| LP89822-8 | Preadmission Screening and Resident Review (PASRR) | COMPONENT | 1 |
| LP89823-6 | Entry type | COMPONENT | 1 |
| LP89825-1 | Previous assessment reference date for significant correction | COMPONENT | 1 |
| LP89826-9 | Assessment reference date - observation end date | COMPONENT | 1 |
| LP89827-7 | Medicare-covered stay since the most recent entry | COMPONENT | 1 |
| LP89828-5 | Start date of most recent Medicare stay | COMPONENT | 1 |
| LP89829-3 | End date of most recent Medicare stay | COMPONENT | 1 |
| LP89838-4 | Brief interview for mental status should be conducted | COMPONENT | 1 |
| LP89842-6 | Temporal orientation - current day | COMPONENT | |
| LP89844-2 | Brief interview for mental status - summary score | COMPONENT | 2 |
| LP89845-9 | Should staff assessment for mental status be conducted | COMPONENT | 1 |
| LP89848-3 | Memory/recall ability | COMPONENT | 3 |
| LP89849-1 | Can recall current season in last 7 days | COMPONENT | 1 |
| LP89850-9 | Can recall location of own room in last 7 days | COMPONENT | 1 |
| LP89851-7 | Can recall staff names and faces in last 7 days | COMPONENT | 1 |
| LP89852-5 | Can recall that he or she is in a nursing home in last 7 days | COMPONENT | 1 |
| LP89853-3 | None of the above were recalled in last 7 days | COMPONENT | 1 |
| LP89855-8 | Procedural memory OK in last 7 days | COMPONENT | 1 |
| LP89856-6 | Delirium | COMPONENT | 2 |
| LP89857-4 | Signs and symptoms of delirium (from CAM) | COMPONENT | 2 |
| LP89858-2 | Inattention in last 7 days | COMPONENT | 1 |
| LP89859-0 | Disorganized thinking in last 7 days | COMPONENT | 1 |
| LP89860-8 | Altered level of consciousness in last 7 days | COMPONENT | 1 |
| LP89861-6 | Psychomotor retardation in last 7 days | COMPONENT | 1 |
| LP89862-4 | Acute onset mental status change | COMPONENT | 1 |
| LP89863-2 | Mood | COMPONENT | 3 |
| LP89864-0 | Should resident mood interview be conducted | COMPONENT | 1 |
| LP89865-7 | Resident mood interview (PHQ-9) | COMPONENT | 1 |
| LP89866-5 | Little interest or pleasure in doing things in last 2 weeks.presence | COMPONENT | 2 |
| LP89868-1 | Little interest or pleasure in doing things in last 2 weeks.frequency | COMPONENT | 2 |
| LP89869-9 | Feeling down, depressed or hopeless in last 2 weeks.presence | COMPONENT | 1 |
| LP89870-7 | Feeling down, depressed or hopeless in last 2 weeks.frequency | COMPONENT | 1 |
| LP89871-5 | Trouble falling or staying asleep, or sleeping too much in last 2 weeks.presence | COMPONENT | 2 |
| LP89872-3 | Trouble falling or staying asleep, or sleeping too much in last 2 weeks.frequency | COMPONENT | 2 |
| LP89873-1 | Feeling tired or having little energy in last 2 weeks.presence | COMPONENT | 2 |
| LP89874-9 | Feeling tired or having little energy in last 2 weeks.frequency | COMPONENT | 2 |
| LP89875-6 | Poor appetite or overeating in last 2 weeks.presence | COMPONENT | 2 |
| LP89876-4 | Poor appetite or overeating in last 2 weeks.frequency | COMPONENT | 2 |
| LP89877-2 | Feeling bad about yourself - or that you are a failure or have let yourself or your family down in last 2 weeks.presence | COMPONENT | 1 |
| LP89878-0 | Feeling bad about yourself - or that you are a failure or have let yourself or your family down in last 2 weeks.frequency | COMPONENT | 1 |
| LP89879-8 | Trouble concentrating on things, such as reading the newspaper or watching television in last 2 weeks.presence | COMPONENT | 2 |
| LP89880-6 | Trouble concentrating on things, such as reading the newspaper or watching television in last 2 weeks.frequency | COMPONENT | 2 |
| LP89881-4 | Thoughts that you would be better off dead, or of hurting yourself in some way in last 2 weeks.presence | COMPONENT | 1 |
| LP89882-2 | Thoughts that you would be better off dead, or of hurting yourself in some way in last 2 weeks.frequency | COMPONENT | 1 |
| LP89883-0 | Mood interview total severity score | COMPONENT | 2 |
| LP89884-8 | Responsible staff or provider was informed of potential for resident self harm | COMPONENT | 1 |
| LP89885-5 | Staff assessment of mood should be conducted | COMPONENT | 1 |
| LP89886-3 | Staff assessment of resident mood (PHQ-9-OV) | COMPONENT | 2 |
| LP89888-9 | Feeling or appearing down, depressed or hopeless in last 2 weeks.presence | COMPONENT | 1 |
| LP89889-7 | Feeling or appearing down, depressed, or hopeless in last 2 weeks.frequency | COMPONENT | 1 |