Vital and Health Statistics, Series 13, Number 43
Data from the Series 13 NATIONAL HEALTH SURVEY Number 43
The National Nursing Home Survey: 1977 Summary for the United States .
Data collected in the 1977 National Nursing Home Survey (NNHS) are presented in 43 tables according to standard sets of descriptive variablk The tables are grouped into six categories: facility, staff, financial, resident, discharge, and charge characteristics. Data are presented that measure utilization, staffing patterns, cost of provid- ing care, health and functional status of residents and dkcharges, and payment for care. Information on completed episodes of care are available for the first time from this survey system based on data collected on persons discharged during 1976. The 1977 NNHS covered all types of nursing homes in the conterminous United States.
DHEW Publication No. (PHS) 79-1794
U.S. DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE Public Health Service Office of Health Research, Statistics, and Technology National Center for Health Statistics Hyattsville, Md. July 1979 1
Library of CongrassCataloging in Publication Data
United States. National Center for Health Statistics. The national nursing home survey.
(Vital and health statistics : Series 13, Data from the National Health Survey ; no. 43) (DHEW publication; no. (PHS) 79-1794) Includes bibliographical references and index. 1. Nursing homes–United States–Statistics. I. Title. II. Series: United States, National Center for Health Statistics. Vital and health statistics : Series 13, Data from the National Health Survey, Data on health resources utilization ; no. 43. III. Series: United States. Dept, 1 of Health, Education, and Welfare. DHEW publication ; no. (PHS) 79.1794. [DNIJvl: 1, Nursing homes–United States–Statistics. W2 AN148vm no, 43] RA407.3A349 no. 43 [RA997] 362.1’1’0973s [362.1’6’0973] ISBN 0-8406 -0166-2 79-607104
For saleby the Snpmfntendentof Documents,U.S. GomrzmmntPrfnting OfEce Washington,D.C. 2010s NATIONAL CENTER FOR HEALTH STATISTICS
DOROTHY P. RICE, Director
ROBERT A. ISRAEL, Deputy Director JACOB J. FELDMAN, Ph.D., Associate Director for Analysis GAIL F. FISHER, Ph.D., Associafe Director for the Cooperative Healfh Sfafktics System ROBERT A. ISRAEL, Acting Associate Director for Data Systems JAMES T. BAIRD, JR., Ph.D., Associate Director forInternafional Statistics ROBERT C. HUBER, Associafe Director for Management MONROE G. SIRKEN, Ph.D., Associate Director foriklafhematical Stafisti.cs PETER L. HURLEY, Associafe Director for Operations JAMES M. ROBEY, ph~., As.ociafe Director forProgr.m Developmcrrt PAUL E. LEAVERTON, Ph.D., Associate Direcfor for Research ALICE HAYWOOD, Information Officer
DIVISION OF HEALTH RESOURCES UTILIZATION STATISTICS
SIEGFRIED A. HOERMANN , Director JOAN F. VAN NOSTRAND, Chief Long-Term Care Statistics Brarsck JAMES E. DELOZIER, ChieJ Ambulatory Care Statktics Bran:h SIEGFRIED A. HOERMANN, Acting Chiej Hospital Care Sfafisfics Branch MANOOCHEHR K. NOZARY, Chiej Technical Services Brarsch STEWART C. RICE, ChieJ Family Plann{ng Sfafkfics Branch
Vital and Health Statistics-Series 13-No. 43
DHEW Publication No. (PHS) 79-1794 Library of Congress Catalog Card Number 79-607104 , CONTENTS
Introduction ...... 1 Overview ...... a...... 1 - Scope ...... Interpretation and Source of Data ...... : Trend Comparisons ...... 2 Qualifications ...... Publication Plans ...... :.
References ...... 4
List of Dcta.ifed Tables ...... 5
Appendixes I. Technical Notes on Methods ...... 115 II. Definition of Certain Terms Used in This Report ...... 130 111. Survey Instruments Used in the 1977 National Nursing Home Survey ...... 142 IV. Criteria for Classifying Nursing Homes According to Level of Nursing Care ...... 209
Index ...... - 211
Ill SYMBOLS
Data not available— —— ..- Category not applicable———— . . . Quantity zero ——.. — -
Quantity more than O but less than 0.05— 0.0 Figure does not meet standards of reliahlity or precision (more than 30 percent relative standard error)———— *
iv
.- THE NATIONAL NURSING HOME SURVEY: 1977suivmmw FORTHE‘LiiITED-STATES
Joan F. Van Nostrand, Aurora Zappolo, Esther Hing, Barbara Bloom, Bennett Hirsch, and Daniel J. Foley, Division of Health Resources Utilization Statistics
INTRODUCTION of facility; resident days; admissions; live and dead discharges; occupancy rate; certi- Overview fied beds; and selected service, buildlngj and operating characteristics. This report summarizes the data collected in the 1977 National Nursing Home Survey Staff characteristics. –Tables include occupa- (NNHS). This nationwide sample survey of nurs- tional category, full-tim~equivalent employ- ing homes—their residents, their discharges, and ees, full-time equivalent employees per 100 r their staff–was conducted by the National Cen- beds, average hourly wage, years of experi- ter for Health Statistics from May through De- ence, selected employee characteristics, and cember 1977. All types of nursing homes in the number of vacant staff positions. conterminous United States were included in the Financial characterktics of the facility.– 1977 NNHS regardless of their intensity of serv- ice and their participation in the Medicare or Tables include cost and revenue per patient day, cost and revenue by components, net Medicaid programs. Although provisional statis- income, cash flow, and capital returns. tics on residents and dkchargesl and on facili- ties have been published, thk is the first time Resident characterktics. -Tables include that final estimates, based on the entire nation- demographic characteristics; outside living wide sample, have been released. To aid in arrangements; length of stay since admission; understanding and interpreting the data, this primary diagnosis at last examination; introduction provides a description of the scope chronic conditions and impairments; pri- of the report and a review of background infor- mary re~ on for c=e; me~lcations; func- mation about the survey, presented in detail in tional status; use of speciaI aids or devices; appendixes I-IV. level of care; physician, therapy, and other health services received; and social contacts Scope and activities. The scope of this report includes virtually all Discharge -characteristics.—Tables include the data items collected in the 1977 NNHS. discharge status (live or dead); demographic They are presented in 43 tables according to characteristics; outside ~lving arrangements; standard sets of descriptive variables. The tables duration of stay; primary diagnosis at admis- are grouped in six categories: sion; chronic conditions and impairments; functional status; use of special aids or de- Facility characters_stics.-Tables include own- vices; level of care; and physician, therapy, ership; certification; bed size; location; type and other heahh services received.
1 I
Charge characteristics for residents and for a sample of discharges ocenrring in 1976 discharges. –Tables include average total were collected by interviewing the nurse most monthly charge, primary source of payment, familiar with the relevant medical records. When and average amount paid by the primary responding, the nurse relied solely on medical source of payment. records because too long a time had passed be. tween the discharge event and the interview to The reader can locate data in this report in permit reliable recall of information. (Survey two ways: by referring to the List” of Detailed instruments used in the 1977 NNHS are pre- Tables and to the Index. The List of Detailed sented in appendix III.) Tables, immediately following this Introduction, These differences in design, coverage, and describes the content of each table. Tables are reference periods produced both snapshot and grouped according to the six categories as just duration data summaries.. Estimates of the num- described. The Index, at the end of this report, ber and eharactenstics of facilities, residents, presents each key variabIe along with a Jist of and employees are snapshot data and reflect the the tabIes in which the variable appears. situation on any particular day during the May- December 1977 survey period. Estimates of the interpretation and Source of Data number and characteristics of discharges, of measures of utilization (resident days, admis- Data presented in this report summarize sions, occupancy rates) and of cost and other nursing home utilization from two perspectives: financial variables are duration data covering all “snapshot” and “duration” views. The snapshot of 1976, fn most cases they reflect the calendar view summarizes utilization on any particular year experience, although for cost and resident day in the data co~ection period May-December days, fiscal year data were acceptable. 197 7; the duration view summarizes utilization There are several items of information that during the entire year 1976. will assist the reader in interpreting estimates of A basic knowledge of the design of the 1977 residents and discharges. The terms residents NNHS is essential to interpreting the summary and discharges both characterize the same pool I data in relation to these two perspectives. (De- of patients receiving care in nursing homes, but tailed descriptions of sample design and data measured at different points in the care process, 1 collection procedures are presented in appendix For residents, the point is while care is occur- I.) The survey design wax a stratified two-stage ring, for discharges it is the completed episode probability sample. The first stage was a selec- of care. Not as much data were collected on dk- tion of facilities, and the second stage was a charges because the source of the discharge data selection of residents, discharges, and staff from was the medical record only; however, for resi- the sample facilities. Data on the characteristics dents the data were supplemented by the per- of the facility were collected by interviewing the sonal knowledge of the nurse. In addition, the administrator. Data on a sample of employees reference period differs between residents (at who provided direct health-related services to the time of interview) and discharges (at the residents were collected by leaving a question- time of discharge). Therefore, data that seem naire for the sampled person to complete and identical at first glance may have different labels to return by mail. Data on costs for providing that reflect these differences in source, perspec. care in 1976 were obtained from the facility’s tive, and reference period. Comparison of the accountant or administrator, who completed the resident and discharge definitions in appendix questionnaire and returned it by mail. Data for II will assist the reader in understanding these a sample of residents on the facilit y‘s roster at data. the time of the survey were collected by inter- viewing the nurse most familiar with the care Trend Comparisons provided to the resident. When responding, the nurse relied on medical records supplemented The 1977 NNHS is the second in an ongoing by a working knowledge of the resident. Data system. The first NNHS was conducted between August 1973 and April 1974. Reports based on Qualifications data collected in the 1973-74 survey that focus To assist in interpreting these estimates, the on operating and financial characteristics of the reader is urged to review th~ four appendixes in facilities,3 social and demographic character- this report. Appendix I presents information on istics of the residents,4 utilization of nursing survey design, data collection, and estimation homes,E the health status of residents,6 general procedures. Appendix II presents de~mitions of characteristics of the nursing homes,7 charges key terms used in this report; appendix III, the and sources of payment for residents,s nursing survey instruments; and appendix IV, the classi- home costs,g and employees] O have been pub- fication of facilities within the scope of the lished. Reports on discharge characteristics are survey. not available for 1973-74 because the 1977 sur- Because the estimates in this - report are vey marks the first time that data on completed based on a sampIe of nursing homes, their resi- episodes of care were collected. ‘ dents, discharges, To permit trend comparisons, the proce- and staff rather than on a complete enumeration, they are subject to sarn- dures, questions, and definitions in the 1977 survey were, to the extent feasible, the same as p~mg errors. Therefore, particular attention those for the 1973-74 survey. The scope of the should be paid to the sections in appendix I 1977 survey was expanded, however, in response entitled “Reliability of Estimates” and “Hy- to the need for information on the entire con- pothesis Testing” because they present provi- tinuum of nursing home care. The 1977 NNHS sional sampling errors and methods for examina- included all types of nursing homes; the earlier tion of hypotheses. survey excluded those nursing homes providing Publication Plans . personal care (without nursing) or domiciliary care. The impact of including these 500 facilities Because this report has presented a general and their 10,000 beds in the scope of the 1977 summary of the data from the 1977 NNHS, NNHS is expected to be small because they com- future reports from the survey will concentrate prised only about 2 percent of all nursing homes on indepth analyses. The planned areas of analy- in the sampling frame and housed only about 1 sis include utilization, fiiances, residents, dis- percent of the beds and residents. Although spe- charges, and staffing. In addition to providing cial adjustments may not be necessary when nationwide estimates, the NNHS sample was making trend comparisons between 1977 and augmented to produce individual estimates for 1973-74 data, the analyst should be cognizant the five States with the largest portions of of the broadening of scope for the 1977 survey. nursing home beds: California, Illinois, Massa- When compming estimates of employees, the chusetts, New York, and Texas. A brief report analyst should also be cognizant that the 1973- presenting key estimates for each of these States 74 survey covered all employees, but the 1977 is also planned. Publication of these reports in survey focused on those providing direct or the Vital and Health Statistics series will begin in health-related services. 1980.
000
3 REFERENCES
I Natjmmf Center for Heakb Statistics: A comparison homes, United States: National Nursiug Home Survey, of nursing home residents and discharges from the 1977 August 1973-April 1974, by E. Hing. Vital and Health Nationaf Nursing Home Smvqc United States, hy E. Stat&ics. Series 13-No. 32. DHEW Pub. No, (PHS) Hbrg and A. Zappolo. Arbance Data from Vital and 78-1783. Public Heaftb Sem-ce. Washington, U.S, Gov- Health Statistics, No. 29. DHEW Pub. No. (PHS) 78- ernment Printing Office, Nov. 1977. 1250. Public Health Service. HyattsvifIe, Md., May 17, 9Nationai Center for Health Statistics: Nursing home 1978. costs—19 72, United States. National Nursing Home 2Nationfl c~nt~rfor He~~ statj~ti~s: An ~~ewjew Survey, by M. Meiners. Vitaland Health Statistics.Series of nursing home characteristics. Provisional Data from 13-No. 38. DHEW Pub. No. (PHS) 79-1789. Publlc the 1977 National Nursing Home Survey, by M. Meiners. Heafth Service. Washington. U.S. Government Printing Advance Data from Vital and Health Statistics, No. 35. Office, Nov. 1978. DHEW Pub. No. (PHS) 78-1250. Public Heakb Service. 10Natjond Center for Health Statistics Employees in Hyattsvifle, Md., Sept. 6, 1978. nursing homes in the United States: 1973-74 National 3NatjcMd Center for Heaitb Statistics: Selected oper- Nursing Home .%rvey, by A. %rrocco. VrlalandHealth ating and financial characteristics of nursing homes, Statktics. Series 14-No. 20. DHEW Pub. No. (PHS) 79- United States: 1973-74 Nationaf NnrsirrgHome Survey, 1815. Public Health Service. Washington. U.S. Govern. by M. Metiers. Vital and Health Statistics. Series 13-No. ment Priuting Office, Feb. 1979. 22. DHEW Pub. No. (HRA) 76-1773. Heaftb Resources 11NatiIJn~ Center for Heafth Statistics: Inpatient Administration. Washington. U.S. Government Printing health facilities as reported from the 1973 MFI Survey, OffIce, Dec. 1975. by A. .%rrocco. VitalandHealth Statistics. Series 14-No, 4Natjon~ Cents f~r He~th statistj~~: Chmacteris. 16. DHEW Pub. No. (HRA) 76-1811. Health Resources tics, sociaf contacts, and activities of itursing home resi- Administration. Washington. U.S. Government Printing dents, United States: 1973-74 National Nnrsing Home Office, May 1976. Survey, by A. Zappolo. Vz%d and Health Statistics. ] 2Nation~ Center for Heafth statistics: Development Series 13-No. 27. DHEW Pub. No. (HRA) 77-1778. aud maintenance of a National Inventory of Hospitals Health Resources Administration. Washington. U.S. Gov- and Institutions. Vital and Health Statistics. PHS Pub, ernment Printing Office, May 1977. No. 1000-Series l-No. 3. Pubfic Health Service. Washing- 5Natjon~ Center for He~th statj~tjc~ Utjfjzation of ton. U.S. Government Printing Office, Feb. 1965, nursing homes, United States: National Nursing Home 13Nationd Center for Heslth Statistics: Design ~d Survey, Augnst 1973-Aprif 1974, by J. F. Sutton. Vital methodology of the 1967 Master Facility Inventory and Health Statistics. Series 13-No. 28. DHEW Pub. No. Sm-vcy. Vital and Health Statistics. PHS Pub. No, 1000- (HRA) 77-1779. Health Resonrces Administration. Series l-No. 9. Pubfic Health Service. Washington. U..% Washington. U.S. Government Printing Office, July Government Printing Office, Jan. 1971. 1977. 14Nationzd Center for Health Statistics: The agency 6Nationd Center for Health Statistics: Profile of reporting system for maintaining the National Inventory chronic illness in nnrsing homes, United Statex 1973-74 of Hospitals and Institutions. VitalandHealth Statistics, Nationaf Nursing Home .%rvey, by D. K. Ingram. Vital PHS Pub. No. 1000-Series I-No. 6. Public Health and Health Statistics. Series 18-No. 29. DHE W Pub. No. Service. Washington. U.S. Government Printing Office, (HRA) 78-1790. Health Resources Administration. Apr. 1968. Washington. U.S. Government Printing Office, Dec. 15Katz, s., et d.: Studies of illness in the aged. 1977. j.A.M.A. 185 (12): 914-919, Sept. 1963. NUr&g 7N~ti~n~ Center for He~th st=ti~tic~: 16Ka~, s., .t & Progress in development of the homes in the United States: 1973-74 Nation& Nursing Index of ADL. Gerontologz”st10 (pt. 1): 20-30, Spring Home Sfrrvey, by A. Sirrocco and H. Koch. Vital and 1970. Health Statistics. Series 1’%No. 17. DHEW Pub. No. 17NatjcMd Center for Heafth Statistics: Eighth RPvi- (HRA) 78-1812. Health Resources Administration. Washington. U.S. Government Printing Office, Oct. sion InternationalChustficationof Diseases,A daptedfor 1977. Use in the United States. PHS Pub. No. 1693, Public 8Nat.icuMfCenter for Health Statistics: Charges for Health Service. Washington. U.S. Government Printing care snd sources of payment for residents in nursing Office, 1967.
4 LIST OF DETAILED TABLES
Facility characteristics
1. Number and percent distribution of nursing homes, beds, and residents by selected nursing home characteristics: United States, 1977 ...... 8
2. Selected measures of nursing home utilization, by selected nursing home characteristics United States, 1976 ...... 9
3. Medicare and medicaid certified beds {1977), resident days (1976}, and certified beds occupancy rates (1976) of nursing homes, by selected nursing home charactaristic~ United States ...... 10
4. Number and percent distribution of nursing homes by certification, according to selected service characteristic% United States, 1977 ...... 11
5. Number and percent distribution of nursing homes by bed size, according to other selected building characteristics: United States, 1977 ...... 12
6. Number and percent of nursing homes, by selected operating characteristics: United States, 1977 ...... 13
7. Number of nursing homes and rate per 100 nursing homes providing services to persons who are not residents, by status of nonresidents and type of service provided: United States, 1977 ...... 14
Staff characteristics .,. , 8. Number and rate per 100 beds of nursing home full-time equivalent employees, by occupational cat~gories and selectad nursing home characteristic% United States, 1977 ...... 15
9. Number, average hourly wage, and average years of experience in occupation of full-time and part-time nursing home em- ployees, by sex and occupational categories: United States. 1977 ...... 16
10. Number and percent distribution of full-time and part-time nursing home employees by occupational categories, according to selected nursing home characteristic% United States, 1977 ...... 17
11. Average hourly wage of full-time and part-time nursing home employees, by occupational categories and selected nursing home characteristics: United States, 1977 ...... 19
12. Number and percent distribution of full-time and part-time nursing home employees by occupational categories, according to selected employee characteristics U“itad States, 1977 ...... 20
13. Average hourly wage of full-time and part-time nursing home employees by occupational categories and selected employee characteristics United States, 1977 ...... 22
14. Number of vacant full-time and part-time staff positions budgetad in nursing homas, by occupational category: United States, 1977 ...... 23
Financial characteristics
15. Amount per rasident day and percent distribution of nursing home revenues and costs, according to ownership and certifica- tion: United States, 1976 ...... 24
16. Amount and percent distribution of total costs per resident day of nursing homes by major components, according to selected nursing home characteristics Unitad States, 1976 ...... 26
5 17. Revenues, costs, net income, cash flow, and capital returns of nursing homes per resident day and dollar of mvemm by selected nursing home characteristics United States, 1976 ...... 27
Resident characteristics
18. Comparison of nursing home resident population and general population, by age: United States, 1977 ...... s...... 0. 28
19. Number and percent distribution of nursing home residants by length of stay since admission, according to selected other resident characteristics: United States, 1977 ...... 29
20. Number and percent of nursing home residents, by $elected health atatuse% United Statea, 1977 ...... 31
21. Number and percent distribution of nursing home residents by medication, length of stay since admission, and ram or ethnicity, according to selected health statuses United States, 1977 ...... 33
22. Number and percent distribution of nursing home residents by use of special aids or devices and median’ length of stay since admission, according to selected functional statuses: United States, 1977 ...... ,..,..,,., 39
23. Number and percent distribution of nursing home residents by dependency in activities of daily living and index of depend- ency in activities of daily living, according to selected other resident characteristics: United States, 1977 ...... 43
24. Number and percent distribution of nursing home residents by dependency in activities of daily living and index of depend. ency in activities of daily living, according to selected health statuses: United States, 1977 ...... 47
25. Number and percent distribution of nursing home residents by selected health ssrvices received, according to median length of stay since admiasion, level of cars, and index of dependency in activities of daily living United States, 1977 ...... !33
26. Number and percent distribution of nursing home residents by social contacts and activities, according to age, rata or eth- nicity, marital status, and median length of stay since admiasion: United States, t 977 ...... 57
27. Nursing home residents by selected nursing home characteristics and median age, race, or ethnicity, median length of stay since admission, primary reason for care, independence in all 6 activities of daily living, and median time since Iaat physkian visit United States, 1977 ...... 61
Discharge characteristics
28. Number and percent dktribution of nursing home dischargesby duration of stay. according to selectedothar dkcharga char- acteristicsand discharge status: United States, 1976 ...... 62
29. Number of nursing home discharges and percent discharged alive, by selected health statuses: United Statesr 1976 ...... 66
30. Number and percent distribution of nursing home discharges by discharge status and duration of stay, according to selected health statuses: United States, 1976 ...... 68
31. Number and percent distribution of nursing home discharges by discharge status, median duration of stay, and use of special aids or devices, according to selected functional statuses United States, 1976 ...... 72
32. Number and percent distribution of rmrsing home discharges by type of dependency and partial index of dependency in activities of daily living, according to selected other discharge characteristics and discharge atatrrses: United States, 1976 ..,,,,, 74
33. Number and percent distribution of nursing home discharges by type of dependency and partial index of dependency in activities of daily living, according to selected health statuses: United States, 1976...... 78
34. Number and percent distribution of nursing home discharges by selected health services received, according to dlaeharge status, median duration of stay, level of care, and partial index of dependency in activities of daily living: United States, 1978 ...... 82
35. Nursing home discharges by selected nursing home characteristics and selected discharge characteristics: United States, 1976 ...... 84
Charge characteristics
36. Aversge total monthly charge and average amount paid by primary source for residenta of nursing homes in 1977 and dis- charges in 1976, by primary source of payment and selected characteristic United States ...... 85
6 37. Average total monthly charge and average amount paid by primary source for residents of nursing homes in 1977 and dis- . charges in 1976, by primary source of payment and selected health statuse% United States ...... 88
3S. Average total monthly charge and average amount paid by primary source for residents of nursing homes in 1977 and dis- charges during 1976, by primary source of payment and selected health services recwved: Umted States ...... 94
39, Average total monthly charge and average amount paid by primary source for residents of nursing homes in 1977 and dis- . . charges m 1976, by prtmary source of payment and selected nursing home charactermttcx United States ...... 97 d 40. Number and percent distribution of residents of nws.ing homes in 1977 and discharges in 1976, by primary source of pay- . . . ment, according to selected charactenstnx Umted States ...... 99
41. Number and percent distribution of residents in 1977 and discharges in 1976 by primary source of payment, according to selected health statuses: United States .:...... 102
42. Number and percent distribution of residents of nursing homas in 1977 and discharges in 1976 by primary source of pay- ment, according to selected health services received United States ...... 108
43. Number and percent distribution of residents of nursing homes in 1977 and discharges in 1976 by primary source of pay- . . . ment, according to selected nursing home charactemt[cx Umted States ...... 111
7 Table 1. Number and percent distribution of nursing homes, beds, and reeidents by selected nursing home characterl~cs United States, 1977 -
Nursing home characteristic
All nursinghomaa ...... !? ......
Ownership PrOpriewy ...... 14,500 76.8 971,200 69,3 686,800 68.2 Voluntary nonprofit...... 3,400 17.7 295,6oo 21.1 281,800 21.6 Government ...... 1,000 5.5 135,700 9.7 132,500 10.2 Cerlfficafion .Wled nursing facihty only ...... 3,600 19.2 264,000 21.0 269,600 20.7 I Medicare and hfedcaid ...... 2,100 11.3 204,500 14.6 190,300 14.6 Medicare ...... 700 3.7 27,000 1.9 f 7,800 Medicaid ...... 800 4.2 62,600 4.6 61,500 ‘H Skdled nursing fachty and intermediate care facility...... 4,600 24,2 549,400 39.2 527,600 40.5 Meal/care SNF and Med!caid SNF and ICE ...... 2,s00 12.3 319,500 22.8 303,700 23.3 Medicaid SNF and ICE ...... 2,100 10.s 218,700 15.6 213,800 16.4 Medioare SNF and Med@d ICF ...... 200 1.1 11,300 6 10,s00 Intermediate care facdty only ...... 6,000 31.6 391,600 27.9 S6S,200 26:; Not sarlified ...... 4,700 25.0 167,400 11.9 137,500 10.6 ~ Less than 50 beds ...... 8,000 42.3 162,900 13.0 167,900 12.9 50-99 beds ...... 5,aoo 30.8 417,800 29.6 397,000 30.5 I 100-199 beds ...... 4,200 22.3 546,400 39.0 505,200 S6.6 200 beds or more ...... 900 4.6 255,400 162 233,000 17.9 a Geoara!Jhic reaion: 3,900 20.5 314,900 22.5 292,100 22.4 5,900 31.1 463,900 34.5 449,400 34.5 I 4,900 26.0 361,500 27.2 354,700 27.2 4,200 22.4 222,100 15.s 207,000 15.9 1 Standard Federal administrative region: Region l...... 1,700 9.1 96,900 7.1 85,600 Region 11...... 1,500 7.8 145,600 10.4 13a,300 1:; Region Ill ...... 1,400 7.3 115,000 6.2 107,600 I Region W ...... 2,400 12.9 177,600 12.7 175,300 l= Region V...... 4,000 20.9 345,900 24.7 318,200 24.4 Regton W...... 1,800 9.7 162,300 11.6 142,700 11.0 Region W...... 1,700 9.2 122,600 8.8 115,600 8.9 Regmr !4111...... 700 3.7 54,900 3.9 50,900 3.9 Ragion IX ...... 3,200 16.6 134,900 9.6 124,000 9.5 Region X ...... 500 2.7 44,600 3,2 44,600 3.4 Tvoe of facdify Nursing care ...... 12,300 65.o 1,105,100 76.6 1,113,300 65.4 All other ...... 6,600 35.0 297,300 21.2 169,600 14.6 NOTE Figuresmaynotaddto totalsduetomunaing. Table 3. Medicare and rrtecficaid certified beda (1977), resident days (1976), and certified beds occupancy ratee (1976) of nursing homes, by selected nursing home characteriefics United States
Medmare sklllad Medicaid skilled Medicaid intermediate Nursing home characterishc Certified beds Cerf~;;7 ~ds Resid&;\days ~ccupanv rate Ceti;r;7 ~ds Resir&\days Wf;{fie C’”y::,pd’ q&8d’y’ occ~paa~~,ratece*ified beds 1e76 Z%
All nursing homes ..,..., 355,500 12,965,600 10.3 637,100 115,541,900 49.6 730,400 155,764,600 58.5
~ropfietavQwwsb19 ...... 239,6oo 8,692,100 10.1 437,500 80,952,400 50.6 515,400 113,592,300 60,6 . Voluntary nonprofit.,., ...... 79,400 11.6 139,200 22,198,100 43.5 146,700 26,490,400 49.9 , . Government,.,, ...... 36,600 60,400 12,391,400 55.4 68,400 15,702,000 56,5 Certification Skilled nursing faclloy only ...... 163,300 6,351,200 9,6 254,2oo 54,424,900 59.1 !., ... Skilled nu~slng facifity and II mtermedlete care facility ...... 172,300 6,622,100 10.9 362,900 60,602,500 42.7 355,300 63,923,000 48,9 Intermediate care facifify only.. . . . ,...... 375,100 87,775,700 64,5 Bed...@ Less than 50 beds ...... 30,900 . . 36,000 7,704,600 56.6 64,300 21,566,700 69,6 . 50-99 beds..., ...... 96,400 177,400 29,670,000 46.1 241,500 47,938,200 54,0 100-199 beds,...,,, ...... 143,500 5,667,000 Iti 277,600 47,ieo,ooo 46.2 301,200 61,a31,500 57,4 . . 200 beds or mora, ...... 64,7oo 146,000 30,777,100 57.8 103,400 24,448,200 62,5 - Geographic ragiom Northeast..,...,..,.,., ...... 1S9,400 4,541,600 9.3 174,400 36,500,700 57.5 111,600 29,002,300 71,9 . North Central ...... 63,100 15.2 206,100 29,429,500 36.6 306,600 80,174,400 52,9 . South ...... 58,100 . i 11,200 22,109,300 54.9 230,200 55,777,000 67,6 . West, ...... 94,900 . 145,400 27,502,500 51,3 61,900 io,e30,900 34.4 Standard Federal administrahve regiom Region !...... 24,200 , . 39,200 60.0 80,3 . Region 11...... 91,900 9.4 93,900 60.3 64.3 . Region Ill ...... 31,400 . 51,000 47.5 70,3 Region IV..,..,.,...,.,..,,,... 43,100 . . 79,500 57.1 65,8 . Reg!on V, ...... 55,500 15.6 163,3oo 39,4 52,6 . . . Region VI ...... 22,100 47.9 66.4 . Region VII ...... 14,600 53.2 . Region VIII ...... 30,500 5,471,200 46.6 54.3 . . Region IX.., ...... 62,000 96,200 18,594,400 53.0 26,2 . Region X ...... * . 26,500 4,625,600 45.0 35.3 Tvoe of fachfy Nursing care,., ...... 294,700 10,336,600 9,9 555,2oo 100,306,200 49.5 614,900 130,036,400 58.1 All other ...... 60,6tio . . 61,900 15,233,700 50.5 t 15,500 25,746,200 60.3 LThe sumof certfmdbedsexcewls totalnumberofbedsbecausesane bedsmayhavedualCarhfwuion, .
X Aggregatenwnbac01 days of care providadto re#den& in IOT~ ~ 100 z NumLw of cedtfied i%ds m 1e77 x 336
=TtK!SEnurshghOmeSwhch hada changei“ thenumberofL!adsfmiwee” 1e76 and 1977(8 ~,ce”t OffOW)“c4 ,Kl”dti 1“cdculalj~ rates. NOTES:F,guresmayrot addtQ10IASdue@ rwnding. Nursinghomecharac!edsticsfor f 9m.
- ...- ——— — Table 4. Number and percent distribution of nursing homes by cettificstion, according to selectad service characteristi~ United States, 1977
SklOed nursing 2Jutlednursing Skilled Intermedmte Skdted Intermediate All facihty and Not All faCildyand Not Ssn4cs characteristic nur.wng care facihty nursing care fscildy CWfiricstrons intermediate certified Cwbficstions inferrnediate C??rt61ed faciliiy ~n~ only facility Imfy care facmy C3re fscmy C@
Ntmber Percsnt disfrindion All nursing homes ...... 18900 3,600 4,600 6,000 4,700 100.0 19.2 242 31.6 2s.0 S~elV Dmvided. supervision over nredwat,.cnswhich may be Self-admlmstersd ...... 13,000 2,400 2,700 4.400 3.600 t 00.0 18.1 21.CI 235 27.4 Medications and treatments admmsfprsd m accordance wth phystctan%orders...... f 8,700 3,SO0 4,500 6,000 4,600 100.0 19.4 24.3 320 24.4 Rub sndmass6gs...... 15,900 3,100 4,400 5,700 2,000 100.0 19.6 27.4 35.6 17.4 Help with tub bath or shower . . . . . 18,700 3,600 4,600 6.000 4,600 1000 19.4 24.4 31.9 24.3 Help with dressing ...... 17,900 3,600 4,600 5,600 3,900 1000 20.2 .2S4 324 220 Help VMthcmrespondencs 7 or shoppin g...... 18,200 3,500 4,500 5,900 4,300 100.0 19.1 24.6 32.6 23.7 Help twih walking or getting about .. 17,400 3,s00 4,500 5,700 3,600 100.0 m.i 26.1 329 20.9 Help with estmg ...... 16,900 3,500 4,500 5,700 3,300 100.0 20,5 26.7 33.4 19.4 pehabhtation ser.ac~ umtmelv Dmvlded.> Physrcal tierspy ...... 9,900 2,500 3,700 2,s00 9m 1000 24.9 37.7 26.5 9.0 Occupational therapy ...... 5,900 1,500 2,200 1,500 700 100.0 24.8 37.6 25A 12.1 Recreatranal thempy ...... 11,200 2,400 3,500 3>700 1,500 100.0 21.7 31.4 3s.1 13.8 Speech and hearing therapy 6,400 1,700 2,500 1,600 600 1000 27.1 3s.9 24.3 96 Counseling, therapy by psychlstm, psychologist, or ITIMW heajth worker..., ...... 5,800 1,300 1,900 1,700 Boo 1000II 22s I S3.0[ 30.0 142 Counseling by social worker...... 12,000 2,800 S,900 4,000 1,300 100011 32.31 33.3 10.8 Othsr rehabdtstmn tbersph?s. . . . 1,300 2m 500 200 100.0 165 36.5 28.6 16,2
Medtcal director armnaement Indw#dualphysman ...... 9,700 2,700 3,800 2,100 1,100 100.0 233 3Ss 21.2 112 ?hysmn partnership . . .< . or group practice ...... 600 200 . 1000 . 40.0 . . . Several mdwidusl physic)s”s...... 600 200 200 . 1000 S5.I 34.9 Health Mamtonance O,gamzatlon, rrredtcalschoof, or medcsl somety...... 11 .1 -1 .1 . . : . . . HosPdai staff.,...... ,,,, 500 200 100.0 44.2 , . . . . Other amsngement ...... 600 Soo 1000 51.6 . NO medcal dusctor ...... 7,000 500 3,200 3,100 foo.o 7.2 46.9 44.8 Level of skill of chame DeK+O”On dUtV fOr fac#ktles w,th 3 sh,fts All registered nurses ...... 1,500 2,000 400 4010 100.0 35.2 47.0 89 69 . . . . . All hS”S& practlcsl ““rses ...... 600 ~oo.o 82.0 All nur?.ek aides ...... 200 . 30[10 100.0 43.5 54.3 . Registered nurses for 2 shdts. 600 900 600 100.0 26.4 38.3 Zr.o Licensed practical “IJSeS for z SMIS 800 1,100 i,700 50(0 100.0 20.0 27.0 407 12.s . Nurse’s ardes for 2 shifts ...... 500 600 1000 . 44.4 401 . . All other combmabons ,...... 600 300 1000 . aa.5 296 ‘ F!guresdo notaddb totalsb,u”~ mU *mspunsas were permdtsd , Ind.des onlyset.ncecrw-ded on .—m?tms BYIhwmd, mg,stered,orp,ofesswn!ally trauwdtherawl NOTE FIg.res may notaddto totalsdueto mund,”g Table 5. Number and percent distribution of nu~ing homes by bed eize, ac~Ording tO other selected buildngcharacteristicsUnited Statee, 1977
BuMfng characteristic All Less than 50-99 too-t 99 200 beds All Less than 5Q-99 t 00-199 200 beds sizes 50 beds beds beds or more sizes 50 beds beds beds or more
Number I Percent dtstobution All nursing homes,.., ...... 18,900 a,ooo 5,800 4,200 900 100,0 42.3 30.8 22,3 4.6 , + 1+ . . Less Ihsn 5 years ...... t ,300 .1 600 600 . 100.0 42.6 43.4 5 to less than 10 years ...... 3,400 500 1,300 t ,300 200 100.0 15.9 37.6 39.3 7.2 10 to less than 20 years ...... 6,300 1,600 2,700 1,500 200 100.0 29.0 43.2 24.o 3.7 . . 20 to 1sss than 30 year....,..,...... ,..,.....,,.... 1,900 1,200 400 .zob 100.0 80.9 22.3 12.3 . . . . 30 (o less than 50 years .,,.,..,,..,....,,,,,,,,,.,.,..,.. 1,500 1,000 300 100.0 66.0 20.6 . , 50 years or more ...... 3,300 2,500 300 300 100.0 76.2 10.3 9.9 , . . Unknown . . ...!...... 1,200 900 200 . 100,0 74,0 16.6 Oriamal ourgose Nursing home ...... 11,700 2,300 5,000 3,700 700 100.0 20.0 42.5 31.6 5.9 . . . , Private home, apartmsnt, hotel...... 4,800 4,400 300 100.0 90.2 6.3 . . Hospital or other health-relatsd facihty,., ...... i.ino 400 400--- mu-l--- Irmn,----- 35.8 35.6 20.0 . . . Other or unknown ., ...... 1,300 900 , . . 100,0 69.8
Fa cdttres known to have been renovated 9r rem (xkdad ‘ Addition ...... ,,,,,...,,, 6.5001 I 3,700 2,700 1,700 400 100.0 43.1 31.6 20.1 4.9 In prOcess .,,..,.,,...,,,,,,. <.,, ...... 11 . . . . . , . . . . . Less than 2 years ago.., ...... 1,400 500 500 300 100.0 36.7 37,0 21.0 . . 2 to less than 5 ysare ago ...... 1,600 400 600 500 100.0 25,6 33.7 30.9 . 5 years ago or more,...... 4.S00 2,200 1.,Ann,.. > 46.4 30.5 17.4 :] yj,, . . . Unknown...... 700 500 “1 ‘O?l 707 Fire safety squlpment, conatrutilon ...... 10,400 5,200 2,900 1,900 400 100.0 50.1 27.6 17.8 4.3 ...... In process ...... %...... !?nn.-. 100.0 , . Less than 2 years ago ...... 3,8oo 1,800 1,100 800 100.0 46.2 29.3 199 . . 2 to less than 5 yeers ago.., ...... 3,100 1,300 1,000 700 100.0 41.4 31.5 21,7 . . 5 years ago m more ,.,l ...... -,77nn. . . 1,800 600 200 100.0 67.3 20.8 9.0 ...... Unknown ...... 500 200 100.0 39.1 Intenor remodeled or other renovation...... 9,300 5,000 2,400 I 1,600 400 100.0 531 25.7 17.1 4.1 . . In prOcoss ...... 600 200 200 34.0 33.3 . Less than 2 years ago.,,.,,., ...... 4,200 2,100 800“1 :1 :Mll 50.6 27.4 180 1,100 . 2 to Iesa than 5 years ago..., ...... 1.s00 600 m-lo 45.7 26.5 21.9 . 5 years sgo or more ...... -,---9“X=I I I 1,500 65.6 22.5 9.6 . . . Unknown ...... 400 300 73.7 Averaas number of beds IJer room Less than 2 beds..,...... 9,300 4,100 48.7 30,6 21.3 4.4 2 to fess than 3 beds ...... 8,900 3,500 39.6 32.0 23.9 4.3 . . . 3 to fess than 4 bsds ...... 700 400 57.6 4 beds or more ...... -Ii — — — — ZFiguresdonotaddto totalsbecausem.lbple responseswere p+ tkr. NOTE F,g”reamaynotadd Q totalsdue m m“nd,~ m
. Table 6. Number and percent of nursing homes, by a-electedoperating characteristics United States, 1977
Operatingcharacteristic Number Percent
Tvae Of ODerabon
Membar of group of facildies oparatingunder one general authorityor owner...... 5,300 281 Distinct unit of hospital,other health facihty, or ratlrementcanter ...... 2,400 12.9
Tvoe .af admissionaccented
TemporaW...... 12,100 64.1 Both saxes ...... 17,300 91.2 . Male only...... Female only...... 1,6D0 6.7 Maximum age above which no one is accepted ...... 400 2.0 Minimum ago under whfch no one is accepted...... 9,700 51,2
All facilitieswith minimumaga...... 9,700 51.2
1-16 yearn ...... 700 3.9 16-17 yeaw ...... 1,800 9.5 18 yearn...... 3,700 19.7 19-21 yearn...... 1,400 7.3 22-40 yeaE ...... 41-59 years...... 700 3.9 60-64 ye~ ...... 400 1.9 65 yeaE ...... 800 4.2 66 years and over...... ,
Othar oDeratmocharacteristics
Malntalns a waiting fist...... 14,200 75.1 Provides sendces to nonresidents...... 3,300 17.4 Has vacant staff positions...... 6,600 34.8
NOTEFiguresmaynot add to totals due to mundmg,
13 Table 7. Number of nursing homes and rate per 100 nursing homes providing services to persons who are not rasidents, by status of nonresidents and type of service provided United States, 1977
Norvesidonts Type of service, Parson on Dlachargad Any Total Other waiting list realdenl applicant
Number
All nursinghomes...... 3,300
.Health care Home haalth care ...... 400 Adult day care ...... eoo Information. referral for health moblems ...... 1,700 Psychiatric...... m m Physical...... 1,000 400 eoo 800 400 Osoupational,recreafi?rral, or speech and haanng ...... eoo 300 600 600 300 Homemaking . . . ● Laundry ...... 300 Meal defivery (home or group setting) ...... 1,800 500 eoo 1,000 eoo . . Homemaker or chore service ...... Social sewice Arrangement or provision of recreational activify...... 1,000 Friendly visiting...... 1,200 Other fm es of sem”ce Transpotiation, escort service ...... 800 Dady telephone checking ...... 400 Other ...... 700
Rate per 100 nursing homes
All nursing homes ...... 100.0 100.0 100.0 100.0 IOQ.O 1r Health care I Home health care ...... 12.e 25.7 12.2 17.0 8.4 Adult day =re ...... 24.0 36.9 30.2 30.9 22.6 Information, referral for heefth problems ...... 52.e eo.4 7S.8 ao.7 49.1 Psyctiatflc ...... 2.8 e.5 4,2 3.4 2.6 I!Exa9Y Physical ...... 30.e 3e.i 46,6 42.0 22.5 Occupabonal, recreational, or speech and hearin g...... 23.2 31.2 36.e 3i.e 17.a Homemaking Laundq ...... 9.1 I o.e 3.3 10,0 Meal debvery (home or group setting) ...... 54.2 57.1 45.e !% 54.e Homemaker or chore sewice ...... 2.1 1.2 2.e 2.3 2.3 Social sem”cg Arrangement or provision of . . recreabonal acbvdy...... 30.4 3e.1 40.6 35.5 34.5 Friendly ris~ng ...... 35.e 47.5 47.5 40.5 33.8 Other fvDes of sem”ce Transportation, escort sew”ce ...... 25.6 31.0 29.0 30.2 28.6 Deily telephone checkin g...... 11.8 10.5 16.4 17.0 Other ...... I e.7 20.1 13.8 la.6 2:: xFiguresdonotaddtototalsbeccusemultipleresponsesWE p+ led NOTE Frguresmaynotaddtototsfsduetomundmg. 1
14 Table 8. Number and rate per 100 beds of nursing home full-time equivalent employeee, by occupational categories and selected nursing home characteri&ics United state-% 1977
Occupabonal category of employee Administrative, medical, and Nursing home characteristic ==7 therapeutic Total Rate par Rate per Number Number Number 100 beds 100 beds %:bzs
All employees =.....,.. 647,700 46.2 70,600 5.0 577,000 41.1
OwnershlQ I PrOprfetaty...... =H421,500 43.4 44,500 4.6 376,900 38.6 40,300 4.2 55,300 5.7 2al,300 29.0 Voluntary nonprofd..., ...... 156,700 53,7 19,200 a.s 139,600 47.2 16,800 6.4 19,500 “ 6.6 101,300 343 Government...... 67,500 49.7 8,900 5.1 60,500 44.6 7,800 5.6 10,300 7.6 42,400 31.2 Cerfiflcatoon I 97,300 33.1 Skilled nursing faciffty only... 154,900 52.7 17,200 5.9 137,700 46a 20,900 7.1 19,500 6.8 Skilled nursing facdty and intermediate care facifily . . . . 284,600 51.6 28,700 49 257,900 46.9 32,100 5.9 35,600 6.5 190,000 34.6 Intermediate care facility only ...... 159.200 40.7 18,200 4.7 141,000 36.0 9,300 2.4 24,aoo 6.3 106,600 27.3 Not certified ...... 48,900 29.2 6,500 5.1 40,400 24.1 4,600 2.8 4,900 3.0 30,600 164 Bed size Less than 50 beds ...... 83,400 45.6 15,200 8.3 66,200 37.3 7,900 4.3 12,000 6.6 48,300 26.4 50-99 beds ...... 203.400 48.7 22,500 5.4 180,900 433 19,900 4.6 25,100 6.0 135,600 32.5 100-199 beds ...... 254,900 46.6 22,900 4.2 232,000 42.5 25,700 4.7 33,400 6.1 172,900 31.6 200 beds or more, ...... 108,000 41.5 10,000 3.9 95,900 37.6 13,400 5.3 14,600 5.7 67,300 26.6 ~ tin Geographic region Northeast...... 162,000 51.4 19,400 6.1 142,700 45, 3 24,aoo 7.9 20,30 0 6.4 97,60 0 31,0 North Central ...... 226,700 46.6 22,900 4.7 203,800 42.1, 20,200 4.2 26,70 0 5 5 156,90 0 32.4 South ...... 162,600 42.6 16,000 4.2 146,600 36.4 It,loo 2.9 27,00 0 7. 1 106,50 0 26.4 West ...... 96,300 43.4 12,400 5.6 63,900 37.6 lo,aoo 4. 9 11,10 0 5.0 62,00 0 27.9 Stendara Federal admimstrative regiorr Reg!on l ...... 45.200 45.8 5,100 5.1 40,200 40.6 7,10 0 7. 2 5,20 0 5.2 27,90 0 2a.2 Regum 11...... 73,000 50.2 9,300 6.4 63,700 43a 11,00 0 7. 6 9,60 0 6. 6 43,10 0 29.6 Region 1[1...... 63,600 55.3 6,700 5.6 56,800 49.4 6,ao o 7. 8 a,lo o 7. 1 39,90 0 34.7 Ragion IV ...... 92,900 62.3 6,900 5.0 84,000 47.3 6,70 0 3.8 13,70 0 7.7 63,60 0 35.6 Regton V ...... 167,600 46. 5 16.300 4.7 151,500 43.8 16,10 0 4.6 19,70 0 5.7 115,70 0 33,5 Region VI..., ...... 50,900 31.4 5,500 3.4 45,400 za.o 2.50 0 1.5 io,ao o 6 7 32,10 0 19,6 Reg!on Vll ...... 51,700 42.1 5,600 4.6 46,100 37.6 3,30 0 2.6 6,50 0 5,3 36,30 0 29.8 Region VIII ...... 21,500 39. 2 2,600 51 16,700 34.1 2,ao o 5 .2 2,00 0 3.6 13,90 0 25.3 Region IX ...... 60.800 45. 0 8.300 6.1 52,500 38.9 6,50 0 4 .8 7,20 0 5 3 38,60 0 26a Region X ...... 20,200 45. 2 2,100 4.8 18,000 40.4 2,20 0 4 .9 2,30 0 5.2 13,50 0 30.3 Tme of fscd Nursing care ...... ? ...... 61,300 5.5 48.1 61,aoo 5.6 79,900 7.2 389,500 352 I.B 35.400 11.9 AH other ...... SE.lJa -19,400 - 3.2 15,4 5,100 1.7 5,200 ’35 hours or pti-bme employe nork,s wns!dered eqwalen 1 full-hnwemployee.Pait-f!maemployeeswere converted , full-bin. eqwslent emp!oyee5 by divdmg the number of hoursworkedperweekby35 ‘lnc!ud6s only employees provid Ihrecthealth-related services 1 stdents NOTE Figures may not add to t# Table 9. Number, average hourly wage, and average years of experience in occupation of full-time and part-time nursing home employees, by sex and occupational categories. United States, 1977
Full-bme employess Part-time employees Year3 Years Occupational categoiy Number Average hourly wage, Number Average hourfywsge, of experience ot experience Both eOth Male Female ~;, Male Female ::, ~a,~ ~ema,o g:, Male Female sexes Male Female ~:, wxes Male Female
All employees, ...... 509,900 43,500 486,500 3.64 5.14 3.50 ‘ 6.5 7.9 6,4 26B,eoo 47,000 221,800 6.31 15.07 4.73 7.7 10.3 7.1
Administrstwe 6nCI mE,dimI m Administrator, assistant , admlnlstratw.,..., ...... 22,700 10,600 12,100 7.47 rt.a3 6.29 10.4 9.0 11.7 2,900 1,200 1,700 16.81 32.17 ‘ 10.5 ‘ . Physictan...... 800 600 . . . , . . “ i3,eoo 13,400 + 24.00 23.97 . 14.0 14.2 . . . . . - Dentist.,.., ...... 3,300 3,300 “ i 7.40 17.36 . 9.5 95 . Pharmacist ...... 800 600 ~ . - : . . ‘ 11,100 I0,000 1,100 10.23 10.27 ‘ a.1 2!.3 . Dleotmn m nutrtionisl,., ...... 2,900 . 2,600 7.64 . 7.76 6.1 ‘ 7,9 10,300 ‘ 10,100 10.43 ‘ to.3e 10.9 ‘ 10.9 Registered medloal record . admimsirator...... ,, ,,,. ,., . . 600 . 500 . = . . . , 4,400 4,200 11.07 “ tl.15 +3.7 . t 3.8 Other medzcal record . . . administrator End technician. .. . . 2,700 . 2,600 3.9e . . , 6.4 . 1,400 . 1,300 “ ‘ ‘ Other professional . occupations~.....,.,.,,,,,.,,,,,.. z,eoo 700 2,200 4.73 . . 7.2 “ . 5,800 4,200 t .600 t 1.63 14.20 “ T 11.1 “ 13.? lhem~eu tlc staff Regstered occtipatiomd therapist,..., ...... 1.000 . eoo ...... 3,000 . 2,800 12.98 . 13.08 80 . 7.7 Registered physicsl therspisf . . . . . 1,100 . 800 . . . , . . 6,400 3,800 2,700 12.10 12.94 1o.8e 11.0 122 9.3 . Achvihes dusclor ...... 10,200 700 9,600 12,42 . 12,59 4,1 . 4.1 4,500 4,400 13,08 “ I 3.oe 4.2 “ 4.0 .%cial worker ...... 3,100 . 2,700 5.55 . 5,52 29 , . 5,700 2,000 3,700 t3.oe 14.99 t2.11 7.7 ‘ 7.1 . . Speech Patho!.agtst,aucho!og##...... 2,600 1,200 1,400 13.8a “ 13.46 “ “ 0ccupa60nal theraptst . assistant ...... 1,700 . 1,8Q0 . . . . . , 1.$00 . “ ‘ ‘ 1.000 “ ‘ . Physical tierspwt ass!slant.., . . . . 3,300 500 2,800 4.44 . 4.41 6.2 ‘ 6.0 1,500 600 900 “ “ “ “ ‘ social wOrkw technia~, . awsfant ...... 900 . 800 . . , . = . 700 , 600’’”’” &fursma staff Registered nurse ...... 4S,800 1,000 42,eoo 5.59 . 5.56 11.4 ‘ 11.4 40.700 . 40,200 5.32 . 5.31 10.7 ‘ 10,7 boensed pracbcal nurse ...... 6S,900 i ,500 64,400 4.04 . 4.04 9.0 = 8.9 31,600 800 30,800 4.02 ‘ 4.02 90 “ 9,1 Nurse>s aide ...... 345,000 25,400 3, g,@Jo 2.76 3.oe 2,74 52 73 5.1 117,900 6,200 11z,eoo 2.78 2.72 2.78 4.7 ‘ 4.8 xCalculationsof W averageh.awtywage Includeonlystartwhoreporteda salary.1 percentd thefull-timeemployeesand 4 percentofthe pa meemployeesdanaredtheirsews =Includesonlyemploy- prow-d,ngdjrecthealwati WMWS m mqden~. Slkwludesmedicd doctorsanddoctorscdoste.spathy. - Includespsychol@@4X-mytechnician.sndothers, N0713 Fguresmay notaddtomats due tomundi.g.
-. -. —-— .-—. . . .-. .-. ---- —.. ..- - .— —.—. .. —. ———.—— . . .—. —.— —. Table 10. Number and percent distribution of full-time and part-time nursing home employees by occupational categories, according to selected nursing home characteristics United States, 1977
Full-time employees Parktims employees Occupational category Occupational category Nursing home characteristic Total Administrative, Licansed Total Adminisfrafiva, Licensed Registered Nurse’s Registered Nurse’s medical, and precbsel medical, and ““me practical nurse arde side therapeutic nurse therapeutic nurse Number
All employees,...... 509,900 55,200 4S,800 65,900 345,000 26e,eoo 78,600 40,700 31,600 i 17,eoo
@oar8hQ Proprietary...... 329.400 34,000 25,t 00 42,500 227,700 165,200 57,100 27,300 20,900 79,800 Voluntary nonprofit...... t 22,300 15,600 12,300 15,000 79,400 65,900 15,800 10,900 7,600 31,500 Government ...... 58,200 5,600 6,400 6,400 37,900 17,700 5,700 2,500 3,100 6,500 Certification Skilled nursingfacility only ...... t 20,300 t 2,700 13,300 14,700 79,500 66,000 21,100 12,900 7,900 26,200 Skilled nursing facifify and intermediate care facility ...... 224,300 Zt ,000 zo,eoo 27,eoo 154,700 115,600 30,700 t 9,200 12,700 53,000 Intermediate care facildy only . . 126,900 t 4,400 6,700 19,700 66,200 64,700 Zt ,200 5,600 6,700 29,100 Not cert!f!ed ...... 38,400 7,200 3,100 3,600 24,600 20,500 5,700 2,900 2,300 9,600
Ba!U& Less than 50 beds ...... 59,700 11,600 4,600 6,200 35,100 50,600 t 7,700 6,eoo 6,aoo t9,500 50-99 beds ...... 156,900 17,100 t 2,000 19,600 ioe,ioo 91,400 28,300 13,600 9,300 39,000’ 100-19e beds ...... 204,900 17,900 17,000 25,900 144,000 95,200 25,300 14,600 11,800 43,500 200 beds or more ...... 88,500 8,400 10,200 12,200 57,700 31,400 6,400 5,400 3,700 15,900 Losatho Geographic region Northeast...... t 20,600 14,900 14,600 15,000 75,700 79,000 20,300 17,100 8,400 33,100 Nodh Central ...... 173,900 18,100 Iz,eoo 19,400 123,500 94,000 22,600 12,eoo 11.500 47,100 South ...... 137,600 12,700 e,eoo 22,300 93,800 53,400 18,600 4,700 7,eoo 22,400 West ...... 78,000 9,500 7,400 9,200 51,900 42,400 16,900 6.300 3,60 0 15,300 Standard Federal admimstrafwe ragiort Region l...... 28,800 3,600 3,400 3,t 00 16,700 32,400 7,600 6.eoo 3,40 0 14,600 Region ii., ...... 57,200 7,700 7,400 7,300 34,800 27,900 6,300 5,900 3,70 0 12,000 Region III ...... 50,900 5,000 5,500 6,600 33,700 26,700 6,400 5,50 0 2,40 0 10,400 Region IV ...... 60,400 7,000 5,300 11,400 56,700 27,900 tl,loo 2,60 0 4,00 0 to,loo Region V ...... 127,900 12,700 10,000 13,600 91,400 70,700 16,700 10,30 0 9,00 0 34,700 Region VI ...... 41 ,ano 4,500 2,100 9,000 ze,zoo 17,600 5,600 60 0 2,70 0 6,500 Region W ...... 40,400 4,400 2,300 5,300 28,400 20.400 5,600 1,70 0 2,10 0 11,000 Region Vlll ...... t 6,200 2,200 1,900 1,800 10,600 1t ,600 e,40 o 1,90 0 1,00 0 5,300 Region IX ...... 50,100 6,500 4,500 6,000 33,000 24,500 10,30 0 3,70 0 2,30 0 e,300 Region X ...... t6.100 1,600 t ,400 1,600 11,400 9.100 3,70 0 1,30 0 900 3,100
Tvoe of facilily Nursing care ...... 466.300 47,600 40,700 62,200 315,800 24s,eoo 7t ,00 0 36,80 0 28,70 0 I07,400 All cdher ...... 43,600 7,600 3,100 3,700 29,200 25,000 7,70 0 3,80 0 2,90 0 10,600 See fmrnotesal end c.ftable. : Table 10. Number and percent distribution of full-time and part-time nursing home employees by occupational categories, according to selected nursing home characteristics United States, 1977—Con.
Full-tima employees Part4ima employees Occupational category Occupational catsgory Nursing home characteri~~c Total Administrative, Licensed Total Administrative, Licensed Registered Nurse’s Registered Nurse’s msdical, and practical medical, and practical nursa aide rnlrss aide therapeutic nursa therapeutic nurse Percant distribution All employees,,,..,.,, . . . . 100.0 10.!3 8.6 12,9 67,6 100.0 29.3 15.1 ti.7 43.9 I Ownarshig proprietary ...... 100,0 10.3 7.6 12.9 69.1 100.0 30.8 14.7 tl.3 43.1 v01unt6ry nonprafd.,.,,,,, ...... 100.0 Iz.a 10.0 12.3 64.9 100.0 24.1 16,5 11,5 Government...... 47.9 100.0 9.6 110 144 65.0 100.0 32.0 13.9 f 7.3 36.9 Certification Skilled nuramg facifity only ...... 100.0 10.6 11.1 12.2 66,1 100,0 30.9 S,killed nu!si”g facIIIfy a“d 19.0 11.6 38.5 mtermedtate care facility.,,,,,,,, 100.0 9.3 9.3 12.4 69.0 100.0 26.5 16.6 11.0 45.6 Intermediate care facihty only,.,, 100.0 11.3 5.2 15.5 67.9 100.0 32.9 f 3.4 45.1 Not cerbfled...... 100,0 18.7 8.0 9.4 63.9 t 00.0 27,6 11: 11.5 46.7 @2dJ@ Lass than 50 beds..,.,..,,,.,.,.. 100.0 19.6 7.7 13.7 58.6 50-99 beds.. 100.0 34,9 13.3 13.3 S6.4 100.0 10,9 12.5 66.9 100-199 bad;’””””’’”’’’’’”’’”’””’” 100.0 32,0 15.1 10.2 42.7 ...... 100.0 S.7 E 12.7 70.3 100.0 200 bads or more...... 26,6 15.4 12.4 45.7 100.0 9.5 11,6 13.6 e5.2 100.0 20,2 17.3 11,9 60,6
Geographic regiom Northeast . . . . 100.0 12.4 12.3 12.5 100.0 25.7 21.7 10,7 North CentmiR:llIj;:Ill::::ll::: 41,9 100.0 10.4 74 11.2 100.0 24.3 13.4 12.2 50.1 South ...... 100.0 9.2 6.4 16,2 100.0 34.7 6.6 14.6 41,9 West ...... 100.0 12.2 9.5 11.6 100.0 39.9 t 4.8 9.1 S6.2 Standard Federal administrable region: Region 100,0 12.6 11,7 10.7 100.0 23.3 21.1 1&6 45.0 WglOn 100.0 13.5 12,9 12.7 21.0 13.2 43.1 Regoxr 100.0 22.8 100.0 9.8 10,6 13.0 100.0 31,4 20.7 9.1 36.9 Region 100.0 6.7 6.6 14.2 1000 39,9 14.2 36.0 Region 1000 9.9 7.a Regton 10.6 t 00.0 23.6 1:.: 12.6 49.1 t 00.0 10.8 21.6 100.0 31.6 4.7 15.6 46.t Region 100.0 11.0 :: 13.1 100.0 27.3 8.3 io.4 54.0 Regton 100.0 13.6 11.6 100.0 162 45.7 Region 29.7 8.5 100.0 13.0 9.0 1H 100.0 41.8 15.1 33.6 Region 9.2 100.0 9.6 &4 10.9 100.0 41.3 t 4.2 10.4 34.1 Tvoe Of faciil~ Nursing care.. 100.0 10.2 8.7 t 3.3 100.0 29.1 15.1 t 1.8 44.0 All other ...... ““’’’”’-’-’’””””’’-”’...... IWO 17.5 7.1 6.5 too.o 30.7 15.4 11.7 42,2 1Includesody ernploYeesWOVM.$ w ,@~qIat& ~m.m ~ ~=denb. NOE figuresmayrmtaddtototalswe tormmdmg. Table 11. Average hourly wage of fil[.time and pati.time nursing home empl~yeea, by occupational categories and selected nursing home charscterisfks United States, 1977
Fulf-fimeemploysss Pad-firesemployees Occupationalcatsgoy fllxmpafiomdCategcq Nursinghome charactemflc Nursing NurSW Admuristmflre, Mminisfr66ve, Total Total mednal,and ksmed medlcal,and Licsnssd RegMersd Nurse’s Rs@srsd Nurse’s therapeutic Total ““r= pracbcal fherapeufic Tofsl piacficaf aide nurse “m tide nurss
AN employees, ......
9wn ershh Proprietary...... 2.74 Voluntary nonproht ...... 2.84 Govemmont ...... 3.06 (AMication Skdkd “ursmg facihty only . . 5.52 2.83 Skdled nurs!ngfacihty and m!ermsdlate care facibty...... 5.22 2.90 Intermediate cars facdty only.. 520 2.56 Not cerhfred...... 521 2.67 BeQE Less than 50 beds...... 2.54 5.64 2,62 50-99 beds ...... 2.60 5.07 2.67 100-199 beds...... 2.74 5.23 2.78 200 beds m more...... 326 563 3.25 Lwat!!m Geographto regwm No!lheast ...... 5.32 3.04 North Central . . . 5.17 2.72 South ...... 5.22 261 West ...... 5.69 268 Standard Federal admmstrafwe regiow Reg!on 1...,...... 5.20 Regton II...... 5.67 Regaon III ...... 5.00 Region IV ...... 502 Regron V ...... 525 Regmn VI...... Region W...... Region WI...... Region IX ...... 6.15 2.74 Region X ...... TvDe Of facdlw Nursing care ...... 5.30 2,80 AN other., ...... 5.52 262 , Cslculahonsofthe averageho. zIncludesonlyemployeesprovd ~ Table 12. Number end percent distribution of full-time and pa~.time nur~fng home empIoyees by occu~ational categories, according to selected employee -. characteristics United Stat&, ‘1977 -
Full-time employeesI Part-time employem t Occupational catego~ Occupational category Employse characteristic Total Admmistrative, Licensed Total Admimstrative, Licensed Registered Nurse’s Registered Nurse’s medical, and practical medmal, and practicsl nurse aide nurse aide therapeutic nurse therapeutic nurse
Number Rsce or ethnicity White (not WI xwrio)...... 390,900 39,400 96,000 ❑ 50,700 51,600 246,900 237,200 74,400 38,400 26,500 lsck (not H@manic)..,...... ,.,., 94,600 2,700 2,200 11,600 77,900 24,500 1,900 1,300 4,100 17,200 . . , HISDI,mnic...... 7,200 700 . . . 900 5,300 . Other ., ...... 17,300 1,100 1,900 1,400 12,800 5,000 2,000 600 500 & . Male ,...... , 43,500 15,600 1,000 1,500 25,400 47,000 40,600 600 5,200 Female ...... 466,500; 39,600 42,900 64,400 319,6oo 221,600 3e,loo 30,600 112,600 , 40,200 AgQ
Under 35 years ...... 246,700 20,600 12,900 25,600 la9,600 117,200 23,900 11,000 14,400 67,900 35-44 years...... e7.5oo 11,400 8,900 15,600 61,400 52,600 17,300 12,500 6,300 16,700 45-54 years...... 87,200 12,aoo 12,100 13,500 49,000 46,300 21,400 9,100 5,000 12,600 55 years snd over...,..., ...... 76,500 10,600 9,900 11,000 45,100 50,500 16,100 6,100 5.eoo 20,600 ‘tears of educatmn . . Less than 12 years., ...... 127,700 3,900 6,200 117,400 40,900 1,500 2,600 36,600 12 years ..,,.,.,, ...... 174,000 13,400 900 10,900 148,900 62,400 3,600 900 4,600 53,300 13-14 year...... ,,,...,.,..,... 121,200 12,300 6,100 43,700 59,100 52,000 5,400 4,200 20,900 21,500 15-16 years,,., ...... 66,100 14,100 3t ,600 4,700 15,500 57,600 17,600 31,900 3,100 5,000 . . . 17 years or more...,., ...... 21,000 11,600 5,000 4,000 56,000 50,500 3,600 Yesrs of current emtdovment
Lese than 2 years ...... 260,900 21,900 20,100 30,600 la6,100 134,900 31,700 19,000 15,000 69,200 2-4 years...... 127,000 15,400 12,100 17,700 el,aoo 73,700 24,500 12,500 9,700 27,000 5-9 years...... 7a,300 10,600 7,200 11,000 49,300 37,600 12,400 7,000 4,400 13,900 10-14 years ...... 29,200 4,200 3,000 t5,600 6,000 1,400 1,700 6,700 3,900 t6,200 . 15 years or more,..., ...... 14,500 3,000 1,500 2,400 7,600 6,700 4,000 600 600 Yeara of total exDene”ce
Less than 5 years ...... 265,000 27,aoo 15,000 24,300 216,000 135,600 29,800 13,100 11,700 61,300 5-9 years,..,.,., ...... 112,400 13,500 9,300 19,000 70,500 57,700 19,600 11,200 9,300 17,400 10-14 years ...... 55,200 6,100 6,100 10,300 32,600 34,400 11,700 6,400 5,000 11,300 15 years or more..., ...... 57,400 6,000 13,400 12,400 23,700 41,000 17,400 10,000 5,600 6,000 &@@*
Paid vacation, sick leave ...... 426,200 46,200 39,300 58,600 261,900 t 23,W0 t 2,300 23,100 17,600 70,300 Other leave...... 313,600 43,900 32,6oo 41,600 195,500 94,300 14,400 17,900 14,100 47,eoo Pension...... 102,000 13,200 1t ,200 12.600 65,000 20,600 3.700 4,300 2,500 10,000 Health, hfe msumrtce ...... 252,700 33.100 27,200 35.400 157,100 52,000 6.200 9,600 7,400 26,S00 D!rect medical benefits ...... 90,100 10,600 6,100 lo,eoo 60,500 17,100 3,100 3,200 2.100 6,600 tweets ...... 115,200 19,200 11.900 16,aoo 67,300 46.100 10,400 10,300 7,230 20,200 Emdovment a rranaement
Contract ...... 24,600 3,500 1,200 900 19.000 65.600 56.100 2.100 t ,000 6,300 On sM...... , 465.400 51.800 42.600 65.000 326,000 .203,200 22,500 36,500 30,600 1I i.eoo - fmhloti atendoff#je Table 12. Number and perCent &~bofion Of full.fjme and pti.time nu~ing hrj~e emPIOyeee by occupational categories, according to selected employee characteristics United States, 1977—Con.
Full-time employaes I Part-time amployees 1 Occupational category Occupational category Employae characteristic Total Administrative, Licensed Total Admmisfrsfiie, L@ensad Registered Nurse’s Registered N:& medical, and ““,= practical medical, and ““r~e practical aide therapeutic nurse therapeutic nurse
Percent d!slr!butlon Race . r ethnicdy White (not H6panic) ...... 1000 13.0 10.1 13.3 637 100.0 31.4 16.2 11.2 41.3 Black (not Hispanm)...... 100.0 29 2.3 12.4 82.4 100.0 7.8 5.3 16.6 70.1 ...... Hispanic ...... 100,0 9.6 12.1 73.7 . Other ...... 100.0 6.5 10.9 6.3 74.3 100.0 36a 16.5 10.5 * , Male ...... 100.0 36.0 2.2 3.4 56.4 100.0 66.4 1.7 tl.o Female ...... 100.0 8.5 9.2 13.6 66.5 1000 17.2 16.1 f3,9 50.8 A92 Under 35 year...... , . . . . 100.0 6.3 5.2 10.3 76.2 100.0 20.4 9.4 12.3 57.9 35-44 years ...... 100.0 11.7 9.1 16.2 62.9 1000 32.6 23.6 12.0 31.8 45-54 years ...... 100.0 14.5 13.9 15.5 56.2 100.0 44.3 16.6 10.4 26.5 55 years and over ...... 100.0 i3.a 13.0 14.3 56.9 100.0 31.6 16.0 11.5 40,6 Years of educat!on . , Less than 12 years ...... 100.0 3.1 4.9 920 100.0 36 6.5 89.5 12 years ...... 100.0 7.7 .5 6.2 65.6 t 00.0 5.8 1.4 7.3 85.5 13-14 years ...... 100.0 10.2 5.0 36.0 46.6 100.0 10.3 6.1 402 41.4 15–16 year....., ...... 100.0 21.3 4a.1 7.2 23.4 100.0 30.6 55.3 5.3 66 , . 17 yeare or moral ...... 100.0 55.1 23.6 . 19.2 100.0 90.2 . 6.5 Years of current emolovm ent Lass than 2 years...... 100.0 6.4 7.7 11.6 72.1 100.0 23.5 14,1 11.1 51.3 2-4 years ...... 100.0 12.1 9.5 14.0 64.4 100.0 33,3 16.9 13.2 36.6 5-9 years ...... 100.0 13.7 92 14.0 630 100.0 33.0 16.6 11.6 36.6 10-14 years ...... 100.0 14.3 10.2 100.0 376 6.8 10.7 42.7 13.3 62.2 , 15 years or more ...... 100.0 206 10.3 16.9 52.3 1000 600 11.3 11.7 years of total ex9enence Less than 5 years ...... 100.0 9.7 5.3 6.5 76.5 100.0 21,9 9.6 6.6 59.9 5-9 years...... 100.0 12.1 8.3 16.9 62.7 1000 34,3 19.4 16.1 301 10-14 yearn ...... 100.0 110 11.1 16.6 59.4 100,0 34.1 16.5 14.6 326 15 years or more ...... 100.0 13.9 23.3 21.5 41.2 100,0 42.4 24.4 13.6 19.5
Paid vacabrm, sick leave 100.0 10.8 9.2 136 661 1000 10.0 “ 18.7 14.4 569 Other laave~ ...... 100,0 14.0 10,4 13.3 62.3 100,0 15.3 19.0 15,0 507 Pension ...... 100.0 12.9 11,0 12.4 63.7 100,0 16,2 21.1 12,1 48.6 Health. life insurance...... 100.0 13.1 I o.a 14.0 62.1 100,0 158 16.4 14.2 516 O!rect medzcal banefds, ...... 100.0 Ii.a 9,0 12.1 67.1 1000 16.4 18.8 12.4 50.4 Meals ...... 100,0 16.7 10.3 14.6 56.4 100.0 21.6 21.4 15.0 41.9 Emolovment arrarmement . . . Contmmf...... 100.0 14.1 4.9 3.a 77.1 “100,0 3.3 1.5 9.6 On staff ...... 100.0 10.7 aa 13.4 67.2 100.0 18.9 15.1 549 . IncludesOnlyemployeesprowdmgdm health-relatedsemwestoresjdenfs I Fguresdo notadd tototalsbecausemultiplerespons~ were penmffed. , IncludesCIVICandpersonalleave Q.rydufy,nulka~ reserves,voting,funerals)and releasefme forattendingfmntngmsfi.tes NOTE Figuresmaynotaddto fntafsdueb rounding
N Table 13. Average hourly wage of full-time and part.time nursing home employees by occupational categories and selected employee characteristics United States, 1977
Full-timeemployeesI Pad-timeemplOyOas, Occupationalcategory Occupationalcategory Employee chalactensho Nurs!ng Nursng Admmwtratwe, Administrative Tofal Total medical,and Lioensed medlcal,and Lioensed RegWered Nurse’s Registered Nurse’s Ihwepeutic therapeutic Tofal ““me pr6cuc91 Tot61 ““me pr66tic61 aide aide nursa nurse
Average hourfy wage z Race or ethn!cdy Whke (not Hispanic)...... $3.23 $5.53 $6.52 $3.56 $5.26 $3.93 $2.79 $3.74 $7.51 53.97 $2.71 513.83 . !31ack(not Hispanic)...... 3,27 6.3a 3.16 6.49 4,34 2.91 4.of 12.s0 3.35 4.61 2.75 . . . . . Hmpanlc, ...... 3.40 3.06 . . , Other,,,.,.,..,,,..,..., ...... 3,61 . 3.25 . . 2.79 8.61 17.64 343 a . . . Male ...... 5.14 8,72 3.25 . . 3.06 15.07 17.41 3.09 Female .,...... 3.50 6.97 3,21 5.5e 4.04 2.74 4.73 10.72 3.54 5.31 4.02 2.78 A@ Under 95 years ...... 3.14 5.e7 2.e3 5.34 3.se 2.64 4.84 i 1.91 3.16 5.ie 3.ei 2.70 35-44 years., ...... s,e3 7.11 3.40 5.71 4.08 2.90 e.85 13.45 4.00 5.31 4.12 2.96 45-54 years,..,,,,,..,,...,.,.. 4,23 6.01 3,60 5,e4 4.15 2.91 S.15 13.96 4.09 5.54 4.35 2.94 55 years and over ...... 4.33 9.65 3.52 5.51 419 2.91 7.57 17.58 3.57 5.2e 3.69 279 Years of educalmn . . . Less than 12 years, ...... 2.95 741 2.62 389 2.76 3.04 0,42 2.e5 2,76 . . 12 years,,...,,,.,,.,..., ...... 3.10 6.75 2.e2 3.el 2.73 3.30 10,13 2.92 4,06 2,78 4.03 2.82 13-14 years,..,...,., ...... 3.73 6,59 3.44 5.47 4.06 2.77 4,16 9,59 3.58 5,24 . 15-16 years,.., ...... 4.86 531 3.86 5.15 7.02 4.70 5.57 425 3,07 6.46 10,54 . 17 years or more ...... 7.29 9.76 4.45 5.e7 . . 14.78 16,01 463 5.47 Years of current emDlOvme”t Less than 2 years..,.,.,, . . . . . 3.30 7.32 2,98 5.37 3.el 2.5e 547 13,11 3.31 5.23 3.67 2.66 2-4 year. ,., ...... 3.e4 7.40 3.3e 5.59 4.08 2.91 6.66 13.06 3.63 5.3s 4.29 2,95 5-9 years ...... 391 556 3.87 3.07 4.03 7.42 3,52 5.66 4.20 3,03 7.51 16.43 . 10 years or more ...... 4.41 8.19 3.70 6.13 4.31 3,13 636 15.66 3.45 527 2.77 Years of total extn?rience Less than 5 yearn ...... 323 6.81 2.eo 5.14 367 2.s4 5.03 12,49 3.14 5.23 3,9 4 2.70 5-9 years ...... 3.64 7.29 33e 5.75 4.07 2.90 7.45 15.20 3.89 L-532 3.96 2.90 10-14 years ...... 406 e.lo 3.58 5.34 4.12 3.00 6.85 t 3.50 3,89 531 3.94 3.oe 15 years or more ...... 4.e7 9.41 4.16 5.e7 4.2e 3.1s e.67 15.16 4.36 5.45 4.32 2.9e Be!@Its’ Paid vacafmn, sick leave . . . . . 3.72 7.50 3.29 5,64 4.07 260 4.4e 13.17 3.57 5.37 4.11 2.65 Other leave- ...... 3.91 7.57 3.36 5.72 4.09 2 et 4,99 13.04 3.59 53 9 3.99 2.80 Pension...... 4.31 7.80 38* 6.16 4.29 3.31 7.07 20.50 4.oe 5.92 4,28 325 5.76 4.46 2.92 Health, Me insurance,..., . . . . . 3.9e 7.26 3.52 5.84 4.1 B 2.96 5.52 14.90 3.80 . DIred medical benefits...... 3.9e 7.19 3.5e 605 4.39 3.10 5.10 10.54 3.e9 6,18 2.90 Meals ...... 3.99 7.06 3.41 5.72 4.09 283 5.63 1294 3.65 5.32 3.9e 2.68 Emcdevment a!ranaement . , . Contract...... 3.70 7.32 3.17 3.02 12.47 14.03 4.00 z7e On staff ...... 3.64 -_l7.49 3.22 5.61 4.04 2.75 4.46 13.55 3.51 525 3.e5 2.78 ~Includesonlyemployeesprov gduectheaktw.dat.?d.wwces toresidents. zCalcu!abonsoffheaverage h< rwage rmdudeonlystaffwhorqxxfed a safary.1 pxce”t of the fd.ifme employse%md4 percentofthew-time employeesdwted thek setvi&3% z @U6S donotaddtofolds b usemultipleres+wmeswere punutted. 4lkldUd+?Sdvk d PMsOnafla fjuryduly.miimtyreserves.wbng, funerals)andreleasetimeforaffendmgbamingdW6!Jfes. NO= F@m3smaynr?tadd towafs due20rounduiq Table 14. Number of vacant full-time and perHime staff positions budgeted in nursing homes, by occupational category Umted States, 1977
Vacsnt staff positions Occupationalcstegory Full-hme I ParMime
200
700 . . . , 7heraosutic staff RBglslered occupational therapist ...... 300 Regis!ered,physicsl therapist ...... AclWes dusdor ...... 1,300 , Social worker...,...... , . . Spesdlpathologist,audlologwt...... Nur?.inastaff Regislersd nu~e ...... 4,s00 1,200 Licensed proclIcal nurze ...... 4,700 1,600 Nurse%aide ...... 6,900 1,900 Q@L2Mf Olflce SIGH...... 300 . Food sewme personnel, ...... 1,100 300 Housekeeping, maintenance personnel...... 1,200 500 Othw...... 3,300 . I Includes medicaldm?torsand doctors of osteopathy. * Includes psyoholngist,X-raytechnimam,and others
23 Table 15. Amount per resident day and percent distribution of nursing home revenues end costs, according to ownership and certification United States, 1976
ownership Certification All Skilled nursing nursing Intermediate Revenue and cost component Vohmtety Skilled nursing facility and Not homes Proprietary Government care facility nonprofit facifity only intermediate certified only cam ndllfv Amount war resident day
Total ...... $23.69 522.e3 .zze.el $2a.6f 3S0.29 $26.34 $1s.50 $16.71 Patient care ...... 22.7a 22.33 24.37 ss.et 29.35 25.07 17.6e 14.72 . Nonpatient care ...... 1.11 .30 2.53 3,97 .94 1.27 1.98 + GQaf I Iolal ...... 23.e4 21 .e7 27.56 2e.& 2e.71 26.53 18.37 16.ee Labor ...... 14.23 12,46 16.93 21.3: t 7.62 16.03 10.66 9.99 Wages and salaries, ...... 12,70 l}~; 15.15 ie,4[ 15.69 14.26 9.6I3 9.06 Nursing payroll.,, ...... 7.77 8.e2 10.2: 10.04 8.73 5.84 5.02 . . Professional payroll ...... ,40 :24 .58 ,,,{ .54 .4e -t-- Other peyroli ...... 4.53 3.85 5.68 7.01 5.12 5.oe 3.69 3.e4 Payroll taxes and fringe benefit s, ...... 1.53 1.27 1.76 2.e[ 2.13 1.75 .e8 ,94 Operating ...... 5.14 4.65 I 6.49 I 5.601 t 6.17 t 5.55 4,09 4.33 Food end other dietary ...... 2.1s 1.95 2.6e 2.23 2.3e 2.23 t .e9 t .92 Dregs, ...... 29 .25 .40 ,40 ,43 .34 .18 .19 c...__,:__ _-d ——..,——-—. . . -Uppl,es a,,” eq”,prrm”(, ,., ...... 71 1.04 1.07 .9e .e7 .56 ,55 Maintenance of bmldmgs, grounds, end
eqmpm.=m+.-.,. -I~-,,-h==-~~,,“.-” I “0’11 )uts!de Sluices ...... n .3e .52 .40 .47 .42 .37 .40 w and fine...... 25 .30 .34 .36 .30 ,17 .19 t ‘--- ‘--%es purchased urges...... 28 .40 .22 .52 ,33 ,12 .21 .- .- ...... U f .Un .“, we...... 21 .34 .20 .43 .26 .09 .17 ...... ez 1.15 1.15 1.02 .97 ,80 .87 Fixed ,... 3.76 3.03 I .4e 4.35 3.7e 2,72 1.97 . . , . Equipm, .06 .06 .05 Insuram .27 .35 .19 .31 .29 .27 .2? . Taxes a .55 .oe .64 .40 ,26 .27 Interest .e9 1.12 .26 t.08 1.05 .6e .36 Depreciaoo .72 1.3e .95 1.00 1.03 .69 .57 . Rent on buildings and land ...... 89 1.24 .oe 1.21 .e4 .73 .49 ...... Amortization of leasehold improvement ...... 02 .03 f.. I . Mlsceusneous .,.., ...... 1 t.oe[[ 1.091 1.111 .821 1.3s 1 1.161 .ee .e9 SW fcdnmes at FM 0! tits. Table 15. Amount per resident day and percent distribution of nursing home revenues and costs, according to ownership end cerfificafiom United States, 1976-Con.
Ownersfdn I Certification All Skilled nursing nursing Intermediate Revenue and cost component VOluntaW Skilled nursing facilily and Not homes Proprietary Government care facilii nonprofii facility only intermediate cerfdied only II care fecddy Percent d@nbution Revenues
Total ...... 100.0 100.( 100.0 100.0 100.0 100.0 100.0 100.0 Patient care ...... 95.4 98.; 90.6 65.1 96.9 95,2 96.6 86.1 . Nonpatient care ...... 4.6 1< 9.4 14.9 3.1 4.8 11.9 m Total ...... 100.0 100.( 100.0 100.0 100.0 100.0 100.0 100.0 kbor ...... 59.7 56.; 61.4 72.2 60.0 60.4 5e.1 58.9 Wages and salaries...... 5s.3 51.1 55.0 62.5 52.6 53.6 52.7 53.3 Nursing payroll ...... 32.6 32., 32.3 34.6 33.6 32.9 31.8 29.6 . . Professional payroll ...... 1.7 1.. 2.0 4.0 1.6 1.9 Other payroll ...... 19.0 17.! 20.6 23.9 17.2 19.1 20.1 21.4 Payroll tsxes and fringe benefits ...... 6.4 5.1 6.5 9.7 7.2 6.6 5.4 5.5 Opemting ...... 21.6 21.: 23.5 19.6 20.6 20.9 22.3 25.5 Food and other dretsry...... 8.9 6.! 9.7 7.5 8.0 8.4 10.3 11.3 Dregs ...... 1.2 1: 1.5 1.4 1.4 1.3 1.0 1.1 .%ppties and equipment ...... 3.4 3.: 3.a 3.6 3.3 3.7 3.0 32 Maintenance of buildings, mounds snd equipment purchased - - from outside sources ...... 1.7 1.1 1.9 1.3 1.6 1.6 2.0 2.3 laundry and linen ...... 1.1 1: 1.1 1.2 1.3 1.1 ,9 1.1 Health-care services purchssed from outside sources ...... 1.3 1.4 .7 1.8 1.2 .7 1.2 . . Nursing ...... 3 . . .3 Other health care ...... 1.0 1: 1,2 .7 1:: 1.0 .5 1.0 Utilities ...... 3.9 3.” 4.2 3.9 3.4 3,6 4.3 5.1 Fxed ...... 14,3 17. 11.0 5.0 14.6 14.3 14.8 ~i.e . . Equipmant rental ...... 3 .2 Insurance ...... 1:; 1: 1.3 .6 1.0 1.1 1.5 1.3 . Taxes and Ihcensss ...... 1.7 2,! .3 2.1 1.5 1.5 1.6 Interest and finance charges ...... 3.7 4. 4.1 3.6 4.0 3.8 2.2 Depreciation ...... 3.7 3: 4.9 3:: 3.4 3.9 3.8 3.4 . Rent on buidmgs and land ...... 3.7 5.’ .3 4.1 3.5 4.0 29 . . . , Amortization of leasehold imprwament ...... 1 . , Miscellaneous ...... 4.0 3.1 4.6 4.4 4.9 4.0 N07Es ~gures maynotaddto totaldueto mundmg. NursInohoma.hacacteiishcsfor 1977. Table 16. Amount and percent distribution of total costs per resident day of nursing homes by major components, according tO selected nLfrSin9 home characteristics. United Statea. 1976
Nursing home characteristic Cost per resident day Totsf Labor Opwating Fixed Mmcelfaneous Lsbor Operating I Fixed Mlscellaneoua Totaf ( Amount I Percent diatdbufion All nursinghomes ...... ; $23.84 $t 4.23 $5.14 $3.40 $1.06 100,0 59.7 21.81 14.31 4.5
Qwmerahh I Propfstary, ...... 21.97 12.46 4.65 3,76 1.09 100,0 5a.7 21.2 17.1 4.9 Voluntarynonprofit..., ...... 27.56 16.93 6.49 3,03 l.lt 100.0 61.4 23,5 11.0 4.0 Govermnent.,.,,,, ...... 29.54 21.33 5.60 1.49 .92 100.0 72,2 19.e 5.0 3.1 Cerffffcaffon Sk!flednursingfaclf!ty only,..,.,.. 29.71 17.62 6.17 4,35 1.38 100,0 eo,o 20,6 14.6 4.6 Sklfled nurwrg facifity and intermediate care fecilii ...,..... 26.53 16,03 5,55 3.76 1.16 100.0 60.4 20,9 14.s 4.4 Intermediate care faclfity onfy..,. 18.37 10.66 4.09 2,72 .89 100.0 56,1 22,3 14.6 4.9 Not Cerflfled..,.,.,....,.....,,,.,., t6.96 e.99 4.33 1.97 ,69 100.0 56.9 25.5 11,6 4,0 ~ Leas than 50 beds ...... 17.91 10,34 4.45 2,20 .92 100.0 57.7 24.6 12,s ‘ 5,1 50-99 beds .,...,,..,,..,..,,,,.,,. 22.56 13,36 4.87 3.29 1.04 100.0 59.2 21.6 14.6 4,6 100-199 beds...... 12S.92 13.89 5.09 3,77 1,17 100.0 58,1 21.3 15.7 4,9 200 beds or more.,, ...... ‘ 3.5 30.41 19.42 6.22 3.71 t .06 100.0 63.8 20,5 t 2.2 -, Geographic region: Northeast...... 34.34 20.72 7.36 4.97 1.29 100.0 60,3 21.4 14.5 3.8 North Cenfraf...... Zt .59 13.18 4.50 2,94 ,97 t 00.0 61.0 20.9 13.6 4.5 South...... 18.91 11.00 4,36 2.5a .97 100.0 56,2 23.0 13,6 5.1 West...... 21.79 12.49 4.62 3.43 1.16 100.0 57,3 21.2 t6.O 5.4 Standard Federal admmwative regmm R~g(on L...,..., ...... 2600 15.16 5.53 4.14 1.17 100.0 56.3 21.3 15.9 4.5 Region 1{...... 40.64 24.ei 6.66 5.a2 1.25 t 00.0 61.3 21.3 14.3 3.1 Region 111...... 26.41 16.76 6.41 376 1.44 100.0 59.t 22,6 13.3 5.1 Region IV..., ...... 19.41 11.33 4.50 2.55 1.03 100.0 56.3 23.2 132 5.3 Region V ...... 22.93 14.16 4.71 3.13 .98 100.0 61.6 20,5 13,6 Region W...... t7.t4 10.03 3.86 2.44 .at 100.0 56.5 22.5 14.2 z Region Vfl ...... t6.lS 10.84 4.02 2.52 .95 t 00.0 5a.7 22.2 13.9 5.3 Region VIII ...... t7.04 lo.3e 3.4e 2.39 .63 100.0 60.6 20.3 t4,0 4.9 Region IX ...... 24.2o 13.47 5.30 4.06 1.35 100.0 55.7 21.9 16,9 5.6 RegiQnX ...... 17.s7 11.04 S.52 2.41 .90 100.0 81.8 19.7 13.5 5.0 Tvos of Iaclllk Numing care...... 25.08 15.07 5.30 3.57 1.14 100.0 60.1 Zi.1 14.2 4.5 Afi other ...... 19.26 11.10 57.7 23,7 14.3 4.4 ---u 4.56 2.75 .65 — 100.0 NOTESfiguresmaynotaddtoWaf& b CWlld,&!. NursingFame charactensbmfor1977. 11 Table 17. Revenues, coets, net income, cssh flow, and capital returns of nursing homes per raaident day and dollar of revenue by salected nursing home characteristics United States, 1976
Net Cash Net Cash Capital Net Cash Capital Zevenue cost Capitsl ~ev,nue cost income, tfw returnsa incOmel flow returns. income: flow, retuma
Amc d in millions I Per res]dent day Per dollar of revenue All nursing homes ...... 25 421 423 23.B9 23.a4 .06 .93 .93 .00 .04 .04
ownsMiD - I PrOptieta~ ...... 7,165 6,954 211 439 493 22.63 21.97 .67 1.39 I .5a .03 .06 ,07 Voluntary nonproht ...... 2,513 2,574 -61 66 43 26.91 27.56 -.66 .70 ,46 -.02 .03 .02 Government ...... 1,144 1,266 -124 -63 -113 26.66 29.54 -2.69 -1.94 -2.63 -.11 -.07 -,10 Csrhrication Skilled nursing facilty mrly ...... 2,978 2,921 57 155 163 3029 29.71 56 1,56 1.66 .02 ,05 .05 Skilled nursing facd!ty snd Intermsdwde care facihty ...... 4,643 4,677 -33 146 153 26.34 26.53 -.19 84 67 . -.01 .03 .03 Intermediate care facdity only ...... 2,265 2,269 17 102 102 1650 18.37 ,t3 .62 .01 .04 .04 Not certified ...... 915 929 -15 16 6 16.71 16.96 -,27 .% .11 -02 .02 .01 Bed sizs . Less than 50 beds ...... 1,136 1,115 21 61 1625 17.91 .34 .96 .76 .02 .05 .04 50-99 beds., ...... 3,112 3,095 16 143 1$? 22.69 22,56 .13 1.05 97 01 .05 ,04 10W199 beds ...... 4,190 4,129 61 209 247 24.27 23.92 .35 1.21 143 .01 .05 ,06 200 beds or more..., ...... , 2,362 2,456 -74 7 -5 29,50 30.41 -.92 .09 -.06 -.03 00 00 LQc@Qo Geographic region. Northeast ...... 3,535 3,57C -35 95 102 3401 34.34 -.33 .92 .96 -.01 .03 03 North Central ...... 3,405 3,407 -2 140 132 21.56 21.59 -.01 66 .84 00 .04 .04 South ...... 2,313 2,271 42 119 121 19.26 1691 35 ,99 1.01 .02 05 .05 West ...... 1,567 1,547 20 67 68 22.07 21.79 .29 .94 .96 .01 04 .04 Standsrd Federal admmwtrstwe region’ Region 1..,, ...... 639 84: -4 27 35 2566 26.00 -14 62 1.06 -.01 .03 04 Region 11...... 2,041 2,05E -16 45 56 4032 40.64 -32 .69 1.11 -.01 .02 .03 Ragion III ...... 1,004 I,olc -6 43 33 26.24 26.41 -.17 1.20 .93 -.01 .04 .03 Ragron IV...... 1,119 1,117 2 39 41 1945 19.41 .04 .67 71 .00 03 04 Region V.., ...... 2,594 2,59E -4 102 93 2295 22.96 -.03 .90 .63 .00 .04 04 Region V1...... 869 637 32 62 61 17.79 17.14 ,65 1.26 1.24 .04 .07 .07 Reg[on Vll ...... 720 718 2 34 36 IB.16 16.13 05 86 .91 .00 05 ,05 Region VII] ...... 274 275 -2 11 13 16.93 17.04 -.12 .67 .79 -.01 .04 ,05 Regton IX., ...... 1,099 1,0B4 15 47 45 24.54 24.20 ,34 1.05 1.01 .01 .04 .04 Region X...... 261 25! 6 12 11 1631 17.67 ,43 .65 .76 .02 .05 04 Twe of fschty Nursing care...... a,94c 355 365 06 .99 10 2 .00 .04 04. .00 .04 03 All other ...... -?&L1,65( --L 67 5B -.04 .69 60 — I Revenues mmus costs. z Net income plus deprec!arcm “ Net mcmne plus ,mterest NOTES. Fzaures may not add to WA due to ro..dmg Nwsmg home characteristics {.x 1977 11J Table 18. Comparison of nursing home resident population and general population, by agw United Slafes, 1977
Nuraiw home raaidenta Age Number m general populabon, Percent of Number genaral population t 65 years andover...... 2s,494,000 1,126,000 4.0 75 yeara and over ...... 6,9i0,000 914,600 fo.3 85 yaara and owr...... 2,079,000 449,900 21.6 W S. Bureau01the Census Estimatesof the population of fhe Un”tedStates, by age, sex, and rat% 1970 m 1977. Cw7emPOP.WWI Reports..%rlasP-25, No, 721. Washington U.S.Gowmment PrintingOfWe, 1976.
28 Table 19. Number and percent distribution of nursing home residents by length of stsy since admission, according to selected , other resident characteristics Unded States, 1977
Lsngthof staysince adm!ss!cm All :oyea~: Media Resident characteristic 3t~eti=k 6 monthe 1 year 5 years rssldsnts Lsss thsn to less number to less or more 3 months than 6 them 12 than3 than5 of days I Total ...... + 1,303,100 1s9,300 tzz,loo 163,iO0 427,800 t92,900 207,900 597
DEMOGRAPHIC CHARACTERISTIC . . . . Under 45 ye6rs . .. ..!!! ...... 32,900 . . e,900 6,500 657 45+4 year...... ,,...... 43,500 6,36+) 12,400 e,zoo 11,000 786 55$4 year,..,...,, ...... tOJl,800 12,900 9,900 t1,300 2e,300 15,200 22,200 632 65.S9 years...... el,700 t2,900 6,700 t1,500 24,200 12,600 11,600 592 70-74 years...... t29,700 25,400 12,900 te,soo 3e,soo 14,800 le,ooo 446 75.79 years...... 199,200 32,400 20,700 25,900 e6,300 27,500 26,500 517 8044 years...... 265,500 43,600 25,eoo 34,700 90,600 36,400 32,500 5t 3 65.39 yea..., ...... 2S3,700 32,300 24,200 33,500 az,ioo 42,500 39,100 ezl 90-94 yews...... !...... 141,300 15,eoo 10,000 14,100 47,700 23,000 30,700 e21 , . ● 95 years snd over ...... 44,900 16,600 S,200 9,600 940 Ms.dian ags in years...... 81 79 ao 60 61 62 61 . *X Male ...... 375,s00 64,400 41,500 51,600 113,100 50,900 53,800 48B Female...... e27,800 i24,900 eo,6mJ 111,500 314,eoo 14t,900 154,200 643 R ce r ethnici 1,200,900 174,600 114,600 146,900 393,400 177,900 191,500 595 10,900 5,500 11,400 26,900 12,000 14,70? 691 ::~”::!j.::Black not Hlspanm...... ”.!...... ,,,,...... ei,400 . . , . t 4,400 5,600 412 , , , . , , . Amsrican Indi;n & iias~; ;aii&:::::::::”:: ...... , Asian or Pacific Islander...... Marilal stslus Mamisd.,...... 155,400 34,400 20,460 27,000 4e,600 15,500 9,400 335 Widowed...... 610,700 II a,400 73,100 97,700 27e,800 121,900 120,800 599 Oiirced O! separated ...... e7,500 t 3,100 7,900 13,200 27,600 12,500 13,000 552 Never mamsd ...... 249,500 23,460 20,700 25,100 72,500 42,900 64,600 6a7 OUTSIDELIVINGARRANGEMENT Liimr arrarmemant o
, . . . . Yes ...... 30,eoo 15,s00 No or unknown...... t ,272,500 173,s00 119,200 160,100 422,600 191,000 206,000 6: Dischame clans WWn 6 rnanths...... 32,200 5,600 . 5,300 . , Not planned or unknown ...... 1,2%%11 157,100 116.500 I59,300 422,500 191,300 207,500 6: See (n.m.tes @endofM!.
29 Table 19. Number and percent distribution of nursing home residents by length of stay since admission, according to selected other resident cheracteriatiw United Statee, 1977—Con.
Length of stay sines admission All Resident characteristic 3 months 6 months 1 year 3 years Madam residents less than 5 years to fess to lass :$s; to lass number 3 months or more than 6 than 12 than 5 of days
Percent dlsmbuhon I
ToM...... ,...... 100.0 14,5 9,4 12,5 32,8 14,8 160
DEMOGRAPHIC CHARAC7ERISTK + . . , . Under 45 years .. ...%...... 100.0 27.1 i9.8 . . 45-54 yam...... 100.0 14.6 2a.5 14.3 25.3 ,,, 55-64 years...... 100.0 lz.a 11,3 29.o 15.1 220 ... 65-69 years..., ...... t 00.0 15.7 lH 14.0 29.6 f 5.7 14.2 ... 70-74 years...... t 00.0 19.6 9.9 14.5 30.7 il.4 13.9 ... 75-79 yearn...... 1000 163 104 13.0 33.3 i3.a 13.3 ... 50.34 years...... 100.0 16.4 97 13.1 24.1 14.5 12.2 .. S5-S9 years...... 100.0 12.2 9.2 12.7 34.9 ia.1 14.s .. 90-S4 years...... 100.0 11.2 7.1 fo.o 33,7 16.3 21.6 ... . , . 05 years and over ...... 100.0 36.9 18,3 21.6 .,. Median age in years ...... sax “-”II Male.., ...... 100.0 t 7.2 it.1 13.6 30.1 t3.6 14.3 ,.,
FemsIs...... T1000 135 6.7 12.0 33.9 15.3 16.6 !<, flaca or ethnicity Whhe (not Hispanic),,...... mu o t45 95 12.4 328 14.0 15.9 ... Black [not Hispanic),...... 100.0 13.4 6.7 140 33.1 14a Ia.o ...... Hispanic...... 100.0 39.0 ...... , . . . Aroencan Indkm or Alaaka native...... <, ...... Astan or Pamhc Islander...... Marital slatus Mwried...... 1GQ.o 22.1 13.1 t 7.4 31.3 10,0 6.1 ... W#dowadz...... 100.0 i 4.6 90 12.1 34.4 15.0 14.9 ... Oiworced0[ separated...... 1000 <50 9,0 15.1 31.8 f4,3 14.6 ,. Nsver reamed...... i00.0 9.4 a.3 10,1 29,1 t 7.2 ze.o .,. OUTSIDE LIVING ARRANGEMENT ..”mem RI Dnor to admissioa Pfiate or aemlpnvate residence ...... 100.0 t 2.3 7.7 11.6 33.1 16,9 t a.3 ... Alone, ...... 100.0 102 7.7 fO 6 32,5 ia.7 20.3 . . .,, Unknown f with others...... 1000 . 3i.4 22.7 22.3 .,. Wdh othersx ...... 100.0 13.7 e.t lz,a 33,6 15.f i 6,7 ... Spouse ...... 100.0 14.0 10.2 17,1 33.4 12,4 13.0 ... Chddren...... 100.0 13.4 7.7 12.7 36.2 16,4 13.5 ... other relabves...... 1000 114 6.9 S,6 31.1 17,3 24.7 , , . . . Unrelated persons ...... 100.0 16.9 15,6 34,3 ... Another health facdl ~...... 100,0 17.0 10s 133 32.8 i3,0 13.0 ... Another nursing home...... 100.0 12a 11.9 14,4 35,5 14.6 11.0 ... General or shofi-stay hosptd...... 100.0 21.4 iz.o 14.3 328 il.o 8.6 ... Mental hospisl ...... 100.0 6.9 . . 292 t 9,0 3s.9 . . .,. Other healti facdtty or unknown...... 100.0 14.0 2a,6 164 . ... Unknown or othw arramrement...... IOQ.O 7.4 9.4 31.7 17.1 E ... Person who arranaed for admission, Sell ...... i3.a t 2.6 27.0 t6.8 2f.2 .,, Spouse..., ...... 21.1 Iii 14.7 325 10.3 .,, Chi!drmn. ,: ...... 14.3 93 140 35.1 14A i:: .. OthFr relabves.., ...... 126 a.t 111 25,3 16 e 16.0 .. Social worker...... 13.5 e.6 12.1 33.4 16.3 15.0 .. Stsft of previous msbfunon...... 155 6.9 11.1 29.0 16.3 20.2 ... Other ...... le.5 10.4 12.2 31.6 14.0 15.3 ,.. TemDoraw resident . . . Yas ...... 100.0 5i.a . . ... No or unknown...... , ...... 100.0 13.6 9.4 12.6 222 15.0 i6.2 ... Dlscharae DIafls Wdhin 6 months...... 100.0 $; 10.9 . . .,. Not nlanned or unknown ...... 100.0 Y1.Jil 33.7 15,3 16,5 ... ‘Includes a small m,mher.+ Imknowx ‘Residents mayy have hvedwdh mom than 1 categotyJcdpeemn, so the sum or the subparts exceeds the totals. ’49 percent of tlthese res!denfs admitted fmm another health fachty had gone 10that fachty from a private or ssmmrivaterasldenca 4Adrrds.slo”mayhave been arranged by more than 1 catqvy of peracm~sathe sum of %cludes friend, guardianor attamay, physician, minister,cdher,and unknown.
30 Table 20. Number and percent of nursing home residents, by selected heslth etetuses United States, 1977
Resedents Health stetusl Number Percent I TotsI,......
PRIMARY DIAGNOSIS AT LPST EXAMINATIONN Diseases of fhe circulatorvavatem Totsl ...... 516,800 39.7 Congestive heart failure...... 52,800 4.1 Artsrlosclerosis...... 2a4,400 20.3 Hypetienslon...... 47.700 3.7 Stroke ...... 103;500 7.9 Heart snack, ischemic heart dleesse...... 22,500 f .7 Other ...... zs,aoo 2.0 Mental drsordersand senildv wfthoutDsv.ah!zaa 2a6,100 20.4 Senila psychosis...... 21,200 1.6 Other,psychosis...... 57,400 4.4 Chro~m b:am syndrome:...... 9a.4oo 7.4 .%nility wdhout pWchosls...... 26;600 2.0 Mental rahrdatlon...... 42.400 3.3 Alcoholism...... 6;aoo .5 Other mental disordera...... 15,300 1.2 Othar draanoses, Totsl ...... 429,700 I 33.0 Diseases of the musculoskeletalsystem and connective tissuas Arthritissnd tieumstism...... 56,200 4.3 fllsesses of the newous system and sense organs Blandness...... 5,1001 .4 Mtdliple scleroses...... 7;300 .6 Epilepsy...... 6,600 .5 Psrkfnson’sdisease...... 23,300 I .a Accidents, poisonings,and violence Hip fracture...... 2.2 Other bone fracfure...... 8 Endocrine,nutritional,and metabotictiseases Diabetes...... 7t ,700 5.5 Neoplasm% 2a,900 2.2 Diseases of the respirstofysystem Emphysema...... 6,000 6 Pneumonia...... Other respiratorydseases ...... 16,500 1,4 Diseases of the digestmesystem Ulc6rs...... 6,600 .7 Diseases of the blood and blood-formingorgans Anemia ...... 7,300 ,6 unkno n Totel ...... W.~...... 90,500 I 6.9
See footnotes at end of Iable.
31 Tsble 2. Selected measuree of nursing home ufiliifion, by selected nursing home characteristics: United States, 1976
Oiicharges Admissions Annual Median Resident ToW Live Oead Nursing horns cheracterisfic occaipancy duration days rate, of stay Rate per Rate per Rate per Rate per Number Numbar Number Number in dsys 100 beds 100 bads 100 beds t 00 beds
All nursing homes ...... 452,878,700 89,0 75 1,367,400 96.4 1,117,500 60.4 625,500 59.5 269,600 20.9
QMErefm PrOpriefery ...... 316,5el ,eoo 89.6 60 1,012,000 105.0 eo3,300 e3.3 600,900 62.3 200,300 20.8 Voluntary nonprofit ...... 93,391,200 r37.4 50 252,300 66.4 225,100 77.1 160,000 54,6 65,100 22.3 Government ...... 42,905,500 e7.4 04 103,000 76.6 69,200 66.5 84,700 46.2 24,300 16.1 Cerlifi cation Willed nursing faclldy only ...... 98,32S,280 92.0 3e 390,308 133.7 379,000 ~29.a 293,900 100.7 84,300 26.9 Skilled nu,rsmg faciti~ a“d intermediate care facility ...... 176,266,000 66.6 029,700 II 7.a 446,400 62.5 320,900 59.0 126,400 23.2 Intermediate care facildy only ...... 123,523,000 87.3 1% 222,600 57.6 210,400 54.4 147,600 36.2 62,700 16.2 Not csrbf,sd...... 54,746,500 69.1 lit II 4,eoo 66.3 79,eoo 47.4 8s,100 37.6 16,400 9.6 E!ed-S@ Less than 50 beds ...... 62,277,200 92.6 47 i 56,400 65.1 150,000 61.6 116,700 64.6 31,300 17.0 50-99 beds ...... I37,1 B6,eoo 90.4 61 423,600 102.1 323,eoo 76.0 230,500 55.6 92,500 22.3 100-199 beds ...... 172,649,500 87.6 5a9,000 109.4 479,500 89.1 355,eoo 66.1 123,200 22.9 200 beds or more ...... 60,765,100 67.2 1: 196,300 76.4 164,200 84.9 120,500 47.6 42,700 16.9
LQc6@o Geographic regiorr Northesef ...... 103,967.300 91.3 78 283,200 91.0 247,100 79.4 175,700 56.5 70,500 22.7 North Central ...... I57,793,500 e9.7 99 366,100 76.2 336,600 70.1 241,700 50.3 93.600 19.5 South ...... [20,106,100 e7.3 295,200 76.5 270,900 72.1 197,900 52.6 72,900 19.4 Wsst ...... 7i ,011.700 67.3 E 422,900 1902 262,800 i 16.2 210,300 94.6 52,500 23.6 Standard Federal administrative regimx Region 1...... 32,443,700 90.1 107 70,300 71.4 54,200 55.0 36,600 37.2 17,6Q0 17.9 Region II ...... 50,6s2,400 95.6 123 133,600 92.7 113,900 - 78.9 84,400 58.4 26,700 19.9 Region Ill ...... 35,565,300 65.7 36 106,700 94.2 102,600 90.5 70,100 61.6 32,500 28.7 Region IV ...... 57,540,300 91.4 96 142,200 e2.7 131,000 76.2 92,000 53.5 36,900 22.6 Regm “” I13,043.000 90.0 91 295,100 86.1 273,600 79.6 199,900 58.3 72,400 21.1 Regio 48,646,600 82.5 102 126,100 79.2 119,600 74.0 -93,700 57.9 26,000 16.1 Region 39.579,000 86.4 144 64,500 52.7 56,200 47.6 36,300 31.3 19,900 16.3 Regio 16,164,700 60.3 66 36,500 66.4 3t ,600 57.e 23,400 42.5 6,400 15.3 Region IX ...... 44,794,500 90.7 35 268.000 196.6 le6,300 139.5 155,000 114.6 33,300 247 Region X, ...... 14,266,900 67.4 56 121,900 273.3 44,200 99.1 32,000 71.7 12,100 27.1 Tvoe of facility Nursing care ...... 156,468,300 69.0 74 1,040,700 95.1 90.7 66.4 24.2 All other ...... 96,390,300 690 76 326.600 110.4 2&l- 42.4 sEEl-33.6 8.6
X Aggregate marker of days or care pmmdedto residentsin 1976 x 100 X Esrfmatednumbarof beds in 197e x 366
=Includesa smallnumberofmkncwns NOTES’ Fwms mayma add tototalsdueB rounding. Nursinghomechmactenmcsror 1977. w ,
1 Table 20. Number and percent of nureing home residents, by selected health statuses: I United Statee, 1977—Con.
flesidents Health status, Number I Percent
CHRONIC CONDITIONS OR IMPAIRMENTS
Diseases of the circulator wetm Arferiosclemsis...... 620,200 47,6 Hypefiens!on...... 272,900 20.9 Sboke ...... 214,000 16.4 Pcralysis or pctsy, other then arfhdtis, related to smke ...... eo,800 Heart trouble ...... 449)000 z Mental disorders and senildv without oavchosis Mental illness...... 14e,300 11.4 Chronic brain ~drome ...... 324,700 24.9 Sentl~ ...... 416,400 32.o 1 Mental rebrdation...... 79,eoo 6.1 I Alcoholism...... 36,900 2.8 ❑reg addiction...... Insomnia...... 125,500 9.6 Ofher chronic conditionsor imDairmenta Diseaeea of the musculoskelefafsystem and connective tissues Arthritisand rheumatism...... 320,500 24,6 Chronic backlspirm problems, excludingsfiinecs and deformity...... 60,500 4.6 Permanent stiffnessor defomutyof back, crms, legs, or extremities, includingfeet, toec, hcnds, or fingers...... 181,500 13.9 Missing arms, legs, or extremities,includingfeet, toes, hands, or hngers...... 32,400 2.5 Dkcieasesof the nervous system and sense organs Bltndnm ...... 72,200 5.5 Glaucoma ...... 34,000 2.6 Cataract ...... 60,000 6.1 Deafness...... 90,400 Parkinson’stisease ...... s ...... 56,000 !! Paralysis or palsy, other than arthritis,unralated to stroke ...... 46,500 3.6 Accidents,poisonings,and violence: Hip fracture...... 106,aoo 6.3 Other bone fracture...... 46,300 3.6 Endoctfne,nutritional,and mefcbolic disease% Dabetes ...... 169,600 14.5 Neoplasms: &ricer ...... 63,600 4,9 Diseases of the respiratcxycystem Chronic respiretoy disease ...... S6,500 6.6 Diseases of the digestive syctem: COnstipatiOn...... 313,200 24.o Disecses of the blood and blood-forming organs: Anemia ...... 70,600 5.4 Dmecces of tha skin and subcutaneoustissue: Bedsores...... 35,100 2.7 Condtions other than above: Edema...... 233,500 17,9 Kidney troubl e...... 131,700 10.1 None of these condtiionS Total ...... 13,000 f.o IDIs&asegroup Catagorias based on EighfhRaviskmlntemafmmfCJassnlm’onofmseases.Adept.sI Usein fhe UndwdSfates(lCOA). Giv drammsesorticient mamifudeare noted. %cltides-resrdenrstio receivad-nophysicianvkt.s whie Infacdmy. ~FtgurRsmaynot add to 10wI because resident may have had mare than 1 reported condition or impwme”t
32 Table 21. Number and percent distribution of nursing home raeidents by rneticaticm, length of stay since admiwion, end race or ethrficity, acsording to selected health ststuaes United States, 1977
M@ma60n during last 7 days length of stay sinca adrnisafon flaw or ethnicity Atl Any Hsalfb 3fWSr 6 months residents mad;;tion Tran- Vtamin Leas than 3 years Wbiie [not Sfask [not to Iezs ; E Mapanlc Other quffner or minerzl 6 months or more Hizpanic)z tbspanic) umddfon than 12 thao 3
Number Total ...... 1,303,100 ... 463,700 528,700 311,400 168,100 427,8oo 4oo,aoo 1,200,900 81,400 14,400 6,40a , , I I I PRIMMY RSAWN FOR CARE I
Pw PbYafza!hsatth,...... 1,022,400 ... 3:$5J: 440,aoo 256,200 131,000 344,000 291,200 945,900 60,500 10,90? Mmf dlnsss...... ,...... ,.....,..., 87,100 . 25,400 14,400 9,700 25,6oo 37,400 7e,403 7,600 . . , Lfmtrd rdmkdfon...... 4e,400 21:000 13,500 7,400 12,200 25,900 43,600 . , , , Behavioralprob[sm...... 26,200 11,400 9,600 8,2oO 2s,700 . 14,200 . ewal reason...... 70,000 21,600 14,300 9,400 20,900 25,400 62,900 5,eoo . 21,eoo , Ecmmmcor otherraazon...... 49,000 .. 15,700 15,900 9,800 6,200 17,000 16,200 46,200
PRIMARY DIAGNOSIS AT MA
0xeass9 of Ore cuoulalow *Ieol . Toad...... 518,800 . 179400 _ 230400 112,400 I 66,200 ] 177,0001 159,3001 476,000 I 84,800 ic.nnl n.n”l ,.c.+fil 4*-..1 .70nnl . . ,) Mgestive hemt failure...... ~ ...... j 52,600 . .. 16,800 25,600 ,.,”.. .,.,.. ,.,.”. ,.,... ., ,... . Aftenosclems, s...,..., .,,..,,,,,,,,,, 264,400 . . 97,400 122,200 46,700 31,400 94,400 91,600 247,400 15,100 , . Hypertension.,.. ,.., ...... 47,700 13,600 20,400 8,400 7,700 15,200 16,500 44,900 . : Sfmke ...... 103,500 . 35,600 41,200 30,300 15,000 32,800 25,400 90,400 t t ,200 . , , Heart atfsck, iachemic hearl dwase.. 22,500 8,400 11,400 6,300 6,000 6,300 Zi ,200 . . Other...... 25,600 ,.. 7,600 9,400 5,700 9,900 6,500 24,300 .
Mentaldisordam and Ssnlfi& 2toLw2@osfs Total, ...... 266,100 . 120800 93000 49400 25600 92200 9e 700 241100 21000 , . . Senile psychosis,...... 21,200 1E,600 7,800 7,000 6,300 19,EJ20 , other P2ychmsIs...... 57,400 ,.. 27,400 16,300 9,200 5,300 18,200 24,700 52,400 Chrome brain syndrome...... 96,400 42,700 38,000 19,700 9,500 34,eoo 32,300 86,400 8,500 . . Semhty wthout payohosm ...... 26,800 ‘ ::: 9,100 12,100 5,700 7,300 24,eoo 4 11,600 . , . . Menrd retardsbon ...... 42,400 20,000 10,700 11,400 23,200 37,600 Alcoholism and other mental . . dwrdera ...... 22,100 12,800 8,100 5,200 9,200 20,300
Olher dlaonOww . Total...... 429,700 . T139900 179400 113700 59600 137900 ~1 500 399500 21 lfxl — oiseasa5 or the m“s~f~keleral T system and cfmnecbve bssuss -1- ---1- . Arlhnbs and rheumatism ...... 58,200 . . 16,500 28,600 11,100 6,000 20,100 17,000 54,400
Otseaaesof the netvms syzkm and ssma organs . . . ParkfnsnnSsdiaeaaa ...... 23,300 . . 9,eoo 10,000 7,6oo 7,500 22,900
Acc!dents, polsonlngs, and wofmwe . . . H@ hmfure..,...... 29,200 . 7,700 11,800 14,200 7,400 28,500 . . . , Other bone hacture ...... 10,000 . . , 5,200 . 10,100 + i + + See footnotes at end of table w td 1I Table 21. Number and percent distribution of nursing home reSidentS by rnetication, length of stay since admission, and race or ethnicity, according to selected health statuees: United Statea, 1977—Con.
mdh of slav sinca admission I Ram or elhnicitv
Hsalth StfdUSt e,orle$s years While (not Black (not 3 Hispanic Other ~;gor more HiSpanicp Hispamc) than t2 I I I I I I Number PRIMARYDIAGNOSISAT LASTEY.AMINATION-Con, Othsr dkanose$,—Co~ Endocnne, nubftional, and metsbobcdwmw . . Oiabsles...... 71,700 ... 23,200 26,200 13,40( 9,700 24,400 24,200 62,600 6,100 Neoplaams . . . . Csncer...... 2s$00 ... 10,WO 12,000 14,40[ 6,400 26,600 DISSSWScd the respiratorysystem . . , . Total., ...... Sl,ooo .,. 8,900 12,500 7,904 11,9C6 a,zoo 29,500 maqmrskunknown, . ,
Total ...... 90,500 ,.! 23,500 25,800 36,00[ 9,500 20,700 24,300 64,300
CHFiONIC CONDITION AND lMPAIRMENT~~s
Diseases of ths circulator s@,go . . Artenoscprms 620,200 2aa,900 221,700 132,7o4 77,BO0 213,500 581,100 33,5W ,, ..,, , . .,, .,, ...... ;;)::: 196,200 ● . 22,700 Fl&lyn...... ,..,..,,.,....,.., 272,900 211,700 91,600 61,50[ 36,500 90,0W 64,900 24e,loo ✎ ...... 214,000 73,900 72,100 6i660 54,1OI 29,600 71,300 59,000 190,100 20,500 Pmfysis or palsy, other than ✎ . arthritis, relatsd 10 slr~ke ...... 80,aoo 16,400 27,400 33,100 21,50( 10,200 26,403 22,600 66,500 10,300 . Heart beuble, ...... 449,000 346,2oo 147,700 203,600 109,00[ 57,900 155,400 126,700 417,700 24,tOil 5,100
Mentsl dlsordere and senddy m!!o!!!r&!@mra . . Mental Illness, ...... 148,300 98,9oo 69,eoo 4s,600 25,40( 17,300 48,200 57,500 134,300 11,600 . . 27,600 Chronic brain syndrome,.,..,., ...... 324,700 155,200 134,300 140,300 67,91X 36,900 112,800 105,100 291,960 , . 27,700 SenlfiN ...... 416,400 155,800 160,300 182,700 64,30( 52,000 146,669 133,3W 364,200 . . Mental rekudatimr...... 5,903 21,700 39,700 70,400 7,s00 79,aoo 23,40il 35,600 23,500 lz,wr , , ● Akohobsm.. , 11,200 31,000 36,900 7,600 14,900 15,700 10,224 11,400 . , , Dmgaddlcfi:; ::::::::::::::::::::::::::: . . . . . , . ✛ Insomnia ...... 125,500 114,000 49,300 53,200 34,30( 17,600 40,000 33,300 116,EQ0 6,500
Other ciuonic conditions v imDairmmrt~
. ✎ 320,500 219,10Q 109,700 149,W0 64,63t 39,2Q0 109,OOO 107,500 303,7W 12,7W . . So,ml 31,m 20,600 29,sOO 12,26( 6,504) twroo S2,000 56,S00
. ✎ m-: ...... 161,500 57,300 54,W0 7s,m 3s,1(s 16,320 59,W0 66,200 @f,8W 14,6W MsSn arms,legs, er sx!remh’es, ml ng feet roes. hands or d . ✎ f@Ff=...... 32,400 5,WI 9,W6 15$JXJ 9,00r 5,.220 9,1w 9,2W 25,3W S,8W Ses footnotes at end of table.
-.—.. . Table 21. Number and percent distribution of nursing home residents by medf~tion, length of stay since admission, and race or ethnic-~, ‘dCCOrding to selected health statuses united States, 1%’i’-tin-
Msdkaffon during fast 7 days Langth of stay since admission Rats or ethniuty All Any Health status 6 months t year rssidenfs msdiwrtion Trarr- Vdsm”n ~ssso~ 3 years White (not BM&oot to fess Other for qudiier or mineral to le5s Htspanic Ihan 3 ‘r ‘ore Hspanic)2 mndtion .ihan 12
Number CHRONIC ~N D IONS AND ~ Other chronic comitions gr imOairmsnts-Con. Disea3ssof the nervous system and sense organs Bhndnms.., ...... 72,200 12,000 28,300 26,600 12,200 7,600 22,200 30,300 62,500 7,800 Glaucoma...... 34,000 24,100 11,600 15,500 5,700 . 12,600 tl,lo+l 31,s00 . . Cafarscts...... 80,DO0 16,4~ 27,900 37,200 14,100 9,000 27,200 29,700 74,000 . Desfnsss; ...... 90,400 30,500 39,700 16,600 10,200 31,400 32,000 6B,1OO . Parkrn3y7s dsesss ...... 58,000 41,600 22,400 21,600 1S,Zoo 6,400 t 7.600 20,600 56,000 PsralysIs or palsy, other than . adlrnbs, unrefined to skoke . . . . 46,500 16,600 20,000 21,000 6,900 5,400 t 2,000 20,100 41,100 Accldenfs, poiwungs, and wolence . Hlpfrsofure ...... 10s,s00 27,400 35,400 51,200 30,000 15,900 33,360 24,100 ll)w; , . Other bone fracture ...... 46,300 t 1,200 16,500 20,700 14,400 15,700 11,400
Endccrme, nufntionaf, and metsbohc disessss Llabetss ...... 189,600 126,000 62,S00 75,500 41,900 26,000 64,200 57,400 168,100 15,400 Neoplasms, . Cancer ...... 63,600 26,700 20,400 27,300 23,100 8,600 21,100 10,900 59,500 Diseasesof the respfrattnysystem. . Chronic respmatmydwase...... %,500 41,400 27,200 36,900 24,000 8,900 28,100 25,600 S0,700 Dizsasssof the dlgesfiie sYstem. COnsffpstlon...... 313,200 292,900 I13,700 t 41,500 61,900 35,900 106,000 109,400 293,400 16,700 DIssases of the blood and blood-formmg organs . Anemm...... 70,600 53,000 22,400 42,700 19,700 9,200 22,900 16,S00 65,000 Dwasssof the skin mrd subcutrmeous tissue , Bedsores., ...... 35,100 26,500 12,000 16,000 11,100 6,100 9,600 8,400 31,200 tinddmns other than abova Edema ...... 223,500 198,200 79,100 109,000 49,200 2J,50: 79,700 75,000 216,200 12,000 Kidnsyfrouble, ...... t 31,700 72,900 44,000 58,200 36,700 47,300 32,900 119,000 to,ooo J40ne of Ihess condmons . . . Total, ...... 13,000 ,.. 11,400 See Iwmmtes at end of table. I
CJ m Table 21. Number and..percant distribution Of nursing home residents by medcation, length of stay since aclmisaion, and race or ethnicify, according fo selected health statusas United States, 1977—Con.
Medc+d!onduringliast7 days Lengthof stay alnceadmiaaion flaw of ethokly All Any Henllhstatus 6tfi&a 1 W&r rasldenfs med:icahon Tram Wamin &a;o:g 3 yasrs white (not Bfack(not Hispanic Other to 1sss or more Hispanic)z Hispanic] quifizer or minsrsl than t2 than 3 condoion Percentdistrlbuhcm Total ...... ,..,,,,,... =4=====35.6 40.6 23.9 12.5 32.8 30.8 92.2 6 PRIMARYREASONFOR CARE
Peerph icslhaalth*.,.,..,,,.,,..,,,,,. t00.0 34,2 43,t 25.1 12.8 33.6 26,5 !2.5 5 ManfalI&ss..,, ...... ,,,,. 100.0 47,6 29.1 la.5 11,2 29A 42,9 90,0 8 Mentalralatiation...... 100.0 43,4 za,o 15.2 25,2 53.5 90.5 Bahaworalproblem..,...,..., ...... t 00.0 54,3 43.6 -3a.7 . 31.3 90.5 S3cialreason...... 100.0 30,6 30,8 2D,4 13.5 29.9 36.3 69a 0 Economicor athor reason..,,...... ,,. 100.0 32.1 32,5 19.6 12.6 34,a 33,2 W2
Diseasesof Iha chcrdatowsvsteq Tofaf...... too,o 34.7 44.6 21.7 132 34,2 30.8 92.t 6 Cengastwehearflallure...... 100.0 31.4 4a,9 211,3 15.9 31.5 24.3 90,6 Afienosclerosis...... 100.0 36.6 46.2 17.7 11.9 35.7 34,7 93,6 5 Hypertensmn,...... 100.0 26.9 42,6 17.6 16,1 31.6 34,5 94.0 .%roka..,...... 100,0 34,4 39.7 29.3 14.5 31.7 24.5 B7.3 10 Head aftack%tschemicheart dlseaso., 100.0 37.5 50,4 27,9 , 35.6 27.B 94.2 ‘ Other...... 100,0 29,4 36.3 22.0 38,4 25.3 942 Mantal disordersand se”di~ WS!!!t Ia@Qr?& Total...... 1000 45.4 34.9 lfi.a 9.7 34.7 371 90.6 7 Sendapsychds ...... ,.%...... 100.0 41.7 366 . . 33.1 29.6 92.5 ofhm,~hoais ...... 160.0 47.7 2a.4 16,0 9.2 3!.8 43.1 91.4 Chronc ram syndrome.,...... 1000 44.3 39,4 9.9 36.1 33.5 696 6 20.4 . .%mhfyWhord psychoss...... 100.0 45.5 21.? 43.4 27.4 92.1 Mentalretardation...... t00.0 W 25,3 . 266 54.6 666 AlcohQhsmand otharmental . disorders ...... 100.0 57.7 3a6 23.7 , 41a 91.7 Qthar dtamxx+es~ Total...... too o 32a 41.6 265 !39 32.1 276 93.0 4 Oseaaesof the muscidoskeletal syatamand cenoectkeb%sues . AJWtis sod rheumatism...... 100.0 32.8 50.9 t9a 14.2 35.7 30.3 96a
D@easasQFIJe nervoussystem and sense organ% , Parkinson%dssase...... Ioao 41a 429 . 336 32.3 96,i Amdenta, faxwmicgs.SWJvmferwz . . 974 Ebpfracture...... 100.0 262 404 43.7 25.3 . other bona fracture,...... 1000 , . 49.0 . , 94,5 SaeiCQtIWeSate“d QfWle Table 21. Number and perCent distrib~”on of nursing home residents by me~~ati~n, Iengfi of SSY since admi~~ion, Snd race Or e~ni~ity, iWXOdirrg to seleaed healfi SMISS. United Statee, 19i’i’-Con.
Metica n dm”ng kmt 7 dap Length of sfsy sin- admission Rats or ethni~ AN I HesOh status, AQY 6tfl&3 1 yesr m“dents msdicahon Less than Wbiie (not W:; :r Ymye for 6 months condition than 12 ‘Waob’s “a”t = z Peroent disinbubon ~ f.AST Ekjl MINATfON-Con, 9fher d!aonosW-Con Endocrin?, nmriticmal,and metaboltc diseases 0i6betes, ...... 1Or).o .. 33.3 36.f 18.7 13.5 34.0 33.8 67.3 8.! Neoplssms . , Cancer ...... 100.0 .. 37.4 41.i 50.0 23.3 92 B .
ORSSWS of the resprrdory SYSWIX , Total ...... 100.0 .. 28.6 4of 25.6 38.3 26.3 95.1 D~
Tataf ...... 100.0 .. 26.0 26.6 39,7 10.5 22.9 266 93.2 , CHRONIC CONOITfONS ANO NPAIRMENTS ~Diseases f Ihe Artenosclemsts...... 1000 46.6 55.7 45.2 21.4 12.5 34.4 31.6 937 5., , Hyperfensum...... 100.0 77 e 33.6 42.: 22,5 13.4 33.0 31.1 902 6{ Woke...... t 00,0 34.5 33.7 40.C 253 139 33.3 276 68.S 9.( Pars@is or palsy, other fban arthnts, related to stroke...... 1000 203 33.9 40.s 26.6 12.6 32.6 26.2 84.7 12.; . Hesrt trouble, ...... 1000 77.6 32.9 45.2 24.3 12,9 34.6 262 93.0 51 1 . Mentsl disorders a“d sefi~ @N!!! ewbQ3!$ Menh! iflne~s., ...... 100.0 666 46.9 ’30i 17.1 116 32.5 3S8 90.5 8( . Chmmc brain syndrome...... 1000 47,8 41.4 43.2 20.9 12.0 347 32.4 59.9 8: Seniiiy,, ...... 1000 37.4 S6.5 43.9 20.2 12,5 S53 32.0 92.3 M . Mental retardation ...... 100.0 293 44.6 29.5 15.6 7.4 27.2 49.6 683 9.! Atcohohsm ...... 100.0 20.7 40.4 426 277 109 37.0 30.4 64.1 Drug addtchon...... , . , , . . . . Insomnia ...... ,,. . . . .,,. ; 1000 90.9 39.3 42.4 27.6 14,0 31.8 268 92.9 5.1 Other chronic condhmq gr Immrments
. 100.0 68.4 342 46.7 20.2 122 “it o 33.6 946 4S
1000 51,5 34.4 49.4 20.2 10.B 32,7 36,3 34.0 . .
. 100.0 31.6 35.4 43.6 19.4 10.1 330 37,6 90.8 8C
100.0 171 30.1 48.7 27.8 16.0 26.0 2s 2 78.1 17 f . See footnotes at end ci tab!. Table 21. Number and percent distribution of nursing home residents by medication, length of stay since admission, and race or ethnicity, according to selected health statuses United States, 1977—Con.
Med!ca n duringlast 7 days Lengthcdsfaysince admlss!on Raceor All Healthstatus, w a months 1 year msldenfs medf~fion Tran- Vlfamin Less than 3 years Black(not to leas to less Wfute(not quilizer or mineral 6 months H!wanic)2 Hispanic) wndlbon than 12 than 3 ‘r ‘ore r Percenttistr!bubon
CHRONIC CON~[j~SnAND IMPAIRMEN o ,, Olher chmnmcondltions or lm~nments-co~ Dseasescdtie neivoussystemand senseorgans . Bhndness...... 100,0 16.7 39,2 39a 16,9 10.5 41.9 W..5 10< . . . Glaurmma..,...... ,....,., 100.0 70.9 34.7 45.5 I fi.a 32,6 e3.3 Cataracts,.,, ...... +... 1W.o 23.0 34.9 . : . 46.5 17.7 11.3 37.1 924 . Deahmss.,.,,,.,,...... 100.0 33.7 43,9 16.6 11,3 35.4 97.5 . Parkinson’sdisease...... 100.0 71.6 3B,6 37,6 22.7 11.0 36,5 96.5 . parafysisor palsy,other th~ . arthnbs,unrelatedto strok e...... 100.0 3a.1 43.1 45,2 19.2 11.7 43.3 aa4 . Accidents,pntwning$ and violence . Hip fracture...... 100.0 25,2 32.6 47.1 27,a 14.: 22,1 97.0 . ; OOw bone frachue...... 166.0 241 35.7 44.7 31,1 24.5 964 Endocrine,nuhdmnal,and mefabofic dlseaaes: . . Dlabetea...... ml,o 67,5 S3.t 39,8 22.1 13.7 30.3 86.7 0.1 Neoplasms . . Cancer., ...... 100.0 42.0 32,0 429 3a,3 13.5 17.1 935 Dlaeaaesof the resp!rato~system: . . Chronicrespiratwydwase.,,,...,. 100.0 47.6 31,5 42.7 27,7 10.3 29.6 93.3 Diseasescd the digesbvasystem . . Constipebon...... 100.0 935 36.3 45.2 198 fl.5 349 e3.7 5.3 Diseasesof the bloodand b;;fo$a~ing oqans ...... 1000 76.0 31.7 eo5 279 13.t 26.7 920 D&easesof the skmand subcutaneoushssue. . . Bedsores...... 100.0 753 342 51,3 316 17.3 23.9 3s.7
C-ondtionsothm fhaNabve . , Edema...... 100.0 34,9 339 467 21.1 12.6 32.1 e35 . . Kdney tmubfe...... 100.0 55.4 33.4 44,2 27.9 11.2 25.0 30.4 % None of thaseCorm’drons . . . Total...... 100.0 ...... 67.5 1 I — — IDIseaseWOUPcab?@esbasedon Ith Reviwntnremamnat cra kati ofheases Adap@rror use in the lhnted.sdetes (lCDA). %cludes a small number .af u“- ,Ordydiagnc.sesofwhicient magm.w m noted. ‘Includes residwts * mceiva w, kmn msitswhile infamily. ‘Figures may not add b tow becaus ident mayhavehadm.welhanx reportedco-n w -me”L Table 22. Number snd percent distribution Of nursing h~nle reeident~ by “ee of special aids Or rjetices and median length of etay since admission, aCcOKfiITg to selected functional statuses United Ststee, 1977
Spsciet aid or device wedt Median GcMJi~ /41 length of FunoOonaI SUM Mechanical O!her stag:: residsntz Wheel. Eyeglasses H~dW Cane Walker Ciutches Sracea aids M chair ;:;: J$%elt, dm”ca$ in days or ~mdar dsvices
Number
Total...... 1,303,10[ 791,20Q 75,900 518,OOO 124,600 219,400 7,200 30,200 17,000 326,900 103,200 597
W Not impaired...... 875,00[ 551,900 46,400 331,000 62,700 149,700 6,300 25,200 6,900 177,500 66,400 577 . , . Partially impamt,...... 247,oo( 160,900 15,300 112,200 25,700 47,100 77,200 23,000 339 . , . Sevaraty repaired...... , ...... 85,80( 5s,500 8,200 13,300 - 3J,ee: 7,000 733 7,6oO 41,700 , . , Completelylost ...... 38,40i 7,300 . 13,000 . . 704 . , : . Unknown...... 56,30( 17,700 . 20,100 . 23:700 555 Ha60r!Q Notmrpahd...... 906,00[ 541,000 30,500 346,400 76,900 i46,200 6,500 24,800 9,900 207,300 68,600 576 , 2B2,90C las,700 29,600 129,900 34,500 56,300 . . 64,aoo 24,700 542 . . . . W:!fyi:yi::::::::::::::’”” ““”””’ 56830C 36,400 14,300 24,3oO 6,400 11,700 16,300 670 %mplelely est ...... 9,300 . . . , . . . 323 , . i ; i . tJnkoOvm.,...... 4s$500 19,eao , 13,600 13,600 555 SIE@! Not ]mpabed...... 983,900 652,600 64,400 3ss,500 110,200 166,200 6,40? 19,000 6,50? 192,200 66,100 571 Pafiatty impaired...,,, ...... 164,160 66,009 9,106 75,500 9,500 23,900 5,600 61,600 t7,100 . . . . . Seweraly impaired ...... Ss,acil 34,864 43,100 7,500 41.000 9,2oo % Completely lost...... 61,300 t 5,600 . 26,400 . . . 29,900 0,400 650 . Unknm?n...... 14,100 ...... 316 CQmmuni- Vedrat...... 1,117,000 725,200 72,100 434,300 121,300 209,600 7,200 27,000 9,200 223,300 34,500 567 . . . Nonverbst...... 128,2C0 46,200 60,100 6,200 5,400 66,600 14,700 7s3 . . . , , . . L+mot,,.slk...... 24,9W 9,200 13,400 10,900 762 . . . . . Is 100 !ll ...... 24,300 8,600 11,700 13,100 677 . . Mentalor emotional problems..... 47,500 16,900 i 20,600 . . . 26,200 786 Does not susak EnaNsh. “. . . other, or unknown...... 31,5s4 i3,600 , 14,300 . . . 16,500 776 . . . . , Does not communicate ...... 53.000 17,800 . 23,600 36,900 759 Mt!JE. . No dentures ...... 439,200 196,100 14,400 t BI ,600 30,900 53,200 10,700 8,900 f3t,loo 43,4LW 662 . Dentures and used them ...... ,, 666,700 529,400 56,600 266,400 84,000 149,300 16,700 5,600 156,400 I 51,700 542 . . , . . Dentures but did notu$e them .,...... 64,160 32,300 27,5oo 6,600 27,100 742 . . Dentures but unknown II used .,...... , 8,600 5,600 . . , . . 532 . : . i . Unknown...... 54,500 25,300 16,000 6,300 9$000 10,700 405 Bshavloral Drob!emq . 460,000 274,900 22,600 199,600 38#t00 77,200 11,600 7,100 126,400 44,300 615 . 276,7oo 166,900 t 3,400 127,500 21,100 47,400 5,600 5,200 67,400 31,600 569 , 440,400 260,500 19,200 182,900 29,300 56,600 10,400 6,500 147,300 37,400 666 , 311,000 181,500 f4,300 137,166 17,200 42,800 7,700 5,300 116,200 30,400 625 . . . 221,500 119,600 6,600 93,900 14,500 26,300 79,600 16,000 703 . . . 176,700 94,700 6,400 75,600 10,100 23,100 65,300 15.300 . . . . 149,200 86,600 35,500 6,600 15,300 50,600 6,700 % . , . . . 113,900 67,600 27,400 10,800 41,400 7,600 462 . . . . lt 4,300 66,400 43,760 6,400 21,600 36,600 il,600 693 . . . . 66,100 ,51,600 34,200 6.900 16,000 30,100 10,000 639 m See footnotes at end IX tab!. w 8 Table 22. Number and percent distribution of nursinghome residentsby USeofspecialaidsLXdevicesand medianlength of stay since admission, according to selested furm%onal statuses United Slates, 1977-Con.
Spacinlsid o Median All lengthof rasldents stsy since Eyeglasses admiss!on in days
* = Deo sndenw in achvltiesof dai~ Numbsf N Bathing lndspendenl*..,.,..,,..,...... ,..,.. 178,500 loa,400 11,100 15,000 24,900 13$00 , . 6,WJC 657 Rsquiresassistance...... 1,124,S40 6s4,aoo a4,aoo 503,000 99,800 205,800 5,800 26,600 16,900 325,400 9a,700 536 Drsssmg lndependenl*:...... 398,200 263,oOO 27,600 55,300 83,900 52,900 . . . 7,100 16,700 e24 Requiresasslslancs,includes OmaBwhodo not drs.ss...... 904,900 526,200 48,3oo 462,700 60,900 166,500 . ze,zoo 16,900 318,800 66,88C 567 Usingtodet room Independent,...... 618,500 402,400 42,100 96,600 98,300‘ 105,100 . 9,500 20,900 30,500 624 Requiresaswtance ...... 553536 329,90Q 30,200 350,900 25,70? . 6,100 23a,900 56,20C 562 . 10B,OOO 19,060 00ss not usetoilet mean.,...... 131,260 58,oOO 70,300 6,300 . , 6,000 08,200 1e,ew 6s3 Mob#l@! Walks mdapendently,...,..,...... 441,500 263,600 22,300 18,300 za,ooo 13,800 . . . 21,000 14,84C 849 wstks vdthaS31StSIIC%...... 374,96+3 280,166 30,700 147,900 66,800 165,600 5,588 1i ,$00 68,200 34,90( 467 . Chsirfast 417,200 239,200 20,700 318,900 7,700 36,400 15,20? 6,200 207,700 46,70C 639 Bedfmt,::::::::::::::::::::::::::::::: 69,6oo 28,100 . 30,800 . , , 5,400 32,000 7,70[ 630 Continence:
713,300 470,000 46,700 197,560 95,700 i33,eoo ie,wo . 59,1W 43,80C 562 . 6,300 46,500 30,100 21,400 . 10,500 . 10,640 693 : _. ; 117,400 I 75,400 6,800 57,000 11,500 20,000 28,84Q 12,0tx 686 . 337,000 169,400 11,600 168,200 9,600 36,660 6,680 6,CK70 184,900 29,eoc 730 . , . . , 86,800 46,400 52,9W 10,386 43,400 13,80C 316 B7e,200 575,600 57,900 263,200 107,800 172,100 6,000 20,680 101,300 55,20C 565
. 424,900 215,400 la,ooo 234,800 t 7,000 47,300 9,6C0 16,4W 225,700 46,10( 623
124,500 72,100 5,900 , . , . . 670 7,4W . 161,000 i 10,s00 tl,aoo Il,wo 26,8w Ilfw . . : 5,38C 588 . 156,900 101,700 10,1W 26,W0 26,6w 30,5W . . 6,260 7,60( 629 . . 110,400 73,700 7,7W 36,8W t8,3W 34,2W . 7,466 S,Sot 575
125,000 68@o 8,W6 7&200 B,WO 33,$30 . 6,43U . 26,6Q0 12,WC 531
. 2U3.6W 124,W0 ll,OW 145,W6 9,500 46,W0 6,5C0 . 76,4W 514 WS,300 148,500 UAW 181,W0 5,@lo 24,700 . 5,500 12,BO0 i 93JX0 3,%C 651 . , 116,401 70,W8 8,5w 44,0W 21,TXI 37.54X7 . 1S,4W 6,334 576 S.ssfmhotes at end cd able. Table 22. Number and percent distribution of nursina home reSiden~ bv “Se of special aids or devices and me&n length of stay since ae’miaeion, fuXOKiing to-selected functional ‘statuses United States, 1977-Con.
Speciataidor deviseused Msdian Gm”atdc length of All chair, FunctionalStatUS Mechanical Other stay since rasidants HeaJng VAheer. cuffs. Eyaglssses Cane Walker Cndches Bracas !sedJdg aids or admission posey belt, devices in days or simdar davices
Pemsntdisbfbution
Total...... 100.0 60.7 5.a 39.8 9.6 16.8 .5 23 1.3 2s,1 7.a ..
Mofv Notimpaired...... 100.0 55 37.8 9,4 17.1 .7 2.9 t.o 7.6 . . Partiallyimpaired,...... 100.0 6.2 45.4 t0,4 19.1 . , 9,3 . , Severelyim aired...... 100.0 9.1 48a 9,5 15.5 a,z .,. . . . CompletelyTest...... 100.0 . 33.9 .,. . . i . . Unknown...... 100.0 35.7 ,,. He61tf@ NotImpaired.,...... ~...... 100.0 3.4 36.4 8.7 ia.1 .7 2.7 1.1 7.a ... . , Partiallyimp6n3d3...... 100.0 10.4 45.9 t 2.2 19.9 8.7 . . , . Saveretyimpaoad...... 100.0 25.5 42.1 11.: 20.8 ... , . Completelybat...... 100.0 , . . : . Unknown...... 100.0 . 26.9 . . : ; , . S@_@ Notimpairad...... 100.0 6.5 37.5 11,2 16.9 .6 1.9 .7 6.9 . . . Padhtlyimpaired...... 100.0 5.7 47.2 ao 14.3 3.6 10.7 ...... Severeiyimpauad,,...... 100.0 51.5 9,0 109 ... . . , . . CompletelyIA ...... 100.0 463 137, , . Unknown...... 100.0 , . . . Communlrabon Vmbat,...,...... 100.0 6.5 3a 9 10,9 16.a 6 24 7,a .. . Nonvetial...... 100.0 . 46,9 . a.4 4:: 11.4 ,...... Cannottalk...,...... 100.0 54,0 .,. . . . . , Is too ill...... 100.0 43,1 i . . . . . Mental or emotumal problems,,., . . 100.O 43,4 Does not speak Gfghsh, , , . . . . other. or unknown...... too o 45.5 ...... DOSSnot communicat e...... 1000 40.7 .. D3f!@a , No dentures...... t 00.0 2,9 372 6.3 10.9 2 2 1.a 6.9 . Dentures and used them ...... ,,,... . 8 7.5 . 1000 8.3 420 i 2.2 21.7 2.4 . Dentures bul rod not use them .,,,.... too o ...... 42.8 to 2 . Dentures but unknown if used ..,,,.... 1000 ...... : , i . Unknown...... 100.0 29.3 11.6 la.6 ... Behavioralomblem$ Depressad or withdrawn ...,...... 100.0 4.8 42.4 a,3 166 . 2.5 1 5 9.7 . Exlra numng time required . ...,,.... too.o 4.9 46.1 7.6 171 2.0 1,8 11.4 . AgWted, nefyous, or hyperacbve,,. . . . 100.0 44 41.5 6,7 133 2,4 1,5 a,5 ,., . Extra nfusmg bme requmrl...,,, .... 100.0 4.6 44.1 5,5 13.a 2 5 i, 9 9,8 .,, . . . Abusive, aggrsssrw, or dwuptwe,, ... . 100.0 3.9 424 6,6 12 6 6,1 .,. . . Extra. nursufg time requued...... 100.0 3.6 42 8 5,7 13.1 . 6.7 ... . . Wandenng ...... 100.0 . 23.6 4,5 10 3 . 5.a , . Extra numng time required . ...,..... 100.0 . 24.1 . 9.5 . ... , . . , Other...... 100.0 39.3 7,3 18.9 1: ; . , . . , Extra nursing time required.. . . 100.0 3a 6 7,a 20.5 11.4 See foolnofesat end of fable. fi Table 22. Number and percent distribution of nursing home rasident~ by We of special aids or devkea and median length of stay since admission, according to selected functional stetusas: United States, 1977—Con.
Special akl or device used Median G:::? length of All Functional status M=hrmical ~~, Other stay sinw rssidents Heaa#g :h&l. Eya@aws Cane Walker Braces aids or admfsslon Cwtchea ;:;:: poasy &eIt, devices in days or similar devices
Dependwux in activitias of dadv Percent d]stibufion Mo9 ,, Bathing lndependmW.,...... 100.( 59,6 6.2 14,0 . . , . ., 3 .,.
Requires asWanss,..,...... 100,( 60,9 5.8 4!$ 8,9 1:: .5 2.8 1.5 28.9 8 !.. Dressing . , Independent, 100.C 56.t 8.9 13.9 16,0 13.3 t.8 ‘4 ... Requires assi&~,” ~~&&”&’~” . who do notdreas ..,..,.,,.,,.,, . . .. Ioo.c 58,4 5.3 51.1 6.7 18.4 2.9 1.9 35,3 .9 ,,, Using toilet room. . lndependont,.,., ...... loos as.i 6.6 15.6 15.9 17.0 3.4 . ,,. , Requirss ass15tanse...... 100.0 59,a 5.5 83.4 4.8 19.5 ;: 42.8 , 1: . . , . . 100,0 45.0 53,6 4.8 k: 52.7 12 . . . . “g~;;;a;.:::::::::::: 100.0 59.7 5.0 4.4 3.2 3 !.! ...... 100.0 69,4 8.2 39,5 2: 44.2 1.5 3.1 1$! . . Chswfssl,,,, ...... 100.0 57.3 5.0 76.7 8.7 3,a 2.0 49,a 1: ,.. . . . Badfast.. 100.0 40,4 44.3 ‘. . 7.8 46,0 11 Continent’’’’ ”””””””””””””’’”’’’”’”””” NO ddtfcufty controlfmg bawd . . or bladder,., ...... 100,0 65.9 fi,a 27.7 13.? la.a 2,5 6 ,., . . Difficulty COnrloll,”gbwef, ,,., ...... 100.0 62.o 44,1 21.6 2;: .,. : . : OlfffCultysonkolling bladder...... 100,0 54,2 7.5 4a.a 9.8 23.9 24,6 10 ... Ddtkulty controlling both . bowels and bladder ...... 100.0 50,3 3.5 5e.1 2.8 10.9 1,8 2.4 54,9 8 Ostomy in either bowels . . . . or tdaddev 100.0 53,4 60.9 11.9 50.0 15 E8tin : “’’””’’’’””’””’’’””’””””” . ~qu,re~In$ependent,.;(iix,. ...i..i&...... 100.0 65.6 6.6 32,3 12.3 19.6 ,7 2,3 11.5 6 .,, tiose who are tube , or intravenously fad ...... 100.0 50.7 4.2 552 4,0 11.1 23 3.9 53.1 11 ... fndax of deoendencv irf fIctWies of daitv fmqnv Not dependent in bathing, drsssmg, using toilet room, mobhfy, . ● conhnencs! w eating ...... 100.0 57.9 4.8 . ... 6.0 ; . Ds!xnderd m onl 1 actiwty...... 100,0 6e.a 7.1 7.1 ia.7 7.2 . 3 ... Dependent in ba4 lng and t addhonsl . . ~ew”dentacbvdy... .ii.biting; ..;tia aid. ~ 100.0 64,0 6.3 16.9 16.3 19.2 . 3.9 4 ... . . additional acfii~ 100.0 56,8 7.0 27.2 17.5 31.0 . a.7 7 Dapertdent in batb&’ d;;~;g’&~” Iodst room, and 1 addtionsl ...... 100.0 71.8 7.1 82.6 7.1 27.1 5.t 2t.2 9 D$#eni m baumng, drawng. w.”g todet room, mobddy,and 1 tidlb~~l acfrvity ...... 100.0 60.9 228 . 42 37.5 10. ... Dspsndent in all 6 achnfies ...... t 00.0 49.0 8.2 . 1.! 4.2 6S.6 12 ... . Other ...... 100.0 50.9 322 , 13.2 7. ... ,Res’dent may have used mm 01 SWI.3[ ad dewe. s-a the sum of%.._Ldthe aids e.wxeds OIe totals ,37.4 percent of these resdents had an ostomy whch affected on!y tie bladder. ‘Status at bestcorrection. b.. vm rrecfw !..s4 m Imanng ad. d appkable. Wnknowns wem mnsdered not depmdent fcf the purpose of fhm itiOX. ‘kmfudes a small number”01 r“esad~ who wfe in red but MQSJ3 level of zmpment M !mSnwm. ‘Incf.dsg residents WIW were dependent m at least 2 bmcbcms but not cfasslkble inta any of CIncludes a srmfl percentage of m m ale cakgti~ Table 23. Number end Dercent distribution of nursina home residents bv dependency in acfwities of daily living end index Of dependency in activities Of daily living, accordkg to selected other rekident characteristics United- Stete=, 1977 -
1 Q kmy * a! ie ofda? IhdexCJ Not ds$endenr l;&ti”~ %2’& DeqderA Fie@fs Requues Reqares as%lalw ass.klanm assgakte !:;tww using tcllet h bath-g h drswng ream, chti moblity, % or tedlad , Olwti:;: I 1 1Nunber 138,4WJ ToW ...... , . . . Wcd,vw 1,124,66S GiN,992 3a4,7i33 861,799 588,21M 424,966 i24,5SU 161.S69 156.WO 110,4s4 135,M6J Z32,m -
DEMOGRAPHIC CHA7WCTER[SIC
& 27,7W Under 65 years . 177,103 127,303 97,702 67,7CUI 62,2W3 56&19 46,4S6 41,6W zl,8G4 22,2C6 12,960 ilwl Zzerm I0,4WI 14,1W 6$74yean... . . ,,. 211,46+3 171,503 129,X4 99,200 120,1W 79,400 57,266 29,5S6 24,860 26,SW t4,2cm m.w 3z1131 1%% 42,666 75.04 years...... 464,700 413,234 236,7CKl 2S2,2W 310,600 219,C49 157200 93,200 57$(3 54,K13 44,21m 46,730 mm 125,4m 49,9W OSyearsardaw ...... 449,9QY 412W4 S41,0w 265,54U S46,200 2s4,2ca 164.166 t9,3ca 41,2LM 53,400 38,660 43600 73.240 & Mal, ...... 375,200 Wm,m 2.33.WO lEWXI 222,524 1%,700 164,500 so,eoD 51.W3 27,599 27,7Lxt 71,896 $w9 7%4L13 Fern% . . . . . 927,W81 821,400 671.499 513,162 6S9,103 4s4,990 32Q,4G0 73,760 la!% 10Z,S99 63,6M7 97,4LM 1%% Zwrm
Race 5 e6miciy 107.409 Whte [rat H!wIIc,,...... I,2K,SX!4 I,038,SU3 6SVO0 620,700 793,S00 54z4cm %9.799 114,11Ul 151,3C.I 145,403 W2,wl 115,300 164660 2SJXW0 Ev709 15,5WI 1B,6W Elack {no! HWIWUCi . . . . .21,402 69,SWI W,m 4s,400 5%U S9.600 27,634 7,EOI 7,3W 10,400 7,100 Htwmc, Amman In&n, AIask# nalw Awn or Pam% Isklldw.,...... 20,202 46,000 13,163 Io,wa 14,1s0 7,9CU 7,690 M5mlsk@ M .,. . . ;::::::. : 10,4CH7 14,7EKI Suax am w6LT . . 155,400 138..5JIO 121,3C4t 191,200 113,6W 87,06s GS,lco 12,DW 13A69 11,4LM r5,3.31T VJdo-w@ ..,.,., 81O,7I3II 725.499 591,1(M 451.996 579,196 385,000 275,8L31 52.2CQ 91,366 97,1WI 75,690 92,703 135,ZV6 , %% Clwcedor separated,.. . B7,SI0 47.CW 3Z!X16 46,1LW 2s,996 21,2cm 18,4S0 I4,1OQ 12,460 6!XF2 8,302 tl..!w 41,SS4 Ii% Nmrmamsd ...... :...... 249,5S0 lK%I 145,W2 W,709 123,524 69,CSU 61,66+1 41,660 42,X6 33)X6 18,X76 21,4DC 2ww
ourslDE uvri4G ARRANGEMaT ~bnn e w,rrw 46,860 P!wa:ea.seymte ,ewhwe.. . . 525.CWJ 447,349 S46.im 254,5CU S20,599 219.9CMI 155,9Ca 54,1s4 72,803 70,S60 43,4s4 43,CQ6 79,6$m 17? . . . . . 17t7@3 14s,799 Iozoml 69.2ca 191,599 62,763 39,2C.I 25,Lum 3t ,324, 26,16+ 16,299. 15,W6 -Zw9s Zwm . . Unknown IIw61 OUWS . . 32.6Em 19,2W3 25,699 1w79 12,599 27,3CU Wtih CAhers, .,.,. . 3%%% 271.6LM 2%% 164,WKI 203,Z99 149,660 194,m 26,296 37,062 39,296 28,724 29,3W 5% 6% Ki,-rrm Smluse .,, . . 72,663 44,3Lm 51,499 38,KID 25,6s6 5,69U 6,4W i%% Chkk+n .“ “. “.. 138,163 13% 1%%’ 75,cmo 35,999 63,299 9,466 6,999 15,3ca 1% 1%% J% k! S4.m Othefcetatives. . . 34,6(XI 70,2W 66.7s0 39,2sil 49.609 32.700 25,469 16,X6 i3,w3 . 11,330 S,GCII. 7,SW tsq I&w * Unrelated PM.,. 35,599 30,5D3 2s,363 16.7CJ3 m,599 14,340 10,799 18% 5woo AmG?er health faahly ...... 7C6.7Q0 619,0C4 511,190 352.3$m 487,599 237,2a9 246,3S4 59,246 79,503 6% 55,3D6 72JLWJ I15,WM 16,700 Anolh6i nurwg hwne . . 16Z6CQ W3,scrcl 114.790 91,5C(I 111,8(IJ 57>6iw 12,1W Z2,m 17,6W 11,3(36 15,s60 .27ECm 45,srm 32,~ 4wo 76.1? 1% m 26.2q Ger&?al cnshml.stayhxpti. 42W99 sw,7cm S2B.6C0 26Z6W 327,596 2%% 160,100 20,766 36,.?3s . Meald hosm... . 76,9ca 64,1Em 37,5W X$199 21.963 22m 14,1S4 26,G6fI i4,5w 13,996 6,30U 9W Olhar hnallh taahly or unkw.vn. 46,2cm 37.960 31.9W 22,464 %,22+3 19,DW3 14,103 6,360 5,9W 5,593 Unblc,wnm’ Otkrmngmenr... 71,41Jl 57,700 45,300 33,894 42,703 32,7S4 22,700 16,6W 8,703 6,9W 6,760 I& m See footnotes at end at lable Table 23. Number end percent distribution of nursing home residents by dependen~ in activities of daily Iiirrg and index of dependency in activities of daily living, according to selected other resident characteristics United SteteS, 19i’i’-Con.
Told...... ,,.,, .,,, ,, m o 26.2 624 525 661 453 326 9,6 WA 122 85 8,6 T5,8 239 89
DE~ 1ST(C & UndEf65W~ . ,, ,. .,, ,, Ico,o 7! 9 222 65.74 years . . . . . 320 262 23,4 <5.6 129 7,2 67 12,$3 15.7 56 1000 812 469 75.84 years . . :, :: ,, :“ 376 27,1 14,0 16,5 134 67 fT 6 67 124,0 54,3 135y0arsandowr. ,,. . . .,, ,, 471 32,B 123 117 i:,: % 243 1000 ‘%; 520 522 36,5 :: 92 It 9 u 9.7 i73 279 1;! a Male . . .. . ,,,,, ,.. 1240 444 415 Female., . ,,,. , ,.,, 13,5 Is.i 73 7,4 140 19 i OB lCAIO 558 468 7.9 11.3 39 105 t63 249 8,6 Race m ‘aIhnmtr Wh,te (not HE+JWp ...... 1000 523 95 126 Black [no! HWIJC). 85 9,6 154 89 tooo 557 9.2 90 67 9,2 191 85 HZGA~yk;Z A& n~~, ‘” ...... f OLIO 511 Mmdal slam
Mamed 1000 W,dmverJ ., ,,,,. ‘“:’ ::, ,“, 6.7 i94 99 1000 :: 1;: 93 1:: 167 %4 Dwcedorse@ra!ed ,, . ,. ,, 1000 Never nw.md. ,, ., 2i 0 162 7.2 72 130 61 1000 168 t6.9 7,3 86 10.7 79 OUTSIDE LIVING ARRANGEMENT ‘ ma~
F@n Orssm@rmate msdellce ,, ,, ,, 1000 PJCoO ,.,, ,, 103 199 8,2 91 89 1C4o 140 175 9.: 85 9,7 Unknrmn d Wh others. . 1300 . Wthc4Aew . . ,“: . .-.. ..* 1000 85 120 ...... 93 1000 1:: en ... .,. 1:! G 1000 i! 1!1 22 85 Otlw ml.--houes.. ,, ., ‘:’ 1!! 1G6o 120 154 7: 86 82 Umdat6d Im .:. . . . 3000 . . AmotlIotlI&htilh mcmq= 1606 ernmng home, . ,. ,, . &4 113 10,3 Idn o 7.4 138 u 1:,: Gener6$ or shofl-stay @tr8j .“ 1240 Mental IWWW... 4.9 1!; 86 1000 26,8 Iii ii OtlW health faml$ry w unkn~ :’... WI 0 . Lh!wwm Or.at%r amgem’a”t . . . ., t36 128 1600 151 122 94 125 se+forma,., at .,d * ,*,, . .
.
Table 23. Number and percent dislribufion of nursing home residents by depe”denq in ac~v[tle~ of dai[y Kving and index of dependency in activities of daily Iiiing, according to selected othar resident characteristics United States, 1977—Con.
Depmc%y in acmes or daiq Ihting Index N pmdemy h aclmm or &dy m 1 1 1
Rmldentdmmck,sbc All Wsdenr?, a%xs In lE4rullg
E Percent dsbmm
Wrs IDE LIVINe ARRAMaEMENT-Cq Pemn .b wow rM admm.bm
SM...... ,....,...... ,...... m 6s 37,1 48,B XI.5 12,7 22! %.: 10, m 24. 358 % 63A 2s,7 524 %%%::: ”:::::::::::::::::::::::::::::::: lEO 91> 758 57.6 72S 49.1 3a,2 4Q 10,8 11, Olherrelaaves,...... 1031 W. 70.4 53.7 665 442 32,4 1’25 12. ScualwOrker ..,,,.,...: ...... 1!?0( 23 S2,1 48,7 54,8 42.2 29.6 1% 15.7 11. SMfl Ormmlnsmbn, ...... Ice! 34 @38 46.2 56.s 49,2 29,1 M 5 13,4 12 Omw...... Ica( ST 69T 52.7 681 47.1 331 B5 11.5 12 Tenmra w reade.t
. M...... 1001 7s 545 39.7 202 25.3 ia 8 Ia.1 rbq!mkm.im,,...... 100( 86( 628 528 m3 45.7 329 93 123 12 Dlscl!aw KAalw / WfihIn 6 months ...... Icnll 81 [ 616 492 2a3 19.3 129 t36 Not F4amad...... ml m! 69.7 52.7 %: 46.9 33.1 >4 123 43 ummcwm WErn.mIW.jemd no, ,jnptin~,or PufPme Gfl rode, — ‘I!wludes mstien,s W Wm dewndenl m at1. 2 Iumnc,ns ‘Indwes a mar! nunk M mkx ..-.”. may M“. Ilw . . m man1 .W ofpemm so Iha * orm mm -s muWnl, .49 -“* 0! mew r,,ldmlls adrr”nd kom amlka heallh tidty had gum in ha, fad,ty trama pale . -tie mdem, .Adnussbn myhaw. timr@ Lwmeb?m 1 degavti-sotia.ofman,k-w told. ‘IIWW- h“d, wardan m all-. @rjw&l nwll,tef, other =-i !Muw+,n Tabla 24. Number and percent distribution of nursing fk~me residants by dependency in ativities of dailv Iiiino and index of deoendencv in activitiae of dailv .– living, ‘according to selected health statusekx United States: 197;
DswF33win .wmhE5 of daoy rfg Index of &W&WW in acdwif!a cd daty IMP Not d rodent ~~oY— c,@n~”~. ~~g %&J! Wks only i~%&q Requires dcffwliy [email protected] ~:$; %j%:’ D+.anderd a%quks RequIws H@h SOJOJSI w~dp dmssmg.’ using tmfef IF&k 22% .Wsfmm =; .&&e asssram will tit using knlet mm, ~,k Ou@ on; 1 alllfi m bathing m dressng in eabng rocml, a&~ojal ‘ii may&ndti 1 Iclfet room or ~ Ly& addtionaf acbwoes chaufa5f rmoifiy, =w acwtr 1 !%d%!dwl 3r lwv.351 Cm#m=m”: acfm acw
Number Total ...... 1,SI13,1WI I,124,2C4 904,W30 664,700 2al,7co 569,PA0 424,$00 124,500 461,030 158,8C4 110,439 125,002 2n2,m7 303,238 li6,400
1,02s/foo 92&~o 764,469 6&4.2&9 76J,;x& 016,2WI 370,400 59,180 101,124 113,200 89,WdI 109,6W+ wow 270,4W wq 87,1G3 42,5SU f$~ 1~2# 22,Lm 19,36+) 15,489 5,8DD 10,80! 48,400 36>60 27,199 14:2W 1<300 6,92.3 10,300 9,600 262s4 22,930 19,3Jm 12,240 Iwo 13k”3 9;534 5,390 70,020 48,88o 31,$32 17,399 yL?J t7,7Lw l~;y 1&900 1&8LM lUCIJ 5,700 6.490 5,3q 49,sao 28,9C6 19,230 13,0W , 12,100 , 15,82”3 10,93U , 5,9W
Told . ...,.. ,,. 516,PJ39 466,82.2 290,5W 299,903 373,8W 264,1LM i2m29 28,303 52,98Ll .93,100 46,5-24 51,eA8 87,599 143,300 44,500 Congestwe hwf fmlure,., 52,00(7 47,51M 36,3W 27,240 36,900 25,100 $3,500 6,2111 7,5a9 5,499 9,469 19,6m A#wmsdw.ass 264,4W 2#&cc 261,1C4 15$;% 124,400 I;J,&o 97,8tHl 14,603 21j~ 33,280 25,89? 25,689 41,289 74.399 2$%/ Hwttenslon. .;, : 47,7C4 26,000 25,500 9,480 7,t-q 6,109 6,199 %ke ...... ,,, 182,500 88:224 99.900 32:189 83,424 26:604 62.209 5k31 6.649 19,599 25,789 42,209 7,109 Heat at!ack, mchemtc heal dwase.. . . 22,500 20,Eao 15,2Q0 10,840 14,700 8,780 6,408 Olher ...... ,,,,,, 25,8CJI 21,E80 17.024 13,124 18,92U 11,202 7,180 5,489 Menbsdm ard wimy Dswhoss TOM 2%,12Q 217,188 172,5m 119,180 025,3W 114,704 26398 41,390 40,61M 36,W0 22,199 18,399 28,169 61,499 16,0M . 21,208 16,762 17,269 12,5M i2,62il 13,698 lyl~ 7,28? . ... 57,402 95,X18 22,709 8,90+3 11,880 10,100 29,(WI 1Z700 19,109 ... . 96,400 39.480 76,K31 63,510 82,000 55s49 4i199 5,7Lq 6,10? 9,100 928? 8,599 13,809 3.%409 7,40? . 26JCT2 25,388 2f.2im 14,730 i8,8C0 15,234 10,199 8,730 42,480 39,2C0 23,W9 14,WI 13,4W 14,390 9,669 7.909 9,9rm 7,30D 6.009
22,180 14,620 8.334 7,800 5,100 5,7C0 5,109 Other dmmow
To!af ...... 429,7fHl 372.5a 281,580 227,900 311,WJ0 100500 129,700 34,100 53,298 51,190 35,889 50,200 75,789 83,ml 47,100 Oimsm af the muwfo. sk9f9t31 system M cmnnww tissues AI+WS ml fimmawn 5C2CKI 49,990 39,48il 29,901 48,240 16.900 14,389 7,400 5,203 19,198 9,6$Q 7,100 7,60+3 CM.SS d tie .WW3 WlmllandsenseOlga,, Pakm?an% dmase 23,3uo 22,2+20 16,2fW 15,3KI 19,300 12,6W II,2W 7,900 Ac&&k, fmso”mgs, and
HPhacfwe .,,. ,,,. 29,366 26,200 24,200 21,e40 27,599 13,WI 3,2C0 5,288 6,188 6,803 Oowbnnerrrcfwe,...,,.. 10,6IM I0,00Q 6,27S0 8,430 8,300 . Endmme, nuhoond, and M&h& d~w 71,780 61,704 44,909 31,799 47,480 27,EC.I 16,303 8,266 12,600 9,600 5,W 7.190 11,309 11,224 8,98il
. 26,92Q 25.2(I7 19,700 14,240 19,800 13,209 9,WU 6,390 k f.wtmm al end oftable
$ .@. m
Table 24. Number and percent distribution Of nursing florn~ reSi&nte by d~pend4mCy in act~~es of daily fiving and index of dependency in activities of daily fiving, according to selected health statuses United States, 1977—Con.
w Mency h act es of daoy h N Indax of wndenw in IWM!JESof d{ I rti~ Not MobMy- hndowwe d6p+rdont wi~,dy htikljlng, dtiulty Onqdwt m$bah:mj-d~ q%,%! Wfp#9nt AN R6quhrn R6qwEs Reqtirm HeaNh StUtW w:ti~l msdenls asslsmnm awstance O%qAk::23SI$JW3 asslslznce Uslw to“! B: using 10t El OOIOP In using t ard 1 all 6 In bathng In dress!mJ h eating lwm, only, loQy& 1 Islet mm b~dr ad:}$wd atiivlbns ch3kr331 ~w, -v w bdfasl .xJum?Jnny aclkity
IT Numt.?r PSIMARY DIAGNOSIS AT LAST EXAMINATION-CWI ~ dmamosw-cc,n, Cnmse of dle ,E3@01y
, Tall ...... 31L7MI 15,80( 12,363 18,4C91 I0,W9 0,611 5.s0 6,~ 013UIMNS unktwwo,a TOM..,,,, ...... W.5W X7,454 37,7CUI 50,7113 30,4011 23,70+ 18,20 14,60 9,70 6,BLKI 6,60 15,40 6,0W CHRONIC WNOITIONS ANQ lMPtiRMENTS.
470,20[ 33il,4w 446,5W! S18,990 230,W 39,49 59,8!3 71,10 57,4W 63,90 173,36 54,400 %% Ize,lo[ 137,200 1GS,3W 121,31XI 60,613 26.69 33,.s0 25,3W 25,10 59,W 26,920 214,W0 107,1s+ 159,7e3 187,109 134,9X7 102,$3 10,39 W@ i7,2ta 21,W 92.36 15,202
74,101 75,3rm Io.m 36,39 4%% 317,06( 2%M 9t7,1sQ a%% 12,E 32,59 55,4m 53,90 41,1W 48,60 194,39 44,000
Mllla &ci&?rs aid smAQ WAhwtmvtlw,% 148.3CM 74,7CI 4WW 50,100 43,302 30,52+ 36,40 24!s0 23,60 ll,WO 19,!N 9JW 324.7C3J wa,4s4 217,SW 220,130 2WI,3W 157,7LI 16,3Q 25,93 25,69 27,2W 2% 129.96 29,033 416,4W 345,$11 273,9W 904,m31 .2s7,360 190,713 15,T9 31,40 41,40 33,5W 36,B0 I;J,] 35,9W 79,209 43,WI 29,W0 3i,4w 29,m 19,70 19,03 14,Ee 13,49 6,8~ 5,W 5SW 36,9W 15,4W 9AW 16,060 9,%30 5,7a 10,W 5,90 7,20 . 125,500 92.W4 70W 67,024 %,109 42,40 11,20 i3,1Y3 13,70 11,W2 13,72 29,02 11.4C0 g%lerchra mti mns WI ImZtmnrs
320,540 t70,5w 240,8w Iw.wa 97.ON 19,50 35,93 40,30 S3,ew 39,W 26,40 3S,7W
3e,506 45,WI 96,ew 48,7W 3L3W 21,50 7.2U 5.6( 15,20 7,7C0
IB1,5W 134.103 161.907 111.lw 93.3m 9,W Itoel 12,7W 21.lC 74,03 Ww
. 32,4W am 21,390 29.7W 14.7W lD,lW S,m 6,40 eae-atalldcdlable Table 24. Number end nercent distribution of nursina home residenk bv deoendenw in activities of dailv Iiiina and index of devendenw in activities Of dsily 1. ac~ordim to selected keal~h etefus;s United States, 1977--&r.
El nhwyinac
An R@es Healh ShW reddms in Uskg h Mm Iulet man
CHRO!41C CQND1710NSAND lMPhIRMENTS,-G3nc ~. $ Z.rd mmlm nni3-2an r)smws of 034 Cewus wst.wn2M3w9M09ns Bhdnfss...... 66,92 61,500 5,2q lz64q 7,T~ G!awwma ...... 29,40 2Z.COI Mm3u3...... 69,10 5zlfm 7.2!XI Il,sm 6.WJ &w 5.930 Wf.a 11,620 cow:...... 80,10 65,1OQ &Zq 10.70D 9,220 8.5? 5,503 15,920 .2,7? l%hwns dwwe., ...... 5420 44,9W 6,2W 5,6W 5,2W 10,524 Pw@s or pshy, Oolnr own 2101nw, UIvefa!m . . fo SIrokca ...... 45,to 42,1OD Li4w 19,2+M
Accticc&f$pa2Qnllg% ad
Hp fmrl ...... Iol,t+ 9Z,400 5,2? 6.6q ri71y 16,WI 27,424 lZW+ , mu bma rracluw...... 43,(IC 3W3W 8,0w lo,3al
ErWmme, mlnfmsl, and mnbdxJIc d,-s Claberes ...... l&5,30 129,200 15,100 26,100 22,7C17 14,W2 19,W7 32,803 18,1OD
Nw+kms. cancer ...... 55,CC 42,92d 5,400 7,swl 7,SQ0 5,200 10,000 7,42a
C6- of Ow M2@mtwj S@.. Chmnc E5@2tcq Lka?a ...... 71,Et 52,000 Io,wlo 12,4LXl 9,640 6,100 6,5W 13,WI 11.3WI they of be tgwm
C.mbpaben,, ...... 287,% 245,420 15,6W7 26,800 30,200 22,9X3 31,430 56,902 27.900
CWe32mof W tmd mld blcwihrmg -s Agenda,,,,.,, ...... 66,1C 54,413D 6,71XI to,wl 5,200 10,024 12,4KI 7,9W
=~:hti: and . . . Bedwles,,,,,,. , . . 22,4r 32,?043 7,334 C4ndtmnsolherhim ataw E&ma,,,,,,, ...... 217,2C 179,000 10,W3. 24,WJ 27,524 19,4w 24,03U 47,2rM 21,420 Wney Owbfe.. . . 122,9r 109.m-m 6,$K10 12,W3 9#x7 10,7w 26.302 13,3W
Nom ($ thusn Cm-.mns Total,,.,,,, ...... 6,7( . .
\, Table 24. Number and percent distribution of nursing home residenta by dependency in activities of daily living and index of dependency in activities of daily . fiiing, according to selected health statuaes United States, 1977—Con. m“.”...”,. :...... ”....., ...... ,---- -P- !.-! !., !!! -!!”! 1!.. .1 .CIW IH.rlg lnaOx 01 depmdelmcy in mdwhe$ d dady lwgz
Not I depnndnri Oe nden :;;:~;k Cmbnnme- DepmdeDt y Fx&?j! Requkm ~r.a:;nl Onpendmn I;re::ngr Healti status, IV ReqWas Rwrns Dependenl in ba!hmg, Oemndent asswame, w vm%&#ei Reqwes In:;ly!l ratients IlsSMnca ass4staw3 W#y 6SSMWS U51ng 12 let d~tg, in using on’; 4 In baOdng In drewq In eabng room, addolond %$ i’! I t%;! #L!I. I $B I Other Met mom :nddy aclwdq addlhonal chaiifast mohddy, ad(+!-anal @Jw acdww or bJfa6t c0nbnenc9, actwny m eating achvl(y
Percent dl$nkulh Tntal ,,,,,.,,., ...... 100.01 863 69.4 I 5251 66,1 4531 92,s 9,6 12A 12,2 0.5 9,8 15,6 23,3 0,9
. . 1W.u 90,2 74,0 50.1 75,0 49,6 36,2 5.8 9,9 11.1 al 10,{ 17,? 26,4 9,4 103.0 70,B 46,9 2&5 24.5 27.7 20.5 a2 222 17.7 6? 12,~ 100,0 79,1 55,9 20,4 31.6 32.3 19.9 47.,,,. 0,.,,= . ,.0,=,= 1000 07.6 . 756 46.9 43,9 51,2 36.4 20,3 1W,9 69.5 45,4 24.8 42,9 26,3 16,6 220 22,7 17,4 0,: 9,2 03 1009 62,[ 39,3 2&5 242 24,7 152 323 222 12,1 12,0
1090 202 756 566 723 511 36,0 691 10,1 I 1161 901 10,6 I 16.!31 27.7 I 3,8 lCW.O 239 725 52,6 69,6 47.6 25.6 11.61 14.21 1031 17.01 2!.4 I 103 103.6 91,t 76,1 56.8 69.8 51,9 36.9 5,5 10.1 12,6 9,~ ‘ij Is: 2at 8,7 woo . 76.7 56,6 238 53.5 31.2 19,6 15,8 y 16,9 127 190.0 95,8 87.2 79,3 902 64.3 59.4 6,4 101 24,8 408 6.0
1600 91,2 67.4 48,2 65.4 39.5 20.6 . 1000 33,9 . 36.0 5L,6 73.3 45.5 27.4 zma
10QO 816 648 440 47.1 431 32,4 1551 mll 1431 631 6,1 I ?0,6 I 2311 68 1699 . e65 81.5 590 59.7 65.1 47,4 34: 1lw.o 614 396 15.5 20.2 17.6 109 Z4g 224 ,7. 1W9 927 916 656 65.6 579 48,9 59 ‘ii “
Iwo 09,6 76.9 632 632 284 262 13.1 10.4 180 17.7 127 !36
12.).0 654 rat 668 @so 538 47.9 . . 339 . k&d99 PL3s.3nlq% and
Hp fnc4n* ...... 12C.O 69.7 81.9 73.7 463 29.4 26: Otfwrtam from...... 13.{ 27.6 Iwo 942 77.4 599 :.; . . . , . Em=o .=@ m
m31a4ws...... 160.0 W9 62.7 44.3 361 364 25,5 99 17.6 t36 7.4 100 t5.B 15.6 112 Nq4asans C=3nm...... lIM 0 . . 872 ES4 51.2 669 45.s 33.1 . . . 2S6 3a0rwim6ar, tf@@lmw. Table 24. Number and percent di~buti~n Of nursing home re~idente by dependenqr [n a~~fies of daily rwing and index Of dependency in acfivitfea Of daily living, am%ding to selasfed health status& United States, 1977—Con.
Heailh sIA!w R- R+- re&5 mkmce mMm&T indtig
I I
PRIMARY DIAGNOSIS AT IAW EXAMINATlOi+LZn DNwr dwmmw q“ D,eases of NW ,qnralrxq system , Total .,. . . . 160 T7.5 56 995 592 w! 16,8 19: D(WWJSSunknwm
To!af. 136 751 55 4i.T 561 23 201 16 19 7.5 75
CHRONIC lllNDIT[ONS AND IMPAIRMENISI
0,s%s of the Crulamrv system
ml 963 75 561 72,0 51 64 11 93 66 m 851 69 503 67,4 44 9B 1: 12, 93 96 196 957 87 146 87,5 m’ 4 6, 80 7.1 . 169 976 62,5 932 % 164 .666 % 530 706 46 72 12, 12 92 96
m 71.5 50 294 226 22 24,6 a 16. 79 61 100 92.6 82 e69 TO 9 61, 52 6 7. B4 89 m 93.3 83 658 722 61 9 61 86 Iw 609 64 371 393 37 1% 1; 16, 66. 67 lW 67.7 41 255 423 25 27,2 16. 19 . , 100 961 73 56,0 693 46 69 10 16 93 9.1 Olhe, chmnm cnti,l,ons and lhwanrnenrs
136 69.1 71 522 751 42 61 11 12 9 2 11.s
. 166 992 75 604 894 51 11, 126
m 95.1 66 739 892 61 5 6 T.0 7.6
m 64.2 72 657 916 45 15
m : Table 24. Number and percent tistribu~~n of nursing home re~ident~ by dependency in a~tivitie~ of dai[y fiving and index of dependency in activities of daily Iivil 1, eccordh39 to salected health statuses United States, 19i’7-Con.
0+ Index of $pendow m actrwl!ss of & I Iwmgz
Dqmndent De nndonl ~,&y All R6quir6s ,“ Eathlng, De~denl Hnal!h slatus drcclg, residents asslslanco awitam U4ng WTat Doer% In bathing In dressing all 6 addtioral l~~lo:yd 1 Wbvities aoriwy ac~ B’- I Percent dlslnbullon
. 10L 952 62,8 856 551 . l.! 17.1 41.: iO.6 mod E 64t 42,9 62.4 34,5 . . 17.1 134I 86 65,1 463 67.9 45,7 90 14,8 10, 0,6 7, 14,1 21.; i45 103 88 72 c 55,0 511 66 $19 10.: 9,4 6A 17.1 Za 96 100 99 m 62,6 % 526 $07 9.( 9J 18,1 22!
told 97 90.? 623 69,1 245 . lid 29 2a (
Acu~cu~ !xkorungs, and
Hpkchm,,,,,,,,,,,...,., too.( 92 71,9 92,4 65,2 49 5. 0,0 15! 25 27 I 11.2 o!h?ikm9hati”re,, .,..., tool 92 % E6,0 61.2 453 17: 22. 23! Endcctme, nwnbmal, ml melatak dlsea~ Cmb+tes ...... ml 87,, 662 52,9 696 445 7.9 138 12( 7.9 to: 17: 21.’ 95 Neaplasms’ Cmcw.., ...... mu 86. 675 51.3 702 46,1 6.5 t24 12 t &, 151 23,1 116
Dseases of the respmbrq
%% Wpuatwy dnxase...... 103[ 921 622 46,4 66.9 41.9 125 14.4 11.1 7,1 7! i6 ( 18.! 130 Diseases of the d)ombve Sqwm Cwsbpabon..,...... 120( 9i 1 703 240 768 55,6 5.1 8-6 9$ 7.6 10( IB: 3t,l $9 Dwasas of W bled and blocd.form~ organs Anwnm,,.,, ,.,,,,, ,, . Ilmc 63( n.o eoz 747 46% 94 143 7A i4 : 17( 22,1 110 km of he tin and subwta”ewts tlwm Bed$m-w ...... 1000 !3V 932 885 952 729 ml 55! Cmndtins oth+r rhan ah E&ma...... IDDO 63( ;:: WI 146 520 45 lQ.5 Ij.; 83 to: m: 25: 92 K16ney boub!e...... Iwo 94.1 675 725 672 6.7 16 8: 19.! 3s 99 ho cd these Cwd,bclls . 51$ ,
. z ,“,xm,n ml m, Cmssmbre mm a-q 0! mse (aqQms Table 25. Number and percent distribution of nursing home residents by selected health servkes received, according to median length of stay since edmission, level of care, and index of dependency in activities of daily fiiinq United States, 1977
LWel Of ~ dufcg last 7 days hm’ex 01 depemfemy In achvmfs oi daily Itir.g. Nwsmg Not & nda care :~aJee: ~ M&n I@’W+nt 7:9, in batlmg, peperde”l Iengkh Neither Cq8ndent dmssmg, dressing, ,n&diti;y W& of shy PIllslng io~th;m Us,rg Resdeti kdfth sa,-iia Ce#”ts *C, Penond USmg ~~m~:t oe”q~ t.alet Olher tcdet and 1 _ a$n;;~n fnlenswe Other ~~ peHnal actrmly addtional KC’m, addomal m~l~ care ach”dy %7 m%~, adiwrq a:dlbld caomerwe, addl!lomf or m!mg acb.liy
ANimallhsavms., ,,,, 1,303,160 597 571,400 530,202 137,3WI i3,800 124,500 161,000 153,900 i 10,.4EO i25,2ao 2a9,660 502,?40 116,434
i7me snca last F41WW. wit Ls than 1 week . ,., ,. 2S6,500 50s 131,CC0 111.360 25,900 31,690 31,5m 22,526 29,700 44,366 62,2W 24,S00 lweekfo less Ihan 2... ., 219,CW 100,4W 91,510 25,000 25130 S36CQ 19,!266 22,100 29,369 61,039 19,700 2 weeks to Iesso!nll 1 month . 370,CC6 % 169,960 147,700 5$400 39,590 44,324 %7,600 35,200 34,969 93,7W 35,400 lmOnthto less than 3.. . ,. S91,109 729 120,000 121.s00 46,300 39,W6 33#xo 26,109 24,5!Xl 43,960 65,tW 25,109 3 N1311!sOI Ibsstian 6,. . ,.: 53,290 810 17,340 24,100 lfgLl: 11,s40 7,22.2 ty 6,9W 6 months tolessomn 12. . 2390 1,00: 6,2W 9,963 1 year or mom .,.. 17,503 6,51YI ,. NO phywmn VISIISwwe enten~ lacd,Q’ 56,766 1!32 19,6S0 1% 16,704 7,590 6,7GU 6009 3,469 Msdun time we last plywian ws$,” days,,. 16 16 .,. 16 22 31 19 21 16 19 15 13 16 18 7im9 betn’m” 13s(2 physkxn ywqts Less than lweek,,,. ,,.. 83.990 319 43,2Cil 31,.990 5,3W 6,500 3,240 7,399 9,460 6,260 1 weekln less 61ar12. 10,3W 24,.X6 89,000 472 46,440 34,590 i%! 7,569 8,900 9,700 6,190 9,309 17,2W 22,5$6 7,s00 2 weeks to less tin 1 rrmnth 367,490 646 169,540 153,690 45,36a 25,4C6 39,400 41,000 90,790 61,~ 36,596 1 monfk 10 less than 3 . . . 35,209 95,6W ,. 470.OW 212,500 194,1E0 59,500 36,900 5j:~ 60,600 46,300 46,2W 40,196 3 rnonlhsto b Ihan 6 . 71,2W i 14,3W ,.. 61,2W Td 17,000 30,3CQ 12.500 6,900 10,400 5,400 3,5ca 19,6C6 6 monlb In 13ssthan 12 ,.. 23,290 1,0!35 6,800 3,600 6,600 Li’40? 1 year O,mm ,.. ,,. 23,909 i,om 9,800 10,400 Not mewed 2 ptqsmian .&& s,ncs entenng fmdi~.. . ,. 122,690 1s5 46,400 51,900 27,9241 17,WI i9,9w .16,100 11760 Iz,m W,.xm 22,109 19.206 Wm65 gwen al M physi.an w.5 Exammbon . . . , . . 1.101,799 610 496,3W 452,5043 144,300 3,6W 92,330 124,400 130,9W 96,X3! 105,700 175,2$9 265,503 lWW~ Tmallent.., ,,. . ., . 166,600 579 65,%6 73,300 16,460 14,700 18,$00 m,lLm 17,306 21,100 29,460 Fmsc,ipmn.. ,, . 45,106 7S2,936 FA9 369,4c31 324,000 99>364 62,5IXI 32,400 93,220 6S,666 76,@410 .Im,m 1sS,760 7?39 mm forIltmtorfWI,.. ,, .; 243,7L-4 573 114,400 1;$:; 26,364 19,4s0 27,9W 29,WI 21,700 23,260 39,1CQ 59,5W 22.709 Oihwswmc-es . 72,S46 494 32,500 12,S40 6,900 6,3W 3,90U 7,900 9,100 12,72+ 15,100 5.360 Lcahon of lbt physman visds Oulshie racddy 169,300 570 46,1MI 79,2Q0 40,000 29,520 36,300 27,?03 15,760 11,900 17,606 16,3Cll 14,5(IQ lnsrde lamp ,. .“ ‘: 1,077,190 625 565.7WI 433,300 1L%1OO E.990 ~,613.1 117,300 125,X6 90,s&l Ioa,fica 177,736 2r3,m !%100 ~9ment forF+wsIaanseiness Phywian on call 169.6W 745 6t ,700 67,964 35,300 24,300 25,960 24,230 14,200 15,800 21,300 29,9C6 13,3W FV3@6ariy@Ieduled phys&n wsk ‘: 1,057,$2U 599 464,4@0 435,CJXI 131,2u0 8,CUD 83,500 124,300 12.5,2U0 91,400 1w3,200 171,000 m1,3m 97,2? Oihm anangemaw, . . . . 19,900 417 5,700 0,094
Employment sraius o! phywms Pm@e phywxn, ... ,, 3Z7,900 S26 375,200 220,700 i06,3Ml 59,800 SS,300 102,900 71,334 37,1L13 135,W2 2CG,403 pkwc,an amgnti tw or works Iorfacalty.. . 336,7cnl 630 164,8Lh3 I59,1OU 5s,460 4;51Jj 46,2J20 47,534 32,@J10 36,340 55W0 25,100 Other stahIw . ,,, ,. 32.766 A 11.YJ31 14,760 5,700 .1 5,320 seerw,lme, a elm .1 law
(n w Table 25. Number and percent tisttibuffon of nursing home ~esirJenk by sel~~t~d health SWVICW rece~ed, sccording to medfan length of etay eince admission, level of care, and index of dependency in activities of daily living. United States, 1977--Con.
L0w201rmd ng IFA 7 * Index, C!JVIUESd d Nur3mg Nat de$etient Medmn KJ$’ Iknqlh Nether lnb&b:gh of shy num”ng using ‘ 71e6Wenthealti wwca Pers0n31 usm~ since --T--- w rodet Gih+P cme a.$luswl Inlellwa Olhar per-anal mom, m days and 1 m%lJ, addt~l combnemce, u eating
71)EWWs.wm@ NO therapy mime dwmg IISI months...... 847,t 00 S-N ---1-357,800 360,91X 9,eJl 91s 109,100 13%,X 71,m 6s,36[ 122,3d0 Zol,lot 74,606 lhwnpy swim during last mmOII,...,,..,., 456,000 5$ 213,W16 170,2W 6s,30 33.S4 Swlo el,70 39,40 56,30( 91,WJ 10U3C 41,E06 Physlc310M ...... 176,2+10 35 96,4W 85.9W 17,30 12300 11,20 14,3C 30,6Ci 40,900 St,zoo 15,W9 Reueauonal%?eqy...... , ...... ,,,,. 2;;30; 301 118,763 98,6Cnl 4W 20@ 32,400 32,S4 24,73 29,7C4 42,724) 53,7W 24,136 Occupational Swapy,,,,, ...... 541 W& 29,4y 10,4W S,OD 9,240 O,rr 9,7C( Is,q 15,50: 6,90? Wcahaanng thefapy, ...... 13AID 25! Oaunsaimgby sor,ml worker...... 91,400 531 4i3J30 37,, 11,4W 7,2D t2,600 to,rr 7,70 9,30( i5,cfr3 20,490 3,300 . . CQWsfIUWVj mwd+d heailhwker. . . . . 47,s00 6,10 6,24 Real(ty afmnlabon ., ...... 86,5MI ;: 48,W0 32iilo 5,46 7,m tl,rr 6,6( 10,40[ 13#oq y27 7,700 Ovlef ...... ,,,,, 23,200 47$ 9,4C4 490Q
Gtlw IMOh wtis Flu shot WOWIIlast 12 months,, Rewved...... Lo% 232,$10 230,030 79,90 71200 65,’X S7,w 4S,LW 79.400 Clo,wo 43,CU0 Chd ml rwwv ...... %% 991 lt9,71m 115.469 42,03 %% azl~ 97,4C 21)X 24,334 42,1? K@ 29,2f9J %htti Mb$nks\9mnti .,,.,.,... Z3,wrl 92s 9,400 10,800 5,600
735,690 we 267,163 298.900 1.35,34m t3Eo e3,e4 16J,5& ewr em 74,W4 104,030 123,34K 59,iol 567,930 % 364,W 233% 52,2Gil 36,92 44,80 50,KX 90,W3 169,340 57,WI 135,162 46$ 34,7WI 14,934 17:760 w 20,3C 16,X4 2s,230 423M 21,WI les,m 79,0v3 76490 1$% 1:5 22,760 19,7C 13,6c 15,7N S3,wl 34,KW Iwml 10s,6$0 E a,orm 33.499 5,50 g,lq 20,63Q 49,37X 7,5C$ 40,42al w 16,13+3 18,230 tilw 5300 5,% 6,960 ,~w& 44,4W 601 22.3rm 16,290 5,933 5.3a0 9.4WJ Iowxl 63i 61,$W 32,360 7t7c6 5!960 5,10 7,K9 16,600 4(6CC 9,6432 * IcamlRs m ad .31tam Table 25. Number and percent distribution of nursing home residents by selected health sem-ces received, according to median length of stay since admiasion, Iavel of care, and index of dependency in adiiities of daily Iivin$y United States, 1977—Con.
prh& Arl 0! slay Residmf health WVhe residents ~iw adrn.ksum i“ C@
Percanl drslnbuhcm
Allheaffh sewmes ...... 1090 . 100.0 m 0 Icilo 120,0 160.0 Iwo i6cL0 too.o 1640 1Ce.o 106,0 100.0
I
77me mm M physm.mw L&ssthan 1 week ..,, . ... 206 22,9 20.2 138 170 19.6 198 23,7 221 20.5 21,4 tweek101n55 thar,2,. 16S 17,6 17,3 13,7 t25 162 161 17,6 147 29.1 169 2wee!6tm le5sthan1mnnfh 26.4 29.7 27.3 26,2 2i 9 24.5 27,8 29,1 315 309 395 1 mondhmle$s 1h6n 3. 223 21,0 230 24.: 236 247 24,0 19,6 211 Zf .5 21 ~ 3 monfhstnlessltmn 6. 45 3,1 45 89 72 4.$ 41 23 6 months In less Ilmn 12 .,. 17 11 17 3? . i year orlmne ,,, ... i.3 i4 M phqswan wsos s(”c? ente”ng faclhfy .f4 H 3,3 89 11.4 47 41 3,9 23 Medm timesme M Qhywm mtmdsy s...... , ,.. iime MWM last 2 physIcu” W& Less thnnl week, ...... ,,, . 64 7.6 60 4! 49 53 5.4 75 54 62 7,0 lw&lnlEs51han2. 6,0 8,4 67 Zwwkstolesstha” 1 nlclifl ,“ . 2;! # 2:2 2:; 204 2:: 2; M 30,2 3!: 33.1 1 monhta fess Iha” 3 261 ., 372 366 91,7 313 363 391 369 35,6 377 345 3mond!sinlWtka”6 . 47 30 57 66 71 5,9 66 4,; 35 6m0nlhsf0 Iesstha” t2 ,,.. . !6 12 36 4.: 1 yaarw more.... t8 1,7 H Not rmx.wJ 2 p@m,a” w“di smca enfmw fmhly .,, 99 6,1 93 14,9 14,2 124 101 10,0 91 73 69
S+$#&#mwe: al M Physctan wst 45 645 . 869 2.5,9 766 62: 744 679 Trealmer6 .: ““.: . .: 3sd 823 84,5 86 i 87.5 145 . . 167 19,6 119 152 PW4mpim” . . ,,, 11.7 126 168 145 162 668 . 285 5!: EJ32 555 587 61,4 620 E6; 564 C7dem for Woratov tests ., . 187 . . M 182 140 156 173 187 i86 192 195 oo19rs91Wes ...... 56 5,7 50 67 55 52 52 65 62 5,0 45 Lc#mn d last phyman W, Oufsde fac,l,fy . 130 149 213 23,7 125 Ik,sdefac,l)O# ,. ., . . :“ 225 171 327 . 6:,; 617 626 502 24.9 728 708 8:: 8;: 9:,: 24,3 Auargamenl for Physman -cm. Phyman on call . 130 106 126 183 19.6 161 15.2 t26 105 i14 Regu!ady tieduled ;hys,.aan twats 811 . 346 62 Z 699 835 Olfmr mngenle”w 42! 67.! 772 79.0 625 640 3+ 15 . 10 17 Employmerd status o! phy?mam, PTwate physaan @35 26,7 M9 577 401 61,7 648 346 666 87< 62.1 -n =wfn~ by or W.5*5 for facaltfy ,,. . 297 293 300 311 31.4 Otha’s!at,ses 249 302 299 293 270 284 25 2,1 2,6 56 35 .1 18 3%, fc.atmtesa, end d tam m w 07 02
Table 25. Number and percent ~stribution of nursing home residents by ~~l~~fed he~lth se~i~es ~eceived, a~~~rdlng to medieff length of etay since admission, level of care, and index of dependency in activities of daily fiving United States, 1977—Con.
Lm61of cam d, g Ibsf 7 days wndomq In aC~ti65 Of di , Imgl Nursing C+mdenl De kmt kltib~k!:: , #dN# Nether R%% using nurww u%M\ ~“T6n( frewknl kalol Sm’ca rei%ts T PerKmal dree;fy Mat CNher Cam Manwe pm!% achwes Oow 3dMi&3f m~$, we %’! a.ditbmf addlhomf I T aw Wf@ II Percent Wm$nuon
711LWL!Y mm
No iiwqrj WIVICe dwq 13s1nwnth~, ...... 65,9 6s6 63.6 7t2 7s5 67s 63.1 64.3 ~wy-dmw mat..,,...... m 0 37.4 36.4 26,5 32.2 3;: 35.7 Nv9cal mw~...,., ...... 19,7 16.9 7.6 f 3,4 Rwfmbenal lJOllw...... 209 2U.8 % W.5 26.1 m:5 20.7 @=ww=al time...... 59 :: 5.$ 4.8 56 55 T.! whwkmmfi~~ ...,..,.,.....,,. : Wlw4ng by Wual Wcikw...... ,,,.,..,.. J 7:4 6.i 5.8 79 6,7 7.: . Cum2Slql by nmnld fw,iul Wxkel ...... S3 5,0 Rea61y.w3nw3n...... ,,.,.....,.. :: :$ 2? 4,5 7,: 67 : olhw..., ...... 1.7
m dx.1 Wi!hnl Iasf 12 mlhS. frecdwd...... 4t.9 40,7 4Z1 497 442 410 269 M Nlt mcSiw.,.,..,..., ...... 21.7 21.0 22.9 m.? 19.9 23: 25* . f%lht ih MfhiII 16sl 9 llWlthS ...... 1.9 16
S$ydflm$ Iksl 7 l!sys 50.2 723 Iceo 752 655 500 SF.3CMw ...... 2 49a 27.7 24,6 245 % 492 LMI smwI.,.., ...... 142 152 7e 6,8 11.0 t5.4 182 Cb2bebc..., ...... 125 122 9.0 9,5 14.1 t24 14.0 64 So...... ,,...... ,...., 78 11.0 38 35 Wght his ...... 9.1 . 28 32 33 35 8!.31H2...,...... ,...... ,..,.. 54 31 36 62 Cm16T...... 78 1:? 4.1 26 w-w. .nsldefed .1 demwent *FWFQ=O %T4.ld. *“IS W+l.aVmmCk.,-dml m, stzmnctc.1 111
—.——. — Table 26. Number snd percent dfstdirsfirm of nursing home residents by soci~ con~~ and @MWS, accorting to age, mce or e~nic~, marifaf status, and median length of s2sy since admissicox United States, 1977
Age Race or etbnicity Maifaf SfSfUS ;!$ l:n# Afl Wbffe :~fak WKfOWed, SOW Wntsot and as@ Under 65-74 75-64 65 ysars Hspanio Never rseiderrfs Msdian [not Mm”sd chmxd,or admrreion 65 yesrs years years and over and OfhW m3rdsd f-ffspsnic]i Hwic) Sepsrslsd. in days
Number Number
Total...... 1,303,100 177,1C0 211,400 464,700 449,900 ai 1,200,900 81,400 Zo,eito 155,400 896,200 249,500 597
VISfTORS RECEIVED @glJs@y , None...... la2,30a 38,100 3a,700 50,100 37,s00 140,200 17,900 6,100 96,500 57,700 eL12 Daify or ‘weekly,,...... 81O,3CQ 78,6M7 I17,000 S04,600 310,000 759,300 39,300 11,600 t26,100 5a2,600 Iozfmo 466 . Ocher...... 330,600 60,400 57,700 110,000 102,600 3of,400 24,300 22,200 219,200 69,200 820
. . Spouse ...... %? ...... 91,22a 13,900 29,200 35,000 13,100 24,000 6,100 67,200 . 2a3 . Chddrsn..., ...... 655,200 37,400 82,400 260,500 275,000 620,200 26,100 9,900 93,200 556,100 510 Ofher rslabves...... 664,alxl 98,700 99,600 230,400 236,300 6t9,6J10 35,700 9,300 67,400 449,900 147,5U0 621 Other persons ...... 547,00a 64,100 a4,i 00 201,300 197,500 507,900 32,100 7,000 64,400 362,400 Ioo,loa 602 PARTICIPATfON IN RECREATIO~NATA::fX~ES DURING Ins!dw taubtv, Parficipatsd ...... 653,20Q 126,400 I36,900 296,200 267,700 7a7,900 52,5)0 12,800 90,aoo 5a4,500 f76,100 619 Did not patficipate,.., ...... 449,900 48,700 72,500 166,500 162,200 413,000 29,000 6,00Q 64,800 3i3,aoo 71,400 556
408,1W 69,800 71,900 133,2001 113,2001 360,300 zo,aoo 7,000 44,409 265,700 9afloo 594 . 276,400 51,300 46,300 93,300 85,500 2a2,500 10,000 33,700 192,200 50,500 546 . . 123,3C+I 30,700 27,100 40,100 25,300 117,300 10,300 79,900 3s,000 648 . . 66,500 17,900 10,700 23,100 16,2700 63,000 5,900 41,200 21,400 751 . . , 45,700 10,400 7,900 15,800 11,600 44,500 29,600 12,000 654 . . . 33,400 8,000 6,500 9,600 9,200 31,500 20,800 9,900 607 ,.. . . . cOncsrts...... 34,600 12,100 7,000 6,600 7,200 32,500 16,&10 13,300 892 Aftended arts and . , . . . . Sraffs CIS3S$3...... I 1,aoo . . 10,200 5,700 613 ...... Went to bray...... , ...... 7,700 , . 7,000 673 . , . Wsited museums, parks, fare.... 50,100 16,200 7,500 14,200 10,300 44,640 26,000 19,500 801 , . Went for a walk ...... 106,4CN 29,300 21,aoo 32,000 2s,200 99,900 Io,ano 62,700 33,1O+I 673 . , 0therac6vilies* ...... 80,100 21,100 14,600 24,600 19,700 74,700 7,200 47,300 25,700 644 Did not parbclpate12...... 895,0(?4 67,300 139,400 33t ,500 336,600 620,600 60,600 13,300 I11SK70 632,500 151,500 597 Illness or dwabftii ...... 469,0Q0 41,100 66,500 173,400 18a,ooo 432,300 29,200 7,500 54,500 336,000 67,900 a26 P,ti.oipated ,in acbwhes , ms!de facddy...... 161,800 20,200 21,200 59,000 f 48,700 10,600 20,664 112,500 26,640 626 61,400 , Refused, not Inrferesfed.., ...... 203,900 19,600 32,200 74,500 77,600 la6,000 14,100 19,200 145,800 38,900 773 Confused, dmierrted, , frightened ...... 150,200 10,100 18,100 56,700 65,300 136,000 10,600 17,600 109,900 22,400 763 Behavior problem ...... 6400? 11,100 . 11,400 59,300 14,200 73: 13,000 26,600 34,000 75,300 7,600 , Cannot affo[d the acbvities...... , . . . , . . . No one avsdable . to accompany., ...... 1Io.txlo 11,400 21,400 36,600 39,200 97,500 10,800 6,400 81,900 20,400 616 . . . . Lack of Osnspomdion...... 25,600 10,300 6,700 22,300 i6,30 o 6,900 627 .1 , , Recsnt admission...... 40,500 5,464 6,100 16,000 11,200 36,500 7,700 27,600 5,300 , . . . Other reasons, ...... 52,000 9,700 18,600 19,200 45,800 34,900 12,600 6:! % kmmotes at end of table. 8
Table 26. Number and LIercent distribution of nursino home residents bv social contscts and activities. acsardina---to aae. race orethnlcitv, mariial status, and median length of stay since admission United States, 1977—Con.
Age . Race or ethnrm~ Marital StatUS Med7snlength All white Black Widowed, of stay since Social contact and acfiiify Under 65-74 75$4 85 years Hwpanic Nsver residents ModIan [not Msrried dworced,or admission 65 years years years and .m’ar and other 0mrri8d Hispanic), H$+ic) separeled] [n days
Number Number
OVERNIGHT LEAVE DURING ~ST 12 MON7HS , Took leave ...... 138,7oo 33,500 25,400 46,100 33,700 6,5oo 14,eoo 31,500 657 Pltux . . Own hems ...... 12,000 . . . 10,400 . . 322 Home of family or relahves,, 111,100 24,3oo . 22,600 666 18,900 37,400 308500 103,200 6,000 9,500 . Home of unrelated tnenda ...... , ...... Olher plsceF.I...,,.,..,...,,.., 10,600 , 10,200 962 Duration of leave . , Owrrdght, ...... 64,200 13,500 12,100 2t ,300 t 7,400 56,200 6,000 14,300 606 . . 36,eoo 10,800 7,00? 10,500 6,500 33,600 5,200 7,800 640 . . . :.$QS!.!!!Y!.:::::::::: 20,900 5,300 . 20,000 5,600 703 . . 7,90? . . . , 7-13 days ...... 9,900 , 9,000 ee4 . . e. 2 wseks or more.., ...... 6,900 . . . 6,900 I,200 Month of leave .kanuarj .,..,,..,,.,,,,,,,,,,,,, ...... Fehrusry...... , , . . . . . Mama...... 5,300 . . . . . : . . 712 . . . : , . APIA.,...,,..., ...... 158D00 5,700 14,000 565 . . . . . May...... 17,100 . 6,000 . 15,700 466 . . . June* ...... 35,900 9,600 6,500 11,600 6,000 32,500 6,200 574 . . . . . Jury., ...... 23,800 6,400 6,500 21,900 7,10? 703 . ● . August..,, ...... 9,500 . . , , 802 B,Zoo . %ptember...,...,., ...... Maker...... ,...... ,...... : . s , November ...... ; ; . December ...... 18,000 7,600 i 7,300 606
D!d not teke teave*2, ...... 1,164,400 143,700 t85,9Lm 416,600 416,200 1,073,000 73,060 16,500 t40,500 21e,ooo 566 Reasm Illness or disabddy...... 573,800 56,eml 80,000 22e,600 534,300 31,400 6,000 s.t,eoo 84,400 602 206,200 . Relused, not infmested...... 1SD50Q 19,2(!Q 36,30$ 68,300 72,700 177,500 10,500 19,600 37,000 7e9 Confused, dwxierded, , frightened ...... 163,7(T3 11,200 21,300 61,900 69,300 151,000 11,300 16,400 23,104 744 , Sshav!er prebfem ...... 113,800 19,600 16,600 35,900 42,309 Iol,eoo 9,100 t 3,900 22,200 665 No place to go or no peepfe to wsd...... 33i,loo 5B,40Q 62,100 106,500 104,100 295,oOO 26,800 7,300 21,2/30 96,EO0 784 , . . . . kmk rd trarwpwtsfion...... 27,700 5,400 11,300 7,m 24,200 6,6s4 769 Cvemight leave bbidden by laws. reguferkma . . , , w payment F.@ ...... 26,6+X . e,soo 5,860 17,800 455 f%ernght leave dmmursgsd by Ldws, regulatbns, . . , , . orpsyrnen! pgcy...... , 16,4(HI 6,000 6,XPI 15,500 6$9 : Recent admiesm+f...... M,m 7,300 10,600 29,700 16,800 59,(KII . 12,700 7,9CQ . ~er reascmst.,...... 84,366. 10,3W 13,400 31,SD0 29,2IYJ 76,400 7,400 10,900 13,000 4%! Seefcdrmtes atend ottable.
—, Table 26. Number and percent distribution of nursing home r~identS by soci~ contacts end activities, according to age, race or ethnicity, marital status, and median length of stay since admission United States, 1977—Con.
Rats or ethnicily I me Mm”fat status Median length All Wde Black VA’d6wed, O:;yms”ce Sodal contactand actimty Under 65-74 75-34 85 yearn Hispanic Never residents Median (not (not Married dfforzsd,or 85 years and other m’ed years years snd over iiipamc)l Hqanic) SepriraI!+-Jl in days 1 , I Percent disfnbution Percent distribution
1000 100.0 100.0 100.0 100.0 ,, 100.0 100.0 100,0 100.0 100.0 100.0 .
VfalTORSRECEIVED &glmJqy . None,, ...... 12.5 215 17.4 i 0,6 6.3 ., 11.7 220 52 10.7 23.1 ,,. O@ m weakly...... 62.2 44.4 55,4 65.6 68.9 63,2 46,2 56.6 30.5 64.9 41.1 ,,. . Other...... 25.4 34.1 27.3 23.7 zz.a 25.1 29,a 14.3 24.4 35.7 ,.. ~ . , . Spouse, ...... 70 7.8 13.6 7.5 2,9 7,0 7,5 56.1 . . ChAdren...... 503 21.1 S9.O 56.1 61.1 51,6 30,6 47.8 60.0 62.1 . Other relatives..., ...... 51.0 55.7 47.1 49.6 52.5 51.6 43,6 44.7 43,4 - 50.1 59.1 . Other persons,.., ...... 42.0 36.2 39.8 43.3 43.9 423 39.4 33.7 41,5 42.6 40.1 . . PARTICIPATION IN RECREATIONAL ACTIVITIES DURING LAaT MONTH Inside facititw Partlcipaled ...... 65.5 72.5 65.7 242 63.9 656 644 61.6 56.3 65,1 71.4 . Did not partrcpate,...... 34.5 27.5 34.3 35.6 36.1 ., 34.4 35.6 38.4 41.7 34.9 26.6 . .
313 50.7 34.0 26.7 25.2 . 31.7 25.6 .33.7 26.6 29.6 393 . . . 212 29.0 21.9 20.1 19.0 21.9 12.2 21.7 21.4 20.2 . . . . 9.5 17.3 12.6 6.6 56 9.a 6.6 6.9 13,2 .. . , 5.3 10.1 5.1 5.0 3,7 5.2 3.8 4.6 8,6 . . , , 35 5.9 3.8 3.4 2,6 3.7 3.3 4,6 . . . 26 45 3.1 21 20 26 2.3 4,0 ...... concede...,..,.., ...... 27 6.6 3.3 1.6 i ,6 2.7 2.1 5.3 . Aftended srls and , ‘. . , , waftsclasses ...... 9 . . .6 .6 . . . . Went to fibrery...... 6 , . , . . . , . Vmted museum, parks, fa”rz . . . 36 103 3.5 3.1 2,3 3:? 2.9 . . Went for a walk.. . . . 8.2 16.6 10.3 6.9 52 6.3 66 7.0 1:: ,.. . . OlheracOvitiesl ...... 6.1 11.9 6.9 5.3 4.4 ., 6.2 46 5.3 10.3 ,,. 687 493 66,0 71.3 74,6 683 74.4 66.3 714 70.4 607 360 23.2 31.5 37.3 41.6 36.0 356 36.2 41.5 37.5 27.2 ,. , 12.4 11.4 10.0 12.7 13,6 12.4 131 t3.3 12.5 11.5 ,. 15.6 11.1 15,2 160 17,3 . 155 17.4 12.3 t 6.2 15.6 ,. . 11.5 5.7 8.6 t 2.2 14.5 11.5 13.0 11.5 12.2 90 . 65 63 8.2 5.7 7.6 6.3 93 7.: 6! 5.7 ......
. to arxotipany ...... 8.5 6.4 10.1 63 6.7 6.1 13.3 5.4 9.1 6.2 ...... , Lack of trensportat!on ...... 2.0 2,2 1.5 1.9 1.8 28 .. Recent admission ...... 3.1 3.0 2.9 3.9 2.5 3.0 . , 50 3.1 21 .. , . , . other reasons, ...... 4.0 4.6 4.0 4.3 3.6 39 50 See footnotes at end of table m 0
Table 26. Number and percent distribution of nursing home residents by so~ial contacts and a~~vi~es, accor~ng to age, race or ethnicity, medtal status, and median length of stay since admk.sion United States, 1977—Con.
Race m eihmci~ Mardal status Median length white slack Wtdowed, of stay since SOcIalcunbctand actiilty Hispanic Never Married dmorsed,or admission and other married tfia%c)l Hi&Aic) separated in days
Percentdislribuffcm
I OVERNIGHTLEAVEOURIN~ tAST 12 MONTHS
To:~ave,,..., ...... 10.6 1B.9 12.0 9.9 7.5 . . . to,7 10,4 9,5 10.3 12.6 ... own home ..:,...,...,, ...... , . . . . . ,...... Home of famdy or relatives,, 6:: 13.7 6.9 6.0 6.6 . 6:; 7,4 6,1 6.8 9.0 . . . . . , . Hems of unrelated friends,,,. . . . ,., . . . other placea!. . . . ,6 ... .9 .6 ... Duration of Ieavq Overmghv...... , . 4.9 7.6 5,7 4.6 S.9 .,. 4.6 . 3,9 4.9 ,.! 2 de a weeke 2.8 6.1 3,3 2.3 1.9 ... 2.8 3,4 2.6 ,...... 3.6 Fav t .6 3.0 1.7 . . 1.7 1:: ,,, . . . , . . ,6 .8 ...... 2 week!’ ,5 r“ ... .6 ,., . . , . . . . . !!. . . . , .,. . . . teoruap ...... : . . Marcl ...... ,.. : . , fy$,.....,.,...... ,..,.,... 1:: 1.2 1.2 1.2 ,,. , , , ... . , ...... 1.s 1.3 1.4 ,,, ... . . June, ,...... 2.6 5.5 3.1 2: 1.6 2.7 27 3.3 . , ...... July., ...... 1.6 4.-I 1.? 1.6 t.5 2.9 .,, ...... August...,.,.,.., ...... 7 .6 .6 . . . , , ...... September( ...... ,,. . ... ,...... , : . . October ...... , ...... November ...... : i Oacember ...... 1.4 1.6 ... 1.4 1.4 . . .
oi~m;o:ke leave! ...... 89.4 ai.t 660 90.t 92,5 69.3 69.8 86,9 90,5 89.7 .,,
Illness or disabddy...... ,.. 44.0 321 37.6 44.8 50,8 44.5 36,5 36.7 54.6 450 ... . Refuaad, not mtereated...... 14.6 10.8 14,3 t 4.7 16.2 14.6 129 t2,8 14.9 ... Cenfuatgd, disoriented, fnghfe Ned...... 12.6 6.9 10.1 13.3 15.4 12.6 t S.9 11.6 13.6 .,. . Behmk n problem ...... 8.? 10.7 7.9 7.7 9.4 6.5 tl.z 6,9 6.7 No Ph x 10 go or no ! to visit ...... 25.4 33.0 29.4 22.9 23.1 24.6 35.1 13,7 23.5 ... . 35.: . . L&’!%p:tmuaporta ion ...... 2.1 3.1 24 t.6 2,0 2.2 ... ~~ight leave for . . . 1.5 1.6 1.3 1.5 . 1.6 .
● . . 1.3 1.4 1.3 . 5.1 6.4 3.7 4.9 :.; ... 8.4 6.9 6.5 6.4 88 mA WSudes a small mhmber of unkn m 2L-i_El ,Numbm do not adti b totals be se mulhple respam were permuad sRefers oniy to orgmzed reuear.o.a! s3Mties Table Z’. Nursing home reaidente by selected nursing home cherscferistice and medfan age, race orethnicity, median length of stay since admieeion, primary reeeon for sare, independence in all 6 astiviiaa of daily Iiiing, and median time since last physician vk-k United SW63. 1g~
Race or ethnicity Me5ian Primary reason for care brde#edr&nse f(y~m ,% length of Mental home sfraraofa NUuqdymaf Mtian sow, Num”ng ~td; 6fack slay since Pm retardation, ph@an age Scovifks of HIsPsnic other admwsion ph:i~ menfat ilhress, ~~tim: dsify tiin@ Hispanic]x Hi$%ic) m days or bebaviord problem
Percent Pemsnt All nursing hones...... 1,3LW,1OO 81 92.2 6.2 1.1 .5 597 78.5 12.4 9.1 96 18
QyQe@fg I I I I I I I . I Proprietary...... Ses,srm 91.2 7.1 i.3 545 76.1 16 . 13.6 6.1 9.0 Vobmtmy nonprrdit...... 281,800 95.1 3.4 . 741 . . 79,9 6,6 t3.5 10.2 16 Government.., ...... 132,500 92.4 6.7 69B 7s.0 15.4 6.6 12.1 17 Cartlhcaoorf . Shlled nursing facitity onl ...... 269,600 93.4 4.4 2.0 497 63.7 11.1 5.1 5.5 14 . . Medcsre and Medwu“J...... 190,300 94.0 4.1 456 673 B.O 4.6 4.; 1s , , . Medicare ...... 17,600 92.1 579 02.7 20 . , , Msdicaid 61,500 92.t 640 76,5 t6.O 13 Skilled nursi;~”i~uii’ini’”’”” ””’”””’”””’ . . infmmdiate-sare Iacifily...... 527,800 91,2 7.5 533 82.4 9.3 6.3 7.4 16 Medicare SNF and Mediosid . . SNF and ICF...... S03,700 81 90.9 7.6 404 B4.7 6.0 7.4 6.4 . . Med!caid SNF and ICE...... 213,800 61 91.6 7.3 661 79.4 11.? 9.6 81 % , . . Marhcare SNFaxd Madf&4d ICF. . .. . 10,s00 77 92.4 617 766 Intermediate : .- care fauldy only ...... 36B,200 BO 91.3 7.3 744 75.7 15.6 67 9.2 ;; . . . Not certifkred...... 137,500 80 95.6 771 60.3 16.S 21.s 26.6 18 B&3Ea , Less than 50 bads ...... 167,900 60 95.4 3.6 745 6B.6 16.5 14.9 15,7 23 50.99 beds,...... 397,000 92.0 5.4 1.7 : 616 800 13.4 6.6 7.4 19 loo-199 beds, ...... , 505,2CKI :; 91.3 7.3 . 540 61,1 10.2 6.7 6.6 16 . 22iIbeds ormore ...... 2ss,000 80 91.9 7.1 . 0S6 77,2 12,6 10.2 10,8 15 krd!Qo Geographic rer$om . Northeast..., ...... 292,100 62 96.6 3,2 . 592 76.7 9.7 11.6 10,0 14 , Nodh Central ...... 449,400 61 95.6 4.0 . 671 77.8 142 7.4 21 . Sough...... 354,700 60 65.0 13.5 . 599 79.1 10,6 & 10.7 16 West..., ...... 207,000 8i 90.6 30 4.4 , 479 76,5 15,5 5.9 116 15 S!andard Federal sdmlnlstratiwe regrnn: . Region l...... 65,600 99.0 696 75.7 13,9 10.4 11,8 17 ; Regmn 11...... 136,300 ?f4.6 5.2 : 556 61.1 6.7 10.2 6.7 i3 . Region ill ...... 107,6DO 90.7 9.1 6S1 76.9 6.7 16.3 122 15 . Region IV...... 175,300 66.6 126 534 76.9 ti,9 11.3 10,3 Re[’ . 316,200 95.3 4.4 ; 624 77.5 13.6 6.7 7.3 z 142,700 64.6 11.6 . , 623 62.7 10.0 7.3 9.7 20 . i 15,600 965 . 795 777 15.7 6.6 26 , i , 50,900 943 602 71.1 22,0 l;.i 14 . He 124,000 66.1 5.4 . 462 60.6 13.2 62 11.1 14 . . . 44,600 96.1 . 427 63.4 12,9 14.9 20 We of Iacdlfy . Nursing aare ...... 1,113,300 61 91!9 6,6 10 .6 587 115 7.4 6.7 17 All other ...... ~ 169.800 78I 93,9 4!?. . .7, ,n” 4.2n ,R a 1A.. L 1 I 1 ., , ...... -. ‘Includes a small nurnbw ofunknowns. ?3alhmg, dre$wg, IHng toilet room, mobrl!tj. Continence, and eahng. U.knwms wme cansfderednotdependm forOmpurposeof Ih!sindex m Teble 28. Number and percent distribution of nursing home discharges by duration of stay, according to selecfed other discharge characteristics and discharge status United States, 1976
OursbonOf stay All SfSyS 1 month 3bm;rs 6tfi&ti 1 yesr 3 yews Median Lass than 5 yews to 1sss t;a:y to 1sss mrmbsr 1 mmlfh film 3 than 6 than 12 than 5 ‘r ’010 of days
AJldischsrgssr...... 1,117,500 375,200 234,200 124,900 t 11,700 156,800 6t),4C41 46,200 75
DEMOGRAPHIC CHARACTERISTIC
&
. , ● Undsr 45 years ...... 33,900 16,400 . , . 37 ✌ ✎ . ● 45-54 YsaLs...... 33,500 11,7043 7,400 . 66 . ✎ 5%54 yssrs...... 68,3W 21,900 16,900 10,5UO 7,600 . 70 . , ● 65.69 yesm...... 81,300 28,900 19,300 11,000 12.4W 62 . ● 70.74 yems...... 122,300 49,700 26,100 12,600 12,4W 14,WU , 47 75-79 yams...... 204,600 75,600 45,300 25,4L10 20,300 23,124 7,8CQ 50 60.64 years...... 241,200 61,S00 44,700 32,400 23,906 32.807 17,900 63 85-S9 years...... 210,200 S2,460 38,soO 19,300 22,700 37,srm 17,200 1%! 90-94 years...... 90,500 20,W0 13,600 13,900 9,400 17.300 9,500 . lE . . , . . 95 years aruf over ...... 31,100 7,300 . 379 Medmrr age in yssrs ...... 80 78 78 80 so 82 84 04 ,., @
Male ...... 407,700 14s,200 89,400 47,200 42,0Q0 4s,100 20,300 11,400 60 Female...... 709,aoo 225,SW 134,700 87,700 69,800 10S,600 48,000 54,800 66
Marital ststus at rischarae . Marked...... 255,9W 110,900 at ,200 31,200 21,400 2f,800 7,500 40 U$dowsd...... 828,400 196,800 I lz,aoo 73,800 65,400 104,700 45,W0 20,000 , . . Diworcsd or sepsratsd ...... 75,200 23,200 20,3w 7,4W 8,s00 : Never marm?d...... 127,200 33,100 24,WU w,30d 14,600 17,700 a,2w 10,500 lt3 . . , , . , Unknown...... 30,600 ll,too 78
Uve discharges ...... S25,500 2s9,400 171,600 103,500 82,SOO ioa,wa 41,300 20,200 6$
DEMOGRAPHIC CHARACTERISTIC
~
Under 45 yasrs ...... 32,400 15,500 ...... 45-54 yews...... ,., za,aoo 10,300 . , . . . ● 55%4 YAMs...... 55,000 16,100 t4,600 7,300 . . . # . ● 65.69 yams...... 66,400 22,8oo 15,300 9,700 10,300 . 70-74 years...... 95,500 42,040 22,100 9,700 7,900 10,200 ● . 75-79 yearn...... 159,700 83,200 36,200 19,400 14,WI 16,400 . . 80-64 years...... 171,304 61.200 32,s00 24,900 18,600 19,300 11,600 . S5.L19years..., ...... t 45,200 4a,aw 27,000 14,700 17,200 23,900 9,500 ● . ● 80-94 years...... 55,500 14,500 8,100 9,500 11,100 . 95 years and over ...... 14,900 . , . . ● . , Madtan age i; years ...... 79 78 78 79 60 81 2s 79 *
Male ...... 307,6(10 116,200 6s,800 36,000 32,700 24,500 12,100 . Female...... 517,900 t 81,100 t03,000 67,5oQ 5JI,1OO 72,100 29,200 14,900
.MwilsI atahrs at tischams
Married ...... 197,900 a9,900 4S,600 22,7M7 15,300 t 5,aw . . VAidowed...... 445,800 t54,300 al,800 55,6U0 46,80i7 69,600 26,10) li,m Olwrcsd or sepsmtsd ...... 62,600 20,400 17,0U0 . ● . , . Nevar msrdsd ...... 98,000 26,500 20,600 t5,7wl 12,300 12,700 * * Unknown...... 21,300 B,300 , . . . * . See fcdnote at end al table Table 28. Number and percent distribution of nursing home discharges by duration of stay, according to selected othel discharge characteristics and discharge status United States, 1976—Con.
Duration of stay Dischsrge charactensbc 1 month 3bm:eti$ 6 months 1 year All atayz L;:o:; and status :33s; to less 10 1sss ihan 6 than 12 than a
OUTSIDE LIVING ARRANGEMENT liiirw arranaement after cjxbwgs Prlvata or aamiprivate residsncs ...... 306,7fx7 1S5,700 83,00Q 29,700 21,600 12,300 91,300 36,900 18,000 II Another health facfliiy...... 464,200 127,300 81,800 69,700 59,200 . Another nursing home...... fo8,600 35,300 15,300 t5,100 11,800 15,700 11,300 103 339,500 60,S00 59,90g 47,s00 44,100 69,800 24,500 12,600 13e Gensrsl or qhort.5tay hospital...... 160 Mental has IIFII...... 12,000 . . , :1 . , Other healt! facildy or unknown...... 24,000 9,700 60
Numb; who died m other health ● ...... 7,400 215 . , Unknown m othnr arrangement.. . . . 41
Owad discharges...... 26,eoo 26,0U0 130
DEMOGRAPHIG GHAFlAGTERlS7tC @ L . . . , . . Under 45 years ...... , . , . i , 45.54 year..., ...... w . . . . ; : 55.64 years...... t3,600 , . . , . . 37 e5-69 years...... 14,900 . . . . , 40 70-74 years...... 26,600 7,700 . , . . 75-79 years...... 44,900 12,400 8,500 . 1;; 69,aoo 20,100 t2,300 7,500 . 13,50C . 119 80-04 years...... , 64,600 t3,700 t1,600 . 13,20C 7,500 6,800 263 85-89 years,.,,., ...... 35,000 , . . , 302 90-94 years, ...... , . . . . . 95 years and over ...... 15,900 79t Msdian age in years ...... 63 60 62 81 81 e4 86 87 a . Male ...... 99,400 30,600 20,200 11,200 9,300 13,600 6,200 24 Female...... 190,400 44,600 3t,700 19,800 1e,500 36,100 16,700 20,000 175
. . . , Merdsd..., ...... 57,700 21,100 12,400 8,300 Widowed...... t6t ,700 42,400 30,3ao 18,000 18,600 34,900 t8,700 18,300 1%’ , . . , , . . 112 Divorced 0[ separated ...... 12,600 . , . 28,700 . , . ao9 Never reame d.,...... , , Unknown,...... 9,400 . t 35 See footnoteat endoftable Table 28. Number end percent distribution of nursing home discharges by duration of stay, acsording to seleoted other discharge characteristics and discharge status: United States, 1978-Con.
Duration of stay 0i5charrd Cj&&Mi2 All S@ 1 month 3bno&k 1 year ;y;~s Less than 6tfien&z 5 yews Medkm b 10ss to less numbw 1 nmnth or mora than 3 than6 than 12 than 3 Own 5 of days
?eraerd aistribuh
Ail drschergest...... lofko 33,a 20.1 12.1 10.0 14.0 6.1 4.1 .. .
DEMOGRAPHIC CHARACTERISTIC
@ . . . . Under 45 years ...... 100.0 4B.3 . . . . . , . ... 45-54 years...... 100.0 35.0 222 ... . . ● 5.564 years...... 100.0 316 24,6 15.3 ff.o ... . , ● 6S69 years...... 100.0 35.5 23.7 13.5 152 ,.. . . 7B74 yews...... 100.0 40.6 23,0 10.3 10.2 11/3 .,. 75-79 year...... 100.0 36.9 221 12.4 9.e 11.3 . 3.9 EO.S4years...... 100.0 33.7 18.5 135 9.9 136 7.4 3.4 :: 85.09 Years...... 166.0 30.2 16.4 10.6 17.7 8,2 5.6 ... . 90.94 veers...... 10Q.O 221 15.0 1:.: 10.4 19.1 10.5 .,. . . , , , . 95 years and over ...... 100.0 236 ... Medm age in years, ...... ,...... ‘.. &#
Male ...... 100.0 ‘36.6 21.6 11,6 10.3 11.8 5.0 2,8 ,., Fem.zle...... 100,0 31.a 19.0 12,4 9.6 15.3 6.8 4.9 ,,.
Marital status at diwhame
Marked...... 100.0 43,3 23.9 12.2 8.4 8,5 2.9 . Widowed...... 100.0 31.3 17.e 11.7 10.4 16.7 7.2 4.8 ;: . Okwsed or separated ...... IOQ.O 306 27.0 9.a 11.6 , , Never mm”ed ...... 100.0 26.0 19.3 14.4 11.6 13.9 6.4 6.3 :: . . . , , ● Unkmwn...... ,. 100.0 36.1 ,..
LNe discharg~ ...... 100.0 36.3 20.6 i2.5 10,0 12,9 5.0 2.4 ...
DEMOGRAPHICCHARACTERISTIC
A@ Under 45 ye.,...... 45.54 years...... s . , , , ● ... . . ● 55.64 years, ...... 26.5 13.3 . ,., . ● 65.69 y%~...... 23.6 14.6 16.3 . ... 70-74 yeaIs ...... 23.1 102 a2 10.7 . , ... 75-79 years...... 23,0 12.2 10.3 . . ... 80-64 years...... 18.8 14.5 I:i 11.3 6.6 . ,., 85.09 years..., ...... lB.6 10.1 11.9 16.4 . . 6.5 ,,, 90-94 yearn...... 14.7 17,0 20.0 . . ... 95 yeara end over ...... ● ● ...... Medranage in years...... &
. Male ...... 22.4 11.7 10.6 11.2 3.9 ... Female...... 19.9 13.0 9.7 13.9 5.6 29 ... Mardal status at diachame
Manned...... 24.6 11.5 7.7 6,0 ● . ... Wrdowd...... 16.4 12.5 10.5 15,6 5.6 2.6 ... Oiworcadw separatad ...... 27.1 . ● . . . .,. Never marked ...... 21.0 160 12.6 129 . “ . ... Unknown...... , ...... See footnote at end of fable.
64 Table 28. Number and percent distribution of nursing home discharges by duration of stay, according to seleated other discharge cherecterisfica and discharge status United States, 1976–Con.
Duration of stay Disohar!y charscfcmstic II stays ltom~on 3tfi&hs at~:gs 1 year ~oy:a& 5 year9 Median and status bSS than to less number 1 month or more than 3 than 6 fhm 12 than 3 than 5 of days Percent tiibution
Q!UfilWLIVING ARRANGEMENT naementaffer dlschame Private or semipdvate residance ...... 1000 50.s 27: e,7 7 . Another health fachty...... 100.0 26.3 I a.r 14.4 tz 3, ... Another nursing hems...... 100.0 32.5 14: 13.9 lC lJ, . Garrwsl or short-slay hospifst...... 100.0 23a 17,t 14.1 1s 7, 3, .. , ... Mental hos Ill, ...... 100.0 ‘ . Other healti Wily or unkrmwn.. . . . 100.0 40.4 . .
Number who died in other health facility!...... 100.0 10.5 15.! 13.7 1( 8 . . Unknownor otherarrangement...... 100.0 47.1 ..
Deaddischarges...... i 00.0 za.o 17! 10.7 1 9 9
DEMOGRA PHIC CHARACTERISTIC
Aee . . . Undm 4a years ...... 46-54 years...... ,. . . 55-84 years...... 100.0 ,,. . . 65-69 yasra..,., ...... 100.0 ,,. 70-74 yea~..., ...... too.o 29,1 . . 75-79 yaara.. ..e .. ..e ...... 100.0 27.6 184 . ,,. 80.64 yaara...... L...... 100.0 28,8 t 7J 10.3 .,. 21,1 Ia.( . 11 13 S5.E9 years...... 100.0 . ,,. 90.94 yews.., ...... 100,0 . . , 95 years and oar.., ...... 100.0 Median age in years ...... ,. ..
Sax Malt) ...... 100.0 31.0 20. 11.3 e Femafe., ...... t ...... 100.0 23.4 la. 10.4 II 9 1: . Marital statusat dlsoh.sgg Marked...... 100.0 36.5 21.. 14.3 .. Widowed...... 100.0 22.3 174 9.9 1( 10 10 Oivoreed or separated ...... ioo.a . . . , . Nevermsrried .,,... t, ...... 100.0 .. ● . Unknown...... 100.0 ..
65 Table 29. Number of nursing home discharges and percent discharged afive, by selected health statuses: Unitad States, 1976
Dlscharpes Heahhstalusl I Number I Pemerf!d!wh,wgodafrm ,
Total......
PRIMARYDIAGNOSISAT AOMISSION Diseasesof the circulator S@ q ToUl...... ! ...... (Xmgsstiveheart tilum ...... ~nmclmsis ...... H@enSon ...... Shoke...... y ...... Heartattack rsshemzheart &- ...... Oher......
Mentaldlsordemand senddVWhom DSVChoafs Tobl ...... SendepWti06rs...... Other~chosls ...... Cbmnicb,minsyndrome...... Sendl wtiotip~hosls ...... MentaY retiallon ...... Nmholrsm...... Othermentaldmorders...... other diarmos@ ToW...... 4s4,400 77.5 i%easesof the musculoskelefafsystemand cunnecbwfiasu~. Arthritisand rheumatism...... 28,500 87,6 Diseasesof the newoussystemand senseorgsns Sllndnm ...... , ● Muldplescleross...... ✌ ✎ Epilepsy...... ✎ ✎ Parkinson’sdisease...... 10,900 80.e Accidents,poisonings,and violence: Hip fmWre ...... 82,700 other bone fmtiu~ ...... 26,W0
Endom”ne,nufrihonal,andmetabobcdkmwg D&etes ...... 45,200 81.3 Neopkwns CanWr...... 91,600 51,2 Dlseszasof the respiratorysystem Emph~ma ...... 10,000 79.1 Pneumonia...... 13,200 Othsr msplmby ...... 18,20fJ t%; Diseasesof the oTgetie.systern ulwffi ......
Disessosof the blood and blcad-fomdng.xgan% Anemia...... 8,400 9t.9 Ofaonosisunknown Totgl...... Zsrtool 75.6 Seafootnotesatendof table. Table 29. Number of nursing home discharges and percent discharged elive, by eelected health statuses United States, 1976—Con.
Discharges
Heatih SklblS1 Number Parcent dlschargad alwe
CHRONICW NDITIONeOR IMPAIRMENTS
oissasss oi the circulaiow svatsm 67.9 AderlOsclemsis..t ...... 455,500 Hypstisnslon...... ies,ooo 75.0 avoka...,,...... 22J,70j 66.1 ~f$ys;;~~alay, other ban arthnts, ralatedto stroke ...... 70.2 ...... 390:400 70.6 Mmtal disordarsand ssnihfvwithout Davchores MentalIllwass...... 64,600 654 Chronic brain qndmme ...... 206,300 67.6 eel ...... 226,600 635 Menta relwdatlon...... 16,600 836 35,700 87.4 Alcoholism.: ...... Dregaddiction...... Insomnia...... 16,500 62.4
163,100 764 30,600 78.3
69,400 69.9 31,300 60.4
Diseases of the nsrvous systam and aensa organs Bllndnass...... 45,400 70.1 Qlauwma ...... ! ...... 20,200 699 cataraofs..., ...... 50,100 74,6 Deafness...... 50,800 669 Psrkfnsorfs dism34 ...... 29,900 74.3 Parafysls or palsy, cdher than arthritis, unrelated 10 stroke ...... 21,900 63.3
Accidents,poisonings,and molencs HIPlracture...... 127,200 76.9 Olher bone fracture ...... 66,400 64.6
Endocdna, nutritional, and matabofic dwaaas Di&Etes ...... 156,600 74.4
Naopla9ms CancOr...... 125,200 53.9
Olseases of the respiratory system Chronic respiratory disease ...... 99,600 73.3
Diseases of ths digesfiva systsm, tinatlpatiOn. )...... 50,600 666
Dlssases of the blood and blood-forming organs Anemia ...... 65,100 73.9
Cllanasasof the skin and subcutaneous tissue Bedsores,,,,,,,,.,,,..,,.,,.....,,...... ,...... ,...., ,...... 36,000 52.2
Conditions other than above Edema ...... toz,zoo 67.6 Kldrfey Trouble, ...... 120,900 73.0
Nons of lhaee condlbon~ Total...... 37,500 66.6 -.. CQndtion unknowq 10tal ...... ,..,,.,,.,,,, . . ,,,,..,,, t 1,800 711 ‘Disease group categories based on Gghth F7twwn hdenmtonaf Cfa.wfkwkm of DSeases, Adapted for Use m Me Unded statea (lCDA). ‘Only diagnoses of Sufficient magmtudeare noted TfgUrea maynot add to total because m%dentmayhave had more than 1 reported condtwn or smpmmmt
67 Table 30. Number and percent distribution of nursing home discharges by discharge status and duration of alav.. . according to selected health statuses: Uriited Stetes, 1576
Discharge sfatua Durahon of stay Median Hesfth stsfw Al dwafion diszhargaa~ Live Dead Lass than 1 monfhio ;IJx& ; a months 1 month fess than S or more of Srsy m days
Number Total ...... 1,117,500 825,5oo 289,LIO+3 375,200 224,200 f 34,900 383,200 75 PRIMARY DIAGNOSIS AT ADMISSION DIssesss of the circulatory SYSteJn Tofsf...... 4a6,200 339.200 14s,500 151,6CU 89,100 5s,900 i8a,7m 94 . CorrgesOveh~arl failure ...... 59,300 36,700 .zs,eoo 19,900 10,300 22,700 Arfenosclerow...... 197,200 136,500 60,700 48,300 31,1ea 27,700 90,100 t% , . . Hyperfensron...... 23,100 17,800 7,900 10,400 109 Stroke...... 139,400 97,s00 41,500 47,300 32,5(70 12,76(I 46,9oO 70 Heart alfack, ischem!c haad . . dsssse ...... 40,400 28,300 11,900 ia,sao 12,600 3s , . . . Othsr...... 26,eoo 22,100 9,700 56 Mental disorders and wuldy wrthmrf rwchosls Total...... 125.700 94,900 30,400 25,600 21,200 16,700 62,200 t 68 . . , . . Semle psychosis...... 10,800 . 400 , . . . Other psychosis...... 23,100 20,800 i 1,700 200 . Chronic brmn syndrome, ...... 52,700 34,400 18,300 10,200 7,50: 27,900 210 . . . , . .%mldy wrthotd psychoses...... 9,400 flz . . . . + . Mental refsrdahon...... 7,500 601 Alcoholism and ofher , . mentaf .&mders...... 22,200 20,300 7,30Q . 58 91her dmmwes ToM...... 4s0,400 372,500 107.000 187,8KI 109,200 6s),100 t23,300 49 oiieSSS’Sof themuscul~zkelefsl sy?tem and cannecfjve fissuss . . ArtJrnfk and rheumahsm...... 23,500 25,00Q 12,400 . 9,600 e7 Dsassesof the nwvoussysfem . snd sanas org?nv Parkinson’s dlaaase ...... 10,9OJJ 6,800 . . . . , Acc!dents, poisonings,and tiolenw. HIP fracture...... 82,7oo 6s,700 14,000 27,600 22,900 , 11,40Q 20,600 Other Lwne frscoxe ...... 26,500 24,300 9,700 i 0,300 . Endocnne, nufntmnsl, snd mefsbof!c dffiease% D!abetes ...... 45,200 36,700 8,500 13,100 7,200 17,600 f t? Neoplssmx Csncer ...... 91,600 46,904 44,700 48,100 18,200 11,000 14,300 27 Dwasaeof the respiretwy system Total ...... 4f ,500 , 32,3W 9,200 15,!MI 10,s00 lf,ooil 44 Diaamosis unknown Total...... 25,100 . . , 19,000 10,100 9,1LXI 47 CHRONIC CONDITfONS AND ~. D!seaaas of the cucutatorf SYsEm ,%tertosclerosrs...... 455,500 ;$::: 146,200 123,500 79,100 53,600 199,300 Hypedenslon...... 124 166,000 41,71X7 49,500 32,900 16,600 67,000 95 Stroke...... 228,700 155:700 72,BO0 73,000 50,700 22,300 82,600 Parafyss or palsy, other fhsn 76 arfhnfs, rsbdsd to stroke, ...... 54,000 37,900 16,100 13,500 1Z,ooil 7,300 20,400 96 Heart trouble ...... 390,400 275,600 114,100 t31,700 72,400 47,40+3 136,900 62 Mental disorders and seruldv wthooi oavchoais Menfsl Illness...... E4,600 55,200 9,00il 17,200 fo,500 7,900 2a,900 136 Chronic brain syndrome ...... 206,300 139,600 66,500 47,900 33,400 23,100 101,900 171 Senhty...... 226,600 f 43,900 62,800 46,200 34,900 29,500 l14,fc4J i87 Mental refardrdion...... ls,m 15,600 . . . 10,500 277 Afcohobsm., ...... 35,700 31,20u . . . . 10,600 12,003 6,200 59 Drug addlcbon ...... , . . Insomma...... 16,5W . . . . 13,600 6,S00 25o See Iwtn.ates at end of tab!.
6e Table 30. Number and percent distribution of nursing home discharges by discharge status and duration of stay, according to selected health stetuses United States, 1976=Con.
Discharge SWJS Duratron of stay Msdran duratron All 3 monfhsto 6 months Health Statusi y;:% 1 month to of slay dmchargess We Oead Issstharr 3 less than 6 or more In days
CHRONIC CONDITIONa ANO lMPAlRMENTS4-COn
Other chronic conditions and Immxrments
Ie3,ioo 124,500 38,500 4e,700 2e,70( 17,201 69,50’ 114
, 90,800 24,100 7,700 13,70 119
“of back, arms, Ieqs, or sxtremiUes,including feel, toes, hands, or fingers.., ...... 69,400 4e,500 20,900 13,900 16,40 8,60 30,50 124 Missing srms, legs, or extrsmitim, inducting feet, , . toes, hsnds, or fingers...... 31,300 25,200 15,60 162
Diseases of the newous system and smnse organs Blindness...... 45,400 31,800 13,400 10,100 zz,eo 177 , Glaucoma ...... 20,200 14,100 7,70 7e Cataracts.., ...... 50,100 37,500 12,600 13,500 7,50 S2,50 143 Doafnoss:..., ...... 50,800 35,000 15,700 14,900 7,80 24,30 143 Parkhrspns dtsease ...... 29,900 22,300 7,700 8,000 12,60 118 P8relysIs or PSISY,other fhan . , arthritis, unrekdwd to stroke .. ... 21,90Q 1S,Zoo 62
Accidents, poisonings, and violence Hip frachrre, ...... 127,200 97,600 29,500 34,600 30,90 19,00 42,70 e5 Ofher bon~ fracture ...... 66,400 56,200 9,900 25,900 19,00 6,30 13,20 48
Endocrine, nutritional, and metabolic diseases: Llfabefes...... 156,800 116,600 39,eoo 47,900 32,00 18,10 58,70 85
Neoplasms Cancer ...... 125,200 67,400 57,eoo 59,400 23,90 14,50 27,40 35
Diseases of the resplratoty system Chronic respirafary disease ...... 99,600 73,000 26,600 34,800 22,20 10,90 31,70 65
Diseases of Ihe digestive system Crmsflpafion...... 50,800 33,600 17,000 10,600 7,80 27,30 209
Diseases of the blood and blood-forming organ% Anemia...... 65,100 4e,200 17,000 23,000 16,70 7,50 17,90 56
Oisesses of fhe skin and subcutaneous tissue Bedsores ...... 36,000 18,eoo 17,200 11,200 10,$0 9,00 57
Cmrdltfons other than above: Edema ...... 102,200 69,100 32,900 24,eoo 16,00 14,40 47,00 149 Mdneybuble ...... 120,900 86,300 32,400 39,400 26,00 16,80 36,70 66
MorrsOf these ~nd itions . Total.., ...... 37,500 32,600 17,900 e,50 8,20 34 Condlticm unknown . , Total ...... 11,600 8,400 37 See footnotes at end of Isble.
69 Table 30. Number and percent distribution of nursing home discharges by discharge status and duration Of etay, according to selected health statuses United States, 1976—Con.
Oiszherge etstus Owation et way Medfan dumffon Hedtfr ststw ys9;9;n 1 month to 3 months to 6 month8 diesf?!!gea~ we Oead of fday less than 3 less than 6 or more In days
Percent dlatrfbution Totsf ...... too.ol 7s.9 I 25.91 s3.a I 20.1 I 11 34,3 .,,
I
Tots...... 100,0 69,s 30.t 31.2 t8.3 11 36.8 ,,, Congestive h$wt failure...... too.o 61.9 3s.1 33.5 17A 38,3 ,.. 100.0 69,2 30.6 24.5 15.9 14 ‘ii; . Arfenosclqesm...... Hwwtensum...... 100,0 34.2 ... aiioke...... 100.0 %4 23.s 33.e 23.3 ! 23.7 ... Hmxl aftack, iszhemicheart . 29: 45.7 31.2 .. . diww?...... 100,0 70,0 . . other ...... 100.0 82.5 36.4 J4enta~d;sodersand senifff o Owohosis Told...... too o 75,5 24,2 20.4 16.s 1( 49.5 ,.. . . . ● . ... Sende psych~is ...... 100.0 . . . other Psycho...... 100.0 89.s 50.7 ... Chronic bran syndrome:...... 100,0 65,3 34.7 19.4 14.2 53.0 ... , , . . ● .%nifii vdfhout.psychosm...... 100.0 ...... , Menisl retsrdabon...... 100,0 ... Alzvfmhsm and olher . . ● raenfaf tiwder5 ...... 100.0 91.4 33.1 ... other dkcmoess Total ...... 100.0 77,5 22.3 39.1 22.7 1: 25.7 ... Diseasesof the musculoskelefsf system and connecfhe tissues . . AIIMtis and rheumatism ...... 100.0 s7.6 43.4 33.6 .,. Dlseasss of the nervous system and sense organs: . . ● , Parkrnson’s dmeasa ...... 100.0 80.6 ,., Accidents, poisonings, and vfolenw HIP fracture ...... ioo,o e3.i 16.e 33.4 27.7 25<1 , , .,. OtJer bone oacmre...... 100,0 91.9 36.s 38.8 ,,. Endocrine, nubdionaf, and metabollc diseasss Olabates...... 100.0 Sl,s fa.7 29.0 16.0 39.3 . Neoplasm% Cancer ...... 1000 51.2 4e.s 52.5 19.9 15.6 ... Diseases of the respirato~ system. Total ...... 100.0 77.9 22.1 38,3 25.5 26.5 ... Diaanosis unknown . . Total ...... 100.0 75.6 40,3 36.1 .,. CHRONIC GONOITIONS AND l~~a Diiases of the cirwfa@y - fXferio5der0sis ...... 100.0 67.9 32.1 27.1 i7.4 43.s .,. Hvoertension., ...... 1000 750 24.S 29.5 19,6 39.9 ,,. .%ke ...... 100.0 63.1 3i.e 31.9 22,2 36.1 ... Psmfysis or palsy, other than mthntis, related to sboke...... 100.0 70.2 29.8 24.9 23.7 37.7 ... Heart froufde ...... 100.0 70.6 2s2 33.7 1s,5 35.6 ... Mental disorders and seniltv wmhoul DSWhosia Mentaf Illness...... 100.0 65.4 140 26.7 16,3 44,7 ... Chronic bw”n syndrome...... Iou.o 67.S 32.2 222 16.2 49,4 ... .$.enifly ...... 100.0 e3.5 36.5 21.3 15.4 50.3 . . . .. Menfaf retardabon...... 100.0 ,7,....n 56.1 . ... Afzahofism...... 100.0 a7.4 29.S 35.! 22.9 ...... Dug addchon...... , Insomma...... 100.0 62.4 52.1 See fcminotesat end of table
70 I Table 30. Number and percent distribution of nursing home discharges by discharge status and duration of stay, according to selested health statuaes United States, 1976—Con.
OisshargesfaNs Durationof stay Median y::; All Laas than 1 month to 3 months to 6 months Heallhstafw+ discharges, Live Dead 1 month tess than 3 less than 6 or more in days
Percaet dm!mbubon
sIIB9NIC CONDITIONS AND MPAIRMENTS1-Con.
23.( 2S.7
25.o ...
30.1 20.0 .
. . .
Dlaeasea of the nwvous system W senso organs 29.( 22.3 . Btindnass...... ebwcoma...... cataracts ...... 25< 27.o Daafneas:.,.: ...... 30.t 29.4 . Parkinson dmaaae ...... 26.; 26.9 ... Paral@s or palsy, othar than , arthrhs, unrelated to strok e......
Accidents, polsonfngs,and vfofance Hlp Fracture...... 23.1 27.2 .. Other bona Iraclure ...... 14J 39.0 . . Endocrfnq nubilional, and metabolic diseases Dlabetm+,...... 30a .
Ne;::;ers ...... 46.1 47.4 ... Diaeaaes of the rmpiralow system Chmnlc rssplralmy disaaae ...... 26.i 34.9 ... Diseases 01 the digashve system ConsUpallOn...... 33,1 20.8 ... Diseases of the blood and blood-lormlngorgan% Anemia ...... 26.1 35.3 Disaaaas of the akfn and aubcutanaous tiaaue Bedsores..,., ...... 471 31.0 .,. Conditions other than above Edama ...... 32.1 24,3 .,, Kldnsytroubla ...... 261 32,6 .,.
None of these condition Tonal...... 47,7 Condition unknown . Told...... 100,0 71.1 IDkease catenorles based on Em+ Wwion International Clawfcatfmr of Dmeases, apk?dforUsein fhe Und6n [lCDA). ,Indudss dlsciiargesvmh unknc+ charge status. ,Onty diagnoses of sulftcienl maw{ e am-noted ‘Figuresmay not add to told because dnscharge may have had more than 1 reported condti.m or Impairment u N
Table 31. Number and percent distribution of nursing “home discharges by discharge status, median duration of stay, and use of special aids or devices, according to selected functional statuses United States, 1976
Disahargestatus Specfalaidsor dw”cssused= Median Fsmsflrmalstatus Al duration Cfukhss M;$iaf J$::”s, W:, tdds dischages, f.ivs Desd of Say Eysgfasses He$p Wheelchair Csne Walker [n days b~;es device wv bsff, devises or srmiar devices Number , Number
Tofsl ...... 1,117,500 S25,500 289,800 75 587,900 62,600 421,200 101,eoo 160,500 30,cmo 16,100 224,000 77,100 I bfrmf2 I Wslkswth or Wthoul assislaoce. ....!.. 533,400 . 477,100 55,000 31,600 122,000 62,400 ?0,300 . 52,900 30,200 Chairrast . . 297,100 210,500 aa,700 1:; 16,500 222,3oO 7,700 7,000 112,700 28,900 Bacffeel ,.,.:::::::::::::::::::::::::::::::: 229,700 92,200 137,200 74 9,109 70,700 7,200 . 11,70? 6s,700 17,800 Unknown...... ,,,...... ,..,...,....,..., 57,200 45,6oo 10,900 62 . . . . C@!b2mQ I No difficulty controlling bwsls or bladder...... 551,000 491,90Q 58,200 60 28,700 . 42,800 33,400 . 162,400 73,100 21,300 . Odficullysonlmlfisg bowels, ...... 20,2J2Q 20,4WI . 11,800 ...... O+ffudly confrolbngbladder.,.., ...... 75,400 54,100 21,200 1% 33,900 6,200 . 15,s00 OiHculfy wn~olbrg froth bcwmfs sed bladdsr. 304,0LM 164,200 139,50U 132 15,700 152,400 14,000 6,61M 126,s4al zJ,2& OsIomy in eith;; ‘GR&’~; b~d{;i:::: 121,600 68,700 52,900 45 7,300 5587SQ . . , 41,900 Unknown as to Ml bowls ● . . snd bladder ...... 23,S00 28,200 12,100 64 . . , ParDal index of desendemm in asfItihes of dsdv lwi~ I Not dapendsni m mobdny , or continence~.,,..., ...... 443,800 4oa,600 38,600 60 22,900 77,S40 89,S40 la,600 18,000 23,500 . Oependerdin mobidyonly ...... 141,200 109,500 31,700 65 . 69,600 . 24,500 10,300 . . Dspsnrferd in contmemcacnfy...... 142,000 l14,3xf 27,300 56 12,000 50,700 i7,200 35,sCa 9,00) Oepsndent in both mobddy and con!mefwe...... 3a5,ao0 193.2Q0I 192,2001 104 Zl,sno 203,200 9,SI0 . 15,400 154,a#o 34,300 SW fGVltKde9at end,yftable, Table 31. Number and percent distdbufion of nursing home discharges by dfscharge status, median duration of etey, and use of speciaf aids or devices, according to selected furrctfonal statuses United States, 1976-Can.
Dischargestatus Spedd aids or dw”ces uasd~ Madian Afl duralion Functional afafus HaaJng Cmfches Me&yaf *~r:~~, (ffh: aids ilssharges. Live Daad of stay Eye@%ses Meelchair Csne Walker in daya br&a dewce ~qti~w~ davices devices
Perent disbibufion PerCant dsfdbuf ion
Tofal ...... 100.0 73.9 25.9 .,. 52.6 5.6 37.7 9.1 16.2 2.7 id 20.9I e.9
Mb!!@ Walks with or wfthmd asa;sf.ante ...... 100.0 69.4 10.3 .,. 5a.9 6.0 22,9 15,4 25.5 3.e 9.9 5a :~fdafa: ...... 1000 70.a 292 . . . 54.6 6.2 74,6 2.6 8.7 2.6 37.9 90 ...... 100.0 40,2 59.7 . . . 44.5 4.0 30.a 3.1 , . 5.7 5: 29.0 7.7 Unknown...... t 00.0 eo.1 19.1 . . . 34.9 .’ . . , . , Qz!mefm No ddr7culfycontmllmg bcwels or bladder...... 100.0 10.6 . . . 57.2 5.2 29,5 133 20.6 . . 3.? 7.6 6.1 DIRxdfy cunbollmg bowels ...... 100.0 . . . 62.5 44.5 . . . Dd17culQccmfro!lmg bladder,...... t 00.0 za.i .. . 65.2 450 toe 23.6 21,1[ ‘ Ddfiwl conhollmg both bowels and badderY ...... Ioc.o 45.9 .. . 49,4 50,1 4.6 9.6 2,[ T Os!omy m eoher bowels or bladder .. ... , . 100.0 43,4 . . 41.5 :.: 45.6 10.1 Unknmm aa to toth bawels and bladder ...... 100.0 31,1 ...... PaImf Mdex of deoendensv m acfivdies of daify hwn~
100.0 8.6 . 53.6 5.1 17.3 15.6 .2s6 3.? 4.2 . . 100.0 22.4 . . 56.9 63.6 10.6 17.4 % . 100.0 19.2 . . . 56.0 6.5 35.7 12.1 2S.4 25.2 6,3 . 100.0 49.0 . . . 47.7 5.6 52.7 2.5 6.2 4,( 40.1 89 qnctudes unknown dlschfmje staiNs. ‘Patients may have used mire than 1 specml ad m dnvma,m the sumof the ads and dwfcas exceeds the dlschwge totals ,87.4 parcemtof these persons had had an oslmy wfmh affected only OIe bfaddw. Wnknmvns were comdered not dqmndent for UIe purpose of this index. ‘Includes discharges who walkad with assistance.J Table 32. Number and percent distribution of nursing home discharge by type of dependency and partial index of dependency in activities of daily living, according to selacted other discharge characteristiee and discharge stetuses United States, 1976
Typs of dependency Pa!tal index of dependency In aotivitiea of daily thing, Not dspandent Total Oapendant in in either Cependent !n Depmstant In Mobiby, belh nmbil)ty Continent+ moblrdy or mob!lw C@ bmtmenoa only and cootmance c0n6nence Numbar
ANdiichsrge9, ...... 1,117,500 526,300 527.700 448,6oo 141,200 142,000 32s,600
DEMOGRAPHIC CHARACTERIWIC
Aoe at discharae
Under S5 yams ...... 136,3W 51,500 46,400 71,500 18,400 13,30Q 23,100 65-74 years...... 203,600 88,200 92,oOO 87,900 23,600 27,400 75-34 Yearn...... 445,800 N&&l 206,800 182,200 56,800 34t,400 1%% 85 yeara and Oar...... 331,!300 182,400 107,000 42,400 41,000 141,4C+)
Male...... 407,7W 185,100 201,000 158,4LYI 40,300 64,2WI 136,700 Female...... 709,800 S41,600 326,700 290,200 92,800 77,800 246,900
Marital m 61S at dischanm
Manmd...... 25E,900 131,104 !31 ,400 90,600 34,CCU 34,20il 97,100 Widowed...... 628,400 309.400 303,9W 242,100 62,300 76,600 227,100 fli’orced o! separated ...... 75,200 2e,500 27,600 37,600 10,000 9,1C@ 18,500 Never reame d...... 127,200 43,000 53,200 61,000 13,000 18,100 3yto Unknown ...... 30,aoo 9,800 t 1,600 17,200 . .
B25,51X7 302,700 307,400 406,600 m.wlo 114,200 193,2(XI
Aae st dscham$
Under 65 years ...... T117,000 S7,300 31,700 W,Zoo T17,20+7 711,500 20,20J3 65-74 yaare...... 161,900 55,eao 61,2M7 82,400 18,200 23,900 37,300 75.34 years ...... 231,000 116,600 121,200 165,600 44,000 46,640 72,600 35 yeas and over ...... 215,600 193,200 93,300 92,200 30,100 30,2Cil 63,100
kale...... 307,600 tiz,ooo 126,700 143,300 37,600 52,400 74,400 Female...... 517,2Q0 190,700 lao,7cii 265,300 71,900 61,900 t 18.800
MaotsI status ar dsshema
Mm”ad ...... 197,900 82,700 85,234 65,000 27,700 30,100 55,100 W7drawd...... 445,800 168,40a Wi,aoo 218,200 30.700 59,100 107,700 DNorcad or sepamled ...... 62,600 19,50+) Woo 35,500 9,000 7,500 Io,em Never mm”ed ...... 96,0&l 27,100 31,000 55,900 t 1.100 15,000 16,000 . . . , Unknown...... 21,300 13,600 .
74 Table 32, Number and percent distribution of nursing home discharges by type of dependency and partial index of dependency In activities of daily living, according to selected other discharge charecteriatice and diecharge statuees United Statea, 1976—Ccn.
Typeof dependency PartialIndex of dependency In acfivltiea of dsily Ilvhga No\~e&r#nt D18cha:~dW&ferlsttc Total Oepemfent In Dependent in Dependent In both motdlity Moblllty~ Conthemw mobility continence only mobilityor only and continence ormtlnenca Number
Pdwdeor aemlpdvaleresidence ...... ao6,700 56,500 5a,500 212,900 35,900 a7,300 21,200 Anolher healthkaclllty...... 484,200 239,400 239,000 172,800 72,400 72,000 156,900 Anothernurdrrghome...... 108,6OD 50,100 45,WI 44,800 16,200 13,600 31,aoo 3;}::: 18i,100 182,400 104,600 52,300 53,700 126,600 General or shoti.sray hospital ...... ● . , . e,700 . Mental hos ital ...... , Other heal tR lacllity or unknown...... 24:000 7,200 8,700 13,500
Number who died In other health fadl!ly ...... 91,100 55,000 52,100 24,600 14,400 11,500 40,600 . . . . Unknown or other arrangement s...... 34,700 10,000 ,23,000
Dead dischmgw..:,...... 269,600 223,eoo 21e,500 38,600 31,700 27,300 192,200
DEMIJGRAPHIC WAR ACTERISTIC
. . . Under 65 year....., ...... t6,400 14,200 14,700 . . . 13,000 65.74 years...... 41,500 32,700 30,s00 27,3oo 76-04 y%wa.,...... 114,400 a6,500 65,500 16,200 12,800 11,700 73,700 85 ymra and over ...... 115,500 90,500 66,700 14,500 12,300 10,400 78,300
SS4 Male ...... 99,400 73,100 74,100 14,500 10,700 11,600 62,400 Female, ...... 190,400 150,600 1{5,460 24,100 20,900 15,500 129,800 S at dlsch~
Minded...... 57,700 48,400 46,200 ● , . 42,000 Widowed...... iel,700 140,900 136,500 22,600 21,700 r7,200 119,26a 12,600 9,000 9,600 ● . , 6,000 L71vorcedor separated ...... 26,7oo 20,900 22,100 19,000 Naver mardad ...... , Unknown...... 9,100 . , aeo fmtmtes at end of table.
75 Table 32. Number and percent distribution of nursing home discharges by type of dependency and partial index of dependency in activities of daily Iii”rxr, according to eelected other discharga characteristics and dscharga statuses United States, 1976+on.
Type or dependency Psrfial Indsx of dependency in actiwties of dtiiy fiwng> Not dapendenf Tofsl Dapendenl in in either Dspsndent in Dspandant in Mobddyl Conbnenc# bothmobihfy mobihty or mobility oniy sonbnenss only ccmtinance and contmmtce Psrcent distriiuffon
tooo 47.1 47.2 40.1 12.6 12.7 34.5
DEMOGRAPHICcHARACTERISTIC
Am? al diashsras
Under 65 years ...... 100.0 37.6 34.0 524 13.5 24.3 65-74 years...... 100.0 43,3 45.2 4s.2 11,6 ii] 3t’7 75.s4 years...... 100.0 456 46.4 40.9 12.7 13.5 32.9 S5 yews srrd over ...... 100.D 55.4 55.0 32,3 126 12.s 42.6
&x
Male ...... 100.0 45.4 49.3 3?%s 11.9 15.8 3s.5 Female...... 1000 4s 2 4a.o 40.9 13.1 11.0 35.1
Marital status al dlschau
Msrrred...... 100.0 51.2 51.3 35.4 13,3 13.4 ;;! Widowed...... 100.O 49,2 4s.4 36.5 13.1 12.2 Divorcsd o[separstad ...... 100.0 37,9 36.7 50.0 t3,3 f 2.1 24:S Nsvermsmad ...... 100.0 37.s 41.6 460 102 14.3 27.s . , Unknown...... 100.0 31 s 37.7 56.0 25.6 .
100.0 36.7 37.2 49.5 13.3 13,6 234
DEMOGRAPHIC CHARACTERISTIC
Aae at dmcharae
Under 65 years ...... 100.0 31.9 27.1 53.3 14,7 9.s 17.2 65-74 years...... 100.0 34.3 37.s ;0.: il.3 14.s 23.1 75-s4 ysars ...... 100.0 35.2 3a.6 13,s 14.7 21.9 85 years and over ...... 1000 432 4s.s 42.8 14,0 14.0 29,2
w
Male ...... 100.0 36.4 41,2 46,6 12.2 17.0 24.2 Fem6fe...... 100.0 36.S 34.9 51.2 13.9 11.9 22,9
Martrd status at disxharue
Marded ...... 1Duo 41.s 43.1 4s.0 14.0 15.2 27.s Widowed ...... 100.0 37.s 37.4 49.0 13.6 13.3 24,2 Dworcsd or saparsfsd ...... 100.0 31.2 2s.s 56.9 14.3 12,0 16.9 Nsver married...... 100.0 27.6 31a 57.1 11.3 f5.3 16,3 . . . . . Unknown...... 100.0 64.s
76 Table 32, Number and percent distribution of nursing home discharges by type of dependency end partial index of dependency in activities of daily living, according to selected other discharae characteristka and discharae statuses United Stetes, 1976—Con.
Typeof dependency Part!alindexof dependencym actw!hesof dailyIhvmp tllscharge chsracterisfic Not,:e:~eenf Dependenlm Total Dependentm Dependentin aod stalus Continence, bothmobhty Mobdii, mobdtyor mobddyonly conbnenceonly and sanfmence conhnence
Percent dtstnbubon QfJTalDE LIVING AffRANGEMENT
Livfnaarranaamerdalterdwhame Private or wmlpdvats residence ...... ioo.o 18,4 19.1 69.4 11.5 12.2 6.9 Arudher health,facitii...... 100.0 494 49,4 35.7 15.0 149 34.5 Another nursing home ...... 100.0 46.1 42,0 41.2 16.8 12.7 29.3 General or shorl.sfsy hqifsl . . . IOOD 53.3 53.7 30.9 i 5.4 15.6 37.9 . , . . . ital ...... Ioil.o ai.i Manfalhos . . Cltfwrfvsatl klffy or unknown.., . .. . 1000 30.0 36.4 56.2 .
Number who died in other haallhfacifify ...... i 00.0 60.3 57.2 27.0 15.6 12.7 44.5
. , ● Unknown or other arrangements ...... 100.0 28.7 66.2 ,
Denddischarges...... Irm o 77.3 75.8 13.3 10.9 9.4 663
~OGRAPHIC CHARA CTERISTfC
pae at dlschame . . . Under a5 years ...... IODO 77.3 60.3 70.6 . . . 65-74 years., ...... too,o 78.7 73a 65.7 75-84 year...... ,...... t 00.0 75,6 74.7 14.1 It,z 10.3 64.4 85 years and aver ...... 100.0 76,4 76.8 126 10.6 9,0 67.7
SQI
Male ...... 100.0 73.5 74.6 14.6 10.6 11.6 62.7 Famala.., ...... 100.0 79.2 76.4 t 2,6 11.0 6.2 66.2
Madfa I Slfdus at discharue . . 100.0 63.6 ao.o . 72.6 100.0 77.6 75.i 13.0 11.9 95 65.6 . . . 100.0 71.3 75,9 63.1 . . 100.0 72.7 76.: 66.0 100.0 . . . . , jfasr. ,Ilmgether bowels,bladder,orboth,or whohadan ostomy. orthepurposeofthisindex
77 Table 33. Number and percent diehfbution of nursing home discharges by type of dependency and partial index of dependency in activities of daily living, according to selacted health statuses United States, 1976
Parlialindex of de endenayIn Type of dependency acfiuitiesof da1’Iy Ihdngi All Ntil~e&n&nt D;#6ghnl Hesfthsfstw dlschsfges Depm!dant Dependant In In motdlii continence MobilW Continenw mobifityor moblliiyand Ofdy only continence continence Number
Total...... 1,117,500 526,600 527,700 448,600 141,200 142,000 305,600
PRlMARYDlAGN0313 T ADMIsSION maass Of fhe a“roulatolv Wafen Total...... 4se,200 245,200 252,500 172,304 el,400 68,700 183,800 Congestive heartfailure..,...... 59,300 29,100 30,0W 21,100 8,200 9,100 20,9Cif t97,200 95,eoo t 01,900 73,400 2i,900 28,00? 73,900 Arteriosclemsls...... , , Hypwtensmn...... 23,100 8,300 10,800 9,200 Stroke...... i3e,400 S4,300 S4,700 3s,300 16,400 16,600 67,900 Hacrfattack,icchemichead . . disease...... 40,400 t 7,100 t 5,300 17,5Ca 10,030 , . , Offer...... 26,800 I0,7W 9,200 12,800 Mentaldisordersandsemla Wftmuf Ocvchosis , Total ...... t 25,700 45,1LX7 55,800 04,eoo t5,eoo 40,000 , , . . 1o,eoo . . Senilepsytio+s...... , . 23,100 , 17,700 Ofherp chess...... Chm”ic%ain syndrome...... 52,76a 25,5C4 32,000 19,too 8rt00 23,BOO . , , , ● Sanirwwithoutpsychosis...... 9,400 . . , ● Menfafretcrdafion...... 7,500 . . Atsuhohsmsod ofher . . men!aldisorders..,...... 22,200 . 15,400 . , (15er dcmrwsa$$ Total...... 480,400 229,900 214,100 t 93,700 72,600 56,800 151,300 Lbseasaaof the musculoskelefsl system and cmmecfib’~lix+ucs Asthnbsand rheumafmm., ...... 2s,500 10,200 10,600 15,200 . , 7,700 Oisescas of fJe newoussysfsm and sense, organc’ Parkinson draeaae...... Io,eou . , . ‘
Hip fracture...... a2,700 39,100 30,100 35,800 16,S00 7,SO0 22,300 Otherbone haofurs...... 26,500 e,ooo . 15,300 , . , Eodosdn~,nutritional,and metsbalmd!seac% Oisbetes...... 45,2oo 22,400 20,400 15,900 S,900 . t3,500 Nauplcsms Cancer ...... 91,600 59,600 55,800 20,000 15,SOU i2,000 42,900 Oiseases of the respmatorysjstem , , Total ...... 41,500 15,90+3 17,100 20,300 11,700 C6aanosls unknown Toil ...... 25,100 . 17,700 , . . CHRONICCONDITIONS AND.IMPAIRMENTS 0isc4aes of the tirculafoq SYe@ro Arlenoscfemsis...... 455,5CU 246,700 249,7oo 146,300 59,500 62,500 l~27g~ Hyp+rtensmn...... 168,000 SS,900 87,.204 57,800 23,000 26,400 Stroke...,...... 228,7CKI 140,900 141,800 58,400 2S,500 29,400 lf2:41XJ Peraly+sor palsy,other than arihntis,relatedto stroka...... 54,000 42,100 35,900 8,200 10,000 * 32,000 Hearftmuble...... 390,400 197,900 200,300 134,500 55,600 58,000 142,300 Mentaldisordersand semhty wi[hout Dsvchosis s Menfsi dksess...... 64,5ao 18,200 22,200 39,800 f f5,FJJo CJronic bran syndrome...... 206,300 110,700 131,900 61,700 12,540 33,60+J 99,100 Senifify...... 226,6oo 131,709 145,100 63,230 1s,400 31,700 fi3,300 Menfal,refardatmn...... 18,600 9,500 6,000 . . , Alcohohsm...... 35,700 . 10,900 23,000 . . . Drugaddicbcm...... , . . . ‘ . . . Insomme...... t6,500 9,300 6,600 7,S40 See footnotesat endoffabla.
78 Table 33. Number and percent distribution of nursing home discharges by type of dependency and partial index of dependency in activities of dailv Iiiirm, accordfng to eelected health statuses United States, 1976—Con.
ParDalmdsx of dependenq m actmes of dady fwmg< Not,pef#etsrff Dy;f;rd HealthStStUS[ Dependent Oependenf in mobility or in mobiify wnhrfence moblliy snd onfy only continence continence I Number ~ IN AND lMPAIRMENTS~On. ,.nnd other chronic &Ibo s a fmwomta Diseases cd the muscoloskeletsf syslem and connscfive tissus% Adhrfffs srfd rheumatism ...... 163,tO0 74,000 7teo 89,000 22,1{ 20,1( 5t ,800 Chronic back, spurn problems, excluding sliffnezs and deformity ...... 3Lf,mnr 14,100 13,00 12,500 6,70# Permanent stiffness or deiormify of back arms, Iqs, or exfremffies, Including feet, foes, hands, or hngsrs ...... ee,400 42,300 41,90 19,500 8,CI 7,61 34,300 Missing arms, legs, or esfremkfes, Incfudhrg feet, . toes, hands, or bngms...... 31,300 25,100 15,90 10,1( 15,100
Dlssasss of the nenmus system and sense orgmw BIhrdrress...... 45,400 24,100 24,80 I e,6cm 20,10? Glaucoma,...... 20,200 8,100 8,50 10,200 cataracts ...... 50,100 ie,ioo 19,30 24,000 12,200 Desks:...: ...... 50,eoo 24,500 28,60 17,000 9,3( 19,300 Palkmwms dlsesse ...... 29,900 14,800 16,90 e,500 11,200 Paralysis or palsy, other than . sdhritis, unrelated to slmke . ... 21,900 14,500 16,50 t2,300
A~&:t# poisonings, mrd
Hip fra;tu m...... 127,200 64,200 56,50 43,900 21,81 t4,fl 42,400 Other bono Iraclure ...... 66,400 27,800 25,70 30,200 10,5I 6,4( 17,300
Endocrine, nutritional, and melabolic diseases Disbeles, ...... 15e,eoo 7e,s4to 7e,80 57,700 20,31 19,5( 59,300
Neopfasms Csncar ...... f25,200 78,700 75,70 30,000 t9,61 16,6( 59,100
Ofssssss of the respwstory system: Chronic rsspiralory dkease...... 99,&xf 46,400 49,10 37,800 12,7( 15,4[ 33,700
Diseases of, the digestive qsterm Constipatmn.,.., ...... 50,800 29,700 32,70 t5,200 26,700
Diseases of the blood and blood- f?rmirrg organs Anemm...,, ...... 65,100 32,700 32,6o 2s,400 9,1( 9,1( 23,000
Diseases of ihe skinsnd subcutaneoustissue? Bedsores.,, ...... 36,000 29,500 29,50 . 27,800
Conditions other than above Edema ...... 102,200 5e,800 5e,90 Ze,loo 14,2 13,3( 45,700 Kfdney trouble ...... f 20,900 67,500 88,70 23,900 8,41 29,6( 59,000
None of these conditlons Total ...... 37,500 7,900 27,100 ,
.Condiliorr * . Tofsl...... I l,eoo B,700 ,
See Icmtnc.lesal end of table.
79 Table 33. Number and percent distribution of nursing home diasharges by type of dependency and partial index of dependency in esfivities of daily Wing, according to selected health efatuae~ Lfnitad Statas, 1976-@n.
Partial index of dependency in TW of dependency achnhes of dsdy Itinv All Notind~x#anf D;”x);:!l Health St~fW1 discharges Oependent Dependent in MobhW Conbnencex In rnobddy contirmnoe mobdii or mobddy and only continema oniy continence
Total ...... 100.0 47.1 47.2 40.1 12.6 12.7 34.5
PRIMARY DIAGNOSIS AT ADMISSION Dkease$ of the circ.ulatow svstE1 Tcdaf...... 100.0 50.4 519 35.4 12.6 14.f 37.8 Congasbve heart failure...... 100.0 49.0 50.6 35.6 13.8 15,4 35.3 Artenosclerosls ...... 100,0 48.6 51.7 37.2 11.1 14.? 37.! tiypertenaton ...... t 00.0 35.9 46.6 39.9 , Stroke...... 100.0 60.4 S6.6 27.5 11.7 12.1 48.7 Head attack, ischemzc heart . . disaasa ...... 100.0 42.3 39.2 42.3 24.8 Other...... 100.0 39.9 342 47.7 . . . Mental dwxd efs and semhly Wfthout W/c hoaia . Total ...... ioo.o S5 B 44.4 51.6 126 31.8 Senle psycho~s...... 100.0 ...... Other psychos...... 100.0 76.6 . , , . Chronic brsm syndrome: ...... 100.0 46.4 60.6 36.2 15.4 45,2 Senildy vmthout.psyshosls...... 100.0 . , . ● , ● . . . ● Mentsl retardabon...... t 30.0 , , Akohorsm and other menfsl texdera...... 100.0 -“ . 0s.4 . . . Other dlaonosass
Tonal...... 100.0 47.9 44.6 40.3 15.1 11.8 32.7 DIsaaaas of the muscvlmskelefal system andconnactiva Osauas . . Arfhntis and rheumabsm ...... 100.0 35.s 37.9 53.4 27.1 OIsaasas of the newous system and aanse ogam: Parkinson’s tisease ...... 100.0 . . . . * , Accidents, poisonings, and molemx HIP fracture ...... 100.0 47.3 36.4 43.2 20.4 . 9.5 26.0 O!Jer bone fracture ...... IWO 30.3 57.9 . . . Endccdne, nubdional, and metabolic dlwesas . Dlabetaa...... IWO 49.6 45,1 35,2 19,6 30.0 Nwoplasm= Cancer ...... 1(S).0 65.1 60,9 2i,9 17.2 f 3,1 47.9 Oiseases of the respiratmy system TotsI ...... , , 100.0 38.2 41.2 48.9 2S.3 ilaanosis unknown . . Total ...... 1000 70.5 . . . CHRONIC CONDITIONS D IMPAIRMENTS. Oiseaaes =chculatory
Aderiosclerosis ...... 100.0 542 54.8 32.1 13.1 13.7 4i#f Hypertension...... 100.0 49.9 51.9 34.4 13.7 f5.7 36,2 Stroke...... 100.0 61.6 62.0 . 25.5 12.5 12,9 49.1 Paraly$s or palsy, other than arthrd!s, related to slroka...... 100.0 77.6 66.4 15.1 1s.5 59.3 Heart trouble ...... 100.0 56.7 51.3 24.5 14.2 14,9 36.4 Mentaldmxdera and senihfy vnlhmtf DsvchOsiS
Menkd illness...... ● 2s2 34,3 61,6 24.1 Chronic brain syndrome...... 53.7 63.9 29.9 6.1 t6.4 47.5 .%nihfy...... 5s.1 64.0 27.9 8.i . 14.0 50.0 Menfsl retardation...... 51.1 42.2 . . . Alcohoham...... 30.4 64.5 . . . Drvg addition..., ...... : 9. . . . ‘ Insomma...... 100,0] 56.0 521 4s o See fwdnotes at end of tabla.
80 Table 33. Numbar and percent distribution of nursing home discharge by type of dependency and partial index of dependency in activities of daily fiving, according to selected health atatuees Unitad Stetea, 1976—Con.
Padfal index of dependency in Type of dependency acbmes of daily lbvmg4 All Noli$e#ant D:nF;$hnt Health SfSfOSi coschsrges Oep%ndfmt D:p:;:mrI MobiW in mobifify Confmenc+ mobffii or mob!bfy and F“.,,.m.- only only .“nim.n.m “., ,“, ,.,,- ...... I I I I Parcent d!stnbution HRONC CO rr ONS P$D IMP11RMEW4W QUw Chmmcimkdta’nco ~bo$ e“d DiseasesO(the muwloskelefaf systBmandconnectivetissues ArfhrfIIssndrheqmaftsm ...... 100.0 45.4 31.8 Chmnlc back, spree pmblbms, excluding stiffness and too.o 45.7 28.1
104.0 61,0 49.4
ioo.o SO.2 46.1
Dlseasss of the rrmvous syetam and senss organ% Blindness..., ...... 100.0 53.2 44.4 Glaumma ...... 100.0 40.0 . Cabwa.cfa ...... 100,0 3ft.o 24.3 Deabmsa:..,:...... 100,0 4B.2 38.0 Psrkirqms d,sease ...... 100,0 49.4 37.6 Paralyss or paley, other than arfhrifia, unrelated to efroke . . . . 100.0 66.0 56.3
A~cccmJ, polsonlngs, and
Hip fracture ...... 100.0 50.5 33.3 Olhar bone hactura ...... 100.0 41.9 26 t
Endocrine, nufdfional, and metatmffc rfiseasex Diabetes,...... 100.0 50.6 37.8
Neoplssmx Cancer, ...... 100.0 629 47.2
Dlseeses of the respiratory system Chronic raspirslorj rfiserme,.. .. . 100.0 46.6 3s.8 Dlseaws of the digasdve systarm C4nstlpsffon...... 100.0 58.4 52.7
Dleesaee of fhe blood and b~fc:~mlng organs ...... 100.0 50.2 36.2 Diseases of the skin and 9ubautaneous fiesue aodsorss.,, ...... KXLo 81,9 77.1
Co::;# other than shove ...... 100,0 50.5 57.7 44.7 Kldneyfrouble ...... 100,0 55.8 73.3 4a.a “ii None of thmm IX d ton% Total...... 100.0 21.0 .
. . 100,0 I ~ghfh RewsmnlntemabonalCfassdiitmn of L7fseases,AdaptadforUsein theUnitedWares(lCOA]. k or bedfaat rconkolllng elthor bowls, b!addor,or both, or who had an ostomy. ndent for the purposeof this Index, Ieare noted. d)schargemayhave had more than 1 reporled wndiwn orrrnpaumenL
81 m M
Table 3-4. Number and percent distribution of nursing home discharges by selected health cervices received: according to diecharge statue, median duration of etay, level of care, and partial index of dependency in activities of daily fivmg United States, 1976
Olschargestatus Level of care Median duringlast 7 days ‘a?%l!:::;!:fy%%ll~ ‘“ Alf duration Dmhsrge healthse~ics Nursing care Not dependent discharges, of stay Personal Dependsmt In DependentIn in either Oependwdin Live Omad in days cam continence both mobitity Intensiva Other mohifity or mobdity only or none only and cordmence continence
AllheaNhsewices..,...... 1,117,500 825,500 269,600 75 627,000 371,800 116,000 446,600 141,200 142,000 365,600
Phvsicianwvice lime sincelast phys!cianwsit Lessthan 1 week, 53,55: 379,300 151,800 43 327,800 174,200 29,500 201,700 64,300 66,900 196,500 1 weekto less tha~Z::::::::::::::::::::::::: 107,100 37,400 S7,SO0 44,300 12,700 54,200 ie,ooo 24,800 49,700 2 weeksto 1sssthan 1 month,...... 158:600 121,300 37,2oo 1:: 67,900 53,s00 16,966 55,000 24,300 21,000 5s,300 1 monthto less thsn 3...... 93,400 73,700 19,500 203 40,200 38,300 14,900 45,600 11,700 13,100 23,000 3 months10 less ffRIIB , . , . ...!...... le,700 13,400 206 9,300 7,400 6 mantis to less than 12 ...... S,400 . . S65 . . . . , . 1 yearor,rnore.:...... :.....,:...... ,..,,., ...... No phys!cmnvwdswhile m fscdIt y...... 03,100 52,500 10,600 30,000 2s,300 9,700 29,0w 10,100 . 16,100 Unknownif any physicianvisits...,...... 97,200 69,100 26,8oo J 38,200 2e,700 32,300 50,600 11,500 7,600 27,300 Mqdiaptime smcs Isst physician wsdm days...... 3 3 3 .,. 3 4 1 2 3 4 3 Serwcosgiwenal last physicianvmik’M Examination..,...... 667,800 834,800 232,100 85 511,7C0 293,300 62,600 324,400 112,700 117,300 3y4:: Treatment...... 164,700 104,200 60,500 90 118,400 36,100 10,200 42,900 t 7,900 21,500 Prescription. . 525,100 363,200 141,600 321,800 166,300 37,000 191,460 658460 73,620 194:600 Ordersfor l~otii;~’i&i’’’’ ”’””””””””””’””’”’ 176,200 132,800 45,400 % 116,000 52,900 9,400 49,900 26,600 29,800 72,060 Otherserves...... S1,666 63,7oo 1S,ooo 97 48,600 27,600 . 25,400 12,560 13,200 30,500 Jlteraov serws No therapy service durfnglast month...... 64$:;: 443,200 201,000 382,700 206,000 54,100 223,700 65,600 74,900 260,500 . Unknownif any therapysewlcs...... 53,700 18,400 ;; 20,100 23,300 27,100 48,100 11,s00 Therapyser.ma during fast montir ...... 402:000 328,7oo 72,500 63 224,s60 140,5C0 36,800 176,71.M 40,700 63,260 113,300 Physfcal therapPA...... 231,300 194,1O+I 36,600 133,000 61,100 17,200 99,260 31,800 33,660 87,000 Ffecreatlonaf therapy,L ...... 1:4#: 116,200 27,500 1% 73,800 53,000 17,400 63,300 21,260 23,3C0 .23,666 Occupshonal ther6pyY....! ...... 54,100 11,700 82 37,700 25,000 . 2S,300 . 14,300 17,900 . . . . Speech ur‘- neanng---J-- therapy., ...... 16:600 14,700 29 I0,32Q , . COunsehhng by socialworker...... 66,200 73,900 14,200 59 52,600 29,900 37,000 lt ,700 t 4,900 24,S00 CWnashhngby mrmbdheaffhworker,,, ...... n...!,.. . 21,200 19,400 B3 10,400 14,@lo “Gamyorientation...... 40,600 34,900 it ,700 . 7,500 17,400 33,300 i 2,16a 17,500 . . Other...... 24,300 1s,800 . :: 17,900 . . 11,100 . Other health servtce$ Flu shot wtihin last 12 months? Received ...... , ...... , 119,400 7t ,566 47,600 931 74,660 34,700 9,900 35,000 i3,92Q 14,300 56,tO0 Dld M rsceive or unknown...... 152,1OQ 9s,660 54.900 95e 45,500 16,20? 56,200 . 8S,200 16,500 55,466 22,300 . Csughtflu Withinlast 9 months...... 9,000 . 330 . . . , . Scecistd!et wdhfnlast 7 dsvs “No spsml rhet... ““’- 650,960 495,700 t 53,800 ez 331,500 222,206 97,200 297,366 84,766 76,200 190,200 Speasf det$ ...... ’””””””’-”’’’’’’’’””’’’’”””””’...... 40&300 329,600 136,000 296,1W 149,603 20,600 150,801 56,56+1 6S,800 i 95>400 LowSOdlUm...... 141,660 110,200 31,200 !: 76,920 53,460 9,166 55,4mJ 2Q,5U6 21,300 43,300 OisbetiO... lt4,706 88,706 25.766 104 67,300 42,000 , 42,360 17,300 13,300 4t ,W30 Wt...... 55,S6+J . 49,6Q0 91,660 35,300 71 64,360 26,000 21,860 7,960 12,46? . WeW\ht~ss...... It ,460 9,700 . 57 . . . , * , .?9,506 31,800 7,s00 77 23,360 t4,730 . i7.6W . 10,660 t7th-5rI. I.: RI::’’’’’””’-”’’’-””””’””’’”””””...... 12Q,206 63,660 5t ,100 52 91,56+3 23,600 . 25,760 I0,4CQ 16,260 07,aoo Seefc9tnc.tOsat endofrable. Table 34. Number and percent diafrfbution of nursing home discharges by selected hea[ti sewices raceived, accorting fO dischsrge SMUS, median duti-orf of stay, level of care, and pwtisf indes of dependency in astiviies of daily king United States, 1976--Con.
Lsvel of cars Oischsrge Sfsfus Msdsn during @t 7 days Dbcherge health 3eM”ca All durstion dtschargeai of stay Nursing care Pel---- tive De6d in days cars ‘n ‘mw I !!Y?!?%!” Intsmiie Other mobibfy ‘- or none cantinerm. 1
Percsnt d@rfbubon II Percent distnbudon All heslth serwses...... 1LKf.o 100.0 100.0 . . 100.0 I 130.0 100.0 100.0 100.0 Iof.o 100.0 Ptw31ciansswfcs Time sinzs last phy3ictan visit, Lass Ihsn 1 week ...... 47,6 4a.o 52.4 . .. 5522 46.6 25.0 45.0 45.6 47.1 51.5 1 waek to less than 2 ...... 13.0 13.0 12.9 . . 114.0 11.9 i 0.7 12.1 11.3 17.5 129 2 weeks to less thsn 1 month ...... 14,2 14.7 i 2.6 . . 114.0 14.5 14.3 12.3 17.2 i4.e 15.1 1 month to less !hrm 3 ...... 6,4 89 6! . &4 10.3 12.7 10-2 23 92 6.0 . . . 3 months to I*s than 6...... 1.5 1.6 . 1.5 . . 1.7 , . , -. . . . 6 months to less Iha” 12 ...... 8 , . . . 1 year or more ...... , ...... No phymckanwsts while in facihiy . .. . . 5.6 6.4 3.7 ::: 48 6,3 6,2 7.1 4.7 Unknown if anv ohvswian vmfs. . . 8.7 6.4 9.3 . ai 7.2 27,4 1!: 82 5.5 7.1 Median hme s~~ &st physman visit [n days ...... ,,, ...... SeWiC&sgwen at 16st physicmn VISkM Examlnahon ...... n.7 769 ao.i f815 76.9 53.2 723 79.e 826 61.3 Treatment ...... 14.7 126 209 . 118,9 9.6 12.7 15.1 21.4 PrescnDffOrf...... 47.0 46.4 46.9 f513 :.; 3;.; 42.7 463 51.e 50.5 Orders” for Iaborstoy tsets ...... 16.0 16.1 157 . 1la.5 142 7.9 11.1 Iatf 21.0 18.7 . Othsr serwces...... 73 77 6.2 7.7 7.4 5.7 a9 e.3 7.9 TheraDv Servme No therapy se!vce during kst month...... 57.7 537 69,4 ., fet o 55.9 45.9 499 m.7 526 67.5 . . Unknown f any therapy sewice...,,. . . 6,3 6.5 5.a .,, 3.2 23.0 10.7 3,1 Therapy serwce during last mordi?, ...... 36.0 39.8 250 ., 358 3%3 31.2 39.4 34.5 44.5 29.4 Phys!ca! thempy.,,...... 207 23.5 12,7 .,. ;!:;‘ 21.8 146 221 22.4 zi6 17.4 Recreahonal therapy..,...... 12.9 14.1 95 ; 143 14.6 14.8 15.0 16.4 6.7 . . Occupattona[ therapy., . . . . . 59 6.6 4,0 .,. 6.0 6.7 63 10.1 46 ...... Speesh or hsamfg therapy...... 1.5 1,6 .,. 1.6 Counseling by SOCISIworker ...... 7.9 aa 4.9 e.4 8.0 , a2 8.3 10.5 e.4 . . . , Caunsehng by mental health wotier . . . 24 . . za 33 . . Reahtyorlenfsbon,..., . . . . i.: 4,2 4.0 5.3 32 3.9 5.4 45 , , , . . Other ...... 22 2,3 28 25 Other heslth ssrwces Flu shot !@Jin last 12 months? Rscewed...... 107 6.7 165 11.9 9.3 a.4 7.8 9.9 to. 1 14.6 Djd not resswe or unknown ...... i3.a 11.7 ia.9 . 140 t 2.2 157 123 15.e 11.4 15.1 . , . . . , Caught flu wdhm last 9 months . . . . ,8 . . . , Spemal d(et wdhm Ibst 7 days NO spmcial diet ..,, . . . . 5a.2 60.0 53.1 528 59.a a24 6a4 50.0 55.1 493 Specra[dlet~ ...... 41.6 40.0 46.9 . ., 47.2 40.2 i7.a 33.6 40.0 44.9 507 Lowsodwm . . . . 12.7 133 108 12.6 14.4 7.7 12.4 14.5 15.3 11.4 . D!abetic...... 10.3 107 8.9 .: 10.7 11.3 94 12.3 9.4 I o.a . soft...... 62 6.6 12.2 . . .10.2 7 0 46 5.6 e.7 I 2a . , ...... Weight loss. . . . . 1.0 . . Bland ..,...... 3.5 4: 27 37 3.a 38 Other . . . : :.::,, ...... 7.3 11.4 Ioa 8.4 17.6 . 146 6.4 1 5.7 ‘Includes dwcharges with unknown dwcharge dus. Kxcludes dscharges who recemd w phys!c!m VIsds whale m faahly. ‘Unknowns were considered not dependent fc tie purpose of thm index, ‘Excludes discharges who were I. the facddy less than 12 monfhs ‘Numbers do not add to tatats twcause mull,, respomes were penmued Table 35. Nursina home discharges-. bv selected nursina home characteristics and selected diacharae characteristic United States, 1976
Discharge characteristic Number Medw .–. . I Percent 1 . . Nursing homa chatacferistfc of Median Medan durabon dmchargas age of slay hat pl,y,lrx geo in years in days visit in day= we and wntmenio I I All nursing homes...... 1,117,500 80 75 3 40.1 73.9
803,100 80 4 37.8 14.6 225,100 % 7 47.4 71.1 89,200 78 H f 43.0 72.4
Cwbficafion Skdled nursing faciily oniy...... 379,000 79 38 2 40.1 77.5 Medicare and Mediw”d...... 301,700 79 35 41.3 77.6 Medrare...... 29,400 76 35 ; 39.8 86.5 Medmatd...... 47,900 81 97 3 32.9 70.4 Skilled nursing fauhly and mtermediats csre Iauhfy...... :...... 44B,400 80 82 3 36.6 71.6 Medcafe SNF and Macksd SNF and [CF...... 3M,500 3 37.0 73,9 Med!caid SNF and ICF...... i 37,6oo 1% ~ 35.2 67,2 Madicara SNF and Medf@”d ICE...... lntemmdate care facity onfy ...... 210,400 176 41.3 702 Not cerbfwd...... 79,600 111 ; 56,8 79.2 m Lass thzn 50 bd2...... 154,000 47 f 48.2 79.4 5&99 beds ...... 323,800 61 4 39.3 7t.2 10Lh199 beds...... 479,500 36.5 742 200 beds or more ...... 1M,Zoo 1% : 39.4 73.4
247,100 78 2 440 71.t 336,600 99 5 35.4 7f,8 270,900 . 95 4 37.0 730 262,eoo 39 2 45.6 60,0
54,200 107 4 39,7 67.6 113,900 123 39,2 74.T 102,600 36 ; 50.0 663 131,000 96 4 36.t 70.3 273,S00 5 35.5 73.t 119,eoo 1:; 4 38.4 762 5B,200 144 6 34.6 356 31,BO0 43.8 73.6 10s,300 :: : 45.2 623 44,200 56 3 48.6 72.5
Nursing care...... 3 36.7 73,2 ~ L :: 2 51.4 79.3
84 Table 36. Average total monthly charge and average amount ptid by prim~ source for residents of nuraina homes in 1L?77and dischames. .. . . in 1976, by primafysource Of payment- and selected characteristics United ‘States
Pnmaw source of payment for wsidenfs m 1977
C-w lmmme Or Gf~.mI##l All swrces Medicad Skikd Al tie+ Soufre# f~m~ 51JQ~ Mefcara Medic=id rnbmtiate Resident chatacfemhc Wellare Paid by Paid by Paid t-j why Paklhy P&i by M~fh; Monlhly %$ Monthly M&g :Onul: r$xlg M&r ~w QlllowY pimaty prml~ charge ~ce charge PIJrg Pm-# SOulce WUm Wlm
Average amount
AN tienis ...... S849 WJ31 2624 $655 $1,167 S992 $272 $732 S61O $910 S50S . $442 S44D $228
I I 1 I , 1 I DEMOGRAPHIC fWARAC7ER127iC I I I I AW Undw 45 yaws...... 594 502 . . . 4&~ynam, ...... ,, 676 %!4 . . . ,- pars, .. . . ,,, 586 5f 4 557 594 799 883 . 6S69 pars, ...... %8 626 762 851 . . 70-74 w...... 877 % 662 I% 855 747 . . 75-79 m...... 716 625 717 863 911 751 . 71D.A4pm ...... ,,,,, 704 619 727 526 . 9549 years ...... ,,, 715 624 %: l% :: 753 64: 93.94yas ,, ,, ,,, ,,. ,, 713 828 747 727 673 722 95yearsandovm ., ,. 755 677 746 714 264 764
& . Male 582 642 604 1,242 622 686 519 Female. “;” ;“””’: %% 616 710 676 1,135 958 087 747 502 Ram m ethnmiy
Whte [nat H&+mncF . . . . 694 686 1,21: 1,022 080 735 59: 4? 444 . Black [not HISFWIIC). 624 7Z9 I+swnl..,.. . ,, . Arnencan Ihd!an cm Alaska name .: . k!m cm mlrc I$ander .
Mam status Maime d.:...,,,...... , . 707 712 686 863 735 Wtdowedz ,,.,, . . . ,, . 713 % 710 874 f ,14; 9y 626 735 522 455 457 292I . OrJwmcfo rsqrarated. . . . ,, ,... 5!63 554 51.9 756 639 Never!rmned. z - 636 - % 623 - 567 . . . 872 76i 493 _ 452 . .426 256.
‘LENG7H OF STAY SINCE ADMISSION
Less ihan 3nm”ols. ,, ,,,. . . . 749 740 1,162 1,017 757 56; 476 552 259 3 monfhs tolesslhan6 .,.,,.,., ,. ,. 717 :: % 756 E 266 6 umnfhs to Iefs than 12 71B 626 739 699 887 72S : Iyear!oless than-z . ,. 694 609 639 653 674 -4y 3 years 43 Ikss than 5 654 565 612 572 674 E E 5 yews or mom. 6i9 533 582 527 895 744 449 39t 222 o~ Lwmmanmrenfmm 10 adms$m Prmaaf semprrvate Nsdence. ,.,. ,.. 651 570 651 621 659 495 42f S20 267 640 KS, W6 609 653 Unknown d Wh oiiem .: ‘:” ,’ .“ . Wg C& ,.. 6% % 863 427 437 334 667 620 I I C~dren ., :”’ 864 646 260 Ofhr ra1ahuE5 657 MO 287 UIl,datwd persons : 562 533 , A!mthsr heallh fac,l,~ 1,21: 1,)23 883 518 m 591 327 AJmtiler numng IlOrwa. E % 634 General or dwfi.st?.y hospfal. ;8 747 1,211 1,644 098 611 5i9 596 3of . Menfal hosp!td ..,., 482 629 Olhm hedllh tac,hry m unkrmwn 676 925 Unkmwm or other mgenwnts Ma H 029 Table 36. Avarage total monthly charge and average amount paid by primary source for residents of nursing homes in 1977 and discharges in 1976, by primary source of payment and selected characteristics United States-Con.
‘~ ‘~~ ~ IWWmtIN resi3en13 m 1977 Cwn ihnmme N cdhh~w.wtnpl All wmxs Mtiuwe MeLOcaldsk]lled Resident clramerw~ Imlly SJpplt Modad mlermtial~ M olhw saum$ swam Pad by Paid by Pad tq Pad by ?ald by Monthly M&: Mom;: ME;: Mom& M&J Paid by &#a$ prrmwy PIU# g!mlmla: MO&y *W ~r= pmary g~ W&&g Y3wc0 WIIce
Average amci!d
OUTSIDE LIVING /411RM4 GEMEW–W Person Mm ananwd for adtnwl~ Self ...... 557 494 553 533 Em 462 &=xEO...... ,,,.,, ...... 739 645 666 916 Chfldmn .,,,,,,,,.,,,.,.,.,. ,,,..,,..,,..,,, 733 ES5 662 6Q2 % 655 1,15: I,W6 857 6t i 461 47 odler1elaov6 S,..., ...... 702 497 520 676 594 636 654 825 699 590 492 545 454 .%U.4WOIW ...... 727 627 794 639 951 814 522 467 . 40: ~ff Of Fwwus msbWon...... 764 742 674 :: 523 476 478 365 OlrW., ...... ,<.,,...,..,,,,. 761 711 %! 753 715 1,241 1,027 M 699 615 510 549 487 379 226 Tenw( raw Wde.t
Yes ...... ‘rm 701 751 713 . No wunbwn ...... W 596 F09 65s 1,126 348 874 732 610 m 509 442 4s2 230 Lklwce C4ans Wrrdn 6 mdhs...... 763 234 792 1,295 i,156 . Not @annealcf unkmwn...... R 595 6s5 650 I,oea 891 87s rss 610 499 566 441 417 272 249fc-ahmtmat wd o! tit.
. .. ----- ..— —.. .— ...... —. —— Table 36. Averaga total monthly charge and avarage amount paid by primary source for residents of nureing homes in 1977 and discharges in 1976, by primary source of payment and selected cl’taracteriStiCS United States-Con.
PlilW KWCe d payment for @hmp bl 1976
SW&l::;: All WWWs M&care Mtic.aid shkd MeIJcakl nlennfiliate %&K%rti Al olher sources. Weiram P2HIby Pad by !%& Pad by Paid by PM by Monthly Mon!hly k4.m311q Monlhiy yhmwmv ~w MOnlhy yww Qmlininv p-mwy MM& pm -e Z CiMq,3 chage mm CWe WC-9 scam -. ~,= -
ANdxhe.roes .,,,, ...... S709 a72u $747 S716 $1,300 $1,197 $767 4666 6579 $484 S524 $448 $462 S425 I I I I I I I I I I ma 719 1,272 45-! 676 . . 55.64 yea% 709 734 1,% 713 579 514 6W39 yearn. 670 713 , . 70-74 yew% %; 747 % 612 %4 470 75-79 yews . 626 759 1,924 678 578 464 ~ Y=ls 760 710 1,208 624 595 471 65-29 yem ...... T91 ;~ 1,162 696 576 96.94 yearn. . . .,,,,,, . 749 1,246 2.W 621 W %* andwer. . .. . 724 1,007 S&i Male ...... ,,,,, 801 741 1,379 626 569 473 Female...... 702 751 1,246 657 524 429 542 459 :$ M3nL4 ,baiu$ at dlschwae Maime d.,.,,, ...... 874 787 1,412 241 577 461 Wbmd,,,,,.. ,, ,,,,,,,,, ,,, ,,,, 761 727 i,zst 654 509 486 54{ 461 ; DIVOmif Wwmrated ...... 626 1,S80 716 526 479 NWer reamed ,,,.,,,,,,, .::.:: ‘% 73? 1,304 723 548 47? Unknown, . . . 661 . CimATION OF STAY Le%than 1 nmn!h ...... 924 344 1,323 653 597 621 410 1 month bles than 3... ,,.. . 711 1,312 662 57! 3momhsml=man6, ,... . % 752 I,ly 632 % .% 6m0mhsbles5mm12 . . . . . :: 692 710 7cil 627 486 Iyearla lest hana .,,. . . 658 659 662 558 457 3yearstolessthan5, . .:,::: 6W 667 621 542 . 5wmrmre ...... 626 % 563 LIVING ARRANGEMENT AFTER D13CHARGE FOR LIVE LIISCHARGE
~atecfswhfvaterwdence ,,,,., 922 1,471 620 5N 476 550 AImlher heakhfara!iy,.. ,,..,. 728 % 1,129 264 585 403 521 42? 473 #JIoth6f numq home. . . 726 1,3B1 583 466 General w shcfktay hos#Ml .”,::,::: ;: 719 1,04? 262 56! 489 MenlallWdal. Othsf haanh laahty M .nknw . .
Numb+r who died m oth6i heal!h {ZC,IW 658 ma .7. 927 “.. %4 . . Unktmwn or .aIherarr,mgemenls .,,.,.,,, 969 1,724
PISCHARGE WANS IivO.... ., .. .. 751 i,345 1,244 E63 w: 426 bad,.. . . 739 i,f4t 1,022 6% E f! unknown . . ...”.. I ‘I”dude$ ,BIWU,S cwanlzalms, Ioundwons iuntenr agcmes, VeWC,IIS Adm,”,,lmm conlracl, UUIM WIT ,0”1.1,1. care funds. end .alher sO”m 0, “o CFUW ‘Indutes a SIMl rwmbr of ““km”, l------
m . m m
Table 37. Average total monthly oharge and average amount paid by primary source for residents of nursbrghomes in 1977 and discharges in 1976, by primary source of payment and selected health statuses United States
Pdmwp50WC6cd p6yTI13nlfor m.skien15In 1977
AN S01uc9s tin IIWIIW OShhww,wmryt ReWerA health s!atw m fmdy s“~ MEGICWO Mwkild tiled Mmkafd InlemwdIafe AN C4her SWC# Weffam Ps!d by MciOhfq M##~ Pad by ?sld ty Fnfd tq PIJl&r I.bnlhly MD;;: VW Pam bj P3N b) charge WFJW pli~ ~;: %$ Mw$b ~w !kml: Chargn ~mm sUnc9 scwce Wurce Average amount All rewhls...... 45s9 4K71 $6* S6S5 $1,167 6092 4s73 5732 4610 $W6 $5CM 4442 4440 $286 PRIMARY REAWN FOR CARE
719 824 716 &wK&12!:::::::::::::::::::::.::::: 632 1,187 1,016 877 515 666 6S17 499 54! 465 466 305 Monrsl mfwdabon 560 782 ~ektil ~m...... % 479 , : : fi 562 49s ...... ,, ...,,.,, 571 674 652 . 510 Wrmwh.....,,.,...,,...... ,.., ,.,,. 596 E % E~~tica otimmwn, ...... 504 . 572 50s 573 H . . E46 PRIMARY DIAGNos IS AT MST 69s 4oi INA710N msed3eso t rlm Cnwleti SY61em I Tars.., ...... 712 617 705 26s 1,106 936 6@ CC4&30w fwtr3u”;” . . .‘“”’””’’”’””””””””””’...... 718 626 495 5s6 445 518 461 ,.- . . ..—-.. 697 EQ’1 7i I ‘?,..,. . --- ~,”~JwYIY ...... ,, ...... WY 74, 59s .–O 7t6 616 766 677 472 gF#h.:.::...... !-...... 67; 72? 621 619 631 618 576 4W ...... 769 6211 497 757 712 HW aflw%- hwi time.....,.,., 66s . 29e 719 64; 52s Ollw.., ...... w ...... 691 . 610 . . . Mental , W
To~L ...... 652 576 654 615 s+ldlepychws,. 97r 770 595 511 472 424 511 946 6s9 612 6$s . -m =s . . .‘ . .“’”. . . . .“’’’”””””””””””””’’”...... ,,.., 496 . mti E Sjndmfrm % ...... % 674 576 all Swl, nihwl p5@@2 % 722 ...... 626 971 dso MO SE d 597 Men IBIWWI ...... 544 % Akx4ehsll d 06W 672 514 m ~ ...... 607 513 . . . ::1 THOU...... 705 616 715 SS6 1,211 1,M2 m=sa2 Otw rru?xfdm3f 891 741 613 499 511 445 S75 244 swamad ani-6.swO lsms., =’J (I71 l-l+--l-I-- ~mwo=n...... 5s6 m 706 ml . . Dlssa?aof h C+lvGns mm 656 Sss 595 424 =3ndSw9c+gdr.s Farknlmrs dsaaS9 ...... r 747 649 7s6 762 . . . .
‘%R%IRVWM!!’E...... WI T46 792 76s . . . Lwmfmclwe...... ~ 7e4 we . . EndQQm.3,nUklom4. and mwc *- . . mm ...... 695 d34 767 Et . I 910 766 604 m . f4wJ=m ...... 727 527 716 67S , . . mEases.34iteqwa~-
ToM...... 633 535 w 6el . . . . . - lmhOwlF . TM ...... w m . w 567 . lee , . sdOc.8mlesa16ndr,ltmb&. 652 573 4s6.
— ,.. ., ------Table 37. Average total monthly charge sod average ernount pad by prima~ a~”rce for residen~ of nursing hom~ [n 1977 and diwharges in 1$)76, by pfimery source of payment and selected health statuses United States-Con.
Pdnwsucm ofpsyuwlfwrkcknfsrntwr of=.!Nwmnmr Nlwulc55 .x%’l!l!-- M- M- Skkd MedcaklWrrn.afare aS3SmKacr AffOlkl-, Werk PM ky P2klky Pwty = ~w M&fi~ Mu&~ pm W&w MNbyVW MOIIIJOIIIVPaiity M&w m P= W.?c.2 - mm? SQluce SmMn 3moulll
CHRONIC fXYNOMONS AND lh4p,iIRMEN7s Ese3w 6+ w? QrLllfabnv S,9Q
MEias&30i9...... ,...... 712 618 705 1,1 9 9ss 737 623 503 $35 421 301 -* ...... 6W 599 895 sell 7s6 614 498 E(I9 4? See ...... 728 629 739 1.1 9 S5t 899 624 m 540 - w Paw ‘3Uw mall . aitfmb, misled 10 stroke ...... 75U 626 742 89s 7X 6s4 510 t!+arilfcWe..,...... 711 6*9 m 1.2 691 746 616 m 549 W6 270 MenM kxdws and se@ W16wJfVW C4mw . Uemafdfces...... 597 522 Ws 576 49s 420 Cddctm”syndmrm...... 728 645 z w % 826 542 463 339 ...... W5 598 763 829 Ef7 592 X 637 4% 270 . . Me”kfwwd?dim...... , ,,,,,,, ,,,,.. , 570 597 474 7s5 722 570 y . . . 609 511 550 561 ~mam~~”; : “:::Z::::::::::::::::::,: . . : ...... 7<4 624 728 90S 153 596 477 G+her L4noniiDnKIlfmls q ~ > fXwases of W rmmlcskmd swtm [email protected] - Mludis3nd heumdm...,, ...... 620 W 702 880 733 567 496 W2 4W 269 : W sp @dorm, excl@ng . WrnEssmd aelomldy.,...... 6s2 598 rr9 810 870 616 514 PtYmalwntS!$rmss m d#.mdq of pack arm, I* lx eKkellllbes ,- lea rms, iwm, CJ klgws . . . . . 728 m 744 896 748 624 510 570 M~ls&* alms, k?w. w FXtf,m,lm, . q M,tms, bards. c(fi”ge,s ,,,., x9 664 727 935 770 Wws?sof tflenenwsptmaod - Wals. Bbdmes ,...... 694 @34 882 6M 741 619 533 at-...... 662 592 . CafWam ...... 706 612 % 948 789 % 529 . Oeafmss ...... 697 204 677 924 754 619 592 Pi%NmOIl,s d,s- ...... r37 640 7m 661 796 623 498 Pan@is c+ palsy OIJW,fm tinbs, mudded to sake..., ...... 862 577 711 749 650 615 kd+mts, FOIS.XIW, and vmlmw . H.Prmfm ...... w 907 762 611 489 Oftw Lmnefractw. . . . % E&2 G 872 703 652
. maf331a5...... 728 630 7W. 916 728 6s4 520 NK@SMS. . Cam4$...... ,.,, 74+ 843 723 905 7W 621 98 Deasfs. of tie ces+vratwjsystem CkMtiCles@ciy dsa.?a ...... w 568 6s5 628 6s8 599 483 LWeas?s of W dqesfme wkm -m...... 711 622 72$ 826 7W 62S W3 524 439 w 0
Table 37. Average total monthly charge and average amount paitj by primary source for residents of nursing homes in 1977 and discharges in 1976, by primary source of payment and selected health statusas United States—Con.
RirnaIYxurceolFwTIurt Iorres!aardshlorr
An 5curces Own hcomo Oi~gO&&Jgm IhWent health status, .x rmndy Wppxi MedIcme MEdkafd sklkd M6ficald Intem.a!ato All OIIWI WJC63, walk. Paid Iiq Monlhiy ;gan: ~wh Pad bj Pam IV Pad tq Pdd kq M&M: L&tthy !,$T$h ywb M&m# $)$0: we yu; pnmmy Wl:g pnlnsrj Pmlumlu mulce WJrw Wnce sauce
Averag nounl
CHRONIC CON DITIONS AND I&4PAlRMEN7s-con Dher chm+nc cundmc.ns c,, ,mlWnlWds-c4n OWaW of tie tbod m-d Mc#W#mg organs ...... w 75s . . Lww&9 d UM Skin 3NI $“bhm”~
BedYxes,,,,..,., ...... 91[ 758 Gnwiimns .2UmJ than atova * .. ..blE..:::::::::::::::::::::::::::: 87( 724 4@3 W 678 Norm of thwczm dions ToIL ......
. 3e+ 778 569
775 dm
912 777
9t5 766
W 798 . SW 744 y 944 797 SW fcobwtm a, mld ., !aw,
-. Table W. Average tOtSd monthly Charge and average amount pad by prima~ eo”r~e for residents of numing homes in 1977 and ~echeraes in 1976. bv DfiMaIV Source of . ..- payment and selected health statuses United Sktee-Con.
Pdmaywce 01PaqInentfor ciwharges in 1976
Win mcvme Clppmrgid Aoscwms Medbfe Meo%.3d Wfed Medicad hteuwx6a!e All other 5curc.253 or famdy suw.3tt Lkb3rge fwaffh5MW welfare Paid bj P2M W P&d by Paid bj Pad by M&l: Monthly I&&&2 ~w ~w~ ~&oy *W VW MW&Y ~m$ pnmay M~lh I&g &urge gy# Sollrce WWce 5mJtm scum source Sn!ncu
Aveiago amount
$762 $720 $747 $716 $l,JIO $1,167 S767 %+36 $579 $434 $524 $440 S462 4425
PRIMARY DIAGNOSIS AT ~ Di=a5e30fltmcnw Iatow SW4em
Total ...... m 702 712 6437 1,275 1,176 742 641 579 424 542 479 642 573 Song@ve hemf fahlre ...... 747 676 774 752 , AdeJlos&rOW ...... 2G6 675 i,192 3,1G6 77? G7! y 4? mti ...... g E , . Smke ...... 722 729 626 1,206 1,075 72? G44 5y 47! H@d atfack, kchenw head dseaw ...... 626 2?5 1,619 1,53: OlfW ...... 367 820 . ,
Menial (km& rsard Smlliv
. Trial...,.. . ., ...... 637 570 630 501 . 747 539 543 472 .%depycku,s ...... ,, . . . . ., . . . . : ; 061er@@ww.,..., ...... ,...,,,,,, ,,,, 495 432 ; ; . Shronlc km”qr?hne ...... 746 07? 662 626 , eemhlymowi pychms. ,..,,,,,, . . . Menhl retaxhb.an.“. .. ,. . . ‘, Alcotwbsm and mhh= menial dmrders,.. . 545 434 . : :
To!af ...... ,. 646 774 799 759 1.212 1,21.2 262 7C6 593 495 57G 475 462 391 ~ cd 6% muw.id.x!wle!al 5y51Emy51Emil&m$~&WS . CXeasesof the n-aww system am%. crgms ToM...... Accrh”ls, pman,rg$. arid Maw, HIP frati ...... Oolwkunehacbm?...... ,,,,, me, nu!nbcmaf, and metabiic d,seaser LkW!es ...... NeaaW ...... Diseases of tile IeSQuatLTfsystem ToM...... , ...... maraus ImkJWw” Tobf ...... *— at do! bbla. Table 37. Avarage total monthly charge and average amount paid by primary SOWCe for residents Of nursing homes in 1977 and ~scharges in 1976, by primary source of payment and selected health statuses United States—Con.
Primary source of pnymerd for di%hac@s In 1976 Cd~.s%~imrgrd Cmm income All mimes Medcdd skiled Med!cald Intermeddle All ON?3 SOIIIC89 M Iamlb suppaf Mndkare welfare
Pa(d by Pad bj P21d Ly Paid by Pa,d by Paid by Pnid by :&ll: ljo&h~ M&h~ ~w M#: M&m;;: m Mm&Y ~w Monlmh: pm pnmaq Plm;g pumaw scmrce SO(OCO SOUW3 source source &nurce
Ave!noe amounl
1,233 1,120 755 6 697 403 4s4 449 I,fzl 998 781 6 55B 469 1,161 1,039 699 6 575 483 656
1,303 t ,198 761 6 661 494 6f3 590 Mental rhmrders ard seml,ti v Whcmt DsWho,, . .$ 750 1,259 1,132 739 6 675 470 1,06s 930 70: 5 56? 46! . . . ; .
. . 1,169 1,646 754 6 574 479 .
, . 750 . . .
, 965 64? 461 . . 93 8 . . .
. .
A4adalrs, pfnsumqs,and Wdeme’ . . . H!pfrackue ...... $,272 1,141 w 1 622 523 . . OUW Wr3rmcfwe . . . . . 1,515 1,298 En= nuintmd, and mefabch . C?abnks., ...... 1,326 1.235 795 8 599 494
N+asircs . Caxe?...... 1,312 1,235 794 6 5s2 47i Czseasfs of N m$sratory 3@ent . . ti-Wd=3e... 1,108 1,025 76? 6 574 469
. . . . .
— .. —. ——.. - . .-—,.. - Table 37. Average total monthly charge and average amount paid byprima~ ~ource for rasident~ of nursing homes in IW’7 and CJscharges in 1976, by primary Seurca Of Pavment and selected health statuses United Sfates—Con.
PmmlySwlce of paymenlIN mm in i97.5
MOmy Pad by chqa P=
Avm
CHRONIC CONOTIONS AND lMPAlRMEN7S-Con
7* 68 1.Z D&ts&s of the &n and wwfnne.w
BE$weS...... ,., ,,,,,, 78[
(Imdrhons cAlw than tie Edema...... 70: 63 7! 6’ 5! KIoheylrcdJble...... w 701 1,15’ 7! 6! 5! None d tksacwmmt
TOM, ...... 1,09i w 1,921
Co~ Total, ...... ,,,,,, ,,,,, 64 Pm&l mdnx of dewmdemq m actmbes of dadv Iwnq.
816 71C 1,471 7( 4: 979 72: 1,19{ 7: : % 724 1,08$ R 5! 793 1,19f 1,0E6 731 b! - 5( 51 971 m“ /nlefm* IIl@dsl, ; (ICDA) J. care It h and WleJ Snwc= 0, no CIEJga E Table 38. Average total mo~thly charge and avarage amount paid by prima7y source for re~idenfs of nursing homes in 1977 and diachargee during 1976, by primary source of payment and selected health services received Un~ed States
pm SOWCEof wmnt ILY madam in 1977
Cm mccmm Olher government AN SCwc,es Medcare Medcard Skik6d Med]cald Intmmd,ate aswls: a AU 06W SUUC=S51 Rew%6 health semxe or Iamty SWQrt
FaMbq Pm& P2# by Pad by Pati hy Pam by tyn: VW Montilq MOn:: ~w MO:$y $$ gh~~y NW :&h: *M IA#&: ~w chage ~m Swlw mum SOurca WJrce SUnce SGWce
Awsge amount
$64s 4ml $Vm $055 $1,167 $992 2673 S72Z Wo WQ SS?3 5442 2440 4266
Phvwmn sermca Xme since Iasl Wsiin v151b Loss than 1 week...... 760 E62 7s$ 725 t202 1006 532 1s3 628 509 517 M! 449 . . 1 wnekto k% than 2.,.., ...... 725 691 874 734 631 524 441 306 . . 2 weeks b 18s5NM” i Imx6h.,..,.,....,. :: r% ;$ 6e6 715 619 496 545 466 378 1 rmnthto less than 3.,,., ...... 557 652 622 . i% 6Tt 597 494 494 434 .%; . . 3 months tob 67F416 ...... 553 500 32.2 556 5s9 46? . . 6 nwnthstole+s Ihan 12,,,..,,.,.,., ...... 493 447 : : . 1 yee. ruf me....,,...... ,..,,... ..,,,. 54s 476 No phpman ws smca e“renng twhty . . 5.33 496 587 562 .
Tnm k-?iwen Ibl 2 @QSiWl .s!% . Less lkn.n 1 we,...,,,,,,.,.,,.,..., ...... 871 759 87s M2 1,:3; 925 265 w . 1 week to bslhan 2,,,,,,,,,,..., ...... 765 6s0 791 746 008 641 517 2 weeks lo 16ssIhan 1 IWI”W...... 742 647 752 715 876 736 6s5 519 56s 481 4T4 342 1 month Io16s.s AM” 3 ...... 677 537 ms 0s6 826 6?+ 607 496 523 45+ 5477 371 3 monttstolesslhan 8,,,,,,, ...... 494 575 536 . m] 479 6 rmn!hs 10 less lha” 12...,,, ...... % 1 kesrorrmle ...... ,,.,,,,., 579 :; : : Not IWWed 2 p@4SCI WAS w n“tmng rac$dy...... ,,...... , 5S6 516 576 549 555 476 ti&gN&l atIhst prlyslmlltiw 693 692 656 I,mz W7 676 727 495 441 440 32! Tmalm!,.: ~:::::::::::::::::::::::::::::: E 701 670 7ZU % 516 .% 540 PrewnpbOm.., ...... ;2 614 709 671 1,17s 996 :?? 616 544 em i? 424 3s< melsfof Iab+xatory Ies!s ...... 7211 627 717 6E6 , 90s 7$ 498 51? 446 497 oiAerwvCe, ...... 747 m 719 67S 992 % 525 Loc6hon of last physcian W,. tnwre radlry ...... 32 627 726 696 1,21; 1,C07 676 n7 567 540 434 473 22? Cl@& AIaldy ...... 470 512 42e 632 m9 H 447 285 249
Amngeme”l bx physkian swvkes., Wwano. c-ao...... 499 544 579 422 416 375 RqrulaAy SCJW4JIedphyxclan wats ...... % 524 ~ 692 1,216 1,926 675 724 616 W? w 4.q 460 32: . 06w almngefmnts...... 554
Employment stab cd p- Pnvate physwn ...... 532 599 692 562 1.197 1,1m7 610 666 20Q 491 492 433 556 230 ~@aFJ1’awtikYor!JIUks 6X faaA2y...... ,,...... 726 629 725 5$9 . e32 24i 624 519 5s2 45s 291 210 . Oual SMLE=SS.....,...... ,...... 616 516 529 404
Lwez orcarerEceNecl r4w!z WM. htemve...... ,.....,.,...... ,.... 75s 662 n7 74? 1.167 I.zq 752 @z 552 4@2 511 Comet...... 05s 5m w 619 E 7W 597 z 517 447 467 % . . PeimlalC4re ...... 5s6 52U 56s 541 65S 735 6r2 510 427 3m 322 . . NEidw INJrwlg W &lswri cam...... 2a . .
SmfcQ&m*.tec,ic.f @b@ Table 38. Average total monthly charge and average amount paid by primary source for residents of nursing homee in 1977 and discharges during 1976, by primary soufce of payment and selected health services rece”wed United States—Con.
.%wzwm d Wnmlll for rwdent In 1977 1 Olkxmym All - Gwn mcume Merhcare or fwndy YJ7wl Mdcmd shfled Meirad Inwnwdmle All olha XWCESI FWdent IwNh 5ewIc3 W4ra,e Pail bf Pad by Pad by Paid by :% ,.#W Maadh: Ip# :;:: ~w Q&~wv !am# Sowca -swrce Awsgo maw
7W6JVSer.ia3
NO UWWY sw d!mw last mc,nth,...... %7 621 1,115 1,( M4 436 440 270 l’h@v swim dumq Ihst month...... 664 % W+ R 520 453 436 q yYsl@:wa#_::::::::::, ...... 710 % 1,25] If 965 6S4 % 720 957 539 Cccnpahomlther ...... :..:::::::: 710 B2f 7% 1,044 SW or M#LFY...... 603 Cwnsehng by WA wake,., ...... w 7y 74? 1,61: bJnSfk!I by mmdl heaith worker,,,.,.,. 549 &e# Onen!allon ...... 78: 73! 36? ...... ,,, ,,, ,, i%
~ Flu mot wtlun b$ 12 nmnlhs. Recewd ...... ,.,,,,, 656 617 646 466 429 35s Dd nolmeavn.,,,...... % 643 304 926 53! 463 Gaught flu tit. k! 9 months 546
SF@ d!+ wth,n Iwl 7 da~ No spa! dot..,..,...... 570 m 621 1,149 631 476 419 4s3 w Sped &et ...... 640 749 ;:; 1,19? 1,: 936 55? 430 416 m Low scdum. Ee2 991 DIaMc. . . ,,.., ,,...... 635 % 670 son ...... 639 741 711 H . We@htkss ..,..,, SOS 676 613 Bland ,. ..,.,,,.. . 6S6 773 727 M; Drk . . ..,,,, ,,, . .... 566 604 753 906 :1 se faotnomsatend.1 table
w m Table 38. Average total monthly charge and average amount paid by pfimarv ~oume for residents of nursing homes in 1977 and discharges during 1976, by primary source of payment “and s&l&ted health services received United-States—Con.
PmIW2nurcad Pajmnnl W dis!hzrges in 1976 Othhwlgworyyt AN sources CM mwxime M fam~ Suppll Mw21ciue Medb?.rdWed MtiIcakl Intnmwhale All Oole! Kwcw DIwharge IWth serma WdfalB Pam by mm by P&; paid hy Paid by P3m by hid W Mm:: tAAlh ~w Monlhly M&l: MO;;: M~~ *W M~\b Omg O&g Pimg Fylmvlg dwge ~mo ealrce SmRrx
AWmge amiml
AN dm2mrys...... ,....,,.,...... ,,. S789 472CI $747 4716 $1,3C0 $1,197 S767 W& 4579 34s4 SW 4448 $462 S425 phvdcrs,l 2#Mce 77me SIM last ptv51uaII wsk I~es \h* ~ WWk...... ,,, 678 807 766 749 i,416 1,324 n4 597 509 y 49! 45s . 1 Wwx 10 Iessrnarl z...... 731 667 710 664 1,181 1,076 692 R 693 479 . 2w6akstolmsrhan 1 nvmth,..,...... 702 624 724 696 1,0.?4 869 721 61: 595 473 . 1 rrmndl to Issrm” 3 ...... 641 677 676 650 *79: 55? 472 S months tol@s31han 6...... ,.,.....,,, 71$ 65? . . . 6 mmlhsto less Glsn 12...... “, 1 year oh m ...... : NO F41WWWS tile uIlwky,... ..,,, 7s8 676 743 722 i,Jls9 912 689 776 554 456 Semite@wll at lax phymbn VkJ,. Exam,natMn...... 79s 723 747 712 t,223 1,232 ;:: 546 *2 467 54! 46? 420 453 Trsatmn19 .,.,...... ,,. .,,,.,,. 764 759 722 1,176 1,625 662 EJ9 499 Presc4@lon,, ...... 765 :: 755 725 1,1s5 t,103 792 637 631 49s 504 42! 52! 49: forIiwatolyiesls...... Ordw+ 76s 664 740 712 t,14? 1,94! 725 629 576 408 0th6rsernce ...... 767 794 330 709 925 762 589 404 l.wnl d csm Iecermi NucsmgW% lnten5ve ...... 792 729 75< 722 1>245 1,126 759 F& 5$3 435 559 466 528 469 OWr,...... 820 755 72% 692 1,423 1,352 613 719 562 436 629 477 447
Personal care orrmne ...... 671 611 709 762 997 915 668 567 555 470 Wala!Js HVW3
699 698 1,239 1,244 724 629 579 472 633 454 461 415 . R 77s R 757 1,270 1.146 K51 721 e47 513 462 438 ;: 866 042 702 1,316 1,1s2 934 736 521 616 5S6 %Ziiii%.?w::::;:::: ...... 701 751 1,037 662 741 % %9 CmJPafmlal m6f2PY.,..., ...... 96s 679 R 77? 1,45: 1.X: 356 725 sF-=hwlHilJ 9WaoY...... 995 986 . . am tima work...... 661 771 629 7? 1,457 1.31! 914 767 MS 491 Gw!sshng tq mental heaizh www...... 692 623 . . Flenhty cmentahon ...... 679 744 7s3 . athw...... ,...... ,..,, ...... ,, E 656 . G6wr heallh swwce6 flu simt Mtlwl bsr 12 Ilwth%. Recwsd...... 632 S4 667 626 . . 737 619 . oldlullm ...... ,.,..,, 67: y ffii 529 . 34; 7SU E; iii Cwght flu ~mfflLas 9 mllm ......
SwH&tw,lbnbsi7@s 935 764 742 713 1,369 1,274 494 551 475 471 .%SXx!w::::::::::::::::: ”::-:: 756 5$3 751 719 1.S53 IJ22 % :: % 476 666 421 q 399 Lcwscdllun, ...... 910 334 745 726 1,515 1,419 W2 715 626 526 D.9belw ...... 761 705 755 72Q 1.136 i,osz 559 q m? . . .%R ...... y 797 Tq 712 l,WI z 616 . 1,442 . . Wm ~ ...... 3rw ...... 771 704 646 52s . . . . 06w ...... 2’09 734 T92 76s Iza 1.131 767 509 524 431 %crU+ESWigc.m C4gmizati m- hnlw%lMIR%vel--waac.l c0n8acLimbd-We.erur,,is, Md.tisMcEswK! c41uge. __l.——e5nn21wm5Br01 .— “uumwlm-llMrew e4noc+qsiMn-.. ~q —14r-396?z-3eui10wiQ!nm6.rdtymuw 12mm= Table 39. Average total monthly chqe and average mount paid by primary source for residen~ of nursing homes in 1977 and discharges in 1976, . . .. .-. . by primary source of payment and selested nursing home characteristics Umteo stakes
Prfmary source of payment for residenfs in 1977 Other government Own income Medfcaid Afl .scmrcas Medicare Medicaid skilled assistance All other sources I or family support intermediate * Nursing home characteristic or welfare Pafd by f,Jont~,y flonthly pad by ~on*,y ~:a$ MO;;:; ;::; ::;:: ;;$ M&l;:: ~::; y:; ~m:: primary primary ;harge ~ource charge charge ~o”rce source source sourca source source Average amount
$2a6 All residents ...... $a89 $601 $690 $655 $1,167 $992 $673 5732 $610 $500 $508 $442 $440 1 I Qu!Mm9 PrOprietaW ...... 670 562 666 651 f ,046 6a9 796 666 59a 465 501 436 562 369 . . . . Voluntary nonprofit ...... 747 656 721 692 1,023 647 645 516 373 256 . . . , . . Government ...... 700 607 619 562 f ,061 926 655 570
Certification . Skilled nuramg facllty only ...... 660 760 666 626 1,136 95a 955 612 ...... 575 513 606 S~lled nursing facility and 612 673 671 546 623 533 630 420 mtermmfiate care facilifv ...... 762 656 600 756 1,195 1,022 . . . . . 462 479 435 Intermediate care facdii onlv, . . . . . 556 464 567 537 ...... 563 . . Not Certified...... 390 351 447 422 . . . . .,...... 401 331 ~ . . . . Less than 50 beds ...... 546 476 516 490 909 757 579 472 594 339 . . 50-99 beds ...... 643 567 6a9 662 736 619 566 466 493 424 46e 306 100-199 beds ...... 706 611 721 660 1,242 1,062 600 653 616 502 573 504 551 376 . . . 200 beds or more ...... 637 725 623 772 1,110 957 697 574 602 37 0 233 ~ tl n Geographic reg!om . , . Northeast ...... 916 606 909 665 1,369 1,16 0 1,162 993 72 5 591 39 5 . . 346 North Central ...... 640 556 652 620 770 62 7 561 47 2 53 7 46 0 524 , . 4a6 45 2 40 2 34 2 221 South ...... 5a5 504 565 548 70 6 5a 4 56 7 . , Weat ...... 653 570 663 63S . . 69 7 5a 2 5a 2 475 56 4 47 4 Standard Federal administrable region ...... Region l...... 70 5 60 0 761 70 5 63 4 67 7 65 6 526 , . . . . . Region 11...... 1,08 4 957 1,05 2 1,001 1,37 5 1,20 2 796 649 . . . . . , Rsgion M...... 7a a a9 a ao 5 76 2 69 0 71 5 75 1 636 . . . . . Region TV...... 60 3 52 5 56 3 55 6 . 70 2 56 6 60 9 507 . . Region V...... 68 6 59 6 711 67 5 76 1 63 7 61 7 498 569 520 54 2 329 . . . . , . Region VI ...... 53 7 45 4 56 0 50 5 53 6 437 499 44 9 ...... Region WI ...... 51 9 46 2 52 7 50 0 51 0 41 9 . . , . . Region VIII ...... 59 5 52 6 62 1 59 4 . 59 9 51 2 54 4 46 0 ...... Region IX ...... 66 5 60 1 66 5 66 3 73 6 61 3 ...... Regmn X ...... 60 0 506 61 6 56 7 56 6 47 3 Tvpe of facility Nursing care ...... 71 9 az 6 73 6 69 9 1,19 1 1,00 6 67 5 73 4 61 4 50 1 540 4 69 522 342 . . . . All other ...... 51 4 45 4 47 8 45 3 64 9 71 3 57 9 433 432 376
SEEIcotnotes al end of fable. m < Table 39. Average total monthly charge and average amount paid by primary eource for residente of nursing homes in 1977 and discharges in 1976, by primary source of payment and selected nursing home characteristics: United States—Con.
Primary source of payment for discharges in 1976
Other govemmsnt Own income Medicatd All sources Medicare Mscffcaid skilled assistance All other sources 1 or family support Intermediate Nursing home characteristic or welfsre Paid by Paid by Monthly ;:a: Monthly ‘aidPdmawby Monthly ‘aid~timavby Monthly Monthly ‘a’d by Monthly Pa’d by Monthly primary primary prima~ primary charge charge chsrge charge charge ~ource charge ~o”rce ~o”rce source source source source charge
Average amount All discharges ...... $789 $720 I $747 I $7t61 $1,3001 $l,t971 5767 I 566eI $579 I $4841 $5241 $44el $4621 $425 I I I I [ I 1 1 I I I 1 1 Ownership I I “.— . . . I I i-ropnemry ...... 732 705 1,063 949 728 e30 569 474 524 446 511 460 . ● Voluntary nonprofit ...... 992 ‘q % 746 1,811 1,728 673 756 619 520 506 472 . . . . Lmvernment., ...... 790 704 I a53 760 1,336 1,24e 912 816 593 505 Cerfiffmiho” Skilled nursing faclllfy ~“[y,,,...,.,.. 962 891 902 659 1,349 1,270 653 754 562 476 565 520 558 514 Skllied mrrslng facdify and intermediate care facility,.,..,., ...... 811 729 794 759 1,258 1,126 704 600 636 532 565 550 . . . , . . . . Intermediate care facility only ..,.,,. 565 511 566 569 537 449 . . Not certif!ed ...... ,,,...,.,,., 430 405 507 493 . . “ . . . . , BQdA2 Less than 50 beds, ...... 607 74s 730 665 1,690 1,562 561 495 554 463 546 496 50-99 beds ...... 705 647 696 673 1,106 1,013 669 601 542 453 514 450 447 406 . . 100-199 beds ...... 809 739 7e4 737 1,321 1,224 71#,=R .+..,. 591 486 460 446 200 beds or more ...... 676 766 I 655] 607 1,227 1,067 1,012 6B9 639 536 ~ Geographic reglom Northeast . . , ...... l,09e 1,012 983 944 ls6el 1,575 1,066 964 702 563 North Central.. . . 743 662 690 667 1,259 t ,Iez 662 586 578 471 557 516 South ...... “’””’”’’’’””’”’’”””’ . . . , 654 590 629 805 1,191 1,060 663 564 529 444 . , West...... ““’’””’”’””””’””””’’’””’...... ,,. . 895 628 757 714 931 631 633 544 540 471 409 3a4 Standard Federaf administrative regiom . . . . . Region 1. 789 718 92o 696 . . . . . Region II II1lIIIIII:IR:::: T:RJ:lllI:J . , , . 1,066 973 1,094 1,037 1,316 1,124 1,269 1,156 77a 641 . . . . . ● Regton Ill ...... 1,194 t,136 643 814 1,900 1,831 762 e74 . . . . Region IV ...... 62e 563 622 599 910 796 ee9 566 562 470 Region V ...... 790 724 725 700 1,293 1,194 6a7 590 611 504 610 Region VI ...... 660 599 59e 574 1,4S6 1,334 504 425 . . Region W ...... 548 505 553 ...... Region Vlfl ...... IJRl.llllIIIlllllIll 623 581 ...... , , . . . ‘ Region IX ...... 713 762 934 633 641 5fi~ . 412 375 . , 652 623 . . . , . .
1,294 557 472, 509 465 . . . 1,346 z 8:, 3,1 . = ::, : : ~x, ., ,:i::, 7’; -L ‘Includes rehgous cfgatdzarions,fomdaho , vOhtGw agenmes.Veteram Admmistmbon contract,inllhl payment-w cam funds, and other Wr@S w no charge. NOES figures may not addtototalsdimtorounding. NW-W b.xnecharacteristicsh 1977.
—...... —. -—. — — ______. .— Teble 40. Number and percent distribution of residents of nursing homes in 1977 and discharges in 1976, by primary source of payment, asccmding to selected characteristics United States
~w ~= Cf PsYmelo rm Iesidmb r“ igrr c-m Medii.d Oi3!@ Ofnl Me&N Osmr All ,%Neti cimractaisoc ~t m N iccvme =t & SOQrces %%’ Mm hter- wsk.tmce Wl&l# ‘* lnLer- sNTed Y%% ‘w Skmd W@fl I mmwe K Welrare meciate m ‘wHsre -’
rwmk PmwA &!rk6mn
m rwiknfs...... 1,s63,169 ew,elo Zd,.mil 2WO0 362%93 K7,42a W,m - 10$.0 3a4 3.0 300 278 64 53
~ M! Urdei ...... 32,91XI . . Wo 9,469 5,430 17.{ 371 299 163 45-54 43,5131 1;$% . 14,720 7,363 225 159 33.7 10.6 t9D,803 a9,wl 1?% S5,w+l 9,8q 7,ss0 30.4 17.1 35,4 9,7 72 W59 61,720 . Z,ml 29,169 6,224 27.6 205 356 7.7 7674 . 120,71YI 43,mo %: 96,s26 10,1W 37.2 17.9 7.6 40 75-72 29.9 199,269 89,403 5,92Q 41,234 10,700 40.4 29 m7 26.7 5,4 40 ~ %592 121.530 6,034 47,1C0 62,W2 13,303 1%% 45.7 22 17.7 23,6 4s 362,7Lm 115,100 53,934 S6,W9 11.7WT lo,om 42.7 264 256 4,4 :,i 141,wQ W,mo 33,2m 39,s26 9,869 9,1~ 35,3 333 28,0 69 , 5.7 44,9m 16,mo 13,524 11,499 37.0 309 25,5 % me . . ,,, ..... ,,,,,,.,. 375,3@ 145,802 63,402 9&wo 39,W0 3D,1W 33.6 Female ...... 3.1 16,9 26 t 927,866 255,3W ii% i97,300 264,$m 5s,5s0 39,163 39,3 20 21.3 205 !’: :: Ram . ellmI@ Whte (IW H,f$,anteY ...... 1,2C31,9C0 406,w4 24,224 233,599 320,CW 73,2W W,q ;6.: 20 19.4 267 6.1 53 Black (ml H,~n@ ...... 81,400 io,7Lm 21,000 36.309 5,8q 35.; 469 7.: HIsPanK...... ,,. . 14,4W . Amerum lndm M )daska nmwe...,,,,,. . . . . Nan .x Pati Ikl.mder ...... : : :
Manta! slaoK Mwled ...... ,,,,, ,,, Wti.nvd ...... 15E,4rQ 77,200 22,1LM 30.160 10,090 I0,Y30 497 14.9 19.4 610,799 335,m4 1s,509 171,300 219,W9 42,900 23,4s42 401 23 21.1 37.0 2: {,! SlwJrcdor separated ...... 87,5ca 24&XI 19,200 27,562 8.7W 7X.3 27.6 330 31.4 30.0 New nwned ...... 249,wl 74,1C4 47,W9 8C.,W9 21,700 i82W 29.7 19,0 345 8.7 13 LENGTH OF STAY SINCE ADMISSION Le9solan3 Imnols ...... 1t79,3w 76,X6 3Z40! 242Q0 34mn W,s.y 2:;g 462 11? 127 165 09 11.8 3 rmnomto ressrtw 6., ...... W2,120 52,699 25029 36,720 43.1 205 235 61 60 6 rrmnthsto lessrh 12,.,...... WG,lCO 71,sw 23,903 42,3LW 9,399 5:900 5.T 36 : 43.9 296 259 t W!OL=50W13 ...... 427,6m ?76.ma S0,403 l:j,~ 26,124 l$~o 41.2 21.1 2s0 6.1 3yearslDIms6mll 5..,, ...... ,,, 192,91Y.I 67.1w 45500 11,269 346 336 no 60 :: 5y9ars armme...... m7,m9 57.2W 4i,900 76>W 15,909 1<469 27.5 361 368 7.6 7.4 OUTSIDE LWING AURANGEMEL47 LMIM am .wnerd w to admissim Pnvvbmm Samipwate resdmm...... 525,9LXI 231,6+0 5,200 79420 151,624 29.9W 26,009 449 1,0 151 269 5,7 53 176,393 90,720 21,402 45,224 6,? 11,19? 120 254 4: 62 Unkmwn d ~h &Iei ‘. :::::’:””. ,,, 509 96,990 13,060 7,700 11,5S4 . 309 312 w610th6W...... 399,7s0 127,2S0 59,3s0 24W9 19,306 46 . 15,m! :,: 162 396 64 mu=...... 72,5W 42,730 7,190 15,S69 56,9 299 Gnl&nn ,...,,...... 136,1KI 51,120 25,2W 45,669 6,7W 37,5 1:: 337 64 OIhermlabves . : ,, S4509 26,700 14,399 3L,960 7,269 315 169 355 94 6? U1l-e!dted p?KQw . . . . q 35.500 . 14.s00 7,100 8,m9 41,1 20.1 249 .4mthE? heaohfaciw...... ,.:::::” ~ 706,700 2:7&o 20,sm 179,9S+3 1SS,239 45,206 36,2U0 266 64 51 Ardher nursing home...... 24,6 2,? 24,2 W3,6W 37,10Ll .ii~z 10,2W 6,3W General cnslmns.~~tal ...... 37.7 ;;~ 4xl,ew 155,mo t9,800 f 15,mo 19,1S0 2250! !: q MemAhmpail...... , . 37.0 4,7 E: 76,300 17,mo 9,cKm 3~700 10,mO 33,3 11.9 491 134 OAwrheaOh k.ably.arunkncwn..,.. : 4L7,2m 11,400 9,s470 14,709 5,49iT .246 209 317 II T Un!ammo rmhwawngemerd.,,,. . . 71,420 24,300 10,4OD 33,700 9,5D2 5,1W 340 146 319 t20 7.1 % iLwtIW!6s at end .1 table, *
Table 40. Number and percent distribution of residents of nursing homes in 1977 and &charges in 1976, by prima!y source of payment, according to selected characteristics United States-con.
~w w- of pawnwt (W rzsrdenrs m 1977 Oihef &n Mackaid Olhnr Ml Me-id AU All !T&yOrnl ~ Arl Imcme ~gamgt Rns(deri dwectcimuc MwJIcaro Mel Medlcam olher SDU1CE5 ~?p;$ hltel. M brolly lh!ref- Skllld Soulces =Wm wild swr.w, mtitn 0! W&tare fwm medlata w Wdr= Nmb.2r Pwam Wd41m
3411...... 77,324 7.{ 14: 3&wm.:: ...... 75,@s4 1:: ...... ,, . ...,,,,,,,,, . . S09,K.3 9,201 1,8 t97 5,0 32 Ottlelmlw’fes.. . . 25S,WI 193 5.6 ~. 2.W31WTAW . . . 1s4,203 5,490 2,9 263 96 SW of prekwus InsbtutmI ...... 14i,tm 24,S 99 7.0 Oat@ ...... ,,..,,,,.,,, ...... 244,70’3 9,290 2,7 232 a3 7.2
TemcQ!61vr.wdent Yes, ...... 14,409 . Mmwhm ...... t ,2%’% 466,551 2ZIC0 35s,1w t.r 233 63 5.2
ewilamstl!a . Wrhn 6 mmhs...... 49,W2 17,1C0 10,W6 m,5 its N.al@anrred cnunti ..., ...... 1,254,120 463,9W lLVWJ S57.7W 1.3 203 &s Ss.3Ic.am.atesaterul 0( mbrc.. Table 40. Number and percent distdbtiion of reside”= of nu~rna homes in 1977 and &.schsraes in 1976. . bv. primary source of payment, acaording to selected ch&cteristiffi United States-C&.
F7hv -m M pannedfw r&hsge9in 1976 (% Mmkak! Other Oml MaOc=id GoSi AN imxm ~- gsr$ ~ AU me Cda9e d!amumw olher Mmicae %2W&m# otier“ ?mlrces m fm?y lnter- hller- Sblled mm, ‘“m WI&k SWd W@ ime(me Or welfare I ITwlnte m welfzre ‘c=’ Numb, Pement dLLtrb-$un
<,117.5S0 419,500 169,509 201,F3J2 191,0131 42,400 73,2D9 ioDO 375 17.0 160 17.1 33 66 , . .,— DEMOGRAPHIC c HARAC7ERlSlfC A!3s Urder 45 yews...... ,..,..,, 22,900 8,703 Iosq 4554 jn3r2. ..,,,...... 22,5WI . 10,194 ~ w=...... 53,300 2?% . 14,466 16,4W 146 65.69 yews,...... ,,...... 31,2D0 alSc4 i7,3011 17,403 14WI t 1,2 ?9.74 ymm.,...... ,,,... ,.., 122,800 29,cC4 19,100 20,n3J 7579 ye31s,...... ,,,,,, ,, 2GW40 % 4D,2SET 33,324 2s>500 6,1 [email protected]., ...... ,,,, ,, . . . . 241,260 105,W.3 39,@m a7,504 34,400 7,0 ES-i9 years,...... ,,, . . . . ,, Zfo,m 79,00D 42,50S 37,803 35.ODO m-a yaws,,,...... ,,.,,,, . . . . . 90,50B ;~:g 10,400 13,9 20,0q 95yearsti over.... ,,,, . . . . 31,100
Male ..,, ...... ,,. ,,, 407,700 142,2W 77>!300 dz,lw 64,2GQ 129.0 114 Female.,,...... To9,3cm 277,49D 112,2CQ 139,EU0 126,0D0 1s00 30
&@al status at d,wiwnre
Ma71Ed,. ,,,. .,,,,... . 255,201 {00,034 61,7S0 24,70D 26,900 tsao 100 VAdowsd...... 6m,4m 247,2Q0 99,9DD 121,700 Ill,wo 1600 ClvJrced m Wpmlted .,, . . . . . 76,29D 22,2S0 14,WI 17,500 1000 J: Nwer nwmed...... 127,ZWI 43,400 14,7(II3 25?0? 22,100 moo 6? Unmwn. . . . ,...... 33,3W 7,6D0 1030
OURATIDN OF 5fAy
Le591han f month...... 375,m3 1.%-,99U I:J,50J 46,520 3WI0 79 i m.anthlo less thm3 ...... 224,2KI 66,703 9$,900 39,000 92 3 monlhstolnssthm 6,...... !34,800 57,1310 li40? 25,260 26,900 63 6 mmb In Ik than 12 ...... ,, 111,7W 47,5W 26,302 21,30D lyewtolessthan 3...... 156,900 53,S00 39,603 44,7D0 ;WSWS~%n5 ...... 6#41xJ 25,5s0 17,502 18,S(3! ...... 12,700 12,1s0 15,70U UwNG ARRANGEMENT AFTER D~ Pn@? or $mpnvate rwdme...... 306,7m W6,560 87,600 23,7s0 72 Acnthw hmllh faulty . . . 4e4&20 167,m0 ;}&o 105,2W la% 66 Another Wmlg fhllne ...... 40,7D0 12,s09 22,8D4 37 Gem-al cv sborl.smy lx6@ ...... ,:”. s39,5m 115,300 3<700 26,5C$I 75,3CII 48 Mental hqmar,.. . . 1s.000 . Olher hem f.WAyOrLWWn.. . 24,030 .
Number wiwd!ed j“ offwr tmlfh fmliy. SQ9C0 a,om 1OD,o . U“Aw3wnw cdher arranoemem...... , 11,3CQ 1000 D,schama s!ahss 305,Dm 147,7DD 140,3110 141,1WJ 100.0 73 I i4,mo 41,9W 59,80? 49,s40 160.0 46
2=’:,lncbdn5IeI,mms Or.ganlzabwl., fo”ndmlon “Me.,~wmaes. Vdwan, ,ldmwslmbcmcontract ,m,b?.1mqme”t.hfa cam ,WS, and olt,er mm., or “o cha,ge ‘Mud. , small mmt.a, ofLmkm.wm 1 %%W3”S may ha”. Wed wIh mm tin 1 catworyd Pm, m ,he sum .3 thn s“be.!t, exceeds !Jv3tdal u ‘a% of O!ese *IS admkd fm W!@hwhsd,h ,.clMy had gum ,. ,m, ,a.,b~ h. .JJ”m,. ., ,..,pm.,. ,Wdem Wrmss!en my law w.. annqed by m-amthan 1 caieg.arjO!WM., so the W. d thesubpartsexcads tie total ‘Ir,d,dee tied, swanian c+attorney,!!lwdan, nmkter, .Wwr.ad unkrmwm ~
Table 41. Number and percent distribution of residents m 1977 and discharges in 1976 by primary source of paymant, according to selected health statuses United States
Pnmw sourca of payment fm remdank m 1977 G-Ml Medmld Othel GWn Msdica)d elk AU R@deIo hsalth status All income WJumJf ag:ky:f ## Medicare olher ~1~ lnmm MdfmJe saurcas IX fami~ Intar. CTJJY Intw. Smf Skmd XW3nS WnIfars SJPP311 I mdsle or wnl[aru ‘uEns’ I medlab w N@w Percenl disrobutbn
1,363,103 503,900 26,200 266,76?I 362,WI 63,4S0 WLTo 100,0 384 29 20,6 27,0 6.4 5,3
PRIMARY REASON FOR ~
Pc”x M @ hwlb’ ...... l,022,@3 SS6,000 24,190 2s~5# 2e#W# 52,200 4:% 10D,O 39.0 2.4 2s4 %,3 4.7 Mmrtrd ranew...... 07,106 27,S60 lciT.o ;f.; 12,7 25,2 1:: T.? 11,W2 ; Menu fawdallon ...... 46,460 6,760 5:s$+) 2$: Tfl? ‘: 160,0 12+ 47,1 15,5 . Behnward Problem ...... 26,2S6 12,660 10D.O 48,8 25,6 Sacial r@420il.., ...... TOJWI 32,100 5,266 ;J6s WI foo.o 45,8 7,; 9f,2 Ecwmmkw oOwraascm, ...... 49,s40 20,800 5,560 100.0 425 24,6 1{;
FWMARY DIA~N;;WSNAT LAST EXAM N LW3a$m 01 the Clm!cdowW3tq Toll ...... <.... 516,2S6 202,s06 11.ss0 110,203 152,0W 2%206 16,260 too.o 294 22 21 s 294 4.5 31 hngM!Ne hwfa,lum.,.,.,,..,..,.,,.,,..,. 52,Wi i9,100 10,424 17,600 1s0.0 362 196 22.7 Mm5clwml$..,..,,,,,,. <., ...... W4,4CQ W4,300 . 61,400 76@2 9,S00 o,3q 1660 ‘33,: 23: 29,6 36 9.! . !&$n*n ...... 47,72Q 20,300 18,300 120.0 26,4 ...... W2,5CQ 42,300 5,500 23,900 24,003 lLW.O 40.9 5? 23,! 23,2 . . Haaii afkack, Ischemc head d$eass ...... 22,%0 7,900 WI : 1030 35.1 36,0 Owl,, ...... 25,002 9,000 5,400 6,9kT W30 ‘38.0 21.0 26,6 tmoaf dsademsrd semlw doti Lwdlrs s To!af...... 266,1S6 92,460 47,200 67,400 25,3X3 14,3C4T 1200 340 177 229 95 54 . 3a,ldB psychrxas.,.,...,, ...... Zt ,m 1i,500 . I09JI 54.$ 0rk8r Q3@0d* ...... 57W2 14,8S0 9,1s0 22,824 7,WI WI 0 25.7 159 29B 12,5 : . ; SfnOnlcb7sinsymmm0,..., ...... 96,4W 36,200 22,103 25,6S0 Wq WI o S7.7 22.? %6 70 . . Zen, YJtbOutpsyctmas...... 26,3no i2,c00 7,30il 160.0 45.2 27.4 : . ; M6@nT relamatmn ...... 42,4W 7,dcm 5,9W 19.7s0 6,s60 12QJI tsa t3.? 46.5 <42 . . AJ.mMm W 06w mental ckwders ...... 22,V30 a,m 7,503 169,0 37.0 2s7 W. d.,~w Tam, ...... 429,7@l tS7,660 11,000 91,5+T0 106,s0’3 24.1S4 27,X4 lW 0 390 26 213 252 5 6 63 Iamys r(u(w&l*wu,4 system . AJtfmhs 2MI theumhm ...... 5S,2WJ 22,300 to,wo 18,WXI Iwo 41.4 t7.8 204 *:$ IM imtvs system Cfrfm, Psrknm’s ,503s0...... 23,2W io,wz 5,4W 5,m 1600 44.4 222 22.1 Acvd+nts piwonkgs, and tilemx . . H@ fr2COJ0...... 29,3al 14,166 5,5W Iwo 462 10.7 . . . . . , Oih+r km hacbxe ...... 10,264 5,2+3+3 two 492 Erdcunw, nuinwti, .@ metsbok dmssas- . DIM3S ...... 71.703 22,W2 17,503 24,7W lW.O 32.2 24 4 35.4 Ne+srr.s ...... GIWr..,, ...... S&w 12,124 6,4W iw o 421 22 0 Wsa5es or 010 mswakq -m . . Total ...... 3!,0W ll,WQ 6,SM 7,7W lza 9 37.0 ?2.2 24 a Ols.nw9s u kJIG?W . . 127 Tqld...... 5Q5W 39.lW tl.TOO 14,931 10,ss4 lWS.I 103.0 4s2 129 16 4 (1.9 26e-atM.Jorlar2La
—.. . Table 41. Number and percent distribution of residens in I g77 and ~schargee in 1976 by primary source of payment, according to sslehted health statuses United Statee-Con.
7’-=J=3~Pwwflw =khf57ni97r Om Mec6wN Ofher Gvm Re4derd healfh W@ A2f Med!cad 00’6+ incvm ~m g~m-~ &. M saurce5 u famdy Me@?Ie r-t O* llltW- ~~m% lnti. Sklued SMled S4WCES rlE&le m welfare =W med,ate m werrm
Nmk ml .ikfntukm CHUONIC CONDITIONS AND IMPAIRMENTS. rh$aws of ale ~.,c”,a~ *~e Kcfem . . . . .,,,,.., 620,230 24E@ 19,924 137,103 179,4S0 2J3C.J 27,724 109.0 39B 22.1 44 (ensIon...... , 272,(KO I02,46D 27,5 45 !...... ,, ...... ,, .,. 247,430 12,990 Iwo 37.9 X18 295 57 214,02.2 94,LWI %% w or palsy, omer than ‘$686 52,200 11:104 8,524 1090 39s 233 . 243 52 :; amdm related to Sfmke ...... 80,8P3 Head LWIIMf...... Z2&Wl M,m Kl%o 375 27.0 2s3 449,6DG 1%7 8,X.9 9r,9@3 122,4S0 25,5CCI 29,069 Km o 39,9 213 27.5 5.7 45
Menld ,I!JWSS ...... ,,,,,,, . 142,32+ 46,W0 23,1CJI 52,60s 16,C49 Ici%o 31,3 15.6 36.1 1G9 58 - brmns)’ndmme,, ...... ,,.,,, 224,734 12QeoD 76,W.1 Semhly,.,,.,.. 18,200 1$% 13+)0 37.2 23,6 27.2 5.8 4.8 ~am, ~,wa&-.::::::::::,’.::.. ;:::: 416,400 171,Wl 5,2q 24790 i%% 26,409 16,900 100.0 41.1 204 26.2 4,! 79,s02 13,9131 Alcohofmn,...... ,,,,, i:% ;;;$ 19,26? 124.0 17.5 158 4s,9 1:: 36,3WJ 11,66s 5,300 Dnq adhcbon ...... ,,,,, . ,. ,. 190.? 31.! tat 22.! 14,? 17$0mma...... ,,.,,,,,,,.,, .,,,,, 125,500 49,563 : 26,029 31,100 19,000 7.{00 16+3.0 39.5 20.7 248 8; 57
. 3WW 125,340 62,7C0 30,900 18,234 17,766 Um7o 393 199 291 5.s 5.5 3JJ5W 2s,500 . 12,CC0 ~54m iw o 39.9 199 255
181,5s0 64,MM 47.2T20 43,300 1t,5cQ 12,240 100.0 35,3 260 23,9 63 68 32,466 10,240 . . . 10,200 7,100 1000 32,8 316 21,8 Dssa5es ofthenavwssqstmfand SE Olwls’ Br,tiless ...... ,.,,,,,,, . 72.2W Sr,m 19,200 2,46+3 1300 Glmmnm...... ,,,,,, ,. 2W39 . 266 31.9 7,23a 19,W0 10+).0 :,; Cabrmts ...... ,. .,,,,,,,. . 80,6W 213 312 Deafness,,,...,,...... ,,,,,,,, k% 20,1w 19,460 5,300 1000 27,1 251 24,2 35,2+X! Ptimmk h-am ...... 17,200 25,WXI 6,1~ 100.9 39,7 190 295 :; %% 24560 13,8txl 13,732 Pamh= ‘x paw, 06W Ow” 1249 422 -238 226 adhnbs, utwakded loslmke...,, ...... 46,503 12,002 * WWI 11,4WI too 9 25 B 328 245 Acaden!s pmon,mm, and tienw Hap fracture...... ,,.,, 108,8W 46,240 5,X39 mu bne rncbns ...... 25,300 23,549 1009 42.9 216 46,290 16,2s0 11,400 11,mo 1009 36.2 R 241 Ed= Inltmlc,lal, & ~
Oabeles ...... ,, t89.fW 62,390 42,300 57,cim 9,700 9,1OD Km 9 23.1 255 301 51 4,8 SW tcdwlm at e“d .1 tile Table 41. Number and percent distribution of residents in 1977 and discharge in 1976 by primary source of payment, according to selected heslth statuses United Statee—Con.
Pnmaiy saurm of p3ym00tfor feddenls m 1977
M@ad Olhe, owl Medmaid Oikr Resident heallh stalw All An All h%% ~:g: AN hwame 9=1 Swlces or Ialrlfy MA61CGN othor Meicam Olhel lnter- or Imily lnA3r- SkOl@2 S3WC09 ~~ Skwsd ~ ~“aw sources I Wwc+i mtiale m W8113M -$wPll md(aln
Percanl dlsklimoml CHflC13~ C&1710NS AND -. Qk-3fctuobamd.$ lb Irnml:wttit Neo@asm% ~ncw ...... 63,eCxl .W,5W 1.2$60 162,0 41,7 19,3 243 DWUS35 of the rqlrafary system chmnio m$pmafw d~we ...... 86,KNJ 26,6W 20q7LKI 6,400 Izoa 36.9 23,9 30.3 7.4 6,2 tmnasm or 0B3C@lNO sy$tem @walhnl...... 313,266 i22,26G 5,249 71,209 13,990 1030 399 1,7 .227 269 5.2 4.4 Ils=a4.ses01 om t4.xd and h;y%f.fg Cfganx ...... ,., . 70,6s0 25,S170 17,3ci7 100.0 366 24.9 202 ~&~ of !@ skinandwt.mtmws
. B~W%...... ,,,,,,,,,,,,...,,,,,,,,,, 35,109 i9,wo 19,790 103.0 393 26.4 17.3 20:$~as OOwthan atc,va ...... 283,5W 91$X7 46,520 12,3W Iwo 39.1 19,0 20,2 5,4 59 KI’@Y !mublu...... 131,7W 47,0LXl 34,t03 6,600 400,0 36.3 25.0 2s,3 6,2 52 Nmm of 0as9 mndnom
ToM...... 13SW2 5,7s0 10so 438
INDEx RF DEPENOENW IN AWTIE5 RF D.4ILY LIVING, NM dqendenr m M@, cksig, USJW I@MI, CmOmenw .x . ~M IMtW, eabng.. 124.509 50,7W 8,4W 35,wa 16,304 13,600 103.0 40.8 6,7 281 23.1 19 !3 Owendenlm cm 1 zctrmy...... 161,3.24 t%,zw 14,6W 5S,21XI 11,6W 9,206 1620 41.1 8,2 362 7,s 57 0+F3ndent m b k n~ znd I Mbd achulq ...... 54,2JXI 158,8W 23.WQ Wo+l 19.260 6,W2 Iwo .27.6 14.7 365 6.4 43 ~wdwd in bathqt, drezsig, d t KNmwl achltz,, ...... 116,4C0 46,9X 271,4W 37,493 7,1W 1200 36.5 1s4 339 85 *tint m batting, 12CSSSW.LIUW wet 46)333 . . ~m d 1 aedllwld =3cbmLy...... 125.CC4 5,169 27,1W 31,1ELI 0,160 NTlo 36.9 4.1 21.7 249 64 L@+ndent III Mug, dressing,q tmt ~. -. and 1 ad@31td acbwly . . . 833,6W 52.4W 49,240 16,602 Iwo 393 . 258 241 53 @WVJWI m 3U 6 acbAoes...... ““” 363,WI 1$1 t9,8w 85.6W X6 17,41+ i]g Iwo 35.6 2.6 262 221 57 :; OOIR’ .,,...... ,...... ::::,:; 11W33 28,6W , 1940 41.6 . 245 22.1 58
.,. .. --—- - Table 41. Number and percent distribution of residents in 1977 and discharges in 1976 bv mfmerv source of payment, according 10 selected health statuses United States-Con. - -
~W - CdP?ljlMntk &ilw@2 in1976 own Medicaid Other WI MetGcad M .me M- Sew!&lll & AJT OtCmw Me+c?,w Sevjj%& .& — c+ family lnfE$- source Cd&y hler- wed Sbned ~Pm meddn M Vmlfam ~- G??dlalo M welfare -’ Pm-m dshlhutkm
dtiarpes ...... Aff 1,117,502 419,WU 189,0m 201,6 19i,941 42#60 72,2s0 lWJo S75 f7.o 18,0 17.1 w
P~
WA2ses of ho .31@40w s~,,m Told...... 466 M 1% 5@l 7504 967 S4,200 19.7rm 26,120 1900 2s2 149 199 174 c.an@vn iwall fwm...... ,...... 52,300 23,500 13,0 Io,lwl lW.9 395 21,9 17.1 AItelwm05,s...... ,., 197,ZW 87,52iI 19,600 ?3,0 38,? 6,9w 193.0 444 9.9 19,3 19.: t$wtmsicn..,...... 2s,102 1(7+20 S!rahe...... ,,.,,,,, ...... 139,4KI 49,1W 26,7@3 27,1’ 20,2Uf 10,2O+I 130.0 352 206 19.4 14,: Healaltmk,tiemffi fww &ass ...... 464&3 12,500 Io,t!ll 9.0 Iwo 399 24,9 22,3 Ocher ...... ,,.,,, 26,s4!0 Wsa lW.9 413 Menfnl okmders and wnldy @oL!E@2212 ToW...... 12s,7s0 44,490 9,m 25,!3 26,1(M 7,sfm 11.243 1200 353 66 29,1 224 1 . Semk wcimsm...... 10JW3 192.0 ; : : tia~ss ...... 33,192 1c09 . UIIalw In Syldmme ...... 6Z7C31 mm! 12,01 9,SSU 103.0 w! 226 io.~ %lh wllflO!AQ@OW...... w . 9.490 two Men rakdalmn ...... , 7,5ca 1W.o AhtwslIsrufcohef . mental dswde.m ...... 22,2WI 1S09 @he+ dmmme,.
TOM...... 4s0,434 170,76U 196,502 70,12 7WWI 17,s03 Sz.2n9 two 255 222 f62 156 htiwmo~ mwu;sheletal sysrem
ArUmhSand tieumatsm,,,, ...... 26,9J0 14,2cHI 1930 932 Cksea$sea$:$&lvnU5 Sy3tenl
. Told ., ...... ,,,,,. ,, 10,SC4 . Iwo Amdwds, W4WNS, and mclence . HPksdwB ...... 62>790 3t ,190 24,SW 10,1{ 12,600 Irmo 37.5 39! 12.? 15+ oowbO”efr aCoJm...,, ...... 2S,5W 10,4W , im.o 39,2 Endcame, mdnhbmf, and mdatdffi cOsemes, . Olabetes...... 45.203 17,900 6,N 11,600 ioo.o 39.0 t6,6 25,8 Nwplwm’ Caw?r ...... 91,624 32,200 24,70d 15,4[ 11,700 1030 35.1 2%0 169 127 DSas8s of tile raf+nrmmySjStem, Toaf...,. . .,...... M,51YI 13,W3 6,100 7,200 1030 321 19,6 17.6 rho @sls unknwn . . rolaf...... ,,, ., . . . Z5,mu 14,asvl .1 1000 5s,7 % btmb ,1 end of WI. Table 41. Number and percent ~strib”tion of residen~ in 197’7 and ~~~haqe~ in 1976 by p~ima~ WIJPJe of payment, according to selected health StWISeS United States—Con.
plfML?QSOWCOOf Qam lb dlsdla’gl 1976 OUm own MedWd O!hw Msddd AM oixh2Qa hmfdl status, EwmwmJt All imome og~ymm~t & Mndlcam 007er Mmm Inlnr. sources a fml lnfOr- Skdlwf 92UVYW 3kM6d WJrcns, nmdlwe or WE41ara ~Pw ! madlafe 01 welfare
Number ?euan! d9fnb@on CHRONffi CONDITIONS AND lMPAlRMEf47sI
Oiwwm C4 ha cnc”,.g,rJ~ ~,, h43tb9der621s,,,,..,,.;...... 455,5s43 197,56 55,400 92,600 07,cml i4,9 10,2 12Q 41.2 i2,2 2L2 19,1 3 4,0 H endow ...... W6,090 61,60 24,WI 35,ioo 02,W6 6,3[ 196,1 966 14.3 29.9 198 SKY’k,ku ...... 228,7G+J Zs,m 42W2 4s,cm 22,806 6,1 14,4 166) 36.6 ioo 19.9 14.6 3 $: ‘-s- ‘- tisy, other tiw ~k=s . P . adfmlIs, refatltAM~ka ...... 18,8LI 7,300 166) 34.7 178 22.2 13,6 Htik.mI16s...... ,...,...... ,....,,..,,... z%% 142,S0 6!% l?M 61,706 14,7 27,9( 166 366 15.0 20,9 16.9 3 7.1
Ven!al dtmfders ard 39nclu2 !F+thoss
Msntd Idleness...... Z.i,ma 22,s2 11,720 i4,6w ml 34.6 i6,1 226 76,22! 23,mo 47.6CK7 39,3s4 12,2[ 1s0 37,3 11.4 22.2 19.6 5.2 $%$:?! .T’W.::::::::::::::::::::::: $%% !m,m 23,600 42,7W 45,99a 78 11,41 130 42,9 10.? 10.9 m,9 5,! Men mhrdmmrl ...... 18.2KI 166 Afwkelm ...... 95,7q 0,4LI . 6,7{ im~ 26.4 24+ Lktg addtc9.an...... lnsmmla...... I&m 1w! Q!jW Cko.c CM tins or mwzmnonls _ ;cti& mpumkdefsf vstem
and rfwmmbsm ...... 163,WJ 24.70 16,600 3t,wl 34,5W 7,5 1s4 39.7 11.4 19S 21,1 4 L12clcWne racwma, exdldrm 90,866 12$3 120 469
69,460 7,206 13,120 13,1(MJ 104, 26.6 105 10,9 199 . . . 31.960 9,1W O,m to 20.6 n.9 S&m Of w ml-mJ2 Syste” m m
. . %%252...... ,...... ,...,.. 45,406 11,10 1240? 13,200 100 24.5 27,? 23.1 . G!aux+na,.., ...... 26,2V0 Icii 49.0 . cm3c13,,,...... ,...... ,...... ,, 5W06 1?% 10,8CQ 12,W0 1s0 26,3 21.6 22,9 0ealnes3...... ,..,,,,. 54),202 17,1m 6,1% 9,803 10,ICQ 104 35.6 $6,0 19,3 19,9 . %hYJ1l’S dwass...... ,,....., ...... W39 14.60 . lW 466 R@?+ w P3W OW Iflan alomm. u“rew 43 m ...... 21,m 8,20 . WI 374
127,2W 30,760 .m,wl 21,403 lcm 26.4 24,2 161 t66 6.s403 16@6 0,7W 6,703 9,M lW 328 24.1 146 13.t Ed= nu6tianal. d metabnk . Mmte3 ...... W&e 2!3,WJ 34.503 29.WO 103 Zd.1 169 320 165
SW {C.mF9tea madM law. Table 41. Number and percent distribution of residents in 197’7 and fi~~harge~ in 1976 by primay s~”~~e of payment, acco@ng to sele~ed health ststuses
Ikharga Mlh Stalus
NwIIbeI Fwr.wd.$mllon . CHRONIC wNomONs ,4ND lMPAlRMEN7~, CMM chronic cwdnmw M mmamwms-cm Nmplasms C3ncer ...... 125,2C41 42,400 23,926 22,100 17,2WI 3,360 1660 17.7 IS.B 70 DIsmses of O@ IE3@c#y system. Chmmc rqramy d!sm?a . . . 99,mCl 27,400 19,mo 23,766 maw 1900 298 20.3 Dwasm d iiw d,geslrw SPIWI, Cans@8hcn...... 50,W0 19,600 11,260 9,969 i60,0 22.0 19,6 t350aw6oftiebfmd and b~lmxmoffy CWIIS ...... 65,100 22300 15,3C0 11,2UD 11,9LM 1900 17.2 183 Lpy of the h ad s&.mkneLws . . 6edwEs ...... 36,WI 11,800 9,5410 8,100 12Q0 226 Cwdioons Oomf tbal abnvu . . Edelna,., ...... 102,200 36,400 9,100 24,300 21,324 1030 243 20.9 K!dmy trouble . 120,960 44,109 15,269 28,500 19,6$0 8,1Ml 1939 335 162 6.7 mow 0f Ihwe bmdllmns . ToM ...... 37,s3il 15,664 9,300 1coo
CWdticm Imkmxin . . Total...... 11,360 . 1600 P~ of daiv IM”q I lCO6 136 17.7 4.1. 30 ml 0 171 20.2 67 1000 261 178 6.1 --l12.2,0 227 t5.0 38 5,0
WJY*w-6 of s.ff-zient .WmJde am noted W,iudm Ihmse tie .C+W m IIhysmn me w,. ,. ,a,my .FWOS may not dd to total because m,ide”t ., d,schqe may ha”. h?d mom than cm. ,,F.xwI Cond!tdn 0, ,IMXWME”! Wnkn.awns - co”ade,ed “01 dq.mdw,t 1,, the WPOW of Um wdex, ‘Ind!des rcmdents h WE,.d%%rdmi.at(..S12 hmft!cms M rlci classr,?abh .03 any of t%- a- Table 42. Number and percent distribution of re~ident~ of nursing h~~e~ in 1977 and ~~charge~ in 1976 by primary smrce of payment, according to selected health services received: United States
Plunag Sourm 01 payymenl far fddt.nts h 19n 1 m“ MedIcati Other Gwn Me@dd Olh@J AN AN Res,dwt hwtlh serwx All inconw All Inmme gwwnmenl M6dm6re W$I olher M6dkam olhnr sources m klmly ,s . W3rstalwe /::;e ~, ~,hm awj~:y Inlw Sourms, SUppofl Skdled sources, I $’JUm$ Smd or wd[are ...... I 1 mtilate Numbs I Pruwd OMbhWan
AU residents.., ...... 1,303,102 XJO,SQO S6,209 269,700 W2,6W WW 39,206 10s.0 3B,4 2,9 22.9 27,6 6,4 5.3 ~ m mwcq The since last physkmn ww Lsss than i weak,,,,.,,.,,.,,,, ...... S617,5SQ 19,300 65,W 69Je2 16,COU i3,4w :; 3.9 24,4 252 60 5,0 t wktolm!bn 2,,,,,,,,,,,,.....,,,, 219,020 5,WI 56,2W 57,030 12,300 2.7 25,7 26,0 4,9 5.6 2’ffWstO Iesslhan 1 month,,,,, ...... 370,rm 6,40! B5,2W 104,602 % 14,960 36.7 1.? 222 28,3 6,9 4,0 1 monfi to lks201an3 .,,,,,,,..., ...... 291,163 m,llq 191,1S4 13,20: 12,96D 49,4 13,0 24,7 62 4: 3mOnlhs tO1wsth?,n 6,.,,,,,,,,...... ,,, 14,700 538 25: : . 6monti to bssthan 12.,,, ...... %2 51,3 “; . . . . I Ww mm ...... 17,5w 59,7 . No phwclan VISIISmea enkmg fe.mp,. &3,7mT 6,5C0 7,106 1,609 9,400 44,0 11.5 126 13,4 149
~me iwwrnn last 2 phywa” ..mts Less Man 1 week..,...... 03,026 6,3? 19,EJXI 14966 6.509 33.6 7.! S36 227 7,3 1 Wk 10 Iws than 2 ...... 21,1el 19,966 37A 23,7 223 7.4 2 wks to 16w than 1 month ...... 3RRI 107,s00 92,366 16,790 1i~6 352 232 5.1 4.0 1 monlh to Iew Man 3 ...... 47J,cJl~ 88,2SQ 164,504 26,900 16,~ 36,5 18,8 2: 57 3.5 3 mcnths b kwolan 6 ...... i7,61xl 53.1 23,9 6n?onths tolwstFmn 12 ...... 23:200 6,9Sil 49.7 27+ : ; 1 ye.zrormare....,.,...... 23,900 453 Not waved 2 @@ciarI WL$ Slm enlwl”g facl~ ...... 123,863 6,700 9JL17 32@10 11,762 W60 Iwo 460 5,2 7.9 24,8 9.1 79 SmG3gwl al lastm V12d,w I Emmnatm ...... 1,191,7W 26,900 225,700 2n9,5w 64,060 ;:60: 1W.o 39,0 18 20.5 23.1 56 48 Tmwnwt.., ...... i88,W0 40,302 4B,790 Izw 1200 ?65 21,5 2$,8 mwnpoon...... ,...... ,..... 792,WS 15,8WI l]g,5# 2S9.4W m800 :jwJ: 1600 33.9 2.0 21.9 26,0 :,; :: Oidm w WJrmoq Ms ...... , 2;y&2 6,? 79,46U i4.Kq 1000 34.5 28 2S6 26,0 69 53 ,. 061ef3eNcw ...... 1T:93Q 18,7Cal Iwo 339 24,7 25,7 L0c21m0[W physwan W.. hle k’aw ...... l,wJg ZWx70 24JS& 3jAg W@ 51,8~ moo 363 19 SS6 299 48 ati rd~...,,...... 17,’W 9,06s 1030 51,5 6,4 25,5 l% 53
Amnpmnt IN @j%iu2m Svtc8s’. - ~ d...... 169,W3 41,2(W 16,036 16,~ m o 54.7 246 98 6.1 Rw4bdY schedkd @@San Ws...,.,. I,057,W2 22.400 24% 309,406 57,4rm 42,W6 w o 3i4 21 ;,! 29: 5.4 4.7 Onlei am3n@mwt3 ...... t9,3m . 10s 0 443 -, %40wlwi Smw ofpitYsb61v F’nwaF4m@a11...... 027,W3 17,030 i52,8w 228,3U0 47,3C0 S4.m 140.0 420 2.1 ia5 27,7 5,7 41 W@n 2@!ti b Gi !Kdksfc# farMy..,...... 6.5 e5 Ssm31 6,240 944 t19,166 25,ZQ2 S5.sq m o 30,1 t.8 24.4 368 . Wlw SMIE%S...... 32,m . 7,566 . m D 37.3 220 z28
LeJdof Qm IwE@ Ww = Inlmme ...... ,,,,,,. 571,4X! 17,702 14(W 138,7W 32.WA S6,7W mm 9 37,1 3.1 262 243 6.7 4.5 enlsl ...... 536,W2 6,609 6353+1 177,3W 29.4W 24,WI m19 233 1.1 16.8 33.4 6.6 4.7 . P6mmat Czw ...... 187,@M WCK! 19,1C0 16,030 to39 422 13n 239 102 6.5 . . Naihw IH&iq mm -al cam ...... 13,WC “1 iol.o 472 Zwrmlnolm mkdqt tile. Table 42. Number and percent distribution of residents of nursing homes in 1977 and discharges in 1976 bv orimatv source of Davmant,,. according to selected health s%ices received: United Stete&Con. “ -
PnmaIY swcs of wmenl far rEsKIeMsin 1977 own Menka(d Wher owl MedcaM Othar RWent kalOI semc9 Ao ilme ~h @vEvO::t $, Al incoma w-me:! Mwhm J&r Wllmes of handy lnter- Orr* Mr. wed 50UP3Y ‘M skllfed WM mediate or wffare Indab m Welfme -’
Number
rhemw 3emc9
NoUEWY ser.weduring hst nmnth, . . . 347,100 11,1 151,130 S1,000 48,300 1.3 17.8 5.7
~w =M- dumg last nmtfr . ;#,60: 15,1 109,6WJ 22,400 20,900 3,3 240 46 Phzscuf therapy ...... ,,,.. (2,e 48,700 8,100 10,600 7,1 272 56 Remabanaftierapf...... 2:::30: 5,6 26102 11,400 7,s00 22 253 3.? . ~PJ~~~w3’...... 17,760 5,560 23: sm~kno lkrwq...... Isi?oo . Ce41rEehngtqscual VMrker...... 9[,400 21,430 23.< C6UnSAlr9 hv mental klth WWM.. . . t7,300 . ., Realdy onenwon...... 06s0 21,2: 24< other thqy Selnc=? s...... 22,200
C6hs hwfth SWVUX$ Ffu Skd Mum last 12 rno”tis * Received,,...... 545,3i10 IS6,W 35,M10 23,5Lul . 196 4.3 M EQrrecm...... 232,700 m,sloo 17,966 10,10) 251 36 (k!$ht Ru!41LhmbSt 9 madhs ,... SwOo
Spec!al det wtinn last 7 days No -d,el . . . . 735,s00 14,4 115,.2C4 52,260 43,66i7 ’20 15.7 SWCI,4 dint,,...... ~w: <1,{ 144,900 31,300 25,7rm 2.1 25.5 !: LOws-ldlum ...... ,,,,, . . . 46/wO 9,6W 8JW 250 45 . Ilabbc ...... ,,,,, 162:200 42,664 6,600 6.903 26.1 42 s-it...... 103SIO 27,430 wq 6.3q 264 q WWIMks ...... 40,4@l 10,363 255 Blard...... 44,400 12,430 279 0016r ..., ...... 101.500 30.3C0 . . 29.9 Ss. Icetim% at end 01 la61e, 0 Table 42. Number and percent distribution of residents of nursing homee in 1977 and discharges in 1976 by primary source of payment, according to selected health sefvioes receiveck United Statas—Con.
Pnmuy murea of paymsnt10! &slwges m 1976 Medmd Medca!d Ooml All 06n Okcharge health seplcg AN (n% &’m:nl Imxm $g: othnr“ Medkare other *fl~ Inter. 50urce5 mm? SkOlnd lnw- O:u;lati ‘m SMlcd 300rc6+ mtiato or welfare ‘U(ESL medata m welfare Numb%r FWcent Mnbuticm
AU dmhawns..,.,...... tJi7,500 410,599 189$69 2Ql,2mo 191,000 42,400 n,300 100.0 37s 17,0 18,0 17,1 3.8 6,6
Em uansmicn Tma tim9 Iasl phy3!u2nrnst 7.2 16ss than 1 week.,...,, ...... s3f,5w 161,800 124,2Q0 03,860 7#3 15,539 36,200 24.2 23.4 12.6 ;:: 2? 1 tw+kto l+sslhrm 2,...... ,,.,,. t44,7au 66,ZU0 2i,73i7 2a,w3 38,8 15.6 19,8 5.2 2 weeks 10 lass lh6n 1 nmn(h...... 164,600 So,ioo 13,600 31,300 3iao 1?%$ 37,3 q 10,8 236 7.? 1 monlhID loss Owm3, ...... ;$4CJ W,409 13,500 26,700 46.1 14.? 20,6 . 3 m@As k3fe$sfhm 6 ...... , 6 multi to I&5 than 12...... C(4CQ 1 yew w mm ...... NO @l@mn WS,fS whflqu faclldy=...... 160,334 74,390 21,m 24,300 22,700 7,240 9,ti 46,3 13,2 15,2 14,2 4,9 6; k wn atlast Wclan vklk~.~ Ewmnaml ...... 867,834 314,6470 148,~ 163,13iI 155,E40 29,3U0 66,400 36.3 17,1 18,6 17.9 3.4 6,5 Treabmsnt...... 164,72.3 EJJ,800 24,1D0 33,2.33 2s,2s9 8,3W 14,030 3s 3 14,6 20.2 15.4 5.0 8,5 Pre5cnptmn...... 525,103 19f,309 79,424 192,16a 90,29D Wax! ;Jwg 36.4 15,1 19,4 18,0 3,: 6.7 Otis & Wx48kmf tnsls...,.,,...... ,,.. 58,290 31,630 39,900 30,100 33,2 17.7 22.4 16.9 64 l;~2c& . ,. C4hw s6wKe...... 25,100 S&@ 21,233 lciNsJ 30.8 11,7 Zao 19,7 Levd of care rwaw?d NursaMW: lnbsw6 ...... 627,544 233,100 408,am7 131,506 192469 t 9,EJM 92,700 37.! 17,3 209 163 3.) 5,2 elk...... , ...... 371,W3 <30,892 70,2Wl 52,403 Ss,oro 15,409 27,x31 37.3 10.9 14.f 193 4.t 7.2 Rwsvrml W% or norm ...... W3,m 47,16-3 11,1!33 17,002 2Q6KI 7,424 t3,4w 40,4 9,4 Is.i 17.5 &z 1t,4 Thnraw mm NO therspyseti dunr@last month~...... 7i5,539 203763 92,224 140,720 2r,22Q 39,800 46.4 W.4 169 19.7 4.1 56 402,K’J2 1~’aa: t9,xm 93,530 325 232 26.1 125 3: 63 e3,409 50,302 . S71,W2 79,366 2L5W 1a,8m 308 ::,: 16,6 92 61 ‘P%T+:Y!.:!.”V?::::::::::: %%! 6{ Reueal+md@Iapy...... 144,2D2 5&20 ZU,32Q 32,502 22.5? 9.7? 362 22,6 1S,6 Gxupabonal thzqy.., ...... 65,W70 243 335 19,7 16,690 22.12?3 13,~ . . S@@ 01 hearing 6wwY ...... 16,8W 7,360 436 114 Ceum6hg 6Y scaal w0rk3r...... a6,2cQ 22,800 15,420 1Ll,9~ 16,920 10,100 27.0 17,: 215, 19 2 . tins+j by menial heaith worker . . . . ., 21,2CQ . . Se311tYamnbtcn..,..., ...... 46,302 lkacu li,m 7,U30 360 240. 16 1 . enter, ...... 24302 3,900 . 2&7 Dlher health s- Flu shot wlhm last 12 man!hs? . . . P(esWE& ...... 119,400 42,040 30,004 359 26.1 23.5 . 31.9 23 ? 23 6 s : tkd matrec+.a...... 15;I$ 46,m 39,.200 x% o,m! i Cawjhl flu wOnn !@ 9 nmn!hs...... 2@edal (2&4tim la?+7 days No E#SUSIdint ...... 4rmeo 165,6rm 32.999 16,6(92 27,303 Iwo 365 al 29 1 14a 3 6 59 32.700 71 sF-w1 dflfiP...... 653,930 262,290 95,6!33 i:!A& 1%% 25.709 ;~:g 19Uo 390 14.7 166 tfi 7 4 ? LWl S7dUm...... 47.8W 91,424 18,W3 1090 23a 222 103 ;: : 7,9 . . . . . 141,600 . . . DateQc...... 114,702 43.490 2U,0WJ ;$XI: 18,724 lm.o 37 ‘2 17.5 21 7 sOa...... 91,206 31.90? 10,s4+ 12,031 lzeo 24: m.: 29.~ 13.! Wenht k.....,...... 11,496 . . . . 1020 B1.d...... 18.700 . Im o 472 193 219 Oo-e3 ...... l%% 4c.@7 23.2WI Z6ml 1%$ I %z+311 1C4L0 238 El_-Ji II- m@mIs mganka- lcum%ww v-alum- - Ve@aos AdmnwmIcm conb’act.mm! paynmrd-klecamfuti. and OUw WTCES w machsrs. ,IIKI* a smallIUmti cl unkmmrlm H!umsdOmoMdU IOMLSIS - mmpk -wmupmmetl a.lk5su’t.ah9d-. F9ja!Mnv@, slm..Iem7grmr,tj ‘EmAdes those tiwmm!afacowmsmanu nm.ms Table 43. Number and percent rJ~bufiOfl of residents of nursing homes in 1W7 and discharges in 1976 by primery source of payment, according to selected nursing home characteristics United States
Pmn61Ysure of payment for re.skbntsin i9n NursfnghomeChsractmc mn MIX6caid Ofher own Msdicaid Oulsr Afl incomO gwsmmsrd M m ic.xmre gWsmrnsrd Afl Medicare lnter- other Msdcme Inter. Otffsr 30urces or famdy Sklilad or I@ Wled srsistsncs rndate =f: SO”rcsg! =Urc= msdtate ScuJcesl support support or welfare Number Percent distribution
All residents ...... I,s0!3,100 500,900 26,200 260,700 362,600 83,400 69,200 100.0 36.4 2.0 20.0 27.6 6,4 5.3
Ownershm Proprietary ...... ,.,., . 888,eoo 333,400 14,eoo i 7s,460 26S,300 65,200 3s,600 37.5 1.7 20.1 29.6 7,3 3,6 Voluntary nonprofit ...... 26i,eoo 130,200 7,300 52,100 60,300 10,400 21,800 1000 46.2 2.6 1s,5 21.4 3,7 7,7 . . Government ...... 132,500 37,300 30,200 39,100 7,900 14,foo 100.0 26.1 226 295 8.0 10.6 certificafrQsJ Skdled nursing facddy only.., . . . . 269,600 111,600 12,s00 111,700 . 20,s00 13,100 1000 41.5 4.6 41.4 7.7 4.8 Skdled nursing Facildy end II intermedmfe care factdy...... ,., 527,s00 167,000 13,900 149,000 156,900 17,200 21,900 100.0 31.6 2.6 23,2 30.1 3,2 4f Intannedtafs care facifity only . 36S,200 133,800 .,. . 203,600 19,400 11,300 1000 36.3 . . 55.s 5,3 3.1 Not ceridwd, ...... 137,500 86,400 .,, ,. 26,200 23,060 100.0 64.2 ...... t 9,0 16.7 Be&&Q . . Less than50 beds ...... 167,900 83,300 14,000 41,060 17.600 .9,100 ioo.o 49.6 S3 24.4 10,5 5.4 . . 50-99 beds ...... 397,000 156,800 73,000 111,400 32,200 i8,700 100.0 395 16,4 26.1 S,l 4.7 100-199 beds...... 605,200 194,200 13,000 102,300 152,500 2s,000 20,200 100.0 36.4 2.6 20.2 30,2 4,6 4,0 200 beds or more...... 2S3,000 66,700 5,400 71,500 57,700 10,700 21,200 100.0 2S,6 2.3 307 248 4.6 91
232,100 101,106 9.500 66,600 66,eoo 11,000 14,s00 100.0 S4.6 3.3 30.4 22.9 3,s 5.1 449,460 Zoo,ioo 6,600 57,800 131,200 29,300 24,200 1000 44.5 1.5 12.9 292 6,5 5.4 . . 354,700 114,300 4e,800 137,300 29,200 20,300 100.0 32,2 13.s 3s.7 az 57 207.000 65,500 6,100 65,200 27,400 13,900 10,000 100.0 41.3 2.5 31,5 13.2 67 4.s SWtdsrd Federal admmlstrsbve reglox . . . Regmn l,...... 85.600 S0,700 17,300 5,500 100.0 35,9 20.2 33.0 6.5 Flegjo” Il...... f 36,300 40,600 6,600 51,300 6,700 5,400 1000 29.5 4.i 37.1 206 4.9 39 . . . . Regmn.lll...... 107,s00 4s,300 25,700 7,500 100.0 402 239 216 69 , . Region IV...... 175,300 57,900 37,400 11,800 6,700 100,0 33,0 21.3 323 67 50 Regm” V...... 316,200 1S3,600 e,l 00 53,500 1s,s00 17,200 100,0 42.0 1.9 16.8 26.0 59 5.4 . . Region VI...... 142,700 4s,400 6,100 14,200 6,400 100.0 304 4.3 464 10.0 5.9 . . . . Regnm W..,...... if 5,600 60,700 6.900 6,400 100.0 52.4 33.0 7,7 55 , . , . . . Region Vlll ...... 50.eoo 19,500 14,706 100.0 3S.2 28.8 25.6 . . Region IX...... 124;000 54,100 45,700 6,100 7,500 100.0 426 . 36.8 6,5 6.1 . . Region X ...... 44,600 17,000 . 6,200 12.400 . . 1000 S6.1 . te.3 27.8 TvDe of facddy Nursurg care ...... 1,113,300 412,600 21,400 59,000 51,900 100.0 37.1 1.9 21.9 29,2 5,3 4.7 . All other,...... 1se,600 68,400 2%%132A 24,460 17,400 100.0 46.5 . 6.6 20.0 12,9 92 eee footnotesat endof fable. Table 43 Number and percent distribution of residents of nursing homes in 1977 and discharges in 1976 by prima~ source of payment, according to selected nursing home characteristics United States—Con.
Ptimav sourceof paymentforditiarges in 1076 will Medmid Othsr cm Medcaid Olher Nuting homocharsctenstic AN AN All Iotomo government All income \y;&Wnl:t Medicars Inter. olher Msd!cdre lnlsr- 00W s4urc8s or famdy Skill@ 6ssislancE or f3mily Skllkd medmto sources ‘[~s mediate sswses, Supp.arf or wallare a$fmri or welfare Numbsr Percsnt disfrIbutiDn
,“V___ .,_, ,,” fifi ..il.l...sool m.d . . . ,.-$... , ..- .-,,.. #-,”.. .,,901 ,,5, ,mn,,..” .7+,,,. , ,8, . . ‘Itdlscharqss...... , i..~””i ~o,,,ool,910001, .,4001 ~mqnnl , 1 ,,n, I . , @!rmb!Q I I I I Proprfetaty ...... 803,100 313.200 120,100 152,600 143,900 35,200 38,200 100.0 39,0 15.0 i 9.0 17.9 4.4 4.6 . 9, ?00 . 54,s00 30,600 29,500 -,,. 100.0 37.5 24.3 13.6 13.1 9.4 . 14,700 18,5oo 17,700 ‘ , 1s,!100 100.0 24.4 16.4 20.7 19.8 15.6 Cemflc.9ftoq I Skdled nursing facdifyonay....,,,,, 379,000 127,600 103,500 88,000 21,600 15,500 22,400 100,0 33.B 27.3 23,2 5.7 4.1 5,9 .’+@ed num[ng facifhy and intermediate care faclfdy,...... 448,400 149,800 79,900 107,200 75,200 9,900 26,400 100.0 33.4 17.0 23.9 16.8 2.2 5.9 . . . . Intermediate care faclhfy only .,... 210,400 9s,300 89.700 7,900 9.500 100.0 44.3 42,6 3,7 4.5 Not cerfifmd...... 79,6oo 48,500 9,200 15,000 100.0 60.9 . . 11.5 18.0 ❑ed size Less than 50 beds... . 150,000 65,100 23,900 15,700 23,100 1s,900 100.0 43,4 16.0 10.6 15.4 f0,6 50-99 beds...... ““”’’””’’”’”’” 323,800 13S,200 47,500 64,300 51,900 16,400 20,400 100,0 41.1 14,7 16.8 16,0 5.1 6.3 100-199 beds,.’” “ ‘“”’’””””’’”””’ ...... 479,500 174,300 91,400 S4,900 el,ioo 13,800 24,000 100.0 363 19.1 17.7 19,0 s.e 5.0 . . 200 beds or more...... IM,200 47,000 26,700 46,600 24,900 13,100 100.0 2S.7 16,2 26,4 15.1 8.0 LQQat9D G.sowspfdc region Northeast, ...... 247,100 80,100 59,200 51,900 38,600 10,600 100.0 32.4 24.o 21.0 15.6 .4.3 Noti Csntml ...... 336,600 f 51,600 51,700 44,000 5s,500 12,000 16,700 100.0 45.1 15.4 13.1 17.4 3.6 5.5 south . 270.900 94,1w 33,100 42,700 71,200 12,100 17.700 i 00.0 34.7 12.2 15.8 26.3 4.5 6.5 west...:: ”’”””’’””””’””””’””””’’” ...... 262,800 93,700 45,500 Ss,loo 22,70Q 11,600 26,300 100.0 35.6 17.3 24.0 6.6 4.4 10.0 Stsndarcf Federal adminlstrafive regrcm: Regmn 1...... 54,200 22.300 10,400 12,900 100.0 41.1 . 19,2 23,6 . . . . Region flu...... 113,900 34,aoo 1s,200 32,400 20,000 , 100.0 30.6 16.0 26,4 15.2 . , . Region 10 ...... 102,600 33,300 36,400 Iz,foo 10.100 100.0 32.5 37.4 11.8 9.8 . Region IV...... 131,000 46,9oo 13,400 32,40Q 22,500 9,200 100.0 35.8 10.2 24.7 17.2 7.1 Regiop v ...... 273,600 119.100 47,700 40,300 43,400 S,600 14,400 100.0 43.5 17.4 14.7 15.9 3.1 5,3 . , . . Region If ...... 1i 9,s00 3s,400 17,200 7,300 45,400 WJ.o 320 14.3 6.1 37.9 . . . . . Region WI ...... 53,200 29,700 14,300 . 300.0 61.1 . 24.6 ...... Region W...... 31.s00 13.030 . . 10C.O 41.0 . . . Region IX. . Rwion ~ .% ...... 186,300 84,3W 3s,700 46,6oo 10.100 10,200 23.100 100,0 34.2 17.9 24.9 5.4 5.4 123 ...... 44,200 17,700 IO,SOQ . . lW.O 40.0 24.4 Tvoe of ftwlflq NurskIO ~ ...... 991.WO 373.500 i6S,000 1B9,000 172,500 34,406 5s,700 100.0 37.7 3.5 5.7 All Ofhor ...... 125,SXt 46,OQO 23,6w 12,700 18.5cQ 7.s00 16,500 100.0 36.7 0.3 f3.2 ‘ ~~s EWOus 09SM.zsE-ans.faundatins. VOfuntaeragerwe3, VeteransAdmudsosdoJIco.oact tid paynmnt-ftrecam funds,smfotherscwrcwsCJmachsqw. aELx.4- N07.ES:F- maynotad-i b totafdimtomuc&g. NW* cfIamcIe+stksror t977. 1 .- ...—.- ., ..., -— . APPENDIXES
CONTENTS
I. TechnicaI Notes on Methods ...... 115 Survey Design ...... 115 Sampling Frame ...... 115 Sampling Design ...... 116 Data Collection Procedures for the 1977 National Nursing Home Survey ...... 118 GenemI Qualifications ...... 119 Nonresponse and Imputation of Missing Data ...... 119 Rounding of Numbers ...... 119 Data Processing ...... 120 Estimation Procedures ...... 120 Reliability of Estimates ...... 120 Hypothesis Testing ...... 129 u. Definition of Certain Terms Used in This Report ...... 130 Terms Relating to Facilities ...... 130 Terms ReIating to Staff ...... 133 Terms Relating to Residents ...... 134 Terms Relating to Discharges ...... 138
111. Survey Instruments Used in the 1977 National Nursing Home Survey ...... 142 Letter to Administrator ...... 142 Letters of Endorsement ...... 144 FaciIity Questionntie ...... 148 Facility Worksheet ...... 160 Letter to Accountant ...... 161 Expense Questionnaire ...... 163 Definition Booklet for Completing the Expense Questiomaire ...... 166 Current Resident Sampling List ...... 171 Current Resident Questionnaire ...... 173 D~chiuged Resident Sampling List ...... 189 Discharged Resident Questionnaire ...... 191 Staff Classification Card ...... 199 Staff Sampling List ...... 200 Letter to Staff Member ...... 204 Staff Questionnaire ...... - 205
Iv. Criteria for Classifying Nursing Homes According to Level of Nursing Care ...... 209
LIST OF APPENDIX FIGURES
I. Provisiomd relative standard errom forcstimated numbem of admissions, discharges, beds, resi- dents, employees, and faciEties ...... 121
II. Provisional relative standard errors for estimated number of resident days of care ...... 122
LIST OF APPENDIX TABLE8
I. Number of facilities in the 1977NationaI Nursing Home Sumeymiveme mdsaple, bydi5po- sition and sampling strata: Conterminous United States, 1977 ...... 117
113 If. S.qofdata coUection procedwes ...... IIg
m. hotisiond s~tidemon ofpementi&s for fatities ...... 128
IV. Provisional stitidemors of~wnti&s forreSdmts ...... 123
v. Protisiond stid~demors ofpercentiges for&s&~es ...... 123
VI. Protisiond s~d~demom of~menti~s fortotd employees mdnme's tides ...... 124
VIf. Provisioned standard errors of percentages for administrative, medical, and tbemp.utic stafi registered nwes; andlicensed practical nurses ...... 124
VIII. fiotisiond stmdmdemom ofpementiges for be& ...... 124
Ix. kotisiond smdwdemom ofpexenta&s forahissions ...... 125
x. prO*iOn~s*~d e~OrsOfpercen@es fOrtO~cOs@ ---.....---...... --...... 125
XL Protisiond s*dmdemom ofpementa&s forlaborcosK ...... ]25
~. Protisiond stitidemors ofpementiges foropemtig, fied, adtiscellmeous costs ...... 126
XIII. Protisiond stidad=ors ofpercentiges forresident days ofcme ...... 126
Xiv. Protisiond s-dmdemom foravemge toMcosKpermtident dayofc=e ...... ]26
XV. Protisiond s~dadmorsfor avma&labor costperresident dayofc~e ...... ]27
XVI. Provisional standard errors for average operating, freed, and miscellaneous costs per resident ~YOfc= ...... - 127
~.prO~O~s@ ~de~o=fOrOc cup~w.a te ...... 127
XW.Profiiond stmdwdemo~ foravemgemonfiIy fiqeforretidents ...... 128
XIX. Protilond stidmdemom foravemgemon&ly &mgefor&s&mges ...... 128
XX. az 114 APPENDIX 1 TECHNICAL NOTES ON METHODS SURVEY DESIGN composed of all nursing homes as classified in the 1973 MFI. The MFI is a census of all inpa- From May 1977 through December 1977, tient health facilkies conducted every 2-3 years the Division of HeaIth Resources Utilization by mail by the National Center for Health Sta- Statistics (DHRUS) conducted the 1977 Na- tistics. A detailed description of how the MFI tional Nursing Home Survey (NNHS)–a sampIe was developed, its contents, and procedures for survey of nursing homes, their residents, dk- updating and assessing its coverage has been charges, aud staff in the conterminous United published. 12-14 States. The survey was designed and developed In order for data collection to begin in May by DHRUS in conjunction with a group of ex- of 1977, the sampling frame was “frozen” in perts in various fields encompassing the broad December of 1976 so that the sample would area of Iong-tersp care. The NNHS was the sec- be selected in ample time to permit the sched- ond of a series of surveys designed to satisfy uling of nationwide data collection. To obtain the diverse data needs of those who establish as current a sarnple frame as possible, all nursing standards for, plan, provide, and assess long- homes that opened for business after the 1973 terrn care services. The first survey was con- MFI was conducted were also included in the ducted from August 1973 through ApriI 1974. universe. (Nursing homes that opened after December 1976 could not be included since data Sampling Frame about them were not yet available.) The nursing The 1977 NNHS covered all types of nursing homes that opened after the 1973 MFI but be- homes including nursing care homes, personal fore December 1976 comprised the second and care homes with nursing, personal care homes, smaller (8 percent) group of facihties in the and domiciliary care homes. Places that pro- universe. Information about this second group vided room and board only were excluded. of fac~lties was limited compared with the first Facilities were either freestanding establish- group which was listed in the 1973 MFI. ments or nursing care units of hospitals, retire- Estimates from the 1977 NNHS will not cor- ment centers, or similar institutions where the respond precisely to figures from the 1976 MFI unit maintained financial and resident records census for several reasons. In addition to the separate from those of the larger institutions. differences in time period, the surveys used dif- Detailed criteria for classifying facilities included ferent data collection mechanisms. The MFI is in the survey are presented in appendix IV. a mail survey but the NNHS is conducted by The universe for the 1977 NNHS consisted personal interview. Thus the NNHS methodol- of two groups of homes: those classified as nurs- o!3Y p~rmltted more detailed identification ~d ing homes in the 1973 Master Facility Inventory excluslon of facilities that were out of scope. (MFI)l 1 and nursing homes opening for business Because the NNHS is a sample survey, its data since 1973. The major group (92 percent) was are subject to sampling variability; because the MFI is a census, its data are not. In general, however, the data from the two sources are NOTE: A fist of references follows the text. compatible. 115 Sampling Design The number of nursing homes estimated by the survey (18,900) is Iess than the universe The sarnpIing was basically a stratified two- figure (23,105), as well as the number of nursing stage probability design. The first stage was a homes in the 1976 MFI (20,185}, for several selection of facilities and the second stage was a reasons. Some facilities went out of business or selection of each of the following residents, per- became ineligible for the scope of the survey sons discharged in 1976, and employees from between the time the universe was frozen and the sample facilities. In preparation of the first- the survey was conducted. A facility was con. stage sample selection, two different procedures sidered out of scope if it did not provide nurs. were used: one for facilities listed in the MFI ing, personal or domiciliary care services (e.g., with known bed size and another for newly facilities providing only room and board) or if opened facilities whose bed size and service type it were a nursing care unit or wing of a hospital, were unknown. The procedure for facilities in retirement center, or similar institution without the MFI with known bed size consisted of sort- separate financial and resident records for that ing these facilities into two types of service unit. The NNHS methodology included a strata: (1) nursing care homes and (2) facilities thorough procedure for identifying out-of-scope providing all other types of service (inchding facilities. For these same reasons, the 1973-74 personal care homes with nursing, personal care NNHS estimate differed from the universe figure homes, domiciliary care homes, and facilities by 1,900.9 In addition, the large number of with unknown service type). Nursing homes in newly opened facilities in the sampling frame, each of these two service strata were then sorted for which limited ihforrnation on services pr- into bed-size groups, producing the first 16 pri- ovided was available, resulted in a larger propor. mary strata shown in table I. Within each pri- tion of facilities (10 percent) later identified as mary stratum, nursing homes were ordered by out of scope in comparison with the 1973-74 type of ownership, geographic re$on, State, and NNHS (7 percent). county. The sampIe within the frost’16 strata The second-stage sampling of residents, dis. was then selected systematically after a random charges in 1976, and employees was carried out start within each primary stratum. The proce- by the interviewers at the time of their visits to dure for newly opened facilities whose size and the facilities in accordance with specific instruc- service type were unknown was a double- tions given for each sample facility, The sample sampling scheme. In the froststep, a random sub- frame for residents was the total number of resi. set of one-third of these facilities (587 nursing dents on the register of the facility on the homes) was selected, and bed-size information evening prior to the day of the survey, Residents was determined for them by telephone contact. who were physically absent from the facility due Using the newly gathered information on bed to overnight leave or a hospital visit but had a size, this subset of facilities was then sorted bed maintained for them at the facility were in- into bcd-size groups producing the last 8 strata cluded in the sample frame. An average of five shown in table I. Within each of these b cd-size residents per facility were in the sample. strata, nursing homes were ordered by geo- The sample frame for discharges was the graphic region, State, and ZIP code. (Although total number of persons discharged alive or dead the first group of facilities from the MFI was during calendar year 1976. Persons who were ordered by type of ownership and county, this discharged more than once during 1976 were subset was not arranged the same way because listed for each dkcharge. It is possible that a cur- information on these variables was not avail- rent resident was included in the discharge sarn- able.) In the second step, the final sample p~mg frame if he or she were discharged during within the last 8 strata was then selected sys- 1976. An average of four discharges per faciIity tematicsdly after a random start whhin each pri- were in the sample. mary stratum. Table I shows the entire distri- The sampling frame for employees was the bution of facilities in the sampling frame and the Staff Sampling List (see appendix III) on which fimal disposition of the sample with regard to the interviewer listed the names of all staff pro- response and inscope status. viding direct or health-related services (including ; Table 1. Number of facilities in the 1977 National Nursing Home Survey universe and sample, by disposition and sampling strat= Conterminous UnitecfStates, 1977 Sample Universe Sampling strata (;sa:l$ All types of service ...... 23,105 1,698 166 1,451 Nursing care ...... 13,230 1,292 95 68 1,129 676 11 3 0 8 1,195 30 8 1 21 3,16S 158 25 6 127 4,775 39a 17 17 364 2,864 477 18 32 427 402 134 6 6 122 133 67 12 6 49 17 17 6 0 11 All other types of servicez ...... 8,116 318 57 8 253 3,431 35 13 0 22 1,166 17 5 0 12 1,108 34 11 0 23 1,202 60 5 1 54 913 91 11 3 77 173 34 4 2 28 92 31 4 1 26 31 16 4 1 11 Unknown type of service ...... 1,759 . . . . 5s7 88 14 5 69 107 3 1 0 2 96 4 3 1 0 128 12 6 0 6 113 16 1 1 14 122 40 2 2 36 16 8 0 1 7 5 5 1 0 4 0 0 0 0 0 1,172 ...... lThe universe consisted of the nursing homes as classified in the 1973 Master Facility Inventory and facilities opened for business from 1973 to1976. 21ncludes personal care homes (with or without nursing), domiciliary care homes, and facilities with unknown service type. % order to improve estimates of the 1,759 facilities for which both service type and bed size were unknown, bed sizes were determine d for a one-thiid sample(587 facilities). These facilities were then stratified by bed size before sample selection. contract personnel employed last month) and column of this form. An average of 10 staff per sampled contract, administrative, medical, thera- facility were in the sample. peutic, and nursing staff. Those generally not In order to reduce respondent burden, re- involved in dmect patient care, such as of flee strictions were placed on the number of resi- staff, food service, housekeeping, and mainte- dents, discharges, and staff sampled in each nance personnel were exeluded from the sample. facility. Sampling rates were predesignated by The interviewer used predesi@ated sampling the size classification of the facility but sampling instructions that appeared at the head of each rates were sltered when necessary to assure that 117 the samples did not exceed the specified maxi- the interviewer who questioned the ad- mum of 8 for residents, 8 for dkcharges, and 23 ministrator or owner of the nursing for employees. home. After completing thk form, the interviewer secured the administrator’s Data Collection Proceduresfor the 1977 authorization for completion of the National Nursing Home Survey Expense Questionnaire. Possible re- spondents to the Expense Questionnaire The 1977 NNHS utilized eight question- include accountants, administrators of naires (see appendix III for facsimiles of ques- the facilities, and other knowledgeable tionnaires): staff members. Results from the survey indicate that the respondents were Facility Questionnaire evenly divided into two groups: (1) ac. Expense Questionnaire and Definition Book- countants located outside the facility let and (2) administrators and other staff members, such as bookkeepers, based in Staff Sampling List the facility. Where data in prepared fi. Staff Questionnaire nancial statements were comparable to data requested in the Expense Question- Current Resident Sampling List naire, the respondent provided the facil- Current Resident Questionnaire ity’s financial statement to a specially trained NNHS accountant who ab- Discharged Resident SarupIing List stracted data to complete the Expense Discharged Resident Questionnaire Questionnaire. This occurred in one- third of the cases. The interviewer com- pleted the Staff Sampling List (a list of Data were collected according to the follow- all currently employed staff who pro- ing procedures: vided direct or health-related services), selected the sample of staff from it, and 1. A Ietter was sent to the administrator of prepared Staff Questionnaires. These sample facilities informing him of the were left for each sample staff person to survey and the fact that an interviewer complete, seal in an addressed and would contact him for an appointment. franked envelope, and return either to Included with this introductory letter the interviewer or by mail. The inter- were Ietters of endorsement from the viewer completed the Current Resident American Association of Homes for the Sampling List (a list of all residents cur- Aging, the American College of Nursing rently in the facility), selected the sam- Home Administrators, the American ple of residents from it, and completed Health Care Association, and the Na- a Resident Questionnaire for each sam- tional Council of Health Care Services ple resident by interviewing the member urging the administrator to participate in of the nursing staff most familiar with the survey. A summary report from the care provided to that resident, The nurse previous survey in 1973-74 was also en- referred to the resident’s medical record closed to illustrate the kind and use of when responding. No resident was inter- data obtained from the survey. viewed directly. The interviewer then completed the Discharged Resident Sam- 2. Several days to 1 week after the letters pling List (a list of ZUpersons discharged had been mailed, the interviewer tele- alive or dead in 1976), selected a sample phoned the sample facility and made an of discharges from it, and completed a appointment with the administrator. Discharged Resident Questionnaire for 3. At the time of the appointment the each sample person by interviewing a Facility Questionnaire was completed by member of the nursing staff who re- 118 fessed to medical records. In larger facil- Generally, response rates were higher for ities, a team of two or three interviewers questionnaires administered in a personal inter- conducted the survey in order to reduce view situation (Facility, Current Resident, and the length of time required in the facil- Discharged Resident) as compared with those it y. that were self-enumerated (Expense and Staff). Followup on the Staff Questionnaire Statistics presented in this report were adjusted was rnitiated 2 weeks after the date of for failure of a fac~lty to respond (i.e., to com- interview. Followup on the Expense plete the Facility Questionnaire) and for failure Questionnaire was initiated 3 weeks after to complete any of the other questiomaires the date of interview. (Expense, Current Resident, Discharged Resi- dent, or Staff). Those items left unanswered on Table II uresents a summarv of the data col- a p~laly completed questionnaire (F acilitY, lection proce’ihsres. Expense, Current Resident, Discharged Resi- dent, Staff) were generally imputed by assigning GENERAL QUALIFICATIONS a vahse from a responding unit with major char- acteristics identical to those of the nonrespond- Nonresponse and Imputation of ing unit. Missing Data Response rates differed for each type of Rounding of Numbers questionnaire: Estimates of facilities, residents, discharges, Response and employees have been rounded to the nearest rate Questionnaire (percent) hundred. Estimates of total costs and revenues were rounded to the nearest milIion. For this Facility 95 reason, detailed figures within tables do not Expense 85 always add to totals. Percents were calculated on Current Resident 99 the original, unrounded figures and will not Discharged Resident 97 necessarily agree precisely with percents that Staff 81 might be calculated from rounded data. Table II. Summary of data co!Iection procedures Questionnaire Respondent Interview situation Facility Questionnaire ...... Interviewer with administrator [nteruiew Expense Questionnaire ...... Administrator, owner, accountant Self-enumerated or bookkeeper Staff Sampling List ...... Interviewer with staff members Informal interview or copied from records Staff Questionnaire ...... Sampled stsff members Self-enumerated Current Resident Sampling List ...... Interviewer with staff member who Informal interview or copied from refers to Current Resident Census records Current Resident Questionnaire ...... Interviewer with nurse who Interview refers to medical record Discharged Resident Sampling List ...... Intewiewer with staff member who Informal interview or copied from refers to discharge racords fmm records 1976 Discharged Resident Qu~tionnaire ...... Interviewer with nurse who Interview refers to medical record 119 ‘ Data Processing ratio of the number of sample residents (dis- charges or staff) in the faciMy to the number A series of checks were performed during of residents (discharges or staff) for whom ques. the course of the survey. This included field fol- tionnaires were completed within the facility. lowups for missing and inconsistent data, some manual editing of the questionnaires, and ex- tensive editing as conducted by computer to RELIABILITY OF ESTIMATES assure that all responses were accurate, consist- As in any survey, the results are subject to I ent, logical, and complete. Once the data base both sampling and nonsampling errors. Non. was edited, the computer was used to calculate sampling errors include errors due to response and assign weights, ratio adjustments, recodes, bias, questionnaire and item nonresponse, and and other related procedures necessary to pro- processing errors. To the extent possible, the duce national estimates from the sample data. latter types of errors were kept to a minimum by methods built into survey procedures such as Estimation Procedures standardized interviewer training, observation of Statistics reported in this publication are de- interviewers and field followups for missing and rived by a ratio estimating procedure. The pur- inconsistent data, manual and computer editing, pose of ratio estimation is to take into account 100-percent verification of sdIkeypunching, and all relevant information in the estimation proc- other quality checks. Because survey results are ess, thereby reducing the variability of the esti- subject to both sampling and nonszunpling mate. The estimation of number of facilities and errors, the total error is larger than errors due to facility data not related to size are inflated sampling variability alone. by the reciprocal of the probability of selecting Because statistics presented in this report are the sample faciMes and adjusted for the nonre- based on a sample, they will differ somewhat sponding facilities within primary type of from figures that would have been obtained if a service-size strata. Two ratio adjustments, one at complete census had been taken using the same each stage of sample selection, were also used in schedules, instructions, and procedures. the estimation process. The first-stage ratio The standard error is primarily a measure of adjustment (along with the preceding inflation the variability that occurs by chance because factors) was included in the estimation of facil- only a sample, rather than the entire universe, k ity data related to size, and of xII resident, dis- surveyed. The standard error also reflects part of charge, and staff data for all primary types of the measurement error, but it does not measure service-size strata.a The numerator was the total ZI.UYsystematic biases in the data. It is inversely beds according to the MFI data for dl facilities proportional to the square root of the number in the stratum. The denominator was the esti- of observations in the sample. Thus as the sam- mate of the total beds obtained through a simple ple size increases, the standard error generally inflation of the MFI data for the sample facili- deereases. Provisional estimates of the standard ties in the stratum. The effect of the fiist-stage errors are presented in this report because final ratio adjustment was to bring the sample in estimates are not yet available, closer agreement with the known universe of The chances are about 68 out of 100 that an beds. The second-stage ratio adjustment was estimate from the sample differs from the value included in the estimation of all resident, dis- that would be obtained from a complete census charge, and staff data. It is the product of two by less than the standard error. The chances are fractions: the first is the inverse of the sampling about 95 out of 100 that the difference is lefs fraction for residents (discharges or staff) upon than twice the standard error and about 99 out which the selection is based; the second is the of 100 that it is less than 21/2 times as large. The relative standard error of an estimate is the standard error of the estimate divided by the aFor nursing homes with unknown bed s]ze and service type, the first-stage ratio adjustment was not in- estimate itself and is expressed as a percent of cluded in the estimation of facifity, resident, discharge, the estimate. Provisional relative standard errors and staff data. of estimated number of admissions; discharges; 120 beds; residents; total staff and nurse’s aides; - The particular figure or table to which one admiiistrative, medical, and therapeutic staff, refers to obtain a standard error is contingent on registered nurses, and licensed practical nurses; the type of estimate (e.g., residents) and whether facilities; and resident days of care are shown in the estimate is a level or a percent. Tables III- figures I and II. In this report, estimates that XIH show the provisional standard errors for have a relative standard error more than 30 per- percent estimates used in this report for facilities cent of the estimate itself are considered “unre- (table III); residents (table IV); discharges (table liable.” For example, curve D of figure I shows V); total staff and nurse’s aides (table VI); ad- the provisional relative standard errors of esti- ministrative, medical, and therapeutic staff, mated number of residents. For a relative stand- registered nurses, and licensed practical nurses ard error of 30 percent or less, the minimum (table VII); beds (table VUI); admissions (table number of residents is 5,100. Thus resident esti- IX); total costs (table X); labor costs (table XI); mates smaller than 5,100 are considered “unre- operating, fixed, and miscellaneous costs (table liable” and are replaced with an asterisk. XII); and resident days of care (table XIII). Because of the relationship between the Tables XIV-XVI show the provisional standard relative standard error and the estimate, the errors for average total costs; average labor costs; standard error of an estimate can be obtained and average operating, fixed, and miscellaneous by multiplying the estimate by its relative stand- costs per resident day estimates, respectively. ard error. Thus for example, in curve B of fig- Tables XVII-XIX show the provisional standard ure I, an estimate of 7,200 discharges has a rela- errors for occupancy rate, average monthly tive standard error of 30 percent. Its standard charge for residents, and average monthly charge error is 0,30 X 7,200 = 2,160. for discharges, respectively. I 1 I I t , , , I NI , ,, t 1111111 I I I II , , a ,4 111111 111111 111111 .3 I I I 1111111 I I 1111111 I I .2 .1 A2 3 4567694 2 3456789k2S4 56789A2 3 456789A .2 3 *56789A 1(KI. . 1000 10.000 . 100,000 1,000,000 10,000,000 SIZE OF ESTIMATE Figure 1. Provisional relative standatxlerrors for estimated numbers of admissions, discharges, beds, residents,employees, and facilities 121 , 100 ! ,0 80 70 60 50 I 40 20 .8 .7 .6 .5 ..3 .2 .1 A 2345670 9A 2345678 9A Z34 56789A l,civ) 1 10 100 SIZE OF ESTIMATE IN MILLIONS Figure II. Provisional relative standard errors for estimated number of resident days of care The illustrations that follow show how to homes certified only as skilled nursing facil- use the tables to find the standard error of an ities received care primarily fiianced by estimate. \ their own income or family support. Linear Illustration of use of tables III-XIII to find interpolation between values shown in table @@~x~mate standard errors of percentages IV yields an approximate standard error of of estimates: Table 43 shows that 41.5 per- 2.1 percent for 41.5 percent with a base of cent of the 269,600 residents in nursing 269,600. 122 . Table I I 1. Provisional standard errors of percentages for facilities Estimated percem Base of percent [facilities) 1 or 99 100r90 20 or 80 40 or 60 50 Standard error in percentage points 2.38 7.18 9.58 11.73 11.97 1.85 5.56 7.42 9.09 9.27 1.31 3.93 5.25 6.43 6.56 0.92 2.78 3.71 4.54 4.64 0.85 1.97 2.62 3.21 3.28 0.53 1.61 2.14 2.62 2.68 0.46 1.39 1.85 2.27 2.32 0.41 1.24 1.66 2.03 2.07 0.29 0.88 1.17 1.44 1.47 Table W. Provisional standard errors of percentages for residents Estimated parcent 8ase of percent (residents) 1 or 99 100r90 20 or 80 40 or 60 50 Standard error in parentage points 2.42 7.3f 9.74 11.93 12.18 2.17 6.54 8.7f f 0.67 10.89 1.53 4.62 6.16 7.55 7.70 1.08 3.27 4.36 5.34 5.45 0.77 2.31 3.08 3.77 3.85 0.69 2.07 2.76 3.38 3.44 0.48 1.46 1.95 2.39 2.44 0.34 1.03 1.38 1.69 1.72 0.28 0.64 1.f3 1.38 1.41 0.24 0.73 0.97 1.19 1.22 0.22 0.65 0.87 1.07 1.09 o.f9 0.57 0.76 0.94 0.96 Table V. Provisional standard errors of percentages for discharges Estimated percent 8ase of parcent (discharges) 1 or 99 100r90 20 or 80 40 or 60 50 Standard error in percentage pointe 2.53 7.64 10.18 12.47 12.73 1.79 5.40 7.20 8.82 9.00 1.27 3.82 5.09 6.23 6.36 1.03 3.12 4.f6 5.09 5.20 0.90 2.70 3.60 4.41 4.50 0.80 2.41 3.22 3.94 4.02 0.57 1.71 2.28 2.79 2.85 0.40 1.21 1.61 1.97 2.01 0.33 0.99 1.31 1.61 1.64 0.28 0.85 1.14 1.39 1.42 0.25 0.76 f .02 1.25 f .27 123 Table VI. Provisional standard errors of percentages for total employees and nurse’s a;des Estimated percent Base of percent (total employees and nurse’s aides) 1 or 99 100r90 20 or 80 40 or 60 50 Standard error in pmcentaga Points 2.53 7.62 10.16 12.44 12,70 1.96 5.90 7.87 9.64 9.84 1.55 4.67 6.22 7.62 7.78 1.38 4.17 5.56 6.61 6495 0.98 2.95 3.93 4.82 4.92 0.69 2.09 2.78 3.41 3,48 0.57 1.70 2.27 2.78 2.84 0.49 1.48 1.97 2.41 2.48 0.44 1.32 1.76 2.15 2.20 0.31 0.93 1.24 1.52 1.56 0.22 0.66 0.88 1.08 1,10 0.18 0.54 0.72 0.88 0.90 0.15 0.44 0.59 0.72 0.73 Teble VI 1. Provisional standard errors of percentages for administrative, medical, and therapeutic staff; registered nurses; and licensed practical nurses Estimated percent 8asa of percent (professional employees and nursed 1 or 99 100r90 20 or 80 40 or 60 50 Standard error in percentage points 800 ...... 2.44 7.35 9.80 12.00 12.25 2.18 6.57 8.77 10.74 10,96 1.54 4.65 6.20 7.59 7.75 1.09 3.29 4.36 5.37 5.48 0.89 2.68 3.58 4.36 4.47 0.77 2.32 3.10 3.80 3.87 0.69 2.08 2.77 3.39 3.46 0.49 1.47 1.96 2A0 2.45 0.34 1.04 1.39 1.70 1.73 0.28 0.85 1.13 1.39 1.41 0.22 0.66 0.88 1.07 1.10 3oo;ooo ...... 0.13 0.38 0.51 0.62 0.63 Table VIII. Provisional standard errors of percentages for beds 1 Eatimatad percent 8ase of percent (beds) 1 or 99 100r90 20 m 80 40 or 60 50 Standard error in percentage points 2.93 8.82 11.77 14.41 14.71 2.07 6.24 8.32 10.19 10.40 1.46 4.41 5.88 7.21 7.35 1.19 3.60 4.80 5.88 6.00 1.03 3.12 4.16 5.C9 5.20 0.93 2.79 3.72 4.56 4.65 0.65 1.97 2.63 3.22 3.29 0.46 1.40 1.86 2.28 2,33 0.30 1.14 1.52 1.86 1.80 0.29 0.86 1.18 1.44 1.47 0.24 0.72 0.95 1,18 1.20 124 Table IX. Provisional standard errors of percentages far admissions Estimated percent Base of percent (admissions) 1 or 99 100r90 20 or 80 40 m 60 50 Standard error in percentage points 2.66 8.03 10.71 13.11 13.36 1.68 5.68 7.57 9.27 9.46 1.54 4.64 6.18 7.67 7.73 1.33 4.02 5.35 6.56 6.69 1.19 3.69 4.79 5.86 5.99 0.64 2.54 3.39 4.15 4.23 0.69 2.07 2.76 3.39 3.46 0.49 1.47 1.95 2.39 2.44 0.42 1.27 1.69 2.07 2.12 0.38 1.14 1.51 1.65 1.69 Table X. Provisional standard errors of percentages for total costs Estimated pemem Base of percent (total cost in dollars) lor99 I 100r901 200r801 400r601 50 Standard error in percentage points 2.85 8.59 11.46 14.03 14.32 2.01 6.08 B.1o 9.92 10.13 1.65 4.96 6.61 6.10 8.27 1.42 4.30 6.73 7.01 7.16 1.16 3.51 4.68 5.73 5.85 1.01 3.04 4.05 4.96 5.06 0.90 2.72 3.62 4.44 4.53 0.64 1.92 2.56 3.14 3.20 0.46 1.36 1.81 2.22 2.26 0.37 1.11 1.48 1.81 1.85 0.28 0.86 1.15 1.40 1.43 Table Xl. Provisional standard errors of percentages for labor costs Estimated percent Base of percent (labor cost in dollars) lor99] 100r901 200r801 400r601 50 Standard error in percentage points 2.70 8.14 10.85 13.29 13.57 2.20 6.65 8.86 10.85 11.06 1.91 5.76 7.68 9.40 9.59 1.71 5.15 6.87 8.41 8.56 1.21 3.64 4.65 5.95 6.07 0.65 2.57 3.43 4.20 4.29 0.70 2.10 2.80 3.43 3.50 0.60 1.82 2.43 2.97 3.03 0.54 1.63 2.17 2.66 2.71 0.38 1.15 1.54 1.88 1.92 0.27 0.81 1.09 1.33 1.36 0.22 0.66 0.69 1.09 1.11 125 Table Xl 1. Provisional standard errors of percentages for operating, fixed, and miscellaneous costs Estimated percent Base of percent (operating, fixed, and miscellaneous coats in dollars) 1 or 99 100r90 20 or 80 40 or 60 50 Standard er in percentage points 2.s9 8.73 11.63 14.25 14.54 2.42 7.30 9.73 11.92 12<17 1.71 5.16 6.86 8,43 8.80 1.21 3.65 4.67 5.96 6.08 0.66 2.58 3.44 4.21 4.30 0.77 2.31 3.08 3.77 3,85 0.54 1.63 2.18 2.67 2.72 0.36 1,15 1.64 1.86 1.92 0.31 0.94 1.26 1.54 f .57 0.24 0.73 0.97 1.19 1.22 0.17 0.52 0.69 0.84 0.S6 Table Xl I I. Provisional standard errors of percentages for resident days of care Estimated percent Base of percent (rasident days of care) 1 or 99 100r90 20 or 60 40 or 60 50 Standard error in percentage points 2.48 7.48 9.97 12.21 12.46 2.26 6.82 9.10 11,14 11.37 1.96 5.91 7.66 9.65 9,85 1.75 5.29 7.05 8.63 8.81 1.24 3.74 4.98 6.10 6.23 0.88 2.64 3.52 4.32 4.40 0.72 2.16 2.88 3.52 3.60 0.62 1.87 2.49 3.05 3,11 0.55 1.67 2.23 2,73 2,79 0.39 1.18 1.58 1.93 1.97 0.26 0.80 1.06 11.30 1.33 Table XIV. Provisional standard errors for average total cost per resident day of care Average cost per resident day of cam 8ase of ratio (resident days of care) $6.00 $10.00 $18.00 $20.00 $30.00 $40.00 Standard error in dollars * , 4.54 5.37 7.22 9.13 . . 4.24 4.80 6.58 8.32 . 2.79 3.66 4.24 5.69 7<19 . 2.49 3.27 3.78 6.08 6.42 1.35 1.76 2.30 2.65 3.55 4.49 0.95 1.23 1.60 1.85 2.46 3.10 0.7s 1.00 1.29 1.48 1.96 2.47 0.60 0.76 0.97 1.11 1.45 1.81 0.42 0.52 0.64 0.71 0.69 1.08 0.29 0.34 0.36 0.36 ...... — 126 Table XV. Provisional standard errors for average labor cost per resident dav of care Average cost per resident day of care Base of ratio (resident days of care) $0.15 $1.00 $3.00 $5.00 $10.00 $16.00 Standard error in dollars 0.28 0.68: 1.15 1.53 2.45 3.60 0.26 0.62 1.05 1.40 2.24 3.28 0.22 0.54 0.91 1.21 1.93 2.84 0.20 0.48 0.82 1.06 1.73 2.54 0.14 0.34 0.58 0.78 1.21 1.78 0.11 0.28 0.47 0.62 0.99 1.44 0.07 0.17 0.29 0.38 0.5B 0.84 0.06 0.15 0.26 0.33 0.52 0.74 0.04 0.11 0.18 0.23 0.34 0.47 0.03 0.08 0.13 0.16 0.21 0.25 Table XVI. Provisional standard errors for average operating, fixed, and miscellaneous costs per resident day of cara Average cost per resident day of care Base of ratio (resident days of care] $0.25 $1.00 $3.00 $6.00 $10.00 Standard error in dollars ● ● 0.6B 1.29 2.15 ☛ 0.28 0.62 I.IB 1.96 ● 0.22 0.4B 0.91 1.51 ☛ 0.15 0.34 0.64 1.06 0.05 O.tl 0.24 0.44 0.73 0.04 0.09 0.19 0.36 0.58 0.04 0.08 0.16 0.30 0.49 0.03 0.07 0.15 0.27 0.43 0.02 0.05 0.10 0.18 0.28 0.02 0.04 0.07 0.12 0.18 Table XVI 1. Provisional standard errors for occupancy rate Illustrate-on of use of tables XIV-XIX to find aP@~imate standard errors ofrata;Table that average Base of ratio Occupancy rate 39 shows the monthly charge (beds) for residents in nursing homes certified only 30 50 80 90 100 I I I as skilled nursing facilities in 1977 was $880 Standard error in percentage points with a base number of 269,600 residents (table 43). Linear interpolation between 10,000 ...... * ““ 26.98 29.17 values shown iu table XVIII yields an ap- 20,000 ...... 9.76 12.93 17.49 19.01 20.55 40,000 ...... 6.89 9.11 12.29 13.35 14.43 proximate standard error of $48.20 for the 60,000 ...... 5.61 7.40 9.87 10.83 13.69 estimate of $880 with a base of 269,600 80,000 ...... 4.85 6.38 8.57 9.31 10.05 residents. 100,000 ...... 4.32 5.68 7.62 8.27 8.92 200,000 ...... 3.02 3.93 5.20 5.63 6.07 400,000 ...... 2.08 2.64 3.41 3.66 3.92 Approximate standad errors of ratios such 600,000 ...... 1.66 2.04 2.54 2.70 2.B7 as full-time equivalent employees per 100 beds 1,000,000 ...... 1.22 1.40 1.52 1.55 1.60 can be calculated as in the following example: 1,500,000 ...... 1.00 1.01 0.51 ------Suppose the standard error (uR~) for the ratio of 127 Table XVI 11. Provisional standard errors for average monthly charge for residents Average monthly charge Base of ratio (residents) $100 $200 $400 $600 $800 $1,000 Standard error in dollars ● . * * 229 274 ● * 97 130 162 194 29 43 68 92 115 137 23 56 75 94 112 20 : 48 65 81 97 18 27 43 58 72 87 13 19 31 41 51 61 9 14 22 29 36 43 11 18 24 28 35 : 9 14 18 23 27 5 8 12 16 20 24 — — Table Xl X. Provisional standard errors for average monthly charge for discharges Avarage monthly charge $100 $200 $400 $600 $800 $1,000 Standard error in dollars ● ☛ 113 152 189 227 58 92 124 155 185 . 80 107 134 160 27*~ 65 88 108 131 24 36 56 76 95 113 21 32 50 68 85 iol 15 23 36 48 80 11 16 25 34 42 :: 9 13 21 28 34 41 7 10 16 24 27 32 6 10 15 20 25 30 1 L total fti-time equivalent (FTE] employees per words, letting Vx~ be the relative standard error 100 beds is desired for nursing homes with less of the number of total FTE employees, Vy’ be than 50 beds. In table 8, the total FTE employ- the relative standard error of number of beds, r ees per 100 beds for facilities with less than 50 be the sample correlation coefficient between beds is 45.6 which is equal to a total of 83,400 total FTE employees and beds (conservatively FTE employees divided by 182,900 beds (table estimated to be 0.5), and VR’ be the relative 1) times 100. The relative standard error of standard error of the ratio R’ = Xf/Y’: 83,400 total FTE employees is (from figure I, curve E) approximately 4.8 percent, and the relative standard error of 182,900 beds (from figure 1, curve C) is approximately 6.8 percent. = (.048)2 + (.068)2 - 1.00(.048 X .068) The square root of the sum of the squares of these two relative standard errors minus their = .0023+ .0046 - .0033= .0036 covariance provides an approximation for the relative standard error of the ratio. fn other 128 The approximate standard error of the ratio not to reject the null hypothesis (for the two >f total FTE employees per 100 beds may now means Xl, ~z, the null hypothe~is is go : xl = >e obtained by multiplying the relative standard ~z with the alternative HA: Xl #X2). The :rror by the ratio as follows: standard error of the difference of the two esti- mates is approximately the square root of the ORI = R’ X VR, sum of the squares of the standard error of each of the estjrnates. Th~s, if SE(II ) is the stand~d = 45.6 X .06 error of Xl and SE(X2 ) is the standar~ erro~xz, the standard error of the difference (Xl -X2) is = 2.74 SE(~l - X2)= ~SE2 (~1 ) + SE2 (Z2 ) The sample comelation coefficient (r) for maculating the standard error estimates of the (This formula will represent the actual standard :atios presented in this report is assumed to be error for the difference between separate and zero except in the case of full-time equivalent uncorrelated characteristics although it is only a :mployees per 100 beds, occupancy rate, and rough approximation in most other cases.) The cost per resident day ratio estimates where the null hy~othesis is rejected (that is, the two correlation coefficient used was 0.5. means Xl and X2 are different) if the probabil- ity of a type I error is less than 5 percent; that is, if HYPOTHESIS TESTING To test the difference between two statistics z= F1-F2 (mean, percent, etc.), the standard normal test >1.96 should be performed to determine whether or /SE2 (xl)+ SE2 (~z ) 000 129 APPENDIX II DEFINITION OF CERTAIN TERMS USED IN THIS REPORT Terms Relating to Facilities Medicaid. –Medicaid refers to the medi- cal assistance provided in title XIX of Facility .–Nursing homes included in the the Social Seeurity Act. Medicaid is a 1977 National Nursing Home Survey were those State-administered program for the med- classified by the 1973 Master Facility Inventory icdly indigent. (MFI) as nursing care homes, personal care Skilled nursing facility. –SkiIIed nursing homes with nursing, personal care homes, and facWy refers to certification as a skilled domiciliary homes. Also incIuded are nursing nursing facility under Medicare, under homes opened for business between the time the Medicaid, or under both programs. 1973 MFI was conducted and December 1976. A nursing home must have three beds or more Intes-rncdiate care facility. –Intermediate and may be either free standing or a distinct unit care faciIity refers to certification as an of a larger facility. (See appendix IV for details.) intermediate care facility under Medi- caid. Bed. –A bed is one that is set up and staffed for use whether or not it was in use by a Not certified.–Not certified refers to facilities that are not certified as pro- resident at the time of the survey. Not in- CIuded are beds used by staff or owners, or viders of care either by Medicare or Medicaid. beds used exclusively for emergency pur- poses, solely day care, or solely night care. Facility type .–The criteria for classifying Certified bed.–A certified bed is one nursing homes are based on the following that is certified: (a) as skilled under the factors: the percentage of residents receiving Medicare proq, under the Medicaid nursing care in the week prior to the day of program, or both; or (b) as intermediate the survey, the availability of registered pro- under the Medicaid program. (See defi- fessional or licensed practical nurses, the ad- nition under “Certification” for details.) ministration of medications and treatments in accordance with physician’s orders, the Cenhjlcsztion.-Certification refers to the supervision over medications that may be facility certification by the Medicare and/or self-administered, and the provision of Medicaid program(s). assistance with certain personal services. Medicare.–Medlcare refers to the medi- Nursing care. (See appendix IV for de- cal assistance provided in title XVIII of tailed criteria.) the SociaI Security Act. Medicare is a health insurance program administered Alt other. –Other types of facilities in- by the Social Security Administration clude those providing personal care with for persons aged 65 years and over and nursing, personal care, or domiciliary for dkabled persons who are eligible for care. (See appendix IV for detailed benefits. criteria.) 130 Financial Vars”ables.-(See Expense Ques- Nonpatient. –Nonpatient revenues tionnaire Definition Booklet in appendix III include financial contributions, for greater detail concerning terms in this grants and subsidies received from section.) churches, foundations, voluntary agencies, government agencies, and Cost, total.–The total cost of providing similar groups for generid operating care for residents for the facility’s most purposes. They ako inchr.de all recently completed fiscal year. For other sources of revenue not directly about half the facilities, this corre- related to patient health care (such sponded to calendar year 1976. For as beauty/barber services and vend- those not reporting for the calendar ing machines ) as welI as any revenues year, July and October were the most received in the form of interest, prevalent starting dates. Excluded from total costs are any losses sustained in the dividend, and capital gains. sale or disposition of fixed assets and Net income. –Net income refers to reve- other extraordinary Iosses not related to nues minus costs. the current cost of providing care. CapitaG returns. -Capital returns refer to Labor costs. –Labor costs consist of the net income (i.e., revenues minus wages and salaries, payroll taxes, and costs) plus interest. fringe benefits. Cash flow. -Cash flow refers to the net Operating costs. —Operating costs income (i.e., revenues minus costs) plus consist of expenses for food and depreciation. other dietary items; drugs; supplies and equipment; purchased mainte- Location nance of buildings, grounds, and Geo~aphic region. –Facilities are classi- equipment; laundry and linen; health fied by geographic area by grouping the care and other services purchased conterminous States into regions. These from outside sources; and utilities. regions correspond to those used by the Fixed costs. —Fixed costs consist of U.S. Bureau of the Census: equipment rental, insurance, taxes Rep-on States included and licenses, interest and finance charges, rent on building and land, Northeast ...... Maine, New Hampshire, and amortization of leasehold imp- Vermont, Massachu- rovement. setts, Rhode Island, Connecticut, New York, Miscellaneous costr-Miscelhureous New Jersey, Pennsyl- costs are for dues, subscriptions, vania travel, automobile, advertising, other North Central.. Michigan, Ohio, Indiana, services not included elsewhere, med- ical and nonrnedlcal fees, and unclas- Illinois, Wisconsin,Minn- sified expenses. esota, Iowa, Missouri, North Dakota, South Revenues Dakota, Kansas, Ne- braska Patient care. –Patient care revenues include payments from Medicare, south ...... Delaware, Maryland, Medicaid, other public assistance or District of Columbia, welfare progmns, and private Virginia, West Virginia, sources, as well as other patient reve- North Carolina, South nues for routine or ancillary health Carolina, Georgia, F1ori- care services. da, Kentucky, Texas, 131 Tennessee, Alabama, Territory of Pacific Islands, Mississippi, Arkansas, and American Samoa are Louisiana, Oklahoma excIuded.) West ...... Montana, Idaho, Wyo- Region X...... Idaho, Oregon, Washing- ming, Colorado, New ton. (Alaska is excluded.) Mexico, Arizona, Utah, Nevada, Washington, Ownership. –Type of ownership refers to the Oregon, California. type of organization that controls and oper- (Alaska and Hawaii are ates the nursing home. excluded). Proprietaq facility.–A proprietary facil- ity is operated under private commercial Standard Federal Administrative Re- ownership. &“ons.–Facilities are classified by Stand- ard l?ederaI Administrative Regions by Nonprofit facility.–A nonprofit facility grouping the conterminous States into is operated under voluntary or non- 10 regions. These regions correspond to profit auspices, including both church- those used throughout the Federal Gov- related facilities and those not church- ernment: related. Government facility.–A government Regs-on States included facility is operated under Federal, State, Region 1...... Comecticutj Maine, Mass- or local government auspices. achusetts, New Hampshire, Rhode Island, Vermont Service. -Type of service refers to classes of . services offered by a nursing home to either Region II ...... New York, .New Jersey. residents or nonresidents. These services fall (Puerto Wco and Virgin into five major categories: health care, Islands are excluded.) therapy services provided by professionals Region HI..... Delaware, Maryland, Penn- at the nursing home, homemaking services, syhsnia, Virginia, West social services, and other types of services. Virginia, District of co- Some of the individurd categories are: lumbia Day care.–Day care is a service in which Region IV ..... Alabama, Florida, Georgia, a person receives nursing ~d persona Kentucky, Mississippi, care during the day only and does not North Carolina, South stay overnight in the faciIity. Carolina, Tennessee Friendly viriting.-Friersdly visiting is a Region V...... Illinois, Indiana, Michigan, service program in which staff of the Minnesota, Ohio, Wiscon- facility regularly visits persons in their sin own homes to maintain personal con- tact. Region VL .... Arkansas, Louisiana, New Mexico, Oklahoma, Texas Homemaker or chore service, -Home- maker or chore service is a program Region VII.... Iowa, Kansas, Missouri, under which a staff member of the Nebraska facility periodically visits the house of Region VIII.. Colorado, Montana, North a nonresident to perform basic house. Dakota, South Dakota, keeping services, for example, dusting, Utah, Wyoming washing dishes, grocery shopping, etc. Region IX ..... Arizona, California, Ne- Telephone check. –A telephone check vada. (Hawaii, Guam, Trust consists of a daily phone call from the 132 facility’s staff to a nonresident at a pre- in any of the black racial groups of ar&nged time to check on his/her con- Africa. dition. ffispanic. -Hkpanic refers to a person of Mexican, Puerto Rican, Cuban, Central Type of Facility .-(See “Facility type.”) or South American, or other Spanish culture or origin, regardless of race. Type of Service. -(See “Service.”) Other. –Other refers to a person having origins in the American Indian, AIaska Terms Relating to Staff native, or Asian or Pacific Islander Employee. –An employee is an individual groups described as follows: providing direct or health-related services to the Amen”can Indian or Alaska native. — residents of the nursing home. Included under An American Indian or Alaska native this definition are full-time employees, part- is a person having origins in any of time employees, personnel employed under con- the original peoples of North tract who worked in the facility in the month America and who maintains cultural preceding the survey, and members of religious identification through tribal affilia- orders who donated their services. Excluded are tion or community recognition. volunteers wh6 provided enrichment or extra Asian or Pacific Islander. –An Asian services, contract-personnel who did not work in the facilky in the last month, and attending phy- or Pacific Islander is a person having origins in any of the original peoples sicians who have only private patients ~- the of the Far East, Southeast Asia, the facility. Also excluded are staff in certain facil- Indkan subcontinent, or the Pacific ities that were units of larger institutions when Islands. This area includes, for ex- staff could not specifically be designated as ample, Chinaj India, Japan, Korea, working in the unit. the Philippine Islands, and Samoa. Employment Status Occupational Categon-es Full-time.–A “full-time” employee Administrative and medical stafJ–The worked 35 hours or more in the week administrative and medical staff are prior to the survey. those staff members who are administrat- Part-time.–A “part-time” employee ors, assistant administrators, physicians worked less than 35 hours in the week (M.D. and D.O.), dentists, pharmacists, prior to the survey. dietitians or nutritionists, registered medical records adrninktrators, other Full-time equivalent (FTE.).–Thirty- five medicaI record administrators and tech- hours of part-time employees’ work per nicians, and members of other profes- week is considered equivalent to that of sional occupations. one full-time employee. Medical direc tor. –The medical director Race/Ethnic Ors”gs”n.–Race/ethnic origin re- is the professional person or group who fers to the primary racial or ethnic origin coordinates the medical activities of the as reported by the staff member personally. facility, both internally and with respect White (not lYispanic).-Whlte (not His- to Federal and State rules and regula- panic) refers to- a person having origins tions. in any of the original peoples of Europe, Other professional occupations. –Other North Africa, or the Middle East. professional occupations include the Black (not Hispanic ).-Black (not His- categories of psychologist, X-ray techni- panic) refers to a person having origins cian, and those professional occupations 133 ! not included in the administrative and care. (See “Facility Certificatkm’; medicaI staff category. for details.) Therapeutic staf$–The therapeutic staff Medicaid - intermediate. – Medicaid; is those staff members who are registered intermediate refers to money rc. occupational therapists, registered physi- ceived under the Medicaid program cal therapists, activities directors, social for intermediate nursing care. (See workers, speech pathologists or audiolo- “Facility Certification” for details,) gists, occupational therapist assistants, Other government assistance or rucl- physical therapist assistants, or social fare. –Other government assistance worker technicians and assistants. or welfare refers to sources of gov- ernment aid (either Federal, State, Vacant staff positions. –Vacant staff positions are unfilIed staff positions in or local) other than Medicare or the budget of the nursing home. Medicaid. All other sources.-All other sources Terms Relating to Residents include religious organizations, foundations, volunteer agencies, Vet. Resident. –A resident is a person on the ros- emus Administration contracts, ini- ter of the nursing home as of the night before tiaI payment arrangements, life care the survey. Included are all residents for whom arrangements, miscellaneous sources, beds are maintained even though they may be and no-charge arrangements. temporarily away on overnight leave or in a hospital. Demo~aphic Items and Outside Lining Arrangements Charges and Prirnay Source of Payment Age. –The age of the resident is age at Charge, monthly .–The monthly charge the date the survey was conducted, cal- is the total amount charged to the resi- culated from information on date of dent by the facility in the last completed birth. calendar month prior to the survey. It includes all basic charges plus alI charges Discharge plans. –Discharge plans refer for private duty nursing, drugs, and to the existence of formal plans for special medical supplies. those residents who will be formally discharged within the next 6 months Pn-mary source of payment.–The pri- from the time of the survey interview. mary source of payment refers to the one payment source that paid the great- . Length of stay since current admission, – est amotint of the resident’s charge in Length of stay since current admission the last completed calendar month prior refers to the period of stay starting from to the survey. the date of the resident’s most recent admission to the facility to the date of Own income or family support.– the survey interview. Own income or family support in- cludes health insurance, retirement Marital status.–Marital status is that of funds, and social security. a resident at the time of the survey, ilfedicare. -Medicare refers to money” Race or ethnicity.–Race or ethnicity re. received under the Medicare pro- fers to the resident’s primary racial or gram. (See “Facility Certification” ethnic heritage as perceived by the staff for details.) informant. (See definitions under “Race/ Medicaid - skilled. –Medicaid - skiIled Ethnic Origin” of staff for the following refers to money received under the individual categories.) Medicaid program for skilled nursing White (not Hispanic) 134 Black (not Hispanic) Personal care. –Personal care includes Hs@anic receiving at least one of the follow- ing services: Other Administration of treatment or Amen”can Indian or Alaska native medications Ass-an or Pacific Islander Help with bathing, dressing, or eating Temfioray rem”dent.–A temporary resi- dent is a person wha is staying at the Rub or massage facility on a temporary basis, generally Special diet for a short time because his usual care- Neither nursing nor personal care. – taker is not available. Neither nursing nor personaI care denotes that none of the preceding Health Services services were received. Level of care received. –These levels of Medications dun”ng last 7 days care are defined in terms of the nursing services actually received by the resident Any medication for condition.–Any during the 7 days prior to the survey medication for condition refers to date. Based on the services listed in item any medication, prescription or non- 18 and responses to items 13b, 14, 27a, prescription, that a resident received 28a, and 29a of the Resident Question- within 7 days prior to the survey naire, the following classifications were date for any of the reported condi- made. Each succeeding level is exclusive tions or impairments listed in ques- of the previous levels: tion 13 of the Resident Question- naire. This does not include physical Intensive nursing care.—Intensive treatment or apparatus. nursing care includes receiving at Tranquilizer. -Tranquilizer refers to least one of the following services: whether a resident received a tran- Bowel/bladder retrtimg quilizer within 7 days prior to the Catheterization survey date. Full bed bath Vitamin or mineral. –Vitamin or mineral refers to whether a resident Intravenous injections received a vitamin or mineral supple- Oxygen therapy ment within 7 days prior to the sur- Tube or intravenous feeding vey date. Other nursing care. –Other nursing Physician seruices care includes receiving at least one Time since last physician uisit. –This of the following services: is the length of time between the sur- Application of sterile dressing or vey date and the last time the resi- bandages dent saw a physician (doctor of Blood pressure reading medicine or osteopathy) while a resident of the faciMy for treatment, Enema medication, or examination. Physi- Hypodermic injections cian visits include those occurring Irrigation both inside and outside the facility. Temperature - pulse - respiration Time between last two physician check vskits.-This is the time between the 135 last physician visit and the visit im- Difficulty controlling bladder.– mediately prior to this, both of The resident curren~y has diffi- which took place while the person culty in controlling his bladder, was a resident of the facility. Ostomy s%either bowels or blmi- Special diet within last 7 days.–The der.–The resident has undergone “other” category includes low choles- a surgical procedure that results terol and weight gain diets, as well as in the creation of an artificial others not specifically mentioned in item opening for *e elimination Of 18 of the Resident Questionnaire. waste. Therapy service.-Therapy service refers Dressing to whether the resident has received any therapy services provided by a licensed, Independent. –The resident does registered, or professionally trained not currently require any assist- therapist during the crdendar month ance in dressing. This category prior to the survey. These services may ako irdudes those cases in which have been provided either inside or out- the information is unknown. side the facility. Requires assistance, includes those who do not dress.-’fhc Health Status resident currently dresses with the help of special equipment Activities of daily living.—The activities and/or another person. This cate- of daily living are six everyday activities gory also includes those cases in (Bathing, Continence, Dressing, Eating, which the resident remains par. Mobility, and Using Toilet Room) for tially or totally undressed. which the nursing staff respondent re- Eating ported the resident’s current perform- ance in terms of his need for the help of Independent.–The resident does special equipment or another person. not currently require any assist- ance in eating, This category ako Bathing includes those cases in which the Independent.–The resident does information is unknown. not currently require any assist- Requires assistance, includes ance in bathing. This category those who are tube or intraue- also includes those cases in which norssly fed. —The resident cur. the information is unknown. rentiy eats with the help of spe- Requires assistance.-The resi- cial equipment and/or another dent bathes with the help of spe- person. This includes those resi- cial equipment and/or another dents requiring assistance with person. the cutting of meat and buttering of bread, as well as those who re- Continence quire tube or intravenous feed- ing. No difficulty controlling bowels or bladder. —The resident does Mobility not currently have any difficulty in controlling either bowels or Walks independently.–The resi. bladder. dent does not currently require any assistance in walking. This Difficulty controlling bowels.– category sdso inchsdes those cases The resident currently has diffi- in which the information is un- culty in controlling his bowels. known. 136 Walks with assistance.-lle resi- Dressing.–This refers to those resi- dent currently walks with the dents who require assistance, includ- help of special equipment and/or ing those who do not dle~5. another person. Using toilet room. –This refers to Chairfmt.–l%e resident is cur- those residents who require assist- rently confined to a chair. ance or do not use toilet room. Bedfast. –The resident is cur- Mobility .-This refers to those resi- rently confined to a bed. dents who walk with assistance, are chairfast, or are bedfast. Using toilet room Continence. –This refers to those Independent.–The resident does residents who have difficult y con- not currently require any assist- trolling bowels, bladder, or both; or ance in using the toiIet room. have an ostomy. This category also includes those cases in which the information Eating. –Thk refers to those resi- is unknown. dents who require assistance, includ- ing those who are tube or intrave- Requires assistance.—The resi- nously fed. dent currently uses the toilet room with the help of special Chronic condits”ons and impairments.— equipment and/or another per- Chronic conditions and impairments in- son. clude those Iong-term physical and Does not use toilet room.–The mental problems of the resident selected resident does not currently use by the nursing staff respondent from a the toilet room because of an list of 37 conditions and impairments ostomy, being chairfast, or simi- (see item 13a of the Resident Question- lar reason. naire). The respondent based the selec- Index of dependency in activities of tion upon knowledge of the resident’s health and a check of the resident’s daily living.–The index of dependency medical record. More than one condition in activities of daily living, based on the or impairment could be reported. work of Dr. Sidney Katz,l 5J 6 is a meas- ure that permits the overall classiilcation Primary diagnosis at last exarnination.– of individuals according to a “hierarchy” The primary diagnosis at last examina- based on dependency in performing the tion was the one condition reported by six activities of daiIy living just de- the nursing staff respondent as the major scribed. The index has seven levels of diagnosis noted at the resident’s latest dependence with each successive level medical examination. The list of condi indicating greater dependency. The tions corresponds to the Eigh th Revision index category, “other,” includes resi- International Cla.rsijlcation of Diseases, dents who were dependent in at least Adapted for Use in the United States. 1~ two functions but not classifiable into The respondent reported the informa- any of the categories of the “hierarchy.” tion based on the resident’s medical The following list of activities is ordered record. in “hierarchy” sequence and presents the criterion for classifying a resident as Sensory impair7nents dependent: Hearing. –Hearing is the resident’s Bathing. –This refers to those resi- ab~ity to hear, when wearing a hear- dents who require assistance. ing aid, if applicable. Partially impaired.–A resident’s NOTE: A list of referencesfoflowsthe text. hearing is partially impaired if he 137 can hear most of the things a per- Completely lost.–A resident’s son says. This includes ‘a small vision is completely lost if he is number of residents whose hear- blind, ing is impaired, but whose leveI of impairment is unknown. Primary Source of Payment. –(See “Charges Severely im~aired.–A resident’s and Primary Source of Payment.”) hearing is severely impaired if he can hear only a few words a per- Special Aio!s or Devices Used. –This includes sons says or loud noises. only those special aids or devices used on a regular basis (see list in item 20 of the Resi- Completely lost.–A resident’s dent Questionnaire). Definitions for selected hearing is completely lost if he is special aids and devices are presented: deaf. Speech. –Speech is the resident’s Cuf~s.–Cuffs are hand or foot devices ability to talk. consisting of a fabric cuff that goes around waist or ankle, with a second Partially impaired.–A resident’s strap attaching cuff to side rail or belt, speech is partially impaired if he It is used to protect the resident from can usually be understood but injuring himself. has difficulty with some words. This includes a small number of Geriatric chair. –A geriatric chair is a residents whose speech is im- padded chair or a combination chair/ paired but whose level of impair- table with small wheels and with a high ment is unknown. back. It is designed to support the resi- dent. Severely impaired.–A resident’s speech is severely impaired if he Mechanical feeding device.–A mechani- can be understood only with dif- cal feeding device is any adaptive equip- ficuh.y and cannot carry on a ment that helps the resident to feed normal conversation. himself. Posey belt or similar device.–A posey Completely lost.–A resident’s belt or similar device is a device that may speech is completely lost if it is be used either in a bed or a wheelchair unintel.ligibIe or if the resident to secure chest, waist, or legs. cannot speak. Walker.–A waIker is a device that the Vision.–Vision is the resident’s abil- resident uses on his own to support him- ity to see, when wearing glasses, if self while waIkmg. applicable. Other. –Other special aids or devices in- Partidlly” impaired.–A resident’s clude slings, artificial limbs, orthopedic vision is partialIy impaired if he shoes, shower chairs, page turners, and cannot read newspaper print, but devices other than those listed in the can watch television 8-12 feet tables. away. This includes a small num- ber of residents whose vision is ~p aired but whose level of Terms Relating to Discharges Impairment is unknown. Dskcharge. -A discharge is a person who was Severely impaired. –A resident’s formally discharged from a nursing home during vision is severely impaired if he 1976. Both live and dead discharges are in- cannot watch television 8-12 feet cIuded. Theoretically, the same person can be away, but can recognize the fea- counted more than once if he was discharged tures of familiar persons if they more than once from a nursing home during are witbin 2-3 feet. 1976. 138 Charges and Primary Source of Payment Marital status at time of discharge. – Marital status is status of the dk.charge at Charge, rnonthly.-The monthly charge the time of his release from the nursing is the total amount charged to the per- home. son during his last full calendar month prior to discharge from the facility. It includes all basic charges plus all charges Health Services for private duty nursing, drugs, and spe- Level of care received. =-These levels of cial medical supplies. care are defined in terms of the nursing Primary source of payment. =The pri- services actually received by the dis- mq source of payment refers to the charge during the 7 days prior to the dis- one payment source that paid the great- charge date. Based on the services listed est amount of the patient’s charge during in item 11 and responses to item 10b of the last full calendar month in the facil- thq Discharged Resident Questionnaire, it y prior to discharge. (See “Terms Re- the following classifications were made. lating to Residents” for specific cate- Each succeeding level is exclusive of the gories and definitions.) previous levels: Intensive rzuming care. —Intensive Demographic Items and Outside Living nursing care includes receiving at Arrangements least one of the following services: Age. –The age of a discharge is his age Bowel/bladder retraining at the time of dkcharge. Catheterization Discharge status. -l%e discharge status is Full bed bath whether the person was discharged from Intravenous injections the nursing home alive or dead. Oxygen therapy Duration of stay .–The duration of stay is the period of time between the date of Note that tube or intravenous feed- admission and the date of discharge. ing, included in the comparable defi- nition for residents, is not included Living arrangement after discharge for in this definition. live discharge.–The living arrangement after discharge refers to the type of resi- Other nursing care. -Other nursing dence where the person lives after dis- care includes receiving at least one of charge. the following services: Another nursing home. –Another Application of sterile dressings or nursing home includes domiciliary or bandages personal care facilities, intermediate Blood pressure reading care facilities, and skilled nursing Enema facilities. I-Hypodermic injections Other health facilsly.-Other health facility includes chronic disease, re- Irrigation habilitation, geriatric and other long- Temperature - pulse - respiration term care hospitals, and facilkies for check the mentally retarded. Personal care or none. –Personal care Private or semipnbate residence.– includes receiving at least one of the Private or semiprivate residence in- foIlowing services: cludes houses or apartments, rented rooms, boarding houses, and retire- Medication prescribed at last ment homes. physician visit 139 Rub or massage trolling his bladder at the time of Special diet discharge. None includes those discharges who Ostomy in either bowels or blad- received none of the preceding serv- der. –l%e discharge had under. ices. gone a surgical procedure that re. Note that the medication service suited in the creation of an arti- in this definition is not identical ficial opening for the elimination to that for residents (administrat- of waste. ion of treatment or medica- tions). Further, the service of Mobility help with bathing, dressing, or Walks with or without assist- eating (included in the compar- ante.—The discharge was able to able defiition for residents) is walk at the time of discharge, not included in this definition. either with or without assistance Therapy seroice.-Therapy service refers of special equipment or another to whether the discharge received any person. This excludes those dis- therapy services provided by a licensed, charges who were chairfast, bed- registered, or professionally trained faxt, or whose status was un- therapist during the calendar month known. prior to the discharge. These services Chairfmt.–The discharge was may have been provided either inside or confined to a chair at the time of outside the facility. discharge. Time since last physician visit.–This is Bedfast.–The dkcharge was con- the length of time between the date of fined to a bed at the time of dis- discharge and the last time the person charge. saw a physician (M.D. or D.O.) whiIe still a resident of the facility for treatment, Partial index of dependency in activities medication, or examination. of daily liuing.—The partial index of de- pendency in activities of daily living is Health Statas modeled after the seven-level “hierarchy” of dependence developed by Dr. Sidney Activities of daily livin.g.-The activities Katz.1 511G (See “Terms Relating to Resi- of daily living were coIlected for dis- dents” for details.) The partial index is charges in the areas of continence and mobility only, based on information in a measure that permits overall classifica- the medical record on performance at tion of individuals accor~mg to their the time of discharge. dependency at the time of discharge in performing the two activities of daily Continence living just described. Although the resi- No difficulty controlling bowels dent index covers 6 activities, the par- or bladder. -The discharge did tial index covers only 2 because infor- not have any difficulty in con- mation on the others was not available trolling either his bowels or blad- in the medical records of discharges. The der at the time of discharge. partial index has 4 categories with cate- Difficulty controlling bo wels.– gories 2 and 3 approximating the cate- The discharge had difficulty con- gory “dependent in only 1 activity” in trolling his bowels at the time of the resident index. Two activities, or- discharge. dered in “hierarchy” sequence, present DifjSculty controlling bladder.– The discharge had difficulty con- NOTE: A listof referencesfollows thetext. 140 the criterion for classifying a discharge as Prs”mary diagnosis at admission. —The dependent: primary diagnosis at admission was the A40bility.-MobiWy dependency re- one condition reported by the nursing fers to those discharges who were staff respondent as the major diagnosis chairfast or bedfast. noted at the time of admission. The list of conditions corresponds to the Eighth Continence. -Continence depend- ency refers to those discharges who Revision International Classification of had difficulty controlling bowels, Diseases, Adapted for Use in the United bladder, or both; or had an ostomy. States. 17 The respondent reported the Chronic conditions and impairments.– information based on the discharge’s Chronic conditions and impairments in- medical record. clude those long-term physical and mental problems of the discharge Primary Source of Payment. –(See “Charges selected by the nursing staff respondent and Primary Source of Payment.”) from a list of 37 condkions and impairm- ents (see item 8 of the Discharged Special Aids and Devices Used,–(See “Terms Resident Questionnaire). The respondent Relating to Residents” for definitions.) based the selection upon a check of the medical record and more than one con- dition or impairment could be reported. NOTE: A list of referencesfollows the text. 000 141 APPENDIX Ill SURVEY INSTRUMENTS USED IN THE 1977 NATIONAL NURSING HOME SURVEY Letter to Administrator ,N” ..% ip)j DEPARTMENT OF H=LTH. EOUcATlON, ANO WELFARE PUBLIC HEALTH SERVICE @. “.. HEALTH RESOURCES ADMINISTRATION ROCKVI LLE. MAR? W. - NATIONAL CENTER FOR HEALTH SrATISTICS Dear Administrator: As part of its continuing program to provide information on the health of the Nation and the utilization of its health resources, the National .Center for Health Statistics (part of the U.S. Public Health Service) is conducting a nationwide survey of nursing homes and similar facilities. The survey, the second in a series, is authorized under Section 306 (42 USC Z4ZK) of the Public Health Service Act. The purpose of this survey is to collect baseline and trend informa- tion about nursing facilities, their services, residents, staff and financial characteristics. The resulting published statistics will describe the Nationrs nursing facilities and the health status of their residents. These data are used for studying the utilization of nursing facilities. for devek.ping policies which promote efficient allocation of health care res ources, and for su~ortig research directed at finding effective means for treatment of long-term health problems. Thus, the individual resident is the ultimate beneficial y. Enclosed is a summary report from the previous survey. which is illustrative of the kinds of data to be obtained from this .?ur- vey. Because the National Center for Health Statistics is committed to providing a factual basis for the planning of programs for imp- roving the health of the American people, basic information about your facility (name, address, size, type of ownership. admission policies, certification, and statistics on admissions and discharges) will be made available upon request. fn addition, some of this infer- mation is published in a national directory of nursing home facilities. I want to emphasize that, except for the information speci- fically mentioned in tbe above paragraph, the information you supply will be used solely for statistical research and reporting mrposes. No information collected under the authority of Section 30$ (42 USC 242K) of the Public Health Service Act may be used for any purpose other than the purpose for which it was supplied, and such informa- tion may not be published or released in other form if the individual or establishment is identifiable unless the individual or establish- ment has consented to such release. 142 This survey includes a small, randomly s elected, naticm- wide sample of nursing facilities, each of which represents a number of similar facilities. Although your participation is voluntary and there are no penalties for refusing to anewer any question, it is essential that we obtain data from all sample homes in order to achieve accurate and complete statistics. The survey will require about 30 minutes of your time to conduct an intertiew about the facility. fimne additional tfrne involving some of your staff will be required to complete documents for a small sample of your employees and current and discharged residents. —No resident will he contacted or interviewed at ~ time. Within the next few weeks, an interviewer will contact you for an appointznent. This person will be with Informatics, Inc. , the firm under Federal contract to conduct this survey. I greatly appre- ciate your cooperation in this survey. Sincerely yours, &jfkic’’%-> Enclosures 143 Lettersof Endorsement A-MEm@a XEDCMTION OF HOMES FOR THE A~G%l%?i%%%%!i Suite 7’70 Mmsignor Qdes L Fahey Prdent 105o 17tb Street, N.W. D.md C. CrowkJY Washington, D.C. 20036 EwcrJwe We Pr.mdenf [202) 296-5960 Dear Administrator: I am writing to urge your participation in the 1977 National Nursing Home Survey to be conducted this summer by the National Center for Health Statistics. The survey, the second in a series, is designed to collect baseline and trend information about nursing facilities, their services, residents, staff and some basic financial characteristics. The support of our association members and of all facilities selected to be included in this sample is indispensable to the successful development of invaluable data for planning and organizing health care of the aged, drafting health legislation, and setting national policies and priorities to obtain quality care for all nursing home residents. I believe you will find the survey design maximizes the utility of the data collected while it attempts to minimize the amount of staff involvement. In addition, strict confidentiality provisions are to be maintained. Only surmnary data will be published and made available to health planners, researchers, health professionals, and the public. I am confident that the information derived will be worth the investment of your time and effort as itwill ultimately be used in an effort to improve long term care. Furthermore, it is only through your cooperation thatwe can be sure the information on which public policy will be based has the benefit of our input. 1, therefore, again urge your cooperation with this survey. e; c- DavidC. Crowley Executive Vice President+ 144 RMERIIXNCOU.ECEOFNURSINGHOMEIIDMINI$TRRTORS 4650EAS1.WESlI!IGIIWAY WASHINGTON. O.C. 20014 (301) 4624364 I. ALBINYOKIE E.wuthe 14ce Presde.r Dear Administrator: I wish to encourage you to participate in the 1977 National Nursing Home Survey conducted by the National Center for Health Statistics of DHEW. The survey, the second in a series, is designed to collect baseline and trend information about long-term care facilities, their services, residents, staff and some basic financial characteristics. The support of the professional administratoris indispensable to the success of this research which will provide invaluable data for planrcingand organizing health care of the aged, draft- ing health legislation, and setting national poltcies and priorities. The survey design maximizes the utility of the data collected while it attempts to minimize the amount of staff involvement. Strict confidentialitywill be maintained and only summary data will be published and made available to health planners, researchers,health professionals,and the public. The vslue of the information derived is well worth the investment of your time and effort. It is only through such cooperation that the information,upon which public policy will be hased, has the benefit of your input. I urge your cooperatioriin this survey. Sincerely, w+ J. Albin Yokie Executive Vice-President 145 Zitiika American Health &U&&MXbtiOn 12OO]5thStmet,Washington,BC2W05(202)833.2050 Dear Administrator: I am writing to urge your participation in the 1977 National Nursing Home Survey to be conducted this summer by the !Jational Center for Health Statistics. The survey, the second in a series, is designed to collect baseline and trend information about nursing facilities, their services, residents, staff and some basic financial characteristics. The support of our association and of all nursing- home adminis- trators is indispensable to the successful inauguration of this research which will provide invaluable data for planning and organizing health care of the aged, drafting health legis- lation, and setting national policies and priorities to obtain quality care for all nursing home residents. I believe you will find the survey design maximizes the utility of the data collected while it attempts to minimize the amount of staff involvement. In addition, strict confidentiality provisions are to be maintained. Only summary data will be published and made available to health planners, researchers, health professionals, and the public. I am confident that the information derived will be worth the investment of your time and effort as it will ultimately be used in an effort to improve long term care. Furthermore, it is only through your cooperation that we can be sure the information on which public policy will be based has the benefit of our input. I, therefore, again urge your cooperation with this survey. / Theodore Carcich, Jr. s President A non-profit 0rgani7ati.. of Proprietary and .WI.proprietary’ long term health care facilities dedicated to mrproving health mm of thee.nvaIescent andchr..#c.lly tlloVall.ges. A.eq.al opp.rt.nity employer. 146 TIOtlaL COUIICIL OF HeaLTH Cafle SGWICE3S March 29, 1977 Dear Administrator: I am writing to urge your participation in the 1977 National Nursing Home Survey to be conducted this summer by the National Center for Health Statistics. The sur~ey, the second in a series, is designed to collect baseline and trend information about ~mrsing facilities, their services, residents, staff and some basic financial characteristics. The support of our association and of all nursing home administrators is indispens- able to the successful inauguration of this research. It bas in the past provided invaluable data for the industry, as well as for those drafting health legislation, and setting national policies and priorities. I believe you will find the survey to be extremely comprehensive, while designed to maximize the utility of the data collected. In addition, strict confidentiality provisions are to be maintained, with only summary data being published and made available to health planners, researchers, health profess .ionals,and tbe public. I am confident that the information derived will be worth tbe investment of your time and effort, as it will ultimately be used in an effort to improve long term care. Furthermore, it is only through your cooperation that we can be sure the information on which public policy will be based has the benefit of our input. 1, therefore, again urge your cooperation with this survey. ~~&/ /$;Ck k lkcr)onald’ Executibe Vice President Suite402 . 1200 hfceenthstreet,N w . WaSh,n~~~n.D C 20005 . Tel [202)785.4754 147 Facility Questionnaire DEPARTMENT OF HEALTH, EO UCATION, AND WELFAR E OMB $ 68-S75025 APPROVAL EXPIRES 12.31-77 PUBLIC HEALTH SERVICE Health Resources Administration FACILITY QUESTIONNAIRE National Center for Health Statistics 1977 National Nursing Home Survey .4. Tek@m”erd.mimr A=, -~ B. Interviewer Name 113am C. DateOfl”twview ~ ~ CJ D. Start Time Mo, Day Year 2Clpm INTER VIEWER NOTE: Please read the Facility Questionnaire Prompt Card -E you begh the interdew, 1. ACCORDING TO OUR RECORDS, THE NAME OF THIS FACILITY IS (Read name of faci/irv on label.) a. IS THERE AN ERROR IN THIS NAME? I OYes 2 ❑ No (Skip to Q.2) b. WHAT IS THE CORRECT NAME OF THIS FACILITY? 1 I 2. ACCOROING TO OUR RECOROS, THE MAILING AOORESS OF THISFACILITV lS(Readsddm=on /abe/.) a. IS THERE AN ERROR IN THIS AODRESS? 1 ❑ IYes z ❑ No (Skip to 0.3) b. WHAT IS THE CORRECT MAILING AOORESS OF THIS FACILITY? Number Street P.O. Box, Route, etc. City or Town County State Zip Code 3. HAS THISNURSING HOME BEENINBUSINESS AT THISAOORESS FORmOVEARS OR LONGER? COUNT FROM THE TIME IT FIRST OPENEO AT THIS ADDRESS AS A NURSING HOME, EVEN THOUGH THE OWNERSHIP OR THE SERVICES OFFERED MAY HAVE CHANGED. I ❑ Yes 2DN0 148 4. ARE ANY OF THE Following SERVICES ROUTINELYPROViOEO TO RESIOENTS lNAOOITION TO ROOMANO BOARO: a. SUPERVISION OVER MEOICATIONS WHICHMAY BE SELF-ADMlNlSTEREO? ...... 10 Yes 213N0 h. MEDICATIONS ANO TREATMENTS AOMINISTEREO IN ACCORDANCE WITH PHYSICIAN’S 0ROERS2 ...... 10 Yes 2i3N0 c. RUB ANO MASSAGE? ...... In Yes 2f3N0 d. HELPWITHTUB BATH OR SHOWER?. . . , ...... ,UYes 20N0 Q. HELP WITH IJRESSING? ...... In Yes 2DN0 ‘ f. HELP WITH CORRESPONDENCE OR SHOPPING? ...... , , ❑ Y,s 213N0 g. HELP WiTHwALI(lNG OR GETTING AIIOIIT? ...... , ...... ,CIYeS 2DN0 h. HELP WITH EATING? ...... IDY.s ZONO OR L NONE OF ABOVE SERVICES ROUTINELY PROVIOEO, ONLY ROOM ANO BOARO PROVIOEO? . I ❑ Yes INTER VIEWER: This facility is out-of-scope of the survey. Please terminate interview.+ 5a. IS THIS FACILITY A OISTINCT NURSING HOME ~ OF A HOSPITAL, ANOTHER HEALTH INSTITUTION, OR A RETIREMENT CENTER? 1 ❑ Yes 2 ❑ No (Skip to Q. fia) b. HOW MANY BEOS ARE IN THE m FACILITY INCLUOING THE NURSING HOME UNIT? 1 I I J READ: FOR THE REMAINDER OF THE INTERVIEW, THE (IUESTIONS REFER ONLY TO THE NURSING HOME UNIT, 149 6a.IShow Hashwd #’l WHAT IS THE TYPE OF OWNERSHIP WHICH OPERATES THIS FACILITY? 01 ❑ Individual 02 •l Partnership For profit ❑ 03 Corporation } h. IS THIS FACILITY A MEMBER OF A GROUP OF FACILITIES OPERATING 04 a Church related UNDER ONE GENERAL AUTHORITY OR GENERAL OWNERSHIP? 05 ❑ Nonprofit corporation I ❑ Yes ZDNO 1 06 a Other nonprofit ownership J 07 ❑ State 08 ❑ COUn~ 10 ❑ City-county I I ❑ HospitalDistrict 12 ❑ U.S. Public HealthService 13 ❑ Armed Forces I.! a VeteransAdministration 15 ❑ Other FederalAgency, Specify 7a. DOES YOUR FACILITY ACCEPT BOTH MALES ANO FEMALES? I H Yes(Ski. to 0.8al 2DN0 b. 00ES IT ACCEPT ONLY MALES OR ONLY FEMALES? I •l Onlymaim 2 El Only females Sa. HAS YOUR FACILITY SET A MINIMUM AGE BELOW WHICH NO ONE IS ACCEPTED? I ❑ Yes 2 ❑ No (Skip to Q.8c) b. WHAT IS THAT MINIMUM AGE? W Years c. HAS YOUR FACILITY SET A MAXIMUM AGE ABOVE WHICH NO ONE IS ACCEPTEO? I •l Yes 2 ❑ No (Sk;p to 0.9) d. WHAT IS THAT MAXIMUM AGE? W Years 150 9. DOES YOUR FACILITY ACCEPT PERSONS WHO ARE PRIMARILY OIAGNOSED AS a. MENTALLY ILL OR EMOTIONALLY OISTURBEO? ...... I ❑ Yes 2DN0 b. MENTALLY RETARDED? ...... ”...... l DYes 20N0 c. ALCOHOLICS? ...... ln Yes 20ND d. ORUGAOOICTS? ...... UYes 2DN0 e,SENILE? ...... lClyes 2nN0 10, WHATISTHETOTAL NUMSEROF BEOSREGULARLY MAINTAINEO FOR RESlOENTS? INCLUDE ALL BEOSSET UP AND STAFFED FOR USE WHETHER OR NOT THEY ARE IN USE BY RESIOENTS AT THE PRESENT TIME. 00 UT INCLUDE SEDS USEO BY STAFF OR OWNERS OR BEDS USEO EXCLUSIVELY FOR EMER- GENCY PURPOSES, SOLELY OAY CARE, OR SOLELY NIGHT CARE. Total beds U 11. WHAT[STHE NUMBER OF BEOSINTHIS FACILITYTHAT ARE LICENSEO BY THE HEALTH DEPARTMENT OR OTHER RESPONSIBLE AGENCY? Total licensed beds I I I 12a.’ WAS THERE A CHANGE IN THE TOTAL NUMBER OF BEOS REGULARLY MAINTAINED OURING 1976? I •l Yes znNo(SkIpto 0.131 b, IN WHICH MONTHS WAS THE NUMOEROF BEOSCHANGEO? C. (Ask formcfi change:) lN(monti), WAS THAT ANINCREASE OR DECREASE? d, (Ask foreachchange:) HOW MANY BEOS? Month Increase (Number added] Decrease (Number eliminated) I I w w 13. lSTHiSFACILITY CERTIFIEOBY BOTHMEOICARE ANOMEOiCAID, MEOICARE ONLy, ME0lCAI00NLY,0R NEITHER? I ❑ Both Medicare md Medicaid 2 ❑ Medicare only’ 3 ❑ Medicaid onlv(Skipto Q.16) 4 ❑ Neither (Skio to 0.24) 151 I Ma. HOW MANY BEDS ARE CERTIFIED UNDER MEDICARE? ti beds ! b. ARE THESE BEDS A PHYSICALLY DISTINCT UNIT FROM THE REST OF THE FACILITY? I ❑ Yes 2DN0 15. Show Flashcard#2 WHICH OF THE REIMBURSEMENT METHOOS AIJTHORIZEO BV MEOICARE IS USEO BY THIS I FACILITY? 1 , 10 RCCAC Method (Departmental-Relationship of Charges to Charges Applied to Cost Method; i.e., costs are apportioned by aPPlYin9 a Percentage rePR$enting the beneficiaries’ share of total charges, on departmental ba~i~, to total ~o~t~ for the 1 respective departments.) I 20 combination Method (For rautine semice~*u~h asroom, bOard, a"d""r~ing semim~the provider* totafa[]Owab(e ~0~t~are apportioned on the basis of the relative number of patient days for beneficiaries and for other patients. For non-routine or I ancil Iary services. the providers allowable costs are appwticmed on the basis of a percemage representing the beneficiaries’ share of the total charges to all patients forthesewwims.) I 30 Other, Specify # 90 Don’t Know j INTERVIEWER NOTE: Skip to Q.23a if ‘-Madicareonly”in 0.13. 16. lSTHISFACILITY CERTIFIED AS AN SNF, THAT lSASKILLED NURSING FACILITY, BY THE MEDiCAID PROGRAM? 1 ❑ IYes 2 ❑ No (Skip m Q 79) 17a. HOW MANY BEOSARE CERTIFIED UNDER MEDICAIOASSNFBEOW ~ beds h. ARE THESE BEDS A PHYSICALLY OISTINCT UNIT FROM THE REST OF THE FACILITY? I EiYes 2DN0 lBa. Show Flashcard#3 WHICH OF THE FOLLOWING REIMBURSEMENT METHDDS FOR ~F-MEOICAID PATIENTS IS USEO BY THE FACILITY? I ❑ Flat Rate Only _ b. WHAT IS THE FLAT RATE? $ ~c.rIw ,Oday per 2 •i week per 3D month per 4= other, specif y z ❑ Flat Rate Plus Point System for Ancilla~ Services —d. WHAT IS THE FLAT RATE PORTION? 3 ❑ Cost Plus Allowable Profit $~e. pw ,Dday per zn week 4 ❑ Other, Specify per 3H month 9 ❑ Don’t Know per aa other, specify 152 19. lSTHISFACILITY CERTIFIED AS ANICF, THATISAN lNTERMEDIAm CARE FACILITY, BY THE MEDlCAlD PROGRAM? 1 cl Yes 2’❑ No (Skip m Note above 0.22) 208, HOW MANY BEOSARE CERTIFIED UNDEFl MEDICAID AS ICF BEDS? H beds b. ARE THESE BEDS A PHYSICALLY D13TINCT UNIT FROM THE REST OF THE FACILITY? I ❑ IYes 2DN0 210. IShow Flashcard#3 ~ WHICH OF THE FOLLOWING REIMBURSEMENT METHODS FOR &MEDICAID PATIENTS IS USED BY THE FACILITY? I ❑ Flat Rate Only — b. WHAT IS THE FLAT RATE? $ ~c. IIW I ❑ day per 2 ~ week per 3 ❑ month per a ❑ other, specify 2 ❑ Flat Rate Plus Point System for Ancillary Services— d.WHAT IS THE FLAT RATE PORTION? 3 ❑ CcIStpiUSAllOWablePrOfit $ l-1_L-LLld-1 e. per I ❑ day per 2 ❑ week 4 ❑ Other, Specify per 3 ❑ month 9 ❑ Don’t Know per 4 ❑ other, specify INTER VIEWER NOTE: Skip to Q.23a if the facility is certified by onlv one programand at only one level of care. 22. SOMETIMES THE SAME SEO IS CERTIFIED BY MORE THAN ONE PROGRAM. WITH REGARD TO THESE SO CALLED “SWING EELIS”, HOW MANY BEOS IN YOUR FACILITY ARE CERTIFIED: a. AS SNF SEOS UNOER GOTH MEDICARE ANO MEOICAID? I I I b, AS BOTH ICF AND SNF BEOS UNOER MEOICAIO? I I I c. AS MEDICAID-ICF AND MEDICARE-SNF BEDS? I I I I d. UNDER ALL THREE PROGRAMS THAT IS, MEOICARE-SNF, MEOICAIO-SNF, ANO MEDICAID-ICF? ~ 23a. 00 YOU HAVE ANY BEOS NOT CER.TIFIEO BY EITHER MEDICAIO OR MEOICARE? I •l Yes z ❑ No (Skip m ().24) b. HOW MANY OF THESE BEOS OOES YOUR FACILITY HAVE7 U Beds 24, HOW MANY PERSONS WERE ADMITTED TO THIS FACILITY OURING 1976? ~ adrnlsdons none ❑ 153 25a. DOES THIS FACILITY ACCEPT TEMPORARY ADMISSIONS OF PERSONS WHOSE USUAL CARETAKERS ARE ILL, ON VACATION, OR OTHERWISE UNAVAILABLE? 1 ❑ Ye5 2 ❑ No (Skip to (3.26) b. HOW MANY TEMPORARY RESIOENTS WERE AOMITTEO TO THIS FACILITY DURING 1976? ~ temporary admissions . ...0 26a. WE WOULO LIKE TO OSTAIN INFORMATION ON OAYS OF CARE PROVIOEO BY THE FACILITY FOR YOUR MOST RECENTLY COMPLETEO FISCAL YEAR, THAT IS, THE TWELVE MONTH PERIOO ON WHICH YOU COMPUTE THE FACILITY’S EXPENSES. IS THIS INFORMATION AVAILABLE FOR A FISCAL YEAR? I 0 Yes z ❑ NCI (Skip to 0.26c) b. WHAT WAS THIS TIME PERlOO? Mo. Year MO. Year from W W through Ww (If this is less than a twelve month period, pfease record the number of months in this box.) w ~ a. FOR WHAT TIME PERIOO IS THIS INFORMATION AVAILABLE? ml. Year Mm Year from ~ W through W W (If this is less rhan a twelve monti period, please record the number of months in this box.) d. FOR THIS PERIOO, WHAT WERE THE TOTAL INPATIENT OAYS OF CARE PROVIOEO, THAT IS THE SUM OF THE OAILY PATIENT CENSUS COUNT BY TYPE OF CERTIFICATION?OO NOT INCLUOE CASES THAT ARE OAY CARE ONLY. (1) Total Days: ~ days ❑ Mark (X) if estimated (2) SNF-Medicare ~ days ❑ Mark (Xl if estimated ❑ not amdi.able (3) SNF-Medicaid ~ days ❑ Mark (X) if estimated ❑ not applicable (4) lCF-Medicaid ~ days ❑ M.rk (xl if estimated ❑ .otapplicable (5I All Other Days ~ days ❑ Mark (X) if estimated ❑ ot applicable 154 Confidential Information Intetvieww. Read: Information contained on this form which would permit identification of any individual or establishment has been collmcted with a guarantee that it will be held in strictconfidence,will be used only for purposes stated for this study, and will not be disclosed or released to others without the consent of the individual or the establishment in accordance with Section 308[dl of the Public Health Service Act (42 USC 242m). 27s. COUNTING FROM THE TIME IT WAS ORIGINALLY CONSTRUCTED, HOW 010 IS THIS BUILOING? (/nferviewer: Round fractions to nearest whole year. If interval is g;ven, record mid-point and mark “if estimated’’ box.) W Years (Mark (X) box ❑ if estimated) ❑ Don’t Know b. WAS THIS BUILOING ORIGINALLY CONSTRUCTED SPECIFICALLY FOR USE AS A NURSING HOME? (/interviewer: Other terms for nrrrwhg homes are rest home, home for the aged, mentally ill, or mentally retaraed.) I ❑ Yes (Skip to Q.27d) 2nN0 9 ❑ Don’t know (Skip to 0.27d) c, WHAT WAS THE ORIGINAL PURPOSE OR USE OF THIS BUILOING? I ❑ Private home, apartment, hotellmotel 2 ❑ Hospital, sanitarium, or other health related building 3 ❑ Othw, Specify d. NOT COUNTING PAINTING OR PAPERING, HAS THE STRUCTURE OF THIS BUILOING EVER BEEN RENOVATED OR REMOOELED? 1 ❑ Yes 2 ❑ No (Skip to 0.28) 9 ❑ Don’t know (Skip to 0.28) e. Show F/asficard#4 WHICH OF THE FOLLOWING CHANGES f. IN WHAT YEAR WAS THE MOST RECENT (change]? WERE MAOE? (Mark (X) all that apply; then ask 27f for each change.) Year In Process Don’t Know ❑ (11 Addition to the building constructed ...... a Wo ❑ (2) Fire safety equipmentkmstruction added or changed . . a Wo ❑ ❑ [3) Interior remodeling...... Wn ❑ [4) Other, Specify c1 LLJn 28. HOW MANY ROOMS FOR RESIDENTSDOESTHIS FACiLITY HAVE THAT Contain: a. IBEO ONLY? ~ room N..en h. 2 BEOS? ~ rooms Nonen c. 3BEOS? ~ moms N..en d. (IOR MORE GEOS? ~ rooms Nn.ea 155 I I 29ii. FOR THE OAYSHIFT YEnERDAY, WAS THE PERSON lNCHARGEOF NURSING CARE FOR THE ENTlREfAClLlTY ON CALL OR ON DUTY, THAT IS AWAKE, DRESSEO, ANO SERVING THE RESIOENTS? I ❑ On Call (Skip m Q.30aJ 2 ❑ 0“ O“ty b. WHAT IS THE LEVEL OF SKILL OF THIS PERSON? I ❑ Registered Nurse 2 ❑ 1-icensed Practical Nurse 3 ❑ Nurse’s Aide or Orderly 4 ❑ Other (Specify Occupation) c. WHAT HO URSDIOT~PERSON ACTUALLY WORK YESTERDAY? (Mark (X)amorpm) ‘rc,. m*m :::tom: m:: 30a. FOR THE EVENING SHIFT YESTERDAY, WAS THE PERSON IN CHARGE OF NURSING CARE FOR THE ENTIRE FACILITY ON CALL OR ON DUTY? I ❑ On Call (Skip to Q.31a/ 2.00. Outy 3 ❑ No Such Shift (.SkiP to 0.3fa) b, WHAT IS THE LEVEL OF SKILL OF THIS PERSON? I ❑ Registered Nurse 2 ❑ Licensed Practical Nurse 3 ❑ Nurse’s Aide or Orderly 4 ❑ Other (Specify Occupation) c. WHAT HOURS DID THIS PERSON ACTUALLY WORK YESTEROAY? (Mark (X) am orpm) 156 I 31(I. FOR THE NIGHT SHIFT YESTERDAY, WAS THE PERSON IN CHARGE OF NURSING CARE FOR THE ENTIRE FACILITY I ON CALL OR ON OUTY? I ❑ On Cail (Skip to 0.32) 2 ❑ On Duty 3 ❑ No Such Shift (Skip to c232) b. WHAT IS THE LEVEL OF SKILL OF THIS PERSON? I ❑ Registered Nurse 2 ❑ Licensed Practical Nurse a ❑ Nurte’s Aide m Orderly .I ❑ Other [Specify Occupation} c. WHAT HOURS 010 TM PERSON ACTUALLY WORK YESTEROAY? (Mark (X)am orrxn) frmniil:m ::; tom: m::: 32. HOW MANY DIFFERENT PHYSICIANS’CURRENTLY ATTENO THEIR OWN PRIVATE PATIENTS IN THIS FACILITY? (Do not countphysicians who are on the staff of the facility or are employed under contract) ~ Physicians or ❑ “one 338. DOES THE FACILITY HAVE A MEOICAL DIRECTOR? 1 ❑ Yes 2 ❑ No (Skip to 0.34) b. I Show Flashcard 7Y5 UNOER WHICH OF THESE TYPES OF ARRANGEMENTS IS THE MEDICAL DIRECTION OF THIS FACILITY PROVIDED? I ❑ An individual physician 2 H A physician partnership or group practice 3 ❑ Several individual physicians e ❑ An H. M. O., medical school, or medical society 5 ❑ Hospital Staff 6 ❑ Other, Specify 34. DOES THIS FACILITY ROUTINELY PROVIOE ON THE PREMISES ANY OF THE FOLLOWING THERAPIES BY A LICENSED, REGISTERED, OR PROFESSIONALLY TRAINEO THERAPIST: a. PHYSICAL THERAPY? ...... lnyes 213N0 b. OCCLIPATIONAL THERAPY? ...... lnyes 20N0 c. RECREATIONAL THERAPY?...... ln Yes ZDNO d. SPEECH ANO HEARING THERAPY? ...... lnYes 2DN0 e. COUNSELINGflHERAPY BY PSYCHIATRIST, PSYCHOLOGIST, OR MENTAL HEALTH WORKER? I ❑ Yes 20N0 f. COUNSELING BY SOCIAL WORKER? ...... - - ,Uye, 20N0 g. OTHER REHABILITATION THERAPIES? SpecMy I ❑ Yes 20N0 157 35a. DOES THIS FACILITY KEEP A WAITING LIST OF PERSONS TO BE AOMITTED WHEN A BEO BECOMES AVAILABLE? 1 ❑ Yes 2 ❑ No (Skip to Q.36aJ b. HOW MANY PEOPLE ARE PRESENTLY ON THIS WAITING LIST? I people or ❑ N... b-d I 1 36a. DOEST HIS FACILITY PROVIOE ANY SERVICES TO PERSONS WHO ARE ~ RESIDENTS OF THE FACILITY? 1 ❑ Yes 2 ❑ No (Skip to 0.38) b. FOR WHICH OF THE FOLLOWING CATEGORIES OF NON-RESIDENTS DO YOU PROVIDE SERVICE5 1 i (1) (/appropriate) PERSONS ON THE WAITING LIST? ...... 1 ❑ Yes ZUNO I i (2) DISCHARGED RESIDENTS? ...... ,DYB, ZDNO I (3) ANY PERSON WHO APPLIES?...... ,DYEIS 21 JI’40 (4) ANY OTHER TYPE OF NO N-RESIOENT? Spe~iti 1 ❑ Yes ZUNO 37. Show F18shcard#6 WHICH OF THE FOLLOWING SERVICES 00 YOU PROVIOE TO NO N-RESIOENTS? (Mark (X) all that apply.) a. ❑ Day care [services provided during the day to persons who do not deep in the facility overnight.) b. ❑ Physical therapy c. ❑ Occupational, recreational, or speech and hearing therapy d. ❑ Psychiatric care e. ❑ Home health care services f. H Meals either home delivered or in n group setting g. ❑ Transportation andlor escort services h. ❑ Homemaker or chore services i. ❑ Information andlor referral for health needs j. ❑ Friendly visiting k. ❑ Daily telephone checking service 1. ❑ Arrangement or provision of recreational activities m. ❑ Laundry servim n. ❑ Other, Specify 38. DOES THIS FACILITY HAVE ANY VACANT STAFF POSITIONS IN ITS BUOGETTHAT IT IS CURRENTLY TRYING TO FILL? I ❑ Yes 2 ❑ No (Skip to Note below 0.39) 158 39. Show Flashcard #’7 \ HOW MANY VACANT FULL TIME ANO PAFiTTIME STAFF POSITIONS ARE IN THE BUDGET FOR THE FOLLOWING OCCUPATIONS? FULL TIME IS OEFINEO AS 35 HOURS OR MORE PER WEEK. Full Time Part Time ❑ a. Administrator/Asst. Administrator ...... w w None ❑ b, Physician (M.D. or 0.0.], Residents rind Interns . . None ❑ c, Dentists ...... w w None ❑ d. Pharmacists ...... w None ❑ e. Registered Orxupatlonal Therapists...... w None ❑ f. Registered Physical Therapista ...... w L..L_l None g. Speech Pathologist and/or Audiologiata . . . . . w w n None ❑ h. Activities Directors ...... w I-J None ❑ i. Oieticiansor Nutritioniata ...... LLJ None ❑ j. Registered Medical Records Administratora . . . . . w None k. Social Workers ...... ❑ None ❑ L Other Professional Occupations ...... None m. Registered Nurses lR.N.) ...... ❑ None n. Licansed Practical Nurses (L.P.N.) or Licensed Vocational ❑ Nurses .{L.V.N. ) ...... w w None 0. Nurses Aides/Orderlies ...... ❑ None ❑ p. Office Staff ...... None q. Food Service Personnel...... ❑ None r. HousekeepinglMaintanance Personnel ...... ❑ None ❑ s. Other, Specify w w None Name of the Respondent Title lClam E. End Time F. Time Ektrxed U Minutes 2Clpm THANK YOU FOR YOUR TIME AND COOPERATION INTER VIEWER NOTE: After completing the above itams and thanking the rawondent, continue the intarview;ng process with Prompt Card #3. * U S GOVERNMENT PRINT,.= OWRCE ,S.77-7S&~74/6S9 3.1 159 _, Facility Worksheet FACILITY WORKSHEET Facility Name Respondent Title TOTAL NUMBER OF INPATIENT DAYS OF CARE PROVIDED BY TYPE OF PROGRAM. SNF MEDICARE DAYS: SNF MEDICAID DAYS: + ICF MEDICAID DAYS: + ALL OTHER DAYS: + = Total number of inpatienk days of care at this facility for 1976. 160 Lettar to Accountant DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE PUBLIC HEALTH SERVICE HEALTH RESOURCES ADMINISTRATION ROCKVILLE. MARYLAND 20057 NATIONAL CENTER FOR HEALTH STATISTICS Dear Accountant: As part of its continuing program to provide information on the health of khe Nation and the utilization of its health resources, the National Center for Health Statistics (part of the U.S. Public Health Service) is conducting a nationwide survey of nursing homes and simi- lar facilities. The survey is authorized under Section 306 (42 USC Z42K) of the Public Health Service Act. One of the purposes is to obtain financial information about nursing facilities in order to learn more about the amount and type of resources being devoted to this rapidly expanding segment of the health care delivery system. From this information, statistical rep orts will present the financial and operating char act eris tics of the Nation’s nursing facilities. These reports will be useful in promoting effective long-term health care planning and efficient use of the Nation’s health resources. The information you supply will be used solely for statistical res earth and reporting pvrposes. No information collected under the authority of Section 306 (42 USC 242K) of the Public Health Service Act may be used for any purpose other than the purpose for which it was supplied, and such information may not be published or released in other form if the individual or establishment is identifiable unless the individual or establishment has consented to such re lease. This survey includes a small, randomly selected, nationwide sample of nursing facilities, each of which represents a number of similar f activities. Although your participation is voluntary and there are no penalties for refusing to answer any question, it is essential that we obtain data from all sample homes in order to achieve accu- rate and complete statistics. 1S1 Please note that on Page 1 of the questionnaire, authorization is given for you to release the requested information. Please read the instructions on Page I and complete the Expense Questionnaire by using the enclosed definition booklet, which provides account descrip- tions of the categories in the questionnaire. There is an accountant whose services are available free of charge (telephone 301 /770-2048 collect and ask for the National Nursing Home Survey accountant) LO answer those questions which are not answered by the instructions or the definition booklet. Pleas e complete this questionnaire and return within five working days in the enclosed postage-paid envelope. I greatly appre- ciat e your c oope ration in this survey. Sincerely yours, /’4A--e - x%+-:<~, Dorothy P. ice Y - Director ? Enclosures 162 Expense Questionnaire DEPARTMENT OF HEALTH, EDUCATION, ANO WELFARE PUr3Llc HEALTH fiERVICE OMB F 68-S75025 APPROVAL EXPIRES 12-31.77 Health Remul ces Administraticm EXPENSE QUESTIONNAIRE National Center for Health Statistics 1977 National Nursing Home Survey CONTROL NO. I I I I confidential Imformatiort Information contained on this form which would permit identification of any imlividual m .eWablkhmcmt has hem collected with a gUar- antee that it will be held in strictconfidence,wil[ be usedonly for purposesstatedfar this study, md will “ot be disclosedor relaasedto otherswithout the co”sem of the imfividualor the e~ablishmenti“ acmrdancewith se.xw” 308[d) of the Public Health ServiceAct [42 USC 242m}. I hereby authorize of (Accountant’s Name} (Accountant’s Address) (Accountant’s Telephone) %0list fot the most recemly completed fiscal year the fcdlmving firrmcial data for the facility: Date (Signature) (Title) PLEASE READ THESE INSTRUCTIONS CAREFULLY BEFORE YOU aEGIN TO ANSWER THE EXPENSE QUESTIONNAIRE. The definition booklet highlights the substance of each cost grouping, as well as related groupings of expenses to be excluded from specific cost definitions. 3ince the intent of this questionnaire is to obtain information that is comparable among facilities, it is important that you read each of the definitions before answering the questions to which they apply. Tha cost categories in the questionnaire are aimed at the total cost of care for patients. To capture all costs incident to providing health care in a home, those services and supplies specifically purchased for sale to patients should also be included in the relevant cost categories, Since the financial data requested in this questionnaire are to be used with other survey information, it is necessary to provide data which have comparable time periods. Therefore, please give the financial data for the most recently completed fiscal year (calendar year or other 12 month period) and specify that time period in Box A on page 2 of this questionnaire. If for some reason, the twelve months of data are not available, specify in Box A the time period to which the data apply. The data may be reported on either a cash or accrual basis as long as there is consistency in the system applied throughout the entire period under report. In general, it is essential that all reoarded expenses incurred by the facility be included in the expense categories. Excluded from costs, however, are any losses su~ained in the sale or disposition of fixed assets and other extraordinary losses not related to the current cost of providing health care. USE OF FINANCIAL STATEMENTS: If the financial data requested in this questionnaire are available in a Statement of I ncome and Expenses from the financial report of the home, you may elect to submit such a statement rather than complete this questionnaire. How- ever, to facilitate the fol low-uP of any questionable items, please indicate your name, telephone number, and title in the spaces provided at the end of the questionnaire. Forward the blank questionnaire and the Statement of Income and Expenses to the National Nursing Home Survey, Informatics. Inc., 6000 Executive Blvd., Rockville, Maryland 20852, in the postage paid envelope provided. AFFILIATED FACI LITI ES: If a home is an affiliate of another facility, such as a hospital, the records of o+ the nursing home unit should be used in this survey. Where the records of a home are part of the total accounting system, allocation techniques may be required to identify certain of the costs such as payroll, rent, supplies, and insurance. This is acceptable providing a sound basis is established for the allocation. 163 I A. PLEASE LIST THE DATES OF THE FACILITY’S MOST REcENTLY COMPLETED FISCAL YEAR IN THE BOXES PRO- VIDED ANO SUPPLY THE REQUE.SJED FINANCIAL DATA FOR THAT TIME PERIOD BELOW. I 8. IF YOUR ACCOUNTING SYSTEM DOES NOT GENERATE COST ITEMS AS CATEGORIZED BELOW, PLEASE USE YOUR BEST ESTIMATE OF ALLOCATIONS AMONG THE LINE ITEMS. IF FURTHER CLARIFICATION IS NEEDED ON ANY POINT, PLEASE CALL COLLECT INFORMATICS, INC. AT 301–77W2048 ANO ASK FOR THE NATIONAL NURSING HOME SURVEY ACCOIJNTANT. ROUNO AMOUNTS TO THE NEAffEST WHOLE 00 LLAR. I EXPENSES 00[ LAR AMOUNTS [Please refer to Definition Bookletj (=, ,?leaseenter’’O”.I I 1. Payroll Expense (Oo not include contract servic?s); a. Wages and Salaries (gross amount including employees’ vacaticm and sick pay, taxes, etc.]: (1) Nursing staff payroll expen~ (include RN’s, LPN’s, practical nurses, aides, orderlies, student nurses, and other nursing staff) (2) Physicians, ather professionals and semi-professionals payroll expense (include only those employees wha provide health care services) $ {3) All other staff payroll expense (All employees not listed in(1) and [2], i.e., those ~ , providing health care services} $ [4) Subtotal of wages and salaries (add lines a(l), a(2), and a(3)) $ b. Payroll Taxes and Fringe Benefits [employer share of Payroll taxes, State UnemPkWmeOt, group health and life insurance and all other payroll and non-payroll benefirs paid by employer) $ c. Total Payroll Expense (add line la(4) and 1b) $ 2. Health Care Services purchased from outside source% a. Nursing %rvices $ b. Other Health Care Services (Physicians, Therapists, Laboratory services, and other sewices that provide health care) $ c. Total expense of Health Care Services purchased from Outside Sources (add lines 2a and 2b) $ 3. Equipment Rent $ 4. Insurance (include professional public Iiabilitf and other insurance) $ 5. Taxes and licenses [include franchise tax) $ 6. Interest and Financing Charges $ 7. Rent on Building and Land $ 8. Amortization of Leasehold Improvements $ 9. Depreciation Charges (Buildings and Equipment) $ 10. Food and other dietary items (include cost of services purchased from outside sourd $ (CONTINUE) 164 11. Drug Expenses (include cost of drugs purchased for patients and sold directly to them] $ 12. Supplies and Equipment [include cost of supplies a“d equipnwmt purchased for patiems .md sold directly to them) $ 13. Purchased Maimerwmce of buildings, grounds and equipment $ 14. Purchased Laundry and Linen services $ 15. Utilities (telephone, gas.,water a“d electricity) $ 16. Other and Miscellaneous Expense (i”cl”de dws, subscriptions, trauel, automobile, advertising, other services not included elsewhere, medical and non-medical fees, unclassified). See Note 1 below. $ 17. TOTAL EXPENSES (add exDense categorv line items 1 through 16) $ REVENUES 00LLAR AMOUNTS (Please refer to Definition Booklet.) [If none, Please enter “O”.) 18. Total Revenue: a. Patient Care Revenues (include all public andprivate payments for routine and ancillary health care services.} $ h. Non-Patient Revenues finclude allsourms ofnon-patient revenues suchaswntributions for general operating purposes, payment for services not directly related to patient care, interest, dividends and capital gains.) $ c. TOTAL REVENUES [add subtotal 18aandsubtotal18b) $ NOTE1: lfOther and Miscellaneous Expense (item 16)comprise 10permnt ormoreofthe total expen%s fitem17), plea= give details below of major amounts which constitute 20 percent or more of item 16. Description m $– $ PLEASE CHECK THE ADDITION OF SUBTOTALS AND TOTALS. FOR THE PURPOSES OF FOLLOWING UPON ANY DIFFICULTIES ENCOUNTERED IN THE ANALYSIS OF THIS iNFORMA- TION, PLEASE INDICATE YOUR NAME, PHONE NUMBER, YOUR TITLE (ACCOUNTANT, ADMINISTRATOR, ETC.), AND THE OATE YOU COMPLETEO THIS QUESTIONNAIRE. NAME PHONE NO. (— )-( ) TITLE COMPLETION DATE THANK YOU FOR YOUR TIME AND COOPERATION IN FILLING OUT THIS QUESTIONNAIRE. pLEASE FOLD AND SEAL IT IN THE ENCLOSED POSTAGE PAID ENVELOPE ANO MAIL IT TO: NATIONAL NURSING HOME SURVEY INFORMATICS, INC. 6000 EXECUTIVE 6LVD. ROCKVI LLE, MARYLANO 20852 165 Definition Booklet for Completing the Expense Questionnaire DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE PUBLIC HEALTH SERVICE oM6 # 68-S75025 Health ResourcesAdministration DEFINITION BDDKLETFOR COMPLETING I APPROVAL. EXPI RE.5 12-31-77 National Center for Health stati~~i= THE EXPENSEQUESTIONNAIRE 1977 NationalNursingHomeSurvey 1. PAYROLL EXPENSE a. Wagesand Salaries Wegesand salariesare generally defined as gro% earningspaid an employee inc[usfingpayment for annuat and sick leave, overtime, bonusesand other remuneration of a payment nature received by the employee. The wages and salariesrepresent the emount earned and reported to the Internal Revenue Service on his or her W-2 statement, Self-employed proprietors, while not eelariad as emproyees, are to be included in this definition in the amount reported on the tax return as se[f-emproyed selery. Employee serariesand weges,by the above definition, exchde payments for professionalor non-professional servicesobtained under contract, or fees paid doctors on a fee-for-sewice basis.Ako axcksdedfrom Wagesand Salarres are Fringe Benefits as defined in lb (Payroll Expense-Fringe Benefits) onthe next page. Non-funded amployee benefits such as meak and living quarters, if provided an employee, and considered a part of the grosseelary received, are to be included in grosswagesand salaries. Wagaeand salariesare to be reported on the gross basis, without deductions for employee’s contribution to FICA, Federal and State taxes, end other deductions from an employee’s gross wages and salaries. Any emproyee who spands75 percent or more of his time in any one of the three areas mentioned berow shourd have alI of the wage and sarary compensations charged to that expense category. Further allocation is acceptable if it is a feature of your accounting system. a(1) Nursing Staff Payroll Expenw Nursing staff payrol I expansa is defined asthe total wage and sarary compensation given those employaes who administer nursing care to patients. This category includes registered nurses,licensed practicer nurses,practical nurses,nurses’eides, ordarlies, and student nurses. a(2) Physicians, Other Professionals,and Semi-Profesionals Payroll Expense Physicians, other profeeeionak, and semi-professional Payroll axrzensais defined as wage and salary corn. pensation given those professional and semi-professionaI employees who provide health cere servicesto patients. This category includes physicians, psychiatrists, dantiets, pharmacists, optometrists, therapists, dietitians, psychologists, podiatrists, audiologists, medical social workers, medical record administrators, medicar and dentar technicians, X-ray and laboratory assistants,and alr others providing health care servicesto patients. a[3) Alr Other Staff Payroll Expense AH other staff payroll expense is defined as wage and salary compensation given all amproyees not specifi- caHycategorized in(l), or(2) above, fi.e., those notinvorved inproviding hearth mresewices to patients.) Thiscategory includes the administrator and assistantadministrators as weir asclericar, bookkeeping, and other office staff food service, housekeeping, and maintenance personneL 166 b. Payroll Taxeeand Fringa Banefite Payroll taxes and fringe benefits are expensesincurred by the facility for the current and future benefit Of facility emPloyaea. These expenses,not added to the wagesand salariesof tha employees, include such items as 9rouP health insurance, hospitalization, employer’s portion of F 10A, Fedaral and State IJnemployment Insurance, and life insurance premiums (exclusive of premiums paid (a) where the facility isthe beneficiary or (b) on the life insurance of the proprietor owner). Excluded from tMscoXmtego~ prepayments forvacation, maternity andsick pay, tarminal payments, employee’s share of FICA, and living facilities provided employees where suchfacilities are established for the bene- fit of the home. 2. HEALTH CARE SERVICES PURCHASED FROM OUTSIDE SOURCES a. Nursing Sewicas This category irmludasthe cost of those servicesprovided by RN’s, LPN’s, practical nurses,aidas, ordarlias, student nurses,and other nursingpersonnel which were purchasedby the facility from outside sourcesby contract or other arrangements. Exclude those nursingservicespurchaseddiractly by the residant from outside sources. b. Other Health Care Services This category includes the coat of those servicesprovided by medical professionalsand eemi-professionals (definition 1a.(2)) purchasedby the facility from outside sources by contract or other arrangements. Exclude tha coat of those professionaland semi-profassionaI health cara sarvicespurchasad directly by the resident from outside sources. 3. EQUIPMENT RENT Chargesto this category include the rental or leasingof furniture, typewriters, computers, X-ray machines or other forms of equipment. Exclude from ttismtegoW alllea*purchaw agreementsanddeferred payment planson the purchaseof equipment. These latter type purchaseswill be treated through the Depreciation Cost Category (ax- pensecategory 9). 4. INSURANCE Insurance is defined asthe met of pramiums for policies nacessaryto the normal oparation of nursing homes. These chargesinclude fidelity bonds, fire and extended coverage,malpractice, propeny and bodily injury liability, and automobile insurancewhera transportation is includad ase serviceof the facility. Exclude insurancepaid for the benefit of employees, such as employee life or group hospitalization, as well as kay man life insurance. See definition of expense cat:90rY 1(b) for di~ribution of employee benefit insurance paid. If the home’s accounting system is on the accrual basis,exchsdeany prepaid cows and include only the premiums on tha current year’s portion. 5. TAXES AND LICENSES This cetagory includes licensesobtained for the right to do busine= and taxes on raal eatate, personal property, excise and businessfranchise taxes. All federal and state taxes on the income of the facility are to be included as tax and license expenses. Amounts remitted to Federal, etata, county, and IOCSI9overnmenW for income taxes withheld from wagesand salaries must be excludad. 167 6. INTEREST AND FINANCING CHARGES These charges include amounts of interest on notes payable, mortgages payable, Iongterm purchase agreements, or other forms of indebtedness. The initial coat of financing or refinancing a loan, however, is to be excluded as an CXtKiOKfhlfit’y Coat not related to the normal wat of providing health aemice. Also to be excluded from this expense category are placement faea on loans and COatSrelated to penalty clauws on early retirement of mortgages or other loans. Penelties paid to Federal, state, county, or IOrA governments for impropar filing of tex or information returns should be excluded. 7. RENT ON BUILDING AND LAND Rent on building and land is dafined as all coats incurred for space occupied pursuant to leases or rantaf agreements. included in thie category ia the coat of all buildings or real estate rented or leased by the home. Charges to this category should exclude Ieaae-purcheaa agreements and payments made on a mortgage covering the building or land. 8. AMORTIZATION OF LEASEHOLD IMPROVEMENTS Amortization of leasehold improvements is defined as the writaoff of improvements to leased pramieas over the remaining life of the lease or the useful life of the improvement, whichwer is shorter. I mprovemente to leased premises which have a remaining lease or useful life of one year or leas should be ex- pensed directly when incurred. Included in this category are improvements to leased premises such as wall partitions, permanent counters and cabinets, tile floors and wall coverings, and plumbing fixtures. 9. DEPRECIATION CHARGES Depreciation is defined as the distribution of the coat of tangible capital assets, less salvage(if any), over the estimated life of the asset. Chargas to this eatego~ should exclude amortization as defined in expense category 8. Tangible capital assets, currently being purchased under a lease-purchaseagreemant, are to be depreciated rather than treated as a rentel payment. Exclude from this category any equipment of a nominal amount expanead in Equip mant (COat category 12.). 10. FOOD AND OTHER DIETARY ITEMS This account includes food and othar dietary items purchased for preparation on the home’s premises as well as the cost of meals purchased from hospitals or other outside services whether or not under contract. Where food inventories are maintained, the COW of food consumed will be the basis for the recording of coat (inventory at beginning of Year PIUS purchases. less endin9 inventory-) Frei9ht and sales taxes, whether included in the purchase, or as a separate item (freight only), are to be charged to the coat of food and dietary items, rather than to recharged to’’Taxesand Umnsea'' (=leatix) or''Other and Mis=llaneous Expen*''(freightl. This cost category excludes costs relatad to the servingof meals, such as food and menu preparation (wages) and kitchenware and dishes (supplies). It al~ excludes the cost Of meals w~ch are non-funded employee benefits and ware included aspafiofthe gross wlariesin Item 1. ,’ f 168 11. DRUG EXPENSES ~rUg expenses representthe cost of drugs ~on5um~ out of inventory Or purchased for patients and resold to them. Drugs not under inventory control will be consideredexpensed when purchased. For-purposesof this definition, drugs intjude both preS~ription type medi~ineS as ~ell es non-prescription items such esaspirin, laxatives, and vitamins. Excluded fr~mthis definiti~n aresuch n~n-medicine items asation, bandages, ~;i;~~;nd other items which do not meet the common definition of drugs,and ere categorized under supplies, item ,. Recognizing that medical suppliesmay be co-mingled in the cost account with drug items, an allocation technique may be adopted for the purposesof determining the separatecost of drug expenaas. The coat of drugs includes freight coatsaswell assalestaxes added to the purchaseprice of drugs. Drug cost is not to be reduced by revenues from patiente whether sold out of the nursing home inventory or purchasedspecifically for their use. 12. SUPPLIES AND EQUIPMENT a. Supplies Includes the purchaseof all suppliesexclusive of drug supplies(see 11.) and food and other dietary itams {see10.). b Supplies include, but are not limited to, suppliesused in food preparation and sarving (dishes, kitchen ware, paper supplies, etc.), offica supplias, medical suppliessuch as bandages,laundry, linen and blanket supplies, uniforms, the purchaseof minor equipment (staplers,ashtrays, etc.} classifiedassupplies,and repair and maintenance supplies and parts (cleaning supplies, light bulbs, small tools, etc.). UsualIy, supplies of the nature of those classifiedfor inclusion in this cost category are not maintained under inventory control except as a minimum leval which may ba usedas a re-order point. Tha accounting system of the home will dictate whether these costswill be developed on a “delivery basis” or on an “issued” basis. Either method is acceptable. b. Equipment Includes the purchaseof items classifiedasequipment, but becauseof the nominal cost or nature of the items, they are not capitalized. Equipment in this grouping include, but are not limited to madical equipment, furniture and fixtures of a nominal value not maintained under assetcontrol, repair and maintenance equipment, kitchen equipment, and ad- ministrative equipment. All equipment purchasedsPecificalWfor saleto a Patient, regardlessof tha COStor nature of the purchase, isto be included in this categorv. The ravenuesderived from the sale of the equipment to the patients will not be credited as an offset to the cost recorded in Supplies and Equipment. Exclude from this category anv equipment w~ch is being depreciated in cost category 9. 13, PURCHASED Maintenance OF BUILDING, GROUNDS, ANOEQUlPMENT This coat grouping includesthe cows of purchasin9from outside sourc:s; efavator maintenance, equipment or appliance maintena.rrce,grour]d mamtanance, plumbing maintanan.ca,electn:al SYStemsmaintenance, and similar type aewices. Also included are the CO~Sof trash removaL exterminator services,cleaning services,and other house- keeping sewiceswhen purchasedfrom outside sources. Purchasedmaintenance of building, grounds, and equiPment, as classified in th isCO? category, axcludes services for this function provided by the hem@’sstaff. The home’s PersonnelCOWSfor thase semlcesare to be charged to l,a.(3}, Wages and Salaries - All Other Staff Payroll Expense. 4 169 14. PURCHASED LAUNDRY AND LINEN SERVICES This account relates to the cost of outside service only, rather than the cost of purchasing linens, towels, blankets, uniforms, etc. This coat may w may not be under a ~ewice contract and may include the rental cost of the MspplieS provided under a contract. Laundw and linen expense, as classified in this cost category, excludes services for this function provided by nursing home staff. Personnel coats for this service are to be charged to 1a.(3), Wages and Salaries – All other staff Payroll Expense. Charges for laundry or linen lost or damaged by the nursing home under a service-rental agreament are to be re- flected in this grouping. 15. UTILITIES Utilities are defined as charges for telephone and telegraph, gas, fuel, oil, water, and electricity. Charges to this catego~ should exclude any utility charges, such as telephone, that are paid directly by patients or employees or charges that are paid by the Ieswr under the lease agreement. 16. OTHER AND MISCELLANEOUS EXPENSES Thisexpense camgowis amtchall torecord allco~not clessifiedinl through 15 above. Costs includedin this grouping are dues and subscriptions, printing costs, advertisements, travel costs, automobile expenses, non- classified medical andnon-meti@l fees (example -audit andlegal fees) rpoWageand casual Iabornot charged to other expense categories. 17. TOTAL EXPENSES This is the total of all expense categories 1 through 16. 18. TOTAL REVENUES a. Total Patient Care Revenues This group includes payments from Medicare, Madicaid, other public assistance or welfere programs and private sources, as well as other patient revenues for routine or ancillary health care services. b. ‘Total Nonpatient Revenues This group includes financial contributions, grants and subsidies received from churches, foundations, vo]untary agencies, government agencies, and similar groups for general operating purpo$=- It al= includes all other sources of revenua not directly related to patient health care such as beautician/barber sewices, vending machine concessions, charges for services rendered to guetis (e.%. room and board), luncheonettes, etc., as well as anv ravenues received inthe form of interest, dividends and capital gains. 170 Current Resident Sampling List DEPARTMENT OF HEALTH, EOUCATION, AND WELFARE OMB # 68-S75025 PUBLIC HEALTH SERVICE Sheet__of_Sheeta ApPROVAL EXPIRES12-31-77 1 Health ResourcesAdministration National Center for Health Statistics CURRENT RESIDENT SAMPLING LIST Control No. ~ 1977 National Nursing Home Survey Coti!dential Information Information aontainad cmthis form which would permit identification of any individual or mtablishmmn hasbaen oolleatedwith a guar. antee that it will k Iwld in strict mnfidmme, will ba mad only f or purpmas statad for this study, and wili not be disclo5ador raleasadto others without the consentof the ititvidual or the establishmtmtin accordancewith Section 308(d) of the Public Haalth Servica Act (42 USC 242m). loam A. Start ‘rime B. Ty6a of Identifier useck I ❑ Name 2 ❑ Other, SPRC.HY_ 21 [pm C. Sample Dmignation: Sw LL_lJ TE !__l_d \ D. Current ResidenK Facility Total 1 i I J I 1 E. New SW and TE 1 IJ Yes 2DN0 F. Total in Sample Numbers: 1 xlJam G. End Time H. Time Elawd b_l_! Minutes 2Dpm Circle Line Nos. of F [dentsin Sample ~ ~ 27 28 29 05 30 06 31 07 32 OB 33 09 34 10 35 11 36 12 37 3s 39 40 42 43 44 45 -- 1 21 46 47 48 24 49 26 I 50 If more 11..s V. needed CONTINUE ON WE BACK 171 CURRENT RESIDENT SAMPLING LIST-CONTINUED Circle Line Nos. of Residentsin Sample I 51 52 53 54 55 56 61 57 , 82 . 58 1 83 84 60 I I 85 61 86 62 I 87 63 8a-. I I I 64 89 I 65 801 66 91-. I i 67 92 I 6S 93 I I 69 I 941 I 1 70 95 L 71 96 72 97 73 t 98 I i 74 I 99 75 Too t J II If mm mm ar. needed .ss a new sheet and r..umbw the II.** badnnlngwith $101. Renumber 11..s m addlt!.ml sheets 201, 301, etc. 172 Current Resident Questionnaire DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE PUBLIC HEALTH SERVICE 0M8 # 68-S75025 Health Resources Administration APPROVAL EXPIRES 12-31-77 National Center for Hea:th Statistics CI!RRENT RESIDENT QUESTIONNAIRE 1977 National Nursing Home Survey Comrol No. ~ Confidential Information Information Contaimxl a“ this form ..qbi~h ~Ould permit identifimtiO” & any i“dividua[ or establishment has been collected with a guar- antee that it will be held i“ strict confidence, will be u~~d OnIy for purposes stated for this study, and will not be disclosed or released to others without the consent of the individual or the estibfishment in accordance with Sectbjn SoS(d) of the Public Health Service Act (42 USC 242m). A. Rmidant Line No. B. Date of Interview I c. I ❑ am 11111 C3CJCI Start Time mo. year 2Upm D. Interviewer Name 1. WHAT IS THE SEX OF THIS RESIDENT? I ❑ Male 2 ❑ Female 2, WHAT lS— DATE OF BIRTH? W L# U or M mo. year age 3. I Show F/ashcard #’f I WHAT lS— ETHNIC BACKGROUND? I U White (Not of Hispanic Ongi”) 4 ❑ Asian or Pacific Islander 2 ❑ Black [Not of Hispanic Origin] 5 ❑ Hispanic 3 ❑ American Indian or Alaska Native 9 ❑ Don’t Know 4. WHAT lS— CURRENT MARITAL STATUS? I ❑ Married 2 ❑ Widowed 3 ❑ Divorced 4 ❑ Separated 5 D Never Married 9 ❑ Oon’t know 5, Is—A TEMPORARY RESIDENT WHOSE USUAL CARETAKER IS ILL, ON VACATION, OR OTHERWISE UNAVAILABLE? I ❑ Ye5 2DN0 9 ❑ Don’t know 6. WHAT WAS THE OATE OF— CURRENT AOMISSION TO THIS FACILITY? W l.-#Ld nlo. vear 7, WHO ARRANOEO FOR —AOMISSIO N? {Mark LX) all thatapp/y) O a. The resident himself ❑ h. Friend ❑ b. Spouse ❑ i. Attending physician or psychiatrist n C. Children a j. Social service worker or agency ad. Parents n k. Staff of previous institution ❑ e. Brother or sister ❑ 1. Minister or church-related social service of. Other relatives ❑ m. Other, Specify ❑ g. Guardian, attorney ❑ Don’t know 173 Ea. WHERE WAS~ AYING 1MMEDIATEL% BEFORE ENTERING THIS FACILITY? I ❑ Private residenm [house or apartment] 2 ❑ Rented room, boarding house z ❑ Retirement home 4 ❑ Another health facility (Skip to c?,8d) 5 ❑ Other arrangement, Specify (.Sk@ to 0. 9) * ❑ Don’t know (Skip to Q. 9) b. AT THAT TIME, WAS— LIVING WITH OTHERS OR ALONE? I ❑ With others 2 ❑ Alone (Skip to Q. 8) 9 ❑ Don’t know (Skip to 0. 9) c. WHO DID —LIVE WITH THEN? (Mark (X) all thatapplyj •l [1) Spouse ❑ (5) Grandchildren ❑ (2) Children ❑ (6} Other relatives •l (3) Parents ~ (7) Unrelated persons ❑ (4) Brother or sister Don>t know EzEl d. Show Flashcard#2 1 WHAT TYPE OF FACILITY WAS IT? I ❑ Domiciliary or personal care facility 2 ❑ I mermediate Care Facility (I CF} 3 H Skilled Nursing Facility (SNF) 4 ❑ Facility for mentally retarded 5 Q Generalor short term hospital G ❑ Mental hospital 7 ❑ Chronic disease, rehabilitation, geriatric or other long-term care hospital 6 ❑ Other, Specify s ❑ Don’t know e. WHERE WAS— STAYING IMMEDIATELY BEFORE ENTERING THAT FACILITY? I D Private residence (house m apmtmtmt) 2 ❑ Rented room, boarding house 3 a Retirement home 4 n Another health facility 5 ❑ Other arrangement, Specify 9 ❑ Don’t know 9. WILL —BE DISCHARGED WITHIN THE NEXT SIX MONTHS? I O Yes 2 ❑ No (Skfp fo Q. 72) g ❑ Don’t know (SkiP to O. 72) 10. IN HOW MANY MONTHS WILL —6E OISCHARGEO? I a Within the month 2 ❑ Between one and three months 3 ❑ Between four and six months q ❑ Oon’t know I 74 ha. WHEREWILL —STAY 1MMEDIATEL% AFTER DISCHARGE FROM THIS FACILITY? 1 ❑ Private residence(houseor apartment) z ❑ Rented room, boardinghouse 3 ❑ Retirement home 4 ❑ Another health facility (Skfp to 0.1 f.rf) 5 ❑ Other arrangement,Specify (Skip to Q 12) 9 ❑ Oon’t know (Skip to O. 12) b. WHEN —IS RELEASEO, WILL —LIVE WITH OTHERS OR ALONE? 1 ❑ With othe~ 2 ❑ Alone (Skip to Q. 12] 9 ❑ Oon’t know (Skip to O. 72/ c. WHO WILL —LIVE WITH? [Mark (X) all that apply) •l (1) Spouse ❑ (5) Grandchildren ❑ (2) Children ❑ {6) Other relatives •l (3) Par2nt5 ❑ (7) Unrelatedpersons ❑ (4) Brother or sister ❑ Don’t know Lw.!22d d. Show Flashcard #2 WHAT TYPE OF FACILITY IS IT? I n Domiciliary or personalcare facility 2 n Intermediate Care Facility (ICF) a ❑ Skillnd NursingFacility [SNF) .i ❑ Facility for mentally retarded s ❑ General or short term hospital 6 ❑ Mental hospital 7 ❑ Chronic disease,rehabilitation, geriatricor other Iong-twm carehospital B ❑ Other, SPncifV 9 ❑ Don’t know 12, pGzx&zq WHAT IS THE PRIMARY REASON THAT —IS CURRENTLY A RESIOENT IN THIS FACILITY? 1 ❑ Llmltad socialresourms(no family or guardianavailablnor willing] 2 ❑ Llmlted economicresourcas(little or no money, no phmzto live) 3 ❑ Mentally Ill 4 ❑ Mentally retzrdad E ❑ Disruptive behavior 6 ❑ Poor phw.lcd health (requiresnursingsnrvices,personalcere or rehabilitation) 7 ❑ Othnr renson,Specify e ❑ Don’t know 175 13a. ] Show Flashcard#4 DOES— CURRENTLY HAVE 13b. DURING THE LAST 7 DAYS, FROM L#E:{;# ANY OF THE FOLLOWING CONDITIONS OR IMPAIRMENTS? THROUGH YE3TEROAY, 010— (condWon)? (Mark {X) all rhat apply, complata all of part a; then ask b for each ANY MEDICATIONS FOR ❑ None of these conditions (.WLI to Q. 15) Mental Conditions/Impairments ~ & ❑ l(l)Sanilit y ...... 10 20 90 ❑ (2) Mental Retardation ...... In 20 90 ❑ (3) Mental lllnesa ...... 10 2!3 9U ❑ (4) Chronic Brain Syndrome ...... 10 20 90 INTER VIEWER NOTE: If the respondent rEports that the resident is both mentally retarded and mentally ill, mark this box ❑ and read: HAVE I RECORDED CORRECTLY THA T— Is MENTALLY ILL ANO MENTALL Y REzARDED? If necaswy, correct. .— Phw.ical Conditionsllmpa;rmenta ❑ (5) Hardening of tha Arteiies ...... In 20 9U ❑ {6) Stroke ...... In 20 aCl ❑ (7) Hypartensicm ...... 10 2n 90 ❑ K3)Heart Trouble ...... 10 20 90 ❑ (9) Edema [Fluid Retention) ...... 10 20 90 ❑ (10) Arthritis/Rheumatism ...... la 20 9U ❑ (11) Paralysis or Palsy other than arthritis -stroka related 10 20 9n ❑ (12) Paralvsis or Palsy other than arthritis - unralated to stroke In 20 90 ❑ (13) Parkinson”sDisease . . . . . , ...... 10 20 90 D [14) Kidney Trouble/Chronic Urinary Tract Infections . . . 10 2U 90 G’(15)C0nstipation ...... la 2n 90 ❑ (16) insomnia ...... In 2U 90 ❑ iabetes ...... In 20 9!3 ❑ (lB) Cancer ...... 10 20 90 ❑ (19) Deafness ...... In 2U ● 90 a(20)Biindnea.s ...... In 2U 90 ❑ (21) GIwcwIIB ...... 1!2 20 90 ❑ (22) Catwxts...... In 2D 90 0(23) Ghronic Respiratory Disease ...... 10 20 9CI n(24) Anemia ...... in 2!3 9CI ❑ (25) Bedsores ...... 10 2D 90 ❑ (26) Hip Fractures .,...... In 90 ❑ 20 (27) Other Fractures ...... In 2!3 90 ❑ (2S) Alcoholism ...... In 20 90 ❑ (29) Drug Addiction ...... la 20 9n ❑ (30) Chronic Back/Spine Problems (excluding Stiffness and Deformity) ...... 10 20 9U Permanent Stiffness or Deformity oti ❑ (31) back ...... 10 20 90 ❑ harm s...... 10 20 90 G’(33) legs ...... 10 2n 90 ❑ [34) extremities (feet, toes, hands or fingers} ...... la 20 90 Missing Limbs or Extremities: ❑ harm s...... 10 20 90 ❑ (36) legs ...... 10 20 90 ❑ (37) extremities (feet, toes, hands or fingers) ...... 10 20 90 176 14. lNADDITIDN TO ANY MEOICATIONS Mentioned lNTHEPREVIOUS QUEWION, DiO —RECEIVE: ——Yes No _Don’t know H. ANY TRANflulLlzERs lNTHELAw70AYs? 10 20 9U b. ANY VITAMINS OR MINERALS IN THE1A5T70AYS? 2n 90 C, ANY OTHER MEDICATIONS? 1 20 90 ; [1) FOR WHAT CONDITIONS? 150. OURINGTHIS REWDENT’SSTAYHERE,WHENDID —LAST SEE A PHYSICIAN FOR TREATMENT, MEDICATION, OR FOR AN EXAMINATION? aHasneverseen adoctorwhile here(Sk;p tnNoteabove Q.l7) ❑ Do”’t Know(Skjpm Y %+ ‘“r Note above Q, 17) b. AT THAT TIME 010 —SEE THE PHYSICIAN INSIOE OR OUTSlOE OF THIS FACILITY? I ❑ insidethis facility 2 ❑ Outsidethis facility 9 DDon’t Know c. AT THAT TIMEOIO —RECEIVE: Y> MO Don’t know AN EXAMIN~TION? 10 20 90 A PRESCRIPTION (INCLUOING REFILLS]? 10 20 90 TREATMENT? ICI 20 90 ORDERS FOR LABORATORY TESTS? ID 20 90 ANY OTHER SERVICES? In 20 90 \ ~pMify d. 010 THE PHYSICIAN ATTENO THE RESIOENT AS A PRIVATE PHYSICIAN, FOR THE FACILITY, OR UNOER SOME OTHER ARRANGEMENT? I ❑ Astheresident’s private physician 2 ❑ Forthefacility itself which furnishesmedicalcare 3 ❑ Under someother arrangement,Specify 9 ❑ Don’t Know B, OOESAPHYSICIAN EXAMINE THISRESl OENTONLYWHEN CALLED, ON AREGULAR SCHEDULE, OR ON SOME OTHER BASIS? I ❑ Only When Called 2 ❑ Ona RegularSchedule 3 ❑ Other, Spec!fy 9 ❑ Don’t Know f, PRIORTO THE LAHVISIT REPORTEO ABOVE WHEN 0104EEAPHYSlClAN lNTHlSFAClLlTY? l__# ~ ~ ornDid"otseeaphv$icia" priortoth,visitrepomed!n l5a. a Don’t Know . 177 16. ShowFkhcard#’51 ACCORDING TO~EDICAL RECORII, WHAT WAS THE PRIMARY OIAGNOSIS AT THE TIME OF— LAST MEOICAL EXAMINATION, THAT IS, ON /SpeciW dafaaien in Q. 7%/? m ❑ Congetilve Heart Failwe(C.H. F.) 02 nHardening of the Arteries (ArteriowJerosis, A.S.H.D.) 03 nHeati Atta$k, lschemic Heati Disease (Acute Myomtial lnfirmion-M.l.) 04 ❑ High Blood Pressure (Hypertension) 05 ❑ Phlebitis 06 ❑ Pulmonary Embolism 07 ❑ Rheumatic Heart Disease os ❑ Stroke (Cembmvascular msease.C.V. A.) 09 ❑ Other Circulatory Problems, Specify B. Mental Disorders 10 aChmnic Brain Syndrome II DMental Retardation 12 ❑ Neurosis IS DPsy&osis ($tizophrenla, Pamnoia, Manic Depression, etc.) M ❑ .SenilePsychosi s(SenileDementia) IS OSenile, Not Psychotic 16 ❑ Other Mental Disorders, Specify C. Other Diagnoses 17 ❑ Alcoholism m ❑ Anemia M ❑ Anhritis/Rheumatism zo ❑ Asthma 21 ❑ Blindness m 060ne Fracture, other than Hip 2S O Bronchitis 24 ❑ Cancer (Malignant Neoplasm) 25 ❑ cakTiKt5 m ❑ Cirrhosis of the Liver 27 ❑ Deafness z. ❑ Diabetes *9 ❑ Drug Addiction ..0 Emphysema 31 Q Epilepsy 32 ❑ Glaucoma 33 ❑ Gout 34 ❑ Hip Fracture 35 ❑ Multiple Sclerosis 36 ❑ Parkinson’s Disease 37 El Pneumonia 30 ❑ Polio 39 n Respiratory, other than Pneumonia 40 ❑ S@iliS 41 •l Ulcers 42 ❑ Other, Specify 99 ❑ Don’t Know 178 hVTERVIEWER NOTE: If this resident has been in this facility 12ssthan twelve months prior to tie interview date, mark this box ❑ and skip to O. 18. Otherwiss, continue with O. 17a. 170. DID —RECEIVE A FLU SHOT WITHIN THE LAST TWELVE MONTHS, THAT IS, SINCE (month) OF LAST YEAR? 1 •l Yes 2 ❑ No (Skip to (). f7c) g ❑ Don’t Know-No Record (Skip to O. 17c) b. WHEN 010 —RECEIVE THE FLU SHOT? ~ ~ ❑ Don’t Know mo. yr. c. DID— CATCH THE FLU OURING THE LAST NINE MONTHS, THAT IS, SINCE (month) OF LAST YEAR? I •l Yes 2 ❑ No (Skip to 0.18] s ❑ Don’t Know-No Record (Skip to 0.18) d, WHEN OID— CATCH THE FLU? ~ ~ ❑ Dtm’tKmaw mo. yr. 10. Show Fladmard W6 OURING THE LAST SEVEN OAYS, THAT IS, FROM LAST {day) THE (date), THROUGH YESTERDAY, WHICH OF THESE SERVICES DIO —RECEIVE? (Mark (X) all that apply) ❑ a. Blood pressure reading ❑ b. Temperature-pulse-respiration ❑ c. Application of sterile dressings or bandages ❑ d. Full bed-bath ❑ e. Rub or massage ❑ f. Enema ❑ g. Catheterization ❑ h. Bowel retraining ❑ i. Bladder retraining ❑ j. Irrigaticm ❑ k. Oxygen therapy •l 1. Intravenous injection ❑ m. Hypodermic iniectio. ❑ n. Administration of other medical treatment by staff •l 0. Special diet (1) WHAT TYPE OF OIET IS IT? (Mark (X) all that apply) ❑ a. Diabetic ❑ b. low sodium ❑ c. bland ❑ d. SOft ❑ e. low cholesterol ❑ f. weight loss ❑ g. weight gain ❑ h. other, Specify ❑ None of the above services received 179 19a. DURING (/astmonth), DID— RECEIVE ANY THERAPY SERVICES EITHER INSIDE OR OUTSIDE OF THIS FACILITY FROM A LICENSED, REGISTERED, OR PROFESSIONALLY TRAINEO THERAPIST? 1 •l Yes 2 ❑ NO (Skip to 0.20) 9 D Don-t Know (Skip m 0.20) b. Show Flashcard #7 WHICH TYPES OF THERAPY DID— c. WHAT WERE THE TOTAL HOURSOF (therapy nameJ THAT— RECEIVEO RECEIVE DURING (last month)? (Mark (X) all that apply: Complete DURING (fast month)? {Note: If less than one all of part b; Then ask c for each therapy semice reportad.] hour, record O1.) Hours Don’t know ❑ ❑ (1) Physical therapy w (2) @31pationaitherapy ❑ ❑ (3] Recreational therapy ❑ w •1 ❑ (4]Speech andhearingtherapy cl (5) Co””seling/therapy by a psychiatrist, psychologist, ❑ orother mental health worker ❑ w ❑ [6) Counsdingbysocialworker ❑ w (7) Reality orientation ❑ ❑ {8) Other therapy servicas Specify ❑ ❑ 20. Show Flashcard #8 OOES— REGULARLY USE ANY OF THESE AlOS? (Mark (XJ,4 that app/y) ❑ a. Eyeglasses ❑ b. Hearing aid ❑ c. Wheelchair ❑ d. Cane ❑ e. Walker ❑ f. Crutches ❑ g. Braces ❑ h. Slings Hi. Artificial limb Dj. Mechanical feeding device a k. Orthopedic shoe ❑ L Geriatric chair ❑ m. Posey.belt or similar devices •l n. Cuffs a o. Other aids or devices, Specify ❑ Noaidsused 1BO . INTER VIEWER NOTE: Read phrase about %vearing glasses,, and ‘rhearing aid”, where appropriate, based on responses to 0.20. 21a. LIOES— HAVE ANY LIIFFICULTY IN SEEING (WHEN wF,li{lNG I;l :\$>st SI’ 1 ❑ IYes 2 ❑ NO (Skip to 0.22) 3 ❑ Don’t know (Skip to 0.22) h. Show Flashcard #9 lS~lGHT [WITHGLASSES) Partially, SEVERELY, OR COMPLETELY lMPAlRED, AS DEFINED ON THIS FLASHCARD? 1 mPatilally impaimd-cannot ~adnewspaper print butcanwatch television Sto12 feetaway. 2 ❑ Severely impaired–can”ot watch TV8to 12feetaway, butcanremgnize the features of familiar persons ifthey are within 2-3 feet 3 ❑ Completel y lost-blind 9 ❑ Don’t know 22a. OOES— HAVE ANY DIFFICULTY IN HEARING lWf+EN W: ,if{!Pl[l :1 l.t~,FlpJG .+IiJ!~ i ❑ Yes 2 ❑ No (Skip m 0.23) 9 ❑ Don’t know (Skip to Q.23) h. Show Flashcard #’10 ls— HEARING it!’Ji7H HEARING AID I PARTIALLY, SEVERELY, OR COMPLETELY IMPAIRED AS DEFINED ON THIS FLASHCARD? I ❑ Partially impaired-can hew ~ of the things a person says 2 ❑ Severel y impaired-can hear only a few words a person says or loud noises s •l Completely Iost-daaf 9 ❑ Don’t know 23a. DOES— HAVE ANY DIFFICULTY IN SPEAKING? i ❑ Yes z ❑ No (Skip m Q.24) 9 ❑ Don’t Know (Skip m 0.241 b. Show Flashcard #’1 1 IS—SPEECH PARTIALLY, SEVERELY, OR COMPLETELY IMPAIRED, AS DEFINEO ON THIS FLASHCARO? I ❑ Partially impaired-can usually be understood but has difficulty with some words 2 ❑ Severely impaired–can be understood only with difficulty and cannot carry on a normal conversation 30 timpletel y impaired–speech is unintelligible or cannot speak 9 ❑ Don’t Know 24a. OOES— CURRENTLY COMMUNICATE PHYSICAL NEEOS VERBALLY OR NON-VERBALLY? I ❑ Verbally (Skip to Q25) 2 ❑ Nonverbally a ❑ Does not communicate (Skip to 0.25) b. IS THE COMMUNICATION NONVERBAL BECAUSE —OOES NOT SPEAK ENGLISH, CANT TALK, IS TOO ILL, OR SOME OTHER REASON? I ❑ Does not speak English 2 ❑ Cannot talk 3 n Is too ill a ❑ Mental or emotional problem s ❑ Other, SpeciW g ❑ Don’t Know 181 2S2. DOES— HAVE DENTilRES? I ❑ Yes z ❑ No (Skip m 0.26) 9 a Don’t Know (Skip to 0.26) b. DOES—USE THE DENTURES REGULARLY? I ❑ Yes 213N0 s ❑ Don? Kmw tlOES— HAVE ANY OF THESE h. IS EXTRA NURSING TIME REIIUIREO 26a. SfJOwFlashcard #12 1 (bahaviorproblem)? SEHAV1O R PROBLEMS? (Mark IX) all that apply. Complete pa-a; SECAUSE— K+ then ask part b of each reported behavior problem ;n a.) (1) Depressed or withdrawn •1 I ❑ Yes ZDNO (2) Agitated, nerwus, hyperactive cl I ❑ Yes 2~No (3I Abusive, aggressive, disruptive ❑ I ❑ Yes 20N0 (4) Wandering ❑ I •l Yes Znluo (51 Having other behavior problems ❑ 1 ❑ Yes 20N0 No behavior problems ❑ (Skip to 0.27) Z7a. DDES— CURRENTLY REQUIRE ~ASSISTANCE IN BATHING? 1 ❑ Yes z ❑ No (Skip to 0.26) g ❑ Don’t know (Skip to 0.28) b. DOES —SATHE WITH THE HELP OF: (l) SPECIAL E(NIIPMENT? ...... ,UY,S 2DN0 (2) ANOTHER PEIWON?...... lCIYes 20N0 2&. OOES— CURRENTLY REllUIRE MY ASSISTANCE IN DRESSING? I •l Yes 2 ❑ No (Skip to 0.291 a ❑ Remains partially or completely undressed (Skip to 0.29) s n Don’t know (Skip to 0.28) b. DOES —ORESS WITH THE HELP DF: 29a. OOES —CURRENTLY RE(IUIRE MY ASSISTANCE IN EATING? (Consider cutting of meat andbufterihg of bread as assistance.) I ❑ Yes 2 ❑ No (Skip to 0.30) 3 ❑ Requiras tuba or intravenous feeding (Skip to Q.30) 9 ❑ Don’t Know (Skip to 0.30) b. DOES— EAT WITH THE HELP OF: (1) SPECIAL EQUIPMENT? ...... I ❑ yes 2UN0 (2) ANOTHER PERSON?...... , ,UYes 20N0 182 3ml. ls— BEDFAST? I ❑ Yes (Skip m c?.331 2DN0 b. lS— CHAIR FAST? I ❑ Yes (Skip to 0.31) 2cl N0 c. llOES— CURRENTLY REQUIRE —ANY ASSISTANCE IN WALKING? I •l Yes z ❑ No (Skip to 0.37). 9 ❑ Don’t know {Skip to 0.37) d. 00ES —WALK WITH THE HELP OF: (1)SPECIALEQUIPMENT? ...... I ❑ 1’fes 2DN0 (ZIANOTHER PERSON?...... ,Ilyes 20N0 31a. DOES— GO OUTSIOE THE GROUNDS OF THIS FACILITY? I •l Yes 2 ❑ No (Skip to 0.32) 9 H Don’t know (S@ to 0.32) b. WHEN —GOES OUTSIOE THE GROUNOS, 00ES —REINIIRETHE HELP OF (1) SPECIAL EQUIPMENT? .,. I ❑ Ye5 2HN0 (2) ANOTHER PERSON?. . . n I I U : : I U : : lUYe.f 2HN0 33a. OOES— CURRENTLY REllUIRE NY ASSISTANCE USING THE TOILET ROOM? I •l Yes z ❑ No (Skip to 0.33) 3 ❑ Does not use toilet room (Ostomy patient, chair fast, etc.) ISkti m Q.331 9 ❑ Don’t Know (.Sk@to 0.33) b. OOES —REQUIRETHEHELPOF: (1) SPECIAL EflUIPMENT? ...... I ❑ Yes 2nNo (Z) ANOTHER PERSON?...... Inyes 2DN0 33a. DOES— CURRENTLY HAVE ANY DIFFICULTY IN CONTROLLiNG— BOWELS? I •l Yes 2 ❑ No (Skip m 0.34) s a Not applicable-has had an ostomy (Skip to 0.34) 9 ❑ Don’t Know (Skip to 0.34) b. HOW FREQUENTLY OOES— HAVE THIS DIFFICULTY? I ❑ Dailv 2 ❑ Several times a week 3 ❑ Once a week 4 ❑ Less than once a week 9 ❑ Don’t Know 183 34a. DOES —CURRENTLY HAVE ANY DIFFICULTY fN CONTROLLING —BLAOOER? I ❑ Yes 2 ❑ No (Skf@ to 0.35) a ❑ Not applicable-hasindwellingcatheter,ostomy, or externaldevice{Skip to 0.35) 9 ❑ Don’t Know (Sk@ to 0.35) b. HOW FREQUENTLY 00ES —HAVE THIS DIFFICULTY? I ❑ Daily 2 ❑ Several timesa week a ❑ On= a week 4 u Lessthan ome a week s ❑ Don’t Know c. 00 ES THIS OCCUR ONLY AT NIGHT? 1 n Yes 20N0 9 ❑ Don’t know 35. OURING (/astmonth) DID— PARTICIPATE IN ANY ORGANIZEO RECREATION ACTIVITIES IN THIS FACILITY? 1 •1 Yes 2DN0 9 ❑ Don’t know 36a. OURING (htmontb), OID— LEAVE THE FACILITY FOR ANY RECREATIONAL OR LEISURE ACTIVITIES? 1 ❑ Yes z ❑ No (Skip to 0.37) g ❑ Don’t Know (Sk@ to 0.38) LEAVE THE FACILITY? (Mark (X) b. ] Show Flashcard #13 I FOR WHICH OF THE FOLLOWING ACTIVITIES DIO— all &at apply) ❑ (1)Goon shoppingtrips •1 (2) GCIto visitfimily or friends •1 {3) Attend religiousservicesor other religiousactivities ❑ (4) Visit a heauw shop or barbershop ❑ (5) Visit community clubs (civicclubs,serviceclubs,bridgeclubs,unkns., etc.) ❑ {6) Attend movies,plays,concerts,etc. ❑ (7) Anend artsand craftsclasses ❑ [8) Go to library •1 (9) Visit museums,parks,fairs,etc. ❑ (lo) Go for a walk ❑ (11) Leavefacility with family or friends (activityunknown] •1 (12) Other, Specify ❑ Donut Know 184 37. Show Fla&card #14 WHAT WERE THE REASONS THAT- DIDN’1 LEAVE THE HOME TO PARTICIPATE IN ANY ACTIVITl ES OURING (last month)? (Mark (x) all that apply) ❑ a. Participated in activities inside the facility ❑ b. Not able due to illnessldisabiiity ❑ c. Refused, not interested H d. Confused, disoriented, frightened ❑ e.. Behavior problem ❑ f. Cannot afford the activities ❑ g. No one auaiiable to accompany the resident ❑ h. Lack of transportation ❑ L Reomt admission ❑ j. Other, Specify ❑ Oon’t KtIow 38a. OURINGTHEPAST 12 MONTHS, HAS THIS RESIDENT BEEN ON ANY KINO OF LEAVE OVERNIGHT OR LONGER, EX- CLUOING LEAVE FOR MEOICAL REASONS? I •! Yes z ❑ No (Skip to Q.39) g ❑ Don’t know (Skip m Q.40] b. WHERE 010 —GO WHEN ON THE MOST RECENT LEAVE? I ❑ To own home or a~artrnem 2 ❑ To home of family or relatives 3 ❑ TO home of unrelated friends 4 ❑ To boardinghouse or foster home s ❑ To another place, Specify 3 ❑ Don’t know c. IN WHAT MONTH WAS THAT LAST LEAVE? Month W d. ABOUT HOW LONG WAS THAT LEAVE? I ❑ Overnight 2 Q Two days/a weekend 3 H 3-6 days 4n7t013 days s ❑ Two weeks or more 9 ❑ Don’t know lzzzzl 185 1 39. Show Flashcard#75 WHY DIDN’T— GOON OVERNIGHT LEAVE? (Mark(x) allthatapply) ❑ a. Not able due to illnessklisability ❑ b. Refused, not interested ❑ c. Confused, disoriented, frightened ❑ d. Behav;or problem ❑ e. No place to golrm people to visit ❑ f. Lack of transportation ❑ g. Laws/regulations, payment policy w overnight leave ❑ h. Laws/regulations, payment policy dkcotrrage overnight leave ❑ i. Recant admission ❑ j. Other, Specify ❑ Don’t know 40a. OOES— HAVE ANY VISITORS FROM OUTSIOE THE FACILITY? I ❑ Yes 2 ❑ NO (Skb m 0.41) 9 ❑ Don’t Know (Sk@ to Q.41) b. WHO ARE THESE VISITORS? (Mark(XJ all thatapp/yJ ❑ (1) Spouse ❑ [3) Grandchildren ❑ (5) Brother or sister ❑ (71 Friends, minister, co-workers ❑ 0[2) Children ❑ (4) Parents ❑ [6) Other relatives 0(8) Volunteers from religious, cfvic, Don c. “HOW FREQUENTLY DOES— HAVE VISITORS? 01 ❑ Daily 06 ❑ About once every two months 02 ❑ At leaat once a week 07 ❑ Several times a year 03 ❑ Nearly every week cm ❑ About once a year 04 ❑ About every two weeks 09 ❑ Other, Specify 05 ❑ About once a month 99 ❑ Don’t know 41. HOW MANY BEDS ARE lN— ROOM? I ❑ One bed (i.e., the resident’s own bed) 2 ❑ TWO beds s ❑ Three beds 4 ❑ Four beds 5 ❑ Five or more beds 42. HOW LONG HAVE Yfl PROVIOEO CARE FOR—? I ❑ leas than 1 month 2 ❑ 1.3 months a ❑ 4-6 months 4 ❑ 7-11 months 5 ❑ 12 months or more 6 ❑ I do not provide care 1B6 Interviewer, Read: THE REMAINING FEW QUESTIONS DEAL WITH CHARGES AND PA YIWENTSOURCES. DO YOU HA VE THIS \NFORhfATiON? I ❑ Yes(Goto noteabove O.43) 2 ❑ No (Determine whohas;nformation andwhen youhave comple@d&I the Current Resident Questionnabes, lnmrv;ew that person for the information, using Prompt Card #l 7.) Fill in elapsed time since start of interview. 10am E. End T!me F. Timeelapsed b-.L-l Minutes 2Clpm 10am G. Start Time lClpm lNTERVIEWER NOTE: Befomproceding, mfermfieadmimion datein Q.6. lftheresident wasadmitted&r the first dayoflast month, mark this box ❑ andskip tOO.44. Otherwise, continue with Q.43. 43. FOR THE MONTH OF(/.stmontiJ, WHAT WAS THE TOTAL CHARGE BILLED FOR- CARE, INCLUDING ALL CHARGES FOR PRIVATE DUTY NURSING, ORUGS, AND SPECIAL MEDICAL SUPPLIES? z ❑ Dav 3 ❑ Wmk $ ~ .00 lwr ❑ { .! Month [ 5~Otherperiod,.5pecify ❑ No charge is made for care, explain: I ❑ Facility assumes cost 2 ❑ llnitial paymentllife care arrangement s ❑ Other, Specify ❑ Don’t Know (Not billed yet, etc.) 44. FROM(DateofAdmision) THROUGH YESTERDAY, WHAT WAS THE TOTAL CHARGE BILLEO FOR- CARE, lNCLUO- ING ALL CHARGES FOR PRIVATE OUTY NURSING, DRUGS, AND SPECIAL MEOICAL SUPPLIES? 1 ❑ Entire Reporting Period 2 ❑ Day $ CZCCl .00 per 3 ❑ Week b ❑ Month 5 ❑ Other period, Specify ❑ No charge is made for‘{care, explain: I HFacility assumes cost 2 •l Initial paymentAife care arrangement 3 UOther, Specify ❑ Don’t Know {Not billed yet, etc.} 187 45. Show FIashcard#16[ WHAT WERE ~THE SOURCES OF PAYMENT FOR— CARE DURING THIS TIME? (Mark {X) all that apply] ❑ a. Ownincome, family support, health insurance, Og. VAcmntract retirement funds, social securitv, etc. n h. Initial payment-fife care funds n b. Medicare ai. Nochargemade forcare (Facility assumes cost~ ❑ C. Medimid-skilled nursi”g Oi. Pavment source notvetdetermined. (Skfptoflote ❑ d. Medicaid-intermediate care below 0.47) a e. Other government assistance or welfare n k. Other, Specifv ❑ f. ReKgious organizations, foundaticfis, volunteer agencies 46. Show Flashcard #16 WHAT WAS THE PRIMARY SOURCE OF PAYMENT FOR— CARE DURING THIS TIME? 01 ❑ a. Own income, family support, health insurance, 07 ❑ g. VA contract retirement funds, social securitv, etc. 08 u h. Initial pavment.life care funds ❑ a.? b. Medicare .M ❑ i. No charge made for care (Facility assumes COW 03 ❑ c. Medicaid-ss nursing 10 n j. Pavment source not yet determined {Skip to Note 04 ❑ d. Medicaid-intermediate care bc?/O W 0.47) 05 •i e. Other government assistance or welfare m k. Other, Specifv 06 ❑ f. Religious organizations, foundations, volunteer agencies 47. WHAT WAS THE AMOUNT PAID SY THE PRIMARY SOURCE OF PAYMENT DURING THIS TIME? $ m .00 INTERVIEWER NOTE: 8P sure m fill in the items below and continue to the next Current Resident Ouestionnaiie. I 0am H. End Time 1.Timeeldpsed I-l-L-l Minutes I 2Clpm I I 188 Discharged Resident Sampling List DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE PUBLIC HEALTH SERVICE OWE # 68-575025 Sheet_of_Sheets APPROVAL EXP1RE5 12-31-77 Health ResourcesAdministration National Centerfor HealthStatistics 1977 National NursingHome Survey DISCHARGED RESILlENT SAMPLING LIST Control No. ~ Confidential Information Information mntained on thisform which would pmmit identificationof any individualor mtablfshmmt hasbem mllected with a guar- anteethat it will be held in strictctmfidenm,will be usedonly for purposesstatedfor this study, and will not be disclosedor releasedto otherswithout the consentof the individualor the establishmentin accordancewith Section30fl(d) cdthe Public HnaltbServiceAct (42 USC 242m]. lDam A. StartTime B. Type of identifierused: I ❑ Name z ❑ other, Spncify znpm C. SampleDesignation: Sw u TE ~ E. New SW and TE D. ResidentsDischargedDuring 1976 FacifityTotal 11111 I ❑ Yes 2DN0 Numbnrs: 1 1 loam F. Total in sample w G. End Time Ii.Time Elapsed LL_l._l Minutes I zapm I I Circle Line Nos. of Residentsin Sample DISCHARGED RESIDENTS DISCHARGED RESIDENTS , I LiNE Date of LINE Date of ResidentIdentifier ResidentIdentifier NO. Discharge NO. Oischarge I I I MO. Day Mo. DaY 01 26 02 27 03 2B 04 29 1 05 I 30 I I 06 31 07 32 08 33 09 34 10 35 36 1 I I 12 37 13 38 f4 39 16 40 f6 41 17 42 18 43 19 44 20 45 21 22 23 24 25 If more mm nr* needad cONTI rw E or+ THE BACK 189 DISCHARGED RESIDENT SAMPLING LIST-CONTINUED Circle Line Nos. of Residentsin Sample DIsCHARGED RESIDENTS DISCHARGED RESIDENTS LINE Date of LINE Date of NO. Discharge NO. Di$charge Ma. Day MO< Day 51 76 52 77 53 7s 54 79 55 @l 56 81 57 82 5s 53 59 84 60 86 I 61 I I S6 62 67 63 88 64 59 65 w 66 91 67 92 6S 93 69 94 70 95 71 96 72 97 73 98 74 99 75 Ioa (i mom Ilna, am .-cM usa a . ...7 shc-stand mnumb.f the IlrmsDe91nn8n9 with ~lol. Renum~r ltn.son addltl.nal sheets201,301, atC. 190 Discharged Resident Questionnaire DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE PUBLIC HEALTH SERVICE OM6 # 68-S75025 Health ResourcesAdministration APPROVAL EXPIRES 12-31-77 National Center for Health Statistics DISCHARGED RESIDENT QUESTIONNAIRE 1977 National Nursing Home Survey Control NCJ. ~ Confidential Information Information contained on this form wfdch would permit identification of any individual m establishment hasbeen collected with a guar. antm that it will be held in strict mnfidence, will be usedonly for purposesstated for this study, and will not be disclosedor releasedto others without the consant of the individual or the establishment in accordance with Section 308(d) of tbe Public Health SerViCeAM L17 1KY! Zlzm) A. Resident Line No. I B.Date of Inierview I C. Date of Discharge lClam D, Interviewer Name E. Stcrt Time 2Upm I 1. WHAT WAS THE DATE OF Admission PRIOR TO THE DISCHARGE DATE OF(Dawof Discharge)? l_lJl_lJIJ_J 2. WHAT WAS THE SEX OF THIS RESIDENT? I ❑ Male 2 ❑ Female 3. WHAT WAS— OATE OF alRTH? l_-Jl-&lbJ-.#d_J# 4. WHAT WAS —MARITAL STATUS AT DISCHARGE? I ❑ Married 2 ❑ Widowed 3 ❑ Divorced 4 ❑ Separated 5 ❑ Never Married g ❑ Don’t know 5. WAS —DISCHARGED ALIVE? 1 ❑ Yes 2 ❑ No (Skip to instruction above Q.7) 9 ❑ Don’t know (Skip to hstructkm above 0.7) 191 6a. WHERE DID---STAY IMMEDIATELY AFTER DISCHARGE FROM THIS FACILITY? I ❑ Private residence (houseor apartment) (Skip m instruction above 0. 7) 2 ❑ Rented room, boarding house(Skip to instruction above 0.7) 3 H Retirement home (Skip m instruction above 0.7) 4 ❑ Another health care facility 5 ❑ Other arrangements,Specify {Sk+ m instruction above Q.~ g ❑ Don’t know (Skip to instruction abme Q.7) b. [ Show Flashcard #’l WHAT TYPE OF FACILITY WAS IT? I ❑ Domiciliary or personalcare facility 2 ❑ Intermediate Care Facility (ICF) 3 ❑ Skilled Nursing Facility (SNF) 4 ❑ Facility for mentally retarded 5 ❑ General or shorsterm hospital 6 ❑ Mental hospital 7 ❑ Chronic disease,rehabilitation, geriatric or other long-term care hospital 8 ❑ Other, Specify (.Sk@to instruction above 0.71 9 D Don’t know (Skip m instruction above. 0.7) c. DID— DIE IN THIS OTHER HEALTH CARE FACILITY? I ❑ Yes 2 ❑ .No g ❑ Don’t know hrterviewer, Red “SINCE THIS RESIOENT HAS BEEN DISCHARGED, THE REMAINING QUESTIONS REFER TO HEALTH STATUS AT THE TIME OF DISCHARGE, THAT IS, ON (Dats of Dischargein item CL” INTER VIEWER NQTE: If the resident wasin the home lessthan twelva montfrsprior m discharge,mark this box ❑ andskh to 0.8 Otherwise, continue with Q.7a. 7a. DID —RECEIVE A FLU SHDT WITHIN THE TWELVE MONTHS PRIOR TO (Date of Discharge)? 1 ❑ Yes z ❑ No (Skip m Q.7c) 9 ❑ Don’t Know -No Record (Skip to 0.7c./ b. WHEN 010— RECEIVE THE FLU SHOT? W W ❑ Don’t know mo. yr. c. 010—CATCH THE FLU DURING THE NINE MONTHS PRIOR TO (Date of Discharge)? I ❑ Yes 2 n No (Ski# to (2.8) 9 ❑ Don’t Know -No Record (Skip to Q.8.) d. WHEN DID —CATCH THE FLU? U W ❑ Do”’tknmv mo. yr. 192 E. Show Flashcard 7Y2 DID —HAVE ANY OF THE FOLLOWING CONDITIONS OR IMPAIRMENTS? (Mark (X) all that apply). ❑ None of these conditions A, Mental Conditions/l mpairments ‘--.., •l (1) Senility ❑ (2) Mental Retardation . . ❑ (3) Mental Illness ❑ (4) Chronic Brain Syndrome INTERVIEWER NOTE: If the respondent reports that the resident MS both mentally retarded and mentally ill, mark this box ~nd resd: HAVE I RECORDED CORRECTLY THAT— WAS MENTALLY ILL AND MENTALLY RETARDED? If neceescv, correct. B. Physical Conditions/Impairments -.. ❑ (5) Hardening of the Arteries ❑ (6) Stroke ❑ (7) Hypertension ❑ [B) Heart Trouble ❑ (9) Edema {Fluid Retention) ❑ (10) Arthritis/Rheumatism ❑ (11) Paralysisor Palsy other than arthritis - stroke related ❑ (12) Paralysisor Palsy other than arthritis - unrelatad to stroke ❑ (13) Parkinson’s Diseasa ❑ (14] Kidney Trouble/Chronic Urinary Tract Infections i3(16) Constipation ❑ (16) Insomnia ❑ (17} Diabetes ❑ (18) Cancar ❑ (19) Deafness ❑ (20) Blindness ❑ (21) Glaucoma ❑ (22) Cataracta ❑ (23) Chronic Respiratory Disease ❑ (24) Anemia I . . ❑ (26) Bedsores !, !,, . ❑ (26) Hip Fractures ❑ (27) Other Fractures ❑ (28) Alcoholism ❑ (29) Drug Addiction ❑ (30) Chronic Back/Spine Problems— (excluding Stiffness and Deformity) Permanent Stiffness or Daformity of: ❑ (31} back ❑ (32) arms ❑ (33) legs ❑ (34) extremities (feet, toes, hands or fingers) Missing Limbs or Extremities: ❑ (35) arms ❑ (36) legs ❑ (37) axtramities (fact, toes, hands or fingers) ❑ Don’t know 193 9. Show Flashcard#3 ACCORDING TO —MEOICAL RECORO, WHAT WAS THE PRIMARY DIAGNOSIS AT THE TIME OF AOMISSION, THAT IS, ON (Dateofddmissionin 0.1)7 A. Heart and Other Circulatory’ Problems 01 ❑ CongestiveHeart Failure (C.H. F.) ( 02 UHardening of the Arteries (Arteriosclerosis, A.S.H.D.) 03 nHeart Attack, lschemic Heart Disease(Acute Myocardial infarction-M.l.) 04 ❑ High Blood Pressure[Hypwtension) 05 ❑ Phlebitis 06 ❑ Pulmonary Embolism 07 ❑ Rheumatic Heart Disease 08 ❑ Stroke (Cerebrova$cularDiseasa-C.V.A.] 09 ❑ Otber Circulatory Problems, Specify B. Mental Disorders 10 QChronic Brain Syndrome II ❑ Mental Retardation 12 ❑ Neurosis IS nPsychosis [SWzophrenia, Paranoia, Manic Depression,etc.) 14 ❑ Senile Psychosis(Senile Dementia) 15 ❑ Senile, Not Psychotic 16 ❑ Other Mental Disorder$, Specify C. Other Diagnoses 17 ❑ Alcoholism la ❑ Anemia 19 a Arthritis/Rheumatism 20 a Asthma 21 n Blindness 22 ❑ Bone Fracture, other than Hip Z3 ❑ Bronchitis 24 ❑ Cancer (Malignant Neoplasm] 25 n (kltW3Ct3 26 ❑ Cirrhosis of the LiVer 27 ❑ Deafness 28 ❑ Diabetes 29 ❑ Drug Addiction 30 ❑ Emphysema “ 31 ❑ Epilepsy 32 ~ Glaucoma 33 ❑ Gout 34 ❑ Hip Fracture 35 ❑ Multiple Sclerosis 36 ❑ Parkinson’s Disease 37 •l Pneumonia 38 n Polio 39 ❑ Respiratory, other than Pneumonia 40 ❑ Syphilis 41 ❑ Ulcers 42 ❑ Other, Specify w ❑ Donut know 194 lDe, DURING THIS Particulars STAY. WHEN DID —LAST SEE A PHYSICIAN FOR TREATMENT, MEDICATION, OR FOR AN EXAMINATION? & & ~ or ❑ Never saw a doctor during this stay (Sk@ to 0.11) ❑ Don’t know (Skip to Q. 11) b. AT THAT TIME 010 —RECEIVE & ~o Don’t Know (1) AN EXAMINATION? In 20 90 (2) A PRESCRIPTION (INCLUDING REFILLS)? 10 20 9U (3) TREATMENT? In 20 90 (4) ORDERS FOR LABORATORY TESTS? 10 2CI 90 (5) ANY OTHER SERVICES? 10 20 90 i Specify 11. ShowFlashcard rY4 OURING THE LAST 7 OAYS BEFORE OISCHARGE, THAT IS, FROM (Dam 7daysprior m discharge data) TO (Daie of Discharge),WHICH OF THESE SERVICES 010 —RECEIVE? (Mark (X) all that apply) ❑ a. Blood pressurereading ❑ b. Tem~rature.pulse-respiration ❑ c. Applimtion oftierile dressingsor bandages ❑ d. Full bed-bath ❑ . . Rubor massage ❑ f. Enema Og. Catheterization ❑ h. Bowel retraining ❑ i, Bladder retraining ❑ ]. Irrigation ❑ k. Oxygen therapy ❑ 1. Intravenous injection ❑ m. Hypodermic injection ❑ n. Administration of other medical treatment by staff ❑ 0. Special diet 1 (1) WHAT TYPE OF OIET WAS IT? (Mark (X) .// that apply) ❑ ❑ a. diabetic ❑ b. low sodium ❑ c. bland ❑ d.soft e. low cholesterol ❑ f. weight loss ❑ g. weight gain ❑ h. Other, Specify ❑ Noneofthe above servicesremived ❑ Don’t know . 195 I&. DURING(Lastca/endarmonth &fore dischargeJOF1976r DID —RECEIVE ANY THERAPY SERVICES EITHER INSIDE OR OUTSIOE OF THIS FACILITY FROM A LICENSED, REGK’TEREO, OR PROFESSIONALLY TRAINED THERAPIST? L ❑ IYes z~ No (Sk@ to O. 13) 9 ❑ Don’t know (Skip to Q. 13) la. I Show Flashcard #5 WHICH TYPES OF THERAPY 010 —RECEIVE OURING THAT MONTH? (Mark {X) all that a,oply) (1) Physical therapy ❑ (2) Occupational therapy ❑ (3] Recreational therapy n (4) Speech and hearing therapy •1 (5) Counseling/therapy by a psychiatrist, psychologist, or other mentel health worker ❑ (6) Counselingby social worker cl (7) Reality orientation c! (8) Other therapy services,Specify ❑ 13. Show Flashcard #6 DID —REGULARLY USE ANY OF THESE AIDS? (Mark (X) all that app/y) Ha. Eye glasses ❑ i. Artificial limb O b. Hearing aid ❑ j. Mechanical feading device ❑ c. Wheelchair ❑ k. Orthopedic shoe ❑ d. Cane ❑ i. Geriatric chair ❑ e. Walker ❑ m. Powy belt or similar devices ❑ f. Crutches ❑ n. Cuffs ❑ g. Braces a o. Other aids or devices,Specify ❑ h. Slings ❑ No aids used D Oon’t know . 196 14a. WAS— SEDFAST? I a Yes (Skip to 0.15) 2UN0 9 ❑ Don’t know h. WAS—CHAIRFAST? 1 ❑ Yes 2DN0 9 ❑ Don’t know 15. DID —HAVE ANY DIFFICULTY IN CONTROLLING —BOWELS? i ❑ Yes 2DN0 2 ❑ Not applicable, had an ostomy 9 ❑ Don’t know 16. DID —HAVE ANY DIFFICULTY IN CONTROLLING —6LADOER? i •l Yes 20N0 2 ❑ Not applicable, had oetomy, indwelling catheter, or external device 9 ❑ Don’t know hrtwv;ewar, Read: THE REMAINING QUESTIONS DEAL WITH CHARGES AND PAYMENT SOURCES. DO YoU HAVE THIS INFORMATION? I ❑ Yes (Go to note above O. 17) 2 ❑ No (Determ;ne who has information and whan you have completed all the Discharged Res;dent Questionnaires, interview that person for the information usingPrompt Card #’l 1.) b I 1 ❑ lam F. End Time G. Time alap!ed ~ Mi”.tez I 2Clpm I I I ❑ am H. Start Time 2Clpm INTERVIEWER NOTE: Before proceeding, refer to the admisskxrdate in Q. 1. If rea’ldantwasadmitred&r the first day of the calendar month prasadiog the date of diacfrarge,mark this box ❑ and skip to Q. 18. Otharwiz, continue w;th 0.17. 17. FOR THE MONTH DF (Iastcafencfarmonth before dizahwge), WHAT WAS THE TOTAL CHARGE SILLEO FOR— CARE, INCLUDING ALL CHARGES FOR PRIVATE OUTY NURSING, DRUGS, ANO SPECIAL MEOICAL SUPPLIES? 2 ❑ Day 3 ❑ Week $ m .00 pzr 4 ❑ Month 5 ❑ Other period, Specify { O No charge made for care, Explain: I ❑ Facility assumadcoat 2 •l Initial payment/life care arrangement a ❑ Other, Specify ❑ Don’t know (Not billed yet, etc.] 197 18. FROM(Da@ofAdmi~ion) THROUGH (DaeofD;scharge), WHAT WAS THE TOTAL CHARGE BILLED FOR —CARE, INCLUDING ALL CHARGES FOR PRIVATE DUTY NURSING, ORUGS, AND SPECIAL MEDICAL SUPPLIES? I ❑ Entire reporting period 2 ❑ Day $ m ,00 per 3 ❑ Week 4 ❑ Month { 5 ❑ Other period, Specify ❑ No charge made for care, explain: I ❑ Facility assumed cost 2 ❑ initial paymentllife care arrangement s ❑ Other, Specify ❑ Don’t know (Not billed yet, etc.) 19. 1~[ WHAT WERE~THE SOURCES OF PAYMENT FOR —CARE OURING THIS TIME? (Mark (X) all that apply) ❑ a. Own income, family support, health insurance, ❑ g. VA contract retirement funde, social security, etc. •l h. initial payment-lifa care funds ❑ b. Medicare Hi. Nocharge made forcare [Facility assumed coat) ❑ C. Medicaid-w nursing Cij. Payment source notdetermined (SkJptonots ❑ d. Medicaid-intermediate care below 0.21) ❑ e. Other government assistance orwelfare ❑ k. Other, Specify ❑ f. Religious organizations, foundations, volunteer ❑ agencies Don’t know 20. show Flashcard#’7 WHAT WAS THE PRIMARY SOURCE OF PAYMENT FDR— CARE DURING THIS TIME? oIma. Ownincome, family support, health insurance, 07DQ. VA contract retirement funds, social security, etc. Oenh. InitiaI Pavment-life care funds ❑ 02 b. Medicare ogai. Nocharge made forcare [Facility aasumedcost) 03Dc. Medicaid--nursing maj. Payment source notdeterminefi (Skip tonote mlad. Medicaid-intermediate care b3/OW 0.21) o$ae. Other government assistance orwel fare Ilnk. Other, Specify 06nf. Religious organizations, foundations, volunteer 12 ❑ Don’t know agencies ,?1. WHAT WASTHEAMDUNT PAIDBYTHEPRIMARY SOURCE OF PAYMENT DURlNGTHlSTlME? $ CITcl .00 ❑ Oon’t know INTER VIEWEB IVOTE: Be SUE to fill in the itemsbelo wand continue to next Di=harged Resident Questionnaire. I ❑ lam 1. End Time J Time Elapsed I--u.l Mi””ms 2 ❑ pm *W... GOVERNMEW PRINTING OFFICE: f977_72A.67B/66 aB.t 198 Staff Classification Card STAFF CLASSIFICATION CARD WHICH OF THE FOLLOWING JOB CATEGORIES BEST FITS THEJOEI WHICH THIS EMPLOYEE DOES IN THIS FACILJTY?[/fthe employee performs more than onejob, selec?rhe jobforwhich theemplayee spends rhemostt)me.) 01. Administrator, Assistant Admimstrator 02. Physician [M.D. or D .0.) 03. Residemsand Interns 04, Dentist 05, Pharmacist 06. Registered Occupational Therapist 07. Other Occupational Therapim or Assistant 08. Registered Physical Therapist 09. Other Physical Therapist or Assistant 10. Activities Oirector (Recreational Therapist) 11, Dietitian or Ntnritionist 12. SmcialWorker 13. Social Work Technician/Assistant 14. Speech Pathologist andfor Audiologist 15. Registered kledical Records Adminisuaror 16. Other Medical Records Administrator or Technician 17. Registered Nurse (R.N.) 18. L[censed Practical Nurse ( L.P.N.) or Licen‘ea Vocational Nurse ( L.V.N.] 19. Nurse’s Aide/Orderly 20. Other Professional Occupations (Including Psychologist, X-Ray Technicians, etc.) 199 Staff Sampling List DEPARTMENTOF HEALTH, EDUCATION,AND WELFARE PUBLlC HEALTH SERVICE Blwet_Of _ OMS# 6&275025 APPROVAL EXPt RE2 12-31.77 Health Resources Administration National Cemer for Health Smtidi= STAFFSAMPLINGLIST control No. biii 1977 National NursingHome Survey cord’Identtal Information Information cnntainedo“ this form wldch wmdd permit identification of any individual or establishmenthasbeen collectxl with a guar. antee that it will be held in strict ccmfidanm,will be usedonly for purposesstatedfor this study, and will not ba dkdo$ad cmmleasadto otherswithout the crmsentof the individual or the esbddishmenti“ accordancewith Section308(d] of the Public Health Swvice Act (42 USC 242m}. B. What isthe total numbm of employeesworking in this facility, htcludlng loam contrcct persnnnol,ihe adminictfator, office and kitchen workers and A. Wart Time maintananc2staff7 2Clpm 11111 C. If this facility isa unit of a largerinstitution, and respondentis unableto report employem D. Total in Sample w who work only in this unit of the facility, .che=hnre. ❑ I Iuam F. End Time____ E. Pleaseindicate in which Occupational Code Groupsyou havechosennew SW and TE numbers. zupm G. Elapmd llmo GrouD A ❑ Groun C ❑ Grmm E m— Group B ❑ Group D n 1 u Minutes G I I STAFF NAMES I I STAFF OCCUPATION CODES —ID. Group D Group E 18 19 — — — — Sw u TE W ~..,...-. ’...” :.i-’kult.ba,7 Number Number Number Numbw .;,.$”..,.,.$U* ; ,~, Selected .?&wted Selected Selmtod — -,,:,.+ ‘“.. — , ;7: ;’> .,:’,;,..:*;,:>. —01 J$ % .. k,.. ..,.-. 02 G — 04 :, ...... ’.. ,- g - 06 — 07 — 0s z v —*O 200 STAFF SAMPLING LIST-CONTINUEO LINE No. STAFF NAMES STAFF OCCUPATION CODES Group A Group B Group C Group D Group E (Cobtmct) 01.16 01-16 and and 17 18 19 m 20 11 12 13 14 . . ‘W 16 17 18 19 .20 ,,”, 21 22 23 ., 24 ,, i., ...... ,.. ,’<*, ‘ ~,;:;.,.:,;.,,:,. ..” . ‘. .”,’ & “f.,.. . .. -: .-. _ , .. 4,.. ,- 26 ,. 27 28 29 30 ‘ 31 32 33 34 .36 36 37 38 39 40 201 STAFF SAMPLING LIST-CONTINUED LINE NO. STAFF NAMEs STAFF OCCUPATION CODES Grou~ A Group B Group C Group O Group E Pmcn.+ 01-16 ,- Of-lwllld and 17 18 19 20 20 41 42 43 44 .. .,. > .&; ..’, .’ 46 47 48 49 w ~ ‘“ 51 52 53 ‘ 54 ,~~.: .. . . 56 57 58 59 @ .- 61 62 63 64 :66 66 67 68 69 70 202 STAFF SAMPLING LIST-CONTINUED NE o. STAFF NAMES wSTAFF OCCUPATION CODES 79 81-. I ..- . I .... .:...... ,... ., . 82 .* ...,,,-.,.. l;, . . . 7 . . ... 83 ~,.’$,: . , :’.’: .- ..,... 64 .: ,.~..... ‘,’ > I >- “. ~; !?: :<: r.: ‘ ; ‘i:.”.,~“’.,.c:>:’~’ :,.;..+,:” .’,:,,’, 87 “..”..’.’.,”” : ‘ : 88 ...... ,.,. 89 :., ..”,., , 91 I . . ,--- , 92 :,,. ‘ .!. ,,. - 93 .. , i.. !. ”.. 94 ., ,. ,7,., ,, ,, .- , ,, ...... ’., .,. ‘ ‘,’ .,:,.:,,, , !:., .,, ., ;.. ; ‘-’,. :“!! .’ , .;. !.. .>. , ‘. . . . ,“> ,.-, J . ..1 ,. .-.” .,.- ,.. ,. . ..- -,, , .,-,. ., 96 “. ., ., 97 ~., . - ,, 9s .,. .’. , ,- ..,. ,-., , 99 TOTAL LISTED IN GROUP5 A= B= _c= D= E= 203 Letter to Staff Member *.F-” ‘“%+ iJLD: DEPARTMENT oF HEALTH. EDUCATION. AND WELFARE ,+.$ PUBLIC HEALTH SERVICE @ .s. HEALTH RESOURCES ADMINISTRATION ROCKVILLE. MARYLANO 20357 NATIONAL CENTER FOR HEALTH STATISTICS Dear Staff Member: You were recently asked to complete a questionnaire for the National Nursing Home Survey being conducted by the National Center for Health Statistics of the U.S. Public Health Service in the Depart- ment of Health, Education, and Welfare. I want to emphasize that the information you supply will be used solely for statistical res earth and reporting purposes. No information collected under che authority of Section 306 (42 USC 24ZK ) of the Public Health Service Act may be used for any purpose other than the purpose for which it was supplied, and such information may not be published or released in other form if the individual or es tahlishment is identi- fiable unless the individual or establishment has consented to such release. The published statistics based on this survey will shuw the back- ground and training of nursing home employees at the national and region- al levels. These data will be used to develop private and public health mwnpower training prograxns. Because you were randomly selected in the sample for a particular occupational group, your responses represent others in that group. Although your participation is voluntary, it is essential that all staff members respond so that the dataare accurate and complete. Since we have not received your completed questionnaire, another coPY Of the questfomaire and a postage-paid business reply envelepe are enclosed. We would greatly appreciate your co~eration in completing and returning your questionnaire within five working days. The question- naire takes only a few minutes to complete, and your answers are totally confidential. ff you have anv.- auestions, . vou. may call 301/770-2048 collect for answers. Sincerely yours, A-z, Dorothy P. Ri e Director t Enclosures 204 Staff Questionnaire DEPARTi%fENTOF HEALTH, EDUCATION, AND WELFARE OMB # 68-S75025 W3ue )iEALTH SERVICE P.PPROV4L EXPI RI% 12.31.77 Health ResourcesAdministration STAFF flUESTIONNAIRE National Center for Health Statistics 1977 National Nursing Home Survey CONTROLNO. ~ A. LINE NO. ~ B. OCCUPATION CODE Q c. I I I (OceuswtionalTitle) I Confidential Information I Information mrttainad CMthis form which would psrmit identification of any inrkidual or asteblishmenthasdean mlleeted with a guar- antae that it will be held in strict confidence, will be mad cmly for pwpeses stated for this study, and will not be disdosed or releasedto others without the eensent of the individual or the estahlishmmrtin aocordansswith Sastion 308(d) of the Public Health Sawice Aet [42 USC 242mJ. PLEASE READ THESE INSTRUCTIONS BEFORE YOU BEGIN TO ANSWER THE STAFF QUESTIONNAIRE. The letter accompanying this questionnaire explains the purpoassof the s.uwey, the usesof the information, and the confidentiality of the data. Plaasaraad this letter careful Iy before completing tha questionnaire. The occupation for which you were sampled is cited in Item C above. All questions about your work refer to that occupation and you should keep that in mind asyou completa this instrument. “ Most of the questions have detailed instructions printed in italics after them. The instructions were put thereto help you to give the moat accurate answer possibleto the queat;ons, If you have any quastions regarding items on the quaa- tionnaire or how you should complete it, plaaae call COLLECT 301-770-2048 and a National Nursing Homa Survay employee will ba available to help you. Your cooperation in carefully completing tha questionnaire is graatly appreciated. It should take only a few min- utas of your time and the information that you provide is vary important. As straaaadin the latter, these data are held in strictest confidence. When you have completed the questionnaire, please seal it in the postage-paid envelope pro- vidad, You may raturn it to the intewiewer if he is still in the facility or drop it in the mail to the addresscited on the bottom of page 4. 205 1. HOWLONGHAVE YOU WORKEDlNTHEOCCUPATION SPECIFIEDIN ITEM CON THE FRONT OFTHlS QUESTIONNAIRE: (Please be sure fiat both years and ,nonfis a= fj\\ed in. If \ess ~an ~ne year. en~r ,ZW in ym. box; if less than one month, entef “00 in Mos. box.) a. IN THIS FACILITY? l_&.l$l__J b. IN OTHER NURSINGHOMES,HOMESFDR THE AGED, HOSPITALS,DR SIMILAR FACILITI ES?[Only count work experience before your employment in this facility.] !-& L-# OR Mark this box if you have never worked In ❑ any other nursing or hospital facility. 2. ARE YOU A MEMBEROF THE STAFF OF THIS FACILITY OR EMPLOYEElUNOERCONTRACT? (Mark only one box] I ❑ Staff member (Part Time or Full Time) 2 ❑ Under contract [Part Time or Full Time) 3 ❑ Other arrangement, Specify 3. DO YOU USUALLYPERFORMANY OFTHE FOLLOWINGSERVICESIN THIS FACILITY? (Mark the Yes or No box fore line] ❑ a. Administration of the facilky ...... ’ I Yes b. Screening persons foradmission ...... 1 •1 Yes c. Nursing care...... 1 ❑ Yes d. Medical anddental care...... I •l Yes e. Physical therapy ...... 1 ❑ Yes f. Occupational therapy ...... ,+. . . . . I ❑ Yes g. Recreational therapy ...... 1 ❑ Yes h. Speech and hearing therapy ...... 1 El Yes i. Social work, counseling (religious, etc.) ...... 1 El Yes j. Training of staff ...... ,. I El Yes k. Supervision of staff ...... 1 ❑ Yes L Clerical work, medical .md social record keeping ...... - ...... I ❑ Yes m. Kitchen/dietary work, grocery shopping ...... , . . . . I ❑ Yes n. Housekeeping services, maintenance, care of grounds ...... 1 •l Yes o. Other, SpeciW I •l Yes 4. HOWMANY HOURSPERWEEK DO YOU USUALLYWORK———IN THIS FACILITY? W hou:sper IDweek 2 ❑ other time period, Specify 5a. 00 YOU USUALLYWORKANY AOOITIONAL HOURSIN YOUR PROFESSIONBESIDESTHE HOURSWORKEO IN THIS FACILITY? 2 ❑ No (Skip to 22uestion 6.) lCIYes — b. HOWMANY? W h..r, per I ❑ week 2 ❑ other time period, Specify 206 6a. WHAT IS THE HIGHEST YEAR OF EDUCATION YOU HAVE COMPLETED? (p\eaa@ circle only the highest completed year; include wfJatcvcr professional training you have had.) 012345678 9 10 11 12 13 14 15 16 17 18L ) Y ~ ‘—-,-~ Elementary High School College andlor More Than Four Years of Other Training College andlor Other Training If your highest year of completed education is leas than 74 years, skip to Question 7. — b, 00 YOU HAVE AN ASSOCIATE, BACHELOR’S, MASTER’S, OR OOCTORATE OEGREE? I ❑ Yes 2 ❑ No (Skip to Question 7) c. WHICH OF THE FOLLOWING d. SPECIFY MAJOR FIELO OF STUOY FOR e. SPECIFY YEAR DO YOU HOLO? EACH OEGREE. COMPLETEO (1) Associate ❑ (1) 19_ (2) Bachelor’s ❑ (2) _ 19_ (3} Master’s ❑ [3) 19_ (4} Doctorate •1 [4) 19_ 7. OURINGTHE LASTwELvE M0NTH5, HAvEYOu TAKEN ANON-DEGREE TRAtNING COuRSEIN ANY0FTHEF0L- LOWING AREAS? (Train;ngcoums include cla~sesions and~mi"a,s. Do@oti"cludeany coumesyouhave &ken foradegrm. Mar&the Yesor No box for@ line.) a. Nursing care of theaged orchronically ill . . . . . 2 ❑ No I EIYes —p How ~y courses? ❑ b. Medical ordental care of theaged c.rchr.a”icallyill . ZONO I Yes _ How —many courses? ❑ c, Mental orsocial problems of theaged orchronically ill 20N0 I Yes —How —many courses? d. Physical therapy or rehabilitation ...... 20N0 lnYes _ How w courses? e. Occupational therapy ...... 2 ❑ No I ❑ Yes —How ~Y courses7 f, Nutrition or food services ...... 2 ❑ No I •l Yes —How m courses? ❑ ❑ g, Nursing home administration or management . . . 2 No 1 Yes —How —many courses? h. Inservice education ...... 2 ❑ No I ❑ Yes AHOW ~V courses? i. Medical records ...... 2nN0 1 ❑ Yes A HOW w courses> j. Activity programs for the aged or chronically ill . . 2 ❑ No I ❑ Yes —How - courses? k. Social se!vices for the aged or chronically ill . . 2 ❑ No I ❑ Yes —How many courses? 1. Pharmacology and care of drugs . . . . . 2 ❑ No I ❑ Yes —How many courses? m. Other courses related to your work, Specify 2DN0 I ❑ Yes —How ~y courses? 8. ARE YOU 2 ❑ Female? OR I ❑ Male? 9, WHAT IS YOUR OATE OF BIRTH? L#l_#l# 10. WHICH ONE OF THESE GROUPS= OESCRIBES YOUR ETHNIC ORIGIN OR ANCESTRY? ❑ I ❑ White (Not of Hispanic Origin) 4 Asian or Pacific Islander ❑ 2 ❑ Black (Not of Hispanic Origin) 5 Hispanic ~ ❑ American Indian or Alaska Native 207 11. BEFOREDEnUCTIONSWHAT lSYOURSALARY FORTHE WORKYOU PERFORMiNTHISFAClLlTY~Y? (Mark only one box) I Ohour 2 Dday Dollars Cents m ● mPer ~B%lJeeks 5 ❑ one month OR 6 Clyear { 7 Dothertime period, specify D I donate mv services [Skio to Question 13) 12. IN AODITIONTO THIS SALARY, DO YOU RECEIVE: (Mark the Yes or No box fore line) a. Paid vacation, and/or paid holidays, and/or paid sick leawe? ...... , . . . I ayes 20N0 b. Pension plan in addition to Social Security? ...... , . I ❑ Ves 2f3N0 c. Health insurance? ..’...... IaYes ZDNO d.l-ifeinsurance ?..,...... 10Y.9S ZUNU e. Direct medical benefits?...... 1 ❑ Yes 2UN0 f. Release time for attending training institutes? ...... I ❑ Yes 213N0 g. Civic or personal leave (such as leave for jury duty, military reserves, voting, funerals)? ...... I ❑ Yes ZONO h. Hood? ...... I ❑ Yes 2 •1 No i, Meals? ...... I ❑ Yes ZUNO j. Other? Specify I •l Yes 2 •1 No 13. ARE YOU A PHYSICIAN? 2 ❑ No (Skip m the message after Question 20.) I ❑ Yes (Go to Qmstion 14. Questions 14 through 20 apply LW&Yto PhYSiCia17$.) 14a. DO YOU ATTENO YOUR OWNPRIVATE PATIENTSIN THIS HOME? 1 ❑ Yes 2 ❑ No (Ski@ to Question 75) h. HOWMANY OF YOUR OWNPRIVATE PATIENTS00 YOU CURRENTLYATTENO IN THIS FACILITy? b_L..d patients 15. ARE YOU TEMPORARILY ATTENOING PATIENTSIN THIS FACILITY TO COVERFORTHE PATIENT’SOWNPHYSICIAN? I ❑ Yes 2DN0 16. DO YOU TAKE EMERGENCYCALLSFORWPATIENTS IN THIS HOME? I n Yes 2DN0 17. 00 YOU PROVIDE OTHER DIRECT PATIENT SERVICEIN BEHALFOF THE FACILITY’S RESPONSIBILITYFOR SE- CURINGSUCHCOVERAGES(e.g.,Admis$ibn exams, pronouncing deaths, securing medication and diet orders, etd? I ❑ Yes 2DN0 18. 00 YOU PROV1OEFORMAL INSERVICETRAINING TO THE FACILITY’S PERSONNEL? 1 n Yes 2UN0 19. ARE YOU THE MEOICAL OIRECTDR FOR THIS FACILITY? I D Yes 20N0 20. FOR HOWMANY RESIOENTS IN THIS HOME DO YOU PROVIOE MEOICAL CARE? ~ residents THANK YOU FOR YOUR COOPERATION,PLEASERETURNTHE (NJESTIONNAIRETO THE INTERVIEWER IN THE POSTAGE PAIO ENVELOPEPROVIDEDOR OROPIT IN THE MAIL TO: NATIONAL NURSING HOME SURVEY INFORMATICS, INC. 6000 EXECUTIVE 6LVD. ROCKVILLE, MD. 20652 208 APPENDIX IV CRITERIA FOR CLASSIFYING NURSING HOMES ACCORDING TO LEVEL OF NURSING CARE The criteria for classifying faciMies are based care is its primary and predominant function, on several factors: (1) the number of persons re- but some nursing care is also provided. If a facil- ceiving nursing care during the week prior to the ity met either of the following criteria, it was day of the survey; (2) administration of medica- classified as a personal care home with nursing: tions and treatments in accordance with physi- cian’s orders; (3) supervision over medications 1. Some but less than 50 percent of the that may be seIf-administered; (4) the routine residents received nursing care during the provision of the following criterion personal week prior to the survey, and there was services: rub and massage, help with tub bath or one registered professional or licensed shower, help with dressing, correspondence, practicsd nurse or more on the staff. shopping, waIking or getting about, and help 2. Some of the residents received nursing with eating; and (5) the employment of regis- care during the week prior to the survey, tered professional or licensed practical nurses. no registered nurses or licensed practical On the basis of these factors, four types of facil- nurses were on the staff, but one or ities were distinguished and are defined as more of the following conditions were follows: met: Nursing care home. –A facility is a nursing a. Medications and treatments were ad- care home if nursing care is its primary and pre- ministered in accordance with physi- dominant function. Those meeting the follow- cian’s orders. ing criteria are classified as nursing care homes in b. Supervision over self-administered this report: medications was provided. 1. One or more registered nurses or licensed c. Three or more personal services were practical nurses were employed. routinely provided. 2. 50 percent or more of the residents re- ceived nursing care during the week prior Personal care home.–A facility is a personal to the survey. (Nursing care is defined as care home if its primary and predominant func- the provision of one or more of the fol- tion is personal care and no residents received lowing services: nasal feeding, catheteri- m+rsing care during the week prior to the survey. zation, irrigation, oxygen therapy, full Places in which one or both of the following bed bath, enema, hypodermic injection, criteria were met are classified as personal care intravenous injection, temperature-pulse- homes in thk report whether or not they em- respiration check, blood pressure read- ployed registered nurses or licensed practical ing, application of dressings or bandages, nurses: and bowel and bladder retraining.) 1. Medications and treatments were admin- Personal care home with nursing.–A facihty istered in accordance with physician’s is a personal care home with nursing if personal orders, or supervision over medications 209 - that may be self-administered was pro- In the classification process, a criterion WWS vided. considered as not having been met if the ncccs- 2. Three or more of the criterion personal sary information for that criterion w~s un- services were routinely provided.- known. For instance, if the type of nursing staff was unknown for a particular ‘place, it wa; con- Domiciliary care home.–A facility is a domi- sidered as not having met the criteria of having ciliary care home if its primary and predominant one or more registered nurses or licensed practi- function is domiciliary care but the facility has a cal nurses on the staff. Establishments indicating responsibility for providing some personal care. that some nursing care was provided but not giv. If the criteria for a nursing care home or per- ing the number of persons to whom this care sonal care home are not met but one or two of was provided were considered as facilities pro- the criterion personal services are routinely pro- viding nursing care to some but less than 50 per- vided, the facility is classified as a domiciliary cent of their patients or residents, Table XX care home in this report. shows in detail the classification of the facilities, Table XX. Classificationof facilitiesby type of serwce Classificationvariable I Classificationcriteria Some but lessthan Percentof total residentswho receivednursingcare 50 percentor more Nom 50 percent durinathe weekorior to rhe dav of survev...... tI Numberof registeredor ficensedpracticalnurses...... 1+ None f+ None None — — (a) Administrationof medicineor treatmentsac- Yes No .,. Yes No Yes No I — Does the facility offer assistancewith three activ- . . Yes ND . ..1 . ../ %1 No . . . Yes No = Does the facility offer assistancewith one or two . . . Yes Yes No %s Mu amititi=fordailv.ivin.7 ...... I ~~~ — ...... — ,.. Does the facifityoffer room and{or board asitsonly ...... Yes .,. ,., . . . Yts service?...... FaciliW1...... I Nc Pcn Pcn....Pc..Pcn Pcn Pcn Pc D Pc PGDB — lNc=NurshIg care home. BEF Pcn=Personalcarewith nursinghome. 3 E Pc=Pc3,so”sIcarehome. D=Dondcifiarycarehome. B=Boardingor roominghouse (out of scope). 000 210 INDEX (Numbers indicate table numbers) Activities for daily living, index of dependency. .22-25, Charge, average total monthly...... 36-39 31-34,41 Discharges ...... 36-39 Discharges ...... 31-34.41 Residents ...... 36-39 Residents. . , ...... 22-25.41 Chronic conditions and impairments...... 20, Activities fordaily living, type of dependency. ..22-24, 21,24,29,30,33,37,41 27.32,33,35 Discharges ...... 29.30.33,37,41 Discharges ...... 32.33.35 Residents ...... 20.21.24,37,41 Residents ...... 22-24.27 cost ...... 15-17 Administrative sndmedlcrdstaff ...... 4.8-13 .knountpe rresidentday ...... 15-17 Admissions ...... 2.6.19,23,36,40 Fixedcost ...... 16 Agelitr&ations...... 6 Laborcost ...... 16 Numberof ...... 2 Miscelfaneouscost ...... 16 Personwhoarrsnged ...... 19.23.36.40 Operatingcost ...... 16 Typeof ...... 6 Age ...... 5,6, 12, 13, 18, 19,26,27,32,35,36,40 Admksionspolicy,maxirnum ...... 6 Diagnosis, priruary atadmission fordischai-ges . . . . 29, Adrnissionspolicy,minimum...... 6 30,33,37,41 Diagnosis, primary at lsat examination for resi- Building ...... 5 Discharges ...... 32.35.36.40 dents ...... 20,21,24,29, 30,33,37,41 Employees ...... 12.13 Dischargephms ...... 19.23.36.40 Population,Uuited States...... 18 Discharges ...... 2.7.29-43 Residents...... 18,19,26,27,36,40 Activities for daily living, index of deprmd- Alds,speciaf ordevicesused ...... 22,31 ency ...... 31-34. 41 Discharges ...... 31 Activities for daily living, type of depend- Residents ...... 22 ency ...... 32,33,35 Age ...... 32.35.36.40 Aids, speciaf ordevicesused ...... 31 Beds. ..,.. 1,2,3,5,8, 10, 11, 16, 17,27,35,39,43 Amomrt, average psidby primary source. . . . 36-39 CertWled ...... 3 Care,levelof ...... 34.38.42 Number’of ...... 1 Charge, average totaImontbly ...... 36-39 Sizcintervafs ...... 1-3. Chromic corrditions andirnuairrnenta...... 29, 5,8, 10, 11, 16, 17,27,35,39,43 30,33,37,41 Benefitaofemployment ...... 12.13 Diagnosis, primary, at admission. . .29,30,33,37,41 Buifdingcharacteristics ...... 5 Living arrangement after discharge for live Age ...... 5 discharges ...... 36.40 Beds, average nnruberperroom ...... 5 Mznkdstahrsat discharge...... 32.36.40 OnginaIpurpose, ...... 5 Number of ...... ~...... 2,7,29-35,4043 Renovations ...... 5 Otherheahhservices ...... 34.38.42 Payment,prirnary source of...... 36-43 Capitalretnrns ...... 17 Physician’s services ...... 34,35,38,42 Csre,levelof ...... 25.34.38.42 Sex ...... 32.36.40 Discharges ...... 34.38.42 Status,fnnctionaf ...... 31 Residents ...... 25.38.42 Status when discharged (live/dead)...... 29.30.36 Care, primary reason forresidents. . ..21.24,27,37,41 Caahflow ...... 17 Stay, distribution ofduration of. . ...28.30,36,40 Certificationof nursinghomes...... 1-4. Stay, mediandnrationof ...... 28.30.31.34.35 8,10, 11,15-17,27,35,39,43 Therapyservice ...... 34.38.42 211 Education of employees ...... 12,13 Nursing homes . . ...1-8.10.11,15-17,27,35,39,43 Employees ...... 8-14 Admissions,nmnberof ...... 2 Age ...... 12.13 Bed-sizeintervals ...... 1-3. Benefits ofernpIoyment...... 12,13 8,10,11,16,17,27,35,39,43 Contractemployee ...... ,...... 12,13 Certification. .. 1-4,8, 10, 11, 15-17,27,35,39,45 Education ...... 12.13 Charge, averagetotd monthly . . . , .,.,..,..,39 Employmentarrrmgement...... 12,13 Discharges,numberof ...... 2.35.43 Employment,lengthofcurrent ...... 12,13 Facility type. . . 1-3,8,10,11,16,17,27, 35,39,43 Experience, total nnrnher of years ...... 9.12.13 Location . . . . .1-3,8,10,11,16 >17,27,35,39,43 Full-time ...... 9-14 Numberof ...... 1.4-7 FuIMirneequivslentemployees ...... 8 Occupancyrate,annual . . . . . , ...... 2.3 Number of ...... 8-13 Ownership. . . . 1-3,8,10,11, 16,17,27,35,39,43 Part-time ...... -..9-14 Payment,prisnarysourceof. . .,....,,,,...,39 Race/etlmicity...... 12.13 Renovation ...... ,,,...,5 %x ...... 9.12.13 Resident days...... 2.3 Stsffmember ...... 12.13 Residents,number of...... 1.27.43 Vacantstaffpositions. ,...... 14 Stay, medkmdurationo fdischarges ., .,, ,., ,.,2 Wage,averag~hourIy ...... 9 Numingstaff...... ,, ...... 8-14 Experience ofststff, total number of years . ...9. 12,13 Occupancyrate,armual ...... 2.3 Fixedcost ...... 16 Occupatiomdc ategoriesofstaff...... 8-14 Full-timeemployees ...... 9–14 Admissistmtiveandmedicds taff ...... 8.14 Frdl-tirneequiwdentemployees ...... 8 Nursingstaff ...... , ...... 8-14 ‘fherapeuticstaff ...... 8-14 GovemmentownersMp ...... 1. Vacrmtstaffpositions ...... 14 2,3,8,10,11,15-17,27, 35,39,43 Operatingcharacteristics ...... 6 Distinct unit of hospital, other health facility or Heahhcsres esvices...... 7,25,27,34,35,38,42 rctirementcenter ...... 6 Otherheslthcare services ...... 25.34.38.42 Facility member of group of facilkies operatbsg Physician’s services ...... 25.27,34,35,38,42 under one owner (orgenerd authority) . . . . , , . ,6 Providedto disclmrges ...... 34.35.38.42 Operatingcost ...... 16 Provided tononresidents...... 7 Originslpurposeofbuikling... .,, , . .,,. .,,..,5 Providedtoresidents...... 25.27.38.42 Otherhealtb care services ...... 25.34.38.42 Therapyservices ...... 25.34.38.42 Providedto discharges ...... 34.38.42 Homemakingservicesprovided tononresidents...... 7 Providedtoresidents ...... 25.38.42 Otbertypesofservices providedtononresidents .,,.,7 Intermediatecarefacility ...... 1-4. Ovcmigbtleave forrcsidents...... 26 8,10,11,15-17,27,35, 39,43 Ownership ebaracteristics ...... <..1-3. 6,8, 10, 11,15-17,27,35,39,43 Laborcost ...... 16 Facility member of group of facilities operating Lkingarmngement ...... 19.23.36.40 under oneowner (orgeneml atrtbority). . . . ., ..6 Afterdiscbmgeforlivediscbsrges...... 36.40 Government. . . 1-3,8, IO, 11, 15-17,27,35,39,43 Prior toadmission forresidents . . ...19.23.36,40 Proprietary . . . 1-3,8,10,11,15-17,27, 35,39,43 Location ...... 1-3,8, 10, 11, 16,17,27,35,39,43 Voluntary nonprofit . . .. ~.... ,, .,, ...,,1-3, Geographic. . ..1-3.8,10,11,16,17, 27,35,39,43 8, 10, 11, 15-17,27,35,39,43 Stsndard Federsl Adrniistrative Region ...... 1-3. 8,10,11,16,17,27,35, 39,43 Participation inrecreationd activities forresidents, ,.26 Part-tiine employees ...... 9-14 Mmitalstatus ...... l9. 23,26,32,36,40 Payments, primary source of, for discharges and resi. Ofdischarges, atdiscbsrge ...... 32.36,40 dents ...... , ., ...36-43 Ofresidents, current ...... 19, 23,26,36,40 Average amount paid ...... 36-39 Medicaid ...... 3.36-43 Medicaid, intermediate...... , , . 36-43 Medicaldirector ...... 4 Medicaid, skilkd...... , ., ..,36-43 Medicare ...... 3.36-43 Medicare ...... 36-43 Medication during Iast7days forresidents...... 21 (knincorn eorfamilysupport. ,.. , ...... 36-43 Miscellsneouscost ...... 16 Welfare orotberg?vemment assistance . . . . . 36-43 Person whoarranged admission ...... 19,23,36,40 Netincome ...... 17 Pbysiciars’s services ...... 25. 27.34. 35.38.42 Notcertifiedfaciiities ...... 1. Discharges ...... 34,35,38,42 2,4,8, 10, 11, 15-17,27,35,39,43 Residents ...... 25,27,38,42 212 pulation, United States ...... 18 Mkcefkmeouscost ...... 16 ‘Age of ...... 18 Netincome ...... 17 Numberof ...... 18 Operatiugcost ...... 16 oprietaryhomes ...... 1-3. Payment, primary source of...... 37.39.43 8,10,11,15-17,27,35, 39,43 Revenues ...... 15, 17 Servicescharacteristics ...... 4 ace[etkricity ...... 12,13,19,23,26,27,36, 40 Level of skfll of charge person on duty for facWies Employees...... 12.13 withthreesh]fts ...... 4 Residents ...... 19.23.26.27.36.40 ,.. Medicsfdirector arrangements...... 4 ehabdltatlonsermces...... 4 . . . RehabMationservicesroutinelypro vialed ...... 4 enovation affacrhties...... 5 Services routinely provided to residents...... 4 esidentdays ...... 2,3 Servicesprovidedtononresidents...... 6,7 esidentr ...... 1.18-27.36-43 Anyapplicsnt ...... 7 Activities for daily living, index of depend- Dischargedresident ...... 7 ency...... 22-25,41 Healthcare ...... 7 Activities for daily living, type of depend- Homemaking ...... 7 ency, ...... 22-24,27 Numheroffacilities ...... 6 Age ...... l8. 19,26,27,36,40 Other ...... 7 Aids,specidordevicesused ...... 22 Persononwaitinglist ...... 7 Amount, average paid byprirrrary sources . . . 36-39 Sociafservices ...... 7 Csre,levelof ...... 25.38.42 Therapy ...... 7 Care,primsryreason for ...... 2l. 24,27,37,41 Services routinely provided toresidents...... 4 Charge, average totdmonthly...... 36-39 Sex ...... 9, 12,13,19,23,32,36,40 Chronic conditions andimpairments...... 20, Discharges ...... 32.36.40 21,24>37,41 Employees ...... 9.12.13 Diagnosis, primary atkstexsmination ...... 20, Residents ...... 19.23.36.40 21,24,37,41 SkiII, level of chsrge person on duty for facilities with Discharge pbms...... 19.23,36,40 tbreeshifts ...... 4 Living arrangement prior toatilssion...... 19, Skiflednursingfacilities ...... 1-3. 23,36,40 4,8,10, 11,15-17,27,35,39,43 Maritsl status, current ...... 19.23 .26.36.40 Socidsemicesprovided tonoruesidents...... 7 Medication, during lsst 7 days ...... 21 Status ...... I...... 22.29.30.31,36 Number of ...... 1,18-27,40-43 Functiomdfordischarges...... 31 Other hesltbservices ...25,38,42....25,38,42 Functiomdforresideks ...... 22 Overnight leave ...... 26 Whendischarged (fiv’/dead) ...... 29.30.36 Participation inrecreational activities ...... 26 Stay ...... 2,19,21,22,25r -28,31, 34-36,40 Payment, prirrmry source of...... 36-43 Discharges, distribrrtion nfduration . .28,30,36,40 Person whoarrangcd adruission . . ...19.23.36,40 Discha.rges,medisn~duration . . ...28.30.31,34,35 Physician’s services ...... 25. 27.38.42 Residents, distribqirm of length of since admis- Race/ethnicity ...... 19. 23.26 .27.36.40 sion ...... 19.21.36.40 Sex ...... 19.23,36,40 Residents, mediart length ofsinceacbnission. ;. .“19, Status, functional ...... 22 22,25-27 Stay, distribution oflengtb ofsince admission . . 19, 21,36,40 Temporary resident ...... 19.23.36.40 Stay, median lengtbafsince arbnission ...... 19, Therapeuticstaff ...... 8-14 22,25-27 Therapysewice ...... 7,25,34,38,42 Temporary resident...... 19. 23.36.40 Providedto discharges ...... 34.38.42 Therapy service ...... 25.38.42 Providedtononresidents...... 7 Visitors received ...... 26 Providedtoresidents ...... 25.38.42 Revenue, ebrirge andcost components...... 15-17. 37,39,43 Vacantstaffpositions ...... 14 Capital return s ...... 17 Vkitorsreceivedforresidents ...... 26 Cash flow ...... 17 Vohrntarynonprofithomes...... 1-3. Charge, average total monthly ...... 37,39 8,10, 11,15-17,27,35,39,43 Crrst, totsl ...... 15-17.39 Fixed cost ...... 16 Wage,averagehourlyofstaff...... 9 Laborcost ...... 16 Waitingfistmsiutained. .,...... 6 213 w.s. ‘=~- PEt~lUG OFSICB: 1979 281-259/25 VITAL AND HEALTH STATISTICSSeries Series 1. Programs and Collection Procedures.- Reports which describe the general programs of the National Center for Health Statistics and its offices and divisions and data collection methods used and include definitions and other material necessary for understanding the data. Series 2. Data Evaluation and Methods Research. –Studies of new statistical methodology including experi- mental tests of new survey methods, studies of vital statistics collection methods, new analytical techniques, objective evaluations of reliability of collected data, and contributions to statistical theory. Series 3. Analytical Studies. -Reports presenting amdyticaf or interpretive studies based on vital and health statistics, carrying the analysis further thaw the expository types of reports in the other series. Sers”es4. Documents and Committee Reports. —Final reports of major committees concerned with vital and heaftb statistics and documents such as recommended model vitat registration laws and revised birth and death certificates. Series 10. Data From the Health Interview Suruey. -Statistics on illness, accidentd injuries, disability, use of hospital, medical, dental, and other services, and other health-reIated topics, ail based on data coIlected in a continuing natiosnd household interview survey. Smirs 11. Data .%om the Health Examination Survey and the Health and Nutrition Examination Survey .–Data from direct examination, testing, and measurement of national samples of the civilian noninstitu- tionalized population provide the basis for two types of reports: (1) estimates of the medically defined prevalence of specific dkeases in the United States and the distributions of the population with respect to physical, physiological, and psychologicrd characteristics and (2) anafysis of relationships among the various measurements with out reference to an explicit tlmite universe of persons. Sers’es 1 ~. Data From the Institutionalized Population Surveys .-Discontinued effective 1975. Future reports from these surveys will be in Series 13. .. Series 13. Data on Health Resources Utilization. -Statistics on the utilization of health maupower and facilities providing long-term care, ambulatory care, hospital care, and family planning services, Series 14. Data on Health Resources: Manporuer and Facilities. -Statistics on the numbers, geographic d~tri- bution, and characteristics of heattb resources inchdkg physicians, dentists, nurses, other health occupations, hospitafs, nursing homes, and outpatient facilities. Series 20. Data cm Mortality. –Various statistics on mortality other than as included in regnlar smmaf or monthly reports. Special amdyses by cause of death, age, and other demographic variables; geographic and time series analyses; and statistics on characteristics of deaths not avaikble from the vital records based on sample surveys of those records. Series 21. Data on Natality, Marriage, and Divorce. –Various statistics on natality, marriage, and divorce other than as included in regular annuaf or monthly reports. Special analyses by demographic variables; geographic and time series analyses; studies of fertility; and statistics on characteristics of births not available from the vital records based on sample surveys of those records. ; Sers”es22. Data From the National Mortality and Natality Surveys. –Discontinued effective 1975. Future reports i from these sample surveys based on vital records will be included in Series 20 and 21, respectively. Series 23, Data From the National Survey of Family Growth, –Statistics on fertility, family formation and dk- solution, famify planning, and related maternal and infant health topics derived from a bienniaf survey of a nationwide probab~lty sample of ever-married women 1544 years of age. ,, For a fist of titfes of reports published in these series, write to: Scientific and Technical Information Branch National Center for Heafth Statistics Public Health Service Hyattsville, Md. 20782 . Table 23. Number and parcentdistribution of nureing home residents by dependency in a~~vities of daily tiving and index of dependency in activities of daily living, according to saleoted other resident characteristics United States, 1977—Con. Dq.mdenwInmtiwllesofdallyMg Bperdmcyill 33ME9 ofMy kil!w 1 1 1 , + %&hk 3%” De$.yient M Requues dtliwliy Rquras ResMantchmaclemw other residents ms!smrme a!x?n +nyy:; nssqya m~~l assi51ance all 6 m bathrg Indmd”g ~lletmm In eahng chahfml t44g 3m21ns Mbtilasl 1 1 I r I Number OUTSWE LIVING ARRANGEMENT-1% Perwn Y&I manwd w adn!i,Slog . self...... 77,300 46,496 26,7CUI m,ow 37,700 woo 9,aao 22,5Lq i5,Wl 8,3ce 7,e40 8.590 . 75,800 71aca 65,W0 62,200 30,700 jfi i7,7ao 29,399 s.41?3 w&:::::::::::::::::::::::::::::::::::: 509.s00 45W6 S36,wo 2%%’ W9,700 J& W4,7MI 25,S40 553W 59,400 50,1M 65,640 134,166 46,324 01herr01aIw63...... 2E0,500 S25,1w 162,130 138,WQ $7t,900 Wsilo 22,904 3ZJ2 22,s20 m,m 2(9DO 42,02.2 5B,2V2 29,790 Sc-aalwwkef...... 1W60 152.S$6 116,300 89,790 108,400 7iwo s,fflo 23,102 21,7S0 i3,2e0 15,2W 39,200 15,9W Slalfalmuslmtimn,,,,,.,...,, ...... 141.166 113,W2 3Q,120 79,700 55,800 41,100 21,SQ0 18,900 Io,m 9$00 tz,ml 17,000 26,6(Q 13,7WI LNhefl...... 344,766 301WI 246,2W 18: 234,84!0 i6t3C0 li4,coo 29,5W 39,703 42,s03 30,900 31,724 52,w0 63,1XHJ 33,2al Wm.3rav Ident . Yes...... 16,700 iztm t8,400 7,700 5,700 5,500 F400runknwn ...... 12%% 1,1%% @s3,2&3 672,5!0 043,2Q0 582,070 419,290 116,!X41 158,WI 155,9ca W7,4S0 t21,000 m,t w 299,9fIIl rMlmm lllaw Wltin6 mondm...... ,..,, 49,699 39,730 30,20i7 24,100 23,400 i2,sMo 9@o 6,324 8,024 5,7W 6,720 Not@mwl.,,.....,,,,,....,...... ,...... 1254,100 [/w3sod 874,11M W3,3KI 326,200 576,9C0 415,49Q 116,190 1$% IS%! I05,5SU 116,3W 197,WI 296,6W 112,503 se. !COmm, atend 01table ..-— FOSTAGE AND FEES PAID NCHS US DEPARTMENT:&::: U S DEPARTMENT OF HEALTH. Education. AND WELFARE Pub!,. Health Serv,m Nmmnd Cm,” for HealNI S[m,mcs 37CQ EWI We$i Hr@waY Q-- Hy.mwlle, Mmylma 20782 THIFID CLASS — OFFICIAL 8US1NESS ——_ ___ o PENALTY FOR PRIVATE uSE, S300 ——. . —— ____