Supplemental Digital Content 2: The 28 MDS-based quality indicators Quality Indicator 1 Incidence of new fractures 2 Prevalence of falls 3/4 Prevalence of behavioral symptoms affecting others (high/low risk) 5 Prevalence of symptoms of depression 6 Prevalence of depression with no antidepressant therapy 7 Use of nine or more different medications 8 Incidence of cognitive impairment 9/10 Prevalence of bladder or bowel incontinence (high/low risk) 11 Prevalence of occasional or frequent bladder or bowel incontinence without a toileting plan 12 Prevalence of indwelling catheters 13 Prevalence of fecal impaction 14 Prevalence of urinary tract infection 15 Prevalence of weight loss 16 Prevalence of dehydration 17 Prevalence of tube feeding 18 Prevalence of bedfast residents 19 Incidence of decline in late-loss ADLs (Activities of Daily Living) 20 Incidence of decline in ROM (Range of Motion) 21/22 Prevalence of antipsychotic use in the absence of psychotic or related conditions (high/low risk) 23 Prevalence of any anxiety/hypnotic use 24 Prevalence of hypnotic use more than two times in the last week 25 Prevalence of daily physical restraints 26 Prevalence of little or no activity 27/28 Prevalence of stage 1-4 pressure ulcers (high/low risk)