Variable Format    Q#/Freq            Description/Label
 
BASEID   $BSIDFMT                      Unique SP Identification Number          
                          7,024        LOW-HIGH          BASEID Count                            
 
SURVEYYR SVYRFMT                       Survey Year                              
                          7,024                    2015  2015                                    
 
VERSION  VERSFMT                       Version Number                           
                          7,024                       1  Version 1                               
 
TRGT_DT  MMDDYYn8                      Target Date                              
                          7,024        MMDDYYYY          Date as MMDDYYYY                        
 
SUB_DT   MMDDYYn8                      Submission Date                          
                          7,024        MMDDYYYY          Date as MMDDYYYY                        
 
CRCTN_N                                Crctn Num                                
                              1                       .  Inapplicable/Missing                    
                          7,023        LOW-HIGH          Range of Values                         
 
MCSC                                   Crctn Stat                               
                          7,024                          Range of Values                         
 
SPEC_VCD                               Data Submission Spec Vers                
                          7,024        Range of values   Range of Values                         
 
ITM_SVC                                Item Set Vers                            
                          7,024        Range of values   Range of Values                         
 
PRCSD_TS MMDDYYn8                      Processed Timestamp                      
                          7,024        MMDDYYYY          Date as MMDDYYYY                        
 
Age                                    Res Age                                  
                          7,024        Range of values   Range of Values                         
 
RSDT_MCI                               Res Match Criteria ID                    
                          7,024        LOW-HIGH          Range of Values                         
 
CURCD                                  CBSA Urban/Rural                         
                          7,024        Range of values   Range of Values                         
 
A0050    $M3RCTYP                      Type of Record                           
                          6,815        1                 Add a new record                        
                            209        2                 Modify existing record                  
 
A0200    $M3PROV                       Type of Provider                         
                          7,024        1                 Nursing home (SNF/NF)                   
 
A0310A   $M3OBRA                       Federal OBRA Rsn for Asmt                
                            770        01                Admission                               
                          1,728        02                Quarterly                               
                            404        03                Annual                                  
                            190        04                Significant change in status            
                          3,932        99                Not OBRA required                       
 
A0310B   $MCASS                        PPS Asmt                                 
                            838        01                Sched. 5-day assessment                 
                            572        02                Sched 14-day assessment                 
                            293        03                Sched 30-day assessment                 
                             79        04                Sched 60-day assessment                 
                             29        05                Sched 90-day assessment                 
                            182        07                Unsched assessment                      
                          5,031        99                None of the above                       
 
A0310C   $M3PPSOT                      PPS Oth Mcare Req Asmt (OMRA)            
                          6,741        0                 No                                      
                             29        1                 Start of therapy                        
                             38        2                 End of therapy                          
                            216        4                 Change of therapy                       
 
A0310E   $M3YESNO                      First Asmt Since Most Rec Admsn          
                          5,869        0                 No                                      
                          1,155        1                 Yes                                     
 
A0310F   $M3REPO                       Entry/Dis                                
                          1,319        01                Entry                                   
                            710        10                Discharge, return not anticipated       
                            467        11                Discharge, return anticipated           
                            156        12                Death in facility                       
                          4,372        99                None of the above                       
 
A0310G   $M3DIS                        Planned Dis                              
                          5,847                          Missing                                 
                            670        1                 Planned                                 
                            507        2                 Unplanned                               
 
A0410    $M3SUBRQ                      Submission Req                           
                          7,024        3                 Federal required                        
 
A0800    $SEXFMT                       Sex                                   
                          2,249        1                 Male                                    
                          4,775        2                 Female                                  
 
A0900    MMDDYYn8                      Birth Date                               
                          7,024        MMDDYYYY          Date as MMDDYYYY                        
 
A1000A   $M3INDIC                      R/E: American Indian or Alaskan Native   
                              4        -                 Not assessed/no information             
                          6,997        0                 Not indicated                           
                             23        1                 Indicated                               
 
A1000B   $M3INDIC                      R/E: Asian                               
                              4        -                 Not assessed/no information             
                          6,914        0                 Not indicated                           
                            106        1                 Indicated                               
 
A1000C   $M3INDIC                      R/E: African American                    
                              4        -                 Not assessed/no information             
                          6,363        0                 Not indicated                           
                            657        1                 Indicated                               
 
A1000D   $M3INDIC                      R/E: Hispanic                            
                              4        -                 Not assessed/no information             
                          6,630        0                 Not indicated                           
                            390        1                 Indicated                               
 
A1000E   $M3INDIC                      R/E: Native Hawaiian/Pacific Islander    
                              4        -                 Not assessed/no information             
                          7,012        0                 Not indicated                           
                              8        1                 Indicated                               
 
A1000F   $M3INDIC                      R/E: White                               
                              4        -                 Not assessed/no information             
                          1,428        0                 Not indicated                           
                          5,592        1                 Indicated                               
 
A1100A   $M3YNDET                      Res Need Interpreter                     
                          1,479                          Missing                                 
                             10        -                 Not assessed/no information             
                          5,371        0                 No                                      
                            142        1                 Yes                                     
                             22        9                 Unable to determine                     
 
A1200    $M3MARTL                      Marital Stat                             
                            180        -                 Not assessed/no information             
                            883        1                 Never married                           
                          1,864        2                 Married                                 
                          3,387        3                 Widowed                                 
                             65        4                 Separated                               
                            645        5                 Divorced                                
 
A1300A                                 Medical Record Num                       
                          7,024                          Range of Values                         
 
A1300D                                 Lifetime Occupation(s) Text              
                          7,024                          Range of Values                         
 
A1500    $M3SMI                        (PASRR)                                  
                          5,660                          Missing                                 
                              7        -                 Not assessed/no information             
                          1,267        0                 No                                      
                             57        1                 Yes                                     
                             33        9                 Not a Medicaid-certified unit           
 
A1510A   $M3INDIC                      Serious Mntl Illness                     
                          6,960                          Missing                                 
                              7        -                 Not assessed/no information             
                             23        0                 Not indicated                           
                             34        1                 Indicated                               
 
A1510B   $M3INDIC                      Intellectual Disability                  
                          6,960                          Missing                                 
                              7        -                 Not assessed/no information             
                             45        0                 Not indicated                           
                             12        1                 Indicated                               
 
A1510C   $M3INDIC                      Oth Related Conds                        
                          6,960                          Missing                                 
                              7        -                 Not assessed/no information             
                             49        0                 Not indicated                           
                              8        1                 Indicated                               
 
A1550A   $M3INDIC                      ID/DD Stat: Down Syndrome                
                          6,254                          Missing                                 
                              2        -                 Not assessed/no information             
                            767        0                 Not indicated                           
                              1        1                 Indicated                               
 
A1550B   $M3INDIC                      ID/DD Stat: Autism                       
                          6,254                          Missing                                 
                              2        -                 Not assessed/no information             
                            768        0                 Not indicated                           
 
A1550C   $M3INDIC                      ID/DD Stat: Epilepsy                     
                          6,254                          Missing                                 
                              2        -                 Not assessed/no information             
                            765        0                 Not indicated                           
                              3        1                 Indicated                               
 
A1550D   $M3INDIC                      ID/DD Stat: Oth Org ID/DD Cond           
                          6,254                          Missing                                 
                              2        -                 Not assessed/no information             
                            767        0                 Not indicated                           
                              1        1                 Indicated                               
 
A1550E   $M3INDIC                      ID/DD Stat: ID/DD W No Org Cond          
                          6,254                          Missing                                 
                              2        -                 Not assessed/no information             
                            764        0                 Not indicated                           
                              4        1                 Indicated                               
 
A1550Z   $M3INDIC                      ID/DD Stat: None of the Above            
                          6,254                          Missing                                 
                              2        -                 Not assessed/no information             
                              9        0                 Not indicated                           
                            759        1                 Indicated                               
 
A1600    MMDDYYn8                      Entry Date                               
                          7,024        MMDDYYYY          Date as MMDDYYYY                        
 
A1700    $M3TYP                        Type of Entry                            
                          4,807        1                 Admission                               
                          2,217        2                 Reentry                                 
 
A1800    $M3ADFRM                      Entered From                             
                            540        01                Community                               
                            283        02                Another nursing home or swing bed       
                          6,018        03                Acute hospital                          
                             70        04                Psychiatric hospital                    
                             45        05                Inpatient rehabilitation facility       
                             22        07                Hospice                                 
                             26        09                09                                      
                             20        99                Other                                   
 
A2000    MMDDYYn8                      Dis Date                                 
                          5,691                       .  Inapplicable                            
                          1,333        MMDDYYYY          Date as MMDDYYYY                        
 
A2100    $M3ADFRM                      Dis Stat                                 
                          5,691                          Missing                                 
                            622        01                Community                               
                             53        02                Another nursing home or swing bed       
                            477        03                Acute hospital                          
                             10        04                Psychiatric hospital                    
                              3        05                Inpatient rehabilitation facility       
                             10        07                Hospice                                 
                            156        08                Long Term Care Hospital                 
                              1        09                09                                      
                              1        99                Other                                   
 
A2300    MMDDYYn8                      Asmt Ref Date                            
                          1,475                       .  Inapplicable                            
                          5,549        MMDDYYYY          Date as MMDDYYYY                        
 
A2400A   $M3YESNO                      Had a Mcare Stay Since Most Rec Admsn    
                          2,966        0                 No                                      
                          4,058        1                 Yes                                     
 
A2400B   MMDDYYn8                      Start Date of Most Rec Mcare Stay        
                          2,966                       .  Inapplicable                            
                          4,058        MMDDYYYY          Date as MMDDYYYY                        
 
A2400C   MMDDYYn8                      End Date of Most Rec Mcare Stay          
                          5,701                       .  Inapplicable                            
                          1,323        MMDDYYYY          Date as MMDDYYYY                        
 
B0100    $M3YESNO                      Comatose                                 
                          1,479                          Missing                                 
                              5        -                 Not assessed/no information             
                          5,525        0                 No                                      
                             15        1                 Yes                                     
 
B0200    $M3HEAR                       Hearing                                  
                          2,740                          Missing                                 
                             15        -                 Not assessed/no information             
                          3,062        0                 Adequate                                
                            725        1                 Minimal difficulty                      
                            435        2                 Moderate difficulty                     
                             47        3                 Highly impaired                         
 
B0300    $M3YESNO                      Hearing Aide                             
                          2,740                          Missing                                 
                              7        -                 Not assessed/no information             
                          3,837        0                 No                                      
                            440        1                 Yes                                     
 
B0600    $M3CLEAR                      Speech Clarity                           
                          2,740                          Missing                                 
                              7        -                 Not assessed/no information             
                          3,674        0                 Clear speech                            
                            503        1                 Unclear speech                          
                            100        2                 No speech                               
 
B0700    $M3UNDER                      Makes Self Understood                    
                          2,566                          Missing                                 
                             10        -                 Not assessed/no information             
                          2,961        0                 Understood                              
                            771        1                 Usually understood                      
                            440        2                 Sometimes understood                    
                            276        3                 Rarely/Never understood                 
 
B0800    $M3UNDRR                      Ability to Understand Oth                
                          2,740                          Missing                                 
                             11        -                 Not assessed/no information             
                          2,596        0                 Understands                             
                            954        1                 Usually understands                     
                            478        2                 Sometimes understands                   
                            245        3                 Rarely/Never understands                
 
B1000    $M3ADQT                       Vision                                   
                          2,740                          Missing                                 
                             31        -                 Not assessed/no information             
                          3,007        0                 Adequate                                
                            755        1                 Impaired                                
                            197        2                 Moderately impaired                     
                            229        3                 Highly impaired                         
                             65        4                 Severely impaired                       
 
B1200    $M3YESNO                      Corr Lenses                              
                          2,740                          Missing                                 
                             12        -                 Not assessed/no information             
                          1,764        0                 No                                      
                          2,508        1                 Yes                                     
 
C0100    $M3YESNO                      Brief Int for Mntl Stat Be Cond          
                          1,930                          Missing                                 
                            162        -                 Not assessed/no information             
                            522        0                 No                                      
                          4,410        1                 Yes                                     
 
C0200    $M3REP3W                      BIMS: Num of Words Rep After First Att   
                          2,452                          Missing                                 
                            214        -                 Not assessed/no information             
                            276        0                 None                                    
                            126        1                 One                                     
                            222        2                 Two                                     
                          3,734        3                 Three                                   
 
C0300A   $M31ORNT                      BIMS: Temp Ortn - Able to Rep Corr Yr    
                          2,452                          Missing                                 
                            220        -                 Not assessed/no information             
                          1,422        0                 Missed by >5 years or no answer         
                            146        1                 Missed by 2-5 years                     
                            156        2                 Missed by 1 year                        
                          2,628        3                 Correct                                 
 
C0300B   $M31ORNT                      BIMS: Temp Ortn - Able to Rep Corr Mon   
                          2,452                          Missing                                 
                            223        -                 Not assessed/no information             
                          1,201        0                 Missed by >5 years or no answer         
                            330        1                 Missed by 2-5 years                     
                          2,818        2                 Missed by 1 year                        
 
C0300C   $M31ORNT                      BIMS: Temp Ortn - Able to Rep Corr Day   
                          2,452                          Missing                                 
                            235        -                 Not assessed/no information             
                          1,892        0                 Missed by >5 years or no answer         
                          2,445        1                 Missed by 2-5 years                     
 
C0400A   $M3CUE                        BIMS: Rcl - Able to Rcl Sock             
                          2,452                          Missing                                 
                            304        -                 Not assessed/no information             
                          1,203        0                 No - could not recall                   
                            770        1                 Yes, after cueing                       
                          2,295        2                 Yes, no cue required                    
 
C0400B   $M3CUE                        BIMS: Rcl - Able to Rcl Blue             
                          2,452                          Missing                                 
                            311        -                 Not assessed/no information             
                            935        0                 No - could not recall                   
                            932        1                 Yes, after cueing                       
                          2,394        2                 Yes, no cue required                    
 
C0400C   $M3CUE                        BIMS: Rcl - Able to Rcl Bed              
                          2,452                          Missing                                 
                            311        -                 Not assessed/no information             
                          1,357        0                 No - could not recall                   
                            931        1                 Yes, after cueing                       
                          1,973        2                 Yes, no cue required                    
 
C0500                                  Brief Int for Mntl Stat (BIMS) Score Num 
                          7,024                          Range of Values                         
 
C0600    $M3YESNO                      Staff to Cond Brief Int for Mntl Stat    
                          2,452                          Missing                                 
                             36        -                 Not assessed/no information             
                          4,142        0                 No                                      
                            394        1                 Yes                                     
 
C0700    $M3MEMRY                      SA of Mntl Stat - Short Term Memory      
                          5,636                          Missing                                 
                             85        -                 Not assessed/no information             
                            278        0                 Memory OK                               
                          1,025        1                 Memory problem                          
 
C0800    $M3MEMRY                      SA of Mntl Stat - Long Term Memory       
                          6,189                          Missing                                 
                             33        -                 Not assessed/no information             
                             94        0                 Memory OK                               
                            708        1                 Memory problem                          
 
C0900A   $M3INDIC                      SA of Mntl Stat - Rcls Cur Season        
                          6,189                          Missing                                 
                             29        -                 Not assessed/no information             
                            706        0                 Not indicated                           
                            100        1                 Indicated                               
 
C0900B   $M3INDIC                      SA of Mntl Stat - Rcls Loc of Room       
                          6,189                          Missing                                 
                             29        -                 Not assessed/no information             
                            612        0                 Not indicated                           
                            194        1                 Indicated                               
 
C0900C   $M3INDIC                      SA of Mntl Stat - Rcls Staff Name        
                          6,189                          Missing                                 
                             28        -                 Not assessed/no information             
                            539        0                 Not indicated                           
                            268        1                 Indicated                               
 
C0900D   $M3INDIC                      SA of Mntl Stat - Rcls Nrs Home          
                          6,189                          Missing                                 
                             28        -                 Not assessed/no information             
                            637        0                 Not indicated                           
                            170        1                 Indicated                               
 
C0900Z   $M3INDIC                      SA of Mntl Stat - Rcls None of Above     
                          6,189                          Missing                                 
                             28        -                 Not assessed/no information             
                            340        0                 Not indicated                           
                            467        1                 Indicated                               
 
C1000    $M3DECIS                      Cog Skills for Decision Making           
                          5,636                          Missing                                 
                             79        -                 Not assessed/no information             
                            172        0                 Independent                             
                            205        1                 Modified independence                   
                            392        2                 Moderately impaired                     
                            540        3                 Severely impaired                       
 
C1300A   $M3BHFLU                      S/SDlrm - Inattention                    
                          1,668                          Missing                                 
                             63        -                 Not assessed/no information             
                          4,510        0                 Behavior not present                    
                            251        1                 Behavior always present, no fluctuate   
                            532        2                 Behavior present, fluctuates            
 
C1300B   $M3BHFLU                      S/SDlrm - Disorganized Thinking          
                          1,668                          Missing                                 
                             76        -                 Not assessed/no information             
                          4,626        0                 Behavior not present                    
                            198        1                 Behavior always present, no fluctuate   
                            456        2                 Behavior present, fluctuates            
 
C1300C   $M3BHFLU                      S/SDlrm - Alt Level of Consciousness     
                          1,668                          Missing                                 
                             62        -                 Not assessed/no information             
                          5,110        0                 Behavior not present                    
                             41        1                 Behavior always present, no fluctuate   
                            143        2                 Behavior present, fluctuates            
 
C1300D   $M3BHFLU                      S/SDlrm - Psychomotor Retardation        
                          1,668                          Missing                                 
                             61        -                 Not assessed/no information             
                          5,119        0                 Behavior not present                    
                             57        1                 Behavior always present, no fluctuate   
                            119        2                 Behavior present, fluctuates            
 
C1600    $M3YESNO                      Acute Onset Mntl Stat Change             
                          1,668                          Missing                                 
                            121        -                 Not assessed/no information             
                          5,115        0                 No                                      
                            120        1                 Yes                                     
 
D0100    $M3YESNO                      Res Mood Int Be Cond                     
                          1,930                          Missing                                 
                            175        -                 Not assessed/no information             
                            578        0                 No                                      
                          4,341        1                 Yes                                     
 
D0200A1  $M3YNNOR                      Res Mood Int - Interest Loss             
                          2,508                          Missing                                 
                            212        -                 Not assessed/no information             
                          3,710        0                 No                                      
                            400        1                 Yes                                     
                            194        9                 No Response                             
 
D0200A2  $M3DEPRB                      Res Mood Int - Interest Loss Freq        
                          2,702                          Missing                                 
                            212        -                 Not assessed/no information             
                          3,731        0                 Never or 1 day                          
                            163        1                 2 - 6 days                              
                             99        2                 7 - 11 days                             
                            117        3                 12-14 days                              
 
D0200B1  $M3YNNOR                      Res Mood Int - Feel Down                 
                          2,508                          Missing                                 
                            212        -                 Not assessed/no information             
                          3,079        0                 No                                      
                          1,036        1                 Yes                                     
                            189        9                 No Response                             
 
D0200B2  $M3DEPRB                      Res Mood Int - Feel Down Freq            
                          2,697                          Missing                                 
                            213        -                 Not assessed/no information             
                          3,141        0                 Never or 1 day                          
                            570        1                 2 - 6 days                              
                            229        2                 7 - 11 days                             
                            174        3                 12-14 days                              
 
D0200C1  $M3YNNOR                      Res Mood Int - Trouble Sleep             
                          2,508                          Missing                                 
                            212        -                 Not assessed/no information             
                          3,273        0                 No                                      
                            837        1                 Yes                                     
                            194        9                 No Response                             
 
D0200C2  $M3DEPRB                      Res Mood Int - Trouble Sleep Freq        
                          2,702                          Missing                                 
                            212        -                 Not assessed/no information             
                          3,307        0                 Never or 1 day                          
                            432        1                 2 - 6 days                              
                            201        2                 7 - 11 days                             
                            170        3                 12-14 days                              
 
D0200D1  $M3YNNOR                      Res Mood Int - Little Energy             
                          2,508                          Missing                                 
                            228        -                 Not assessed/no information             
                          2,612        0                 No                                      
                          1,502        1                 Yes                                     
                            174        9                 No Response                             
 
D0200D2  $M3DEPRB                      Res Mood Int - Little Energy Freq        
                          2,682                          Missing                                 
                            230        -                 Not assessed/no information             
                          2,646        0                 Never or 1 day                          
                            712        1                 2 - 6 days                              
                            366        2                 7 - 11 days                             
                            388        3                 12-14 days                              
 
D0200E1  $M3YNNOR                      Res Mood Int - Poor Appetite             
                          2,508                          Missing                                 
                            240        -                 Not assessed/no information             
                          3,469        0                 No                                      
                            643        1                 Yes                                     
                            164        9                 No Response                             
 
D0200E2  $M3DEPRB                      Res Mood Int - Poor Appetite Freq        
                          2,672                          Missing                                 
                            240        -                 Not assessed/no information             
                          3,487        0                 Never or 1 day                          
                            307        1                 2 - 6 days                              
                            146        2                 7 - 11 days                             
                            172        3                 12-14 days                              
 
D0200F1  $M3YNNOR                      Res Mood Int - Self Dprcn                
                          2,508                          Missing                                 
                            240        -                 Not assessed/no information             
                          3,821        0                 No                                      
                            279        1                 Yes                                     
                            176        9                 No Response                             
 
D0200F2  $M3DEPRB                      Res Mood Int - Self Dprcn Freq           
                          2,684                          Missing                                 
                            241        -                 Not assessed/no information             
                          3,839        0                 Never or 1 day                          
                            153        1                 2 - 6 days                              
                             62        2                 7 - 11 days                             
                             45        3                 12-14 days                              
 
D0200G1  $M3YNNOR                      Res Mood Int - Lack of Conc              
                          2,508                          Missing                                 
                            248        -                 Not assessed/no information             
                          3,612        0                 No                                      
                            477        1                 Yes                                     
                            179        9                 No Response                             
 
D0200G2  $M3DEPRB                      Res Mood Int - Lack of Conc Freq         
                          2,687                          Missing                                 
                            250        -                 Not assessed/no information             
                          3,628        0                 Never or 1 day                          
                            240        1                 2 - 6 days                              
                            104        2                 7 - 11 days                             
                            115        3                 12-14 days                              
 
D0200H1  $M3YNNOR                      Res Mood Int - Movement Diff             
                          2,508                          Missing                                 
                            243        -                 Not assessed/no information             
                          3,761        0                 No                                      
                            326        1                 Yes                                     
                            186        9                 No Response                             
 
D0200H2  $M3DEPRB                      Res Mood Int - Movement Diff Freq        
                          2,694                          Missing                                 
                            244        -                 Not assessed/no information             
                          3,781        0                 Never or 1 day                          
                            147        1                 2 - 6 days                              
                             72        2                 7 - 11 days                             
                             86        3                 12-14 days                              
 
D0200I1  $M3YNNOR                      Res Mood Int - Neg Stmnt                 
                          2,508                          Missing                                 
                            246        -                 Not assessed/no information             
                          4,050        0                 No                                      
                             47        1                 Yes                                     
                            173        9                 No Response                             
 
D0200I2  $M3DEPRB                      Res Mood Int - Neg Stmnt Freq            
                          2,681                          Missing                                 
                            246        -                 Not assessed/no information             
                          4,056        0                 Never or 1 day                          
                             24        1                 2 - 6 days                              
                              4        2                 7 - 11 days                             
                             13        3                 12-14 days                              
 
D0300                                  Res Mood Int - Tot Svrty Mood Score      
                          7,024                          Range of Values                         
 
D0350    $M3YESNO                      Res Mood Int - Neg Stmnts Notify Staff   
                          6,977                          Missing                                 
                             47        1                 Yes                                     
 
D0500A1  $M3YESNO                      SA of Res Mood - Interest Loss           
                          6,022                          Missing                                 
                             63        -                 Not assessed/no information             
                            745        0                 No                                      
                            194        1                 Yes                                     
 
D0500A2  $M3DEPRB                      SA of Res Mood - Interest Loss Freq      
                          6,022                          Missing                                 
                             64        -                 Not assessed/no information             
                            749        0                 Never or 1 day                          
                             64        1                 2 - 6 days                              
                             52        2                 7 - 11 days                             
                             73        3                 12-14 days                              
 
D0500B1  $M3YESNO                      SA of Res Mood - Feel Down               
                          6,022                          Missing                                 
                             54        -                 Not assessed/no information             
                            793        0                 No                                      
                            155        1                 Yes                                     
 
D0500B2  $M3DEPRB                      SA of Res Mood - Feel Down Freq          
                          6,022                          Missing                                 
                             56        -                 Not assessed/no information             
                            791        0                 Never or 1 day                          
                             81        1                 2 - 6 days                              
                             50        2                 7 - 11 days                             
                             24        3                 12-14 days                              
 
D0500C1  $M3YESNO                      SA of Res Mood - Trouble Sleep           
                          6,022                          Missing                                 
                             50        -                 Not assessed/no information             
                            782        0                 No                                      
                            170        1                 Yes                                     
 
D0500C2  $M3DEPRB                      SA of Res Mood - Trouble Sleep Freq      
                          6,022                          Missing                                 
                             50        -                 Not assessed/no information             
                            786        0                 Never or 1 day                          
                             67        1                 2 - 6 days                              
                             42        2                 7 - 11 days                             
                             57        3                 12-14 days                              
 
D0500D1  $M3YESNO                      SA of Res Mood - Little Energy           
                          6,022                          Missing                                 
                             58        -                 Not assessed/no information             
                            656        0                 No                                      
                            288        1                 Yes                                     
 
D0500D2  $M3DEPRB                      SA of Res Mood - Little Energy Freq      
                          6,022                          Missing                                 
                             58        -                 Not assessed/no information             
                            662        0                 Never or 1 day                          
                            111        1                 2 - 6 days                              
                             67        2                 7 - 11 days                             
                            104        3                 12-14 days                              
 
D0500E1  $M3YESNO                      SA of Res Mood - Poor Appetite           
                          6,022                          Missing                                 
                             53        -                 Not assessed/no information             
                            714        0                 No                                      
                            235        1                 Yes                                     
 
D0500E2  $M3DEPRB                      SA of Res Mood - Poor Appetite Freq      
                          6,022                          Missing                                 
                             54        -                 Not assessed/no information             
                            720        0                 Never or 1 day                          
                             88        1                 2 - 6 days                              
                             71        2                 7 - 11 days                             
                             69        3                 12-14 days                              
 
D0500F1  $M3YESNO                      SA of Res Mood - Self Dprcn              
                          6,022                          Missing                                 
                             69        -                 Not assessed/no information             
                            924        0                 No                                      
                              9        1                 Yes                                     
 
D0500F2  $M3DEPRB                      SA of Res Mood - Self Dprcn Freq         
                          6,022                          Missing                                 
                             69        -                 Not assessed/no information             
                            924        0                 Never or 1 day                          
                              4        1                 2 - 6 days                              
                              4        2                 7 - 11 days                             
                              1        3                 12-14 days                              
 
D0500G1  $M3YESNO                      SA of Res Mood - Conc                    
                          6,022                          Missing                                 
                             73        -                 Not assessed/no information             
                            616        0                 No                                      
                            313        1                 Yes                                     
 
D0500G2  $M3DEPRB                      SA of Res Mood - Conc Freq               
                          6,022                          Missing                                 
                             73        -                 Not assessed/no information             
                            618        0                 Never or 1 day                          
                             58        1                 2 - 6 days                              
                             55        2                 7 - 11 days                             
                            198        3                 12-14 days                              
 
D0500H1  $M3YESNO                      SA of Res Mood - Movement Diff           
                          6,022                          Missing                                 
                             52        -                 Not assessed/no information             
                            854        0                 No                                      
                             96        1                 Yes                                     
 
D0500H2  $M3DEPRB                      SA of Res Mood - Movement Diff Freq      
                          6,022                          Missing                                 
                             52        -                 Not assessed/no information             
                            858        0                 Never or 1 day                          
                             35        1                 2 - 6 days                              
                             26        2                 7 - 11 days                             
                             31        3                 12-14 days                              
 
D0500I1  $M3YESNO                      SA of Res Mood - Neg Stmnt               
                          6,022                          Missing                                 
                             62        -                 Not assessed/no information             
                            940        0                 No                                      
 
D0500I2  $M3DEPRB                      SA of Res Mood - Neg Stmnt Freq          
                          6,022                          Missing                                 
                             62        -                 Not assessed/no information             
                            940        0                 Never or 1 day                          
 
D0500J1  $M3YESNO                      SA of Res Mood - Short Temper            
                          6,022                          Missing                                 
                             50        -                 Not assessed/no information             
                            811        0                 No                                      
                            141        1                 Yes                                     
 
D0500J2  $M3DEPRB                      SA of Res Mood - Short Temper Freq       
                          6,022                          Missing                                 
                             50        -                 Not assessed/no information             
                            821        0                 Never or 1 day                          
                             83        1                 2 - 6 days                              
                             28        2                 7 - 11 days                             
                             20        3                 12-14 days                              
 
D0600                                  SA Tot Svrty Mood Score                  
                          7,024                          Range of Values                         
 
D0650    $M3YESNO                      SA of Res Mood - Neg Stmnt Notify        
                          7,024                          Missing                                 
 
E0100A   $M3INDIC                      Bhvr: Hallucinations                     
                          1,494                          Missing                                 
                             39        -                 Not assessed/no information             
                          5,431        0                 Not indicated                           
                             60        1                 Indicated                               
 
E0100B   $M3INDIC                      Bhvr: Delusion                           
                          1,494                          Missing                                 
                             40        -                 Not assessed/no information             
                          5,340        0                 Not indicated                           
                            150        1                 Indicated                               
 
E0100Z   $M3INDIC                      Bhvr: No Psychosis                       
                          1,494                          Missing                                 
                             40        -                 Not assessed/no information             
                            186        0                 Not indicated                           
                          5,304        1                 Indicated                               
 
E0200A   $M3BEHAV                      Bhvr: Phys Bhvral                        
                          1,494                          Missing                                 
                             37        -                 Not assessed/no information             
                          5,351        0                 Behavior not exhibited                  
                            109        1                 1 to 3 days                             
                             23        2                 4 to 6 days                             
                             10        3                 Behavior exhibited daily                
 
E0200B   $M3BEHAV                      Bhvr: Verbal Bhvral                      
                          1,494                          Missing                                 
                             37        -                 Not assessed/no information             
                          5,251        0                 Behavior not exhibited                  
                            189        1                 1 to 3 days                             
                             30        2                 4 to 6 days                             
                             23        3                 Behavior exhibited daily                
 
E0200C   $M3BEHAV                      Bhvr: Oth Bhvral                         
                          1,494                          Missing                                 
                             38        -                 Not assessed/no information             
                          5,268        0                 Behavior not exhibited                  
                            124        1                 1 to 3 days                             
                             46        2                 4 to 6 days                             
                             54        3                 Behavior exhibited daily                
 
E0300    $M3YESNO                      Overall Pres of Bhvral Sympt             
                          5,581                          Missing                                 
                              2        -                 Not assessed/no information             
                          1,318        0                 No                                      
                            123        1                 Yes                                     
 
E0500A   $M3YESNO                      Bhvr Imp on Res: Risk to Inj Self        
                          6,899                          Missing                                 
                              2        -                 Not assessed/no information             
                            104        0                 No                                      
                             19        1                 Yes                                     
 
E0500B   $M3YESNO                      Bhvr Imp on Res: Int W Care              
                          6,899                          Missing                                 
                              2        -                 Not assessed/no information             
                             87        0                 No                                      
                             36        1                 Yes                                     
 
E0500C   $M3YESNO                      Bhvr Imp on Res: Int W Part              
                          6,899                          Missing                                 
                              2        -                 Not assessed/no information             
                             97        0                 No                                      
                             26        1                 Yes                                     
 
E0600A   $M3YESNO                      Bhvr Imp on Oth: Risk to Inj Oth         
                          6,899                          Missing                                 
                              2        -                 Not assessed/no information             
                            103        0                 No                                      
                             20        1                 Yes                                     
 
E0600B   $M3YESNO                      Bhvr Imp on Oth: Intrude On Priv of Oth  
                          6,899                          Missing                                 
                              2        -                 Not assessed/no information             
                            106        0                 No                                      
                             17        1                 Yes                                     
 
E0600C   $M3YESNO                      Bhvr Imp on Oth: Dis Care or Living Env  
                          6,899                          Missing                                 
                              2        -                 Not assessed/no information             
                             92        0                 No                                      
                             31        1                 Yes                                     
 
E0800    $M3BEHAV                      Rejection of Care: Pres and Freq         
                          1,494                          Missing                                 
                             36        -                 Not assessed/no information             
                          5,156        0                 Behavior not exhibited                  
                            259        1                 1 to 3 days                             
                             42        2                 4 to 6 days                             
                             37        3                 Behavior exhibited daily                
 
E0900    $M3BEHAV                      Wandering: Pres and Freq                 
                          1,494                          Missing                                 
                             38        -                 Not assessed/no information             
                          5,317        0                 Behavior not exhibited                  
                            107        1                 1 to 3 days                             
                             23        2                 4 to 6 days                             
                             45        3                 Behavior exhibited daily                
 
E1000A   $M3YESNO                      Wander Risk Imp                          
                          6,980                          Missing                                 
                              3        -                 Not assessed/no information             
                             25        0                 No                                      
                             16        1                 Yes                                     
 
E1000B   $M3YESNO                      Wandering Intrudes on Priv of Oth        
                          6,980                          Missing                                 
                              3        -                 Not assessed/no information             
                             29        0                 No                                      
                             12        1                 Yes                                     
 
E1100    $M3CHNG                       Change in Bhvr or Oth Sympt              
                          5,581                          Missing                                 
                             12        -                 Not assessed/no information             
                            806        0                 Same                                    
                             27        1                 Improved                                
                             29        2                 Worse                                   
                            569        3                 N/A                                     
 
F0300    $M3YESNO                      Should Dly and Act Pref Int Be Cond      
                          5,581                          Missing                                 
                             15        -                 Not assessed/no information             
                            138        0                 No                                      
                          1,290        1                 Yes                                     
 
F0400A   $M3IMPRT                      Int for Dly Pref: Chooses Clothes        
                          5,719                          Missing                                 
                             23        -                 Not assessed/no information             
                            691        1                 Very important                          
                            370        2                 Somewhat important                      
                            170        3                 Not very important                      
                             35        4                 Not important at all                    
                              2        5                 Important, but cannot do or no choice   
                             14        9                 No response or non-responsive           
 
F0400B   $M3IMPRT                      Int for Dly Pref: Care Personal Items    
                          5,719                          Missing                                 
                             23        -                 Not assessed/no information             
                            835        1                 Very important                          
                            292        2                 Somewhat important                      
                             95        3                 Not very important                      
                             29        4                 Not important at all                    
                             18        5                 Important, but cannot do or no choice   
                             13        9                 No response or non-responsive           
 
F0400C   $M3IMPRT                      Int for Dly Pref: Bathing Option         
                          5,719                          Missing                                 
                             23        -                 Not assessed/no information             
                            832        1                 Very important                          
                            295        2                 Somewhat important                      
                            111        3                 Not very important                      
                             16        4                 Not important at all                    
                             14        5                 Important, but cannot do or no choice   
                             14        9                 No response or non-responsive           
 
F0400D   $M3IMPRT                      Int for Dly Pref: Snack Between Meals    
                          5,719                          Missing                                 
                             27        -                 Not assessed/no information             
                            503        1                 Very important                          
                            448        2                 Somewhat important                      
                            251        3                 Not very important                      
                             59        4                 Not important at all                    
                              5        5                 Important, but cannot do or no choice   
                             12        9                 No response or non-responsive           
 
F0400E   $M3IMPRT                      Int for Dly Pref: Choose Bed Time        
                          5,719                          Missing                                 
                             26        -                 Not assessed/no information             
                            864        1                 Very important                          
                            279        2                 Somewhat important                      
                             99        3                 Not very important                      
                             22        4                 Not important at all                    
                              3        5                 Important, but cannot do or no choice   
                             12        9                 No response or non-responsive           
 
F0400F   $M3IMPRT                      Int for Dly Pref: Fam Involvement        
                          5,719                          Missing                                 
                             26        -                 Not assessed/no information             
                          1,024        1                 Very important                          
                            156        2                 Somewhat important                      
                             52        3                 Not very important                      
                             27        4                 Not important at all                    
                              7        5                 Important, but cannot do or no choice   
                             13        9                 No response or non-responsive           
 
F0400G   $M3IMPRT                      Int for Dly Pref: Priv Phone Time        
                          5,719                          Missing                                 
                             26        -                 Not assessed/no information             
                            438        1                 Very important                          
                            293        2                 Somewhat important                      
                            356        3                 Not very important                      
                            164        4                 Not important at all                    
                             18        5                 Important, but cannot do or no choice   
                             10        9                 No response or non-responsive           
 
F0400H   $M3IMPRT                      Int for Dly Pref: Lock Item              
                          5,719                          Missing                                 
                             28        -                 Not assessed/no information             
                            415        1                 Very important                          
                            259        2                 Somewhat important                      
                            363        3                 Not very important                      
                            222        4                 Not important at all                    
                              5        5                 Important, but cannot do or no choice   
                             13        9                 No response or non-responsive           
 
F0500A   $M3IMPRT                      Int for Act Pref: Reading Mat Available  
                          5,719                          Missing                                 
                             25        -                 Not assessed/no information             
                            526        1                 Very important                          
                            372        2                 Somewhat important                      
                            251        3                 Not very important                      
                             99        4                 Not important at all                    
                             18        5                 Important, but cannot do or no choice   
                             14        9                 No response or non-responsive           
 
F0500B   $M3IMPRT                      Int for Act Pref: Music                  
                          5,719                          Missing                                 
                             25        -                 Not assessed/no information             
                            651        1                 Very important                          
                            435        2                 Somewhat important                      
                            146        3                 Not very important                      
                             33        4                 Not important at all                    
                              3        5                 Important, but cannot do or no choice   
                             12        9                 No response or non-responsive           
 
F0500C   $M3IMPRT                      Int for Act Pref: Animal Pres            
                          5,719                          Missing                                 
                             25        -                 Not assessed/no information             
                            460        1                 Very important                          
                            363        2                 Somewhat important                      
                            316        3                 Not very important                      
                            126        4                 Not important at all                    
                              2        5                 Important, but cannot do or no choice   
                             13        9                 No response or non-responsive           
 
F0500D   $M3IMPRT                      Int for Act Pref: News                   
                          5,719                          Missing                                 
                             25        -                 Not assessed/no information             
                            641        1                 Very important                          
                            393        2                 Somewhat important                      
                            168        3                 Not very important                      
                             61        4                 Not important at all                    
                              3        5                 Important, but cannot do or no choice   
                             14        9                 No response or non-responsive           
 
F0500E   $M3IMPRT                      Int for Act Pref: Group Act              
                          5,719                          Missing                                 
                             25        -                 Not assessed/no information             
                            435        1                 Very important                          
                            491        2                 Somewhat important                      
                            257        3                 Not very important                      
                             75        4                 Not important at all                    
                              9        5                 Important, but cannot do or no choice   
                             13        9                 No response or non-responsive           
 
F0500F   $M3IMPRT                      Int for Act Pref: Favorite Act           
                          5,719                          Missing                                 
                             25        -                 Not assessed/no information             
                            754        1                 Very important                          
                            413        2                 Somewhat important                      
                             57        3                 Not very important                      
                             21        4                 Not important at all                    
                             22        5                 Important, but cannot do or no choice   
                             13        9                 No response or non-responsive           
 
F0500G   $M3IMPRT                      Int for Act Pref: Time Outdoors          
                          5,719                          Missing                                 
                             25        -                 Not assessed/no information             
                            739        1                 Very important                          
                            363        2                 Somewhat important                      
                            131        3                 Not very important                      
                             26        4                 Not important at all                    
                              8        5                 Important, but cannot do or no choice   
                             13        9                 No response or non-responsive           
 
F0500H   $M3IMPRT                      Int for Act Pref: Religion               
                          5,719                          Missing                                 
                             26        -                 Not assessed/no information             
                            676        1                 Very important                          
                            332        2                 Somewhat important                      
                            182        3                 Not very important                      
                             70        4                 Not important at all                    
                              6        5                 Important, but cannot do or no choice   
                             13        9                 No response or non-responsive           
 
F0600    $M3PRIRS                      Dly and Act Pref Primary Respondent      
                          5,719                          Missing                                 
                             24        -                 Not assessed/no information             
                          1,145        1                 Resident                                
                            120        2                 Family or significant other             
                             16        9                 Interview could not be completed        
 
F0700    $M3YESNO                      Cond SA of Dly and Act Pref              
                          5,719                          Missing                                 
                             11        -                 Not assessed/no information             
                          1,266        0                 No                                      
                             28        1                 Yes                                     
 
F0800A   $M3INDIC                      SA: Chooses Clothes                      
                          6,847                          Missing                                 
                             11        -                 Not assessed/no information             
                            139        0                 Not indicated                           
                             27        1                 Indicated                               
 
F0800B   $M3INDIC                      SA: Care Personal Item                   
                          6,847                          Missing                                 
                             13        -                 Not assessed/no information             
                            133        0                 Not indicated                           
                             31        1                 Indicated                               
 
F0800C   $M3INDIC                      SA: Tub Bath                             
                          6,847                          Missing                                 
                             13        -                 Not assessed/no information             
                            149        0                 Not indicated                           
                             15        1                 Indicated                               
 
F0800D   $M3INDIC                      SA: Shower                               
                          6,847                          Missing                                 
                             13        -                 Not assessed/no information             
                             72        0                 Not indicated                           
                             92        1                 Indicated                               
 
F0800E   $M3INDIC                      SA: Bed Bath                             
                          6,847                          Missing                                 
                             14        -                 Not assessed/no information             
                            122        0                 Not indicated                           
                             41        1                 Indicated                               
 
F0800F   $M3INDIC                      SA: Sponge Bath                          
                          6,847                          Missing                                 
                             14        -                 Not assessed/no information             
                            133        0                 Not indicated                           
                             30        1                 Indicated                               
 
F0800G   $M3INDIC                      SA: Snacks Between                       
                          6,847                          Missing                                 
                             12        -                 Not assessed/no information             
                             92        0                 Not indicated                           
                             73        1                 Indicated                               
 
F0800H   $M3INDIC                      SA: Bed Time                             
                          6,847                          Missing                                 
                             12        -                 Not assessed/no information             
                            146        0                 Not indicated                           
                             19        1                 Indicated                               
 
F0800I   $M3INDIC                      SA: Fam Involvement                      
                          6,847                          Missing                                 
                             12        -                 Not assessed/no information             
                             41        0                 Not indicated                           
                            124        1                 Indicated                               
 
F0800J   $M3INDIC                      SA: Priv Phone                           
                          6,847                          Missing                                 
                             11        -                 Not assessed/no information             
                            156        0                 Not indicated                           
                             10        1                 Indicated                               
 
F0800K   $M3INDIC                      SA: Lock Item                            
                          6,847                          Missing                                 
                             11        -                 Not assessed/no information             
                            154        0                 Not indicated                           
                             12        1                 Indicated                               
 
F0800L   $M3INDIC                      SA: Reading Mat Available                
                          6,847                          Missing                                 
                             11        -                 Not assessed/no information             
                            127        0                 Not indicated                           
                             39        1                 Indicated                               
 
F0800M   $M3INDIC                      SA: Music                                
                          6,847                          Missing                                 
                             11        -                 Not assessed/no information             
                             37        0                 Not indicated                           
                            129        1                 Indicated                               
 
F0800N   $M3INDIC                      SA: Animal Pres                          
                          6,847                          Missing                                 
                             11        -                 Not assessed/no information             
                            114        0                 Not indicated                           
                             52        1                 Indicated                               
 
F0800O   $M3INDIC                      SA: News                                 
                          6,847                          Missing                                 
                             13        -                 Not assessed/no information             
                            139        0                 Not indicated                           
                             25        1                 Indicated                               
 
F0800P   $M3INDIC                      SA: Group Act                            
                          6,847                          Missing                                 
                             12        -                 Not assessed/no information             
                             80        0                 Not indicated                           
                             85        1                 Indicated                               
 
F0800Q   $M3INDIC                      SA: Favorite Act                         
                          6,847                          Missing                                 
                             12        -                 Not assessed/no information             
                             64        0                 Not indicated                           
                            101        1                 Indicated                               
 
F0800R   $M3INDIC                      SA: Time Away Nrs Home                   
                          6,847                          Missing                                 
                             12        -                 Not assessed/no information             
                            153        0                 Not indicated                           
                             12        1                 Indicated                               
 
F0800S   $M3INDIC                      SA: Time Outdoors                        
                          6,847                          Missing                                 
                             13        -                 Not assessed/no information             
                             99        0                 Not indicated                           
                             65        1                 Indicated                               
 
F0800T   $M3INDIC                      SA: Part in Rel Act                      
                          6,847                          Missing                                 
                             12        -                 Not assessed/no information             
                             91        0                 Not indicated                           
                             74        1                 Indicated                               
 
F0800Z   $M3INDIC                      SA: None of Above Act                    
                          6,847                          Missing                                 
                             11        -                 Not assessed/no information             
                            159        0                 Not indicated                           
                              7        1                 Indicated                               
 
G0110A1  $M3ADLCT                      ADL Ass: Bed Mob Self Perf               
                          1,475                          Missing                                 
                              1        -                 Not assessed/no information             
                            285        0                 Independent                             
                            533        1                 Supervision                             
                            770        2                 Limited assistance                      
                          3,534        3                 Extensive assistance                    
                            408        4                 Total dependence                        
                             16        7                 Activity occurred only once or twice    
                              2        8                 Activity did not occur                  
 
G0110A2  $M3ADLSP                      ADL Ass: Bed Mob Supp Prov               
                          2,549                          Missing                                 
                            190        0                 No setup or physical help from staff    
                            232        1                 Setup help only                         
                          2,135        2                 One person physical assist              
                          1,917        3                 Two+ persons physical assist            
                              1        8                 ADL activity did not occur              
 
G0110B1  $M3ADLCT                      ADL Ass: Trans Self Perf                 
                          1,475                          Missing                                 
                              1        -                 Not assessed/no information             
                            224        0                 Independent                             
                            532        1                 Supervision                             
                            865        2                 Limited assistance                      
                          3,147        3                 Extensive assistance                    
                            655        4                 Total dependence                        
                             69        7                 Activity occurred only once or twice    
                             56        8                 Activity did not occur                  
 
G0110B2  $M3ADLSP                      ADL Ass: Trans Self Supp Prov            
                          2,549                          Missing                                 
                            170        0                 No setup or physical help from staff    
                            220        1                 Setup help only                         
                          2,029        2                 One person physical assist              
                          2,009        3                 Two+ persons physical assist            
                             47        8                 ADL activity did not occur              
 
G0110C1  $M3ADLCT                      ADL Ass: Wlk In Room Self Perf           
                          1,653                          Missing                                 
                             30        -                 Not assessed/no information             
                            254        0                 Independent                             
                            641        1                 Supervision                             
                            896        2                 Limited assistance                      
                            890        3                 Extensive assistance                    
                             10        4                 Total dependence                        
                            290        7                 Activity occurred only once or twice    
                          2,360        8                 Activity did not occur                  
 
G0110C2  $M3ADLSP                      ADL Ass: Wlk In Room Supp Prov           
                          2,727                          Missing                                 
                             13        -                 -                                       
                            201        0                 No setup or physical help from staff    
                            314        1                 Setup help only                         
                          1,562        2                 One person physical assist              
                            212        3                 Two+ persons physical assist            
                          1,995        8                 ADL activity did not occur              
 
G0110D1  $M3ADLCT                      ADL Ass: Wlk In Corr Self Perf           
                          1,653                          Missing                                 
                             20        -                 Not assessed/no information             
                            201        0                 Independent                             
                            636        1                 Supervision                             
                            845        2                 Limited assistance                      
                            833        3                 Extensive assistance                    
                              9        4                 Total dependence                        
                            329        7                 Activity occurred only once or twice    
                          2,498        8                 Activity did not occur                  
 
G0110D2  $M3ADLSP                      ADL Ass: Wlk In Corr Self Supp Prov      
                          2,727                          Missing                                 
                              4        -                 -                                       
                            178        0                 No setup or physical help from staff    
                            300        1                 Setup help only                         
                          1,502        2                 One person physical assist              
                            207        3                 Two+ persons physical assist            
                          2,106        8                 ADL activity did not occur              
 
G0110E1  $M3ADLCT                      ADL Ass: Loc On Self Perf                
                          1,653                          Missing                                 
                             19        -                 Not assessed/no information             
                            410        0                 Independent                             
                            864        1                 Supervision                             
                            903        2                 Limited assistance                      
                          2,057        3                 Extensive assistance                    
                            833        4                 Total dependence                        
                             99        7                 Activity occurred only once or twice    
                            186        8                 Activity did not occur                  
 
G0110E2  $M3ADLSP                      ADL Ass: Loc On Supp Prov                
                          2,727                          Missing                                 
                              3        -                 -                                       
                            268        0                 No setup or physical help from staff    
                            456        1                 Setup help only                         
                          3,258        2                 One person physical assist              
                            168        3                 Two+ persons physical assist            
                            144        8                 ADL activity did not occur              
 
G0110F1  $M3ADLCT                      ADL Ass: Loc Off Self Perf               
                          1,653                          Missing                                 
                             21        -                 Not assessed/no information             
                            334        0                 Independent                             
                            753        1                 Supervision                             
                            769        2                 Limited assistance                      
                          1,810        3                 Extensive assistance                    
                            962        4                 Total dependence                        
                            280        7                 Activity occurred only once or twice    
                            442        8                 Activity did not occur                  
 
G0110F2  $M3ADLSP                      ADL Ass: Loc Off Supp Prov               
                          2,727                          Missing                                 
                              4        -                 -                                       
                            231        0                 No setup or physical help from staff    
                            391        1                 Setup help only                         
                          3,179        2                 One person physical assist              
                            130        3                 Two+ persons physical assist            
                            362        8                 ADL activity did not occur              
 
G0110G1  $M3ADLCT                      ADL Ass: Dress Self Perf                 
                          1,653                          Missing                                 
                             19        -                 Not assessed/no information             
                            126        0                 Independent                             
                            383        1                 Supervision                             
                            893        2                 Limited assistance                      
                          3,384        3                 Extensive assistance                    
                            532        4                 Total dependence                        
                             24        7                 Activity occurred only once or twice    
                             10        8                 Activity did not occur                  
 
G0110G2  $M3ADLSP                      ADL Ass: Dress Supp Prov                 
                          2,727                          Missing                                 
                              3        -                 -                                       
                             60        0                 No setup or physical help from staff    
                            164        1                 Setup help only                         
                          3,460        2                 One person physical assist              
                            604        3                 Two+ persons physical assist            
                              6        8                 ADL activity did not occur              
 
G0110H1  $M3ADLCT                      ADL Ass: Eating Self Perf                
                          1,475                          Missing                                 
                              2        -                 Not assessed/no information             
                          1,269        0                 Independent                             
                          2,455        1                 Supervision                             
                            660        2                 Limited assistance                      
                            801        3                 Extensive assistance                    
                            334        4                 Total dependence                        
                             21        7                 Activity occurred only once or twice    
                              7        8                 Activity did not occur                  
 
G0110H2  $M3ADLSP                      ADL Ass: Eating Supp Prov                
                          2,549                          Missing                                 
                              1        -                 -                                       
                            101        0                 No setup or physical help from staff    
                          2,371        1                 Setup help only                         
                          1,979        2                 One person physical assist              
                             18        3                 Two+ persons physical assist            
                              5        8                 ADL activity did not occur              
 
G0110I1  $M3ADLCT                      ADL Ass: Toileting Self Perf             
                          1,475                          Missing                                 
                              1        -                 Not assessed/no information             
                            176        0                 Independent                             
                            438        1                 Supervision                             
                            761        2                 Limited assistance                      
                          3,485        3                 Extensive assistance                    
                            662        4                 Total dependence                        
                             15        7                 Activity occurred only once or twice    
                             11        8                 Activity did not occur                  
 
G0110I2  $M3ADLSP                      ADL Ass: Toileting Supp Prov             
                          2,549                          Missing                                 
                            107        0                 No setup or physical help from staff    
                            171        1                 Setup help only                         
                          2,658        2                 One person physical assist              
                          1,530        3                 Two+ persons physical assist            
                              9        8                 ADL activity did not occur              
 
G0110J1  $M3ADLCT                      ADL Ass: Personal Hygiene Self Perf      
                          1,653                          Missing                                 
                             21        -                 Not assessed/no information             
                            203        0                 Independent                             
                            570        1                 Supervision                             
                          1,016        2                 Limited assistance                      
                          2,987        3                 Extensive assistance                    
                            548        4                 Total dependence                        
                             21        7                 Activity occurred only once or twice    
                              5        8                 Activity did not occur                  
 
G0110J2  $M3ADLSP                      ADL Ass: Personal Hygiene Supp Prov      
                          2,727                          Missing                                 
                              4        -                 -                                       
                             78        0                 No setup or physical help from staff    
                            298        1                 Setup help only                         
                          3,505        2                 One person physical assist              
                            409        3                 Two+ persons physical assist            
                              3        8                 ADL activity did not occur              
 
G0120A   $M3ADLCT                      ADL Ass: Bathing Self Perf               
                          1,653                          Missing                                 
                             25        -                 Not assessed/no information             
                             55        0                 Independent                             
                            180        1                 Supervision                             
                            308        2                 Limited assistance                      
                          2,800        3                 Extensive assistance                    
                          1,763        4                 Total dependence                        
                            240        8                 Activity did not occur                  
 
G0120B   $M3ADLSP                      ADL Ass: Bathing Supp Prov               
                          2,727                          Missing                                 
                             16        -                 -                                       
                             28        0                 No setup or physical help from staff    
                            111        1                 Setup help only                         
                          3,305        2                 One person physical assist              
                            659        3                 Two+ persons physical assist            
                            178        8                 ADL activity did not occur              
 
G0300A   $M3BAL                        Blnce Dur Seated to Standing Pos         
                          2,727                          Missing                                 
                             12        -                 Not assessed/no information             
                            237        0                 Steady at all times                     
                            696        1                 Not steady, but able to stabilize w/o as
                          2,585        2                 Not steady, only able to stabilize w/ as
                            767        8                 Activity did not occur                  
 
G0300B   $M3BAL                        Blnce Dur Wlking                         
                          2,727                          Missing                                 
                             14        -                 Not assessed/no information             
                            230        0                 Steady at all times                     
                            730        1                 Not steady, but able to stabilize w/o as
                          1,569        2                 Not steady, only able to stabilize w/ as
                          1,754        8                 Activity did not occur                  
 
G0300C   $M3BAL                        Blnce When Turning Around                
                          2,727                          Missing                                 
                             40        -                 Not assessed/no information             
                            211        0                 Steady at all times                     
                            661        1                 Not steady, but able to stabilize w/o as
                          1,413        2                 Not steady, only able to stabilize w/ as
                          1,972        8                 Activity did not occur                  
 
G0300D   $M3BAL                        Blnce Moving On and Off Toilet           
                          2,727                          Missing                                 
                             22        -                 Not assessed/no information             
                            230        0                 Steady at all times                     
                            648        1                 Not steady, but able to stabilize w/o as
                          2,519        2                 Not steady, only able to stabilize w/ as
                            878        8                 Activity did not occur                  
 
G0300E   $M3BAL                        Blnce W Surface to Surface Trans         
                          2,727                          Missing                                 
                             11        -                 Not assessed/no information             
                            235        0                 Steady at all times                     
                            665        1                 Not steady, but able to stabilize w/o as
                          3,218        2                 Not steady, only able to stabilize w/ as
                            168        8                 Activity did not occur                  
 
G0400A   $M3RANGE                      Func Lim in ROM: Upper Ext Mtn           
                          2,727                          Missing                                 
                              5        -                 Not assessed/no information             
                          3,332        0                 No impairment                           
                            576        1                 Impairment on one side                  
                            384        2                 Impairment on both sides                
 
G0400B   $M3RANGE                      Func Lim in ROM: Lower Ext Mtn           
                          2,727                          Missing                                 
                              5        -                 Not assessed/no information             
                          2,779        0                 No impairment                           
                            787        1                 Impairment on one side                  
                            726        2                 Impairment on both sides                
 
G0600A   $M3INDIC                      Mob Devices: Cane                        
                          2,727                          Missing                                 
                              3        -                 Not assessed/no information             
                          4,219        0                 Not indicated                           
                             75        1                 Indicated                               
 
G0600B   $M3INDIC                      Mob Devices: Wlker                       
                          2,727                          Missing                                 
                              1        -                 Not assessed/no information             
                          2,261        0                 Not indicated                           
                          2,035        1                 Indicated                               
 
G0600C   $M3INDIC                      Mob Devices: Wheelchair                  
                          2,727                          Missing                                 
                            689        0                 Not indicated                           
                          3,608        1                 Indicated                               
 
G0600D   $M3INDIC                      Mob Devices: Limb Prosthesis             
                          2,727                          Missing                                 
                          4,284        0                 Not indicated                           
                             13        1                 Indicated                               
 
G0600Z   $M3INDIC                      Mob Devices: None of Above               
                          2,727                          Missing                                 
                              1        -                 Not assessed/no information             
                          3,958        0                 Not indicated                           
                            338        1                 Indicated                               
 
G0900A   $M3YNDET                      Func Rehab Pot: Res Increased Ind        
                          6,254                          Missing                                 
                              6        -                 Not assessed/no information             
                             84        0                 No                                      
                            630        1                 Yes                                     
                             50        9                 Unable to determine                     
 
G0900B   $M3YESNO                      Func Rehab Pot: Staff Increased Ind      
                          6,254                          Missing                                 
                              9        -                 Not assessed/no information             
                            101        0                 No                                      
                            660        1                 Yes                                     
 
H0100A   $M3INDIC                      Bldr and Bwl App: Indwelling Cath        
                          1,653                          Missing                                 
                              9        -                 Not assessed/no information             
                          4,989        0                 Not indicated                           
                            373        1                 Indicated                               
 
H0100B   $M3INDIC                      Bldr and Bwl App: Ext Cath               
                          1,653                          Missing                                 
                              8        -                 Not assessed/no information             
                          5,351        0                 Not indicated                           
                             12        1                 Indicated                               
 
H0100C   $M3INDIC                      Bldr and Bwl App: Ostomy                 
                          1,653                          Missing                                 
                              8        -                 Not assessed/no information             
                          5,307        0                 Not indicated                           
                             56        1                 Indicated                               
 
H0100D   $M3INDIC                      Bldr and Bwl App: Imt Cath               
                          1,653                          Missing                                 
                              8        -                 Not assessed/no information             
                          5,326        0                 Not indicated                           
                             37        1                 Indicated                               
 
H0100Z   $M3INDIC                      Bldr and Bwl App: No Urny App            
                          1,653                          Missing                                 
                              9        -                 Not assessed/no information             
                            448        0                 Not indicated                           
                          4,914        1                 Indicated                               
 
H0200A   $M3YNDET                      Urny Toil Prog: Trial Toileting Prog     
                          2,549                          Missing                                 
                              4        -                 Not assessed/no information             
                          3,839        0                 No                                      
                            595        1                 Yes                                     
                             37        9                 Unable to determine                     
 
H0200B   $M3TOILT                      Urny Toil Prog: Resp To Toileting Prog   
                          6,845                          Missing                                 
                             12        -                 Not assessed/no information             
                             85        0                 No improvement                          
                             32        1                 Decreased wetness                       
                             17        2                 Completely dry                          
                             33        9                 Unable to determine                     
 
H0200C   $M3YESNO                      Urny Toil Prog: Cur Toileting Prog       
                          6,388                          Missing                                 
                              5        -                 Not assessed/no information             
                            246        0                 No                                      
                            385        1                 Yes                                     
 
H0300    $M3CONT                       Urny Continence                          
                          1,653                          Missing                                 
                              5        -                 Not assessed/no information             
                          1,407        0                 Always continent                        
                          1,066        1                 Occasionally incontinent                
                          1,358        2                 Frequently incontinent                  
                          1,190        3                 Always incontinent                      
                            345        9                 Not rated                               
 
H0400    $M3CONT                       Bwl Continence                           
                          1,653                          Missing                                 
                              9        -                 Not assessed/no information             
                          2,349        0                 Always continent                        
                            666        1                 Occasionally incontinent                
                          1,023        2                 Frequently incontinent                  
                          1,272        3                 Always incontinent                      
                             52        9                 Not rated                               
 
H0500    $M3YESNO                      Bwl Toileting Prog                       
                          2,549                          Missing                                 
                              2        -                 Not assessed/no information             
                          4,267        0                 No                                      
                            206        1                 Yes                                     
 
H0600    $M3YESNO                      Constipation                             
                          5,578                          Missing                                 
                              1        -                 Not assessed/no information             
                          1,365        0                 No                                      
                             80        1                 Yes                                     
 
I0100    $M3INDIC                      Actv Diag: Cancer                        
                          5,578                          Missing                                 
                          1,372        0                 Not indicated                           
                             74        1                 Indicated                               
 
I0200    $M3INDIC                      Actv Diag: Anemia                        
                          2,727                          Missing                                 
                          3,012        0                 Not indicated                           
                          1,285        1                 Indicated                               
 
I0300    $M3INDIC                      Actv Diag: Dysrhythmia                   
                          5,578                          Missing                                 
                              1        -                 Not assessed/no information             
                          1,094        0                 Not indicated                           
                            351        1                 Indicated                               
 
I0400    $M3INDIC                      Actv Diag: Coronary Artery Dis (CAD)     
                          5,578                          Missing                                 
                              1        -                 Not assessed/no information             
                          1,145        0                 Not indicated                           
                            300        1                 Indicated                               
 
I0500    $M3INDIC                      Actv Diag: Deep Vein Thrombosis (DVT)    
                          5,578                          Missing                                 
                          1,410        0                 Not indicated                           
                             36        1                 Indicated                               
 
I0600    $M3INDIC                      Actv Diag: Heart Failure (CHF)           
                          2,727                          Missing                                 
                          3,289        0                 Not indicated                           
                          1,008        1                 Indicated                               
 
I0700    $M3INDIC                      Actv Diag: Hypertension                  
                          2,727                          Missing                                 
                            968        0                 Not indicated                           
                          3,329        1                 Indicated                               
 
I0800    $M3INDIC                      Actv Diag: Hypotension                   
                          2,727                          Missing                                 
                          4,211        0                 Not indicated                           
                             86        1                 Indicated                               
 
I0900    $M3INDIC                      Actv Diag: (PVD)                         
                          1,653                          Missing                                 
                          4,758        0                 Not indicated                           
                            613        1                 Indicated                               
 
I1100    $M3INDIC                      Actv Diag: Cirrhosis                     
                          5,578                          Missing                                 
                          1,442        0                 Not indicated                           
                              4        1                 Indicated                               
 
I1200    $M3INDIC                      Actv Diag:  (GERD)                       
                          5,578                          Missing                                 
                            948        0                 Not indicated                           
                            498        1                 Indicated                               
 
I1300    $M3INDIC                      Actv Diag: Ulcrative Colitis             
                          5,578                          Missing                                 
                          1,439        0                 Not indicated                           
                              7        1                 Indicated                               
 
I1400    $M3INDIC                      Actv Diag: (BPH)                         
                          5,578                          Missing                                 
                          1,304        0                 Not indicated                           
                            142        1                 Indicated                               
 
I1500    $M3INDIC                      Actv Diag: (ESRD)                        
                          5,578                          Missing                                 
                          1,256        0                 Not indicated                           
                            190        1                 Indicated                               
 
I1550    $M3INDIC                      Actv Diag: Neurogenic Bldr               
                          1,653                          Missing                                 
                          5,244        0                 Not indicated                           
                            127        1                 Indicated                               
 
I1650    $M3INDIC                      Actv Diag: Obstructive Uropathy          
                          1,653                          Missing                                 
                          5,335        0                 Not indicated                           
                             36        1                 Indicated                               
 
I1700    $M3INDIC                      Actv Diag: (MDRO)                        
                          2,727                          Missing                                 
                          4,225        0                 Not indicated                           
                             72        1                 Indicated                               
 
I2000    $M3INDIC                      Actv Diag: Pneumonia                     
                          2,553                          Missing                                 
                              1        -                 Not assessed/no information             
                          4,147        0                 Not indicated                           
                            323        1                 Indicated                               
 
I2100    $M3INDIC                      Actv Diag: Septicemia                    
                          2,553                          Missing                                 
                              1        -                 Not assessed/no information             
                          4,414        0                 Not indicated                           
                             56        1                 Indicated                               
 
I2200    $M3INDIC                      Actv Diag: Tuberculosis                  
                          2,727                          Missing                                 
                              1        -                 Not assessed/no information             
                          4,295        0                 Not indicated                           
                              1        1                 Indicated                               
 
I2300    $M3INDIC                      Actv Diag: Urny Tract Infn (UTI)         
                          1,653                          Missing                                 
                              2        -                 Not assessed/no information             
                          4,868        0                 Not indicated                           
                            501        1                 Indicated                               
 
I2400    $M3INDIC                      Actv Diag: Viral Hepatitis               
                          2,727                          Missing                                 
                              1        -                 Not assessed/no information             
                          4,280        0                 Not indicated                           
                             16        1                 Indicated                               
 
I2500    $M3INDIC                      Wound Infn                               
                          2,727                          Missing                                 
                              1        -                 Not assessed/no information             
                          4,260        0                 Not indicated                           
                             36        1                 Indicated                               
 
I2900    $M3INDIC                      Actv Diag: Diabetes Mellitus (DM)        
                          1,479                          Missing                                 
                              1        -                 Not assessed/no information             
                          3,586        0                 Not indicated                           
                          1,958        1                 Indicated                               
 
I3100    $M3INDIC                      Actv Diag: Hyponatremia                  
                          2,727                          Missing                                 
                              1        -                 Not assessed/no information             
                          4,227        0                 Not indicated                           
                             69        1                 Indicated                               
 
I3200    $M3INDIC                      Actv Diag: Hyperkalemia                  
                          2,727                          Missing                                 
                              1        -                 Not assessed/no information             
                          4,238        0                 Not indicated                           
                             58        1                 Indicated                               
 
I3300    $M3INDIC                      Actv Diag: Hyperlipidemia                
                          2,727                          Missing                                 
                              1        -                 Not assessed/no information             
                          2,407        0                 Not indicated                           
                          1,889        1                 Indicated                               
 
I3400    $M3INDIC                      Actv Diag: Thyroid                       
                          5,578                          Missing                                 
                              1        -                 Not assessed/no information             
                          1,094        0                 Not indicated                           
                            351        1                 Indicated                               
 
I3700    $M3INDIC                      Actv Diag: Arthritis                     
                          5,578                          Missing                                 
                            995        0                 Not indicated                           
                            451        1                 Indicated                               
 
I3800    $M3INDIC                      Actv Diag: Osteoporosis                  
                          5,578                          Missing                                 
                          1,250        0                 Not indicated                           
                            196        1                 Indicated                               
 
I3900    $M3INDIC                      Actv Diag: Hip Fracture                  
                          2,727                          Missing                                 
                          4,114        0                 Not indicated                           
                            183        1                 Indicated                               
 
I4000    $M3INDIC                      Actv Diag: Oth Fracture                  
                          2,727                          Missing                                 
                          4,028        0                 Not indicated                           
                            269        1                 Indicated                               
 
I4200    $M3INDIC                      Actv Diag: Alzheimers Disease            
                          2,727                          Missing                                 
                          3,697        0                 Not indicated                           
                            600        1                 Indicated                               
 
I4300    $M3INDIC                      Actv Diag: Aphasia                       
                          2,727                          Missing                                 
                          4,172        0                 Not indicated                           
                            125        1                 Indicated                               
 
I4400    $M3INDIC                      Actv Diag: Cerebral Palsy                
                          2,553                          Missing                                 
                          4,444        0                 Not indicated                           
                             27        1                 Indicated                               
 
I4500    $M3INDIC                      Actv Diag: (CVA or TIA or Stroke)        
                          2,727                          Missing                                 
                          3,659        0                 Not indicated                           
                            638        1                 Indicated                               
 
I4800    $M3INDIC                      Actv Diag: Dementia                      
                          2,727                          Missing                                 
                          2,635        0                 Not indicated                           
                          1,662        1                 Indicated                               
 
I4900    $M3INDIC                      Actv Diag: Hemiplegia                    
                          2,553                          Missing                                 
                          4,116        0                 Not indicated                           
                            355        1                 Indicated                               
 
I5000    $M3INDIC                      Actv Diag: Paraplegia                    
                          2,727                          Missing                                 
                          4,274        0                 Not indicated                           
                             23        1                 Indicated                               
 
I5100    $M3INDIC                      Actv Diag: Quadriplegia                  
                          2,553                          Missing                                 
                          4,440        0                 Not indicated                           
                             31        1                 Indicated                               
 
I5200    $M3INDIC                      Actv Diag: Multiple Sclerosis            
                          2,553                          Missing                                 
                          4,433        0                 Not indicated                           
                             38        1                 Indicated                               
 
I5250    $M3INDIC                      Actv Diag: Huntingtons                   
                          1,653                          Missing                                 
                          5,367        0                 Not indicated                           
                              4        1                 Indicated                               
 
I5300    $M3INDIC                      Actv Diag: Parkinsons                    
                          2,553                          Missing                                 
                          4,210        0                 Not indicated                           
                            261        1                 Indicated                               
 
I5350    $M3INDIC                      Tourettes                                
                          1,653                          Missing                                 
                          5,371        0                 Not indicated                           
 
I5400    $M3INDIC                      Actv Diag: Seizure                       
                          2,727                          Missing                                 
                          3,912        0                 Not indicated                           
                            385        1                 Indicated                               
 
I5500    $M3INDIC                      Actv Diag: Traumatic Brain Inj (TBI)     
                          2,727                          Missing                                 
                          4,262        0                 Not indicated                           
                             35        1                 Indicated                               
 
I5600    $M3INDIC                      Actv Diag: Malnutrition                  
                          1,653                          Missing                                 
                          5,196        0                 Not indicated                           
                            175        1                 Indicated                               
 
I5700    $M3INDIC                      Actv Diag: Anxiety Disorder              
                          1,653                          Missing                                 
                          4,109        0                 Not indicated                           
                          1,262        1                 Indicated                               
 
I5800    $M3INDIC                      Actv Diag: Depression                    
                          2,727                          Missing                                 
                              2        -                 Not assessed/no information             
                          2,301        0                 Not indicated                           
                          1,994        1                 Indicated                               
 
I5900    $M3INDIC                      Actv Diag: Manic Depression              
                          1,653                          Missing                                 
                          5,202        0                 Not indicated                           
                            169        1                 Indicated                               
 
I5950    $M3INDIC                      Actv Diag: Psychotic                     
                          1,653                          Missing                                 
                              1        -                 Not assessed/no information             
                          5,040        0                 Not indicated                           
                            330        1                 Indicated                               
 
I6000    $M3INDIC                      Actv Diag: Schizophrenia                 
                          1,653                          Missing                                 
                          5,217        0                 Not indicated                           
                            154        1                 Indicated                               
 
I6100    $M3INDIC                      Actv Diag:  (PTSD)                       
                          1,653                          Missing                                 
                          5,365        0                 Not indicated                           
                              6        1                 Indicated                               
 
I6200    $M3INDIC                      Actv Diag: Asth, COPD, Chron Lung Dis    
                          2,553                          Missing                                 
                          3,495        0                 Not indicated                           
                            976        1                 Indicated                               
 
I6300    $M3INDIC                      Actv Diag: Resp Failure                  
                          2,553                          Missing                                 
                          4,306        0                 Not indicated                           
                            165        1                 Indicated                               
 
I6500    $M3INDIC                      Actv Diag: Cataracts, Glauc or Mac Deg   
                          5,578                          Missing                                 
                          1,234        0                 Not indicated                           
                            212        1                 Indicated                               
 
I7900    $M3INDIC                      Actv Diag: No Actv Disease               
                          5,578                          Missing                                 
                          1,432        0                 Not indicated                           
                             14        1                 Indicated                               
 
I8000A                                 Addl Actv Diag: ICD 1                    
                          7,024                          Range of Values                         
 
I8000B                                 Addl Actv Diag: ICD 2                    
                          7,024                          Range of Values                         
 
I8000C                                 Addl Actv Diag: ICD 3                    
                          7,024                          Range of Values                         
 
I8000D                                 Addl Actv Diag: ICD 4                    
                          7,024                          Range of Values                         
 
I8000E                                 Addl Actv Diag: ICD 5                    
                          7,024                          Range of Values                         
 
I8000F                                 Addl Actv Diag: ICD 6                    
                          7,024                          Range of Values                         
 
I8000G                                 Addl Actv Diag: ICD 7                    
                          7,024                          Range of Values                         
 
I8000H                                 Addl Actv Diag: ICD 8                    
                          7,024                          Range of Values                         
 
I8000I                                 Addl Actv Diag: ICD 9                    
                          7,024                          Range of Values                         
 
I8000J                                  Addl Actv Diag: ICD 10                  
                          7,024                          Range of Values                         
 
J0100A   $M3YESNO                      Pain management: Scheduled Pain Med      
                          1,653                          Missing                                 
                              6        -                 Not assessed/no information             
                          3,204        0                 No                                      
                          2,161        1                 Yes                                     
 
J0100B   $M3YESNO                      Pain management: PRN Pain Med            
                          1,653                          Missing                                 
                              8        -                 Not assessed/no information             
                          3,129        0                 No                                      
                          2,234        1                 Yes                                     
 
J0100C   $M3YESNO                      Pain management: Oth Pain Intervention   
                          1,653                          Missing                                 
                             31        -                 Not assessed/no information             
                          4,046        0                 No                                      
                          1,294        1                 Yes                                     
 
J0200    $M3YESNO                      Should Pain Asmt be Cond                 
                          2,104                          Missing                                 
                            100        -                 Not assessed/no information             
                            476        0                 No                                      
                          4,344        1                 Yes                                     
 
J0300    $M3YNANS                      Pain Asmt Int: Pain Pres                 
                          2,580                          Missing                                 
                            143        -                 Not assessed/no information             
                          2,411        0                 No                                      
                          1,678        1                 Yes                                     
                            212        9                 Unable to answer                        
 
J0400    $M31PAIN                      Pain Asmt Int: Pain Freq                 
                          5,203                          Missing                                 
                            146        -                 Not assessed/no information             
                            123        1                 Almost constantly                       
                            463        2                 Frequently                              
                            924        3                 Occasionally                            
                            147        4                 Rarely                                  
                             18        9                 Unable to answer                        
 
J0500A   $M3YNANS                      Pain Asmt Int: Pain Effect Sleep         
                          5,203                          Missing                                 
                            149        -                 Not assessed/no information             
                          1,330        0                 No                                      
                            327        1                 Yes                                     
                             15        9                 Unable to answer                        
 
J0500B   $M3YNANS                      Pain Asmt Int: Pain Effect Act           
                          5,203                          Missing                                 
                            149        -                 Not assessed/no information             
                          1,222        0                 No                                      
                            431        1                 Yes                                     
                             19        9                 Unable to answer                        
 
J0600A                                 Pain Intensity Numeric Rating Scale Num  
                          7,024                          Range of Values                         
 
J0600B   $M32PAIN                      Pain Intensity Verbal Descr Scale Num    
                          6,368                          Missing                                 
                            163        -                 Not assessed/no information             
                            188        1                 Mild                                    
                            239        2                 Moderate                                
                             51        3                 Severe                                  
                              4        4                 Very severe, horrible                   
                             11        9                 Unable to answer                        
 
J0700    $M3YESNO                      Staff Cond Pain Asmt                     
                          5,485                          Missing                                 
                             81        -                 Not assessed/no information             
                          1,419        0                 No                                      
                             39        1                 Yes                                     
 
J0800A   $M3INDIC                      SA for Pain: Nonverbal Sound             
                          6,270                          Missing                                 
                             17        -                 Not assessed/no information             
                            665        0                 Not indicated                           
                             72        1                 Indicated                               
 
J0800B   $M3INDIC                      SA for Pain: Vocal Complaint             
                          6,270                          Missing                                 
                             14        -                 Not assessed/no information             
                            651        0                 Not indicated                           
                             89        1                 Indicated                               
 
J0800C   $M3INDIC                      SA for Pain: Facial Expression           
                          6,270                          Missing                                 
                             14        -                 Not assessed/no information             
                            672        0                 Not indicated                           
                             68        1                 Indicated                               
 
J0800D   $M3INDIC                      SA for Pain: Protective Movement         
                          6,270                          Missing                                 
                             14        -                 Not assessed/no information             
                            715        0                 Not indicated                           
                             25        1                 Indicated                               
 
J0800Z   $M3INDIC                      SA for Pain: None Above Signs of Pain    
                          6,270                          Missing                                 
                             17        -                 Not assessed/no information             
                            163        0                 Not indicated                           
                            574        1                 Indicated                               
 
J0850    $M3PAINI                      SA for Pain: Nonverbal Sound             
                          6,844                          Missing                                 
                             17        -                 Not assessed/no information             
                             84        1                 Indicators of pain 1-2 days             
                             53        2                 Indicators of pain 3-4 days             
                             26        3                 Indicators of pain daily                
 
J1100A   $M3INDIC                      Shortness of Breath W Exertion           
                          1,653                          Missing                                 
                             10        -                 Not assessed/no information             
                          4,766        0                 Not indicated                           
                            595        1                 Indicated                               
 
J1100B   $M3INDIC                      Shortness of Breath When Sitting         
                          1,653                          Missing                                 
                             11        -                 Not assessed/no information             
                          5,112        0                 Not indicated                           
                            248        1                 Indicated                               
 
J1100C   $M3INDIC                      Shortness of Breath When Lying Flat      
                          1,479                          Missing                                 
                             12        -                 Not assessed/no information             
                          5,093        0                 Not indicated                           
                            440        1                 Indicated                               
 
J1100Z   $M3INDIC                      None of Above Shortness of Breath        
                          1,653                          Missing                                 
                             10        -                 Not assessed/no information             
                            806        0                 Not indicated                           
                          4,555        1                 Indicated                               
 
J1300    $M3YESNO                      Tobacco Use                              
                          5,578                          Missing                                 
                          1,403        0                 No                                      
                             43        1                 Yes                                     
 
J1400    $M3YESNO                      Life Prognosis Less Than Six Mons        
                          1,653                          Missing                                 
                              4        -                 Not assessed/no information             
                          5,214        0                 No                                      
                            153        1                 Yes                                     
 
J1550A   $M3INDIC                      Prob Conds: Fever                        
                          1,479                          Missing                                 
                              9        -                 Not assessed/no information             
                          5,458        0                 Not indicated                           
                             78        1                 Indicated                               
 
J1550B   $M3INDIC                      Prob Conds: Vomiting                     
                          1,479                          Missing                                 
                              9        -                 Not assessed/no information             
                          5,454        0                 Not indicated                           
                             82        1                 Indicated                               
 
J1550C   $M3INDIC                      Prob Conds: Dehydration                  
                          1,653                          Missing                                 
                              8        -                 Not assessed/no information             
                          5,339        0                 Not indicated                           
                             24        1                 Indicated                               
 
J1550D   $M3INDIC                      Prob Conds: Internal Bleeding            
                          1,653                          Missing                                 
                              8        -                 Not assessed/no information             
                          5,339        0                 Not indicated                           
                             24        1                 Indicated                               
 
J1550Z   $M3INDIC                      Prob Conds: None of Above                
                          1,653                          Missing                                 
                              8        -                 Not assessed/no information             
                            184        0                 Not indicated                           
                          5,179        1                 Indicated                               
 
J1700A   $M3YNDET                      Fall History on Admsn: Fall 30 Day       
                          5,897                          Missing                                 
                              8        -                 Not assessed/no information             
                            693        0                 No                                      
                            378        1                 Yes                                     
                             48        9                 Unable to determine                     
 
J1700B   $M3YNDET                      Fall History on Admsn: Fall 31-180 Day   
                          5,897                          Missing                                 
                             12        -                 Not assessed/no information             
                            821        0                 No                                      
                            197        1                 Yes                                     
                             97        9                 Unable to determine                     
 
J1700C   $M3YNDET                      Fall History on Admsn: Fall Six Mon      
                          5,897                          Missing                                 
                             11        -                 Not assessed/no information             
                            897        0                 No                                      
                            157        1                 Yes                                     
                             62        9                 Unable to determine                     
 
J1800    $M3YESNO                      Falls Since Admsn or Prior Asmt          
                          1,653                          Missing                                 
                              7        -                 Not assessed/no information             
                          4,652        0                 No                                      
                            712        1                 Yes                                     
 
J1900A   $M3FALLS                      Falls Since Adm/Prior Asmt W No Inj      
                          6,305                          Missing                                 
                              7        -                 Not assessed/no information             
                            142        0                 None                                    
                            403        1                 One                                     
                            167        2                 Two or more                             
 
J1900B   $M3FALLS                      Falls Since Adm/Prior Asmt W Inj Ex Maj  
                          6,305                          Missing                                 
                              7        -                 Not assessed/no information             
                            501        0                 None                                    
                            173        1                 One                                     
                             38        2                 Two or more                             
 
J1900C   $M3FALLS                      Falls Since Adm/Prior Asmt W Maj Inj     
                          6,305                          Missing                                 
                              7        -                 Not assessed/no information             
                            678        0                 None                                    
                             34        1                 One                                     
 
K0100A   $M3INDIC                      Swall Disorder: Loss Mouth Eating        
                          2,727                          Missing                                 
                             11        -                 Not assessed/no information             
                          4,271        0                 Not indicated                           
                             15        1                 Indicated                               
 
K0100B   $M3INDIC                      Swall Disorder: Hold Food Mouth          
                          2,727                          Missing                                 
                             11        -                 Not assessed/no information             
                          4,240        0                 Not indicated                           
                             46        1                 Indicated                               
 
K0100C   $M3INDIC                      Swall Disorder: Choke Drinking Meal      
                          2,727                          Missing                                 
                             11        -                 Not assessed/no information             
                          4,180        0                 Not indicated                           
                            106        1                 Indicated                               
 
K0100D   $M3INDIC                      Swall Disorder: Complaint Swall          
                          2,727                          Missing                                 
                             11        -                 Not assessed/no information             
                          4,210        0                 Not indicated                           
                             76        1                 Indicated                               
 
K0100Z   $M3INDIC                      Swall Disorder: None of Above            
                          2,727                          Missing                                 
                             11        -                 Not assessed/no information             
                            194        0                 Not indicated                           
                          4,092        1                 Indicated                               
 
K0200A                                 Height Num                               
                          7,024                          Range of Values                         
 
K0200B                                 Weight Num                               
                          7,024                          Range of Values                         
 
K0300    $M3WGHT                       Weight Loss                              
                          1,479                          Missing                                 
                             42        -                 Not assessed/no information             
                          5,016        0                 No or unknown                           
                             82        1                 Yes, on physician-prescribed regimen    
                            405        2                 Yes, not on physician-prescribed regimen
 
K0310    $M3WGHT                       Weight Gain                              
                          1,479                          Missing                                 
                             43        -                 Not assessed/no information             
                          5,274        0                 No or unknown                           
                             56        1                 Yes, on physician-prescribed regimen    
                            172        2                 Yes, not on physician-prescribed regimen
 
K0510A1  $M3INDIC                      Nutr App: Prior Par/IV Feeding           
                          6,724                          Missing                                 
                             16        -                 Not assessed/no information             
                            277        0                 Not indicated                           
                              7        1                 Indicated                               
 
K0510A2  $M3INDIC                      Nutr App: Post Par/IV Feeding            
                          1,479                          Missing                                 
                             11        -                 Not assessed/no information             
                          5,492        0                 Not indicated                           
                             42        1                 Indicated                               
 
K0510B1  $M3INDIC                      Nutr App: Prior Feeding Tube             
                          6,724                          Missing                                 
                             15        -                 Not assessed/no information             
                            278        0                 Not indicated                           
                              7        1                 Indicated                               
 
K0510B2  $M3INDIC                      Nutr App: Post Feeding Tube              
                          1,479                          Missing                                 
                             12        -                 Not assessed/no information             
                          5,317        0                 Not indicated                           
                            216        1                 Indicated                               
 
K0510C1  $M3INDIC                      Nutr App: Prior Mech Alt Diet            
                          6,754                          Missing                                 
                             16        -                 Not assessed/no information             
                            207        0                 Not indicated                           
                             47        1                 Indicated                               
 
K0510C2  $M3INDIC                      Nutr App: Post Mech Alt Diet             
                          2,091                          Missing                                 
                              8        -                 Not assessed/no information             
                          3,484        0                 Not indicated                           
                          1,441        1                 Indicated                               
 
K0510D1  $M3INDIC                      Nutr App: Prior Ther Diet                
                          6,754                          Missing                                 
                             16        -                 Not assessed/no information             
                            152        0                 Not indicated                           
                            102        1                 Indicated                               
 
K0510D2  $M3INDIC                      Nutr App: Post Ther Diet                 
                          2,091                          Missing                                 
                              9        -                 Not assessed/no information             
                          2,373        0                 Not indicated                           
                          2,551        1                 Indicated                               
 
K0510Z1  $M3INDIC                      Nutr App: Prior None of Above            
                          6,754                          Missing                                 
                             17        -                 Not assessed/no information             
                            133        0                 Not indicated                           
                            120        1                 Indicated                               
 
K0510Z2  $M3INDIC                      Nutr App: Post None of Above             
                          2,091                          Missing                                 
                              7        -                 Not assessed/no information             
                          3,376        0                 Not indicated                           
                          1,550        1                 Indicated                               
 
K0700A   $M3ARTCL                      Pct Cal Intake Through Par/Tube Feeding  
                          7,024                          Missing                                 
 
K0700B   $M3IVFLU                      Avg Fluid Intake by IV Or Tube Feeding   
                          7,024                          Missing                                 
 
L0200A   $M3INDIC                      Dental Stat: Broken Denture              
                          2,727                          Missing                                 
                             25        -                 Not assessed/no information             
                          4,236        0                 Not indicated                           
                             36        1                 Indicated                               
 
L0200B   $M3INDIC                      Dental Stat: No Teeth                    
                          5,578                          Missing                                 
                              3        -                 Not assessed/no information             
                          1,149        0                 Not indicated                           
                            294        1                 Indicated                               
 
L0200C   $M3INDIC                      Dental Stat: Abnormal Mouth Tiss         
                          5,578                          Missing                                 
                              3        -                 Not assessed/no information             
                          1,442        0                 Not indicated                           
                              1        1                 Indicated                               
 
L0200D   $M3INDIC                      Dental Stat: Cavity                      
                          5,578                          Missing                                 
                              3        -                 Not assessed/no information             
                          1,346        0                 Not indicated                           
                             97        1                 Indicated                               
 
L0200E   $M3INDIC                      Dental Stat: Inflamed Gum                
                          5,578                          Missing                                 
                              3        -                 Not assessed/no information             
                          1,440        0                 Not indicated                           
                              3        1                 Indicated                               
 
L0200F   $M3INDIC                      Dental Stat: Mouth or Facial Pain        
                          2,727                          Missing                                 
                             25        -                 Not assessed/no information             
                          4,234        0                 Not indicated                           
                             38        1                 Indicated                               
 
L0200G   $M3INDIC                      Dental Stat: Unable to Examine           
                          5,578                          Missing                                 
                              2        -                 Not assessed/no information             
                          1,422        0                 Not indicated                           
                             22        1                 Indicated                               
 
L0200Z   $M3INDIC                      Dental Stat: None of Above               
                          5,578                          Missing                                 
                              2        -                 Not assessed/no information             
                            424        0                 Not indicated                           
                          1,020        1                 Indicated                               
 
M0100A   $M3INDIC                      Det of Press Ulcr Risk: Ulcr Visible     
                          1,653                          Missing                                 
                             12        -                 Not assessed/no information             
                          4,783        0                 Not indicated                           
                            576        1                 Indicated                               
 
M0100B   $M3INDIC                      Det of Press Ulcr Risk: Frml Asmt/Instr  
                          2,727                          Missing                                 
                              6        -                 Not assessed/no information             
                            712        0                 Not indicated                           
                          3,579        1                 Indicated                               
 
M0100C   $M3INDIC                      Det of Press Ulcr Risk: Clinical Asmt    
                          2,727                          Missing                                 
                              2        -                 Not assessed/no information             
                            332        0                 Not indicated                           
                          3,963        1                 Indicated                               
 
M0100Z   $M3INDIC                      Det of Press Ulcr Risk: None of Above    
                          2,727                          Missing                                 
                              1        -                 Not assessed/no information             
                          4,198        0                 Not indicated                           
                             98        1                 Indicated                               
 
M0150    $M3YESNO                      Press Ulcr Risk                          
                          2,727                          Missing                                 
                              3        -                 Not assessed/no information             
                            550        0                 No                                      
                          3,744        1                 Yes                                     
 
M0210    $M3YESNO                      One or More S1 or Higher UPU             
                          1,479                          Missing                                 
                              4        -                 Not assessed/no information             
                          4,952        0                 No                                      
                            589        1                 Yes                                     
 
M0300A                                 Stage 1 Press Ulcr Num                   
                          7,024                          Range of Values                         
 
M0300B1                                Stage 2 Press Ulcr Num                   
                          7,024                          Range of Values                         
 
M0300B2                                Stage 2 Press Ulcr Present on Admsn Num  
                          7,024                          Range of Values                         
 
M0300B3  MMDDYYn8                      Date of Oldest Stage 2 Press Ulcr        
                          6,916                       .  Inapplicable                            
                            108        MMDDYYYY          Date as MMDDYYYY                        
 
M0300C1                                Stage 3 Press Ulcr Num                   
                          7,024                          Range of Values                         
 
M0300C2                                Stage 3 Press Ulcr Present on Admsn Num  
                          7,024                          Range of Values                         
 
M0300D1                                Stage 4 Press Ulcr Num                   
                          7,024                          Range of Values                         
 
M0300D2                                Stage 4 Press Ulcr Present on Admsn Num  
                          7,024                          Range of Values                         
 
M0300E1                                UPU Due To Drsng Num                     
                          7,024                          Range of Values                         
 
M0300E2                                UPU Due To Drsng on Admsn Num            
                          7,024                          Range of Values                         
 
M0300F1                                UPU W Slough or Eschar Num               
                          7,024                          Range of Values                         
 
M0300F2                                UPU W Slough or Eschar on Admsn Num      
                          7,024                          Range of Values                         
 
M0300G1                                UPU W Deep Tiss Inj Num                  
                          7,024                          Range of Values                         
 
M0300G2                                UPU W Deep Tiss Inj on Admsn Num         
                          7,024                          Range of Values                         
 
M0610A                                 Unhealed Stage 3-4 Press Ulcr Length Num 
                          7,024                          Range of Values                         
 
M0610B                                 Unhealed Stage 3-4 Press Ulcr Width Num  
                          7,024                          Range of Values                         
 
M0610C                                 Unhealed Stage 3-4 Press Ulcr Depth Num  
                          7,024                          Range of Values                         
 
M0700    $M3TISSU                      Most Severe Press Ulcr Tiss Type         
                          6,576                          Missing                                 
                             14        -                 Not assessed/no information             
                            113        1                 Epithelial tissue                       
                            102        2                 Granulation tissue                      
                             68        3                 Slough                                  
                             51        4                 Necrotic tissue (Eschar)                
                            100        9                 None of the above                       
 
M0800A                                 Wrsng S2 Press Ulcr Since Prior Asmt Num 
                          7,024                          Range of Values                         
 
M0800B                                 Wrsng S3 Press Ulcr Since Prior Asmt Num 
                          7,024                          Range of Values                         
 
M0800C                                 Wrsng S4 Press Ulcr Since Prior Asmt Num 
                          7,024                          Range of Values                         
 
M0900A   $M3YESNO                      Healed Press Ulcr Present on Prior Asmt  
                          2,808                          Missing                                 
                              5        -                 Not assessed/no information             
                          3,914        0                 No                                      
                            297        1                 Yes                                     
 
M0900B                                 Healed Stage 2 Press Ulcr Num            
                          7,024                          Range of Values                         
 
M0900C                                 Healed Stage 3 Press Ulcr Num            
                          7,024                          Range of Values                         
 
M0900D                                 Healed Stage 4 Press Ulcr Num            
                          7,024                          Range of Values                         
 
M1030                                  Venous and Arterial Ulcr Num             
                          7,024                          Range of Values                         
 
M1040A   $M3INDIC                      Oth Foot Skin Probs: Foot Infn           
                          2,553                          Missing                                 
                              8        -                 Not assessed/no information             
                          4,423        0                 Not indicated                           
                             40        1                 Indicated                               
 
M1040B   $M3INDIC                      Oth Foot Skin Probs: Diab Foot Ulcr      
                          2,553                          Missing                                 
                              8        -                 Not assessed/no information             
                          4,435        0                 Not indicated                           
                             28        1                 Indicated                               
 
M1040C   $M3INDIC                      Oth Foot Skin Probs: Oth Open Les Foot   
                          2,553                          Missing                                 
                              8        -                 Not assessed/no information             
                          4,444        0                 Not indicated                           
                             19        1                 Indicated                               
 
M1040D   $M3INDIC                      O/S/P: Oth Than Ulcrs, Rashes, Cuts      
                          2,553                          Missing                                 
                              8        -                 Not assessed/no information             
                          4,396        0                 Not indicated                           
                             67        1                 Indicated                               
 
M1040E   $M3INDIC                      O/S/P: Surgical Wound(s)                 
                          2,553                          Missing                                 
                              8        -                 Not assessed/no information             
                          3,996        0                 Not indicated                           
                            467        1                 Indicated                               
 
M1040F   $M3INDIC                      O/S/P: Burn(s)                           
                          2,553                          Missing                                 
                              8        -                 Not assessed/no information             
                          4,459        0                 Not indicated                           
                              4        1                 Indicated                               
 
M1040G   $M3INDIC                      O/S/P: Skin Tear(s)                      
                          2,553                          Missing                                 
                              8        -                 Not assessed/no information             
                          4,202        0                 Not indicated                           
                            261        1                 Indicated                               
 
M1040H   $M3INDIC                      O/S/P: Moisture Assoc Skin Dmge          
                          2,553                          Missing                                 
                              8        -                 Not assessed/no information             
                          4,066        0                 Not indicated                           
                            397        1                 Indicated                               
 
M1040Z   $M3INDIC                      O/S/P: None of Above                     
                          2,553                          Missing                                 
                              8        -                 Not assessed/no information             
                          1,151        0                 Not indicated                           
                          3,312        1                 Indicated                               
 
M1200A   $M3INDIC                      S/U Trtmts: Press Reducng Device in Chr  
                          2,553                          Missing                                 
                              9        -                 Not assessed/no information             
                          1,652        0                 Not indicated                           
                          2,810        1                 Indicated                               
 
M1200B   $M3INDIC                      S/U Trtmts: Press Reducng Device in Bed  
                          2,553                          Missing                                 
                            773        0                 Not indicated                           
                          3,698        1                 Indicated                               
 
M1200C   $M3INDIC                      S/U Trtmts: Turning/RePosing Prog        
                          2,553                          Missing                                 
                          3,302        0                 Not indicated                           
                          1,169        1                 Indicated                               
 
M1200D   $M3INDIC                      S/U Trtmts: Nutrition/Hydration          
                          2,553                          Missing                                 
                              5        -                 Not assessed/no information             
                          3,726        0                 Not indicated                           
                            740        1                 Indicated                               
 
M1200E   $M3INDIC                      S/U Trtmts: Ulcr Care                    
                          2,553                          Missing                                 
                          4,025        0                 Not indicated                           
                            446        1                 Indicated                               
 
M1200F   $M3INDIC                      S/U Trtmts: Surgical Wound Care          
                          2,553                          Missing                                 
                          4,059        0                 Not indicated                           
                            412        1                 Indicated                               
 
M1200G   $M3INDIC                      S/U Trtmts: App Nonsurgical Drsng        
                          2,553                          Missing                                 
                              1        -                 Not assessed/no information             
                          3,769        0                 Not indicated                           
                            701        1                 Indicated                               
 
M1200H   $M3INDIC                      S/U Trtmts: App Ointments/Meds           
                          2,553                          Missing                                 
                          2,312        0                 Not indicated                           
                          2,159        1                 Indicated                               
 
M1200I   $M3INDIC                      S/U Trtmts: App Drsngs to Foot           
                          2,553                          Missing                                 
                              1        -                 Not assessed/no information             
                          4,270        0                 Not indicated                           
                            200        1                 Indicated                               
 
M1200Z   $M3INDIC                      S/U Trtmts: None of Above                
                          2,553                          Missing                                 
                          4,165        0                 Not indicated                           
                            306        1                 Indicated                               
 
N0300                                  Num of Days Injections of Any Type       
                          7,024                          Range of Values                         
 
N0350A                                 Num of Days Insulin Injections           
                          7,024                          Range of Values                         
 
N0350B                                 Num of Days Insulin Orders Changed       
                          7,024                          Range of Values                         
 
N0400Z   $M3INDIC                      Meds Rcd: None of Above                  
                          7,023                          Missing                                 
                              1        0                 Not indicated                           
 
N0410A                                 Meds Rcd: Antipsychotic Num Days         
                          7,024                          Range of Values                         
 
N0410B                                 Meds Rcd: Antianxiety Num Days           
                          7,024                          Range of Values                         
 
N0410C                                 Meds Rcd: Antidepressant Num Days        
                          7,024                          Range of Values                         
 
N0410D                                 Meds Rcd: Hypnotic Num Days              
                          7,024                          Range of Values                         
 
N0410E                                 Meds Rcd: Anticoagulant Num Days         
                          7,024                          Range of Values                         
 
N0410F                                 Meds Rcd: Antibiotic Num Days            
                          7,024                          Range of Values                         
 
N0410G                                 Meds Rcd: Diuretic Num Days              
                          7,024                          Range of Values                         
 
O0100A1  $M3INDIC                      Spcl T/P: ChemOthapy Pre-admit           
                          5,652                          Missing                                 
                             20        -                 Not assessed/no information             
                          1,348        0                 Not indicated                           
                              4        1                 Indicated                               
 
O0100A2  $M3INDIC                      Spcl T/P: ChemOthapy Post-admit          
                          2,553                          Missing                                 
                              8        -                 Not assessed/no information             
                          4,446        0                 Not indicated                           
                             17        1                 Indicated                               
 
O0100B1  $M3INDIC                      Spcl T/P: Radiation Pre-admit            
                          5,652                          Missing                                 
                             21        -                 Not assessed/no information             
                          1,349        0                 Not indicated                           
                              2        1                 Indicated                               
 
O0100B2  $M3INDIC                      Spcl T/P: Radiation Post-admit           
                          2,553                          Missing                                 
                              8        -                 Not assessed/no information             
                          4,457        0                 Not indicated                           
                              6        1                 Indicated                               
 
O0100C1  $M3INDIC                      Spcl T/P: Oxygen Pre-admit               
                          5,652                          Missing                                 
                             28        -                 Not assessed/no information             
                            979        0                 Not indicated                           
                            365        1                 Indicated                               
 
O0100C2  $M3INDIC                      Spcl T/P: Oxygen Post-admit              
                          2,553                          Missing                                 
                              9        -                 Not assessed/no information             
                          3,609        0                 Not indicated                           
                            853        1                 Indicated                               
 
O0100D1  $M3INDIC                      Spcl T/P: Suctioning Pre-admit           
                          5,652                          Missing                                 
                             23        -                 Not assessed/no information             
                          1,333        0                 Not indicated                           
                             16        1                 Indicated                               
 
O0100D2  $M3INDIC                      Spcl T/P: Suctioning Post-admit          
                          2,727                          Missing                                 
                              9        -                 Not assessed/no information             
                          4,219        0                 Not indicated                           
                             69        1                 Indicated                               
 
O0100E1  $M3INDIC                      Spcl T/P: Tracheostomy Pre-admit         
                          5,652                          Missing                                 
                             19        -                 Not assessed/no information             
                          1,335        0                 Not indicated                           
                             18        1                 Indicated                               
 
O0100E2  $M3INDIC                      Spcl T/P: Tracheostomy Post-admit        
                          2,549                          Missing                                 
                              9        -                 Not assessed/no information             
                          4,404        0                 Not indicated                           
                             62        1                 Indicated                               
 
O0100F1  $M3INDIC                      Spcl T/P: Ventilator Pre-admit           
                          5,652                          Missing                                 
                             21        -                 Not assessed/no information             
                          1,332        0                 Not indicated                           
                             19        1                 Indicated                               
 
O0100F2  $M3INDIC                      Spcl T/P: Ventilator Post-admit          
                          2,549                          Missing                                 
                              9        -                 Not assessed/no information             
                          4,433        0                 Not indicated                           
                             33        1                 Indicated                               
 
O0100G1  $M3INDIC                      Spcl T/P: Cont Pos Arwy Press Pre-A      
                          6,189                          Missing                                 
                             12        -                 Not assessed/no information             
                            798        0                 Not indicated                           
                             25        1                 Indicated                               
 
O0100G2  $M3INDIC                      Spcl T/P: Cont Pos Arwy Press Post-A     
                          5,578                          Missing                                 
                          1,412        0                 Not indicated                           
                             34        1                 Indicated                               
 
O0100H1  $M3INDIC                      Spcl T/P: Intravenous Med Pre-admit      
                          5,652                          Missing                                 
                             28        -                 Not assessed/no information             
                            798        0                 Not indicated                           
                            546        1                 Indicated                               
 
O0100H2  $M3INDIC                      Spcl T/P: Intravenous Med Post-admit     
                          2,553                          Missing                                 
                             10        -                 Not assessed/no information             
                          4,297        0                 Not indicated                           
                            164        1                 Indicated                               
 
O0100I1  $M3INDIC                      Spcl T/P: Transfusion Pre-admit          
                          5,652                          Missing                                 
                             25        -                 Not assessed/no information             
                          1,311        0                 Not indicated                           
                             36        1                 Indicated                               
 
O0100I2  $M3INDIC                      Spcl T/P: Transfusion Post-admit         
                          2,553                          Missing                                 
                             10        -                 Not assessed/no information             
                          4,451        0                 Not indicated                           
                             10        1                 Indicated                               
 
O0100J1  $M3INDIC                      Spcl T/P: Dialysis Pre-admit             
                          5,652                          Missing                                 
                             20        -                 Not assessed/no information             
                          1,325        0                 Not indicated                           
                             27        1                 Indicated                               
 
O0100J2  $M3INDIC                      Spcl T/P: Dialysis Post-admit            
                          2,553                          Missing                                 
                              9        -                 Not assessed/no information             
                          4,380        0                 Not indicated                           
                             82        1                 Indicated                               
 
O0100K1  $M3INDIC                      Spcl T/P: Hospice Pre-admit              
                          6,189                          Missing                                 
                             11        -                 Not assessed/no information             
                            810        0                 Not indicated                           
                             14        1                 Indicated                               
 
O0100K2  $M3INDIC                      Spcl T/P: Hospice Post-admit             
                          1,653                          Missing                                 
                             13        -                 Not assessed/no information             
                          5,146        0                 Not indicated                           
                            212        1                 Indicated                               
 
O0100L2  $M3INDIC                      Spcl T/P: Respite Post-admit             
                          5,578                          Missing                                 
                          1,441        0                 Not indicated                           
                              5        1                 Indicated                               
 
O0100M1  $M3INDIC                      Spcl T/P: Isolation Pre-admit            
                          6,189                          Missing                                 
                             11        -                 Not assessed/no information             
                            815        0                 Not indicated                           
                              9        1                 Indicated                               
 
O0100M2  $M3INDIC                      Spcl T/P: Isolation Post-admit           
                          2,549                          Missing                                 
                             10        -                 Not assessed/no information             
                          4,421        0                 Not indicated                           
                             44        1                 Indicated                               
 
O0100Z1  $M3INDIC                      Spcl T/P: None Above Pre-A Trtmt Prior   
                          6,189                          Missing                                 
                             16        -                 Not assessed/no information             
                            459        0                 Not indicated                           
                            360        1                 Indicated                               
 
O0100Z2  $M3INDIC                      Spcl T/P: None Above Trtmt Post-admit    
                          5,578                          Missing                                 
                            453        0                 Not indicated                           
                            993        1                 Indicated                               
 
O0250A   $M3YESNO                      Influenza Rcd                            
                          1,653                          Missing                                 
                             99        -                 Not assessed/no information             
                          3,056        0                 No                                      
                          2,216        1                 Yes                                     
 
O0250B   MMDDYYn8                      Influenza Rcd Date                       
                          4,831                       .  Inapplicable                            
                          2,193        MMDDYYYY          Date as MMDDYYYY                        
 
O0250C   $M3FLRSN                      Rsn Influenza Not Rcd                    
                          3,869                          Missing                                 
                            138        -                 Not assessed/no information             
                            533        1                 Resident not in facility                
                          1,377        2                 Received outside the facility           
                             38        3                 Not eligible                            
                            715        4                 Offered and declined                    
                            163        5                 Not offered                             
                              9        6                 Inability to obtain vaccine             
                            182        9                 None of the above                       
 
O0300A   $M3YESNO                      Pneumococcal Vaccination                 
                          1,653                          Missing                                 
                            130        -                 Not assessed/no information             
                          1,392        0                 No                                      
                          3,849        1                 Yes                                     
 
O0300B   $M3PNRSN                      Rsn Pneumococcal Vaccination Not Rcd     
                          5,502                          Missing                                 
                            255        -                 Not assessed/no information             
                             57        1                 Not eligible                            
                            996        2                 Offered and declined                    
                            214        3                 Not offered                             
 
O0400A1                                Speech Ther/Aud Individual Minutes Num   
                          7,024                          Range of Values                         
 
O0400A2                                Speech Ther/Aud ConCur Minutes Num       
                          7,024                          Range of Values                         
 
O0400A3                                Speech Ther/Aud Group Minutes Num        
                          7,024                          Range of Values                         
 
O0400A4                                Num of Days Speech Ther/Aud Admin        
                          7,024                          Range of Values                         
 
O0400A5  MMDDYYn8                      Speech Ther/Audiology Start Date         
                          5,106                       .  Inapplicable                            
                          1,918        MMDDYYYY          Date as MMDDYYYY                        
 
O0400A6  MMDDYYn8                      Speech Ther/Audiology End Date           
                          6,067                       .  Inapplicable                            
                            957        MMDDYYYY          Date as MMDDYYYY                        
 
O0400B1                                Occupational Ther Individual Minutes Num 
                          7,024                          Range of Values                         
 
O0400B2                                Occupational Ther ConCur Minutes Num     
                          7,024                          Range of Values                         
 
O0400B3                                Occupational Ther Group Minutes Num      
                          7,024                          Range of Values                         
 
O0400B4                                Num of Days Occ Ther Administered        
                          7,024                          Range of Values                         
 
O0400B5  MMDDYYn8                      Occupational Ther Start Date             
                          3,248                       .  Inapplicable                            
                          3,776        MMDDYYYY          Date as MMDDYYYY                        
 
O0400B6  MMDDYYn8                      Occupational Ther End Date               
                          5,462                       .  Inapplicable                            
                          1,562        MMDDYYYY          Date as MMDDYYYY                        
 
O0400C1                                Phys Ther Individual Minutes Num         
                          7,024                          Range of Values                         
 
O0400C2                                Phys Ther ConCur Minutes Num             
                          7,024                          Range of Values                         
 
O0400C3                                Phys Ther Group Minutes Num              
                          7,024                          Range of Values                         
 
O0400C4                                Num of Days Phys Ther Administered       
                          7,024                          Range of Values                         
 
O0400C5  MMDDYYn8                      Phys Ther Start Date                     
                          3,124                       .  Inapplicable                            
                          3,900        MMDDYYYY          Date as MMDDYYYY                        
 
O0400C6  MMDDYYn8                      Phys Ther End Date                       
                          5,442                       .  Inapplicable                            
                          1,582        MMDDYYYY          Date as MMDDYYYY                        
 
O0400D1                                Resp Ther Minutes Num                    
                          7,024                          Range of Values                         
 
O0400D2                                Num of Days Resp Ther Administered       
                          7,024                          Range of Values                         
 
O0400E1                                Psych Ther Minutes Num                   
                          7,024                          Range of Values                         
 
O0400E2                                Num of Days Psych Ther Administered      
                          7,024                          Range of Values                         
 
O0400F1                                Rec Ther Minutes Num                     
                          7,024                          Range of Values                         
 
O0400F2                                Num of Days Rec Ther Administered        
                          7,024                          Range of Values                         
 
O0450A   $M3YESNO                      Has Ther Resumed                         
                          6,986                          Missing                                 
                              1        -                 Not assessed/no information             
                             34        0                 No                                      
                              3        1                 Yes                                     
 
O0450B   MMDDYYn8                      Date Ther Resumed                        
                          7,021                       .  Inapplicable                            
                              3        MMDDYYYY          Date as MMDDYYYY                        
 
O0500A                                 Rest Nrs: Passive Range of Mtn Num       
                          7,024                          Range of Values                         
 
O0500B                                 Rest Nrs: Actv Range of Mtn Num          
                          7,024                          Range of Values                         
 
O0500C                                 Rest Nrs: Splint/Brace Ass Num           
                          7,024                          Range of Values                         
 
O0500D                                 Rest Nrs: Bed Mob Training Num           
                          7,024                          Range of Values                         
 
O0500E                                 Rest Nrs: Trans Training Num             
                          7,024                          Range of Values                         
 
O0500F                                 Rest Nrs: Wlking Training Num            
                          7,024                          Range of Values                         
 
O0500G                                 Rest Nrs: Drsng/Grooming Training Num    
                          7,024                          Range of Values                         
 
O0500H                                 Rest Nrs: Eating/Swall Training Num      
                          7,024                          Range of Values                         
 
O0500I                                 Rest Nrs: Amp/Prosthes Care Training Num 
                          7,024                          Range of Values                         
 
O0500J                                 Rest Nrs: Communication Training Num     
                          7,024                          Range of Values                         
 
O0600                                  Physician Exam Day Num                   
                          7,024                          Range of Values                         
 
O0700                                  Physician Order Day Num                  
                          7,024                          Range of Values                         
 
P0100A   $M3USED                       Phys Rstrnts in Bed: Bed Rail            
                          1,653                          Missing                                 
                              2        -                 Not assessed/no information             
                          5,335        0                 Not used                                
                              1        1                 Used less than daily                    
                             33        2                 Used daily                              
 
P0100B   $M3USED                       Phys Rstrnts in Bed: Trunk Rstrnt Bed    
                          1,653                          Missing                                 
                              2        -                 Not assessed/no information             
                          5,368        0                 Not used                                
                              1        1                 Used less than daily                    
 
P0100C   $M3USED                       Phys Rstrnts in Bed: Limb Rstrnt Bed     
                          1,653                          Missing                                 
                              2        -                 Not assessed/no information             
                          5,363        0                 Not used                                
                              6        2                 Used daily                              
 
P0100D   $M3USED                       Phys Rstrnts in Bed: Oth Rstrnt Bed      
                          1,653                          Missing                                 
                              5        -                 Not assessed/no information             
                          5,361        0                 Not used                                
                              5        2                 Used daily                              
 
P0100E   $M3USED                       Phys Rstrnts Chair: Trunk Rstrnt Chair   
                          1,653                          Missing                                 
                              2        -                 Not assessed/no information             
                          5,356        0                 Not used                                
                              1        1                 Used less than daily                    
                             12        2                 Used daily                              
 
P0100F   $M3USED                       Phys Rstrnts Chair: Limb Rstrnt Chair    
                          1,653                          Missing                                 
                              2        -                 Not assessed/no information             
                          5,369        0                 Not used                                
 
P0100G   $M3USED                       Phys Rstrnts Chair: Chair Prevent Rise   
                          1,653                          Missing                                 
                              2        -                 Not assessed/no information             
                          5,356        0                 Not used                                
                              2        1                 Used less than daily                    
                             11        2                 Used daily                              
 
P0100H   $M3USED                       Phys Rstrnts Chair: Oth Rstrnt Chair     
                          1,653                          Missing                                 
                              4        -                 Not assessed/no information             
                          5,347        0                 Not used                                
                              8        1                 Used less than daily                    
                             12        2                 Used daily                              
 
Q0100A   $M3YESNO                      Res Part in Asmt                         
                          2,549                          Missing                                 
                             21        -                 Not assessed/no information             
                            636        0                 No                                      
                          3,818        1                 Yes                                     
 
Q0100B   $M3FAMPR                      Fam Part in Asmt                         
                          2,549                          Missing                                 
                             19        -                 Not assessed/no information             
                          2,952        0                 No                                      
                          1,489        1                 Yes                                     
                             15        9                 No family or significant other available
 
Q0100C   $M3GUAPR                      Guardian Part in Asmt                    
                          2,549                          Missing                                 
                             25        -                 Not assessed/no information             
                          3,289        0                 No                                      
                            365        1                 Yes                                     
                            796        9                 No guardian or legally auth rep availabl
 
Q0300A   $M3OGOAL                      Res Overall Goal                         
                          5,919                          Missing                                 
                             19        -                 -                                       
                            714        1                 Discharged to the community             
                            283        2                 Remain in this facility                 
                             32        3                 Discharged to another facility          
                             57        9                 Unknown or uncertain                    
 
Q0300B   $M3SOURC                      Overall Goal Source                      
                          5,919                          Missing                                 
                             22        -                 -                                       
                            809        1                 Resident                                
                            231        2                 Family or sig other                     
                             29        3                 Guardian or legally auth rep            
                             14        9                 9                                       
 
Q0400A   $M3YESNO                      Dis Plan                                 
                          1,653                          Missing                                 
                             42        -                 Not assessed/no information             
                          3,334        0                 No                                      
                          1,995        1                 Yes                                     
 
Q0400B   $M3DCHRG                      Dis Det                                  
                          7,024                          Missing                                 
 
Q0490    $M3NOINF                      Ress Pref Answering Q0500B               
                          4,856                          Missing                                 
                             34        -                 Not assessed/no information             
                          1,014        0                 No                                      
                          1,058        1                 Yes                                     
                             62        8                 Information not available               
 
Q0500B   $M3WNTLK                      Staff Asked Res or Fam Abt Rtn To Comm   
                          5,071                          Missing                                 
                             64        -                 -                                       
                          1,719        0                 No                                      
                             72        1                 Yes                                     
                             98        9                 Unknown or uncertain                    
 
Q0550A   $M3NOINF                      Pref In Answering Q0550B                 
                          5,071                          Missing                                 
                             64        -                 Not assessed/no information             
                          1,565        0                 No                                      
                            234        1                 Yes                                     
                             90        8                 Information not available               
 
Q0550B   $M3SOURC                      Source Answering Q0550A                  
                          5,071                          Missing                                 
                             57        -                 -                                       
                            992        1                 Resident                                
                            729        2                 Family or sig other                     
                             94        3                 Guardian or legally auth rep            
                             81        8                 No information source available         
 
Q0600    $M3REFER                      Local Contact Agency Referral            
                          1,653                          Missing                                 
                             47        -                 -                                       
                          4,868        0                 No - referral not needed                
                            209        1                 No - referral may be needed             
                            247        2                 Yes                                     
 
V0100A   $M3CASS                       Prior Asmt Federal OBRA Rsn for Asmt     
                          6,479                                                                  
                              7        01                5 day sched assessment                  
                            448        02                14 day sched assessment                 
                             22        03                30 day sched assessment                 
                             14        04                60 day sched assessment                 
                             54        99                None of above                           
 
V0100B   $M3CASS                       Prior Asmt PPS Rsn for Asmt              
                          6,480                                                                  
                             23        01                5 day sched assessment                  
                             12        02                14 day sched assessment                 
                             17        03                30 day sched assessment                 
                              4        04                60 day sched assessment                 
                              3        05                90 day sched assessment                 
                            485        99                None of above                           
 
V0100C   MMDDYYn8                      Prior Asmt Ref Date                      
                          6,480                       .  Inapplicable                            
                            544        MMDDYYYY          Date as MMDDYYYY                        
 
V0100D                                 Prior Asmt (BIMS) Summary Score Num      
                          7,024                          Range of Values                         
 
V0100E                                 Prior Asmt  (PHQ-9) Tot Svrty Score Num  
                          7,024                          Range of Values                         
 
V0100F                                 Prior Asmt  (PHQ-9) Tot Svrty Score Num  
                          7,024                          Range of Values                         
 
V200A01A $M3INDIC                      Dlrm Care Area Trigger                   
                          5,660                          Missing                                 
                          1,222        0                 Not indicated                           
                            142        1                 Indicated                               
 
V200A01B $M3INDIC                      Dlrm Adrsd in Care Plan                  
                          5,660                          Missing                                 
                            504        -                 Not assessed/no information             
                            786        0                 Not indicated                           
                             74        1                 Indicated                               
 
V200A02A $M3INDIC                      Dementia Care Area Trigger               
                          5,660                          Missing                                 
                            527        0                 Not indicated                           
                            837        1                 Indicated                               
 
V200A02B $M3INDIC                      Dementia Adrsd in Care Plan              
                          5,660                          Missing                                 
                            232        -                 Not assessed/no information             
                            378        0                 Not indicated                           
                            754        1                 Indicated                               
 
V200A03A $M3INDIC                      Visual Func Care Area Trigger            
                          5,660                          Missing                                 
                            895        0                 Not indicated                           
                            469        1                 Indicated                               
 
V200A03B $M3INDIC                      Visual Func Adrsd in Care Plan           
                          5,660                          Missing                                 
                            373        -                 Not assessed/no information             
                            588        0                 Not indicated                           
                            403        1                 Indicated                               
 
V200A04A $M3INDIC                      Communication Care Area Trigger          
                          5,660                          Missing                                 
                            719        0                 Not indicated                           
                            645        1                 Indicated                               
 
V200A04B $M3INDIC                      Communication Adrsd in Care Plan         
                          5,660                          Missing                                 
                            315        -                 Not assessed/no information             
                            481        0                 Not indicated                           
                            568        1                 Indicated                               
 
V200A05A $M3INDIC                      ADL Care Area Trigger                    
                          5,660                          Missing                                 
                            322        0                 Not indicated                           
                          1,042        1                 Indicated                               
 
V200A05B $M3INDIC                      ADL Adrsd in Care Plan                   
                          5,660                          Missing                                 
                            119        -                 Not assessed/no information             
                            184        0                 Not indicated                           
                          1,061        1                 Indicated                               
 
V200A06A $M3INDIC                      Urny Care Area Trigger                   
                          5,660                          Missing                                 
                             63        0                 Not indicated                           
                          1,301        1                 Indicated                               
 
V200A06B $M3INDIC                      Urny Adrsd in Care Plan                  
                          5,660                          Missing                                 
                             39        -                 Not assessed/no information             
                            188        0                 Not indicated                           
                          1,137        1                 Indicated                               
 
V200A07A $M3INDIC                      Psychosocial Care Area Trigger           
                          5,660                          Missing                                 
                          1,077        0                 Not indicated                           
                            287        1                 Indicated                               
 
V200A07B $M3INDIC                      Psychosocial Adrsd in Care Plan          
                          5,660                          Missing                                 
                            453        -                 Not assessed/no information             
                            656        0                 Not indicated                           
                            255        1                 Indicated                               
 
V200A08A $M3INDIC                      Mood Care Area Trigger                   
                          5,660                          Missing                                 
                          1,175        0                 Not indicated                           
                            189        1                 Indicated                               
 
V200A08B $M3INDIC                      Mood Adrsd in Care Plan                  
                          5,660                          Missing                                 
                            476        -                 Not assessed/no information             
                            715        0                 Not indicated                           
                            173        1                 Indicated                               
 
V200A09A $M3INDIC                      Bhvral Care Area Trigger                 
                          5,660                          Missing                                 
                          1,178        0                 Not indicated                           
                            186        1                 Indicated                               
 
V200A09B $M3INDIC                      Bhvral Adrsd in Care Plan                
                          5,660                          Missing                                 
                            486        -                 Not assessed/no information             
                            709        0                 Not indicated                           
                            169        1                 Indicated                               
 
V200A10A $M3INDIC                      Act Care Area Trigger                    
                          5,660                          Missing                                 
                          1,126        0                 Not indicated                           
                            238        1                 Indicated                               
 
V200A10B $M3INDIC                      Act Adrsd in Care Plan                   
                          5,660                          Missing                                 
                            462        -                 Not assessed/no information             
                            653        0                 Not indicated                           
                            249        1                 Indicated                               
 
V200A11A $M3INDIC                      Fall Care Area Trigger                   
                          5,660                          Missing                                 
                             32        0                 Not indicated                           
                          1,332        1                 Indicated                               
 
V200A11B $M3INDIC                      Fall Adrsd in Care Plan                  
                          5,660                          Missing                                 
                             23        -                 Not assessed/no information             
                             72        0                 Not indicated                           
                          1,269        1                 Indicated                               
 
V200A12A $M3INDIC                      Nutr Care Area Trigger                   
                          5,660                          Missing                                 
                            153        0                 Not indicated                           
                          1,211        1                 Indicated                               
 
V200A12B $M3INDIC                      Nutr Adrsd in Care Plan                  
                          5,660                          Missing                                 
                             60        -                 Not assessed/no information             
                            182        0                 Not indicated                           
                          1,122        1                 Indicated                               
 
V200A13A $M3INDIC                      Feeding Tube Care Area Trigger           
                          5,660                          Missing                                 
                          1,314        0                 Not indicated                           
                             50        1                 Indicated                               
 
V200A13B $M3INDIC                      Feeding Tube Adrsd in Care Plan          
                          5,660                          Missing                                 
                            530        -                 Not assessed/no information             
                            784        0                 Not indicated                           
                             50        1                 Indicated                               
 
V200A14A $M3INDIC                      Dehydration Care Area Trigger            
                          5,660                          Missing                                 
                            961        0                 Not indicated                           
                            403        1                 Indicated                               
 
V200A14B $M3INDIC                      Dehydration Adrsd in Care Plan           
                          5,660                          Missing                                 
                            384        -                 Not assessed/no information             
                            647        0                 Not indicated                           
                            333        1                 Indicated                               
 
V200A15A $M3INDIC                      Dental Care Area Trigger                 
                          5,660                          Missing                                 
                            985        0                 Not indicated                           
                            379        1                 Indicated                               
 
V200A15B $M3INDIC                      Dental Adrsd in Care Plan                
                          5,660                          Missing                                 
                            400        -                 Not assessed/no information             
                            658        0                 Not indicated                           
                            306        1                 Indicated                               
 
V200A16A $M3INDIC                      Press Ulcr Care Area Trigger             
                          5,660                          Missing                                 
                             24        0                 Not indicated                           
                          1,340        1                 Indicated                               
 
V200A16B $M3INDIC                      Press Ulcr Adrsd in Care Plan            
                          5,660                          Missing                                 
                             28        -                 Not assessed/no information             
                             84        0                 Not indicated                           
                          1,252        1                 Indicated                               
 
V200A17A $M3INDIC                      Psychotropic Drug Care Area Trigger      
                          5,660                          Missing                                 
                            577        0                 Not indicated                           
                            787        1                 Indicated                               
 
V200A17B $M3INDIC                      Psychotropic Drug Adrsd in Care Plan     
                          5,660                          Missing                                 
                            248        -                 Not assessed/no information             
                            376        0                 Not indicated                           
                            740        1                 Indicated                               
 
V200A18A $M3INDIC                      Rstrnt Care Area Trigger                 
                          5,660                          Missing                                 
                          1,346        0                 Not indicated                           
                             18        1                 Indicated                               
 
V200A18B $M3INDIC                      Rstrnt Adrsd in Care Plan                
                          5,660                          Missing                                 
                            545        -                 Not assessed/no information             
                            802        0                 Not indicated                           
                             17        1                 Indicated                               
 
V200A19A $M3INDIC                      Pain Care Area Trigger                   
                          5,660                          Missing                                 
                          1,005        0                 Not indicated                           
                            359        1                 Indicated                               
 
V200A19B $M3INDIC                      Pain Adrsd in Care Plan                  
                          5,660                          Missing                                 
                            400        -                 Not assessed/no information             
                            588        0                 Not indicated                           
                            376        1                 Indicated                               
 
V200A20A $M3INDIC                      Rtn to Comm Care Area Trigger            
                          5,660                          Missing                                 
                          1,287        0                 Not indicated                           
                             77        1                 Indicated                               
 
V200A20B $M3INDIC                      Rtn to Comm Adrsd in Care Plan           
                          5,660                          Missing                                 
                            519        -                 Not assessed/no information             
                            772        0                 Not indicated                           
                             73        1                 Indicated                               
 
