Variable    Format      Q#/Freq        Description/Label
 
BASEID      $BSIDFMT                   Unique SP Identification Number                   
                          5,066        LOW-HIGH          BASEID Count                            
 
SURVEYYR    SVYRFMT                    Survey Year                                       
                          5,066                    2023  2023                                    
 
VERSION     VERSFMT                    Version Number                                    
                          5,066                       1  Version 1                               
 
TRGT_DT     MMDDYYn8                   Target Date                                       
                          5,066        MMDDYYYY          Date as MMDDYYYY                        
         Notes:  MDS linkage variable.
 
SUB_DT      MMDDYYn8                   Submission Date                                   
                          5,066        MMDDYYYY          Date as MMDDYYYY                        
 
SPEC_VCD                               Data Submission Spec Vers                         
                          5,066        Range of values   Range of values                         
 
ITM_SVC                                Item Set Vers                                     
                          5,066        Range of values   Range of values                         
 
PRCSD_TS    MMDDYYn8                   Processed Timestamp                               
                          5,066        MMDDYYYY          Date as MMDDYYYY                        
 
RSDT_MCI                               Res Match Criteria ID                             
                            343                       .  Inapplicable/Missing                    
                          4,723        Range of values   Range of values                         
 
CURCD                                  CBSA Urban/Rural                                  
                          5,066        Range of values   Range of values                         
 
A0050       $M3RCTYP                   Type of Record                                    
                          4,787        1                 Add a new record                        
                            279        2                 Modify existing record                  
 
A0200       $M3PROV                    Type of Provider                                  
                          5,066        1                 Nursing home (SNF/NF)                   
 
A0310A      $M3OBRA                    Federal OBRA Rsn for Asmt                         
                            524        01                Admission                               
                          1,768        02                Quarterly                               
                            425        03                Annual                                  
                            139        04                Significant change in status            
                          2,210        99                Not OBRA required                       
 
A0310B      $MCASS                     PPS Asmt                                          
                            415        01                Sched. 5-day assessment                 
                             22        08                Not PPS assessment                      
                          4,629        99                None of the above                       
 
A0310E      $M3YESNO                   First Asmt Since Most Rec Admsn                   
                          4,295        0                 No                                      
                            771        1                 Yes                                     
 
A0310F      $M3REPO                    Entry/Dis                                         
                            917        01                Entry                                   
                            471        10                Discharge, return not anticipated       
                            377        11                Discharge, return anticipated           
                            123        12                Death in facility                       
                          3,178        99                None of the above                       
 
A0310G      $M3DIS                     Planned Dis                                       
                          4,218                          Missing                                 
                            430        1                 Planned                                 
                            418        2                 Unplanned                               
 
A0410       $M3SUBRQ                   Submission Req                                    
                          5,066        3                 Federal required                        
 
A1100A      $M3YNDET                   Res Need Interpreter                              
                          1,992                          Missing                                 
                          2,958        0                 No                                      
                            110        1                 Yes                                     
                              6        9                 Unable to determine                     
 
A1300A                                 Medical Record Num                                
                             72                          Missing                                 
                          4,994        Range of values   Range of values                         
 
A1300D                                 Lifetime Occupation(s) Text                       
                          2,815                          Missing                                 
                          2,251        Range of values   Range of values                         
 
A1500       $M3SMI                     (PASRR)                                           
                          3,980                          Missing                                 
                            989        0                 No                                      
                             81        1                 Yes                                     
                             16        9                 Not a Medicaid-certified unit           
 
A1510A      $M3INDIC                   Serious Mntl Illness                              
                          4,985                          Missing                                 
                             18        0                 Not indicated                           
                             63        1                 Indicated                               
 
A1510B      $M3INDIC                   Intellectual Disability                           
                          4,985                          Missing                                 
                             65        0                 Not indicated                           
                             16        1                 Indicated                               
 
A1510C      $M3INDIC                   Oth Related Conds                                 
                          4,985                          Missing                                 
                             71        0                 Not indicated                           
                             10        1                 Indicated                               
 
A1550A      $M3INDIC                   ID/DD Stat: Down Syndrome                         
                          4,543                          Missing                                 
                            523        0                 Not indicated                           
 
A1550B      $M3INDIC                   ID/DD Stat: Autism                                
                          4,543                          Missing                                 
                            523        0                 Not indicated                           
 
A1550C      $M3INDIC                   ID/DD Stat: Epilepsy                              
                          4,543                          Missing                                 
                            522        0                 Not indicated                           
                              1        1                 Indicated                               
 
A1550D      $M3INDIC                   ID/DD Stat: Oth Org ID/DD Cond                    
                          4,543                          Missing                                 
                            522        0                 Not indicated                           
                              1        1                 Indicated                               
 
A1550E      $M3INDIC                   ID/DD Stat: ID/DD W No Org Cond                   
                          4,543                          Missing                                 
                            523        0                 Not indicated                           
 
A1550Z      $M3INDIC                   ID/DD Stat: None of the Above                     
                          4,543                          Missing                                 
                              2        0                 Not indicated                           
                            521        1                 Indicated                               
 
A1600       MMDDYYn8                   Entry Date                                        
                             22                       .  Inapplicable                            
                          5,044        MMDDYYYY          Date as MMDDYYYY                        
 
A1700       $M3TYP                     Type of Entry                                     
                             22                          Missing                                 
                          3,016        1                 Admission                               
                          2,028        2                 Reentry                                 
 
A1800       $M3ADFRM                   Entered From                                      
                          1,217                          Missing                                 
                            277        01                Community                               
                            180        02                Another nursing home or swing bed       
                          3,301        03                Acute hospital                          
                             36        04                Psychiatric hospital                    
                             11        05                Inpatient rehabilitation facility       
                             23        07                Hospice                                 
                              9        09                Long Term Care Hospital (LTCH)          
                             12        99                Other                                   
 
A2000       MMDDYYn8                   Dis Date                                          
                          4,095                       .  Inapplicable                            
                            971        MMDDYYYY          Date as MMDDYYYY                        
 
A2100       $M3ADFRM                   Dis Stat                                          
                          4,336                          Missing                                 
                            296        01                Community                               
                             26        02                Another nursing home or swing bed       
                            300        03                Acute hospital                          
                              2        04                Psychiatric hospital                    
                              3        05                Inpatient rehabilitation facility       
                              2        07                Hospice                                 
                             96        08                Deceased                                
                              1        09                Long Term Care Hospital (LTCH)          
                              4        99                Other                                   
 
A2300       MMDDYYn8                   Asmt Ref Date                                     
                          1,040                       .  Inapplicable                            
                          4,026        MMDDYYYY          Date as MMDDYYYY                        
         Notes:  MDS linkage variable.
 
A2400A      $M3YESNO                   Had a Mcare Stay Since Most Rec Admsn             
                          2,866        0                 No                                      
                          2,200        1                 Yes                                     
 
A2400B      MMDDYYn8                   Start Date of Most Rec Mcare Stay                 
                          2,866                       .  Inapplicable                            
                          2,200        MMDDYYYY          Date as MMDDYYYY                        
 
A2400C      MMDDYYn8                   End Date of Most Rec Mcare Stay                   
                          3,687                       .  Inapplicable                            
                          1,379        MMDDYYYY          Date as MMDDYYYY                        
 
B0100       $M3YESNO                   Comatose                                          
                          1,189                          Missing                                 
                          3,875        0                 No                                      
                              2        1                 Yes                                     
 
B0200       $M3HEAR                    Hearing                                           
                          2,040                          Missing                                 
                          2,298        0                 Adequate                                
                            499        1                 Minimal difficulty                      
                            192        2                 Moderate difficulty                     
                             37        3                 Highly impaired                         
 
B0300       $M3YESNO                   Hearing Aide                                      
                          2,033                          Missing                                 
                          2,783        0                 No                                      
                            250        1                 Yes                                     
 
B0600       $M3CLEAR                   Speech Clarity                                    
                          2,034                          Missing                                 
                          2,663        0                 Clear speech                            
                            263        1                 Unclear speech                          
                            106        2                 No speech                               
 
B0700       $M3UNDER                   Makes Self Understood                             
                          2,013                          Missing                                 
                          2,073        0                 Understood                              
                            530        1                 Usually understood                      
                            259        2                 Sometimes understood                    
                            191        3                 Rarely/Never understood                 
 
B0800       $M3UNDRR                   Ability to Understand Oth                         
                          2,035                          Missing                                 
                          1,943        0                 Understands                             
                            584        1                 Usually understands                     
                            336        2                 Sometimes understands                   
                            168        3                 Rarely/Never understands                
 
B1000       $M3ADQT                    Vision                                            
                          2,047                          Missing                                 
                          2,275        0                 Adequate                                
                            482        1                 Impaired                                
                            114        2                 Moderately impaired                     
                             85        3                 Highly impaired                         
                             63        4                 Severely impaired                       
 
B1200       $M3YESNO                   Corr Lenses                                       
                          2,036                          Missing                                 
                          1,606        0                 No                                      
                          1,424        1                 Yes                                     
 
C0100       $M3YESNO                   Brief Int for Mntl Stat Be Cond                   
                          1,623                          Missing                                 
                            243        0                 No                                      
                          3,200        1                 Yes                                     
 
C0200       $M3REP3W                   BIMS: Num of Words Rep After First Att            
                          1,895                          Missing                                 
                            244        0                 None                                    
                             66        1                 One                                     
                            177        2                 Two                                     
                          2,684        3                 Three                                   
 
C0300A      $M31ORNT                   BIMS: Temp Ortn - Able to Rep Corr Yr             
                          1,901                          Missing                                 
                          1,028        0                 Missed by >5 years or no answer         
                            131        1                 Missed by 2-5 years                     
                            165        2                 Missed by 1 year                        
                          1,841        3                 Correct                                 
 
C0300B      $M31ORNT                   BIMS: Temp Ortn - Able to Rep Corr Mon            
                          1,901                          Missing                                 
                            999        0                 Missed by >5 years or no answer         
                            212        1                 Missed by 2-5 years                     
                          1,954        2                 Missed by 1 year                        
 
C0300C      $M31ORNT                   BIMS: Temp Ortn - Able to Rep Corr Day            
                          1,902                          Missing                                 
                          1,573        0                 Missed by >5 years or no answer         
                          1,591        1                 Missed by 2-5 years                     
 
C0400A      $M3CUE                     BIMS: Rcl - Able to Rcl Sock                      
                          1,936                          Missing                                 
                            948        0                 No - could not recall                   
                            565        1                 Yes, after cueing                       
                          1,617        2                 Yes, no cue required                    
 
C0400B      $M3CUE                     BIMS: Rcl - Able to Rcl Blue                      
                          1,936                          Missing                                 
                            764        0                 No - could not recall                   
                            695        1                 Yes, after cueing                       
                          1,671        2                 Yes, no cue required                    
 
C0400C      $M3CUE                     BIMS: Rcl - Able to Rcl Bed                       
                          1,935                          Missing                                 
                          1,041        0                 No - could not recall                   
                            704        1                 Yes, after cueing                       
                          1,386        2                 Yes, no cue required                    
 
C0500                                  Brief Int for Mntl Stat (BIMS) Score Num          
                          1,893                          Missing                                 
                          3,173        Range of values   Range of values                         
 
C0600       $M3YESNO                   Staff to Cond Brief Int for Mntl Stat             
                          1,872                          Missing                                 
                          3,015        0                 No                                      
                            179        1                 Yes                                     
 
C0700       $M3MEMRY                   SA of Mntl Stat - Short Term Memory               
                          4,293                          Missing                                 
                            200        0                 Memory OK                               
                            573        1                 Memory problem                          
 
C0800       $M3MEMRY                   SA of Mntl Stat - Long Term Memory                
                          4,687                          Missing                                 
                             26        0                 Memory OK                               
                            353        1                 Memory problem                          
 
C0900A      $M3INDIC                   SA of Mntl Stat - Rcls Cur Season                 
                          4,681                          Missing                                 
                            366        0                 Not indicated                           
                             19        1                 Indicated                               
 
C0900B      $M3INDIC                   SA of Mntl Stat - Rcls Loc of Room                
                          4,680                          Missing                                 
                            338        0                 Not indicated                           
                             48        1                 Indicated                               
 
C0900C      $M3INDIC                   SA of Mntl Stat - Rcls Staff Name                 
                          4,681                          Missing                                 
                            307        0                 Not indicated                           
                             78        1                 Indicated                               
 
C0900D      $M3INDIC                   SA of Mntl Stat - Rcls Nrs Home                   
                          4,680                          Missing                                 
                            336        0                 Not indicated                           
                             50        1                 Indicated                               
 
C0900Z      $M3INDIC                   SA of Mntl Stat - Rcls None of Above              
                          4,680                          Missing                                 
                            102        0                 Not indicated                           
                            284        1                 Indicated                               
 
C1000       $M3DECIS                   Cog Skills for Decision Making                    
                          4,287                          Missing                                 
                            117        0                 Independent                             
                            122        1                 Modified independence                   
                            197        2                 Moderately impaired                     
                            343        3                 Severely impaired                       
 
D0100       $M3YESNO                   Res Mood Int Be Cond                              
                          1,633                          Missing                                 
                            290        0                 No                                      
                          3,143        1                 Yes                                     
 
D0200A1     $M3YNNOR                   Res Mood Int - Interest Loss                      
                          2,715                          Missing                                 
                          1,956        0                 No                                      
                            268        1                 Yes                                     
                            127        9                 No Response                             
 
D0200A2     $M3DEPRB                   Res Mood Int - Interest Loss Freq                 
                          2,842                          Missing                                 
                          1,963        0                 Never or 1 day                          
                            102        1                 2 - 6 days                              
                             96        2                 7 - 11 days                             
                             63        3                 12-14 days                              
 
D0200B1     $M3YNNOR                   Res Mood Int - Feel Down                          
                          2,716                          Missing                                 
                          1,610        0                 No                                      
                            614        1                 Yes                                     
                            126        9                 No Response                             
 
D0200B2     $M3DEPRB                   Res Mood Int - Feel Down Freq                     
                          2,842                          Missing                                 
                          1,627        0                 Never or 1 day                          
                            300        1                 2 - 6 days                              
                            153        2                 7 - 11 days                             
                            144        3                 12-14 days                              
 
D0200C1     $M3YNNOR                   Res Mood Int - Trouble Sleep                      
                          2,715                          Missing                                 
                          1,649        0                 No                                      
                            574        1                 Yes                                     
                            128        9                 No Response                             
 
D0200C2     $M3DEPRB                   Res Mood Int - Trouble Sleep Freq                 
                          2,843                          Missing                                 
                          1,659        0                 Never or 1 day                          
                            226        1                 2 - 6 days                              
                            160        2                 7 - 11 days                             
                            178        3                 12-14 days                              
 
D0200D1     $M3YNNOR                   Res Mood Int - Little Energy                      
                          2,716                          Missing                                 
                          1,395        0                 No                                      
                            830        1                 Yes                                     
                            125        9                 No Response                             
 
D0200D2     $M3DEPRB                   Res Mood Int - Little Energy Freq                 
                          2,841                          Missing                                 
                          1,407        0                 Never or 1 day                          
                            348        1                 2 - 6 days                              
                            228        2                 7 - 11 days                             
                            242        3                 12-14 days                              
 
D0200E1     $M3YNNOR                   Res Mood Int - Poor Appetite                      
                          2,722                          Missing                                 
                          1,818        0                 No                                      
                            401        1                 Yes                                     
                            125        9                 No Response                             
 
D0200E2     $M3DEPRB                   Res Mood Int - Poor Appetite Freq                 
                          2,847                          Missing                                 
                          1,824        0                 Never or 1 day                          
                            186        1                 2 - 6 days                              
                            112        2                 7 - 11 days                             
                             97        3                 12-14 days                              
 
D0200F1     $M3YNNOR                   Res Mood Int - Self Dprcn                         
                          2,723                          Missing                                 
                          2,055        0                 No                                      
                            165        1                 Yes                                     
                            123        9                 No Response                             
 
D0200F2     $M3DEPRB                   Res Mood Int - Self Dprcn Freq                    
                          2,846                          Missing                                 
                          2,058        0                 Never or 1 day                          
                             74        1                 2 - 6 days                              
                             44        2                 7 - 11 days                             
                             44        3                 12-14 days                              
 
D0200G1     $M3YNNOR                   Res Mood Int - Lack of Conc                       
                          2,720                          Missing                                 
                          1,883        0                 No                                      
                            334        1                 Yes                                     
                            129        9                 No Response                             
 
D0200G2     $M3DEPRB                   Res Mood Int - Lack of Conc Freq                  
                          2,849                          Missing                                 
                          1,890        0                 Never or 1 day                          
                            151        1                 2 - 6 days                              
                             96        2                 7 - 11 days                             
                             80        3                 12-14 days                              
 
D0200H1     $M3YNNOR                   Res Mood Int - Movement Diff                      
                          2,723                          Missing                                 
                          2,019        0                 No                                      
                            195        1                 Yes                                     
                            129        9                 No Response                             
 
D0200H2     $M3DEPRB                   Res Mood Int - Movement Diff Freq                 
                          2,852                          Missing                                 
                          2,021        0                 Never or 1 day                          
                             74        1                 2 - 6 days                              
                             51        2                 7 - 11 days                             
                             68        3                 12-14 days                              
 
D0200I1     $M3YNNOR                   Res Mood Int - Neg Stmnt                          
                          2,724                          Missing                                 
                          2,203        0                 No                                      
                             20        1                 Yes                                     
                            119        9                 No Response                             
 
D0200I2     $M3DEPRB                   Res Mood Int - Neg Stmnt Freq                     
                          2,843                          Missing                                 
                          2,205        0                 Never or 1 day                          
                             13        1                 2 - 6 days                              
                              1        2                 7 - 11 days                             
                              4        3                 12-14 days                              
 
D0300                                  Res Mood Int - Tot Svrty Mood Score               
                          2,715                          Missing                                 
                          2,351        Range of values   Range of values                         
 
D0500A1     $M3YESNO                   SA of Res Mood - Interest Loss                    
                          4,615                          Missing                                 
                            354        0                 No                                      
                             97        1                 Yes                                     
 
D0500A2     $M3DEPRB                   SA of Res Mood - Interest Loss Freq               
                          4,615                          Missing                                 
                            354        0                 Never or 1 day                          
                             22        1                 2 - 6 days                              
                             27        2                 7 - 11 days                             
                             48        3                 12-14 days                              
 
D0500B1     $M3YESNO                   SA of Res Mood - Feel Down                        
                          4,615                          Missing                                 
                            368        0                 No                                      
                             83        1                 Yes                                     
 
D0500B2     $M3DEPRB                   SA of Res Mood - Feel Down Freq                   
                          4,615                          Missing                                 
                            368        0                 Never or 1 day                          
                             33        1                 2 - 6 days                              
                             33        2                 7 - 11 days                             
                             17        3                 12-14 days                              
 
D0500C1     $M3YESNO                   SA of Res Mood - Trouble Sleep                    
                          4,614                          Missing                                 
                            343        0                 No                                      
                            109        1                 Yes                                     
 
D0500C2     $M3DEPRB                   SA of Res Mood - Trouble Sleep Freq               
                          4,614                          Missing                                 
                            345        0                 Never or 1 day                          
                             28        1                 2 - 6 days                              
                             41        2                 7 - 11 days                             
                             38        3                 12-14 days                              
 
D0500D1     $M3YESNO                   SA of Res Mood - Little Energy                    
                          4,615                          Missing                                 
                            328        0                 No                                      
                            123        1                 Yes                                     
 
D0500D2     $M3DEPRB                   SA of Res Mood - Little Energy Freq               
                          4,615                          Missing                                 
                            328        0                 Never or 1 day                          
                             37        1                 2 - 6 days                              
                             36        2                 7 - 11 days                             
                             50        3                 12-14 days                              
 
D0500E1     $M3YESNO                   SA of Res Mood - Poor Appetite                    
                          4,615                          Missing                                 
                            362        0                 No                                      
                             89        1                 Yes                                     
 
D0500E2     $M3DEPRB                   SA of Res Mood - Poor Appetite Freq               
                          4,615                          Missing                                 
                            364        0                 Never or 1 day                          
                             30        1                 2 - 6 days                              
                             28        2                 7 - 11 days                             
                             29        3                 12-14 days                              
 
D0500F1     $M3YESNO                   SA of Res Mood - Self Dprcn                       
                          4,613                          Missing                                 
                            449        0                 No                                      
                              4        1                 Yes                                     
 
D0500F2     $M3DEPRB                   SA of Res Mood - Self Dprcn Freq                  
                          4,613                          Missing                                 
                            449        0                 Never or 1 day                          
                              3        1                 2 - 6 days                              
                              1        3                 12-14 days                              
 
D0500G1     $M3YESNO                   SA of Res Mood - Conc                             
                          4,615                          Missing                                 
                            290        0                 No                                      
                            161        1                 Yes                                     
 
D0500G2     $M3DEPRB                   SA of Res Mood - Conc Freq                        
                          4,615                          Missing                                 
                            290        0                 Never or 1 day                          
                             22        1                 2 - 6 days                              
                             29        2                 7 - 11 days                             
                            110        3                 12-14 days                              
 
D0500H1     $M3YESNO                   SA of Res Mood - Movement Diff                    
                          4,614                          Missing                                 
                            380        0                 No                                      
                             72        1                 Yes                                     
 
D0500H2     $M3DEPRB                   SA of Res Mood - Movement Diff Freq               
                          4,614                          Missing                                 
                            381        0                 Never or 1 day                          
                             20        1                 2 - 6 days                              
                             18        2                 7 - 11 days                             
                             33        3                 12-14 days                              
 
D0500I1     $M3YESNO                   SA of Res Mood - Neg Stmnt                        
                          4,615                          Missing                                 
                            451        0                 No                                      
 
D0500I2     $M3DEPRB                   SA of Res Mood - Neg Stmnt Freq                   
                          4,615                          Missing                                 
                            451        0                 Never or 1 day                          
 
D0500J1     $M3YESNO                   SA of Res Mood - Short Temper                     
                          4,613                          Missing                                 
                            401        0                 No                                      
                             52        1                 Yes                                     
 
D0500J2     $M3DEPRB                   SA of Res Mood - Short Temper Freq                
                          4,613                          Missing                                 
                            403        0                 Never or 1 day                          
                             19        1                 2 - 6 days                              
                             10        2                 7 - 11 days                             
                             21        3                 12-14 days                              
 
D0600                                  SA Tot Svrty Mood Score                           
                          4,616                          Missing                                 
                            450        Range of values   Range of values                         
 
E0100A      $M3INDIC                   Bhvr: Hallucinations                              
                          1,218                          Missing                                 
                          3,786        0                 Not indicated                           
                             62        1                 Indicated                               
 
E0100B      $M3INDIC                   Bhvr: Delusion                                    
                          1,213                          Missing                                 
                          3,735        0                 Not indicated                           
                            118        1                 Indicated                               
 
E0100Z      $M3INDIC                   Bhvr: No Psychosis                                
                          1,213                          Missing                                 
                            135        0                 Not indicated                           
                          3,718        1                 Indicated                               
 
E0200A      $M3BEHAV                   Bhvr: Phys Bhvral                                 
                          1,214                          Missing                                 
                          3,754        0                 Behavior not exhibited                  
                             78        1                 1 to 3 days                             
                             14        2                 4 to 6 days                             
                              6        3                 Behavior exhibited daily                
 
E0200B      $M3BEHAV                   Bhvr: Verbal Bhvral                               
                          1,214                          Missing                                 
                          3,669        0                 Behavior not exhibited                  
                            152        1                 1 to 3 days                             
                             25        2                 4 to 6 days                             
                              6        3                 Behavior exhibited daily                
 
E0200C      $M3BEHAV                   Bhvr: Oth Bhvral                                  
                          1,215                          Missing                                 
                          3,705        0                 Behavior not exhibited                  
                            109        1                 1 to 3 days                             
                             29        2                 4 to 6 days                             
                              8        3                 Behavior exhibited daily                
 
E0300       $M3YESNO                   Overall Pres of Bhvral Sympt                      
                          3,892                          Missing                                 
                          1,089        0                 No                                      
                             85        1                 Yes                                     
 
E0500A      $M3YESNO                   Bhvr Imp on Res: Risk to Inj Self                 
                          4,982                          Missing                                 
                             77        0                 No                                      
                              7        1                 Yes                                     
 
E0500B      $M3YESNO                   Bhvr Imp on Res: Int W Care                       
                          4,982                          Missing                                 
                             69        0                 No                                      
                             15        1                 Yes                                     
 
E0500C      $M3YESNO                   Bhvr Imp on Res: Int W Part                       
                          4,982                          Missing                                 
                             68        0                 No                                      
                             16        1                 Yes                                     
 
E0600A      $M3YESNO                   Bhvr Imp on Oth: Risk to Inj Oth                  
                          4,982                          Missing                                 
                             77        0                 No                                      
                              7        1                 Yes                                     
 
E0600B      $M3YESNO                   Bhvr Imp on Oth: Intrude On Priv of Oth           
                          4,982                          Missing                                 
                             75        0                 No                                      
                              9        1                 Yes                                     
 
E0600C      $M3YESNO                   Bhvr Imp on Oth: Dis Care or Living Env           
                          4,982                          Missing                                 
                             63        0                 No                                      
                             21        1                 Yes                                     
 
E0800       $M3BEHAV                   Rejection of Care: Pres and Freq                  
                          1,214                          Missing                                 
                          3,640        0                 Behavior not exhibited                  
                            161        1                 1 to 3 days                             
                             40        2                 4 to 6 days                             
                             11        3                 Behavior exhibited daily                
 
E0900       $M3BEHAV                   Wandering: Pres and Freq                          
                          1,214                          Missing                                 
                          3,734        0                 Behavior not exhibited                  
                             86        1                 1 to 3 days                             
                             16        2                 4 to 6 days                             
                             16        3                 Behavior exhibited daily                
 
E1000A      $M3YESNO                   Wander Risk Imp                                   
                          5,027                          Missing                                 
                             31        0                 No                                      
                              8        1                 Yes                                     
 
E1000B      $M3YESNO                   Wandering Intrudes on Priv of Oth                 
                          5,027                          Missing                                 
                             31        0                 No                                      
                              8        1                 Yes                                     
 
E1100       $M3CHNG                    Change in Bhvr or Oth Sympt                       
                          3,895                          Missing                                 
                            691        0                 Same                                    
                             23        1                 Improved                                
                             26        2                 Worse                                   
                            431        3                 N/A                                     
 
F0300       $M3YESNO                   Should Dly and Act Pref Int Be Cond               
                          3,919                          Missing                                 
                             76        0                 No                                      
                          1,071        1                 Yes                                     
 
F0400A      $M3IMPRT                   Int for Dly Pref: Chooses Clothes                 
                          4,001                          Missing                                 
                            584        1                 Very important                          
                            308        2                 Somewhat important                      
                            120        3                 Not very important                      
                             27        4                 Not important at all                    
                              8        5                 Important, but cannot do or no choice   
                             18        9                 No response or non-responsive           
 
F0400B      $M3IMPRT                   Int for Dly Pref: Care Personal Items             
                          4,001                          Missing                                 
                            703        1                 Very important                          
                            250        2                 Somewhat important                      
                             64        3                 Not very important                      
                             11        4                 Not important at all                    
                             18        5                 Important, but cannot do or no choice   
                             19        9                 No response or non-responsive           
 
F0400C      $M3IMPRT                   Int for Dly Pref: Bathing Option                  
                          4,001                          Missing                                 
                            685        1                 Very important                          
                            250        2                 Somewhat important                      
                             76        3                 Not very important                      
                             21        4                 Not important at all                    
                             14        5                 Important, but cannot do or no choice   
                             19        9                 No response or non-responsive           
 
F0400D      $M3IMPRT                   Int for Dly Pref: Snack Between Meals             
                          4,001                          Missing                                 
                            493        1                 Very important                          
                            341        2                 Somewhat important                      
                            158        3                 Not very important                      
                             49        4                 Not important at all                    
                              4        5                 Important, but cannot do or no choice   
                             20        9                 No response or non-responsive           
 
F0400E      $M3IMPRT                   Int for Dly Pref: Choose Bed Time                 
                          4,002                          Missing                                 
                            725        1                 Very important                          
                            214        2                 Somewhat important                      
                             74        3                 Not very important                      
                             26        4                 Not important at all                    
                              7        5                 Important, but cannot do or no choice   
                             18        9                 No response or non-responsive           
 
F0400F      $M3IMPRT                   Int for Dly Pref: Fam Involvement                 
                          4,002                          Missing                                 
                            839        1                 Very important                          
                            146        2                 Somewhat important                      
                             42        3                 Not very important                      
                             12        4                 Not important at all                    
                              5        5                 Important, but cannot do or no choice   
                             20        9                 No response or non-responsive           
 
F0400G      $M3IMPRT                   Int for Dly Pref: Priv Phone Time                 
                          4,002                          Missing                                 
                            390        1                 Very important                          
                            290        2                 Somewhat important                      
                            269        3                 Not very important                      
                             86        4                 Not important at all                    
                             10        5                 Important, but cannot do or no choice   
                             19        9                 No response or non-responsive           
 
F0400H      $M3IMPRT                   Int for Dly Pref: Lock Item                       
                          4,004                          Missing                                 
                            397        1                 Very important                          
                            234        2                 Somewhat important                      
                            259        3                 Not very important                      
                            139        4                 Not important at all                    
                              9        5                 Important, but cannot do or no choice   
                             24        9                 No response or non-responsive           
 
F0500A      $M3IMPRT                   Int for Act Pref: Reading Mat Available           
                          4,003                          Missing                                 
                            414        1                 Very important                          
                            341        2                 Somewhat important                      
                            218        3                 Not very important                      
                             58        4                 Not important at all                    
                             14        5                 Important, but cannot do or no choice   
                             18        9                 No response or non-responsive           
 
F0500B      $M3IMPRT                   Int for Act Pref: Music                           
                          4,003                          Missing                                 
                            532        1                 Very important                          
                            359        2                 Somewhat important                      
                            124        3                 Not very important                      
                             30        4                 Not important at all                    
                              2        5                 Important, but cannot do or no choice   
                             16        9                 No response or non-responsive           
 
F0500C      $M3IMPRT                   Int for Act Pref: Animal Pres                     
                          4,003                          Missing                                 
                            370        1                 Very important                          
                            313        2                 Somewhat important                      
                            258        3                 Not very important                      
                             98        4                 Not important at all                    
                              3        5                 Important, but cannot do or no choice   
                             21        9                 No response or non-responsive           
 
F0500D      $M3IMPRT                   Int for Act Pref: News                            
                          4,003                          Missing                                 
                            494        1                 Very important                          
                            334        2                 Somewhat important                      
                            152        3                 Not very important                      
                             59        4                 Not important at all                    
                              6        5                 Important, but cannot do or no choice   
                             18        9                 No response or non-responsive           
 
F0500E      $M3IMPRT                   Int for Act Pref: Group Act                       
                          4,003                          Missing                                 
                            322        1                 Very important                          
                            426        2                 Somewhat important                      
                            226        3                 Not very important                      
                             65        4                 Not important at all                    
                              5        5                 Important, but cannot do or no choice   
                             19        9                 No response or non-responsive           
 
F0500F      $M3IMPRT                   Int for Act Pref: Favorite Act                    
                          4,004                          Missing                                 
                            644        1                 Very important                          
                            306        2                 Somewhat important                      
                             63        3                 Not very important                      
                             14        4                 Not important at all                    
                             13        5                 Important, but cannot do or no choice   
                             22        9                 No response or non-responsive           
 
F0500G      $M3IMPRT                   Int for Act Pref: Time Outdoors                   
                          4,004                          Missing                                 
                            605        1                 Very important                          
                            302        2                 Somewhat important                      
                            116        3                 Not very important                      
                             19        4                 Not important at all                    
                              1        5                 Important, but cannot do or no choice   
                             19        9                 No response or non-responsive           
 
F0500H      $M3IMPRT                   Int for Act Pref: Religion                        
                          4,003                          Missing                                 
                            471        1                 Very important                          
                            306        2                 Somewhat important                      
                            191        3                 Not very important                      
                             71        4                 Not important at all                    
                              4        5                 Important, but cannot do or no choice   
                             20        9                 No response or non-responsive           
 
F0600       $M3PRIRS                   Dly and Act Pref Primary Respondent               
                          4,002                          Missing                                 
                            944        1                 Resident                                
                             99        2                 Family or significant other             
                             21        9                 Interview could not be completed        
 
F0700       $M3YESNO                   Cond SA of Dly and Act Pref                       
                          3,999                          Missing                                 
                          1,040        0                 No                                      
                             27        1                 Yes                                     
 
F0800A      $M3INDIC                   SA: Chooses Clothes                               
                          4,965                          Missing                                 
                             71        0                 Not indicated                           
                             30        1                 Indicated                               
 
F0800B      $M3INDIC                   SA: Care Personal Item                            
                          4,965                          Missing                                 
                             71        0                 Not indicated                           
                             30        1                 Indicated                               
 
F0800C      $M3INDIC                   SA: Tub Bath                                      
                          4,970                          Missing                                 
                             93        0                 Not indicated                           
                              3        1                 Indicated                               
 
F0800D      $M3INDIC                   SA: Shower                                        
                          4,965                          Missing                                 
                             43        0                 Not indicated                           
                             58        1                 Indicated                               
 
F0800E      $M3INDIC                   SA: Bed Bath                                      
                          4,965                          Missing                                 
                             69        0                 Not indicated                           
                             32        1                 Indicated                               
 
F0800F      $M3INDIC                   SA: Sponge Bath                                   
                          4,967                          Missing                                 
                             74        0                 Not indicated                           
                             25        1                 Indicated                               
 
F0800G      $M3INDIC                   SA: Snacks Between                                
                          4,964                          Missing                                 
                             30        0                 Not indicated                           
                             72        1                 Indicated                               
 
F0800H      $M3INDIC                   SA: Bed Time                                      
                          4,966                          Missing                                 
                             79        0                 Not indicated                           
                             21        1                 Indicated                               
 
F0800I      $M3INDIC                   SA: Fam Involvement                               
                          4,965                          Missing                                 
                             27        0                 Not indicated                           
                             74        1                 Indicated                               
 
F0800J      $M3INDIC                   SA: Priv Phone                                    
                          4,964                          Missing                                 
                             96        0                 Not indicated                           
                              6        1                 Indicated                               
 
F0800K      $M3INDIC                   SA: Lock Item                                     
                          4,964                          Missing                                 
                             93        0                 Not indicated                           
                              9        1                 Indicated                               
 
F0800L      $M3INDIC                   SA: Reading Mat Available                         
                          4,964                          Missing                                 
                             73        0                 Not indicated                           
                             29        1                 Indicated                               
 
F0800M      $M3INDIC                   SA: Music                                         
                          4,963                          Missing                                 
                             40        0                 Not indicated                           
                             63        1                 Indicated                               
 
F0800N      $M3INDIC                   SA: Animal Pres                                   
                          4,967                          Missing                                 
                             73        0                 Not indicated                           
                             26        1                 Indicated                               
 
F0800O      $M3INDIC                   SA: News                                          
                          4,964                          Missing                                 
                             86        0                 Not indicated                           
                             16        1                 Indicated                               
 
F0800P      $M3INDIC                   SA: Group Act                                     
                          4,964                          Missing                                 
                             62        0                 Not indicated                           
                             40        1                 Indicated                               
 
F0800Q      $M3INDIC                   SA: Favorite Act                                  
                          4,964                          Missing                                 
                             48        0                 Not indicated                           
                             54        1                 Indicated                               
 
F0800R      $M3INDIC                   SA: Time Away Nrs Home                            
                          4,966                          Missing                                 
                             94        0                 Not indicated                           
                              6        1                 Indicated                               
 
F0800S      $M3INDIC                   SA: Time Outdoors                                 
                          4,965                          Missing                                 
                             70        0                 Not indicated                           
                             31        1                 Indicated                               
 
F0800T      $M3INDIC                   SA: Part in Rel Act                               
                          4,964                          Missing                                 
                             69        0                 Not indicated                           
                             33        1                 Indicated                               
 
F0800Z      $M3INDIC                   SA: None of Above Act                             
                          4,963                          Missing                                 
                             96        0                 Not indicated                           
                              7        1                 Indicated                               
 
G0110A1     $M3ADLCT                   ADL Ass: Bed Mob Self Perf                        
                          2,129                          Missing                                 
                            225        0                 Independent                             
                            466        1                 Supervision                             
                            402        2                 Limited assistance                      
                          1,676        3                 Extensive assistance                    
                            155        4                 Total dependence                        
                             12        7                 Activity occurred only once or twice    
                              1        8                 Activity did not occur                  
 
G0110A2     $M3ADLSP                   ADL Ass: Bed Mob Supp Prov                        
                          2,741                          Missing                                 
                            144        0                 No setup or physical help from staff    
                            225        1                 Setup help only                         
                          1,132        2                 One person physical assist              
                            823        3                 Two+ persons physical assist            
                              1        8                 ADL activity did not occur              
 
G0110B1     $M3ADLCT                   ADL Ass: Trans Self Perf                          
                          2,129                          Missing                                 
                            190        0                 Independent                             
                            479        1                 Supervision                             
                            464        2                 Limited assistance                      
                          1,204        3                 Extensive assistance                    
                            428        4                 Total dependence                        
                            108        7                 Activity occurred only once or twice    
                             64        8                 Activity did not occur                  
 
G0110B2     $M3ADLSP                   ADL Ass: Trans Self Supp Prov                     
                          2,741                          Missing                                 
                            134        0                 No setup or physical help from staff    
                            220        1                 Setup help only                         
                            969        2                 One person physical assist              
                            945        3                 Two+ persons physical assist            
                             57        8                 ADL activity did not occur              
 
G0110C1     $M3ADLCT                   ADL Ass: Wlk In Room Self Perf                    
                          2,132                          Missing                                 
                            200        0                 Independent                             
                            516        1                 Supervision                             
                            361        2                 Limited assistance                      
                            251        3                 Extensive assistance                    
                              8        4                 Total dependence                        
                            191        7                 Activity occurred only once or twice    
                          1,407        8                 Activity did not occur                  
 
G0110C2     $M3ADLSP                   ADL Ass: Wlk In Room Supp Prov                    
                          2,741                          Missing                                 
                            157        0                 No setup or physical help from staff    
                            268        1                 Setup help only                         
                            659        2                 One person physical assist              
                             54        3                 Two+ persons physical assist            
                          1,187        8                 ADL activity did not occur              
 
G0110D1     $M3ADLCT                   ADL Ass: Wlk In Corr Self Perf                    
                          2,132                          Missing                                 
                            172        0                 Independent                             
                            478        1                 Supervision                             
                            305        2                 Limited assistance                      
                            200        3                 Extensive assistance                    
                              6        4                 Total dependence                        
                            232        7                 Activity occurred only once or twice    
                          1,541        8                 Activity did not occur                  
 
G0110D2     $M3ADLSP                   ADL Ass: Wlk In Corr Self Supp Prov               
                          2,741                          Missing                                 
                            158        0                 No setup or physical help from staff    
                            263        1                 Setup help only                         
                            565        2                 One person physical assist              
                             44        3                 Two+ persons physical assist            
                          1,295        8                 ADL activity did not occur              
 
G0110E1     $M3ADLCT                   ADL Ass: Loc On Self Perf                         
                          2,131                          Missing                                 
                            290        0                 Independent                             
                            726        1                 Supervision                             
                            433        2                 Limited assistance                      
                            709        3                 Extensive assistance                    
                            351        4                 Total dependence                        
                            236        7                 Activity occurred only once or twice    
                            190        8                 Activity did not occur                  
 
G0110E2     $M3ADLSP                   ADL Ass: Loc On Supp Prov                         
                          2,741                          Missing                                 
                            208        0                 No setup or physical help from staff    
                            368        1                 Setup help only                         
                          1,477        2                 One person physical assist              
                            105        3                 Two+ persons physical assist            
                            167        8                 ADL activity did not occur              
 
G0110F1     $M3ADLCT                   ADL Ass: Loc Off Self Perf                        
                          2,132                          Missing                                 
                            239        0                 Independent                             
                            647        1                 Supervision                             
                            320        2                 Limited assistance                      
                            591        3                 Extensive assistance                    
                            343        4                 Total dependence                        
                            372        7                 Activity occurred only once or twice    
                            422        8                 Activity did not occur                  
 
G0110F2     $M3ADLSP                   ADL Ass: Loc Off Supp Prov                        
                          2,742                          Missing                                 
                            204        0                 No setup or physical help from staff    
                            327        1                 Setup help only                         
                          1,349        2                 One person physical assist              
                             89        3                 Two+ persons physical assist            
                            355        8                 ADL activity did not occur              
 
G0110G1     $M3ADLCT                   ADL Ass: Dress Self Perf                          
                          2,131                          Missing                                 
                            123        0                 Independent                             
                            325        1                 Supervision                             
                            483        2                 Limited assistance                      
                          1,770        3                 Extensive assistance                    
                            205        4                 Total dependence                        
                             24        7                 Activity occurred only once or twice    
                              5        8                 Activity did not occur                  
 
G0110G2     $M3ADLSP                   ADL Ass: Dress Supp Prov                          
                          2,741                          Missing                                 
                             67        0                 No setup or physical help from staff    
                            139        1                 Setup help only                         
                          1,728        2                 One person physical assist              
                            386        3                 Two+ persons physical assist            
                              5        8                 ADL activity did not occur              
 
G0110H1     $M3ADLCT                   ADL Ass: Eating Self Perf                         
                          2,129                          Missing                                 
                            780        0                 Independent                             
                          1,484        1                 Supervision                             
                            220        2                 Limited assistance                      
                            250        3                 Extensive assistance                    
                            186        4                 Total dependence                        
                             17        7                 Activity occurred only once or twice    
 
G0110H2     $M3ADLSP                   ADL Ass: Eating Supp Prov                         
                          2,741                          Missing                                 
                             30        0                 No setup or physical help from staff    
                          1,463        1                 Setup help only                         
                            822        2                 One person physical assist              
                             10        3                 Two+ persons physical assist            
 
G0110I1     $M3ADLCT                   ADL Ass: Toileting Self Perf                      
                          2,129                          Missing                                 
                            139        0                 Independent                             
                            375        1                 Supervision                             
                            379        2                 Limited assistance                      
                          1,597        3                 Extensive assistance                    
                            413        4                 Total dependence                        
                             27        7                 Activity occurred only once or twice    
                              7        8                 Activity did not occur                  
 
G0110I2     $M3ADLSP                   ADL Ass: Toileting Supp Prov                      
                          2,741                          Missing                                 
                             83        0                 No setup or physical help from staff    
                            174        1                 Setup help only                         
                          1,396        2                 One person physical assist              
                            666        3                 Two+ persons physical assist            
                              6        8                 ADL activity did not occur              
 
G0110J1     $M3ADLCT                   ADL Ass: Personal Hygiene Self Perf               
                          2,131                          Missing                                 
                            148        0                 Independent                             
                            438        1                 Supervision                             
                            518        2                 Limited assistance                      
                          1,542        3                 Extensive assistance                    
                            253        4                 Total dependence                        
                             30        7                 Activity occurred only once or twice    
                              6        8                 Activity did not occur                  
 
G0110J2     $M3ADLSP                   ADL Ass: Personal Hygiene Supp Prov               
                          2,741                          Missing                                 
                             53        0                 No setup or physical help from staff    
                            217        1                 Setup help only                         
                          1,775        2                 One person physical assist              
                            274        3                 Two+ persons physical assist            
                              6        8                 ADL activity did not occur              
 
G0120A      $M3ADLCT                   ADL Ass: Bathing Self Perf                        
                          2,138                          Missing                                 
                             60        0                 Independent                             
                            141        1                 Supervision                             
                            130        2                 Limited assistance                      
                          1,148        3                 Extensive assistance                    
                          1,171        4                 Total dependence                        
                            278        8                 Activity did not occur                  
 
G0120B      $M3ADLSP                   ADL Ass: Bathing Supp Prov                        
                          2,749                          Missing                                 
                             21        0                 No setup or physical help from staff    
                            102        1                 Setup help only                         
                          1,616        2                 One person physical assist              
                            371        3                 Two+ persons physical assist            
                            207        8                 ADL activity did not occur              
 
G0300A      $M3BAL                     Blnce Dur Seated to Standing Pos                  
                          2,747                          Missing                                 
                            182        0                 Steady at all times                     
                            466        1                 Not steady, but able to stabilize w/o as
                          1,123        2                 Not steady, only able to stabilize w/ as
                            548        8                 Activity did not occur                  
 
G0300B      $M3BAL                     Blnce Dur Wlking                                  
                          2,746                          Missing                                 
                            178        0                 Steady at all times                     
                            481        1                 Not steady, but able to stabilize w/o as
                            520        2                 Not steady, only able to stabilize w/ as
                          1,141        8                 Activity did not occur                  
 
G0300C      $M3BAL                     Blnce When Turning Around                         
                          2,748                          Missing                                 
                            166        0                 Steady at all times                     
                            463        1                 Not steady, but able to stabilize w/o as
                            474        2                 Not steady, only able to stabilize w/ as
                          1,215        8                 Activity did not occur                  
 
G0300D      $M3BAL                     Blnce Moving On and Off Toilet                    
                          2,750                          Missing                                 
                            176        0                 Steady at all times                     
                            451        1                 Not steady, but able to stabilize w/o as
                          1,023        2                 Not steady, only able to stabilize w/ as
                            666        8                 Activity did not occur                  
 
G0300E      $M3BAL                     Blnce W Surface to Surface Trans                  
                          2,745                          Missing                                 
                            184        0                 Steady at all times                     
                            451        1                 Not steady, but able to stabilize w/o as
                          1,553        2                 Not steady, only able to stabilize w/ as
                            133        8                 Activity did not occur                  
 
G0400A      $M3RANGE                   Func Lim in ROM: Upper Ext Mtn                    
                          2,749                          Missing                                 
                          1,880        0                 No impairment                           
                            264        1                 Impairment on one side                  
                            173        2                 Impairment on both sides                
 
G0400B      $M3RANGE                   Func Lim in ROM: Lower Ext Mtn                    
                          2,748                          Missing                                 
                          1,627        0                 No impairment                           
                            342        1                 Impairment on one side                  
                            349        2                 Impairment on both sides                
 
G0600A      $M3INDIC                   Mob Devices: Cane                                 
                          2,741                          Missing                                 
                          2,284        0                 Not indicated                           
                             41        1                 Indicated                               
 
G0600B      $M3INDIC                   Mob Devices: Wlker                                
                          2,741                          Missing                                 
                          1,464        0                 Not indicated                           
                            861        1                 Indicated                               
 
G0600C      $M3INDIC                   Mob Devices: Wheelchair                           
                          2,741                          Missing                                 
                            633        0                 Not indicated                           
                          1,692        1                 Indicated                               
 
G0600D      $M3INDIC                   Mob Devices: Limb Prosthesis                      
                          2,741                          Missing                                 
                          2,323        0                 Not indicated                           
                              2        1                 Indicated                               
 
G0600Z      $M3INDIC                   Mob Devices: None of Above                        
                          2,741                          Missing                                 
                          1,971        0                 Not indicated                           
                            354        1                 Indicated                               
 
G0900A      $M3YNDET                   Func Rehab Pot: Res Increased Ind                 
                          4,671                          Missing                                 
                             19        0                 No                                      
                            352        1                 Yes                                     
                             24        9                 Unable to determine                     
 
G0900B      $M3YESNO                   Func Rehab Pot: Staff Increased Ind               
                          4,674                          Missing                                 
                             27        0                 No                                      
                            365        1                 Yes                                     
 
H0100A      $M3INDIC                   Bldr and Bwl App: Indwelling Cath                 
                          1,209                          Missing                                 
                          3,587        0                 Not indicated                           
                            270        1                 Indicated                               
 
H0100B      $M3INDIC                   Bldr and Bwl App: Ext Cath                        
                          1,209                          Missing                                 
                          3,848        0                 Not indicated                           
                              9        1                 Indicated                               
 
H0100C      $M3INDIC                   Bldr and Bwl App: Ostomy                          
                          1,187                          Missing                                 
                          3,788        0                 Not indicated                           
                             91        1                 Indicated                               
 
H0100D      $M3INDIC                   Bldr and Bwl App: Imt Cath                        
                          1,187                          Missing                                 
                          3,871        0                 Not indicated                           
                              8        1                 Indicated                               
 
H0100Z      $M3INDIC                   Bldr and Bwl App: No Urny App                     
                          1,187                          Missing                                 
                            343        0                 Not indicated                           
                          3,536        1                 Indicated                               
 
H0200A      $M3YNDET                   Urny Toil Prog: Trial Toileting Prog              
                          2,031                          Missing                                 
                          2,922        0                 No                                      
                            112        1                 Yes                                     
                              1        9                 Unable to determine                     
 
H0200B      $M3TOILT                   Urny Toil Prog: Resp To Toileting Prog            
                          5,025                          Missing                                 
                             22        0                 No improvement                          
                              8        1                 Decreased wetness                       
                              3        2                 Completely dry                          
                              8        9                 Unable to determine                     
 
H0200C      $M3YESNO                   Urny Toil Prog: Cur Toileting Prog                
                          4,931                          Missing                                 
                             65        0                 No                                      
                             70        1                 Yes                                     
 
H0300       $M3CONT                    Urny Continence                                   
                          1,210                          Missing                                 
                            659        0                 Always continent                        
                            863        1                 Occasionally incontinent                
                            916        2                 Frequently incontinent                  
                          1,162        3                 Always incontinent                      
                            256        9                 Not rated                               
 
H0400       $M3CONT                    Bwl Continence                                    
                          1,210                          Missing                                 
                          1,134        0                 Always continent                        
                            445        1                 Occasionally incontinent                
                            938        2                 Frequently incontinent                  
                          1,234        3                 Always incontinent                      
                            105        9                 Not rated                               
 
H0500       $M3YESNO                   Bwl Toileting Prog                                
                          2,009                          Missing                                 
                          3,020        0                 No                                      
                             37        1                 Yes                                     
 
H0600       $M3YESNO                   Constipation                                      
                          3,889                          Missing                                 
                          1,146        0                 No                                      
                             31        1                 Yes                                     
 
I0100       $M3INDIC                   Actv Diag: Cancer                                 
                          2,031                          Missing                                 
                          2,813        0                 Not indicated                           
                            222        1                 Indicated                               
 
I0200       $M3INDIC                   Actv Diag: Anemia                                 
                          2,031                          Missing                                 
                          1,932        0                 Not indicated                           
                          1,103        1                 Indicated                               
 
I0300       $M3INDIC                   Actv Diag: Dysrhythmia                            
                          3,893                          Missing                                 
                            819        0                 Not indicated                           
                            354        1                 Indicated                               
 
I0400       $M3INDIC                   Actv Diag: Coronary Artery Dis (CAD)              
                          2,031                          Missing                                 
                          2,258        0                 Not indicated                           
                            777        1                 Indicated                               
 
I0500       $M3INDIC                   Actv Diag: Deep Vein Thrombosis (DVT)             
                          3,893                          Missing                                 
                          1,118        0                 Not indicated                           
                             55        1                 Indicated                               
 
I0600       $M3INDIC                   Actv Diag: Heart Failure (CHF)                    
                          2,031                          Missing                                 
                          2,296        0                 Not indicated                           
                            739        1                 Indicated                               
 
I0700       $M3INDIC                   Actv Diag: Hypertension                           
                          2,032                          Missing                                 
                            571        0                 Not indicated                           
                          2,463        1                 Indicated                               
 
I0800       $M3INDIC                   Actv Diag: Hypotension                            
                          2,031                          Missing                                 
                          2,939        0                 Not indicated                           
                             96        1                 Indicated                               
 
I0900       $M3INDIC                   Actv Diag: (PVD)                                  
                          1,209                          Missing                                 
                          3,340        0                 Not indicated                           
                            517        1                 Indicated                               
 
I1100       $M3INDIC                   Actv Diag: Cirrhosis                              
                          3,893                          Missing                                 
                          1,149        0                 Not indicated                           
                             24        1                 Indicated                               
 
I1200       $M3INDIC                   Actv Diag:  (GERD)                                
                          3,893                          Missing                                 
                            679        0                 Not indicated                           
                            494        1                 Indicated                               
 
I1300       $M3INDIC                   Actv Diag: Ulcrative Colitis                      
                          2,009                          Missing                                 
                          3,001        0                 Not indicated                           
                             56        1                 Indicated                               
 
I1400       $M3INDIC                   Actv Diag: (BPH)                                  
                          3,893                          Missing                                 
                          1,035        0                 Not indicated                           
                            138        1                 Indicated                               
 
I1500       $M3INDIC                   Actv Diag: (ESRD)                                 
                          2,031                          Missing                                 
                          2,284        0                 Not indicated                           
                            751        1                 Indicated                               
 
I1550       $M3INDIC                   Actv Diag: Neurogenic Bldr                        
                          1,209                          Missing                                 
                          3,685        0                 Not indicated                           
                            172        1                 Indicated                               
 
I1650       $M3INDIC                   Actv Diag: Obstructive Uropathy                   
                          1,209                          Missing                                 
                          3,735        0                 Not indicated                           
                            122        1                 Indicated                               
 
I1700       $M3INDIC                   Actv Diag: (MDRO)                                 
                          2,009                          Missing                                 
                          3,031        0                 Not indicated                           
                             26        1                 Indicated                               
 
I2000       $M3INDIC                   Actv Diag: Pneumonia                              
                          2,009                          Missing                                 
                          2,942        0                 Not indicated                           
                            115        1                 Indicated                               
 
I2100       $M3INDIC                   Actv Diag: Septicemia                             
                          2,009                          Missing                                 
                          2,985        0                 Not indicated                           
                             72        1                 Indicated                               
 
I2200       $M3INDIC                   Actv Diag: Tuberculosis                           
                          2,031                          Missing                                 
                          3,035        0                 Not indicated                           
 
I2300       $M3INDIC                   Actv Diag: Urny Tract Infn (UTI)                  
                          1,209                          Missing                                 
                          3,650        0                 Not indicated                           
                            207        1                 Indicated                               
 
I2400       $M3INDIC                   Actv Diag: Viral Hepatitis                        
                          2,031                          Missing                                 
                          3,018        0                 Not indicated                           
                             17        1                 Indicated                               
 
I2500       $M3INDIC                   Wound Infn                                        
                          2,010                          Missing                                 
                          3,033        0                 Not indicated                           
                             23        1                 Indicated                               
 
I2900       $M3INDIC                   Actv Diag: Diabetes Mellitus (DM)                 
                          1,187                          Missing                                 
                          2,434        0                 Not indicated                           
                          1,445        1                 Indicated                               
 
I3100       $M3INDIC                   Actv Diag: Hyponatremia                           
                          2,031                          Missing                                 
                          2,888        0                 Not indicated                           
                            147        1                 Indicated                               
 
I3200       $M3INDIC                   Actv Diag: Hyperkalemia                           
                          2,031                          Missing                                 
                          2,981        0                 Not indicated                           
                             54        1                 Indicated                               
 
I3300       $M3INDIC                   Actv Diag: Hyperlipidemia                         
                          2,031                          Missing                                 
                          1,320        0                 Not indicated                           
                          1,715        1                 Indicated                               
 
I3400       $M3INDIC                   Actv Diag: Thyroid                                
                          3,893                          Missing                                 
                            864        0                 Not indicated                           
                            309        1                 Indicated                               
 
I3700       $M3INDIC                   Actv Diag: Arthritis                              
                          3,893                          Missing                                 
                            742        0                 Not indicated                           
                            431        1                 Indicated                               
 
I3800       $M3INDIC                   Actv Diag: Osteoporosis                           
                          3,893                          Missing                                 
                          1,029        0                 Not indicated                           
                            144        1                 Indicated                               
 
I3900       $M3INDIC                   Actv Diag: Hip Fracture                           
                          2,035                          Missing                                 
                          2,905        0                 Not indicated                           
                            126        1                 Indicated                               
 
I4000       $M3INDIC                   Actv Diag: Oth Fracture                           
                          2,031                          Missing                                 
                          2,808        0                 Not indicated                           
                            227        1                 Indicated                               
 
I4200       $M3INDIC                   Actv Diag: Alzheimers Disease                     
                          2,031                          Missing                                 
                          2,633        0                 Not indicated                           
                            402        1                 Indicated                               
 
I4300       $M3INDIC                   Actv Diag: Aphasia                                
                          2,009                          Missing                                 
                          2,867        0                 Not indicated                           
                            190        1                 Indicated                               
 
I4400       $M3INDIC                   Actv Diag: Cerebral Palsy                         
                          2,009                          Missing                                 
                          3,033        0                 Not indicated                           
                             24        1                 Indicated                               
 
I4500       $M3INDIC                   Actv Diag: (CVA or TIA or Stroke)                 
                          2,009                          Missing                                 
                          2,547        0                 Not indicated                           
                            510        1                 Indicated                               
 
I4800       $M3INDIC                   Actv Diag: Dementia                               
                          2,031                          Missing                                 
                          1,742        0                 Not indicated                           
                          1,293        1                 Indicated                               
 
I4900       $M3INDIC                   Actv Diag: Hemiplegia                             
                          2,009                          Missing                                 
                          2,762        0                 Not indicated                           
                            295        1                 Indicated                               
 
I5000       $M3INDIC                   Actv Diag: Paraplegia                             
                          2,031                          Missing                                 
                          3,016        0                 Not indicated                           
                             19        1                 Indicated                               
 
I5100       $M3INDIC                   Actv Diag: Quadriplegia                           
                          2,009                          Missing                                 
                          3,032        0                 Not indicated                           
                             25        1                 Indicated                               
 
I5200       $M3INDIC                   Actv Diag: Multiple Sclerosis                     
                          2,009                          Missing                                 
                          3,014        0                 Not indicated                           
                             43        1                 Indicated                               
 
I5250       $M3INDIC                   Actv Diag: Huntingtons                            
                          1,209                          Missing                                 
                          3,849        0                 Not indicated                           
                              8        1                 Indicated                               
 
I5300       $M3INDIC                   Actv Diag: Parkinsons                             
                          2,009                          Missing                                 
                          2,868        0                 Not indicated                           
                            189        1                 Indicated                               
 
I5350       $M3INDIC                   Tourettes                                         
                          1,209                          Missing                                 
                          3,847        0                 Not indicated                           
                             10        1                 Indicated                               
 
I5400       $M3INDIC                   Actv Diag: Seizure                                
                          2,031                          Missing                                 
                          2,723        0                 Not indicated                           
                            312        1                 Indicated                               
 
I5500       $M3INDIC                   Actv Diag: Traumatic Brain Inj (TBI)              
                          2,009                          Missing                                 
                          2,967        0                 Not indicated                           
                             90        1                 Indicated                               
 
I5600       $M3INDIC                   Actv Diag: Malnutrition                           
                          1,187                          Missing                                 
                          2,921        0                 Not indicated                           
                            958        1                 Indicated                               
 
I5700       $M3INDIC                   Actv Diag: Anxiety Disorder                       
                          1,209                          Missing                                 
                          2,492        0                 Not indicated                           
                          1,365        1                 Indicated                               
 
I5800       $M3INDIC                   Actv Diag: Depression                             
                          2,031                          Missing                                 
                          1,338        0                 Not indicated                           
                          1,697        1                 Indicated                               
 
I5900       $M3INDIC                   Actv Diag: Manic Depression                       
                          1,209                          Missing                                 
                          3,657        0                 Not indicated                           
                            200        1                 Indicated                               
 
I5950       $M3INDIC                   Actv Diag: Psychotic                              
                          1,209                          Missing                                 
                          3,553        0                 Not indicated                           
                            304        1                 Indicated                               
 
I6000       $M3INDIC                   Actv Diag: Schizophrenia                          
                          1,209                          Missing                                 
                          3,522        0                 Not indicated                           
                            335        1                 Indicated                               
 
I6100       $M3INDIC                   Actv Diag:  (PTSD)                                
                          1,209                          Missing                                 
                          3,820        0                 Not indicated                           
                             37        1                 Indicated                               
 
I6200       $M3INDIC                   Actv Diag: Asth, COPD, Chron Lung Dis             
                          2,009                          Missing                                 
                          2,216        0                 Not indicated                           
                            841        1                 Indicated                               
 
I6300       $M3INDIC                   Actv Diag: Resp Failure                           
                          2,009                          Missing                                 
                          2,776        0                 Not indicated                           
                            281        1                 Indicated                               
 
I6500       $M3INDIC                   Actv Diag: Cataracts, Glauc or Mac Deg            
                          3,893                          Missing                                 
                          1,015        0                 Not indicated                           
                            158        1                 Indicated                               
 
I7900       $M3INDIC                   Actv Diag: No Actv Disease                        
                          3,871                          Missing                                 
                          1,191        0                 Not indicated                           
                              4        1                 Indicated                               
 
I8000A                                 Addl Actv Diag: ICD 1                             
                          1,276                          Missing                                 
                          3,790        Range of values   Range of values                         
 
I8000B                                 Addl Actv Diag: ICD 2                             
                          1,319                          Missing                                 
                          3,747        Range of values   Range of values                         
 
I8000C                                 Addl Actv Diag: ICD 3                             
                          1,404                          Missing                                 
                          3,662        Range of values   Range of values                         
 
I8000D                                 Addl Actv Diag: ICD 4                             
                          1,542                          Missing                                 
                          3,524        Range of values   Range of values                         
 
I8000E                                 Addl Actv Diag: ICD 5                             
                          1,719                          Missing                                 
                          3,347        Range of values   Range of values                         
 
I8000F                                 Addl Actv Diag: ICD 6                             
                          1,913                          Missing                                 
                          3,153        Range of values   Range of values                         
 
I8000G                                 Addl Actv Diag: ICD 7                             
                          2,156                          Missing                                 
                          2,910        Range of values   Range of values                         
 
I8000H                                 Addl Actv Diag: ICD 8                             
                          2,446                          Missing                                 
                          2,620        Range of values   Range of values                         
 
I8000I                                 Addl Actv Diag: ICD 9                             
                          2,771                          Missing                                 
                          2,295        Range of values   Range of values                         
 
I8000J                                  Addl Actv Diag: ICD 10                           
                          3,106                          Missing                                 
                          1,960        Range of values   Range of values                         
 
J0100A      $M3YESNO                   Pain management: Scheduled Pain Med               
                          1,209                          Missing                                 
                          2,040        0                 No                                      
                          1,817        1                 Yes                                     
 
J0100B      $M3YESNO                   Pain management: PRN Pain Med                     
                          1,209                          Missing                                 
                          2,593        0                 No                                      
                          1,264        1                 Yes                                     
 
J0100C      $M3YESNO                   Pain management: Oth Pain Intervention            
                          1,212                          Missing                                 
                          3,229        0                 No                                      
                            625        1                 Yes                                     
 
J0200       $M3YESNO                   Should Pain Asmt be Cond                          
                          1,618                          Missing                                 
                            232        0                 No                                      
                          3,216        1                 Yes                                     
 
J0300       $M3YNANS                   Pain Asmt Int: Pain Pres                          
                          1,900                          Missing                                 
                          1,909        0                 No                                      
                          1,086        1                 Yes                                     
                            171        9                 Unable to answer                        
 
J0400       $M31PAIN                   Pain Asmt Int: Pain Freq                          
                          4,261                          Missing                                 
                             35        1                 Almost constantly                       
                            171        2                 Frequently                              
                            507        3                 Occasionally                            
                             83        4                 Rarely                                  
                              9        9                 Unable to answer                        
 
J0500A      $M3YNANS                   Pain Asmt Int: Pain Effect Sleep                  
                          4,262                          Missing                                 
                            705        0                 No                                      
                             93        1                 Yes                                     
                              6        9                 Unable to answer                        
 
J0500B      $M3YNANS                   Pain Asmt Int: Pain Effect Act                    
                          4,261                          Missing                                 
                            615        0                 No                                      
                            185        1                 Yes                                     
                              5        9                 Unable to answer                        
 
J0600A                                 Pain Intensity Numeric Rating Scale Num           
                          4,288                          Missing                                 
                            778        Range of values   Range of values                         
 
J0600B      $M32PAIN                   Pain Intensity Verbal Descr Scale Num             
                          4,744                          Missing                                 
                            169        1                 Mild                                    
                            129        2                 Moderate                                
                             16        3                 Severe                                  
                              3        4                 Very severe, horrible                   
                              5        9                 Unable to answer                        
 
J0700       $M3YESNO                   Staff Cond Pain Asmt                              
                          4,063                          Missing                                 
                            992        0                 No                                      
                             11        1                 Yes                                     
 
J0800A      $M3INDIC                   SA for Pain: Nonverbal Sound                      
                          4,677                          Missing                                 
                            364        0                 Not indicated                           
                             25        1                 Indicated                               
 
J0800B      $M3INDIC                   SA for Pain: Vocal Complaint                      
                          4,677                          Missing                                 
                            365        0                 Not indicated                           
                             24        1                 Indicated                               
 
J0800C      $M3INDIC                   SA for Pain: Facial Expression                    
                          4,677                          Missing                                 
                            352        0                 Not indicated                           
                             37        1                 Indicated                               
 
J0800D      $M3INDIC                   SA for Pain: Protective Movement                  
                          4,677                          Missing                                 
                            380        0                 Not indicated                           
                              9        1                 Indicated                               
 
J0800Z      $M3INDIC                   SA for Pain: None Above Signs of Pain             
                          4,677                          Missing                                 
                             59        0                 Not indicated                           
                            330        1                 Indicated                               
 
J0850       $M3PAINI                   SA for Pain: Nonverbal Sound                      
                          5,007                          Missing                                 
                             38        1                 Indicators of pain 1-2 days             
                             15        2                 Indicators of pain 3-4 days             
                              6        3                 Indicators of pain daily                
 
J1100A      $M3INDIC                   Shortness of Breath W Exertion                    
                          1,211                          Missing                                 
                          3,518        0                 Not indicated                           
                            337        1                 Indicated                               
 
J1100B      $M3INDIC                   Shortness of Breath When Sitting                  
                          1,211                          Missing                                 
                          3,725        0                 Not indicated                           
                            130        1                 Indicated                               
 
J1100C      $M3INDIC                   Shortness of Breath When Lying Flat               
                          1,195                          Missing                                 
                          3,345        0                 Not indicated                           
                            526        1                 Indicated                               
 
J1100Z      $M3INDIC                   None of Above Shortness of Breath                 
                          1,195                          Missing                                 
                            700        0                 Not indicated                           
                          3,171        1                 Indicated                               
 
J1300       $M3YESNO                   Tobacco Use                                       
                          3,893                          Missing                                 
                          1,143        0                 No                                      
                             30        1                 Yes                                     
 
J1400       $M3YESNO                   Life Prognosis Less Than Six Mons                 
                          1,211                          Missing                                 
                          3,690        0                 No                                      
                            165        1                 Yes                                     
 
J1550A      $M3INDIC                   Prob Conds: Fever                                 
                          1,187                          Missing                                 
                          3,842        0                 Not indicated                           
                             37        1                 Indicated                               
 
J1550B      $M3INDIC                   Prob Conds: Vomiting                              
                          1,187                          Missing                                 
                          3,821        0                 Not indicated                           
                             58        1                 Indicated                               
 
J1550C      $M3INDIC                   Prob Conds: Dehydration                           
                          1,209                          Missing                                 
                          3,850        0                 Not indicated                           
                              7        1                 Indicated                               
 
J1550D      $M3INDIC                   Prob Conds: Internal Bleeding                     
                          1,209                          Missing                                 
                          3,841        0                 Not indicated                           
                             16        1                 Indicated                               
 
J1550Z      $M3INDIC                   Prob Conds: None of Above                         
                          1,187                          Missing                                 
                            108        0                 Not indicated                           
                          3,771        1                 Indicated                               
 
J1700A      $M3YNDET                   Fall History on Admsn: Fall 30 Day                
                          4,315                          Missing                                 
                            416        0                 No                                      
                            312        1                 Yes                                     
                             23        9                 Unable to determine                     
 
J1700B      $M3YNDET                   Fall History on Admsn: Fall 31-180 Day            
                          4,315                          Missing                                 
                            492        0                 No                                      
                            190        1                 Yes                                     
                             69        9                 Unable to determine                     
 
J1700C      $M3YNDET                   Fall History on Admsn: Fall Six Mon               
                          4,315                          Missing                                 
                            572        0                 No                                      
                            150        1                 Yes                                     
                             29        9                 Unable to determine                     
 
J1800       $M3YESNO                   Falls Since Admsn or Prior Asmt                   
                          1,062                          Missing                                 
                          3,343        0                 No                                      
                            661        1                 Yes                                     
 
J1900A      $M3FALLS                   Falls Since Adm/Prior Asmt W No Inj               
                          4,405                          Missing                                 
                            145        0                 None                                    
                            359        1                 One                                     
                            157        2                 Two or more                             
 
J1900B      $M3FALLS                   Falls Since Adm/Prior Asmt W Inj Ex Maj           
                          4,405                          Missing                                 
                            454        0                 None                                    
                            176        1                 One                                     
                             31        2                 Two or more                             
 
J1900C      $M3FALLS                   Falls Since Adm/Prior Asmt W Maj Inj              
                          4,405                          Missing                                 
                            630        0                 None                                    
                             30        1                 One                                     
                              1        2                 Two or more                             
 
K0100A      $M3INDIC                   Swall Disorder: Loss Mouth Eating                 
                          2,014                          Missing                                 
                          3,012        0                 Not indicated                           
                             40        1                 Indicated                               
 
K0100B      $M3INDIC                   Swall Disorder: Hold Food Mouth                   
                          2,014                          Missing                                 
                          2,935        0                 Not indicated                           
                            117        1                 Indicated                               
 
K0100C      $M3INDIC                   Swall Disorder: Choke Drinking Meal               
                          2,014                          Missing                                 
                          2,921        0                 Not indicated                           
                            131        1                 Indicated                               
 
K0100D      $M3INDIC                   Swall Disorder: Complaint Swall                   
                          2,014                          Missing                                 
                          2,953        0                 Not indicated                           
                             99        1                 Indicated                               
 
K0100Z      $M3INDIC                   Swall Disorder: None of Above                     
                          2,014                          Missing                                 
                            264        0                 Not indicated                           
                          2,788        1                 Indicated                               
 
K0200A                                 Height Num                                        
                          1,213                          Missing                                 
                          3,853        Range of values   Range of values                         
 
K0200B                                 Weight Num                                        
                          1,256                          Missing                                 
                          3,810        Range of values   Range of values                         
 
K0300       $M3WGHT                    Weight Loss                                       
                          1,199                          Missing                                 
                          3,581        0                 No or unknown                           
                             34        1                 Yes, on physician-prescribed regimen    
                            252        2                 Yes, not on physician-prescribed regimen
 
K0310       $M3WGHT                    Weight Gain                                       
                          1,221                          Missing                                 
                          3,683        0                 No or unknown                           
                             48        1                 Yes, on physician-prescribed regimen    
                            114        2                 Yes, not on physician-prescribed regimen
 
K0510A1     $M3INDIC                   Nutr App: Prior Par/IV Feeding                    
                          4,676                          Missing                                 
                            275        0                 Not indicated                           
                            115        1                 Indicated                               
 
K0510A2     $M3INDIC                   Nutr App: Post Par/IV Feeding                     
                          2,116                          Missing                                 
                          2,893        0                 Not indicated                           
                             57        1                 Indicated                               
 
K0510B1     $M3INDIC                   Nutr App: Prior Feeding Tube                      
                          4,676                          Missing                                 
                            380        0                 Not indicated                           
                             10        1                 Indicated                               
 
K0510B2     $M3INDIC                   Nutr App: Post Feeding Tube                       
                          2,116                          Missing                                 
                          2,838        0                 Not indicated                           
                            112        1                 Indicated                               
 
K0510C2     $M3INDIC                   Nutr App: Post Mech Alt Diet                      
                          2,423                          Missing                                 
                          1,844        0                 Not indicated                           
                            799        1                 Indicated                               
 
K0510D2     $M3INDIC                   Nutr App: Post Ther Diet                          
                          2,435                          Missing                                 
                          1,478        0                 Not indicated                           
                          1,153        1                 Indicated                               
 
K0510Z1     $M3INDIC                   Nutr App: Prior None of Above                     
                          4,705                          Missing                                 
                            116        0                 Not indicated                           
                            245        1                 Indicated                               
 
K0510Z2     $M3INDIC                   Nutr App: Post None of Above                      
                          2,420                          Missing                                 
                          1,696        0                 Not indicated                           
                            950        1                 Indicated                               
 
L0200A      $M3INDIC                   Dental Stat: Broken Denture                       
                          2,061                          Missing                                 
                          2,982        0                 Not indicated                           
                             23        1                 Indicated                               
 
L0200B      $M3INDIC                   Dental Stat: No Teeth                             
                          3,897                          Missing                                 
                            995        0                 Not indicated                           
                            174        1                 Indicated                               
 
L0200C      $M3INDIC                   Dental Stat: Abnormal Mouth Tiss                  
                          3,898                          Missing                                 
                          1,166        0                 Not indicated                           
                              2        1                 Indicated                               
 
L0200D      $M3INDIC                   Dental Stat: Cavity                               
                          3,898                          Missing                                 
                          1,068        0                 Not indicated                           
                            100        1                 Indicated                               
 
L0200E      $M3INDIC                   Dental Stat: Inflamed Gum                         
                          3,898                          Missing                                 
                          1,164        0                 Not indicated                           
                              4        1                 Indicated                               
 
L0200F      $M3INDIC                   Dental Stat: Mouth or Facial Pain                 
                          2,056                          Missing                                 
                          2,995        0                 Not indicated                           
                             15        1                 Indicated                               
 
L0200G      $M3INDIC                   Dental Stat: Unable to Examine                    
                          3,893                          Missing                                 
                          1,153        0                 Not indicated                           
                             20        1                 Indicated                               
 
L0200Z      $M3INDIC                   Dental Stat: None of Above                        
                          3,893                          Missing                                 
                            303        0                 Not indicated                           
                            870        1                 Indicated                               
 
M0100A      $M3INDIC                   Det of Press Ulcr Risk: Ulcr Visible              
                          1,217                          Missing                                 
                          3,504        0                 Not indicated                           
                            345        1                 Indicated                               
 
M0100B      $M3INDIC                   Det of Press Ulcr Risk: Frml Asmt/Instr           
                          2,032                          Missing                                 
                            685        0                 Not indicated                           
                          2,349        1                 Indicated                               
 
M0100C      $M3INDIC                   Det of Press Ulcr Risk: Clinical Asmt             
                          2,033                          Missing                                 
                            196        0                 Not indicated                           
                          2,837        1                 Indicated                               
 
M0100Z      $M3INDIC                   Det of Press Ulcr Risk: None of Above             
                          2,033                          Missing                                 
                          2,976        0                 Not indicated                           
                             57        1                 Indicated                               
 
M0150       $M3YESNO                   Press Ulcr Risk                                   
                          2,034                          Missing                                 
                            339        0                 No                                      
                          2,693        1                 Yes                                     
 
M0210       $M3YESNO                   One or More S1 or Higher UPU                      
                          1,044                          Missing                                 
                          3,690        0                 No                                      
                            332        1                 Yes                                     
 
M0300A                                 Stage 1 Press Ulcr Num                            
                          4,831                          Missing                                 
                            235        Range of values   Range of values                         
 
M0300B1                                Stage 2 Press Ulcr Num                            
                          4,734                          Missing                                 
                            332        Range of values   Range of values                         
 
M0300B2                                Stage 2 Press Ulcr Present on Admsn Num           
                          4,985                          Missing                                 
                             81        Range of values   Range of values                         
 
M0300C1                                Stage 3 Press Ulcr Num                            
                          4,734                          Missing                                 
                            332        Range of values   Range of values                         
 
M0300C2                                Stage 3 Press Ulcr Present on Admsn Num           
                          5,011                          Missing                                 
                             55        Range of values   Range of values                         
 
M0300D1                                Stage 4 Press Ulcr Num                            
                          4,734                          Missing                                 
                            332        Range of values   Range of values                         
 
M0300D2                                Stage 4 Press Ulcr Present on Admsn Num           
                          5,001                          Missing                                 
                             65        Range of values   Range of values                         
 
M0300E1                                UPU Due To Drsng Num                              
                          4,739                          Missing                                 
                            327        Range of values   Range of values                         
 
M0300F1                                UPU W Slough or Eschar Num                        
                          4,734                          Missing                                 
                            332        Range of values   Range of values                         
 
M0300F2                                UPU W Slough or Eschar on Admsn Num               
                          5,015                          Missing                                 
                             51        Range of values   Range of values                         
 
M0300G1                                UPU W Deep Tiss Inj Num                           
                          4,741                          Missing                                 
                            325        Range of values   Range of values                         
 
M0300G2                                UPU W Deep Tiss Inj on Admsn Num                  
                          4,995                          Missing                                 
                             71        Range of values   Range of values                         
 
M1030                                  Venous and Arterial Ulcr Num                      
                          2,013                          Missing                                 
                          3,053        Range of values   Range of values                         
 
M1040A      $M3INDIC                   Oth Foot Skin Probs: Foot Infn                    
                          2,010                          Missing                                 
                          3,036        0                 Not indicated                           
                             20        1                 Indicated                               
 
M1040B      $M3INDIC                   Oth Foot Skin Probs: Diab Foot Ulcr               
                          2,010                          Missing                                 
                          3,036        0                 Not indicated                           
                             20        1                 Indicated                               
 
M1040C      $M3INDIC                   Oth Foot Skin Probs: Oth Open Les Foot            
                          2,010                          Missing                                 
                          3,044        0                 Not indicated                           
                             12        1                 Indicated                               
 
M1040D      $M3INDIC                   O/S/P: Oth Than Ulcrs, Rashes, Cuts               
                          2,010                          Missing                                 
                          3,032        0                 Not indicated                           
                             24        1                 Indicated                               
 
M1040E      $M3INDIC                   O/S/P: Surgical Wound(s)                          
                          2,011                          Missing                                 
                          2,854        0                 Not indicated                           
                            201        1                 Indicated                               
 
M1040F      $M3INDIC                   O/S/P: Burn(s)                                    
                          2,010                          Missing                                 
                          3,050        0                 Not indicated                           
                              6        1                 Indicated                               
 
M1040G      $M3INDIC                   O/S/P: Skin Tear(s)                               
                          2,034                          Missing                                 
                          2,925        0                 Not indicated                           
                            107        1                 Indicated                               
 
M1040H      $M3INDIC                   O/S/P: Moisture Assoc Skin Dmge                   
                          2,032                          Missing                                 
                          2,845        0                 Not indicated                           
                            189        1                 Indicated                               
 
M1040Z      $M3INDIC                   O/S/P: None of Above                              
                          2,012                          Missing                                 
                            524        0                 Not indicated                           
                          2,530        1                 Indicated                               
 
M1200A      $M3INDIC                   S/U Trtmts: Press Reducng Device in Chr           
                          2,013                          Missing                                 
                          1,336        0                 Not indicated                           
                          1,717        1                 Indicated                               
 
M1200B      $M3INDIC                   S/U Trtmts: Press Reducng Device in Bed           
                          2,011                          Missing                                 
                            485        0                 Not indicated                           
                          2,570        1                 Indicated                               
 
M1200C      $M3INDIC                   S/U Trtmts: Turning/RePosing Prog                 
                          2,010                          Missing                                 
                          2,726        0                 Not indicated                           
                            330        1                 Indicated                               
 
M1200D      $M3INDIC                   S/U Trtmts: Nutrition/Hydration                   
                          2,009                          Missing                                 
                          2,703        0                 Not indicated                           
                            354        1                 Indicated                               
 
M1200E      $M3INDIC                   S/U Trtmts: Ulcr Care                             
                          2,009                          Missing                                 
                          2,831        0                 Not indicated                           
                            226        1                 Indicated                               
 
M1200F      $M3INDIC                   S/U Trtmts: Surgical Wound Care                   
                          2,009                          Missing                                 
                          2,893        0                 Not indicated                           
                            164        1                 Indicated                               
 
M1200G      $M3INDIC                   S/U Trtmts: App Nonsurgical Drsng                 
                          2,009                          Missing                                 
                          2,663        0                 Not indicated                           
                            394        1                 Indicated                               
 
M1200H      $M3INDIC                   S/U Trtmts: App Ointments/Meds                    
                          2,009                          Missing                                 
                          1,575        0                 Not indicated                           
                          1,482        1                 Indicated                               
 
M1200I      $M3INDIC                   S/U Trtmts: App Drsngs to Foot                    
                          2,009                          Missing                                 
                          2,944        0                 Not indicated                           
                            113        1                 Indicated                               
 
M1200Z      $M3INDIC                   S/U Trtmts: None of Above                         
                          2,010                          Missing                                 
                          2,841        0                 Not indicated                           
                            215        1                 Indicated                               
 
N0300                                  Num of Days Injections of Any Type                
                          2,031                          Missing                                 
                          3,035        Range of values   Range of values                         
 
N0350A                                 Num of Days Insulin Injections                    
                          4,175                          Missing                                 
                            891        Range of values   Range of values                         
 
N0350B                                 Num of Days Insulin Orders Changed                
                          4,175                          Missing                                 
                            891        Range of values   Range of values                         
 
N0410A                                 Meds Rcd: Antipsychotic Num Days                  
                          2,129                          Missing                                 
                          2,937        Range of values   Range of values                         
 
N0410B                                 Meds Rcd: Antianxiety Num Days                    
                          2,129                          Missing                                 
                          2,937        Range of values   Range of values                         
 
N0410C                                 Meds Rcd: Antidepressant Num Days                 
                          2,129                          Missing                                 
                          2,937        Range of values   Range of values                         
 
N0410D                                 Meds Rcd: Hypnotic Num Days                       
                          2,129                          Missing                                 
                          2,937        Range of values   Range of values                         
 
N0410E                                 Meds Rcd: Anticoagulant Num Days                  
                          2,129                          Missing                                 
                          2,937        Range of values   Range of values                         
 
N0410F                                 Meds Rcd: Antibiotic Num Days                     
                          2,129                          Missing                                 
                          2,937        Range of values   Range of values                         
 
N0410G                                 Meds Rcd: Diuretic Num Days                       
                          2,129                          Missing                                 
                          2,937        Range of values   Range of values                         
 
O0100A1     $M3INDIC                   Spcl T/P: ChemOthapy Pre-admit                    
                          4,475                          Missing                                 
                            589        0                 Not indicated                           
                              2        1                 Indicated                               
 
O0100A2     $M3INDIC                   Spcl T/P: ChemOthapy Post-admit                   
                          2,738                          Missing                                 
                          2,325        0                 Not indicated                           
                              3        1                 Indicated                               
 
O0100B1     $M3INDIC                   Spcl T/P: Radiation Pre-admit                     
                          4,475                          Missing                                 
                            591        0                 Not indicated                           
 
O0100B2     $M3INDIC                   Spcl T/P: Radiation Post-admit                    
                          2,738                          Missing                                 
                          2,326        0                 Not indicated                           
                              2        1                 Indicated                               
 
O0100C1     $M3INDIC                   Spcl T/P: Oxygen Pre-admit                        
                          4,475                          Missing                                 
                            436        0                 Not indicated                           
                            155        1                 Indicated                               
 
O0100C2     $M3INDIC                   Spcl T/P: Oxygen Post-admit                       
                          2,738                          Missing                                 
                          1,992        0                 Not indicated                           
                            336        1                 Indicated                               
 
O0100D1     $M3INDIC                   Spcl T/P: Suctioning Pre-admit                    
                          4,475                          Missing                                 
                            588        0                 Not indicated                           
                              3        1                 Indicated                               
 
O0100D2     $M3INDIC                   Spcl T/P: Suctioning Post-admit                   
                          2,738                          Missing                                 
                          2,306        0                 Not indicated                           
                             22        1                 Indicated                               
 
O0100E1     $M3INDIC                   Spcl T/P: Tracheostomy Pre-admit                  
                          4,475                          Missing                                 
                            588        0                 Not indicated                           
                              3        1                 Indicated                               
 
O0100E2     $M3INDIC                   Spcl T/P: Tracheostomy Post-admit                 
                          2,738                          Missing                                 
                          2,304        0                 Not indicated                           
                             24        1                 Indicated                               
 
O0100F1     $M3INDIC                   Spcl T/P: Ventilator Pre-admit                    
                          4,475                          Missing                                 
                            584        0                 Not indicated                           
                              7        1                 Indicated                               
 
O0100F2     $M3INDIC                   Spcl T/P: Ventilator Post-admit                   
                          2,738                          Missing                                 
                          2,316        0                 Not indicated                           
                             12        1                 Indicated                               
 
O0100G1     $M3INDIC                   Spcl T/P: Cont Pos Arwy Press Pre-A               
                          4,630                          Missing                                 
                            424        0                 Not indicated                           
                             12        1                 Indicated                               
 
O0100G2     $M3INDIC                   Spcl T/P: Cont Pos Arwy Press Post-A              
                          4,161                          Missing                                 
                            886        0                 Not indicated                           
                             19        1                 Indicated                               
 
O0100H1     $M3INDIC                   Spcl T/P: Intravenous Med Pre-admit               
                          4,475                          Missing                                 
                            281        0                 Not indicated                           
                            310        1                 Indicated                               
 
O0100H2     $M3INDIC                   Spcl T/P: Intravenous Med Post-admit              
                          2,738                          Missing                                 
                          2,253        0                 Not indicated                           
                             75        1                 Indicated                               
 
O0100I1     $M3INDIC                   Spcl T/P: Transfusion Pre-admit                   
                          4,475                          Missing                                 
                            572        0                 Not indicated                           
                             19        1                 Indicated                               
 
O0100I2     $M3INDIC                   Spcl T/P: Transfusion Post-admit                  
                          2,738                          Missing                                 
                          2,325        0                 Not indicated                           
                              3        1                 Indicated                               
 
O0100J1     $M3INDIC                   Spcl T/P: Dialysis Pre-admit                      
                          4,475                          Missing                                 
                            576        0                 Not indicated                           
                             15        1                 Indicated                               
 
O0100J2     $M3INDIC                   Spcl T/P: Dialysis Post-admit                     
                          2,738                          Missing                                 
                          2,300        0                 Not indicated                           
                             28        1                 Indicated                               
 
O0100K1     $M3INDIC                   Spcl T/P: Hospice Pre-admit                       
                          4,630                          Missing                                 
                            424        0                 Not indicated                           
                             12        1                 Indicated                               
 
O0100K2     $M3INDIC                   Spcl T/P: Hospice Post-admit                      
                          2,143                          Missing                                 
                          2,799        0                 Not indicated                           
                            124        1                 Indicated                               
 
O0100M1     $M3INDIC                   Spcl T/P: Isolation Pre-admit                     
                          4,630                          Missing                                 
                            431        0                 Not indicated                           
                              5        1                 Indicated                               
 
O0100M2     $M3INDIC                   Spcl T/P: Isolation Post-admit                    
                          2,738                          Missing                                 
                          2,265        0                 Not indicated                           
                             63        1                 Indicated                               
 
O0100Z1     $M3INDIC                   Spcl T/P: None Above Pre-A Trtmt Prior            
                          4,630                          Missing                                 
                            254        0                 Not indicated                           
                            182        1                 Indicated                               
 
O0100Z2     $M3INDIC                   Spcl T/P: None Above Trtmt Post-admit             
                          4,146                          Missing                                 
                            254        0                 Not indicated                           
                            666        1                 Indicated                               
 
O0250A      $M3YESNO                   Influenza Rcd                                     
                          1,244                          Missing                                 
                          1,760        0                 No                                      
                          2,062        1                 Yes                                     
 
O0250B      MMDDYYn8                   Influenza Rcd Date                                
                          3,006                       .  Inapplicable                            
                          2,060        MMDDYYYY          Date as MMDDYYYY                        
 
O0250C      $M3FLRSN                   Rsn Influenza Not Rcd                             
                          3,312                          Missing                                 
                            236        1                 Resident not in facility                
                            589        2                 Received outside the facility           
                             30        3                 Not eligible                            
                            683        4                 Offered and declined                    
                             99        5                 Not offered                             
                              8        6                 Inability to obtain vaccine             
                            109        9                 None of the above                       
 
O0300A      $M3YESNO                   Pneumococcal Vaccination                          
                          1,248                          Missing                                 
                          1,268        0                 No                                      
                          2,550        1                 Yes                                     
 
O0300B      $M3PNRSN                   Rsn Pneumococcal Vaccination Not Rcd              
                          3,835                          Missing                                 
                             50        1                 Not eligible                            
                            922        2                 Offered and declined                    
                            259        3                 Not offered                             
 
O0400A1                                Speech Ther/Aud Individual Minutes Num            
                          2,159                          Missing                                 
                          2,907        Range of values   Range of values                         
 
O0400A2                                Speech Ther/Aud ConCur Minutes Num                
                          2,171                          Missing                                 
                          2,895        Range of values   Range of values                         
 
O0400A3                                Speech Ther/Aud Group Minutes Num                 
                          2,171                          Missing                                 
                          2,895        Range of values   Range of values                         
 
O0400A4                                Num of Days Speech Ther/Aud Admin                 
                          4,652                          Missing                                 
                            414        Range of values   Range of values                         
 
O0400A5     MMDDYYn8                   Speech Ther/Audiology Start Date                  
                          3,616                       .  Inapplicable                            
                          1,450        MMDDYYYY          Date as MMDDYYYY                        
 
O0400A6     MMDDYYn8                   Speech Ther/Audiology End Date                    
                          3,988                       .  Inapplicable                            
                          1,078        MMDDYYYY          Date as MMDDYYYY                        
 
O0400B1                                Occupational Ther Individual Minutes Num          
                          2,157                          Missing                                 
                          2,909        Range of values   Range of values                         
 
O0400B2                                Occupational Ther ConCur Minutes Num              
                          2,166                          Missing                                 
                          2,900        Range of values   Range of values                         
 
O0400B3                                Occupational Ther Group Minutes Num               
                          2,166                          Missing                                 
                          2,900        Range of values   Range of values                         
 
O0400B4                                Num of Days Occ Ther Administered                 
                          3,978                          Missing                                 
                          1,088        Range of values   Range of values                         
 
O0400B5     MMDDYYn8                   Occupational Ther Start Date                      
                          2,587                       .  Inapplicable                            
                          2,479        MMDDYYYY          Date as MMDDYYYY                        
 
O0400B6     MMDDYYn8                   Occupational Ther End Date                        
                          3,642                       .  Inapplicable                            
                          1,424        MMDDYYYY          Date as MMDDYYYY                        
 
O0400C1                                Phys Ther Individual Minutes Num                  
                          2,158                          Missing                                 
                          2,908        Range of values   Range of values                         
 
O0400C2                                Phys Ther ConCur Minutes Num                      
                          2,167                          Missing                                 
                          2,899        Range of values   Range of values                         
 
O0400C3                                Phys Ther Group Minutes Num                       
                          2,167                          Missing                                 
                          2,899        Range of values   Range of values                         
 
O0400C4                                Num of Days Phys Ther Administered                
                          3,928                          Missing                                 
                          1,138        Range of values   Range of values                         
 
O0400C5     MMDDYYn8                   Phys Ther Start Date                              
                          2,552                       .  Inapplicable                            
                          2,514        MMDDYYYY          Date as MMDDYYYY                        
 
O0400C6     MMDDYYn8                   Phys Ther End Date                                
                          3,652                       .  Inapplicable                            
                          1,414        MMDDYYYY          Date as MMDDYYYY                        
 
O0400D1                                Resp Ther Minutes Num                             
                          3,936                          Missing                                 
                          1,130        Range of values   Range of values                         
 
O0400D2                                Num of Days Resp Ther Administered                
                          3,138                          Missing                                 
                          1,928        Range of values   Range of values                         
 
O0400E1                                Psych Ther Minutes Num                            
                          3,935                          Missing                                 
                          1,131        Range of values   Range of values                         
 
O0400E2                                Num of Days Psych Ther Administered               
                          3,280                          Missing                                 
                          1,786        Range of values   Range of values                         
 
O0400F1                                Rec Ther Minutes Num                              
                          3,934                          Missing                                 
                          1,132        Range of values   Range of values                         
 
O0500A                                 Rest Nrs: Passive Range of Mtn Num                
                          2,009                          Missing                                 
                          3,057        Range of values   Range of values                         
 
O0500B                                 Rest Nrs: Actv Range of Mtn Num                   
                          2,009                          Missing                                 
                          3,057        Range of values   Range of values                         
 
O0500C                                 Rest Nrs: Splint/Brace Ass Num                    
                          2,009                          Missing                                 
                          3,057        Range of values   Range of values                         
 
O0500D                                 Rest Nrs: Bed Mob Training Num                    
                          2,009                          Missing                                 
                          3,057        Range of values   Range of values                         
 
O0500E                                 Rest Nrs: Trans Training Num                      
                          2,009                          Missing                                 
                          3,057        Range of values   Range of values                         
 
O0500F                                 Rest Nrs: Wlking Training Num                     
                          2,009                          Missing                                 
                          3,057        Range of values   Range of values                         
 
O0500G                                 Rest Nrs: Drsng/Grooming Training Num             
                          2,009                          Missing                                 
                          3,057        Range of values   Range of values                         
 
O0500H                                 Rest Nrs: Eating/Swall Training Num               
                          2,009                          Missing                                 
                          3,057        Range of values   Range of values                         
 
O0500I                                 Rest Nrs: Amp/Prosthes Care Training Num          
                          2,009                          Missing                                 
                          3,057        Range of values   Range of values                         
 
O0500J                                 Rest Nrs: Communication Training Num              
                          2,009                          Missing                                 
                          3,057        Range of values   Range of values                         
 
O0600                                  Physician Exam Day Num                            
                          3,365                          Missing                                 
                          1,701        Range of values   Range of values                         
 
O0700                                  Physician Order Day Num                           
                          3,364                          Missing                                 
                          1,702        Range of values   Range of values                         
 
P0100A      $M3USED                    Phys Rstrnts in Bed: Bed Rail                     
                          1,210                          Missing                                 
                          3,851        0                 Not used                                
                              5        2                 Used daily                              
 
P0100B      $M3USED                    Phys Rstrnts in Bed: Trunk Rstrnt Bed             
                          1,210                          Missing                                 
                          3,855        0                 Not used                                
                              1        1                 Used less than daily                    
 
P0100C      $M3USED                    Phys Rstrnts in Bed: Limb Rstrnt Bed              
                          1,210                          Missing                                 
                          3,856        0                 Not used                                
 
P0100D      $M3USED                    Phys Rstrnts in Bed: Oth Rstrnt Bed               
                          1,210                          Missing                                 
                          3,855        0                 Not used                                
                              1        1                 Used less than daily                    
 
P0100E      $M3USED                    Phys Rstrnts Chair: Trunk Rstrnt Chair            
                          1,210                          Missing                                 
                          3,856        0                 Not used                                
 
P0100F      $M3USED                    Phys Rstrnts Chair: Limb Rstrnt Chair             
                          1,210                          Missing                                 
                          3,856        0                 Not used                                
 
P0100G      $M3USED                    Phys Rstrnts Chair: Chair Prevent Rise            
                          1,210                          Missing                                 
                          3,856        0                 Not used                                
 
P0100H      $M3USED                    Phys Rstrnts Chair: Oth Rstrnt Chair              
                          1,210                          Missing                                 
                          3,854        0                 Not used                                
                              2        2                 Used daily                              
 
Q0100A      $M3YESNO                   Res Part in Asmt                                  
                          2,760                          Missing                                 
                            266        0                 No                                      
                          2,040        1                 Yes                                     
 
Q0100B      $M3FAMPR                   Fam Part in Asmt                                  
                          2,759                          Missing                                 
                          1,496        0                 No                                      
                            776        1                 Yes                                     
                             35        9                 No family or significant other available
 
Q0100C      $M3GUAPR                   Guardian Part in Asmt                             
                          2,770                          Missing                                 
                          1,635        0                 No                                      
                            231        1                 Yes                                     
                            430        9                 No guardian or legally auth rep availabl
 
Q0300A      $M3OGOAL                   Res Overall Goal                                  
                          4,509                          Missing                                 
                            341        1                 Discharged to the community             
                            171        2                 Remain in this facility                 
                             25        3                 Discharged to another facility          
                             20        9                 Unknown or uncertain                    
 
Q0300B      $M3SOURC                   Overall Goal Source                               
                          4,511                          Missing                                 
                            410        1                 Resident                                
                            124        2                 Family or sig other                     
                             16        3                 Guardian or legally auth rep            
                              5        9                 Unknown or uncertain                    
 
Q0400A      $M3YESNO                   Dis Plan                                          
                          1,239                          Missing                                 
                          2,800        0                 No                                      
                          1,027        1                 Yes                                     
 
Q0490       $M3NOINF                   Ress Pref Answering Q0500B                        
                          3,317                          Missing                                 
                          1,015        0                 No                                      
                            734        1                 Yes                                     
 
Q0500B      $M3WNTLK                   Staff Asked Res or Fam Abt Rtn To Comm            
                          3,357                          Missing                                 
                          1,632        0                 No                                      
                             30        1                 Yes                                     
                             47        9                 Unknown or uncertain                    
 
Q0550A      $M3NOINF                   Pref In Answering Q0550B                          
                          3,352                          Missing                                 
                          1,570        0                 No                                      
                             99        1                 Yes                                     
                             45        8                 Information not available               
 
Q0550B      $M3SOURC                   Source Answering Q0550A                           
                          3,751                          Missing                                 
                            694        1                 Resident                                
                            477        2                 Family or sig other                     
                            109        3                 Guardian or legally auth rep            
                             35        9                 Unknown or uncertain                    
 
Q0600       $M3REFER                   Local Contact Agency Referral                     
                          2,157                          Missing                                 
                          2,750        0                 No - referral not needed                
                             60        1                 No - referral may be needed             
                             99        2                 Yes                                     
 
V0100A      $M3CASS                    Prior Asmt Federal OBRA Rsn for Asmt              
                          4,537                                                                  
                             10        01                5 day sched assessment                  
                            451        02                14 day sched assessment                 
                             14        03                30 day sched assessment                 
                             10        04                60 day sched assessment                 
                             44        99                None of above                           
 
V0100B      $M3CASS                    Prior Asmt PPS Rsn for Asmt                       
                          4,537                                                                  
                             53        01                5 day sched assessment                  
                            476        99                None of above                           
 
V0100C      MMDDYYn8                   Prior Asmt Ref Date                               
                          4,537                       .  Inapplicable                            
                            529        MMDDYYYY          Date as MMDDYYYY                        
 
V0100D                                 Prior Asmt (BIMS) Summary Score Num               
                          4,594                          Missing                                 
                            472        Range of values   Range of values                         
 
V0100E                                 Prior Asmt  (PHQ-9) Tot Svrty Score Num           
                          4,622                          Missing                                 
                            444        Range of values   Range of values                         
 
V0100F                                 Prior Asmt  (PHQ-9) Tot Svrty Score Num           
                          4,973                          Missing                                 
                             93        Range of values   Range of values                         
 
V200A01A    $M3INDIC                   Dlrm Care Area Trigger                            
                          3,978                          Missing                                 
                          1,036        0                 Not indicated                           
                             52        1                 Indicated                               
 
V200A01B    $M3INDIC                   Dlrm Adrsd in Care Plan                           
                          4,665                          Missing                                 
                            362        0                 Not indicated                           
                             39        1                 Indicated                               
 
V200A02A    $M3INDIC                   Dementia Care Area Trigger                        
                          3,978                          Missing                                 
                            433        0                 Not indicated                           
                            655        1                 Indicated                               
 
V200A02B    $M3INDIC                   Dementia Adrsd in Care Plan                       
                          4,279                          Missing                                 
                            165        0                 Not indicated                           
                            622        1                 Indicated                               
 
V200A03A    $M3INDIC                   Visual Func Care Area Trigger                     
                          3,978                          Missing                                 
                            762        0                 Not indicated                           
                            326        1                 Indicated                               
 
V200A03B    $M3INDIC                   Visual Func Adrsd in Care Plan                    
                          4,483                          Missing                                 
                            282        0                 Not indicated                           
                            301        1                 Indicated                               
 
V200A04A    $M3INDIC                   Communication Care Area Trigger                   
                          3,978                          Missing                                 
                            595        0                 Not indicated                           
                            493        1                 Indicated                               
 
V200A04B    $M3INDIC                   Communication Adrsd in Care Plan                  
                          4,396                          Missing                                 
                            213        0                 Not indicated                           
                            457        1                 Indicated                               
 
V200A05A    $M3INDIC                   ADL Care Area Trigger                             
                          3,978                          Missing                                 
                            258        0                 Not indicated                           
                            830        1                 Indicated                               
 
V200A05B    $M3INDIC                   ADL Adrsd in Care Plan                            
                          4,119                          Missing                                 
                            117        0                 Not indicated                           
                            830        1                 Indicated                               
 
V200A06A    $M3INDIC                   Urny Care Area Trigger                            
                          3,978                          Missing                                 
                             61        0                 Not indicated                           
                          1,027        1                 Indicated                               
 
V200A06B    $M3INDIC                   Urny Adrsd in Care Plan                           
                          4,022                          Missing                                 
                             66        0                 Not indicated                           
                            978        1                 Indicated                               
 
V200A07A    $M3INDIC                   Psychosocial Care Area Trigger                    
                          3,978                          Missing                                 
                            818        0                 Not indicated                           
                            270        1                 Indicated                               
 
V200A07B    $M3INDIC                   Psychosocial Adrsd in Care Plan                   
                          4,513                          Missing                                 
                            297        0                 Not indicated                           
                            256        1                 Indicated                               
 
V200A08A    $M3INDIC                   Mood Care Area Trigger                            
                          3,978                          Missing                                 
                            890        0                 Not indicated                           
                            198        1                 Indicated                               
 
V200A08B    $M3INDIC                   Mood Adrsd in Care Plan                           
                          4,556                          Missing                                 
                            318        0                 Not indicated                           
                            192        1                 Indicated                               
 
V200A09A    $M3INDIC                   Bhvral Care Area Trigger                          
                          3,978                          Missing                                 
                            973        0                 Not indicated                           
                            115        1                 Indicated                               
 
V200A09B    $M3INDIC                   Bhvral Adrsd in Care Plan                         
                          4,622                          Missing                                 
                            328        0                 Not indicated                           
                            116        1                 Indicated                               
 
V200A10A    $M3INDIC                   Act Care Area Trigger                             
                          3,978                          Missing                                 
                            871        0                 Not indicated                           
                            217        1                 Indicated                               
 
V200A10B    $M3INDIC                   Act Adrsd in Care Plan                            
                          4,537                          Missing                                 
                            300        0                 Not indicated                           
                            229        1                 Indicated                               
 
V200A11A    $M3INDIC                   Fall Care Area Trigger                            
                          3,978                          Missing                                 
                             92        0                 Not indicated                           
                            996        1                 Indicated                               
 
V200A11B    $M3INDIC                   Fall Adrsd in Care Plan                           
                          4,044                          Missing                                 
                             50        0                 Not indicated                           
                            972        1                 Indicated                               
 
V200A12A    $M3INDIC                   Nutr Care Area Trigger                            
                          3,978                          Missing                                 
                            117        0                 Not indicated                           
                            971        1                 Indicated                               
 
V200A12B    $M3INDIC                   Nutr Adrsd in Care Plan                           
                          4,051                          Missing                                 
                             69        0                 Not indicated                           
                            946        1                 Indicated                               
 
V200A13A    $M3INDIC                   Feeding Tube Care Area Trigger                    
                          3,978                          Missing                                 
                          1,045        0                 Not indicated                           
                             43        1                 Indicated                               
 
V200A13B    $M3INDIC                   Feeding Tube Adrsd in Care Plan                   
                          4,664                          Missing                                 
                            364        0                 Not indicated                           
                             38        1                 Indicated                               
 
V200A14A    $M3INDIC                   Dehydration Care Area Trigger                     
                          3,978                          Missing                                 
                            778        0                 Not indicated                           
                            310        1                 Indicated                               
 
V200A14B    $M3INDIC                   Dehydration Adrsd in Care Plan                    
                          4,485                          Missing                                 
                            326        0                 Not indicated                           
                            255        1                 Indicated                               
 
V200A15A    $M3INDIC                   Dental Care Area Trigger                          
                          3,978                          Missing                                 
                            835        0                 Not indicated                           
                            253        1                 Indicated                               
 
V200A15B    $M3INDIC                   Dental Adrsd in Care Plan                         
                          4,536                          Missing                                 
                            294        0                 Not indicated                           
                            236        1                 Indicated                               
 
V200A16A    $M3INDIC                   Press Ulcr Care Area Trigger                      
                          3,978                          Missing                                 
                             28        0                 Not indicated                           
                          1,060        1                 Indicated                               
 
V200A16B    $M3INDIC                   Press Ulcr Adrsd in Care Plan                     
                          4,001                          Missing                                 
                             44        0                 Not indicated                           
                          1,021        1                 Indicated                               
 
V200A17A    $M3INDIC                   Psychotropic Drug Care Area Trigger               
                          3,978                          Missing                                 
                            421        0                 Not indicated                           
                            667        1                 Indicated                               
 
V200A17B    $M3INDIC                   Psychotropic Drug Adrsd in Care Plan              
                          4,262                          Missing                                 
                            155        0                 Not indicated                           
                            649        1                 Indicated                               
 
V200A18A    $M3INDIC                   Rstrnt Care Area Trigger                          
                          3,978                          Missing                                 
                          1,085        0                 Not indicated                           
                              3        1                 Indicated                               
 
V200A18B    $M3INDIC                   Rstrnt Adrsd in Care Plan                         
                          4,687                          Missing                                 
                            378        0                 Not indicated                           
                              1        1                 Indicated                               
 
V200A19A    $M3INDIC                   Pain Care Area Trigger                            
                          3,978                          Missing                                 
                            860        0                 Not indicated                           
                            228        1                 Indicated                               
 
V200A19B    $M3INDIC                   Pain Adrsd in Care Plan                           
                          4,535                          Missing                                 
                            291        0                 Not indicated                           
                            240        1                 Indicated                               
 
V200A20A    $M3INDIC                   Rtn to Comm Care Area Trigger                     
                          3,978                          Missing                                 
                          1,046        0                 Not indicated                           
                             42        1                 Indicated                               
 
V200A20B    $M3INDIC                   Rtn to Comm Adrsd in Care Plan                    
                          4,655                          Missing                                 
                            373        0                 Not indicated                           
                             38        1                 Indicated                               
 
