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
                               1,038                    7 Facility Characteristics
                                   0                   7S SNF Characteristics
                                   0                    8 Interview Description
                                   0                    9 Residence Timeline

VERSION     3  1  $VERSION                              C Version Number

                               1,038                    1 Version 1
                                   0                    2 Version 2
                                   0                    3 Version 3
                                   0                    4 Version 4

BASEID      4  8  $BSIDFMT                              C Unique SP Identification Number

                               1,038             LOW-HIGH BASEID Count

FACOWNED   12  2  OWNDES                      FA31      N Description of Ownership of facility

                                   8                   -8 Don't know
                                 677                    1 For profit (indiv,partnership,corp)
                                 297                    2 Private non-profit (religious,NP corp)
                                  33                    3 City/county government
                                  18                    4 State government
                                   5                    5 Veterans Administration
                                   0                    6 Other federal agency
                                   0                   91 Other specify

PLACTYPE   14  2  PLAC7FMT                    FA1, FA5  N Facility description

                                   0                    3 Continuing Care Retirement Community
                                 608                    4 Nursing home
                                   0                    5 Retirement community
                                   0                    6 Hospital
                                  15                    7 Hospital-based SNF unit
                                 223                    8 Assisted living
                                  32                    9 Board & care home
                                   3                   10 Domiciliary care facility
                                  27                   11 Personal care facility
                                  14                   12 Rest home/retirement home
                                   0                   14 Independent living units
                                   8                   15 Mental health center psychiatric setting
                                  11                   16 Mentally ret/developmentally disabled
                                  26                   17 Rehabilitation facility
                                  47                   18 Adult/group home
                                  24                   91 Other

                  Note: First available in 2000

COMPLEXF   16  2  YES2FMT                               N Facility part of larger facility/campus

                                 142                    1 Yes
                                 896                    2 No

LARGTYPE   18  2  LARGFMT                               N Type of place facility is part of

                                 896                    . Inapplicable
                                   1                   -8 Don't know
                                  77                    3 Continuing Care Retirement Comm.
                                  20                    5 Retirement Community
                                  19                    6 Hospital
                                   5                    8 Assisted Living Facility
                                   2                    9 Board and Care Home
                                   0                   10 Domiciliary Care Home
                                   2                   11 Personal Care Home
                                   5                   12 Rest Home/Retirement Home
                                  11                   91 Other

FACLONGT   20  2  YES2FMT                     FA8       N Does facility provide long term care?

                               1,038                    1 Yes
                                   0                    2 No

FACLTBED   22  4  BEDSFMT                               N Number of long term beds only

                                   0                    0 No beds of this type
                               1,038                      Number of beds

FACTOBED   26  4  BEDSFMT                     FA19      N Total number of beds in facility

                                   0                    0 No beds of this type
                               1,038                      Number of beds

MANDMBED   30  4  BEDSFMT                     FA43      N # of beds certified for Mcare & Mcaid

                                   4                   -8 Don't know
                                 443                    0 No beds of this type
                                 591                      Number of beds

                  Note: First available in 1997

MCAREBED   34  4  BEDSFMT                     FA45      N Number of Medicare-only certified beds

                                   6                   -8 Don't know
                                 976                    0 No beds of this type
                                  56                      Number of beds

                  Note: First available in 1997

MCAIDBED   38  4  BEDSFMT                     FA44      N Number of Medicaid-only certified beds

                                   6                   -8 Don't know
                               1,001                    0 No beds of this type
                                  31                      Number of beds

                  Note: First available in 1997

ICFMRBED   42  4  BEDSFMT                     FA45b     N Number of ICF/MR certified beds

                                   7                   -8 Don't know
                               1,025                    0 No beds of this type
                                   6                      Number of beds

                  Note: First available in 1997

CERTBEDS   46  4  BEDSFMT                     FA46      N Number of uncertified beds

                                  12                   -8 Don't know
                                   1                   -7 Refused
                                 680                    0 No beds of this type
                                 345                      Number of beds

                  Note: First available in 1997

MNORMBED   50  4  BEDSFMT                     FA45a     N Beds not certified, but licensed for NH

                                   5                   -8 Don't know
                               1,019                    0 No beds of this type
                                  14                      Number of beds

                  Note: First available in 1997

OTLTCBED   54  4  BEDSFMT                     FA45c     N Number of other long term care beds

                                  10                   -8 Don't know
                                   1                   -7 Refused
                                 694                    0 No beds of this type
                                 333                      Number of beds

                  Note: First available in 1997

NLTCBEDS   58  4  BEDSFMT                     FA46      N # of beds where certification is unknown

                                 920                    0 No beds of this type
                                 118                      Number of beds

                  Note: First available in 1997

ROOMCARE   62  2  YES2FMT                     FA22c     N Facility provide nursing/medical care?

                                 946                    1 Yes
                                  92                    2 No

SUPRVMED   64  2  YES2FMT                     FA22c     N Facil supervises self-administered meds?

                               1,035                    1 Yes
                                   3                    2 No

FHLPBATH   66  2  YES2FMT                     FA22c     N Does facility provide help w/bathing?

                               1,021                    1 Yes
                                  17                    2 No

FHLPDRES   68  2  YES2FMT                     FA22c     N Does facility provide help w/dressing?

                               1,023                    1 Yes
                                  15                    2 No

FHLPSHOP   70  2  YES2FMT                     FA22c     N Does facility provide help w/shopping?

                               1,016                    1 Yes
                                  22                    2 No

FHLPWALK   72  2  YES2FMT                     FA22c     N Does facility provide help w/walking?

                               1,001                    1 Yes
                                  37                    2 No

FHLPEAT    74  2  YES2FMT                     FA22c     N Does facility provide help w/eating?

                               1,002                    1 Yes
                                  36                    2 No

FHLPCOMM   76  2  YES2FMT                     FA22c     N Does facil provide help w/communication?

                               1,022                    1 Yes
                                  16                    2 No

FHLPNURS   78  2  YES2FMT                     FA22a     N Does facil provide 24-hour nursing care?

                                 853                    1 Yes
                                 185                    2 No

MIDNTRES   80  4  RESFMT                      FA52      N Midnight census count last night

                                  33                   -8 Don't know
                                   1                    0 None
                               1,004                      Number of residents

                  Note: First available in 2000

HIRATE     84  8  COST2FMT                              N High monthly facility rate

                                   3                   -9 Not ascertained
                                 116                   -8 Don't know
                                 919             1-999999 Amount in dollars

LOWRATE    92  8  COST2FMT                              N Low monthly facility rate

                                   4                   -9 Not ascertained
                                 121                   -8 Don't know
                                 913             1-999999 Amount in dollars

