Variable Format    Q#/Freq            Description/Label
 
BASEID   $BSIDFMT                      Unique SP Identification Number          
                          1,978        LOW-HIGH          BASEID Count                            
 
SURVEYYR SVYRFMT                       Survey Year                              
                          1,978                    2015  2015                                    
 
VERSION  VERSFMT                       Version Number                           
                          1,978                       1  Version 1                               
 
SOURCE   SOURCE                        Data source                              
                          1,275                       1  Survey data only                        
                            703                       2  CMS administrative data only            
 
PLACTYPE PLAC7FMT  FA1                 Facility description                     
                             25                       .  Inapplicable/Missing                    
                          1,390                       4  Nursing home                            
                              4                       6  Hospital                                
                             10                       7  Hospital-based SNF unit                 
                            321                       8  Assisted living                         
                             33                       9  Board & care home                       
                              6                      10  Domiciliary care facility               
                             45                      11  Personal care facility                  
                              4                      12  Rest home/retirement home               
                              1                      15  Mental health center psychiatric setting
                             21                      16  Mentally ret/developmentally disabled   
                             16                      17  Rehabilitation facility                 
                             48                      18  Adult/group home                        
                             54                      91  Other                                   
 
ELIGSTAT YES1FMT                       Does facility provide long term care?    
                            703                       .  Inapplicable/Missing                    
                          1,275                       1  Yes                                     
 
COMPLEXF YES1FMT   FA3                 Facility part of larger facility/campus  
                            703                       .  Inapplicable/Missing                    
                            193                       1  Yes                                     
                          1,082                       2  No                                      
 
LARGTYPE LARGFMT   FA4                 Type of place facility is part of        
                          1,785                       .  Inapplicable/Missing                    
                            117                       3  Continuing Care Retirement Comm.        
                             16                       5  Retirement Community                    
                             13                       6  Hospital                                
                              9                       8  Assisted Living Facility                
                              2                       9  Board and Care Home                     
                              3                      11  Personal Care Home                      
                              4                      12  Rest Home/Retirement Home               
                             29                      91  Other                                   
         Notes:  Applies only if COMPLEXF = 1.
                 First available in 2012
 
FACOWNED OWNDES    FA5A                Description of Ownership of facility     
                             22                       .  Inapplicable/Missing                    
                          1,347                       1  Proprietary                             
                            518                       2  Private non-profit                      
                             59                       3  City/county government                  
                             14                       4  State government                        
                              2                       5  Veterans Administration                 
                             16                      91  Other, specify                          
 
D_TOTBED BEDSFMT                       Total number of beds in facility         
                              4                       D  Don't know                              
                          1,974        Range of values   Number of beds                          
 
FACLTBED BEDSFMT   FB18                Number of long term beds only            
                              3                       D  Don't know                              
                            703                       .  Inapplicable                            
                              2                       0  No beds of this type                    
                          1,270        Range of values   Number of beds                          
 
CANDCBED BEDSFMT   FA26,FB20           # of beds certified for Mcare & Mcaid    
                              5                       D  Don't know                              
                            693                       0  No beds of this type                    
                          1,280        Range of values   Number of beds                          
 
CAIDBEDS BEDSFMT   FA27,FB21           Number of Medicaid-only certified beds   
                             12                       D  Don't know                              
                          1,919                       0  No beds of this type                    
                             47        Range of values   Number of beds                          
 
CAREBEDS BEDSFMT   FA28,FB22           Number of Medicare-only certified beds   
                             15                       D  Don't know                              
                          1,766                       0  No beds of this type                    
                            197        Range of values   Number of beds                          
 
FMRBEDS  BEDSFMT   FA30,FB24           Number of ICF/MR certified beds          
                              2                       D  Don't know                              
                            703                       .  Inapplicable                            
                          1,258                       0  No beds of this type                    
                             15        Range of values   Number of beds                          
 
D_UNCBED BEDSFMT                       Number of uncertified beds               
                             17                       D  Don't know                              
                          1,491                       0  No beds of this type                    
                            470        Range of values   Number of beds                          
 
HDLICBED BEDSFMT   FA29,FB23           Beds not certified, but licensed for NH  
                              5                       D  Don't know                              
                            703                       .  Inapplicable                            
                          1,245                       0  No beds of this type                    
                             25        Range of values   Number of beds                          
 
PCHBED   BEDSFMT   FA31,FB26           Number of other long term care beds      
                             13                       D  Don't know                              
                            703                       .  Inapplicable                            
                            852                       0  No beds of this type                    
                            410        Range of values   Number of beds                          
 
OTHERBED BEDSFMT                       # of beds where certification is unknown 
                              3                       D  Don't know                              
                            703                       .  Inapplicable                            
                          1,065                       0  No beds of this type                    
                            207        Range of values   Number of beds                          
 
NORMCARE YES1FMT   FA19,FB15           Facility provide nursing/medical care?   
                            704                       .  Inapplicable/Missing                    
                          1,158                       1  Yes                                     
                            116                       2  No                                      
 
SUPRMEDI YES1FMT   FA19,FB15           Facil supervises self-administered meds? 
                            704                       .  Inapplicable/Missing                    
                          1,267                       1  Yes                                     
                              7                       2  No                                      
 
HELPBATH YES1FMT   HFLA3,FA19,FB15     Does facility provide help w/bathing?    
                            704                       .  Inapplicable/Missing                    
                          1,254                       1  Yes                                     
                             20                       2  No                                      
         Notes:  Applies only if HPPDBATH = 1 or DONTBATH = 1
 
HELPDRES YES1FMT   HFLB3,FA19,FB15     Does facility provide help w/dressing?   
                            704                       .  Inapplicable/Missing                    
                          1,253                       1  Yes                                     
                             21                       2  No                                      
         Notes:  Applies only if HPPDDRES = 1 or DONTDRES = 1
 
HELPSHOP YES1FMT   HFKE3,FA19,FB15     Does facility provide help w/shopping?   
                            704                       .  Inapplicable/Missing                    
                          1,241                       1  Yes                                     
                             33                       2  No                                      
         Notes:  Applies only if PRBSHOP = 1 or DONTSHOP = 1
 
HELPWALK YES1FMT   HFLE3,FA19,FB15     Does facility provide help w/walking?    
                            704                       .  Inapplicable/Missing                    
                          1,230                       1  Yes                                     
                             44                       2  No                                      
         Notes:  Applies only if HPPDWALK = 1 or DONTWALK = 1
 
HELPEAT  YES1FMT   HFLC3,FA19,FB15     Does facility provide help w/eating?     
                            704                       .  Inapplicable/Missing                    
                          1,206                       1  Yes                                     
                             68                       2  No                                      
         Notes:  Applies only if HPPDEAT = 1 or DONTEAT = 1
 
HELPCOMM YES1FMT   HA19,FB15           Does facil provide help w/communication? 
                            704                       .  Inapplicable/Missing                    
                          1,251                       1  Yes                                     
                             23                       2  No                                      
 
D_24CARE YES1FMT                       Does facil provide 24-hour on-site care? 
                            703                       .  Inapplicable/Missing                    
                          1,028                       1  Yes                                     
                            247                       2  No                                      
 
MIDNTRES RESFMT    FA35,FB27           Midnight census count last night         
                             26                       D  Don't know                              
                            704                       .  Inapplicable/Missing                    
                              2                       R  Refused                                 
                              2                       0  None                                    
                          1,244        Range of values   Number of residents                     
 
D_HIGHRT COST2FMT  FR3,FR5             High monthly facility rate               
                            176                       D  Don't know                              
                            704                       .  Inapplicable/Missing                    
                              3                       N  Not ascertained                         
                              4                       R  Refused                                 
                          1,091        Range of values   Amount in dollars                       
 
D_LOWRT  COST2FMT  FR4,FR5             Low monthly facility rate                
                            182                       D  Don't know                              
                            705                       .  Inapplicable/Missing                    
                              6                       N  Not ascertained                         
                              4                       R  Refused                                 
                          1,081        Range of values   Amount in dollars                       
 
RECADMN  MMDDYYn8  RH2                 Most recent admission date               
                          1,978        MMDDYYYY          Date as MMDDYYYY                        
 
ORIGADMN MMDDYYn8  RH2A                First MCBS admission date                
                            703                       .  Inapplicable                            
                          1,275        MMDDYYYY          Date as MMDDYYYY                        
         Notes:  Constant value; same as ADMIN until SP is readmitted to a facility
 
BEFORADM BEFORFMT  RH22                Place SP was admitted from               
                             49                       D  Don't know                              
                            705                       .  Missing                                 
                            153                       1  Nursing home/rehab center               
                             95                       2  Pers care home/resident care fac        
                             37                       3  CCRC/retirement home                    
                            388                       4  Hospital                                
                            475                       5  Private home or apartment               
                             54                       7  Other LTC facility                      
                             22                      91  Other                                   
 
D_LIVWTH LIVWFMT   RH30                With whom was SP living prior to admit   
                             59                       D  Don't know                              
                          1,481                       .  Inapplicable/Missing                    
                            201                       1  With relatives                          
                             27                       2  With non relatives                      
                              2                       3  Both relatives and non relatives        
                            208                       4  Alone                                   
 
PROV     $FIDFMT                       Medicare provider number                 
                          1,275                          Missing                                 
                            703        Provider Number   Provider Number                         
 
