Variable Format    Q#/Freq            Description/Label
 
BASEID   $BSIDFMT                      Unique SP Identification Number          
                          4,958        LOW-HIGH          BASEID Count                            
 
SURVEYYR SVYRFMT                       Survey Year                              
                          4,958                    2022  2022                                    
 
VERSION  VERSFMT                       Version Number                           
                          4,958                       1  Version 1                               
 
TRGT_DT  MMDDYYn8                      Target Date                              
                          4,958        MMDDYYYY          Date as MMDDYYYY                        
         Notes:  MDS linkage variable added in 2019
                 First available in 2019
 
SUB_DT   MMDDYYn8                      Submission Date                          
                          4,958        MMDDYYYY          Date as MMDDYYYY                        
 
SPEC_VCD                               Data Submission Spec Vers                
                          4,958        Range of values   Range of values                         
 
ITM_SVC                                Item Set Vers                            
                          4,958        Range of values   Range of values                         
 
PRCSD_TS MMDDYYn8                      Processed Timestamp                      
                          4,958        MMDDYYYY          Date as MMDDYYYY                        
 
Age                                    Res Age                                  
                             14                          Missing                                 
                          4,944        Range of values   Range of values                         
 
RSDT_MCI                               Res Match Criteria ID                    
                              1                       .  Inapplicable/Missing                    
                          4,957        Range of values   Range of values                         
 
CURCD                                  CBSA Urban/Rural                         
                          4,958        Range of values   Range of values                         
 
A0050    $M3RCTYP                      Type of Record                           
                          4,671        1                 Add a new record                        
                            287        2                 Modify existing record                  
 
A0200    $M3PROV                       Type of Provider                         
                          4,958        1                 Nursing home (SNF/NF)                   
 
A0310A   $M3OBRA                       Federal OBRA Rsn for Asmt                
                              3                          Missing                                 
                            465        01                Admission                               
                          1,713        02                Quarterly                               
                            399        03                Annual                                  
                            175        04                Significant change in status            
                          2,203        99                Not OBRA required                       
 
A0310B   $MCASS                        PPS Asmt                                 
                              3                          Missing                                 
                            501        01                Sched. 5-day assessment                 
                             28        08                Not PPS assessment                      
                          4,426        99                None of the above                       
 
A0310E   $M3YESNO                      First Asmt Since Most Rec Admsn          
                              3                          Missing                                 
                          4,200        0                 No                                      
                            755        1                 Yes                                     
 
A0310F   $M3REPO                       Entry/Dis                                
                              3                          Missing                                 
                            830        01                Entry                                   
                            384        10                Discharge, return not anticipated       
                            341        11                Discharge, return anticipated           
                            142        12                Death in facility                       
                          3,258        99                None of the above                       
 
A0310G   $M3DIS                        Planned Dis                              
                          4,233                          Missing                                 
                            349        1                 Planned                                 
                            376        2                 Unplanned                               
 
A0410    $M3SUBRQ                      Submission Req                           
                              5        2                 State but not federal required          
                          4,953        3                 Federal required                        
 
A0800    $M3GEND                       Sex                                   
                          1,815        1                 Male                                    
                          3,143        2                 Female                                  
 
A0900    MMDDYYn8                      Birth Date                               
                          4,958        MMDDYYYY          Date as MMDDYYYY                        
 
A1000A   $M3INDIC                      R/E: American Indian or Alaskan Native   
                              1        -                 Not assessed/no information             
                          4,936        0                 Not indicated                           
                             21        1                 Indicated                               
 
A1000B   $M3INDIC                      R/E: Asian                               
                              1        -                 Not assessed/no information             
                          4,851        0                 Not indicated                           
                            106        1                 Indicated                               
 
A1000C   $M3INDIC                      R/E: African American                    
                              1        -                 Not assessed/no information             
                          4,335        0                 Not indicated                           
                            622        1                 Indicated                               
 
A1000D   $M3INDIC                      R/E: Hispanic                            
                              1        -                 Not assessed/no information             
                          4,618        0                 Not indicated                           
                            339        1                 Indicated                               
 
A1000E   $M3INDIC                      R/E: Native Hawaiian/Pacific Islander    
                              1        -                 Not assessed/no information             
                          4,957        0                 Not indicated                           
 
A1000F   $M3INDIC                      R/E: White                               
                              1        -                 Not assessed/no information             
                          1,254        0                 Not indicated                           
                          3,703        1                 Indicated                               
 
A1100A   $M3YNDET                      Res Need Interpreter                     
                            972                          Missing                                 
                              4        -                 Not assessed/no information             
                          3,831        0                 No                                      
                            138        1                 Yes                                     
                             13        9                 Unable to determine                     
 
A1200    $M3MARTL                      Marital Stat                             
                            173        -                 Not assessed/no information             
                            988        1                 Never married                           
                            944        2                 Married                                 
                          2,059        3                 Widowed                                 
                             25        4                 Separated                               
                            769        5                 Divorced                                
 
A1300A                                 Medical Record Num                       
                             55                          Missing                                 
                          4,903        Range of values   Range of values                         
 
A1300D                                 Lifetime Occupation(s) Text              
                          2,636                          Missing                                 
                          2,322        Range of values   Range of values                         
 
A1500    $M3SMI                        (PASRR)                                  
                          3,919                          Missing                                 
                              2        -                 Not assessed/no information             
                            954        0                 No                                      
                             64        1                 Yes                                     
                             19        9                 Not a Medicaid-certified unit           
 
A1510A   $M3INDIC                      Serious Mntl Illness                     
                          4,892                          Missing                                 
                              2        -                 Not assessed/no information             
                             13        0                 Not indicated                           
                             51        1                 Indicated                               
 
A1510B   $M3INDIC                      Intellectual Disability                  
                          4,892                          Missing                                 
                              2        -                 Not assessed/no information             
                             50        0                 Not indicated                           
                             14        1                 Indicated                               
 
A1510C   $M3INDIC                      Oth Related Conds                        
                          4,892                          Missing                                 
                              2        -                 Not assessed/no information             
                             60        0                 Not indicated                           
                              4        1                 Indicated                               
 
A1550A   $M3INDIC                      ID/DD Stat: Down Syndrome                
                          4,493                          Missing                                 
                            464        0                 Not indicated                           
                              1        1                 Indicated                               
 
A1550B   $M3INDIC                      ID/DD Stat: Autism                       
                          4,493                          Missing                                 
                            465        0                 Not indicated                           
 
A1550C   $M3INDIC                      ID/DD Stat: Epilepsy                     
                          4,493                          Missing                                 
                            464        0                 Not indicated                           
                              1        1                 Indicated                               
 
A1550D   $M3INDIC                      ID/DD Stat: Oth Org ID/DD Cond           
                          4,493                          Missing                                 
                            463        0                 Not indicated                           
                              2        1                 Indicated                               
 
A1550E   $M3INDIC                      ID/DD Stat: ID/DD W No Org Cond          
                          4,493                          Missing                                 
                            465        0                 Not indicated                           
 
A1550Z   $M3INDIC                      ID/DD Stat: None of the Above            
                          4,493                          Missing                                 
                              4        0                 Not indicated                           
                            461        1                 Indicated                               
 
A1600    MMDDYYn8                      Entry Date                               
                             28                       .  Inapplicable                            
                          4,930        MMDDYYYY          Date as MMDDYYYY                        
 
A1700    $M3TYP                        Type of Entry                            
                             31                          Missing                                 
                          2,813        1                 Admission                               
                          2,114        2                 Reentry                                 
 
A1800    $M3ADFRM                      Entered From                             
                             31                          Missing                                 
                            314        01                Community                               
                            272        02                Another nursing home or swing bed       
                          4,234        03                Acute hospital                          
                             26        04                Psychiatric hospital                    
                             26        05                Inpatient rehabilitation facility       
                              7        07                Hospice                                 
                             11        09                Long Term Care Hospital (LTCH)          
                             37        99                Other                                   
 
A2000    MMDDYYn8                      Dis Date                                 
                          4,091                       .  Inapplicable                            
                            867        MMDDYYYY          Date as MMDDYYYY                        
 
A2100    $M3ADFRM                      Dis Stat                                 
                          4,091                          Missing                                 
                            334        01                Community                               
                             34        02                Another nursing home or swing bed       
                            341        03                Acute hospital                          
                              2        04                Psychiatric hospital                    
                              2        05                Inpatient rehabilitation facility       
                              8        07                Hospice                                 
                            142        08                Deceased                                
                              1        09                Long Term Care Hospital (LTCH)          
                              3        99                Other                                   
 
A2300    MMDDYYn8                      Asmt Ref Date                            
                            972                       .  Inapplicable                            
                          3,986        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    
                              3                          Missing                                 
                          2,564        0                 No                                      
                          2,391        1                 Yes                                     
 
A2400B   MMDDYYn8                      Start Date of Most Rec Mcare Stay        
                          2,565                       .  Inapplicable                            
                          2,393        MMDDYYYY          Date as MMDDYYYY                        
 
A2400C   MMDDYYn8                      End Date of Most Rec Mcare Stay          
                          3,491                       .  Inapplicable                            
                          1,467        MMDDYYYY          Date as MMDDYYYY                        
 
B0100    $M3YESNO                      Comatose                                 
                          1,224                          Missing                                 
                              1        -                 Not assessed/no information             
                          3,715        0                 No                                      
                             18        1                 Yes                                     
 
B0200    $M3HEAR                       Hearing                                  
                          1,964                          Missing                                 
                             15        -                 Not assessed/no information             
                          2,189        0                 Adequate                                
                            563        1                 Minimal difficulty                      
                            190        2                 Moderate difficulty                     
                             37        3                 Highly impaired                         
 
B0300    $M3YESNO                      Hearing Aide                             
                          1,964                          Missing                                 
                              4        -                 Not assessed/no information             
                          2,724        0                 No                                      
                            266        1                 Yes                                     
 
B0600    $M3CLEAR                      Speech Clarity                           
                          1,964                          Missing                                 
                              5        -                 Not assessed/no information             
                          2,570        0                 Clear speech                            
                            309        1                 Unclear speech                          
                            110        2                 No speech                               
 
B0700    $M3UNDER                      Makes Self Understood                    
                          1,933                          Missing                                 
                              3        -                 Not assessed/no information             
                          1,946        0                 Understood                              
                            571        1                 Usually understood                      
                            285        2                 Sometimes understood                    
                            220        3                 Rarely/Never understood                 
 
B0800    $M3UNDRR                      Ability to Understand Oth                
                          1,964                          Missing                                 
                              4        -                 Not assessed/no information             
                          1,841        0                 Understands                             
                            623        1                 Usually understands                     
                            348        2                 Sometimes understands                   
                            178        3                 Rarely/Never understands                
 
B1000    $M3ADQT                       Vision                                   
                          1,964                          Missing                                 
                             24        -                 Not assessed/no information             
                          2,187        0                 Adequate                                
                            484        1                 Impaired                                
                            122        2                 Moderately impaired                     
                            115        3                 Highly impaired                         
                             62        4                 Severely impaired                       
 
B1200    $M3YESNO                      Corr Lenses                              
                          1,964                          Missing                                 
                             11        -                 Not assessed/no information             
                          1,556        0                 No                                      
                          1,427        1                 Yes                                     
 
C0100    $M3YESNO                      Brief Int for Mntl Stat Be Cond          
                          1,589                          Missing                                 
                             62        -                 Not assessed/no information             
                            275        0                 No                                      
                          3,032        1                 Yes                                     
 
C0200    $M3REP3W                      BIMS: Num of Words Rep After First Att   
                          1,864                          Missing                                 
                             89        -                 Not assessed/no information             
                            261        0                 None                                    
                             69        1                 One                                     
                            145        2                 Two                                     
                          2,530        3                 Three                                   
 
C0300A   $M31ORNT                      BIMS: Temp Ortn - Able to Rep Corr Yr    
                          1,864                          Missing                                 
                             91        -                 Not assessed/no information             
                          1,009        0                 Missed by >5 years or no answer         
                            130        1                 Missed by 2-5 years                     
                            139        2                 Missed by 1 year                        
                          1,725        3                 Correct                                 
 
C0300B   $M31ORNT                      BIMS: Temp Ortn - Able to Rep Corr Mon   
                          1,864                          Missing                                 
                             92        -                 Not assessed/no information             
                            971        0                 Missed by >5 years or no answer         
                            223        1                 Missed by 2-5 years                     
                          1,808        2                 Missed by 1 year                        
 
C0300C   $M31ORNT                      BIMS: Temp Ortn - Able to Rep Corr Day   
                          1,864                          Missing                                 
                            100        -                 Not assessed/no information             
                          1,556        0                 Missed by >5 years or no answer         
                          1,438        1                 Missed by 2-5 years                     
 
C0400A   $M3CUE                        BIMS: Rcl - Able to Rcl Sock             
                          1,864                          Missing                                 
                            150        -                 Not assessed/no information             
                            889        0                 No - could not recall                   
                            579        1                 Yes, after cueing                       
                          1,476        2                 Yes, no cue required                    
 
C0400B   $M3CUE                        BIMS: Rcl - Able to Rcl Blue             
                          1,864                          Missing                                 
                            150        -                 Not assessed/no information             
                            765        0                 No - could not recall                   
                            655        1                 Yes, after cueing                       
                          1,524        2                 Yes, no cue required                    
 
C0400C   $M3CUE                        BIMS: Rcl - Able to Rcl Bed              
                          1,864                          Missing                                 
                            150        -                 Not assessed/no information             
                          1,005        0                 No - could not recall                   
                            667        1                 Yes, after cueing                       
                          1,272        2                 Yes, no cue required                    
 
C0500                                  Brief Int for Mntl Stat (BIMS) Score Num 
                          1,864                          Missing                                 
                          3,094        Range of values   Range of values                         
 
C0600    $M3YESNO                      Staff to Cond Brief Int for Mntl Stat    
                          1,864                          Missing                                 
                             49        -                 Not assessed/no information             
                          2,826        0                 No                                      
                            219        1                 Yes                                     
 
C0700    $M3MEMRY                      SA of Mntl Stat - Short Term Memory      
                          4,068                          Missing                                 
                            104        -                 Not assessed/no information             
                            163        0                 Memory OK                               
                            623        1                 Memory problem                          
 
C0800    $M3MEMRY                      SA of Mntl Stat - Long Term Memory       
                          4,461                          Missing                                 
                             44        -                 Not assessed/no information             
                             22        0                 Memory OK                               
                            431        1                 Memory problem                          
 
C0900A   $M3INDIC                      SA of Mntl Stat - Rcls Cur Season        
                          4,461                          Missing                                 
                             37        -                 Not assessed/no information             
                            433        0                 Not indicated                           
                             27        1                 Indicated                               
 
C0900B   $M3INDIC                      SA of Mntl Stat - Rcls Loc of Room       
                          4,461                          Missing                                 
                             37        -                 Not assessed/no information             
                            393        0                 Not indicated                           
                             67        1                 Indicated                               
 
C0900C   $M3INDIC                      SA of Mntl Stat - Rcls Staff Name        
                          4,461                          Missing                                 
                             37        -                 Not assessed/no information             
                            383        0                 Not indicated                           
                             77        1                 Indicated                               
 
C0900D   $M3INDIC                      SA of Mntl Stat - Rcls Nrs Home          
                          4,461                          Missing                                 
                             37        -                 Not assessed/no information             
                            386        0                 Not indicated                           
                             74        1                 Indicated                               
 
C0900Z   $M3INDIC                      SA of Mntl Stat - Rcls None of Above     
                          4,461                          Missing                                 
                             37        -                 Not assessed/no information             
                            128        0                 Not indicated                           
                            332        1                 Indicated                               
 
C1000    $M3DECIS                      Cog Skills for Decision Making           
                          4,068                          Missing                                 
                             92        -                 Not assessed/no information             
                             89        0                 Independent                             
                            111        1                 Modified independence                   
                            201        2                 Moderately impaired                     
                            397        3                 Severely impaired                       
 
D0100    $M3YESNO                      Res Mood Int Be Cond                     
                          1,589                          Missing                                 
                             69        -                 Not assessed/no information             
                            302        0                 No                                      
                          2,998        1                 Yes                                     
 
D0200A1  $M3YNNOR                      Res Mood Int - Interest Loss             
                          1,891                          Missing                                 
                             86        -                 Not assessed/no information             
                          2,468        0                 No                                      
                            324        1                 Yes                                     
                            189        9                 No Response                             
 
D0200A2  $M3DEPRB                      Res Mood Int - Interest Loss Freq        
                          2,080                          Missing                                 
                             86        -                 Not assessed/no information             
                          2,479        0                 Never or 1 day                          
                            141        1                 2 - 6 days                              
                             94        2                 7 - 11 days                             
                             78        3                 12-14 days                              
 
D0200B1  $M3YNNOR                      Res Mood Int - Feel Down                 
                          1,891                          Missing                                 
                             86        -                 Not assessed/no information             
                          2,057        0                 No                                      
                            736        1                 Yes                                     
                            188        9                 No Response                             
 
D0200B2  $M3DEPRB                      Res Mood Int - Feel Down Freq            
                          2,079                          Missing                                 
                             86        -                 Not assessed/no information             
                          2,087        0                 Never or 1 day                          
                            362        1                 2 - 6 days                              
                            202        2                 7 - 11 days                             
                            142        3                 12-14 days                              
 
D0200C1  $M3YNNOR                      Res Mood Int - Trouble Sleep             
                          1,891                          Missing                                 
                             86        -                 Not assessed/no information             
                          2,147        0                 No                                      
                            648        1                 Yes                                     
                            186        9                 No Response                             
 
D0200C2  $M3DEPRB                      Res Mood Int - Trouble Sleep Freq        
                          2,077                          Missing                                 
                             86        -                 Not assessed/no information             
                          2,160        0                 Never or 1 day                          
                            273        1                 2 - 6 days                              
                            177        2                 7 - 11 days                             
                            185        3                 12-14 days                              
 
D0200D1  $M3YNNOR                      Res Mood Int - Little Energy             
                          1,891                          Missing                                 
                             89        -                 Not assessed/no information             
                          1,851        0                 No                                      
                            939        1                 Yes                                     
                            188        9                 No Response                             
 
D0200D2  $M3DEPRB                      Res Mood Int - Little Energy Freq        
                          2,079                          Missing                                 
                             89        -                 Not assessed/no information             
                          1,861        0                 Never or 1 day                          
                            391        1                 2 - 6 days                              
                            256        2                 7 - 11 days                             
                            282        3                 12-14 days                              
 
D0200E1  $M3YNNOR                      Res Mood Int - Poor Appetite             
                          1,891                          Missing                                 
                             93        -                 Not assessed/no information             
                          2,347        0                 No                                      
                            443        1                 Yes                                     
                            184        9                 No Response                             
 
D0200E2  $M3DEPRB                      Res Mood Int - Poor Appetite Freq        
                          2,075                          Missing                                 
                             93        -                 Not assessed/no information             
                          2,355        0                 Never or 1 day                          
                            210        1                 2 - 6 days                              
                            117        2                 7 - 11 days                             
                            108        3                 12-14 days                              
 
D0200F1  $M3YNNOR                      Res Mood Int - Self Dprcn                
                          1,891                          Missing                                 
                            104        -                 Not assessed/no information             
                          2,558        0                 No                                      
                            227        1                 Yes                                     
                            178        9                 No Response                             
 
D0200F2  $M3DEPRB                      Res Mood Int - Self Dprcn Freq           
                          2,069                          Missing                                 
                            104        -                 Not assessed/no information             
                          2,566        0                 Never or 1 day                          
                            130        1                 2 - 6 days                              
                             52        2                 7 - 11 days                             
                             37        3                 12-14 days                              
 
D0200G1  $M3YNNOR                      Res Mood Int - Lack of Conc              
                          1,891                          Missing                                 
                            101        -                 Not assessed/no information             
                          2,366        0                 No                                      
                            419        1                 Yes                                     
                            181        9                 No Response                             
 
D0200G2  $M3DEPRB                      Res Mood Int - Lack of Conc Freq         
                          2,072                          Missing                                 
                            102        -                 Not assessed/no information             
                          2,375        0                 Never or 1 day                          
                            204        1                 2 - 6 days                              
                             95        2                 7 - 11 days                             
                            110        3                 12-14 days                              
 
D0200H1  $M3YNNOR                      Res Mood Int - Movement Diff             
                          1,891                          Missing                                 
                            102        -                 Not assessed/no information             
                          2,529        0                 No                                      
                            254        1                 Yes                                     
                            182        9                 No Response                             
 
D0200H2  $M3DEPRB                      Res Mood Int - Movement Diff Freq        
                          2,073                          Missing                                 
                            102        -                 Not assessed/no information             
                          2,540        0                 Never or 1 day                          
                            107        1                 2 - 6 days                              
                             70        2                 7 - 11 days                             
                             66        3                 12-14 days                              
 
D0200I1  $M3YNNOR                      Res Mood Int - Neg Stmnt                 
                          1,891                          Missing                                 
                            102        -                 Not assessed/no information             
                          2,759        0                 No                                      
                             26        1                 Yes                                     
                            180        9                 No Response                             
 
D0200I2  $M3DEPRB                      Res Mood Int - Neg Stmnt Freq            
                          2,071                          Missing                                 
                            102        -                 Not assessed/no information             
                          2,764        0                 Never or 1 day                          
                             16        1                 2 - 6 days                              
                              3        2                 7 - 11 days                             
                              2        3                 12-14 days                              
 
D0300                                  Res Mood Int - Tot Svrty Mood Score      
                          1,891                          Missing                                 
                          3,067        Range of values   Range of values                         
 
D0500A1  $M3YESNO                      SA of Res Mood - Interest Loss           
                          4,370                          Missing                                 
                             59        -                 Not assessed/no information             
                            425        0                 No                                      
                            104        1                 Yes                                     
 
D0500A2  $M3DEPRB                      SA of Res Mood - Interest Loss Freq      
                          4,370                          Missing                                 
                             60        -                 Not assessed/no information             
                            427        0                 Never or 1 day                          
                             21        1                 2 - 6 days                              
                             28        2                 7 - 11 days                             
                             52        3                 12-14 days                              
 
D0500B1  $M3YESNO                      SA of Res Mood - Feel Down               
                          4,370                          Missing                                 
                             60        -                 Not assessed/no information             
                            449        0                 No                                      
                             79        1                 Yes                                     
 
D0500B2  $M3DEPRB                      SA of Res Mood - Feel Down Freq          
                          4,370                          Missing                                 
                             60        -                 Not assessed/no information             
                            451        0                 Never or 1 day                          
                             33        1                 2 - 6 days                              
                             21        2                 7 - 11 days                             
                             23        3                 12-14 days                              
 
D0500C1  $M3YESNO                      SA of Res Mood - Trouble Sleep           
                          4,370                          Missing                                 
                             57        -                 Not assessed/no information             
                            406        0                 No                                      
                            125        1                 Yes                                     
 
D0500C2  $M3DEPRB                      SA of Res Mood - Trouble Sleep Freq      
                          4,370                          Missing                                 
                             57        -                 Not assessed/no information             
                            411        0                 Never or 1 day                          
                             24        1                 2 - 6 days                              
                             39        2                 7 - 11 days                             
                             57        3                 12-14 days                              
 
D0500D1  $M3YESNO                      SA of Res Mood - Little Energy           
                          4,370                          Missing                                 
                             61        -                 Not assessed/no information             
                            365        0                 No                                      
                            162        1                 Yes                                     
 
D0500D2  $M3DEPRB                      SA of Res Mood - Little Energy Freq      
                          4,370                          Missing                                 
                             61        -                 Not assessed/no information             
                            366        0                 Never or 1 day                          
                             38        1                 2 - 6 days                              
                             57        2                 7 - 11 days                             
                             66        3                 12-14 days                              
 
D0500E1  $M3YESNO                      SA of Res Mood - Poor Appetite           
                          4,370                          Missing                                 
                             61        -                 Not assessed/no information             
                            391        0                 No                                      
                            136        1                 Yes                                     
 
D0500E2  $M3DEPRB                      SA of Res Mood - Poor Appetite Freq      
                          4,370                          Missing                                 
                             61        -                 Not assessed/no information             
                            392        0                 Never or 1 day                          
                             44        1                 2 - 6 days                              
                             49        2                 7 - 11 days                             
                             42        3                 12-14 days                              
 
D0500F1  $M3YESNO                      SA of Res Mood - Self Dprcn              
                          4,370                          Missing                                 
                             63        -                 Not assessed/no information             
                            520        0                 No                                      
                              5        1                 Yes                                     
 
D0500F2  $M3DEPRB                      SA of Res Mood - Self Dprcn Freq         
                          4,370                          Missing                                 
                             63        -                 Not assessed/no information             
                            521        0                 Never or 1 day                          
                              2        1                 2 - 6 days                              
                              1        2                 7 - 11 days                             
                              1        3                 12-14 days                              
 
D0500G1  $M3YESNO                      SA of Res Mood - Conc                    
                          4,370                          Missing                                 
                             62        -                 Not assessed/no information             
                            321        0                 No                                      
                            205        1                 Yes                                     
 
D0500G2  $M3DEPRB                      SA of Res Mood - Conc Freq               
                          4,370                          Missing                                 
                             62        -                 Not assessed/no information             
                            326        0                 Never or 1 day                          
                             15        1                 2 - 6 days                              
                             35        2                 7 - 11 days                             
                            150        3                 12-14 days                              
 
D0500H1  $M3YESNO                      SA of Res Mood - Movement Diff           
                          4,370                          Missing                                 
                             59        -                 Not assessed/no information             
                            459        0                 No                                      
                             70        1                 Yes                                     
 
D0500H2  $M3DEPRB                      SA of Res Mood - Movement Diff Freq      
                          4,370                          Missing                                 
                             59        -                 Not assessed/no information             
                            460        0                 Never or 1 day                          
                             10        1                 2 - 6 days                              
                             23        2                 7 - 11 days                             
                             36        3                 12-14 days                              
 
D0500I1  $M3YESNO                      SA of Res Mood - Neg Stmnt               
                          4,370                          Missing                                 
                             61        -                 Not assessed/no information             
                            526        0                 No                                      
                              1        1                 Yes                                     
 
D0500I2  $M3DEPRB                      SA of Res Mood - Neg Stmnt Freq          
                          4,370                          Missing                                 
                             61        -                 Not assessed/no information             
                            526        0                 Never or 1 day                          
                              1        2                 7 - 11 days                             
 
D0500J1  $M3YESNO                      SA of Res Mood - Short Temper            
                          4,370                          Missing                                 
                             59        -                 Not assessed/no information             
                            460        0                 No                                      
                             69        1                 Yes                                     
 
D0500J2  $M3DEPRB                      SA of Res Mood - Short Temper Freq       
                          4,370                          Missing                                 
                             59        -                 Not assessed/no information             
                            462        0                 Never or 1 day                          
                             26        1                 2 - 6 days                              
                             25        2                 7 - 11 days                             
                             16        3                 12-14 days                              
 
D0600                                  SA Tot Svrty Mood Score                  
                          4,370                          Missing                                 
                            588        Range of values   Range of values                         
 
E0100A   $M3INDIC                      Bhvr: Hallucinations                     
                          1,242                          Missing                                 
                             24        -                 Not assessed/no information             
                          3,638        0                 Not indicated                           
                             54        1                 Indicated                               
 
E0100B   $M3INDIC                      Bhvr: Delusion                           
                          1,242                          Missing                                 
                             15        -                 Not assessed/no information             
                          3,603        0                 Not indicated                           
                             98        1                 Indicated                               
 
E0100Z   $M3INDIC                      Bhvr: No Psychosis                       
                          1,242                          Missing                                 
                             15        -                 Not assessed/no information             
                            113        0                 Not indicated                           
                          3,588        1                 Indicated                               
 
E0200A   $M3BEHAV                      Bhvr: Phys Bhvral                        
                          1,242                          Missing                                 
                             19        -                 Not assessed/no information             
                          3,610        0                 Behavior not exhibited                  
                             71        1                 1 to 3 days                             
                             12        2                 4 to 6 days                             
                              4        3                 Behavior exhibited daily                
 
E0200B   $M3BEHAV                      Bhvr: Verbal Bhvral                      
                          1,242                          Missing                                 
                             20        -                 Not assessed/no information             
                          3,521        0                 Behavior not exhibited                  
                            146        1                 1 to 3 days                             
                             23        2                 4 to 6 days                             
                              6        3                 Behavior exhibited daily                
 
E0200C   $M3BEHAV                      Bhvr: Oth Bhvral                         
                          1,242                          Missing                                 
                             19        -                 Not assessed/no information             
                          3,568        0                 Behavior not exhibited                  
                             91        1                 1 to 3 days                             
                             27        2                 4 to 6 days                             
                             11        3                 Behavior exhibited daily                
 
E0300    $M3YESNO                      Overall Pres of Bhvral Sympt             
                          3,842                          Missing                                 
                              2        -                 Not assessed/no information             
                          1,034        0                 No                                      
                             80        1                 Yes                                     
 
E0500A   $M3YESNO                      Bhvr Imp on Res: Risk to Inj Self        
                          4,876                          Missing                                 
                              2        -                 Not assessed/no information             
                             73        0                 No                                      
                              7        1                 Yes                                     
 
E0500B   $M3YESNO                      Bhvr Imp on Res: Int W Care              
                          4,876                          Missing                                 
                              2        -                 Not assessed/no information             
                             69        0                 No                                      
                             11        1                 Yes                                     
 
E0500C   $M3YESNO                      Bhvr Imp on Res: Int W Part              
                          4,876                          Missing                                 
                              2        -                 Not assessed/no information             
                             69        0                 No                                      
                             11        1                 Yes                                     
 
E0600A   $M3YESNO                      Bhvr Imp on Oth: Risk to Inj Oth         
                          4,876                          Missing                                 
                              2        -                 Not assessed/no information             
                             75        0                 No                                      
                              5        1                 Yes                                     
 
E0600B   $M3YESNO                      Bhvr Imp on Oth: Intrude On Priv of Oth  
                          4,876                          Missing                                 
                              2        -                 Not assessed/no information             
                             73        0                 No                                      
                              7        1                 Yes                                     
 
E0600C   $M3YESNO                      Bhvr Imp on Oth: Dis Care or Living Env  
                          4,876                          Missing                                 
                              2        -                 Not assessed/no information             
                             63        0                 No                                      
                             17        1                 Yes                                     
 
E0800    $M3BEHAV                      Rejection of Care: Pres and Freq         
                          1,242                          Missing                                 
                             19        -                 Not assessed/no information             
                          3,496        0                 Behavior not exhibited                  
                            152        1                 1 to 3 days                             
                             38        2                 4 to 6 days                             
                             11        3                 Behavior exhibited daily                
 
E0900    $M3BEHAV                      Wandering: Pres and Freq                 
                          1,242                          Missing                                 
                             19        -                 Not assessed/no information             
                          3,599        0                 Behavior not exhibited                  
                             64        1                 1 to 3 days                             
                             12        2                 4 to 6 days                             
                             22        3                 Behavior exhibited daily                
 
E1000A   $M3YESNO                      Wander Risk Imp                          
                          4,922                          Missing                                 
                              3        -                 Not assessed/no information             
                             26        0                 No                                      
                              7        1                 Yes                                     
 
E1000B   $M3YESNO                      Wandering Intrudes on Priv of Oth        
                          4,922                          Missing                                 
                              3        -                 Not assessed/no information             
                             25        0                 No                                      
                              8        1                 Yes                                     
 
E1100    $M3CHNG                       Change in Bhvr or Oth Sympt              
                          3,842                          Missing                                 
                              3        -                 Not assessed/no information             
                            705        0                 Same                                    
                             11        1                 Improved                                
                             23        2                 Worse                                   
                            374        3                 N/A                                     
 
F0300    $M3YESNO                      Should Dly and Act Pref Int Be Cond      
                          3,842                          Missing                                 
                             27        -                 Not assessed/no information             
                             85        0                 No                                      
                          1,004        1                 Yes                                     
 
F0400A   $M3IMPRT                      Int for Dly Pref: Chooses Clothes        
                          3,927                          Missing                                 
                             32        -                 Not assessed/no information             
                            496        1                 Very important                          
                            307        2                 Somewhat important                      
                            131        3                 Not very important                      
                             33        4                 Not important at all                    
                              8        5                 Important, but cannot do or no choice   
                             24        9                 No response or non-responsive           
 
F0400B   $M3IMPRT                      Int for Dly Pref: Care Personal Items    
                          3,927                          Missing                                 
                             32        -                 Not assessed/no information             
                            622        1                 Very important                          
                            266        2                 Somewhat important                      
                             58        3                 Not very important                      
                             18        4                 Not important at all                    
                             13        5                 Important, but cannot do or no choice   
                             22        9                 No response or non-responsive           
 
F0400C   $M3IMPRT                      Int for Dly Pref: Bathing Option         
                          3,927                          Missing                                 
                             32        -                 Not assessed/no information             
                            598        1                 Very important                          
                            270        2                 Somewhat important                      
                             86        3                 Not very important                      
                             10        4                 Not important at all                    
                             11        5                 Important, but cannot do or no choice   
                             24        9                 No response or non-responsive           
 
F0400D   $M3IMPRT                      Int for Dly Pref: Snack Between Meals    
                          3,927                          Missing                                 
                             34        -                 Not assessed/no information             
                            462        1                 Very important                          
                            305        2                 Somewhat important                      
                            162        3                 Not very important                      
                             39        4                 Not important at all                    
                              7        5                 Important, but cannot do or no choice   
                             22        9                 No response or non-responsive           
 
F0400E   $M3IMPRT                      Int for Dly Pref: Choose Bed Time        
                          3,927                          Missing                                 
                             33        -                 Not assessed/no information             
                            640        1                 Very important                          
                            231        2                 Somewhat important                      
                             86        3                 Not very important                      
                             16        4                 Not important at all                    
                              3        5                 Important, but cannot do or no choice   
                             22        9                 No response or non-responsive           
 
F0400F   $M3IMPRT                      Int for Dly Pref: Fam Involvement        
                          3,927                          Missing                                 
                             33        -                 Not assessed/no information             
                            773        1                 Very important                          
                            144        2                 Somewhat important                      
                             32        3                 Not very important                      
                             24        4                 Not important at all                    
                              3        5                 Important, but cannot do or no choice   
                             22        9                 No response or non-responsive           
 
F0400G   $M3IMPRT                      Int for Dly Pref: Priv Phone Time        
                          3,927                          Missing                                 
                             33        -                 Not assessed/no information             
                            352        1                 Very important                          
                            290        2                 Somewhat important                      
                            239        3                 Not very important                      
                             87        4                 Not important at all                    
                              8        5                 Important, but cannot do or no choice   
                             22        9                 No response or non-responsive           
 
F0400H   $M3IMPRT                      Int for Dly Pref: Lock Item              
                          3,927                          Missing                                 
                             33        -                 Not assessed/no information             
                            340        1                 Very important                          
                            239        2                 Somewhat important                      
                            267        3                 Not very important                      
                            125        4                 Not important at all                    
                              4        5                 Important, but cannot do or no choice   
                             23        9                 No response or non-responsive           
 
F0500A   $M3IMPRT                      Int for Act Pref: Reading Mat Available  
                          3,927                          Missing                                 
                             33        -                 Not assessed/no information             
                            362        1                 Very important                          
                            317        2                 Somewhat important                      
                            215        3                 Not very important                      
                             62        4                 Not important at all                    
                             20        5                 Important, but cannot do or no choice   
                             22        9                 No response or non-responsive           
 
F0500B   $M3IMPRT                      Int for Act Pref: Music                  
                          3,927                          Missing                                 
                             33        -                 Not assessed/no information             
                            494        1                 Very important                          
                            353        2                 Somewhat important                      
                            100        3                 Not very important                      
                             27        4                 Not important at all                    
                              2        5                 Important, but cannot do or no choice   
                             22        9                 No response or non-responsive           
 
F0500C   $M3IMPRT                      Int for Act Pref: Animal Pres            
                          3,927                          Missing                                 
                             33        -                 Not assessed/no information             
                            310        1                 Very important                          
                            314        2                 Somewhat important                      
                            253        3                 Not very important                      
                             96        4                 Not important at all                    
                              3        5                 Important, but cannot do or no choice   
                             22        9                 No response or non-responsive           
 
F0500D   $M3IMPRT                      Int for Act Pref: News                   
                          3,927                          Missing                                 
                             33        -                 Not assessed/no information             
                            440        1                 Very important                          
                            333        2                 Somewhat important                      
                            152        3                 Not very important                      
                             49        4                 Not important at all                    
                              2        5                 Important, but cannot do or no choice   
                             22        9                 No response or non-responsive           
 
F0500E   $M3IMPRT                      Int for Act Pref: Group Act              
                          3,927                          Missing                                 
                             33        -                 Not assessed/no information             
                            304        1                 Very important                          
                            398        2                 Somewhat important                      
                            209        3                 Not very important                      
                             57        4                 Not important at all                    
                              8        5                 Important, but cannot do or no choice   
                             22        9                 No response or non-responsive           
 
F0500F   $M3IMPRT                      Int for Act Pref: Favorite Act           
                          3,927                          Missing                                 
                             33        -                 Not assessed/no information             
                            571        1                 Very important                          
                            320        2                 Somewhat important                      
                             56        3                 Not very important                      
                             17        4                 Not important at all                    
                             11        5                 Important, but cannot do or no choice   
                             23        9                 No response or non-responsive           
 
F0500G   $M3IMPRT                      Int for Act Pref: Time Outdoors          
                          3,927                          Missing                                 
                             33        -                 Not assessed/no information             
                            541        1                 Very important                          
                            313        2                 Somewhat important                      
                             95        3                 Not very important                      
                             20        4                 Not important at all                    
                              7        5                 Important, but cannot do or no choice   
                             22        9                 No response or non-responsive           
 
F0500H   $M3IMPRT                      Int for Act Pref: Religion               
                          3,927                          Missing                                 
                             34        -                 Not assessed/no information             
                            415        1                 Very important                          
                            292        2                 Somewhat important                      
                            195        3                 Not very important                      
                             64        4                 Not important at all                    
                              7        5                 Important, but cannot do or no choice   
                             24        9                 No response or non-responsive           
 
F0600    $M3PRIRS                      Dly and Act Pref Primary Respondent      
                          3,927                          Missing                                 
                             32        -                 Not assessed/no information             
                            889        1                 Resident                                
                             86        2                 Family or significant other             
                             24        9                 Interview could not be completed        
 
F0700    $M3YESNO                      Cond SA of Dly and Act Pref              
                          3,927                          Missing                                 
                             21        -                 Not assessed/no information             
                            980        0                 No                                      
                             30        1                 Yes                                     
 
F0800A   $M3INDIC                      SA: Chooses Clothes                      
                          4,822                          Missing                                 
                             26        -                 Not assessed/no information             
                             92        0                 Not indicated                           
                             18        1                 Indicated                               
 
F0800B   $M3INDIC                      SA: Care Personal Item                   
                          4,822                          Missing                                 
                             25        -                 Not assessed/no information             
                             82        0                 Not indicated                           
                             29        1                 Indicated                               
 
F0800C   $M3INDIC                      SA: Tub Bath                             
                          4,822                          Missing                                 
                             33        -                 Not assessed/no information             
                             97        0                 Not indicated                           
                              6        1                 Indicated                               
 
F0800D   $M3INDIC                      SA: Shower                               
                          4,822                          Missing                                 
                             25        -                 Not assessed/no information             
                             41        0                 Not indicated                           
                             70        1                 Indicated                               
 
F0800E   $M3INDIC                      SA: Bed Bath                             
                          4,822                          Missing                                 
                             30        -                 Not assessed/no information             
                             74        0                 Not indicated                           
                             32        1                 Indicated                               
 
F0800F   $M3INDIC                      SA: Sponge Bath                          
                          4,822                          Missing                                 
                             31        -                 Not assessed/no information             
                             78        0                 Not indicated                           
                             27        1                 Indicated                               
 
F0800G   $M3INDIC                      SA: Snacks Between                       
                          4,822                          Missing                                 
                             26        -                 Not assessed/no information             
                             44        0                 Not indicated                           
                             66        1                 Indicated                               
 
F0800H   $M3INDIC                      SA: Bed Time                             
                          4,822                          Missing                                 
                             25        -                 Not assessed/no information             
                             90        0                 Not indicated                           
                             21        1                 Indicated                               
 
F0800I   $M3INDIC                      SA: Fam Involvement                      
                          4,822                          Missing                                 
                             23        -                 Not assessed/no information             
                             26        0                 Not indicated                           
                             87        1                 Indicated                               
 
F0800J   $M3INDIC                      SA: Priv Phone                           
                          4,822                          Missing                                 
                             26        -                 Not assessed/no information             
                            102        0                 Not indicated                           
                              8        1                 Indicated                               
 
F0800K   $M3INDIC                      SA: Lock Item                            
                          4,822                          Missing                                 
                             25        -                 Not assessed/no information             
                             98        0                 Not indicated                           
                             13        1                 Indicated                               
 
F0800L   $M3INDIC                      SA: Reading Mat Available                
                          4,822                          Missing                                 
                             26        -                 Not assessed/no information             
                             88        0                 Not indicated                           
                             22        1                 Indicated                               
 
F0800M   $M3INDIC                      SA: Music                                
                          4,822                          Missing                                 
                             21        -                 Not assessed/no information             
                             27        0                 Not indicated                           
                             88        1                 Indicated                               
 
F0800N   $M3INDIC                      SA: Animal Pres                          
                          4,822                          Missing                                 
                             27        -                 Not assessed/no information             
                             74        0                 Not indicated                           
                             35        1                 Indicated                               
 
F0800O   $M3INDIC                      SA: News                                 
                          4,822                          Missing                                 
                             25        -                 Not assessed/no information             
                             99        0                 Not indicated                           
                             12        1                 Indicated                               
 
F0800P   $M3INDIC                      SA: Group Act                            
                          4,822                          Missing                                 
                             25        -                 Not assessed/no information             
                             59        0                 Not indicated                           
                             52        1                 Indicated                               
 
F0800Q   $M3INDIC                      SA: Favorite Act                         
                          4,822                          Missing                                 
                             24        -                 Not assessed/no information             
                             50        0                 Not indicated                           
                             62        1                 Indicated                               
 
F0800R   $M3INDIC                      SA: Time Away Nrs Home                   
                          4,822                          Missing                                 
                             27        -                 Not assessed/no information             
                            105        0                 Not indicated                           
                              4        1                 Indicated                               
 
F0800S   $M3INDIC                      SA: Time Outdoors                        
                          4,822                          Missing                                 
                             26        -                 Not assessed/no information             
                             67        0                 Not indicated                           
                             43        1                 Indicated                               
 
F0800T   $M3INDIC                      SA: Part in Rel Act                      
                          4,822                          Missing                                 
                             25        -                 Not assessed/no information             
                             70        0                 Not indicated                           
                             41        1                 Indicated                               
 
F0800Z   $M3INDIC                      SA: None of Above Act                    
                          4,822                          Missing                                 
                             21        -                 Not assessed/no information             
                            111        0                 Not indicated                           
                              4        1                 Indicated                               
 
G0110A1  $M3ADLCT                      ADL Ass: Bed Mob Self Perf               
                          1,252                          Missing                                 
                              5        -                 Not assessed/no information             
                            250        0                 Independent                             
                            563        1                 Supervision                             
                            505        2                 Limited assistance                      
                          2,094        3                 Extensive assistance                    
                            278        4                 Total dependence                        
                             10        7                 Activity occurred only once or twice    
                              1        8                 Activity did not occur                  
 
G0110A2  $M3ADLSP                      ADL Ass: Bed Mob Supp Prov               
                          1,948                          Missing                                 
                            192        0                 No setup or physical help from staff    
                            263        1                 Setup help only                         
                          1,501        2                 One person physical assist              
                          1,054        3                 Two+ persons physical assist            
 
G0110B1  $M3ADLCT                      ADL Ass: Trans Self Perf                 
                          1,252                          Missing                                 
                              4        -                 Not assessed/no information             
                            225        0                 Independent                             
                            570        1                 Supervision                             
                            530        2                 Limited assistance                      
                          1,494        3                 Extensive assistance                    
                            620        4                 Total dependence                        
                            142        7                 Activity occurred only once or twice    
                            121        8                 Activity did not occur                  
 
G0110B2  $M3ADLSP                      ADL Ass: Trans Self Supp Prov            
                          1,948                          Missing                                 
                            198        0                 No setup or physical help from staff    
                            254        1                 Setup help only                         
                          1,200        2                 One person physical assist              
                          1,252        3                 Two+ persons physical assist            
                            106        8                 ADL activity did not occur              
 
G0110C1  $M3ADLCT                      ADL Ass: Wlk In Room Self Perf           
                          1,255                          Missing                                 
                              4        -                 Not assessed/no information             
                            243        0                 Independent                             
                            593        1                 Supervision                             
                            466        2                 Limited assistance                      
                            338        3                 Extensive assistance                    
                              3        4                 Total dependence                        
                            216        7                 Activity occurred only once or twice    
                          1,840        8                 Activity did not occur                  
 
G0110C2  $M3ADLSP                      ADL Ass: Wlk In Room Supp Prov           
                          1,951                          Missing                                 
                              2        -                 Not assessed/no information             
                            227        0                 No setup or physical help from staff    
                            283        1                 Setup help only                         
                            834        2                 One person physical assist              
                             75        3                 Two+ persons physical assist            
                          1,586        8                 ADL activity did not occur              
 
G0110D1  $M3ADLCT                      ADL Ass: Wlk In Corr Self Perf           
                          1,255                          Missing                                 
                              5        -                 Not assessed/no information             
                            195        0                 Independent                             
                            563        1                 Supervision                             
                            403        2                 Limited assistance                      
                            228        3                 Extensive assistance                    
                              3        4                 Total dependence                        
                            275        7                 Activity occurred only once or twice    
                          2,031        8                 Activity did not occur                  
 
G0110D2  $M3ADLSP                      ADL Ass: Wlk In Corr Self Supp Prov      
                          1,951                          Missing                                 
                              2        -                 Not assessed/no information             
                            237        0                 No setup or physical help from staff    
                            252        1                 Setup help only                         
                            711        2                 One person physical assist              
                             61        3                 Two+ persons physical assist            
                          1,744        8                 ADL activity did not occur              
 
G0110E1  $M3ADLCT                      ADL Ass: Loc On Self Perf                
                          1,255                          Missing                                 
                              7        -                 Not assessed/no information             
                            338        0                 Independent                             
                            872        1                 Supervision                             
                            515        2                 Limited assistance                      
                            953        3                 Extensive assistance                    
                            435        4                 Total dependence                        
                            246        7                 Activity occurred only once or twice    
                            337        8                 Activity did not occur                  
 
G0110E2  $M3ADLSP                      ADL Ass: Loc On Supp Prov                
                          1,951                          Missing                                 
                              3        -                 Not assessed/no information             
                            269        0                 No setup or physical help from staff    
                            418        1                 Setup help only                         
                          1,884        2                 One person physical assist              
                            156        3                 Two+ persons physical assist            
                            277        8                 ADL activity did not occur              
 
G0110F1  $M3ADLCT                      ADL Ass: Loc Off Self Perf               
                          1,255                          Missing                                 
                              8        -                 Not assessed/no information             
                            254        0                 Independent                             
                            701        1                 Supervision                             
                            380        2                 Limited assistance                      
                            749        3                 Extensive assistance                    
                            436        4                 Total dependence                        
                            497        7                 Activity occurred only once or twice    
                            678        8                 Activity did not occur                  
 
G0110F2  $M3ADLSP                      ADL Ass: Loc Off Supp Prov               
                          1,951                          Missing                                 
                              4        -                 Not assessed/no information             
                            257        0                 No setup or physical help from staff    
                            351        1                 Setup help only                         
                          1,716        2                 One person physical assist              
                            110        3                 Two+ persons physical assist            
                            569        8                 ADL activity did not occur              
 
G0110G1  $M3ADLCT                      ADL Ass: Dress Self Perf                 
                          1,255                          Missing                                 
                              3        -                 Not assessed/no information             
                            130        0                 Independent                             
                            388        1                 Supervision                             
                            582        2                 Limited assistance                      
                          2,209        3                 Extensive assistance                    
                            348        4                 Total dependence                        
                             32        7                 Activity occurred only once or twice    
                             11        8                 Activity did not occur                  
 
G0110G2  $M3ADLSP                      ADL Ass: Dress Supp Prov                 
                          1,951                          Missing                                 
                              1        -                 Not assessed/no information             
                             87        0                 No setup or physical help from staff    
                            154        1                 Setup help only                         
                          2,218        2                 One person physical assist              
                            541        3                 Two+ persons physical assist            
                              6        8                 ADL activity did not occur              
 
G0110H1  $M3ADLCT                      ADL Ass: Eating Self Perf                
                          1,252                          Missing                                 
                              3        -                 Not assessed/no information             
                            948        0                 Independent                             
                          1,705        1                 Supervision                             
                            315        2                 Limited assistance                      
                            434        3                 Extensive assistance                    
                            278        4                 Total dependence                        
                             15        7                 Activity occurred only once or twice    
                              8        8                 Activity did not occur                  
 
G0110H2  $M3ADLSP                      ADL Ass: Eating Supp Prov                
                          1,948                          Missing                                 
                             54        0                 No setup or physical help from staff    
                          1,751        1                 Setup help only                         
                          1,182        2                 One person physical assist              
                             20        3                 Two+ persons physical assist            
                              3        8                 ADL activity did not occur              
 
G0110I1  $M3ADLCT                      ADL Ass: Toileting Self Perf             
                          1,252                          Missing                                 
                              4        -                 Not assessed/no information             
                            162        0                 Independent                             
                            438        1                 Supervision                             
                            436        2                 Limited assistance                      
                          1,982        3                 Extensive assistance                    
                            656        4                 Total dependence                        
                             21        7                 Activity occurred only once or twice    
                              7        8                 Activity did not occur                  
 
G0110I2  $M3ADLSP                      ADL Ass: Toileting Supp Prov             
                          1,948                          Missing                                 
                            116        0                 No setup or physical help from staff    
                            202        1                 Setup help only                         
                          1,793        2                 One person physical assist              
                            894        3                 Two+ persons physical assist            
                              5        8                 ADL activity did not occur              
 
G0110J1  $M3ADLCT                      ADL Ass: Personal Hygiene Self Perf      
                          1,255                          Missing                                 
                              5        -                 Not assessed/no information             
                            170        0                 Independent                             
                            479        1                 Supervision                             
                            626        2                 Limited assistance                      
                          1,989        3                 Extensive assistance                    
                            398        4                 Total dependence                        
                             28        7                 Activity occurred only once or twice    
                              8        8                 Activity did not occur                  
 
G0110J2  $M3ADLSP                      ADL Ass: Personal Hygiene Supp Prov      
                          1,951                          Missing                                 
                             71        0                 No setup or physical help from staff    
                            218        1                 Setup help only                         
                          2,325        2                 One person physical assist              
                            389        3                 Two+ persons physical assist            
                              4        8                 ADL activity did not occur              
 
G0120A   $M3ADLCT                      ADL Ass: Bathing Self Perf               
                          1,255                          Missing                                 
                              9        -                 Not assessed/no information             
                             74        0                 Independent                             
                            160        1                 Supervision                             
                            169        2                 Limited assistance                      
                          1,382        3                 Extensive assistance                    
                          1,568        4                 Total dependence                        
                            341        8                 Activity did not occur                  
 
G0120B   $M3ADLSP                      ADL Ass: Bathing Supp Prov               
                          1,951                          Missing                                 
                              7        -                 Not assessed/no information             
                             36        0                 No setup or physical help from staff    
                            107        1                 Setup help only                         
                          2,119        2                 One person physical assist              
                            472        3                 Two+ persons physical assist            
                            266        8                 ADL activity did not occur              
 
G0300A   $M3BAL                        Blnce Dur Seated to Standing Pos         
                          1,951                          Missing                                 
                              7        -                 Not assessed/no information             
                            195        0                 Steady at all times                     
                            628        1                 Not steady, but able to stabilize w/o as
                          1,390        2                 Not steady, only able to stabilize w/ as
                            787        8                 Activity did not occur                  
 
G0300B   $M3BAL                        Blnce Dur Wlking                         
                          1,951                          Missing                                 
                              8        -                 Not assessed/no information             
                            194        0                 Steady at all times                     
                            627        1                 Not steady, but able to stabilize w/o as
                            637        2                 Not steady, only able to stabilize w/ as
                          1,541        8                 Activity did not occur                  
 
G0300C   $M3BAL                        Blnce When Turning Around                
                          1,951                          Missing                                 
                             16        -                 Not assessed/no information             
                            184        0                 Steady at all times                     
                            606        1                 Not steady, but able to stabilize w/o as
                            547        2                 Not steady, only able to stabilize w/ as
                          1,654        8                 Activity did not occur                  
 
G0300D   $M3BAL                        Blnce Moving On and Off Toilet           
                          1,951                          Missing                                 
                             13        -                 Not assessed/no information             
                            193        0                 Steady at all times                     
                            571        1                 Not steady, but able to stabilize w/o as
                          1,303        2                 Not steady, only able to stabilize w/ as
                            927        8                 Activity did not occur                  
 
G0300E   $M3BAL                        Blnce W Surface to Surface Trans         
                          1,951                          Missing                                 
                              6        -                 Not assessed/no information             
                            197        0                 Steady at all times                     
                            598        1                 Not steady, but able to stabilize w/o as
                          2,023        2                 Not steady, only able to stabilize w/ as
                            183        8                 Activity did not occur                  
 
G0400A   $M3RANGE                      Func Lim in ROM: Upper Ext Mtn           
                          1,951                          Missing                                 
                              2        -                 Not assessed/no information             
                          2,296        0                 No impairment                           
                            445        1                 Impairment on one side                  
                            264        2                 Impairment on both sides                
 
G0400B   $M3RANGE                      Func Lim in ROM: Lower Ext Mtn           
                          1,951                          Missing                                 
                              2        -                 Not assessed/no information             
                          2,024        0                 No impairment                           
                            442        1                 Impairment on one side                  
                            539        2                 Impairment on both sides                
 
G0600A   $M3INDIC                      Mob Devices: Cane                        
                          1,951                          Missing                                 
                          2,979        0                 Not indicated                           
                             28        1                 Indicated                               
 
G0600B   $M3INDIC                      Mob Devices: Wlker                       
                          1,951                          Missing                                 
                              1        -                 Not assessed/no information             
                          1,962        0                 Not indicated                           
                          1,044        1                 Indicated                               
 
G0600C   $M3INDIC                      Mob Devices: Wheelchair                  
                          1,951                          Missing                                 
                            792        0                 Not indicated                           
                          2,215        1                 Indicated                               
 
G0600D   $M3INDIC                      Mob Devices: Limb Prosthesis             
                          1,951                          Missing                                 
                          3,007        0                 Not indicated                           
 
G0600Z   $M3INDIC                      Mob Devices: None of Above               
                          1,951                          Missing                                 
                          2,508        0                 Not indicated                           
                            499        1                 Indicated                               
 
G0900A   $M3YNDET                      Func Rehab Pot: Res Increased Ind        
                          4,493                          Missing                                 
                              1        -                 Not assessed/no information             
                             29        0                 No                                      
                            405        1                 Yes                                     
                             30        9                 Unable to determine                     
 
G0900B   $M3YESNO                      Func Rehab Pot: Staff Increased Ind      
                          4,493                          Missing                                 
                              1        -                 Not assessed/no information             
                             45        0                 No                                      
                            419        1                 Yes                                     
 
H0100A   $M3INDIC                      Bldr and Bwl App: Indwelling Cath        
                          1,255                          Missing                                 
                          3,353        0                 Not indicated                           
                            350        1                 Indicated                               
 
H0100B   $M3INDIC                      Bldr and Bwl App: Ext Cath               
                          1,255                          Missing                                 
                          3,696        0                 Not indicated                           
                              7        1                 Indicated                               
 
H0100C   $M3INDIC                      Bldr and Bwl App: Ostomy                 
                          1,227                          Missing                                 
                          3,632        0                 Not indicated                           
                             99        1                 Indicated                               
 
H0100D   $M3INDIC                      Bldr and Bwl App: Imt Cath               
                          1,227                          Missing                                 
                          3,722        0                 Not indicated                           
                              9        1                 Indicated                               
 
H0100Z   $M3INDIC                      Bldr and Bwl App: No Urny App            
                          1,227                          Missing                                 
                            420        0                 Not indicated                           
                          3,311        1                 Indicated                               
 
H0200A   $M3YNDET                      Urny Toil Prog: Trial Toileting Prog     
                          1,951                          Missing                                 
                          2,859        0                 No                                      
                            144        1                 Yes                                     
                              4        9                 Unable to determine                     
 
H0200B   $M3TOILT                      Urny Toil Prog: Resp To Toileting Prog   
                          4,916                          Missing                                 
                             23        0                 No improvement                          
                              7        1                 Decreased wetness                       
                              1        2                 Completely dry                          
                             11        9                 Unable to determine                     
 
H0200C   $M3YESNO                      Urny Toil Prog: Cur Toileting Prog       
                          4,779                          Missing                                 
                             86        0                 No                                      
                             93        1                 Yes                                     
 
H0300    $M3CONT                       Urny Continence                          
                          1,255                          Missing                                 
                              2        -                 Not assessed/no information             
                            659        0                 Always continent                        
                            790        1                 Occasionally incontinent                
                            748        2                 Frequently incontinent                  
                          1,197        3                 Always incontinent                      
                            307        9                 Not rated                               
 
H0400    $M3CONT                       Bwl Continence                           
                          1,255                          Missing                                 
                              2        -                 Not assessed/no information             
                          1,096        0                 Always continent                        
                            458        1                 Occasionally incontinent                
                            734        2                 Frequently incontinent                  
                          1,317        3                 Always incontinent                      
                             96        9                 Not rated                               
 
H0500    $M3YESNO                      Bwl Toileting Prog                       
                          1,920                          Missing                                 
                          2,987        0                 No                                      
                             51        1                 Yes                                     
 
H0600    $M3YESNO                      Constipation                             
                          3,838                          Missing                                 
                              1        -                 Not assessed/no information             
                          1,084        0                 No                                      
                             35        1                 Yes                                     
 
I0100    $M3INDIC                      Actv Diag: Cancer                        
                          1,951                          Missing                                 
                          2,769        0                 Not indicated                           
                            238        1                 Indicated                               
 
I0200    $M3INDIC                      Actv Diag: Anemia                        
                          1,951                          Missing                                 
                          1,910        0                 Not indicated                           
                          1,097        1                 Indicated                               
 
I0300    $M3INDIC                      Actv Diag: Dysrhythmia                   
                          3,838                          Missing                                 
                            782        0                 Not indicated                           
                            338        1                 Indicated                               
 
I0400    $M3INDIC                      Actv Diag: Coronary Artery Dis (CAD)     
                          1,951                          Missing                                 
                          2,220        0                 Not indicated                           
                            787        1                 Indicated                               
 
I0500    $M3INDIC                      Actv Diag: Deep Vein Thrombosis (DVT)    
                          3,838                          Missing                                 
                          1,081        0                 Not indicated                           
                             39        1                 Indicated                               
 
I0600    $M3INDIC                      Actv Diag: Heart Failure (CHF)           
                          1,951                          Missing                                 
                          2,269        0                 Not indicated                           
                            738        1                 Indicated                               
 
I0700    $M3INDIC                      Actv Diag: Hypertension                  
                          1,951                          Missing                                 
                            563        0                 Not indicated                           
                          2,444        1                 Indicated                               
 
I0800    $M3INDIC                      Actv Diag: Hypotension                   
                          1,951                          Missing                                 
                          2,955        0                 Not indicated                           
                             52        1                 Indicated                               
 
I0900    $M3INDIC                      Actv Diag: (PVD)                         
                          1,255                          Missing                                 
                          3,160        0                 Not indicated                           
                            543        1                 Indicated                               
 
I1100    $M3INDIC                      Actv Diag: Cirrhosis                     
                          3,838                          Missing                                 
                          1,110        0                 Not indicated                           
                             10        1                 Indicated                               
 
I1200    $M3INDIC                      Actv Diag:  (GERD)                       
                          3,838                          Missing                                 
                            678        0                 Not indicated                           
                            442        1                 Indicated                               
 
I1300    $M3INDIC                      Actv Diag: Ulcrative Colitis             
                          1,923                          Missing                                 
                          2,995        0                 Not indicated                           
                             40        1                 Indicated                               
 
I1400    $M3INDIC                      Actv Diag: (BPH)                         
                          3,838                          Missing                                 
                            992        0                 Not indicated                           
                            128        1                 Indicated                               
 
I1500    $M3INDIC                      Actv Diag: (ESRD)                        
                          1,951                          Missing                                 
                          2,190        0                 Not indicated                           
                            817        1                 Indicated                               
 
I1550    $M3INDIC                      Actv Diag: Neurogenic Bldr               
                          1,255                          Missing                                 
                          3,565        0                 Not indicated                           
                            138        1                 Indicated                               
 
I1650    $M3INDIC                      Actv Diag: Obstructive Uropathy          
                          1,255                          Missing                                 
                          3,536        0                 Not indicated                           
                            167        1                 Indicated                               
 
I1700    $M3INDIC                      Actv Diag: (MDRO)                        
                          1,923                          Missing                                 
                          2,997        0                 Not indicated                           
                             38        1                 Indicated                               
 
I2000    $M3INDIC                      Actv Diag: Pneumonia                     
                          1,920                          Missing                                 
                          2,916        0                 Not indicated                           
                            122        1                 Indicated                               
 
I2100    $M3INDIC                      Actv Diag: Septicemia                    
                          1,920                          Missing                                 
                          2,963        0                 Not indicated                           
                             75        1                 Indicated                               
 
I2200    $M3INDIC                      Actv Diag: Tuberculosis                  
                          1,951                          Missing                                 
                          3,007        0                 Not indicated                           
 
I2300    $M3INDIC                      Actv Diag: Urny Tract Infn (UTI)         
                          1,255                          Missing                                 
                          3,502        0                 Not indicated                           
                            201        1                 Indicated                               
 
I2400    $M3INDIC                      Actv Diag: Viral Hepatitis               
                          1,951                          Missing                                 
                          2,994        0                 Not indicated                           
                             13        1                 Indicated                               
 
I2500    $M3INDIC                      Wound Infn                               
                          1,923                          Missing                                 
                          3,003        0                 Not indicated                           
                             32        1                 Indicated                               
 
I2900    $M3INDIC                      Actv Diag: Diabetes Mellitus (DM)        
                          1,224                          Missing                                 
                          2,400        0                 Not indicated                           
                          1,334        1                 Indicated                               
 
I3100    $M3INDIC                      Actv Diag: Hyponatremia                  
                          1,951                          Missing                                 
                          2,875        0                 Not indicated                           
                            132        1                 Indicated                               
 
I3200    $M3INDIC                      Actv Diag: Hyperkalemia                  
                          1,951                          Missing                                 
                          2,958        0                 Not indicated                           
                             49        1                 Indicated                               
 
I3300    $M3INDIC                      Actv Diag: Hyperlipidemia                
                          1,951                          Missing                                 
                          1,336        0                 Not indicated                           
                          1,671        1                 Indicated                               
 
I3400    $M3INDIC                      Actv Diag: Thyroid                       
                          3,838                          Missing                                 
                            795        0                 Not indicated                           
                            325        1                 Indicated                               
 
I3700    $M3INDIC                      Actv Diag: Arthritis                     
                          3,838                          Missing                                 
                            746        0                 Not indicated                           
                            374        1                 Indicated                               
 
I3800    $M3INDIC                      Actv Diag: Osteoporosis                  
                          3,838                          Missing                                 
                            986        0                 Not indicated                           
                            134        1                 Indicated                               
 
I3900    $M3INDIC                      Actv Diag: Hip Fracture                  
                          1,951                          Missing                                 
                          2,884        0                 Not indicated                           
                            123        1                 Indicated                               
 
I4000    $M3INDIC                      Actv Diag: Oth Fracture                  
                          1,951                          Missing                                 
                          2,803        0                 Not indicated                           
                            204        1                 Indicated                               
 
I4200    $M3INDIC                      Actv Diag: Alzheimers Disease            
                          1,951                          Missing                                 
                          2,576        0                 Not indicated                           
                            431        1                 Indicated                               
 
I4300    $M3INDIC                      Actv Diag: Aphasia                       
                          1,920                          Missing                                 
                          2,878        0                 Not indicated                           
                            160        1                 Indicated                               
 
I4400    $M3INDIC                      Actv Diag: Cerebral Palsy                
                          1,920                          Missing                                 
                          3,011        0                 Not indicated                           
                             27        1                 Indicated                               
 
I4500    $M3INDIC                      Actv Diag: (CVA or TIA or Stroke)        
                          1,923                          Missing                                 
                          2,433        0                 Not indicated                           
                            602        1                 Indicated                               
 
I4800    $M3INDIC                      Actv Diag: Dementia                      
                          1,951                          Missing                                 
                          1,629        0                 Not indicated                           
                          1,378        1                 Indicated                               
 
I4900    $M3INDIC                      Actv Diag: Hemiplegia                    
                          1,920                          Missing                                 
                          2,678        0                 Not indicated                           
                            360        1                 Indicated                               
 
I5000    $M3INDIC                      Actv Diag: Paraplegia                    
                          1,951                          Missing                                 
                          2,992        0                 Not indicated                           
                             15        1                 Indicated                               
 
I5100    $M3INDIC                      Actv Diag: Quadriplegia                  
                          1,920                          Missing                                 
                          3,014        0                 Not indicated                           
                             24        1                 Indicated                               
 
I5200    $M3INDIC                      Actv Diag: Multiple Sclerosis            
                          1,920                          Missing                                 
                          2,980        0                 Not indicated                           
                             58        1                 Indicated                               
 
I5250    $M3INDIC                      Actv Diag: Huntingtons                   
                          1,255                          Missing                                 
                          3,693        0                 Not indicated                           
                             10        1                 Indicated                               
 
I5300    $M3INDIC                      Actv Diag: Parkinsons                    
                          1,920                          Missing                                 
                          2,883        0                 Not indicated                           
                            155        1                 Indicated                               
 
I5350    $M3INDIC                      Tourettes                                
                          1,255                          Missing                                 
                          3,699        0                 Not indicated                           
                              4        1                 Indicated                               
 
I5400    $M3INDIC                      Actv Diag: Seizure                       
                          1,951                          Missing                                 
                          2,664        0                 Not indicated                           
                            343        1                 Indicated                               
 
I5500    $M3INDIC                      Actv Diag: Traumatic Brain Inj (TBI)     
                          1,923                          Missing                                 
                          2,979        0                 Not indicated                           
                             56        1                 Indicated                               
 
I5600    $M3INDIC                      Actv Diag: Malnutrition                  
                          1,227                          Missing                                 
                          2,869        0                 Not indicated                           
                            862        1                 Indicated                               
 
I5700    $M3INDIC                      Actv Diag: Anxiety Disorder              
                          1,255                          Missing                                 
                          2,470        0                 Not indicated                           
                          1,233        1                 Indicated                               
 
I5800    $M3INDIC                      Actv Diag: Depression                    
                          1,951                          Missing                                 
                          1,407        0                 Not indicated                           
                          1,600        1                 Indicated                               
 
I5900    $M3INDIC                      Actv Diag: Manic Depression              
                          1,255                          Missing                                 
                          3,510        0                 Not indicated                           
                            193        1                 Indicated                               
 
I5950    $M3INDIC                      Actv Diag: Psychotic                     
                          1,255                          Missing                                 
                          3,437        0                 Not indicated                           
                            266        1                 Indicated                               
 
I6000    $M3INDIC                      Actv Diag: Schizophrenia                 
                          1,255                          Missing                                 
                          3,393        0                 Not indicated                           
                            310        1                 Indicated                               
 
I6100    $M3INDIC                      Actv Diag:  (PTSD)                       
                          1,255                          Missing                                 
                          3,675        0                 Not indicated                           
                             28        1                 Indicated                               
 
I6200    $M3INDIC                      Actv Diag: Asth, COPD, Chron Lung Dis    
                          1,920                          Missing                                 
                          2,277        0                 Not indicated                           
                            761        1                 Indicated                               
 
I6300    $M3INDIC                      Actv Diag: Resp Failure                  
                          1,920                          Missing                                 
                          2,767        0                 Not indicated                           
                            271        1                 Indicated                               
 
I6500    $M3INDIC                      Actv Diag: Cataracts, Glauc or Mac Deg   
                          3,838                          Missing                                 
                            943        0                 Not indicated                           
                            177        1                 Indicated                               
 
I7900    $M3INDIC                      Actv Diag: No Actv Disease               
                          3,807                          Missing                                 
                          1,145        0                 Not indicated                           
                              6        1                 Indicated                               
 
I8000A                                 Addl Actv Diag: ICD 1                    
                          1,323                          Missing                                 
                          3,635        Range of values   Range of values                         
 
I8000B                                 Addl Actv Diag: ICD 2                    
                          1,364                          Missing                                 
                          3,594        Range of values   Range of values                         
 
I8000C                                 Addl Actv Diag: ICD 3                    
                          1,447                          Missing                                 
                          3,511        Range of values   Range of values                         
 
I8000D                                 Addl Actv Diag: ICD 4                    
                          1,575                          Missing                                 
                          3,383        Range of values   Range of values                         
 
I8000E                                 Addl Actv Diag: ICD 5                    
                          1,772                          Missing                                 
                          3,186        Range of values   Range of values                         
 
I8000F                                 Addl Actv Diag: ICD 6                    
                          2,027                          Missing                                 
                          2,931        Range of values   Range of values                         
 
I8000G                                 Addl Actv Diag: ICD 7                    
                          2,264                          Missing                                 
                          2,694        Range of values   Range of values                         
 
I8000H                                 Addl Actv Diag: ICD 8                    
                          2,521                          Missing                                 
                          2,437        Range of values   Range of values                         
 
I8000I                                 Addl Actv Diag: ICD 9                    
                          2,810                          Missing                                 
                          2,148        Range of values   Range of values                         
 
I8000J                                  Addl Actv Diag: ICD 10                  
                          3,142                          Missing                                 
                          1,816        Range of values   Range of values                         
 
J0100A   $M3YESNO                      Pain management: Scheduled Pain Med      
                          1,255                          Missing                                 
                              2        -                 Not assessed/no information             
                          2,098        0                 No                                      
                          1,603        1                 Yes                                     
 
J0100B   $M3YESNO                      Pain management: PRN Pain Med            
                          1,255                          Missing                                 
                              2        -                 Not assessed/no information             
                          2,560        0                 No                                      
                          1,141        1                 Yes                                     
 
J0100C   $M3YESNO                      Pain management: Oth Pain Intervention   
                          1,255                          Missing                                 
                              2        -                 Not assessed/no information             
                          3,092        0                 No                                      
                            609        1                 Yes                                     
 
J0200    $M3YESNO                      Should Pain Asmt be Cond                 
                          1,620                          Missing                                 
                             28        -                 Not assessed/no information             
                            224        0                 No                                      
                          3,086        1                 Yes                                     
 
J0300    $M3YNANS                      Pain Asmt Int: Pain Pres                 
                          1,844                          Missing                                 
                             86        -                 Not assessed/no information             
                          1,916        0                 No                                      
                            938        1                 Yes                                     
                            174        9                 Unable to answer                        
 
J0400    $M31PAIN                      Pain Asmt Int: Pain Freq                 
                          3,934                          Missing                                 
                             88        -                 Not assessed/no information             
                             57        1                 Almost constantly                       
                            225        2                 Frequently                              
                            547        3                 Occasionally                            
                             88        4                 Rarely                                  
                             19        9                 Unable to answer                        
 
J0500A   $M3YNANS                      Pain Asmt Int: Pain Effect Sleep         
                          3,934                          Missing                                 
                             90        -                 Not assessed/no information             
                            777        0                 No                                      
                            142        1                 Yes                                     
                             15        9                 Unable to answer                        
 
J0500B   $M3YNANS                      Pain Asmt Int: Pain Effect Act           
                          3,934                          Missing                                 
                             89        -                 Not assessed/no information             
                            681        0                 No                                      
                            237        1                 Yes                                     
                             17        9                 Unable to answer                        
 
J0600A                                 Pain Intensity Numeric Rating Scale Num  
                          4,215                          Missing                                 
                            743        Range of values   Range of values                         
 
J0600B   $M32PAIN                      Pain Intensity Verbal Descr Scale Num    
                          4,574                          Missing                                 
                             94        -                 Not assessed/no information             
                            153        1                 Mild                                    
                            110        2                 Moderate                                
                             17        3                 Severe                                  
                              1        4                 Very severe, horrible                   
                              9        9                 Unable to answer                        
 
J0700    $M3YESNO                      Staff Cond Pain Asmt                     
                          4,064                          Missing                                 
                              2        -                 Not assessed/no information             
                            875        0                 No                                      
                             17        1                 Yes                                     
 
J0800A   $M3INDIC                      SA for Pain: Nonverbal Sound             
                          4,561                          Missing                                 
                              2        -                 Not assessed/no information             
                            363        0                 Not indicated                           
                             32        1                 Indicated                               
 
J0800B   $M3INDIC                      SA for Pain: Vocal Complaint             
                          4,561                          Missing                                 
                              2        -                 Not assessed/no information             
                            355        0                 Not indicated                           
                             40        1                 Indicated                               
 
J0800C   $M3INDIC                      SA for Pain: Facial Expression           
                          4,561                          Missing                                 
                              2        -                 Not assessed/no information             
                            350        0                 Not indicated                           
                             45        1                 Indicated                               
 
J0800D   $M3INDIC                      SA for Pain: Protective Movement         
                          4,561                          Missing                                 
                              2        -                 Not assessed/no information             
                            381        0                 Not indicated                           
                             14        1                 Indicated                               
 
J0800Z   $M3INDIC                      SA for Pain: None Above Signs of Pain    
                          4,561                          Missing                                 
                              2        -                 Not assessed/no information             
                             74        0                 Not indicated                           
                            321        1                 Indicated                               
 
J0850    $M3PAINI                      SA for Pain: Nonverbal Sound             
                          4,882                          Missing                                 
                              2        -                 Not assessed/no information             
                             39        1                 Indicators of pain 1-2 days             
                             23        2                 Indicators of pain 3-4 days             
                             12        3                 Indicators of pain daily                
 
J1100A   $M3INDIC                      Shortness of Breath W Exertion           
                          1,255                          Missing                                 
                          3,437        0                 Not indicated                           
                            266        1                 Indicated                               
 
J1100B   $M3INDIC                      Shortness of Breath When Sitting         
                          1,255                          Missing                                 
                          3,598        0                 Not indicated                           
                            105        1                 Indicated                               
 
J1100C   $M3INDIC                      Shortness of Breath When Lying Flat      
                          1,224                          Missing                                 
                              7        -                 Not assessed/no information             
                          3,324        0                 Not indicated                           
                            403        1                 Indicated                               
 
J1100Z   $M3INDIC                      None of Above Shortness of Breath        
                          1,224                          Missing                                 
                              5        -                 Not assessed/no information             
                            523        0                 Not indicated                           
                          3,206        1                 Indicated                               
 
J1300    $M3YESNO                      Tobacco Use                              
                          3,838                          Missing                                 
                              1        -                 Not assessed/no information             
                          1,094        0                 No                                      
                             25        1                 Yes                                     
 
J1400    $M3YESNO                      Life Prognosis Less Than Six Mons        
                          1,255                          Missing                                 
                              1        -                 Not assessed/no information             
                          3,506        0                 No                                      
                            196        1                 Yes                                     
 
J1550A   $M3INDIC                      Prob Conds: Fever                        
                          1,224                          Missing                                 
                          3,678        0                 Not indicated                           
                             56        1                 Indicated                               
 
J1550B   $M3INDIC                      Prob Conds: Vomiting                     
                          1,224                          Missing                                 
                          3,688        0                 Not indicated                           
                             46        1                 Indicated                               
 
J1550C   $M3INDIC                      Prob Conds: Dehydration                  
                          1,252                          Missing                                 
                          3,691        0                 Not indicated                           
                             15        1                 Indicated                               
 
J1550D   $M3INDIC                      Prob Conds: Internal Bleeding            
                          1,252                          Missing                                 
                          3,690        0                 Not indicated                           
                             16        1                 Indicated                               
 
J1550Z   $M3INDIC                      Prob Conds: None of Above                
                          1,224                          Missing                                 
                            117        0                 Not indicated                           
                          3,617        1                 Indicated                               
 
J1700A   $M3YNDET                      Fall History on Admsn: Fall 30 Day       
                          4,218                          Missing                                 
                              1        -                 Not assessed/no information             
                            437        0                 No                                      
                            278        1                 Yes                                     
                             24        9                 Unable to determine                     
 
J1700B   $M3YNDET                      Fall History on Admsn: Fall 31-180 Day   
                          4,218                          Missing                                 
                              2        -                 Not assessed/no information             
                            521        0                 No                                      
                            159        1                 Yes                                     
                             58        9                 Unable to determine                     
 
J1700C   $M3YNDET                      Fall History on Admsn: Fall Six Mon      
                          4,218                          Missing                                 
                              2        -                 Not assessed/no information             
                            568        0                 No                                      
                            146        1                 Yes                                     
                             24        9                 Unable to determine                     
 
J1800    $M3YESNO                      Falls Since Admsn or Prior Asmt          
                          1,003                          Missing                                 
                              1        -                 Not assessed/no information             
                          3,345        0                 No                                      
                            609        1                 Yes                                     
 
J1900A   $M3FALLS                      Falls Since Adm/Prior Asmt W No Inj      
                          4,348                          Missing                                 
                              1        -                 Not assessed/no information             
                            140        0                 None                                    
                            286        1                 One                                     
                            183        2                 Two or more                             
 
J1900B   $M3FALLS                      Falls Since Adm/Prior Asmt W Inj Ex Maj  
                          4,348                          Missing                                 
                              1        -                 Not assessed/no information             
                            393        0                 None                                    
                            177        1                 One                                     
                             39        2                 Two or more                             
 
J1900C   $M3FALLS                      Falls Since Adm/Prior Asmt W Maj Inj     
                          4,348                          Missing                                 
                              1        -                 Not assessed/no information             
                            573        0                 None                                    
                             35        1                 One                                     
                              1        2                 Two or more                             
 
K0100A   $M3INDIC                      Swall Disorder: Loss Mouth Eating        
                          1,923                          Missing                                 
                              3        -                 Not assessed/no information             
                          2,966        0                 Not indicated                           
                             66        1                 Indicated                               
 
K0100B   $M3INDIC                      Swall Disorder: Hold Food Mouth          
                          1,923                          Missing                                 
                              3        -                 Not assessed/no information             
                          2,913        0                 Not indicated                           
                            119        1                 Indicated                               
 
K0100C   $M3INDIC                      Swall Disorder: Choke Drinking Meal      
                          1,923                          Missing                                 
                              3        -                 Not assessed/no information             
                          2,906        0                 Not indicated                           
                            126        1                 Indicated                               
 
K0100D   $M3INDIC                      Swall Disorder: Complaint Swall          
                          1,923                          Missing                                 
                              3        -                 Not assessed/no information             
                          2,915        0                 Not indicated                           
                            117        1                 Indicated                               
 
K0100Z   $M3INDIC                      Swall Disorder: None of Above            
                          1,923                          Missing                                 
                              3        -                 Not assessed/no information             
                            279        0                 Not indicated                           
                          2,753        1                 Indicated                               
 
K0200A                                 Height Num                               
                          1,255                          Missing                                 
                          3,703        Range of values   Range of values                         
 
K0200B                                 Weight Num                               
                          1,255                          Missing                                 
                          3,703        Range of values   Range of values                         
 
K0300    $M3WGHT                       Weight Loss                              
                          1,224                          Missing                                 
                             16        -                 Not assessed/no information             
                          3,446        0                 No or unknown                           
                             40        1                 Yes, on physician-prescribed regimen    
                            232        2                 Yes, not on physician-prescribed regimen
 
K0310    $M3WGHT                       Weight Gain                              
                          1,255                          Missing                                 
                             14        -                 Not assessed/no information             
                          3,512        0                 No or unknown                           
                             67        1                 Yes, on physician-prescribed regimen    
                            110        2                 Yes, not on physician-prescribed regimen
 
K0510A1  $M3INDIC                      Nutr App: Prior Par/IV Feeding           
                          4,484                          Missing                                 
                             11        -                 Not assessed/no information             
                            362        0                 Not indicated                           
                            101        1                 Indicated                               
 
K0510A2  $M3INDIC                      Nutr App: Post Par/IV Feeding            
                          1,224                          Missing                                 
                              4        -                 Not assessed/no information             
                          3,640        0                 Not indicated                           
                             90        1                 Indicated                               
 
K0510B1  $M3INDIC                      Nutr App: Prior Feeding Tube             
                          4,484                          Missing                                 
                             11        -                 Not assessed/no information             
                            446        0                 Not indicated                           
                             17        1                 Indicated                               
 
K0510B2  $M3INDIC                      Nutr App: Post Feeding Tube              
                          1,224                          Missing                                 
                              2        -                 Not assessed/no information             
                          3,559        0                 Not indicated                           
                            173        1                 Indicated                               
 
K0510C2  $M3INDIC                      Nutr App: Post Mech Alt Diet             
                          1,579                          Missing                                 
                              5        -                 Not assessed/no information             
                          2,208        0                 Not indicated                           
                          1,166        1                 Indicated                               
 
K0510D2  $M3INDIC                      Nutr App: Post Ther Diet                 
                          1,607                          Missing                                 
                              5        -                 Not assessed/no information             
                          1,931        0                 Not indicated                           
                          1,415        1                 Indicated                               
 
K0510Z1  $M3INDIC                      Nutr App: Prior None of Above            
                          4,521                          Missing                                 
                              8        -                 Not assessed/no information             
                            109        0                 Not indicated                           
                            320        1                 Indicated                               
 
K0510Z2  $M3INDIC                      Nutr App: Post None of Above             
                          1,576                          Missing                                 
                              4        -                 Not assessed/no information             
                          2,200        0                 Not indicated                           
                          1,178        1                 Indicated                               
 
L0200A   $M3INDIC                      Dental Stat: Broken Denture              
                          1,951                          Missing                                 
                             29        -                 Not assessed/no information             
                          2,963        0                 Not indicated                           
                             15        1                 Indicated                               
 
L0200B   $M3INDIC                      Dental Stat: No Teeth                    
                          3,838                          Missing                                 
                              2        -                 Not assessed/no information             
                            924        0                 Not indicated                           
                            194        1                 Indicated                               
 
L0200C   $M3INDIC                      Dental Stat: Abnormal Mouth Tiss         
                          3,838                          Missing                                 
                              4        -                 Not assessed/no information             
                          1,113        0                 Not indicated                           
                              3        1                 Indicated                               
 
L0200D   $M3INDIC                      Dental Stat: Cavity                      
                          3,838                          Missing                                 
                              4        -                 Not assessed/no information             
                          1,017        0                 Not indicated                           
                             99        1                 Indicated                               
 
L0200E   $M3INDIC                      Dental Stat: Inflamed Gum                
                          3,838                          Missing                                 
                              4        -                 Not assessed/no information             
                          1,113        0                 Not indicated                           
                              3        1                 Indicated                               
 
L0200F   $M3INDIC                      Dental Stat: Mouth or Facial Pain        
                          1,951                          Missing                                 
                             35        -                 Not assessed/no information             
                          2,953        0                 Not indicated                           
                             19        1                 Indicated                               
 
L0200G   $M3INDIC                      Dental Stat: Unable to Examine           
                          3,838                          Missing                                 
                              2        -                 Not assessed/no information             
                          1,098        0                 Not indicated                           
                             20        1                 Indicated                               
 
L0200Z   $M3INDIC                      Dental Stat: None of Above               
                          3,838                          Missing                                 
                              2        -                 Not assessed/no information             
                            325        0                 Not indicated                           
                            793        1                 Indicated                               
 
M0100A   $M3INDIC                      Det of Press Ulcr Risk: Ulcr Visible     
                          1,255                          Missing                                 
                              6        -                 Not assessed/no information             
                          3,325        0                 Not indicated                           
                            372        1                 Indicated                               
 
M0100B   $M3INDIC                      Det of Press Ulcr Risk: Frml Asmt/Instr  
                          1,951                          Missing                                 
                            588        0                 Not indicated                           
                          2,419        1                 Indicated                               
 
M0100C   $M3INDIC                      Det of Press Ulcr Risk: Clinical Asmt    
                          1,951                          Missing                                 
                            221        0                 Not indicated                           
                          2,786        1                 Indicated                               
 
M0100Z   $M3INDIC                      Det of Press Ulcr Risk: None of Above    
                          1,951                          Missing                                 
                          2,952        0                 Not indicated                           
                             55        1                 Indicated                               
 
M0150    $M3YESNO                      Press Ulcr Risk                          
                          1,951                          Missing                                 
                              8        -                 Not assessed/no information             
                            272        0                 No                                      
                          2,727        1                 Yes                                     
 
M0210    $M3YESNO                      One or More S1 or Higher UPU             
                            972                          Missing                                 
                              2        -                 Not assessed/no information             
                          3,597        0                 No                                      
                            387        1                 Yes                                     
 
M0300A                                 Stage 1 Press Ulcr Num                   
                          4,671                          Missing                                 
                            287        Range of values   Range of values                         
 
M0300B1                                Stage 2 Press Ulcr Num                   
                          4,569                          Missing                                 
                            389        Range of values   Range of values                         
 
M0300B2                                Stage 2 Press Ulcr Present on Admsn Num  
                          4,860                          Missing                                 
                             98        Range of values   Range of values                         
 
M0300C1                                Stage 3 Press Ulcr Num                   
                          4,569                          Missing                                 
                            389        Range of values   Range of values                         
 
M0300C2                                Stage 3 Press Ulcr Present on Admsn Num  
                          4,885                          Missing                                 
                             73        Range of values   Range of values                         
 
M0300D1                                Stage 4 Press Ulcr Num                   
                          4,569                          Missing                                 
                            389        Range of values   Range of values                         
 
M0300D2                                Stage 4 Press Ulcr Present on Admsn Num  
                          4,872                          Missing                                 
                             86        Range of values   Range of values                         
 
M0300E1                                UPU Due To Drsng Num                     
                          4,574                          Missing                                 
                            384        Range of values   Range of values                         
 
M0300F1                                UPU W Slough or Eschar Num               
                          4,569                          Missing                                 
                            389        Range of values   Range of values                         
 
M0300F2                                UPU W Slough or Eschar on Admsn Num      
                          4,865                          Missing                                 
                             93        Range of values   Range of values                         
 
M0300G1                                UPU W Deep Tiss Inj Num                  
                          4,574                          Missing                                 
                            384        Range of values   Range of values                         
 
M0300G2                                UPU W Deep Tiss Inj on Admsn Num         
                          4,893                          Missing                                 
                             65        Range of values   Range of values                         
 
M1030                                  Venous and Arterial Ulcr Num             
                          1,920                          Missing                                 
                          3,038        Range of values   Range of values                         
 
M1040A   $M3INDIC                      Oth Foot Skin Probs: Foot Infn           
                          1,920                          Missing                                 
                          3,011        0                 Not indicated                           
                             27        1                 Indicated                               
 
M1040B   $M3INDIC                      Oth Foot Skin Probs: Diab Foot Ulcr      
                          1,920                          Missing                                 
                          3,021        0                 Not indicated                           
                             17        1                 Indicated                               
 
M1040C   $M3INDIC                      Oth Foot Skin Probs: Oth Open Les Foot   
                          1,920                          Missing                                 
                          3,027        0                 Not indicated                           
                             11        1                 Indicated                               
 
M1040D   $M3INDIC                      O/S/P: Oth Than Ulcrs, Rashes, Cuts      
                          1,920                          Missing                                 
                          2,994        0                 Not indicated                           
                             44        1                 Indicated                               
 
M1040E   $M3INDIC                      O/S/P: Surgical Wound(s)                 
                          1,920                          Missing                                 
                              1        -                 Not assessed/no information             
                          2,873        0                 Not indicated                           
                            164        1                 Indicated                               
 
M1040F   $M3INDIC                      O/S/P: Burn(s)                           
                          1,920                          Missing                                 
                          3,037        0                 Not indicated                           
                              1        1                 Indicated                               
 
M1040G   $M3INDIC                      O/S/P: Skin Tear(s)                      
                          1,951                          Missing                                 
                          2,885        0                 Not indicated                           
                            122        1                 Indicated                               
 
M1040H   $M3INDIC                      O/S/P: Moisture Assoc Skin Dmge          
                          1,951                          Missing                                 
                              1        -                 Not assessed/no information             
                          2,808        0                 Not indicated                           
                            198        1                 Indicated                               
 
M1040Z   $M3INDIC                      O/S/P: None of Above                     
                          1,920                          Missing                                 
                              1        -                 Not assessed/no information             
                            520        0                 Not indicated                           
                          2,517        1                 Indicated                               
 
M1200A   $M3INDIC                      S/U Trtmts: Press Reducng Device in Chr  
                          1,920                          Missing                                 
                              1        -                 Not assessed/no information             
                          1,197        0                 Not indicated                           
                          1,840        1                 Indicated                               
 
M1200B   $M3INDIC                      S/U Trtmts: Press Reducng Device in Bed  
                          1,920                          Missing                                 
                            440        0                 Not indicated                           
                          2,598        1                 Indicated                               
 
M1200C   $M3INDIC                      S/U Trtmts: Turning/RePosing Prog        
                          1,920                          Missing                                 
                          2,596        0                 Not indicated                           
                            442        1                 Indicated                               
 
M1200D   $M3INDIC                      S/U Trtmts: Nutrition/Hydration          
                          1,920                          Missing                                 
                          2,613        0                 Not indicated                           
                            425        1                 Indicated                               
 
M1200E   $M3INDIC                      S/U Trtmts: Ulcr Care                    
                          1,920                          Missing                                 
                          2,759        0                 Not indicated                           
                            279        1                 Indicated                               
 
M1200F   $M3INDIC                      S/U Trtmts: Surgical Wound Care          
                          1,920                          Missing                                 
                          2,899        0                 Not indicated                           
                            139        1                 Indicated                               
 
M1200G   $M3INDIC                      S/U Trtmts: App Nonsurgical Drsng        
                          1,920                          Missing                                 
                          2,621        0                 Not indicated                           
                            417        1                 Indicated                               
 
M1200H   $M3INDIC                      S/U Trtmts: App Ointments/Meds           
                          1,920                          Missing                                 
                          1,550        0                 Not indicated                           
                          1,488        1                 Indicated                               
 
M1200I   $M3INDIC                      S/U Trtmts: App Drsngs to Foot           
                          1,920                          Missing                                 
                          2,903        0                 Not indicated                           
                            135        1                 Indicated                               
 
M1200Z   $M3INDIC                      S/U Trtmts: None of Above                
                          1,920                          Missing                                 
                          2,839        0                 Not indicated                           
                            199        1                 Indicated                               
 
N0300                                  Num of Days Injections of Any Type       
                          1,948                          Missing                                 
                          3,010        Range of values   Range of values                         
 
N0350A                                 Num of Days Insulin Injections           
                          4,050                          Missing                                 
                            908        Range of values   Range of values                         
 
N0350B                                 Num of Days Insulin Orders Changed       
                          4,050                          Missing                                 
                            908        Range of values   Range of values                         
 
N0410A                                 Meds Rcd: Antipsychotic Num Days         
                          1,255                          Missing                                 
                          3,703        Range of values   Range of values                         
 
N0410B                                 Meds Rcd: Antianxiety Num Days           
                          1,255                          Missing                                 
                          3,703        Range of values   Range of values                         
 
N0410C                                 Meds Rcd: Antidepressant Num Days        
                          1,255                          Missing                                 
                          3,703        Range of values   Range of values                         
 
N0410D                                 Meds Rcd: Hypnotic Num Days              
                          1,255                          Missing                                 
                          3,703        Range of values   Range of values                         
 
N0410E                                 Meds Rcd: Anticoagulant Num Days         
                          1,255                          Missing                                 
                          3,703        Range of values   Range of values                         
 
N0410F                                 Meds Rcd: Antibiotic Num Days            
                          1,255                          Missing                                 
                          3,703        Range of values   Range of values                         
 
N0410G                                 Meds Rcd: Diuretic Num Days              
                          1,255                          Missing                                 
                          3,703        Range of values   Range of values                         
 
O0100A1  $M3INDIC                      Spcl T/P: ChemOthapy Pre-admit           
                          4,243                          Missing                                 
                              2        -                 Not assessed/no information             
                            710        0                 Not indicated                           
                              3        1                 Indicated                               
 
O0100A2  $M3INDIC                      Spcl T/P: ChemOthapy Post-admit          
                          1,920                          Missing                                 
                             21        -                 Not assessed/no information             
                          3,007        0                 Not indicated                           
                             10        1                 Indicated                               
 
O0100B1  $M3INDIC                      Spcl T/P: Radiation Pre-admit            
                          4,243                          Missing                                 
                              2        -                 Not assessed/no information             
                            712        0                 Not indicated                           
                              1        1                 Indicated                               
 
O0100B2  $M3INDIC                      Spcl T/P: Radiation Post-admit           
                          1,920                          Missing                                 
                             21        -                 Not assessed/no information             
                          3,017        0                 Not indicated                           
 
O0100C1  $M3INDIC                      Spcl T/P: Oxygen Pre-admit               
                          4,243                          Missing                                 
                              3        -                 Not assessed/no information             
                            520        0                 Not indicated                           
                            192        1                 Indicated                               
 
O0100C2  $M3INDIC                      Spcl T/P: Oxygen Post-admit              
                          1,920                          Missing                                 
                             21        -                 Not assessed/no information             
                          2,618        0                 Not indicated                           
                            399        1                 Indicated                               
 
O0100D1  $M3INDIC                      Spcl T/P: Suctioning Pre-admit           
                          4,243                          Missing                                 
                              2        -                 Not assessed/no information             
                            705        0                 Not indicated                           
                              8        1                 Indicated                               
 
O0100D2  $M3INDIC                      Spcl T/P: Suctioning Post-admit          
                          1,920                          Missing                                 
                             21        -                 Not assessed/no information             
                          2,985        0                 Not indicated                           
                             32        1                 Indicated                               
 
O0100E1  $M3INDIC                      Spcl T/P: Tracheostomy Pre-admit         
                          4,243                          Missing                                 
                              2        -                 Not assessed/no information             
                            704        0                 Not indicated                           
                              9        1                 Indicated                               
 
O0100E2  $M3INDIC                      Spcl T/P: Tracheostomy Post-admit        
                          1,920                          Missing                                 
                             21        -                 Not assessed/no information             
                          2,976        0                 Not indicated                           
                             41        1                 Indicated                               
 
O0100F1  $M3INDIC                      Spcl T/P: Ventilator Pre-admit           
                          4,243                          Missing                                 
                              2        -                 Not assessed/no information             
                            700        0                 Not indicated                           
                             13        1                 Indicated                               
 
O0100F2  $M3INDIC                      Spcl T/P: Ventilator Post-admit          
                          1,920                          Missing                                 
                             21        -                 Not assessed/no information             
                          2,996        0                 Not indicated                           
                             21        1                 Indicated                               
 
O0100G1  $M3INDIC                      Spcl T/P: Cont Pos Arwy Press Pre-A      
                          4,430                          Missing                                 
                              1        -                 Not assessed/no information             
                            512        0                 Not indicated                           
                             15        1                 Indicated                               
 
O0100G2  $M3INDIC                      Spcl T/P: Cont Pos Arwy Press Post-A     
                          3,838                          Missing                                 
                              3        -                 Not assessed/no information             
                          1,094        0                 Not indicated                           
                             23        1                 Indicated                               
 
O0100H1  $M3INDIC                      Spcl T/P: Intravenous Med Pre-admit      
                          4,243                          Missing                                 
                              2        -                 Not assessed/no information             
                            321        0                 Not indicated                           
                            392        1                 Indicated                               
 
O0100H2  $M3INDIC                      Spcl T/P: Intravenous Med Post-admit     
                          1,920                          Missing                                 
                             21        -                 Not assessed/no information             
                          2,907        0                 Not indicated                           
                            110        1                 Indicated                               
 
O0100I1  $M3INDIC                      Spcl T/P: Transfusion Pre-admit          
                          4,243                          Missing                                 
                              2        -                 Not assessed/no information             
                            685        0                 Not indicated                           
                             28        1                 Indicated                               
 
O0100I2  $M3INDIC                      Spcl T/P: Transfusion Post-admit         
                          1,920                          Missing                                 
                             21        -                 Not assessed/no information             
                          3,014        0                 Not indicated                           
                              3        1                 Indicated                               
 
O0100J1  $M3INDIC                      Spcl T/P: Dialysis Pre-admit             
                          4,243                          Missing                                 
                              2        -                 Not assessed/no information             
                            693        0                 Not indicated                           
                             20        1                 Indicated                               
 
O0100J2  $M3INDIC                      Spcl T/P: Dialysis Post-admit            
                          1,920                          Missing                                 
                             21        -                 Not assessed/no information             
                          2,973        0                 Not indicated                           
                             44        1                 Indicated                               
 
O0100K1  $M3INDIC                      Spcl T/P: Hospice Pre-admit              
                          4,430                          Missing                                 
                              1        -                 Not assessed/no information             
                            516        0                 Not indicated                           
                             11        1                 Indicated                               
 
O0100K2  $M3INDIC                      Spcl T/P: Hospice Post-admit             
                          1,255                          Missing                                 
                             27        -                 Not assessed/no information             
                          3,463        0                 Not indicated                           
                            213        1                 Indicated                               
 
O0100M1  $M3INDIC                      Spcl T/P: Isolation Pre-admit            
                          4,430                          Missing                                 
                              1        -                 Not assessed/no information             
                            511        0                 Not indicated                           
                             16        1                 Indicated                               
 
O0100M2  $M3INDIC                      Spcl T/P: Isolation Post-admit           
                          1,920                          Missing                                 
                             30        -                 Not assessed/no information             
                          2,881        0                 Not indicated                           
                            127        1                 Indicated                               
 
O0100Z1  $M3INDIC                      Spcl T/P: None Above Pre-A Trtmt Prior   
                          4,430                          Missing                                 
                              1        -                 Not assessed/no information             
                            326        0                 Not indicated                           
                            201        1                 Indicated                               
 
O0100Z2  $M3INDIC                      Spcl T/P: None Above Trtmt Post-admit    
                          3,807                          Missing                                 
                              3        -                 Not assessed/no information             
                            351        0                 Not indicated                           
                            797        1                 Indicated                               
 
O0250A   $M3YESNO                      Influenza Rcd                            
                          1,255                          Missing                                 
                             22        -                 Not assessed/no information             
                          1,621        0                 No                                      
                          2,060        1                 Yes                                     
 
O0250B   MMDDYYn8                      Influenza Rcd Date                       
                          2,900                       .  Inapplicable                            
                          2,058        MMDDYYYY          Date as MMDDYYYY                        
 
O0250C   $M3FLRSN                      Rsn Influenza Not Rcd                    
                          3,315                          Missing                                 
                             28        -                 Not assessed/no information             
                            226        1                 Resident not in facility                
                            544        2                 Received outside the facility           
                             49        3                 Not eligible                            
                            563        4                 Offered and declined                    
                            116        5                 Not offered                             
                              4        6                 Inability to obtain vaccine             
                            113        9                 None of the above                       
 
O0300A   $M3YESNO                      Pneumococcal Vaccination                 
                          1,255                          Missing                                 
                             39        -                 Not assessed/no information             
                          1,186        0                 No                                      
                          2,478        1                 Yes                                     
 
O0300B   $M3PNRSN                      Rsn Pneumococcal Vaccination Not Rcd     
                          3,733                          Missing                                 
                             83        -                 Not assessed/no information             
                             60        1                 Not eligible                            
                            845        2                 Offered and declined                    
                            237        3                 Not offered                             
 
O0400A1                                Speech Ther/Aud Individual Minutes Num   
                          1,948                          Missing                                 
                          3,010        Range of values   Range of values                         
 
O0400A2                                Speech Ther/Aud ConCur Minutes Num       
                          1,948                          Missing                                 
                          3,010        Range of values   Range of values                         
 
O0400A3                                Speech Ther/Aud Group Minutes Num        
                          1,948                          Missing                                 
                          3,010        Range of values   Range of values                         
 
O0400A4                                Num of Days Speech Ther/Aud Admin        
                          4,539                          Missing                                 
                            419        Range of values   Range of values                         
 
O0400A5  MMDDYYn8                      Speech Ther/Audiology Start Date         
                          3,524                       .  Inapplicable                            
                          1,434        MMDDYYYY          Date as MMDDYYYY                        
 
O0400A6  MMDDYYn8                      Speech Ther/Audiology End Date           
                          3,919                       .  Inapplicable                            
                          1,039        MMDDYYYY          Date as MMDDYYYY                        
 
O0400B1                                Occupational Ther Individual Minutes Num 
                          1,948                          Missing                                 
                          3,010        Range of values   Range of values                         
 
O0400B2                                Occupational Ther ConCur Minutes Num     
                          1,948                          Missing                                 
                          3,010        Range of values   Range of values                         
 
O0400B3                                Occupational Ther Group Minutes Num      
                          1,948                          Missing                                 
                          3,010        Range of values   Range of values                         
 
O0400B4                                Num of Days Occ Ther Administered        
                          3,912                          Missing                                 
                          1,046        Range of values   Range of values                         
 
O0400B5  MMDDYYn8                      Occupational Ther Start Date             
                          2,436                       .  Inapplicable                            
                          2,522        MMDDYYYY          Date as MMDDYYYY                        
 
O0400B6  MMDDYYn8                      Occupational Ther End Date               
                          3,451                       .  Inapplicable                            
                          1,507        MMDDYYYY          Date as MMDDYYYY                        
 
O0400C1                                Phys Ther Individual Minutes Num         
                          1,948                          Missing                                 
                          3,010        Range of values   Range of values                         
 
O0400C2                                Phys Ther ConCur Minutes Num             
                          1,948                          Missing                                 
                          3,010        Range of values   Range of values                         
 
O0400C3                                Phys Ther Group Minutes Num              
                          1,948                          Missing                                 
                          3,010        Range of values   Range of values                         
 
O0400C4                                Num of Days Phys Ther Administered       
                          3,815                          Missing                                 
                          1,143        Range of values   Range of values                         
 
O0400C5  MMDDYYn8                      Phys Ther Start Date                     
                          2,378                       .  Inapplicable                            
                          2,580        MMDDYYYY          Date as MMDDYYYY                        
 
O0400C6  MMDDYYn8                      Phys Ther End Date                       
                          3,471                       .  Inapplicable                            
                          1,487        MMDDYYYY          Date as MMDDYYYY                        
 
O0400D1                                Resp Ther Minutes Num                    
                          3,838                          Missing                                 
                          1,120        Range of values   Range of values                         
 
O0400D2                                Num of Days Resp Ther Administered       
                          3,026                          Missing                                 
                          1,932        Range of values   Range of values                         
 
O0400E1                                Psych Ther Minutes Num                   
                          3,838                          Missing                                 
                          1,120        Range of values   Range of values                         
 
O0400E2                                Num of Days Psych Ther Administered      
                          3,061                          Missing                                 
                          1,897        Range of values   Range of values                         
 
O0400F1                                Rec Ther Minutes Num                     
                          3,838                          Missing                                 
                          1,120        Range of values   Range of values                         
 
O0400F2                                Num of Days Rec Ther Administered        
                          4,955                          Missing                                 
                              3        Range of values   Range of values                         
 
O0500A                                 Rest Nrs: Passive Range of Mtn Num       
                          1,920                          Missing                                 
                          3,038        Range of values   Range of values                         
 
O0500B                                 Rest Nrs: Actv Range of Mtn Num          
                          1,920                          Missing                                 
                          3,038        Range of values   Range of values                         
 
O0500C                                 Rest Nrs: Splint/Brace Ass Num           
                          1,920                          Missing                                 
                          3,038        Range of values   Range of values                         
 
O0500D                                 Rest Nrs: Bed Mob Training Num           
                          1,920                          Missing                                 
                          3,038        Range of values   Range of values                         
 
O0500E                                 Rest Nrs: Trans Training Num             
                          1,920                          Missing                                 
                          3,038        Range of values   Range of values                         
 
O0500F                                 Rest Nrs: Wlking Training Num            
                          1,920                          Missing                                 
                          3,038        Range of values   Range of values                         
 
O0500G                                 Rest Nrs: Drsng/Grooming Training Num    
                          1,920                          Missing                                 
                          3,038        Range of values   Range of values                         
 
O0500H                                 Rest Nrs: Eating/Swall Training Num      
                          1,920                          Missing                                 
                          3,038        Range of values   Range of values                         
 
O0500I                                 Rest Nrs: Amp/Prosthes Care Training Num 
                          1,920                          Missing                                 
                          3,038        Range of values   Range of values                         
 
O0500J                                 Rest Nrs: Communication Training Num     
                          1,920                          Missing                                 
                          3,038        Range of values   Range of values                         
 
O0600                                  Physician Exam Day Num                   
                          1,948                          Missing                                 
                          3,010        Range of values   Range of values                         
 
O0700                                  Physician Order Day Num                  
                          1,948                          Missing                                 
                          3,010        Range of values   Range of values                         
 
P0100A   $M3USED                       Phys Rstrnts in Bed: Bed Rail            
                          1,255                          Missing                                 
                              1        -                 Not assessed/no information             
                          3,697        0                 Not used                                
                              1        1                 Used less than daily                    
                              4        2                 Used daily                              
 
P0100B   $M3USED                       Phys Rstrnts in Bed: Trunk Rstrnt Bed    
                          1,255                          Missing                                 
                          3,703        0                 Not used                                
 
P0100C   $M3USED                       Phys Rstrnts in Bed: Limb Rstrnt Bed     
                          1,255                          Missing                                 
                          3,703        0                 Not used                                
 
P0100D   $M3USED                       Phys Rstrnts in Bed: Oth Rstrnt Bed      
                          1,255                          Missing                                 
                          3,702        0                 Not used                                
                              1        2                 Used daily                              
 
P0100E   $M3USED                       Phys Rstrnts Chair: Trunk Rstrnt Chair   
                          1,255                          Missing                                 
                          3,702        0                 Not used                                
                              1        2                 Used daily                              
 
P0100F   $M3USED                       Phys Rstrnts Chair: Limb Rstrnt Chair    
                          1,255                          Missing                                 
                          3,703        0                 Not used                                
 
P0100G   $M3USED                       Phys Rstrnts Chair: Chair Prevent Rise   
                          1,255                          Missing                                 
                          3,703        0                 Not used                                
 
P0100H   $M3USED                       Phys Rstrnts Chair: Oth Rstrnt Chair     
                          1,255                          Missing                                 
                          3,701        0                 Not used                                
                              2        2                 Used daily                              
 
Q0100A   $M3YESNO                      Res Part in Asmt                         
                          1,951                          Missing                                 
                             17        -                 Not assessed/no information             
                            393        0                 No                                      
                          2,597        1                 Yes                                     
 
Q0100B   $M3FAMPR                      Fam Part in Asmt                         
                          1,951                          Missing                                 
                             20        -                 Not assessed/no information             
                          1,971        0                 No                                      
                            975        1                 Yes                                     
                             41        9                 No family or significant other available
 
Q0100C   $M3GUAPR                      Guardian Part in Asmt                    
                          1,951                          Missing                                 
                             25        -                 Not assessed/no information             
                          2,090        0                 No                                      
                            311        1                 Yes                                     
                            581        9                 No guardian or legally auth rep availabl
 
Q0300A   $M3OGOAL                      Res Overall Goal                         
                          4,226                          Missing                                 
                              7        -                 Not assessed/no information             
                            428        1                 Discharged to the community             
                            237        2                 Remain in this facility                 
                             21        3                 Discharged to another facility          
                             39        9                 Unknown or uncertain                    
 
Q0300B   $M3SOURC                      Overall Goal Source                      
                          4,226                          Missing                                 
                              7        -                 Not assessed/no information             
                            515        1                 Resident                                
                            174        2                 Family or sig other                     
                             31        3                 Guardian or legally auth rep            
                              5        9                 Unknown or uncertain                    
 
Q0400A   $M3YESNO                      Dis Plan                                 
                          1,255                          Missing                                 
                             29        -                 Not assessed/no information             
                          2,767        0                 No                                      
                            907        1                 Yes                                     
 
Q0490    $M3NOINF                      Ress Pref Answering Q0500B               
                          3,161                          Missing                                 
                             27        -                 Not assessed/no information             
                          1,000        0                 No                                      
                            770        1                 Yes                                     
 
Q0500B   $M3WNTLK                      Staff Asked Res or Fam Abt Rtn To Comm   
                          3,229                          Missing                                 
                             33        -                 Not assessed/no information             
                          1,586        0                 No                                      
                             59        1                 Yes                                     
                             51        9                 Unknown or uncertain                    
 
Q0550A   $M3NOINF                      Pref In Answering Q0550B                 
                          3,229                          Missing                                 
                             35        -                 Not assessed/no information             
                          1,528        0                 No                                      
                            109        1                 Yes                                     
                             57        8                 Information not available               
 
Q0550B   $M3SOURC                      Source Answering Q0550A                  
                          3,229                          Missing                                 
                             34        -                 Not assessed/no information             
                            880        1                 Resident                                
                            591        2                 Family or sig other                     
                            152        3                 Guardian or legally auth rep            
                             72        9                 Unknown or uncertain                    
 
Q0600    $M3REFER                      Local Contact Agency Referral            
                          1,255                          Missing                                 
                             32        -                 Not assessed/no information             
                          3,455        0                 No - referral not needed                
                             88        1                 No - referral may be needed             
                            128        2                 Yes                                     
 
V0100A   $M3CASS                       Prior Asmt Federal OBRA Rsn for Asmt     
                          4,433                                                                  
                             13        01                5 day sched assessment                  
                            432        02                14 day sched assessment                 
                             20        03                30 day sched assessment                 
                             16        04                60 day sched assessment                 
                             44        99                None of above                           
 
V0100B   $M3CASS                       Prior Asmt PPS Rsn for Asmt              
                          4,433                                                                  
                             57        01                5 day sched assessment                  
                            468        99                None of above                           
 
V0100C   MMDDYYn8                      Prior Asmt Ref Date                      
                          4,434                       .  Inapplicable                            
                            524        MMDDYYYY          Date as MMDDYYYY                        
 
V0100D                                 Prior Asmt (BIMS) Summary Score Num      
                          4,481                          Missing                                 
                            477        Range of values   Range of values                         
 
V0100E                                 Prior Asmt  (PHQ-9) Tot Svrty Score Num  
                          4,487                          Missing                                 
                            471        Range of values   Range of values                         
 
V0100F                                 Prior Asmt  (PHQ-9) Tot Svrty Score Num  
                          4,860                          Missing                                 
                             98        Range of values   Range of values                         
 
V200A01A $M3INDIC                      Dlrm Care Area Trigger                   
                          3,919                          Missing                                 
                            974        0                 Not indicated                           
                             65        1                 Indicated                               
 
V200A01B $M3INDIC                      Dlrm Adrsd in Care Plan                  
                          3,919                          Missing                                 
                            660        -                 Not assessed/no information             
                            332        0                 Not indicated                           
                             47        1                 Indicated                               
 
V200A02A $M3INDIC                      Dementia Care Area Trigger               
                          3,919                          Missing                                 
                            414        0                 Not indicated                           
                            625        1                 Indicated                               
 
V200A02B $M3INDIC                      Dementia Adrsd in Care Plan              
                          3,919                          Missing                                 
                            288        -                 Not assessed/no information             
                            175        0                 Not indicated                           
                            576        1                 Indicated                               
 
V200A03A $M3INDIC                      Visual Func Care Area Trigger            
                          3,919                          Missing                                 
                            688        0                 Not indicated                           
                            351        1                 Indicated                               
 
V200A03B $M3INDIC                      Visual Func Adrsd in Care Plan           
                          3,919                          Missing                                 
                            476        -                 Not assessed/no information             
                            239        0                 Not indicated                           
                            324        1                 Indicated                               
 
V200A04A $M3INDIC                      Communication Care Area Trigger          
                          3,919                          Missing                                 
                            549        0                 Not indicated                           
                            490        1                 Indicated                               
 
V200A04B $M3INDIC                      Communication Adrsd in Care Plan         
                          3,919                          Missing                                 
                            393        -                 Not assessed/no information             
                            191        0                 Not indicated                           
                            455        1                 Indicated                               
 
V200A05A $M3INDIC                      ADL Care Area Trigger                    
                          3,919                          Missing                                 
                            262        0                 Not indicated                           
                            777        1                 Indicated                               
 
V200A05B $M3INDIC                      ADL Adrsd in Care Plan                   
                          3,919                          Missing                                 
                            148        -                 Not assessed/no information             
                            110        0                 Not indicated                           
                            781        1                 Indicated                               
 
V200A06A $M3INDIC                      Urny Care Area Trigger                   
                          3,919                          Missing                                 
                             73        0                 Not indicated                           
                            966        1                 Indicated                               
 
V200A06B $M3INDIC                      Urny Adrsd in Care Plan                  
                          3,919                          Missing                                 
                             55        -                 Not assessed/no information             
                             80        0                 Not indicated                           
                            904        1                 Indicated                               
 
V200A07A $M3INDIC                      Psychosocial Care Area Trigger           
                          3,919                          Missing                                 
                            803        0                 Not indicated                           
                            236        1                 Indicated                               
 
V200A07B $M3INDIC                      Psychosocial Adrsd in Care Plan          
                          3,919                          Missing                                 
                            554        -                 Not assessed/no information             
                            270        0                 Not indicated                           
                            215        1                 Indicated                               
 
V200A08A $M3INDIC                      Mood Care Area Trigger                   
                          3,919                          Missing                                 
                            841        0                 Not indicated                           
                            198        1                 Indicated                               
 
V200A08B $M3INDIC                      Mood Adrsd in Care Plan                  
                          3,919                          Missing                                 
                            560        -                 Not assessed/no information             
                            294        0                 Not indicated                           
                            185        1                 Indicated                               
 
V200A09A $M3INDIC                      Bhvral Care Area Trigger                 
                          3,919                          Missing                                 
                            925        0                 Not indicated                           
                            114        1                 Indicated                               
 
V200A09B $M3INDIC                      Bhvral Adrsd in Care Plan                
                          3,919                          Missing                                 
                            626        -                 Not assessed/no information             
                            302        0                 Not indicated                           
                            111        1                 Indicated                               
 
V200A10A $M3INDIC                      Act Care Area Trigger                    
                          3,919                          Missing                                 
                            853        0                 Not indicated                           
                            186        1                 Indicated                               
 
V200A10B $M3INDIC                      Act Adrsd in Care Plan                   
                          3,919                          Missing                                 
                            572        -                 Not assessed/no information             
                            278        0                 Not indicated                           
                            189        1                 Indicated                               
 
V200A11A $M3INDIC                      Fall Care Area Trigger                   
                          3,919                          Missing                                 
                             37        0                 Not indicated                           
                          1,002        1                 Indicated                               
 
V200A11B $M3INDIC                      Fall Adrsd in Care Plan                  
                          3,919                          Missing                                 
                             25        -                 Not assessed/no information             
                             49        0                 Not indicated                           
                            965        1                 Indicated                               
 
V200A12A $M3INDIC                      Nutr Care Area Trigger                   
                          3,919                          Missing                                 
                            100        0                 Not indicated                           
                            939        1                 Indicated                               
 
V200A12B $M3INDIC                      Nutr Adrsd in Care Plan                  
                          3,919                          Missing                                 
                             64        -                 Not assessed/no information             
                             60        0                 Not indicated                           
                            915        1                 Indicated                               
 
V200A13A $M3INDIC                      Feeding Tube Care Area Trigger           
                          3,919                          Missing                                 
                            993        0                 Not indicated                           
                             46        1                 Indicated                               
 
V200A13B $M3INDIC                      Feeding Tube Adrsd in Care Plan          
                          3,919                          Missing                                 
                            664        -                 Not assessed/no information             
                            331        0                 Not indicated                           
                             44        1                 Indicated                               
 
V200A14A $M3INDIC                      Dehydration Care Area Trigger            
                          3,919                          Missing                                 
                            754        0                 Not indicated                           
                            285        1                 Indicated                               
 
V200A14B $M3INDIC                      Dehydration Adrsd in Care Plan           
                          3,919                          Missing                                 
                            500        -                 Not assessed/no information             
                            294        0                 Not indicated                           
                            245        1                 Indicated                               
 
V200A15A $M3INDIC                      Dental Care Area Trigger                 
                          3,919                          Missing                                 
                            769        0                 Not indicated                           
                            270        1                 Indicated                               
 
V200A15B $M3INDIC                      Dental Adrsd in Care Plan                
                          3,919                          Missing                                 
                            534        -                 Not assessed/no information             
                            257        0                 Not indicated                           
                            248        1                 Indicated                               
 
V200A16A $M3INDIC                      Press Ulcr Care Area Trigger             
                          3,919                          Missing                                 
                             17        0                 Not indicated                           
                          1,022        1                 Indicated                               
 
V200A16B $M3INDIC                      Press Ulcr Adrsd in Care Plan            
                          3,919                          Missing                                 
                             15        -                 Not assessed/no information             
                             39        0                 Not indicated                           
                            985        1                 Indicated                               
 
V200A17A $M3INDIC                      Psychotropic Drug Care Area Trigger      
                          3,919                          Missing                                 
                            408        0                 Not indicated                           
                            631        1                 Indicated                               
 
V200A17B $M3INDIC                      Psychotropic Drug Adrsd in Care Plan     
                          3,919                          Missing                                 
                            282        -                 Not assessed/no information             
                            149        0                 Not indicated                           
                            608        1                 Indicated                               
 
V200A18A $M3INDIC                      Rstrnt Care Area Trigger                 
                          3,919                          Missing                                 
                          1,038        0                 Not indicated                           
                              1        1                 Indicated                               
 
V200A18B $M3INDIC                      Rstrnt Adrsd in Care Plan                
                          3,919                          Missing                                 
                            694        -                 Not assessed/no information             
                            345        0                 Not indicated                           
 
V200A19A $M3INDIC                      Pain Care Area Trigger                   
                          3,919                          Missing                                 
                            842        0                 Not indicated                           
                            197        1                 Indicated                               
 
V200A19B $M3INDIC                      Pain Adrsd in Care Plan                  
                          3,919                          Missing                                 
                            568        -                 Not assessed/no information             
                            272        0                 Not indicated                           
                            199        1                 Indicated                               
 
V200A20A $M3INDIC                      Rtn to Comm Care Area Trigger            
                          3,919                          Missing                                 
                            998        0                 Not indicated                           
                             41        1                 Indicated                               
 
V200A20B $M3INDIC                      Rtn to Comm Adrsd in Care Plan           
                          3,919                          Missing                                 
                            664        -                 Not assessed/no information             
                            334        0                 Not indicated                           
                             41        1                 Indicated                               
 
