Variable Format    Q#/Freq            Description/Label
 
BASEID   $BSIDFMT                      Unique SP Identification Number          
                          4,876        LOW-HIGH          BASEID Count                            
 
SURVEYYR SVYRFMT                       Survey Year                              
                          4,876                    2021  2021                                    
 
VERSION  VERSFMT                       Version Number                           
                          4,876                       1  Version 1                               
 
TRGT_DT  MMDDYYn8                      Target Date                              
                          4,876        MMDDYYYY          Date as MMDDYYYY                        
         Notes:  MDS linkage variable added in 2019
                 First available in 2019
 
SUB_DT   MMDDYYn8                      Submission Date                          
                          4,876        MMDDYYYY          Date as MMDDYYYY                        
 
SPEC_VCD                               Data Submission Spec Vers                
                          4,876        Range of values   Range of values                         
 
ITM_SVC                                Item Set Vers                            
                          4,876        Range of values   Range of values                         
 
PRCSD_TS MMDDYYn8                      Processed Timestamp                      
                          4,876        MMDDYYYY          Date as MMDDYYYY                        
 
Age                                    Res Age                                  
                          4,876        Range of values   Range of values                         
 
RSDT_MCI                               Res Match Criteria ID                    
                          4,876        Range of values   Range of values                         
 
CURCD                                  CBSA Urban/Rural                         
                          4,876        Range of values   Range of values                         
 
A0050    $M3RCTYP                      Type of Record                           
                          4,674        1                 Add a new record                        
                            202        2                 Modify existing record                  
 
A0200    $M3PROV                       Type of Provider                         
                          4,876        1                 Nursing home (SNF/NF)                   
 
A0310A   $M3OBRA                       Federal OBRA Rsn for Asmt                
                            502        01                Admission                               
                          1,617        02                Quarterly                               
                            390        03                Annual                                  
                            153        04                Significant change in status            
                          2,214        99                Not OBRA required                       
 
A0310B   $MCASS                        PPS Asmt                                 
                            483        01                Sched. 5-day assessment                 
                             22        08                Not PPS assessment                      
                          4,371        99                None of the above                       
 
A0310E   $M3YESNO                      First Asmt Since Most Rec Admsn          
                          4,111        0                 No                                      
                            765        1                 Yes                                     
 
A0310F   $M3REPO                       Entry/Dis                                
                            904        01                Entry                                   
                            445        10                Discharge, return not anticipated       
                            343        11                Discharge, return anticipated           
                            133        12                Death in facility                       
                          3,051        99                None of the above                       
 
A0310G   $M3DIS                        Planned Dis                              
                          4,088                          Missing                                 
                            394        1                 Planned                                 
                            394        2                 Unplanned                               
 
A0410    $M3SUBRQ                      Submission Req                           
                              9        2                 State but not federal required          
                          4,867        3                 Federal required                        
 
A0800    $M3GEND                       Sex                                   
                          1,683        1                 Male                                    
                          3,193        2                 Female                                  
 
A0900    MMDDYYn8                      Birth Date                               
                          4,876        MMDDYYYY          Date as MMDDYYYY                        
 
A1000A   $M3INDIC                      R/E: American Indian or Alaskan Native   
                              2        -                 Not assessed/no information             
                          4,867        0                 Not indicated                           
                              7        1                 Indicated                               
 
A1000B   $M3INDIC                      R/E: Asian                               
                              2        -                 Not assessed/no information             
                          4,777        0                 Not indicated                           
                             97        1                 Indicated                               
 
A1000C   $M3INDIC                      R/E: African American                    
                              2        -                 Not assessed/no information             
                          4,371        0                 Not indicated                           
                            503        1                 Indicated                               
 
A1000D   $M3INDIC                      R/E: Hispanic                            
                              2        -                 Not assessed/no information             
                          4,525        0                 Not indicated                           
                            349        1                 Indicated                               
 
A1000E   $M3INDIC                      R/E: Native Hawaiian/Pacific Islander    
                              2        -                 Not assessed/no information             
                          4,871        0                 Not indicated                           
                              3        1                 Indicated                               
 
A1000F   $M3INDIC                      R/E: White                               
                              2        -                 Not assessed/no information             
                          1,129        0                 Not indicated                           
                          3,745        1                 Indicated                               
 
A1100A   $M3YNDET                      Res Need Interpreter                     
                          1,037                          Missing                                 
                              2        -                 Not assessed/no information             
                          3,696        0                 No                                      
                            124        1                 Yes                                     
                             17        9                 Unable to determine                     
 
A1200    $M3MARTL                      Marital Stat                             
                            201        -                 Not assessed/no information             
                            767        1                 Never married                           
                          1,079        2                 Married                                 
                          2,052        3                 Widowed                                 
                             17        4                 Separated                               
                            760        5                 Divorced                                
 
A1300A                                 Medical Record Num                       
                             93                          Missing                                 
                          4,783        Range of values   Range of values                         
 
A1300D                                 Lifetime Occupation(s) Text              
                          2,507                          Missing                                 
                          2,369        Range of values   Range of values                         
 
A1500    $M3SMI                        (PASRR)                                  
                          3,831                          Missing                                 
                            969        0                 No                                      
                             55        1                 Yes                                     
                             21        9                 Not a Medicaid-certified unit           
 
A1510A   $M3INDIC                      Serious Mntl Illness                     
                          4,821                          Missing                                 
                             13        0                 Not indicated                           
                             42        1                 Indicated                               
 
A1510B   $M3INDIC                      Intellectual Disability                  
                          4,821                          Missing                                 
                             48        0                 Not indicated                           
                              7        1                 Indicated                               
 
A1510C   $M3INDIC                      Oth Related Conds                        
                          4,821                          Missing                                 
                             48        0                 Not indicated                           
                              7        1                 Indicated                               
 
A1550A   $M3INDIC                      ID/DD Stat: Down Syndrome                
                          4,374                          Missing                                 
                            502        0                 Not indicated                           
 
A1550B   $M3INDIC                      ID/DD Stat: Autism                       
                          4,374                          Missing                                 
                            501        0                 Not indicated                           
                              1        1                 Indicated                               
 
A1550C   $M3INDIC                      ID/DD Stat: Epilepsy                     
                          4,374                          Missing                                 
                            500        0                 Not indicated                           
                              2        1                 Indicated                               
 
A1550D   $M3INDIC                      ID/DD Stat: Oth Org ID/DD Cond           
                          4,374                          Missing                                 
                            501        0                 Not indicated                           
                              1        1                 Indicated                               
 
A1550E   $M3INDIC                      ID/DD Stat: ID/DD W No Org Cond          
                          4,374                          Missing                                 
                            500        0                 Not indicated                           
                              2        1                 Indicated                               
 
A1550Z   $M3INDIC                      ID/DD Stat: None of the Above            
                          4,374                          Missing                                 
                              5        0                 Not indicated                           
                            497        1                 Indicated                               
 
A1600    MMDDYYn8                      Entry Date                               
                             22                       .  Inapplicable                            
                          4,854        MMDDYYYY          Date as MMDDYYYY                        
 
A1700    $M3TYP                        Type of Entry                            
                             22                          Missing                                 
                          2,952        1                 Admission                               
                          1,902        2                 Reentry                                 
 
A1800    $M3ADFRM                      Entered From                             
                             22                          Missing                                 
                            369        01                Community                               
                            284        02                Another nursing home or swing bed       
                          4,067        03                Acute hospital                          
                             53        04                Psychiatric hospital                    
                             11        05                Inpatient rehabilitation facility       
                             19        07                Hospice                                 
                             10        09                Long Term Care Hospital (LTCH)          
                             41        99                Other                                   
 
A2000    MMDDYYn8                      Dis Date                                 
                          3,955                       .  Inapplicable                            
                            921        MMDDYYYY          Date as MMDDYYYY                        
 
A2100    $M3ADFRM                      Dis Stat                                 
                          3,955                          Missing                                 
                            384        01                Community                               
                             39        02                Another nursing home or swing bed       
                            353        03                Acute hospital                          
                              6        04                Psychiatric hospital                    
                              2        07                Hospice                                 
                            133        08                Deceased                                
                              4        99                Other                                   
 
A2300    MMDDYYn8                      Asmt Ref Date                            
                          1,037                       .  Inapplicable                            
                          3,839        MMDDYYYY          Date as MMDDYYYY                        
         Notes:  MDS linkage variable added in 2019
                 First available in 2019
 
A2400A   $M3YESNO                      Had a Mcare Stay Since Most Rec Admsn    
                          2,494        0                 No                                      
                          2,382        1                 Yes                                     
 
A2400B   MMDDYYn8                      Start Date of Most Rec Mcare Stay        
                          2,494                       .  Inapplicable                            
                          2,382        MMDDYYYY          Date as MMDDYYYY                        
 
A2400C   MMDDYYn8                      End Date of Most Rec Mcare Stay          
                          3,456                       .  Inapplicable                            
                          1,420        MMDDYYYY          Date as MMDDYYYY                        
 
B0100    $M3YESNO                      Comatose                                 
                          1,229                          Missing                                 
                          3,636        0                 No                                      
                             11        1                 Yes                                     
 
B0200    $M3HEAR                       Hearing                                  
                          2,013                          Missing                                 
                             16        -                 Not assessed/no information             
                          2,053        0                 Adequate                                
                            560        1                 Minimal difficulty                      
                            207        2                 Moderate difficulty                     
                             27        3                 Highly impaired                         
 
B0300    $M3YESNO                      Hearing Aide                             
                          2,013                          Missing                                 
                              6        -                 Not assessed/no information             
                          2,614        0                 No                                      
                            243        1                 Yes                                     
 
B0600    $M3CLEAR                      Speech Clarity                           
                          2,013                          Missing                                 
                              8        -                 Not assessed/no information             
                          2,445        0                 Clear speech                            
                            321        1                 Unclear speech                          
                             89        2                 No speech                               
 
B0700    $M3UNDER                      Makes Self Understood                    
                          1,991                          Missing                                 
                             10        -                 Not assessed/no information             
                          1,804        0                 Understood                              
                            544        1                 Usually understood                      
                            287        2                 Sometimes understood                    
                            240        3                 Rarely/Never understood                 
 
B0800    $M3UNDRR                      Ability to Understand Oth                
                          2,013                          Missing                                 
                              9        -                 Not assessed/no information             
                          1,634        0                 Understands                             
                            680        1                 Usually understands                     
                            350        2                 Sometimes understands                   
                            190        3                 Rarely/Never understands                
 
B1000    $M3ADQT                       Vision                                   
                          2,013                          Missing                                 
                             35        -                 Not assessed/no information             
                          2,074        0                 Adequate                                
                            486        1                 Impaired                                
                            115        2                 Moderately impaired                     
                            113        3                 Highly impaired                         
                             40        4                 Severely impaired                       
 
B1200    $M3YESNO                      Corr Lenses                              
                          2,013                          Missing                                 
                             10        -                 Not assessed/no information             
                          1,414        0                 No                                      
                          1,439        1                 Yes                                     
 
C0100    $M3YESNO                      Brief Int for Mntl Stat Be Cond          
                          1,604                          Missing                                 
                             37        -                 Not assessed/no information             
                            334        0                 No                                      
                          2,901        1                 Yes                                     
 
C0200    $M3REP3W                      BIMS: Num of Words Rep After First Att   
                          1,938                          Missing                                 
                             62        -                 Not assessed/no information             
                            227        0                 None                                    
                             83        1                 One                                     
                            149        2                 Two                                     
                          2,417        3                 Three                                   
 
C0300A   $M31ORNT                      BIMS: Temp Ortn - Able to Rep Corr Yr    
                          1,938                          Missing                                 
                             68        -                 Not assessed/no information             
                          1,054        0                 Missed by >5 years or no answer         
                             93        1                 Missed by 2-5 years                     
                            138        2                 Missed by 1 year                        
                          1,585        3                 Correct                                 
 
C0300B   $M31ORNT                      BIMS: Temp Ortn - Able to Rep Corr Mon   
                          1,938                          Missing                                 
                             70        -                 Not assessed/no information             
                          1,003        0                 Missed by >5 years or no answer         
                            183        1                 Missed by 2-5 years                     
                          1,682        2                 Missed by 1 year                        
 
C0300C   $M31ORNT                      BIMS: Temp Ortn - Able to Rep Corr Day   
                          1,938                          Missing                                 
                             78        -                 Not assessed/no information             
                          1,521        0                 Missed by >5 years or no answer         
                          1,339        1                 Missed by 2-5 years                     
 
C0400A   $M3CUE                        BIMS: Rcl - Able to Rcl Sock             
                          1,938                          Missing                                 
                            112        -                 Not assessed/no information             
                            878        0                 No - could not recall                   
                            545        1                 Yes, after cueing                       
                          1,403        2                 Yes, no cue required                    
 
C0400B   $M3CUE                        BIMS: Rcl - Able to Rcl Blue             
                          1,938                          Missing                                 
                            114        -                 Not assessed/no information             
                            724        0                 No - could not recall                   
                            597        1                 Yes, after cueing                       
                          1,503        2                 Yes, no cue required                    
 
C0400C   $M3CUE                        BIMS: Rcl - Able to Rcl Bed              
                          1,938                          Missing                                 
                            114        -                 Not assessed/no information             
                            957        0                 No - could not recall                   
                            652        1                 Yes, after cueing                       
                          1,215        2                 Yes, no cue required                    
 
C0500                                  Brief Int for Mntl Stat (BIMS) Score Num 
                          1,938                          Missing                                 
                          2,938        Range of values   Range of values                         
 
C0600    $M3YESNO                      Staff to Cond Brief Int for Mntl Stat    
                          1,938                          Missing                                 
                             29        -                 Not assessed/no information             
                          2,745        0                 No                                      
                            164        1                 Yes                                     
 
C0700    $M3MEMRY                      SA of Mntl Stat - Short Term Memory      
                          3,985                          Missing                                 
                             82        -                 Not assessed/no information             
                            166        0                 Memory OK                               
                            643        1                 Memory problem                          
 
C0800    $M3MEMRY                      SA of Mntl Stat - Long Term Memory       
                          4,398                          Missing                                 
                             33        -                 Not assessed/no information             
                             31        0                 Memory OK                               
                            414        1                 Memory problem                          
 
C0900A   $M3INDIC                      SA of Mntl Stat - Rcls Cur Season        
                          4,398                          Missing                                 
                             20        -                 Not assessed/no information             
                            436        0                 Not indicated                           
                             22        1                 Indicated                               
 
C0900B   $M3INDIC                      SA of Mntl Stat - Rcls Loc of Room       
                          4,398                          Missing                                 
                             21        -                 Not assessed/no information             
                            383        0                 Not indicated                           
                             74        1                 Indicated                               
 
C0900C   $M3INDIC                      SA of Mntl Stat - Rcls Staff Name        
                          4,398                          Missing                                 
                             21        -                 Not assessed/no information             
                            360        0                 Not indicated                           
                             97        1                 Indicated                               
 
C0900D   $M3INDIC                      SA of Mntl Stat - Rcls Nrs Home          
                          4,398                          Missing                                 
                             20        -                 Not assessed/no information             
                            383        0                 Not indicated                           
                             75        1                 Indicated                               
 
C0900Z   $M3INDIC                      SA of Mntl Stat - Rcls None of Above     
                          4,398                          Missing                                 
                             21        -                 Not assessed/no information             
                            149        0                 Not indicated                           
                            308        1                 Indicated                               
 
C1000    $M3DECIS                      Cog Skills for Decision Making           
                          3,985                          Missing                                 
                             69        -                 Not assessed/no information             
                             98        0                 Independent                             
                            115        1                 Modified independence                   
                            201        2                 Moderately impaired                     
                            408        3                 Severely impaired                       
 
D0100    $M3YESNO                      Res Mood Int Be Cond                     
                          1,604                          Missing                                 
                             43        -                 Not assessed/no information             
                            350        0                 No                                      
                          2,879        1                 Yes                                     
 
D0200A1  $M3YNNOR                      Res Mood Int - Interest Loss             
                          1,954                          Missing                                 
                             64        -                 Not assessed/no information             
                          2,365        0                 No                                      
                            337        1                 Yes                                     
                            156        9                 No Response                             
 
D0200A2  $M3DEPRB                      Res Mood Int - Interest Loss Freq        
                          2,110                          Missing                                 
                             67        -                 Not assessed/no information             
                          2,373        0                 Never or 1 day                          
                            120        1                 2 - 6 days                              
                            104        2                 7 - 11 days                             
                            102        3                 12-14 days                              
 
D0200B1  $M3YNNOR                      Res Mood Int - Feel Down                 
                          1,954                          Missing                                 
                             66        -                 Not assessed/no information             
                          1,874        0                 No                                      
                            831        1                 Yes                                     
                            151        9                 No Response                             
 
D0200B2  $M3DEPRB                      Res Mood Int - Feel Down Freq            
                          2,105                          Missing                                 
                             67        -                 Not assessed/no information             
                          1,890        0                 Never or 1 day                          
                            425        1                 2 - 6 days                              
                            196        2                 7 - 11 days                             
                            193        3                 12-14 days                              
 
D0200C1  $M3YNNOR                      Res Mood Int - Trouble Sleep             
                          1,954                          Missing                                 
                             67        -                 Not assessed/no information             
                          2,057        0                 No                                      
                            638        1                 Yes                                     
                            160        9                 No Response                             
 
D0200C2  $M3DEPRB                      Res Mood Int - Trouble Sleep Freq        
                          2,114                          Missing                                 
                             67        -                 Not assessed/no information             
                          2,069        0                 Never or 1 day                          
                            309        1                 2 - 6 days                              
                            137        2                 7 - 11 days                             
                            180        3                 12-14 days                              
 
D0200D1  $M3YNNOR                      Res Mood Int - Little Energy             
                          1,954                          Missing                                 
                             71        -                 Not assessed/no information             
                          1,732        0                 No                                      
                            963        1                 Yes                                     
                            156        9                 No Response                             
 
D0200D2  $M3DEPRB                      Res Mood Int - Little Energy Freq        
                          2,110                          Missing                                 
                             73        -                 Not assessed/no information             
                          1,748        0                 Never or 1 day                          
                            419        1                 2 - 6 days                              
                            248        2                 7 - 11 days                             
                            278        3                 12-14 days                              
 
D0200E1  $M3YNNOR                      Res Mood Int - Poor Appetite             
                          1,954                          Missing                                 
                             78        -                 Not assessed/no information             
                          2,222        0                 No                                      
                            466        1                 Yes                                     
                            156        9                 No Response                             
 
D0200E2  $M3DEPRB                      Res Mood Int - Poor Appetite Freq        
                          2,110                          Missing                                 
                             78        -                 Not assessed/no information             
                          2,232        0                 Never or 1 day                          
                            245        1                 2 - 6 days                              
                             94        2                 7 - 11 days                             
                            117        3                 12-14 days                              
 
D0200F1  $M3YNNOR                      Res Mood Int - Self Dprcn                
                          1,954                          Missing                                 
                             78        -                 Not assessed/no information             
                          2,465        0                 No                                      
                            222        1                 Yes                                     
                            157        9                 No Response                             
 
D0200F2  $M3DEPRB                      Res Mood Int - Self Dprcn Freq           
                          2,111                          Missing                                 
                             78        -                 Not assessed/no information             
                          2,465        0                 Never or 1 day                          
                            137        1                 2 - 6 days                              
                             44        2                 7 - 11 days                             
                             41        3                 12-14 days                              
 
D0200G1  $M3YNNOR                      Res Mood Int - Lack of Conc              
                          1,954                          Missing                                 
                             80        -                 Not assessed/no information             
                          2,265        0                 No                                      
                            415        1                 Yes                                     
                            162        9                 No Response                             
 
D0200G2  $M3DEPRB                      Res Mood Int - Lack of Conc Freq         
                          2,116                          Missing                                 
                             80        -                 Not assessed/no information             
                          2,273        0                 Never or 1 day                          
                            213        1                 2 - 6 days                              
                            106        2                 7 - 11 days                             
                             88        3                 12-14 days                              
 
D0200H1  $M3YNNOR                      Res Mood Int - Movement Diff             
                          1,954                          Missing                                 
                             80        -                 Not assessed/no information             
                          2,431        0                 No                                      
                            246        1                 Yes                                     
                            165        9                 No Response                             
 
D0200H2  $M3DEPRB                      Res Mood Int - Movement Diff Freq        
                          2,119                          Missing                                 
                             80        -                 Not assessed/no information             
                          2,438        0                 Never or 1 day                          
                            111        1                 2 - 6 days                              
                             66        2                 7 - 11 days                             
                             62        3                 12-14 days                              
 
D0200I1  $M3YNNOR                      Res Mood Int - Neg Stmnt                 
                          1,954                          Missing                                 
                             77        -                 Not assessed/no information             
                          2,662        0                 No                                      
                             24        1                 Yes                                     
                            159        9                 No Response                             
 
D0200I2  $M3DEPRB                      Res Mood Int - Neg Stmnt Freq            
                          2,113                          Missing                                 
                             77        -                 Not assessed/no information             
                          2,662        0                 Never or 1 day                          
                             15        1                 2 - 6 days                              
                              3        2                 7 - 11 days                             
                              6        3                 12-14 days                              
 
D0300                                  Res Mood Int - Tot Svrty Mood Score      
                          1,954                          Missing                                 
                          2,922        Range of values   Range of values                         
 
D0500A1  $M3YESNO                      SA of Res Mood - Interest Loss           
                          4,286                          Missing                                 
                             28        -                 Not assessed/no information             
                            452        0                 No                                      
                            110        1                 Yes                                     
 
D0500A2  $M3DEPRB                      SA of Res Mood - Interest Loss Freq      
                          4,286                          Missing                                 
                             28        -                 Not assessed/no information             
                            455        0                 Never or 1 day                          
                             38        1                 2 - 6 days                              
                             16        2                 7 - 11 days                             
                             53        3                 12-14 days                              
 
D0500B1  $M3YESNO                      SA of Res Mood - Feel Down               
                          4,286                          Missing                                 
                             28        -                 Not assessed/no information             
                            484        0                 No                                      
                             78        1                 Yes                                     
 
D0500B2  $M3DEPRB                      SA of Res Mood - Feel Down Freq          
                          4,286                          Missing                                 
                             28        -                 Not assessed/no information             
                            486        0                 Never or 1 day                          
                             36        1                 2 - 6 days                              
                             21        2                 7 - 11 days                             
                             19        3                 12-14 days                              
 
D0500C1  $M3YESNO                      SA of Res Mood - Trouble Sleep           
                          4,286                          Missing                                 
                             28        -                 Not assessed/no information             
                            430        0                 No                                      
                            132        1                 Yes                                     
 
D0500C2  $M3DEPRB                      SA of Res Mood - Trouble Sleep Freq      
                          4,286                          Missing                                 
                             28        -                 Not assessed/no information             
                            435        0                 Never or 1 day                          
                             33        1                 2 - 6 days                              
                             38        2                 7 - 11 days                             
                             56        3                 12-14 days                              
 
D0500D1  $M3YESNO                      SA of Res Mood - Little Energy           
                          4,286                          Missing                                 
                             28        -                 Not assessed/no information             
                            389        0                 No                                      
                            173        1                 Yes                                     
 
D0500D2  $M3DEPRB                      SA of Res Mood - Little Energy Freq      
                          4,286                          Missing                                 
                             28        -                 Not assessed/no information             
                            396        0                 Never or 1 day                          
                             53        1                 2 - 6 days                              
                             34        2                 7 - 11 days                             
                             79        3                 12-14 days                              
 
D0500E1  $M3YESNO                      SA of Res Mood - Poor Appetite           
                          4,286                          Missing                                 
                             34        -                 Not assessed/no information             
                            403        0                 No                                      
                            153        1                 Yes                                     
 
D0500E2  $M3DEPRB                      SA of Res Mood - Poor Appetite Freq      
                          4,286                          Missing                                 
                             34        -                 Not assessed/no information             
                            406        0                 Never or 1 day                          
                             60        1                 2 - 6 days                              
                             39        2                 7 - 11 days                             
                             51        3                 12-14 days                              
 
D0500F1  $M3YESNO                      SA of Res Mood - Self Dprcn              
                          4,286                          Missing                                 
                             31        -                 Not assessed/no information             
                            553        0                 No                                      
                              6        1                 Yes                                     
 
D0500F2  $M3DEPRB                      SA of Res Mood - Self Dprcn Freq         
                          4,286                          Missing                                 
                             31        -                 Not assessed/no information             
                            555        0                 Never or 1 day                          
                              3        1                 2 - 6 days                              
                              1        3                 12-14 days                              
 
D0500G1  $M3YESNO                      SA of Res Mood - Conc                    
                          4,286                          Missing                                 
                             30        -                 Not assessed/no information             
                            355        0                 No                                      
                            205        1                 Yes                                     
 
D0500G2  $M3DEPRB                      SA of Res Mood - Conc Freq               
                          4,286                          Missing                                 
                             31        -                 Not assessed/no information             
                            357        0                 Never or 1 day                          
                             25        1                 2 - 6 days                              
                             36        2                 7 - 11 days                             
                            141        3                 12-14 days                              
 
D0500H1  $M3YESNO                      SA of Res Mood - Movement Diff           
                          4,286                          Missing                                 
                             29        -                 Not assessed/no information             
                            491        0                 No                                      
                             70        1                 Yes                                     
 
D0500H2  $M3DEPRB                      SA of Res Mood - Movement Diff Freq      
                          4,286                          Missing                                 
                             29        -                 Not assessed/no information             
                            492        0                 Never or 1 day                          
                              9        1                 2 - 6 days                              
                             19        2                 7 - 11 days                             
                             41        3                 12-14 days                              
 
D0500I1  $M3YESNO                      SA of Res Mood - Neg Stmnt               
                          4,286                          Missing                                 
                             32        -                 Not assessed/no information             
                            554        0                 No                                      
                              4        1                 Yes                                     
 
D0500I2  $M3DEPRB                      SA of Res Mood - Neg Stmnt Freq          
                          4,286                          Missing                                 
                             32        -                 Not assessed/no information             
                            555        0                 Never or 1 day                          
                              3        1                 2 - 6 days                              
 
D0500J1  $M3YESNO                      SA of Res Mood - Short Temper            
                          4,286                          Missing                                 
                             28        -                 Not assessed/no information             
                            477        0                 No                                      
                             85        1                 Yes                                     
 
D0500J2  $M3DEPRB                      SA of Res Mood - Short Temper Freq       
                          4,286                          Missing                                 
                             28        -                 Not assessed/no information             
                            479        0                 Never or 1 day                          
                             45        1                 2 - 6 days                              
                             22        2                 7 - 11 days                             
                             16        3                 12-14 days                              
 
D0600                                  SA Tot Svrty Mood Score                  
                          4,286                          Missing                                 
                            590        Range of values   Range of values                         
 
E0100A   $M3INDIC                      Bhvr: Hallucinations                     
                          1,240                          Missing                                 
                             22        -                 Not assessed/no information             
                          3,534        0                 Not indicated                           
                             80        1                 Indicated                               
 
E0100B   $M3INDIC                      Bhvr: Delusion                           
                          1,240                          Missing                                 
                             21        -                 Not assessed/no information             
                          3,487        0                 Not indicated                           
                            128        1                 Indicated                               
 
E0100Z   $M3INDIC                      Bhvr: No Psychosis                       
                          1,240                          Missing                                 
                             21        -                 Not assessed/no information             
                            156        0                 Not indicated                           
                          3,459        1                 Indicated                               
 
E0200A   $M3BEHAV                      Bhvr: Phys Bhvral                        
                          1,240                          Missing                                 
                             21        -                 Not assessed/no information             
                          3,503        0                 Behavior not exhibited                  
                             90        1                 1 to 3 days                             
                             14        2                 4 to 6 days                             
                              8        3                 Behavior exhibited daily                
 
E0200B   $M3BEHAV                      Bhvr: Verbal Bhvral                      
                          1,240                          Missing                                 
                             21        -                 Not assessed/no information             
                          3,445        0                 Behavior not exhibited                  
                            129        1                 1 to 3 days                             
                             31        2                 4 to 6 days                             
                             10        3                 Behavior exhibited daily                
 
E0200C   $M3BEHAV                      Bhvr: Oth Bhvral                         
                          1,240                          Missing                                 
                             21        -                 Not assessed/no information             
                          3,460        0                 Behavior not exhibited                  
                            111        1                 1 to 3 days                             
                             33        2                 4 to 6 days                             
                             11        3                 Behavior exhibited daily                
 
E0300    $M3YESNO                      Overall Pres of Bhvral Sympt             
                          3,766                          Missing                                 
                              3        -                 Not assessed/no information             
                          1,020        0                 No                                      
                             87        1                 Yes                                     
 
E0500A   $M3YESNO                      Bhvr Imp on Res: Risk to Inj Self        
                          4,786                          Missing                                 
                              3        -                 Not assessed/no information             
                             78        0                 No                                      
                              9        1                 Yes                                     
 
E0500B   $M3YESNO                      Bhvr Imp on Res: Int W Care              
                          4,786                          Missing                                 
                              3        -                 Not assessed/no information             
                             68        0                 No                                      
                             19        1                 Yes                                     
 
E0500C   $M3YESNO                      Bhvr Imp on Res: Int W Part              
                          4,786                          Missing                                 
                              3        -                 Not assessed/no information             
                             74        0                 No                                      
                             13        1                 Yes                                     
 
E0600A   $M3YESNO                      Bhvr Imp on Oth: Risk to Inj Oth         
                          4,786                          Missing                                 
                              3        -                 Not assessed/no information             
                             75        0                 No                                      
                             12        1                 Yes                                     
 
E0600B   $M3YESNO                      Bhvr Imp on Oth: Intrude On Priv of Oth  
                          4,786                          Missing                                 
                              3        -                 Not assessed/no information             
                             74        0                 No                                      
                             13        1                 Yes                                     
 
E0600C   $M3YESNO                      Bhvr Imp on Oth: Dis Care or Living Env  
                          4,786                          Missing                                 
                              3        -                 Not assessed/no information             
                             69        0                 No                                      
                             18        1                 Yes                                     
 
E0800    $M3BEHAV                      Rejection of Care: Pres and Freq         
                          1,240                          Missing                                 
                             24        -                 Not assessed/no information             
                          3,368        0                 Behavior not exhibited                  
                            182        1                 1 to 3 days                             
                             48        2                 4 to 6 days                             
                             14        3                 Behavior exhibited daily                
 
E0900    $M3BEHAV                      Wandering: Pres and Freq                 
                          1,240                          Missing                                 
                             24        -                 Not assessed/no information             
                          3,504        0                 Behavior not exhibited                  
                             65        1                 1 to 3 days                             
                             20        2                 4 to 6 days                             
                             23        3                 Behavior exhibited daily                
 
E1000A   $M3YESNO                      Wander Risk Imp                          
                          4,832                          Missing                                 
                              3        -                 Not assessed/no information             
                             32        0                 No                                      
                              9        1                 Yes                                     
 
E1000B   $M3YESNO                      Wandering Intrudes on Priv of Oth        
                          4,832                          Missing                                 
                              3        -                 Not assessed/no information             
                             32        0                 No                                      
                              9        1                 Yes                                     
 
E1100    $M3CHNG                       Change in Bhvr or Oth Sympt              
                          3,766                          Missing                                 
                              8        -                 Not assessed/no information             
                            613        0                 Same                                    
                             21        1                 Improved                                
                             32        2                 Worse                                   
                            436        3                 N/A                                     
 
F0300    $M3YESNO                      Should Dly and Act Pref Int Be Cond      
                          3,766                          Missing                                 
                             11        -                 Not assessed/no information             
                             97        0                 No                                      
                          1,002        1                 Yes                                     
 
F0400A   $M3IMPRT                      Int for Dly Pref: Chooses Clothes        
                          3,863                          Missing                                 
                             19        -                 Not assessed/no information             
                            496        1                 Very important                          
                            310        2                 Somewhat important                      
                            124        3                 Not very important                      
                             36        4                 Not important at all                    
                              4        5                 Important, but cannot do or no choice   
                             24        9                 No response or non-responsive           
 
F0400B   $M3IMPRT                      Int for Dly Pref: Care Personal Items    
                          3,863                          Missing                                 
                             19        -                 Not assessed/no information             
                            643        1                 Very important                          
                            235        2                 Somewhat important                      
                             69        3                 Not very important                      
                             15        4                 Not important at all                    
                              8        5                 Important, but cannot do or no choice   
                             24        9                 No response or non-responsive           
 
F0400C   $M3IMPRT                      Int for Dly Pref: Bathing Option         
                          3,863                          Missing                                 
                             18        -                 Not assessed/no information             
                            589        1                 Very important                          
                            276        2                 Somewhat important                      
                             80        3                 Not very important                      
                             11        4                 Not important at all                    
                             13        5                 Important, but cannot do or no choice   
                             26        9                 No response or non-responsive           
 
F0400D   $M3IMPRT                      Int for Dly Pref: Snack Between Meals    
                          3,863                          Missing                                 
                             18        -                 Not assessed/no information             
                            443        1                 Very important                          
                            339        2                 Somewhat important                      
                            153        3                 Not very important                      
                             36        4                 Not important at all                    
                             24        9                 No response or non-responsive           
 
F0400E   $M3IMPRT                      Int for Dly Pref: Choose Bed Time        
                          3,863                          Missing                                 
                             18        -                 Not assessed/no information             
                            653        1                 Very important                          
                            224        2                 Somewhat important                      
                             79        3                 Not very important                      
                             10        4                 Not important at all                    
                              5        5                 Important, but cannot do or no choice   
                             24        9                 No response or non-responsive           
 
F0400F   $M3IMPRT                      Int for Dly Pref: Fam Involvement        
                          3,863                          Missing                                 
                             18        -                 Not assessed/no information             
                            789        1                 Very important                          
                            121        2                 Somewhat important                      
                             32        3                 Not very important                      
                             22        4                 Not important at all                    
                              8        5                 Important, but cannot do or no choice   
                             23        9                 No response or non-responsive           
 
F0400G   $M3IMPRT                      Int for Dly Pref: Priv Phone Time        
                          3,863                          Missing                                 
                             19        -                 Not assessed/no information             
                            367        1                 Very important                          
                            247        2                 Somewhat important                      
                            258        3                 Not very important                      
                             86        4                 Not important at all                    
                             10        5                 Important, but cannot do or no choice   
                             26        9                 No response or non-responsive           
 
F0400H   $M3IMPRT                      Int for Dly Pref: Lock Item              
                          3,863                          Missing                                 
                             18        -                 Not assessed/no information             
                            353        1                 Very important                          
                            230        2                 Somewhat important                      
                            222        3                 Not very important                      
                            159        4                 Not important at all                    
                              4        5                 Important, but cannot do or no choice   
                             27        9                 No response or non-responsive           
 
F0500A   $M3IMPRT                      Int for Act Pref: Reading Mat Available  
                          3,863                          Missing                                 
                             20        -                 Not assessed/no information             
                            373        1                 Very important                          
                            311        2                 Somewhat important                      
                            205        3                 Not very important                      
                             72        4                 Not important at all                    
                              9        5                 Important, but cannot do or no choice   
                             23        9                 No response or non-responsive           
 
F0500B   $M3IMPRT                      Int for Act Pref: Music                  
                          3,863                          Missing                                 
                             20        -                 Not assessed/no information             
                            487        1                 Very important                          
                            317        2                 Somewhat important                      
                            128        3                 Not very important                      
                             38        4                 Not important at all                    
                              1        5                 Important, but cannot do or no choice   
                             22        9                 No response or non-responsive           
 
F0500C   $M3IMPRT                      Int for Act Pref: Animal Pres            
                          3,863                          Missing                                 
                             20        -                 Not assessed/no information             
                            291        1                 Very important                          
                            292        2                 Somewhat important                      
                            270        3                 Not very important                      
                            108        4                 Not important at all                    
                              9        5                 Important, but cannot do or no choice   
                             23        9                 No response or non-responsive           
 
F0500D   $M3IMPRT                      Int for Act Pref: News                   
                          3,863                          Missing                                 
                             20        -                 Not assessed/no information             
                            452        1                 Very important                          
                            330        2                 Somewhat important                      
                            132        3                 Not very important                      
                             55        4                 Not important at all                    
                             24        9                 No response or non-responsive           
 
F0500E   $M3IMPRT                      Int for Act Pref: Group Act              
                          3,863                          Missing                                 
                             20        -                 Not assessed/no information             
                            304        1                 Very important                          
                            400        2                 Somewhat important                      
                            194        3                 Not very important                      
                             60        4                 Not important at all                    
                             11        5                 Important, but cannot do or no choice   
                             24        9                 No response or non-responsive           
 
F0500F   $M3IMPRT                      Int for Act Pref: Favorite Act           
                          3,863                          Missing                                 
                             20        -                 Not assessed/no information             
                            582        1                 Very important                          
                            308        2                 Somewhat important                      
                             45        3                 Not very important                      
                             20        4                 Not important at all                    
                             14        5                 Important, but cannot do or no choice   
                             24        9                 No response or non-responsive           
 
F0500G   $M3IMPRT                      Int for Act Pref: Time Outdoors          
                          3,863                          Missing                                 
                             20        -                 Not assessed/no information             
                            561        1                 Very important                          
                            302        2                 Somewhat important                      
                             74        3                 Not very important                      
                             21        4                 Not important at all                    
                             12        5                 Important, but cannot do or no choice   
                             23        9                 No response or non-responsive           
 
F0500H   $M3IMPRT                      Int for Act Pref: Religion               
                          3,863                          Missing                                 
                             20        -                 Not assessed/no information             
                            438        1                 Very important                          
                            290        2                 Somewhat important                      
                            171        3                 Not very important                      
                             62        4                 Not important at all                    
                              9        5                 Important, but cannot do or no choice   
                             23        9                 No response or non-responsive           
 
F0600    $M3PRIRS                      Dly and Act Pref Primary Respondent      
                          3,863                          Missing                                 
                             18        -                 Not assessed/no information             
                            886        1                 Resident                                
                             83        2                 Family or significant other             
                             26        9                 Interview could not be completed        
 
F0700    $M3YESNO                      Cond SA of Dly and Act Pref              
                          3,863                          Missing                                 
                             10        -                 Not assessed/no information             
                            969        0                 No                                      
                             34        1                 Yes                                     
 
F0800A   $M3INDIC                      SA: Chooses Clothes                      
                          4,735                          Missing                                 
                             13        -                 Not assessed/no information             
                            107        0                 Not indicated                           
                             21        1                 Indicated                               
 
F0800B   $M3INDIC                      SA: Care Personal Item                   
                          4,735                          Missing                                 
                             13        -                 Not assessed/no information             
                             97        0                 Not indicated                           
                             31        1                 Indicated                               
 
F0800C   $M3INDIC                      SA: Tub Bath                             
                          4,735                          Missing                                 
                             13        -                 Not assessed/no information             
                            124        0                 Not indicated                           
                              4        1                 Indicated                               
 
F0800D   $M3INDIC                      SA: Shower                               
                          4,735                          Missing                                 
                             13        -                 Not assessed/no information             
                             54        0                 Not indicated                           
                             74        1                 Indicated                               
 
F0800E   $M3INDIC                      SA: Bed Bath                             
                          4,735                          Missing                                 
                             13        -                 Not assessed/no information             
                             82        0                 Not indicated                           
                             46        1                 Indicated                               
 
F0800F   $M3INDIC                      SA: Sponge Bath                          
                          4,735                          Missing                                 
                             13        -                 Not assessed/no information             
                             97        0                 Not indicated                           
                             31        1                 Indicated                               
 
F0800G   $M3INDIC                      SA: Snacks Between                       
                          4,735                          Missing                                 
                             13        -                 Not assessed/no information             
                             50        0                 Not indicated                           
                             78        1                 Indicated                               
 
F0800H   $M3INDIC                      SA: Bed Time                             
                          4,735                          Missing                                 
                             14        -                 Not assessed/no information             
                            106        0                 Not indicated                           
                             21        1                 Indicated                               
 
F0800I   $M3INDIC                      SA: Fam Involvement                      
                          4,735                          Missing                                 
                             12        -                 Not assessed/no information             
                             24        0                 Not indicated                           
                            105        1                 Indicated                               
 
F0800J   $M3INDIC                      SA: Priv Phone                           
                          4,735                          Missing                                 
                             13        -                 Not assessed/no information             
                            120        0                 Not indicated                           
                              8        1                 Indicated                               
 
F0800K   $M3INDIC                      SA: Lock Item                            
                          4,735                          Missing                                 
                             13        -                 Not assessed/no information             
                            119        0                 Not indicated                           
                              9        1                 Indicated                               
 
F0800L   $M3INDIC                      SA: Reading Mat Available                
                          4,735                          Missing                                 
                             15        -                 Not assessed/no information             
                             98        0                 Not indicated                           
                             28        1                 Indicated                               
 
F0800M   $M3INDIC                      SA: Music                                
                          4,735                          Missing                                 
                             14        -                 Not assessed/no information             
                             37        0                 Not indicated                           
                             90        1                 Indicated                               
 
F0800N   $M3INDIC                      SA: Animal Pres                          
                          4,735                          Missing                                 
                             15        -                 Not assessed/no information             
                             88        0                 Not indicated                           
                             38        1                 Indicated                               
 
F0800O   $M3INDIC                      SA: News                                 
                          4,735                          Missing                                 
                             15        -                 Not assessed/no information             
                            116        0                 Not indicated                           
                             10        1                 Indicated                               
 
F0800P   $M3INDIC                      SA: Group Act                            
                          4,735                          Missing                                 
                             14        -                 Not assessed/no information             
                             77        0                 Not indicated                           
                             50        1                 Indicated                               
 
F0800Q   $M3INDIC                      SA: Favorite Act                         
                          4,735                          Missing                                 
                             15        -                 Not assessed/no information             
                             56        0                 Not indicated                           
                             70        1                 Indicated                               
 
F0800R   $M3INDIC                      SA: Time Away Nrs Home                   
                          4,735                          Missing                                 
                             14        -                 Not assessed/no information             
                            122        0                 Not indicated                           
                              5        1                 Indicated                               
 
F0800S   $M3INDIC                      SA: Time Outdoors                        
                          4,735                          Missing                                 
                             14        -                 Not assessed/no information             
                             85        0                 Not indicated                           
                             42        1                 Indicated                               
 
F0800T   $M3INDIC                      SA: Part in Rel Act                      
                          4,735                          Missing                                 
                             14        -                 Not assessed/no information             
                             79        0                 Not indicated                           
                             48        1                 Indicated                               
 
F0800Z   $M3INDIC                      SA: None of Above Act                    
                          4,735                          Missing                                 
                             12        -                 Not assessed/no information             
                            122        0                 Not indicated                           
                              7        1                 Indicated                               
 
G0110A1  $M3ADLCT                      ADL Ass: Bed Mob Self Perf               
                          1,251                          Missing                                 
                              1        -                 Not assessed/no information             
                            233        0                 Independent                             
                            494        1                 Supervision                             
                            464        2                 Limited assistance                      
                          2,166        3                 Extensive assistance                    
                            246        4                 Total dependence                        
                             19        7                 Activity occurred only once or twice    
                              2        8                 Activity did not occur                  
 
G0110A2  $M3ADLSP                      ADL Ass: Bed Mob Supp Prov               
                          2,005                          Missing                                 
                            158        0                 No setup or physical help from staff    
                            225        1                 Setup help only                         
                          1,439        2                 One person physical assist              
                          1,048        3                 Two+ persons physical assist            
                              1        8                 ADL activity did not occur              
 
G0110B1  $M3ADLCT                      ADL Ass: Trans Self Perf                 
                          1,251                          Missing                                 
                              1        -                 Not assessed/no information             
                            205        0                 Independent                             
                            492        1                 Supervision                             
                            528        2                 Limited assistance                      
                          1,613        3                 Extensive assistance                    
                            555        4                 Total dependence                        
                            139        7                 Activity occurred only once or twice    
                             92        8                 Activity did not occur                  
 
G0110B2  $M3ADLSP                      ADL Ass: Trans Self Supp Prov            
                          2,005                          Missing                                 
                            155        0                 No setup or physical help from staff    
                            229        1                 Setup help only                         
                          1,166        2                 One person physical assist              
                          1,245        3                 Two+ persons physical assist            
                             76        8                 ADL activity did not occur              
 
G0110C1  $M3ADLCT                      ADL Ass: Wlk In Room Self Perf           
                          1,251                          Missing                                 
                              2        -                 Not assessed/no information             
                            211        0                 Independent                             
                            566        1                 Supervision                             
                            473        2                 Limited assistance                      
                            363        3                 Extensive assistance                    
                              3        4                 Total dependence                        
                            258        7                 Activity occurred only once or twice    
                          1,749        8                 Activity did not occur                  
 
G0110C2  $M3ADLSP                      ADL Ass: Wlk In Room Supp Prov           
                          2,005                          Missing                                 
                              1        -                 Not assessed/no information             
                            190        0                 No setup or physical help from staff    
                            252        1                 Setup help only                         
                            838        2                 One person physical assist              
                            105        3                 Two+ persons physical assist            
                          1,485        8                 ADL activity did not occur              
 
G0110D1  $M3ADLCT                      ADL Ass: Wlk In Corr Self Perf           
                          1,251                          Missing                                 
                              3        -                 Not assessed/no information             
                            169        0                 Independent                             
                            511        1                 Supervision                             
                            371        2                 Limited assistance                      
                            250        3                 Extensive assistance                    
                              8        4                 Total dependence                        
                            326        7                 Activity occurred only once or twice    
                          1,987        8                 Activity did not occur                  
 
G0110D2  $M3ADLSP                      ADL Ass: Wlk In Corr Self Supp Prov      
                          2,005                          Missing                                 
                              2        -                 Not assessed/no information             
                            190        0                 No setup or physical help from staff    
                            250        1                 Setup help only                         
                            694        2                 One person physical assist              
                             74        3                 Two+ persons physical assist            
                          1,661        8                 ADL activity did not occur              
 
G0110E1  $M3ADLCT                      ADL Ass: Loc On Self Perf                
                          1,251                          Missing                                 
                              3        -                 Not assessed/no information             
                            288        0                 Independent                             
                            840        1                 Supervision                             
                            506        2                 Limited assistance                      
                            904        3                 Extensive assistance                    
                            489        4                 Total dependence                        
                            316        7                 Activity occurred only once or twice    
                            279        8                 Activity did not occur                  
 
G0110E2  $M3ADLSP                      ADL Ass: Loc On Supp Prov                
                          2,005                          Missing                                 
                              2        -                 Not assessed/no information             
                            243        0                 No setup or physical help from staff    
                            377        1                 Setup help only                         
                          1,904        2                 One person physical assist              
                            123        3                 Two+ persons physical assist            
                            222        8                 ADL activity did not occur              
 
G0110F1  $M3ADLCT                      ADL Ass: Loc Off Self Perf               
                          1,251                          Missing                                 
                              3        -                 Not assessed/no information             
                            219        0                 Independent                             
                            645        1                 Supervision                             
                            342        2                 Limited assistance                      
                            658        3                 Extensive assistance                    
                            440        4                 Total dependence                        
                            546        7                 Activity occurred only once or twice    
                            772        8                 Activity did not occur                  
 
G0110F2  $M3ADLSP                      ADL Ass: Loc Off Supp Prov               
                          2,005                          Missing                                 
                              2        -                 Not assessed/no information             
                            211        0                 No setup or physical help from staff    
                            337        1                 Setup help only                         
                          1,607        2                 One person physical assist              
                             96        3                 Two+ persons physical assist            
                            618        8                 ADL activity did not occur              
 
G0110G1  $M3ADLCT                      ADL Ass: Dress Self Perf                 
                          1,251                          Missing                                 
                              2        -                 Not assessed/no information             
                            128        0                 Independent                             
                            314        1                 Supervision                             
                            554        2                 Limited assistance                      
                          2,224        3                 Extensive assistance                    
                            351        4                 Total dependence                        
                             42        7                 Activity occurred only once or twice    
                             10        8                 Activity did not occur                  
 
G0110G2  $M3ADLSP                      ADL Ass: Dress Supp Prov                 
                          2,005                          Missing                                 
                              1        -                 Not assessed/no information             
                             82        0                 No setup or physical help from staff    
                            131        1                 Setup help only                         
                          2,156        2                 One person physical assist              
                            496        3                 Two+ persons physical assist            
                              5        8                 ADL activity did not occur              
 
G0110H1  $M3ADLCT                      ADL Ass: Eating Self Perf                
                          1,251                          Missing                                 
                              2        -                 Not assessed/no information             
                            932        0                 Independent                             
                          1,621        1                 Supervision                             
                            296        2                 Limited assistance                      
                            477        3                 Extensive assistance                    
                            277        4                 Total dependence                        
                             16        7                 Activity occurred only once or twice    
                              4        8                 Activity did not occur                  
 
G0110H2  $M3ADLSP                      ADL Ass: Eating Supp Prov                
                          2,005                          Missing                                 
                             55        0                 No setup or physical help from staff    
                          1,607        1                 Setup help only                         
                          1,201        2                 One person physical assist              
                              7        3                 Two+ persons physical assist            
                              1        8                 ADL activity did not occur              
 
G0110I1  $M3ADLCT                      ADL Ass: Toileting Self Perf             
                          1,251                          Missing                                 
                              1        -                 Not assessed/no information             
                            172        0                 Independent                             
                            378        1                 Supervision                             
                            458        2                 Limited assistance                      
                          1,950        3                 Extensive assistance                    
                            630        4                 Total dependence                        
                             25        7                 Activity occurred only once or twice    
                             11        8                 Activity did not occur                  
 
G0110I2  $M3ADLSP                      ADL Ass: Toileting Supp Prov             
                          2,005                          Missing                                 
                            103        0                 No setup or physical help from staff    
                            167        1                 Setup help only                         
                          1,725        2                 One person physical assist              
                            868        3                 Two+ persons physical assist            
                              8        8                 ADL activity did not occur              
 
G0110J1  $M3ADLCT                      ADL Ass: Personal Hygiene Self Perf      
                          1,251                          Missing                                 
                              1        -                 Not assessed/no information             
                            124        0                 Independent                             
                            478        1                 Supervision                             
                            592        2                 Limited assistance                      
                          1,983        3                 Extensive assistance                    
                            413        4                 Total dependence                        
                             26        7                 Activity occurred only once or twice    
                              8        8                 Activity did not occur                  
 
G0110J2  $M3ADLSP                      ADL Ass: Personal Hygiene Supp Prov      
                          2,005                          Missing                                 
                             63        0                 No setup or physical help from staff    
                            196        1                 Setup help only                         
                          2,281        2                 One person physical assist              
                            328        3                 Two+ persons physical assist            
                              3        8                 ADL activity did not occur              
 
G0120A   $M3ADLCT                      ADL Ass: Bathing Self Perf               
                          1,251                          Missing                                 
                             10        -                 Not assessed/no information             
                             68        0                 Independent                             
                            151        1                 Supervision                             
                            145        2                 Limited assistance                      
                          1,410        3                 Extensive assistance                    
                          1,540        4                 Total dependence                        
                            301        8                 Activity did not occur                  
 
G0120B   $M3ADLSP                      ADL Ass: Bathing Supp Prov               
                          2,005                          Missing                                 
                              4        -                 Not assessed/no information             
                             32        0                 No setup or physical help from staff    
                            105        1                 Setup help only                         
                          2,077        2                 One person physical assist              
                            426        3                 Two+ persons physical assist            
                            227        8                 ADL activity did not occur              
 
G0300A   $M3BAL                        Blnce Dur Seated to Standing Pos         
                          2,005                          Missing                                 
                              4        -                 Not assessed/no information             
                            162        0                 Steady at all times                     
                            578        1                 Not steady, but able to stabilize w/o as
                          1,410        2                 Not steady, only able to stabilize w/ as
                            717        8                 Activity did not occur                  
 
G0300B   $M3BAL                        Blnce Dur Wlking                         
                          2,005                          Missing                                 
                              7        -                 Not assessed/no information             
                            167        0                 Steady at all times                     
                            584        1                 Not steady, but able to stabilize w/o as
                            696        2                 Not steady, only able to stabilize w/ as
                          1,417        8                 Activity did not occur                  
 
G0300C   $M3BAL                        Blnce When Turning Around                
                          2,005                          Missing                                 
                             13        -                 Not assessed/no information             
                            162        0                 Steady at all times                     
                            554        1                 Not steady, but able to stabilize w/o as
                            619        2                 Not steady, only able to stabilize w/ as
                          1,523        8                 Activity did not occur                  
 
G0300D   $M3BAL                        Blnce Moving On and Off Toilet           
                          2,005                          Missing                                 
                              9        -                 Not assessed/no information             
                            158        0                 Steady at all times                     
                            523        1                 Not steady, but able to stabilize w/o as
                          1,333        2                 Not steady, only able to stabilize w/ as
                            848        8                 Activity did not occur                  
 
G0300E   $M3BAL                        Blnce W Surface to Surface Trans         
                          2,005                          Missing                                 
                              5        -                 Not assessed/no information             
                            167        0                 Steady at all times                     
                            545        1                 Not steady, but able to stabilize w/o as
                          2,029        2                 Not steady, only able to stabilize w/ as
                            125        8                 Activity did not occur                  
 
G0400A   $M3RANGE                      Func Lim in ROM: Upper Ext Mtn           
                          2,005                          Missing                                 
                              9        -                 Not assessed/no information             
                          2,198        0                 No impairment                           
                            385        1                 Impairment on one side                  
                            279        2                 Impairment on both sides                
 
G0400B   $M3RANGE                      Func Lim in ROM: Lower Ext Mtn           
                          2,005                          Missing                                 
                             11        -                 Not assessed/no information             
                          1,937        0                 No impairment                           
                            401        1                 Impairment on one side                  
                            522        2                 Impairment on both sides                
 
G0600A   $M3INDIC                      Mob Devices: Cane                        
                          2,005                          Missing                                 
                              2        -                 Not assessed/no information             
                          2,852        0                 Not indicated                           
                             17        1                 Indicated                               
 
G0600B   $M3INDIC                      Mob Devices: Wlker                       
                          2,005                          Missing                                 
                              2        -                 Not assessed/no information             
                          1,856        0                 Not indicated                           
                          1,013        1                 Indicated                               
 
G0600C   $M3INDIC                      Mob Devices: Wheelchair                  
                          2,005                          Missing                                 
                              2        -                 Not assessed/no information             
                            701        0                 Not indicated                           
                          2,168        1                 Indicated                               
 
G0600D   $M3INDIC                      Mob Devices: Limb Prosthesis             
                          2,005                          Missing                                 
                              2        -                 Not assessed/no information             
                          2,862        0                 Not indicated                           
                              7        1                 Indicated                               
 
G0600Z   $M3INDIC                      Mob Devices: None of Above               
                          2,005                          Missing                                 
                              2        -                 Not assessed/no information             
                          2,385        0                 Not indicated                           
                            484        1                 Indicated                               
 
G0900A   $M3YNDET                      Func Rehab Pot: Res Increased Ind        
                          4,374                          Missing                                 
                              1        -                 Not assessed/no information             
                             22        0                 No                                      
                            437        1                 Yes                                     
                             42        9                 Unable to determine                     
 
G0900B   $M3YESNO                      Func Rehab Pot: Staff Increased Ind      
                          4,374                          Missing                                 
                              2        -                 Not assessed/no information             
                             31        0                 No                                      
                            469        1                 Yes                                     
 
H0100A   $M3INDIC                      Bldr and Bwl App: Indwelling Cath        
                          1,251                          Missing                                 
                          3,401        0                 Not indicated                           
                            224        1                 Indicated                               
 
H0100B   $M3INDIC                      Bldr and Bwl App: Ext Cath               
                          1,251                          Missing                                 
                          3,620        0                 Not indicated                           
                              5        1                 Indicated                               
 
H0100C   $M3INDIC                      Bldr and Bwl App: Ostomy                 
                          1,229                          Missing                                 
                          3,540        0                 Not indicated                           
                            107        1                 Indicated                               
 
H0100D   $M3INDIC                      Bldr and Bwl App: Imt Cath               
                          1,229                          Missing                                 
                          3,639        0                 Not indicated                           
                              8        1                 Indicated                               
 
H0100Z   $M3INDIC                      Bldr and Bwl App: No Urny App            
                          1,229                          Missing                                 
                            313        0                 Not indicated                           
                          3,334        1                 Indicated                               
 
H0200A   $M3YNDET                      Urny Toil Prog: Trial Toileting Prog     
                          2,005                          Missing                                 
                              2        -                 Not assessed/no information             
                          2,698        0                 No                                      
                            159        1                 Yes                                     
                             12        9                 Unable to determine                     
 
H0200B   $M3TOILT                      Urny Toil Prog: Resp To Toileting Prog   
                          4,816                          Missing                                 
                             28        0                 No improvement                          
                             13        1                 Decreased wetness                       
                              5        2                 Completely dry                          
                             14        9                 Unable to determine                     
 
H0200C   $M3YESNO                      Urny Toil Prog: Cur Toileting Prog       
                          4,681                          Missing                                 
                              3        -                 Not assessed/no information             
                             88        0                 No                                      
                            104        1                 Yes                                     
 
H0300    $M3CONT                       Urny Continence                          
                          1,251                          Missing                                 
                              4        -                 Not assessed/no information             
                            612        0                 Always continent                        
                            739        1                 Occasionally incontinent                
                            921        2                 Frequently incontinent                  
                          1,146        3                 Always incontinent                      
                            203        9                 Not rated                               
 
H0400    $M3CONT                       Bwl Continence                           
                          1,251                          Missing                                 
                              4        -                 Not assessed/no information             
                          1,086        0                 Always continent                        
                            397        1                 Occasionally incontinent                
                            821        2                 Frequently incontinent                  
                          1,202        3                 Always incontinent                      
                            115        9                 Not rated                               
 
H0500    $M3YESNO                      Bwl Toileting Prog                       
                          1,983                          Missing                                 
                          2,838        0                 No                                      
                             55        1                 Yes                                     
 
H0600    $M3YESNO                      Constipation                             
                          3,764                          Missing                                 
                              1        -                 Not assessed/no information             
                          1,074        0                 No                                      
                             37        1                 Yes                                     
 
I0100    $M3INDIC                      Actv Diag: Cancer                        
                          2,005                          Missing                                 
                          2,630        0                 Not indicated                           
                            241        1                 Indicated                               
 
I0200    $M3INDIC                      Actv Diag: Anemia                        
                          2,005                          Missing                                 
                          1,939        0                 Not indicated                           
                            932        1                 Indicated                               
 
I0300    $M3INDIC                      Actv Diag: Dysrhythmia                   
                          3,764                          Missing                                 
                            801        0                 Not indicated                           
                            311        1                 Indicated                               
 
I0400    $M3INDIC                      Actv Diag: Coronary Artery Dis (CAD)     
                          2,005                          Missing                                 
                          2,092        0                 Not indicated                           
                            779        1                 Indicated                               
 
I0500    $M3INDIC                      Actv Diag: Deep Vein Thrombosis (DVT)    
                          3,764                          Missing                                 
                          1,071        0                 Not indicated                           
                             41        1                 Indicated                               
 
I0600    $M3INDIC                      Actv Diag: Heart Failure (CHF)           
                          2,005                          Missing                                 
                          2,133        0                 Not indicated                           
                            738        1                 Indicated                               
 
I0700    $M3INDIC                      Actv Diag: Hypertension                  
                          2,005                          Missing                                 
                            506        0                 Not indicated                           
                          2,365        1                 Indicated                               
 
I0800    $M3INDIC                      Actv Diag: Hypotension                   
                          2,005                          Missing                                 
                          2,805        0                 Not indicated                           
                             66        1                 Indicated                               
 
I0900    $M3INDIC                      Actv Diag: (PVD)                         
                          1,251                          Missing                                 
                          3,113        0                 Not indicated                           
                            512        1                 Indicated                               
 
I1100    $M3INDIC                      Actv Diag: Cirrhosis                     
                          3,764                          Missing                                 
                          1,104        0                 Not indicated                           
                              8        1                 Indicated                               
 
I1200    $M3INDIC                      Actv Diag:  (GERD)                       
                          3,764                          Missing                                 
                            644        0                 Not indicated                           
                            468        1                 Indicated                               
 
I1300    $M3INDIC                      Actv Diag: Ulcrative Colitis             
                          1,983                          Missing                                 
                          2,861        0                 Not indicated                           
                             32        1                 Indicated                               
 
I1400    $M3INDIC                      Actv Diag: (BPH)                         
                          3,764                          Missing                                 
                            990        0                 Not indicated                           
                            122        1                 Indicated                               
 
I1500    $M3INDIC                      Actv Diag: (ESRD)                        
                          2,005                          Missing                                 
                          2,178        0                 Not indicated                           
                            693        1                 Indicated                               
 
I1550    $M3INDIC                      Actv Diag: Neurogenic Bldr               
                          1,251                          Missing                                 
                          3,516        0                 Not indicated                           
                            109        1                 Indicated                               
 
I1650    $M3INDIC                      Actv Diag: Obstructive Uropathy          
                          1,251                          Missing                                 
                          3,520        0                 Not indicated                           
                            105        1                 Indicated                               
 
I1700    $M3INDIC                      Actv Diag: (MDRO)                        
                          1,983                          Missing                                 
                          2,878        0                 Not indicated                           
                             15        1                 Indicated                               
 
I2000    $M3INDIC                      Actv Diag: Pneumonia                     
                          1,983                          Missing                                 
                          2,788        0                 Not indicated                           
                            105        1                 Indicated                               
 
I2100    $M3INDIC                      Actv Diag: Septicemia                    
                          1,983                          Missing                                 
                          2,835        0                 Not indicated                           
                             58        1                 Indicated                               
 
I2200    $M3INDIC                      Actv Diag: Tuberculosis                  
                          2,005                          Missing                                 
                          2,871        0                 Not indicated                           
 
I2300    $M3INDIC                      Actv Diag: Urny Tract Infn (UTI)         
                          1,251                          Missing                                 
                          3,415        0                 Not indicated                           
                            210        1                 Indicated                               
 
I2400    $M3INDIC                      Actv Diag: Viral Hepatitis               
                          2,005                          Missing                                 
                          2,866        0                 Not indicated                           
                              5        1                 Indicated                               
 
I2500    $M3INDIC                      Wound Infn                               
                          1,983                          Missing                                 
                          2,869        0                 Not indicated                           
                             24        1                 Indicated                               
 
I2900    $M3INDIC                      Actv Diag: Diabetes Mellitus (DM)        
                          1,229                          Missing                                 
                          2,304        0                 Not indicated                           
                          1,343        1                 Indicated                               
 
I3100    $M3INDIC                      Actv Diag: Hyponatremia                  
                          2,005                          Missing                                 
                          2,760        0                 Not indicated                           
                            111        1                 Indicated                               
 
I3200    $M3INDIC                      Actv Diag: Hyperkalemia                  
                          2,005                          Missing                                 
                          2,818        0                 Not indicated                           
                             53        1                 Indicated                               
 
I3300    $M3INDIC                      Actv Diag: Hyperlipidemia                
                          2,005                          Missing                                 
                          1,277        0                 Not indicated                           
                          1,594        1                 Indicated                               
 
I3400    $M3INDIC                      Actv Diag: Thyroid                       
                          3,764                          Missing                                 
                            846        0                 Not indicated                           
                            266        1                 Indicated                               
 
I3700    $M3INDIC                      Actv Diag: Arthritis                     
                          3,764                          Missing                                 
                            752        0                 Not indicated                           
                            360        1                 Indicated                               
 
I3800    $M3INDIC                      Actv Diag: Osteoporosis                  
                          3,764                          Missing                                 
                          1,000        0                 Not indicated                           
                            112        1                 Indicated                               
 
I3900    $M3INDIC                      Actv Diag: Hip Fracture                  
                          2,005                          Missing                                 
                          2,766        0                 Not indicated                           
                            105        1                 Indicated                               
 
I4000    $M3INDIC                      Actv Diag: Oth Fracture                  
                          2,005                          Missing                                 
                          2,702        0                 Not indicated                           
                            169        1                 Indicated                               
 
I4200    $M3INDIC                      Actv Diag: Alzheimers Disease            
                          2,005                          Missing                                 
                          2,461        0                 Not indicated                           
                            410        1                 Indicated                               
 
I4300    $M3INDIC                      Actv Diag: Aphasia                       
                          1,983                          Missing                                 
                          2,749        0                 Not indicated                           
                            144        1                 Indicated                               
 
I4400    $M3INDIC                      Actv Diag: Cerebral Palsy                
                          1,983                          Missing                                 
                          2,862        0                 Not indicated                           
                             31        1                 Indicated                               
 
I4500    $M3INDIC                      Actv Diag: (CVA or TIA or Stroke)        
                          1,983                          Missing                                 
                          2,364        0                 Not indicated                           
                            529        1                 Indicated                               
 
I4800    $M3INDIC                      Actv Diag: Dementia                      
                          2,005                          Missing                                 
                          1,504        0                 Not indicated                           
                          1,367        1                 Indicated                               
 
I4900    $M3INDIC                      Actv Diag: Hemiplegia                    
                          1,983                          Missing                                 
                          2,562        0                 Not indicated                           
                            331        1                 Indicated                               
 
I5000    $M3INDIC                      Actv Diag: Paraplegia                    
                          2,005                          Missing                                 
                          2,859        0                 Not indicated                           
                             12        1                 Indicated                               
 
I5100    $M3INDIC                      Actv Diag: Quadriplegia                  
                          1,983                          Missing                                 
                          2,880        0                 Not indicated                           
                             13        1                 Indicated                               
 
I5200    $M3INDIC                      Actv Diag: Multiple Sclerosis            
                          1,983                          Missing                                 
                          2,855        0                 Not indicated                           
                             38        1                 Indicated                               
 
I5250    $M3INDIC                      Actv Diag: Huntingtons                   
                          1,251                          Missing                                 
                          3,619        0                 Not indicated                           
                              6        1                 Indicated                               
 
I5300    $M3INDIC                      Actv Diag: Parkinsons                    
                          1,983                          Missing                                 
                          2,718        0                 Not indicated                           
                            175        1                 Indicated                               
 
I5350    $M3INDIC                      Tourettes                                
                          1,251                          Missing                                 
                          3,623        0                 Not indicated                           
                              2        1                 Indicated                               
 
I5400    $M3INDIC                      Actv Diag: Seizure                       
                          2,005                          Missing                                 
                          2,590        0                 Not indicated                           
                            281        1                 Indicated                               
 
I5500    $M3INDIC                      Actv Diag: Traumatic Brain Inj (TBI)     
                          1,983                          Missing                                 
                          2,872        0                 Not indicated                           
                             21        1                 Indicated                               
 
I5600    $M3INDIC                      Actv Diag: Malnutrition                  
                          1,229                          Missing                                 
                          2,930        0                 Not indicated                           
                            717        1                 Indicated                               
 
I5700    $M3INDIC                      Actv Diag: Anxiety Disorder              
                          1,251                          Missing                                 
                          2,474        0                 Not indicated                           
                          1,151        1                 Indicated                               
 
I5800    $M3INDIC                      Actv Diag: Depression                    
                          2,005                          Missing                                 
                          1,388        0                 Not indicated                           
                          1,483        1                 Indicated                               
 
I5900    $M3INDIC                      Actv Diag: Manic Depression              
                          1,251                          Missing                                 
                          3,461        0                 Not indicated                           
                            164        1                 Indicated                               
 
I5950    $M3INDIC                      Actv Diag: Psychotic                     
                          1,251                          Missing                                 
                          3,333        0                 Not indicated                           
                            292        1                 Indicated                               
 
I6000    $M3INDIC                      Actv Diag: Schizophrenia                 
                          1,251                          Missing                                 
                          3,351        0                 Not indicated                           
                            274        1                 Indicated                               
 
I6100    $M3INDIC                      Actv Diag:  (PTSD)                       
                          1,251                          Missing                                 
                          3,598        0                 Not indicated                           
                             27        1                 Indicated                               
 
I6200    $M3INDIC                      Actv Diag: Asth, COPD, Chron Lung Dis    
                          1,983                          Missing                                 
                              1        -                 Not assessed/no information             
                          2,196        0                 Not indicated                           
                            696        1                 Indicated                               
 
I6300    $M3INDIC                      Actv Diag: Resp Failure                  
                          1,983                          Missing                                 
                          2,698        0                 Not indicated                           
                            195        1                 Indicated                               
 
I6500    $M3INDIC                      Actv Diag: Cataracts, Glauc or Mac Deg   
                          3,764                          Missing                                 
                            937        0                 Not indicated                           
                            175        1                 Indicated                               
 
I7900    $M3INDIC                      Actv Diag: No Actv Disease               
                          3,742                          Missing                                 
                          1,129        0                 Not indicated                           
                              5        1                 Indicated                               
 
I8000A                                 Addl Actv Diag: ICD 1                    
                          1,345                          Missing                                 
                          3,531        Range of values   Range of values                         
 
I8000B                                 Addl Actv Diag: ICD 2                    
                          1,421                          Missing                                 
                          3,455        Range of values   Range of values                         
 
I8000C                                 Addl Actv Diag: ICD 3                    
                          1,521                          Missing                                 
                          3,355        Range of values   Range of values                         
 
I8000D                                 Addl Actv Diag: ICD 4                    
                          1,656                          Missing                                 
                          3,220        Range of values   Range of values                         
 
I8000E                                 Addl Actv Diag: ICD 5                    
                          1,820                          Missing                                 
                          3,056        Range of values   Range of values                         
 
I8000F                                 Addl Actv Diag: ICD 6                    
                          2,027                          Missing                                 
                          2,849        Range of values   Range of values                         
 
I8000G                                 Addl Actv Diag: ICD 7                    
                          2,281                          Missing                                 
                          2,595        Range of values   Range of values                         
 
I8000H                                 Addl Actv Diag: ICD 8                    
                          2,541                          Missing                                 
                          2,335        Range of values   Range of values                         
 
I8000I                                 Addl Actv Diag: ICD 9                    
                          2,804                          Missing                                 
                          2,072        Range of values   Range of values                         
 
I8000J                                  Addl Actv Diag: ICD 10                  
                          3,113                          Missing                                 
                          1,763        Range of values   Range of values                         
 
J0100A   $M3YESNO                      Pain management: Scheduled Pain Med      
                          1,251                          Missing                                 
                              2        -                 Not assessed/no information             
                          2,038        0                 No                                      
                          1,585        1                 Yes                                     
 
J0100B   $M3YESNO                      Pain management: PRN Pain Med            
                          1,251                          Missing                                 
                          2,517        0                 No                                      
                          1,108        1                 Yes                                     
 
J0100C   $M3YESNO                      Pain management: Oth Pain Intervention   
                          1,251                          Missing                                 
                              3        -                 Not assessed/no information             
                          2,996        0                 No                                      
                            626        1                 Yes                                     
 
J0200    $M3YESNO                      Should Pain Asmt be Cond                 
                          1,626                          Missing                                 
                             12        -                 Not assessed/no information             
                            267        0                 No                                      
                          2,971        1                 Yes                                     
 
J0300    $M3YNANS                      Pain Asmt Int: Pain Pres                 
                          1,893                          Missing                                 
                             78        -                 Not assessed/no information             
                          1,840        0                 No                                      
                            882        1                 Yes                                     
                            183        9                 Unable to answer                        
 
J0400    $M31PAIN                      Pain Asmt Int: Pain Freq                 
                          3,916                          Missing                                 
                             79        -                 Not assessed/no information             
                             48        1                 Almost constantly                       
                            223        2                 Frequently                              
                            502        3                 Occasionally                            
                             91        4                 Rarely                                  
                             17        9                 Unable to answer                        
 
J0500A   $M3YNANS                      Pain Asmt Int: Pain Effect Sleep         
                          3,916                          Missing                                 
                             81        -                 Not assessed/no information             
                            730        0                 No                                      
                            131        1                 Yes                                     
                             18        9                 Unable to answer                        
 
J0500B   $M3YNANS                      Pain Asmt Int: Pain Effect Act           
                          3,916                          Missing                                 
                             82        -                 Not assessed/no information             
                            657        0                 No                                      
                            202        1                 Yes                                     
                             19        9                 Unable to answer                        
 
J0600A                                 Pain Intensity Numeric Rating Scale Num  
                          4,225                          Missing                                 
                            651        Range of values   Range of values                         
 
J0600B   $M32PAIN                      Pain Intensity Verbal Descr Scale Num    
                          4,474                          Missing                                 
                             78        -                 Not assessed/no information             
                            152        1                 Mild                                    
                            136        2                 Moderate                                
                             24        3                 Severe                                  
                              1        4                 Very severe, horrible                   
                             11        9                 Unable to answer                        
 
J0700    $M3YESNO                      Staff Cond Pain Asmt                     
                          4,078                          Missing                                 
                            783        0                 No                                      
                             15        1                 Yes                                     
 
J0800A   $M3INDIC                      SA for Pain: Nonverbal Sound             
                          4,441                          Missing                                 
                            398        0                 Not indicated                           
                             37        1                 Indicated                               
 
J0800B   $M3INDIC                      SA for Pain: Vocal Complaint             
                          4,441                          Missing                                 
                            377        0                 Not indicated                           
                             58        1                 Indicated                               
 
J0800C   $M3INDIC                      SA for Pain: Facial Expression           
                          4,441                          Missing                                 
                            383        0                 Not indicated                           
                             52        1                 Indicated                               
 
J0800D   $M3INDIC                      SA for Pain: Protective Movement         
                          4,441                          Missing                                 
                            405        0                 Not indicated                           
                             30        1                 Indicated                               
 
J0800Z   $M3INDIC                      SA for Pain: None Above Signs of Pain    
                          4,441                          Missing                                 
                             96        0                 Not indicated                           
                            339        1                 Indicated                               
 
J0850    $M3PAINI                      SA for Pain: Nonverbal Sound             
                          4,780                          Missing                                 
                             47        1                 Indicators of pain 1-2 days             
                             27        2                 Indicators of pain 3-4 days             
                             22        3                 Indicators of pain daily                
 
J1100A   $M3INDIC                      Shortness of Breath W Exertion           
                          1,251                          Missing                                 
                              6        -                 Not assessed/no information             
                          3,350        0                 Not indicated                           
                            269        1                 Indicated                               
 
J1100B   $M3INDIC                      Shortness of Breath When Sitting         
                          1,251                          Missing                                 
                              5        -                 Not assessed/no information             
                          3,499        0                 Not indicated                           
                            121        1                 Indicated                               
 
J1100C   $M3INDIC                      Shortness of Breath When Lying Flat      
                          1,229                          Missing                                 
                              6        -                 Not assessed/no information             
                          3,267        0                 Not indicated                           
                            374        1                 Indicated                               
 
J1100Z   $M3INDIC                      None of Above Shortness of Breath        
                          1,229                          Missing                                 
                              6        -                 Not assessed/no information             
                            527        0                 Not indicated                           
                          3,114        1                 Indicated                               
 
J1300    $M3YESNO                      Tobacco Use                              
                          3,764                          Missing                                 
                              1        -                 Not assessed/no information             
                          1,069        0                 No                                      
                             42        1                 Yes                                     
 
J1400    $M3YESNO                      Life Prognosis Less Than Six Mons        
                          1,251                          Missing                                 
                          3,460        0                 No                                      
                            165        1                 Yes                                     
 
J1550A   $M3INDIC                      Prob Conds: Fever                        
                          1,229                          Missing                                 
                          3,608        0                 Not indicated                           
                             39        1                 Indicated                               
 
J1550B   $M3INDIC                      Prob Conds: Vomiting                     
                          1,229                          Missing                                 
                          3,601        0                 Not indicated                           
                             46        1                 Indicated                               
 
J1550C   $M3INDIC                      Prob Conds: Dehydration                  
                          1,251                          Missing                                 
                              1        -                 Not assessed/no information             
                          3,609        0                 Not indicated                           
                             15        1                 Indicated                               
 
J1550D   $M3INDIC                      Prob Conds: Internal Bleeding            
                          1,251                          Missing                                 
                          3,597        0                 Not indicated                           
                             28        1                 Indicated                               
 
J1550Z   $M3INDIC                      Prob Conds: None of Above                
                          1,229                          Missing                                 
                              1        -                 Not assessed/no information             
                            114        0                 Not indicated                           
                          3,532        1                 Indicated                               
 
J1700A   $M3YNDET                      Fall History on Admsn: Fall 30 Day       
                          4,127                          Missing                                 
                              1        -                 Not assessed/no information             
                            431        0                 No                                      
                            292        1                 Yes                                     
                             25        9                 Unable to determine                     
 
J1700B   $M3YNDET                      Fall History on Admsn: Fall 31-180 Day   
                          4,127                          Missing                                 
                            497        0                 No                                      
                            194        1                 Yes                                     
                             58        9                 Unable to determine                     
 
J1700C   $M3YNDET                      Fall History on Admsn: Fall Six Mon      
                          4,127                          Missing                                 
                            587        0                 No                                      
                            135        1                 Yes                                     
                             27        9                 Unable to determine                     
 
J1800    $M3YESNO                      Falls Since Admsn or Prior Asmt          
                          1,059                          Missing                                 
                              1        -                 Not assessed/no information             
                          3,194        0                 No                                      
                            622        1                 Yes                                     
 
J1900A   $M3FALLS                      Falls Since Adm/Prior Asmt W No Inj      
                          4,253                          Missing                                 
                              1        -                 Not assessed/no information             
                            133        0                 None                                    
                            330        1                 One                                     
                            159        2                 Two or more                             
 
J1900B   $M3FALLS                      Falls Since Adm/Prior Asmt W Inj Ex Maj  
                          4,253                          Missing                                 
                              1        -                 Not assessed/no information             
                            412        0                 None                                    
                            174        1                 One                                     
                             36        2                 Two or more                             
 
J1900C   $M3FALLS                      Falls Since Adm/Prior Asmt W Maj Inj     
                          4,253                          Missing                                 
                              1        -                 Not assessed/no information             
                            589        0                 None                                    
                             33        1                 One                                     
 
K0100A   $M3INDIC                      Swall Disorder: Loss Mouth Eating        
                          1,983                          Missing                                 
                              8        -                 Not assessed/no information             
                          2,830        0                 Not indicated                           
                             55        1                 Indicated                               
 
K0100B   $M3INDIC                      Swall Disorder: Hold Food Mouth          
                          1,983                          Missing                                 
                              8        -                 Not assessed/no information             
                          2,763        0                 Not indicated                           
                            122        1                 Indicated                               
 
K0100C   $M3INDIC                      Swall Disorder: Choke Drinking Meal      
                          1,983                          Missing                                 
                              8        -                 Not assessed/no information             
                          2,753        0                 Not indicated                           
                            132        1                 Indicated                               
 
K0100D   $M3INDIC                      Swall Disorder: Complaint Swall          
                          1,983                          Missing                                 
                              8        -                 Not assessed/no information             
                          2,778        0                 Not indicated                           
                            107        1                 Indicated                               
 
K0100Z   $M3INDIC                      Swall Disorder: None of Above            
                          1,983                          Missing                                 
                              8        -                 Not assessed/no information             
                            265        0                 Not indicated                           
                          2,620        1                 Indicated                               
 
K0200A                                 Height Num                               
                          1,251                          Missing                                 
                          3,625        Range of values   Range of values                         
 
K0200B                                 Weight Num                               
                          1,251                          Missing                                 
                          3,625        Range of values   Range of values                         
 
K0300    $M3WGHT                       Weight Loss                              
                          1,229                          Missing                                 
                             21        -                 Not assessed/no information             
                          3,350        0                 No or unknown                           
                             33        1                 Yes, on physician-prescribed regimen    
                            243        2                 Yes, not on physician-prescribed regimen
 
K0310    $M3WGHT                       Weight Gain                              
                          1,251                          Missing                                 
                             18        -                 Not assessed/no information             
                          3,424        0                 No or unknown                           
                             53        1                 Yes, on physician-prescribed regimen    
                            130        2                 Yes, not on physician-prescribed regimen
 
K0510A1  $M3INDIC                      Nutr App: Prior Par/IV Feeding           
                          4,391                          Missing                                 
                             12        -                 Not assessed/no information             
                            360        0                 Not indicated                           
                            113        1                 Indicated                               
 
K0510A2  $M3INDIC                      Nutr App: Post Par/IV Feeding            
                          1,229                          Missing                                 
                              2        -                 Not assessed/no information             
                          3,586        0                 Not indicated                           
                             59        1                 Indicated                               
 
K0510B1  $M3INDIC                      Nutr App: Prior Feeding Tube             
                          4,391                          Missing                                 
                             11        -                 Not assessed/no information             
                            454        0                 Not indicated                           
                             20        1                 Indicated                               
 
K0510B2  $M3INDIC                      Nutr App: Post Feeding Tube              
                          1,229                          Missing                                 
                              1        -                 Not assessed/no information             
                          3,477        0                 Not indicated                           
                            169        1                 Indicated                               
 
K0510C2  $M3INDIC                      Nutr App: Post Mech Alt Diet             
                          1,596                          Missing                                 
                              2        -                 Not assessed/no information             
                          2,102        0                 Not indicated                           
                          1,176        1                 Indicated                               
 
K0510D2  $M3INDIC                      Nutr App: Post Ther Diet                 
                          1,618                          Missing                                 
                              3        -                 Not assessed/no information             
                          1,814        0                 Not indicated                           
                          1,441        1                 Indicated                               
 
K0510Z1  $M3INDIC                      Nutr App: Prior None of Above            
                          4,418                          Missing                                 
                             11        -                 Not assessed/no information             
                            126        0                 Not indicated                           
                            321        1                 Indicated                               
 
K0510Z2  $M3INDIC                      Nutr App: Post None of Above             
                          1,596                          Missing                                 
                          2,212        0                 Not indicated                           
                          1,068        1                 Indicated                               
 
L0200A   $M3INDIC                      Dental Stat: Broken Denture              
                          2,005                          Missing                                 
                             17        -                 Not assessed/no information             
                          2,832        0                 Not indicated                           
                             22        1                 Indicated                               
 
L0200B   $M3INDIC                      Dental Stat: No Teeth                    
                          3,764                          Missing                                 
                              3        -                 Not assessed/no information             
                            918        0                 Not indicated                           
                            191        1                 Indicated                               
 
L0200C   $M3INDIC                      Dental Stat: Abnormal Mouth Tiss         
                          3,764                          Missing                                 
                              4        -                 Not assessed/no information             
                          1,106        0                 Not indicated                           
                              2        1                 Indicated                               
 
L0200D   $M3INDIC                      Dental Stat: Cavity                      
                          3,764                          Missing                                 
                              3        -                 Not assessed/no information             
                          1,034        0                 Not indicated                           
                             75        1                 Indicated                               
 
L0200E   $M3INDIC                      Dental Stat: Inflamed Gum                
                          3,764                          Missing                                 
                              3        -                 Not assessed/no information             
                          1,108        0                 Not indicated                           
                              1        1                 Indicated                               
 
L0200F   $M3INDIC                      Dental Stat: Mouth or Facial Pain        
                          2,005                          Missing                                 
                             15        -                 Not assessed/no information             
                          2,830        0                 Not indicated                           
                             26        1                 Indicated                               
 
L0200G   $M3INDIC                      Dental Stat: Unable to Examine           
                          3,764                          Missing                                 
                              3        -                 Not assessed/no information             
                          1,093        0                 Not indicated                           
                             16        1                 Indicated                               
 
L0200Z   $M3INDIC                      Dental Stat: None of Above               
                          3,764                          Missing                                 
                              2        -                 Not assessed/no information             
                            287        0                 Not indicated                           
                            823        1                 Indicated                               
 
M0100A   $M3INDIC                      Det of Press Ulcr Risk: Ulcr Visible     
                          1,251                          Missing                                 
                              4        -                 Not assessed/no information             
                          3,228        0                 Not indicated                           
                            393        1                 Indicated                               
 
M0100B   $M3INDIC                      Det of Press Ulcr Risk: Frml Asmt/Instr  
                          2,005                          Missing                                 
                              3        -                 Not assessed/no information             
                            589        0                 Not indicated                           
                          2,279        1                 Indicated                               
 
M0100C   $M3INDIC                      Det of Press Ulcr Risk: Clinical Asmt    
                          2,005                          Missing                                 
                              1        -                 Not assessed/no information             
                            216        0                 Not indicated                           
                          2,654        1                 Indicated                               
 
M0100Z   $M3INDIC                      Det of Press Ulcr Risk: None of Above    
                          2,005                          Missing                                 
                          2,808        0                 Not indicated                           
                             63        1                 Indicated                               
 
M0150    $M3YESNO                      Press Ulcr Risk                          
                          2,005                          Missing                                 
                              1        -                 Not assessed/no information             
                            328        0                 No                                      
                          2,542        1                 Yes                                     
 
M0210    $M3YESNO                      One or More S1 or Higher UPU             
                          1,037                          Missing                                 
                              2        -                 Not assessed/no information             
                          3,443        0                 No                                      
                            394        1                 Yes                                     
 
M0300A                                 Stage 1 Press Ulcr Num                   
                          4,604                          Missing                                 
                            272        Range of values   Range of values                         
 
M0300B1                                Stage 2 Press Ulcr Num                   
                          4,480                          Missing                                 
                            396        Range of values   Range of values                         
 
M0300B2                                Stage 2 Press Ulcr Present on Admsn Num  
                          4,763                          Missing                                 
                            113        Range of values   Range of values                         
 
M0300C1                                Stage 3 Press Ulcr Num                   
                          4,480                          Missing                                 
                            396        Range of values   Range of values                         
 
M0300C2                                Stage 3 Press Ulcr Present on Admsn Num  
                          4,787                          Missing                                 
                             89        Range of values   Range of values                         
 
M0300D1                                Stage 4 Press Ulcr Num                   
                          4,480                          Missing                                 
                            396        Range of values   Range of values                         
 
M0300D2                                Stage 4 Press Ulcr Present on Admsn Num  
                          4,807                          Missing                                 
                             69        Range of values   Range of values                         
 
M0300E1                                UPU Due To Drsng Num                     
                          4,484                          Missing                                 
                            392        Range of values   Range of values                         
 
M0300F1                                UPU W Slough or Eschar Num               
                          4,480                          Missing                                 
                            396        Range of values   Range of values                         
 
M0300F2                                UPU W Slough or Eschar on Admsn Num      
                          4,788                          Missing                                 
                             88        Range of values   Range of values                         
 
M0300G1                                UPU W Deep Tiss Inj Num                  
                          4,484                          Missing                                 
                            392        Range of values   Range of values                         
 
M0300G2                                UPU W Deep Tiss Inj on Admsn Num         
                          4,787                          Missing                                 
                             89        Range of values   Range of values                         
 
M1030                                  Venous and Arterial Ulcr Num             
                          1,983                          Missing                                 
                          2,893        Range of values   Range of values                         
 
M1040A   $M3INDIC                      Oth Foot Skin Probs: Foot Infn           
                          1,983                          Missing                                 
                              1        -                 Not assessed/no information             
                          2,876        0                 Not indicated                           
                             16        1                 Indicated                               
 
M1040B   $M3INDIC                      Oth Foot Skin Probs: Diab Foot Ulcr      
                          1,983                          Missing                                 
                              1        -                 Not assessed/no information             
                          2,860        0                 Not indicated                           
                             32        1                 Indicated                               
 
M1040C   $M3INDIC                      Oth Foot Skin Probs: Oth Open Les Foot   
                          1,983                          Missing                                 
                              1        -                 Not assessed/no information             
                          2,880        0                 Not indicated                           
                             12        1                 Indicated                               
 
M1040D   $M3INDIC                      O/S/P: Oth Than Ulcrs, Rashes, Cuts      
                          1,983                          Missing                                 
                              1        -                 Not assessed/no information             
                          2,850        0                 Not indicated                           
                             42        1                 Indicated                               
 
M1040E   $M3INDIC                      O/S/P: Surgical Wound(s)                 
                          1,983                          Missing                                 
                              1        -                 Not assessed/no information             
                          2,734        0                 Not indicated                           
                            158        1                 Indicated                               
 
M1040F   $M3INDIC                      O/S/P: Burn(s)                           
                          1,983                          Missing                                 
                              1        -                 Not assessed/no information             
                          2,890        0                 Not indicated                           
                              2        1                 Indicated                               
 
M1040G   $M3INDIC                      O/S/P: Skin Tear(s)                      
                          2,005                          Missing                                 
                              1        -                 Not assessed/no information             
                          2,748        0                 Not indicated                           
                            122        1                 Indicated                               
 
M1040H   $M3INDIC                      O/S/P: Moisture Assoc Skin Dmge          
                          2,005                          Missing                                 
                              2        -                 Not assessed/no information             
                          2,651        0                 Not indicated                           
                            218        1                 Indicated                               
 
M1040Z   $M3INDIC                      O/S/P: None of Above                     
                          1,983                          Missing                                 
                              2        -                 Not assessed/no information             
                            523        0                 Not indicated                           
                          2,368        1                 Indicated                               
 
M1200A   $M3INDIC                      S/U Trtmts: Press Reducng Device in Chr  
                          1,983                          Missing                                 
                              2        -                 Not assessed/no information             
                          1,126        0                 Not indicated                           
                          1,765        1                 Indicated                               
 
M1200B   $M3INDIC                      S/U Trtmts: Press Reducng Device in Bed  
                          1,983                          Missing                                 
                              1        -                 Not assessed/no information             
                            431        0                 Not indicated                           
                          2,461        1                 Indicated                               
 
M1200C   $M3INDIC                      S/U Trtmts: Turning/RePosing Prog        
                          1,983                          Missing                                 
                          2,395        0                 Not indicated                           
                            498        1                 Indicated                               
 
M1200D   $M3INDIC                      S/U Trtmts: Nutrition/Hydration          
                          1,983                          Missing                                 
                          2,490        0                 Not indicated                           
                            403        1                 Indicated                               
 
M1200E   $M3INDIC                      S/U Trtmts: Ulcr Care                    
                          1,983                          Missing                                 
                              1        -                 Not assessed/no information             
                          2,621        0                 Not indicated                           
                            271        1                 Indicated                               
 
M1200F   $M3INDIC                      S/U Trtmts: Surgical Wound Care          
                          1,983                          Missing                                 
                              1        -                 Not assessed/no information             
                          2,773        0                 Not indicated                           
                            119        1                 Indicated                               
 
M1200G   $M3INDIC                      S/U Trtmts: App Nonsurgical Drsng        
                          1,983                          Missing                                 
                              1        -                 Not assessed/no information             
                          2,501        0                 Not indicated                           
                            391        1                 Indicated                               
 
M1200H   $M3INDIC                      S/U Trtmts: App Ointments/Meds           
                          1,983                          Missing                                 
                              1        -                 Not assessed/no information             
                          1,456        0                 Not indicated                           
                          1,436        1                 Indicated                               
 
M1200I   $M3INDIC                      S/U Trtmts: App Drsngs to Foot           
                          1,983                          Missing                                 
                              1        -                 Not assessed/no information             
                          2,759        0                 Not indicated                           
                            133        1                 Indicated                               
 
M1200Z   $M3INDIC                      S/U Trtmts: None of Above                
                          1,983                          Missing                                 
                          2,683        0                 Not indicated                           
                            210        1                 Indicated                               
 
N0300                                  Num of Days Injections of Any Type       
                          2,005                          Missing                                 
                          2,871        Range of values   Range of values                         
 
N0350A                                 Num of Days Insulin Injections           
                          3,993                          Missing                                 
                            883        Range of values   Range of values                         
 
N0350B                                 Num of Days Insulin Orders Changed       
                          3,993                          Missing                                 
                            883        Range of values   Range of values                         
 
N0410A                                 Meds Rcd: Antipsychotic Num Days         
                          1,251                          Missing                                 
                          3,625        Range of values   Range of values                         
 
N0410B                                 Meds Rcd: Antianxiety Num Days           
                          1,251                          Missing                                 
                          3,625        Range of values   Range of values                         
 
N0410C                                 Meds Rcd: Antidepressant Num Days        
                          1,251                          Missing                                 
                          3,625        Range of values   Range of values                         
 
N0410D                                 Meds Rcd: Hypnotic Num Days              
                          1,251                          Missing                                 
                          3,625        Range of values   Range of values                         
 
N0410E                                 Meds Rcd: Anticoagulant Num Days         
                          1,251                          Missing                                 
                          3,625        Range of values   Range of values                         
 
N0410F                                 Meds Rcd: Antibiotic Num Days            
                          1,251                          Missing                                 
                          3,625        Range of values   Range of values                         
 
N0410G                                 Meds Rcd: Diuretic Num Days              
                          1,251                          Missing                                 
                          3,625        Range of values   Range of values                         
 
O0100A1  $M3INDIC                      Spcl T/P: ChemOthapy Pre-admit           
                          4,125                          Missing                                 
                              1        -                 Not assessed/no information             
                            749        0                 Not indicated                           
                              1        1                 Indicated                               
 
O0100A2  $M3INDIC                      Spcl T/P: ChemOthapy Post-admit          
                          1,983                          Missing                                 
                              9        -                 Not assessed/no information             
                          2,876        0                 Not indicated                           
                              8        1                 Indicated                               
 
O0100B1  $M3INDIC                      Spcl T/P: Radiation Pre-admit            
                          4,125                          Missing                                 
                              1        -                 Not assessed/no information             
                            750        0                 Not indicated                           
 
O0100B2  $M3INDIC                      Spcl T/P: Radiation Post-admit           
                          1,983                          Missing                                 
                              8        -                 Not assessed/no information             
                          2,885        0                 Not indicated                           
 
O0100C1  $M3INDIC                      Spcl T/P: Oxygen Pre-admit               
                          4,125                          Missing                                 
                              4        -                 Not assessed/no information             
                            543        0                 Not indicated                           
                            204        1                 Indicated                               
 
O0100C2  $M3INDIC                      Spcl T/P: Oxygen Post-admit              
                          1,983                          Missing                                 
                              8        -                 Not assessed/no information             
                          2,483        0                 Not indicated                           
                            402        1                 Indicated                               
 
O0100D1  $M3INDIC                      Spcl T/P: Suctioning Pre-admit           
                          4,125                          Missing                                 
                              1        -                 Not assessed/no information             
                            745        0                 Not indicated                           
                              5        1                 Indicated                               
 
O0100D2  $M3INDIC                      Spcl T/P: Suctioning Post-admit          
                          1,983                          Missing                                 
                              8        -                 Not assessed/no information             
                          2,861        0                 Not indicated                           
                             24        1                 Indicated                               
 
O0100E1  $M3INDIC                      Spcl T/P: Tracheostomy Pre-admit         
                          4,125                          Missing                                 
                              1        -                 Not assessed/no information             
                            747        0                 Not indicated                           
                              3        1                 Indicated                               
 
O0100E2  $M3INDIC                      Spcl T/P: Tracheostomy Post-admit        
                          1,983                          Missing                                 
                              8        -                 Not assessed/no information             
                          2,864        0                 Not indicated                           
                             21        1                 Indicated                               
 
O0100F1  $M3INDIC                      Spcl T/P: Ventilator Pre-admit           
                          4,125                          Missing                                 
                              1        -                 Not assessed/no information             
                            744        0                 Not indicated                           
                              6        1                 Indicated                               
 
O0100F2  $M3INDIC                      Spcl T/P: Ventilator Post-admit          
                          1,983                          Missing                                 
                              8        -                 Not assessed/no information             
                          2,880        0                 Not indicated                           
                              5        1                 Indicated                               
 
O0100G1  $M3INDIC                      Spcl T/P: Cont Pos Arwy Press Pre-A      
                          4,324                          Missing                                 
                            533        0                 Not indicated                           
                             19        1                 Indicated                               
 
O0100G2  $M3INDIC                      Spcl T/P: Cont Pos Arwy Press Post-A     
                          3,764                          Missing                                 
                              1        -                 Not assessed/no information             
                          1,084        0                 Not indicated                           
                             27        1                 Indicated                               
 
O0100H1  $M3INDIC                      Spcl T/P: Intravenous Med Pre-admit      
                          4,125                          Missing                                 
                            364        0                 Not indicated                           
                            387        1                 Indicated                               
 
O0100H2  $M3INDIC                      Spcl T/P: Intravenous Med Post-admit     
                          1,983                          Missing                                 
                              8        -                 Not assessed/no information             
                          2,788        0                 Not indicated                           
                             97        1                 Indicated                               
 
O0100I1  $M3INDIC                      Spcl T/P: Transfusion Pre-admit          
                          4,125                          Missing                                 
                              1        -                 Not assessed/no information             
                            729        0                 Not indicated                           
                             21        1                 Indicated                               
 
O0100I2  $M3INDIC                      Spcl T/P: Transfusion Post-admit         
                          1,983                          Missing                                 
                              8        -                 Not assessed/no information             
                          2,883        0                 Not indicated                           
                              2        1                 Indicated                               
 
O0100J1  $M3INDIC                      Spcl T/P: Dialysis Pre-admit             
                          4,125                          Missing                                 
                            721        0                 Not indicated                           
                             30        1                 Indicated                               
 
O0100J2  $M3INDIC                      Spcl T/P: Dialysis Post-admit            
                          1,983                          Missing                                 
                              8        -                 Not assessed/no information             
                          2,833        0                 Not indicated                           
                             52        1                 Indicated                               
 
O0100K1  $M3INDIC                      Spcl T/P: Hospice Pre-admit              
                          4,324                          Missing                                 
                            545        0                 Not indicated                           
                              7        1                 Indicated                               
 
O0100K2  $M3INDIC                      Spcl T/P: Hospice Post-admit             
                          1,251                          Missing                                 
                              9        -                 Not assessed/no information             
                          3,435        0                 Not indicated                           
                            181        1                 Indicated                               
 
O0100M1  $M3INDIC                      Spcl T/P: Isolation Pre-admit            
                          4,324                          Missing                                 
                            542        0                 Not indicated                           
                             10        1                 Indicated                               
 
O0100M2  $M3INDIC                      Spcl T/P: Isolation Post-admit           
                          1,983                          Missing                                 
                              8        -                 Not assessed/no information             
                          2,816        0                 Not indicated                           
                             69        1                 Indicated                               
 
O0100Z1  $M3INDIC                      Spcl T/P: None Above Pre-A Trtmt Prior   
                          4,324                          Missing                                 
                            334        0                 Not indicated                           
                            218        1                 Indicated                               
 
O0100Z2  $M3INDIC                      Spcl T/P: None Above Trtmt Post-admit    
                          3,742                          Missing                                 
                              2        -                 Not assessed/no information             
                            338        0                 Not indicated                           
                            794        1                 Indicated                               
 
O0250A   $M3YESNO                      Influenza Rcd                            
                          1,251                          Missing                                 
                             30        -                 Not assessed/no information             
                          1,675        0                 No                                      
                          1,920        1                 Yes                                     
 
O0250B   MMDDYYn8                      Influenza Rcd Date                       
                          2,958                       .  Inapplicable                            
                          1,918        MMDDYYYY          Date as MMDDYYYY                        
 
O0250C   $M3FLRSN                      Rsn Influenza Not Rcd                    
                          3,171                          Missing                                 
                             35        -                 Not assessed/no information             
                            218        1                 Resident not in facility                
                            590        2                 Received outside the facility           
                             53        3                 Not eligible                            
                            575        4                 Offered and declined                    
                            108        5                 Not offered                             
                              8        6                 Inability to obtain vaccine             
                            118        9                 None of the above                       
 
O0300A   $M3YESNO                      Pneumococcal Vaccination                 
                          1,251                          Missing                                 
                             44        -                 Not assessed/no information             
                          1,158        0                 No                                      
                          2,423        1                 Yes                                     
 
O0300B   $M3PNRSN                      Rsn Pneumococcal Vaccination Not Rcd     
                          3,674                          Missing                                 
                             82        -                 Not assessed/no information             
                             78        1                 Not eligible                            
                            793        2                 Offered and declined                    
                            249        3                 Not offered                             
 
O0400A1                                Speech Ther/Aud Individual Minutes Num   
                          2,005                          Missing                                 
                          2,871        Range of values   Range of values                         
 
O0400A2                                Speech Ther/Aud ConCur Minutes Num       
                          2,005                          Missing                                 
                          2,871        Range of values   Range of values                         
 
O0400A3                                Speech Ther/Aud Group Minutes Num        
                          2,005                          Missing                                 
                          2,871        Range of values   Range of values                         
 
O0400A4                                Num of Days Speech Ther/Aud Admin        
                          4,405                          Missing                                 
                            471        Range of values   Range of values                         
 
O0400A5  MMDDYYn8                      Speech Ther/Audiology Start Date         
                          3,468                       .  Inapplicable                            
                          1,408        MMDDYYYY          Date as MMDDYYYY                        
 
O0400A6  MMDDYYn8                      Speech Ther/Audiology End Date           
                          3,925                       .  Inapplicable                            
                            951        MMDDYYYY          Date as MMDDYYYY                        
 
O0400B1                                Occupational Ther Individual Minutes Num 
                          2,005                          Missing                                 
                          2,871        Range of values   Range of values                         
 
O0400B2                                Occupational Ther ConCur Minutes Num     
                          2,005                          Missing                                 
                          2,871        Range of values   Range of values                         
 
O0400B3                                Occupational Ther Group Minutes Num      
                          2,005                          Missing                                 
                          2,871        Range of values   Range of values                         
 
O0400B4                                Num of Days Occ Ther Administered        
                          3,809                          Missing                                 
                          1,067        Range of values   Range of values                         
 
O0400B5  MMDDYYn8                      Occupational Ther Start Date             
                          2,390                       .  Inapplicable                            
                          2,486        MMDDYYYY          Date as MMDDYYYY                        
 
O0400B6  MMDDYYn8                      Occupational Ther End Date               
                          3,449                       .  Inapplicable                            
                          1,427        MMDDYYYY          Date as MMDDYYYY                        
 
O0400C1                                Phys Ther Individual Minutes Num         
                          2,005                          Missing                                 
                          2,871        Range of values   Range of values                         
 
O0400C2                                Phys Ther ConCur Minutes Num             
                          2,005                          Missing                                 
                          2,871        Range of values   Range of values                         
 
O0400C3                                Phys Ther Group Minutes Num              
                          2,005                          Missing                                 
                          2,871        Range of values   Range of values                         
 
O0400C4                                Num of Days Phys Ther Administered       
                          3,777                          Missing                                 
                          1,099        Range of values   Range of values                         
 
O0400C5  MMDDYYn8                      Phys Ther Start Date                     
                          2,407                       .  Inapplicable                            
                          2,469        MMDDYYYY          Date as MMDDYYYY                        
 
O0400C6  MMDDYYn8                      Phys Ther End Date                       
                          3,479                       .  Inapplicable                            
                          1,397        MMDDYYYY          Date as MMDDYYYY                        
 
O0400D1                                Resp Ther Minutes Num                    
                          3,764                          Missing                                 
                          1,112        Range of values   Range of values                         
 
O0400D2                                Num of Days Resp Ther Administered       
                          3,085                          Missing                                 
                          1,791        Range of values   Range of values                         
 
O0400E1                                Psych Ther Minutes Num                   
                          3,764                          Missing                                 
                          1,112        Range of values   Range of values                         
 
O0400E2                                Num of Days Psych Ther Administered      
                          3,129                          Missing                                 
                          1,747        Range of values   Range of values                         
 
O0400F1                                Rec Ther Minutes Num                     
                          3,764                          Missing                                 
                          1,112        Range of values   Range of values                         
 
O0400F2                                Num of Days Rec Ther Administered        
                          4,873                          Missing                                 
                              3        Range of values   Range of values                         
 
O0500A                                 Rest Nrs: Passive Range of Mtn Num       
                          1,983                          Missing                                 
                          2,893        Range of values   Range of values                         
 
O0500B                                 Rest Nrs: Actv Range of Mtn Num          
                          1,983                          Missing                                 
                          2,893        Range of values   Range of values                         
 
O0500C                                 Rest Nrs: Splint/Brace Ass Num           
                          1,983                          Missing                                 
                          2,893        Range of values   Range of values                         
 
O0500D                                 Rest Nrs: Bed Mob Training Num           
                          1,983                          Missing                                 
                          2,893        Range of values   Range of values                         
 
O0500E                                 Rest Nrs: Trans Training Num             
                          1,983                          Missing                                 
                          2,893        Range of values   Range of values                         
 
O0500F                                 Rest Nrs: Wlking Training Num            
                          1,983                          Missing                                 
                          2,893        Range of values   Range of values                         
 
O0500G                                 Rest Nrs: Drsng/Grooming Training Num    
                          1,983                          Missing                                 
                          2,893        Range of values   Range of values                         
 
O0500H                                 Rest Nrs: Eating/Swall Training Num      
                          1,983                          Missing                                 
                          2,893        Range of values   Range of values                         
 
O0500I                                 Rest Nrs: Amp/Prosthes Care Training Num 
                          1,983                          Missing                                 
                          2,893        Range of values   Range of values                         
 
O0500J                                 Rest Nrs: Communication Training Num     
                          1,983                          Missing                                 
                          2,893        Range of values   Range of values                         
 
O0600                                  Physician Exam Day Num                   
                          2,005                          Missing                                 
                          2,871        Range of values   Range of values                         
 
O0700                                  Physician Order Day Num                  
                          2,005                          Missing                                 
                          2,871        Range of values   Range of values                         
 
P0100A   $M3USED                       Phys Rstrnts in Bed: Bed Rail            
                          1,251                          Missing                                 
                              1        -                 Not assessed/no information             
                          3,619        0                 Not used                                
                              5        2                 Used daily                              
 
P0100B   $M3USED                       Phys Rstrnts in Bed: Trunk Rstrnt Bed    
                          1,251                          Missing                                 
                              1        -                 Not assessed/no information             
                          3,624        0                 Not used                                
 
P0100C   $M3USED                       Phys Rstrnts in Bed: Limb Rstrnt Bed     
                          1,251                          Missing                                 
                              1        -                 Not assessed/no information             
                          3,624        0                 Not used                                
 
P0100D   $M3USED                       Phys Rstrnts in Bed: Oth Rstrnt Bed      
                          1,251                          Missing                                 
                              1        -                 Not assessed/no information             
                          3,624        0                 Not used                                
 
P0100E   $M3USED                       Phys Rstrnts Chair: Trunk Rstrnt Chair   
                          1,251                          Missing                                 
                              1        -                 Not assessed/no information             
                          3,624        0                 Not used                                
 
P0100F   $M3USED                       Phys Rstrnts Chair: Limb Rstrnt Chair    
                          1,251                          Missing                                 
                              1        -                 Not assessed/no information             
                          3,624        0                 Not used                                
 
P0100G   $M3USED                       Phys Rstrnts Chair: Chair Prevent Rise   
                          1,251                          Missing                                 
                              1        -                 Not assessed/no information             
                          3,624        0                 Not used                                
 
P0100H   $M3USED                       Phys Rstrnts Chair: Oth Rstrnt Chair     
                          1,251                          Missing                                 
                              1        -                 Not assessed/no information             
                          3,624        0                 Not used                                
 
Q0100A   $M3YESNO                      Res Part in Asmt                         
                          2,005                          Missing                                 
                             15        -                 Not assessed/no information             
                            429        0                 No                                      
                          2,427        1                 Yes                                     
 
Q0100B   $M3FAMPR                      Fam Part in Asmt                         
                          2,005                          Missing                                 
                             13        -                 Not assessed/no information             
                          1,881        0                 No                                      
                            959        1                 Yes                                     
                             18        9                 No family or significant other available
 
Q0100C   $M3GUAPR                      Guardian Part in Asmt                    
                          2,005                          Missing                                 
                             12        -                 Not assessed/no information             
                          2,085        0                 No                                      
                            258        1                 Yes                                     
                            516        9                 No guardian or legally auth rep availabl
 
Q0300A   $M3OGOAL                      Res Overall Goal                         
                          4,136                          Missing                                 
                              7        -                 Not assessed/no information             
                            441        1                 Discharged to the community             
                            236        2                 Remain in this facility                 
                             27        3                 Discharged to another facility          
                             29        9                 Unknown or uncertain                    
 
Q0300B   $M3SOURC                      Overall Goal Source                      
                          4,136                          Missing                                 
                              7        -                 Not assessed/no information             
                            492        1                 Resident                                
                            212        2                 Family or sig other                     
                             25        3                 Guardian or legally auth rep            
                              4        9                 Unknown or uncertain                    
 
Q0400A   $M3YESNO                      Dis Plan                                 
                          1,251                          Missing                                 
                             26        -                 Not assessed/no information             
                          2,617        0                 No                                      
                            982        1                 Yes                                     
 
Q0490    $M3NOINF                      Ress Pref Answering Q0500B               
                          3,216                          Missing                                 
                             10        -                 Not assessed/no information             
                            890        0                 No                                      
                            760        1                 Yes                                     
 
Q0500B   $M3WNTLK                      Staff Asked Res or Fam Abt Rtn To Comm   
                          3,283                          Missing                                 
                             20        -                 Not assessed/no information             
                          1,470        0                 No                                      
                             56        1                 Yes                                     
                             47        9                 Unknown or uncertain                    
 
Q0550A   $M3NOINF                      Pref In Answering Q0550B                 
                          3,283                          Missing                                 
                             25        -                 Not assessed/no information             
                          1,401        0                 No                                      
                            125        1                 Yes                                     
                             42        8                 Information not available               
 
Q0550B   $M3SOURC                      Source Answering Q0550A                  
                          3,283                          Missing                                 
                             24        -                 Not assessed/no information             
                            806        1                 Resident                                
                            592        2                 Family or sig other                     
                            123        3                 Guardian or legally auth rep            
                             48        9                 Unknown or uncertain                    
 
Q0600    $M3REFER                      Local Contact Agency Referral            
                          1,251                          Missing                                 
                             23        -                 Not assessed/no information             
                          3,397        0                 No - referral not needed                
                             89        1                 No - referral may be needed             
                            116        2                 Yes                                     
 
V0100A   $M3CASS                       Prior Asmt Federal OBRA Rsn for Asmt     
                          4,373                                                                  
                              7        01                5 day sched assessment                  
                            424        02                14 day sched assessment                 
                             19        03                30 day sched assessment                 
                             10        04                60 day sched assessment                 
                             43        99                None of above                           
 
V0100B   $M3CASS                       Prior Asmt PPS Rsn for Asmt              
                          4,373                                                                  
                             53        01                5 day sched assessment                  
                              2        08                08                                      
                            448        99                None of above                           
 
V0100C   MMDDYYn8                      Prior Asmt Ref Date                      
                          4,374                       .  Inapplicable                            
                            502        MMDDYYYY          Date as MMDDYYYY                        
 
V0100D                                 Prior Asmt (BIMS) Summary Score Num      
                          4,440                          Missing                                 
                            436        Range of values   Range of values                         
 
V0100E                                 Prior Asmt  (PHQ-9) Tot Svrty Score Num  
                          4,446                          Missing                                 
                            430        Range of values   Range of values                         
 
V0100F                                 Prior Asmt  (PHQ-9) Tot Svrty Score Num  
                          4,746                          Missing                                 
                            130        Range of values   Range of values                         
 
V200A01A $M3INDIC                      Dlrm Care Area Trigger                   
                          3,831                          Missing                                 
                            983        0                 Not indicated                           
                             62        1                 Indicated                               
 
V200A01B $M3INDIC                      Dlrm Adrsd in Care Plan                  
                          3,831                          Missing                                 
                            629        -                 Not assessed/no information             
                            378        0                 Not indicated                           
                             38        1                 Indicated                               
 
V200A02A $M3INDIC                      Dementia Care Area Trigger               
                          3,831                          Missing                                 
                            386        0                 Not indicated                           
                            659        1                 Indicated                               
 
V200A02B $M3INDIC                      Dementia Adrsd in Care Plan              
                          3,831                          Missing                                 
                            252        -                 Not assessed/no information             
                            203        0                 Not indicated                           
                            590        1                 Indicated                               
 
V200A03A $M3INDIC                      Visual Func Care Area Trigger            
                          3,831                          Missing                                 
                            704        0                 Not indicated                           
                            341        1                 Indicated                               
 
V200A03B $M3INDIC                      Visual Func Adrsd in Care Plan           
                          3,831                          Missing                                 
                            454        -                 Not assessed/no information             
                            295        0                 Not indicated                           
                            296        1                 Indicated                               
 
V200A04A $M3INDIC                      Communication Care Area Trigger          
                          3,831                          Missing                                 
                            519        0                 Not indicated                           
                            526        1                 Indicated                               
 
V200A04B $M3INDIC                      Communication Adrsd in Care Plan         
                          3,831                          Missing                                 
                            355        -                 Not assessed/no information             
                            222        0                 Not indicated                           
                            468        1                 Indicated                               
 
V200A05A $M3INDIC                      ADL Care Area Trigger                    
                          3,831                          Missing                                 
                            277        0                 Not indicated                           
                            768        1                 Indicated                               
 
V200A05B $M3INDIC                      ADL Adrsd in Care Plan                   
                          3,831                          Missing                                 
                            166        -                 Not assessed/no information             
                            121        0                 Not indicated                           
                            758        1                 Indicated                               
 
V200A06A $M3INDIC                      Urny Care Area Trigger                   
                          3,831                          Missing                                 
                             69        0                 Not indicated                           
                            976        1                 Indicated                               
 
V200A06B $M3INDIC                      Urny Adrsd in Care Plan                  
                          3,831                          Missing                                 
                             52        -                 Not assessed/no information             
                             90        0                 Not indicated                           
                            903        1                 Indicated                               
 
V200A07A $M3INDIC                      Psychosocial Care Area Trigger           
                          3,831                          Missing                                 
                            793        0                 Not indicated                           
                            252        1                 Indicated                               
 
V200A07B $M3INDIC                      Psychosocial Adrsd in Care Plan          
                          3,831                          Missing                                 
                            516        -                 Not assessed/no information             
                            308        0                 Not indicated                           
                            221        1                 Indicated                               
 
V200A08A $M3INDIC                      Mood Care Area Trigger                   
                          3,831                          Missing                                 
                            826        0                 Not indicated                           
                            219        1                 Indicated                               
 
V200A08B $M3INDIC                      Mood Adrsd in Care Plan                  
                          3,831                          Missing                                 
                            513        -                 Not assessed/no information             
                            341        0                 Not indicated                           
                            191        1                 Indicated                               
 
V200A09A $M3INDIC                      Bhvral Care Area Trigger                 
                          3,831                          Missing                                 
                            913        0                 Not indicated                           
                            132        1                 Indicated                               
 
V200A09B $M3INDIC                      Bhvral Adrsd in Care Plan                
                          3,831                          Missing                                 
                            579        -                 Not assessed/no information             
                            347        0                 Not indicated                           
                            119        1                 Indicated                               
 
V200A10A $M3INDIC                      Act Care Area Trigger                    
                          3,831                          Missing                                 
                            825        0                 Not indicated                           
                            220        1                 Indicated                               
 
V200A10B $M3INDIC                      Act Adrsd in Care Plan                   
                          3,831                          Missing                                 
                            519        -                 Not assessed/no information             
                            307        0                 Not indicated                           
                            219        1                 Indicated                               
 
V200A11A $M3INDIC                      Fall Care Area Trigger                   
                          3,831                          Missing                                 
                             23        0                 Not indicated                           
                          1,022        1                 Indicated                               
 
V200A11B $M3INDIC                      Fall Adrsd in Care Plan                  
                          3,831                          Missing                                 
                             21        -                 Not assessed/no information             
                             46        0                 Not indicated                           
                            978        1                 Indicated                               
 
V200A12A $M3INDIC                      Nutr Care Area Trigger                   
                          3,831                          Missing                                 
                            103        0                 Not indicated                           
                            942        1                 Indicated                               
 
V200A12B $M3INDIC                      Nutr Adrsd in Care Plan                  
                          3,831                          Missing                                 
                             80        -                 Not assessed/no information             
                             83        0                 Not indicated                           
                            882        1                 Indicated                               
 
V200A13A $M3INDIC                      Feeding Tube Care Area Trigger           
                          3,831                          Missing                                 
                          1,000        0                 Not indicated                           
                             45        1                 Indicated                               
 
V200A13B $M3INDIC                      Feeding Tube Adrsd in Care Plan          
                          3,831                          Missing                                 
                            626        -                 Not assessed/no information             
                            377        0                 Not indicated                           
                             42        1                 Indicated                               
 
V200A14A $M3INDIC                      Dehydration Care Area Trigger            
                          3,831                          Missing                                 
                            758        0                 Not indicated                           
                            287        1                 Indicated                               
 
V200A14B $M3INDIC                      Dehydration Adrsd in Care Plan           
                          3,831                          Missing                                 
                            461        -                 Not assessed/no information             
                            335        0                 Not indicated                           
                            249        1                 Indicated                               
 
V200A15A $M3INDIC                      Dental Care Area Trigger                 
                          3,831                          Missing                                 
                            792        0                 Not indicated                           
                            253        1                 Indicated                               
 
V200A15B $M3INDIC                      Dental Adrsd in Care Plan                
                          3,831                          Missing                                 
                            494        -                 Not assessed/no information             
                            330        0                 Not indicated                           
                            221        1                 Indicated                               
 
V200A16A $M3INDIC                      Press Ulcr Care Area Trigger             
                          3,831                          Missing                                 
                             17        0                 Not indicated                           
                          1,028        1                 Indicated                               
 
V200A16B $M3INDIC                      Press Ulcr Adrsd in Care Plan            
                          3,831                          Missing                                 
                             21        -                 Not assessed/no information             
                             61        0                 Not indicated                           
                            963        1                 Indicated                               
 
V200A17A $M3INDIC                      Psychotropic Drug Care Area Trigger      
                          3,831                          Missing                                 
                            415        0                 Not indicated                           
                            630        1                 Indicated                               
 
V200A17B $M3INDIC                      Psychotropic Drug Adrsd in Care Plan     
                          3,831                          Missing                                 
                            267        -                 Not assessed/no information             
                            187        0                 Not indicated                           
                            591        1                 Indicated                               
 
V200A18A $M3INDIC                      Rstrnt Care Area Trigger                 
                          3,831                          Missing                                 
                          1,043        0                 Not indicated                           
                              2        1                 Indicated                               
 
V200A18B $M3INDIC                      Rstrnt Adrsd in Care Plan                
                          3,831                          Missing                                 
                            653        -                 Not assessed/no information             
                            390        0                 Not indicated                           
                              2        1                 Indicated                               
 
V200A19A $M3INDIC                      Pain Care Area Trigger                   
                          3,831                          Missing                                 
                            847        0                 Not indicated                           
                            198        1                 Indicated                               
 
V200A19B $M3INDIC                      Pain Adrsd in Care Plan                  
                          3,831                          Missing                                 
                            525        -                 Not assessed/no information             
                            317        0                 Not indicated                           
                            203        1                 Indicated                               
 
V200A20A $M3INDIC                      Rtn to Comm Care Area Trigger            
                          3,831                          Missing                                 
                          1,002        0                 Not indicated                           
                             43        1                 Indicated                               
 
V200A20B $M3INDIC                      Rtn to Comm Adrsd in Care Plan           
                          3,831                          Missing                                 
                            624        -                 Not assessed/no information             
                            374        0                 Not indicated                           
                             47        1                 Indicated                               
 
