Nursing andRelated CareHomesas Reported fromthe 1980 NMFI Survey

Statistics on nursing and related care

homes are presented based on data

collected for the 1980 National Master

Facility Inventory Survey. The statistics

include the number of homes, beds,

residents, and employees, as well as types

of ownership and geographic distribution.

Data From the National HealthSurvey *Series 14, No. 29

DHHS Publication No. (PHS) 84-1824

U.S. Department of Health and Human

Services

Public Health Service

National Center for Health Statistics,

Hyattsville, Md.

December 1983

.-

Copyright Information

All material appearing In th!s report is in the publlc domam and may bereproduced or cop!ed without permission: citation as to source, however, IS

appreciated.

Suggested Citation

National Center for Health Stat! stlcs, A. SIrrocco’ Nursing and related carehomes as reporled from the 1980 NMFI survey. V/ta/ and Hea/th Sfat@cs

Series 14-No.29. DHHS Pub. No. (PHS) 84-1824. Publtc Health SerwceWashington U.S Government Printing Office. December 1983.

Lbrary of Congress Cataloging in Pubfketion Data

%rocco, Al.Nursing and related care homes as reported from the 1980 NMFI survey(DHHS publmat!on; no. (PHS) 84-1 824) (Vital & health siatlstlcs. Series 14

Data from the national health survey: no 29)

Supt. of Dots. no. HE 20.6209:14291, Nursing homes—United States—Stat@cs. 2. Long-term care facilltles—

Umted States—Statlatlcs. 1.Title. Il. Series, Ill. Series: Vdal and health

!Xailstlcs Series 14, Data from the national health survey: no 29. [DNLM 1Nursing homes—United States—Stat!s!ics. W2 A N148vn no. 29]RA997.S567 1983 362.1 ‘6’0973 83-600301ISBN 0-8406-0286-3

I.—

For sale by the Superintendent of Documents, U S. Government Prlrmng Office, Washington, D C. 20402

.—.

National Center for Health Statistics

Manning Feinleib, M. D., Dr. P. H., Director

Robert A. Israel, Deputy Director

Jacob J. Feldman, Ph. D., Associate Director for Analysis and

Epidemiology

Gail F. Fisher, Ph. D., Associate Director for the Cooperative

Health Statistics System

Garrie J. Losee, Associate Director for Data Processing and

Services

Alvan O. Zarate, Ph. D., Assistant Director for International

Statistics

E. Earl Bryant, Associate Director for Interview and Examination

Statistics

Robert L. Qttave, Associate Director for Management

Monroe G. Sirken, Ph. D., Associate Director for Research and

Methodology

Peter L. Hurley, Associate Director for Vital and Health Care

Statistics

Alice Haywood, Information Oj?cer

Vial and HealthCare StatisticsProgram

Peter L. Hurley, Associate Director

Gloria Kapantais, Assistant to the Director for Data Policy,

Planning, and Analysis

Divisionof HealthCare Statistics

W. Edward Bacon, Ph. D., Director

Joan F. Van Nostrand, Deputy Director

Evelyn S. Mathis, Chiej Long-Term Care Statistics Branch

Cooperation of the U.S. Bureau of the CensusUnder the legislation establishing the National Health Survey, the

public Health Service is authorized to use. insofar as uossible, the servicesor facilities of other Federal, State, or private agencie;.

In accordance with specifications established by the National Centerfor Health Statistics, the Bureau of the Census, under a contractualarrangement, participated in collecting the data for the 1980 NationalMaster Facility Inventory Survey.

Introduction . . . . . . . . . . . . . . . . . . . . . . . . .

Highlights, . . . . . . . . . . . . . . . . . . . . . . . . .

References , . . . . . . . . . . . . . . . . . . . . . . . . .

Listofdetailedtables . . . . . . . . . . . . . . . . . . . .

Appendixes

I. Technical notes . . . . . . . . . . . . . . . . . . . . .II. Questionnnaires used in the survey . . . . . . . . . . . .111,Definitions ofcertain terms used in this report . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

.-.

. . .

0.0

z

●

#

Symbols

Data not available

Category not applicable

Quantity zero

Quantity more than zero but less than0.05

Quantity more than zero but less than500 where numbers are rounded tothousands

Figure does not meet standards ofreliability or precision (more than 30-percent relative standard error)

Figure suppressed to comply withconfidentiality requirements

Nursing andRelated Care Homesby Al Sirrocco, Division of Health Care Statistics

IntroductionThe data presented in this report reflect findings from

the 1980 National Master Facility Inventory Survey ofnursing and related care homes. The tables include statisticson numbers of homes, beds, residents, employees,admissions, and discharges. These variables are shown withsuch characteristics as type of ownership, bed size group,geographic region, and State.

The National Center for Health Statistics first conductedthe National Master Facility Inventory (NMFI) Survey in1963, followed by Surveys in 1967, 1969, 1971, 1973,1976, and 1978. Prior to the 19781 survey, the inventoryincluded hospitals, nursing and related care homes, andother types of inpatient health facilities (for example, homesfor the blind, deaf, mentally retarded, and emotionallydisturbed). The 1978 and 1980 inventories have data onlyon nursing and related care homes. Data for hospitals arenow obtained directly from the American HospitalAssociation (AHA). For convenience, this report will usethe terms “nursing and related care homes” and “nursing

homes” interchangeably.Due to changes in collection coverage beginning in

1976 (see appendix I), certain types of facilities have beenadded and others deleted. The most notable change incoverage for 1980 involved the additions of more than 2,500

adult foster care homes in Michigan and of 1,000 residentialcommunity care facilities in California, These homes mayhave existed in prior years, but were only recently identifiedas meeting the minimum definitional requirements of theNational Center for Heakh Statistics for inclusion in theNational Master Facility Invento~.

Another notable change in the 1980 inventory is theexclusion of all identifiable hospital-based nursing homesand extended care facilities. Previous NMFI Surveys includedmany of these homes; however, the inability to obtain dataon all such facilities from all States resulted in the decisionto drop them from the survey and to use the AHA figuresfor these facilities. In 1980, according to AHA, there were1,056 such facilities, with 76,024 beds.2

From the discussion above, it is apparent that anycomparisons between the 1980 and earlier NMFI Surveysmust be made with extreme caution. If comparisons areattempted, it is recommended they be made among only thelarger homes (25 beds or more), since most of the additions,deletions, and definitional changes to the surveys applied tothe smaller homes. In addition, the counts of hospital-basednursing homes should be eliminated when comparing thosepre-1980 surveys with the 1980 survey.

Highlights

The following statistics represent highlights from thetables presented in this report (see detailed tables). Additionaltables and an overview of the 1980 National Master FacilityInventory (NMFI) Survey data have been published else-where. 3Table 1 — The U.S. average for number of nursing home

beds per 1,000 persons 65 years and over was 60.2.The States with the three highest averages were SouthDakota (95.0), Nebraska (92.2), and Washington (90.8).At the other extreme, Florida (21.4), New Mexico (26.5),and West Virginia (27.0) had the three lowest averages.

Table 2 — Of the 23,065 nursing homes, half had fewerthan 50 beds and 95 percent had fewer than 200 beds.California, with its residential community care facilities(RCCF’S) and Michigan, with its adult foster care homes(AFCH’S), together accounted for 72 percent of the homesthat had fewer than 10 beds and for 40 percent of thosewith 10-24 beds.

Table 3 — Forty percent of all nursing home beds werein homes with 100-199 beds. In addition, of the Stateswith more than 20,000 beds, five had more than halfof their total beds in homes with 100-199 beds. Allfive of these States were located in the South Region(Louisiana, 56.7 percent; Texas, 55.9 percent; Georgia,54.2 percent; Alabama, 52.5 percent; and Florida, 51.1percent).

Table 4 — Nationwide, about 80 percent of nursing homeswere under proprietary ownership, However, in six States(Alaska, Minnesota, Nebraska, North Dakota, SouthDakota, and Wisconsin), no more than half of the homeswere under proprietary ownership. (Note that five ofthese six States were in the North Central Region.)

Table 5 — Approximately 70 percent of all nursing homebeds were in homes under proprietary ownership. SevenStates (the six States mentioned above plus Pennsylvania)and the District of Columbia had fewer than half oftheir nursing home beds in such homes.

Table 6 — The, large numbers of small proprietary homesin the North Central (3,141) and West (2,975) Regionsare very apparent in this table. Michigan’s AFCH’S madeup 2,504 (30 percent) of the North Central Region’stotal, and California’s RCCF’S made up 2,576 (45 per-cent) of the West Region’s total.

Table 7 — The high number and percent of homes with3–9 beds was not unexpected considering the additionof Michigan’s AFCH’S and California’s RCCF’S. Thehigh number and percent of homes with 100-199 beds

(for every ownership category) indicates a tendency to-ward this size of nursing home.

Table 8 — The number and percent of beds in nursinghomes with 100-199 beds is nearly three times higherthan the next largest group. More than 40 percent ofall nursing home beds and nearly 44 percent of proprietarynursing home beds were in homes of this size.

Table 9 — Nursing homes in most of the States employed”more licensed practical nurses (LPN’s) than registerednurses (RN’s). In 10 States (Alabama, Arkansas, Georgia,Louisiana, Mississippi, New Mexico, Oklahoma, Tennes-see, Texas, and Utah), all from the South Region, nursinghomes employed more than twice as many. Among theStates with more RN’s than LPN’s, the most notablewere Arizona, Connecticut, Delaware, New Hampshire,New Jersey, Oregon, South Dakota, and Washington.

Tables 10-13 — Nursing homes in the Northeast Regionemployed’ the most full-time RN’s, having almost asmany as the South and West Regions combined (table10). This was not a result of the Northeast having morenursing homes and nursing home beds; in fact, therewere far fewer homes in this region than in the otherthree regions and far fewer beds than in both the NorthCentral and South Regions.

A possible explanation for the high number of RN’sin the Northeast Region could lie in the types and sizesof the nursing homes within the four regions. The certifi-cation data collected in the survey were incomplete (seeappendix I), but according to the ~nformation that wasavailable, the Northeast Region had many more largeskilled nursing facilities (SNF’S) than did the South andWest Regions. Of SNF’S with 200 or more beds, theNortheast Region had 295, compared with 113 and 64for the South and West Regions, respectively. Of SNF’Swith 500 beds or more, the Northeast Region had 37,the South Region had 4, and the West Region had none.

Because SNF’S are required to (1) provide skillednursing care and (2) maintain 24-hour coverage by RN’s,they would be expected to have more RN’s than wouldthe noncertified homes. Results from the 1977 NationalNursing Home Survey tended to substantiate this

aThe NMF1 Surveys included only nursing home employees on the stttt’fpayroll, not those employed under contract. Since RN’s and LPN’s areoccasionally employed under contract, they are undercounted in these surveyh.

2

hypothesis. Of the 66,900 estimated full-time equivalent(FTE)b RN’s employed in nursing homes at that time,53,000 (79 percent) were in homes classified as SNF’S.4The Northeast Region, with many more large SNF’S,therefore could be expected to have many more RN’salso.

Nursing homes in the Northeast Region employed”the most part-time RN’s, followed by the North CentralRegion. Each of these regions had more part-time RN’sthan did the South and West combined (table 11). Nursinghomes in the South Region employed’ the most full-timeLPN’s. The West had by far the fewest, employingonly 14percent of the full-time LPN’s (table 12).

Although nursing homes in the North Central andNortheast Regions employed’ many more part-time LPN’sthan did the South (table 13), when these figures arecombined with the full-time LPN’s (table 12) to form

full-time equivalents (FfE’s), the South Region hadmany more FTE LPN’s (25,685) than did the NorthCentral (21,633) or Northeast (18,510) Regions. TheWest homes employed not only the fewest FTE LPN’s(10,920), but also the fewest FTE RN’s (tables 10 and11). Combining these results shows the West had onlyhalf as many nurses (IWE RN’s plus LPN’s) employedin their nursing homes as did each of the other threeregions.

Table 14 — Turnover rates (admissions per bed) were higherfor the medium-sized nursing homes (50 to 299 beds)than for either the small or the large homes. Theserates were also higher for proprietary homes and forhomes in the West.

bFull-time equivalents = (number of full-time employees) + (number ofpart-time employees + 2).

References

‘National Center for Health Statistics, G. Strahan: Inpatient healthfacilities statistics, United States, 1978. Vital and Health Statistics.Series 14-No. 24. DHHS Pub. No. (PHS) 81-1819. Public HealthService. Washington. U.S. Government Printing Office, Mar.1981.

‘American Hospital Association: Hospital Statistics, 198I ed.Chicago. American Hospital Association, 1981.

3National Center for Health Statistics, A. Sirrocco: An overview ofthe 1980 National Master Facility Inventory Survey of nursing andrelated care homes. Advance data from Vital and Health Statistics.No. 91. DHHS Pub. No. (PHS) 83-1250. Public Health Service.Hyattsville, Md. U.S. Government Printing Office, Aug. 11, 1983.

4National Center for Health Statistics, A. Sirrocco: Employees innursing homes in the United States, 1977 National Nursing HomeSurvey. Vital and Health Statistics. Series 14-No. 25. DHHS Pub.No. (PHS) 81-1820. Public Health Service. Washington. U.S.Government Printing Office, Feb. 1981.

‘National Center for Health Statistics: The Agency ReportingSystem for maintaining the national inventory of hospitals andinstitutions. Vital and Health Statistics. Series 1-No. 6. PHS Pub.No. 1000. Public Health Service. Washington. U.S. GovernmentPrinting Office, Apr. 1968.

List of detailed tables

1, Number of persons 65 years and over, nursing and relatedcare homes, beds, residents, and beds per 1,000 persons

65 years and over, by State: United States,1980 . . . . . . . . . . . . . . . . . . . . . . . . . .

2, Number of nursing and related care homes by bed sizegroup and State: United States, 1980 . . . . . . . . .

3. Number of beds in nursing and related care homes bybcd size group and State: United States, 1980 . . .

4. Number of nursing and related care homes by ownershipand State: United States, 1980 . . . . . . . . . . . .

5, Number of beds in nursing and related care homes byownership and State: United States, 1980 . . . . . .

6. Number of nursing and related care homes and beds,by geographic region, ownership, and bed size group:United States, 1980 . . . . . . . . . . . . . . . . . .

7. Number and percent distribution of nursing and relatedcare homes, according to ownership and bed size group:

United States, 1980 . . . . . . . . . . . . . . . . . .

8, Number and percent distribution of beds in nursing and

related care homes, accordhg to ownership and bed sizegroup: United States, 1980 . . . . . . . . . . . . . .

6

7

8

9

10

11

11

11

9. Number of full-time and part-time registered nurses (RN’s)and licensed practical nurses (LPN’s) employed in nursing

and related care homes, by State: United States,1980 . . . . . . . . . . . . . . . . . . . . . . . . ..I2

10. Number of full-time registered nurses (RN’s) employedin nursing and related care homes by ownership, bedsize group, and region: United States, 1980 . . . . . 13

11. Number of part-time registered nurses (RN’s) employed

in nursing and related care homes by ownership, bedsize group, and region: United States, 1980 . . . . . 13

12. Number of full-time licensed practical nurses (LPN’s) em-ployed in nursing and related care homes by ownership,

bed size group, and region: United States,1980 . . . . . . . . . . . . . . . . . . . . . . . ...14

13. Number of part-time licensed practical nurses (LPN’s)employed in nursing and related care homes by ownership,

bed size group, and region: United States,1980 . . . . . . . . . . . . . . . . . . . . . . ...14

14. Selected data on admissions and discharges in nursingand related care homes by bed size group, ownership,and region: United States, 1980 . . . . . . . . . , 15

5

Tab@ 1. Number of persons S5 yesrs and over, nursing and releted care home% beds reaidantq and beds per 1,000 population 65 years ●nd over,by State: United State~ 1980

All beds/1,000Total population

65 years andpopulation

85 years andState over Homes Beds Residenta over

United Statesi . . . . . . . . . . . . . . . . . .

Alabama . . . . . . . . . . . . . . . . . . . . .Alaska . . . . . . . . . . . . . . . . . . . . . . .

Arizona . . . . . . . . . . . . . . . . . . . . . .

Arkansas . . . . . . . . . . . . . . . . . . . . .California . . . . . . . . . . . . . . . . . . . . .Colorado . . . . . . . . . . . . . . . . . . . . .Connecticut . . . . . . . . . . . . . . . . . . . .Delaware . . . . . . . . . . . . . . . . . . . . .

DistrictofColumbia . . . . . . . . . . . . . . . .

Florida . . . . . . . . . . . . . . . . . . . . . . .

Georgia . . . . . . . . . . . . . . . . . . . . . .Hawaii . . . . . . . . . . . . . . . . . . . . . . .

Idaho . . . . . . . . . . . . . . . . . . . . . . .

Illinois . . . . . . . . . . . . . . . . . . . . . . .

Indiana . . . . . . . . . . . . . . . . . . . . . .lowa . . . . . . . . . . . . . . . . . . . . . . . .Kansas . . . . . . . . . . . . . . . . . . . . . .

Kentucky . . . . . . . . . . . . . . . . . . . . .

Louisiana . . . . . . . . . . . . . . . . . . . . .Maine . . . . . . . . . . . . . . . . . . . . . . .Maryland . . . . . . . . . . . . . . . . . . . . .Massachusetts . . . . . . . . . . . . . . . . . .Michigan . . . . . . . . . . . . . . . . . . . . .

Minnesota . . . . . . . . . . . . . . . . . . . . .Mississippi . . . . . . . . . . . . . . . . . . . .

Missouri . . . . . . . . . . . . . . . . . . . . . .Montana . . . . . . . . . . . . . . . . . . . . .Nebraska . . . . . . . . . . . . . . . . . . . . .

Nevada . . . . . . . . . . . . . . . . . . . . . .

New Hampshire . . . . . . . . . . . . . . . . . .

New Jersey . . . . . . . . . . . . . . . . . . . .

New Mexico . . . . . . . . . . . . . . . . . . . .New York . . . . . . . . . . . . . . . . . . . . .

North Carolina . . . . . . . . . . . . . . . . . .North Dakota . . . . . . . . . . . . . . . . . . .Ohio . . . . . . . . . . . . . . . . . . . . . . . .

Oklahoma . . . . . . . . . . . . . . . . . . . . .

Oregon . . . . . . . . . . . . . . . . . . . . . .

Pennsylvania . . . . . . . . . . . . . . . . . . .Rhode island . . . . . . . . . . . . . . . . . . .South Carolina . . . . . . . . . . . . . . . . . .South Dakota . . . . . . . . . . . . . . . . . . .Tennessee . . . . . . . . . . . . . . . . . . . .

Texas . . . . . . . . . . . . . . . . . . . . . . .

Utah . . . . . . . . . . . . . . . . . . . . . . . .Vermont . . . . . . . . . . . . . . . . . . . . . .Virginia . . . . . . . . . . . . . . . . . . . . . .Washington . . . . . . . . . . . . . . . . . . . .

West Virginia . . . . . . . . . . . . . . . . . . .Wisconsin . . . . . . . . . . . . . . . . . . . . .Wyoming . . . . . . . . . . . . . . . . . . . . .

Number in thousands

25,544

44012

307312

2,415247365

59

741,665

51776

94

1,261585367

306410

404141396727

912

460269646

85206

66

103

860116

2,161

60280

1,169

376

303

1,531127287

91516

1,371

10956

505431

236

56437

23,065

210

9120

1964,134

161320

32

49

355

326243

57

761456469

357

310201424187800

3,036

409

156667

66262

31

67

47172

826

94086

960

346

196

550110194138

249

997

74172

436543

120427

19

1,537,336

20,6511,029

9,309

19,236183,482

17,31021,244

2,530

3,160

36,12230,041

2,8054,355

86,36344,51134,64125,20626,265

21,67211,31720,72652,254

60,082

41,93112,25346,691

5,65216,990

2,022

6,672

37,625

3,075103,952

32,1736,450

76,280

27,101

17,362

75,9076,653

11,9908,647

21,692

101,326

5,0524,706

27,377

39,153

6,42349,847

1,759

1,396,132

19,394776

8,30717,844

146,64415,44619,542

2,372

2,713

32,36526,290

2,606

4,010

77,61936,26131,811

22,36623,547

20,60910,57119,56446,52471,240

36,33711,55340,678

5,25117,273

1,665

6,14534,968

2,604

99,49330,200

6,06369,841

23,952

16,304

88,6416,120

10,627

6,08719,439

69,241

4,5644,236

21,73135,867

5,73346,484

1,634

80.2

46.985.8

30.3

61.767.770.058.242.9

43.0

21.4

58.136.946.3

70.176.189.5

82.464.1

53.680.352.371.9

67.6

67.442.472.166.592.2

30.664.6

44.026.5

46.1

53,480.665.3

72.1

57.4

49.668.141.8

95.041.9

73.9

46.361.154.290.8

27.068.447.5

‘Ses appendix I for qualifications of various States’ data.

NOTE Population figures maynotadd lototal duetoroundng.

6

Table2. Numkrof numingand rektedmre homes, by bedsize group and SWt& United Ststes, 1980

All 3-9 10-24 25-49 50-74 75-99 100-199 200-299 300499 500 badsStates homes beds beds beds beds beds beds beds beds or more

UnitedStates’ . . . . . . . . . . . . . . . . . .

Alabama . . . . . . . . . . . . . . . . . . . . .Alaska . . . . . . . . . . . . . . . . . . . . . . .Arizona . . . . . . . . . . . . . . . . . . . . . .Arkansas . . . . . . . . . . . . . . . . . . . . .

California . . . . . . . . . . . . . . . . . . . . .Colorado . . . . . . . . . . . . . . . . . . . . .Connecticut . . . . . . . . . . . . . . . . . . . .Delaware . . . . . . . . . . . . . . . . . . . . .DiatrictofColumbia . . . . . . . . . . . . . . . .

Florida . . . . . . . . . . . . . . . . . . . . . . .

Georgia . . . . . . . . . . . . . . . . . . . . . .Hawaii . . . . . . . . . . . . . . . . . . . . . . .Idaho . . . . . . . . . . . . . . . . . . . . . . .

Illlnoia . . . . . . . . . . . . . . . . . . . . . . .

Indiana . . . . . . . . . . . . . . . . . . . . . .Iowa . . . . . . . . . . . . . . . . . . . . . . . .Kansas . . . . . . . . . . . . . . . . . . . . . .Kentucky . . . . . . . . . . . . . . . . . . . . .Louisiana . . . . . . . . . . . . . . . . . . . . .

Maine . . . . . . . . . . . . . . . . . . . . . . .Maryland . . . . . . . . . . . . . . . . . . . . .Massachusetts . . . . . . . . . . . . . . . . . .Michigan . . . . . . . . . . . . . . . . . . . . .Minnesota . . . . . . . . . . . . . . . . . . . . .

Mississippi . . . . . . . . . . . . . . . . . . . .Missouri . . . . . . . . . . . . . . . . . . . . . .Montana . . . . . . . . . . . . . . . . . . . . .Nebraska . . . . . . . . . . . . . . . . . . . . .Nevada . . . . . . . . . . . . . . . . . . . . . .

NewHampshire . . . . . . . . . . . . . . . . . .New Jersey . . . . . . . . . . . . . . . . . . . .New Mexico . . . . . . . . . . . . . . . . . . . .New York . . . . . . . . . . . . . . . . . . . . .North Carolina, . . . . . . . . . . . . . . . . .

North Dakota . . . . . . . . . . . . . . . . . . .

Ohio . . . . . . . . . . . . . . . . . . . . . . . .

Oklahoma . . . . . . . . . . . . . . . . . . . . .Oregon . . . . . . . . . . . . . . . . . . .Pennsylvania . . . . . . . . . . . . . . . . . . .

Rhode Island . . . . . . . . . . . . . . . . . . .

South Carolina . . . . . . . . . . . . . . . . . .

South Dakota . . . . . . . . . . . . . . . . . . .Tennessee .,,......,.. . . . . . . . .Texas . . . . . . . . . . . . . . . . . . . . . . .Utah . . . . . . . . . . . . . . . . . . . . . . . .Vermont . . . . . . . . . . . . . . . . . . . . .

Virginia . . . . . . . . . . . . . . . . . . . . . .Washington . . . . . . . . . . . . . . . . . . . .WestVirglnia, . . . . . . . . . . . . . . . . . .

Wisconsin. . . . . . . . . . . . . . . . . . . . .Wyoming . . . . . . . . . . . . . . . . . . . . .

23,065

2109

120196

4,134161320

3249

355326243

57761456469357310201424187800

3,038409

156887

86262

31

67471

72828940

86

960348196550110

194138249997

74172438543120427

19

5,492

1

2,040

16

230

111

216

1

518

2

219

121,904

35

1416

1323

131913

499

622

24186

179875815

1

3,006

1

221

5591

9164

161876

28

3238

725

2

6317

165637

27

6206

112410

1413420

14687

5

122

5152017

393

15113

37117111

2629

3,030

301

2724

3521669

61

4731

81287

124845256

95932

232783927

1662236

32085

7123109

20

210

57428323

392763

105232661682755

1

3,332

481

1855

3094141

52

7871

412

14073

174172703645279689103

51128

19101

4154611528727

195

13137882317

5250

235191250751872

5

2,375

371

1739

4441625

43

4448

213

160

5472435049212589637114

639

364

532

71004315

97464257

9332137

14612

315631059

5

4,737

645

2667

3487466

83

141132

313

241

1309879949515

66190202138

52144

1745

724

1307

217105

17

279100

56209

32

381569

446161380

11622

153

8

9166

609

6

2

2414

31

73

25

64991

15134515

1102413

17

111

61

47

7

48

6

2

16

47

1827

241

1

2026

341

2810

2

141

1411

7

3

311

143

31

2

30

2117

75

15

77

1

22

11

3

51

1

1

62

3

231

2

215

2

1

2

lScm appendix I forqualificatlonsof various States’ data.

Table3. N~&rof Winnuming andreht@ amhwes, by&d stiegroup and State: United Statea, 1980

All 3-9 10-24 25-49 50-74 75-99 100-199 200-299 300-499 500 bedsState homes beds beds beds beds beds beds beds beds or more

United States’ . . . . . . . . . . . . . . . . . .

Alabama . . . . . . . . . . . . . . . . . . . . .Alaska . . . . . . . . . . . . . . . . . . . . . . .Arizona . . . . . . . . . . . . . . . . . . . . . .Arkansas . . . . . . . . . . . . . . . . . . . . .Cafifomia . . . . . . . . . . . . . . . . . . . . .Colorado . . . . . . . . . . . . . . . . . . . . .

Connecticut . . . . . . . . . . . . . . . . . . . .

Delaware . . . . . . . . . . . . . . . . . . . . .DistrictofColumbia . . . . . . . . . . . . . . . .Florida . . . . . . . . . . . . . . . . . . . . . . .

Georgia . . . . . . . . . . . . . . . . . . . . . .Hawaii . . . . . . . . . . . . . . . . . . . . . . .Idaho . . . . . . . . . . . . . . . . . . . . . . .

Mnoia.. . . . . . . . . . . . . . . . . . . . . .Indiana . . . . . . . . . . . . . . . . . . . . . .Iowa . . . . . . . . . . . . . . . . . . . . . . . .

Kansas . . . . . . . . . . . . . . . . . . . . . .

Kentucky, . . . . . . . . . . . . . . . . . . . .

Louisiana. . . . . . . . . . . . . . . . . . . . .Maine . . . . . . . . . . . . . . . . . . . . . . .Maryland . . . . . . . . . . . . . . . . . . . . .Massachusetts . . . . . . . . . . . . . . . . . .

Michigan . . . . . . . . . . . . . . . . . . . . .Minnaeota . . . . . . . . . . . . . . . . . . . . .Mississippi . . . . . . . . . . . . . . . . . . . .

Mbsouri . . . . . . . . . . . . . . . . . . . . . .Montana . . . . . . . . . . . . . . . . . . . . .Nebraska . . . . . . . . . . . . . . . . . . . . .Nevada . . . . . . . . . . . . . . . . . . . . . .NewHampshire . . . . . . . . . . . . . . . . . .

NewJersey . . . . . . . . . . . . . . . . . . . .NawMexico . . . . . . . . . . . . . . . . . . . .

New York . . . . . . . . . . . . . . . . . . . . .North Carolina . . . . . . . . . . . . . . . . . .North Dakota . . . . . . . . . . . . . . . . . . .

Ohio . . . . . . . . . . . . . . . . . . . . . . . .Oklahoma . . . . . . . . . . . . . . . . . . . . .

Oregon . . . . . . . . . . . . . . . . . . . . . .Pennsylvania . . . . . . . . . . . . . . . . . . .Rhode Island . . . . . . . . . . . . . . . . . . .South Carolina . . . . . . . . . . . . . . . . . .South Dakota . . . . . . . . . . . . . . . . . . .

Tennessee . . . . . . . . . . . . . . . . . . . .Texas . . . . . . . . . . . . . . . . . . . . . . .Utah . . . . . . . . . . . . . . . . . . . . . . . .Vermont . . . . . . . . . . . . . . . . . . . . . .Virginia . . . . . . . . . . . . . . . . . . . . . .

Washington . . . . . . . . . . . . . . . . . . . .Weatvirginia . . . . . . . . . . . . . . . . . . .Wisconsin . . . . . . . . . . . . . . . . . . . . .Wyoming . . . . . . . . . . . . . . . . . . . . .

1,537,338

20,651

1,0299,309

19,238163,482

17,310

21,244

2,5303,180

36,12230,041

2,8054,355

88,36344,511

34,641

25,206

26,26521,67211,31720,726

52,25480,08241,93112,25346,691

5,65218,9902,022

6,67237,825

3,075

103,95232,1736,450

76,280

27,101

17,382

75,907a,653

11,990

6,647

21,692101,326

5,0524,706

27,377

39,1536,423

49,6471,759

29,238

9

11,103

78

13134

7

62856

327

100

13

1,228

969,817

2536

64840

96111495

106

1012,397

46

7

13

-h167

108

41

7478

592

38073

9

47,965

20

37922

8,29123

1,589

8066

294

287114109542597

592

147

45930

1,136377

2,926

8,741462103

3,282205391173245

2,290

3232,4641,426

972,276

82

280

406263558

60

274214

62569

1,914

1,803429551

112,093

1,242

48973673

13,410

616

2,417222

251,7361,201

270470

3,5384,790

3,398

2,120

2,106348

2,037“1,150

8,0382,9871,4551,0165,687

8341,380

99749

2,961

278

4,3873,793

8017,326

2,229

1,614

3,032766

1,464

1,060

2,5674,176

8431,002

2,093

3,256699

2,043

48

t99,873

2,833

641,0963,475

18,7492,417

2,493

296113

4,6754,359

247695

6,7364,376

10,258

9,602

4,2072,2512,7401,592

5,896

5,3866,4833,0327,5881,184

6,175253852

2,756

648

3,1955,0991,645

10,819

7,661

2,281

5,3361,3761,047

3,145

3,12914,249

1,205

702

2,9794,4621,0304,461

305

208,995

3,136

961,4413,277

41,1971,600

2,245

347263

3,8144,235

1621,147

14,3604,762

6,238

3,5664,4104,2531,7842,2287,501

5,5315,9931,2185,455

7673,032

349416

2,608

612

8,4763,7021,299

8,663

3,893

3,664

5,019733

2,856

1,716

3,21612,934

1,041272

1,251

5,529889

5,122435

617,165

10,848

6053,6438,223

46,083

9,767

9,009

921462

18,44616,274

4401,724

32,69117,801

12,081

8,666

12,16212,282

1,8169,030

24,332

26,39618,6636,618

18,8262,1705,856

8952,788

17,286

794

29,96312,8512,049

33,815

11,665

6,914

28,5994,1294,820

1,938

9,557

56,6531,6941,683

10,94715,5602,663

20,656971

t 77,581

2,037

2161,4561,822

14,1212,179

1,384

4575,7703,241

716210

16,9625,609

1,292

8872,1841,894

200

3,5963,087

10,5503,540

2302,391

4321,005

242

6964,019

26,1921,287

220

10,7181,544

11,2571,366

459

295

1,28710,439

4,443

6,173420

10,054

90,564

312

7,438708

2,029

9751,380

382

9,6833,705

724

3781,229

376

5,5124,011

2,414

1,055

9123,913

31415,8121,097

339727

11,034

619325

386

2,663

2,523

1,990

5,621

54,044

533

1,5461,090

651685

1,8662,844

682

614

1,582

5,1621,279

.

1,697

14,362519

1,890.

2,61611,224

1,235

635

1,330

lSeeappsndix lforqualificatiins ofvarious States’ dab.

8

Table 4. Numberof nursingandratetedcarehome%by typeof owrrerahfpand State United Statea 1980

State

United States’ . . . . . . . . . . . . . . . . . .

Alabama . . . . . . . . . . . . . . . . . . . . .Alaska . . . . . . . . . . . . . . . . . . . . . . .Arizona . . . . . . . . . . . . . . . . . . . . . .Arkansas . . . . . . . . . . . . . . . . . . . . .California . . . . . . . . . . . . . . . . . . . . .Colorado . . . . . . . . . . . . . . . . . . . . .Connecticut . . . . . . . . . . . . . . . . . . . .Delaware . . . . . . . . . . . . . . . . . . . . .DistrlctofColumbia . . . . . . . . . . . . . . . .Florida. . . . . . . . . . . . . . . . . . . . . . .Gaorgla . . . . . . . . . . . . . . . . . . . . . .Hawaii, . . . . . . . . . . . . . . . . . . . . . .Idaho . . . . . . . . . . . . . . . . . . . . . . .Illinois . . . . . . . . . . . . . . . . . . . . . . .Indiana . . . . . . . . . . . . . . . . . . . . . .Iowa . . . . . . . . . . . . . . . . . . . . . . . .Kansas . . . . . . . . . . . . . . . . . . . . . .Kentucky . . . . . . . . . . . . . . . . . . . . .Louisiana . . . . . . . . . . . . . . . . . . . . .Maine, . . . . . . . . . . . . . . . . . . . . . .Maryland . . . . . . . . . . . . . . . . . . . . .Massachusetfa . . . . . . . . . . . . . . . . . .Michigan . . . . . . . . . . . . . . . . . . . . .Minnesota . . . . . . . . . . . . . . . . . . . . .Mississippi . . . . . . . . . . . . . . . . . . . .Missouri . . . . . . . . . . . . . . . . . . . . . .Montana . . . . . . . . . . . . . . . . . . . . .Nebraska, . . . . . . . . . . . . . . . . . . . .Nevada . . . . . . . . . . . . . . . . . . . . . .NewHampshke . . . . . . . . . . . . . . . . . .New Jersey, . . . . . . . . . . . . . . . . . . .NewMexlco . . . . . . . . . . . . . . . . . . . .New York . . . . . . . . . . . . . . . . . . . . .North Carolina . . . . . . . . . . . . . . . . . .North Dakota . . . . . . . . . . . . . . . . . . .Ohio . . . . . . . . . . . . . . . . . . . . . . . .Oklahoma . . . . . . . . . . . . . . . . . . . . .Oregon . . . . . . . . . . . . . . . . . . . . . .Pennsylvania . . . . . . . . . . . . . . . . . . .Rhode laland . . . . . . . . . . . . . . . . . . .SoulhCarolina . . . . . . . . . . . . . . . . . .South Dakota . . . . . . . . . . . . . . . . . . .Tennessee . . . . . . . . . . . . . . . . . . . .Texas . . . . . . . . . . . . . . . . . . . . . . .Utah . . . . . . . . . . . . . . . . . . . . . . . .Vermont . . . . . . . . . . . . . . . . . . . . . .Virginia .,, .,, . . . . . . . . . . . . . . . .Washington. . . . . . . . . . . . . . . . . . . .WestVkglnia . . . . . . . . . . . . . . . . . . .Wisconsin . . . . . . . . . . . . . . . . . . . . .Wyoming . . . . . . . . . . . . . . . . . . . . .

All homes

23,065

2109

120196

4,1341613203249

35532624357

761458489357310201424187800

3,03640915666786

2623167

47172

82694066

960346196550110f941382499977417243654312042719

936

2434

22106421

17372121

165429105101020525423371645413162

5422

7081046

114

4413241361

763

Proprietary

18,669

164396

1623,6611252672035

25326223136

553368317239241164346126655

2,691191119708511262559

36455

52368220

7273081493009315486162

8616513235541394

21810

Nonprofit

3,460

223

2012

243284910136527107

2077411889593268511259516414

12219892158915

25156641633237

204172968431237

366812425

1316

lSes appandlxI forqusllficallonsofvariousStatea’dafa.

9

Table5. Number of beds innuraing andrelated care homes, bytypeof ownership and State United States, 1980

All types ofState ownership Government Proprietary Nonprofit

United States’ . . . . . . . . . . . . . . . . . .

Alabama . . . . . . . . . . . . . . . . . . . . .Alaska . . . . . . . . . . . . . . . . . . . . . . .Arizona . . . . . . . . . . . . . . . . . . . . . .

Arkansas . . . . . . . . . . . . . . . . . . . . .

California . . . . . . . . . . . . . . . . . . . . .Colorado . . . . . . . . . . . . . . . . . . . . .Connecticut . . . . . . . . . . . . . . . . . . . .Delaware . . . . . . . . . . . . . . . . . . . . .

DistrictofColumbia . . . . . . . . . . . . . . . .Florida . . . . . . . . . . . . . . . . . . . . . . .Georgia . . . . . . . . . . . . . . . . . . . . . .Hawaii . . . . . . . . . . . . . . . . . . . . . . .Idaho . . . . . . . . . . . . . . . . . . . . . . .Illinois . . . . . . . . . . . . . . . . . . . . . . .

Indiana. . . . . . . . . . . . . . . . . . . . . .Iowa . . . . . . . . . . . . . . . . . . . . . . . .

Kanaas . . . . . . . . . . . . . . . . . . . . . .Kentucky . . . . . . . . . . . . . . . . . . . . .Louisiana . . . . . . . . . . . . . . . . . . . . .Maine . . . . . . . . . . . . . . . . . . . . . . .Maryland . . . . . . . . . . . . . . . . . . . . .Massachusetts . . . . . . . . . . . . . . . . . .Michigan . . . . . . . . . . . . . . . . . . . . .

Minnesota . . . . . . . . . . . . . . . . . . . . .

Mississippi . . . . . . . . . . . . . . . . . . . .Missouri . . . . . . . . . . . . . . . . . . . . . .Montana . . . . . . . . . . . . . . . . . . . . .

Nebraska . . . . . . . . . . . . . . . . . . . . .Nevada . . . . . . . . . . . . . . . . . . . . . .

New Hampshire . . . . . . . . . . . . . . . . . .New Jersey . . . . . . . . . . . . . . . . . . . .New Mexico . . . . . . . . . . . . . . . . . . . .

New York . . . . . . . . . . . . . . . . . . . . .

North Carolina . . . . . . . . . . . . . . . . . .

North Dakota . . . . . . . . . . . . . . . . . . .

Ohio . . . . . . . . . . . . . . . . . . . . . . . .Oklahoma . . . . . . . . . . . . . . . . . . . . .Oregon . . . . . . . . . . . . . . . . . . . . . .

Pennsylvania . . . . . . . . . . . . . . . . . . .

Rhode Island . . . . . . . . . . . . . . . . . . .

South Carolina . . . . . . . . . . . . . . . . . .South Dakota . . . . . . . . . . . . . . . . . . .Tennessee . . . . . . . . . . . . . . . . . . . .

Texas . . . . . . . . . . . . . . . . . . . . . . .

Utah . . . . . . . . . . . . . . . . . . . . . . . .Vermont . . . . . . . . . . . . . . . . . . . . . .

Mrginia . . . . . . . . . . . . . . . . . . . . . .Washington . . . . . . . . . . . . . . . . . . . .

West Virginia . . . . . . . . . . . . . . . . . . .

Wisconsin . . . . . . . . . . . . . . . . . . . . .Wyoming . . . . . . . . . . . . . . . . . . . . .

1,537,338

20,6511,029

9,309

19,238163,462

17,31021,244

2,530

3,180

36,12230,041

2,8054,355

88,383

44,51134,64125,20826,26521,672

11,31720,726

52,254

80,082

41,931

12,25346,691

5,65216,990

2,022

6,67237,e25

3,075103,952

32,173

6,450

76,28027,10117,362

75,907

6,65311,990

e,64721,692

101,328

5,0524,706

27,377

39,153

6,423

49,8471,759

126,907

1,666370523

3,224936764750

659

665

1,4962,750

164488209

2,5834,452

1,649794

1,068214

2,644949

11,174

6,218

1,320

3,4251,152

3,113

315

2,205

3,493361

11,201

612195

7,771908

3,230

17,926

1,032719

4,625

655

105214

1,216

391

200

13,642230

1,072,243

16,556417

6,65315,169

141,84313,86416,657

1,291

749

26,84724,226

2,1773,328

84,379

31,02621,330

16,83319,40917,749

8,95113,02142,217

57,859

17,777

10,086

31,4053,3019,052

1,587

3,62226,184

1,766

56,41426,715

1,483

52,78623,82111,602

28,498

7,106

9,1413,367

13,871

87,5914,4753,380

16,424

28,621

4,707

21,886962

338,166

2,227242

2,133

84520,703

2,6623,837

580

1,746

7,7793,065

464539

23,795

10,902

8,659

6,7266,0622,635

2,1525,061

9,08811,049

17,936

84711,861

1,199

6,825

120

6458,148

928

36,337

4,846

4,772

15,7212,3722,550

29,483

1,5471,8174,561

3,19613,082

4721,1127,737

10,141

1,516

14,319547

‘See append!x I for qualifications of various States’ data,

10

Table 6. Number of nursing and releted sare homes and beds, by geographic region, type of ownership, snd bed size United States, 1980

All geographic regions NortheastType of owneffih~

North Central South West

and bed size Homes Beds Homes Beds Homes Beds Homes Beds Homes Beds

All types of ownerships . . . .

3-24 beds . . . . . . . . . . .25.49 beds . . . . . . . . . .50-99 beds . . . . . . . . . .100 beds or more . . . . . . .

Government . . . . . . . . . .

3.24 beds . . . . . . . . . . .25-49 beds, . . . . . . . . .50-99 beds . . . . . . . . . .100 beds or more . . . . . . .

Proprietary . . . . . . . . . .

3-24 beds . . . . . . . . . . .25-49 beds . . . . . . . . . .50-99 beds . . . . . . . . . .

100 beds or more....,..

Nonprofit . . . . . . . . . . .

3-24 beds . . . . . . . . . . .25-49 beds . . . . . . . . . .50-99 beds . . . . . . . . . .100 beds ormore . . . . . . .

23,065

8,4983,0305,7075,830

936

53170322391

18,669

7,9602,2524,2294,208

3,460

465608

1,1561,231

1,537,338

77,203112,093408,668939,374

126,907

765

6,53521,70697,901

1,072,243

69,81082,693

304,290

615,450

336,188

6,62822,865

82,672226,023

3,762

1,042722761

1,237

169

1116

34106

2,739

866559524

786

854

163

145

203343

322,530

13,98025,40954,600

228,541

36,952

101610

2,49433,747

193,029

11,69019,64637,279124,414

92,549

2,1895,15314,62770,360

8,252

3,266980

2,0801,926

442

19

64171188

6,426

3,141710

1,3511,224

1,384

106206558514

521,661

28,81736,765144,431311,628

55,150

3082,50011,52340,819

329,185

26,76826,25093,456182)709

137,326

1,7418,035

39,45086,100

5,306

1,060726

1,6741,826

243

11669274

4,362

996514

1,3381,514

701

73146244236

420,762

10,11927,140117,971265,532

25,776

1542,5746,11116,937

329,373

6,76619,17894,450

206,977

65,613

1,1975,36817,41041,618

5,745

3,110602

1,192841

82

12

222523

5,142

2,975469

1,016

682

521

123111

151136

272,385

24,287

22,75991,666

133,673

9,029

202

6511,578

6,396

220,656

22,58417,61979,103

101,350

42,700

1,5014,289

10,98525,925

Table 7. Number and percent distribution of nursing and related sare homes, by bed size, according to type of ownership: United States, 1980

All types of ownership Government Proprietary Nonprofit

Number of Percent Number of Percent Number of Percent Number of PercentBed size homes distribution homes distribution homes distribution homes distribution

All bedslzea . . . . . . . . . . . . . . . 23,065 100.0 936 100.0 18,669 100.0 3,460 100.0

3-9 beds . . . . . . . . . . . . . . . . .10-24 beds . . . . . . . . . . . . . . . .

25.49 beds . . . . . . . . . . . . . . . .

50-74 beds . . . . . . . . . . . . . . . .75-99 beds . . . . . . . . . . . . . . . .100-199 beds . . . . . . . . . . . . . . .200-299 beds . . . . . . . . . . . . . . .

300-499 beds . . . . . . . . . . . . . . .

500 bedsormore . . . . . . . . . . . . .

5,4923,0063,0303,3322,3754,73776625077

23.813.013.114.4

10.320.5

3.31.1

0.3

15

38170223

99237

664244

1.64.1

18.223.8

10.625.3

7.34.54.7

5,3432,637

2,2522,430

1,7993,631

477

8911

28.614.112.113.09.619.42.60.50.1

134

331

608679477869221119

22

3.99.6

17.619.6

13.825.1

6.43.40.6

Tabb6. Num&rand percent dstnbution of Wsinnursing andrelated ~rehomes, by bedsbe, acmrdng to~eofownersMp: United Ststeq 1980

All types of ownership Government Proprietary Nonprofit

Number of Percent Number of Percent Number of Percent Number of PercentBed size beds distribution beds distribution beds distribution beds distribution

All bedsizes . . . . . . . . . . . . . . . 1,537,338 100.0 126,907 100.0 1,072,243 100.0 338,188 100.0

3-9 beds . . . . . . . . . . . . . . . . .10-24 beds . . . . . . . . . . . . . . . .

25-49 beds . . . . . . . . . . . . . . . .50.74 beds . . . . . . . . . . . . . . . .75-99 beds . . . . . . . . . . . . . . . .

100.199 beds, . . . . . . . . . . . . . .200-299 beds . . . . . . . . . . . . . . .300-499 beds . . . . . . . . . . . . . . .500 beds ormore . . . . . . . . . . . . .

29,23847,965112,093199,673208,995617,165177,58190,68454,044

1.93.17.313.013.640.111.65.93.5

94671

6,53513,2708,436

31,79216,15315,56834,368

0.10.5

5.110.5

6.6

25.1

12.712.327.1

28,30441,50682,693

145,398158,892

468,742109,40630,661

6,641

2.63.97.7

13.614.8

43.710.22.90.6

8405,788

22,86541,00541,667116,63152,02244,33513,035

0.21.76.812.112.334.515.413.13.9

II

Table9. Num&rof fulktime andpafl-time registered numes(RNa) and KcenaMpmctial nurses (LPNa)empbyed innuraing andrelated care homes,by State: United Statea, 19S0

Registered nurses Licensed practical nurses

State Full-time PaH-time Full-time Part-t/me

United Statea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Alabama . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Alaska’ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Arizona . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Arkansas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .California . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Colorado . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Connecticut . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Delaware . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .DistrictofColumbia . . . . . . . . . . . . . . . . . . . . . . . . . . . .Florida . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Georgia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Hawaii . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Idaho . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Illinois . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Indiana . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .lowa . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Kansas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

KentuckyZ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Louisiana . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Maine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Maryland . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Massachusetts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Michigan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Minnesota . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Mississippi . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Missouri . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Montana . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Nebraska . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Nevada . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .NewHampshire4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

New Jersey . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

New Mexico . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

New York . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .North Carolina . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .North Dakota . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Ohio . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Oklahoma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Oregon . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Pennsylvania . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Rhode Island . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

South Carolina . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

South Dakota5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Tennessee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Texas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Utah . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Vermont . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Wr9inia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Washington . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .West Virginia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Wisconsin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Wyoming . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

45,153

439

25491350

3,495

623

1,026

101144

1,519643

100

184

2,886967661413

353275

299

6401,873

1,5861,212

321706

208

313110422

1,663

84

6,850

819137

2,251245

701

3,423342433

213

4141,029

109

138

815

1,386214

1,415

65

34,023

183

6235

962,622

662

1,146

7141

733339

63

168

2,07174i669

352236

90

302471

2,621

1,4511,657

223557149

35237

282

1,573

31

3,324455192881116431

3,198456185

226

172506

71

228

561

326125

2,260

60

61,239

1,567

18

3571,3175,290

577

658

76106

1,9961,917

78

2153,0951,259

671655600

1,073

260785

1,7902,0871,195

9881,410

193

453

85250

1,229

252

5,7031,155

1283,640

606497

3,595256

671155

1,443

6,196282

147

1,183

927350

1,536

65

31,018

536

396

2642,626

394

540

3329

741610

35

1741,566

520708253

400289

296

3652,4161,4941,556

337545

95

33926

I66

797

41

2,955492137

901156

273

1,583

330241

146

4911,697

89157

494

273110

2,131

44

‘197e RN and LPN data were used in Alaska.2Kentucky reported RNs and LPNsinterms of full-time equivalents (FTE) (471 fu114imeequivalentRNsande Ol LPN’s): thenumbers that appear here for full-t!mesnd part-l{ meareesltmates3197a RN data were used m Massachusetts.4New Hampshire reported RNs and LPNsin terms of ~Es (563 FTE RNsand 334 ITE LPNs); lhenumbers that appear here for full-tlme and part-time are estrmates5197S RN and LPN data were used in South Dakota.

12

Table IO. Number of full-time roistered nurses (RN's) empbyed innursing andrelated urehmes, bykdshe, andgeqrapMr~n: United States,19s0

Type of ownershr@ All geographicand bed size regions Northeast North Central South West

All types of ownerehlp . . . .

3-24 beds . . . . . . . . . . .25-49 beds . . . . . . . . . .50-99 beds . . . . . . . . . .100 beds or more, . . . . . .

Government . . . . . . . . . .

3-24 beds . . . . . . . . . . .25-49 beds . . . . . . . . . .

50-99 beds . . . . . . . . . .100 beds or more . . . . . . .

Proprietary . . . . . , , . . .

3-24 beds . . . . . . . . . . .25-49 bade . . . . . . . . . .

50-99 beds . . . . . . . . . .100 beds or more . . . . . . .

Nonprofit . . . . . . . . . . .

3-24 beds . . . . . . . . . . .25-49 beds . . . . . . . . . .50-99 beds . . . . . . . . . .

100 beds or more . . . . . . .

45,153

5932,430

10,67931,451

5,335

19

195

6424,479

26,527

3351,5657,647

1a,960

11,291

239651

2,391

8,010

16,036

175692

2,45712,712

2,493

0

27169

2,297

8,769

143

5431,674

6,409

4,774

32123

615

4,004

12,780

146634

3,2236,775

1,591

4

24

2281,335

7,856

97427

2,0745,260

3,331

471a3

921

2,180

8,754

1784a4

2,1965,896

6a7

o

97179611

5,974

61

2351,555

4,123

1,893

117152462

1,162

7,563

92620

2,6034,068

364

15

47

66

236

5,926

34

360

2,344

3,168

1,293

43

193

393

664

NOTE In Alaska, 1978 RN and LPN data were used. Kentucky reported RNs and LPNs in terms of full-time equivalents (471 FTE RNs and 801 FTE LPNs): the numbens that a~ear here forfull.time and psrt-lime are astimates, In Maasachusetta, 197S RN data were used. New Hampshire reported RN’s and LPN’s in terms of HEs (563 HE RNa and 334 HE LPNs): the numbersthat appear here for full-time and part-time are estimates. In South Dakota, 197S RN and LPN data were used.

Table 11. Number of part-time registered nurses (RN’s) empbyed in nursing and related care homes, by type of ownership, bed eke, and geographcregion: United States, 1980

Type of ownerah~ All geographicand bed size regions Northeast North Central South West

All bedslzes . . . . . . . . . 34,023 13,130 11,429 4,603 4,861

3-24 beds . . . . . . . . . . . 630 259 171 77 123

25-49 bade . . . . . . . . . . 2,677 1,049 678 350 60050-99 beds . . . . . . . . . . 9,747 3,127 3,314 1,347 1,959100 beds or more . . . . . . . 20,969 a,695 7,266 2,829 2,179

Government . . . . . . . . . . 2,386 884 1,056 282 164

3-24 beds . . . . . . . . . . . 29 0 5 0 24

25-49 beds . . . . . . . . . . 162 10 41 62 4950-99 beds . . . . . . . . . . 444 75 236 84 49100 beds or more . . . . . . . 1,751 799 774 136 42

Proprietary . . . . . . . . . . 21,741 6,457 6,312 3,194 3,778

3-24 beds . . . . . . . . . . . 366 196 98 41 5125-49 beda . . . . . . . . . . 1,763 820 3ao 1a4 37950-99 beds . . . . . . . . . . 6,641 2,219 1,6a8 957 1,579

100 bede or more . . . . . . . 12,961 5,222 3,948 2,012 1,769

Nonprofit . . . . . . . . . . . 9,896 3,789 4,061 1,127 919

3-24 beda . . . . . . . . . . . 215 63 66 36 4825-49 beds . . . . . . . . . . 750 217 257 104 172

50-99 beds . . . . . . . . . . 2,660 831 1,192 306 331100 bede or more . . . . . . . 6,271 2,678 2,544 681 368

NOTE In Alaska, 1978 RN and LPN data were used. Kentucky reported RNs and LPNs in terms of full-time equivalents (471 FTE RNa and 801 FTE LPNs); the numbers that appear here forIull.timfr and part-time are estimates, In Massachusetts, 197S RN data were used. New Hampshire repated RNs and LPNs in terms of ~Es (563 HE RNs and 334 HE LPNs); the numbers

that appaar hera for full-time snd part.time are estimatea. In South Dakota, 1976 RN and LPN data were used.

13

T#sfe 12. Number of fulf-tfmeiiuensed prealicalnwaes (LPN’s) employed in nursing and rektod care homes, by type of ownershp bed size, ●ndgoegrspbis region: United Sisteq IWO

Type of ownership All geographicand bed size regians Nortffeast North Central South West

All types of ownership . . . . 61,239

1,0043,816

16,51339,908

13,888 16,464 22,031 8,836

234671

3,7874,144

3-24 beds . . . . . . . . . . .25-49 beds . . . . . . . . . .50-99 beds . . . . . . . . . .100 beds ormore . . . . . . .

226672

1,93711,053

2721,2214,676

10,315

2721,2526,113

14,394

Government . . . . . . . . . . 7,637

29386

1,064

6,146

2,843 2,261 2,098 435

165684

297

3-24 beds . . . . . . . . . . .25-49 baas . . . . . . . . . .50-99 baas . . . . . . . . . .100 beds or more . . . . . . .

7256476

1,357

026

1732,644

456

3511,850

Proprietary . . . . . . . . . .

3-24 bade . . . . . . . . . . .25-49 beds . . . . . . . . . .

50-99 beda . . . . . . . . . .100 bedsornwe . . . . . . .

41,515

737

2,66212,55425,562

12,067

238758

2,$956,186

7,103 10,509 16,599 7,304

187

5091,2245,183

236

9493,2626,062

131727

4,72511,016

163

4773,3433,301

Nonprofit . . . . . . . . . . .

3-24 baas . . . . . . . . . . .25-49 beds . . . . . . . . . .50-99 tseds . . . . . . . . . .100 beds or more . . . . . . .

3,942 3,714 3,334 1,097

33138380546

39137540

3,226

32216

1,0632,403

134267912

2,021

NOTE In Alaska, 1978 RN and LPN data were used. Kentucky reported RNs and LPNs in terms of full-time equivalents (471 HE RNs acd 801 HE LPNe): the numbwa that appear here forfull-time and part-time are eatima!es. In Maasachuaetta, 197s RN data were used. New Hampshire reperted RN’s and LPNs in terms of FTEs (563 WE RNe and 334 FTE LPNs): the numbersthat sppasr here for full-time and part-time are estimates. In 3outh Dakota, 1978 RN and LPN data were used.

Tsble 13. Number ef peI+ti Iisensset pmticsl nurses (LPN’s) ampleyed in rrure@I and rakrtedcars ha+nes,by typa of swrwship, bad siss, andWs@icre9i0m Unhe4fStat4r* 19s9

Type of owrrarsh~ All geographic

and bad size regions Northeast North Central South West

All types of ownership . . . . 31,018 9,244 10,296 7,307 4,169

3-24 beds . . . . . . . . . . . 845 295 142 69 11925-49 beds . . . . . . . . . . 2,750 902 726 637 48550-99 beds . . . . . . . . . . 9,615 2,033 3,402 2,367 2,013100 beds ormore . . . . . . . 17,808 6,014 6,028 4,214 1,552

Government . . . . . . . . . . 1,930 461 1,007 356 106

3-24 beds . . . . . . . . . . . 35 3 8 0 2425-49 baas . . . . . . . . . . 154 17 29 74 3450-99 beds . . . . . . . . . . 493 54 282 126 31100 bads or more . . . . . . . 1,246 367 688 156 17

Proprietary . . . . . . . . . . 21,837 6,351 6,191 5,774 3,521

3-24 beds . . . . . . . . . . . 472 264 92 59 5725-49 beds . . . . . . . . . . 1,992 705 496 420 37150-99 baste . . . . . . . . . . 7,216 1,502 2,044 1,889 1,781100 bads or more . . . . . . . 12,157 3,680 3,559 3,406 1,312

Nonprofit . . . . . . . . . . . 7,251 2,432 3,100 1,177 542

3-24 baas . . . . . . . . . . . 136 28 42 30 3825-49 beds . . . . . . . . . . 604 160 201 143 6050-99 beds.......,.. 2,106 477 1,076 352 201100 beds or more . . . . . . . 4,403 1,747 i ,761 652 223

NOTE In Alaaka, 1978 RN and LPN data were usad. Kentucky repertad RN’s and LPNs in terms of full-time equivalents (471 HE RNs and 801 HE LPNa); the numbers that appear here forfull-time and part-time are esbmates. In Maasachueefts, 1978 RN data were used. New Hampshire repotted RNs and LPN’s in terrna of ~Es (563 HE RNa and 334 FTE LPN’s); the numbersthat appear hare for full-time and part-time are estimates. In EzaJth Dakefa, 1978 RN and LPN data were used.

14

Table 14. Selected data cmadmissions and discharges in nursing and related care homes by bed size, type of ownership, and geographc region:United Statea, 19S0

Homes reporting admissions Homes reporting discharges

Selected Admissions Dischargescharacterktic Homes Admissions Beds Rer bed Homes Discharges Beds per bed

Total . . . . . . . . . . . . . . . . . . . . 16,410 1,038,356 1,371,471 0.76 16,412 943,586 1,372,149 0.69

Bed size3-9 beds . . . . . . . . . . . . . . . . .10.24 beds . . . . . . . . . . . . . . . .25-49 beds . . . . . . . . . . . . . . . .50-74beds . . . . . . . . . . . . . . . .75-99beds . . . . . . . . . . . . . . . .100-199 beds . . . . . . . . . . . . . . .

200-299beds . . . . . . . . . . . . . . .300-499beds . . . . . . . . . . . . . . .500bedsormore . . . . . . . . . . . . .

1,6091,6472,5692,9972,2064,384

697229

72

5,36216,196

58,235127,eo2161,105484,325124,174

43,22917,928

8,95128,12696,373179,667194,212568,610161,643

83,06250,807

0.600.56

0.600.710.630.850.770.520.35

1,6061,647

2,5892,9962,2074,366

697230

72

4,45514,472

53,404116,017150,431436,617113,003

39,22015,967

8,94526,126

96,373179,615194,292588,926161,606

83,45750,eo7

0.500.51

0.550.650.770.770.700.500.31

Typeofownership

Government . . . . . . . . . . . . . . . . 880 52,412 I 21 ,2eo 0.43 e60 44,490 121 ,2eo 0.37Proprietary . . . . . . . . . . . . . . . . 12,398 799,020 932,915 0.66 12,400 733,142 933,565 0.79Nonprofit . . . . . . . . . . . . . . . . . 3,132 186,924 317,276 0.59 3,132 165,954 317,304 0.52

Geographic regionNortheast . . . . . . . . . . . . . . . . . 3,078 195,191 286,014 0.66 3,0s0 171,023 286,509 0.60North Central . . . . . . . . . . . . . . . 5,202 301,743 464,984 0.65 5,201 269,316 464,971 0.58South . . . . . . . . . . . . . . . . . . . 4,594 309,334 3e6,864 o.eo 4,595 279,559 387,060 0.72Wee . . . . . . . . . . . . . . . . . . . 3,536 232,08e 233,609 0.99 3,536 223,6S8 233,609 0.96

15

Appendix 1Technical notes

All of the National Master Facility Inventory (NMFI)Surveys (of non-hospitals) through 1973 were conducted byNCHS with the assistance of the Bureau of the Census.From 1976 through 1980, the Cooperative Health StatisticsSystem (CHSS) decentralized the responsibility for collectingdata from the Federal to the State level. In 1976, 16 Stateswithin CHSS collected some or all of the NMFI data; in1978, 26 States collected data; and in 1980, there were38 States collecting NMFI data. In each of these years,the non-CHSS States were surveyed by NCHS. The followingStates collected data for and furnished data to the NationalCenter for Health Statistics as part of the 1980 NationalMaster Inventory Survey: Alabama, Arizona, Arkansas,California, Colorado, District of Columbia, Florida, Georgia,Hawaii, Idaho, Illinois, Indiana, Kansas, Kentucky, Maine,Massachusetts, Michigan, Minnesota, Mississippi, Missouri,Nebraska, New Hampshire, New Jersey, New York, NorthCarolina, Ohio, Oregon, Pennsylvania, Rhode Island, SouthCarolina, Tennessee, Texas, Vermont, Virginia, Washington,West Virginia, Wisconsin, and Wyoming.

The licensing agencies within the CHSS States usuallycollected the NMFI data for NCHS. Since State survey cover-age was structured according to licensing laws, there weredifferences in definitions, scope, and timing of the surveysamong the CHSS States. Whereas NCHS surveys includedsuch facilities as personal care homes, homes for the aged,and rest homes, some States did not license these typesof homes and therefore did not survey them.

For the States surveyed by NCHS, a mailing list wascompiled by merging the following two files: the final inven-tory of facilities from the 1978 NMFI Survey, and a listof new facilities gathered through the Agency Reporting Sys-tem5 (ARS). The ARS is a compilation of the most recentState and national directories and listings, which is thenmatched against the latest (1978) NMFI Iisti’ng to locatenew facilities.

Although the 1980 NMFI Survey was a universe ratherthan a sample survey, and hence not subject to samplingerror, it is subject to other types of errors, such as nonresponse

to questionnaire items. To minimize item nonresponse aswell as overall nonresponse, NCHS used a two-part procedurein the States surveyed. The first part used a series of followupsto reduce overall nonresponse. This procedure included (asneeded) a postcard reminder, two questionnaire followups,and a final effort telephone or personal interview by Bureauof the Census personnel. The second part involved sendingan abbreviated questionnaire (see appendix 11)to respondingfacilities that failed to answer certain critical items on theinitial questionnaire. Facilities were asked to complete onlythose critical items originally left blank. These proceduresproduced a response rate of 98.3 percent.

Data on nursing and related care homes may have biasesdue to the following factors:

●

●

●

●

●

Data from nursing homes surveyed in the 1978 NMFIwere substituted in 1980 for Alaska and South Dakota.Alaska had three hospital-based nursing homes in 1978which were excluded from the 1980 statistics.Data for 1978 were substituted in the case of 48 nursinghomes in Indiana and 96 homes in Connecticut.Since neither 1980 nor 1978 data were available forapproximately 200 residential care homes in New York,these homes were excluded from the figures in this report.The 3,013 residential community care facilities in Califor-nia reported only number of beds and type of ownership.Residents were imputed by multiplying beds by 0.90(the average occupancy rate in nursing and related carehomes). Admissions, discharges, inpatient days of care,and employees were not imputed; therefore, these homeswere not included in tables showing these variables.The only information available for the 2,524 adult fostercare homes (AFCH’S) in Michigan was number of beds.Residents were imputed by multiplying beds by 0.90.Based on existing knowledge, these homes were assignedan ownership category of proprietary. Since no otherdata were imputed, these homes were excluded fromtables showing any variables other than beds, residents,and ownership.

NOTE: A list of references follows the text.

16

Appendix IIQuestionnairesused in thesurvey

rL

(NuRsING HOMES)

0M13 Clearance No. 68 R.1200

U.S. DEPARTMENT OF HEALTH, EDUCATION, AND WELFAREPubficHsakh Safvias

Offios of Hsaltfr Rmesrsh, Ststisties, and TsehnologyNstional Csnter for Hsaith Statistics

1980MASTER FACILITY

INVENTORY SURVEY

1 RETURN COMPLETED QUESTIONNAIRE TO:

Department of Health, Education, and Welfare

J

Public Health ServiceNational Center for Health Statistics–Rm. 1-60

CenterBuilding–PrinceGeorgeCenter3700 East-West HighwayHyattsville, Maryland 20782

Dear Administrator:

As part of its responsibility to provide information on the Nation’s health resources, the NationalCenter for Health Statistics (NCHS) collects information on all hospitals and nursing and related carefacilities in the United States; in addkion, information is also collected from those facilities whichprovide some kind of personal or domiciliary care. The survey is conducted under the authority ofSection 306 (42 USC 242k) of the Public Heafth Service Act.

The purpose of this survey is TO OBTAIN CURRENT INFORMATION FROM EACH FACILITY onits ownership, staff size, number of beds and other related facility characteristics. The information willbe used to provide statistics on the number and kinds of such facilities in the United States and theCHANGES THAT HAVE OCCURRED sines the last Master Facility Inventory Survey, In addition, theda~a will he used to determine trends, identify shortage areas, publish directories, and assist in theplanning of heafth services. Whfle your participation is vohtntary, your individual contribution to thisnational survey is greatly needed by the health industry.

The information obtained in Sections A and B of the questionnaire wiIl he made available by theNCHS upon request. However, the data from Sections C and D will be held in strict confidence, andwilI not be released to anyone under any circumstances or used in any way other than in statisticalsllmmaries. These summaries will on! y be prcsen~ ed in a manner which wiIl ensure that no individualfacility can be identified.

H you should have any questions about this survey, please feel free to contact hfrs. Evelyn Mathis on(301 ) 436-8830. Please return your completed form in the postage-free envelope enclosed for yourconvenience. Your cooperation is this study is .qeatly appreciated.

Sincerely yours,

Ai!7Dorothy P. RiceDhectorNational Center for HeaIth Statistics

1.

2.

s.

4,

5,

INSTRUCTIONS FOR tXMFLETlf4S THIS FORM

Inchcdein this report information only for the facifhy January 1, 1979thrmsgh tkcemher 31, 1979. If data isnamed in the mailing label or for its SUCCES80R if the for a different 12-month period than thu, indicate thename or owwr has ehartged. time periodused:

Due to name sod address changes, duplicate listings, or Bq.kuririg date: ~

other reasons, you may receive o-torethan one question.r-mireunder different names or addresses. If you receive

CI.12 ,13 CC14,15 CC16,17

more thaa one form for the same facility, compkte one Ending date: I Ionly and return aft others with the notation “Completed mm!ch Cw VWand returned under. . .(give name of facility on com- CC18,19 CC20,21 CC22,23

pleted fomr and the IDENTIFICATION NUMBER (I!+@montk, b,., and Yun uc to k ‘M@ numbm.)

found in the upper kft comer of the msiling label).” 7. Is this nursing home part of a Iargcrgroup of homes?

If this facility is a nutsing unit of a retirement center, Ye, ❑ MO

report onty for the nursing unit. If the amwer 1. the abve ii YSS and information for this home is

If thisfacilityis an SNF unit of a hospital, report only.nttatk & at Your home office. PI-. forward th. question.

for the SNF unit.mire to your home office with the instructionto fill it out foryourspcciiicfacitity.

Please answer all applicalde questions. Definitions and 8“ If you arc the home office and receive a forwarded qucs-

spccial instructions are given with the questions when tionnaire from one or more of your homes, please till

needed. If your answer to a question is “None,’” put a out each questionnaire you receive. (WCneed separate

zero in the appropriate space. DO NOT LEAVE THEinformation for each home).

SPACEBLANK. 9. If you arc the home office and receive a questionnaireaddressed mcciticdlv to VOU.do not fill it out. How-

176. For questions9 and 14, data should be reported for ever, pless~protidc & wi;b the name and address of all

a 12-month period, preferably the calendar year fmm homes for which you arc the home office.

PHS.G093 A

( Rw. 10/79)

18

SECTION A–IDENTIFICATION OF FACILITY

Please refer to the mailing label, then mark all additions and corrections according to tha questions below.Detailed identification information is needed to prevent duplicate listings and to assure that your facility isproperly represented in the survey.

1. Is the NAME shown on the mailing label correct for your facility?

1 ❑ YesCC24

2 ❑ No - Enter correct name —

2. Is the ADDRESS shown on the mailina label tie correctmailing address for your facility? -

I a YesCC25

z ❑ No - Enter correct mailing address

(NUMBER OR BOX STREET OR ROUTE

~ CITY OR TOWN

[\

STATE ZIP CODE COUNTY

3. What is the telephone number of your facility? CC26.35

AREA CODE NUMBER

SECTION B–FACILITY INFORMATION

4. Were you in operation during all 12 months of 1979? CC36 1 yeS •1 2 No •1

5, Read all the categories, then mark (X) the ONE box 23

that BEST describes the TYPE OF OWNERSHIP which ~doperates this facility.

25

20

21

22

11

..37,38 12

13

14

15

la

17

le

19

❑ Individual

I❑ Partnership For profit

❑ Corporation—❑ Church-related

❑ Nonprofit corporation

❑ Other nonprofit ownership

❑ State government

❑ County government

❑ City government

❑ City-county government

❑ Hospital District

❑ U.S. Public Health Service

❑ Armed Forces

❑ Veterans Administration

❑ Other Federal Agency-Specify

PHS.6093 .4 Page 2(Rev. 10/79)

6. Reed all the categories, than mark (X) the ONE boxthat BEST describes tha TYPE OF SERVICE this facili-ty offars the MAJORITY of its residents or patients.Enter in the comments section on the last page any

remarks you may have regarding the correct classificationof this facility.

31 ❑ Skilled Nursing Facility (certified under eitherMedicare or Medicaid)

w ❑ Skilled Nursing Facility unit of a hospital

33 0 Nursing care unit of a retirement center

34 ❑ Sheltered or custodial care home (include homesfor the aged)

35 ❑ Other type of nursing or personal care home-.-— ---- -— --— —----- ---

Residentfacility or school for the--

01 0 Blind02 ❑ Deaf

03 u Emotionally disturbed

~C39,4004 ~ Mentally retardad

05

B

Other neurologically handicappedcm Physically handicapped

---— —— -- ---- -—-. -—- -- —--

07 ❑ Orphanage or home for dependent children

os ❑ Home for unwed mothers-—- ————-— --— - ---— -- —---

Residenttreatmentcenterfor---

os a Alcoholics10 D Drug abusers

-—-— —-- -——— —- —-— —--- --11 ❑ Other facility -(Specify)

7e. What is tha licensed bad capacity of this facility? CC41-44

(1) Numbar of beds certified for Medicare? CC45-48

(2) Nt.rmber of beds certified for Medicaid as:(a) skilled beds?

(b) intermediate care beds?CC49-52

CC5?-56

b. How many beds are currentfy eet up and staffed for use (include only accommodations with suppcmt-ing services, such as food, laundry, and housekeeping, for patients or residents who stay in excessof 24 hours)? CC 57-60

8. Plaase enter below the number of residents or patients who stayad in this facility last night, by thairage and sex,

Total Male Female

All ages CC61-64 CC77-80 CC93-96

Under 65 ..65-68 CCS1-84 CC97-100

65-74 CC69-7Z cc8s8a CC1O1 -104

75 and over CC73-76 CC89-92 CC105-108

9a. How many inpatient days of ca@ wam rendered in 1979? (This is the sumof daily inpatient census count, preferably from 1/1/79 through 12/31 /79. )

b. How many admissions were there during 1979?

C.”HOW many discharges (including dtis) were there durin9 1979?

d. How many daaths were thare during 1979?

CC109-115

CC116-119

CC120-123

ccl24-126

PHtb6093 A Page 3

(w. 1o/7e)19

SECTION C–CLASSIFICATION INFORMATION (Confidential)

10. Please enter below the number of full-time and part.time employees who work in this facility. For each type ofpett-time employee, entar the total number of hours worked in this facility over the last seven days. (Full-time means35 or more hours a week.) Include owners, managers, teaching staff, research workers, staff of outpatient facilities orextended care units, temporarily absent employees, trainees (if on the payroll), and members of religious orders whetherpaid or unpaid.

Number of Number of Number of hoursfull-time staff part-time staff worked (over the(35 hours or (Less than 35 last7 days by alI

more per week) hours per week) part-time employees)

Administrators andAssistant Administrators

CC]27-129 ccl82-154 CC236-240

PhysiciansCC130-132 CCI85-1S7 CC241-24S

DentistsCC133-135 CCISS-190 CC246-250

Registered NursesCC136-13S CC191-193 CC251-255

LPN or Vocational NursesCC139-141 CC194-196 CC256.260

Nursing Aides, Orderlies,and Attendants

CC142.144 ccl97-199 CC261.265

Licensed PharmacistsCC145-147 CC200-202 CC266-270

Dietitians and DieteticTechnicians

CC14.S.150 CC203-205 CC271.275

Occupational TherapistsCC151-153 CC206-208 CCZ76.2S0

Occupational TherapyAssistants and Aides CC154-156 CC209-211 CC2S1.2S5

Speech Pathologists andAudiologists CC157.159 CC212-214 CC2S6-290

Physical TherapistsCC160-162 CC215-217 CC291-295

Physical TherapyAssistants and Aides

CC163.165 CC218-220 CC296-300

Recreational TherapistsCC166-168 CC221-223 CC301-305

Medical Social WorkersCC169-171 CC224-226 CC306-31O

All other health professionaland technical personnel ccl72-174 CC227-229 CC311.315

All non-health professionaland technical personnel

CC175-177 CC230-232 CC316-320

Total (all employees) CC178-181 CC233-235 CC321-325

11. During the pest 7 days, how many of the RESIDENTS Count each resident or patient only ONCE no matter howor PATIENTS in this facility received “Nursing Care?” many serviceshe received.

Consider that a resident or patient received “NursingCare” if he received one or more of the following serv- Number of residents whoices: taking of temperature, pulse, respiration, or blood CC326-329 received nursing carepressure, full-bed bath, nasal feeding, catheterization, ir-rigation, oxygen therapy, enema, hypodermic injection,intravenous injection, application of a dressing or ban-dage, bowel or bladder retraining.. .

PHS.6093 A Pag5 4(R... 10I79)

12. Which of the following services are ROUTINELY provided to residents in addition to room andboard?

a.

b,

c.

d.

e.

f,

9.

h.

i.

Supervision over medications which may be salf-administered

Medications and treatments administered inaccordance with physician’s orders

Rub and massage

Help with tub or shower

Help with dressing

Help with correspondence or shopping

Help with walking or getting about

Help with eating

Room”and board ON LY

CC330 I ❑ Yes

.=331 t ❑ Yes

.=332 I ❑ Yes

CC333 1 ❑ Yes

CC334 I ❑ Yes

CC335 1 ❑ Yes

CC336 1 ❑ Yes

CC,37 1 ❑ Yes

.C33FI I •l Yes

SECTION D– FINANCES (Confidential)

13. Last month, what was your basic MONTHLY charge for a resident’s lodging, meals, and routrnenursing care? (Exclude charges for physician services, private duty nursing, therapy, drugs, specialmedical supplies, special diet, laboratory tests, and medical equipment.)

Medicare patients - $ CC339.342 or ❑ No Medicare patients

Medicaid patients:

Skilled care - $ CC343.346 or ❑ NO Medicaid patientS

Intermediata care - $ CC347-350

All other patients - $ CC351.354

14a, What were your facility’s TOTAL OPERATING EXPENSES for the 1979 calendar yaar?

$

b. How much of these total 1979 expenses wera:

(1)

(2)

Payroll costs $

Nonpayroll costs? (IncIude equipment rent, insurance, taxes and licenses, interest, ricprecisstion,building and land rent, food, drugs, laundry, utilities, supplies and equipment, and all other mis-

CC355-361

CC362-36S

ceIlaneous expenses.)R

CC369-375

COMMENTS:

SECTION E-RESPONDENTName and title of person completing this form Date completed

INFORMATION

PHS.6093A[Rw. 10/79)

Pas65 GPO 864 3~

21

OMB Clearance No. 68 R.1200

U.S. DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE

Public Health service

Office of Health Research, Statistics, and Technologyfilati~nal Center for Heal~Stati~im

r 1

1- -l

DC;II .\tt171i,lis[r:tl(>r:●

FOLLOW-LJP INQUIRYMaster Facility Inventory

RETURN COMPLETEDCIUESTIONNAIRE To:

Departmem of Health, Educatmn, and Welfa,ePubl#c H.?alth S#vice

N6tmnal Cemer for tfealth Statistlcs-Rm 1.60Center Wmldmg-l%ince George Center3700 Eas:-West H!ghway,+”p,~$v,+lc f&,.,l~@ yJ7fJ2

4’!! /?&I-h)rolhy . M’(.I)ilw-lol’Mtiomd (knlu I{wI Icalth Slut islics

I;ncl(lstlx’

pHS.6093 c(-.. 10I791

22

FOLLOW-UP INQUIRY———

NOTE: please complete the item(s) circled in red

1. Read all the categories, than mark (X) the ONE 23 ~ Individualbox that BEST describes fhe TYPE OF OWNER- 24 ❑ partnershipSHIP which operates this facility. I

For profit

25 •l Corporation

20 ❑ Church-relatad

ZI ❑ Nonprofit corporation

22 ❑ Other nonprofit ownership

11 U State government

12 ❑ County government

13 Cl City government

14 •l City-county government

15 ❑ Hospital District

16 ❑ U.S. Public Health Service

17 ❑ Armed Forces

18 ❑ Veterans Administration

M ~ Other Fedaral Agency Specify

2. Reed ell the categories, than mark (X) the ONE 31 ❑box thet BEST describes the TYPE OF SERV-ICE this facility offers the MAJORITY of itsresidents or patients. Enter in the comments sec-

32 •1

tion on the lest page any remarks you may have 33 ❑

regarding the correct classification of this facil- 3“ IIIity.

3’ •1

01 •102 •103 •l

Q4 •1

05 •l

06 ❑

“~ u

“s •1

09 il

10 •1

“cl

Skillad Nursing Facility (certified un{icr either

Medicare or Medicaid)

Skilled Nursing Facility unit of a hospital

Nursing care unit of a retirement center

Sheltered or cu:todial care hame (includr

homes for the .igcd)

Other type of nursing home—- . - —-—_____________

tlrsidei:I Io:il.ly or scho,;l frr rhg-

Blind

Deaf

Emotionally disturbed

Mentail y retarded

Other neurologically handicapped

Physically handicapped—— — ___________________

Orphanage or home for dependent children

Home for unwed mothws—- —__________________

Resident Irpatrnenl rell[o[ fJf_

Alcoholics

Drug abusers---- _________ ______ ,__________

Other facility –(Spc{ ify)

PHS 6093 C

( Rev. 10/791page 2

23

3a What is the licensed bed capacity of this facility?

(1) Number of beds certified for Medicare?(2) Number of beds certified for Medicaid as:

b.

(a) skilled beds?(b) intermediate care beds?

How many beds are currently set up and staffed for us (include only accommodations with support-ing services, such as food, laundry, and housekeeping, for patients or residents who stay in excessof 24 hours)?

4. Please enter below the number of residents or patients who stayed in this facility last night, by their ageand sex.

Total Male Female

All ages

Under 21

21-44

45-64

65-74

75 and over

Section B - CONFIDENTIAL INFORMATION

5. During thepast 7dayshow many of the RESl DENTS or Count each resident or patient only

PATIENTS in this facility received “Nursing Care?” ONCE no matter howmanyswvica$hereceived

Consider that a resident or patient received “NursingCr.re’ :{he :?cewed oneormcreof the following serv-ices: iak’r. ~ of tenrperatwe, pulse, respkation, or bloodpressure, f!lli-ued bath, nasal feeding, catheterization,irrigation, isxygen therapy, enema, hypodermic injection, Number of residents who

intravenotis injection, application of a dressing or ban-dage, bowel or bladder retraining.

received nursing care

24

6. Wtichof the following wwiwsare Routinely providd tormi&nB inaddition tormm and bard?

a.

b.

c..

d.

.,

f.

u.

h.

1.

Supervision over medications which may be self-administered

‘cl”” ‘cl””

Medications and treatments administered inaccordance with physician’s orders

‘cl’” ‘cl””

Rub and massage‘ •1 ‘e’ *EIN”

Help with tub or shower‘cl’” 20””

Help with dressing Iny= ‘n””

Help with correspondence or shopping 1 ci~’= ‘0”0

Help with walking or getting about lows *O””

Help with eating 1 •1 ‘*S 2f3No

Room and board ONLY In”= ‘n”

7a. Numbet of full-time registerad nurses

b. Number of full.tinw LPNs or vocational nurses

————— -—. —.— ..--—.

COMMENTS.—— ———. —-—. ——-

PHS.6093 C(Rev. 10/791

Page 4 c3P0 a64.a21

25

Appendix IllDefinitions of certain termsused in this report

Admissions—Total number of inpatients admitted duringthe year.

Bed—For this report, a bed that is setup and staffed foruse.

Discharges—Total number of inpatients dischargedduring the year.

Employee—Any person who was on the staff of thefacility, including any paid worker, proprietor, or memberof a religious order who contributed services. (Persons whoworked under contract were excluded.) Employees working35 hours per week or more were considered full-time; thoseworking less than 35 hours were considered part-time.

Geographic Regions—The U.S. Bureau of the Censusgroups the 50 States plus the District of Columbia into thefollowing four regions:

Northeast Region—Maine, New Hampshire, Vermont,Massachusetts, Rhode Island, Connecticut, New York,New Jersey, Pennsylvania.North Central Region—Ohio, Indiana, Illinois,Michigan, Wisconsin, Minnesota, Iowa, Missouri,North Dakota, South Dakota, Nebraska, Kansas.South Region—Delaware, Maryland, District of

Columbia, Virginia, West Virginia, North Carolina,South Carolina, Georgia, Florida, Kentucky, Tennessee,Alabama, Mississippi, Arkansas, Louisiana, Oklahoma,Texas.West Region—Montana, Idaho, Wyoming, Colorado,New” Mexico, Arizona, Utah, Nevada, Washington,Oregon, California, Alaska, Hawaii.Nursing Home—An establishment that provides nursing

or personal care to the aged, infirm, or chronically ill. Itmust have a minimum of three beds.

Ownership-Type of organization that controls andoperates the nursing home. Proprietary homes are operatedunder private commercial ownership; nonprofit homes areoperated under voluntary or nonprofit auspices, which mayor may not be church related; government ownership refersto homes operated under Federal, State, or local governmentauspices.

Resident—A person who has been formally admitted butnot discharged from a nursing home. All such persons wereincluded in the survey whether or not they were physicallypresent at the time of the survey.

26iI U. S. GOVERNMENT PRINTING OFFICE : 1984 421-161/12”

Vital and Health Statisticsseries descriptions

SERIESI 1.

SERIES 2

SEHIES 3

SERIES4

SERIES 10

sERIES 11

SERIES12

SERIES 13

Programs and Collection Procedures-Reports descnbmg the

g=nwd tmgrams Of the National Center for Health statisticsand its CIthces and dwlslons and the data collection methods

used Thtiy also include definitions and other material necessary

for unckrskmding the data,

Data Evaluation and Methods Researc&StudIes of new statls-

IIGII mmhodology mcludmg experimental tests of new survey

ml:!thods, studtes of vital statistics collection methods, new analytb

CA tcchmques, ob]ectwe evaluations of rehablllty of collected

d.IL1, ~nd conlnbubons to statwhcal theory.

Analytical and Epidemiologioal Studies-Reports presenting

tin,~lyt[c.d or mterpretwe stud!es based on wtal and health statis-

hc:,, cvrymg the analysls further than the expository types of

repcW; m tha othsv series.

Documents and Committee Reporte-FmaI reports of major

committees concerned with vkal and health stabstrcs and docu-

mcnfs such as recommended model vital regtstrabon laws and

rcviswd brth and death cerbficates.

Data From the National Health Interview Survey-Stat@lcs

on lhL’S!!, accidcmtal mpmes, dtsabillly, use of hospital, medical,

d,mt.d, and other services, and other health-related topics, all

LUM:CI an data collected m the contmumg national household

mt,:rvww survey

Data From the National Health Examination Survey and the

National Health and Nutrition Examination Survey-Data from

dmwt L!mmmabon, testing. and measurement of national samples

of the cwkm nonmsbtubonallzed population prowde the bas!s

for (1) estimates of the med[cally defined prevalence of speclflc

dl,..mws m the United States and the dtstnbutlons of the population

with respect to physical, physiological, and psychological charac-

t~vr~t[cs and (2) ana[ysm of relabonshlps among the various mea-

:wrumcnts without reference to an exphclf fmlte universe of per-

xww,

Data From the Institutionalized Population Surveys-Dmcon-

tmued m 1975. Reports from these surveys are included m Series

13

Data on Health Resources Utilization-Statistics on the utlliza-

Wm of health manpower and facilities prowdmg long-term care,

iumbulmry care, hospital care, and family planmng services,

SERIES 14.

SERIES 15.

SERIES 20

SERIES 21

SERIES 22.

SERIES 23.

Data on Hea!th Resources: Manpower and Faciiiiies-Statls-

tlcs on the numbers, geographic d!stnbubon, and characteristics

of health resources mcludmg phys!c!ans, dentists, nurs?s, other

health occupations, hospitals, nursing homes, and crutpaten! fac!l[-

bes.

Data From Special Surveys-Stat@lcs on healtin and hazrlth-re-

Iated topics collected m spsclal surveys tiiat are not a part of

the contmumg data systems of the Nat!onal Center for Health

Statsbcs.

Data on Mortatii-Various stabsttcs on mortahty other than

as included m regular annual or monthly repofls. Spec!al analysss

by cause of death, age, and o!her demographic vanabk: geo-

graphic and time series analyses; and statistics on chmcterst[cs

of deaths not available from the vital records based on sample

surveys of those records

Data on Natatity, Marriage, and Divorc*Var(ous s!atlst[cs

on natahty, marriage, and dworce other than as included m regular

annual or monthly reports. Spec]al anaylses by demographic

variables: geographic and time series analyses; stud]es of ferhhty:

and statw.tics on characteristics of bwihs not ava[labl? from the

vital records based on sample surveys of those records

Data From the National Monthly and Natality Surveys-Drscon-

tmued m 1975. Reports from these sample surveys based on

vital records are included m Series 20 and 21. respectwsdy.

Data From the National Survey of Family Growth-Statlst[cs

on ferhhty, famdy formabon and dlssolut!on, fam)ly planrrmg, and

related maternal and infant health topics derived from a penod!c

survey of a nabomwde probabhty sample of ever-marmsd women

15-44years of age.

For a hst of Mles of reports publ!shed m these series, write to:

Sclentlflc and Techmcal Information Branch

Nabonal Center for Health StatWcs

Pubhc Health SewIce

Hyaffswlle, Md. 20782

3ol-43e-NcHs

*

U.S. DEPARTMENT OF HEALTH ANDHUMAN SERVICES

Public Health SerwceNational Center for Health StatNics3700 East-West HighwayHyatfsvilie, Maryland 20782

OFFICIAL BUSINESSPENALTY FOR PRIVATE USE, $300

THIRD CLASS MAILBULK RATE

POSTAGEp~:EES PAID

PERMIT No G29

DHHS Publication No. (PHS) 84-1824, Series 14, No. 29