SURVEY.CMS
Surveys951 LOINC codes in this class
57207-3Risk factors affecting health status and or outcome during assessment period [CMS Assessment]S101325-9MDS v3.0 - RAI v1.18.11 - Tub/shower transfer - functional goal [CMS Assessment]S101327-5MDS v3.0 - RAI v1.18.11 - Nutritional approaches - on admission during assessment period [CMS Assessment]S101328-3MDS v3.0 - RAI v1.18.11 - Nutritional approaches - at discharge during assessment period [CMS Assessment]S101330-9MDS v3.0 - RAI v1.18.11 - Number of venous and arterial ulcers during assessment period [CMS Assessment]S101331-7MDS v3.0 - RAI v1.18.11 - Ulcers, wounds and skin problems during assessment period [CMS Assessment]S101332-5MDS v3.0 - RAI v1.18.11 - Reason referral to local contact agency not made [CMS Assessment]S101333-3MDS v3.0 - RAI v1.18.11 - Determination of pressure injury risk [CMS Assessment]S101351-5Has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living during assessment period [CMS Assessment]S101374-7MDS v3.0 - RAI v1.18.11 - Referral has been made to the local contact agency during assessment period [CMS Assessment] Patient education materialS101597-3CMS - Tub and or shower transfer - functional goal [CMS Assessment]S101605-4CMS - Nutritional approaches - at discharge during assessment period [CMS Assessment]S101608-8CMS - Determination of Pressure Ulcer during assessment period [CMS Assessment]S101609-6CMS - Number of Venous and Arterial Ulcers during assessment period [CMS Assessment]S101610-4CMS - Other Ulcers, Wounds and Skin Problems during assessment period [CMS Assessment]S101616-1CMS - Participation in assessment and goal setting during assessment period [CMS Assessment]S101620-3CMS - Referral has been made to the local contact agency during assessment period [CMS Assessment] Patient education materialS101621-1CMS - Reason referral to local contact agency not made during assessment period [CMS Assessment]S101632-8CMS - Nutritional approaches - on admission during assessment period [CMS Assessment]S103569-0MDS v3.0 - RAI v1.19.1 - Is the resident's COVID-19 vaccination up to date? [CMS Assessment]S103692-0Body height during assessment period [CMS Assessment]S103693-8Body weight during assessment period [CMS Assessment]S103696-1Repetition of three words during assessment period [CMS Assessment]S103697-9Temporal orientation - current year during assessment period [CMS Assessment]S103698-7Temporal orientation - current month during assessment period [CMS Assessment]S103699-5Recall - sock during assessment period [CMS Assessment]S103700-1Recall - blue during assessment period [CMS Assessment]S103701-9Recall - bed during assessment period [CMS Assessment]S103703-5Temporal orientation - current day of the week [CMS Assessment]S103704-3Brief Interview for Mental Status - summary score during assessment period [CMS Assessment]S103705-0Mood interview total severity score during assessment period [CMS Assessment]S103707-6Staff assessment of resident mood total severity score during assessment period [CMS Assessment]S103708-4Race during assessment period [CMS Assessment]S103709-2How often do you need to have someone help you when you read instructions, pamphlets, or other written material from your doctor or pharmacy during assessment period [CMS Assessment]S105177-0I have indicated all the devices needed during assessment period [CMS Assessment]S106631-5Site of Service at Admission during assessment period [CMS Assessment]S106632-3Patient ZIP Code during assessment period [CMS Assessment]S106635-6Date the patient or responsible party was first asked about preference regarding the use of CPR during assessment period [CMS Assessment]S106637-2Was the patient or responsible party asked about preference regarding the use of cardiopulmonary resuscitation during assessment period [CMS Assessment]S106639-8Was the patient or responsible party asked about preferences regarding life-sustaining treatments other than CPR during assessment period [CMS Assessment]S106640-6Date the patient or responsible party was first asked about preferences regarding life-sustaining treatments other than CPR during assessment period [CMS Assessment]S106642-2Date the patient and or caregiver was first asked about spiritual or existential concerns during assessment period [CMS Assessment]S106643-0Was the patient and or caregiver asked about spiritual or existential concerns during assessment period [CMS Assessment]S106645-5Date the patient or responsible party was first asked about preference regarding hospitalization during assessment period [CMS Assessment]S106646-3Was the patient or responsible party asked about preference regarding hospitalization during assessment period [CMS Assessment]S106647-1Principal Diagnosis during assessment period [CMS Assessment]S106649-7Comorbidities and Co-existing Conditions during assessment period [CMS Assessment]S106664-6Death is Imminent during assessment period [CMS Assessment]S106665-3Was the patient screened for pain during assessment period [CMS Assessment]S106666-1Date of first screening for pain during assessment period [CMS Assessment]S106667-9Patient's pain severity during assessment period [CMS Assessment]S106668-7Was a comprehensive pain assessment done during assessment period [CMS Assessment]S106669-5Type of standardized pain tool used during assessment period [CMS Assessment]S106670-3Pain Active Problem during assessment period [CMS Assessment]S106672-9Date of comprehensive pain assessment during assessment period [CMS Assessment]S106673-7Comprehensive pain assessment included during assessment period [CMS Assessment]S106674-5Neuropathic Pain during assessment period [CMS Assessment]S106676-0Was the patient screened for shortness of breath during assessment period [CMS Assessment]S106677-8Date of first screening for shortness of breath during assessment period [CMS Assessment]S106678-6Did the screening indicate the patient had shortness of breath during assessment period [CMS Assessment]S106680-2Was treatment for shortness of breath initiated during assessment period [CMS Assessment]S106681-0Date treatment for shortness of breath initiated during assessment period [CMS Assessment]S106683-6Date of symptom impact screening during assessment period [CMS Assessment]S106684-4Was a symptom impact screening completed during assessment period [CMS Assessment]S106688-5Symptom Impact - Pain during assessment period [CMS Assessment]S106689-3Symptom Impact - Shortness of breath during assessment period [CMS Assessment]S106690-1Symptom Impact - Anxiety during assessment period [CMS Assessment]S106691-9Symptom Impact - Vomiting during assessment period [CMS Assessment]S106692-7Symptom Impact - Nausea during assessment period [CMS Assessment]S106693-5Symptom Impact - Diarrhea during assessment period [CMS Assessment]S106694-3Symptom Impact - Constipation during assessment period [CMS Assessment]S106695-0Symptom Impact - Agitation during assessment period [CMS Assessment]S106696-8SFV Symptom Impact - Agitation during assessment period [CMS Assessment]S106697-6SFV Symptom Impact - Constipation during assessment period [CMS Assessment]S106698-4SFV Symptom Impact - Diarrhea during assessment period [CMS Assessment]S106699-2SFV Symptom Impact - Vomiting during assessment period [CMS Assessment]S106700-8SFV Symptom Impact - Nausea during assessment period [CMS Assessment]S106701-6SFV Symptom Impact - Anxiety during assessment period [CMS Assessment]S106702-4SFV Symptom Impact - Shortness of breath during assessment period [CMS Assessment]S106703-2SFV Symptom Impact - Pain during assessment period [CMS Assessment]S106705-7Was an in-person SFV completed during assessment period [CMS Assessment]S106706-5Date of in-person SFV during assessment period [CMS Assessment]S106707-3Reason SFV Not Completed during assessment period [CMS Assessment]S106709-9Skin Conditions. Does the patient have one or more skin conditions during assessment period [CMS Assessment]S106710-7Types of Skin Conditions during assessment period [CMS Assessment]S106711-5Skin and Ulcer or Injury Treatments during assessment period [CMS Assessment]S106712-3Date bowel regimen initiated or continued during assessment period [CMS Assessment]S106713-1Was a bowel regimen initiated or continued during assessment period [CMS Assessment]S106714-9Date PRN opioid initiated or continued during assessment period [CMS Assessment]S106716-4Was a PRN opioid initiated or continued during assessment period [CMS Assessment]S106719-8Was a scheduled opioid initiated or continued during assessment period [CMS Assessment]S106720-6Date scheduled opioid initiated or continued during assessment period [CMS Assessment]S106721-4Reason for discharge during assessment period [CMS Assessment]S108265-0Therapy services during assessment period [CMS Assessment]S112580-6Signature [CMS Assessment]S45588-1Bed mobility - self-performance during assessment period [CMS Assessment]S45589-9Bed mobility - support provided during assessment period [CMS Assessment]S45590-7Transfer - self-performance during assessment period [CMS Assessment]S45591-5Transfer - support provided during assessment period [CMS Assessment]S45592-3Walk in room - self-performance during assessment period [CMS Assessment]S45593-1Walk in room - support provided during assessment period [CMS Assessment]S45594-9Walk in corridor - self-performance during assessment period [CMS Assessment]S45595-6Walk in corridor - support provided during assessment period [CMS Assessment]S45596-4Locomotion on unit - self-performance during assessment period [CMS Assessment]S45597-2Locomotion on unit - support provided during assessment period [CMS Assessment]S45598-0Locomotion off unit - self-performance during assessment period [CMS Assessment]S45599-8Locomotion off unit - support provided during assessment period [CMS Assessment]S45600-4Dressing - self-performance during assessment period [CMS Assessment]S45601-2Dressing - support provided during assessment period [CMS Assessment]S45602-0Eating - self-performance during assessment period [CMS Assessment]S45603-8Eating - support provided during assessment period [CMS Assessment]S45604-6Toilet use - self-performance during assessment period [CMS Assessment]S45605-3Toilet use - support provided during assessment period [CMS Assessment]S45606-1Personal hygiene - self-performance during assessment period [CMS Assessment]S45607-9Personal hygiene - support provided during assessment period [CMS Assessment]S45608-7Bathing - self-performance during assessment period [CMS Assessment]S45609-5Bathing - support provided during assessment period [CMS Assessment]S45613-7Direct care staff believe resident is capable of increased independence in at least some ADLs during assessment period [CMS Assessment]S45760-6Number of days with at least 15 minutes of speech language pathology and audiology services in the last 7 days [CMS Assessment]S45762-2Number of days with at least 15 minutes of occupational therapy in the last 7 days [CMS Assessment]S45764-8Number of days with at least 15 minutes of physical therapy in the last 7 days [CMS Assessment]S45766-3Number of days with at least 15 minutes of respiratory therapy in the last 7 days [CMS Assessment]S45767-1Total minutes of respiratory therapy in the last 7 days [CMS Assessment]S45768-9Number of days with at least 15 minutes of psychological therapy by any licensed mental health professional in the last 7 days [CMS Assessment]S45852-1Total minutes of psychological therapy by any licensed mental health professional in the last 7 days [CMS Assessment]S45956-0Reason pneumococcal vaccine not received during assessment period [CMS Assessment]S46465-1Conditions prior to medical or treatment regimen change or inpatient stay within past 14 days [OASIS]S46466-9Therapeutic substance administered at home during assessment period [CMS Assessment]S46473-5Cognitive, behavioral, and psychiatric symptoms demonstrated at least one time per week during assessment period [CMS Assessment]S46494-1State location of agency branch [CMS Assessment]S46495-8Branch number during assessment period [CMS Assessment] AgencyS46496-6Agency patient number during assessment period [CMS Assessment]S46497-4Start of care date during assessment period [CMS Assessment]S46498-2Resumption of care date during assessment period [CMS Assessment]S46500-5Discipline of Person Completing Assessment during assessment period [CMS Assessment] ProviderS46501-3Date assessment information completed during assessment period [CMS Assessment]S46504-7Inpatient stay within last 14 days - ICD code [CMS Assessment]S46507-0Regimen change in past 14 days - ICD code [CMS Assessment]S46534-4Skin lesion or open wound during assessment period [CMS Assessment]S46536-9Number of pressure injuries - stage 1 Ord [CMS Assessment]S46552-6Treated for urinary tract infection in past 14 days [CMS Assessment]S46553-4Urinary incontinence or urinary catheter present during assessment period [CMS Assessment]S46569-0Telephone use - functional ability during assessment period [CMS Assessment]S46578-1Admitted to during assessment period [CMS Assessment] Inpatient facilityS46581-5Date of last home visit during assessment period [CMS Assessment]S46582-3Discharge, transfer, death dateS46587-2Bowel incontinence frequency during assessment period [CMS Assessment]S46588-0Ostomy for bowel elimination [OASIS]S46589-8Cognitive functioning during assessment period [CMS Assessment]S46591-4When anxious [OASIS]S46592-2Frequency of behavior problems during assessment period [CMS Assessment]S46593-0Receives psychiatric nursing during assessment period [CMS Assessment]S46595-5Grooming - functional ability during assessment period [CMS Assessment]S46597-1Dress upper body - functional ability during assessment period [CMS Assessment]S46599-7Dress lower body - functional ability during assessment period [CMS Assessment]S50786-3Date of entryS52454-6Reason for assessmentS52552-7Falls in the past yearS52556-8Payment sourcesS52731-7Repetition of three words # [BIMS]S52732-5Temporal orientation - current year [BIMS]S52733-3Temporal orientation - current month [BIMS]S52735-8Recall - sock [BIMS]S52736-6Recall - blue [BIMS]S52737-4Recall - bed [BIMS]S54583-0Federal OBRA reason for assessment during assessment period [CMS Assessment]S54584-8PPS Assessment during assessment period [CMS Assessment]S54585-5PPS Other Medicare Required Assessment - OMRA during assessment period [CMS Assessment]S54587-1First assessment since the most recent admission/reentry during assessment period [CMS Assessment]S54589-7Preadmission Screening and Resident Review (PASRR) during assessment period [CMS Assessment]S54590-5Entry type during assessment period [CMS Assessment]S54592-1Previous assessment reference date for significant correction during assessment period [CMS Assessment]S54594-7Medicare-covered stay since the most recent entry during assessment period [CMS Assessment]S54595-4Start date of most recent Medicare stay during assessment period [CMS Assessment]S54596-2End date of most recent Medicare stay during assessment period [CMS Assessment]S54597-0Comatose during assessment period [CMS Assessment]S54598-8Hearing.ability to hear in last 7 days [CMS Assessment]S54599-6Hearing aid used during assessment period [CMS Assessment]S54600-2Speech clarity.description of speech pattern during assessment period [CMS Assessment]S54601-0Express ideas and wants in last 7 days [CMS Assessment]S54602-8Understanding verbal content during assessment period [CMS Assessment]S54603-6Vision.ability to see in adequate light in last 7 days [CMS Assessment]S54604-4Corrective lenses used during assessment period [CMS Assessment]S54605-1Brief Interview for Mental Status (BIMS) should be conducted during assessment period [CMS Assessment]S54609-3Temporal orientation - current day of the week [BIMS]S54614-3Brief Interview for Mental Status - summary score [BIMS]S54615-0Should staff assessment for mental status be conducted during assessment period [CMS Assessment]S54616-8Short-term memory OK during assessment period [CMS Assessment]S54617-6Long-term memory OK during assessment period [CMS Assessment]S54624-2Cognitive skills for daily decision making during assessment period [CMS Assessment]S54628-3Inattention in last 7 days [CAM.CMS]S54629-1Disorganized thinking in last 7 days [CAM.CMS]S54630-9Altered level of consciousness in last 7 days [CAM.CMS]S54632-5Acute onset mental status change [CAM.CMS]S54634-1Should resident mood interview be conducted during assessment period [CMS Assessment]S54636-6Little interest or pleasure in doing things in last 2 weeks.presence [Reported PHQ-9 CMS]S54637-4Little interest or pleasure in doing things in last 2 weeks.frequency [Reported PHQ-9 CMS]S54638-2Feeling down, depressed or hopeless in last 2 weeks.presence [Reported PHQ-9 CMS]S54639-0Feeling down, depressed or hopeless in last 2 weeks.frequency [Reported PHQ-9 CMS]S54640-8Trouble falling or staying asleep, or sleeping too much in last 2 weeks.presence [Reported PHQ-9 CMS]S54641-6Trouble falling or staying asleep, or sleeping too much in last 2 weeks.frequency [Reported PHQ-9 CMS]S54642-4Feeling tired or having little energy in last 2 weeks.presence [Reported PHQ-9 CMS]S54643-2Feeling tired or having little energy in last 2 weeks.frequency [Reported PHQ-9 CMS]S54644-0Poor appetite or overeating in last 2 weeks.presence [Reported PHQ-9 CMS]S54645-7Poor appetite or overeating in last 2 weeks.frequency [Reported PHQ-9 CMS]S54646-5Feeling bad about yourself - or that you are a failure or have let yourself or your family down in last 2 weeks.presence [Reported PHQ-9 CMS]S54647-3Feeling bad about yourself - or that you are a failure or have let yourself or your family down in last 2 weeks.frequency [Reported PHQ-9 CMS]S54648-1Trouble concentrating on things, such as reading the newspaper or watching television in last 2 weeks.presence [Reported PHQ-9 CMS]S54649-9Trouble concentrating on things, such as reading the newspaper or watching television in last 2 weeks.frequency [Reported PHQ-9 CMS]S54650-7Moving or speaking so slowly that other people could have noticed. Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual in last 2 weeks.presence [Reported PHQ-9 CMS]S54651-5Moving or speaking so slowly that other people could have noticed. Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual in last 2 weeks.frequency [Reported PHQ-9 CMS]S54652-3Thoughts that you would be better off dead, or of hurting yourself in some way in last 2 weeks.presence [Reported PHQ-9 CMS]S54653-1Thoughts that you would be better off dead, or of hurting yourself in some way in last 2 weeks.frequency [Reported PHQ-9 CMS]S54654-9Mood interview total severity score [Reported PHQ-9 CMS]S54655-6Responsible staff or provider was informed of potential for resident self harm during assessment period [CMS Assessment]S54658-0Little interest or pleasure in doing things in last 2 weeks.presence [Observed PHQ-9 CMS]S54659-8Little interest or pleasure in doing things in last 2 weeks.frequency [Observed PHQ-9 CMS]S54660-6Feeling or appearing down, depressed or hopeless in last 2 weeks.presence [Observed PHQ-9 CMS]S54661-4Feeling or appearing down, depressed, or hopeless in last 2 weeks.frequency [Observed PHQ-9 CMS]S54662-2Trouble falling or staying asleep, or sleeping too much in last 2 weeks.presence [Observed PHQ-9 CMS]S54663-0Trouble falling or staying asleep, or sleeping too much in last 2 weeks.frequency [Observed PHQ-9 CMS]S54664-8Feeling tired or having little energy in last 2 weeks.presence [Observed PHQ-9 CMS]S54665-5Feeling tired or having little energy in last 2 weeks.frequency [Observed PHQ-9 CMS]S54666-3Poor appetite or overeating in last 2 weeks.presence [Observed PHQ-9 CMS]S54667-1Poor appetite or overeating in last 2 weeks.frequency [Observed PHQ-9 CMS]S54668-9Indicating that (s)he feels bad about self, are a failure, or has let self or family down in last 2W.presence [Observed PHQ-9 CMS]S54669-7Indicating that (s)he feels bad about self, are a failure, or has let self or family down in last 2W.frequency [Observed PHQ-9 CMS]S54670-5Trouble concentrating on things, such as reading the newspaper or watching television in last 2 weeks.presence [Observed PHQ-9 CMS]S54671-3Trouble concentrating on things, such as reading the newspaper or watching television in last 2 weeks.frequency [Observed PHQ-9 CMS]S54672-1Moving or speaking so slowly that other people have noticed. Or the opposite - being so fidgety or restless that (s)he has been moving around a lot more than usual in last 2 weeks.presence [Observed PHQ-9 CMS]S54673-9States that life isn't worth living, wishes for death, or attempts to harm self in last 2 weeks.presence [Observed PHQ-9 CMS]S54674-7States that life isn't worth living, wishes for death, or attempts to harm self in last 2 weeks.frequency [Observed PHQ-9 CMS]S54675-4Being short-tempered, easily annoyed in last 2 weeks.presence [Observed PHQ-9 CMS]S54676-2Being short-tempered, easily annoyed in last 2 weeks.frequency [Observed PHQ-9 CMS]S54677-0Staff assessment of resident mood total severity score [Observed PHQ-9 CMS]S54682-0Physical behavioral symptoms directed toward others during assessment period [CMS Assessment]S54683-8Verbal behavioral symptoms directed toward others during assessment period [CMS Assessment]S54684-6Other behavioral symptoms not directed toward others during assessment period [CMS Assessment]S54685-3Overall presence of behavioral symptoms during assessment period [CMS Assessment]S54686-1Put the resident at significant risk for physical illness or injury during assessment period [CMS Assessment]S54687-9Significantly interfere with the resident's care during assessment period [CMS Assessment]S54688-7Significantly interfere with the resident's participation in activities or social interactions during assessment period [CMS Assessment]S54689-5Put others at significant risk for physical injury during assessment period [CMS Assessment]S54690-3Significantly intrude on the privacy or activity of others during assessment period [CMS Assessment]S54691-1Significantly disrupt care or living environment during assessment period [CMS Assessment]S54692-9Rejection of care - presence and frequency in last 7 days [CMS Assessment]S54693-7Wandering - presence and frequency in last 7 days [CMS Assessment]S54694-5Wandering places resident at significant risk of getting to a potentially dangerous place in last 7 days [CMS Assessment]S54695-2Wandering significantly intrudes on the privacy or activities of others in last 7 days [CMS Assessment]S54696-0Change in behavioral or other symptoms in last 7 days [CMS Assessment]S54697-8Interview for daily and activity preferences should be conducted during assessment period [CMS Assessment]S54698-6How important it is to choose what clothes to wear while in this facility during assessment period [CMS Assessment]S54699-4How important it is to take care of your personal belongings or things while in this facility during assessment period [CMS Assessment]S54700-0How important it is to choose between a tub bath, shower, bed bath, or sponge bath while in this facility during assessment period [CMS Assessment]S54701-8How important it is to have snacks available between meals while in this facility during assessment period [CMS Assessment]S54702-6How important it is to choose your own bedtime while in this facility during assessment period [CMS Assessment]S54703-4How important it is to have your family or a close friend involved in discussions about your care while in this facility during assessment period [CMS Assessment]S54704-2How important it is to be able to use the phone in private while in this facility during assessment period [CMS Assessment]S54705-9How important it is to have a place to lock your things to keep them safe while in this facility during assessment period [CMS Assessment]S54706-7How important it is to have books, newspapers, and magazines to read while in this facility during assessment period [CMS Assessment]S54707-5How important it is to listen to music you like while in this facility during assessment period [CMS Assessment]S54708-3How important it is to be around animals such as pets while in this facility during assessment period [CMS Assessment]S54709-1How important it is to keep up with the news while in this facility during assessment period [CMS Assessment]S54710-9How important it is to do things with groups of people while in this facility during assessment period [CMS Assessment]S54711-7How important it is to do your favorite activities while in this facility during assessment period [CMS Assessment]S54712-5How important it is to go outside to get fresh air when the weather is good while in this facility during assessment period [CMS Assessment]S54713-3How important it is to participate in religious services or practices while in this facility during assessment period [CMS Assessment]S54714-1Primary respondent for daily and activity preferences during assessment period [CMS Assessment]S54715-8Staff assessment of daily and activity preferences should be conducted during assessment period [CMS Assessment]S54749-7Moving from seated to standing position during assessment period [CMS Assessment]S54750-5Walking (with assistive device if used) during assessment period [CMS Assessment]S54751-3Turning around and facing the opposite direction while walking during assessment period [CMS Assessment]S54752-1Moving on and off toilet during assessment period [CMS Assessment]S54753-9Surface-to-surface transfer during assessment period [CMS Assessment]S54767-9Trial of toileting program has been attempted on admission or reentry or since urinary incontinence was noted in this facility during assessment period [CMS Assessment]S54768-7Response to toileting program during assessment period [CMS Assessment]S54769-5Current toileting program or trial during assessment period [CMS Assessment]S54770-3Urinary continence in last 7 days [CMS Assessment]S54771-1Bowel continence in last 7 days [CMS Assessment]S54772-9Bowel toileting program currently being used during assessment period [CMS Assessment]S54773-7Constipation present during assessment period [CMS Assessment]S54774-5Cancer in last 30 days during assessment period [CMS Assessment]S54779-4Heart Failure during assessment period [CMS Assessment]S54782-8Peripheral Vascular Disease or Peripheral Arterial Disease during assessment period [CMS Assessment]S54795-0Diabetes mellitus during assessment period [CMS Assessment]S54814-9Seizure disorder or epilepsy during assessment period [CMS Assessment]S54828-9Pain assessment interview should be conducted during assessment period [CMS Assessment]S54829-7Pain presence during assessment period [CMS Assessment]S54830-5Pain frequency during assessment period [CMS Assessment]S54831-3Pain has made it hard to sleep during assessment period [CMS Assessment]S54832-1Limited activities because of pain during assessment period [CMS Assessment]S54833-9Pain severity during assessment period [CMS Assessment]S54834-7Rate pain severity during assessment period using verbal descriptor scaleS54845-3Tobacco use during assessment period [CMS Assessment]S54846-1Life expectancy of less than 6 months during assessment period [CMS Assessment]S54850-3Fall one or more times in the last month prior to admission [CMS Assessment]S54851-1Fall one or more times in the last 2 to 6 months prior to admission [CMS Assessment]S54852-9Any fracture related to a fall in the 6 months prior to admission [CMS Assessment]S54853-7Has the patient had any falls since admission or prior assessment [CMS Assessment]S54855-2Number of falls since admission or prior assessment - no injury [CMS Assessment]S54856-0Number of falls since admission or prior assessment - injury except major [CMS Assessment]S54857-8Number of falls since admission or prior assessment - major injury [CMS Assessment]S54863-6Weight loss of 5% or more in the last month or loss of 10% or more in last 6 months [CMS Assessment]S54884-2Number of pressure injuries - stage 1 during assessment period [CMS Assessment]S54886-7Number of pressure injuries present upon admission/reentry - stage 2 during assessment period [CMS Assessment]S54887-5Number of pressure injuries present upon admission/reentry - stage 3 during assessment period [CMS Assessment]S54890-9Number of pressure injuries present upon admission/reentry - stage 4 during assessment period [CMS Assessment]S54893-3Number of pressure injuries - unstageable due to non-removable dressing or device during assessment period [CMS Assessment]S54894-1Number of pressure injuries present upon admission/reentry - unstageable due to non-removable dressing during assessment period [CMS Assessment]S54904-8Moving or speaking so slowly that other people have noticed. Or the opposite - being so fidgety or restless that (s)he has been moving around a lot more than usual in last 2 weeks.frequency [Observed PHQ-9 CMS]S54946-9Number of pressure injuries - unstageable due to coverage of wound bed by slough/eschar during assessment period [CMS Assessment]S54947-7Number of pressure injuries present upon admission/reentry - unstageable due to coverage of wound bed by slough/eschar during assessment period [CMS Assessment]S54950-1Number of pressure injuries - unstageable with suspected deep tissue injury in evolution during assessment period [CMS Assessment]S54951-9Number of pressure injuries present upon admission/reentry - unstageable with suspected deep tissue injury in evolution during assessment period [CMS Assessment]S54953-5Number of current pressure injuries not present or were at a lesser stage on prior assessment - stage 2 during assessment period [CMS Assessment]S54954-3Number of current pressure injuries not present or were at a lesser stage on prior assessment - stage 3 during assessment period [CMS Assessment]S54955-0Number of current pressure injuries not present or were at a lesser stage on prior assessment - stage 4 during assessment period [CMS Assessment]S54957-6Pressure injuries were present on the prior assessment during assessment period [CMS Assessment]S54958-4Number of pressure injuries noted on prior assessment that have completely closed - stage 2 during assessment period [CMS Assessment]S54959-2Number of pressure injuries noted on prior assessment that have completely closed - stage 3 during assessment period [CMS Assessment]S54960-0Number of pressure injuries noted on prior assessment that have completely closed - stage 4 during assessment period [CMS Assessment]S54970-9Number of venous and arterial ulcers in last 7 days [CMS Assessment]S54982-4Number of days injectable substances received in last 7 days or since admission/reentry if less than 7 days [CMS Assessment]S55019-4Influenza virus vaccine received in facility during assessment period [CMS Assessment]S55020-2Reason influenza virus vaccine not received during assessment period [CMS Assessment]S55022-8Pneumococcal vaccination up to date during assessment period [CMS Assessment]S55025-1Start date of speech language pathology and audiology services during assessment period [CMS Assessment]S55026-9End date of speech language pathology and audiology services during assessment period [CMS Assessment]S55027-7Start date of occupational therapy during assessment period [CMS Assessment]S55028-5End date of occupational therapy during assessment period [CMS Assessment]S55029-3Start date of physical therapy during assessment period [CMS Assessment]S55030-1End date of physical therapy during assessment period [CMS Assessment]S55035-0Total minutes of recreational and music therapy in last 7 days [CMS Assessment]S55036-8Number of days with at least 15 minutes of recreational and music therapy in last 7 days [CMS Assessment]S55040-0Number of days physician examined the patient in last 14 days [CMS Assessment]S55041-8Number of days physician orders changed in last 14 days [CMS Assessment]S55054-1Participation in assessment during assessment period [CMS Assessment]S55057-4Goals established during assessment process during assessment period [CMS Assessment]S55058-2Information source for resident's overall goal during assessment period [CMS Assessment]S55065-7Medicare part A - HIPPS code for billingS55066-5Medicare part A - RUG version codeS55068-1State case mix - RUG groupS55069-9State case mix - RUG version codeS55071-5Insurance case mix - RUG groupS55072-3Insurance case mix - RUG version codeS55073-1Tissue type during assessment period [CMS Assessment] Pressure injury.Largest at most advanced stageS55074-9Participation in assessment during assessment period [CMS Assessment] Family or significant otherS55123-4Resident believes he or she is capable of increased independence in at least some ADLs during assessment period [CMS Assessment]S55124-2Number of pressure injuries - stage 2 during assessment period [CMS Assessment]S55125-9Number of pressure injuries - stage 3 during assessment period [CMS Assessment]S55126-7Number of pressure injuries - stage 4 during assessment period [CMS Assessment]S55128-3Discharge dispositionS57195-0Patient/caregiver drug education intervention during assessment period [CMS Assessment]S57199-2Current payment sources for home care during assessment period [CMS Assessment]S57200-8Reason for assessment during assessment period [CMS Assessment]S57201-6Date of Physician-ordered Start of Care (Resumption of Care) during assessment period [CMS Assessment]S57202-4Date of ReferralS57203-2Episode Timing during assessment period [CMS Assessment]S57204-0Inpatient discharge facility within the past 14 days [CMS Assessment]S57206-5Overall status during assessment period [CMS Assessment]S57208-1Influenza vaccination received in Reporting Period [CMS Assessment]S57212-3Patient lives alone during assessment period [CMS Assessment]S57213-1Patient lives with other person during assessment period [CMS Assessment]S57214-9Patient lives in congregated situtation during assessment period [CMS Assessment]S57215-6Vision during assessment period [CMS Assessment]S57216-4Ability to hear during assessment period [CMS Assessment]S57217-2Understanding of verbal content during assessment period [CMS Assessment]S57218-0Speech and oral expression of language during assessment period [CMS Assessment]S57219-8Formal pain assessment using standardized tool during assessment period [CMS Assessment]S57220-6Frequency of pain interfering with activity or movement during assessment period [CMS Assessment]S57221-4Pressure injury assessment was conducted during assessment period [CMS Assessment]S57222-2Oldest non-epithelialized stage 2 pressure injury present at discharge during assessment period [CMS Assessment]S57228-9Depth during assessment period [CMS Assessment] Pressure injury.largest stage 3 or 4S57229-7Status of most problematic pressure injury during assessment period [CMS Assessment]S57231-3Stage of most problematic pressure injury during assessment period [CMS Assessment]S57232-1Stasis ulcer [CMS Assessment]S57233-9Number of stasis ulcers during assessment period [CMS Assessment]S57234-7Status of most problematic stasis pressure injury during assessment period [CMS Assessment]S57235-4Surgical wound during assessment period [CMS Assessment]S57236-2Status of most problematic surgical wound during assessment period [CMS Assessment]S57237-0Exertion level causing shortness of breath during assessment period [CMS Assessment]S57238-8Respiratory treatments administered at home during assessment period [CMS Assessment]S57239-6Symptoms in heart failure patients during assessment period [CMS Assessment]S57240-4Heart failure follow-up during assessment period [CMS Assessment]S57241-2When urinary incontinence occurs during assessment period [CMS Assessment]S57243-8Bathing - functional ability during assessment period [CMS Assessment]S57244-6Toilet transferring - functional ability during assessment period [CMS Assessment]S57245-3Toileting hygiene - functional ability during assessment period [CMS Assessment]S57246-1Transferring - functional ability during assessment period [CMS Assessment]S57247-9Locomotion - functional ability during assessment period [CMS Assessment]S57248-7Feeding - functional ability during assessment period [CMS Assessment]S57249-5Prepare light meals - functional ability during assessment period [CMS Assessment]S57254-5Standardized fall risk assessment was conducted during assessment period [CMS Assessment]S57255-2Drug regimen review identified potential medication issues during assessment period [CMS Assessment]S57256-0Medication intervention since admission/reentry during assessment period [CMS Assessment]S57257-8Patient/caregiver received high risk drug education during assessment period [CMS Assessment]S57258-6Oral medication management - prior ability during assessment period [CMS Assessment]S57259-4Injectable medication management - prior ability during assessment period [CMS Assessment]S57260-2Non-agency caregiver ability and willingness to assist with ADL during assessment period [CMS Assessment]S57261-0Non-agency caregiver ability and willingness to assist with IADL during assessment period [CMS Assessment]S57262-8Non-agency caregiver ability and willingness to assist with medication administration during assessment period [CMS Assessment]S57263-6Non-agency caregiver ability and willingness to assist with medical procedures/treatments during assessment period [CMS Assessment]S57264-4Non-agency caregiver ability and willingness to assist with management of equipment during assessment period [CMS Assessment]S57265-1Non-agency caregiver ability and willingness to assist with supervision and safety during assessment period [CMS Assessment]S57266-9Non-agency caregiver ability and willingness to assist with advocacy or facilitation of patient participation during assessment period [CMS Assessment]S57267-7ADL or IADL assistance frequency from any caregiver during assessment period [CMS Assessment]S57268-5Therapy need during assessment period [CMS Assessment]S57269-3Plan of care includes patient-specific parameters for notifying physician of changes during assessment period [CMS Assessment]S57270-1Plan of care includes diabetic foot care during assessment period [CMS Assessment]S57271-9Plan of care includes fall prevention interventions during assessment period [CMS Assessment]S57272-7Plan of care includes depression intervention during assessment period [CMS Assessment]S57273-5Plan of care includes intervention to monitor and mitigate pain during assessment period [CMS Assessment]S57274-3Plan of care includes intervention to prevent pressure injuries during assessment period [CMS Assessment]S57275-0Plan of care includes pressure injury treatment - moist healing during assessment period [CMS Assessment]S57276-8Emergent care utilized during assessment period [CMS Assessment]S57277-6Reason for emergent care during assessment period [CMS Assessment]S57279-2Reason for hospitalization during assessment period [CMS Assessment]S57280-0Risk of developing pressure injuries during assessment period [CMS Assessment]S57281-8Medication follow-up during assessment period [CMS Assessment]S57284-2Management of injectable medications - ability during assessment period [CMS Assessment]S57285-9Management of oral medications - ability during assessment period [CMS Assessment]S57319-6Risk for hospitalization during assessment period [CMS Assessment]S58052-2Date pressure injury.oldest non-epithelialized stage 2 first identified [CMS Assessment]S58104-1When confused within the last 14 days [CMS Assessment]S58107-4Swing bed clinical change assessment during assessment period [CMS Assessment]S58108-2Entry/discharge reporting during assessment period [CMS Assessment]S58117-3Staff pain assessment interview should be conducted during assessment period [CMS Assessment]S58118-1Frequency of indicator of pain or possible pain during assessment period [CMS Assessment]S58123-1Date of Pressure injury.oldest non-epithelialized stage 2 [CMS Assessment]S58127-2Number of days insulin injections were received in last 7 days or since admission/reentry if less than 7 days [CMS Assessment]S58128-0Number of days the physician changed the resident's insulin orders in last 7 days or since admission/reentry if less than 7 days [CMS Assessment]S58133-0Speech-language pathology and audiology services - concurrent minutes in the last 7 days [CMS Assessment]S58134-8Speech-language pathology and audiology services - group minutes in the last 7 days [CMS Assessment]S58136-3Occupational therapy - concurrent minutes in the last 7 days [CMS Assessment]S58137-1Occupational therapy - group minutes in the last 7 days [CMS Assessment]S58139-7Physical therapy - concurrent minutes in the last 7 days [CMS Assessment]S58140-5Physical therapy - group minutes in the last 7 days [CMS Assessment]S58146-2Active discharge planning in place for resident return to community during assessment period [CMS Assessment]S58149-6Wants to talk to someone about the possibility of returning to the community during assessment period [CMS Assessment]S58150-4Referral has been made to the local contact agency during assessment period [CMS Assessment]S58198-3Type of record during assessment period [CMS Assessment]S58200-7Correction number during assessment period [CMS Assessment]S58210-6Medicare non-therapy Part A HIPPS code during assessment period [CMS Assessment]S58211-4Medicare non-therapy Part A - RUG version code during assessment period [CMS Assessment]S58212-2Alternate state Medicaid billing - RUG group during assessment period [CMS Assessment]S58213-0Alternate state Medicaid billing - RUG version code during assessment period [CMS Assessment]S58214-8One or more unhealed pressure injuries stage 1 or higher during assessment period [CMS Assessment]S58218-9Speech-language pathology and audiology services - individual minutes in the last 7 days [CMS Assessment]S58219-7Occupational therapy - individual minutes in the last 7 days [CMS Assessment]S58220-5Physical therapy - individual minutes in the last 7 days [CMS Assessment]S58221-3Participation in assessment during assessment period [CMS Assessment] Guardian or legally authorized representativeS58421-9Medicare short stay assessment during assessment period [CMS Assessment]S70157-3Form sections completed ProviderS70158-1Date sections completed ProviderS71440-2Discharge type [CMS Assessment]S71441-0Level II Preadmission Screening and Resident Review (PASRR) during assessment period [CMS Assessment]S71444-4Nutritional approaches during last 7 days - while not a resident [CMS Assessment]S71445-1Nutritional approaches during last 7 days - while a resident [CMS Assessment]S71447-7Received scheduled pain medication regimen during assessment period [CMS Assessment]S71448-5Received PRN pain medications or was offered and declined during assessment period [CMS Assessment]S71449-3Received non-medication intervention for pain during assessment period [CMS Assessment]S83187-5Wheel 50 feet with two turns - functional goal during 3 day assessment period [CMS Assessment]S83188-3Wheel 50 feet with two turns - functional ability during 3 day assessment period [CMS Assessment]S83189-1Picking up object - functional goal during 3 day assessment period [CMS Assessment]S83190-9Picking up object - functional ability during 3 day assessment period [CMS Assessment]S83191-712 steps - functional goal during 3 day assessment period [CMS Assessment]S83192-512 steps - functional ability during 3 day assessment period [CMS Assessment]S83193-34 steps - functional goal during 3 day assessment period [CMS Assessment]S83194-14 steps - functional ability during 3 day assessment period [CMS Assessment]S83195-81 step (curb) - functional goal during 3 day assessment period [CMS Assessment]S83196-61 step (curb) - functional ability during 3 day assessment period [CMS Assessment]S83197-4Walking 10 feet on uneven surfaces - functional goal during 3 day assessment period [CMS Assessment]S83198-2Walking 10 feet on uneven surfaces - functional ability during 3 day assessment period [CMS Assessment]S83199-0Walk 150 feet - functional goal during 3 day assessment period [CMS Assessment]S83200-6Walk 150 feet - functional ability during 3 day assessment period [CMS Assessment]S83201-4Walk 50 feet with two turns - functional goal during 3 day assessment period [CMS Assessment]S83202-2Walk 50 feet with two turns - functional ability during 3 day assessment period [CMS Assessment]S83203-0Walk 10 feet - functional goal during 3 day assessment period [CMS Assessment]S83204-8Walk 10 feet - functional ability during 3 day assessment period [CMS Assessment]S83205-5Car transfer - functional goal during 3 day assessment period [CMS Assessment]S83206-3Car transfer - functional ability during 3 day assessment period [CMS Assessment]S83207-1Toilet transfer - functional goal during 3 day assessment period [CMS Assessment]S83208-9Toilet transfer - functional ability during 3 day assessment period [CMS Assessment]S83209-7Bed-to-chair transfer - functional goal during 3 day assessment period [CMS Assessment]S83210-5Bed-to-chair transfer - functional ability during 3 day assessment period [CMS Assessment]S83211-3Sit to stand - functional goal during 3 day assessment period [CMS Assessment]S83212-1Sit to stand - functional ability during 3 day assessment period [CMS Assessment]S83213-9Lying to sitting on side of bed - functional goal during 3 day assessment period [CMS Assessment]S83214-7Lying to sitting on side of bed - functional ability during 3 day assessment period [CMS Assessment]S83215-4Sit to lying - functional goal during 3 day assessment period [CMS Assessment]S83216-2Sit to lying - functional ability during 3 day assessment period [CMS Assessment]S83217-0Roll left and right - functional goal during 3 day assessment period [CMS Assessment]S83218-8Roll left and right - functional ability during 3 day assessment period [CMS Assessment]S83219-6Putting on/taking off footwear - functional goal during 3 day assessment period [CMS Assessment]S83220-4Putting on/taking off footwear - functional ability during 3 day assessment period [CMS Assessment]S83221-2Lower body dressing - functional goal during 3 day assessment period [CMS Assessment]S83222-0Lower body dressing - functional ability during 3 day assessment period [CMS Assessment]S83223-8Upper body dressing - functional goal during 3 day assessment period [CMS Assessment]S83224-6Upper body dressing - functional ability during 3 day assessment period [CMS Assessment]S83225-3Shower/bathe self - functional goal during 3 day assessment period [CMS Assessment]S83226-1Shower/bathe self - functional ability during 3 day assessment period [CMS Assessment]S83227-9Toileting hygiene - functional goal during 3 day assessment period [CMS Assessment]S83228-7Toileting hygiene - functional ability during 3 day assessment period [CMS Assessment]S83229-5Oral hygiene - functional goal during 3 day assessment period [CMS Assessment]S83230-3Oral hygiene - functional ability during 3 day assessment period [CMS Assessment]S83231-1Eating - functional goal during 3 day assessment period [CMS Assessment]S83232-9Eating - functional ability during 3 day assessment period [CMS Assessment]S83234-5Prior device use during assessment period [CMS Assessment]S83235-2Wheel 150 feet - functional ability during 3 day assessment period [CMS Assessment]S83236-0Wheel 150 feet - functional goal during 3 day assessment period [CMS Assessment]S83238-6Bladder continence during 3 day assessment period [CMS Assessment]S83242-8Bowel continence during 3 day assessment period [CMS Assessment]S83243-6Comorbidities and coexisting conditionsS83245-1Usual ability to swallow during 3 day assessment period [CMS Assessment]S83248-5Should brief interview for mental status be conducted during 3 day assessment period [CMS Assessment]S83249-3Understanding verbal content during 3 day assessment period [CMS Assessment]S83250-1Expression of ideas and wants during 3 day assessment period [CMS Assessment]S83252-7Special treatments, procedures, and programs at admission [CMS Assessment]S83260-0Number of pressure injuries noted on prior assessment that have completely closed - stage 1 during assessment period [CMS Assessment]S83270-9Does the patient walk - admission performance during 3 day assessment period [CMS Assessment]S83271-7Does the patient use a wheelchair or scooter during 3 day assessment period [CMS Assessment]S83272-5Indicate the type of wheelchair or scooter used during 3 day assessment period [CMS Assessment]S83274-1Did the patient have major surgery during the 100 days prior to admission [CMS Assessment]S83278-2Does the patient walk - discharge performance during 3 day assessment period [CMS Assessment]S83280-8Has the patient had any falls since admission [CMS Assessment]S83283-2Stage 2 pressure injuries not present or at a lesser stage on admission/reentry during assessment period [CMS Assessment]S83284-0Stage 3 pressure injuries not present or at a lesser stage on admission/reentry during assessment period [CMS Assessment]S83285-7Stage 4 pressure injuries not present or at a lesser stage on admission/reentry during assessment period [CMS Assessment]S83286-5Unstageable pressure injuries due to non-removable dressing not present or at a lesser stage on admission/reentry during assessment period [CMS Assessment]S83287-3Unstageable pressure injury due to slough/eschar not present or at a lesser stage on admission/reenty during assessment period [CMS Assessment]S83288-1Unstageable pressure injury due to deep tissue injury not present or at a lesser stage on admission/reentry during assessment period [CMS Assessment]S85070-1Prior functioning.self care during assessment period [CMS Assessment]S85071-9Indoor mobility (Ambulation) during assessment period [CMS Assessment]S85072-7Stairs during assessment period [CMS Assessment]S85073-5Functional cognition during assessment period [CMS Assessment]S85397-8Inpatient rehabilitation facility admission during assessment period [CMS Assessment]S85398-6Admitted from FacilityS85399-4Prior residenceS85400-0Prior living arrangement during assessment period [CMS Assessment]S85402-6Primary payment source during assessment period [CMS Assessment]S85403-4Secondary payment source during assessment period [CMS Assessment]S85407-5Arthritis conditions recorded during assessment period [CMS Assessment]S85411-7Patient discharged against medical advice during assessment period [CMS Assessment]S85412-5Program interruption(s) during assessment period [CMS Assessment]S85413-3Program interruption date during assessment period [CMS Assessment]S85414-1Program return date during assessment period [CMS Assessment]S85415-8Patient discharged alive during assessment period [CMS Assessment]S85417-4Discharge living arrangement during assessment period [CMS Assessment]S85418-2Diagnosis for interruption or death during assessment period [CMS Assessment]S85419-0Complications during rehabilitation stay during assessment period [CMS Assessment]S85489-3Speech-language pathology services - co-treatment minutes--week 1 [CMS Assessment]S85490-1Speech-language pathology services - group minutes--week 1 [CMS Assessment]S85491-9Speech-language pathology services - concurrent minutes--week 1 [CMS Assessment]S85492-7Speech-language pathology services - individual minutes--week 1 [CMS Assessment]S85557-7Physical therapy - individual minutes--week 1 [CMS Assessment]S85558-5Physical therapy - concurrent minutes--week 1 [CMS Assessment]S85559-3Physical therapy - group minutes--week 1 [CMS Assessment]S85560-1Physical therapy - co-treatment minutes--week 1 [CMS Assessment]S85562-7Occupational therapy - individual minutes--week 1 [CMS Assessment]S85563-5Occupational therapy - concurrent minutes--week 1 [CMS Assessment]S85564-3Occupational therapy - group minutes--week 1 [CMS Assessment]S85565-0Occupational therapy - co-treatment minutes--week 1 [CMS Assessment]S85567-6Physical therapy - individual minutes--week 2 [CMS Assessment]S85568-4Physical therapy - concurrent minutes--week 2 [CMS Assessment]S85569-2Physical therapy - group minutes--week 2 [CMS Assessment]S85570-0Physical therapy - co-treatment minutes--week 2 [CMS Assessment]S85571-8Occupational therapy - individual minutes--week 2 [CMS Assessment]S85572-6Occupational therapy - concurrent minutes--week 2 [CMS Assessment]S85573-4Occupational therapy - group minutes--week 2 [CMS Assessment]S85574-2Occupational therapy - co-treatment minutes--week 2 [CMS Assessment]S85575-9Speech-language pathology services - individual minutes--week 2 [CMS Assessment]S85576-7Speech-language pathology services - concurrent minutes--week 2 [CMS Assessment]S85577-5Speech-language pathology services - group minutes--week 2 [CMS Assessment]S85578-3Speech-language pathology services - co-treatment minutes--week 2 [CMS Assessment]S85629-4Comatose during 3 day assessment period [CMS Assessment]S85630-2Did the (abnormal) behavior fluctuate during the day, that is, tend to come and go or increase and decrease in severity during 3 day assessment period [CAM.CMS]S85631-0Did the patient have difficulty focusing attention, for example, being easily distractible or having difficulty keeping track of what was being said during 3 day assessment period [CAM.CMS]S85632-8Facility type during assessment period [CMS Assessment]S85633-6Indicate the patient's primary medical condition category during 3 day assessment period [CMS Assessment]S85634-4Is there evidence of an acute change in mental status from the patient's baseline during 3 day assessment period [CAM.CMS]S85646-8Level of consciousness - Alert (normal) during 3 day assessment [CAM.CMS]S85647-6Signature of person collecting or coordinating collection of assessment information ProviderS85650-0Title of person collecting or coordinating collection of assessment information ProviderS85651-8Was the patient's thinking disorganized or incoherent, such as rambling or irrelevant conversation, unclear or illogical flow of ideas, or unpredictable switching from subject to subject during 3 day assessment period [CAM.CMS]S85652-6Wash upper body - functional ability during 3 day assessment period [CMS Assessment]S85653-4Wash upper body - functional goal during 3 day assessment period [CMS Assessment]S85655-9Level of consciousness - Vigilant or lethargic or stupor or coma during 3 day assessment [CAM.CMS]S85669-0Number of program interruptions during assessment period [CMS Assessment]S85845-6Impairment group during assessment period [CMS Assessment]S85846-4Swallowing status during assessment period [CMS Assessment]S85914-0Underlying resolved condition ICD code during assessment period [CMS Assessment]S85915-7Episode of care includes influenza vaccination season during assessment period [CMS Assessment]S85918-1Unhealed pressure injury at stage 2 or higher or designated as unstageable during assessment period [CMS Assessment]S85920-7Symptom control rating during assessment period [CMS Assessment]S85926-4Lying to sitting on side of bed - functional ability during assessment period [CMS Assessment]S85927-2Lying to sitting on side of bed - functional goal during assessment period [CMS Assessment]S85950-4Living situation and availability of assistance during assessment period [CMS Assessment]S86185-6Prior functioning.ambulation during assessment period [CMS Assessment]S86186-4Prior functioning.transfer during assessment period [CMS Assessment]S86187-2Prior functioning.household tasks during assessment period [CMS Assessment]S86254-0Underlying resolved condition.multiple coding ICD code during assessment period [CMS Assessment]S86469-4Conditions prior to medical or treatment regimen change or inpatient stay that took place within past 14 days during assessment period [CMS Assessment]S86470-2Most recent inpatient discharge date in the last 14 days [CMS Assessment]S86471-0Ostomy for bowel elimination in the last 14 days [CMS Assessment]S86495-9When anxious within the last 14 days [CMS Assessment]S86525-3SNF Part A PPS discharge assessment during assessment period [CMS Assessment]S86526-1Unit certification or licensure designation during assessment period [CMS Assessment] FacilityS86527-9Conditions related to intellectual disability and developmental disability status during assessment period [CMS Assessment]S86583-2Memory/recall ability in the last 7 days [CMS Assessment]S86597-2Potential indicators of psychosis during assessment period [CMS Assessment]S86599-8Staff assessment of daily and activity preferences during assessment period [CMS Assessment]S86602-0Mobility devices normally used during assessment period [CMS Assessment]S86624-4Bladder and bowel appliances used during assessment period [CMS Assessment]S86671-5Active diagnoses during assessment period [CMS Assessment]S86673-1Indicators of pain or possible pain during assessment period [CMS Assessment]S86675-6Shortness of breath during assessment period [CMS Assessment]S86676-4Problem conditions during assessment period [CMS Assessment]S86677-2Signs and symptoms of swallowing disorder during assessment period [CMS Assessment]S86678-0Weight gain of 5% or more in the last month or gain of 10% or more in last 6 months [CMS Assessment]S86680-6Proportion of total calories the resident received through parenteral or tube feeding in the 7 days - while not a resident [CMS Assessment]S86681-4Proportion of total calories the resident received through parenteral or tube feeding in last 7 days - while a resident [CMS Assessment]S86682-2Mean fluid intake per day by IV or tube feeding in last 7 days - while not a resident [CMS Assessment]S86683-0Mean fluid intake per day by IV or tube feeding in last 7 days - while a resident [CMS Assessment]S86684-8Mean fluid intake per day by IV or tube feeding during entire 7 days [CMS Assessment]S86687-1Proportion of total calories the resident received through parenteral or tube feeding during entire 7 days [CMS Assessment]S86706-9Dental problems during assessment period [CMS Assessment]S86708-5Determination of pressure injury risk in last 7 days [CMS Assessment]S86748-1Skin and ulcer/injury treatments during assessment period [CMS Assessment]S86751-5Number of days antipsychotic received in last 7 days or since admission/reentry if less than 7 days [CMS Assessment]S86752-3Number of days antianxiety received in last 7 days or since admission/reentry if less than 7 days [CMS Assessment]S86753-1Number of days antidepressant received in last 7 days or since admission/reentry if less than 7 days [CMS Assessment]S86754-9Number of days hypnotic received in last 7 days or since admission/reentry if less than 7 days [CMS Assessment]S86755-6Number of days anticoagulant received in last 7 days or since admission/reentry if less than 7 days [CMS Assessment]S86756-4Number of days antibiotic received in last 7 days or since admission/reentry if less than 7 days [CMS Assessment]S86757-2Number of days diuretic received in last 7 days or since admission/reentry if less than 7 days [CMS Assessment]S86760-6Procedures performed during last 14 days - while not a resident [CMS Assessment]S86761-4Procedures performed during last 14 days - while a resident [CMS Assessment]S86764-8Occupational therapy - co-treatment minutes during 7 day assessment period [CMS Assessment]S86765-5Speech-language pathology and audiology services - co-treatment minutes during 7 day assessment period [CMS Assessment]S86766-3Physical therapy - co-treatment minutes during 7 day assessment period [CMS Assessment]S86769-7Distinct calendar days of therapy in last 7 days [CMS Assessment]S86771-3Date therapy regimen resumed during assessment period [CMS Assessment]S86772-1Previous rehabilitation therapy regimen (speech, occupational, and/or physical therapy) ended, and regimen now resumed at exactly the same level for each discipline during assessment period [CMS Assessment]S86774-7Number of days of passive range of motion in last 7 calendar days [CMS Assessment]S86775-4Number of days of active range of motion in last 7 calendar days [CMS Assessment]S86776-2Number of days of splint or brace assistance in last 7 calendar days [CMS Assessment]S86777-0Number of days of training and skill practice in bed mobility in last 7 calendar days [CMS Assessment]S86778-8Number of days of training and skill practice in transfer in last 7 calendar days [CMS Assessment]S86779-6Number of days of training and skill practice in walking in last 7 calendar days [CMS Assessment]S86780-4Number of days of training and skill practice in dressing or grooming in last 7 calendar days [CMS Assessment]S86781-2Number of days of training and skill practice in eating or swallowing in last 7 calendar days [CMS Assessment]S86782-0Number of days of training and skill practice in amputation or prosthesis care in last 7 calendar days [CMS Assessment]S86783-8Number of days of training and skill practice in communication in last 7 calendar days [CMS Assessment]S86786-1Physical restraints used in bed - bed rail used during assessment period [CMS Assessment]S86787-9Physical restraints used in bed - trunk restraint used during assessment period [CMS Assessment]S86788-7Physical restraints used in bed - limb restraint during assessment period [CMS Assessment]S86789-5Other physical restraints used in bed during assessment period [CMS Assessment]S86790-3Physical restraints used in chair or out of bed - trunk restraint used during assessment period [CMS Assessment]S86791-1Physical restraints used in chair or out of bed - limb restraint used during assessment period [CMS Assessment]S86792-9Physical restraints used in chair or out of bed - chair prevents rising used during assessment period [CMS Assessment]S86793-7Other physical restraints used in chair or out of bed used during assessment period [CMS Assessment]S86795-2Clinical record documents a request that questions regarding possible return to the community be asked only on comprehensive assessments during assessment period [CMS Assessment]S86797-8Resident (or legally authorized representative) wants to be asked about returning to the community on all assessments during assessment period [CMS Assessment]S86798-6Information source for preference on return to community queries during assessment period [CMS Assessment]S86851-3Invasive mechanical ventilator liberation status at discharge during assessment period [CMS Assessment]S86901-6Length during assessment period [CMS Assessment] Pressure injury.largest stage 3 or 4S86902-4Width during assessment period [CMS Assessment] Pressure injury.largest stage 3 or 4S86903-2Tissue type during assessment period [CMS Assessment] Pressure injury.most advanced stageS87212-7Care area triggered during assessment period [CMS Assessment]S87213-5Triggered care area included in care plan during assessment period [CMS Assessment]S87217-6Reasons for modification during assessment period [CMS Assessment]S87219-2Attesting individual first name during assessment period [CMS Assessment] ProviderS87220-0Attesting individual last name during assessment period [CMS Assessment] ProviderS87221-8Attesting individual title during assessment period [CMS Assessment] ProviderS87222-6Attestation date during assessment period [CMS Assessment]S87225-9Reasons for inactivation during assessment period [CMS Assessment]S87503-9Understanding verbal and non-verbal content during 3 day assessment period [CMS Assessment]S87538-5Assessed for readiness for SBT by day 2 of stay during assessment period [CMS Assessment]S87539-3Invasive mechanical ventilation support upon admission during assessment period [CMS Assessment]S87540-1Deemed medically ready for SBT by day 2 of stay during assessment period [CMS Assessment]S87541-9Is there documentation of reason(s) in the patient's medical record that the patient was deemed medically unready for SBT by day 2 of stay during assessment period [CMS Assessment]S87542-7SBT performed by day 2 of stay during assessment period [CMS Assessment]S88291-0Number of days opioid received in last 7 days or since admission/reentry if less than 7 days [CMS Assessment]S88296-9Antipsychotic medications since admission/entry or reentry or the prior OBRA assessment, whichever is more recent during assessment period [CMS Assessment]S88297-7Gradual dose reduction (GDR) attempted during assessment period [CMS Assessment]S88298-5Date of last attempted gradual dose reduction during assessment period [CMS Assessment]S88299-3Physician documented GDR as clinically contraindicated during assessment period [CMS Assessment]S88300-9Date physician documented GDR as clinically contraindicated during assessment period [CMS Assessment]S88308-2Other alarm used during assessment period [CMS Assessment]S88310-8Bed alarm used during assessment period [CMS Assessment]S88311-6Chair alarm used during assessment period [CMS Assessment]S88312-4Floor mat alarm used during assessment period [CMS Assessment]S88313-2Motion sensor alarm used during assessment period [CMS Assessment]S88314-0Wander/elopement alarm used during assessment period [CMS Assessment]S88333-0Memory/recall ability during 3 day assessment period [CMS Assessment]S88695-2Used bowel toileting program during assessment period [CMS Assessment]S88696-0Ulcers, wounds and skin problems in the last 7 days [CMS Assessment]S88870-1Drug regimen review identified potential medication issues in the last 3 days [CMS Assessment]S88871-9Medication follow-up in the last 3 days [CMS Assessment]S89375-0Wheel 50 feet with two turns - functional goal during assessment period [CMS Assessment]S89376-8Wheel 50 feet with two turns - functional ability during assessment period [CMS Assessment]S89377-6Wheel 150 feet - functional goal during assessment period [CMS Assessment]S89378-4Wheel 150 feet - functional ability during assessment period [CMS Assessment]S89379-2Walking 10 feet on uneven surfaces - functional goal during assessment period [CMS Assessment]S89380-0Walking 10 feet on uneven surfaces - functional ability during assessment period [CMS Assessment]S89381-8Walk 50 feet with two turns - functional goal during assessment period [CMS Assessment]S89382-6Walk 50 feet with two turns - functional ability during assessment period [CMS Assessment]S89383-4Walk 150 feet - functional goal during assessment period [CMS Assessment]S89384-2Walk 150 feet - functional ability during assessment period [CMS Assessment]S89385-9Walk 10 feet - functional goal during assessment period [CMS Assessment]S89386-7Walk 10 feet - functional ability during assessment period [CMS Assessment]S89387-5Upper body dressing - functional goal during assessment period [CMS Assessment]S89388-3Upper body dressing - functional ability during assessment period [CMS Assessment]S89389-1Toileting hygiene - functional goal during assessment period [CMS Assessment]S89390-9Toilet transfer - functional goal during assessment period [CMS Assessment]S89392-5Sit to stand - functional goal during assessment period [CMS Assessment]S89393-3Sit to stand - functional ability during assessment period [CMS Assessment]S89394-1Sit to lying - functional goal during assessment period [CMS Assessment]S89395-8Sit to lying - functional ability during assessment period [CMS Assessment]S89396-6Shower/bathe self - functional goal during assessment period [CMS Assessment]S89397-4Shower/bathe self - functional ability during assessment period [CMS Assessment]S89398-2Roll left and right - functional goal during assessment period [CMS Assessment]S89399-0Roll left and right - functional ability during assessment period [CMS Assessment]S89400-6Putting on and taking off footwear - functional goal during assessment period [CMS Assessment]S89401-4Putting on and taking off footwear - functional ability during assessment period [CMS Assessment]S89402-2Picking up object - functional goal during assessment period [CMS Assessment]S89403-0Picking up object - functional ability during assessment period [CMS Assessment]S89404-8Oral hygiene - functional goal during assessment period [CMS Assessment]S89405-5Oral hygiene - functional ability during assessment period [CMS Assessment]S89406-3Lower body dressing - functional goal during assessment period [CMS Assessment]S89407-1Lower body dressing - functional ability during assessment period [CMS Assessment]S89409-7Eating - functional goal during assessment period [CMS Assessment]S89410-5Eating - functional ability during assessment period [CMS Assessment]S89412-1Car transfer - functional goal during assessment period [CMS Assessment]S89413-9Car transfer - functional ability during assessment period [CMS Assessment]S89414-7Chair/bed-to-chair transfer - functional goal during assessment period [CMS Assessment]S89415-4Bed-to-chair transfer - functional ability during assessment period [CMS Assessment]S89416-2Go up and down 4 steps - functional goal during assessment period [CMS Assessment]S89417-04 steps - functional ability during assessment period [CMS Assessment]S89418-8Go up and down 12 steps - functional goal during assessment period [CMS Assessment]S89419-612 steps - functional ability during assessment period [CMS Assessment]S89420-4Go up and down a curb/step - functional goal during assessment period [CMS Assessment]S89421-21 step (curb) - functional ability during assessment period [CMS Assessment]S90522-4Assessment for state payment during assessment period [CMS Assessment]S90524-0Type of assessment for state payment during assessment period [CMS Assessment]S90525-7SNF Part A Interrupted Stay during assessment period [CMS Assessment]S90527-3Occupational therapy - concurrent minutes during assessment period [CMS Assessment]S90528-1Occupational therapy - co-treatment minutes during assessment period [CMS Assessment]S90529-9Occupational therapy - group minutes during assessment period [CMS Assessment]S90530-7Number of days with at least 15 minutes of occupational therapy during assessment period [CMS Assessment]S90531-5Occupational therapy - individual minutes during assessment period [CMS Assessment]S90532-3Physical therapy - concurrent minutes during assessment period [CMS Assessment]S90533-1Physical therapy - co-treatment minutes during assessment period [CMS Assessment]S90534-9Physical therapy - group minutes during assessment period [CMS Assessment]S90535-6Physical therapy - individual minutes during assessment period [CMS Assessment]S90536-4Speech-language pathology and audiology services - concurrent minutes during assessment period [CMS Assessment]S90537-2Speech-language pathology and audiology services - co-treatment minutes during assessment period [CMS Assessment]S90538-0Speech-language pathology and audiology services - group minutes during assessment period [CMS Assessment]S90539-8Speech-language pathology and audiology services - individual minutes during assessment period [CMS Assessment]S90542-2Did the resident have a major surgical procedure during the prior inpatient hospital stay that requires active care during the SNF stay [CMS Assessment]S90548-9Distinct calendar days of therapy during assessment period [CMS Assessment]S90549-7Short stay assessment during assessment period [CMS Assessment]S90550-5Number of days with at least 15 minutes of physical therapy during assessment period [CMS Assessment]S90551-3Number of days with at least 15 minutes of speech language pathology and audiology services during assessment period [CMS Assessment]S90745-1Surgical procedures requiring active SNF care during assessment period [CMS Assessment]S92850-7Range of motion during assessment period [CMS Assessment] Upper extremityS92851-5Range of motion during assessment period [CMS Assessment] Lower extremityS93153-5Drug classes of medications taken during assessment period [CMS Assessment]S93154-3Drug classes that have an indication documented during assessment period [CMS Assessment]S93156-8How much of the time has pain made it hard for you to sleep at night during assessment period [CMS Assessment]S93157-6How often do you need to have someone help you when you read instructions, pamphlets, or other written material from your doctor or pharmacy [OASIS]S93158-4How often have you limited your day-to-day activities because of pain during assessment period [CMS Assessment]S93159-2How often do you feel lonely or isolated from those around you during assessment period [CMS Assessment]S93160-0How often have you limited your participation in rehabilitation therapy sessions due to pain over during assessment period [CMS Assessment]S93178-2Nutritional approaches during assessment period [CMS Assessment]S93181-6Provision of current reconciled medication list to patient at discharge during assessment period [CMS Assessment]S93182-4Provision of current reconciled medication list to subsequent provider at discharge during assessment period [CMS Assessment]S93183-2Route of current reconciled medication list transmission to patient during assessment period [CMS Assessment]S93184-0Route of current reconciled medication list transmission to subsequent provider during assessment period [CMS Assessment]S93185-7Special treatments, procedures, and programs at discharge [CMS Assessment]S93202-0Ventilator weaning status during assessment period [CMS Assessment]S93309-3Hearing.ability to hear during 3 day assessment period [CMS Assessment]S93310-1Vision.ability to see in adequate light during 3 day assessment period [CMS Assessment]S93414-1Altered level of consciousness in last 3 day [CAM.CMS]S94876-0Self-care priorities for the next 6 months during assessment period [CMS Assessment]S94877-8Mobility priorities for the next 6 months during assessment period [CMS Assessment]S94878-6Instrumental activities of daily living priorities for the next 6 months during assessment period [CMS Assessment]S94879-4Need for and availability of a cane/crutch during assessment period [CMS Assessment]S94880-2Need for and availability of a walker during assessment period [CMS Assessment]S94881-0Need for and availability of a standard folding walker during assessment period [CMS Assessment]S94882-8Need for and availability of a walker with seat during assessment period [CMS Assessment]S94883-6Need for and availability of a walker with wheels during assessment period [CMS Assessment]S94884-4Need for and availability of a wheelchair during assessment period [CMS Assessment]S94885-1Need for and availability of a manual wheelchair during assessment period [CMS Assessment]S94886-9Need for and availability of a motorized wheelchair/scooter during assessment period [CMS Assessment]S94887-7Need for and availability of a limb prosthesis during assessment period [CMS Assessment]S94888-5Need for and availability of a specialized seating pad during assessment period [CMS Assessment]S94889-3Need for and availability of a mechanical lift during assessment period [CMS Assessment]S94890-1Need for and availability of a reacher/grabber during assessment period [CMS Assessment]S94891-9Need for and availability of a sock aid during assessment period [CMS Assessment]S94892-7Need for and availability of an orthotic/brace during assessment period [CMS Assessment]S94893-5Need for and availability of a bed rail during assessment period [CMS Assessment]S94894-3Need for and availability of an electronic bed during assessment period [CMS Assessment]S94895-0Need for and availability of grab bars during assessment period [CMS Assessment]S94896-8Need for and availability of a transfer board during assessment period [CMS Assessment]S94897-6Need for and availability of a shower/commode chair during assessment period [CMS Assessment]S94898-4Need for and availability of a walk/wheel-in shower during assessment period [CMS Assessment]S94899-2Need for and availability of glasses or contact lenses during assessment period [CMS Assessment]S94900-8Need for and availability of a hearing aid during assessment period [CMS Assessment]S94901-6Need for and availability of a communication device during assessment period [CMS Assessment]S94902-4Need for and availability of stair rails during assessment period [CMS Assessment]S94903-2Need for and availability of a lift chair during assessment period [CMS Assessment]S94904-0Need for and availability of ramps during assessment period [CMS Assessment]S94905-7Need for and availability of a raised toilet seat during assessment period [CMS Assessment]S94906-5Need for and availability of a glucometer during assessment period [CMS Assessment]S94907-3Need for and availability of Continuous Positive Airway Pressure device during assessment period [CMS Assessment]S94908-1Need for and availability of an oxygen concentrator during assessment period [CMS Assessment]S94909-9Assistive devices needed during assessment period [CMS Assessment]S94910-7Need for and availability of other assistive devices during assessment period [CMS Assessment]S94912-3Availability of caregiver assistance during assessment period [CMS Assessment]S94913-1Level of paid caregiver assistance in the past month [CMS Assessment]S94914-9Level of unpaid caregiver assistance in the past month [CMS Assessment]S94915-6Paid caregiver's ability and willingness to provide self-care assistance during assessment period [CMS Assessment]S94916-4Unpaid caregiver's ability and willingness to provide self-care assistance during assessment period [CMS Assessment]S94917-2Paid caregiver's ability and willingness to provide mobility assistance during assessment period [CMS Assessment]S94918-0Unpaid caregiver's ability and willingness to provide mobility assistance during assessment period [CMS Assessment]S94919-8Paid caregiver's ability and willingness to provide instrumental activities of daily living assistance during assessment period [CMS Assessment]S94920-6Unpaid caregiver's ability and willingness to provide instrumental activities of daily living assistance during assessment period [CMS Assessment]S94921-4Paid caregiver's ability and willingness to provide medication administration assistance during assessment period [CMS Assessment]S94922-2Unpaid caregiver's ability and willingness to provide medication administration assistance during assessment period [CMS Assessment]S94923-0Paid caregiver's ability and willingness to provide medical procedure/treatment assistance during assessment period [CMS Assessment]S94924-8Unpaid caregiver's ability and willingness to provide medical procedure/treatment assistance during assessment period [CMS Assessment]S94925-5Paid caregiver's ability and willingness to provide management of equipment assistance during assessment period [CMS Assessment]S94926-3Unpaid caregiver's ability and willingness to provide management of equipment assistance during assessment period [CMS Assessment]S94927-1Paid caregiver's ability and willingness to provide supervision during assessment period [CMS Assessment]S94928-9Unpaid caregiver's ability and willingness to provide supervision during assessment period [CMS Assessment]S94929-7Paid caregiver's ability and willingness to provide advocacy or facilitation of person's participation during assessment period [CMS Assessment]S94930-5Unpaid caregiver's ability and willingness to provide advocacy or facilitation of person's participation during assessment period [CMS Assessment]S94931-3Caregiving priorities for the next 6 months during assessment period [CMS Assessment]S94932-1Does the patient walk during assessment period [CMS Assessment]S94933-9Eating - most dependent performance during the past month [CMS Assessment]S94934-7Oral hygiene - most dependent performance during the past month [CMS Assessment]S94935-4Wash upper body - most dependent performance during the past month [CMS Assessment]S94936-2Shower/bathe self - most dependent performance during the past month [CMS Assessment]S94937-0Upper body dressing - most dependent performance during the past month [CMS Assessment]S94938-8Lower body dressing - most dependent performance during the past month [CMS Assessment]S94939-6Putting on and taking off footwear - most dependent performance during the past month [CMS Assessment]S94940-4Roll left and right - most dependent performance during the past month [CMS Assessment]S94941-2Sit to lying - most dependent performance during the past month [CMS Assessment]S94942-0Lying to sitting on side of bed - most dependent performance during the past month [CMS Assessment]S94943-8Sit to stand - most dependent performance during the past month [CMS Assessment]S94944-6Chair/bed-to-chair transfer - most dependent performance during the past month [CMS Assessment]S94945-3Toilet transfer - most dependent performance during the past month [CMS Assessment]S94946-1Car transfer - most dependent performance during the past month [CMS Assessment]S94947-9Walk 10 feet - most dependent performance during the past month [CMS Assessment]S94948-7Walk 50 feet with two turns - most dependent performance during the past month [CMS Assessment]S94949-5Walk 150 feet - most dependent performance during the past month [CMS Assessment]S94950-3Walking 10 feet on uneven surfaces - most dependent performance during the past month [CMS Assessment]S94951-1Go up and down a curb/step - most dependent performance during the past month [CMS Assessment]S94952-9Go up and down 4 steps - most dependent performance during the past month [CMS Assessment]S94953-7Go up and down 12 steps - most dependent performance during the past month [CMS Assessment]S94954-5Picking up object - most dependent performance during the past month [CMS Assessment]S94955-2Walks indoors - most dependent performance during the past month [CMS Assessment]S94956-0Carries something in both hands - most dependent performance during the past month [CMS Assessment]S94957-8Walks for 15 minutes - most dependent performance during the past month [CMS Assessment]S94958-6Walks across a street - most dependent performance during the past month [CMS Assessment]S94959-4Wheel 50 feet with two turns - most dependent performance during the past month [CMS Assessment]S94960-2Wheel 150 feet - most dependent performance during the past month [CMS Assessment]S94961-0Wheels for 15 minutes - most dependent performance during the past month [CMS Assessment]S94962-8Wheels across a street - most dependent performance during the past month [CMS Assessment]S94963-6Makes a light cold meal - most dependent performance during the past month [CMS Assessment]S94964-4Makes a light hot meal - most dependent performance during the past month [CMS Assessment]S94965-1Light daily housework - most dependent performance during the past month [CMS Assessment]S94966-9Heavier periodic housework - most dependent performance during the past month [CMS Assessment]S94967-7Light shopping- most dependent performance during the past month [CMS Assessment]S94968-5Answering telephone call - most dependent performance during the past month [CMS Assessment]S94969-3Placing telephone call - most dependent performance during the past month [CMS Assessment]S94970-1Medication management.oral medications - most dependent performance during the past month [CMS Assessment]S94971-9Medication management.inhalant/mist medications - most dependent performance during the past month [CMS Assessment]S94972-7Medication management.injectable medications - most dependent performance during the past month [CMS Assessment]S94973-5Simple financial management - most dependent performance during the past month [CMS Assessment]S94974-3Complex financial management - most dependent performance during the past month [CMS Assessment]S94975-0Living arrangement during the past month [CMS Assessment]S94976-8Makes a light cold meal - usual functional ability during assessment period [CMS Assessment]S94977-6Makes a light hot meal - usual functional ability during assessment period [CMS Assessment]S94978-4Light daily housework - usual functional ability during assessment period [CMS Assessment]S94979-2Heavier periodic housework - usual functional ability during assessment period [CMS Assessment]S94980-0Light shopping - usual functional ability during assessment period [CMS Assessment]S94981-8Answering telephone call - usual functional ability during assessment period [CMS Assessment]S94982-6Placing telephone call - usual functional ability during assessment period [CMS Assessment]S94983-4Medication management.oral medications - usual functional ability during assessment period [CMS Assessment]S94984-2Medication management.inhalant/mist medications - usual functional ability during assessment period [CMS Assessment]S94985-9Medication management.injectable medications - usual functional ability during assessment period [CMS Assessment]S94986-7Simple financial management - usual functional ability during assessment period [CMS Assessment]S94987-5Complex financial management - usual functional ability during assessment period [CMS Assessment]S94988-3Living arrangement during assessment period [CMS Assessment]S94989-1Wheels across a street - usual functional ability during assessment period [CMS Assessment]S94990-9Wheels for 15 minutes - usual functional ability during assessment period [CMS Assessment]S94991-7Wheel 150 feet - usual functional ability during assessment period [CMS Assessment]S94992-5Wheel 50 feet with two turns - usual functional ability during assessment period [CMS Assessment]S94993-3Walks across a street - usual functional ability during assessment period [CMS Assessment]S94994-1Walks for 15 minutes - usual functional ability during assessment period [CMS Assessment]S94995-8Carries something in both hands - usual functional ability during assessment period [CMS Assessment]S94996-6Walks indoors - usual functional ability during assessment period [CMS Assessment]S94997-4Picking up object - usual functional ability during assessment period [CMS Assessment]S94998-2Go up and down 12 steps - usual functional ability during assessment period [CMS Assessment]S94999-0Go up and down 4 steps - usual functional ability during assessment period [CMS Assessment]S95000-6Go up and down a curb/step - usual functional ability during assessment period [CMS Assessment]S95001-4Walking 10 feet on uneven surfaces - usual functional ability during assessment period [CMS Assessment]S95002-2Walk 150 feet - usual functional ability during assessment period [CMS Assessment]S95003-0Walk 50 feet with two turns - usual functional ability during assessment period [CMS Assessment]S95004-8Walk 10 feet - usual functional ability during assessment period [CMS Assessment]S95005-5Car transfer - usual functional ability during assessment period [CMS Assessment]S95006-3Toilet transfer - usual functional ability during assessment period [CMS Assessment]S95007-1Chair/bed-to-chair transfer - usual functional ability during assessment period [CMS Assessment]S95008-9Sit to stand - usual functional ability during assessment period [CMS Assessment]S95009-7Lying to sitting on side of bed - usual functional ability during assessment period [CMS Assessment]S95010-5Sit to lying - usual functional ability during assessment period [CMS Assessment]S95011-3Roll left and right - usual functional ability during assessment period [CMS Assessment]S95012-1Putting on/taking off footwear - usual functional ability during assessment period [CMS Assessment]S95013-9Lower body dressing - usual functional ability during assessment period [CMS Assessment]S95014-7Upper body dressing - usual functional ability during assessment period [CMS Assessment]S95015-4Shower/bathe self - usual functional ability during assessment period [CMS Assessment]S95016-2Wash upper body - usual functional ability during assessment period [CMS Assessment]S95017-0Toileting hygiene - usual functional ability during assessment period [CMS Assessment]S95018-8Oral hygiene - usual functional ability during assessment period [CMS Assessment]S95019-6Eating - usual functional ability during assessment period [CMS Assessment]S95021-2Manual wheelchair use during assessment period [CMS Assessment]S95022-0Motorized wheelchair/scooter use during assessment period [CMS Assessment]S95042-8Used or needed assistive devices in the past month [CMS Assessment]S95043-6Toileting hygiene - most dependent performance during the past month [CMS Assessment]S95735-7Bladder continence during assessment period [CMS Assessment]S95736-5Bowel continence during assessment period [CMS Assessment]S95737-3Expression of ideas and wants during assessment period [CMS Assessment]S95738-1Does the patient use a wheelchair/scooter during assessment period [CMS Assessment]S95739-9Indicate the type of wheelchair/scooter used during assessment period [CMS Assessment]S95740-7Understanding verbal and non-verbal content during assessment period [CMS Assessment]S95743-1Memory/recall ability during assessment period [CMS Assessment]S95744-9Hearing.ability to hear during assessment period [CMS Assessment]S95745-6Vision.ability to see in adequate light during assessment period [CMS Assessment]S95812-4Did the patient have difficulty focusing attention, for example, being easily distractible or having difficulty keeping track of what was being said during assessment period [CAM.CMS]S95813-2Is there evidence of an acute change in mental status from the patient's baseline during assessment period [CAM.CMS]S95814-0Was the patient's thinking disorganized or incoherent, such as rambling or irrelevant conversation, unclear or illogical flow of ideas, or unpredictable switching from subject to subject during assessment period [CAM.CMS]S95815-7Altered level of consciousness during assessment period [CAM.CMS]S95855-3Did the (abnormal) behavior fluctuate during the day, that is, tend to come and go or increase and decrease in severity during assessment period [CAM.CMS]S95857-9Level of consciousness - Alert (normal) during assessment period [CAM.CMS]S95858-7Level of consciousness - Vigilant or lethargic or stupor or coma during assessment period [CAM.CMS]S95946-0Usual ability to swallow during assessment period [CMS Assessment]S96095-5Indicate the patient's primary medical condition category during assessment period [CMS Assessment]S96098-9Wash upper body - functional goal during assessment period [CMS Assessment]S99286-7Provision of current reconciled medication list to subsequent provider at transfer during assessment period [CMS Assessment]S