Scientific Data Documentation
National Nursing Home Survey, 1995
ABSTRACT
This material provides documentation for users of the Micro-Data
Tape of the 1995 National Nursing Home Survey (NNHS) conducted by
the National Center for Health Statistics. Section I "Description
of the NNHS" includes information on the history of the NNHS,
source of data, sample design, data collection procedures,
estimation procedures, reliability of estimates and presentation
of estimates. Section II provides technical details of the tape
(number of tracks, record length, etc.). Section III provides a
detailed description of the contents of each data record, by
location. Questionnaires used for data collection are in section IV.
TABLE OF CONTENTS Page
I. Description of the NNHS 2
II. Technical Description of Tape 12
III. Tape Record Formats 13
IV. Questionnaires 39
I. DESCRIPTION OF NNHS
INTRODUCTION
The micro-data tape comprises data collected in the 1995 National Nursing
Home Survey (NNHS). This nationwide sample survey of nursing homes and their
current residents was conducted by the National Center for Health Statistics
from July through December 1995. The survey was conducted via a combination
of personal interviews and self-enumerated forms. Data on nursing home
characteristics were obtained by personal interview with the administrator,
data on the financial characteristics of the facility were self-enumerated
by the nursing home's accountant or bookkeeper. Data on a sample of
residents currently residing in the facility were obtained by interviewing
a staff person most familiar with the medical records. Responses are for
8,056 current residents from the 1,409 nursing homes that participated in
the survey. For a description of the sample design and data collection
methods, see below.
HISTORY
The 1995 NNHS, a segment of the Long-Term Care Component of the National
Health Care Survey (1), is the fourth survey of nursing home facilities and
their current residents. The first NNHS was conducted between August 1973
and April 1974; the second from May through December 1977; and the third
survey was conducted from August 1985 through January 1986.
Prior to the creation of this continuing data collection system, NCHS
conducted a series of three ad hoc sample surveys of nursing and personal
care homes called the Resident Places Surveys (RPS 1, 2, 3). These surveys
provided much of the background information and experience used to develop
the first NNHS. These surveys were conducted during April-June 1963, May-June
1964, and June-August 1969, respectively. RPS-1, the first of these surveys,
collected data on nursing homes, chronic disease and geriatric hospitals, and
nursing home units and chronic disease wards of general and mental hospitals.
RPS-3, the last ad hoc survey, sampled nursing and personal care homes in the
conterminous United States.
SAMPLING FRAME AND SIZE OF SAMPLE
The sample for the 1995 NNHS was taken from a frame that consisted of all
nursing home facilities identified in the 1991 National Health Provider
Inventory (NHPI) (2) and updated list. The updated list of facilities was
obtained from the facilities that came from the Agency Reporting System (ARS)
as of September, 1993 (3). The ARS is a system where organizations routinely
send their most recent listings/directories to NCHS. The sampling frame was
further updated using the ARS as of September, 1994. Therefore, the final
sampling frame consisted of lists of nursing homes from 1991 NHPI and the
updated lists from the 1993 and 1994 ARS.
The universe for the 1995 NNHS consisted of about 17,500 nursing and related
care homes in the United States. Places that only provide room and board are
excluded. Places are also excluded if they have fewer than three beds set up
for use by persons not related to the owner. Facilities in the universe are
freestanding or are nursing care units of hospitals, retirement centers, or
similar institutions where the unit maintains financial and resident records
separate from those of the larger institution.
The sample consisted of 1,500 nursing and related care homes. Of these
facilities, 44 refused to participate and 47 were out-of-scope for one or
more of the following reasons: the nursing home had gone out of business,
it failed to meet the definition of a nursing home as used in this survey,
or it did not maintain separate financial records. A total of 1,409 nursing
homes participated in the survey.
SAMPLE DESIGN
The sampling was basically a stratified two-stage probability design. The
first-stage was the selection of facilities and the second-stage was the
selection of residents. The primary sampling strata of facilities were
defined by bed size and certification status. The strata of certified
facilities consist of facilities which according to data in the sampling
frame were certified by either Medicare or Medicaid as a skilled nursing
or intermediate care facility. Within primary strata, facilities were
arrayed by ownership, geographic region, metropolitan status, State, and
county. Facilities were then selected using systematic sampling with
probability proportional to their bed size.
The number of nursing homes estimated by the survey (16,700) is less than the
universe figure (17,500) for several reasons. Some facilities went out of
business or became ineligible for the scope of the survey between the time
universe was frozen and the survey was conducted. A facility was considered
out-of-scope if it did not provide nursing, personal or domiciliary care
services e.g., facilities providing only room and board.
The second-stage sampling of residents was carried out by the interviewers
at the time of their visits to the facilities in accordance with specific
instructions given for each sample facility. The sample frame for residents
was the total number of residents on the register of the facility as of
midnight of the day prior to the day of the survey. Residents who were
physically absent from the facility due to overnight leave or a hospital
visit but had a bed maintained for them at the facility were included in
the sample frame. A sample of up to six current residents per facility was
selected.
DATA COLLECTION PROCEDURES
The 1995 NNHS utilized four questionnaires: Facility Questionnaire, Expense
Questionnaire and Definition Booklet, Current Resident Sampling List, and
Current Resident Questionnaire.
Data were collected according to the following procedures:
(I) A letter was sent to the administrators of sample facilities
informing them of the survey and the fact that interviewers would
contact them for appointments. Letters of endorsement by the
American College of Health Care Administrators, American
Association of Homes and Services for the Aging, and American
Health Care Association were sent with the introductory letter to
urge the administrator of the facility to participate in the
survey. Also included with this introductory letter was one of the
reports from the last survey to illustrate how the data would be
displayed.
(II) After the mailing of the letters, the interviewer
telephoned the sample facility and made an appointment with the
administrator.
(III) At the time of the appointment, the following
procedures were followed: The Facility Questionnaire was completed
by the interviewer who interviewed the administrator of designee.
After completing this form, the interviewer secured the
administrator's permission to send the Expense Questionnaire to
the facility's accountant. The interviewer then completed the
Current Resident Sampling List (a list of all residents in the
facility on the night before the day of the survey), selected the
sample of residents from it, and completed a Current Resident
Questionnaire for each sample person by interviewing the member of
the nursing staff familiar with care provided to the resident. The
nurse referred to the resident's medical records. No resident was
interviewed directly.
ESTIMATION PROCEDURE
The statistics contained on the micro-data tape reflect data concerning only
a sample of nursing homes, and their residents. Because these data are based
on a sample and not a complete count, an inflation factor or "record weight"
is assigned to each record. By aggregating the "record weight", an estimated
complete count for National data can be obtained for nursing homes, residents
and related characteristics.
In general, each data file has only one record weight. The facility file,
however, has two different weights: facility home weight (positions 453-460),
and facility bed weight (positions 461-468). The facility home weight is used
to estimate the number of nursing homes. The facility bed weight is used to
estimate all characteristics related to bed size such as number of beds, and
admissions. The major reason for these different weights is that the best
estimator for facility characteristics related to size included a bed ratio
adjustment, while the best estimator for number of facilities does not.
A discussion of the estimation procedures follows:
The weights used to inflate sample data on these data
files are derived by a ratio estimating procedure. The
purpose of ratio estimation is to take into account
all relevant information in the estimation process,
thereby reducing the variability of the estimate. The
estimation of number of facilities and facility data
not related to size are inflated by the reciprocal of
the probability of selecting the sample facilities and
adjusted for the nonresponding facilities within
primary strata. Two ratio adjustments, one at each
stage of sample selection, were also used in the
estimation process. The first-stage ratio adjustment
(along with the preceding inflation factors) was
included in the estimation of facility data related to
size, and of all resident data for all primary types
of strata. The numerator was the total beds according
to data in the universe, for all facilities in each
stratum. The denominator was the estimate of the total
beds obtained through a simple inflation of the data
in the universe for the sample facilities in each
stratum. The effect of the first-stage ratio
adjustments was to bring the sample in closer
agreement with the known universe of beds. The second-
stage ratio adjustment was included in the estimation
of all resident data. It is the product of two
fractions: the first is the inverse of the sampling
fraction for residents upon which the selection is
based; the second is the ratio of the number of sample
residents in the facility to the number of residents
for whom questionnaires were completed within the facility.
Reliability of estimates
Because the data presented on this tape are based on a sample, they will
differ some what from data that would have been obtained if a complete census
had been taken using the same schedules, instructions, and procedures. As in
any sample survey, the results are subject to both sampling and nonsampling
errors. Nonsampling errors include errors due to response bias, questionnaire
and item nonresponse, recording, and processing errors. To the extent possible,
the latter types of errors are kept to a minimum by methods built into survey
procedures. Because survey results are subject to both sampling and nonsampling
errors, the total error is larger than errors due to sampling variability alone.
The standard error is primarily a measure of the variability that occurs by
chance because only a sample, rather than the entire universe, is surveyed.
The standard error also reflects part of the measurement error, but it does
not measure any systematic biases in the data. It is inversely proportional
to the square root of the number of observations in the sample. Thus, as the
sample size increases, the standard error generally decreases.
The chances are about 68 in 100 that an estimate from the sample differs by
less than the standard error from the value that would be obtained from a
complete census. The chances are about 95 in 100 that the difference is less
than twice the standard error and about 99 in 100 that it is less than 2-1/2
times as large.
The standard errors used in this report were approximated using SUDAAN
software. SUDAAN computes standard errors by using a first-order Taylor
approximation of the deviation of estimates from their expected values.
A description of the software and the approach it uses has been published(4).
To derive error estimates that would be applicable to a wide variety of
statistics and could be prepared at moderate cost, several approximations
were required.
Rather than calculate standard errors for particular estimates Sx, the
calculated variances for a wide variety of estimates were fitted into curves
using the empirically determined relationship between the size of an estimate
X and its relative variance (rel var X). This relationship is expressed as:
rel~var~ X~=~S SUB { UNDERLINE x} SUP 2 OVER X SUP 2~=~
UNDERLINE a~+~ {UNDERLINE b} OVER X
where a and b are regression estimates determined by an iterative procedure.
The relative standard error is then derived by determining the square root
of the relative variance curve. The relative standard error estimates for
estimated number of admissions; beds; total full-time equivalent staff and
nurse's aides; full-time equivalent administrative, medical, and therapeutic
staff; and facilities are shown in figure I. Figure II shows the relative
standard errors for estimated number of resident days of care, residents and
registered nurses, respectively.
The relative standard error (RSE(X)) of an estimate X may be read directly
from the curves in figures I and II or, alternatively, may be calculated by
the formula:
RSE(X)~=~ SQRT{A~+~B OVER X}
where the appropriate constants A and B for the estimate X are defined in
Table 1.
TABLE 1
Parameters used to compute relative standard errors by type of
estimate
__________________________________________________________________
Parameters
_________________________________________
Type of Estimate A B
__________________________________________________________________
Current residents -0.000139 321.778954
Facilities -0.001982 24.781718
Admissions 0.013441 534.797538
Bed size -0.000538 862.978462
Full time employee -0.000492 888.770235
__________________________________________________________________
To approximate the relative standard error (RSE(p)) and the standard error
(SE(p)) of a percent p, the appropriate values of parameter B from table I
are used in the following equations:
RSE( UNDERLINE{p})~=~ SQRT {{(B~ ~(100~-~ UNDERLINE {p}))}
OVER {{UNDERLINE p}~ ~Y}}
SE( UNDERLINE p)~=~ UNDERLINE P~ ~RSE( UNDERLINE p)
where x = the numerator of the estimated percent, y = the denominator,
and p = 100 X/Y.
The approximation of the relative standard error or the standard error of
a percent is valid only when one of the following conditions is satisfied:
the relative standard error of the denominator is 5 percent or less (5) or
the relative standard errors of the numerator and the denominators are both
10 percent or less (6).
Presentation of Estimates--Publication of estimates for the NNHS is based on
the relative standard error of the estimate and the number of sample records
on which the estimate is based (referred to as the sample size). Estimates
are not presented in NCHS reports unless a reasonable assumption regarding
the probability distribution of the sampling error is possible.
Based on consideration of the complex sample design of the NNHS, the following
guidelines are used for presenting the NNHS estimates:
If the sample size is less than 30, the value of the estimate is not reported.
If the sample size is 30-59, the value of the estimate is reported but should
not be assumed reliable.
If the sample size is 60 or more and the relative standard error is less than
30 percent, the estimate is reported.
If the sample size is 60 or more but the relative standard error is over 30
percent, the estimate is reported but should not be assumed reliable.
QUESTIONS
Questions concerning data on this tape should be directed to the Long-Term
Care Statistics Branch, Division of Health Care Statistics, National Center
for Health Statistics, 6525 Belcrest Road, Hyattsville, MD 20782.
REFERENCES
1. Institute of Medicine. Toward a National Health Care Survey,
A Data System for the 21st Century. National Academy Press,
Washington, D.C. 1992.
2. National Center for Health Statistics: Development and
maintenance of a national inventory survey of hospitals and
institutions. Vital Health Stat 1(3). 1965.
3. Eklund D. The Agency Reporting System for maintaining the
national inventory of hospitals and institutions. National
Center for Health Statistics. Vital Health Statistics 1(6).
1968.
4. Shah BV, Barnwell BG, Hunt PN, and La Vange LM. SUDAAN
User's Manual, Release 5.50. Research Triangle Institute,
Research Triangle Park, NC,27709. 1991.
5. Hansen MH, Hurwitz WN, Madow WG. Sample Survey Methods and
Theory, Vol. I. New York: John Wiley and Sons. 1953.
6. Cochran WG. Sampling Techniques. New York: John Wiley and
Sons. 1953.
II. TECHNICAL DESCRIPTION OF TAPE
The tape is labeled and is suitable for IBM Computers. The data are in 9-track
codes in EBCDIC. Tape is 6250 or 1600 bpi. The dataset name, label, record length,
and number of cases for each file are indicated below:
VOL RECORD NUMBER
FILE DSN SER LABEL LENGTH OF CASES
Facility Questionnaire NNHS95NH.NTISFAC3 058968 SL 468 1,409
Current Resident Questionnaire NNHS95NH.NTISRES3 058968 SL 490 8,056
Expense Questionnaire NNHS95NH.NTISEXP3 058968 SL 490 839
NOTE: These 3 files have been copied into the CDC library and must be accessed
using the DSN assigned by CDC.
III. TAPE RECORD FORMAT
This section consists of a detailed breakdown of each file, providing a brief
description of each item of data. The data are arranged sequentially according
to their physical location on the tape record. The variables are referenced by
a field name (usually the question number from which the data were gathered),
the tape positions and format.
The tape record formats for the three files are presented in the following
order:
File Page
Facility Questionnaire 14
Current Resident Questionnaire 23
Expense Questionnaire 36
LABEL BC EC LEN DESCRIPTION
FQID 1 4 4 FACILITY ID NUMBER
FQINTVM 5 6 2 DATE OF INTERVIEW: MONTH
RANGE = 01 - 12
FQINTVY 7 8 2 DATE OF INTERVIEW (YEAR)
95 = 1995 96 = 1996
FQE1 9 10 2 PERSONAL OR NURSING CARE SERVICES
01 = YES
02 = NO
FQ2A 11 12 2 TYPE OF OWNERSHIP OF FACILITY
01 = PROFIT
02 = ALL OTHERS
FQ2B 13 14 2 MEMBER OF A CHAIN OR GROUP
01 = YES
02 = NO
03 = BLANK OR UNKNOWN
BLANK 15 17 3 BLANK
FQ3 18 18 1 BEDS AVAILABLE
1 = 3-49 BEDS
2 = 50-99 BEDS
3 = 100-199 BEDS
4 = 200+ BEDS
BLANK 19 26 8 BLANK
FQ5 27 28 2 AREA FOR COGNITIVELY IMPAIRED RESIDENT
01 = YES
02 = NO
03 = BLANK OR UNKNOWN
BLANK 29 31 3 BLANK
FQ6 32 32 1 BEDS FOR COGNITIVELY IMPAIRED RESIDENT
1 = 0-49 BEDS
2 = 50-99 BEDS
3 = 100+ BEDS
4 = LEGITIMATE SKIP
5 = BLANK OR UNKNOWN
FQ7 33 34 2 CERTIFICATION
01 = CERTIFIED
02 = NOT CERTIFIED
BLANK 35 37 3 BLANK
LABEL BC EC LEN DESCRIPTION
FQ8A 38 38 1 BEDS CERTIFIED UNDER MEDICARE
1 = 0-49 BEDS
2 = 50-99 BEDS
3 = 100-199 BEDS
4 = 200+ BEDS
5 = LEGITIMATE SKIP
6 = BLANK OR UNKNOWN
FQ8B 39 42 4 MEDICARE PER DIEM RATE
RANGE = 0000-9997
9998 = LEGITIMATE SKIP
9999 = BLANK OR UNKNOWN
BLANK 43 45 3 BLANK
FQ9A 46 46 1 BEDS CERTIFIED UNDER MEDICAID
1 = 0-49 BEDS
2 = 50-99 BEDS
3 = 100-199 BEDS
4 = 200+ BEDS
5 = LEGITIMATE SKIP
6 = BLANK OR UNKNOWN
FQ9B 47 50 4 MEDICAID PER DIEM RATE
RANGE = 0000-9997
9998 = LEGITIMATE SKIP
9999 = BLANK OR UNKNOWN
FQ10A 51 52 2 BEDS NOT CERTIFIED
01 = YES
02 = NO
03 = BLANK OR UNKNOWN
BLANK 53 55 3 BLANK
FQ10B 56 56 1 NUMBER OF BEDS NOT CERTIFIED
1 = 0-49 BEDS
2 = 50-99 BEDS
3 = 100-199 BEDS
4 = 200+ BEDS
5 = LEGITIMATE SKIP
6 = BLANK OR UNKNOWN
FQ11A 57 60 4 ADMISSIONS
RANGE = 0000-9997
9999 = BLANK OR UNKNOWN
FQ11B 61 62 2 ADMISSIONS: NONE
00 = NONE
01 = LEGITIMATE SKIP
02 = BLANK OR UNKNOWN
LABEL BC EC LEN DESCRIPTION
FQ1201 63 64 2 DENTAL SERVICES
01 = RESPONSE CHECKED
02 = RESPONSE NOT CHECKED
FQ1202 65 66 2 HELP WITH ORAL HYGIENE
01 = RESPONSE CHECKED
02 = RESPONSE NOT CHECKED
FQ1203 67 68 2 HOME HEALTH SERVICES
01 = RESPONSE CHECKED
02 = RESPONSE NOT CHECKED
FQ1204 69 70 2 HOSPICE SERVICES
01 = RESPONSE CHECKED
02 = RESPONSE NOT CHECKED
FQ1205 71 72 2 MEDICAL SERVICES
01 = RESPONSE CHECKED
02 = RESPONSE NOT CHECKED
FQ1206 73 74 2 MENTAL HEALTH SERVICES
01 = RESPONSE CHECKED
02 = RESPONSE NOT CHECKED
FQ1207 75 76 2 NURSING SERVICES
01 = RESPONSE CHECKED
02 = RESPONSE NOT CHECKED
FQ1208 77 78 2 NUTRITION SERVICES
01 = RESPONSE CHECKED
02 = RESPONSE NOT CHECKED
FQ1209 79 80 2 OCCUPATIONAL THERAPY
01 = RESPONSE CHECKED
02 = RESPONSE NOT CHECKED
FQ1210 81 82 2 PERSONAL CARE
01 = RESPONSE CHECKED
02 = RESPONSE NOT CHECKED
FQ1211 83 84 2 PHYSICAL THERAPY
01 = RESPONSE CHECKED
02 = RESPONSE NOT CHECKED
FQ1212 85 86 2 PODIATRY SERVICES
01 = RESPONSE CHECKED
02 = RESPONSE NOT CHECKED
FQ1213 87 88 2 PRESCRIBED OR NONPRESCRIBED MEDICINE
01 = RESPONSE CHECKED
02 = RESPONSE NOT CHECKED
FQ1214 89 90 2 SHELTERED EMPLOYMENT
01 = RESPONSE CHECKED
02 = RESPONSE NOT CHECKED
LABEL BC EC LEN DESCRIPTION
FQ1215 91 92 2 SOCIAL SERVICES
01 = RESPONSE CHECKED
02 = RESPONSE NOT CHECKED
FQ1216 93 94 2 SPECIAL EDUCATION
01 = RESPONSE CHECKED
02 = RESPONSE NOT CHECKED
FQ1217 95 96 2 SPEECH OR HEARING THERAPY
01 = RESPONSE CHECKED
02 = RESPONSE NOT CHECKED
FQ1218 97 98 2 TRANSPORTATION
01 = RESPONSE CHECKED
02 = RESPONSE NOT CHECKED
FQ1219 99 100 2 VOCATIONAL REHABILITATION
01 = RESPONSE CHECKED
02 = RESPONSE NOT CHECKED
FQ1220 101 102 2 EQUIPMENT OR DEVICES
01 = RESPONSE CHECKED
02 = RESPONSE NOT CHECKED
FQ1221 103 104 2 OTHER
01 = RESPONSE CHECKED
02 = RESPONSE NOT CHECKED
FQ12SP 105 129 25 OTHER: SPECIFY (ALPHA)
BLANK
FQ13 130 131 2 INFLUENZA VACCINE PROGRAM
01 = YES
02 = NO
03 = DON'T KNOW
04 = BLANK
FQ14A 132 134 3 PROPORTION OF RESIDENTS VACCINATED
RANGE = 000-100
999 = BLANK OR UNKNOWN
FQ14B 135 136 2 PROPORTION OF RES. VACC.: DON'T KNOW
01 = DON'T KNOW
02 = LEGITIMATE SKIP
03 = BLANK OR INVALID
FQ15A 137 138 2 PNEUMONIA VACCINATION PROGRAM
01 = YES
02 = NO
03 = DON'T KNOW
04 = BLANK
FQ16A 139 141 3 PROPORTION OF RESIDENTS VACCINATED
RANGE = 000-100
999 = BLANK OR UNKNOWN
LABEL BC EC LEN DESCRIPTION
FQ16B 142 143 2 PROPORTION OF RES. VACC.: DON'T KNOW
01 = DON'T KNOW
02 = LEGITIMATE SKIP
03 = BLANK OR INVALID
FQ17A 144 145 2 PATIENTS IN COMA
01 = YES
02 = NO
03 = BLANK OR UNKNOWN
FQ17B 146 148 3 NUMBER OF PATIENTS IN COMA
RANGE = 001-997
998 = LEGITIMATE SKIP
999 = BLANK OR UNKNOWN
FQ18A 149 150 2 DENTIST SERVICES AVAILABLE
01 = YES
02 = NO
03 = BLANK OR UNKNOWN
FQ18B 151 152 2 TYPE OF DENTAL SERVICES AVAILABLE
01 = DENTIST ON PREMISES AT ALL TIMES
02 = DENTIST ON PREMISES DURING DAY ON
WEEKDAYS & ON CALL OTHERWISE
03 = DENTIST ON PREMISES AT SCHEDULED
TIME
04 = DENTISTS AVAILABLE ON-CALL ONLY
05 = OTHER
06 = LEGITIMATE SKIP
07 = BLANK OR UNKNOWN
FQ18BSP 153 177 25 OTHER, SPECIFY (ALPHA)
BLANK
FQ19A 178 179 2 DENTAL HYGIENIST SERVICES AVAILABLE
01 = YES
02 = NO
03 = BLANK OR UNKNOWN
FQ19B 180 181 2 TYPE OF HYGIENIST SERV. AVAILABLE
01 = HYGIENIST ON PREMISES AT ALL
TIMES
02 = HYGIENIST ON PREMISES DURING DAY
WEEKDAYS AND ON CALL OTHERWISE
03 = HYGIENIST ON PREMISES DURING
SCHEDULED TIMES AT LEAST ONCE A
MONTH & ON CALL OTHERWISE
04 = HYGIENIST AVAILABLE ON CALL ONLY
05 = OTHER
06 = LEGITIMATE SKIP
07 = BLANK OR UNKNOWN
LABEL BC EC LEN DESCRIPTION
FQ19BSP 182 206 25 OTHER, SPECIFY
(ALPHA)
BLANK
FQ20A 207 210 4 TOTAL FTE EMPLOYEES
RANGE = 0001-9996
9997 = 9997 OR MORE
9999 = BLANK OR UNKNOWN
FQ20B01 211 213 3 ADMINISTRATOR
RANGE = 000-996
997 = 997 OR MORE
999 = BLANK OR UNKNOWN
FQ20B02 214 216 3 REGISTERED NURSES
RANGE = 000-996
997 = 997 OR MORE
999 = BLANK OR UNKNOWN
FQ20B03 217 219 3 LPN OR LVN
RANGE = 000-996
997 = 997 OR MORE
999 = BLANK OR UNKNOWN
FQ20B04 220 222 3 NURSES AIDES/ORDERLIES
RANGE = 000-996
997 = 997 OR MORE
999 = BLANK OR UNKNOWN
FQ20B05 223 225 3 PHYSICIANS, RESIDENTS & INTERNS
RANGE = 000-996
997 = 997 OR MORE
999 = BLANK OR UNKNOWN
FQ20B06 226 228 3 DENTIST
RANGE = 000-996
997 = 997 OR MORE
999 = BLANK OR UNKNOWN
FQ20B07 229 231 3 DENTAL HYGIENIST
RANGE = 000-996
997 = 997 OR MORE
999 = BLANK OR UNKNOWN
FQ20B08 232 234 3 PHYSICAL THERAPISTS
RANGE = 000-996
997 = 997 OR MORE
999 = BLANK OR UNKNOWN
FQ20B09 235 237 3 SPEECH PATHOLOGISTS / AUDIOLOGISTS
RANGE = 000-996
997 = 997 OR MORE
999 = BLANK OR UNKNOWN
LABEL BC EC LEN DESCRIPTION
FQ20B10 238 240 3 DIETICIANS OR NUTRITIONIST
RANGE = 000-996
997 = 997 OR MORE
999 = BLANK OR UNKNOWN
FQ20B11 241 243 3 PODIATRISTS
RANGE = 000-996
997 = 997 OR MORE
999 = BLANK OR UNKNOWN
FQ20B12 244 246 3 SOCIAL WORKERS
RANGE = 000-996
997 = 997 OR MORE
999 = BLANK OR UNKNOWN
FQ20B13 247 249 3 ALL OTHERS
RANGE = 000-996
997 = 997 OR MORE
999 = BLANK OR UNKNOWN
FQ20BSP 250 274 25 OTHER, SPECIFY
(ALPHA)
BLANK
FQ2100 275 276 2 VOLUNTEERS PROVIDE SERV.: NONE
01 = RESPONSE CHECKED
02 = RESPONSE NOT CHECKED
FQ2101 277 278 2 GENERAL OFFICE HELP
01 = RESPONSE CHECKED
02 = RESPONSE NOT CHECKED
FQ2102 279 280 2 RECEPTION
01 = RESPONSE CHECKED
02 = RESPONSE NOT CHECKED
FQ2103 281 282 2 VISITING, GENERAL AIDS
01 = RESPONSE CHECKED
02 = RESPONSE NOT CHECKED
FQ2104 283 284 2 EMOTIONAL OR MENTAL HEALTH COUNSELING
01 = RESPONSE CHECKED
02 = RESPONSE NOT CHECKED
FQ2105 285 286 2 DENTAL CARE
01 = RESPONSE CHECKED
02 = RESPONSE NOT CHECKED
FQ2106 287 288 2 OTHER
01 = RESPONSE CHECKED
02 = RESPONSE NOT CHECKED
FQ21SP 289 313 25 OTHER, SPECIFY
(ALPHA)
BLANK
LABEL BC EC LEN DESCRIPTION
FQ22A1 314 318 5 BASIC CHARGES PRIVATR PAY: SKILLED
RANGE = 00000 - 99997
99998 = LEGITIMATE SKIP
99999 = BLANK OR UNKNOWN
FQ22A2 319 320 2 PRIVATE PAY TIME PERIOD: SKILLED
01 = DAY
02 = MONTH
03 = NOT APPLICABLE
04 = BLANK OR INVALID
FQ22B1 321 325 5 BASIC CHARGES PRIV.PAY: INTERMEDIATE
RANGE = 00000 - 99997
99998 = LEGITIMATE SKIP
99999 = BLANK OR UNKNOWN
FQ22B2 326 327 2 PRIVATE PAY TIME PERIOD: INTERMEDIATE
01 = DAY
02 = MONTH
03 = NOT APPLICABLE
04 = BLANK OR INVALID
FQ22C1 328 332 5 BASIC CHARGES PRIV.PAY: RESIDENTIAL
RANGE = 00000 - 99997
99998 = LEGITIMATE SKIP
99999 = BLANK OR UNKNOWN
FQ22C2 333 334 2 PRIVATE PAY TIME PERIOD: RESIDENTIAL
01 = DAY
02 = MONTH
03 = NOT APPLICABLE
04 = BLANK OR INVALID
FQ22D1 335 339 5 BASIC CHARGES PRIV.PAY: OTHER
RANGE = 00000 - 99997
99998 = LEGITIMATE SKIP
99999 = BLANK OR UNKNOWN
FQ22D2 340 341 2 PRIVATE PAY TIME PERIOD: OTHER
01 = DAY
02 = MONTH
03 = NOT APPLICABLE
04 = BLANK OR INVALID
LABEL BC EC LEN DESCRIPTION
FQ22DSP 342 366 25 BASIC CHARGES PRIV.PAY: OTHER SPECIFY
(ALPHA)
BLANK
FLAG BEDS 367 367 1 FLAG FOR IMPUTED TOTAL BEDS
1 = IMPUTED FROM 1991 NHPI
2 = IMPUTED FROM OTHER 1995 NNHS DATA
BLANK IF NOT IMPUTED
FLAGXCRT 368 368 1 FLAG FOR IMPUTED NOT CERTIFIED BEDS
1 = IMPUTED FROM 1991 NHPI
2 = IMPUTED FROM OTHER 1995 NNHS DATA
BLANK IF NOT IMPUTED
BLANK 369 451 82 BLANK
FQMSA 452 452 1 MSA INDICATOR
1 = MSA
2 = NON MSA
FQWT 453 460 8 FACILITY HOME WEIGHT (RB8.)
FQBEDWT 461 468 8 FACILITY BED WEIGHT (RB8.)
LABEL BC EC LEN DESCRIPTION
CRID 1 6 6 PATIENT ID NUMBER
COL 1 - 6 = RESIDENT ID NUMBER
CRINTVM 7 8 2 DATE OF INTERVIEW: MONTH
RANGE = 08 - 12
CRINTVY 9 10 2 DATE OF INTERVIEW (YEAR)
95 = 1995
CR1 11 12 2 SEX
01 = MALE
02 = FEMALE
CR2DOBM 13 14 2 DATE OF BIRTH: MONTH
RANGE = 01 - 12
13 = LEGITIMATE SKIP
14 = BLANK
CR2DOBY 15 18 4 DATE OF BIRTH: YEAR
RANGE = 1873 - 1996
9998 = LEGITIMATE SKIP
9999 = BLANK
CR2AGE 19 21 3 CURRENT AGE IN YEARS
RANGE = 000 - 120
998 = LEGITIMATE SKIP
999 = BLANK
CR3A 22 23 2 RACE
01 = WHITE
02 = BLACK
03 = AMERICAN INDIAN, ESKIMO, ALEUT
04 = ASIAN, PACIFIC ISLANDER
05 = OTHER
06 = DON'T KNOW
07 = BLANK
CR3B 24 25 2 HISPANIC ORIGIN
01 = YES
02 = NO
03 = DON'T KNOW
04 = BLANK
CR4 26 27 2 MARITAL STATUS
01 = MARRIED
02 = WIDOWED
03 = DIVORCED
04 = SEPERATED
05 = NEVER MARRIED
06 = SINGLE
07 = DON'T KNOW
08 = BLANK
LABEL BC EC LEN DESCRIPTION
CR5A 28 29 2 WHERE LIVING
01 = PRIVATE RESIDENCE
02 = RENTED ROOM, BOARDING HOUSE
03 = RETIREMENT HOUSE
04 = BOARD & CARE OR RES.CARE FACILITY
05 = NURSING HOME
06 = HOSPITAL
07 = MENTAL HEALTH FACILITY
08 = OTHER
09 = DON'T KNOW
10 = BLANK
CR5ASP 30 54 25 OTHER, SPECIFY (ALPHA)
CR5B 55 56 2 WHO LIVED WITH
01 = WITH FAMILY MEMBERS
02 = WITH NONFAMILY MEMBERS
03 = WITH BOTH FAM.& NON FAM. MEMBERS
04 = ALONE
05 = DON'T KNOW
06 = BLANK
CR701 57 58 2 DATE OF ADMISSION: MONTH
RANGE = 01-12
13 = BLANK
CR702 59 60 2 DATE OF ADMISSION: DAY
RANGE = 01-31
32 = BLANK
CR703 61 62 2 DATE OF ADMISSION: YEAR
RANGE 73-96
99 = BLANK
CR8 63 64 2 HAS PREVIOUSLY BEEN A RESIDENT
01 = YES
02 = NO
03 = BLANK
CR9A1 65 69 5 ADMISSION DIAGNOSIS: FIRST LISTED
CR9A2 70 74 5 ADMISSION DIAGNOSIS: SECOND LISTED
CR9A3 75 79 5 ADMISSION DIAGNOSIS: THIRD LISTED
CR9A4 80 84 5 ADMISSION DIAGNOSIS: FOURTH LISTED
CR9A5 85 89 5 ADMISSION DIAGNOSIS: FIFTH LISTED
CR9A6 90 94 5 ADMISSION DIAGNOSIS: SIXTH LISTED
BLANK 95 96 2 BLANK
LABEL BC EC LEN DESCRIPTION
CR9B1 97 101 5 CURRENT DIAGNOSIS: FIRST LISTED
CR9B2 102 106 5 CURRENT DIAGNOSIS: SECOND LISTED
CR9B3 107 111 5 CURRENT DIAGNOSIS: THIRD LISTED
CR9B4 112 116 5 CURRENT DIAGNOSIS: FOURTH LISTED
CR9B5 117 121 5 CURRENT DIAGNOSIS: FIFTH LISTED
CR9B6 122 126 5 CURRENT DIAGNOSIS: SIXTH LISTED
CR10 127 128 2 LEVEL OF CARE
01 = SKILLED CARE
02 = INTERMEDIATE CARE
03 = RESIDENTIAL CARE
04 = BLANK
CR1100 129 130 2 AIDS CURRENTLY USED
00 = NO AIDS USED
01 = LEGITIMATE SKIP
02 = BLANK
CR1101 131 132 2 AIDS USED: EYEGLASSES
01 = EYEGLASSES (INCLUDING CONTACT
LENSES)
02 = BLANK
CR1102 133 134 2 AIDS USED: HEARING AIDS
01 = HEARING AID
02 = BLANK
CR1103 135 136 2 AIDS USED: TRANSFER EQUIPMENT
01 = TRANSFER EQUIPMENT
02 = BLANK
CR1104 137 138 2 AIDS USED: WHEELCHAIR
01 = WHEELCHAIR
02 = BLANK
CR1105 139 140 2 AIDS USED: CANE
01 = CANE
02 = BLANK
CR1106 141 142 2 AIDS USED: WALKER
01 = WALKER
02 = BLANK
CR1107 143 144 2 AIDS USED: CRUTCHES
01 = CRUTCHES
02 = BLANK
CR1108 145 146 2 AIDS USED: BRACE
01 = BRACE
02 = BLANK
LABEL BC EC LEN DESCRIPTION
CR1109 147 148 2 AIDS USED: OXYGEN
01 = OXYGEN
02 = BLANK
CR1110 149 150 2 AIDS USED: HOSPITAL BED
01 = HOSPITAL BED
02 = BLANK
CR1111 151 152 2 AIDS USED: COMMODE
01 = COMMODE
02 = BLANK
CR1112 153 154 2 AIDS USED: OTHER AIDS OR DEVICES
01 = OTHER AIDS OR DEVICES
02 = BLANK
CR11SP 155 179 25 AIDS USED: OTHER/SPECIFY
(ALPHA)
BLANK
CR1113 180 181 2 AIDS USED: DON'T KNOW
01 = DON'T KNOW
02 = BLANK
CR12A 182 183 2 DIFFICULTY SEEING
01 = YES
02 = NO
03 = NOT APPLICABLE (E.G., COMATOSE)
04 = DON'T KNOW
05 = BLANK
CR12B 184 185 2 SIGHT LEVEL
01 = PARTIALLY IMPAIRED
02 = SEVERELY IMPAIRED
03 = COMPLETELY LOST, BLIND
04 = DON'T KNOW
05 = LEGITIMATE SKIP
06 = BLANK
CR13A 186 187 2 DIFFICULTY HEARING
01 = YES
02 = NO
03 = NOT APPLICABLE (E.G., COMATOSE)
04 = DON'T KNOW
05 = BLANK
CR13B 188 189 2 HEARING LEVEL
01 = PARTIALLY IMPAIRED
02 = SEVERELY IMPAIRED
03 = COMPLETELY LOST, BLIND
04 = DON'T KNOW
05 = LEGITIMATE SKIP
06 = BLANK
LABEL BC EC LEN DESCRIPTION
CR14A 190 191 2 DIFFICULTY BITING OR CHEWING
01 = YES
02 = NO
03 = DON'T KNOW
04 = BLANK
CR14B 192 193 2 LOST ALL UPPER PERMANENT NATURAL TEETH
01 = YES
02 = NO
03 = DON'T KNOW
04 = BLANK
CR14C 194 195 2 HAVE UPPER DENTURE OR PLATE
01 = YES
02 = NO
03 = DON'T KNOW
04 = LEGITIMATE SKIP
05 = BLANK
CR14D 196 197 2 LOST ALL LOWER PERMANENT NATURAL TEETH
01 = YES
02 = NO
03 = DON'T KNOW
04 = BLANK
CR14E 198 199 2 HAVE LOWER DENTURE OR PLATE
01 = YES
02 = NO
03 = DON'T KNOW
04 = LEGITIMATE SKIP
05 = BLANK
CR14F 200 201 2 HOW OFTEN WEAR THE DENTURES
01 = ALL THE TIME
02 = USUALLY
03 = ABOUT HALF THE TIME
04 = SELDOM
05 = NEVER
06 = DON'T KNOW
07 = LEGITIMATE SKIP
08 = BLANK
CR14G 202 203 2 WEAR DENTURES WHEN EATING
01 = YES
02 = NO
03 = DON'T KNOW
04 = LEGITIMATE SKIP
05 = BLANK
LABEL BC EC LEN DESCRIPTION
CR14H 204 205 2 CONDITION OF TEETH OR GUMS
01 = EXCELLENT
02 = VERY GOOD
03 = GOOD
04 = FAIR
05 = POOR
06 = DON'T KNOW
07 = BLANK
CR15A 206 207 2 ASSISTANCE IN BATHING OR SHOWERING
01 = YES
02 = NO
03 = BLANK
CR15B1 208 209 2 WITH THE HELP OF SPECIAL EQUIPMENT
01 = YES
02 = NO
03 = LEGITIMATE SKIP
04 = BLANK
CR15B2 210 211 2 WITH THE HELP OF ANOTHER PERSON
01 = YES
02 = NO
03 = LEGITIMATE SKIP
04 = BLANK
CR16A 212 213 2 ASSISTANCE IN DRESSING
01 = YES
02 = NO
03 = BLANK
CR16B1 214 215 2 WITH THE HELP OF SPECIAL EQUIPMENT
01 = YES
02 = NO
03 = LEGITIMATE SKIP
04 = BLANK
CR16B2 216 217 2 WITH THE HELP OF ANOTHER PERSON
01 = YES
02 = NO
03 = LEGITIMATE SKIP
04 = BLANK
CR17A 218 219 2 ASSISTANCE IN EATING
01 = YES
02 = NO
03 = BLANK
CR17B1 220 221 2 WITH THE HELP OF SPECIAL EQUIPMENT
01 = YES
02 = NO
03 = LEGITIMATE SKIP
04 = BLANK
LABEL BC EC LEN DESCRIPTION
CR17B2 222 223 2 WITH THE HELP OF ANOTHER PERSON
01 = YES
02 = NO
03 = LEGITIMATE SKIP
04 = BLANK
CR18A 224 225 2 BEDFAST
01 = YES
02 = NO
03 = BLANK
CR18B 226 227 2 CHAIRFAST
01 = YES
02 = NO
03 = BLANK
CR19A 228 229 2 ASSISTANCE IN TRANSFERRING
01 = YES
02 = NO
03 = BLANK
CR19B1 230 231 2 WITH THE HELP OF SPECIAL EQUIPMENT
01 = YES
02 = NO
03 = LEGITIMATE SKIP
04 = BLANK
CR19B2 232 233 2 WITH THE HELP OF ANOTHER PERSON
01 = YES
02 = NO
03 = LEGITIMATE SKIP
04 = BLANK
CR20A 234 235 2 ASSISTANCE IN WALKING
01 = YES
02 = NO
03 = BLANK
CR20B1 236 237 2 WITH THE HELP OF SPECIAL EQUIPMENT
01 = YES
02 = NO
03 = LEGITIMATE SKIP
04 = BLANK
CR20B2 238 239 2 WITH THE HELP OF ANOTHER PERSON
01 = YES
02 = NO
03 = LEGITIMATE SKIP
04 = BLANK
CR21A 240 241 2 GOES OUTSIDE
01 = YES
02 = NO
03 = BLANK
LABEL BC EC LEN DESCRIPTION
CR21B1 242 243 2 WITH THE HELP OF SPECIAL EQUIPMENT
01 = YES
02 = NO
03 = LEGITIMATE SKIP
04 = BLANK
CR21B2 244 245 2 WITH THE HELP OF ANOTHER PERSON
01 = YES
02 = NO
03 = LEGITIMATE SKIP
04 = BLANK
CR22A 246 247 2 HAVE AN OSTOMY, AN INDWELLING CATHETER
01 = YES
02 = NO
03 = BLANK
CR22B 248 249 2 RECEIVE HELP FROM ANOTHER PERSON
01 = YES
02 = NO
03 = LEGITIMATE SKIP
04 = BLANK
CR22C 250 251 2 RECEIVE ASSISTANCE USING TOILET ROOM
01 = YES
02 = NO
03 = LEGITIMATE SKIP
04 = BLANK
CR22D1 252 253 2 WITH THE HELP OF SPECIAL EQUIPMENT
01 = YES
02 = NO
03 = LEGITIMATE SKIP
04 = BLANK
CR22D2 254 255 2 WITH THE HELP OF ANOTHER PERSON
01 = YES
02 = NO
03 = LEGITIMATE SKIP
04 = BLANK
CR23 256 257 2 DIFFICULTY IN CONTROLLING BOWELS
01 = YES
02 = NO
03 = LEGITIMATE SKIP
04 = BLANK
CR24 258 259 2 DIFFICULTY IN CONTROLLING BLADDER
01 = YES
02 = NO
03 = LEGITIMATE SKIP
04 = BLANK
LABEL BC EC LEN DESCRIPTION
CR25A 260 261 2 CARE OF PERSONAL POSSESSIONS
01 = YES
02 = NO
03 = BLANK
CR25B 262 263 2 MANAGING MONEY
01 = YES
02 = NO
03 = BLANK
CR25C 264 265 2 SECURING PERSONAL ITEMS
01 = YES
02 = NO
03 = BLANK
CR25D 266 267 2 USING TELEPHONE
01 = YES
02 = NO
03 = BLANK
CR26 268 269 2 FLU SHOT
01 = YES
02 = NO
03 = DON'T KNOW
04 = BLANK
CR27 270 271 2 PNEUMOCOCCAL VACCINE
01 = YES
02 = NO
03 = DON'T KNOW
04 = BLANK
CR2800 272 273 2 SERVICES PROVIDED: NONE
00 = NONE
01 = LEGITIMATE SKIP
02 = BLANK
CR2801 274 275 2 SERV. PROV.: DENTAL CARE
01 = YES
02 = BLANK
CR2802 276 277 2 SERV. PROV.: EQUIPMENT OR DEVICES
01 = YES
02 = BLANK
CR2803 278 279 2 SERV. PROV.: HOSPICE SERVICES
01 = YES
02 = BLANK
CR2804 280 281 2 SERV. PROV.: MEDICAL SERVICES
01 = YES
02 = BLANK
CR2805 282 283 2 SERV. PROV.: MENTAL HEALTH SERVICES
01 = YES
02 = BLANK
LABEL BC EC LEN DESCRIPTION
CR2806 284 285 2 SERV. PROV.: NURSING SERVICES
01 = YES
02 = BLANK
CR2807 286 287 2 SERV. PROV.: NUTRITIONAL SERVICES
01 = YES
02 = BLANK
CR2808 288 289 2 SERV. PROV.: OCCUPATIONAL THERAPY
01 = YES
02 = BLANK
CR2809 290 291 2 SERV. PROV.: PERSONAL CARE
01 = YES
02 = BLANK
CR2810 292 293 2 SERV. PROV.: PHYSICAL THERAPY
01 = YES
02 = BLANK
CR2811 294 295 2 SERV. PROV.: MEDICINES
01 = YES
02 = BLANK
CR2812 296 297 2 SERV. PROV.: SHELTERED EMPLOYMENT
01 = YES
02 = BLANK
CR2813 298 299 2 SERV. PROV.: SOCIAL SERVICES
01 = YES
02 = BLANK
CR2814 300 301 2 SERV. PROV.: SPECIAL EDUCATION
01 = YES
02 = BLANK
CR2815 302 303 2 SERV. PROV.: SPEECH & HEARING THERAPY
01 = YES
02 = BLANK
CR2816 304 305 2 SERV. PROV.: TRANSPORTATION
01 = YES
02 = BLANK
CR2817 306 307 2 SERV. PROV.: VOCATIONAL REHABILITATION
01 = YES
02 = BLANK
CR2818 308 309 2 SERV. PROV.: OTHER
01 = YES
02 = BLANK
CR28SP 310 334 25 SERV. PROV.: OTHER/SPECIFY
(ALPHA)
BLANK
LABEL BC EC LEN DESCRIPTION
CR29 335 336 2 PRIMARY SOURCE OF PAYMENT: ADMISSION
01 = PRIVATE INSURANCE
02 = OWN INCOME, FAMILY SUPPORT
03 = SSI
04 = MEDICARE
05 = MEDICAID
06 = OTHER GOVT. ASSISTANCE
07 = RELIGIOUS ORGANIZATIONS
08 = VA CONTRACTS
09 = PAYMENT SOURCE NOT YET DETERMINED
10 = OTHER
11 = DON'T KNOW
12 = BLANK
CR29SP 337 361 25 PRM.SOURCE OF PAYMENT: OTHER SPECIFY
(ALPHA)
CR30 362 363 2 PRIMARY SOURCE OF PAYMENT: LAST MONTH
01 = PRIVATE INSURANCE
02 = OWN INCOME, FAMILY SUPPORT
03 = SSI
04 = MEDICARE
05 = MEDICAID
06 = OTHER GOVT. ASSISTANCE
07 = RELIGIOUS ORGANIZATIONS
08 = VA CONTRACTS
09 = PAYMENT SOURCE NOT YET DETERMINED
10 = OTHER
11 = BLANK
CR30SP 364 388 25 PRM.SOURCE OF PAYMENT: LAST MONTH
(ALPHA)
CR3100 389 390 2 SECONDARY SOURCE OF PAYMENT
00 = NONE
01 = LEGITIMATE SKIP
02 = BLANK
CR3101 391 392 2 SECONDARY SOURCE OF PAYMENT
01 = PRIVATE INSURANCE
02 = BLANK
CR3102 393 394 2 SECONDARY SOURCE OF PAYMENT
01 = OWN INCOME, FAMILY SUPPORT
02 = BLANK
CR3103 395 396 2 SECONDARY SOURCE OF PAYMENT
01 = SUPP. SOCIAL SECURITY INCOME
02 = BLANK
CR3104 397 398 2 SECONDARY SOURCE OF PAYMENT
01 = MEDICARE
02 = BLANK
LABEL BC EC LEN DESCRIPTION
CR3105 399 400 2 SECONDARY SOURCE OF PAYMENT
01 = MEDICAID
02 = BLANK
CR3106 401 402 2 SECONDARY SOURCE OF PAYMENT
01 = OTHER GOVT. ASSISTANCE
02 = BLANK
CR3107 403 404 2 SECONDARY SOURCE OF PAYMENT
01 = RELIGIOUS ORGANIZATIONS
02 = BLANK
CR3108 405 406 2 SECONDARY SOURCE OF PAYMENT
01 = VA CONTRACTS/PENSIONS
02 = BLANK
CR3109 407 408 2 SECONDARY SOURCE OF PAYMENT
01 = SOURCE NOT YET DETERMINED
02 = BLANK
CR3110 409 410 2 SECONDARY SOURCE OF PAYMENT
01 = OTHER
02 = BLANK
CR31SP 411 435 25 SECONDARY SOURCE OF PAYMENT
OTHER/SPECIFY (ALPHA)
BLANK
CR32A 436 440 5 TOTAL CHARGE BILLED
RANGE = 00000 - 99999
BLANK
CR32B 441 442 2 CHARGE TIME PERIOD
01 = MONTH
02 = DAY
03 = WEEK
04 = OTHER PERIOD
BLANK
CR32FM 443 444 2 COVERED TIME PERIOD: FROM MONTH
RANGE = 01 - 12
BLANK
CR32FD 445 446 2 COVERED TIME PERIOD: FROM DAY
RANGE = 01 - 31
BLANK
CR32TM 447 448 2 COVERED TIME PERIOD: TO MONTH
RANGE = 01 - 12
BLANK
CR32TD 449 450 2 COVERED TIME PERIOD: TO DAY
RANGE = 01 - 31
BLANK
LABEL BC EC LEN DESCRIPTION
CR32C 451 452 2 NOT BILLED YET/NO CHARGE WAS MADE
00 = NO CHARGE
01 = NOT BILLED YET
02 = BLANK
CR33 453 454 2 PRIMARY SOURCE OF PAYMENT: DENTAL CARE
01 = OWN INCOME ETC
02 = MEDICAID
03 = VA CONTRACT ETC
04 = GOVT. ASSISTANCE
05 = COVERED IN BASIC PATIENT CHARGES
06 = PAYMENT SOURCE NOT YET DETERMINED
07 = NO DENTAL SERV. RECEIVED
08 = BLANK
BLANK 455 455 1 BLANK
CRFMSA 456 456 1 MSA INDICATOR [FROM FACILITY FILE]
1 = MSA
2 = NON MSA
CRWT 457 464 8 CURRENT PATIENT WEIGHT (RB8.)
CRFOWN 465 466 2 OWNERSHIP [FROM FACILITY FILE]
01 = PROFIT
02 = ALL OTHERS
BLANK 467 469 3 BLANK
CRFBEDS 470 470 1 BEDS [FROM FACILITY FILE]
1 = 3-49 BEDS
2 = 50-99 BEDS
3 = 100+ BEDS
CRFCERT 471 472 2 CERTIFICATION [FROM FACILITY FILE]
01 = CERTIFIED
02 = NOT CERTIFIED
IMPMOADM 473 473 1 IMPUTE MONTH OF ADMISSION
1 = MONTH IMPUTED AS '06'
BLANK = NOT IMPUTED
IMPDAADM 474 474 1 IMPUTE DAY OF ADMISSION
1 = DAY IMPUTED AS '15'
BLANK = NOT IMPUTED
BLANK 475 490 16 BLANK
LABEL BC EC LEN DESCRIPTION
EQID 1 4 4 EXPENSE ID NUMBER
EQC1 5 6 2 MONTH MOST RECENT FISCAL PERIOD BEGAN
RANGE = 01 - 12
BLANK = 13
EQC2 7 8 2 YEAR MOST RECENT FISCAL PERIOD BEGAN
RANGE = 93 - 96
BLANK = 97
EQC3 9 10 2 MONTH MOST RECENT FISCAL PERIOD ENDED
RANGE = 01 - 12
BLANK = 13
EQC4 11 12 2 YEAR MOST RECENT FISCAL PERIOD ENDED
RANGE = 93 - 96
BLANK = 97
EQ1A1 13 20 8 NURSING STAFF PAYROLL EXPENSE
RANGE = 00000000 - 99999999
EQ1A2 21 28 8 PHYSICIANS & OTHER PAYROLL EXPENSE
RANGE = 00000000 - 99999999
EQ1A3 29 36 8 DENTAL STAFF PAYROLL EXPENSE
RANGE = 00000000 - 99999999
EQ1A4 37 44 8 ALL OTHER PAYROLL EXPENSE
RANGE = 00000000 - 99999999
EQ1A5 45 53 9 SUBTOTAL WAGES AND SALARIES
RANGE = 000000000 - 999999999
EQ1B 54 61 8 PAYROLL TAXES & FRINGE BENEFITS
RANGE = 00000000 - 99999999
EQ1C 62 71 8 TOTAL PAYROLL EXPENSES
RANGE = 00000000 - 99999999
EQ2A 72 79 8 OUTSIDE SOURCES: NURSING SERVICES
RANGE = 00000000 - 99999999
EQ2B 80 87 8 OUTSIDE SOURCES: DENTAL SERVICES
RANGE = 00000000 - 99999999
EQ2C 88 95 8 OUTSIDE SOURCES: MENTAL HEALTH
RANGE = 00000000 - 99999999
EQ2D 96 103 8 OUTSIDE SOURCES: OTHER HEALTH
RANGE = 00000000 - 99999999
EQ2E 104 113 10 OUTSIDE SOURCES: TOTAL EXPENSES
RANGE = 0000000000 - 9999999999
EQ3 114 121 8 EQUIPMENT RENT
RANGE = 00000000 - 99999999
LABEL BC EC LEN DESCRIPTION
EQ4 122 129 8 INSURANCE
RANGE = 00000000 - 99999999
EQ5 130 137 8 TAXES AND LICENSE
RANGE = 00000000 - 99999999
EQ6 138 145 8 INTEREST & FINANCING CHARGES
RANGE = 00000000 - 99999999
EQ7 146 153 8 RENT ON BUILDING AND LAND
RANGE = 00000000 - 99999999
EQ8 154 161 8 AMORTIZATION OF LEASEHOLD IMPROVEMENTS
RANGE = 00000000 - 99999999
EQ9 162 169 8 DEPRECIATION CHARGES
RANGE = 00000000 - 99999999
EQ10 170 177 8 FOOD AND OTHER DIETARY ITEMS
RANGE = 00000000 - 99999999
EQ11 178 185 8 DRUG EXPENSES
RANGE = 00000000 - 99999999
EQ12 186 193 8 SUPPLIES AND EQUIPMENT
RANGE = 00000000 - 99999999
EQ13 194 201 8 MAINTENANCE OF BUILDINGS ETC.
RANGE = 00000000 - 99999999
EQ14 202 209 8 PURCHASED LAUNDRY & LINEN
RANGE = 00000000 - 99999999
EQ15 210 217 8 UTILITIES
RANGE = 00000000 - 99999999
EQ16 218 225 8 OTHER & MISCELLANEOUS EXPENSE
RANGE = 00000000 - 99999999
EQ17 226 235 10 TOTAL EXPENSES
RANGE = 0000000000 - 9999999999
EQ18A 236 245 10 REVENUES: TOTAL PATIENT
RANGE = 0000000000 - 9999999999
EQ18A1A 246 253 8 REVENUES: PUBLIC PAYMENT/MEDICAID
RANGE = 00000000 - 99999999
EQ18A1B 254 261 8 REVENUES: PUBLIC PAYMENTS/MEDICARE
RANGE = 00000000 - 99999999
EQ18A1C 262 269 8 REVENUES: ALL OTHER PUBLIC PAYMENTS
RANGE = 00000000 - 99999999
EQ18A2 270 277 8 REVENUES: PRIVATE PAYMENTS
RANGE = 00000000 - 99999999
LABEL BC EC LEN DESCRIPTION
EQ18B 278 285 8 REVENUES: NON-PATIENT REVENUES
RANGE = 00000000 - 99999999
EQ18C 286 295 10 REVENUES: TOTAL REVENUES
RANGE = 0000000000 - 9999999999
EQF1DESP 296 330 35 DESCRIPTION 1: 20% MORE OF EQ16
(ALPHA)
EQF1 331 338 8 AMOUNT 1: 20% MORE OF EQ16
RANGE = 00000000 - 99999999
EQF2DESP 339 373 35 DESCRIPTION 2: 20% MORE OF EQ16
(ALPHA)
EQF2 374 381 8 AMOUNT 2: 20% MORE OF ITEM 16
RANGE = 00000000 - 99999999
EQF3DESP 382 416 35 DESCRIPTION 3: 20% MORE OF EQ16
(ALPHA)
EQF3 417 424 8 AMOUNT 3: 20% MORE OF ITEM 16
RANGE = 00000000 - 99999999
BLANK 425 434 10 BLANK
EQFOWN 435 436 2 OWNERSHIP [FROM FACILITY FILE]
01 = PROFIT
02 = ALL OTHERS
BLANK 437 439 3 BLANK
EQFBEDS 440 440 1 BEDS [FROM FACILITY FILE]
1 = 3-49 BEDS
2 = 50-99 BEDS
3 = 100+ BEDS
EQFCERT 441 442 2 CERTIFICATION [FROM FACILITY FILE]
01 = CERTIFIED
02 = NOT CERTIFIED
EQMSA 443 443 1 MSA CODE [FROM FACILITY FILE]
1 = MSA
2 = NON MSA
BLANK 444 472 29 BLANK
EQWT 473 480 8 EXPENSE WEIGHT (RB8.)
BLANK 481 490 10 BLANK
