Demo Home XXXX
Facility Characteristics Report
Report Date: 4/17/02


  Resident Population Resident Count Resident Percentage Peer Group Percentage
  Gender
  Male 29   26.85%   28.66%  
  Female 79   73.15%   71.34%  
  Age
  < 25 years old 0   0%   0.36%  
  25 - 54 years old 6   5.56%   4.6%  
  55 - 64 years old 4   3.7%   5.41%  
  65 - 74 years old 15   13.89%   12.47%  
  75 - 84 years old 32   29.63%   33.5%  
  85 + years old 51   47.22%   47.37%  
  Payment Source (all that apply)
  Medicaid per diem 6   3.14%   29.39%  
  Medicare per diem 45   23.56%   24.07%  
  Medicare ancillary part A 44   23.04%   10.96%  
  Medicare ancillary part B 42   21.99%   5.83%  
  CHAMPUS per diem 0   0%   0.06%  
  VA per diem 0   0%   0.38%  
  Self or family pays for full per diem 3   1.57%   10.78%  
  Medicaid resident liability or Medicare co-payment 1   0.52%   10.39%  
  Private insurance per diem (including co-payment) 50   26.18%   8.14%  
  Diagnostic Characteristics
  Psychiatric Diagnosis 49   45.37%   38.79%  
  Mental retardation 0   0%   1.9%  
  Hospice 0   0%   1.47%  
  Length of Stay
  Less than 3 months 0   0%   3.73%  
  3 - 12 months 17   15.74%   21.73%  
  1 - 5 years 3   2.78%   35.36%  
  5 +  years 0   0%   1.46%  
  Stability of Conditions
  Condition / disease make resident unstable 40   37.04%   33.06%  
  Acute episode of chronic flareup 15   13.89%   9.64%  
  End-Stage, 6 or fewer months to live 0   0%   1.89%  
  Discharge Potential
  No potential 23   21.3%   39.07%  
  Within 30 days 8   7.41%   3.17%  
  30-90 days 33   30.56%   2.87%  
  Uncertain 0   0%   7.96%  

*Peer Group Percentage indicates all MDS data collected