Demo Home XXXX
Census Roster Report
Report Date: 4/17/02

Based on the most recent Assessment

Total Residents Admission Annual Change in Status Correction Full Quarterly Reentries Correction Quarterly Discharges
1 2 3 4 5 6 7 8 9
108 53 8 2 0 45 0 0 0 71 2 1 12 0 0 4 0
Comments:
This table shows the totals for each type of MDS for all current residents.
Discharge totals are also given for the previous 183 days

Discharge Types
1. Private Home with no Health Service
2. Private Home with Health Service
3. Board and Care/Assisted Living
4. Another Nursing Facility
5. Acute Care Hospital
6. Psychiatric Hospital, MR/DD Facility
7. Rehabilitation Hospital
8. Deceased
9. Other