| LP89941-6 | Resident prefers receiving sponge bath | COMPONENT | 1 |
| LP89942-4 | Resident prefers snacks between meals | COMPONENT | 1 |
| LP89943-2 | Resident prefers staying up past 8:00 p.m. | COMPONENT | 1 |
| LP89944-0 | Resident prefers family or significant other involvement in care discussions | COMPONENT | 1 |
| LP89945-7 | Resident prefers use of phone in private | COMPONENT | 1 |
| LP89946-5 | Resident prefers place to lock personal belongings | COMPONENT | 1 |
| LP89947-3 | Resident prefers reading books, newspapers, magazines | COMPONENT | 1 |
| LP89948-1 | Resident prefers listening to music | COMPONENT | 1 |
| LP89949-9 | Resident prefers being around animals such as pets | COMPONENT | 1 |
| LP89950-7 | Keeping up with the news | COMPONENT | |
| LP89951-5 | Resident prefers doing things with groups of people | COMPONENT | 1 |
| LP89952-3 | Resident prefers participating in favorite activities | COMPONENT | 1 |
| LP89953-1 | Resident prefers spending time away from the nursing home | COMPONENT | 1 |
| LP89954-9 | Resident prefers spending time outdoors | COMPONENT | 1 |
| LP89955-6 | Resident prefers participating in religious activities or practices | COMPONENT | 1 |
| LP89956-4 | Resident prefers none of the above | COMPONENT | 1 |
| LP89957-2 | Bed mobility in last 7 days | COMPONENT | 1 |
| LP89958-0 | Transfer in last 7 days | COMPONENT | 1 |
| LP89959-8 | Toilet transfer in last 7 days | COMPONENT | 1 |
| LP89960-6 | Toileting in last 7 days | COMPONENT | 1 |
| LP89961-4 | Walk in room in last 7 days | COMPONENT | 1 |
| LP89962-2 | Walk in facility in last 7 days | COMPONENT | 1 |
| LP89963-0 | Locomotion in last 7 days | COMPONENT | 1 |
| LP89964-8 | Dressing upper body in last 7 days | COMPONENT | 1 |
| LP89965-5 | Dressing lower body in last 7 days | COMPONENT | 1 |
| LP89966-3 | Eating in last 7 days | COMPONENT | 1 |
| LP89967-1 | Grooming/personal hygiene in last 7 days | COMPONENT | 1 |
| LP89968-9 | Bathing in last 7 days | COMPONENT | 1 |
| LP89969-7 | Moving from seated to standing position | COMPONENT | 1 |
| LP89970-5 | Walking (with assistive device if used) | COMPONENT | 1 |
| LP89971-3 | Turning around and facing the opposite direction while walking | COMPONENT | 1 |
| LP89972-1 | Moving on and off toilet | COMPONENT | 1 |
| LP89973-9 | Surface-to-surface transfer | COMPONENT | 1 |
| LP89975-4 | crutch normally used in last 7 days | COMPONENT | |
| LP89976-2 | Walker normally used in last 7 days | COMPONENT | 1 |
| LP89977-0 | Wheelchair (manual or electric) normally used in last 7 days | COMPONENT | 1 |
| LP89978-8 | Limb prosthesis normally used in last 7 days | COMPONENT | 1 |
| LP89979-6 | Mobility aids - none of the above were normally used in last 7 days | COMPONENT | 1 |
| LP89980-4 | Bedfast | COMPONENT | 1 |
| LP89981-2 | Indwelling catheter used in last 7 days | COMPONENT | 1 |
| LP89982-0 | External catheter used in last 7 days | COMPONENT | 1 |
| LP89983-8 | Ostomy (including suprapubic catheter, ileostomy, and colostomy) present in last 7 days | COMPONENT | 1 |
| LP89984-6 | Intermittent catheterization used in last 7 days | COMPONENT | 1 |
| LP89985-3 | Appliances - none of the above used in last 7 days | COMPONENT | 1 |
| LP89986-1 | Trial of toileting program has been attempted on admission or reentry or since urinary incontinence was noted in this facility | COMPONENT | 1 |
| LP89987-9 | Response to toileting program | COMPONENT | 1 |
| LP89988-7 | Current toileting program or trial | COMPONENT | 1 |
| LP89989-5 | Urinary continence in last 7 days | COMPONENT | 1 |
| LP89990-3 | Bowel continence in last 7 days | COMPONENT | 1 |
| LP89991-1 | Bowel toileting program currently being used | COMPONENT | 1 |