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What is the Minimum Data Set?

The Minimum Data Set (MDS) is CMS's standardized resident-assessment instrument for Medicare- and Medicaid-certified nursing facilities. CMS uses assessment-derived data in some nursing-home quality measures, but an MDS record is not a complete clinical history and must be interpreted with its reporting period and measure specification.

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Full name: Minimum Data Set (MDS) 3.0

Short explanation

The Minimum Data Set (MDS) 3.0 is the standardized assessment and data-submission framework used by Medicare- and Medicaid-certified nursing facilities. CMS publishes technical specifications for the assessment and uses assessment-derived information in nursing-home quality-measure reporting. Measure values may also use claims data, eligibility rules, suppression thresholds, and reporting periods. Accordingly, a published MDS-derived measure should be read as a defined CMS indicator, not as a complete account of every resident's care.

Related data: Nursing-home data

Last updated: 2026-07-11Reviewed by: Dr. Jennifer Montecillo, MDGullas College of Medicine, 2019. Non-practicing medical reviewer.

How it’s used

  • CMS MDS technical information: the specifications describe the assessment and submission framework used by nursing-home and swing-bed providers.
  • CMS nursing-home quality measures: public measures can draw on MDS assessments and Medicare claims, subject to CMS's measure definitions and reporting rules.

Frequently asked questions

Who completes the Minimum Data Set?
Medicare- and Medicaid-certified nursing facilities complete and submit MDS assessments under CMS requirements for their residents.
Is MDS data the same as a medical record?
No. MDS is a standardized assessment and reporting framework. It should not be treated as a complete clinical record for an individual resident.
How does MDS relate to quality measures?
CMS uses assessment-derived data in some nursing-home quality measures, alongside measure-specific rules and, for some measures, Medicare claims data.

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What’s on file, by the numbers

Platform snapshot · 2026-07-25

13.4Mproviders & companiesProviders, organizations, owners, and facilities on file
26.2Msource-linked factsSource-linked field facts in the dated platform snapshot
90sources with dataDistinct snapshot source IDs with at least one positive record count
79fresh sourcesDistinct source IDs whose latest positive-data snapshot falls within the preceding 45 days
111sources integratedActive registry rows; integration does not establish a load
13state Medicaid jurisdictionsDistinct states represented in the state-exclusions serving table

Integrated, with-data, and fresh-observation counts are separate. No platform-wide source-completeness count is published. Completeness is source-specific and must be evaluated against the named source's expected scope. State coverage is a separate jurisdiction measure.

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Named medical review

Reviewed by Jennifer Montecillo, MD, medical reviewer. Non-practicing medical reviewer.

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