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Name
Label/Question

CASENUM

Taken from: National Nursing Home Survey, 2004 - Facilities.

Is facility part of a chain

FQ5. Is [FACILITY] part of a chain?

Taken from: National Nursing Home Survey, 2004 - Facilities.

Type of ownership of facility

FQ21. Which one of these categories on this card best describes the ownership of this facility?

Taken from: National Nursing Home Survey, 2004 - Facilities.

Current number of nursing home beds

FQ22. How many beds are currently available for residents? Include all beds set up and staffed for use whether or not they are in use by residents at the present time. ... (view details)

Taken from: National Nursing Home Survey, 2004 - Facilities.

In past 12 months, has number of beds increased, decreased or remained the same

FQ23. In the past 12 months, that is, since [PAST 12 MONTHS], has the number of beds increased, decreased, or remained the same in [FACILITY]? ... (view details)

Taken from: National Nursing Home Survey, 2004 - Facilities.

OCCUPPCT

FQ30. Based on your most recent daily census, what is the total number of current nursing home residents? PROBE: Please include residents for whom a bed is being held while in the hospital? ... (view details)

Taken from: National Nursing Home Survey, 2004 - Facilities.

Does facility have a waiting list

FQ30A. Does [FACILITY] have a waiting list? PROBE: A waiting list refers to a list of persons who need a nursing home placement.

Taken from: National Nursing Home Survey, 2004 - Facilities.

Number currently on waiting list

FQ30B. How many people are currently on the waiting list?

Taken from: National Nursing Home Survey, 2004 - Facilities.

Clusters of beds for Alzheimers and Related Dementias

Does [FACILITY] have special, physically distinct or designated clusters of beds or segregated wings or units, used exclusively for conditions listed on this card? ALZHEIMER'S AND RELATED DEMENTIAS ... (view details)

Taken from: National Nursing Home Survey, 2004 - Facilities.

Clusters of beds for Behavior Unit (Non-Alzheimers)

Does [FACILITY] have special, physically distinct or designated clusters of beds or segregated wings or units, used exclusively for conditions listed on this card? BEHAVIOR UNIT (NON-ALZHEIMER'S) ... (view details)

Taken from: National Nursing Home Survey, 2004 - Facilities.

Clusters of beds for Hospice

Does [FACILITY] have special, physically distinct or designated clusters of beds or segregated wings or units, used exclusively for conditions listed on this card? HOSPICE ... (view details)

Taken from: National Nursing Home Survey, 2004 - Facilities.

Clusters of beds for Rehabilitation

Does [FACILITY] have special, physically distinct or designated clusters of beds or segregated wings or units, used exclusively for conditions listed on this card? REHABILITATION (CARDIAC, FUNCTIONAL) ... (view details)

Taken from: National Nursing Home Survey, 2004 - Facilities.

Clusters of beds for Respite Care

Does [FACILITY] have special, physically distinct or designated clusters of beds or segregated wings or units, used exclusively for conditions listed on this card? RESPITE CARE ... (view details)

Taken from: National Nursing Home Survey, 2004 - Facilities.

Clusters of beds for Subacute Care

Does [FACILITY] have special, physically distinct or designated clusters of beds or segregated wings or units, used exclusively for conditions listed on this card? SUBACUTE CARE ... (view details)

Taken from: National Nursing Home Survey, 2004 - Facilities.

Clusters of beds for Ventilator/Pulmonary

Does [FACILITY] have special, physically distinct or designated clusters of beds or segregated wings or units, used exclusively for conditions listed on this card? VENTILATOR, PULMONARY ... (view details)

Taken from: National Nursing Home Survey, 2004 - Facilities.

Clusters of beds for Other

Does [FACILITY] have special, physically distinct or designated clusters of beds or segregated wings or units, used exclusively for conditions listed on this card? OTHER ... (view details)

Taken from: National Nursing Home Survey, 2004 - Facilities.

Percent of residents with Medicare as primary payment source

Taken from: National Nursing Home Survey, 2004 - Facilities.

Percent of residents with Medicaid as primary payment source

Taken from: National Nursing Home Survey, 2004 - Facilities.

Percent of residents with other sources of payment.

Taken from: National Nursing Home Survey, 2004 - Facilities.

Is basic rate for self or private pay a single rate or a range

Taken from: National Nursing Home Survey, 2004 - Facilities.

What is basic rate for self or private pay

FC7. What is the basic rate for self or private pay?

Taken from: National Nursing Home Survey, 2004 - Facilities.

Highest rate for self or private pay

FC7A1. [What is the basic rate for self or private pay?] ENTER THE HIGHEST RATE

Taken from: National Nursing Home Survey, 2004 - Facilities.

Self or private pay Unit: Per day, week, month

FC7A2. [What is the basic rate for self or private pay?] ENTER UNIT

Taken from: National Nursing Home Survey, 2004 - Facilities.

Does this facility have formal contracts with any of the outside groups listed below?*

FC8. Does [FACILITY] have formal contracts with any of the outside service providers on this card? PROBE: Any other providers?

Taken from: National Nursing Home Survey, 2004 - Facilities.

Formal Contract with Outside Assisted Living Facility/ Organization

FC8. Does [FACILITY] have formal contracts with any of the outside service providers on this card? PROBE: Any other providers? ASSISTED LIVING FACILITY/ORGANIZATION ... (view details)

Taken from: National Nursing Home Survey, 2004 - Facilities.

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