RIC         1  2  $RIC                                  C Record Identification Code

                                   0                    A Administrative Data
                                   0                   DU Dental Events
                                   0                   FA Facility Events
                                   0                    H HMO Supplement
                                   0                   IA Income and Assets
                                   0                   IP Inpatient Hospital Events
                                   0                   IU Institutional Events
                                   0                    K Key Record
                                   0                   KN Knowledge and Information Needs
                                   0                   MD MDS
                                   0                   MP Medical Provider Events
                                   0                    N Non-Respondent
                                   0                   OA OASIS
                                   0                   OP Outpatient Events
                                   0                   PA Patient Activation
                                   0                   PM Prescribed Medicine Events
                                   0                   PS Person Summary
                                   0                   RX Drug Coverage
                                   0                   SS Service Summary
                                   0                    X Cross Sectional Weights
                                   0                   XE Ever Enrolled Weights
                                   0                   X2 2 year Weights
                                   0                   X3 3 year Weights
                                   0                   X4 4 year Weights
                                   0                    1 Survey Identification (Demographic)
                                   0                   10 MDS/OAS Timeline
                                   0                    2 Health Status/Functioning (Community)
                                   0                   2F Health Status/Functioning (Facility)
                                   0                   2H Health Status/Functioning (Helper)
                                   0                   2P Health Status/Functioning (Prevention)
                                   0                    3 Access to Care
                                   0                    4 Health Insurance
                                   0                    5 Enumeration
                                   0                    6 Facility Residence History
                                 943                    7 Facility Characteristics
                                   0                   7S SNF Characteristics
                                   0                    8 Interview Description
                                   0                    9 Residence Timeline

VERSION     3  1  $VERSION                              C Version Number

                                 943                    1 Version 1
                                   0                    2 Version 2
                                   0                    3 Version 3
                                   0                    4 Version 4

BASEID      4  8  $BSIDFMT                              C Unique SP Identification Number

                                 943             LOW-HIGH BASEID Count

FACILID    12  6  $FIDFMT                               C Provider Identification Number

                                 943             LOW-HIGH PROV Count

                  Note: Randomly-assigned number

FACOWNED   18  2  OWNDES                      FA31      N Description of ownership of facility

                                   1                    . Inapplicable
                                   2                   -8 Don't know
                                 632                    1 For profit (indiv,partership,corp)
                                 248                    2 Private non-profit (religious,NP corp)
                                  28                    3 City/county government
                                  24                    4 State government
                                   6                    5 Veterans Administration
                                   0                    6 Other federal agency
                                   2                   91 Other specify

PLACTYPE   20  2  PLACFMT                     FA1, FA5  N Facility description

                                  71                    3 Continuing Care Retirement Community
                                 546                    4 Nursing home
                                   9                    5 Retirement community
                                  15                    6 Hospital
                                   0                    7 Hospital-based SNF unit
                                 131                    8 Assisted living
                                  20                    9 Board & care home
                                   5                   10 Domiciliary care facility
                                  24                   11 Personal care facility
                                   9                   12 Rest home/retirement home
                                   0                   14 Independent living units
                                  10                   15 Mental health center psychiatric setting
                                  29                   16 Mentally ret/developmentally disabled
                                   8                   17 Rehabilitation facility
                                  39                   18 Adult/group home
                                  27                   91 Other

                  Note: First available in 2000

FACLONGT   22  2  YES2FMT                     FA8       N Does facility provide long term care?

                                 943                    1 Yes
                                   0                    2 No

FACLTBED   24  4  BEDSFMT                               N Number of long term beds only

                                   0                    0 No beds of this type
                                 943                      Number of beds

FACTOBED   28  4  BEDSFMT                     FA19      N Total number of beds in facility

                                   0                    0 No beds of this type
                                 943                      Number of beds

MANDMBED   32  4  BEDSFMT                     FA43      N # of beds certified for Mcare & Mcaid

                                  38                    . Inapplicable
                                   7                   -8 Don't know
                                 378                    0 No beds of this type
                                 520                      Number of beds

                  Note: First available in 1997

MCAREBED   36  4  BEDSFMT                     FA45      N Number of Medicare-only certified beds

                                  38                    . Inapplicable
                                  14                   -8 Don't know
                                 832                    0 No beds of this type
                                  59                      Number of beds

                  Note: First available in 1997

MCAIDBED   40  4  BEDSFMT                     FA44      N Number of Medicaid-only certified beds

                                  38                    . Inapplicable
                                  12                   -8 Don't know
                                 850                    0 No beds of this type
                                  43                      Number of beds

                  Note: First available in 1997

ICFMRBED   44  4  BEDSFMT                     FA45b     N Number of ICF/MR certified beds

                                  38                    . Inapplicable
                                   2                   -8 Don't know
                                 874                    0 No beds of this type
                                  29                      Number of beds

                  Note: First available in 1997

CERTBEDS   48  4  BEDSFMT                     FA46      N Total Number of uncertified beds

                                  38                    . Inapplicable
                                   8                   -8 Don't know
                                 638                    0 No beds of this type
                                 259                      Number of beds

                  Note: First available in 1997

MNORMBED   52  4  BEDSFMT                     FA45a     N Beds not certified, but licensed for NH

                                  38                    . Inapplicable
                                   5                   -8 Don't know
                                 868                    0 No beds of this type
                                  32                      Number of beds

                  Note: First available in 1997

OTLTCBED   56  4  BEDSFMT                     FA45c     N Number of other long term care beds

                                  38                    . Inapplicable
                                   8                   -8 Don't know
                                 665                    0 No beds of this type
                                 232                      Number of beds

                  Note: First available in 1997

NLTCBEDS   60  4  BEDSFMT                     FA46      N # of beds where certification is unknown

                                 800                    0 No beds of this type
                                 143                      Number of beds

                  Note: First available in 1997

ROOMCARE   64  2  YES2FMT                     FA22c     N Facility provide nursing/medical care?

                                  38                    . Missing
                                 832                    1 Yes
                                  73                    2 No

SUPRVMED   66  2  YES2FMT                     FA22c     N Facil supervises self-administered meds?

                                  38                    . Missing
                                 904                    1 Yes
                                   1                    2 No

FHLPBATH   68  2  YES2FMT                     FA22c     N Does facility provide help w/bathing?

                                  38                    . Missing
                                 895                    1 Yes
                                  10                    2 No

FHLPDRES   70  2  YES2FMT                     FA22c     N Does facility provide help w/dressing?

                                  38                    . Missing
                                 896                    1 Yes
                                   9                    2 No

FHLPSHOP   72  2  YES2FMT                     FA22c     N Does facility provide help w/shopping?

                                  38                    . Missing
                                 889                    1 Yes
                                  16                    2 No

FHLPWALK   74  2  YES2FMT                     FA22c     N Does facility provide help w/walking?

                                  38                    . Missing
                                 887                    1 Yes
                                  18                    2 No

FHLPEAT    76  2  YES2FMT                     FA22c     N Does facility provide help w/eating?

                                  38                    . Missing
                                 876                    1 Yes
                                  29                    2 No

FHLPCOMM   78  2  YES2FMT                     FA22c     N Does facil provide help w/communication?

                                  38                    . Missing
                                 891                    1 Yes
                                  14                    2 No

FHLPNURS   80  2  YES2FMT                     FA22a     N Does facil provide 24-hour nursing care?

                                 898                    1 Yes
                                  45                    2 No

MCARERES   82  4  RESFMT                      FA48      N # of residents w/ Mcare as primary payor

                                  60                    . Inapplicable
                                   3                   -9 Not ascertained
                                  27                   -8 Don't know
                                 362                    0 None
                                 491                      Number of residents

                  Note: First available in 2000

MCAIDRES   86  4  RESFMT                      FA47      N # of residents w/ Medicaid payment

                                  64                    . Inapplicable
                                   4                   -9 Not ascertained
                                  34                   -8 Don't know
                                 342                    0 None
                                 499                      Number of residents

                  Note: First available in 2000

PRPAYRES   90  4  RESFMT                      FA49      N # of residents who have private pay only

                                  49                   -8 Don't know
                                 115                    0 None
                                 779                      Number of residents

                  Note: First available in 2000

MIDNTRES   94  4  RESFMT                      FA52      N Midnight census count last night

                                   1                   -9 Not ascertained
                                  24                   -8 Don't know
                                   0                    0 None
                                 918                      Number of residents

                  Note: First available in 2000

SPIDCNT    98  2  SPFMT                                 N Number of SPs in facility

                                 732                    1 One sample person
                                 130                    2 Two sample people
                                  60                    3 Three sample people
                                   8                    4 Four sample people
                                   5                    5 Five sample people
                                   0                    6 Six sample people
                                   0                    7 Seven sample people
                                   8                    8 Eight sample people
                                   0                    9 Nine sample people
                                   0                   10 Ten sample people

                  Note: Determined from administrative records.

