Variable Format    Q#/Freq            Description/Label
 
BASEID   $BSIDFMT                      Unique SP Identification Number          
                          1,406        LOW-HIGH          BASEID Count                            
 
SURVEYYR SVYRFMT                       Survey year                              
                          1,406                    2020  2020                                    
 
VERSION  VERSFMT                       Version Number                           
                          1,406                       1  Version 1                               
 
D_SOURCE SOURCE                        Data source                              
                            640                       1  Survey data only                        
                            258                       2  CMS administrative data only            
                            508                       3  Both survey and administrative data     
         Notes:  Formerly SOURCE.
 
PLACTYPE PLAC7FMT  FA1                 Facility description                     
                            869                       4  Nursing home                            
                             10                       7  Hospital-based SNF unit                 
                            313                       8  Assisted living                         
                             18                       9  Board & care home                       
                              4                      10  Domiciliary care facility               
                             37                      11  Personal care facility                  
                             11                      12  Rest home/retirement home               
                              1                      15  Mental health center psychiatric setting
                             31                      16  Mentally ret/developmentally disabled   
                             14                      17  Rehabilitation facility                 
                             35                      18  Adult/group home                        
                             63                      91  Other                                   
 
ELIGSTAT YES1FMT                       Does facility provide long term care?    
                            258                       .  Inapplicable/Missing                    
                          1,148                       1  Yes                                     
         Notes:  Applies only if D_SOURCE = 1,3.
 
COMPLEXF YES1FMT   FA3                 Facility part of larger facility/campus  
                            258                       .  Inapplicable/Missing                    
                            178                       1  Yes                                     
                            970                       2  No                                      
         Notes:  Applies only if D_SOURCE = 1,3.
 
LARGTYPE LARGFMT   FA4                 Type of place facility is part of        
                          1,235                       .  Inapplicable/Missing                    
                             99                       3  Continuing Care Retirement Comm.        
                              8                       5  Retirement Community                    
                              9                       6  Hospital                                
                              3                       8  Assisted Living Facility                
                              2                       9  Board and Care Home                     
                              1                      11  Personal Care Home                      
                              4                      12  Rest Home/Retirement Home               
                             45                      91  Other                                   
         Notes:  Applies only if COMPLEXF = 1
 
FACOWNED OWNDES    FA5A                Description of Ownership of facility     
                              1                       .  Inapplicable/Missing                    
                            954                       1  Proprietary                             
                            381                       2  Private non-profit                      
                             30                       3  City/county government                  
                             23                       4  State government                        
                              8                       5  Veterans Administration                 
                              1                       6  Other federal agency                    
                              8                      91  Other, specify                          
 
D_TOTBED BEDSFMT                       Total number of beds in facility         
                              4                       0  No beds of this type                    
                          1,402        Range of values   Number of beds                          
 
FACLTBED BEDSFMT   FB18                Number of long term beds only            
                              1                       D  Don't know                              
                            258                       .  Inapplicable                            
                              1                       0  No beds of this type                    
                          1,146        Range of values   Number of beds                          
         Notes:  Applies only if D_SOURCE = 1,3.
 
CANDCBED BEDSFMT   FA26,FB20           # of beds certified for Mcare & Mcaid    
                            565                       0  No beds of this type                    
                            841        Range of values   Number of beds                          
 
CAIDBEDS BEDSFMT   FA27,FB21           Number of Medicaid-only certified beds   
                              1                       D  Don't know                              
                              1                       .  Inapplicable                            
                          1,373                       0  No beds of this type                    
                             31        Range of values   Number of beds                          
 
CAREBEDS BEDSFMT   FA28,FB22           Number of Medicare-only certified beds   
                              2                       D  Don't know                              
                          1,277                       0  No beds of this type                    
                            127        Range of values   Number of beds                          
 
FMRBEDS  BEDSFMT   FA30,FB24           Number of ICF/MR certified beds          
                              9                       D  Don't know                              
                            258                       .  Inapplicable                            
                          1,120                       0  No beds of this type                    
                             19        Range of values   Number of beds                          
         Notes:  Applies only if D_SOURCE = 1,3.
 
D_UNCBED BEDSFMT                       Number of uncertified beds               
                            972                       0  No beds of this type                    
                            434        Range of values   Number of beds                          
 
HDLICBED BEDSFMT   FA29,FB23           Beds not certified, but licensed for NH  
                              2                       D  Don't know                              
                            258                       .  Inapplicable                            
                          1,141                       0  No beds of this type                    
                              5        Range of values   Number of beds                          
         Notes:  Applies only if D_SOURCE = 1,3.
 
PCHBED   BEDSFMT   FA31,FB25           Number of other long term care beds      
                             18                       D  Don't know                              
                            258                       .  Inapplicable                            
                            712                       0  No beds of this type                    
                            418        Range of values   Number of beds                          
         Notes:  Applies only if D_SOURCE = 1,3.
 
OTHERBED BEDSFMT                       # of beds where certification is unknown 
                              1                       D  Don't know                              
                            258                       .  Inapplicable                            
                          1,046                       0  No beds of this type                    
                            101        Range of values   Number of beds                          
         Notes:  Applies only if D_SOURCE = 1,3.
 
NORMCARE YES1FMT   FA19,FB15           Facility provide nursing/medical care?   
                            259                       .  Inapplicable/Missing                    
                            996                       1  Yes                                     
                            151                       2  No                                      
         Notes:  Applies only if D_SOURCE = 1,3.
 
SUPRMEDI YES1FMT   FA19,FB15           Facil supervises self-administered meds? 
                            259                       .  Inapplicable/Missing                    
                          1,136                       1  Yes                                     
                             11                       2  No                                      
         Notes:  Applies only if D_SOURCE = 1,3.
 
BATHHELP YES1FMT   FA19                Does facility provide help w/bathing?    
                            259                       .  Inapplicable/Missing                    
                          1,132                       1  Yes                                     
                             15                       2  No                                      
         Notes:  Applies only if D_SOURCE = 1,3.
 
DRESHELP YES1FMT   FA19                Does facility provide help w/dressing?   
                            259                       .  Inapplicable/Missing                    
                          1,127                       1  Yes                                     
                             20                       2  No                                      
         Notes:  Applies only if D_SOURCE = 1,3.
 
EATHELP  YES1FMT   FA19                Does facility provide help w/eating?     
                            259                       .  Inapplicable/Missing                    
                          1,099                       1  Yes                                     
                             48                       2  No                                      
         Notes:  Applies only if D_SOURCE = 1,3.
 
D_24CARE YES1FMT                       Does facil provide 24-hour on-site care? 
                            258                       .  Inapplicable/Missing                    
                            882                       1  Yes                                     
                            266                       2  No                                      
         Notes:  Applies only if D_SOURCE = 1,3.
 
MIDNTRES RESFMT    FA35,FB27           Midnight census count last night         
                             19                       D  Don't know                              
                            258                       .  Inapplicable/Missing                    
                              1                       R  Refused                                 
                          1,128        Range of values   Number of residents                     
         Notes:  Applies only if D_SOURCE = 1,3.
 
D_HIGHRT COST2FMT  FR3,FR5             High monthly facility rate               
                            168                       D  Don't know                              
                            258                       .  Inapplicable/Missing                    
                             69                       N  Not ascertained                         
                              1                       R  Refused                                 
                            910        Range of values   Amount in dollars                       
         Notes:  Applies only if D_SOURCE = 1,3.
 
D_LOWRT  COST2FMT  FR4,FR5             Low monthly facility rate                
                            173                       D  Don't know                              
                            258                       .  Inapplicable/Missing                    
                             70                       N  Not ascertained                         
                              1                       R  Refused                                 
                            904        Range of values   Amount in dollars                       
         Notes:  Applies only if D_SOURCE = 1,3.
 
RECADMN  MMDDYYn8  RH2                 Most recent admission date               
                          1,406        MMDDYYYY          Date as MMDDYYYY                        
 
ORIGADMN MMDDYYn8  RH2A                First MCBS admission date                
                            258                       .  Inapplicable                            
                          1,148        MMDDYYYY          Date as MMDDYYYY                        
         Notes:  Constant value; same as ADMIN until SP is readmitted to a facility
                 Applies only if D_SOURCE = 1,3.
 
BEFORADM BEFORFMT  BQRH22A             Place SP was admitted from               
                             89                       D  Don't know                              
                            261                       .  Missing                                 
                              1                       R  Refused                                 
                            144                       1  Nursing home/rehab center               
                             64                       2  Pers care home/resident care fac        
                             29                       3  CCRC/retirement home                    
                            315                       4  Hospital                                
                            415                       5  Private home or apartment               
                             62                       7  Other LTC facility                      
                             26                      91  Other                                   
         Notes:  Applies only if D_SOURCE = 1,3.
 
D_LIVWTH LIVWFMT   RH30                With whom was SP living prior to admit   
                             57                       D  Don't know                              
                            965                       .  Inapplicable/Missing                    
                            193                       1  With relatives                          
                             21                       2  With non relatives                      
                              2                       3  Both relatives and non relatives        
                            168                       4  Alone                                   
         Notes:  Applies only if BEFORADM = 5,91
 
PROV     $FIDFMT                       Medicare provider number                 
                            640                          Missing                                 
                            766        Provider ID       Provider Number                         
 
