1                 Indicated                               
 
V200A11B $M3INDIC                      Fall Adrsd in Care Plan                  
                          5,339                          Missing                                 
                             39        -                 Not assessed/no information             
                             72        0                 Not indicated                           
                          1,255        1                 Indicated                               
 
V200A12A $M3INDIC                      Nutr Care Area Trigger                   
                          5,339                          Missing                                 
                            154        0                 Not indicated                           
                          1,212        1                 Indicated                               
 
V200A12B $M3INDIC                      Nutr Adrsd in Care Plan                  
                          5,339                          Missing                                 
                             93        -                 Not assessed/no information             
                            145        0                 Not indicated                           
                          1,128        1                 Indicated                               
 
V200A13A $M3INDIC                      Feeding Tube Care Area Trigger           
                          5,339                          Missing                                 
                          1,326        0                 Not indicated                           
                             40        1                 Indicated                               
 
V200A13B $M3INDIC                      Feeding Tube Adrsd in Care Plan          
                          5,339                          Missing                                 
                            738        -                 Not assessed/no information             
                            587        0                 Not indicated                           
                             41        1                 Indicated                               
 
V200A14A $M3INDIC                      Dehydration Care Area Trigger            
                          5,339                          Missing                                 
                          1,045        0                 Not indicated                           
                            321        1                 Indicated                               
 
V200A14B $M3INDIC                      Dehydration Adrsd in Care Plan           
                          5,339                          Missing                                 
                            573        -                 Not assessed/no information             
                            504        0                 Not indicated                           
                            289        1                 Indicated                               
 
V200A15A $M3INDIC                      Dental Care Area Trigger                 
                          5,339                          Missing                                 
                          1,007        0                 Not indicated                           
                            359        1                 Indicated                               
 
V200A15B $M3INDIC                      Dental Adrsd in Care Plan                
                          5,339                          Missing                                 
                            548        -                 Not assessed/no information             
                            506        0                 Not indicated                           
                            312        1                 Indicated                               
 
V200A16A $M3INDIC                      Press Ulcr Care Area Trigger             
                          5,339                          Missing                                 
                             24        0                 Not indicated                           
                          1,342        1                 Indicated                               
 
V200A16B $M3INDIC                      Press Ulcr Adrsd in Care Plan            
                          5,339                          Missing                                 
                             23        -                 Not assessed/no information             
                            108        0                 Not indicated                           
                          1,235        1                 Indicated                               
 
V200A17A $M3INDIC                      Psychotropic Drug Care Area Trigger      
                          5,339                          Missing                                 
                            592        0                 Not indicated                           
                            774        1                 Indicated                               
 
V200A17B $M3INDIC                      Psychotropic Drug Adrsd in Care Plan     
                          5,339                          Missing                                 
                            322        -                 Not assessed/no information             
                            311        0                 Not indicated                           
                            733        1                 Indicated                               
 
V200A18A $M3INDIC                      Rstrnt Care Area Trigger                 
                          5,339                          Missing                                 
                          1,360        0                 Not indicated                           
                              6        1                 Indicated                               
 
V200A18B $M3INDIC                      Rstrnt Adrsd in Care Plan                
                          5,339                          Missing                                 
                            760        -                 Not assessed/no information             
                            599        0                 Not indicated                           
                              7        1                 Indicated                               
 
V200A19A $M3INDIC                      Pain Care Area Trigger                   
                          5,339                          Missing                                 
                          1,112        0                 Not indicated                           
                            254        1                 Indicated                               
 
V200A19B $M3INDIC                      Pain Adrsd in Care Plan                  
                          5,339                          Missing                                 
                            621        -                 Not assessed/no information             
                            494        0                 Not indicated                           
                            251        1                 Indicated                               
 
V200A20A $M3INDIC                      Rtn to Comm Care Area Trigger            
                          5,339                          Missing                                 
                          1,299        0                 Not indicated                           
                             67        1                 Indicated                               
 
V200A20B $M3INDIC                      Rtn to Comm Adrsd in Care Plan           
                          5,339                          Missing                                 
                            715        -                 Not assessed/no information             
                            574        0                 Not indicated                           
                             77        1                 Indicated                               
 
