Variable Format    Q#/Freq            Description/Label
 
BASEID   $BSIDFMT                      Unique SP Identification Number          
                            854        LOW-HIGH          BASEID Count                            
 
SURVEYYR SVYRFMT                       Survey Year                              
                            854                    2020  2020                                    
 
VERSION  VERSFMT                       Version Number                           
                            854                       1  Version 1                               
 
CVVACFLG SEL3FMT                       CV19 vaccine available at assessment     
                            854                       0  Not Selected                            
                 First available in 2020
 
SUSINTRO SUSPEND                       In-person services suspended bc CV19     
                            411                       0  No, not suspended                       
                            441                       1  Yes, suspended                          
                              2                       2  Not applicable                          
                 First available in 2020
 
OUTDRSUS SUSPEND                       Suspend bc CV19: primary outside fac     
                            413                       .  Inapplicable/Missing                    
                            273                       0  No, not suspended                       
                            152                       1  Yes, suspended                          
                             16                       2  Not applicable                          
         Notes:  Applies only if SUSINTRO = 1.
                 First available in 2020
 
OUTSDSUS SUSPEND                       Suspend bc CV19: specialty outside fac   
                              2                       D  Don't know                              
                            413                       .  Inapplicable/Missing                    
                            300                       0  No, not suspended                       
                            135                       1  Yes, suspended                          
                              4                       2  Not applicable                          
         Notes:  Applies only if SUSINTRO = 1.
                 First available in 2020
 
INDRSUS  SUSPEND                       Suspend bc CV19: primary inside fac      
                              1                       D  Don't know                              
                            413                       .  Inapplicable/Missing                    
                            340                       0  No, not suspended                       
                             80                       1  Yes, suspended                          
                             20                       2  Not applicable                          
         Notes:  Applies only if SUSINTRO = 1.
                 First available in 2020
 
INSDSUS  SUSPEND                       Suspend bc CV19: specialty inside fac    
                              1                       D  Don't know                              
                            413                       .  Inapplicable/Missing                    
                            284                       0  No, not suspended                       
                            126                       1  Yes, suspended                          
                             30                       2  Not applicable                          
         Notes:  Applies only if SUSINTRO = 1.
                 First available in 2020
 
DENTSUS  SUSPEND                       Suspend bc CV19: dental                  
                              1                       D  Don't know                              
                            413                       .  Inapplicable/Missing                    
                            258                       0  No, not suspended                       
                            172                       1  Yes, suspended                          
                             10                       2  Not applicable                          
         Notes:  Applies only if SUSINTRO = 1.
                 First available in 2020
 
MENTHSUS SUSPEND                       Suspend bc CV19: mental health           
                              3                       D  Don't know                              
                            413                       .  Inapplicable/Missing                    
                            296                       0  No, not suspended                       
                            132                       1  Yes, suspended                          
                             10                       2  Not applicable                          
         Notes:  Applies only if SUSINTRO = 1.
                 First available in 2020
 
PODSUS   SUSPEND                       Suspend bc CV19: podiatrist              
                              2                       D  Don't know                              
                            413                       .  Inapplicable/Missing                    
                            281                       0  No, not suspended                       
                            150                       1  Yes, suspended                          
                              8                       2  Not applicable                          
         Notes:  Applies only if SUSINTRO = 1.
                 First available in 2020
 
EDHABSUS SUSPEND                       Suspend bc CV19: educational services    
                              5                       D  Don't know                              
                            413                       .  Inapplicable/Missing                    
                            230                       0  No, not suspended                       
                            147                       1  Yes, suspended                          
                             59                       2  Not applicable                          
         Notes:  Applies only if SUSINTRO = 1.
                 First available in 2020
 
OTHSUS   SUSPEND                       Suspend bc CV19: other                   
                              3                       D  Don't know                              
                            413                       .  Inapplicable/Missing                    
                            261                       0  No, not suspended                       
                            140                       1  Yes, suspended                          
                             37                       2  Not applicable                          
         Notes:  Applies only if SUSINTRO = 1.
                 First available in 2020
 
TELINTRO MDSYNFMT                      Facility offer telemed before CV19       
                             34                       D  Don't know                              
                            557                       0  No                                      
                            263                       1  Yes                                     
                 First available in 2020
 
TELOUTDR MDSYNNA                       Outside Dr offer telemed before CV19     
                              5                       D  Don't know                              
                            591                       .  Inapplicable/Missing                    
                             52                       0  No                                      
                            205                       1  Yes                                     
                              1                       2  Not applicable                          
                 First available in 2020
 
TELINDR  MDSYNNA                       Inside Dr offer telemed before CV19      
                              6                       D  Don't know                              
                            591                       .  Inapplicable/Missing                    
                             82                       0  No                                      
                            162                       1  Yes                                     
                             13                       2  Not applicable                          
                 First available in 2020
 
TELDENT  MDSYNNA                       Offer telemed before CV19: dental        
                              2                       D  Don't know                              
                            591                       .  Inapplicable/Missing                    
                            229                       0  No                                      
                             26                       1  Yes                                     
                              6                       2  Not applicable                          
                 First available in 2020
 
TELMH    MDSYNNA                       Offer telemed before CV19: mental health 
                              5                       D  Don't know                              
                            591                       .  Inapplicable/Missing                    
                             96                       0  No                                      
                            159                       1  Yes                                     
                              3                       2  Not applicable                          
                 First available in 2020
 
TELPOD   MDSYNNA                       Offer telemed before CV19: podiatrist    
                              2                       D  Don't know                              
                            591                       .  Inapplicable/Missing                    
                            233                       0  No                                      
                             25                       1  Yes                                     
                              3                       2  Not applicable                          
                 First available in 2020
 
TELEDHAB MDSYNNA                       Offer telemed before CV19: education     
                              3                       D  Don't know                              
                            591                       .  Inapplicable/Missing                    
                            182                       0  No                                      
                             51                       1  Yes                                     
                             27                       2  Not applicable                          
                 First available in 2020
 
TELOTH   MDSYNNA                       Offer telemed before CV19: other         
                              1                       D  Don't know                              
                            591                       .  Inapplicable/Missing                    
                            191                       0  No                                      
                             60                       1  Yes                                     
                             11                       2  Not applicable                          
                 First available in 2020
 
TELCOVID MDSYNNA                       Facility offer telemed now bc CV19       
                              8                       D  Don't know                              
                            148                       0  No                                      
                            698                       1  Yes                                     
                 First available in 2020
 
TLOUTDRC MDSYNNA                       Outside Dr offer telemed now bc CV19     
                             10                       D  Don't know                              
                            156                       .  Inapplicable/Missing                    
                             33                       0  No                                      
                            648                       1  Yes                                     
                              7                       2  Not applicable                          
         Notes:  Applies only if TELCOVID = 1.
                 First available in 2020
 
TELINDRC MDSYNNA                       Inside Dr offer telemed now bc CV19      
                              6                       D  Don't know                              
                            156                       .  Inapplicable/Missing                    
                            149                       0  No                                      
                            511                       1  Yes                                     
                             32                       2  Not applicable                          
         Notes:  Applies only if TELCOVID = 1.
                 First available in 2020
 
TELDENTC MDSYNNA                       Offer telemed now bc CV19: dental        
                              8                       D  Don't know                              
                            156                       .  Inapplicable/Missing                    
                            583                       0  No                                      
                             93                       1  Yes                                     
                             14                       2  Not applicable                          
         Notes:  Applies only if TELCOVID = 1.
                 First available in 2020
 
TELMHC   MDSYNNA                       Offer telemed now bc CV19: mental health 
                              8                       D  Don't know                              
                            156                       .  Inapplicable/Missing                    
                            179                       0  No                                      
                            500                       1  Yes                                     
                             11                       2  Not applicable                          
         Notes:  Applies only if TELCOVID = 1.
                 First available in 2020
 
TELPODC  MDSYNNA                       Offer telemed now bc CV19: podiatrist    
                              5                       D  Don't know                              
                            156                       .  Inapplicable/Missing                    
                            586                       0  No                                      
                             91                       1  Yes                                     
                             16                       2  Not applicable                          
         Notes:  Applies only if TELCOVID = 1.
                 First available in 2020
 
TELEDHBC MDSYNNA                       Offer telemed now bc CV19: education     
                              9                       D  Don't know                              
                            156                       .  Inapplicable/Missing                    
                            406                       0  No                                      
                            171                       1  Yes                                     
                            112                       2  Not applicable                          
         Notes:  Applies only if TELCOVID = 1.
                 First available in 2020
 
TELOTHC  MDSYNNA                       Offer telemed now bc CV19: other         
                              7                       D  Don't know                              
                            156                       .  Inapplicable/Missing                    
                            367                       0  No                                      
                            285                       1  Yes                                     
                             39                       2  Not applicable                          
         Notes:  Applies only if TELCOVID = 1.
                 First available in 2020
 
TELEMDS  MDSYNNA                       MDS conducted via video or voice calls   
                             18                       D  Don't know                              
                            435                       0  No                                      
                            168                       1  Yes                                     
                            233                       2  Not applicable                          
                 First available in 2020
 
PREVVIS  MDSYNFMT                      Facility allow visitations               
                              1                       D  Don't know                              
                            416                       0  No                                      
                            437                       1  Yes                                     
                 First available in 2020
 
VISMASK  MDSYNFMT                      Visitors must wear mask                  
                            417                       .  Inapplicable/Missing                    
                              3                       0  No                                      
                            434                       1  Yes                                     
         Notes:  Applies only if PREVVIS = 1.
                 First available in 2020
 
VISRROOM MDSYNFMT                      Visitors must only visit residents room  
                              3                       D  Don't know                              
                            417                       .  Inapplicable/Missing                    
                            142                       0  No                                      
                            292                       1  Yes                                     
         Notes:  Applies only if PREVVIS = 1.
                 First available in 2020
 
VISWSHH  MDSYNFMT                      Visitors must freq wash hands            
                              2                       D  Don't know                              
                            417                       .  Inapplicable/Missing                    
                             24                       0  No                                      
                            411                       1  Yes                                     
                 First available in 2020
 
PREVVIS2 MDSYNFMT                      Facility offer alt in-person visits      
                              2                       D  Don't know                              
                             20                       0  No                                      
                            832                       1  Yes                                     
                 First available in 2020
 
HCPHH    MDSYNFMT                      Facility monitors employee hand hygiene  
                              3                       0  No                                      
                            851                       1  Yes                                     
                 First available in 2020
 
HCPPPE   MDSYNFMT                      Facility monitors employee use of PPE    
                            854                       1  Yes                                     
                 First available in 2020
 
HCPCDES  MDSYNFMT                      Facility monitors employees cleaning     
                            854                       1  Yes                                     
                 First available in 2020
 
HCPFLUVC FVAXREQ                       Facility policy for HCPs: flu shot       
                              4                       D  Don't know                              
                              1                       R  Refused                                 
                            224                       1  Vaccine required                        
                            587                       2  Vaccine recommended                     
                             38                       3  Neither                                 
                 First available in 2020
 
HCPCOVVC CVAXREQ                       Facility policy for HCPs: CV19 vaccine   
                            525                       D  Don't know                              
                              4                       R  Refused                                 
                             30                       1  Vaccine is/will be required             
                            196                       2  Vaccine is/will be recommended          
                             99                       3  Neither                                 
                 First available in 2020
 
EDSYMTRM MDSYNFMT                      Educate residents: symptoms/trasmission  
                              2                       D  Don't know                              
                             15                       0  No                                      
                            837                       1  Yes                                     
                 First available in 2020
 
EDACTRES MDSYNFMT                      Educate residents: how to protect        
                              2                       D  Don't know                              
                              8                       0  No                                      
                            844                       1  Yes                                     
                 First available in 2020
 
EDACTFAC MDSYNFMT                      Educate residents: actions by facility   
                              2                       D  Don't know                              
                              7                       0  No                                      
                            845                       1  Yes                                     
                 First available in 2020
 
RESFLUVC FVAXREQ                       Facility policy residents: flu shot      
                             11                       D  Don't know                              
                             69                       1  Vaccine required                        
                            751                       2  Vaccine recommended                     
                             23                       3  Neither                                 
                 First available in 2020
 
RESCOVVC CVAXREQ                       Facility policy residents: CV19 vaccine  
                            505                       D  Don't know                              
                              4                       R  Refused                                 
                             25                       1  Vaccine is/will be required             
                            222                       2  Vaccine is/will be recommended          
                             98                       3  Neither                                 
                 First available in 2020
 
FACLABCS MDSYNFMT                      Lab confirmed CV19 case in facility      
                              7                       D  Don't know                              
                              1                       R  Refused                                 
                            493                       0  No                                      
                            353                       1  Yes                                     
                 First available in 2020
 
ALTPROV1 MDSYNFMT                      Additional HCPs recruited bc CV19        
                             11                       D  Don't know                              
                              2                       R  Refused                                 
                            645                       0  No                                      
                            196                       1  Yes                                     
                 First available in 2020
 
ALTEMGN  SEL3FMT                       Additional HCPs: emergency               
                              2                       D  Don't know                              
                            658                       .  Inapplicable/Missing                    
                            194                       0  Not Selected                            
         Notes:  Appies only if ALTPROV1 = 1.
                 First available in 2020
 
ALTNURS  SEL3FMT                       Additional HCPs: nurses                  
                              2                       D  Don't know                              
                            658                       .  Inapplicable/Missing                    
                             86                       0  Not Selected                            
                            108                       1  Selected                                
         Notes:  Appies only if ALTPROV1 = 1.
                 First available in 2020
 
ALTNUSA  SEL3FMT                       Additional HCPs: nursing assistants      
                              2                       D  Don't know                              
                            658                       .  Inapplicable/Missing                    
                             90                       0  Not Selected                            
                            104                       1  Selected                                
         Notes:  Appies only if ALTPROV1 = 1.
                 First available in 2020
 
ALTNURP  SEL3FMT                       Additional HCPs: nurse practitioners     
                              2                       D  Don't know                              
                            658                       .  Inapplicable/Missing                    
                            187                       0  Not Selected                            
                              7                       1  Selected                                
         Notes:  Appies only if ALTPROV1 = 1.
                 First available in 2020
 
ALTPHAR  SEL3FMT                       Additional HCPs: pharmacists             
                              2                       D  Don't know                              
                            658                       .  Inapplicable/Missing                    
                            194                       0  Not Selected                            
         Notes:  Appies only if ALTPROV1 = 1.
                 First available in 2020
 
ALTPHLE  SEL3FMT                       Additional HCPs: phlebotomists           
                              2                       D  Don't know                              
                            658                       .  Inapplicable/Missing                    
                            194                       0  Not Selected                            
         Notes:  Appies only if ALTPROV1 = 1.
                 First available in 2020
 
ALTPHYS  SEL3FMT                       Additional HCPs: physicians              
                              2                       D  Don't know                              
                            658                       .  Inapplicable/Missing                    
                            192                       0  Not Selected                            
                              2                       1  Selected                                
         Notes:  Appies only if ALTPROV1 = 1.
                 First available in 2020
 
ALTTECH  SEL3FMT                       Additional HCPs: technicians             
                              2                       D  Don't know                              
                            658                       .  Inapplicable/Missing                    
                            188                       0  Not Selected                            
                              6                       1  Selected                                
         Notes:  Appies only if ALTPROV1 = 1.
                 First available in 2020
 
ALTTHER  SEL3FMT                       Additional HCPs: therapists              
                              2                       D  Don't know                              
                            658                       .  Inapplicable/Missing                    
                            188                       0  Not Selected                            
                              6                       1  Selected                                
         Notes:  Appies only if ALTPROV1 = 1.
                 First available in 2020
 
ALTNATG  SEL3FMT                       Additional HCPs: National Guard          
                              2                       D  Don't know                              
                            658                       .  Inapplicable/Missing                    
                            193                       0  Not Selected                            
                              1                       1  Selected                                
         Notes:  Appies only if ALTPROV1 = 1.
                 First available in 2020
 
ALTOTHR  SEL3FMT                       Additional HCPs: other                   
                              2                       D  Don't know                              
                            658                       .  Inapplicable/Missing                    
                            107                       0  Not Selected                            
                             87                       1  Selected                                
         Notes:  Appies only if ALTPROV1 = 1.
                 First available in 2020
 
FACMHITS MDSYNFMT                      Facility offer: individual therapy       
                              9                       D  Don't know                              
                            271                       0  No                                      
                            574                       1  Yes                                     
                 First available in 2020
 
FACMHGTS MDSYNFMT                      Facility offer: group therapy            
                             24                       D  Don't know                              
                              1                       R  Refused                                 
                            676                       0  No                                      
                            153                       1  Yes                                     
                 First available in 2020
 
FACMHSG  MDSYNFMT                      Facility offer: support groups           
                             24                       D  Don't know                              
                            600                       0  No                                      
                            230                       1  Yes                                     
                 First available in 2020
 
FACMHAT  MDSYNFMT                      Facility offer: art therapy              
                             27                       D  Don't know                              
                            479                       0  No                                      
                            348                       1  Yes                                     
                 First available in 2020
 
FACMHOTH MDSYNFMT                      Facility offer: other                    
                             16                       D  Don't know                              
                            682                       0  No                                      
                            156                       1  Yes                                     
                 First available in 2020
 
SUSPCOV  MDSYNFMT                      Support services suspended bc CV19       
                              4                       D  Don't know                              
                            182                       .  Inapplicable/Missing                    
                            382                       0  No                                      
                            286                       1  Yes                                     
                 First available in 2020
 
MTELESER MDSYNFMT                      Support services shift online bc CV19    
                              9                       D  Don't know                              
                            182                       .  Inapplicable/Missing                    
                            361                       0  No                                      
                            302                       1  Yes                                     
                 First available in 2020
 
ACTINFAC MDSYNFMT                      Usual social activities in facility      
                             10                       0  No                                      
                            844                       1  Yes                                     
                 First available in 2020
 
ACTOUTFC MDSYNFMT                      Usual social activities outside facility 
                              6                       D  Don't know                              
                            163                       0  No                                      
                            685                       1  Yes                                     
                 First available in 2020
 
ACTSUSP  MDSYNFMT                      Social activities suspended bc CV19      
                              3                       D  Don't know                              
                              9                       .  Inapplicable/Missing                    
                            109                       0  No                                      
                            733                       1  Yes                                     
                 First available in 2020
 
ACTTELE  MDSYNFMT                      Social activities shift online bc CV19   
                              8                       D  Don't know                              
                              9                       .  Inapplicable/Missing                    
                            565                       0  No                                      
                            272                       1  Yes                                     
                 First available in 2020
 
