A0500: Legal Name of Resident

Item Rationale

Allows identification of residents.

Also used for matching each of the resident’s records.

Steps for Assessment

Ask the resident, family, significant other, and/or

guardian/legally authorized representative.

A0500: Legal Name of Resident (cont.)

Check the resident’s name on their Medicare card, or if not in the program, check a Medicaid card or other government-issued document.

Coding Instructions

 Use printed letters. Enter in the following order:                                                                               

First Name

Middle Initial (if the resident has no middle initial, leave Item A0500B blank; if the resident has two or more middle names, use the initial of the first middle name)

Last Name

Suffix (e.g., Jr./Sr.)

Page A-12 to A-13

Manual Version 1.18.11    October 2023