Variable Format    Q#/Freq            Description/Label
 
BASEID   $BSIDFMT                      Unique SP Identification Number          
                          1,305        LOW-HIGH          BASEID Count                            
 
SURVEYYR SVYRFMT                       Survey year                              
                          1,305                    2021  2021                                    
 
VERSION  VERSFMT                       Version Number                           
                          1,305                       1  Version 1                               
 
D_SOURCE SOURCE                        Data source                              
                            573                       1  Survey data only                        
                            209                       2  CMS administrative data only            
                            523                       3  Both survey and administrative data     
         Notes:  Formerly SOURCE.
 
PLACTYPE PLAC7FMT  FA1                 Facility description                     
                            797                       4  Nursing home                            
                              8                       7  Hospital-based SNF unit                 
                            290                       8  Assisted living                         
                             21                       9  Board & care home                       
                              1                      10  Domiciliary care facility               
                             34                      11  Personal care facility                  
                              9                      12  Rest home/retirement home               
                              3                      15  Mental health center psychiatric setting
                             29                      16  Mentally ret/developmentally disabled   
                              9                      17  Rehabilitation facility                 
                             32                      18  Adult/group home                        
                             72                      91  Other                                   
 
ELIGSTAT YES1FMT                       Does facility provide long term care?    
                            209                       .  Inapplicable/Missing                    
                          1,096                       1  Yes                                     
         Notes:  Applies only if D_SOURCE = 1,3.
 
COMPLEXF YES1FMT   FA3                 Facility part of larger facility/campus  
                            209                       .  Inapplicable/Missing                    
                            173                       1  Yes                                     
                            923                       2  No                                      
         Notes:  Applies only if D_SOURCE = 1,3.
 
LARGTYPE LARGFMT   FA4                 Type of place facility is part of        
                          1,137                       .  Inapplicable/Missing                    
                            106                       3  Continuing Care Retirement Comm.        
                             12                       5  Retirement Community                    
                              9                       6  Hospital                                
                              1                       8  Assisted Living Facility                
                              2                       9  Board and Care Home                     
                              4                      12  Rest Home/Retirement Home               
                             34                      91  Other                                   
         Notes:  Applies only if COMPLEXF = 1
 
FACOWNED OWNDES    FA5A                Description of Ownership of facility     
                              1                       N  Not ascertained                         
                            871                       1  Proprietary                             
                            371                       2  Private non-profit                      
                             20                       3  City/county government                  
                             22                       4  State government                        
                             13                       5  Veterans Administration                 
                              2                       6  Other federal agency                    
                              5                      91  Other, specify                          
 
FACLTBED BEDSFMT   FB18                Number of long term beds only            
                            218                       .  Inapplicable                            
                          1,087        Range of values   Number of beds                          
         Notes:  Applies only if D_SOURCE = 1,3.
 
CANDCBED BEDSFMT   FA26,FB20           # of beds certified for Mcare & Mcaid    
                            546                       0  No beds of this type                    
                            759        Range of values   Number of beds                          
 
CAIDBEDS BEDSFMT   FA27,FB21           Number of Medicaid-only certified beds   
                              2                       D  Don't know                              
                              1                       .  Inapplicable                            
                          1,283                       0  No beds of this type                    
                             19        Range of values   Number of beds                          
 
CAREBEDS BEDSFMT   FA28,FB22           Number of Medicare-only certified beds   
                              3                       D  Don't know                              
                          1,192                       0  No beds of this type                    
                            110        Range of values   Number of beds                          
 
FMRBEDS  BEDSFMT   FA30,FB24           Number of ICF/MR certified beds          
                              2                       D  Don't know                              
                            209                       .  Inapplicable                            
                          1,070                       0  No beds of this type                    
                             24        Range of values   Number of beds                          
         Notes:  Applies only if D_SOURCE = 1,3.
 
HDLICBED BEDSFMT   FA29,FB23           Beds not certified, but licensed for NH  
                              4                       D  Don't know                              
                            209                       .  Inapplicable                            
                          1,087                       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      
                             10                       D  Don't know                              
                            209                       .  Inapplicable                            
                            678                       0  No beds of this type                    
                            408        Range of values   Number of beds                          
         Notes:  Applies only if D_SOURCE = 1,3.
 
OTHERBED BEDSFMT                       # of beds where certification is unknown 
                            209                       .  Inapplicable                            
                          1,017                       0  No beds of this type                    
                             79        Range of values   Number of beds                          
         Notes:  Applies only if D_SOURCE = 1,3.
 
NORMCARE YES1FMT   FA19,FB15           Facility provide nursing/medical care?   
                            218                       .  Inapplicable/Missing                    
                            970                       1  Yes                                     
                            117                       2  No                                      
         Notes:  Applies only if D_SOURCE = 1,3.
 
SUPRMEDI YES1FMT   FA19,FB15           Facil supervises self-administered meds? 
                            218                       .  Inapplicable/Missing                    
                          1,074                       1  Yes                                     
                             13                       2  No                                      
         Notes:  Applies only if D_SOURCE = 1,3.
 
BATHHELP YES1FMT   FA19                Does facility provide help w/bathing?    
                            218                       .  Inapplicable/Missing                    
                          1,071                       1  Yes                                     
                             16                       2  No                                      
         Notes:  Applies only if D_SOURCE = 1,3.
 
DRESHELP YES1FMT   FA19                Does facility provide help w/dressing?   
                            218                       .  Inapplicable/Missing                    
                          1,070                       1  Yes                                     
                             17                       2  No                                      
         Notes:  Applies only if D_SOURCE = 1,3.
 
EATHELP  YES1FMT   FA19                Does facility provide help w/eating?     
                            218                       .  Inapplicable/Missing                    
                          1,038                       1  Yes                                     
                             49                       2  No                                      
         Notes:  Applies only if D_SOURCE = 1,3.
 
D_24CARE YES1FMT                       Does facil provide 24-hour on-site care? 
                            209                       .  Inapplicable/Missing                    
                            840                       1  Yes                                     
                            256                       2  No                                      
         Notes:  Applies only if D_SOURCE = 1,3.
 
MIDNTRES RESFMT    FA35,FB27           Midnight census count last night         
                             10                       D  Don't know                              
                            209                       .  Inapplicable/Missing                    
                          1,086        Range of values   Number of residents                     
         Notes:  Applies only if D_SOURCE = 1,3.
 
D_HIGHRT COST2FMT  FR3,FR5             High monthly facility rate               
                            241                       D  Don't know                              
                            209                       .  Inapplicable/Missing                    
                              5                       N  Not ascertained                         
                              3                       R  Refused                                 
                            847        Range of values   Amount in dollars                       
         Notes:  Applies only if D_SOURCE = 1,3.
 
D_LOWRT  COST2FMT  FR4,FR5             Low monthly facility rate                
                            222                       D  Don't know                              
                            209                       .  Inapplicable/Missing                    
                              9                       N  Not ascertained                         
                              3                       R  Refused                                 
                            862        Range of values   Amount in dollars                       
         Notes:  Applies only if D_SOURCE = 1,3.
 
RECADMN  MMDDYYn8  RH2                 Most recent admission date               
                          1,305        MMDDYYYY          Date as MMDDYYYY                        
 
ORIGADMN MMDDYYn8  RH2A                First MCBS admission date                
                            209                       .  Inapplicable                            
                          1,096        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               
                             81                       D  Don't know                              
                            211                       .  Missing                                 
                              2                       R  Refused                                 
                            148                       1  Nursing home/rehab center               
                             58                       2  Pers care home/resident care fac        
                             35                       3  CCRC/retirement home                    
                            292                       4  Hospital                                
                            392                       5  Private home or apartment               
                             63                       7  Other LTC facility                      
                             23                      91  Other                                   
         Notes:  Applies only if D_SOURCE = 1,3.
 
D_LIVWTH LIVWFMT   RH30                With whom was SP living prior to admit   
                             50                       D  Don't know                              
                            890                       .  Inapplicable/Missing                    
                            180                       1  With relatives                          
                             17                       2  With non relatives                      
                              3                       3  Both relatives and non relatives        
                            165                       4  Alone                                   
         Notes:  Applies only if BEFORADM = 5,91
 
PROV     $FIDFMT                       Medicare provider number                 
                            573                          Missing                                 
                            732        Provider ID       Provider Number                         
 
