Series 13

No. 147

The National Nursing Home

Survey: 1997 Summary

July 2000

Vital and

Health Statistics

From the CENTERS FOR DISEASE CONTROL AND PREVENTION / National Center for Health Statistics

U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

National Center for Health Statistics
Copyright information

All material appearing in this report is in the public domain and may be

reproduced or copied without permission; citation as to source, however, is

appreciated.

Suggested Citation

Gabrel C, Jones A. The National Nursing Home Survey: 1997 summary.

National Center for Health Statistics. Vital Health Stat 13(147). 2000.

Library of Congress Catalog Card Number 88-600333

For sale by the U.S. Government Printing Office

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Printed on acid-free paper.
The National Nursing Home

Survey: 1997 Summary

Series 13:

Data From the National Health

Care Survey

No. 147

Hyattsville, Maryland

July 2000

DHHS Publication No. (PHS) 2000-1718

Vital and

Health Statistics

U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

National Center for Health Statistics
National Center for Health Statistics

Edward J. Sondik, Ph.D., Director

Jack R. Anderson, Deputy Director

Jack R. Anderson, Acting Associate Director for

International Statistics

Lester R. Curtin, Ph.D., Acting Associate Director for

Research and Methodology

Jennifer H. Madans, Ph.D., Associate Director for Analysis,

Epidemiology, and Health Promotion

P. Douglas Williams, Acting Associate Director for Data

Standards, Program Development, and Extramural Programs

Edward L. Hunter, Associate Director for Planning, Budget,

and Legislation

Jennifer H. Madans, Ph.D., Acting Associate Director for

Vital and Health Statistics Systems

Douglas L. Zinn, Acting Associate Director for

Management

Charles J. Rothwell, Associate Director for Data

Processing and Services

Division of Health Care Statistics

Linda K. Demlo, Ph.D., Division Director

Thomas McLemore, Deputy Director

Genevieve Strahan, Acting Chief, Long-Term Care Statistics

Branch

Charles A. Adams, Chief, Technical Services Branch
Contents

Abstract .................................................................................................. 1

Introduction ............................................................................................... 1

Methods .................................................................................................. 1

Data Collection .......................................................................................... 1

Interpretation and Qualifications of Data ...................................................................... 2

Findings.................................................................................................. 2

Facilities................................................................................................ 2

Current Residents ........................................................................................ 2

Discharges .............................................................................................. 2

References ................................................................................................ 3

Appendixes

I. Technical Notes on Methods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76

Statistical Design . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76

Scope of the Survey. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76

Sample Design . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76

Estimation Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76

Data Collection and Processing. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76

Reliability of Estimates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77

Presentation of Estimates. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77

II. Definitions of Certain Terms Used in This Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85

Terms Relating to Facilities. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85

Terms Relating to Occupational Categories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85

Terms Relating to Residents and Discharges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85

Demographic Items . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 86

Other Items. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 86

III. Survey Instruments Used in the 1997 National Nursing Home Survey. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87

IV. Letters to Facility Administrators and Endorsement Letters. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 117

Detailed Tables

Facility Tables

1. Number and percent distribution of nursing homes, number of beds, beds per nursing home, current residents,

occupancy rate, and discharges and discharge rate per 100 beds, by selected facility characteristics: United States,

1997............................................................................................... 4

2. Number of nursing homes and beds, by selected facility characteristics, according to certification status:

United States, 1997................................................................................... 5

3. Number and percent distribution of nursing homes, by selected facility characteristics, according to bed size:

United States, 1997................................................................................... 6

4. Number and percent of nursing homes, by type of services provided, according to ownership: United States, 1997 ..... 7

5. Number and rate per 100 beds of full-time equivalent employees, by occupational categories, according to selected

nursing home characteristics: United States, 1997 .......................................................... 8

iii
6. Average per diem rates for private pay patients, by level of care of facility and for Medicare and Medicaid residents,

by certification status of facility, according to selected facility characteristics: United States, 1997................... 9

Current Resident Tables

7. Number of nursing home residents by selected facility characteristics, according to age, sex, and race of resident:

United States, 1997. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

8. Percent distribution of nursing home residents by selected facility characteristics, according to age, sex, and race:

United States, 1997. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

9. Number of nursing home residents by selected facility characteristics, according to primary source of payment at

admission and at time of survey: United States, 1997 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

10. Percent distribution of nursing home residents by selected facility characteristics, according to primary source of

payment at admission and at time of survey: United States, 1997 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

11. Number and percent distribution of nursing home residents, by length of time since admission and average length of

time since admission, according to selected facility characteristics: United States, 1997 . . . . . . . . . . . . . . . . . . . . . . . . . . 14

12. Average daily charge and number of nursing home residents, by primary source of payment in month before interview,

according to selected facility characteristics: United States, 1997. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

13. Nursing home residents, number, percent distribution, and rate per 10,000, by age at interview, according

to sex, race, and region: United States, 1997 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

14. Number of nursing home residents by marital status, residence and living arrangements before admission, according

to age, sex, and race of resident: United States, 1997 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

15. Percent distribution of nursing home residents by marital status, residence and living arrangements before admission,

according to age, sex, and race of resident: United States, 1997. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

16. Average daily charge and number of nursing home residents, by primary source of payment in month before interview,

according to selected resident characteristics: United States, 1997 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

17. Number of nursing home residents by type of aids used, according to age, sex, and race of resident: United States,

1997. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

18. Number and percent of nursing home residents, by type of aids used, according to age, sex, and race of resident:

United States, 1997. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

19. Number of nursing home residents by selected functional status, according to age, sex, and race of resident:

United States, 1997. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

20. Percent distribution of nursing home residents by selected functional status, according to age, sex, and race of resident:

United States, 1997. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

21. Number of nursing home residents by services received during the last 30 days, according to age, sex, and race of

resident: United States, 1997 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

22. Percent of nursing home residents by services received during the last 30 days, according to age, sex, and race of

resident: United States, 1997 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

23. Number of nursing home residents by selected demographic characteristics, according to primary source of payment at

admission and at time of survey: United States, 1997 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

24. Percent distribution of nursing home residents by selected demographic characteristics, according to primary source of

payment at admission and at time of survey: United States, 1997 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

25. Number and percent distribution of nursing home residents, by length of time since admission and average length of

time since admission, according to selected demographic characteristics: United States, 1997. . . . . . . . . . . . . . . . . . . . . . 28

26. Number and percent distribution of nursing home residents, by primary diagnosis at admission and time of survey:

United States, 1997. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

27. Number and percent distribution of nursing home residents, by all-listed diagnoses at admission and at time of survey:

United States, 1997. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

28. Number of nursing home residents by primary diagnosis at admission, according to age, sex, and race of resident:

United States, 1997. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

29. Percent distribution of nursing home residents by primary diagnosis at admission, according to age, sex, and race of

resident: United States, 1997 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

30. Number of nursing home residents by all-listed diagnoses at admission, according to age, sex, and race of resident:

United States, 1997. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

31. Percent distribution of nursing home residents by all-listed diagnoses at admission, according to age, sex, and race of

resident: United States, 1997 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34

32. Number of nursing home residents by primary diagnosis at admission, according to dependency in activities of daily

living and walking: United States, 1997 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36

33. Percent distribution of nursing home residents by primary diagnosis at admission, according to dependency in

activities of daily living and walking: United States, 1997 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37

iv
34. Number and percent distribution of nursing home residents, by length of time since admission and average length of

time since admission, according to primary diagnosis at admission: United States, 1997 . . . . . . . . . . . . . . . . . . . . . . . . . . 38

Discharge Tables

35. Number of nursing home discharges by selected facility characteristics, according to age, sex, and race of resident:

United States, October 1996–September 1997 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39

36. Percent distribution of nursing home discharges by selected facility characteristics, according to age, sex, and race of

resident: United States, October 1996–September 1997. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40

37. Number, percent distribution, and rate of nursing home discharges, by age at discharge, according to sex, race, and

region: United States, October 1996–September 1997 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41

38. Number of nursing home discharges by selected facility characteristics, according to primary source of payment at

discharge: United States, October 1996–September 1997 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42

39. Percent distribution of nursing home discharges by selected facility characteristics, according to primary source of

payment at discharge: United States, October 1996–September 1997. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43

40. Number and percent distribution of nursing home discharges, by length of stay and average length of stay, according

to selected facility characteristics: United States, October 1996–September 1997 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44

41. Number of nursing home discharges by marital status, residence, and living arrangements before admission, according

to age, sex, and race of resident: United States, October 1996–September 1997 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45

42. Percent distribution of nursing home discharges by marital status, residence, and living arrangements before admission,

according to age, sex, and race of resident: United States, October 1996–September 1997 . . . . . . . . . . . . . . . . . . . . . . . . 46

43. Number of nursing home discharges by type of aids used, according to age, sex, and race of resident: United States,

October 1996–September 1997 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47

44. Percent of nursing home discharges by type of aids used, according to age, sex, and race of resident: United States,

October 1996–September 1997 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48

45. Number of nursing home discharges by selected functional status, according to age, sex, and race of resident:

United States, October 1996–September 1997 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49

46. Percent distribution of nursing home discharges by selected functional status, according to age, sex, and race of

resident: United States, October 1996–September 1997. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51

47. Number of nursing home discharges by services received during the billing period that included the date of discharge,

according to age, sex, and race of resident: United States, October 1996–September 1997 . . . . . . . . . . . . . . . . . . . . . . . . 53

48. Percent of nursing home discharges by services received during the billing period that included the date of discharge,

according to age, sex, and race of resident: United States, October 1996–September 1997 . . . . . . . . . . . . . . . . . . . . . . . . 54

49. Number of nursing home discharges by selected resident demographic characteristics, according to primary source of

payment at discharge: United States, October 1996–September 1997. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55

50. Percent distribution of nursing home discharges by selected resident demographic characteristics, according to primary

source of payment at discharge: United States, October 1996–September 1997 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56

51. Number and percent of nursing home discharges, by length of stay and average length of stay, according to selected

resident demographic characteristics: United States, October 1996–September 1997 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57

52. Number and percent distribution of nursing home discharges, by length of stay and average length of stay, according

to source of payment and reason for discharge: United States, October 1996–September 1997 . . . . . . . . . . . . . . . . . . . . . 58

53. Number and percent distribution of elderly nursing home discharges, by selected demographic characteristics,

according to reason for discharge: United States, October 1996–September 1997. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59

54. Percent distribution of nursing home discharges by selected resident demographic characteristics, according to reason

for discharge: United States, October 1996–September 1997 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60

55. Number of nursing home discharges by region, primary source of payment and length of stay, according to reason for

discharge: United States, October 1996–September 1997 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61

56. Percent distribution of nursing home discharges by region, primary source of payment and length of stay, according

to reason for discharge: United States, October 1996–September 1997 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61

57. Number and percent distribution of nursing home discharges, by primary and all-listed diagnoses at admission and at

discharge: United States, October 1996–September 1997 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62

58. Number and percent distribution of nursing home discharges, by primary and all-listed diagnoses at admission and at

discharge: United States, October 1996–September 1997 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63

59. Number of nursing home discharges by primary diagnosis at admission, according to age, sex, and race of resident:

United States, October 1996–September 1997 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64

60. Percent distribution of nursing home discharges by primary diagnosis at admission, according to age, sex, and race of

resident: United States, October 1996–September 1997. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65

v
61. Number of nursing home discharges by all-listed diagnoses at admission, according to age, sex, and race of resident:

United States, October 1996–September 1997 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67

62. Percent distribution of nursing home discharges by all-listed diagnoses at admission, according to age, sex, and

race of resident: United States, October 1996–September 1997 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69

63. Number of nursing home discharges by primary diagnosis at admission, according to dependency in activities of daily

living and walking: United States, October 1996–September 1997. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71

64. Percent distribution of nursing home discharges by primary diagnosis at admission, according to dependency in

activities of daily living and walking: United States, October 1996–September 1997 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72

65. Number and percent distribution of nursing home discharges, by length of stay and average length of stay, according

to primary diagnosis at admission: United States, October 1996–September 1997 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73

66. Number of nursing home discharges by primary diagnosis at admission, according to reason for discharge:

United States, October 1996–September 1997 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74

67. Percent distribution of nursing home discharges by primary diagnosis at admission, according to reason for discharge:

United States, October 1996–September 1997 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75

Appendix Tables

I. Parameters used to compute relative standard errors by type of estimate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77

II. Standard errors for average per diem rates for private pay patients, by level of care of facility and for Medicare and

Medicaid patients by certification status of facility, according to selected facility characteristics: United States, 1997 . . 78

III. Standard errors for average length of stay since admission of nursing home residents and discharges, by selected

facility characteristics: United States, 1997. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79

IV. Standard errors for average daily charge of nursing home residents by primary source of payment in month before

interview, by selected facility characteristics: United States, 1997 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80

V. Standard errors for average daily charge of nursing home residents by primary source of payment in month before

interview, by selected resident characteristics: United States, 1997. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81

VI. Standard errors for average length of stay since admission for nursing home residents, by demographic characteristics:

United States, 1997. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82

VII. Standard errors for average length of stay since admission for nursing home residents and discharges, by primary

diagnosis at admission: United States, 1997 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83

VIII. Standard errors for average length of stay since admission of nursing home discharges by source of payment and

reason for discharge: United States, October 1996–September 1997 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84

vi
Objectives

This report presents estimates of

nursing home facilities, their current

residents and discharges in the United

States. Data are presented on facility

characteristics, demographic

characteristics, utilization measures,

health and functional status of current

residents, and discharges.

Methods

Data used in this report are based

on data collected from the 1997

National Nursing Home Survey. The

survey collects information about

providers and recipients of care from

nursing home facilities.

Keywords: National Nursing Home

Survey c current residents c

discharges c long-term care c

ICD–9–CM

The National Nursing Home

Survey: 1997 Summary

Celia S. Gabrel, M.S., and Adrienne Jones, Division of Health Care

Statistics

Introduction

This report provides information on

nursing home facilities in the

United States by using data

collected in the 1997 National Nursing

Home Survey (NNHS). The 1997

NNHS is the fifth in a series of

nationwide sample surveys of nursing

homes that have been conducted by the

National Center for Health Statistics

(NCHS). The survey collects

information on nursing homes, their

residents, discharges, and staff.

Nursing homes are defined as

facilities with three beds or more that

routinely provide nursing care services.

Facilities may be certified by Medicare

or Medicaid, or not certified but licensed

by the State as a nursing home. These

facilities may be freestanding or a

distinct unit of a larger facility.

Data about facilities and on elderly

current residents and discharges from

the 1997 NNHS have been published by

NCHS in several reports (1–2). This

report includes numbers and percentages

of nursing home facilities, their current

residents, and discharges for 1997. Data

on nursing facilities are included in

tables 1–6. Tables 7–34 show data on

current nursing home residents, and data

on nursing home discharges are in

tables 35–67.

Methods

Data Collection

Data collection for the 1997 NNHS

was conducted between July and

December 1997. The sampling frame for

the 1997 survey was derived from a

frame that consisted of all nursing home

facilities identified in the 1991 National

Health Provider Inventory (NHPI) (3)

and updated with current (1997) files of

nursing homes. These updated files were

obtained from the Health Care Finance

Administration (HCFA) and other

national organizations. A sample

consisting of 1,488 nursing homes was

selected.

Three questionnaires and two

sampling lists were used to collect the

data. The facility questionnaire was

completed by interviewing the

administrator of each facility. The

interviewer then constructed a current

resident and discharged resident

sampling list. These lists were used to

select the sample residents and

discharges. The sample of current

residents was obtained by randomly

selecting up to six residents who were

on the rolls as of midnight the day

before the day the survey was

conducted. The discharge sample

consisted of residents who had been

removed from the rolls of the facility

(including those whose care ended

because of death) during a designated

month (from October 1996 to September

1997) that was randomly selected for

each facility. A person who was

discharged more than once from a

nursing home during the discharge

reference period was counted more than

once.

The current-resident and dischargedresident questionnaires were then

completed for each sampled resident by

interviewing the staff member most

familiar with the care provided to the

resident. The respondent referred to the

resident medical and other records as

Page 1
necessary. No resident was directly

interviewed.

Interpretation and

Qualifications of Data

The NNHS collected information

from each participating facility on a

number of facility characteristics

including ownership, certification status,

bed size, location, affiliation, and

services provided. In addition, the

survey also collected information for

each current resident and discharge:

Demographic characteristics (age, sex,

race, and marital status), date of

admission, date of discharge, primary

and other diagnoses at admission and

discharge and at the time of survey,

source of payment, and functional status

(activities of daily living and

instrumental activities for daily

living).

Data presented in this report

summarize nursing home utilization

from two perspectives: ‘‘Snapshot’’ and

‘‘duration.’’ The snapshot view

summarizes utilization on any particular

day in the data collection period (July

through December 1997). Estimates of

the number and characteristics of

facilities and current residents are

snapshot data. The duration data apply

to discharged patients only and reflect

the completed episode of care events

over a period. Estimates on the number

and characteristics of discharges and

length of stay are duration data. Tables

containing data on discharges will be

labeled with a data year of October

1996 to September 1997 to represent

this 1-year period.

Estimates in this report are based on

the 1,406 responding facilities, 8,138 of

their current residents, and 6,676 of

their discharges. Additional information

on survey procedures as well as

definitions of terms and survey

instruments are in appendixes I–IV of

this report.

Findings

Facilities

+ An estimated 1,608,700 current

residents and 2,369,000 discharges

received care from 17,000 nursing

home facilities.

+ Ninety-six percent of surveyed

facilities were certified by Medicare

and/or Medicaid.

+ Sixty-seven percent of the nursing

home facilities were proprietary and

26 percent were voluntary nonprofit.

+ Almost two-thirds of the facilities

are in the Midwest and South.

+ Slightly over one-half are part of a

franchise.

+ The average number of beds per

nursing home was 107 with an

occupancy rate of 88 percent and a

discharge rate per 100 beds of 130.

+ More than 1.4 million full-time

equivalent (FTE) employees

provided direct and indirect services

to nursing home residents.

+ The average per diem rate for

private pay residents was $136 for

skilled care, $107 for intermediate

care, and $97 for residential care.

Current Residents

+ In 1997 there were an estimated 1.6

million current residents.

+ The majority (91 percent) of all

nursing home residents were elderly

(65 years and over).

+ About 72 percent of current

residents were females, with a rate

of 84.1 residents per 10,000

population.

+ More than 85 percent of all current

residents were white and only

10 percent were black.

+ Fifty-eight percent of current

nursing home residents were

widowed and 8 percent were single

or never married.

+ Immediately before entering the

nursing home, 44 percent of the

residents were admitted from a

hospital, 32 percent came from a

private residence, and 12 percent

from another nursing home.

+ More than 85 percent of the

residents received assistance in

bathing and dressing.

+ Two-thirds of the residents needed

help in three or four activities of

daily living (ADL).

+ Medicaid was the primary source of

payment for most residents at the

time of admission as well as at the

time of the survey.

+ The most frequent admission

diagnostic category for current

residents was diseases of the

circulatory system followed by

mental disorders.

+ The average length of stay since

admission was 899 days. However,

residents with an admission

diagnosis of mental retardation had

a much longer average length of

stay (3,107 days).

+ Services frequently received by

current residents included medical,

nursing, personal, and prescribed or

nonprescribed medicines.

Discharges

+ There were approximately 2.4

million discharges from nursing

homes from October 1996 to

September 1997.

+ The largest proportion of discharges

occurred from facilities that were

proprietary and located in a

metropolitan statistical area (MSA).

+ The majority of the discharges were

female (63 percent) and age 85 years

and over (36 percent).

+ Fifty-one percent of the discharges

were widowed and 27 percent were

married.

+ The majority, 61 percent, were

admitted from a hospital and

7 percent came from another nursing

home.

+ More than 80 percent of discharges

received assistance with bathing and

dressing, and two-thirds needed help

in three or four ADL’s.

+ The average length of stay was 276

days.

+ Discharges due to death had the

longest average length of stay (566

days) compared with other reasons

for discharge.

Page 2 [ Series 13, No. 147
+ Medicare was the primary source of

payment at the time of discharge for

most discharges.

+ The reasons for most discharges

were admission to a hospital

(29 percent) and death (25 percent).

+ Diseases of the circulatory system

were the most frequent diagnosis at

the time of admission and at the

time of discharge.

+ Apart from diseases of the

circulatory system, neoplasms were

the most common admission

diagnosis for discharges that resulted

in death. Diseases of the respiratory

system were the most common

reasons for discharges that resulted

in admission to the hospital.

References

1. Gabrel C. An overview of nursing

facilities and their current residents:

Data from the 1997 National Nursing

Home Survey. Advance data for vital

and health statistics; no 311,

Hyattsville, Maryland: National Center

for Health Statistics. 1999.

2. Gabrel C. Characteristics of elderly

nursing home residents and discharges:

Data from the 1997 National Nursing

Home Survey. Advance data for vital

and health statistics; no 312,

Hyattsville, Maryland: National Center

for Health Statistics. 1999.

3. National Center for Health Statistics:

Development and maintenance of a

national inventory of hospitals and

institutions. Vital and Health Statistics

1(3):6–13. 1965.

4. Hoffman K. Specifications for selecting

the facilities for the 1997 National

Nursing Home Survey. Unpublished

memorandum. 1997.

5. Hoffman K. Specification of Estimators

for 1997 NNHS. Unpublished

memorandum. 1997.

6. Public Health Service and Health Care

Financing Administration. International

Classification of Diseases, 9th Revision,

Clinical Modification. Washington:

Public Health Service. 1991.

7. Shah BV, Barnwell BG, Hunt PN, and

La Vange LM. SUDAAN User’s

Manual, Release 5.50. Research

Triangle Park, North Carolina. 1991.

8. Gousen S. Constructing Generalized

Variance Functions for National

Nursing Home Survey 1997.

Unpublished memorandum. 1999.

9. Hansen MH, Hurwitz WN, Madow

WG. Sample Survey Methods and

Theory, Vol. I. New York: John Wiley

and Sons. 1991.

10. Cochran WG. Sampling Techniques.

New York: John Wiley and Sons. 1953.

Series 13, No. 147 [ Page 3
Table 1. Number and percent distribution of nursing homes, number of beds, beds per nursing home, current residents, occupancy rate,

and discharges and discharge rate per 100 beds, by selected facility characteristics: United States, 1997

Facility characteristics

Nursing homes Beds Current residents Discharged residents

Number

Percent

distribution Number

Beds per

nursing home Number

Occupancy

rate1 Number

Discharge rate

per 100 beds2

All facilities ....................... 17,000 100.0 1,820,800 106.9 1,608,700 88.4 2,369,000 130.1

Ownership

Proprietary ....................... 11,400 67.1 1,213,900 106.2 1,054,200 86.8 1,569,500 129.3

Voluntary nonprofit .................. 4,400 26.1 465,400 104.7 422,700 90.8 681,900 146.5

Government and other ................ 1,200 6.8 141,500 122.5 131,700 93.1 117,600 83.1

Certification

Certified—

By Medicare and Medicaid ............ 13,300 77.7 1,526,000 115.0 1,365,500 89.5 2,043,100 133.9

By Medicare only .................. *800 *4.7 61,000 76.3 47,400 77.6 197,100 322.6

By Medicaid only .................. 2,300 13.6 184,700 79.9 156,300 84.6 100,000 54.1

Not certified ...................... *700 *4.1 49,000 71.0 39,400 80.5 28,800 58.9

Beds

Fewer than 50 beds ................. 2,200 12.9 74,200 33.7 62,000 83.7 263,200 354.9

50–99 beds ....................... 6,300 37.2 451,000 71.2 397,200 88.1 525,500 116.5

100–199 beds ..................... 7,200 42.2 941,500 131.1 835,200 88.7 1,206,600 128.2

200 beds or more ................... 1,300 7.7 354,100 270.1 314,300 88.7 373,800 105.6

Geographic region

Northeast ........................ 2,900 17.3 396,300 134.9 374,400 94.6 443,700 112.0

Midwest ......................... 5,800 34.2 577,100 99.1 498,200 86.3 676,300 117.2

South .......................... 5,400 31.8 600,300 111.0 525,000 87.5 697,100 116.1

West . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,900 16.8 247,100 86.4 210,700 85.3 551,900 223.3

Location of facility

Metropolitan statistical area ............. 10,500 61.5 1,259,900 120.4 1,116,100 88.6 1,814,300 144.0

Nonmetropolitan statistical area .......... 6,600 38.5 560,900 85.5 492,600 87.8 554,700 98.9

Affiliation3

Chain .......................... 9,600 56.3 1,035,700 108.0 909,400 87.8 1,444,800 139.5

Independent ...................... 7,400 43.2 772,800 105.0 690,200 89.3 915,200 118.4

*Figure does not meet standard of reliability or precision, because the sample size is between 30 to 59 or the sample size is greater than 59 but has a relative standard error over 30 percent.

1Occupancy rate is calculated by dividing residents by available beds.

2Discharge rate is calculated by dividing discharged residents by available beds.

3Excludes unknown.

NOTES: Numbers may not add to totals because of rounding. Percents are based on the unrounded numbers.

Page 4 [ Series 13, No. 147
Table 2. Number of nursing homes and beds, by selected facility characteristics, according to certification status: United States, 1997

Facility characteristics

All nursing homes

Certified by Medicare

and Medicaid

Certified by Medicare

only

Certified by Medicaid

only Not certified

Homes Beds Homes Beds Homes Beds Homes Beds Homes Beds

All facilities ....................... 17,000 1,820,800 13,200 1,526,000 *800 61,100 2,300 184,700 *700 49,000

Ownership

Proprietary ....................... 11,400 1,213,900 9,100 1,039,400 * 32,100 1,600 122,300 * 20,100

Voluntary nonprofit .................. 4,400 465,400 3,400 383,900 * 25,400 * 36,200 * 20,000

Government and other ................ 1,200 141,500 700 102,700 * 3,600 * 26,200 * 8,900

Beds

Fewer than 50 beds ................. 2,200 74,200 1,100 40,700 * 6,500 * 16,000 * 11,000

50–99 beds ....................... 6,300 451,000 4,500 331,200 * 23,700 1,200 82,700 * 13,300

100–199 beds ..................... 7,200 941,500 6,400 834,600 * 17,200 *500 70,500 * 19,200

200 beds or more ................... 1,300 354,100 1,200 319,500 * 13,700 * 15,500 * 5,500

Geographic region

Northeast ........................ 2,900 396,300 2,600 368,900 * 9,100 * 9,800 * 8,400

Midwest ......................... 5,800 577,100 4,300 455,700 * 22,900 1,000 78,400 * 20,200

South .......................... 5,400 600,300 3,900 480,700 * 20,600 1,000 84,100 * 14,900

West . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,900 247,100 2,400 220,700 * 8,500 * 12,400 * 5,500

Location of agency

Metropolitan statistical area ............. 10,500 1,259,900 8,500 1,083,700 *600 54,100 900 87,500 *500 34,600

Nonmetropolitan statistical area .......... 6,600 560,900 4,700 442,300 * 7,000 1,400 97,200 * 14,400

Affiliation1

Chain .......................... 9,600 1,035,700 8,100 910,700 * 33,300 *900 76,200 * 15,500

Independent ...................... 7,400 172,800 5,100 605,800 * 26,500 1,400 108,500 * 32,000

*Figure does not meet standard of reliability or precision, because sample size is less than 30 and therefore, is not reported. If shown with a number, it should not be assumed reliable because the

sample size is between 30 to 59 or the sample size is greater than 59 but has a relative standard error over 30 percent.

1Excludes unknown.

NOTE: Numbers may not add to totals because of rounding.

Series 13, No. 147 [ Page 5
Table 3. Number and percent distribution of nursing homes, by selected facility characteristics, according to bed size: United States, 1997

Facility characterisitics

All sizes Fewer than 50 beds 50–99 beds 100–199 beds 200 beds or more

Number

Percent

distribution Number

Percent

distribution Number

Percent

distribution Number

Percent

distribution Number

Percent

distribution

All facilities ....................... 17,000 100.0 2,200 100.0 6,300 100.0 7,200 100.0 1,300 100.0

Ownership

Proprietary ....................... 11,400 67.1 1,200 55.9 4,200 65.6 5,300 74.3 700 53.9

Voluntary nonprofit .................. 4,400 26.1 *800 35.4 1,700 27.6 1,500 20.6 * *

Government and other ................ 1,200 6.8 * * ******

Certification

Certified—

By Medicare and Medicaid ............ 13,200 77.7 *1,100 51.9 4,500 71.8 6,400 88.5 1,200 90.3

By Medicare only .................. *800 *4.7 * * ******

By Medicaid only .................. 2,300 13.6 * * 1,200 19.4 *500 *7.6 * *

Not certified . . . . . . . . . . . . . . . . . . . . . . *700 *4.1 * * ******

Geographic region

Northeast ........................ 2,900 17.3 * * *600 9.4 1,600 22.1 500 36.8

Midwest ......................... 5,800 34.2 *700 *31.3 2,600 41.4 2,100 28.7 * *

South .......................... 5,400 31.8 * * 1,900 29.7 2,700 38.1 * *

West . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,900 16.8 *800 *34.1 1,200 19.4 800 11.1 * *

Location of agency

Metropolitan statistical area ............. 10,500 61.5 *1,100 *52.1 3,200 49.8 5,000 69.3 1,200 91.0

Nonmetropolitan statistical area .......... 6,600 38.5 *1,100 *48.0 3,200 50.2 2,200 30.7 * *

Affiliation1

Chain .......................... 9,600 56.3 *800 *37.7 3,600 56.2 4,600 64.4 600 43.8

Independent ...................... 7,400 43.2 *1,400 *62.3 2,800 43.6 2,500 34.7 700 55.7

*Figure does not meet standard of reliability or precision, because sample size is less than 30 and therefore, is not reported. If shown with a number, it should not be assumed reliable because the

sample size is between 30 to 59 or the sample size is greater than 59 but has a relative standard error over 30 percent.

1Excludes unknown.

NOTES: Numbers may not add to totals because of rounding. Percents are based on the unrounded numbers.

Page 6 [ Series 13, No. 147
Table 4. Number and percent of nursing homes, by type of services provided, according to ownership: United States, 1997

Type of service

All ownership Proprietary Voluntary nonprofit Government

Number Percent Number Percent Number Percent Number Percent

All facilities1 ......................... 17,000 11,400 4,400 1,200

Dental services ....................... 14,000 82.3 9,400 81.9 3,800 85.1 900 75.5

Help with oral hygiene ................... 16,100 94.7 10,700 93.9 4,300 97.0 1,100 93.2

Home health services ................... 3,900 23.2 2,500 22.2 1,200 27.3 * *

Hospice services ...................... 12,200 71.5 8,300 72.7 3,200 72.1 700 57.7

Medical services ....................... 16,500 96.9 11,100 97.0 4,300 97.6 1,100 93.1

Mental health services ................... 13,800 81.3 9,300 81.4 3,600 81.3 900 80.1

Nursing services ....................... 17,000 99.6 11,400 99.5 4,400 99.9 1,200 100.0

Nutrition services ...................... 16,900 99.2 11,400 99.5 4,400 99.0 1,100 97.2

Occupational therapy .................... 16,100 94.5 10,800 94.4 4,300 96.5 1,000 87.7

Personal care ........................ 16,500 96.7 11,100 97.2 4,300 96.2 1,100 93.1

Physical therapy ....................... 16,500 97.1 11,100 97.0 4,300 97.6 1,100 96.0

Podiatry services ...................... 15,400 90.9 10,500 91.9 4,000 90.8 900 81.5

Prescribed medicines or nonprescribed medicines . . 16,700 98.2 11,300 98.6 4,400 98.1 1,100 95.7

Sheltered employment ................... 1,100 6.7 *600 *5.4 *400 *8.9 * *

Social services ........................ 16,700 98.3 11,200 98.4 4,400 98.1 1,100 98.6

Special education ...................... 2,900 17.2 2,000 17.6 700 16.2 * *

Speech and hearing therapy ............... 15,900 93.6 10,600 93.1 4,200 95.2 1,100 92.2

Transportation ........................ 13,500 79.5 8,800 77.3 3,700 83.3 1,000 86.0

Vocational rehabilitation .................. 2,600 15.1 1,800 16.1 *600 *14.5 * *

Equipment or devices ................... 16,200 95.2 10,800 94.4 4,300 97.1 1,100 95.8

Other .............................. 5,800 34.0 3,800 33.2 1,700 37.6 * *

*Figure does not meet standard of reliability or precision, because sample size is less than 30 and therefore, is not reported. If shown with a number, it should not be assumed reliable because the

sample size is between 30 to 59 or the sample size is greater than 59 but has a relative standard error over 30 percent.

1Numbers will add to more than totals, because a facility may provide more than one type of service.

NOTES: Numbers may not add to totals because of rounding. Percents are based on the unrounded numbers.

Series 13, No. 147 [ Page 7
eds of full-time equivalent employees, by occupational categories, according to selected nursing home characteristics: United States, 1997

Occupational category1

All full-time

equivalent

employees

Administrative

medical and

therapeutic2

Nursing

Total

Registered

nurse

Licensed

practical nurse

Nurse’s aide

and orderly

All other

staff

Number

Rate per

100 beds Number

Rate per

100 beds Number

Rate per

100 beds Number

Rate per

100 beds Number

Rate per

100 beds Number

Rate per

100 beds Number

Rate per

100 beds

. 1,434,100 78.8 99,700 5.5 950,200 52.2 141,300 7.8 192,100 10.6 616,800 33.9 384,100 21.1

. 910,400 75.0 66,700 5.5 610,300 50.3 87,700 7.2 125,200 10.3 397,500 32.7 233,400 19.2

. 398,000 85.5 26,500 5.7 258,000 55.4 41,100 8.8 51,700 11.1 165,200 35.5 113,600 24.4

. 125,700 88.9 6,500 4.6 82,000 58.0 12,600 8.9 15,200 10.8 54,200 38.3 37,200 26.3

. 1,215,100 79.6 85,300 5.6 808,600 53.0 122,200 8.0 164,400 10.8 522,000 34.2 321,200 21.0

. 51,900 84.9 4,300 7.0 33,300 54.5 6,900 11.3 6,600 10.8 19,800 32.3 14,300 23.4

. 129,800 70.3 7,500 4.1 86,600 46.9 9,200 5.0 16,700 9.1 60,700 32.9 35,700 19.3

. 37,300 76.2 2,500 5.1 21,800 44.5 3,000 6.1 4,400 9.0 14,400 29.4 13,000 26.5

. 73,400 99.0 9,800 13.2 46,800 63.1 8,500 11.5 10,000 13.5 28,200 38.1 16,800 22.7

. 357,400 79.2 25,800 5.7 231,900 51.4 34,000 7.5 45,300 10.1 152,600 33.8 99,700 22.1

. 732,500 77.8 47,800 5.1 491,400 52.2 70,100 7.4 101,200 10.8 320,000 34.0 193,400 20.5

. 270,800 76.5 16,300 4.6 180,200 50.9 28,700 8.1 35,500 10.0 116,000 32.8 74,200 21.0

. 345,600 87.2 21,300 5.4 230,700 58.2 39,100 9.9 41,300 10.4 150,300 37.9 93,600 23.6

. 428,700 74.3 29,000 5.0 281,400 48.8 46,600 8.1 57,000 9.9 177,900 30.8 118,200 20.5

. 450,300 75.0 34,400 5.7 307,100 51.2 33,700 5.6 68,400 11.4 204,900 34.1 108,900 18.1

. 209,500 84.8 14,900 6.0 131,100 53.1 21,900 8.9 25,500 10.3 83,700 33.9 63,500 25.7

. 1,005,100 79.8 69,100 5.5 665,400 52.8 104,400 8.3 135,200 10.7 425,800 33.8 270,600 21.5

. 429,000 76.5 30,600 5.5 284,900 50.8 37,000 6.6 56,900 10.1 191,000 34.1 113,500 20.2

. 798,300 77.1 57,000 5.5 527,700 51.0 76,500 7.4 109,400 10.6 341,800 33.0 213,600 20.6

. 626,300 81.0 42,100 5.5 416,200 53.9 63,900 8.3 81,300 10.5 271,000 35.1 167,900 21.7

alth-related services to residents.

pists, speech pathologists and/or audiologists, dieticians or nutritionists, podiatrists, and social workers.

f rounding. Rates are based on the unrounded numbers.

Page 8 [ Series 13, No. 147
Table 6. Average per diem rates for private pay patients, by level of care of facility and for Medicare and Medicaid residents, by certification

status of facility, according to selected facility characteristics: United States, 1997

Facility characteristics

Level of care Certification status

Skilled Intermediate Residential Medicare Medicaid

Total ......................... $ 135.94 $ 106.58 $ 96.75 $ 216.51 $ 97.86

Ownership

Proprietary ..................... 132.25 103.49 100.87 228.14 91.04

Voluntary nonprofit ................ 147.47 118.01 80.91 201.45 116.49

Government and other .............. 129.01 99.21 * 150.52 99.71

Certification

Certified—

By Medicare and Medicaid .......... 138.66 110.97 105.62 215.68 101.95

By Medicare only ................ *160.86 * * *229.31 . . .

By Medicaid only ................ 94.01 83.09 *72.36 . . . 76.07

Not certified . . . . . . . . . . . . . . . . . . . . * * * . . . . . .

Beds

Fewer than 50 beds ............... *150.53 *114.34 * *232.85 *114.91

50–99 beds ..................... 122.64 97.16 112.96 199.68 94.13

100–199 beds ................... 138.04 110.88 92.81 223.14 94.44

200 beds or more ................. 160.57 120.11 *97.64 229.78 112.75

Region

Northeast ...................... 176.25 153.49 *181.14 206.94 119.62

Midwest ....................... 123.08 99.09 80.66 193.87 87.81

South ........................ 115.57 93.67 81.81 220.88 89.27

West . . . . . . . . . . . . . . . . . . . . . . . . . 149.84 119.30 *94.32 259.52 111.27

Location of agency

Metropolitan statistical area ........... 148.78 116.25 108.69 234.72 102.13

Nonmetropolitan statistical area ........ 113.41 93.29 80.61 183.19 91.38

Affiliation1

Chain ........................ 135.01 106.78 90.56 228.56 93.31

Independent .................... 137.57 106.44 103.48 197.05 104.33

*Figure does not meet standard of reliability or precision, because sample size is less than 30 and therefore, is not reported. If shown with a number, it should not be assumed reliable because the

sample size is between 30 to 59 or the sample size is greater than 59 but has a relative standard error over 30 percent.

. . . Category not applicable.

1Excludes unknown.

Series 13, No. 147 [ Page 9
Table 7. Number of nursing home residents by selected facility characteristics, according to age, sex, and race of resident: United States,

1997

Facility characteristics

All

residents

Age1 Race

Under

65 years

65 years and over Sex Black and other

Total Unknown

65–74

years

75–84

years

85 years

and over Male Female White Total Black

All facilities ................... 1,608,700 136,700 1,465,000 198,400 528,300 738,300 447,700 1,160,900 1,401,200 189,100 167,400 18,300

Ownership

Proprietary ................... 1,054,200 100,100 948,400 143,400 351,300 453,700 297,200 757,100 899,600 142,200 125,500 12,400

Voluntary nonprofit .............. 422,700 22,200 399,700 39,600 128,800 231,300 98,400 324,300 385,200 33,200 29,300 *

Government and other ............ 131,700 14,400 116,900 15,400 48,200 53,400 52,100 79,600 116,400 13,800 *12,500 *

Certification

Certified—

By Medicare and Medicaid ........ 1,365,500 113,500 1,246,800 171,000 452,300 623,400 373,200 992,300 1,188,600 159,900 143,800 17,000

By Medicare only .............. 47,400 * 46,200 * 15,100 28,500 12,000 35,500 46,800 * * *

By Medicaid only .............. 156,300 19,200 135,700 21,300 47,000 67,400 48,600 107,700 129,700 25,700 21,900 *

Not certified . . . . . . . . . . . . . . . . . . 39,400 * 36,400 * 13,800 19,000 14,000 25,500 36,100 * * *

Beds

Fewer than 50 beds ............. 62,000 *4,800 57,000 7,100 19,000 31,000 18,500 43,500 56,300 *4,900 * *

50–99 beds ................... 397,200 30,600 364,600 47,500 126,500 190,500 111,700 285,500 358,100 37,100 31,700 *

100–199 beds ................. 835,200 65,600 766,700 104,000 278,300 384,400 218,900 616,200 731,800 93,700 84,600 *9,700

200 beds or more ............... 314,300 35,600 276,700 39,900 104,400 132,500 98,600 215,700 255,000 53,500 47,600 *

Geographic region

Northeast .................... 374,700 27,200 346,500 45,300 128,500 172,800 99,200 275,500 336,300 34,000 29,700 *

Midwest ..................... 498,200 42,400 452,100 54,900 154,900 242,300 138,400 359,900 455,000 38,900 35,700 *

South ...................... 525,000 45,800 477,400 71,100 177,500 228,900 146,900 378,100 432,200 88,700 86,000 *

West . . . . . . . . . . . . . . . . . . . . . . . 210,700 21,200 189,000 27,200 67,400 94,300 63,200 147,500 177,600 27,500 15,900 *5,500

Location of agency

Metropolitan statistical area . . . . . . . . . 1,116,100 104,300 1,006,500 139,500 363,400 503,600 303,200 812,900 952,600 147,700 131,800 15,700

Nonmetropolitan statistical area ...... 492,600 32,400 458,500 58,900 164,900 234,700 144,600 348,000 448,500 41,400 35,600 *

Affiliation1

Chain ...................... 909,400 83,100 821,500 122,400 299,400 399,700 255,500 653,900 789,600 110,300 97,700 *9,500

Independent .................. 690,200 53,200 635,000 75,400 226,100 333,500 190,100 500,100 603,400 77,900 68,900 *8,800

*Figure does not meet standard of reliability or precision, because sample size is less than 30 and therefore, is not reported. If shown with a number, it should not be assumed reliable because the

sample size is between 30 to 59 or the sample size is greater than 59 but has a relative standard error over 30 percent.

1Excludes unknown.

NOTE: Numbers may not add to totals because of rounding.

Page 10 [ Series 13, No. 147
Table 8. Percent distribution of nursing home residents by selected facility characteristics, according to age, sex, and race: United States,

1997

Facility characteristics

All

residents

Age1 Race

Under

65 years

65 years and over Sex Black and other

Total Unknown

65–74

years

75–84

years

85 years

and over Male Female White Total Black

All facilities ..................... 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 *100.0

Ownership

Proprietary ..................... 65.5 73.2 64.7 72.3 66.5 61.5 66.4 65.2 64.2 75.2 75.0 67.9

Voluntary nonprofit ................ 26.3 16.2 27.3 20.0 24.4 31.3 22.0 27.9 27.5 17.6 17.5 *

Government and other . . . . . . . . . . . . . . 8.2 10.6 8.0 7.7 9.1 7.2 11.6 6.9 8.3 7.3 *7.5 *

Certification

Certified—

By Medicare and Medicaid .......... 84.9 83.0 85.1 86.2 85.6 84.4 83.4 85.5 84.8 84.6 85.9 92.7

By Medicare only . . . . . . . . . . . . . . . . 3.0 * 3.2 * 2.9 3.9 2.7 3.1 3.3 * * *

By Medicaid only . . . . . . . . . . . . . . . . 9.7 14.1 9.3 10.7 8.9 9.1 10.9 9.3 9.3 13.6 13.1 *

Not certified . . . . . . . . . . . . . . . . . . . . 2.5 * 2.5 * 2.6 2.6 3.1 2.2 2.6 * * *

Beds

Fewer than 50 beds . . . . . . . . . . . . . . . 3.9 3.5 3.9 3.6 3.6 4.2 4.1 3.8 4.0 *2.6 * *

50–99 beds ..................... 24.7 22.4 24.9 23.9 24.0 25.8 25.0 24.6 25.6 19.6 18.9 *

100–199 beds ................... 51.9 48.0 52.3 52.4 52.7 52.1 48.9 53.1 52.2 49.5 50.6 *52.9

200 beds or more ................. 19.5 26.1 18.9 20.1 19.8 17.9 22.0 18.6 18.2 28.3 28.4 *

Geographic region

Northeast ...................... 23.3 19.9 23.7 22.8 24.3 23.4 22.2 23.7 24.0 18.0 17.8 *

Midwest ....................... 31.0 31.0 30.9 27.7 29.3 32.8 30.9 31.0 32.5 20.6 21.3 *

South ........................ 32.6 33.5 32.6 35.8 33.6 31.0 32.8 32.6 30.9 46.9 51.4 *

West . . . . . . . . . . . . . . . . . . . . . . . . . 13.1 15.5 12.9 13.7 12.8 12.8 14.1 12.7 12.7 14.6 9.5 *30.3

Location of agency

Metropolitan statistical area ........... 69.4 76.3 68.7 70.3 68.8 68.2 67.7 70.0 68.0 78.1 78.7 85.6

Nonmetropolitan statistical area ........ 30.6 23.7 31.3 29.7 31.2 31.8 32.3 30.0 32.0 21.9 21.3 *

Affiliation1

Chain ........................ 56.5 60.8 56.1 61.7 56.7 54.1 57.1 56.3 56.4 58.3 58.4 *51.8

Independent .................... 42.9 38.9 43.4 38.0 42.8 45.2 42.5 43.1 43.1 41.2 41.2 *48.2

*Figure does not meet standard of reliability or precision, because sample size is less than 30 and therefore, is not reported. If shown with a number, it should not be assumed reliable because the

sample size is between 30 to 59 or the sample size is greater than 59 but has a relative standard error over 30 percent.

1Excludes unknown.

NOTE: Percents are based on the unrounded numbers.

Series 13, No. 147 [ Page 11
Table 9. Number of nursing home residents by selected facility characteristics, according to primary source of payment at admission and at

time of survey: United States, 1997

Facility characteristics

Primary source of payment

At admission At time of survey

All

sources

Private

insurance1 Medicare Medicaid

All

other2

Private

insurance1 Medicare Medicaid

All

other2

All facilities ..................... 1,608,700 433,400 454,200 654,500 66,600 394,700 230,900 931,800 51,300

Ownership

Proprietary ..................... 1,054,200 244,500 316,900 455,100 37,800 220,700 158,000 648,900 26,600

Voluntary nonprofit ................ 422,700 157,800 112,500 136,200 16,200 147,500 63,200 198,300 *13,700

Government and other .............. 131,700 31,100 24,800 63,200 *12,600 26,400 * 84,700 *11,000

Certification

Certified—

By Medicare and Medicaid .......... 1,365,500 328,800 435,700 554,000 47,000 299,100 216,700 814,200 35,300

By Medicare only ................ 47,400 25,200 15,700 * * 30,100 10,900 * *

By Medicaid only ................ 156,300 47,300 * 97,800 10,000 34,800 * 114,800 *4,900

Not certified . . . . . . . . . . . . . . . . . . . . 39,400 32,000 * * * 30,700 * * *5,600

Beds

Fewer than 50 beds ............... 62,000 24,000 13,700 20,900 * 24,300 8,500 26,800 *2,400

50–99 beds ..................... 397,200 134,700 89,100 160,800 12,500 116,800 51,300 220,900 *8,200

100–199 beds ................... 835,200 201,700 267,900 337,700 28,000 191,000 128,300 491,400 24,400

200 beds or more ................. 314,300 73,000 83,500 135,200 22,600 62,600 42,800 192,700 16,200

Geographic region

Northeast ...................... 374,700 83,500 124,100 149,700 17,500 73,500 59,800 224,600 16,800

Midwest ....................... 498,200 184,000 117,900 173,800 22,500 163,600 59,400 263,000 12,200

South ........................ 525,000 115,300 147,500 247,600 14,600 108,500 72,700 332,400 *11,400

West . . . . . . . . . . . . . . . . . . . . . . . . . 210,700 50,600 64,600 83,500 12,000 49,100 39,000 111,800 10,800

Location of agency

Metropolitan statistical area . . . . . . . . . . . 1,116,100 300,800 339,200 424,300 51,800 277,300 177,500 619,600 41,700

Nonmetropolitan statistical area ........ 492,600 132,600 114,900 230,300 14,800 117,300 53,400 312,200 *9,600

Affiliation3

Chain ........................ 909,400 218,400 289,100 367,500 34,500 198,500 138,000 546,100 26,900

Independent .................... 690,200 211,900 163,100 283,300 31,900 192,700 92,500 380,800 24,200

*Figure does not meet standard of reliability or precision, because sample size is less than 30 and therefore, is not reported. If shown with a number, it should not be assumed reliable because the

sample size is between 30 to 59 or the sample size is greater than 59 but has a relative standard error over 30 percent.

1Includes private insurance, own income, family support, Social Security benefits, and retirement fund.

2Includes Supplemental Security Income, other government assistance or welfare, religious organizations, foundations, agencies, Veterans’ Administration (VA) contracts, pension, or other VA

compensation, payment source not yet determined, other, and unknown sources.

3Excludes unknown.

NOTE: Numbers may not add to totals because of rounding.

Page 12 [ Series 13, No. 147
Table 10. Percent distribution of nursing home residents by selected facility characteristics, according to primary source of payment at

admission and at time of survey: United States, 1997

Facility characteristics

Primary source of payment

At admission At time of survey

All

sources

Private

insurance1 Medicare Medicaid

All

other2

Private

insurance1 Medicare Medicaid

All

other2

All facilities ..................... 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

Ownership

Proprietary ..................... 65.5 56.4 69.8 69.5 56.7 55.9 68.4 69.6 51.9

Voluntary nonprofit ................ 26.3 36.4 24.8 20.8 24.3 37.4 27.4 21.3 26.7

Government and other . . . . . . . . . . . . . . 8.2 7.2 5.5 9.7 *19.0 6.7 *4.2 9.1 *21.4

Certification

Certified—

By Medicare and Medicaid .......... 84.9 75.9 95.9 84.6 70.5 75.8 93.9 87.4 69.3

By Medicare only . . . . . . . . . . . . . . . . 3.0 5.8 3.5 * * 7.6 4.7 * *

By Medicaid only . . . . . . . . . . . . . . . . 9.7 10.9 * 15.0 15.0 8.8 * 12.3 *9.6

Not certified . . . . . . . . . . . . . . . . . . . . 2.5 7.4 * * * 7.8 * * 10.9

Beds

Fewer than 50 beds . . . . . . . . . . . . . . . 3.9 5.5 3.0 3.2 *5.2 6.2 3.7 2.9 4.8

50–99 beds ..................... 24.7 31.1 19.6 24.6 18.8 29.6 22.2 23.7 16.0

100–199 beds ................... 51.9 46.5 59.0 51.6 42.0 48.4 55.6 52.7 47.7

200 beds or more ................. 19.5 16.8 18.4 20.7 34.0 15.9 18.5 20.7 31.6

Geographic region

Northeast ...................... 23.3 19.3 27.3 22.9 26.2 18.6 25.9 24.1 32.8

Midwest ....................... 31.0 42.5 26.0 26.6 33.8 41.5 25.7 28.2 23.8

South ........................ 32.6 26.6 32.5 37.8 22.0 27.5 31.5 35.7 *22.3

West . . . . . . . . . . . . . . . . . . . . . . . . . 13.1 11.7 14.2 12.8 18.0 12.4 16.9 12.0 21.1

Location of agency

Metropolitan statistical area ........... 69.4 69.4 74.7 64.8 77.7 70.3 76.9 66.5 81.3

Nonmetropolitan statistical area ........ 30.6 30.6 25.3 35.2 22.3 29.7 23.1 33.5 *18.8

Affiliation3

Chain ........................ 56.5 50.4 63.7 56.1 51.8 50.3 59.8 58.6 52.5

Independent .................... 42.9 48.9 35.9 43.3 47.9 48.8 40.1 40.9 47.1

*Figure does not meet standard of reliability or precision, because sample size is less than 30 and therefore, is not reported. If shown with a number, it should not be assumed reliable because the

sample size is between 30 to 59 or the sample size is greater than 59 but has a relative standard error over 30 percent.

1Includes private insurance, own income, family support, Social Security benefits, and retirement fund.

2Includes Supplemental Security Income, other government assistance or welfare, religious organizations, foundations, agencies, Veterans’ Administration (VA) contracts, pension, or other VA

compensation, payment source not yet determined, other, and unknown sources.

3Excludes unknown.

NOTE: Percents are based on the unrounded numbers.

Series 13, No. 147 [ Page 13
Table 11. Number and percent distribution of nursing home residents, by length of time since admission and average length of time since

admission, according to selected facility characteristics: United States, 1997

Facility characteristics

Number of

residents

Length of time since admission1

Average length

of time since

Total admission in days

Less than

3 months

3 months

to less

than 6

6 months

to less

than 12

1 year

to less

than 3

3 years

to less

than 5

5 years

or more

All facilities ..................... 1,608,700 100.0 17.6 9.7 14.8 30.3 13.6 14.0 898.7

Ownership

Proprietary ..................... 1,054,200 100.0 18.5 10.2 15.1 30.4 12.9 13.0 857.9

Voluntary nonprofit ................ 422,700 100.0 17.6 8.8 14.6 29.8 14.0 15.3 924.5

Government and other .............. 131,700 100.0 11.0 *8.8 13.3 32.1 17.5 17.4 1,142.3

Certification

Certified—

By Medicare and Medicaid .......... 1,365,500 100.0 18.3 9.8 14.7 30.4 13.6 13.2 869.4

By Medicare only ................ 47,400 100.0 25.0 * *17.6 29.4 * * 608.7

By Medicaid only ................ 156,300 100.0 10.2 8.8 13.6 30.1 15.5 21.9 1,232.7

Not certified . . . . . . . . . . . . . . . . . . . . 39,400 100.0 *14.8 * *17.1 31.1 * *16.5 936.8

Beds

Fewer than 50 beds ............... 62,000 100.0 *24.2 10.1 14.5 26.3 *11.7 *13.2 811.0

50–99 beds ..................... 397,200 100.0 17.4 7.9 15.6 31.4 14.5 13.3 892.7

100–199 beds ................... 835,200 100.0 18.1 10.8 14.2 30.8 12.8 13.5 889.3

200 beds or more ................. 314,300 100.0 15.5 9.2 15.4 28.6 15.1 16.4 948.4

Geographic region

Northeast ...................... 374,700 100.0 16.0 10.1 15.0 29.6 14.2 15.1 918.3

Midwest ....................... 498,200 100.0 16.8 8.6 14.6 31.2 14.0 15.0 937.7

South ........................ 525,000 100.0 17.6 9.9 15.2 30.2 13.3 13.8 906.8

West . . . . . . . . . . . . . . . . . . . . . . . . . 210,700 100.0 22.6 11.2 13.6 30.1 12.3 10.1 751.2

Location of agency

Metropolitan statistical area . . . . . . . . . . . 1,116,100 100.0 19.1 10.1 14.9 30.3 12.8 12.7 831.8

Nonmetropolitan statistical area ........ 492,600 100.0 14.3 8.7 14.4 30.5 15.3 16.8 1,050.2

Affiliation1

Chain ........................ 909,400 100.0 18.0 9.5 15.3 31.3 12.9 13.0 870.4

Independent .................... 690,200 100.0 17.3 10.1 14.1 29.1 14.4 15.1 925.0

*Figure does not meet standard of reliability or precision, because sample size is less than 30 and therefore, is not reported. If shown with a number, it should not be assumed reliable because the

sample size is between 30 to 59 or the sample size is greater than 59 but has a relative standard error over 30 percent.

1Excludes unknown.

NOTES: Numbers may not add to totals because of rounding. Percents are based on the unrounded numbers.

Page 14 [ Series 13, No. 147
Table 12. Average daily charge and number of nursing home residents, by primary source of payment in month before interview, according

to selected facility characteristics: United States, 1997

Facility characteristics

All sources Private sources1 Medicare Medicaid All other sources2

Average

daily

charge3

Number of

residents

Average

daily

charge

Number of

residents

Average

daily

charge

Number of

residents

Average

daily

charge

Number of

residents

Average

daily

charge

Number of

residents

All facilities . . . . . . . . . . . . . . . . . . . . . $119.30 1,608,700 $119.93 394,700 $203.20 230,900 $101.68 931,800 $ 127.52 51,300

Ownership

Proprietary ..................... 115.81 1,054,200 124.71 220,700 201.33 158,000 95.12 648,900 137.54 26,600

Voluntary nonprofit ................ 128.85 422,700 119.22 147,500 216.12 63,200 114.80 198,300 102.86 13,700

Government and other .............. 115.78 131,700 87.10 26,400 *157.28 *9,700 118.99 84,700 *128.42 *11,000

Certification

Certified—

By Medicare and Medicaid .......... 124.33 1,365,500 127.31 299,100 204.40 216,700 104.90 814,200 140.10 35,500

By Medicare only ................ 147.56 47,400 135.60 30,100 231.38 10,900 * * * *

By Medicaid only ................ 80.30 156,300 81.50 34,800 * * 79.46 114,800 *93.42 *4,900

Not certified . . . . . . . . . . . . . . . . . . . . 79.45 39,400 81.41 30,700 * * * * *68.56 *5,600

Beds

Fewer than 50 beds ............... 116.31 62,000 98.03 24,300 342.68 8,500 97.97 26,800 *69.27 *2,400

50–99 beds ..................... 105.11 397,200 106.88 116,800 199.85 51,300 88.75 220,900 *94.71 *8,200

100–199 beds ................... 118.57 835,200 124.83 191,000 195.88 128,300 98.13 491,400 137.47 24,400

200 beds or more ................. 139.59 314,300 136.89 62,600 210.52 42,800 126.47 192,700 139.61 16,200

Geographic region

Northeast ...................... 151.04 374,700 160.62 73,500 216.67 59,800 132.79 224,600 152.17 16,800

Midwest ....................... 106.44 498,200 106.26 163,600 193.39 59,400 90.60 263,000 *119.09 *12,200

South ........................ 106.33 525,000 109.35 108,500 206.30 72,700 87.05 332,400 *102.15 *11,400

West . . . . . . . . . . . . . . . . . . . . . . . . . 125.38 210,700 129.44 49,100 187.04 39,000 106.95 111,800 132.02 10,800

Location of agency

Metropolitan statistical area ........... 129.59 1,116,100 132.05 277,300 207.53 177,500 109.79 619,600 137.56 41,700

Nonmetropolitan statistical area ........ 97.35 492,600 92.89 117,300 189.49 53,400 86.21 312,200 *87.73 *9,600

Affiliation4

Chain ........................ 118.33 909,400 124.27 198,500 215.90 138,000 95.35 546,100 132.23 26,900

Independent .................... 120.35 690,200 116.02 192,700 182.07 92,500 110.29 380,800 121.30 24,200

*Figure does not meet standard of reliability or precision, because sample size is less than 30 and therefore, is not reported. If shown with a number, it should not be assumed reliable because the

sample size is between 30 to 59 or the sample size is greater than 59 but has a relative standard error over 30 percent.

1Includes private insurance, own income, family support, Social Security benefits, and retirement funds.

2Includes Supplemental Security Income, religious organizations, foundations, agencies, Veterans’ Administration (VA) contract, pensions, or VA other compensation, payment source not yet

determined, and other, and unknown sources.

3Includes residents with unknown source of payment.

4Excludes unknown.

NOTE: Numbers may not add to totals because of rounding.

Series 13, No. 147 [ Page 15
Table 13. Nursing home residents, number, percent distribution, and rate per 10,000, by age at interview, according to sex, race, and region:

United States, 1997

Age at interview

All

residents

Race

Sex Black and other Region

Male Female White Total Black Unknown Northeast Midwest South West

All ages1 ...................... 1,608,700 447,700 1,160,900 1,401,200 189,100 167,400 18,300 374,700 498,200 525,000 210,700

Under 65 years ................. 136,700 73,200 63,500 100,100 33,500 29,900 * 27,200 42,400 45,800 21,200

65 years and over ............... 1,465,000 372,100 1,092,900 1,294,900 155,400 137,400 14,700 346,500 452,100 477,400 189,000

65–74 years ................. 198,400 80,800 117,700 160,800 35,400 31,400 * 45,300 54,900 71,100 27,200

75–84 years ................. 528,300 159,300 368,900 464,400 59,200 51,900 * 128,500 154,900 177,500 67,400

85 years and over .............. 738,300 132,000 606,300 669,700 60,900 54,100 *7,800 172,800 242,300 228,900 94,300

Percent distribution

All ages1 ...................... 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

Under 65 years . . . . . . . . . . . . . . . . . 8.5 16.4 5.5 7.1 17.7 17.9 * 7.3 8.5 8.7 10.1

65 years and over ............... 91.1 83.1 94.1 92.4 82.2 82.1 80.3 92.5 90.8 90.9 89.7

65–74 years ................. 12.3 18.0 10.1 11.5 18.7 18.7 * 12.1 11.0 13.5 12.9

75–84 years ................. 32.8 35.6 31.8 33.1 31.3 31.0 * 34.3 31.1 33.8 32.0

85 years and over .............. 45.9 29.5 52.2 47.8 32.2 32.3 *42.4 46.1 48.6 43.6 44.8

Rate per 10,000 population2

All ages1 ...................... 59.5 33.8 84.1 62.9 39.6 47.6 . . . 72.1 79.4 55.1 34.9

Under 65 years . . . . . . . . . . . . . . . . . 5.8 6.2 5.4 5.2 7.6 9.2 . . . 6.1 7.8 5.5 2.5

65 years and over ............... 433.8 267.0 550.9 429.7 426.9 493.7 . . . 481.0 561.6 402.9 283.1

65–74 years ................. 108.3 98.3 116.4 99.6 163.0 191.9 . . . 118.1 128.5 108.3 74.4

75–84 years ................. 455.1 345.6 527.3 442.2 535.2 606.1 . . . 510.7 553.9 443.9 293.7

85 years and over .............. 1,920.3 1,190.2 2,216.3 1,924.4 1,668.2 1,859.8 . . . 2,023.9 2,463.2 1,781.2 1,306.0

*Figure does not meet standard of reliability or precision, because sample size is less than 30 and therefore, is not reported. If shown with a number, it should not be assumed reliable because the

sample size is between 30 to 59 or the sample size is greater than 59 but has a relative standard error over 30 percent.

. . . Category not applicable.

1Excludes unknown.

2Rates based on the civilian resident population, including institutionalized persons, as of July 1, 1997.

NOTES: Numbers may not add to totals because of rounding. Percents and rates are based on the unrounded numbers.

Page 16 [ Series 13, No. 147
Table 14. Number of nursing home residents by marital status, residence and living arrangements before admission, according to age, sex,

and race of resident: United States, 1997

Resident characteristics

All

residents

Age1 Race

Under

65 years

65 years and over Sex Black and other

Total Unknown

65–74

years

75–84

years

85 years

and over Male Female White Total Black

All residents .................... 1,608,700 136,700 1,465,000 198,400 528,300 738,300 447,700 1,160,900 1,401,200 189,100 167,400 18,300

Current marital status

Married ....................... 272,500 22,300 248,800 49,200 123,700 75,900 151,900 120,600 241,400 28,200 23,000 *

Widowed ...................... 939,300 10,600 924,400 69,800 293,700 560,900 133,300 806,000 838,800 92,000 82,700 8,500

Divorced or separated .............. 132,200 33,800 98,200 32,500 40,400 25,300 50,900 81,200 107,400 23,200 20,600 *

Single or never married ............. 241,600 67,200 173,800 43,200 62,800 67,800 104,400 137,200 197,600 39,500 35,300 *

Unknown ...................... 23,100 * 19,800 * *7,700 *8,400 7,100 16,000 16,100 *6,300 *5,800 *

Residence before admission

Private or semiprivate residence ........ 510,400 36,600 472,100 52,600 170,900 248,600 133,700 376,700 453,000 52,600 47,000 *

Retirement home ................. 34,900 * 33,900 * *8,200 24,000 *6,000 28,900 33,300 * * *

Board and care or residential care facility . . 73,700 *6,100 67,300 *6,800 22,100 38,300 18,600 55,200 68,500 * * *

Nursing home ................... 198,600 18,600 179,000 28,100 63,000 87,900 57,200 141,400 179,800 17,400 14,000 *

Hospital ....................... 717,800 63,800 651,300 92,600 240,300 318,400 209,300 508,400 609,100 99,700 88,600 *9,000

Mental health facility ............... 24,100 * 19,000 *8,000 *7,700 * *7,800 16,300 18,000 * * *

Other or unknown ................. 49,100 *5,900 42,400 *8,500 15,900 18,000 15,100 34,100 39,400 *8,000 *7,100 *

Living arrangement before admission

Alone ........................ 207,300 *6,900 199,900 16,800 61,400 121,600 38,400 168,900 190,100 15,000 14,100 *

With family members ............... 289,100 28,800 259,100 33,900 103,200 122,000 91,300 197,800 252,600 34,200 29,700 *

With nonfamily members ............ 29,800 * 25,900 * *9,700 13,600 *9,500 20,300 25,700 * * *

Other or unknown ................. 1,082,500 97,400 980,100 145,000 354,000 481,100 308,500 774,000 932,800 136,100 120,100 13,700

*Figure does not meet standard of reliability or precision, because sample size is less than 30 and therefore, is not reported. If shown with a number, it should not be assumed reliable because the

sample size is between 30 to 59 or the sample size is greater than 59 but has a relative standard error over 30 percent.

1Excludes unknown.

NOTE: Numbers may not add to totals because of rounding.

Series 13, No. 147 [ Page 17
Table 15. Percent distribution of nursing home residents by marital status, residence and living arrangements before admission, according

to age, sex, and race of resident: United States, 1997

Patient characteristics

All

residents

Age1 Race

Under

65 years

65 years and over Sex Black and other

Total Unknown

65–74

years

75–84

years

85 years

and over Male Female White Total Black

All residents .................... 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

Current marital status

Married ....................... 16.9 16.3 17.0 24.8 23.4 10.3 33.9 10.4 17.2 14.9 13.7 *

Widowed ...................... 58.4 7.8 63.1 35.2 55.6 76.0 29.8 69.4 59.9 48.7 49.4 46.2

Divorced or separated . . . . . . . . . . . . . . 8.2 24.7 6.7 16.4 7.6 3.4 11.4 7.0 7.7 12.3 12.3 *

Single or never married ............. 15.0 49.2 11.9 21.8 11.9 9.2 23.3 11.8 14.1 20.9 21.1 *

Unknown . . . . . . . . . . . . . . . . . . . . . . 1.4 * 1.4 * *1.5 *1.1 1.6 1.4 1.2 *3.3 *3.5 *

Residence before admission

Private or semiprivate residence ........ 31.7 26.7 32.2 26.5 32.4 33.7 29.9 32.5 32.3 27.8 28.1 *

Retirement home . . . . . . . . . . . . . . . . . 2.2 * 2.3 * *1.6 3.2 *1.4 2.5 2.4 * * *

Board and care or residential care facility . . 4.6 *4.5 4.6 *3.5 4.2 5.2 4.2 4.8 4.9 * * *

Nursing home ................... 12.4 13.6 12.2 14.2 11.9 11.9 12.8 12.2 12.8 9.2 8.4 *

Hospital ....................... 44.6 46.6 44.5 46.7 45.5 43.1 46.8 43.8 43.5 52.7 52.9 *48.8

Mental health facility . . . . . . . . . . . . . . . 1.5 * 1.3 *4.0 *1.5 * *1.7 1.4 1.3 * * *

Other or unknown . . . . . . . . . . . . . . . . . 3.1 *4.3 2.9 *4.3 3.0 2.4 3.4 2.9 2.8 *4.2 *4.3 *

Living arrangement before admission

Alone ........................ 12.9 5.0 13.7 8.5 11.6 16.5 8.6 14.6 13.6 7.9 8.4 *

With family members ............... 18.0 21.1 17.7 17.1 19.5 16.5 20.4 17.0 18.0 18.1 17.7 *

With nonfamily members . . . . . . . . . . . . 1.9 * 1.8 * *1.8 1.8 *2.1 1.8 1.8 * * *

Other or unknown ................. 67.3 71.2 66.9 73.1 67.0 65.2 68.9 66.7 66.6 71.9 71.8 74.6

*Figure does not meet standard of reliability or precision, because sample size is less than 30 and therefore, is not reported. If shown with a number, it should not be assumed reliable because the

sample size is between 30 to 59 or the sample size is greater than 59 but has a relative standard error over 30 percent.

1Excludes unknown.

NOTE: Numbers may not add to totals because of rounding.

Page 18 [ Series 13, No. 147
Table 16. Average daily charge and number of nursing home residents, by primary source of payment in month before interview, according

to selected resident characteristics: United States, 1997

Resident characteristics

All sources Private sources1 Medicare Medicaid All other sources2

Average

daily

charge3

Number of

residents

Average

daily

charge

Number of

residents

Average

daily

charge

Number of

residents

Average

daily

charge

Number of

residents

Average

daily

charge

Number of

residents

All residents . . . . . . . . . . . . . . . . . . . . $119.30 1,608,700 $ 119.93 394,700 $ 203.20 230,900 $101.68 931,800 $ 127.52 51,300

Age4

Under 65 years .................. 125.61 136,700 210.75 12,400 *188.75 *9,300 111.81 105,900 *126.11 *9,100

65 years and over ................. 118.72 1,465,000 117.29 380,200 203.78 220,500 100.48 822,400 126.94 41,900

65–74 years ................... 128.38 198,400 139.29 26,600 225.54 30,600 106.76 135,000 *185.13 *6,400

75–84 years ................... 118.48 528,300 115.60 126,800 200.78 90,300 99.96 295,000 125.47 16,100

85 years and over ............... 116.37 738,300 115.75 226,800 199.99 99,700 98.73 392,400 108.90 19,400

Sex

Male ......................... 124.25 447,700 125.17 97,100 213.04 63,300 104.52 260,800 145.24 26,500

Female ....................... 117.42 1,160,900 118.21 297,600 199.55 167,600 100.59 671,000 103.46 24,700

Race

White ........................ 118.09 1,401,200 119.59 379,900 196.55 197,900 100.78 781,200 128.07 42,200

Black and other .................. 126.20 189,100 *137.62 *10,700 231.68 28,700 106.93 141,600 *127.92 *8,100

Black ....................... 126.23 167,400 *156.72 *8,400 237.30 26,900 104.85 126,000 *115.96 *6,100

Unknown ...................... 145.44 18,300 * * * * *98.90 *9,000 * *

Hispanic origin

Hispanic ....................... 139.00 41,900 * * *139.32 *7,200 121.56 29,100 * *

Non-Hispanic .................... 118.66 1,462,700 118.48 370,100 206.50 201,300 101.12 845,900 130.64 45,400

Unknown ...................... 120.81 104,100 119.48 20,300 194.63 22,500 100.16 56,900 * *

Current marital status

Married ....................... 134.05 272,500 132.29 78,500 226.29 48,400 108.45 133,500 *173.22 *12,100

Widowed ...................... 116.13 939,300 116.40 251,400 194.94 139,900 98.91 527,000 101.06 21,000

Divorced or separated .............. 116.29 132,200 115.44 16,200 257.66 14,800 98.61 94,100 *119.44 *7,000

Single or never married ............. 117.78 241,600 119.67 43,400 190.83 22,400 107.42 165,300 *138.59 *10,500

Unknown ...................... 118.20 23,100 * * * * 93.27 12,000 * *

Current residence

Private or semiprivate residence ........ 106.97 510,400 110.60 136,200 160.66 63,900 95.80 293,300 102.58 17,000

Retirement home . . . . . . . . . . . . . . . . . 111.77 34,900 114.95 20,700 * * *96.51 *10,200 * *

Board and care or residential care facility . . 107.86 73,700 117.00 24,800 *159.50 *8,500 91.85 38,900 * *

Nursing home ................... 109.37 198,600 112.42 48,200 216.85 15,700 96.62 129,400 * *

Hospital ....................... 133.56 717,800 132.12 153,600 227.14 134,200 108.42 408,400 159.99 21,500

Mental health facility ............... 103.34 24,100 * * * * 104.00 20,100 * *

Other or unknown ................. 115.75 49,100 *120.11 *8,600 * * 103.52 31,600 * *

Living arrangement before admission

Alone ........................ 108.03 207,300 108.04 66,900 170.55 21,800 96.56 110,300 *114.54 *8,300

With family members ............... 107.90 289,100 113.49 76,600 162.54 37,500 95.31 167,300 *104.00 *7,700

With nonfamily members ............ 113.55 29,800 *110.50 *8,300 * * 107.56 17,100 * *

Other or unknown ................. 124.84 1,082,500 125.61 242,900 216.94 169,700 104.13 637,200 141.51 32,700

*Figure does not meet standard of reliability or precision, because sample size is less than 30 and therefore, is not reported. If shown with a number, it should not be assumed reliable because the

sample size is between 30 to 59 or the sample size is greater than 59 but has a relative standard error over 30 percent.

1Includes private insurance, own income, family support, Social Security benefits, and retirement funds.

2Includes Supplemental Security Income, religious organizations, foundations, agencies, Veterans’ Administration (VA) contracts, pensions, or other VA compensation, payment source not yet

determined, other, and unknown sources.

3Includes residents with unknown source of payment.

4Excludes unknown.

NOTE: Numbers may not add to totals because of rounding.

Series 13, No. 147 [ Page 19
Table 17. Number of nursing home residents by type of aids used, according to age, sex, and race of resident: United States, 1997

Aids used2

All

residents

Age1 Race

Under

65 years

65 years and over Sex Black and other

Total Unknown

65–74

years

75–84

years

85 years

and over Male Female White Total Black

Total ............... 1,608,700 136,700 1,465,000 198,400 528,300 738,300 447,700 1,160,900 1,401,200 189,100 167,400 18,300

Eyeglasses ........... 1,032,100 53,500 973,400 110,100 344,800 518,500 257,100 775,000 948,700 76,500 68,700 *6,800

Hearing aid ........... 159,600 * 155,600 *6,700 37,300 111,700 41,600 118,000 152,000 *6,700 * *

Transfer equipment ...... 213,600 27,800 185,000 27,600 68,000 89,500 66,600 147,000 188,300 23,300 20,500 *

Wheelchair ........... 993,300 76,700 913,300 116,500 317,000 479,800 268,600 724,700 878,000 107,300 93,900 *8,000

Cane ............... 101,200 * 95,400 12,000 36,800 46,600 37,800 63,400 88,200 11,400 *9,800 *

Walker .............. 382,300 11,600 369,100 38,500 118,800 211,800 89,000 293,400 352,900 23,800 20,600 *

Crutches ............ *7,200 * *6,500 * * * * * *6,200 * * *

Brace (any type) ........ 57,100 *10,200 46,200 *10,500 21,000 14,700 17,900 39,100 51,000 *5,700 * *

Oxygen ............. 96,500 11,900 84,500 15,000 34,000 35,500 33,800 62,700 85,100 *9,600 *9,100 *

Commode ............ 127,400 *5,400 121,600 17,700 41,200 62,700 27,800 99,500 115,300 12,000 *10,000 *

Other aids or devices ..... 277,200 32,100 244,600 37,200 94,300 113,000 85,500 191,700 233,800 38,700 34,600 *

None ............... 106,400 22,000 84,000 17,700 36,100 30,200 38,600 67,800 80,300 24,500 22,300 *

*Figure does not meet standard of reliability or precision, because sample size is less than 30 and therefore, is not reported. If shown with a number, it should not be assumed reliable because the

sample size is between 30 to 59 or the sample size is greater than 59 but has a relative standard error over 30 percent.

1Excludes unknown.

2Numbers may add to more than totals, because a resident may be included in more than one category.

NOTE: Numbers may not add to totals because of rounding.

Page 20 [ Series 13, No. 147
Table 18. Number and percent of nursing home residents, by type of aids used, according to age, sex, and race of resident: United States,

1997

Aids used2

All

residents

Age1 Race

Under

65 years

65 years and over Sex Black and other

Total Unknown

65–74

years

75–84

years

85 years

and over Male Female White Total Black

Number

Total residents ......... 1,608,700 136,700 1,465,000 198,400 528,300 738,300 447,700 1,160,900 1,401,200 189,100 167,400 18,300

Percent

Eyeglasses ........... 64.2 39.1 66.4 55.5 65.3 70.2 57.4 66.8 67.7 40.5 41.0 *37.1

Hearing aid . . . . . . . . . . . 9.9 * 10.6 *3.4 7.1 15.1 9.3 10.2 10.9 *3.5 * *

Transfer equipment ...... 13.3 20.3 12.6 13.9 12.9 12.1 14.9 12.7 13.4 12.3 12.3 *

Wheelchair ........... 61.8 56.1 62.3 58.7 60.0 65.0 60.0 62.4 62.7 56.7 56.1 *43.8

Cane . . . . . . . . . . . . . . . 6.3 * 6.5 6.0 7.0 6.3 8.4 5.5 6.3 6.0 *5.9 *

Walker .............. 23.8 8.5 25.2 19.4 22.5 28.7 19.9 25.3 25.2 12.6 12.3 *

Crutches ............ *0.5 * * * *0.4 * * * *0.4 * * *

Brace (any type) . . . . . . . . 3.6 *7.5 3.2 *5.3 4.0 2.0 4.0 3.4 3.6 *3.0 * *

Oxygen . . . . . . . . . . . . . 6.0 8.7 5.8 7.6 6.4 4.8 7.6 5.4 6.1 *5.1 *5.4 *

Commode . . . . . . . . . . . . 7.9 *3.9 8.3 8.9 7.8 8.5 6.2 8.6 8.2 6.4 *6.0 *

Other aids or devices ..... 17.2 23.5 16.7 18.8 17.9 15.3 19.1 16.5 16.7 20.5 20.7 *

None . . . . . . . . . . . . . . . 6.6 16.1 5.7 8.9 6.8 4.1 8.6 5.8 5.7 13.0 13.3 *

*Figure does not meet standard of reliability or precision, because sample size is less than 30 and therefore, is not reported. If shown with a number, it should not be assumed reliable because the

sample size is between 30 to 59 or the sample size is greater than 59 but has a relative standard error over 30 percent.

1Excludes unknown.

2Percents may add to more than totals, because a resident may be included in more than one category.

NOTE: Percents are based on the unrounded numbers.

Series 13, No. 147 [ Page 21
Table 19. Number of nursing home residents by selected functional status, according to age, sex, and race of resident: United States, 1997

Functional status

All

residents

Age1 Race

Under

65 years

65 years and over Sex Black and other

Total Unknown

65–74

years

75–84

years

85 years

and over Male Female White Total Black

All residents ............... 1,608,700 136,700 1,465,000 198,400 528,300 738,300 447,700 1,160,900 1,401,200 189,100 167,400 18,300

Vision2

Not impaired ............... 1,064,900 101,100 959,200 141,200 370,100 447,900 310,500 754,400 931,400 123,100 108,400 *10,500

Impaired3 ................. 420,300 22,900 396,700 40,400 121,200 235,100 104,500 315,900 366,400 48,700 44,000 *

Partially impaired ........... 261,500 12,100 249,100 27,700 77,400 144,000 67,100 194,400 227,200 32,500 28,400 *

Severely impaired .......... 98,700 * 93,400 *7,900 25,500 60,000 22,100 76,600 87,800 *9,100 *8,800 *

Completely lost ............ 39,400 * 35,300 * *10,900 21,000 *10,600 28,700 33,000 *5,700 *5,600 *

Unknown or unable to determine . . . 12,900 * *12,200 * * * * *10,300 *11,500 * * *

Hearing4

Not impaired ............... 1,123,800 113,400 1,005,800 160,600 396,900 448,200 319,000 804,800 968,900 142,700 126,000 *12,300

Impaired3 ................. 358,300 *9,100 347,600 19,600 91,700 236,400 95,000 263,300 325,200 29,700 25,500 *

Partially impaired ........... 263,700 *6,400 255,900 14,600 71,200 170,100 68,300 195,300 240,600 20,700 18,400 *

Severely impaired .......... 73,700 * 72,000 * 13,400 55,600 20,400 53,300 67,100 *6,200 * *

Completely lost ............ *6,500 * *6,000 * * * * * *5,800 * * *

Unknown or unable to determine . . . *9,100 * *8,900 * * * * *7,300 *7,300 * * *

Walking1

Received help .............. 478,600 19,400 457,500 51,900 159,600 246,000 119,900 358,800 435,500 38,400 33,500 *

Received no help ............ 342,700 38,600 302,000 53,300 120,700 128,000 113,800 228,900 299,500 39,800 35,300 *

Continence

Difficulty controlling bowels5 ...... 21,300 * 18,900 * *7,200 *8,900 *8,300 13,000 18,800 * * *

Difficulty controlling bladder6 ..... 200,600 *10,300 189,700 19,300 67,200 103,200 49,300 151,300 183,900 15,300 13,400 *

Difficulty controlling both bowels and

bladder5,6 ................ 699,700 49,100 647,200 79,300 229,200 338,700 182,400 517,300 605,700 86,800 76,500 *7,100

Has ostomy, indwelling catheter, or

similar device .............. 145,400 23,700 121,600 24,000 43,300 54,300 54,100 91,300 113,400 29,700 26,800 *

Received help with ADL’s7,8

Bathing .................. 1,536,300 121,000 1,409,300 185,600 505,400 718,300 416,100 1,120,200 1,343,400 176,700 156,400 16,200

Dressing .................. 1,392,600 109,400 1,277,600 166,600 454,300 656,600 376,400 1,016,200 1,209,500 167,900 148,400 15,200

Eating ................... 725,900 64,600 658,800 83,300 236,100 339,300 193,900 532,000 624,900 92,700 83,200 *8,300

Transfer .................. 389,600 15,700 372,100 43,200 131,600 197,300 96,000 293,600 354,400 31,200 28,100 *

Using toilet room ............ 879,300 52,100 822,600 93,500 289,900 439,300 223,100 656,200 786,800 85,900 73,500 *6,600

Received help with IADL’s7,8

Care of personal possessions .... 1,233,500 97,500 1,130,100 147,500 404,700 577,900 339,800 893,600 1,070,400 153,100 135,600 *10,000

Managing money ............ 1,163,700 99,600 1,057,900 141,600 379,400 537,000 321,400 842,200 1,005,600 148,400 131,700 *9,600

Securing personal items such as

newspaper, toilet articles, and

snack food ............... 1,216,800 95,600 1,115,800 143,000 397,000 575,800 328,300 888,600 1,060,700 145,500 128,800 *10,700

Using the telephone .......... 993,600 78,400 910,500 117,200 324,200 469,100 277,200 716,400 860,600 124,400 110,600 *8,600

Functional status in ADL’s7

Received no help ............ 59,100 14,100 44,000 *10,000 18,000 16,000 27,000 32,000 47,300 *10,300 *9,100 *

Received help with 1 ADL ....... 127,000 11,500 115,000 20,800 44,600 49,600 36,300 90,700 115,000 *10,400 *9,400 *

Received help with 2 ADL’s...... 234,500 23,600 210,400 30,100 77,800 102,500 72,200 162,300 200,600 31,000 27,000 *

Received help with 3 ADL’s...... 566,200 51,300 513,500 72,400 182,300 258,800 155,100 411,000 480,500 78,200 70,400 *7,500

Received help with 4 ADL’s...... 480,500 30,800 446,300 51,600 157,600 237,200 125,600 354,900 427,800 48,800 42,400 *

Received help with 5 ADL’s...... 141,500 * 135,800 13,500 48,000 74,200 31,400 110,100 130,100 *10,500 *9,100 *

*Figure does not meet standard of reliability or precision, because sample size is less than 30 and therefore, is not reported. If shown with a number, it should not be assumed reliable because the

sample size is between 30 to 59 or the sample size is greater than 59 but has a relative standard error over 30 percent.

1Excludes unknown.

2Status when using eyeglasses or contact lenses.

3Includes residents for whom the severity of impairment is unknown.

4Status when using a hearing aid if applicable.

5Excludes residents that had a colostomy.

6Excludes residents that had an indwelling catheter or ostomy.

7ADL is activities of daily living, and IADL is instrumental activities of daily living.

8Numbers may not add to totals, because a resident may be included in more than one category.

NOTE: Numbers may not add to totals because of rounding.

Page 22 [ Series 13, No. 147
Table 20. Percent distribution of nursing home residents by selected functional status, according to age, sex, and race of resident:

United States, 1997

Functional status

All

residents

Age1 Race

Under

65 years

65 years and over Sex Black and other

Total Unknown

65–74

years

75–84

years

85 years

and over Male Female White Total Black

Total ......................... 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

Vision2

Not impaired .................... 66.2 74.0 65.5 71.2 70.1 60.7 69.4 65.0 66.5 65.1 64.7 *57.3

Impaired3 ...................... 26.1 16.7 27.1 20.4 22.9 31.8 23.3 27.2 26.2 25.8 26.3 *

Partially impaired ................ 16.3 8.8 17.0 14.0 14.7 19.5 15.0 16.8 16.2 17.2 17.0 *

Severely impaired . . . . . . . . . . . . . . . 6.1 * 6.4 *4.0 4.8 8.1 4.9 6.6 6.3 *4.8 *5.2 *

Completely lost . . . . . . . . . . . . . . . . . 2.5 * 2.4 * *2.1 2.8 *2.4 2.5 2.4 *3.0 *3.3 *

Unknown or unable to determine ........ *0.8 * *0.8 * * * * *0.9 *0.8 * * *

Hearing4

Not impaired .................... 69.9 82.9 68.7 81.0 75.1 60.7 71.3 69.3 69.2 75.4 75.3 *67.0

Impaired3 ...................... 22.3 *6.7 23.7 9.9 17.4 32.0 21.2 22.7 23.2 15.7 15.2 *

Partially impaired ................ 16.4 *4.7 17.5 7.4 13.5 23.0 15.3 16.8 17.2 11.0 11.0 *

Severely impaired . . . . . . . . . . . . . . . 4.6 * 4.9 * *2.5 7.5 4.6 4.6 4.8 *3.3 * *

Completely lost ................. *0.4 * *0.4 * * * * * *0.4 * * *

Unknown or unable to determine ........ *0.6 * *0.6 * * * * *0.6 *0.5 * * *

Walking1

Received help ................... 29.8 14.2 31.2 26.2 30.2 33.3 26.8 30.9 31.1 20.3 20.0 *

Received no help ................. 21.3 28.3 20.6 26.8 22.8 17.3 25.4 19.7 21.4 21.1 21.1 *

Continence

Difficulty controlling bowels5 . . . . . . . . . . . 1.3 * 1.3 * *1.4 *1.2 *1.9 1.1 1.3 1.1 * *

Difficulty controlling bladder6 .......... 12.5 *7.5 13.0 9.7 12.7 14.0 11.0 13.0 13.1 8.1 8.0 *

Difficulty controlling both bowels and

bladder5,6 ..................... 43.5 35.9 44.2 40.0 43.4 45.9 40.7 44.6 43.2 45.9 45.7 *38.9

Has ostomy, indwelling catheter, or similar

device . . . . . . . . . . . . . . . . . . . . . . . 9.0 17.3 8.3 12.1 8.2 7.4 12.1 7.9 8.1 15.7 16.0 *

Received help with ADL’s7,8

Bathing ....................... 95.5 88.5 96.2 93.6 95.7 97.3 92.9 96.5 95.9 93.4 93.4 88.4

Dressing ....................... 86.6 80.1 87.2 84.0 86.0 88.9 84.1 87.5 86.3 88.8 88.6 82.9

Eating ........................ 45.1 47.3 45.0 42.0 44.7 46.0 43.3 45.8 44.6 49.0 49.7 *45.1

Transferring ..................... 24.2 11.5 25.4 21.8 24.9 26.7 21.4 25.3 25.3 16.5 16.8 *

Using toilet room ................. 54.7 38.1 56.2 47.1 54.9 59.5 49.8 56.5 56.2 45.4 43.9 *35.9

Received help with IADL’s7,8

Care of personal possessions ......... 76.7 71.3 77.1 74.3 76.6 78.3 75.9 77.0 76.4 81.0 81.0 *54.3

Managing money ................. 72.3 72.9 72.2 71.4 71.8 72.7 71.8 72.6 71.8 78.5 78.7 *52.5

Securing personal items such as newspaper,

toilet articles, and snack food ......... 75.6 70.0 76.2 72.1 75.2 78.0 73.3 76.5 75.7 76.9 77.0 *58.1

Using the telephone ............... 61.8 57.3 62.2 59.1 61.4 63.5 61.9 61.7 61.4 65.8 66.1 *46.9

Number of dependencies in activities

of daily living7

Received no help . . . . . . . . . . . . . . . . . 3.7 10.3 3.0 *5.0 3.4 2.2 6.0 2.8 3.4 *5.5 *5.4 *

Received help with 1 ADL . . . . . . . . . . . . 7.9 8.4 7.9 10.5 8.4 6.7 8.1 7.8 8.2 *5.5 *5.6 *

Received help with 2 ADL’s........... 14.6 17.3 14.4 15.2 14.7 13.9 16.1 14.0 14.3 16.4 16.1 *

Received help with 3 ADL’s........... 35.2 37.5 35.1 36.5 34.5 35.1 34.7 35.4 34.3 41.3 42.1 *41.1

Received help with 4 ADL’s........... 29.9 22.6 30.5 26.0 29.8 32.1 28.1 30.6 30.5 25.8 25.3 *

Received help with 5 ADL’s . . . . . . . . . . . 8.8 * 9.3 6.8 9.1 10.1 7.0 9.5 9.3 *5.5 *5.4 *

*Figure does not meet standard of reliability or precision, because sample size is less than 30 and therefore, is not reported. If shown with a number, it should not be assumed reliable because the

sample size is between 30 to 59 or the sample size is greater than 59 but has a relative standard error over 30 percent.

1Excludes unknown.

2Status when using eyeglasses or contact lenses.

3Includes residents for whom the severity of impairment is unknown.

4Status when using a hearing aid if applicable.

5Excludes residents that had a colostomy.

6Excludes residents that had an indwelling catheter or ostomy.

7ADL is activities of daily living, and IADL is instrumental activities of daily living.

8Percents may not add to totals, because a resident may be included in more than one category.

NOTE: Percents are based on the unrounded numbers.

Series 13, No. 147 [ Page 23
Table 21. Number of nursing home residents by services received during the last 30 days, according to age, sex, and race of resident:

United States, 1997

Services received2

All

residents

Age1 Race

Under

65 years

65 years and over Sex Black and other

Total Unknown

65–74

years

75–84

years

85 years

and over Male Female White Total Black

Total .................. 1,608,700 136,700 1,465,000 198,400 528,300 738,300 447,700 1,160,900 1,401,200 189,100 167,400 18,300

Dental care .............. 305,600 35,900 267,200 36,400 94,200 136,600 94,200 211,400 260,700 41,700 36,200 *

Equipment or devices ....... 812,500 66,700 743,100 102,600 260,100 380,500 224,200 588,200 706,700 96,500 82,500 *9,200

Hospice services .......... 20,600 * 18,600 * *6,500 *9,000 *7,100 13,400 17,400 * * *

Medical services ........... 1,466,800 126,700 1,334,400 181,200 482,600 670,600 410,400 1,056,500 1,275,600 174,900 154,000 16,400

Mental health services ....... 291,800 48,900 242,200 48,100 94,400 99,700 96,700 195,000 244,800 42,700 38,500 *

Nursing services ........... 1,565,400 132,800 1,425,600 193,200 511,800 720,700 436,700 1,128,800 1,363,100 184,400 162,800 17,900

Nutritional services ......... 1,193,900 106,000 1,084,700 147,600 390,400 546,800 336,200 857,700 1,029,500 152,200 134,500 12,200

Occupational therapy ........ 308,000 29,200 277,500 42,600 108,700 126,100 92,500 215,500 263,700 41,400 35,800 *

Personal care ............ 1,463,100 122,900 1,333,600 177,300 477,200 679,100 407,200 1,055,900 1,277,100 170,100 150,300 15,800

Physical therapy ........... 439,700 39,000 399,100 59,900 156,700 182,500 132,700 307,000 385,700 49,000 42,800 *

Prescribed medicines or

nonprescribed medicines ..... 1,507,600 129,100 1,371,800 184,900 491,200 695,600 420,300 1,087,300 1,312,700 177,400 157,400 17,500

Social services ............ 1,133,200 100,800 1,029,200 145,100 366,000 518,100 313,900 819,300 979,900 140,000 121,900 13,400

Special education .......... 12,700 * *7,500 * * * * *8,200 *10,800 * * *

Speech or hearing therapy .... 133,100 13,900 118,700 18,200 43,200 57,200 45,000 88,100 115,200 17,300 14,200 *

Transportation ............ 328,000 44,500 282,400 45,500 104,300 132,700 105,700 222,300 278,600 46,100 39,600 *

Vocational rehabilitation ...... *7,400 * * * * * * * *5,600 * * –

Other .................. 193,000 16,500 175,400 25,500 64,400 85,500 50,600 142,400 162,000 26,200 20,600 *

None .................. * * * * * * * * * * * –

*Figure does not meet standard of reliability or precision, because sample size is less than 30 and therefore, is not reported. If shown with a number, it should not be assumed reliable because the

sample size is between 30 to 59 or the sample size is greater than 59 but has a relative standard error over 30 percent.

– Quantity zero.

1Excludes unknown.

2Numbers may not add to totals, because a resident may be included in more than one category.

NOTE: Numbers may not add to totals because of rounding.

Page 24 [ Series 13, No. 147
Table 22. Percent of nursing home residents by services received during the last 30 days, according to age, sex, and race of resident:

United States, 1997

Services received2

All

residents

Age1 Race

Under

65 years

65 years and over Sex Black and other

Total Unknown

65–74

years

75–84

years

85 years

and over Male Female White Total Black

Number

Total residents ............ 1,608,700 136,700 1,465,000 198,400 528,300 738,300 447,700 1,160,900 1,401,200 189,100 167,400 18,300

Percent

Dental care .............. 19.0 26.3 18.2 18.4 17.8 18.5 21.0 18.2 18.6 22.0 21.6 *

Equipment or devices ....... 50.5 48.8 50.7 51.7 49.2 51.5 50.1 50.7 50.4 51.0 49.3 *50.4

Hospice services . . . . . . . . . . 1.3 * 1.3 * *1.2 *1.2 *1.6 1.2 1.2 * * *

Medical services ........... 91.2 92.7 91.1 91.3 91.4 90.8 91.7 91.0 91.0 92.5 92.0 89.4

Mental health services ....... 18.1 35.8 16.5 24.3 17.9 13.5 21.6 16.8 17.5 22.6 23.0 *

Nursing services ........... 97.3 97.2 97.3 97.4 96.9 97.6 97.5 97.2 97.3 97.5 97.3 97.7

Nutritional services ......... 74.2 77.6 74.0 74.4 73.9 74.1 75.1 73.9 73.5 80.5 80.4 66.4

Occupational therapy ........ 19.1 21.4 18.9 21.5 20.6 17.1 20.7 18.6 18.8 21.9 21.4 *

Personal care ............ 91.0 89.9 91.0 89.3 90.3 92.0 90.9 91.0 91.2 89.9 89.8 86.5

Physical therapy ........... 27.3 28.5 27.2 30.2 29.7 24.7 29.6 26.5 27.5 25.9 25.5 *

Prescribed medicines or

nonprescribed medicines ..... 93.7 94.4 93.6 93.2 93.0 94.2 93.9 93.7 93.7 93.8 94.0 95.7

Social services ............ 70.4 73.7 70.3 73.1 69.3 70.2 70.1 70.6 69.9 74.0 72.9 72.9

Special education . . . . . . . . . . 0.8 * *0.5 * * * * *0.7 *0.8 * * *

Speech or hearing therapy . . . . 8.3 10.2 8.1 9.2 8.2 7.8 10.1 7.6 8.2 9.1 8.5 *

Transportation ............ 20.4 32.6 19.3 23.0 19.7 18.0 23.6 19.1 19.9 24.4 23.7 *

Vocational rehabilitation ...... *0.5 * * * * * * * *0.4 * * –

Other .................. 12.0 12.1 12.0 12.9 12.2 11.6 11.3 12.3 11.6 13.9 12.3 *

None .................. * * * * * * * * * * * –

*Figure does not meet standard of reliability or precision, because sample size is less than 30 and therefore, is not reported. If shown with a number, it should not be assumed reliable because the

sample size is between 30 to 59 or the sample size is greater than 59 but has a relative standard error over 30 percent.

– Quantity zero.

1Excludes unknown.

2Percents may not add to totals, because a resident my be included in more than one category.

NOTE: Percents are based on the unrounded numbers.

Series 13, No. 147 [ Page 25
Table 23. Number of nursing home residents by selected demographic characteristics, according to primary source of payment at

admission and at time of survey: United States, 1997

Facility characteristics

Primary source of payment

At admission At time of survey

All

sources

Private

insurance1 Medicare Medicaid

All

other2

Private

insurance1 Medicare Medicaid

All

other2

All residents .................... 1,608,700 433,400 454,200 654,500 66,600 394,700 230,900 931,800 51,300

Age3

Under 65 years .................. 136,700 17,900 16,500 92,000 10,300 12,400 *9,300 105,900 *9,100

65 years and over ................. 1,465,000 413,600 435,600 560,000 55,800 380,200 220,500 822,400 41,900

65–74 years ................... 198,400 32,500 56,800 100,400 *8,700 26,600 30,600 135,000 *6,400

75–84 years ................... 528,300 142,000 161,900 202,300 22,000 126,800 90,300 295,000 16,100

85 years and over ............... 738,300 239,000 216,900 257,400 25,000 226,800 99,700 392,400 19,400

Sex

Male ......................... 447,700 107,100 115,900 193,000 31,700 97,100 63,300 260,800 26,500

Female ....................... 1,160,900 326,200 338,200 461,600 34,900 297,600 167,600 671,000 24,700

Race

White ........................ 1,401,200 415,300 393,200 536,000 56,600 379,900 197,900 781,200 42,200

Black and other .................. 189,100 14,800 53,500 112,200 *8,600 *10,700 28,700 141,600 *8,100

Black ....................... 167,400 12,500 48,500 99,500 *6,800 *8,400 26,900 126,000 *6,000

Unknown ...................... 18,300 * *7,400 *6,300 * * * *9,000 *

Hispanic origin

Hispanic ....................... 41,900 * *10,200 24,200 * * *7,200 29,100 *

Non-Hispanic .................... 1,462,700 407,900 406,300 589,800 58,700 370,100 201,300 845,900 45,400

Unknown ...................... 104,100 20,800 37,700 40,500 * 20,300 22,500 56,900 *

Current marital status

Married ....................... 272,500 84,700 82,500 91,300 14,000 78,500 48,400 133,500 *12,100

Widowed ...................... 939,300 274,400 284,800 351,700 28,400 251,400 139,900 527,000 21,000

Divorced or separated .............. 132,200 20,000 32,600 71,100 *8,500 16,200 14,800 94,100 *7,000

Single or never married ............. 241,600 49,900 47,900 128,900 14,900 43,400 22,400 165,300 *10,500

Unknown ...................... 23,100 * *6,400 11,500 * * * 12,000 *

Residence before admission

Private or semiprivate residence ........ 510,400 170,700 107,000 213,800 18,900 136,200 63,900 293,300 17,000

Retirement home ................. 34,900 20,500 * *6,000 * 20,700 * *10,200 *

Board and care or residential care facility . . 73,700 30,000 13,500 28,400 * 24,800 *8,500 38,900 *

Nursing home ................... 198,600 55,900 28,300 108,200 *6,200 48,200 15,700 129,400 *

Hospital ....................... 717,800 143,700 285,400 259,700 29,000 153,600 134,200 408,400 21,500

Mental health facility ............... 24,100 * * 16,100 * * * 20,100 *

Other or unknown ................. 49,100 *10,100 *11,500 22,300 * *8,600 * 31,600 *

Living arrangement before admission

Alone ........................ 207,300 83,200 43,000 73,400 *7,700 66,900 21,800 110,300 *8,300

With family members ............... 289,100 92,200 59,900 127,400 *9,600 76,600 37,500 167,300 *7,700

Only with nonfamily members ......... 29,800 *10,300 * 13,200 * *8,300 * 17,100 *

Other or unknown ................. 1,082,500 247,600 348,100 440,500 46,300 242,900 169,700 637,200 32,700

*Figure does not meet standard of reliability or precision, because sample size is less than 30 and therefore, is not reported. If shown with a number, it should not be assumed reliable because the

sample size is between 30 to 59 or the sample size is greater than 59 but has a relative standard error over 30 percent.

1Includes private insurance, own income, family support, Social Security benefits, and retirement fund.

2Includes Supplemental Security Income, other government assistance or welfare, religious organizations, foundations, agencies, Veterans’ Administration (VA) contracts, pensions, or other VA

compensation, payment source not yet determined, other, and unknown sources.

3Excludes unknown.

NOTE: Numbers may not add to totals because of rounding.

Page 26 [ Series 13, No. 147
Table 24. Percent distribution of nursing home residents by selected demographic characteristics, according to primary source of payment

at admission and at time of survey: United States, 1997

Facility characteristics

Primary source of payment

At admission At time of survey

All

sources

Private

insurance1 Medicare Medicaid

All

other2

Private

insurance1 Medicare Medicaid

All

other2

All residents .................... 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

Age3

Under 65 years . . . . . . . . . . . . . . . . . . 8.5 4.1 3.6 14.1 15.5 3.1 *4.0 11.4 *17.8

65 years and over ................. 91.1 95.4 95.9 85.6 83.7 96.3 95.5 88.3 81.7

65–74 years ................... 12.3 7.5 12.5 15.3 13.0 6.7 13.2 14.5 *12.4

75–84 years ................... 32.8 32.8 35.7 30.9 33.1 32.1 39.1 31.7 31.5

85 years and over ............... 45.9 55.2 47.8 39.3 37.6 57.5 43.2 42.1 37.9

Sex

Male ......................... 27.8 24.7 25.5 29.5 47.6 24.6 27.4 28.0 51.7

Female ....................... 72.2 75.3 74.5 70.5 52.4 75.4 72.6 72.0 48.3

Race

White ........................ 87.1 95.8 86.6 81.9 85.0 96.3 85.7 83.8 82.2

Black and other . . . . . . . . . . . . . . . . . . 11.8 3.4 11.8 17.1 *13.0 *2.7 12.4 15.2 *15.9

Black ....................... 10.4 2.9 10.7 15.2 *10.3 *2.1 11.7 13.5 *11.8

Unknown . . . . . . . . . . . . . . . . . . . . . . 1.1 * *1.6 * * * * *1.0 *

Hispanic origin

Hispanic . . . . . . . . . . . . . . . . . . . . . . . 2.6 * *2.3 3.7 * * *3.1 3.1 *

Non-Hispanic .................... 90.9 94.1 89.5 90.1 88.1 93.8 87.2 90.8 88.6

Unknown . . . . . . . . . . . . . . . . . . . . . . 6.5 4.8 8.3 6.2 * 5.2 9.7 6.1 *

Current marital status

Married ....................... 16.9 19.6 18.2 14.0 21.0 19.9 21.0 14.3 *12.1

Widowed ...................... 58.4 63.3 62.7 53.7 42.6 63.7 60.6 56.6 40.9

Divorced or separated . . . . . . . . . . . . . . 8.2 4.6 7.2 10.9 *12.5 4.1 6.4 10.1 *13.7

Single or never married ............. 15.0 11.5 10.5 19.7 22.4 11.0 9.7 17.7 *20.4

Unknown . . . . . . . . . . . . . . . . . . . . . . 1.4 * *1.4 1.8 * * * 1.3 *

Residence before admission

Private or semiprivate residence ........ 31.7 39.4 23.6 32.7 28.4 34.5 27.7 31.5 33.2

Retirement home . . . . . . . . . . . . . . . . . 2.2 4.7 * *0.9 * 5.3 * *1.1 *

Board and care or residential care facility . . 4.6 6.9 3.0 4.3 * 6.3 *3.7 4.2 *

Nursing home ................... 12.4 12.9 6.2 16.5 *9.3 12.2 6.8 13.9 *

Hospital ....................... 44.6 33.2 62.8 39.7 43.6 38.9 58.1 43.8 42.0

Mental health facility . . . . . . . . . . . . . . . 1.5 * * 2.5 * * * 2.2 *

Other or unknown . . . . . . . . . . . . . . . . . 3.1 *2.3 *2.5 3.4 * *2.2 * 3.4 *

Living arrangement before admission

Alone ........................ 12.9 19.2 9.5 11.2 *11.5 17.0 9.4 11.8 *16.2

With family members ............... 18.0 21.3 13.2 19.5 *14.5 19.4 16.2 18.0 *15.1

Only with nonfamily members . . . . . . . . . 1.9 *2.4 * 2.0 * *2.1 * 1.8 *

Other or unknown ................. 67.3 57.1 76.6 67.3 69.5 61.6 73.5 68.4 63.8

*Figure does not meet standard of reliability or precision, because sample size is less than 30 and therefore, is not reported. If shown with a number, it should not be assumed reliable because the

sample size is between 30 to 59 or the sample size is greater than 59 but has a relative standard error over 30 percent.

1Includes private insurance, own income, family support, Social Security benefits, and retirement fund.

2Includes Supplemental Security Income, other government assistance or welfare, religious organizations, foundations, agencies, Veterans’ Administration (VA) contracts, pensions, or other VA

compensation, payment source not yet determined, other, and unknown sources.

3Excludes unknown.

NOTE: Percents are based on the unrounded numbers.

Series 13, No. 147 [ Page 27
Table 25. Number and percent distribution of nursing home residents, by length of time since admission and average length of time since

admission, according to selected demographic characteristics: United States, 1997

Demographic characteristics

All

residents

Length of time since admission1

Average length

of time since

Total admission (days)

Less than

3 months

3 months

to less

than 6

6 months

to less

than 12

1 year to

less than

3

3 years to

less than

5

5 years

or more

All residents .................... 1,608,700 100.0 17.6 9.7 14.8 30.3 13.6 14.0 898.7

Age1

Under 65 years .................. 136,700 100.0 18.8 9.6 13.0 26.0 11.8 20.9 1,217.4

65 years and over ................. 1,465,000 100.0 17.5 9.7 15.0 30.6 13.8 13.4 870.2

65–74 years ................... 198,400 100.0 21.9 11.8 14.4 27.4 12.2 12.4 857.5

75–84 years ................... 528,300 100.0 21.0 10.4 15.8 30.0 12.1 10.6 788.6

85 years and over ............... 738,300 100.0 13.9 8.7 14.5 31.9 15.4 15.7 932.1

Sex

Male ......................... 447,700 100.0 20.9 10.6 15.0 30.5 12.4 10.7 819.7

Female ....................... 1,160,900 100.0 16.4 9.4 14.7 30.3 14.0 15.3 929.1

Race

White ........................ 1,401,200 100.0 17.2 9.9 14.4 30.8 13.5 14.2 905.1

Black and other .................. 189,100 100.0 19.6 8.4 17.8 27.4 14.4 12.5 851.0

Black ....................... 167,400 100.0 19.8 8.5 18.5 25.9 15.0 12.4 845.7

Unknown ...................... 18,300 100.0 * * * * * * 896.3

Hispanic origin

Hispanic ....................... 41,900 100.0 *21.2 * * 34.7 * * 781.5

Non-Hispanic .................... 1,462,700 100.0 17.2 9.6 14.9 30.3 13.9 14.2 905.9

Unknown ...................... 104,100 100.0 21.6 *10.1 14.6 29.8 *10.4 13.5 844.5

Current marital status

Married ....................... 272,500 100.0 24.6 11.7 15.3 31.2 10.2 7.0 599.3

Widowed ...................... 939,300 100.0 16.4 9.2 15.3 31.4 14.1 13.6 851.4

Divorced or separated .............. 132,200 100.0 18.4 10.3 13.8 29.0 12.6 15.8 971.5

Single or never married ............. 241,600 100.0 13.6 8.8 12.4 26.6 16.0 22.6 1,369.8

Unknown ...................... 23,100 100.0 * * * *23.1 * * 1,007.7

Residence before admission

Private or semiprivate residence ........ 510,400 100.0 15.7 9.0 14.4 30.6 13.9 16.4 970.6

Retirement home ................. 34,900 100.0 * * * 39.4 * * 902.0

Board and care or residential care facility . . 73,700 100.0 *12.1 *10.4 17.2 *30.5 *16.4 *13.3 1,015.1

Nursing home ................... 198,600 100.0 14.5 9.5 14.4 31.6 14.3 15.5 969.4

Hospital ....................... 717,800 100.0 21.4 10.2 15.2 29.7 12.7 10.9 766.4

Mental health facility ............... 24,100 100.0 * * * * * *33.6 1,889.5

Other or unknown ................. 49,100 100.0 * * *15.5 28.4 *16.3 *20.2 1,134.0

Living arrangement before admission

Alone ........................ 207,300 100.0 12.7 8.8 14.6 32.7 14.2 17.0 975.1

With family members ............... 289,100 100.0 17.8 9.3 13.9 30.7 12.9 15.4 949.6

Only with nonfamily members ......... 29,800 100.0 * * * *28.4 *19.6 * 847.2

Unknown ...................... 1,082,500 100.0 18.6 9.9 15.0 29.8 13.5 13.1 871.8

*Figure does not meet standard of reliability or precision, because sample size is less than 30 and therefore, is not reported. If shown with a number, it should not be assumed reliable because the

sample size is between 30 to 59 or the sample size is greater than 59 but has a relative standard error over 30 percent.

1Excludes unknown.

NOTES: Numbers may not add to totals because of rounding. Percents are based on the unrounded numbers.

Page 28 [ Series 13, No. 147
Table 26. Number and percent distribution of nursing home residents, by primary diagnosis at admission and at time of survey:

United States, 1997

Primary diagnosis and ICD–9–CM code1

At admission At time of survey

Number of

residents

Percent

distribution

Number of

residents

Percent

distribution

Total ............................................................. 1,608,700 100.0 1,608,700 100.0

Infectious and parasitic diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 001–139 15,200 0.9 *11,000 *0.7

Neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 140–239 33,200 2.1 34,300 2.1

Malignant neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 140–208,230–234 30,600 1.9 31,100 1.9

Endocrine, nutritional, and metabolic diseases and immunity disorders . . . . . . . . . . . . . . 240–279 99,100 6.2 104,800 6.5

Diabetes mellitus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 250 61,900 3.8 73,300 4.6

Diseases of the blood and blood-forming organs . . . . . . . . . . . . . . . . . . . . . . . . . . . . 280–289 14,800 0.9 15,700 1.0

Anemias . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 280–285 13,300 0.8 13,600 0.8

Mental disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 290–319 259,800 16.2 293,700 18.3

Senile dementia or organic brain syndrome .............................. 290, 310 65,100 4.0 71,500 4.4

Mental retardation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 317–319 14,900 0.9 15,200 0.9

Other mental disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 291–309, 311–316 179,800 11.2 207,000 12.9

Diseases of the nervous system and sense organs . . . . . . . . . . . . . . . . . . . . . . . . . . 320–389 222,500 13.8 243,800 15.2

Alzheimer’s disease .............................................. 331.0 125,800 7.8 139,100 8.6

Parkinson’s disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .332 31,500 2.0 35,400 2.2

Multiple sclerosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .340 16,400 1.0 15,900 1.0

Paralytic syndromes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 342–344 19,000 1.2 19,400 1.2

Other diseases of the nervous system and

sense organs . . . . . . . . . . . . . . . . . . . . . . . . 320–330,331.3–331.9,333–337,341,345–389 29,900 1.9 34,000 2.1

Diseases of the circulatory system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 390–459 399,200 24.8 431,200 26.8

Essential hypertension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .401 55,200 3.4 66,300 4.1

Heart disease . . . . . . . . . . . . . . . . . . . . . . . . 391–392.0,393–398,402,404,410–416,420–429 154,400 9.6 170,800 10.6

Diseases of the respiratory system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 460–519 99,100 6.2 80,200 5.0

Pneumonia, all forms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 480–486 41,400 2.6 20,000 1.2

Other diseases of the respiratory system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 490–496 57,700 3.6 60,200 3.7

Diseases of the digestive system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 520–579 49,300 3.1 41,700 2.6

Diseases of the genitourinary system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 580–629 36,900 2.3 32,500 2.0

Urinary tract infection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 580–583,590, 595,597,599.0 22,700 1.4 16,800 1.0

Diseases of the skin and subcutaneous tissue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 680–709 17,700 1.1 12,800 0.8

Decubitus ulcer ................................................. 707.0 * * * *

Other chronic ulcer of the skin .................................... 707.1–707.9 * * * *

Diseases of the musculoskeletal system and connective tissue . . . . . . . . . . . . . . . . . . . 710–739 71,500 4.4 75,100 4.7

Rheumatoid arthritis, except spine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .714 * * * *

Osteoarthritis and allied disorders, except spine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .715 22,500 1.4 28,000 1.7

Other arthropathies and related disorders . . . . . . . . . . . . . . . . . . . . . . . . . 710–714, 716–719 *10,500 *0.7 *10,600 *0.7

Osteoporosis .................................................. 733.0 *5,500 *0.3 *8,400 *0.5

Congenital anomalies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 740–759 * * * *

Symptoms, signs, and ill-defined conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 780–799 76,300 4.7 75,400 4.7

Senility without mention of psychosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 797 * * * *

Injury and poisoning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 800–999 128,300 8.0 80,200 5.0

Fracture of neck of femur . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 820 60,200 3.7 34,900 2.2

Other fractures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .800–819,821–829 42,600 2.6 26,100 1.6

Supplementary classification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . V01–V82 79,800 5.0 70,300 4.4

Posthospital aftercare . . . . . . . . . . . . . . . . . . . . . . . . . V42–V46,V52,V53.3–V53.7,V54–V58 38,500 2.4 34,200 2.1

Unknown or no diagnosis ................................................ * * * *

*Figure does not meet standard of reliability or precision, because sample size is less than 30 and therefore, is not reported. If shown with a number, it should not be assumed reliable because the

sample size is between 30 to 59 or the sample size is greater than 59 but has a relative standard error over 30 percent.

1Based on the International Classification of Diseases, 9th Revision, Clinical Modification (6).

NOTES: Numbers may not add to totals because of rounding. Percents are based on the unrounded numbers.

Series 13, No. 147 [ Page 29
Table 27. Number and percent distribution of nursing home residents, by all-listed diagnoses at admission and at time of survey:

United States, 1997

All-listed diagnoses and ICD–9–CM code1

At admission At time of survey

Number of

residents

Percent

distribution

Number of

residents

Percent

distribution

Total ...................................................... 6,626,900 100.0 6,900,400 100.0

Infectious and parasitic diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 001–139 48,700 0.7 41,000 0.6

Neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 140–239 103,500 1.6 105,500 1.5

Malignant neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 140–208,230–234 91,100 1.4 93,400 1.4

Endocrine, nutritional, and metabolic and immunity disorders . . . . . . . . . . . . . 240–279 534,200 8.1 536,800 7.8

Diabetes mellitus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 250 255,600 3.9 265,100 3.8

Diseases of the blood and blood-forming organs . . . . . . . . . . . . . . . . . . . . . 280–289 148,200 2.2 167,400 2.4

Anemias . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 280–285 136,600 2.1 154,800 2.2

Mental disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 290–319 962,800 14.5 1,084,300 15.7

Senile dementia or organic brain syndrome ....................... 290, 310 166,000 2.5 175,200 2.5

Mental retardation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 317–319 35,400 0.5 34,600 0.5

Other mental disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 291–309, 311–316 761,500 11.5 874,500 12.7

Diseases of the nervous system and sense organs . . . . . . . . . . . . . . . . . . . 320–389 642,300 9.7 702,100 10.2

Alzheimer’s disease ....................................... 331.0 203,500 3.1 219,400 3.2

Parkinson’s disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 332 79,000 1.2 86,900 1.3

Multiple sclerosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 340 20,600 0.3 20,600 0.3

Paralytic syndromes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 342–344 94,400 1.4 91,000 1.3

Other diseases of the nervous system and

sense organs . . . . . . . . . . . . . . . . . 320–330,331.3–331.9,333–337,341,345–389 244,700 3.7 284,100 4.1

Diseases of the circulatory system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 390–459 1,727,300 26.1 1,825,000 26.4

Essential hypertension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 401 460,900 7.0 481,100 7.0

Heart disease . . . . . . . . . . . . . . . . . 391–392.0,393–398,402,404,410–416,420–429 743,100 11.2 795,000 11.5

Diseases of the respiratory system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 460–519 302,900 4.6 274,900 4.0

Pneumonia, all forms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 480–486 78,400 1.2 44,900 0.7

Other diseases of the respiratory system . . . . . . . . . . . . . . . . . . . . . . . . 490–496 224,500 3.4 230,000 3.3

Diseases of the digestive system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 520–579 312,200 4.7 341,500 4.9

Diseases of the genitourinary system . . . . . . . . . . . . . . . . . . . . . . . . . . . . 580–629 224,400 3.4 210,300 3.0

Urinary tract infection . . . . . . . . . . . . . . . . . . . . . . . 580–583,590, 595,597,599.0 107,200 1.6 85,000 1.2

Diseases of the skin and subcutaneous tissue . . . . . . . . . . . . . . . . . . . . . . 680–709 72,700 1.1 69,200 1.0

Decubitus ulcer .......................................... 707.0 21,700 0.3 18,800 0.3

Other chronic ulcer of the skin ............................ 707.1–707.9 13,100 0.2 12,100 0.2

Diseases of the musculoskeletal system and connective tissue . . . . . . . . . . . . 710–739 471,900 7.1 510,600 7.4

Rheumatoid arthritis, except spine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 714 15,700 0.2 15,700 0.2

Osteoarthritis and allied disorders, except spine . . . . . . . . . . . . . . . . . . . . . . . 715 177,000 2.7 196,700 2.9

Other arthropathies and related disorders . . . . . . . . . . . . . . . . . . 710–714, 716–719 98,400 1.5 110,300 1.6

Osteoporosis ........................................... 733.0 78,800 1.2 90,700 1.3

Congenital anomalies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 740–759 12,500 0.2 *10,700 *0.2

Symptoms, signs, and ill-defined conditions . . . . . . . . . . . . . . . . . . . . . . . . 780–799 429,600 6.5 456,800 6.6

Senility without mention of psychosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 797 *7,200 *0.1 *6,800 *0.1

Injury and poisoning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 800–999 222,700 3.4 167,100 2.4

Fracture of neck of femur . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 820 87,000 1.3 59,700 0.9

Other fractures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 800–819,821–829 79,100 1.2 59,500 0.9

Supplementary classification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . V01–V82 411,200 6.2 397,200 5.8

Posthospital aftercare . . . . . . . . . . . . . . . . . . V42–V46,V52,V53.3–V53.7,V54–V58 196,700 3.0 187,500 2.7

*Figure does not meet standard of reliability or precision, because sample size is less than 30 and therefore, is not reported. If shown with a number, it should not be assumed reliable because the

sample size is between 30 to 59 or the sample size is greater than 59 but has a relative standard error over 30 percent.

1Based on the International Classification of Diseases, 9th Revision, Clinical Modification (6).

NOTES: Numbers may not add to totals because of rounding. Percents are based on the unrounded numbers.

Page 30 [ Series 13, No. 147
residents by primary diagnosis at admission, according to age, sex, and race of resident: United States, 1997

CD–9–CM code1

All

residents

Age at interview2 Race

Under

65 years

65 years and over Sex Black and other

Total Unknown

65–74

years

75–84

years

85 years

and over Male Female White Total Black

........................... 1,608,700 136,700 1,465,000 198,400 528,300 738,300 447,700 1,160,900 1,401,200 189,100 167,400 18,300

. . . . . . . . . . . . . . . . . . . . . 001–139 15,200 * 12,600 * * * *6,000 *9,300 12,800 * * *

. . . . . . . . . . . . . . . . . . . . . . 140–239 33,200 * 30,100 *5,300 12,400 12,400 15,000 18,200 28,900 * * –

. . . . . . . . . . . . . . . . 140–208,230–234 30,600 * 28,200 * 11,700 *11,400 13,700 16,900 26,700 * * –

es and immunity disorders . . . . 240–279 99,100 *6,200 92,900 17,500 33,400 42,000 27,500 71,600 83,200 15,100 13,200 *

. . . . . . . . . . . . . . . . . . . . . . . . . 250 61,900 * 56,400 13,200 21,600 21,600 17,900 44,000 51,100 *10,100 *9,300 *

gans . . . . . . . . . . . . . . . . . . 280–289 14,800 * 14,300 * * *9,500 * *11,400 13,000 * * *

. . . . . . . . . . . . . . . . . . . . . . 280–285 13,300 * 13,000 * * *8,700 * *10,300 *11,500 * * *

. . . . . . . . . . . . . . . . . . . . . 290–319 259,800 29,900 228,700 32,500 83,500 112,700 77,000 182,800 222,300 34,500 29,800 *

me .................... 290, 310 65,100 * 62,700 *6,100 20,400 36,300 16,000 49,200 55,200 *8,800 *7,500 *

. . . . . . . . . . . . . . . . . . . . . 317–319 14,900 *7,800 *7,100 * * * *7,800 *7,100 13,500 * * *

. . . . . . . . . . . . . . . 291–309, 311–316 179,800 19,900 158,800 23,400 59,800 75,600 53,200 126,600 153,600 24,600 21,300 *

organs . . . . . . . . . . . . . . . . 320–389 222,500 30,700 191,400 29,400 84,800 77,200 64,400 158,200 202,400 18,300 15,800 *

....................... 331.0 125,800 * 123,400 14,800 56,300 52,200 26,400 99,300 114,400 *10,000 *9,100 *

. . . . . . . . . . . . . . . . . . . . . . . . . 332 31,500 * 30,900 * 16,000 *10,800 12,100 19,400 30,500 * * –

. . . . . . . . . . . . . . . . . . . . . . . . . 340 16,400 *10,700 * * * * * *39,100 15,400 * * –

. . . . . . . . . . . . . . . . . . . . . 342–344 19,000 *9,800 *9,100 * * * *9,600 *9,300 15,800 * * *

d

320–330,331.3–331.9,333–337,341,345–389 29,900 *7,600 22,300 * * 12,400 *11,900 18,000 26,300 * * *

. . . . . . . . . . . . . . . . . . . . . 390–459 399,200 20,300 377,500 48,400 131,600 197,500 106,900 292,300 340,600 54,000 48,300 *

. . . . . . . . . . . . . . . . . . . . . . . . . 401 55,200 * 53,300 *6,100 16,400 30,800 *9,800 45,400 45,900 *8,900 *7,600 *

1–392.0,393–398,402,404,410–416,420–429 154,400 * 151,300 *10,000 46,700 94,500 36,300 118,100 138,200 13,800 13,600 *

. . . . . . . . . . . . . . . . . . . . . 460–519 99,100 *6,100 92,400 13,100 35,500 43,900 36,100 62,900 85,000 12,800 *11,400 *

. . . . . . . . . . . . . . . . . . . . . 480–486 41,400 * 38,900 * 13,200 21,800 13,800 27,600 34,700 *6,000 * *

. . . . . . . . . . . . . . . . . . . . . 490–496 57,700 * 53,500 *9,100 22,300 22,100 22,300 35,400 50,300 *6,800 *6,200 *

. . . . . . . . . . . . . . . . . . . . . 520–579 49,300 * 46,300 * 14,400 27,000 14,100 35,100 44,300 * * *

. . . . . . . . . . . . . . . . . . . . . 580–629 36,900 * 33,600 *6,600 *11,900 15,100 *11,600 25,200 30,600 *5,900 *5,600 *

. . . . . . . . . 580–583,590, 595,597,599.0 22,700 * 21,200 * *7,900 *9,600 * 17,600 19,600 * * *

ue . . . . . . . . . . . . . . . . . . . 680–709 17,700 * 15,800 * * *7,700 * 12,600 13,700 * * *

....................... 707.0 * * * * * * * * * * * *

................... 707.1–707.9 * – *** * * * *** –

d connective tissue . . . . . . . . . 710–739 71,500 * 69,100 * 21,600 43,500 *8,400 63,100 66,300 * * *

. . . . . . . . . . . . . . . . . . . . . . . . . 714 * * * * * * * * * * * –

spine . . . . . . . . . . . . . . . . . . . . . 715 22,500 * 22,300 * *6,000 15,300 * 19,800 20,700 * * –

. . . . . . . . . . . . . . . 710–714, 716–719 *10,500 * *9,900 * * *6,000 * *8,700 *9,800 * * –

........................ 733.0 *5,500 * * – * * * * ** – *

. . . . . . . . . . . . . . . . . . . . . 740–759 * * * * * * * * * – – *

. . . . . . . . . . . . . . . . . . . . . 780–799 76,300 *9,000 67,300 *9,100 26,600 31,700 22,000 54,300 65,700 *9,600 *8,800 *

. . . . . . . . . . . . . . . . . . . . . . . . . 797 * – * – * * * * *** –

. . . . . . . . . . . . . . . . . . . . . 800–999 128,300 11,700 116,500 *11,400 34,000 71,200 24,700 103,600 117,200 *9,600 *7,700 *

. . . . . . . . . . . . . . . . . . . . . . . . . 820 60,200 * 59,500 * 16,300 38,200 *9,000 51,200 56,500 * * *

. . . . . . . . . . . . . . . . 800–819,821–829 42,600 * 40,200 * 12,900 23,600 *6,800 35,800 39,200 * * *

. . . . . . . . . . . . . . . . . . . . . V01–V82 79,800 * 74,400 *9,500 24,500 40,400 22,600 57,200 69,900 *9,200 *8,800 *

. . . V24–V46, V52, V53.3–V53.7,V54–V58 38,500 * 36,200 * 12,300 19,300 *8,800 29,700 34,900 * * *

........................... * – * – – ** * * – – *

cision, because sample size is less than 30 and therefore, is not reported. If shown

ecause the sample size is between 30 to 59 or the sample size is greater than 59

Series 13, No. 147 [ Page 31

1Based on the International Classification of Diseases, 9th Revision, Clinical Modification (6).2Excludes unknown.

NOTE: Numbers may not add to totals because of rounding.
rsing home residents by primary diagnosis at admission, according to age, sex, and race of resident: United States, 1997

CD–9–CM code1

All

residents

Age at interview2 Race

Under

65 years

65 years and over Sex Black and other

Total Unknown

65–74

years

75–84

years

85 years

and over Male Female White Total Black

........................... 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

. . . . . . . . . . . . . . . . . . . . . 001–139 0.9 * 0.9 * * * *1.3 *0.8 0.9 * * *

. . . . . . . . . . . . . . . . . . . . . . 140–239 2.1 * 2.1 *2.7 2.3 1.7 3.4 1.6 2.1 * * –

. . . . . . . . . . . . . . . . 140–208,230–234 1.9 * 1.9 * 2.2 *1.6 3.1 1.5 1.9 * * –

es and immunity disorders . . . . 240–279 6.2 *4.5 6.3 8.8 6.3 5.7 6.2 6.2 5.9 8.0 7.9 *

. . . . . . . . . . . . . . . . . . . . . . . . . 250 3.8 * 3.9 6.7 4.1 2.9 4.0 3.8 3.7 *5.3 *5.6 *

gans . . . . . . . . . . . . . . . . . . 280–289 0.9 * 1.0 * * *1.3 * *1.0 0.9 * * *

. . . . . . . . . . . . . . . . . . . . . . 280–285 0.8 * 0.9 * * *1.2 * *0.9 *0.8 * * *

. . . . . . . . . . . . . . . . . . . . . 290–319 16.2 21.9 15.6 16.4 15.8 15.3 17.2 15.8 15.9 18.3 17.8 *

me .................... 290, 310 4.0 * 4.3 *3.1 3.9 4.9 3.6 4.2 3.9 4.7 *4.5 *

. . . . . . . . . . . . . . . . . . . . . 317–319 0.9 *5.7 *0.5 * * * *1.7 *0.6 1.0 * * *

. . . . . . . . . . . . . . . 291–309, 311–316 11.2 14.5 10.8 11.8 11.3 10.2 11.9 10.9 11.0 13.0 12.7 *

organs . . . . . . . . . . . . . . . . 320–389 13.8 22.4 13.1 14.8 16.1 10.5 14.4 13.6 14.4 9.7 9.5 *

....................... 331.0 7.8 * 8.4 7.5 10.7 7.1 5.9 8.6 8.2 *5.3 *5.4 *

. . . . . . . . . . . . . . . . . . . . . . . . . 332 2.0 * 2.1 * 3.0 *1.5 2.7 1.7 2.2 * * –

. . . . . . . . . . . . . . . . . . . . . . . . . 340 1.0 *7.9 * * * * * *1.0 1.1 * * –

. . . . . . . . . . . . . . . . . . . . . 342–344 1.2 *7.2 *0.6 * * * *2.2 *0.8 1.1 * * *

d

320–330,331.3–331.9,333–337,341,345–389 1.9 *5.6 1.5 * * 1.7 *2.7 1.6 1.9 * * *

. . . . . . . . . . . . . . . . . . . . . 390–459 24.8 14.9 25.8 24.4 24.9 26.8 23.9 25.2 24.3 28.5 28.9 *

. . . . . . . . . . . . . . . . . . . . . . . . . 401 3.4 * 3.6 *3.1 3.1 4.2 *2.2 3.9 3.3 *4.7 *4.5 *

1–392.0,393–398,402,404,410–416,420–429 9.6 * 10.3 *5.1 8.8 12.8 8.1 10.2 9.9 7.3 8.1 *

. . . . . . . . . . . . . . . . . . . . . 460–519 6.2 *4.5 6.3 6.6 6.7 5.9 8.1 5.4 6.1 6.8 *6.8 *

. . . . . . . . . . . . . . . . . . . . . 480–486 2.6 * 2.7 * 2.5 3.0 3.1 2.4 2.5 *3.2 * *

. . . . . . . . . . . . . . . . . . . . . 490–496 3.6 * 3.7 *4.6 4.2 3.0 5.0 3.1 3.6 *3.6 *3.7 *

. . . . . . . . . . . . . . . . . . . . . 520–579 3.1 * 3.2 * 2.7 3.7 3.2 3.0 3.2 * * *

. . . . . . . . . . . . . . . . . . . . . 580–629 2.3 * 2.3 *3.3 *2.3 2.1 *2.6 2.2 2.2 *3.1 *3.4 *

. . . . . . . . . 580–583,590, 595,597,599.0 1.4 * 1.5 * *1.5 *1.3 * 1.5 1.4 * * *

ue . . . . . . . . . . . . . . . . . . . . 680–709 1.1 * 1.1 * * *1.0 * 1.1 1.0 * * *

....................... 707.0 * * * * * * * * * * * *

................... 707.1–707.9 * – *** * * * * * * –

d connective tissue . . . . . . . . . 710–739 4.4 * 4.7 * 4.1 5.9 *1.9 5.4 4.7 * * *

. . . . . . . . . . . . . . . . . . . . . . . . . 714 * * * * * * * * * * * –

spine . . . . . . . . . . . . . . . . . . . . . 715 1.4 * 1.5 * *1.1 2.1 * 1.7 1.5 * * –

. . . . . . . . . . . . . . . 710–714, 716–719 *0.7 * *0.7 * * *0.8 * *0.8 *0.7 * * –

........................ 733.0 *0.3 * * – * * **** – *

. . . . . . . . . . . . . . . . . . . . . 740–759 * * * * * * * * * – – *

. . . . . . . . . . . . . . . . . . . . . 780–799 4.7 *6.6 4.6 *4.6 5.0 4.3 4.9 4.7 4.7 *5.0 5.3 *

. . . . . . . . . . . . . . . . . . . . . . . . . 797 * – * – * * **** * –

. . . . . . . . . . . . . . . . . . . . . 800–999 8.0 8.6 8.0 *5.7 6.4 9.6 5.5 8.9 8.4 *5.1 *4.6 *

. . . . . . . . . . . . . . . . . . . . . . . . . 820 3.7 * 4.1 * 3.1 5.2 *2.0 4.4 4.0 * * *

. . . . . . . . . . . . . . . . 800–819,821–829 5.0 * 2.7 * 2.4 3.2 *1.5 3.1 2.8 * * *

. . . . . . . . . . . . . . . . . . . . . .V01–V82 2.6 * 5.1 *4.8 4.6 5.5 5.1 4.9 5.0 *4.9 *5.3 *

. . . V42–V46,V52, V53.3–V53.7,V54–V58 2.4 * 2.5 * 2.3 2.6 *2.0 2.6 2.5 * * *

........................... * – * – – * *** – – *

cision, because sample size is less than 30 and therefore, is not reported. If shown

ecause the sample size is between 30 to 59 or the sample size is greater than 59

Page 32 [ Series 13, No. 147

1Based on the International Classification of Diseases, 9th Revision, Clinical Modification (6).2Excludes unknown.

NOTE: Percents are based on the unrounded numbers.
residents by all-listed diagnoses at admission, according to age, sex, and race of resident: United States, 1997

M code1

All

residents

Age at interview2 Race

Under

65 years

65 years and over Sex Black and other

Total Unknown

65–74

years

75–84

years

85 years

and over Male Female White Total Black

................. 6,626,900 503,500 6,106,500 831,700 2,193,700 3,081,100 1,858,000 4,768,900 5,791,600 770,800 682,500 64,500

. . . . . . . . . . . 001–139 48,700 *7,600 40,800 *6,100 13,800 20,800 16,400 32,300 39,700 *8,600 *8,000 *

. . . . . . . . . . . 140–239 103,500 * 98,300 14,700 37,300 46,300 46,800 56,700 88,700 14,300 12,600 *

. . . . . 140–208,230–234 91,100 * 87,200 11,700 33,200 42,300 42,800 48,300 78,000 12,900 11,400 *

ers and

. . . . . . . . . . . 240–279 534,200 38,600 495,600 86,700 185,700 223,200 140,200 394,000 459,800 71,200 63,700 *

. . . . . . . . . . . . . . 250 255,600 22,500 233,100 54,200 94,300 84,600 80,000 175,600 209,300 44,100 40,100 *

gans . . . . . . . . 280–289 148,200 *7,800 140,000 12,200 48,200 79,600 33,900 114,200 123,400 23,300 20,700 *

. . . . . . . . . . . 280–285 136,600 *7,400 128,800 *10,300 43,400 75,100 30,500 106,100 113,700 21,400 19,200 *

. . . . . . . . . . . 290–319 962,800 92,900 866,600 128,100 325,000 413,500 274,700 688,100 841,600 111,600 99,400 *9,600

me .......... 290, 310 166,000 * 159,900 15,900 53,200 90,800 44,500 121,500 142,600 20,800 18,500 *

. . . . . . . . . . . 317–319 35,400 16,900 18,500 *8,200 *9,000 * 19,000 16,300 31,500 * * *

. . . . 291–309, 311–316 761,500 70,600 688,200 104,000 262,800 321,300 211,200 550,200 667,500 87,600 77,800 *6,300

organs . . . . . . 320–389 642,300 68,400 572,500 91,800 220,900 259,700 180,500 461,800 575,000 62,300 54,800 *

............. 331.0 203,500 * 200,400 22,300 86,800 91,300 42,200 161,400 185,600 16,000 14,400 *

. . . . . . . . . . . . . . 332 79,000 * 77,200 13,000 35,600 28,600 28,600 50,500 74,200 * * *

. . . . . . . . . . . . . . 340 20,600 12,600 *8,000 **** 15,100 18,700 * * *

. . . . . . . . . . . 342–344 94,400 24,900 69,400 21,700 28,200 19,400 38,400 56,000 79,000 14,400 11,300 *

d

31.9,333–337,341,345–389 244,700 26,700 217,500 30,200 67,800 119,400 65,800 178,900 217,500 25,800 23,700 *

. . . . . . . . . . . 390–459 1,727,300 81,900 1,640,000 197,700 579,100 863,200 467,000 1,260,300 1,499,100 213,900 190,300 14,200

. . . . . . . . . . . . . . 401 460,900 27,500 432,600 61,200 156,500 214,900 104,500 356,400 392,400 64,700 58,300 *

,402,404,410–416,420–429 743,100 18,200 721,400 60,300 236,300 424,700 197,800 545,400 668,700 68,200 60,700 *6,200

. . . . . . . . . . . 460–519 302,900 20,400 281,800 43,600 109,200 129,100 114,100 188,800 264,400 33,700 29,400 *

. . . . . . . . . . . 480–486 78,400 * 73,400 *7,600 24,300 41,600 26,900 51,500 66,900 *10,000 *9,100 *

. . . . . . . . . . . 490–496 224,500 15,800 208,400 36,000 84,900 87,500 87,200 137,300 197,500 23,600 20,400 *

. . . . . . . . . . . 520–579 312,200 22,100 288,600 34,400 91,500 162,700 86,000 226,200 280,300 29,200 24,700 *

. . . . . . . . . . . 580–629 224,400 20,200 204,000 33,500 75,700 94,800 78,300 146,100 191,900 30,000 27,100 *

80–583,590, 595,597,599.0 107,200 *8,400 98,800 15,100 34,000 49,700 23,500 83,700 92,900 13,200 12,000 *

ue . . . . . . . . . 680–709 72,700 *9,600 62,900 *9,400 23,700 29,800 24,000 48,700 58,700 12,400 *11,100 *

............. 707.0 21,700 * 18,400 * *7,900 *7,500 *8,300 13,400 15,200 *5,900 * *

........ 707.1–707.9 13,100 * *11,600 * * *5,900 * *9,200 *10,500 * * –

connective

. . . . . . . . . . . 710–739 471,900 16,000 455,200 35,900 142,400 276,900 77,400 394,600 432,800 35,600 30,000 *

. . . . . . . . . . . . . . 714 15,700 * 15,300 * *6,900 *5,900 * 13,400 14,600 * * –

spine . . . . . . . . . . 715 177,000 * 174,200 11,700 50,100 112,400 29,800 147,200 162,600 13,600 11,600 *

. . . . 710–714, 716–719 98,400 * 94,400 *8,900 31,300 54,300 20,500 77,900 87,900 *9,200 *8,600 *

............. 733.0 78,800 * 76,500 * 21,600 52,100 * 73,700 74,800 * * *

. . . . . . . . . . . 740–759 12,500 * *8,600 **** *8,600 *11,400 * * *

. . . . . . . . . . . 780–799 429,600 53,300 375,800 64,000 136,900 174,900 132,800 296,800 366,500 56,300 49,500 *6,800

. . . . . . . . . . . . . . 797 *7,200 – *7,200 * * *6,100 * * *6,300 * * *

. . . . . . . . . . . 800–999 222,700 20,600 202,000 21,000 64,200 116,800 53,000 169,600 202,500 17,400 14,400 *

. . . . . . . . . . . . . . 820 87,000 * 85,700 *7,800 25,700 52,200 15,200 71,800 81,100 * * *

. . . . . 800–819,821–829 79,100 * 75,400 *6,600 24,500 44,300 15,900 63,200 73,600 * * *

. . . . . . . . . . V01–V82 411,200 35,400 374,000 50,500 137,000 186,500 129,200 282,000 356,000 50,300 46,200 *

V52, V53.3–V53.7,V54–V58 196,700 18,700 177,100 23,300 64,800 88,900 59,700 137,000 171,100 23,600 21,200 *

cision, because sample size is less than 30 and therefore, is not reported. If shown

ecause the sample size is between 30 to 59 or the sample size is greater than 59

Series 13, No. 147 [ Page 33

1Based on the International Classification of Diseases, 9th Revision, Clinical Modification (6).2Excludes unknown.

NOTE: Numbers may not add to totals because of rounding.
rsing home residents by all-listed diagnoses at admission, according to age, sex, and race of resident: United States, 1997

M code1

All

residents

Age at interview2 Race

Under

65 years

65 years and over Sex Black and other

Total Unknown

65–74

years

75–84

years

85 years

and over Male Female White Total Black

................. 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

. . . . . . . . . . . 001–139 0.7 *1.5 0.7 *0.7 0.6 0.7 0.9 0.7 0.7 *1.1 *1.2 *

. . . . . . . . . . . 140–239 1.6 * 1.6 1.8 1.7 1.5 2.5 1.2 1.5 1.9 1.9 *

. . . . . 140–208,230–234 1.4 * 1.4 1.4 1.5 1.4 2.3 1.0 1.3 1.7 1.7 *

es and

. . . . . . . . . . . 240–279 8.1 7.7 8.1 10.4 8.5 7.2 7.5 8.3 7.9 9.2 9.3 *

. . . . . . . . . . . . . . 250 3.9 4.5 3.8 6.5 4.3 2.7 4.3 3.7 3.6 5.7 5.9 *

gans . . . . . . . . 280–289 2.2 *1.5 2.3 1.5 2.2 2.6 1.8 2.4 2.1 3.0 3.0 *

. . . . . . . . . . . 280–285 2.1 *1.5 2.1 *1.2 2.0 2.4 1.6 2.2 2.0 2.8 2.8 *

. . . . . . . . . . . 290–319 14.5 18.5 14.2 15.4 14.8 13.4 14.8 14.4 14.5 14.5 14.6 *14.9

me .......... 290, 310 2.5 * 2.6 1.9 2.4 2.9 2.4 2.5 2.5 2.7 2.7 *

. . . . . . . . . . . 317–319 0.5 3.3 0.3 *1.0 *0.4 * 1.0 0.3 0.5 * * *

. . . . 291–309, 311–316 11.5 14.0 11.3 12.5 12.0 10.4 11.4 11.5 11.5 11.4 11.4 *9.8

organs . . . . . . 320–389 9.7 13.6 9.4 11.0 10.1 8.4 9.7 9.7 9.9 8.1 8.0 *

............. 331.0 3.1 * 3.3 2.7 4.0 3.0 2.3 3.4 3.2 2.1 2.1 *

. . . . . . . . . . . . . . 332 1.2 * 1.3 1.6 1.6 0.9 1.5 1.1 1.3 * * *

. . . . . . . . . . . . . . 340 0.3 2.5 *0.1 * * * * 0.3 0.3 * * *

. . . . . . . . . . . 342–344 1.4 4.9 1.1 2.6 1.3 0.6 2.1 1.2 1.4 1.9 1.7 *

d

31.9,333–337,341,345–389 3.7 5.3 3.6 3.6 3.1 3.9 3.5 3.8 3.8 3.3 3.5 *

. . . . . . . . . . . 390–459 26.1 16.3 26.9 23.8 26.4 28.0 25.1 26.4 25.9 27.8 27.9 22.0

. . . . . . . . . . . . . . 401 7.0 5.5 7.1 7.4 7.1 7.0 5.6 7.5 6.8 8.4 8.5 *

,402,404,410–416,420–429 11.2 3.6 11.8 7.3 10.8 13.8 10.6 11.4 11.5 8.8 8.9 *9.7

. . . . . . . . . . . 460–519 4.6 4.1 4.6 5.2 5.0 4.2 6.1 4.0 4.6 4.4 4.3 *

. . . . . . . . . . . 480–486 1.2 * 1.2 *0.9 1.1 1.3 1.4 1.1 1.2 *1.3 *1.3 *

. . . . . . . . . . . 490–496 3.4 3.1 3.4 4.3 3.9 2.8 4.7 2.9 3.4 3.1 3.0 *

. . . . . . . . . . . 520–579 4.7 4.4 4.7 4.1 4.2 5.3 4.6 4.7 4.8 3.8 3.6 *

. . . . . . . . . . . 580–629 3.4 4.0 3.3 4.0 3.4 3.1 4.2 3.1 3.3 3.9 4.0 *

80–583,590, 595,597,599.0 1.6 *1.7 1.6 1.8 1.5 1.6 1.3 1.8 1.6 1.7 1.8 *

ue . . . . . . . . . 680–709 1.1 *1.9 1.0 *1.1 1.1 1.0 1.3 1.0 1.0 1.6 *1.6 *

............. 707.0 0.3 * 0.3 * *0.4 *0.2 *0.4 0.3 0.3 *0.8 * *

........ 707.1–707.9 0.2 * *0.2 * * *0.2 * *0.2 *0.2 * * –

d

. . . . . . . . . . . 710–739 7.1 3.2 7.5 4.3 6.5 9.0 4.2 8.3 7.5 4.6 4.4 *

. . . . . . . . . . . . . . 714 0.2 * 0.3 * *0.3 *0.2 * 0.3 0.3 * * –

spine . . . . . . . . . . 715 2.7 * 2.9 1.4 2.3 3.6 1.6 3.1 2.8 1.8 1.7 *

. . . . 710–714, 716–719 1.5 * 1.5 *1.1 1.4 1.8 1.1 1.6 1.5 *1.2 *1.3 *

............. 733.0 1.2 * 1.3 * 1.0 1.7 * 1.5 1.3 * * *

. . . . . . . . . . . 740–759 0.2 * *0.1 * * * * *0.2 *0.2 * * *

Page 34 [ Series 13, No. 147
rsing home residents by all-listed diagnoses at admission, according to age, sex, and race of resident: United States, 1997

—Con.

M code1

All

residents

Age at interview2 Race

Under

65 years

65 years and over Sex Black and other

Total Unknown

65–74

years

75–84

years

85 years

and over Male Female White Total Black

. . . . . . . . . . . 780–799 6.5 10.6 6.2 7.7 6.2 5.7 7.1 6.2 6.3 7.3 7.3 *10.6

. . . . . . . . . . . . . . 797 *0.1 – *0.1 * * *0.2 * * *0.1 * * *

. . . . . . . . . . . 800–999 3.4 4.1 3.3 2.5 2.9 3.8 2.9 3.6 3.5 2.3 2.1 *

. . . . . . . . . . . . . . 820 1.3 * 1.4 *0.9 1.2 1.7 0.8 1.5 1.4 * * *

. . . . . 800–819,821–829 1.2 * 1.2 *0.8 1.1 1.4 0.9 1.3 1.3 * * *

. . . . . . . . . . V01–V82 6.2 7.0 6.1 6.1 6.2 6.1 7.0 5.9 6.1 6.5 6.8 *

V52,V53.3–V53.7,V54–V58 3.0 3.7 2.9 2.8 3.0 2.9 3.2 2.9 3.0 3.1 3.1 *

cision, because sample size is less than 30 and therefore, is not reported. If shown with a number, it should not be assumed reliable because the sample size is between 30 to 59 or the sample size is

ver 30 percent.

ses, 9th Revision, Clinical Modification (6).

rounding.

Series 13, No. 147 [ Page 35
Table 32. Number of nursing home residents by primary diagnosis at admission, according to dependency in activities of daily living and

walking: United States, 1997

Diagnosis and ICD–9–CM code1

All

residents

Received help from facility in2

—

Bathing Dressing Eating

Transferring

in or out of

beds or chairs

Using the

toliet

room Walking

Total ................................................... 1,608,700 1,536,300 1,392,600 725,900 389,600 879,300 478,600

Infectious and parasitic diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . 001–139 15,200 14,000 13,000 *8,500 * *7,000 *

Neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 140–239 33,200 31,400 28,600 13,400 *10,700 17,300 12,100

Malignant neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . 140–208,230–234 30,600 29,200 26,800 12,000 *10,500 16,500 11,600

Endocrine, nutritional, and metabolic diseases and immunity disorders . . . . 240–279 99,100 94,900 82,000 38,000 24,400 51,600 33,700

Diabetes mellitus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 250 61,900 59,300 51,200 22,200 14,600 31,100 20,000

Diseases of the blood and blood-forming organs . . . . . . . . . . . . . . . . . . 280–289 14,800 14,200 12,200 *5,900 * *8,300 *

Anemias . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 280–285 13,300 12,900 *11,100 * * *7,700 *

Mental disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 290–319 259,800 242,000 217,700 114,600 56,400 135,200 67,800

Senile dementia or organic brain syndrome .................... 290, 310 65,100 63,900 58,400 33,800 15,600 36,200 16,600

Mental retardation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 317–319 14,900 13,800 12,400 * * *6,600 *

Other mental disorders . . . . . . . . . . . . . . . . . . . . . . . . . . 291–309, 311–316 179,800 164,400 146,900 75,500 38,300 92,500 45,800

Diseases of the nervous system and sense organs . . . . . . . . . . . . . . . . 320–389 222,500 216,700 203,100 135,800 47,400 125,900 55,100

Alzheimer’s disease .................................... 331.0 125,800 123,200 114,900 79,600 28,300 75,600 29,900

Parkinson’s disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 332 31,500 30,600 28,300 16,200 *9,800 17,900 11,900

Multiple sclerosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 340 16,400 16,000 15,700 *9,400 * *8,200 *

Paralytic syndromes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 342–344 19,000 18,100 17,500 12,900 * *9,200 *

Other diseases of the nervous system and

sense organs . . . . . . . . . . . . . . . 320–330,331.3–331.9,333–337,341,345–389 29,900 28,800 26,800 17,800 * 14,900 *8,200

Diseases of the circulatory system . . . . . . . . . . . . . . . . . . . . . . . . . . 390–459 399,200 381,100 346,000 170,400 93,700 221,100 114,200

Essential hypertension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 401 55,200 49,800 43,500 21,200 12,000 28,000 16,500

Heart disease . . . . . . . . . . . . . . 391–392.0,393–398,402,404,410–416,420–429 154,400 147,200 129,300 56,900 38,900 84,600 50,400

Diseases of the respiratory system . . . . . . . . . . . . . . . . . . . . . . . . . . 460–519 99,100 94,700 84,500 37,500 21,800 51,300 30,000

Pneumonia, all forms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 480–486 41,400 40,600 36,900 17,600 8,400 23,100 *11,000

Other diseases of the respiratory system . . . . . . . . . . . . . . . . . . . . . 490–496 57,700 54,100 47,600 19,900 13,400 28,300 19,000

Diseases of the digestive system . . . . . . . . . . . . . . . . . . . . . . . . . . . 520–579 49,300 47,400 42,300 24,000 12,400 25,300 16,200

Diseases of the genitourinary system . . . . . . . . . . . . . . . . . . . . . . . . . 580–629 36,900 35,700 32,400 18,100 *6,800 20,400 *7,800

Urinary tract infection . . . . . . . . . . . . . . . . . . . . . 580–583,590, 595,597,599.0 22,700 22,200 20,500 13,200 * 12,700 *

Diseases of the skin and subcutaneous tissue . . . . . . . . . . . . . . . . . . . 680–709 17,700 17,300 16,000 *9,600 * *9,600 *

Decubitus ulcer ....................................... 707.0 * * * * * * *

Other chronic ulcer of the skin .......................... 707.1–707.9 * * * * * * *

Diseases of the musculoskeletal system and connective tissue . . . . . . . . . 710–739 71,500 68,800 60,300 19,900 22,200 41,700 28,500

Rheumatoid arthritis, except spine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 714 * * * * * * *

Osteoarthritis and allied disorders, except spine . . . . . . . . . . . . . . . . . . . . . 715 22,500 21,100 18,100 * *6,700 *10,500 *9,000

Other arthropathies and related disorders . . . . . . . . . . . . . . . 710–714, 716–719 *10,500 *10,100 *9,000 * * *5,700 *

Osteoporosis ......................................... 733.0 *5,500 *5,500 * * * * *

Congenital anomalies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 740–759 * * * * * * *

Symptoms, signs, and ill-defined conditions . . . . . . . . . . . . . . . . . . . . . 780–799 76,300 72,800 65,000 34,300 19,300 40,600 23,000

Senility without mention of psychosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . 797 * * * * * * *

Injury and poisoning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 800–999 128,300 123,700 114,900 55,500 41,900 76,500 49,100

Fracture of neck of femur . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 820 60,200 59,100 54,900 28,500 21,800 37,400 25,300

Other fractures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 800–819,821–829 42,600 40,900 37,900 15,400 13,800 26,800 15,800

Supplemental classification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . V01–V82 79,800 76,000 69,700 37,400 20,600 44,800 26,900

Posthospital aftercare . . . . . . . . . . . . . . . . V42–V46,V52,V53.3–V53.7,V54–V58 38,500 37,100 33,600 18,700 *11,900 23,000 13,700

Unknown or no diagnosis ...................................... * * * * * * *

*Figure does not meet standard of reliability or precision, because sample size is less than 30 and therefore, is not reported. If shown with a number, it should not be assumed reliable because the

sample size is between 30 to 59 or the sample size is greater than 59 but has a relative standard error over 30 percent.

1Based on the International Classification of Diseases, 9th Revision, Clinical Modification (6).

2Figures may not add to totals, because a resident may receive help in more than one category.

NOTE: Numbers may not add to totals because of rounding.

Page 36 [ Series 13, No. 147
Table 33. Percent distribution of nursing home residents by primary diagnosis at admission, according to dependency in activities of daily

living and walking: United States, 1997

Diagnosis and ICD–9–CM code1

All

residents

Received help from facility in2

—

Bathing or

showering Dressing Eating

Transferring

in or out of

beds or chairs

Using the

toliet

room Walking

Total ................................................... 100.0 100.0 100.0 100.0 100.0 100.0 100.0

Infectious and parasitic diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . 001–139 0.9 0.9 0.9 *1.2 * *0.8 *

Neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 140–239 2.1 2.0 2.1 1.9 *2.8 2.0 2.5

Malignant neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . 140–208,230–234 1.9 1.9 1.9 1.7 *2.7 1.9 2.4

Endocrine, nutritional, and metabolic diseases and immunity disorders . . . . 240–279 6.2 6.2 5.9 5.2 6.3 5.9 7.0

Diabetes mellitus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 250 3.8 3.9 3.7 3.1 3.8 3.5 4.2

Diseases of the blood and blood-forming organs . . . . . . . . . . . . . . . . . . 280–289 0.9 0.9 0.9 *0.8 * *1.0 *

Anemias . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 280–285 0.8 0.8 *0.8 * * *0.9 *

Mental disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 290–319 16.2 15.8 15.6 15.8 14.5 15.4 14.2

Senile dementia or organic brain syndrome .................... 290, 310 4.1 4.2 4.2 4.7 4.0 4.1 3.5

Mental retardation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 317–319 0.9 0.9 0.9 0.7 * *0.8 *

Other mental disorders . . . . . . . . . . . . . . . . . . . . . . . . . . 291–309, 311–316 11.2 10.7 10.6 10.4 9.8 10.5 9.6

Diseases of the nervous system and sense organs . . . . . . . . . . . . . . . . 320–389 13.8 14.1 14.6 18.7 12.2 14.3 11.5

Alzheimer’s disease .................................... 331.0 7.8 8.0 8.3 11.0 7.3 8.6 6.3

Parkinson’s disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 332 2.0 2.0 2.0 2.2 *2.5 2.0 2.5

Multiple sclerosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 340 1.0 1.0 1.1 *1.3 * *0.9 *

Paralytic syndromes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 342–344 1.2 1.2 1.3 1.8 * *1.1 *

Other diseases of the nervous system and

sense organs . . . . . . . . . . . . . . . 320–330,331.3–331.9,333–337,341,345–389 1.9 1.9 1.9 2.5 * 1.7 *1.7

Diseases of the circulatory system . . . . . . . . . . . . . . . . . . . . . . . . . . 390–459 24.8 24.8 24.8 23.5 24.1 25.2 23.9

Essential hypertension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 401 3.4 3.2 3.1 2.9 3.1 3.2 3.5

Heart disease . . . . . . . . . . . . . . 391–392.0,393–398,402,404,410–416,420–429 9.6 9.6 9.3 7.8 10.0 9.6 10.5

Diseases of the respiratory system . . . . . . . . . . . . . . . . . . . . . . . . . . 460–519 6.2 6.2 6.1 5.2 *5.6 5.8 6.3

Pneumonia, all forms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 480–486 2.6 2.6 2.7 2.4 2.2 2.6 *2.3

Other diseases of the respiratory system . . . . . . . . . . . . . . . . . . . . . 490–496 3.6 3.5 3.4 2.7 3.4 3.2 4.0

Diseases of the digestive system . . . . . . . . . . . . . . . . . . . . . . . . . . . 520–579 3.1 3.1 3.0 3.3 3.2 2.9 3.4

Diseases of the genitourinary system . . . . . . . . . . . . . . . . . . . . . . . . . 580–629 2.3 2.3 2.3 2.5 *1.7 2.3 *1.6

Urinary tract infection . . . . . . . . . . . . . . . . . . . . . 580–583,590, 595,597,599.0 1.4 1.4 1.5 1.8 * 1.5 *

Diseases of the skin and subcutaneous tissue . . . . . . . . . . . . . . . . . . . 680–709 1.1 1.1 1.2 *1.3 * *1.1 *

Decubitus ulcer ....................................... 707.0 * * * * * * *

Other chronic ulcer of the skin .......................... 707.1–707.9 * * * * * * *

Diseases of the musculoskeletal system and connective tissue . . . . . . . . . 710–739 4.4 4.5 4.3 2.8 5.7 4.8 6.0

Rheumatoid arthritis, except spine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 714 * * * * * * *

Osteoarthritis and allied disorders, except spine . . . . . . . . . . . . . . . . . . . . . 715 1.4 1.4 1.3 * *1.7 *1.2 *1.9

Other arthropathies and related disorders . . . . . . . . . . . . . . . 710–714, 716–719 *0.7 *0.7 *0.7 * * *0.6 *

Osteoporosis ......................................... 733.0 *0.3 *0.4 * * * * *

Congenital anomalies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 740–759 * * * * * * *

Symptoms, signs, and ill-defined conditions . . . . . . . . . . . . . . . . . . . . . 780–799 4.7 4.7 4.7 4.7 5.0 4.6 4.8

Senility without mention of psychosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . 797 * * * * * * *

Injury and poisoning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 800–999 8.0 8.1 8.3 7.7 10.8 8.7 10.3

Fracture of neck of femur . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 820 3.7 3.9 3.9 3.9 5.6 4.3 5.3

Other fractures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 800–819,821–829 2.6 2.7 2.7 2.1 3.6 3.1 3.3

Supplementary classification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . V01–V82 5.0 5.0 5.0 5.2 5.3 5.1 5.6

Posthospital aftercare . . . . . . . . . . . . . . . . V42–V46,V52,V53.3–V53.7,V54–V58 2.4 2.4 2.4 2.6 *3.1 2.6 2.9

Unknown or no diagnosis ...................................... * * * * * * *

*Figure does not meet standard of reliability or precision, because sample size is less than 30 and therefore, is not reported. If shown with a number, it should not be assumed reliable because the

sample size is between 30 to 59 or the sample size is greater than 59 but has a relative standard error over 30 percent.

1Based on the International Classification of Diseases, 9th Revision, Clinical Modification (6).

2Figures may not add to totals, because a resident may receive help in more than one category.

NOTE: Percents are based on the unrounded numbers.

Series 13, No. 147 [ Page 37
Table 34. Number and percent distribution of nursing home residents, by length of time since admission and average length of time since

admission, according to primary diagnosis at admission: United States, 1997

Diagnosis and ICD–9–CM code1

All

residents

Length of time since admission

Average length

of time since

Total admission (days)

Less than

3 months

3 months

to less

than 6

6 months

to less

than 12

1 year to

less than

3

3 years to

less than

5

5 years

or more

Total ....................................... 1,608,700 100.0 17.6 9.7 14.8 30.3 13.6 14.0 898.7

Infectious and parasitic diseases . . . . . . . . . . . . . . . . 001–139 15,200 100.0 * * * * * * 803.3

Neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 140–239 33,200 100.0 35.2 * * *25.2 * * 526.7

Malignant neoplasms . . . . . . . . . . . . . . . . 140–208,230–234 30,600 100.0 *36.3 * * *25.4 * * 481.6

Endocrine, nutritional, and metabolic diseases and immunity

disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 240–279 99,100 100.0 19.0 *9.8 16.8 30.6 12.1 *11.6 765.0

Diabetes mellitus . . . . . . . . . . . . . . . . . . . . . . . . . . . . 250 61,900 100.0 *18.9 *8.7 *16.7 31.3 *13.4 *11.0 748.1

Diseases of the blood and blood-forming organs . . . . . . 280–289 14,800 100.0 * * * * * * 1,017.8

Anemias . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 280–285 13,300 100.0 * * * * * * 939.8

Mental disorders . . . . . . . . . . . . . . . . . . . . . . . . . . 290–319 259,800 100.0 12.6 8.5 14.7 31.5 13.2 19.6 1,177.4

Senile dementia or organic brain syndrome ........ 290, 310 65,100 100.0 *10.1 * *12.0 33.5 *14.6 22.7 1,144.5

Mental retardation . . . . . . . . . . . . . . . . . . . . . . . 317–319 14,900 100.0 * * * * * *51.1 3,107.4

Other mental disorders . . . . . . . . . . . . . . 291–309, 311–316 179,800 100.0 14.2 9.0 15.8 32.4 12.7 15.9 1,029.5

Diseases of the nervous system and sense organs . . . . 320–389 222,500 100.0 9.8 8.7 12.7 33.7 17.8 17.3 1,119.2

Alzheimer’s disease ........................ 331.0 125,800 100.0 *8.9 10.6 13.1 34.9 19.5 13.0 902.1

Parkinson’s disease . . . . . . . . . . . . . . . . . . . . . . . . . . 332 31,500 100.0 * * * 41.9 * * 901.7

Multiple sclerosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . 340 16,400 100.0 * * * * * * 1,568.8

Paralytic syndromes . . . . . . . . . . . . . . . . . . . . . . 342–344 19,000 100.0 * * * * * *37.4 2,330.9

Other diseases of the nervous system and

sense organs . . . 320–330,331.3–331.9,333–337,341,345–389 29,900 100.0 * * * *31.1 * *20.3 1,246.4

Diseases of the circulatory system . . . . . . . . . . . . . . 390–459 399,200 100.0 17.5 9.9 15.2 29.7 14.2 13.5 875.2

Essential hypertension . . . . . . . . . . . . . . . . . . . . . . . . 401 55,200 100.0 *10.9 *11.0 *16.1 30.3 *17.3 *14.4 927.3

Heart disease . . 391–392.0,393–398,402,404,410–416,420–429 154,400 100.0 17.4 11.4 14.8 30.3 13.7 12.6 870.4

Diseases of the respiratory system . . . . . . . . . . . . . . 460–519 99,100 100.0 24.2 14.6 17.0 28.2 *8.8 *7.2 587.0

Pneumonia, all forms . . . . . . . . . . . . . . . . . . . . . 480–486 41,400 100.0 *23.7 *16.4 *19.5 *23.9 * * 550.6

Other diseases of the respiratory system . . . . . . . . . 490–496 57,700 100.0 24.6 *13.3 *15.2 31.3 * * 613.1

Diseases of the digestive system . . . . . . . . . . . . . . . 520–579 49,300 100.0 *19.6 * *14.2 32.1 *13.8 * 754.9

Diseases of the genitourinary system . . . . . . . . . . . . . 580–629 36,900 100.0 *24.2 * * *28.6 * * 563.0

Urinary tract infection . . . . . . . . . 580–583,590, 595,597,599.0 22,700 100.0 * * * *34.0 * * 534.6

Diseases of the skin and subcutaneous tissue . . . . . . . 680–709 17,700 100.0 *30.8 * * * * * 751.7

Decubitus ulcer ........................... 707.0 *5,700 100.0 * * * * * * *520.0

Other chronic ulcer of the skin .............. 707.1–707.9 * 100.0 * * * * – * *

Diseases of the muscloskeletal systems and

connective tissue . . . . . . . . . . . . . . . . . . . . . . . . 710–739 71,500 100.0 16.2 *9.1 *12.5 35.1 *12.2 *14.9 845.1

Rheumatoid arthritis, except spine . . . . . . . . . . . . . . . . . 714 * * * * * * * * *

Osteoarthritis and allied disorders, except spine . . . . . . . . . 715 22,500 100.0 * * * *32.5 * * 888.3

Other arthropathies and related disorders . . . 710–714, 716–719 *10,500 100.0 * * * * * * *963.0

Osteoporosis ............................. 733.0 *5,500 * * * * * * * *811.6

Congenital anomalies . . . . . . . . . . . . . . . . . . . . . . . 740–759 * * * * * * * * *

Symptoms, signs, and ill-defined conditions . . . . . . . . . 780–799 76,300 100.0 20.4 *10.6 *14.5 25.3 *12.5 16.7 889.5

Senility without mention of psychosis . . . . . . . . . . . . . . . . 797 * * * * – * ** *

Injury and poisoning . . . . . . . . . . . . . . . . . . . . . . . 800–999 128,300 100.0 22.0 *7.8 17.4 27.9 13.8 11.2 732.5

Fracture of neck of femur . . . . . . . . . . . . . . . . . . . . . . . 820 60,200 100.0 22.5 * *16.0 29.3 *15.4 *10.2 710.5

Other fractures . . . . . . . . . . . . . . . . . . . . 800–819,821–829 42,600 100.0 *23.4 * *17.5 *27.7 * * 670.6

Supplemental classification . . . . . . . . . . . . . . . . . . . V01–V82 79,800 100.0 23.8 *8.3 *13.9 30.2 *14.1 *9.7 754.2

Posthospital aftercare . . . . V42–V46,V52,V53.3–V53.7,V54–V58 38,500 100.0 *28.7 * * *25.6 * * 628.6

Unknown or no diagnosis .......................... * * ––– * – * *

*Figure does not meet standard of reliability or precision, because sample size is less than 30 and therefore, is not reported. If shown with a number, it should not be assumed reliable because the

sample size is between 30 to 59 or the sample size is greater than 59 but has a relative standard error over 30 percent.

– Quantity zero.

1Based on the International Classification of Diseases, 9th Revision, Clinical Modification (6).

NOTES: Numbers may not add to totals because of rounding. Percents are based on the unrounded numbers.

Page 38 [ Series 13, No. 147
discharges by selected facility characteristics, according to age, sex, and race of resident: United States, October 1996–September 1997

ics

All

discharges

Age1 Race

Under

65 years

65 years and over Sex Black and other

Total Unknown

65–74

years

75–84

years

85 years

and over Male Female White Total Black

................. 2,369,000 251,800 2,100,800 406,000 836,100 858,600 873,700 1,495,300 2,068,400 247,100 194,600 53,500

................. 1,569,500 163,500 1,390,900 281,100 540,000 569,800 599,800 969,800 1,336,100 196,500 152,100 37,000

................. 681,900 73,400 607,900 99,800 250,100 258,100 227,700 454,100 635,600 39,900 32,300 *

................. 117,600 14,800 102,000 25,100 46,100 30,700 46,200 71,400 96,800 *10,600 *10,200 *

................. 2,043,100 225,200 1,803,100 341,500 731,900 729,700 774,000 1,269,200 1,771,900 228,300 181,000 42,900

................. 197,100 * 181,900 *45,800 66,700 69,500 57,000 140,100 184,400 * * *

................. 100,000 *9,900 89,000 16,100 24,300 48,600 33,400 66,600 85,000 14,400 *10,200 *

. . . . . . . . . . . . . . . . . 28,800 * 26,800 * *13,200 *10,900 *9,400 19,400 27,100 * * *

................. 263,200 * 230,500 *66,400 83,400 80,700 75,500 187,600 219,600 * * *

................. 525,500 54,900 464,600 56,500 199,000 209,100 218,700 306,800 474,900 45,200 33,200 *

................. 1,206,600 105,000 1,094,500 223,300 431,400 439,800 435,700 770,900 1,062,800 118,700 104,700 *25,100

................. 373,800 59,300 311,200 59,800 122,300 129,000 143,800 230,000 311,100 55,600 51,700 *7,100

n

................. 443,700 54,200 386,700 75,200 146,900 164,700 160,800 283,000 400,300 35,900 31,700 *7,500

................. 676,300 72,700 599,200 108,400 231,400 259,500 219,100 457,200 601,500 68,900 65,100 *

................. 697,100 54,200 634,300 120,800 244,700 268,900 260,500 436,600 607,900 82,000 78,900 *

. . . . . . . . . . . . . . . . . 551,900 70,600 480,500 101,700 213,200 165,600 233,500 318,400 458,800 60,300 *19,000 *32,800

y

................. 1,814,300 202,700 1,600,100 316,000 632,900 651,200 675,600 1,138,700 1,564,700 210,000 165,800 39,600

................. 554,700 49,100 500,700 90,000 203,300 207,500 198,200 356,600 503,700 37,100 28,800 *

................. 1,444,800 148,500 1,287,000 261,400 516,500 509,100 552,300 892,400 1,246,800 158,400 119,600 39,600

................. 915,200 102,900 805,100 142,600 315,200 347,300 318,300 596,800 813,500 87,700 74,400 *14,000

cision, because sample size is less than 30 and therefore, is not reported. If shown with a number, it should not be assumed reliable because the sample size is between 30 to 59 or the sample size is

ver 30 percent.

rounding.

Series 13, No. 147 [ Page 39
rsing home discharges by selected facility characteristics, according to age, sex, and race of resident: United States, October 1996–September

ics

All

discharges

Age1 Race

Under

65 years

65 years and over Sex Black and other

Total Unknown

65–74

years

75–84

years

85 years

and over Male Female White Total Black

................. 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

................. 66.3 64.9 66.2 69.2 64.6 66.4 68.6 64.9 64.6 79.5 78.2 69.1

................. 28.8 29.2 28.9 24.6 29.9 30.1 26.1 30.4 30.7 16.2 16.6 *

. . . . . . . . . . . . . . . . . 5.0 5.9 4.9 6.2 5.5 3.6 5.3 4.8 4.7 *4.3 *5.2 *

................. 86.2 89.5 85.8 84.1 87.5 85.0 88.6 84.9 85.7 92.4 93.0 80.1

. . . . . . . . . . . . . . . . . 8.3 * 8.7 *11.3 8.0 8.1 6.5 9.4 8.9 * * *

. . . . . . . . . . . . . . . . . 4.2 *3.9 4.2 4.0 2.9 5.7 3.8 4.5 4.1 5.8 *5.2 *

. . . . . . . . . . . . . . . . . 1.2 * 1.3 * *1.6 *1.3 *1.1 1.3 1.3 * * *

. . . . . . . . . . . . . . . . . 11.1 * 11.0 *16.4 10.0 9.4 8.7 12.6 10.6 * * *

................. 22.2 21.8 22.1 13.9 23.8 24.4 25.0 20.5 23.0 18.3 17.0 *

................. 50.9 41.7 52.1 55.0 51.6 51.2 49.9 51.6 51.4 48.0 53.8 *46.8

................. 15.8 23.6 14.8 14.7 14.6 15.0 16.5 15.4 15.0 22.5 26.6 *13.3

n

................. 18.7 21.5 18.4 18.5 17.6 19.2 18.4 18.9 19.4 14.5 16.3 *14.1

................. 28.6 28.9 28.5 26.7 27.7 30.2 25.1 30.6 29.1 27.9 33.4 *

................. 29.4 21.5 30.2 29.7 29.3 31.3 29.8 29.2 29.4 33.2 40.5 *

. . . . . . . . . . . . . . . . . 23.3 28.1 22.9 25.1 25.5 19.3 26.7 21.3 22.2 24.4 *9.7 *61.3

y

................. 76.6 80.5 76.2 77.8 75.7 75.8 77.3 76.2 75.7 85.0 85.2 74.0

................. 23.4 19.5 23.8 22.2 24.3 24.2 22.7 23.9 24.4 15.0 14.8 *

................. 61.0 59.0 61.3 64.4 61.8 59.3 63.2 59.7 60.3 64.1 61.5 73.9

................. 38.6 40.9 38.3 35.1 37.7 40.5 36.4 39.9 39.3 35.5 38.2 *26.1

cision, because sample size is less than 30 and therefore, is not reported. If shown with a number, it should not be assumed reliable because the sample size is between 30 to 59 or the sample size is

ver 30 percent.

.

Page 40 [ Series 13, No. 147
on, and rate of nursing home discharges, by age at discharge, according to sex, race, and region: United States, October 1996–September

All

discharges

Race

Sex Black and other Region

Male Female White Total Black Unknown Northeast Midwest South West

2,369,000 873,700 1,495,300 2,068,400 247,100 194,600 53,500 443,700 676,300 697,100 551,900

251,800 142,500 109,300 189,500 50,400 46,100 * 54,200 72,700 54,200 70,600

2,100,800 723,800 1,377,000 1,864,300 195,400 147,400 41,100 386,700 599,200 634,300 480,500

406,000 164,900 241,200 339,400 49,100 39,000 * 75,200 108,400 120,800 101,700

836,100 318,600 517,600 748,700 76,700 59,100 *10,700 146,900 231,400 244,700 213,200858,600 240,300 618,300 776,200 69,600 49,300 *12,900 164,700 259,500 268,900 165,600

Percent distribution

100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

10.6 16.3 7.3 9.2 20.4 23.7 * 12.2 10.8 7.8 12.888.7 82.8 92.1 90.1 79.1 75.7 76.7 87.2 88.6 91.0 87.1

17.1 18.9 16.1 16.4 19.9 20.0 * 16.9 16.0 17.3 18.4

35.3 36.5 34.6 36.2 31.1 30.4 *20.0 33.1 34.2 35.1 38.636.2 27.5 41.4 37.5 28.2 25.3 *24.0 37.1 38.4 38.6 30.0

Rate per 10,000 population2

87.6 66.0 108.3 92.9 51.8 55.4 . . . 85.4 107.7 73.1 91.410.6 12.0 9.2 9.8 11.4 14.2 . . . 12.1 13.3 6.5 8.5

622.0 519.3 694.2 618.7 536.9 529.7 . . . 536.9 744.4 535.4 720.0

221.6 200.6 238.6 210.1 226.5 238.3 . . . 196.1 253.9 184.0 278.3

720.4 691.0 739.8 713.0 693.8 690.1 . . . 583.9 827.3 612.1 928.4

2,233.2 2,166.9 2,260.1 2,230.5 1,907.2 1,695.3 . . . 1,929.2 2,637.1 2,092.2 2,293.3

cision, because sample size is less than 30 and therefore, is not reported. If shown with a number, it should not be assumed reliable because the sample size is between 30 to 59 or the sample size is

ver 30 percent.

cluding institutionalized persons, as of July 1, 1997.

f rounding. Percents and rates are based on the unrounded numbers.

Series 13, No. 147 [ Page 41
Table 38. Number of nursing home discharges by selected facility characteristics, according to primary source of payment at discharge:

United States, October 1996–September 1997

Facility characteristics

Primary source of payment at discharge

All

discharges

Private

sources1 Medicare Medicaid

All

other2

All facilities ..................... 2,369,000 528,700 1,104,900 640,000 95,400

Ownership

Proprietary ..................... 1,569,500 337,400 721,500 454,500 56,100

Voluntary nonprofit ................ 681,900 172,300 335,100 138,600 *35,900

Government and other .............. 117,600 19,000 48,300 46,900 *

Certification

Certified—

By Medicare and Medicaid .......... 2,043,100 433,000 948,400 578,700 83,000

By Medicare only ................ 197,100 40,100 152,600 * *

By Medicaid only ................ 100,000 33,300 * 60,100 *

Not certified . . . . . . . . . . . . . . . . . . . . 28,800 22,300 * * *

Beds

Fewer than 50 beds ............... 263,200 39,600 179,000 *24,900 *

50–99 beds ..................... 525,500 138,500 229,200 147,600 *10,200

100–199 beds ................... 1,206,600 275,000 548,200 333,800 49,600

200 beds or more ................. 373,800 75,500 148,500 133,600 16,100

Geographic region

Northeast ...................... 443,700 91,600 209,800 124,500 17,900

Midwest ....................... 676,300 180,000 311,300 169,600 15,400

South ........................ 697,100 149,700 290,000 235,800 21,700

West . . . . . . . . . . . . . . . . . . . . . . . . . 551,900 107,500 293,800 110,100 *40,500

Location of agency

Metropolitan statistical area ........... 1,814,300 415,500 847,100 469,800 82,000

Nonmetropolitan statistical area ........ 554,700 113,200 257,800 170,200 *13,500

Affiliation3

Chain ........................ 1,444,800 295,800 719,200 379,300 50,500

Independent .................... 915,200 232,000 380,500 257,800 44,900

*Figure does not meet standard of reliability or precision, because sample size is less than 30 and therefore, is not reported. If shown with a number, it should not be assumed reliable because the

sample size is between 30 to 59 or the sample size is greater than 59 but has a relative standard error over 30 percent.

1Includes private insurance, own income, family support, Social Security benefits, and retirement fund.

2Includes Supplemental Security Income, other government assistance or welfare, religious organizations, foundations, agencies, Veterans’ Administration (VA) contracts, pension, or other VA

compensation, payment source not yet determined, other, and unknown sources.

3Excludes unknown.

NOTE: Numbers may not add to totals because of rounding.

Page 42 [ Series 13, No. 147
Table 39. Percent distribution of nursing home discharges by selected facility characteristics, according to primary source of payment at

discharge: United States, October 1996–September 1997

Facility characteristics

Primary source of payment at discharge

All

discharges

Private

sources1 Medicare Medicaid

All

other2

All facilities .......................... 100.0 100.0 100.0 100.0 100.0

Ownership

Proprietary .......................... 66.3 63.8 65.3 71.0 58.8

Voluntary nonprofit ..................... 28.8 32.6 30.3 21.7 *37.6

Government and other . . . . . . . . . . . . . . . . . . . 5.0 3.6 4.4 7.3 *

Certification

Certified—

By Medicare and Medicaid ............... 86.2 81.9 85.8 90.4 87.0

By Medicare only . . . . . . . . . . . . . . . . . . . . . 8.3 7.6 13.8 * *

By Medicaid only . . . . . . . . . . . . . . . . . . . . . 4.2 6.3 * 9.4 *

Not certified . . . . . . . . . . . . . . . . . . . . . . . . . 1.2 4.2 * * *

Beds

Fewer than 50 beds . . . . . . . . . . . . . . . . . . . . 11.1 7.5 16.2 *3.9 *

50–99 beds .......................... 22.2 26.2 20.7 23.1 *10.7

100–199 beds ........................ 50.9 52.0 49.6 52.2 51.9

200 beds or more ...................... 15.8 14.3 13.4 20.9 16.8

Geographic region

Northeast ........................... 18.7 17.3 19.0 19.5 18.7

Midwest ............................ 28.6 34.0 28.2 26.5 16.1

South ............................. 29.4 28.3 26.2 36.9 22.7

West . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23.3 20.3 26.6 17.2 *42.5

Location of agency

Metropolitan statistical area ................ 76.6 78.6 76.7 73.4 85.9

Nonmetropolitan statistical area ............. 23.4 21.4 23.3 26.6 *14.1

Affiliation3

Chain ............................. 61.0 55.9 65.1 59.3 52.9

Independent ......................... 38.6 43.9 34.4 40.3 47.1

*Figure does not meet standard of reliability or precision, because sample size is less than 30 and therefore, is not reported. If shown with a number, it should not be assumed reliable because the

sample size is between 30 to 59 or the sample size is greater than 59 but has a relative standard error over 30 percent.

1Includes private insurance, own income, family support, Social Security benefits, and retirement fund.

2Includes Supplemental Security Income, other government assistance or welfare, religious organizations, foundations, agencies, Veterans’ Administration (VA) contracts, pension, or other VA

compensation, payment source not yet determined, other, and unknown sources.

3Excludes unknown.

NOTE: Percents are based on unrounded numbers.

Series 13, No. 147 [ Page 43
Table 40. Number and percent distribution of nursing home discharges, by length of stay and average length of stay, according to selected

facility characteristics: United States, October 1996–September 1997

Facility characteristics

All

discharges

Length of stay1

Average length

Total of stay in days

Less than

3 months

3 months

to less

than 6

6 months

to less

than 12

1 year to

less than

3

3 years to

less than

5

5 years

or more

All facilities ..................... 2,369,000 100.0 67.3 8.1 6.9 10.2 3.6 3.7 275.7

Ownership

Proprietary ..................... 1,569,500 100.0 66.1 8.9 7.5 10.6 3.6 3.2 264.9

Voluntary nonprofit ................ 681,900 100.0 71.6 6.7 5.4 8.8 3.3 4.2 269.7

Government and other .............. 117,600 100.0 59.7 *6.4 *7.8 12.5 *5.6 8.0 455.2

Certification

Certified—

By Medicare and Medicaid .......... 2,043,100 100.0 67.2 8.4 7.0 10.4 3.5 3.6 273.6

By Medicare only ................ 197,100 100.0 89.4 * * * * * 73.6

By Medicaid only ................ 100,000 100.0 35.3 *10.4 *13.2 21.7 *8.5 *10.9 639.3

Not certified . . . . . . . . . . . . . . . . . . . . 28,800 100.0 *44.7 * * * * * 545.2

Beds

Fewer than 50 beds ............... 263,200 100.0 88.5 * * * * * 100.9

50–99 beds ..................... 525,500 100.0 64.1 8.9 6.7 11.4 4.6 4.4 316.3

100–199 beds ................... 1,206,600 100.0 64.9 8.3 7.9 11.2 3.7 4.1 295.4

200 beds or more ................. 373,800 100.0 65.3 9.9 7.6 9.8 3.9 3.6 278.1

Geographic region

Northeast ...................... 443,700 100.0 63.4 10.0 6.3 12.6 3.6 4.0 321.2

Midwest ....................... 676,300 100.0 67.8 7.5 6.7 9.9 3.9 4.1 291.4

South ........................ 697,100 100.0 60.5 9.1 9.5 12.3 3.9 4.7 322.4

West . . . . . . . . . . . . . . . . . . . . . . . . . 551,900 100.0 78.8 6.3 4.3 6.0 *2.8 *1.9 161.0

Location of agency

Metropolitan statistical area ........... 1,814,300 100.0 68.6 8.1 6.9 9.9 3.4 3.3 255.5

Nonmetropolitan statistical area ........ 554,700 100.0 63.5 8.2 7.1 11.2 4.5 5.3 342.0

Affiliation1

Chain ........................ 1,444,800 100.0 69.4 8.1 6.8 9.2 3.5 3.1 246.2

Independent .................... 915,200 100.0 64.3 8.3 7.1 11.7 3.7 4.8 321.9

*Figure does not meet standard of reliability or precision, because sample size is less than 30 and therefore, is not reported. If shown with a number, it should not be assumed reliable because the

sample size is between 30 to 59 or the sample size is greater than 59 but has a relative standard error over 30 percent.

1Excludes unknown.

NOTES: Numbers may not add to totals because of rounding. Percents are based on the unrounded numbers.

Page 44 [ Series 13, No. 147
discharges by marital status, residence, and living arrangements before admission, according to age, sex, and race of resident: United States,

All

discharges

Age1 Race

Under

65 years

65 years and over Sex Black and other

Total Unknown

65–74

years

75–84

years

85 years

and over Male Female White Total Black

. 2,369,000 251,800 2,100,800 406,000 836,100 858,600 873,700 1,495,300 2,068,400 247,100 194,600 53,500

. 639,100 84,200 550,300 142,200 261,200 146,900 393,600 245,400 566,100 58,700 41,900 *

. 1,224,300 25,300 1,191,300 149,700 432,900 608,700 226,900 997,400 1,096,300 113,000 85,100 *15,000

. 178,800 55,300 122,400 51,700 46,800 24,000 78,200 100,600 144,000 25,000 24,200 *

. 269,900 74,300 194,900 50,200 75,800 69,000 148,200 121,700 217,700 44,400 37,800 *

. 56,900 * 41,900 * *19,500 * *26,900 30,000 44,500 * * *

. 579,300 62,800 512,700 80,700 206,900 225,100 220,300 359,100 506,200 52,800 45,900 *

. 40,900 * 40,300 * *13,700 21,400 * 28,900 40,300 * – *

. 60,700 * 55,800 * 19,700 28,800 21,300 39,500 58,000 * * *

. 153,900 *9,200 143,500 18,800 55,900 68,800 44,800 109,100 139,800 *12,700 11,100 *

. 1,452,100 162,600 1,280,900 278,200 513,900 488,900 539,700 912,400 1,255,900 169,700 126,900 26,600

. *9,400 * *7,600 * * * * * *8,700 * * –

. 72,600 * 60,000 *13,300 23,900 22,800 32,700 40,000 59,500 * * *

. 214,600 *15,000 198,900 26,200 88,300 84,300 59,800 154,800 185,700 *13,800 *10,700 *

. 364,200 47,900 313,000 53,800 121,400 137,800 158,700 205,500 321,400 38,200 34,600 *

. 31,000 * 28,800 * * *11,800 *13,900 *17,100 28,100 * * *

. 1,759,200 187,000 1,560,200 316,900 618,600 624,700 641,300 1,117,900 1,533,200 192,800 147,200 33,200

cision, because sample size is less than 30 and therefore, is not reported. If shown with a number, it should not be assumed reliable because the sample size is between 30 to 59 or the sample size is

ver 30 percent.

rounding.

Series 13, No. 147 [ Page 45
rsing home discharges by marital status, residence, and living arrangements before admission, according to age, sex, and race of resident:

mber 1997

All

discharges

Age1 Race

Under

65 years

65 years and over Sex Black and other

Total Unknown

65–74

years

75–84

years

85 years

and over Male Female White Total Black

. 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

. 27.0 33.4 26.2 35.0 31.2 17.1 45.1 16.4 27.4 23.7 21.5 *

. 51.7 10.1 56.7 36.9 51.8 70.9 26.0 66.7 53.0 45.8 43.7 *28.1

. 7.6 21.9 5.8 12.7 5.6 2.8 9.0 6.7 7.0 10.1 12.4 *

. 11.4 29.5 9.3 12.4 9.1 8.0 17.0 8.1 10.5 18.0 19.4 *

. 2.4 * 2.0 * *2.3 * *3.1 2.0 2.2 * * *

. 24.5 25.0 24.4 19.9 24.7 26.2 25.2 24.0 24.5 21.4 23.6 *

. 1.7 * 1.9 * *1.6 2.5 * 1.9 2.0 * – *

. 2.6 * 2.7 * 2.4 3.4 2.4 2.6 2.8 * * *

. 6.5 *3.7 6.8 4.6 6.7 8.0 5.1 7.3 6.8 *5.1 5.7 *

. 61.3 64.6 61.0 68.5 61.5 56.9 61.8 61.0 60.7 68.7 65.2 49.6

. *0.4 * *0.4 * * * * * *0.4 * * –

. 3.1 * 2.9 *3.3 2.9 2.7 3.7 2.7 2.9 * * *

. 9.1 *6.0 9.5 6.5 10.6 9.8 6.9 10.4 9.0 *5.6 *5.5 *

. 15.4 19.0 14.9 13.3 14.5 16.1 18.2 13.7 15.5 15.5 17.8 *

. 1.3 * 1.4 * * *1.4 *1.6 *1.1 1.4 * * *

. 74.3 74.3 74.3 78.0 74.0 72.8 73.4 74.8 74.1 78.1 75.7 62.0

cision, because sample size is less than 30 and therefore, is not reported. If shown with a number, it should not be assumed reliable because the sample size is between 30 to 59 or the sample size is

ver 30 percent.

.

Page 46 [ Series 13, No. 147
discharges by type of aids used, according to age, sex, and race of resident: United States, October 1996–September 1997

All

discharges

Age1 Race

Under

65 years

65 years and over Sex Black and other

Total Unknown

65–74

years

75–84

years

85 years

and over Male Female White Total Black

...... 2,369,000 251,800 2,100,800 406,000 836,100 858,600 873,700 1,495,300 2,068,400 247,100 194,600 53,500

...... 1,484,000 107,200 1,365,600 253,400 539,400 572,700 501,500 982,500 1,358,800 94,100 71,900 *31,200

...... 240,300 * 235,200 *13,800 74,700 146,700 81,100 159,200 226,900 * * *

...... 883,600 49,500 830,400 144,700 323,600 362,100 292,200 591,400 802,100 66,500 44,600 *

...... 241,700 26,500 213,100 39,700 85,300 88,100 94,700 147,000 206,300 28,800 25,400 *

...... 1,248,500 103,600 1,137,000 193,500 448,000 495,500 456,100 792,400 1,090,700 131,300 112,300 26,500

...... 163,000 *17,300 144,100 38,400 53,000 52,700 63,100 99,900 145,600 *10,200 *8,500 *

...... 768,000 65,300 699,700 129,300 304,000 266,400 241,700 526,400 707,600 44,700 30,100 *

...... *19,400 * * * * * * * *13,200 * * *

...... 75,000 *11,000 64,100 *15,000 29,800 *19,300 25,300 49,800 69,500 * * *

...... 410,900 35,200 373,400 75,900 148,100 149,400 168,800 242,100 376,500 26,100 21,600 *

...... 224,200 *19,200 204,500 41,400 90,700 72,400 63,300 161,000 203,200 *19,900 *10,700 *

...... 393,000 52,300 339,700 71,300 148,600 119,800 151,900 241,100 339,800 49,100 37,900 *

...... 117,100 28,100 88,300 *18,400 43,000 26,800 48,600 68,500 94,300 20,900 17,900 *

cision, because sample size is less than 30 and therefore, is not reported. If shown with a number, it should not be assumed reliable because the sample size is between 30 to 59 or the sample size is

ver 30 percent.

resident may be included in more than one category.

rounding.

Series 13, No. 147 [ Page 47
discharges by type of aids used, according to age, sex, and race of resident: United States, October 1996–September 1997

All

discharges

Age1 Race

Under

65 years

65 years and over Sex Black and other

Total Unknown

65–74

years

75–84

years

85 years

and over Male Female White Total Black

Number

...... 2,369,000 251,800 2,100,800 406,000 836,100 858,600 873,700 1,495,300 2,068,400 247,100 194,600 53,500

Percent

...... 62.6 42.6 65.0 62.4 64.5 66.7 57.4 65.7 65.7 38.1 36.9 *58.2

...... 10.1 * 11.2 *3.4 8.9 17.1 9.3 10.7 11.0 * * *

...... 37.3 19.7 39.5 35.6 38.7 42.2 33.4 39.6 38.8 26.9 22.9 *

...... 10.2 10.5 10.1 9.8 10.2 10.3 10.8 9.8 10.0 11.7 13.0 *

...... 52.7 41.2 54.1 47.7 53.6 57.7 52.2 53.0 52.7 53.1 57.7 49.6

. . . . . . 6.9 *6.9 6.9 9.5 6.3 6.1 7.2 6.7 7.0 *4.1 *4.4 *

...... 32.4 26.0 33.3 31.9 36.4 31.0 27.7 35.2 34.2 18.1 15.5 *

...... *0.8 * * * * * * 0.7 *0.6 * * *

. . . . . . 3.2 *4.4 3.1 *3.7 3.6 *2.3 2.9 3.3 3.4 * * *

...... 17.3 14.0 17.8 18.7 17.7 17.4 19.3 16.2 18.2 10.6 11.1 *

. . . . . . 9.5 *7.6 9.7 10.2 10.9 8.4 7.2 10.8 9.8 *8.1 *5.5 *

...... 16.6 20.8 16.2 17.6 17.8 14.0 17.4 16.1 16.4 19.9 19.5 *

. . . . . . 4.9 11.2 4.2 *4.5 5.2 3.1 5.6 4.6 4.6 8.5 9.2 *

cision, because sample size is less than 30 and therefore, is not reported. If shown with a number, it should not be assumed reliable because the sample size is between 30 to 59 or the sample size is

ver 30 percent.

resident may be included in more than one category.

Page 48 [ Series 13, No. 147
discharges by selected functional status, according to age, sex, and race of resident: United States, October 1996–September 1997

All

discharges

Age1 Race

Under

65 years

65 years and over Sex Black and other

Total Unknown

65–74

years

75–84

years

85 years

and over Male Female White Total Black

...... 2,369,000 251,800 2,100,800 406,000 836,100 858,600 873,700 1,495,300 2,068,400 247,100 194,600 53,500

...... 1,591,300 183,100 1,398,800 295,800 578,400 524,600 600,700 990,600 1,385,600 167,500 126,100 38,300

...... 521,900 39,200 479,200 69,700 165,100 244,400 172,200 349,700 467,200 50,100 41,800 *

...... 344,500 28,300 314,000 49,400 106,900 157,700 114,300 230,200 313,400 27,100 23,000 *

...... 119,600 * 112,800 *9,700 43,400 59,600 34,700 84,900 104,600 *14,800 *11,500 *

...... 36,100 * 31,100 * *10,400 *17,900 17,200 18,900 28,700 * * *

...... 277,500 *29,700 244,200 48,300 97,100 98,800 106,800 170,700 236,200 30,500 27,700 *

...... 1,652,400 205,000 1,436,600 317,700 596,700 522,200 593,300 1,059,100 1,429,100 187,600 144,400 35,700

...... 431,000 *14,000 415,400 41,300 132,400 241,700 166,200 264,700 395,800 28,300 23,700 *

...... 324,900 *11,800 311,700 35,000 109,800 167,000 124,600 200,300 297,100 21,800 18,800 *

...... 83,400 * 81,800 * 19,100 58,500 34,900 48,500 77,300 * * *

...... 8,700 * * * * * * * * * * –

...... 299,600 32,800 262,900 48,700 110,100 104,000 118,900 180,800 257,000 31,300 26,500 *

...... 860,300 72,400 782,300 157,800 325,800 298,700 292,800 567,500 773,800 64,200 37,400 *22,300

...... 334,800 61,400 270,600 68,600 120,600 81,400 134,900 199,900 289,300 41,700 28,800 *

...... 23,200 * *17,400 * * * * *14,500 *19,400 * * –

...... 184,000 * 177,000 25,000 80,800 71,200 71,600 112,400 174,300 *8,500 *6,800 *

er5,6 . . . 737,300 49,600 683,200 98,800 239,600 344,900 267,600 469,700 635,800 91,500 82,100 *10,000

device . . 406,500 54,000 350,500 63,300 148,100 139,100 184,500 222,000 336,600 56,600 50,300 *

...... 2,142,500 183,000 1,944,000 352,100 776,700 815,200 778,200 1,364,300 1,879,000 223,200 178,600 40,300...... 1,981,800 170,400 1,797,600 317,200 717,000 763,400 728,000 1,253,700 1,731,800 214,500 172,200 35,500

...... 1,067,700 85,800 975,100 143,700 376,500 454,900 399,100 668,600 912,200 138,300 116,000 *17,200...... 732,300 53,600 674,000 128,600 287,300 258,100 252,100 480,200 652,000 65,200 37,800 *15,100

...... 1,215,100 103,200 1,104,400 209,700 444,800 450,000 439,700 775,400 1,072,600 120,900 90,000 *21,600

...... 1,527,500 128,300 1,387,300 230,900 531,600 624,700 546,900 980,600 1,320,700 184,800 149,900 *22,100

...... 1,369,200 114,900 1,242,800 213,600 472,400 556,900 477,100 892,000 1,191,400 156,600 138,200 *21,200

r, toilet

...... 1,518,200 130,300 1,376,600 231,300 528,900 616,400 552,400 965,800 1,311,300 180,000 145,600 *26,800

...... 1,149,900 99,100 1,040,700 152,500 398,700 489,400 420,900 729,000 992,600 138,700 122,900 *18,600

Series 13, No. 147 [ Page 49
discharges by selected functional status, according to age, sex, and race of resident: United States, October 1996–September 1997

—Con.

All

discharges

Age1 Race

Under

65 years

65 years and over Sex Black and other

Total Unknown

65–74

years

75–84

years

85 years

and over Male Female White Total Black

...... 155,400 48,100 106,300 38,100 38,700 29,500 64,100 91,300 127,700 *20,100 *12,400 *

...... 128,100 *20,100 107,100 31,500 43,500 32,100 45,900 82,300 116,800 *6,700 * *

...... 327,200 39,600 284,100 57,900 119,800 106,400 120,100 207,100 289,600 24,800 23,200 *...... 861,000 92,100 764,600 129,700 298,800 336,100 325,600 535,400 737,600 106,300 89,400 *17,000...... 712,600 39,200 667,100 129,100 254,100 284,000 256,400 456,300 644,600 59,000 45,700 *...... 184,600 * 171,500 19,700 81,400 70,500 61,700 122,900 152,100 *30,200 *18,300 *

cision, because sample size is less than 30 and therefore, is not reported. If shown with a number, it should not be assumed reliable because the sample size is between 30 to 59 or the sample size is

ver 30 percent.

ment is unknown.

r or ostomy.

mental activities of daily living.

nt may be included in more than one category.

rounding.

Page 50 [ Series 13, No. 147
rsing home discharges by selected functional status, according to age, sex, and race of resident: United States, October 1996–September 1997

All

discharges

Age1 Race

Under

65 years

65 years and over Sex Black and other

Total Unknown

65–74

years

75–84

years

85 years

and over Male Female White Total Black

...... 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

...... 67.2 72.7 66.6 72.9 69.2 61.1 68.8 66.3 67.0 67.8 64.8 71.5

...... 22.0 15.6 22.8 17.2 19.7 28.5 19.7 23.4 22.6 20.3 21.5 *

...... 14.5 11.2 15.0 12.2 12.8 18.4 13.1 15.4 15.2 11.0 11.8 *

. . . . . . 5.1 * 5.4 *2.4 5.2 6.9 4.0 5.7 5.1 *6.0 *5.9 *

. . . . . . 1.5 * 1.5 * *1.2 *2.1 *2.0 1.3 1.4 * * *

. . . . . . 11.7 11.8 11.6 11.9 11.6 11.5 12.2 11.4 11.4 12.4 14.3 *

...... 69.8 81.4 68.4 78.2 71.4 60.8 67.9 70.8 69.1 75.9 74.2 66.6

...... 18.2 *5.5 19.8 10.2 15.8 28.2 19.0 17.7 19.1 11.5 12.2 *

...... 13.7 *4.7 14.8 8.6 13.1 19.4 14.3 13.4 14.4 8.8 9.7 *

. . . . . . 3.5 * 3.9 * 2.3 6.8 4.0 3.2 3.7 * * *

. . . . . . 0.4 * * * * * * * * * * –

...... 12.7 13.0 12.5 12.0 13.2 12.1 13.6 12.1 12.4 12.7 13.6 *

...... 36.3 28.7 37.2 38.9 39.0 34.8 33.5 38.0 37.4 26.0 19.2 *41.7

...... 14.1 24.4 12.9 16.9 14.4 9.5 15.4 13.4 14.0 16.9 14.8 *

. . . . . . 1.0 * *0.8 * * * * *1.0 *0.9 * * –

. . . . . . 7.8 * 8.4 6.2 9.7 8.3 8.2 7.5 8.4 3.4 3.5 *

er5,6 . . . 31.1 19.7 32.5 24.3 28.7 40.2 30.6 31.4 30.7 37.0 42.2 *18.7

device . . 17.2 21.4 16.7 15.6 17.7 16.2 21.1 14.9 16.3 22.9 25.9 *

...... 90.4 72.7 92.5 86.7 92.9 94.9 89.1 91.2 90.8 90.3 91.8 75.3

...... 83.7 67.7 85.6 78.1 85.8 88.9 83.3 83.9 83.7 86.8 88.5 66.3

...... 45.1 34.1 46.4 35.4 45.0 53.0 45.7 44.7 44.1 56.0 59.6 *32.1

...... 30.9 21.3 32.1 31.7 34.4 30.1 28.9 32.1 31.5 26.4 19.4 *28.3

...... 51.3 41.0 52.6 51.6 53.2 52.4 50.3 51.9 51.9 48.9 46.3 *40.3

...... 64.5 51.0 66.0 56.9 63.6 72.8 62.6 65.6 63.9 74.8 77.1 *41.2

...... 57.8 45.7 59.2 52.6 56.5 64.9 54.6 59.7 57.6 63.4 71.0 *39.6

r, toilet

...... 64.1 51.8 65.5 57.0 63.3 71.8 63.2 64.6 63.4 72.9 74.8 *50.1

...... 48.5 39.4 49.5 37.6 47.7 57.0 48.2 48.8 48.0 56.1 63.2 *34.8

Series 13, No. 147 [ Page 51
discharges by selected functional status, according to age, sex, and race of resident: United States, October 1996–September 1997

—Con.

All

discharges

Age1 Race

Under

65 years

65 years and over Sex Black and other

Total Unknown

65–74

years

75–84

years

85 years

and over Male Female White Total Black

. . . . . . 6.6 19.1 5.1 9.4 4.6 3.4 7.3 6.1 6.2 *8.1 *6.4 *

. . . . . . 5.4 *8.0 5.1 7.8 5.2 3.7 5.3 5.5 5.7 *2.7 * *

...... 13.8 15.7 13.5 14.3 14.3 12.4 13.7 13.9 14.0 10.1 11.9 *...... 36.3 36.6 36.4 32.0 35.7 39.1 37.3 35.8 35.7 43.0 46.0 *31.8...... 30.1 15.6 31.8 31.8 30.4 33.1 29.3 30.5 31.2 23.9 23.5 *. . . . . . 7.8 * 8.2 4.9 9.7 8.2 7.1 8.2 7.4 *12.2 *9.4 *

cision, because sample size is less than 30 and therefore, is not reported. If shown with a number, it should not be assumed reliable because the sample size is between 30 to 59 or the sample size is

ver 30 percent.

ment is unknown.

r or ostomy.

mental activities of daily living.

nt may be included in more than one category.

.

Page 52 [ Series 13, No. 147
discharges by services received during the billing period that included the date of discharge, according to age, sex, and race of resident:

mber 1997

All

discharges

Age1 Race

Under

65 years

65 years and over Sex Black and other

Total Unknown

65–74

years

75–84

years

85 years

and over Male Female White Total Black

... 2,369,000 251,800 2,100,800 406,000 836,100 858,600 873,700 1,495,300 2,068,400 247,100 194,600 53,500

... 215,300 23,700 190,200 42,900 71,700 75,500 77,900 137,400 187,000 26,000 23,000 *

... 1,372,000 154,700 1,210,300 253,100 473,100 484,000 504,000 868,100 1,196,800 146,900 102,400 *28,300

... 98,800 *13,100 84,600 *13,200 37,900 33,500 44,400 54,400 90,600 *7,700 *6,100 *

... 2,225,800 236,300 1,973,300 383,300 792,500 797,600 824,300 1,401,600 1,941,000 236,300 184,500 48,600

... 296,200 54,700 241,500 51,100 103,400 86,900 116,400 179,900 255,200 36,700 32,900 *

... 2,314,300 245,000 2,052,800 395,300 818,400 839,000 856,100 1,458,200 2,022,100 239,900 187,800 52,300

... 1,833,600 204,600 1,618,200 322,200 628,400 667,600 671,600 1,162,000 1,589,500 204,300 164,100 39,800

... 930,700 93,800 832,000 189,900 345,200 297,000 349,700 581,000 814,100 97,000 64,300 *19,600

... 2,092,700 200,100 1,876,700 350,500 749,000 777,200 769,000 1,323,700 1,830,300 218,600 169,400 43,900

... 1,200,300 25,400 1,067,200 226,200 441,000 399,900 438,800 761,500 1,056,000 117,100 81,300 *27,200

... 2,194,500 237,900 1,940,700 374,000 775,700 791,100 809,100 1,385,300 1,918,900 227,200 176,000 48,300

... * * * * * * * * * * * –

... 1,763,600 191,400 1,558,900 297,100 623,100 638,600 637,500 1,126,100 1,564,500 169,300 142,100 29,700

... 35,700 * 27,200 * *16,100 * *16,100 *19,600 31,900 * * *

... 266,600 25,400 240,000 59,000 92,800 88,200 124,300 142,300 217,100 46,600 31,700 *

... 415,200 54,000 358,800 81,500 150,400 126,900 165,200 250,000 346,700 61,200 53,600 *

... * * * * * * * * * * – *

... 289,900 32,800 256,400 40,200 110,500 105,800 103,500 186,500 238,600 43,000 24,300 8,300

... * * * * * * * * * * * *

cision, because sample size is less than 30 and therefore, is not reported. If shown with a number, it should not be assumed reliable because the sample size is between 30 to 59 or the sample size is

ver 30 percent.

nt may be included in more than one category.

rounding.

Series 13, No. 147 [ Page 53
discharges by services received during the billing period that included the date of discharge, according to age, sex, and race of resident:

mber 1997

All

discharges

Age1 Race

Under

65 years

65 years and over Sex Black and other

Total Unknown

65–74

years

75–84

years

85 years

and over Male Female White Total Black

Number

...... 2,369,000 251,800 2,100,800 406,000 836,100 858,600 873,700 1,495,300 2,068,400 247,100 194,600 53,500

Percent

. . . . . . 9.1 9.4 9.1 10.6 8.6 8.8 8.9 9.2 9.0 10.5 11.8 *

...... 57.9 61.4 57.6 62.3 56.6 56.4 57.7 58.1 57.9 59.5 52.6 *52.9

. . . . . . 4.2 *5.2 4.0 *3.2 4.5 3.9 5.1 3.6 4.4 *3.1 *3.1 *

...... 94.0 93.9 93.9 94.4 94.8 92.9 94.3 93.7 93.8 95.6 94.8 90.7

...... 12.5 21.7 11.5 12.6 12.4 10.1 13.3 12.0 12.3 14.9 16.9 *

...... 97.7 97.3 97.7 97.4 97.9 97.7 98.0 97.5 97.8 97.1 96.5 97.7

...... 77.4 81.3 77.0 79.4 75.2 77.8 76.9 77.7 76.9 82.7 84.3 74.3

...... 39.3 37.3 39.6 46.8 41.3 34.6 40.0 38.9 39.4 39.3 33.1 *36.7

...... 88.3 79.5 89.3 86.3 89.6 90.5 88.0 88.5 88.5 88.5 87.1 81.9

...... 50.7 49.8 50.8 55.7 52.8 46.6 50.2 50.9 51.1 47.4 41.8 *50.8

dicines . . 92.6 94.5 92.4 92.1 92.8 92.1 92.6 92.7 92.8 92.0 90.5 90.3

...... * * * * * * * * * * * –

...... 74.4 76.0 74.2 73.2 74.5 74.4 73.0 75.3 75.6 68.5 73.0 55.4

. . . . . . 1.5 * 1.3 * *1.9 * *1.8 *1.3 1.5 * * *

. . . . . . 11.3 10.1 11.4 14.5 11.1 10.3 14.2 9.5 10.5 18.9 16.3 *

...... 17.5 21.4 17.1 20.1 18.0 14.8 18.9 16.7 16.8 24.8 27.6 *

...... * * * * * * * * * * – *

...... 12.2 13.0 12.2 9.9 13.2 12.3 11.8 12.5 11.5 17.4 12.5 15.6

...... * * * * * * * * * * * *

cision, because sample size is less than 30 and therefore, is not reported. If shown with a number, it should not be assumed reliable because the sample size is between 30 to 59 or the sample size is

ver 30 percent.

t may be included in more than one category.

.

Page 54 [ Series 13, No. 147
Table 49. Number of nursing home discharges by selected resident demographic characteristics, according to primary source of payment

at discharge: United States, October 1996–September 1997

Resident characteristics

Primary source of payment at discharge

All

sources

Private

sources1 Medicare Medicaid

All

other2

All discharges ................... 2,369,000 528,700 1,104,900 640,000 95,400

Age3

Under 65 years .................. 251,800 82,900 44,600 108,700 *15,600

65 years and over ................. 2,100,800 441,600 1,053,700 526,000 79,500

65–74 years ................... 406,000 57,400 236,400 87,600 24,500

75–84 years ................... 836,100 172,900 438,900 193,500 30,900

85 years and over ............... 858,600 211,300 378,400 244,900 24,000

Sex

Male ......................... 873,700 198,600 406,600 216,400 52,100

Female ....................... 1,495,300 330,100 698,300 423,500 43,400

Race

White ........................ 2,068,400 494,000 968,000 525,700 80,800

Black and other .................. 247,100 23,600 105,400 106,000 *12,100

Black ....................... 194,600 22,000 70,000 92,900 *9,600

Unknown ...................... 53,500 * *31,600 *8,300 *

Hispanic origin

Hispanic ....................... 80,400 * 40,400 30,600 *

Non-Hispanic .................... 2,028,200 467,900 920,600 556,300 83,500

Unknown ...................... 260,400 55,700 143,900 53,100 *7,800

Current marital status

Married ....................... 639,100 173,500 306,000 126,400 33,200

Widowed ...................... 1,224,300 255,900 596,300 336,000 36,200

Divorced or separated .............. 178,800 25,000 71,300 72,100 *10,400

Single or never married ............. 269,900 56,900 103,800 95,400 *13,800

Unknown ...................... 56,900 * *27,500 *10,100 *

Residence before admission

Private or semiprivate residence ........ 579,300 152,900 230,300 181,600 14,600

Retirement home ................. 40,900 19,400 * * *

Board and care or residential care facility . . 60,700 20,000 *18,300 19,400 *

Nursing home ................... 153,900 41,400 40,900 68,000 *

Hospital ....................... 1,452,100 276,500 778,300 332,700 64,600

Mental health facility ............... *9,400 * * * *

Other or unknown ................. 72,600 *17,000 23,900 26,600 *

Living arrangement before admission

Alone ........................ 214,600 52,100 96,600 60,800 *

With family members ............... 364,200 110,100 129,600 114,500 *10,000

With nonfamily members ............ 31,000 * * *8,700 *

Other or unknown ................. 1,759,200 359,800 869,400 455,900 74,200

*Figure does not meet standard of reliability or precision, because sample size is less than 30 and therefore, is not reported. If shown with a number, it should not be assumed reliable because the

sample size is between 30 to 59 or the sample size is greater than 59 but has a relative standard error over 30 percent.

1Includes private insurance, own income, family support, Social Security benefits, and retirement fund.

2Includes Supplemental Security Income, other government assistance or welfare, religious organizations, foundations, agencies, Veterans’ Administration (VA) contracts, pensions, or other VA

compensation, payment source not yet determined, other, and unknown sources.

3Excludes unknown.

NOTE: Numbers may not add to totals because of rounding.

Series 13, No. 147 [ Page 55
Table 50. Percent distribution of nursing home discharges by selected resident demographic characteristics, according to primary source

of payment at discharge: United States, October 1996–September 1997

Resident characteristics

Primary source of payment at discharge

All

sources

Private

sources1 Medicare Medicaid

All

other2

All discharges ........................ 100.0 100.0 100.0 100.0 100.0

Age3

Under 65 years ....................... 10.6 15.7 4.0 17.0 *16.4

65 years and over ...................... 88.7 83.5 95.4 82.2 83.3

65–74 years ........................ 17.1 10.9 21.4 13.7 25.7

75–84 years ........................ 35.3 32.7 39.7 30.2 32.4

85 years and over .................... 36.2 40.0 34.3 38.3 25.2

Sex

Male .............................. 36.9 37.6 36.8 33.8 54.6

Female ............................ 63.1 62.4 63.2 66.2 45.4

Race

White ............................. 87.3 93.4 87.6 82.1 84.7

Black and other ....................... 10.4 4.5 9.5 16.6 *12.7

Black . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8.2 4.2 6.3 14.5 *10.1

Unknown . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.3 * *2.9 *1.3 *

Hispanic origin

Hispanic . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3.4 * 3.7 4.8 *

Non-Hispanic ......................... 85.6 88.5 83.3 86.9 87.4

Unknown . . . . . . . . . . . . . . . . . . . . . . . . . . . 11.0 10.5 13.0 8.3 *8.1

Current marital status

Married ............................ 27.0 32.8 27.7 19.8 34.7

Widowed ........................... 51.7 48.4 54.0 52.5 37.9

Divorced or separated . . . . . . . . . . . . . . . . . . . 7.6 4.7 6.5 11.3 *10.9

Single or never married . . . . . . . . . . . . . . . . . . 11.4 10.8 9.4 14.9 *14.5

Unknown . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.4 * *2.5 *1.6 *

Residence before admission

Private or semiprivate residence ............. 24.5 28.9 20.8 28.4 15.3

Retirement home . . . . . . . . . . . . . . . . . . . . . . 1.7 3.7 * * *

Board and care or residential care facility . . . . . . . 2.6 3.8 *1.7 3.0 *

Nursing home . . . . . . . . . . . . . . . . . . . . . . . . 6.5 7.8 3.7 10.6 *

Hospital ............................ 61.3 52.3 70.5 52.0 67.7

Mental health facility .................... *0.4 * * * *

Other or unknown . . . . . . . . . . . . . . . . . . . . . . 3.1 *3.2 2.2 4.2 *

Living arrangement before admission

Alone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9.1 9.9 8.8 9.5 *

With family members .................... 15.3 20.8 11.7 17.9 *10.4

With nonfamily members . . . . . . . . . . . . . . . . . 1.3 * * *1.4 *

Other or unknown ...................... 74.3 68.1 78.7 71.2 77.7

*Figure does not meet standard of reliability or precision, because sample size is less than 30 and therefore, is not reported. If shown with a number, it should not be assumed reliable because the

sample size is between 30 to 59 or the sample size is greater than 59 but has a relative standard error over 30 percent.

1Includes private insurance, own income, family support, Social Security benefits, and retirement fund.

2Includes Supplemental Security Income, other government assistance or welfare, religious organizations, foundations, agencies, Veterans’ Administration (VA), contracts, pensions, or other VA

compensation, payment source not yet determined, other and unknown sources.

3Excludes unknown.

NOTE: Percents are based on unrounded numbers.

Page 56 [ Series 13, No. 147
Table 51. Number and percent of nursing home discharges, by length of stay and average length of stay, according to selected resident

demographic characteristics: United States, October 1996–September 1997

Demographic characteristics

All

discharges

Length of stay1

Average length

Total of stay

Less than

3 months

3 months

to less

than 6

6 months

to less

than 12

1 year to

less than

3

3 years to

less than

5

5 years

or more

All discharges ........................ 2,369,000 100.0 67.4 8.1 6.9 10.2 3.6 3.7 275.7

Age1

Under 65 years ....................... 251,800 100.0 76.2 9.6 *4.7 6.7 * * 156.1

65 years and over ...................... 2,100,800 100.0 66.5 8.0 7.2 10.4 3.9 4.0 290.1

65–74 years ........................ 406,000 100.0 77.9 6.6 6.2 6.6 *1.6 * 146.4

75–84 years ........................ 836,100 100.0 69.9 7.6 7.2 9.5 3.4 2.4 233.2

85 years and over .................... 858,600 100.0 57.8 9.0 7.7 13.0 5.5 7.0 413.5

Sex

Male .............................. 873,700 100.0 71.3 8.8 6.4 8.6 2.6 2.3 201.0

Female ............................ 1,495,300 100.0 65.1 7.8 7.2 11.2 4.2 4.6 319.4

Race

White ............................. 2,068,400 100.0 67.0 7.9 7.0 10.5 3.8 3.9 283.5

Black and other ....................... 247,100 100.0 65.7 11.4 7.0 9.7 *3.2 *3.0 254.6

Black ............................ 194,600 100.0 61.4 13.3 7.7 10.5 *3.5 *3.4 285.2

Unknown ........................... 53,500 100.0 90.0 * * * * * 70.9

Hispanic origin

Hispanic ............................ 80,400 100.0 70.1 * * * * * 223.9

Non-Hispanic ......................... 2,028,200 100.0 65.9 8.4 7.2 10.7 3.8 4.0 290.2

Unknown ........................... 260,400 100.0 78.1 *5.4 *4.7 7.3 * * 178.6

Current marital status

Married ............................ 639,100 100.0 74.5 7.2 6.2 8.8 *2.0 *1.3 159.2

Widowed ........................... 1,224,300 100.0 63.1 8.6 7.6 11.5 * *4.8 318.9

Divorced or separated ................... 178,800 100.0 67.9 8.4 *7.4 9.2 * *3.2 291.0

Single or never married .................. 269,900 100.0 68.9 6.5 5.8 9.2 *3.7 5.8 370.2

Unknown ........................... 56,900 100.0 70.2 * * * * * 160.5

Residence before admission

Private or semiprivate residence ............. 579,300 100.0 63.6 7.9 6.7 11.3 4.8 5.8 364.0

Retirement home ...................... 40,900 100.0 *51.6 * * * * * 398.6

Board and care or residential care facility ....... 60,700 100.0 48.0 * * *14.0 * * 383.0

Nursing home ........................ 153,900 100.0 41.1 10.2 11.1 24.3 *6.2 *7.2 537.3

Hospital ............................ 1,452,100 100.0 73.5 7.7 6.3 7.7 2.3 2.4 194.5

Mental health facility .................... *9,400 *100.0 * * * * * * *725.9

Other or unknown ...................... 72,600 100.0 61.0 * * *13.7 * * 424.4

Living arrangement before admission

Alone ............................. 214,600 100.0 61.6 *9.0 8.9 10.3 *3.8 6.3 375.6

With family members .................... 364,200 100.0 64.0 7.7 6.1 12.3 5.2 4.7 339.2

Only with nonfamily members .............. 31,000 100.0 *60.6 * * * * * 365.0

Unknown ........................... 1,759,200 100.0 68.9 8.1 6.8 9.7 3.2 3.2 248.8

*Figure does not meet standard of reliability or precision, because sample size is less than 30 and therefore, is not reported. If shown with a number, it should not be assumed reliable because the

sample size is between 30 to 59 or the sample size is greater than 59 but has a relative standard error over 30 percent.

1Excludes unknown.

NOTES: Numbers may not add to totals because of rounding. Percents are based on the unrounded numbers.

Series 13, No. 147 [ Page 57
Table 52. Number and percent distribution of nursing home discharges, by length of stay and average length of stay, according to source of

payment and reason for discharge: United States, October 1996–September 1997

Demographic characteristics

All

discharges

Length of stay1

Average length

Total of stay

Less than

3 months

3 months

to less

than 6

6 months

to less

than 12

1 year to

less than

3

3 years to

less than

5

5 years

or more

All discharges ........................ 2,369,000 100.0 67.4 8.1 6.9 10.2 3.6 3.7 275.7

Source of payment

Private insurance2 ...................... 528,700 100.0 64.1 10.4 8.0 11.3 3.2 *2.9 240.1

Medicare ........................... 1,104,900 100.0 87.2 5.5 2.5 3.0 *1.2 *0.8 *95.4

Medicaid ........................... 640,000 100.0 34.6 10.9 14.0 22.3 8.3 9.9 632.4

All other sources3 ...................... 95,400 100.0 76.7 * * *6.9 * * 168.4

Reason for discharge

Recovered .......................... 246,100 100.0 90.8 *5.0 * * * * 59.7

Stabilized ........................... 462,300 100.0 91.8 4.5 *2.4 * * * 39.2

Deceased ........................... 601,100 100.0 47.8 7.4 9.3 17.2 8.4 9.7 566.4

Admitted to hospital ..................... 675,200 100.0 55.1 11.7 10.5 15.1 4.0 3.5 324.0

Admitted to nursing home ................. 181,000 100.0 69.4 *10.5 *5.9 9.2 * * 231.6

All other ............................ 203,300 100.0 80.3 *8.7 *3.9 *5.8 * * 94.5

*Figure does not meet standard of reliability or precision, because sample size is less than 30 and therefore, is not reported. If shown with a number, it should not be assumed reliable because the

sample size is between 30 to 59 or the sample size is greater than 59 but has a relative standard error over 30 percent.

1Excludes unknown.

2Includes private insurance, own income, family support, Social Security benefits, and retirement fund.

3Includes Supplemental Security Income, other government assistance or welfare, religious organizations, foundations, agencies, Veterans’ Administration (VA) contracts, pensions, or other VA

compensation, payment source not yet determined, other, and unknown sources.

NOTES: Numbers may not add to totals because of rounding. Percents are based on the unrounded numbers.

Page 58 [ Series 13, No. 147
Table 53. Number and percent distribution of elderly nursing home discharges, by selected demographic characteristics, according to

reason for discharge: United States, October 1996–September 1997

Demographic characteristics

Reason for discharge

All

discharges Recovered Stabilized Deceased

Admitted

to hospital

Admitted to

nursing home All other

All residents ......................... 2,369,000 246,100 462,300 601,100 675,200 181,000 203,300

Age1

Under 65 years ....................... 251,800 *29,800 59,700 29,000 75,900 *21,400 35,900

65 years and over ...................... 2,100,800 214,200 399,900 568,200 595,000 158,300 165,200

65–74 years ........................ 406,000 52,600 98,300 69,000 116,600 27,300 42,400

75–84 years ........................ 836,100 92,600 166,000 193,400 243,800 73,600 66,700

85 years and over .................... 858,600 69,000 135,600 305,900 234,600 57,500 56,100

Sex

Male .............................. 873,700 82,800 155,600 221,900 257,700 72,200 83,600

Female ............................ 1,495,300 163,400 306,800 379,100 417,500 108,700 119,800

Race

White ............................. 2,068,400 219,700 405,900 543,400 563,300 160,500 175,700

Black and other ....................... 247,100 *14,900 40,500 47,100 101,400 *18,400 24,800

Black ............................ 194,600 * 20,700 40,800 90,600 *11,800 19,800

Unknown ........................... 53,500 * * * *10,500 * *

Hispanic origin

Hispanic ............................ 80,400 * * *21,300 30,000 * *

Non-Hispanic ......................... 2,028,200 216,500 362,000 528,900 580,700 161,700 178,400

Unknown ........................... 260,400 *22,500 86,200 50,900 64,400 *15,900 *20,500

Current marital status

Married ............................ 639,100 74,300 146,000 152,100 158,700 54,300 53,700

Widowed ........................... 1,224,300 122,500 235,200 350,000 341,500 83,500 91,700

Divorced or separated ................... 178,800 *22,000 30,000 36,300 54,400 *17,200 18,900

Single or never married .................. 269,900 23,500 39,500 54,400 95,500 *22,000 35,000

Unknown ........................... 56,900 * * *8,200 *25,000 * *

Residence before admission

Private or semiprivate residence ............. 579,300 52,700 143,000 150,900 142,900 *40,400 49,400

Retirement home ...................... 40,900 * * *12,800 * * *

Board and care or residential care facility ....... 60,700 * * 24,200 *15,800 * *

Nursing home ........................ 153,900 * *10,200 59,200 56,400 17,700 *

Hospital ............................ 1,452,100 168,100 282,000 331,700 423,800 110,100 136,400

Mental health facility .................... *9,400 – *** * *

Other or unknown ...................... 72,600 * * 19,600 23,800 * *

Living arrangement before admission

Alone ............................. 214,600 34,600 *49,800 51,300 47,500 * *16,300

With family members .................... 364,200 23,000 95,600 94,400 94,700 23,400 33,100

Only with nonfamily members .............. 31,000 * * *9,700 * * *

Other or unknown ...................... 1,759,200 184,400 310,000 445,700 525,900 141,000 152,100

*Figure does not meet standard of reliability or precision, because sample size is less than 30 and therefore, is not reported. If shown with a number, it should not be assumed reliable because the

sample size is between 30 to 59 or the sample size is greater than 59 but has a relative standard error over 30 percent.

– Quantity zero.

1Excludes unknown.

NOTE: Numbers may not add to totals because of rounding.

Series 13, No. 147 [ Page 59
Table 54. Percent distribution of nursing home discharges by selected resident demographic characteristics, according to reason for

discharge: United States, October 1996–September 1997

Demographic characteristics

Reason for discharge

All

discharges Recovered Stabilized Deceased

Admitted

to hospital

Admitted to

nursing home All other

All residents ......................... 100.0 100.0 100.0 100.0 100.0 100.0 100.0

Age1

Under 65 years ....................... 10.6 *12.0 12.9 4.8 11.2 *11.8 17.7

65 years and over ...................... 88.7 87.0 86.5 94.5 88.1 87.5 81.3

65–74 years ........................ 17.1 21.4 21.3 11.5 17.3 15.1 20.9

75–84 years ........................ 35.3 37.6 35.9 32.2 36.1 40.7 32.8

85 years and over .................... 36.2 28.0 29.3 50.9 34.7 31.8 27.6

Sex

Male .............................. 36.9 33.6 33.7 36.9 38.2 39.9 41.1

Female ............................ 63.1 66.4 66.4 63.1 61.8 60.1 58.9

Race

White ............................. 87.3 89.3 87.8 90.4 83.4 88.7 86.4

Black and other ....................... 10.4 *6.0 8.8 7.8 15.0 *10.2 12.2

Black . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8.2 * 4.5 6.8 13.4 *6.5 9.8

Unknown . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.3 * * * *1.6 * *

Hispanic origin

Hispanic . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3.4 * * *3.5 4.5 * *

Non-Hispanic ......................... 85.6 88.0 78.3 88.0 86.0 89.4 87.7

Unknown . . . . . . . . . . . . . . . . . . . . . . . . . . . 11.0 *9.2 18.7 8.5 9.5 *8.8 *10.1

Current marital status

Married ............................ 27.0 30.2 31.6 25.3 23.5 30.0 26.4

Widowed ........................... 51.7 49.8 50.9 58.2 50.6 46.1 45.1

Divorced or separated . . . . . . . . . . . . . . . . . . . 7.6 *8.9 6.5 6.0 8.1 *9.5 9.3

Single or never married . . . . . . . . . . . . . . . . . . 11.4 9.6 8.5 9.1 14.1 *12.2 17.2

Unknown . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.4 * * *1.4 *3.7 * *

Residence before admission

Private or semiprivate residence ............. 24.5 21.4 30.9 25.1 21.2 *22.3 24.3

Retirement home . . . . . . . . . . . . . . . . . . . . . . 1.7 * * *2.1 * * *

Board and care or residential care facility . . . . . . . 2.6 * * 4.0 *2.3 * *

Nursing home . . . . . . . . . . . . . . . . . . . . . . . . 6.5 * *2.2 9.9 8.4 9.8 *

Hospital ............................ 61.3 68.3 61.0 55.2 62.8 60.9 67.1

Mental health facility .................... *0.4 – ** * * *

Other or unknown . . . . . . . . . . . . . . . . . . . . . . 3.1 * * 3.3 3.5 * *

Living arrangement before admission

Alone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9.1 14.0 *10.8 8.5 7.0 * *8.0

With family members .................... 15.3 9.4 20.7 15.7 14.0 12.9 16.3

Only with nonfamily members . . . . . . . . . . . . . . 1.3 * * *1.6 * * *

Other or unknown ...................... 74.3 74.9 67.1 74.2 77.9 77.9 74.8

*Figure does not meet standard of reliability or precision, because sample size is less than 30 and therefore, is not reported. If shown with a number, it should not be assumed reliable because the

sample size is between 30 to 59 or the sample size is greater than 59 but has a relative standard error over 30 percent.

– Quantity zero.

1Excludes unknown.

NOTE: Percents are based on the unrounded figures.

Page 60 [ Series 13, No. 147
Table 55. Number of nursing home discharges by region, primary source of payment and length of stay, according to reason for discharge:

United States, October 1996–September 1997

Demographic characteristics

Reason for discharge

All

discharges Recovered Stabilized Deceased

Admitted

to hospital

Admitted to

nursing home All other

All discharges ........................ 2,369,000 246,100 462,300 601,100 675,200 181,000 203,300

Region

Northeast ........................... 443,700 33,900 74,500 118,400 143,300 23,100 50,500

Midwest ............................ 676,300 89,400 95,100 177,100 193,600 54,200 66,900

South ............................. 697,100 51,600 113,500 192,100 235,600 56,500 47,900

West . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 551,900 71,200 179,200 113,600 102,600 *47,200 38,100

Source of payment

Private sources1 ....................... 528,700 54,900 113,300 134,300 132,400 42,200 51,700

Medicare ........................... 1,104,900 163,700 295,200 205,700 251,300 95,100 93,800

Medicaid ........................... 640,000 *9,200 43,600 233,500 270,300 38,200 45,100

All other2 ........................... 95,400 * *10,200 27,500 21,100 * *12,800

Length of stay

Less than 3 months ..................... 1,596,300 223,400 424,300 287,500 372,100 125,700 163,300

3 months to less than 6 .................. 192,700 *12,300 20,800 44,300 78,800 *18,900 *17,600

6 months to less than 12 ................. 163,700 * *10,900 56,100 71,100 *10,600 *7,900

1 year to less than 3 .................... 241,400 * * 103,600 102,100 16,700 *11,800

3 years to less than 5 ................... 85,100 * * 50,600 27,200 * *

5 years or more ....................... 88,700 * * 58,100 23,700 * *

*Figure does not meet standard of reliability or precision, because sample size is less than 30 and therefore, is not reported. If shown with a number, it should not be assumed reliable because the

sample size is between 30 to 59 or the sample size is greater than 59 but has a relative standard error over 30 percent.

1Includes private insurance, own income, family support, Social Security benefits, and retirement fund.

2Includes Supplemental Security Income, other government assistance or welfare, religious organizations, foundations, agencies, Veterans’ Administration (VA) contracts, pensions, or other VA

compensation, payment source not yet determined, other, and unknown sources.

NOTE: Numbers may not add to totals because of rounding.

Table 56. Percent distribution of nursing home discharges by region, primary source of payment and length of stay, according to reason for

discharge: United States, October 1996–September 1997

Demographic characteristics

Reason for discharge

All

discharges Recovered Stabilized Deceased

Admitted

to hospital

Admitted to

nursing home All other

All discharges ........................ 100.0 100.0 100.0 100.0 100.0 100.0 100.0

Region

Northeast ........................... 18.7 13.8 16.1 19.7 21.2 12.8 24.8

Midwest ............................ 28.6 36.3 20.6 29.5 28.7 29.9 32.9

South ............................. 29.4 21.0 24.5 32.0 34.9 31.2 23.5

West . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23.3 28.9 38.8 18.9 15.2 *26.1 18.7

Source of payment

Private sources1 ....................... 22.3 22.3 24.5 22.3 19.6 23.3 25.4

Medicare ........................... 46.6 66.5 63.9 34.2 37.2 52.5 46.1

Medicaid ........................... 27.0 *3.7 9.4 38.9 40.0 21.1 22.2

All other2 . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.0 * *2.2 4.6 3.1 * *6.3

Length of stay

Less than 3 months ..................... 67.4 90.8 91.8 47.8 55.1 69.4 80.3

3 months to less than 6 . . . . . . . . . . . . . . . . . . 8.1 *5.0 4.5 7.4 11.7 *10.5 *8.9

6 months to less than 12 . . . . . . . . . . . . . . . . . 6.9 * *2.4 9.3 10.5 *5.9 *3.9

1 year to less than 3 .................... 10.2 * * 17.2 15.1 9.2 *5.8

3 years to less than 5 . . . . . . . . . . . . . . . . . . . 3.6 * * 8.4 4.0 * *

5 years or more . . . . . . . . . . . . . . . . . . . . . . . 3.7 * * 9.7 3.5 * *

*Figure does not meet standard of reliability or precision, because sample size is less than 30 and therefore, is not reported. If shown with a number, it should not be assumed reliable because the

sample size is between 30 to 59 or the sample size is greater than 59 but has a relative standard error over 30 percent.

1Includes private insurance, family support, Social Security benefits, and retirement fund.

2Includes Supplemental Security Income, other government assistance or welfare, religious organizations, foundations, agencies, Veterans’ Administration (VA) contracts, pensions, or other VA

compensation, payment source not yet determined, other, and unknown sources.

NOTE: Percents are based on unrounded numbers.

Series 13, No. 147 [ Page 61
Table 57. Number and percent distribution of nursing home discharges, by primary and all-listed diagnoses at admission and at discharge:

United States, October 1996–September 1997

Diagnosis and ICD–9–CM code1

At admission At discharge

Number of

discharges

Percent

distribution

Number of

discharges

Percent

distribution

Total ...................................................... 2,369,000 100.0 2,369,000 100.0

Infectious and parasitic diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 001–139 20,800 0.9 24,800 1.0

Neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 140–239 142,000 6.0 148,700 6.3

Malignant neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 140–208,230–234 129,800 5.5 136,700 5.8

Endocrine, nutritional, and metabolic diseases and immunity disorders . . . . . . . 240–279 130,800 5.5 128,300 5.4

Diabetes mellitus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 250 87,600 3.7 88,000 3.7

Diseases of the blood and blood-forming organs . . . . . . . . . . . . . . . . . . . . . 280–289 *18,800 *0.8 *18,800 *0.8

Anemias . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 280–285 *17,500 *0.7 *17,600 *0.7

Mental disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 290–319 171,800 7.3 154,300 6.5

Senile dementia or organic brain syndrome ....................... 290, 310 31,400 1.3 26,300 1.1

Mental retardation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 317–319 * * * *

Other mental disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 291–309, 311–316 137,200 5.8 125,400 5.3

Diseases of the nervous system and sense organs . . . . . . . . . . . . . . . . . . . 320–389 183,500 7.7 173,500 7.3

Alzheimer’s disease ....................................... 331.0 81,900 3.5 74,900 3.2

Parkinson’s disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 332 32,500 1.4 29,000 1.2

Multiple sclerosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 340 * * * *

Paralytic syndromes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 342–344 *24,100 *1.0 *21,400 *0.9

Other diseases of the nervous system and

sense organs . . . . . . . . . . . . . . . . . 320–330,331.3–331.9,333–337,341,345–389 38,200 1.6 43,200 1.8

Diseases of the circulatory system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 390–459 578,800 24.4 601,100 25.4

Essential hypertension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 401 42,900 1.8 43,900 1.9

Heart disease . . . . . . . . . . . . . . . . . 391–392.0,393–398,402,404,410–416,420–429 240,000 10.1 282,200 11.9

Diseases of the respiratory system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 460–519 254,100 10.7 267,700 11.3

Pneumonia, all forms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 480–486 91,900 3.9 102,800 4.3

Other diseases of the respiratory system . . . . . . . . . . . . . . . . . . . . . . . . 490–496 162,200 6.8 164,900 7.0

Diseases of the digestive system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 520–579 76,200 3.2 78,800 3.3

Diseases of the genitourinary system . . . . . . . . . . . . . . . . . . . . . . . . . . . . 580–629 82,300 3.5 80,800 3.4

Urinary tract infection . . . . . . . . . . . . . . . . . . . . . . . 580–583,590, 595,597,599.0 43,200 1.8 40,300 1.7

Diseases of the skin and subcutaneous tissue . . . . . . . . . . . . . . . . . . . . . . 680–709 47,200 2.0 47,900 2.0

Decubitus ulcer .......................................... 707.0 *12,400 *0.5 * *

Other chronic ulcer of the skin ............................ 707.1–707.9 * * * *

Diseases of the musculoskeletal system and connective tissue . . . . . . . . . . . . 710–739 115,000 4.9 108,700 4.6

Rheumatoid arthritis, except spine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 714 * * * *

Osteoarthritis and allied disorders, except spine . . . . . . . . . . . . . . . . . . . . . . . 715 23,100 1.0 22,600 1.0

Other arthropathies and related disorders . . . . . . . . . . . . . . . . . . 710–714, 716–719 *18,900 *0.8 *20,100 *0.8

Osteoporosis ........................................... 733.0 * * * *

Congenital anomalies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 740–759 * * * *

Symptoms, signs, and ill-defined conditions . . . . . . . . . . . . . . . . . . . . . . . . 780–799 126,900 5.4 149,500 6.3

Senility without mention of psychosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 797 * * * *

Injury and poisoning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 800–999 238,200 10.1 201,000 8.5

Fracture of neck of femur . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 820 92,200 3.9 81,000 3.4

Other fractures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 800–819, 821–829 101,300 4.3 79,400 3.4

Injury and poisoning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 800–999 173,900 7.3 174,000 7.3

Posthospital aftercare . . . . . . . . . . . . . . . . . . V42–V46,V52,V53.3–V53.7, V54–V58 127,800 5.4 121,100 5.1

Unknown or no diagnosis ......................................... * * * *

*Figure does not meet standard of reliability or precision, because sample size is less than 30 and therefore, is not reported. If shown with a number, it should not be assumed reliable because the

sample size is between 30 to 59 or the sample size is greater than 59 but has a relative standard error over 30 percent.

1Based on the International Classification of Diseases, 9th Revision, Clinical Modification (6).

NOTES: Numbers may not add to totals because of rounding. Percents are based on the unrounded numbers.

Page 62 [ Series 13, No. 147
Table 58. Number and percent distribution of nursing home discharges, by primary and all-listed diagnoses at admission and at discharge:

United States, October 1996–September 1997

Diagnoses and ICD–9–CM code1

At admission At discharge

Number of

discharges

Percent

distribution

Number of

discharges

Percent

distribution

Total ...................................................... 9,342,400 100.0 8,905,000 100.0

Infectious and parasitic diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 001–139 89,100 1.0 83,900 0.9

Neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 140–239 339,600 3.6 340,500 3.8

Malignant neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 140–208,230–234 314,800 3.4 317,500 3.6

Endocrine, nutritional, and metabolic diseases and immunity disorders . . . . . . . 240–279 832,200 8.9 772,700 8.7

Diabetes mellitus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 250 419,800 4.5 393,800 4.4

Diseases of the blood and blood-forming organs . . . . . . . . . . . . . . . . . . . . . 280–289 217,100 2.3 208,700 2.3

Anemias . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 280–285 199,200 2.1 192,300 2.2

Mental disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 290–319 830,600 8.9 791,200 8.9

Senile dementia or organic brain syndrome ....................... 290, 310 129,900 1.4 114,900 1.3

Mental retardation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 317–319 *10,300 *0.1 *8,600 *0.1

Other mental disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 291–309, 311–316 690,400 7.4 667,600 7.5

Diseases of the nervous system and sense organs . . . . . . . . . . . . . . . . . . . 320–389 660,100 7.1 622,400 7.0

Alzheimer’s disease ....................................... 331.0 151,300 1.6 141,500 1.6

Parkinson’s disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 332 105,400 1.1 95,400 1.1

Multiple sclerosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 340 *10,500 *0.1 *9,700 *0.1

Paralytic syndromes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 342–344 108,200 1.2 101,800 1.1

Other diseases of the nervous system and

sense organs . . . . . . . . . . . . . . . . . 320–330,331.3–331.9,333–337,341,345–389 284,700 3.0 274,100 3.1

Diseases of the circulatory system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 390–459 2,511,600 26.9 2,436,800 27.4

Essential hypertension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 401 589,800 6.3 559,700 6.3

Heart disease . . . . . . . . . . . . . . . . . 391–392.0,393–398,402,404,410–416,420–429 1,174,200 12.6 1,164,100 13.1

Diseases of the respiratory system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 460–519 687,400 7.4 669,800 7.5

Pneumonia, all forms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 480–486 171,400 1.8 175,200 2.0

Other diseases of the respiratory system . . . . . . . . . . . . . . . . . . . . . . . . 490–496 516,100 5.5 494,600 5.6

Diseases of the digestive system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 520–579 370,900 4.0 367,400 4.1

Diseases of the genitourinary system . . . . . . . . . . . . . . . . . . . . . . . . . . . . 580–629 343,100 3.7 322,500 3.6

Urinary tract infection . . . . . . . . . . . . . . . . . . . . . . . 580–583,590, 595,597,599.0 138,400 1.5 127,100 1.4

Diseases of the skin and subcutaneous tissue . . . . . . . . . . . . . . . . . . . . . . 680–709 169,900 1.8 151,900 1.7

Decubitus ulcer .......................................... 707.0 60,300 0.6 51,500 0.6

Other chronic ulcer of the skin ............................ 707.1–707.9 *35,300 *0.4 *28,600 *0.3

Diseases of the musculoskeletal system and connective tissue . . . . . . . . . . . . 710–739 565,600 6.1 535,600 6.0

Rheumatoid arthritis, except spine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 714 31,200 0.3 28,400 0.3

Osteoarthritis and allied disorders, except spine . . . . . . . . . . . . . . . . . . . . . . . 715 186,000 2.0 178,800 2.0

Other arthropathies and related disorders . . . . . . . . . . . . . . . . . . 710–714, 716–719 111,800 1.2 107,300 1.2

Osteoporosis ........................................... 733.0 83,800 0.9 78,500 0.9

Congenital anomalies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 740–759 * * * *

Symptoms, signs, and ill-defined conditions . . . . . . . . . . . . . . . . . . . . . . . . 780–799 646,500 6.9 642,600 7.2

Senility without mention of psychosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 797 * * * *

Injury and poisoning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 800–999 418,400 4.5 346,700 3.9

Fracture of neck of femur . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 820 128,200 1.4 112,800 1.3

Other fractures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 800–819,821–829 162,100 1.7 129,500 1.5

Supplementary classification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . V01–V82 654,200 7.0 606,500 6.8

Posthospital aftercare . . . . . . . . . . . . . . . . . . V42–V46,V52,V53.3–V53.7,V54–V58 412,900 4.4 375,000 4.2

*Figure does not meet standard of reliability or precision, because sample size is less than 30 and therefore, is not reported. If shown with a number, it should not be assumed reliable because the

sample size is between 30 to 59 or the sample size is greater than 59 but has a relative standard error over 30 percent.

1Based on the International Classification of Diseases, 9th Revision, Clinical Modification (6).

NOTES: Numbers may not add to totals because of rounding. Percents are based on the unrounded numbers.

Series 13, No. 147 [ Page 63
discharges by primary diagnosis at admission, according to age, sex, and race of resident: United States, October 1996–September 1997

e1

All

discharges

Age at discharge2 Race

Under

65 years

65 years and over Sex Black and other

Total Unknown

65–74

years

75–84

years

85 years

and over Male Female White Total Black

........ 2,369,000 251,800 2,100,800 406,000 836,100 858,600 873,700 1,495,300 2,068,400 247,100 194,600 53,500

. . 001–139 20,800 * *15,100 * * * *11,000 *9,800 16,100 * * *

. . .140–239 142,000 *16,800 124,600 36,500 55,200 33,000 70,300 71,800 124,000 *10,200 *9,400 *

–208,230–234 129,800 *14,700 114,600 35,800 47,000 31,800 61,500 68,300 111,800 *10,200 *9,400 *

es

. . 240–279 130,800 *21,700 109,000 30,900 40,300 37,900 54,400 76,400 105,200 20,300 18,800 *

. . . . . 250 87,600 *17,900 69,700 24,700 27,800 17,200 35,300 52,300 70,500 *15,300 *14,300 *

. . 280–289 *18,800 * *17,800 * * * * *11,800 *15,700 * * –

. . .280–285 *17,500 * *16,500 * * * * *10,500 *14,700 * * –

. . 290–319 171,800 22,200 147,800 19,900 53,400 74,500 65,100 106,700 151,700 17,900 *13,300 *

.. 290, 310 31,400 * 30,800 * *9,500 18,600 *12,000 19,500 28,300 * * *

. . 317–319 * * * * * * * * * * * –

309, 311–316 137,200 *19,900 115,800 17,000 43,100 55,700 52,300 84,900 120,900 14,800 *11,100 *

. . 320–389 183,500 27,500 155,200 26,800 61,000 67,300 77,400 106,100 158,700 18,800 *13,500 *

.... 331.0 81,900 * 79,500 *7,400 32,900 39,200 31,200 50,700 74,500 *7,200 *6,500 *

. . . . . 332 32,500 * 31,600 * *13,100 *12,400 *13,100 19,400 31,100 * * *

. . . . . 340 * * * * * – * * ****

. . 342–344 *24,100 * * * * * * * * * * *

,331.3–331.9,

,341,345–389 38,200 * 29,900 * * *11,500 *15,600 *22,600 31,600 * * *

. . 390–459 578,800 37,900 536,200 93,900 209,300 232,900 214,900 363,900 496,800 73,800 57,700 *

. . . . . 401 42,900 * 41,200 * *11,900 25,900 *10,300 32,600 38,100 * * *

–398,402,404,

–416,420–429 240,000 * 229,200 33,200 82,000 114,000 73,500 166,400 210,100 27,000 *13,900 *

. . 460–519 254,100 *23,900 229,400 41,900 92,600 94,900 106,200 147,900 231,900 *18,100 *12,400 *

. . 480–486 91,900 * 87,800 * 34,100 45,100 39,900 52,000 83,500 * * *

. . 490–496 162,200 *20,200 141,600 33,300 58,500 49,700 66,300 95,900 148,300 *11,000 * *

. . 520–579 76,200 * 65,900 * 24,900 27,800 21,800 54,400 64,900 *10,900 * *

. . 580–629 82,300 * 67,900 * 30,200 28,800 35,200 47,100 68,500 *12,800 *11,700 *

595,597,599.0 43,200 * 41,600 * *20,400 *16,500 *14,300 28,900 37,300 * * *

. . 680–709 47,200 * 34,000 * * 11,800 *25,300 *21,900 44,200 * * –

.... 707.0 *12,400 * * * * * * * * * * –

707.1–707.9 * – *** * * * *** –

d

. . 710–739 115,000 * 104,500 *16,700 35,300 52,500 25,200 89,900 107,000 * * *

. . . . . 714 * * * * * * * * * * * –

. . . . . 715 23,100 * 22,800 * * *10,200 * *17,900 21,800 * * *

714, 716–719 *18,900 * *18,000 * * * * *12,000 *18,800 * * –

.....733.0 * * * – *** * * – – *

. . 740–759 * * * * – – *** –––

Page 64 [ Series 13, No. 147
discharges by primary diagnosis at admission, according to age, sex, and race of resident: United States, October 1996–September 1997

—Con.

e1

All

discharges

Age at discharge2 Race

Under

65 years

65 years and over Sex Black and other

Total Unknown

65–74

years

75–84

years

85 years

and over Male Female White Total Black

. . 780–799 126,900 * 115,800 *16,600 51,200 47,900 52,400 74,500 112,500 *13,200 *11,200 *

. . . . . 797 * * * – – ** * * – ––

. . 800–999 238,200 *21,800 215,500 35,600 89,100 90,800 46,700 191,500 213,500 *18,000 * *

. . . . . 820 92,200 * 89,300 *14,500 29,700 45,100 *15,000 77,200 87,000 * * *

–819,821–829 101,300 * 87,800 * 34,100 35,100 *16,800 84,500 90,900 * * *

. . V01–V82 173,900 *16,000 157,600 55,200 62,500 39,900 59,900 114,000 149,300 *15,400 *12,500 *

. V24–V46,

53.7,V54–V58 127,800 * 118,100 *41,700 50,000 26,300 45,900 81,900 116,500 * * *

........ * – * ** * * * * * * –

cision, because sample size is less than 30 and therefore, is not reported. If shown with a number, it should not be assumed reliable because the sample size is between 30 to 59 or the sample size is

ver 30 percent.

ses, 9th Revision, Clinical Modification (6).

rounding.

rsing home discharges by primary diagnosis at admission, according to age, sex, and race of resident: United States, October 1996–September

de1

All

discharges

Age at discharge2 Race

Under

65 years

65 years and over Sex Black and other

Total Unknown

65–74

years

75–84

years

85 years

and over Male Female White Total Black

........... 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

. . . . . 001–139 0.9 * *0.7 * * * *1.3 *0.7 0.8 * * *

. . . . . 140–239 6.0 *6.7 5.9 9.0 6.6 3.8 8.0 4.8 6.0 *4.1 *4.8 *

140–208,230–234 5.5 *5.8 5.5 8.8 5.6 3.7 7.0 4.6 5.4 *4.1 *4.8 *

es and

. . . . . 240–279 5.5 *8.6 5.2 7.6 4.8 4.4 6.2 5.1 5.1 8.2 9.7 *

. . . . . . . . 250 3.8 *7.1 3.3 6.1 3.3 2.0 4.0 3.5 3.4 *6.2 *7.3 *

gans . . 280–289 *0.8 * *0.9 * * * * *0.8 *0.8 * * –

. . . . . 280–285 *0.7 * *0.8 * * * * *0.7 *0.7 * * –

. . . . . 290–319 7.3 8.8 7.0 4.9 6.4 8.7 7.5 7.1 7.3 7.3 *6.8 *

me .... 290, 310 1.3 * 1.5 * *1.1 2.2 *1.4 1.3 1.4 * * *

. . . . . 317–319 * * * * * * * * * * * –

91–309, 311–316 5.8 *7.9 5.5 4.2 5.2 6.5 6.0 5.7 5.9 6.0 *5.7 *

. . . . . 320–389 7.8 10.9 7.4 6.6 7.3 7.8 8.9 7.1 7.7 7.6 *6.9 *

....... 331.0 3.5 * 3.8 *1.8 3.9 4.6 3.6 3.4 3.6 *2.9 *3.3 *

. . . . . . . . 332 1.4 * 1.5 * *1.6 *1.4 *1.5 1.3 1.5 * * *

. . . . . . . . 340 * * * * * – **** * *

Series 13, No. 147 [ Page 65
rsing home discharges by primary diagnosis at admission, according to age, sex, and race of resident: United States, October 1996–September

de1

All

discharges

Age at discharge2 Race

Under

65 years

65 years and over Sex Black and other

Total Unknown

65–74

years

75–84

years

85 years

and over Male Female White Total Black

. . . . . 342–344 *1.0 * * * * * * * * * * *

–330,331.3–331.9,

–337,341,345–389 1.6 * 1.4 * * *1.3 *1.8 *1.5 1.5 * * *

. . . . . 390–459 24.4 15.0 25.5 23.1 25.0 27.1 24.6 24.3 24.0 29.9 29.6 *

. . . . . . . . 401 1.8 * 2.0 * *1.4 3.0 *1.2 2.2 1.8 * * *

393–398,402,404,

410–416,420–429 10.1 * 10.9 8.2 9.8 13.3 8.4 11.1 10.2 10.9 *7.2 *

. . . . . 460–519 10.7 *9.5 10.9 10.3 11.1 11.1 12.2 9.9 11.2 *7.3 *6.4 *

. . . . . 480–486 3.9 * 4.2 * 4.1 5.3 4.6 3.5 4.0 * * *

. . . . . 490–496 6.9 *8.0 6.7 8.2 7.0 5.8 7.6 6.4 7.2 *4.4 * *

. . . . . 520–579 3.2 * 3.1 * 3.0 3.2 2.5 3.6 3.1 *4.4 * *

. . . . . 580–629 3.5 * 3.2 * 3.6 3.4 4.0 3.2 3.3 *5.2 *6.0 *

90, 595,597,599.0 1.8 * 2.0 * *2.4 *1.9 *1.6 1.9 1.8 * * *

ue . . . 680–709 2.0 * 1.6 * * 1.4 *2.9 *1.5 2.1 * * –

....... 707.0 *0.5 * * * * * * * * * * –

.. 707.1–707.9 * – * ** * * * * * * –

d

. . . . . 710–739 4.9 * 5.0 *4.1 4.2 6.1 2.9 6.0 5.2 * * *

. . . . . . . . 714 * * * * * * * * * * * –

spine . . . . 715 1.0 * 1.1 * * *1.2 * *1.2 1.1 * * *

10–714, 716–719 *0.8 * *0.9 * * * * *0.8 *0.9 * * –

....... 733.0 * * * – * * *** – – *

. . . . . 740–759 * * * * – – *** – ––

. . . . . 780–799 5.4 * 5.5 *4.1 6.1 5.6 6.0 5.0 5.4 *5.4 *5.8 *

. . . . . . . . 797 * * * – – * *** – ––

. . . . . 800–999 10.1 *8.7 10.3 8.8 10.7 10.6 5.3 12.8 10.3 *7.3 * *

. . . . . . . . 820 3.9 * 4.3 *3.6 3.6 5.3 *1.7 5.2 4.2 * * *

800–819,821–829 4.3 * 4.2 * 4.1 4.1 *1.9 5.7 4.4 * * *

. . . . V01–V82 7.3 *6.4 7.5 13.6 7.5 4.7 6.9 7.6 7.2 *6.2 *6.4 *

. V42–V46,V52,

3–V53.7,V54–V58 5.4 * 5.6 *10.3 6.0 3.1 5.3 5.5 5.6 * * *

........... * – * ** * * * * * * –

cision, because sample size is less than 30 and therefore, is not reported. If shown with a number, it should not be assumed reliable because the sample size is between 30 to 59 or the sample size is

ver 30 percent.

ses, 9th Revision, Clinical Modification (6).

bers.

Page 66 [ Series 13, No. 147
discharges by all-listed diagnoses at admission, according to age, sex, and race of resident: United States,

de1

All

discharges

Age at discharge2 Race

Under

65 years

65 years and over Sex Black and other

Total Unknown

65–74

years

75–84

years

85 years

and over Male Female White Total Black

........... 9,342,400 953,300 8,352,700 1,576,600 3,352,400 3,423,700 3,467,900 5,874,600 8,157,500 971,600 766,300 213,300

. . . . . 001–139 89,100 20,200 68,700 *12,000 31,800 24,900 47,800 41,300 74,200 *13,700 *12,700 *

. . . . . 140–239 339,600 38,200 300,900 82,600 122,000 96,200 158,800 180,800 299,800 23,900 22,100 *15,900

140–208,230–234 314,800 34,100 280,100 78,200 110,500 91,500 144,300 170,500 275,400 23,500 21,700 *15,900

es and

. . . . . 240–279 832,200 101,100 726,300 174,500 305,700 246,100 283,800 548,400 697,100 106,700 79,700 *28,400

. . . . . . . . 250 419,800 65,900 352,200 105,300 144,900 102,000 157,400 262,400 336,700 65,800 52,300 *

gans . . 280–289 217,100 *16,000 200,800 33,700 71,900 95,200 72,700 144,400 185,000 27,400 18,300 *

. . . . . 280–285 199,200 *13,100 185,800 30,800 69,500 85,500 65,400 133,900 168,500 26,000 17,200 *

. . . . . 290–319 830,600 91,100 736,600 123,000 279,700 333,900 319,500 511,100 729,300 82,500 68,100 *

me .... 290, 310 129,900 * 124,700 *10,600 41,800 72,300 48,500 81,400 118,700 *10,500 *8,400 *

. . . . . 317–319 *10,300 * ****** *9,100 * * –

91–309, 311–316 690,400 80,800 607,100 111,000 235,100 260,900 265,900 424,600 601,500 70,700 58,500 *

. . . . . 320–389 660,100 76,800 581,200 98,400 235,600 247,200 258,000 402,100 583,700 64,100 50,700 *

....... 331.0 151,300 * 147,600 15,600 64,200 67,800 55,100 96,300 137,000 13,900 *12,100 *

. . . . . . . . 332 105,400 * 102,200 *16,700 44,700 40,900 50,300 55,100 96,200 * * *

. . . . . . . . 340 *10,500 * * * * * * * *** *

. . . . . 342–344 108,200 28,100 79,700 *30,000 25,600 24,100 49,600 58,600 85,200 17,100 *16,100 *

–330,331.3–331.9,

–337,341,345–389 284,700 36,200 247,600 33,800 99,600 114,200 98,800 185,900 257,400 23,600 15,700 *

. . . . . 390–459 2,511,600 162,500 2,338,000 400,100 953,600 984,300 916,700 1,595,000 2,189,900 271,800 222,900 50,000

. . . . . . . . 401 589,800 34,400 553,700 104,100 228,100 221,500 180,500 409,300 508,100 71,600 57,200 *

393–398,402,404,

410–416,420–429 1,174,200 62,200 1,107,000 160,600 432,400 514,000 406,700 767,400 1,047,100 101,200 74,800 *25,800

. . . . . 460–519 687,400 58,800 625,300 121,300 263,100 240,900 304,400 383,100 623,100 53,300 38,200 *11,000

. . . . . 480–486 171,400 *12,500 158,400 20,800 58,300 79,300 75,500 95,900 152,400 *16,200 *11,600 *

. . . . . 490–496 516,100 46,300 466,900 100,500 204,800 161,600 228,900 287,200 470,700 37,200 26,700 *

. . . . . 520–579 370,900 47,100 323,400 55,400 118,000 150,000 122,600 248,300 328,800 38,900 32,900 *

. . . . . 580–629 343,100 41,200 301,100 49,900 117,600 133,500 162,400 180,700 287,300 41,700 38,200 *

90, 595,597,599.0 138,400 *12,000 126,400 *13,600 53,500 59,200 44,500 93,900 120,600 15,700 *13,800 *

ue . . . 680–709 169,900 *52,100 117,200 24,300 47,700 45,200 87,700 82,100 150,200 *13,800 *12,200 *

....... 707.0 60,300 * 42,500 * *17,900 *18,200 37,600 22,700 47,200 *8,300 * *

.. 707.1–707.9 *35,300 * *22,600 **** *18,300 *31,800 * * *

. . . . . 710–739 565,600 36,800 527,100 83,600 180,000 263,500 125,000 440,600 507,800 52,000 28,100 *

. . . . . . . . 714 31,200 * 29,800 **** 28,600 28,800 * * *

spine . . . . 715 186,000 83,800 176,800 24,500 61,100 91,200 47,500 138,500 170,200 *14,200 *11,000 *

10–714, 716–719 111,800 * 104,300 *18,900 31,000 54,400 26,300 85,400 91,400 *19,200 *8,200 *

....... 733.0 83,800 * 80,800 * 28,300 43,000 * 77,600 81,000 * * *

. . . . . 740–759 * * * * * * * * * * * –

Series 13, No. 147 [ Page 67
discharges by all-listed diagnoses at admission, according to age, sex, and race of resident: United States,

n.

de1

All

discharges

Age at discharge2 Race

Under

65 years

65 years and over Sex Black and other

Total Unknown

65–74

years

75–84

years

85 years

and over Male Female White Total Black

. . . . . 780–799 646,500 70,400 571,500 108,800 231,700 231,000 269,400 377,100 569,800 65,900 50,800 *10,800

. . . . . . . . 797 * * * * * * * * *** *

. . . . . 800–999 418,400 50,500 367,000 62,200 150,100 154,800 96,300 322,100 374,600 36,100 21,700 *

. . . . . . . . 820 128,200 * 125,200 *22,500 40,100 62,600 18,500 109,600 121,200 * * *

800–819,821–829 162,100 24,700 137,100 *21,200 57,200 58,800 29,400 132,700 147,500 * * *

. . . . V01–V82 654,200 88,500 563,600 144,900 242,300 176,400 240,100 414,100 551,200 79,600 69,700 *23,400

. V42–V46, V52,

3–V53.7,V54–V58 412,900 55,500 357,000 94,000 156,800 106,200 154,300 258,700 352,600 47,600 39,600 *

cision, because sample size is less than 30 and therefore, is not reported. If shown with a number, it should not be assumed reliable because the sample size is between 30 to 59 or the sample size is

ver 30 percent.

ses, 9th Revision, Clinical Modification (6).

rounding.

Page 68 [ Series 13, No. 147
rsing home discharges by all-listed diagnoses at admission, according to age, sex, and race of resident: United States, October

de1

All

discharges

Age at discharge2 Race

Under

65 years

65 years and over Sex Black and other

Total Unknown

65–74

years

75–84

years

85 years

and over Male Female White Total Black

........... 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

. . . . . 001–139 1.0 2.1 0.8 *0.8 0.9 0.7 1.4 0.7 0.9 *1.4 *1.7 *

. . . . . 140–239 3.6 4.0 3.6 5.2 3.6 2.8 4.6 3.1 3.7 2.5 2.9 *7.5

140–208,230–234 3.4 3.6 3.4 5.0 3.3 2.7 4.2 2.9 3.4 2.4 2.8 *7.5

es and

. . . . . 240–279 8.9 10.6 8.7 11.1 9.1 7.2 8.2 9.3 8.5 11.0 10.4 *13.3

. . . . . . . . 250 4.5 6.9 4.2 6.7 4.3 3.0 4.5 4.5 4.1 6.8 6.8 *

. . . . . 280–289 2.3 *1.7 2.4 2.1 2.1 2.8 2.1 2.5 2.3 2.8 2.4 *

. . . . . 280–285 2.1 *1.4 2.2 2.0 2.1 2.5 1.9 2.3 2.1 2.7 2.2 *

. . . . . 290–319 8.9 9.6 8.8 7.8 8.3 9.8 9.2 8.7 8.9 8.5 8.9 *

me .... 290, 310 1.4 * 1.5 *0.7 1.2 2.1 1.4 1.4 1.5 *1.1 *1.1 *

. . . . . 317–319 *0.1 * * * * * * * *0.1 * * –

91–309, 311–316 7.4 8.5 7.3 7.0 7.0 7.6 7.7 7.2 7.4 7.3 7.6 *

. . . . . 320–389 7.1 8.1 7.0 6.2 7.0 7.2 7.4 6.8 7.2 6.6 6.6 *

....... 331.0 1.6 * 1.8 1.0 1.9 2.0 1.6 1.6 1.7 1.4 *1.6 *

. . . . . . . . 332 1.1 * 1.2 *1.1 1.3 1.2 1.5 0.9 1.2 * * *

. . . . . . . . 340 *0.1 * * * * * * * * * * *

. . . . . 342–344 1.2 3.0 1.0 1.9 0.8 0.7 1.4 1.0 1.0 1.8 *2.1 *

–330,331.3–331.9,

–337,341,345–389 3.0 3.8 3.0 2.1 3.0 3.3 2.8 3.2 3.2 2.4 2.1 *

. . . . . 390–459 26.9 17.0 28.0 25.4 28.4 28.7 26.4 27.2 26.8 28.0 29.1 23.4

. . . . . . . . 401 6.3 3.6 6.6 6.6 6.8 6.5 5.2 7.0 6.2 7.4 7.5 *

393–398,402,404,

410–416,420–429 12.6 6.5 13.3 10.2 12.9 15.0 11.7 13.1 12.8 10.4 9.8 *12.1

. . . . . 460–519 7.4 6.2 7.5 7.7 7.8 7.0 8.8 6.5 7.6 5.5 5.0 *5.2

. . . . . 480–486 1.8 *1.3 1.9 1.3 1.7 2.3 2.2 1.6 1.9 *1.7 *1.5 *

. . . . . 490–496 5.5 4.9 5.6 6.4 6.1 4.7 6.6 4.9 5.8 3.8 3.5 *

. . . . . 520–579 4.0 4.9 3.9 3.5 3.5 4.4 3.5 4.2 4.0 4.0 4.3 *

. . . . . 580–629 3.7 4.3 3.6 3.2 3.5 3.9 4.7 3.1 3.5 4.3 5.0 *

90, 595,597,599.0 1.5 *1.3 1.5 *0.9 1.6 1.7 1.3 1.6 1.5 1.6 *1.8 *

ue . . . 680–709 1.8 *5.5 1.4 1.5 1.4 1.3 2.5 1.4 1.8 *1.4 *1.6 *

....... 707.0 0.6 * 0.5 * *0.5 *0.5 1.1 0.4 0.6 *0.8 * *

.. 707.1–707.9 *0.4 * *0.3 * * * * *0.3 *0.4 * * *

d connective

. . . . . 710–739 6.1 3.9 6.3 5.3 5.4 7.7 3.6 7.5 6.2 5.4 3.7 *

. . . . . . . . 714 0.3 * 0.4 * * * * 0.5 0.4 * * *

spine . . . . 715 2.0 8.8 2.1 1.6 1.8 2.7 1.4 2.4 2.1 *1.5 *1.4 *

. . . . 710–714,

716–719 1.2 * 1.2 *1.2 0.9 1.6 0.8 1.5 1.1 *2.0 *1.1 *

....... 733.0 0.9 * 1.0 * 0.8 1.3 * 1.3 1.0 * * *

. . . . . 740–759 * * * * * * * * * * * –

Series 13, No. 147 [ Page 69
rsing home discharges by all-listed diagnoses at admission, according to age, sex, and race of resident: United States, October

de1

All

discharges

Age at discharge2 Race

Under

65 years

65 years and over Sex Black and other

Total Unknown

65–74

years

75–84

years

85 years

and over Male Female White Total Black

. . . . . 780–799 6.9 7.4 6.8 6.9 6.9 6.7 7.8 6.4 7.0 6.8 6.6 *5.1

. . . . . . . . 797 * * * * * * * * * * * *

. . . . . 800–999 4.5 5.3 4.4 3.9 4.5 4.5 2.8 5.5 4.6 3.7 *2.8 *

. . . . . . . . 820 1.4 * 1.5 *1.4 1.2 1.8 0.5 1.9 1.5 * * *

800–819,821–829 1.7 2.6 1.6 *1.3 1.7 1.7 0.8 2.3 1.8 * * *

. . . . V01–V82 7.0 9.3 6.7 9.2 7.2 5.2 6.9 7.0 6.8 8.2 9.1 *11.0

. V42–V46, V52,

3–V53.7,V54–V58 4.4 5.8 4.3 6.0 4.7 3.1 4.4 4.4 4.3 4.9 5.2 *

cision, because sample size is less than 30 and therefore, is not reported. If shown with a number, it should not be assumed reliable because the sample size is between 30 to 59 or the sample size is

ver 30 percent.

ses, 9th Revision, Clinical Modification (6).

bers.

Page 70 [ Series 13, No. 147
Table 63. Number of nursing home discharges by primary diagnosis at admission, according to dependency in activities of daily living and

walking: United States, October 1996–September 1997

Diagnosis and ICD–9–CM code1

All

discharges Bathing Dressing Eating

Transferring

in or out of

beds or chairs

Using the

toliet

room Walking

Total ................................................. 2,369,000 2,142,500 1,981,800 1,067,700 732,300 1,215,100 860,300

Infectious and parasitic diseases . . . . . . . . . . . . . . . . . . . . . . . . . . 001–139 20,800 18,800 18,700 *10,600 * *11,300 *

Neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 140–239 142,000 126,800 118,100 80,900 25,100 68,200 29,600

Malignant neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . 140–208,230–234 129,800 116,600 108,000 72,000 25,000 60,700 28,500

Endocrine, nutritional, and metabolic diseases and immunity disorders . . 240–279 130,800 118,000 105,800 49,000 39,400 77,100 46,600

Diabetes mellitus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 250 87,600 78,500 72,200 31,200 *25,300 58,000 30,500

Diseases of the blood and blood-forming organs . . . . . . . . . . . . . . . . 280–289 *18,800 *18,400 *17,200 *10,500 * * *

Anemias . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 280–285 *17,500 *17,100 *16,000 * * * *

Mental disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 290–319 171,800 149,100 136,200 87,000 36,700 77,500 42,200

Senile dementia or organic brain syndrome .................. 290, 310 31,400 30,100 28,400 22,000 * 15,500 *7,100

Mental retardation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 317–319 * * * * * * *

Other mental disorders . . . . . . . . . . . . . . . . . . . . . . . . 291–309, 311–316 137,200 115,800 104,600 62,900 28,900 60,900 34,300

Diseases of the nervous system and sense organs . . . . . . . . . . . . . . 320–389 183,500 172,100 169,300 117,900 43,900 93,300 41,400

Alzheimer’s disease .................................. 331.0 81,900 79,600 76,800 57,700 *11,800 39,300 *12,800

Parkinson’s disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 332 32,500 31,600 29,100 20,600 * *15,900 *

Multiple sclerosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 340 * * * * * * –

Paralytic syndromes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 342–344 *24,100 *18,500 *23,200 * * * *

Other diseases of the nervous system and sense organs . . . . . . . . . 320–330,

331.3–331.9,333–337,341,345–389 38,200 35,500 33,400 *20,400 * *19,000 *14,200

Diseases of the circulatory system . . . . . . . . . . . . . . . . . . . . . . . . 390–459 578,800 538,800 495,200 282,400 176,600 312,500 206,200

Essential hypertension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 401 42,900 38,700 35,600 21,300 *8,600 19,800 *10,300

Heart disease . . . . . . . . . . . . 391–392.0,393–398,402,404,410–416,420–429 240,000 225,300 211,300 102,100 77,300 139,400 93,500

Diseases of the respiratory system . . . . . . . . . . . . . . . . . . . . . . . . 460–519 254,100 241,800 224,700 128,300 85,300 126,200 87,500

Pneumonia, all forms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 480–486 91,900 87,900 84,400 60,300 *27,200 39,600 *26,600

Other diseases of the respiratory system . . . . . . . . . . . . . . . . . . . 490–496 162,200 153,900 140,400 68,100 58,200 86,600 61,000

Diseases of the digestive system . . . . . . . . . . . . . . . . . . . . . . . . . 520–579 76,200 69,000 63,800 33,500 27,400 37,700 32,700

Diseases of the genitourinary system . . . . . . . . . . . . . . . . . . . . . . . 580–629 82,300 70,300 66,900 42,700 *18,400 42,600 *22,400

Urinary tract infection . . . . . . . . . . . . . . . . . . 580–583,590, 595,597,599.0 43,200 40,900 39,300 27,400 * 24,500 *

Diseases of the skin and subcutaneous tissue . . . . . . . . . . . . . . . . . 680–709 47,200 39,700 38,600 *12,100 * *14,400 *

Decubitus ulcer ..................................... 707.0 *12,400 * * * * * *

Other chronic ulcer of the skin ........................ 707.1–707.9 * * * * – * *

Diseases of the musculoskeletal system and connective tissue . . . . . . . 710–739 115,000 106,300 95,500 32,900 45,900 61,900 61,300

Rheumatoid arthritis, except spine . . . . . . . . . . . . . . . . . . . . . . . . . . 714 * * * * * * *

Osteoarthritis and allied disorders, except spine . . . . . . . . . . . . . . . . . . 715 23,100 22,400 *20,000 * * *14,800 *13,000

Other arthropathies and related disorders . . . . . . . . . . . . . 710–714, 716–719 *18,900 *18,000 *16,100 * * * *

Osteoporosis ...................................... 733.0 * * * * * * *

Congenital anomalies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 740–759 * * * * * * *

Symptoms, signs, and ill-defined conditions . . . . . . . . . . . . . . . . . . . 780–799 126,900 113,900 105,300 57,000 46,000 56,800 54,100

Senility without mention of psychosis . . . . . . . . . . . . . . . . . . . . . . . . . 797 * * * * – * –

Injury and poisoning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 800–999 238,200 213,600 193,000 78,100 93,900 133,500 111,100

Fracture of neck of femur . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 820 92,200 86,100 82,500 31,500 37,700 59,300 43,500

Other fractures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 800–819,821–829 101,300 87,500 76,200 31,400 45,900 57,400 54,200

Supplementary classification . . . . . . . . . . . . . . . . . . . . . . . . . . . . V01–V82 173,900 138,600 126,200 40,300 70,200 88,800 97,600

Posthospital aftercare . . . . . . . . . . . . . V42–V46,V52,V53.3–V53.7, V54–V58 127,800 101,300 92,600 23,600 60,200 65,700 79,500

Unknown or no diagnosis .................................... * * * * * * *

*Figure does not meet standard of reliability or precision, because sample size is less than 30 and therefore, is not reported. If shown with a number, it should not be assumed reliable because the

sample size is between 30 to 59 or the sample size is greater than 59 but has a relative standard error over 30 percent.

– Quantity zero.

1Based on the International Classification of Diseases, 9th Revision, Clinical Modification (6).

2Figures may not add to totals because a resident may receive help in more than one category.

NOTE: Numbers may not add to totals because of rounding.

Series 13, No. 147 [ Page 71
Table 64. Percent distribution of nursing home discharges by primary diagnosis at admission, according to dependency in activities of

daily living and walking: United States, October 1996–September 1997

Diagnosis and ICD–9–CM code1

All

discharges

Received help from facility in—2

Bathing or

showering Dressing Eating

Transferring

in or out of

beds or chairs

Using the

toilet

room Walking

Total ................................................. 100.0 100.0 100.0 100.0 100.0 100.0 100.0

Infectious and parasitic diseases . . . . . . . . . . . . . . . . . . . . . . . . . . 001–139 0.9 0.9 1.0 *1.0 * *0.9 *

Neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 140–239 6.0 5.9 6.0 7.6 3.4 5.6 3.4

Malignant neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . 140–208,230–234 5.5 5.4 5.5 6.7 3.4 5.0 3.3

Endocrine, nutritional, and metabolic diseases and immunity disorders . . 240–279 5.5 5.5 5.3 4.6 5.4 6.4 5.4

Diabetes mellitus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 250 3.8 3.7 3.6 2.9 *3.5 4.8 3.5

Diseases of the blood and blood-forming organs . . . . . . . . . . . . . . . . 280–289 *0.8 *0.9 *0.9 *1.0 * * *

Anemias . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 280–285 *0.7 *0.8 *0.8 * * * *

Mental disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 290–319 7.3 7.0 6.9 8.2 5.0 6.4 4.9

Senile dementia or organic brain syndrome .................. 290, 310 1.3 1.4 1.4 2.1 * 1.3 *0.8

Mental retardation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 317–319 * * * * * * *

Other mental disorders . . . . . . . . . . . . . . . . . . . . . . . . 291–309, 311–316 5.8 5.4 5.3 5.9 4.0 5.0 4.0

Diseases of the nervous system and sense organs . . . . . . . . . . . . . . 320–389 7.8 8.0 8.5 11.0 6.0 7.7 4.8

Alzheimer’s disease .................................. 331.0 3.5 3.7 3.9 5.4 *1.6 3.2 *1.5

Parkinson’s disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 332 1.4 1.5 1.5 1.9 * *1.3 *

Multiple sclerosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 340 * * * * * * –

Paralytic syndromes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 342–344 *1.0 *0.9 *1.2 * * * *

Other diseases of the nervous system and sense organs . . . . . . . . . 320–330,

331.3–331.9,333–337,341,345–389 1.6 1.7 1.7 *1.9 * *1.6 *1.7

Diseases of the circulatory system . . . . . . . . . . . . . . . . . . . . . . . . 390–459 24.4 25.2 25.0 26.5 24.1 25.7 24.0

Essential hypertension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 401 1.8 1.8 1.8 2.0 *1.2 1.6 *1.2

Heart disease . . . . . . . . . . . . 391–392.0,393–398,402,404,410–416,420–429 10.1 10.5 10.7 9.6 10.6 11.5 10.9

Diseases of the respiratory system . . . . . . . . . . . . . . . . . . . . . . . . 460–519 10.7 11.3 11.3 12.0 11.7 10.4 10.2

Pneumonia, all forms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 480–486 3.9 4.1 4.3 5.6 *3.7 3.3 *3.1

Other diseases of the respiratory system . . . . . . . . . . . . . . . . . . . 490–496 6.9 7.2 7.1 6.4 8.0 7.1 7.1

Diseases of the digestive system . . . . . . . . . . . . . . . . . . . . . . . . . 520–579 3.2 3.2 3.2 3.1 3.8 3.1 3.8

Diseases of the genitourinary system . . . . . . . . . . . . . . . . . . . . . . . 580–629 3.5 3.3 3.4 4.0 *2.5 3.5 *2.6

Urinary tract infection . . . . . . . . . . . . . . . . . . 580–583,590, 595,597,599.0 1.8 1.9 2.0 2.6 * 2.0 *

Diseases of the skin and subcutaneous tissue . . . . . . . . . . . . . . . . . 680–709 2.0 1.9 2.0 *1.1 * *1.2 *

Decubitus ulcer ..................................... 707.0 *0.5 * * * * * *

Other chronic ulcer of the skin ........................ 707.1–707.9 * * * * – * *

Diseases of the musculoskeletal system and connective tissue . . . . . . . 710–739 4.9 5.0 4.8 3.1 6.3 5.1 7.1

Rheumatoid arthritis, except spine . . . . . . . . . . . . . . . . . . . . . . . . . . 714 * * * * * * 0.2

Osteoarthritis and allied disorders, except spine . . . . . . . . . . . . . . . . . . 715 1.0 1.0 *1.0 * * *1.2 *1.5

Other arthropathies and related disorders . . . . . . . . . . . . . 710–714, 716–719 *0.8 *0.8 *0.8 * * * *

Osteoporosis ...................................... 733.0 * * * * * * *

Congenital anomalies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 740–759 * * * * * * *

Symptoms, signs, and ill-defined conditions . . . . . . . . . . . . . . . . . . . 780–799 5.4 5.3 5.3 5.3 6.3 4.7 6.3

Senility without mention of psychosis . . . . . . . . . . . . . . . . . . . . . . . . . 797 * * * * – * –

Injury and poisoning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 800–999 10.1 10.0 9.7 7.3 12.8 11.0 12.9

Fracture of neck of femur . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 820 3.9 4.0 4.2 3.0 5.1 4.9 5.1

Other fractures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 800–819,821–829 4.3 4.1 3.9 2.9 6.3 4.7 6.3

Supplementary classification . . . . . . . . . . . . . . . . . . . . . . . . . . . . V01–V82 7.3 6.5 6.4 3.8 9.6 7.3 11.4

Posthospital aftercare . . . . . . . . . . . . . V42–V46,V52,V53.3–V53.7,V54–V58 5.4 4.7 4.7 2.2 8.2 5.4 9.2

Unknown or no diagnosis .................................... * * * * * * *

*Figure does not meet standard of reliability or precision, because sample size is less than 30 and therefore, is not reported. If shown with a number, it should not be assumed reliable because the

sample size is between 30 to 59 or the sample size is greater than 59 but has a relative standard error over 30 percent.

– Quantity zero.

1Based on the International Classification of Diseases, 9th Revision, Clinical Modification (6).

2Figures may not add to totals, because a resident may receive help in more than one category.

NOTE: Percents are based on the unrounded numbers.

Page 72 [ Series 13, No. 147
Table 65. Number and percent distribution of nursing home discharges, by length of stay and average length of stay, according to primary

diagnosis at admission: United States, October 1996–September 1997

Diagnosis and ICD–9–CM code1

All

discharges

Length of stay

Average length

Total of stay

Less than

3 months

3 months

to less

than 6

6 months

to less

than 12

1 year to

less than

5

3 years to

less than

5

5 years

or more

Total ..................................... 2,369,000 100.0 67.4 8.1 6.9 10.2 3.6 3.7 275.7

Infectious and parasitic diseases . . . . . . . . . . . . . . 001–139 20,800 100.0 *79.6 * * * – * 139.8

Neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . 140–239 142,000 100.0 82.7 * * * * * 117.9

Malignant neoplasms . . . . . . . . . . . . . 140–208,230–234 129,800 100.0 82.5 * * * * * 119.4

Endocrine, nutritional, and metabolic diseases and

immunity disorders . . . . . . . . . . . . . . . . . . . . . 240–279 130,800 100.0 64.5 *11.1 *9.6 *8.1 * * 266.9

Diabetes mellitus . . . . . . . . . . . . . . . . . . . . . . . . . 250 87,600 100.0 63.6 *9.4 *10.5 *8.9 * * 300.8

Diseases of the blood and blood-forming organs . . . . 280–289 *18,800 *100.0 * * * * * * *309.3

Anemias . . . . . . . . . . . . . . . . . . . . . . . . . . . 280–285 *17,500 *100.0 * * * * * * *296.7

Mental disorders . . . . . . . . . . . . . . . . . . . . . . . . 290–319 171,800 100.0 41.2 11.6 11.0 18.8 8.1 9.3 601.4

Senile dementia or organic brain syndrome ...... 290, 310 31,400 100.0 *28.0 * * *26.3 * * 960.9

Mental retardation . . . . . . . . . . . . . . . . . . . . . 317–319 * * * * * * – * *

Other mental disorders . . . . . . . . . . . . 291–309, 311–316 137,200 100.0 44.7 *13.0 *11.4 17.3 *7.6 *6.0 486.3

Diseases of the nervous system and

sense organs . . . . . . . . . . . . . . . . . . . . . . . . . 320–389 183,500 100.0 51.1 *7.2 *6.8 20.3 *6.6 *7.9 522.4

Alzheimer’s disease ...................... 331.0 81,900 100.0 35.0 * *9.5 26.6 *10.6 * 667.6

Parkinson’s disease . . . . . . . . . . . . . . . . . . . . . . . 332 32,500 100.0 *51.2 * * * * * 496.8

Multiple sclerosis . . . . . . . . . . . . . . . . . . . . . . . . . 340 * * * * * * * * *

Paralytic syndromes . . . . . . . . . . . . . . . . . . . . 342–344 *24,100 *100.0 * * – * * * *192.2

Other diseases of the nervous system and

sense organs . . . . . . . . . . . . . . . . . . . . . . . 320–330,

331.3–331.9,333–337,341,345–389 38,200 100.0 *66.6 * * * * * 433.8

Diseases of the circulatory system . . . . . . . . . . . . 390–459 578,800 100.0 65.8 8.4 7.9 10.5 3.6 3.8 280.9

Essential hypertension . . . . . . . . . . . . . . . . . . . . . 401 42,900 100.0 47.8 * * * * * 518.1

Heart disease . . . . . . . . . . . 391–392.0,393–398,402,404,

410–416,420–429 240,000 100.0 65.2 9.1 7.5 11.1 * *4.2 299.1

Diseases of the respiratory system . . . . . . . . . . . . 460–519 254,100 100.0 71.1 10.5 6.6 7.2 * * 180.6

Pneumonia, all forms . . . . . . . . . . . . . . . . . . . 480–486 91,900 100.0 76.1 * * * * * 175.5

Other diseases of the respiratory system . . . . . . . 490–496 162,200 100.0 68.3 *13.4 *6.9 *7.4 * * 183.5

Diseases of the digestive system . . . . . . . . . . . . . 520–579 76,200 100.0 72.8 * * * * * 248.5

Diseases of the genitourinary system . . . . . . . . . . . 580–629 82,300 100.0 68.2 * * * * * 229.0

Urinary tract infection . . . . . . 580–583,590, 595,597,599.0 43,200 100.0 63.1 * * * * * 206.9

Diseases of the skin and subcutaneous tissue . . . . . 680–709 47,200 100.0 *76.7 * * * * * 152.7

Decubitus ulcer ......................... 707.0 *12,400 *100.0 * * * * – * *183.2

Other chronic ulcer of the skin ............ 707.1–707.9 * * * – – * * – *

Diseases of the muscloskeletal systems and

connective tissue . . . . . . . . . . . . . . . . . . . . . . 710–739 115,000 100.0 69.7 * * *10.9 * * 274.2

Rheumatoid arthritis, except spine . . . . . . . . . . . . . . 714 * 100.0 * * * * – * *

Osteoarthritis and allied disorders, except spine . . . . . . 715 23,100 100.0 *54.8 * * * * * 375.7

Other arthropathies and related disorders . . . . . . . 710–714,

716–719 *18,900 *100.0 * * * * * * *270.8

Osteoporosis .......................... 733.0 * * * * * * * * *

Congenital anomalies . . . . . . . . . . . . . . . . . . . . . 740–759 * * * * – * – * *

Symptoms, signs, and ill-defined conditions . . . . . . . 780–799 126,900 100.0 66.1 *10.8 *6.9 *9.3 * * 258.1

Senility without mention of psychosis . . . . . . . . . . . . . 797 * 100.0 * * – – * – *

Injury and poisoning . . . . . . . . . . . . . . . . . . . . . 800–999 238,200 100.0 76.5 *6.8 *4.4 *7.3 * * 194.1

Fracture of neck of femur . . . . . . . . . . . . . . . . . . . . 820 92,200 100.0 76.4 * * * * * 223.9

Other fractures . . . . . . . . . . . . . . . . . 800–819,821–829 101,300 100.0 74.1 * * * * * 196.2

Supplemental classification . . . . . . . . . . . . . . . . . V01–V82 173,900 100.0 82.2 * * *5.2 * * 142.1

Posthospital aftercare . V42–V46,V52,V53.3–V53.7,V54–V58 127,800 100.0 88.9 * * *3.1 * * 87.9

Unknown or no diagnosis ........................ * * * * * * – * *

*Figure does not meet standard of reliability or precision, because sample size is less than 30 and therefore, is not reported. If shown with a number, it should not be assumed reliable because the

sample size is between 30 to 59 or the sample size is greater than 59 but has a relative standard error over 30 percent.

– Quantity zero.

1Based on the International Classification of Diseases, 9th Revision, Clinical Modification (6).

NOTES: Numbers may not add to totals because of rounding. Percents are based on the unrounded numbers.

Series 13, No. 147 [ Page 73
Table 66. Number of nursing home discharges by primary diagnosis at admission, according to reason for discharge: United States,

October 1996–September 1997

Diagnosis and ICD–9–CM code1

All

discharges Recovered Stabilized Deceased

Admitted to

hospital

Admitted to

another nursing

home All other

Total ...................................... 2,369,000 246,100 462,300 601,100 675,200 181,000 203,300

Infectious and parasitic diseases . . . . . . . . . . . . . . . 001–139 20,800 * * * * * *

Neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . .140–239 142,000 * *16,100 72,300 27,300 * *

Malignant neoplasms . . . . . . . . . . . . . . 140–208,230–234 129,800 * * 70,500 26,100 * *

Endocrine, nutritional, and metabolic diseases and

immunity disorders . . . . . . . . . . . . . . . . . . . . . . 240–279 130,800 * *17,700 28,300 48,000 * *12,700

Diabetes mellitus . . . . . . . . . . . . . . . . . . . . . . . . . . 250 87,600 * *12,900 18,400 31,000 * *

Diseases of the blood and blood-forming organs . . . . . 280–289 *18,800 * * * * * *

Anemias . . . . . . . . . . . . . . . . . . . . . . . . . . . . .280–285 *17,500 * * * * * *

Mental disorders . . . . . . . . . . . . . . . . . . . . . . . . . .290–319 171,800 * 14,300 51,700 64,000 16,800 20,100

Senile dementia or organic brain syndrome ....... 290, 310 31,400 * * 15,800 *9,800 * *

Mental retardation . . . . . . . . . . . . . . . . . . . . . . 317–319 * – – * * – –

Other mental disorders . . . . . . . . . . . . . 291–309, 311–316 137,200 * *12,900 35,200 51,700 *14,700 *18,700

Diseases of the nervous system and sense organs . . . 320–389 183,500 * *26,500 62,000 49,300 *13,800 *21,400

Alzheimer’s disease ....................... 331.0 81,900 * * 39,100 25,900 * *

Parkinson’s disease . . . . . . . . . . . . . . . . . . . . . . . . 332 32,500 * * *10,400 *10,100 * *

Multiple sclerosis . . . . . . . . . . . . . . . . . . . . . . . . . . 340 * – ** * * *

Paralytic syndromes . . . . . . . . . . . . . . . . . . . . . 342–344 *24,100 * * * * * *

Other diseases of the nervous system and

sense organs . . . . . . . . . . . . . . . . . . . . . . . . 320–330,

331.3–331.9,333–337,341,345–389 38,200 * * *9,600 *7,500 * *

Diseases of the circulatory system . . . . . . . . . . . . . 390–459 578,800 42,100 112,700 169,800 172,300 48,200 33,600

Essential hypertension . . . . . . . . . . . . . . . . . . . . . . 401 42,900 * * *13,900 *13,100 * *

Heart disease . . . . . . . . . . . . 391–392.0,393–398,402,404,

410–416,420–429 240,000 *17,700 42,500 71,900 77,000 *17,100 *13,600

Diseases of the respiratory system . . . . . . . . . . . . . 460–519 254,100 *22,300 42,400 63,400 89,200 *15,400 *21,400

Pneumonia, all forms . . . . . . . . . . . . . . . . . . . . 480–486 91,900 * * 29,100 28,700 * *

Other diseases of the respiratory system . . . . . . . . 490–496 162,200 * *24,800 34,400 60,500 * *17,100

Diseases of the digestive system . . . . . . . . . . . . . . 520–579 76,200 * *13,100 *16,600 29,400 * *

Diseases of the genitourinary system . . . . . . . . . . . . 580–629 82,300 * * 19,800 33,600 * *

Urinary tract infection . . . . . . . . 580–583,590, 595,597,599.0 43,200 * * *12,400 *19,800 * *

Diseases of the skin and subcutaneous tissue . . . . . . 680–709 47,200 * * * * * *

Decubitus ulcer .......................... 707.0 *12,400 – ** * * *

Other chronic ulcer of the skin ............. 707.1–707.9 * – – ** * –

Diseases of the musculoskeletal system and

connective tissue . . . . . . . . . . . . . . . . . . . . . . . 710–739 115,000 *22,800 31,500 22,300 23,000 * *

Rheumatoid arthritis, except spine . . . . . . . . . . . . . . . 714 * * * * * * *

Osteoarthritis and allied disorders, except spine . . . . . . . 715 23,100 * * * * * *

Other arthropathies and related disorders . . . . . . . . 710–714,

716–719 *18,900 * * * * * *

Osteoporosis ............................733.0 * * * * * * *

Congenital anomalies . . . . . . . . . . . . . . . . . . . . . . 740–759 * – ** * – *

Symptoms, signs, and ill-defined conditions . . . . . . . . 780–799 126,900 *15,300 30,900 23,500 35,700 * *14,200

Senility without mention of psychosis . . . . . . . . . . . . . . 797 * – * – * * –

Injury and poisoning . . . . . . . . . . . . . . . . . . . . . . 800–999 238,200 57,000 66,900 33,300 43,300 *19,200 *18,500

Fracture of neck of femur . . . . . . . . . . . . . . . . . . . . . 820 92,200 *21,200 *25,400 *15,000 *18,800 * *

Other fractures . . . . . . . . . . . . . . . . . . 800–819, 821–829 101,300 27,500 *23,600 *14,200 *16,800 * *

Supplementary classification . . . . . . . . . . . . . . . . . V01–V82 173,900 36,600 50,400 16,500 32,200 * *20,000

Posthospital aftercare . . V42–V46,V52,V53.3–V53.7, V54–V58 127,800 *31,700 39,500 *9,900 *16,900 * *

Unknown or no diagnosis ......................... * – ** * – *

*Figure does not meet standard of reliability or precision, because sample size is less than 30 and therefore, is not reported. If shown with a number, it should not be assumed reliable because the

sample size is between 30 to 59 or the sample size is greater than 59 but has a relative standard error over 30 percent.

– Quantity zero.

1Based on the International Classification of Diseases, 9th Revision, Clinical Modification (6).

NOTE: Numbers may not add to totals because of rounding.

Page 74 [ Series 13, No. 147
Table 67. Percent distribution of nursing home discharges by primary diagnosis at admission, according to reason for discharge:

United States, October 1996–September 1997

Diagnosis and ICD–9–CM code1

All

discharges Recovered Stabilized Deceased

Admitted to

hospital

Admitted to

another nursing

home All other

Total .......................................... 100.0 100.0 100.0 100.0 100.0 100.0 100.0

Infectious and parasitic diseases . . . . . . . . . . . . . . . . . . . 001–139 0.9 * * * * * *

Neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 140–239 6.0 * *3.5 12.0 4.0 * *

Malignant neoplasms . . . . . . . . . . . . . . . . . . 140–208,230–234 5.5 * * 11.7 3.9 * *

Endocrine, nutritional, and metabolic diseases and

immunity disorders . . . . . . . . . . . . . . . . . . . . . . . . . . 240–279 5.5 * *3.8 4.7 7.1 * *6.3

Diabetes mellitus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 250 3.8 * *2.8 3.1 4.6 * *

Diseases of the blood and blood-forming organs . . . . . . . . . 280–289 *0.8 * * * * * *

Anemias . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 280–285 *0.7 * * * * * *

Mental disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 290–319 7.3 * *3.1 8.6 9.5 9.2 9.9

Senile dementia or organic brain syndrome ........... 290, 310 1.3 * * 2.6 *1.5 * *

Mental retardation . . . . . . . . . . . . . . . . . . . . . . . . . . 317–319 * – – * * – –

Other mental disorders . . . . . . . . . . . . . . . . . 291–309, 311–316 5.8 * *2.8 5.9 7.7 *7.9 *9.2

Diseases of the nervous system and sense organs . . . . . . . 320–389 7.8 * *5.7 10.3 7.3 *7.6 *10.5

Alzheimer’s disease ........................... 331.0 3.5 * * 6.5 3.8 * *

Parkinson’s disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . 332 1.4 * * *1.7 *1.5 * *

Multiple sclerosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 340 * – ** * * *

Paralytic syndromes . . . . . . . . . . . . . . . . . . . . . . . . . 342–344 *1.0 * * * * * *

Other diseases of the nervous system and

sense organs . . . . . . . . . . . . . . . . . . . . . . . . . . . 320–330,

331.3–331.9,333–337,341,345–389 1.6 * * *1.6 *1.1 * *

Diseases of the circulatory system . . . . . . . . . . . . . . . . . 390–459 24.4 17.1 24.4 28.3 25.5 26.6 16.5

Essential hypertension . . . . . . . . . . . . . . . . . . . . . . . . . . 401 1.8 * * *2.3 *1.9 * *

Heart disease . . . . . . . . . . . . . . . . 391–392.0,393–398,402,404,

410–416,420–429 10.1 *7.2 9.2 12.0 11.4 *9.5 *6.7

Diseases of the respiratory system . . . . . . . . . . . . . . . . . 460–519 10.7 *9.1 9.2 10.6 13.2 *8.5 *10.5

Pneumonia, all forms . . . . . . . . . . . . . . . . . . . . . . . . 480–486 3.9 * * 4.8 4.2 * *

Other diseases of the respiratory system . . . . . . . . . . . . 490–496 6.9 * *5.4 5.7 9.0 * *8.4

Diseases of the digestive system . . . . . . . . . . . . . . . . . . 520–579 3.2 * *2.8 *2.8 4.4 * *

Diseases of the genitourinary system . . . . . . . . . . . . . . . . 580–629 3.5 1.6 * 3.3 5.0 * *

Urinary tract infection . . . . . . . . . . . 580–583,590, 595,597,599.0 1.8 * * *2.1 *2.9 * *

Diseases of the skin and subcutaneous tissue . . . . . . . . . . 680–709 2.0 * 3.5 * * * *

Decubitus ulcer .............................. 707.0 *0.5 – ** * * *

Other chronic ulcer of the skin ................ 707.1–707.9 * – ** * * –

Disease of the musculoskeletal system and

connective tissue . . . . . . . . . . . . . . . . . . . . . . . . . . . 710–739 4.9 *9.3 6.8 3.7 3.4 * *

Rheumatoid arthritis, except spine . . . . . . . . . . . . . . . . . . . 714 * * * * * * *

Osteoarthritis and allied disorders, except spine . . . . . . . . . . . 715 1.0 * * * * * *

Other arthropathies and related disorders . . . . . . 710–714, 716–719 *0.8 * * * * * *

Osteoporosis ............................... 733.0 * * * * * * *

Congenital anomalies . . . . . . . . . . . . . . . . . . . . . . . . . . 740–759 * – ** * – *

Symptoms, signs, and ill-defined conditions . . . . . . . . . . . . 780–799 5.4 *6.2 6.7 3.9 5.3 * *7.0

Senility without mention of psychosis . . . . . . . . . . . . . . . . . . 797 * – * – * * –

Injury and poisoning . . . . . . . . . . . . . . . . . . . . . . . . . . 800–999 10.1 23.1 14.5 5.6 6.4 *10.6 *9.1

Fracture of neck of femur . . . . . . . . . . . . . . . . . . . . . . . . . 820 3.9 *8.6 *5.5 *2.5 *2.8 * *

Other fractures . . . . . . . . . . . . . . . . . . . . . . 800–819,821–829 4.3 11.2 *5.1 *2.4 *2.5 * *

Supplemental classification . . . . . . . . . . . . . . . . . . . . . V01–V82 7.3 14.9 10.9 2.8 4.8 * *9.8

Posthospital aftercare . . . . . . . . . . . . . . . . . . . . V42–V46,V52,

V53.3–V53.7,V54–V58 5.4 *12.9 8.5 *1.6 *2.5 * *

Unknown or no diagnosis ............................. * – ** * – *

*Figure does not meet standard of reliability or precision, because sample size is less than 30 and therefore, is not reported. If shown with a number, it should not be assumed reliable because the

sample size is between 30 to 59 or the sample size is greater than 59 but has a relative standard error over 30 percent.

– Quantity zero.

1Based on the International Classification of Diseases, 9th Revision, Clinical Modification (6).

NOTE: Percents are based on the unrounded numbers.

Series 13, No. 147 [ Page 75
Appendix I

Technical Notes on

Methods

Statistical Design

From July through December 1996,

the National Center for Health Statistics’

(NCHS) Division of Health Care

Statistics (DHCS), conducted the 1997

National Nursing Home Survey

(NNHS). This survey is the fifth survey

of nursing home facilities, their current

residents, and discharges. The first

NNHS was conducted between August

1973 and April 1974, the second from

May through December 1977, the third

survey was conducted from August 1985

through January 1986, and the fourth

survey was conducted from July through

December 1995.

Scope of the Survey

The sample for the 1997 NNHS

was taken from a frame that consisted

of all nursing home facilities identified

in the 1991 National Health Provider

Inventory (NHPI) (3) and updated with

current (1997) files of nursing homes.

These updated files were obtained from

the Health Care Finance Administration

(HCFA) and other national

organizations.

The universe for the 1997 NNHS

consisted of about 17,900 nursing

homes in the United States. Places that

only provided room and board were

excluded. Places were also excluded if

they had fewer than three beds set up

for use by persons not related to the

owner. Facilities in the universe were

freestanding or were nursing care units

of hospitals, retirement centers, or

similar institutions where the unit

maintained financial and resident records

separate from those of the larger

institution. These facilities were also

certified by Medicare or Medicaid, not

certified but licensed by the State as a

nursing home.

The sample consisted of 1,488

nursing homes. Of these facilities, 53

refused to participate and 29 were

out-of-scope for one or more of the

following reasons: The nursing home

had gone out of business, it failed to

meet the definition of a nursing home as

used in this survey, not yet in operation,

or temporarily closed. A total of 1,406

nursing homes participated in the

survey.

Sample Design

The sample design for the 1997

NNHS was a stratified two-stage

probability design (4). The first stage of

selection is a probability sample of the

nursing facilities in the sampling frame.

The primary sampling strata of nursing

facilities were defined by bed size and

certification status. The bed size

categories used were 3–14, 5–24, 25–49,

50–99, 100–199, 200–399, 400–599, and

600 beds or more. The strata of certified

facilities consisted of facilities certified

by either Medicare or Medicaid as a

skilled nursing or intermediate care

facility. Within primary strata, facilities

were sorted by hospital based and

nonhospital based, ownership,

geographic region, metropolitan status,

State, county and Zip code. Nursing

homes were then selected using

systematic sampling with probability

proportional to their bed size.

The second stage of sample

selection, sampling six current residents

and six discharges within each facility,

was done using a sample selection table

to obtain systematic probability samples

of current residents and discharges. The

residents and discharges were selected

from lists constructed for each facility at

the time of the interview. Current

residents were defined as those residents

who were on the rolls of the facility as

of midnight on the day before the date

of the survey. Discharges referred to

those residents who were discharged

from the facility during a designated

month between October 1996 and

September 1997. Discharges that

occurred because of death were

included.

Estimation Procedure

Estimates presented in this report

were derived by a multistage estimation

procedure (5) that produces essentially

unbiased national estimates and has

three principal components. The first

component, inflation by the reciprocals

of the probabilities of sample selection,

is the basic inflation weight. This

component consists of the inverse of the

probability of selecting the facility and

resident or discharge within each

facility. The second component, which

consists of an adjustment for

nonresponse, brings estimates based

only on the responding cases up to the

level that would have been achieved if

all eligible cases had responded. The

third component, ratio adjustment to

fixed totals, adjusts for over- or

undersampling of facilities reported in

the sampling frame.

Data Collection and Processing

Data Collection

A letter was sent to the sampled

nursing home informing the

administrator of the authorizing

legislation, the purpose, and the content

of the survey. Within 7 to 10 days after

the letter was mailed, the interviewer

assigned to conduct the survey in a

particular nursing home made telephone

contacts to discuss the survey and to

arrange an appointment with the

administrator or person designated by

the administrator.

Three questionnaires and two

sampling lists were used to collect the

data (see appendix III):

+ Facility questionnaire

+ Current resident questionnaire

+ Discharged resident questionnaire

+ Current resident sampling list

+ Discharged resident sampling list

The Facility Questionnaire was

completed with the administrator or the

administrator-appointed designee. The

interviewer then completed the Current

resident sampling list and the

Discharged resident sampling list. These

lists were used to select the sample

residents and discharges. Using a set of

sampling tables, the interviewer selected

a sample of up to six current resident

and six discharges. After the samples

were selected, the Current resident

questionnaire and Discharged resident

questionnaire were completed for each

sampled resident by a staff member

Page 76 [ Series 13, No. 147
familiar with the care received by the

resident and with medical records of the

resident. No resident was directly

interviewed.

When all interviews were

completed, the interviewer thanked the

administrators for his or her time and

cooperation and left a copy of a thank

you letter.

Data Processing

The data were then converted into

machine-readable form by the National

Center for Health Statistics (NCHS).

Extensive editing was then conducted by

computer to ensure that all responses

were accurate, consistent, logical, and

complete. The medical information

recorded on the resident questionnaires

was coded by NCHS staff according to

the International Classification of

Diseases, 9th Revision, Clinical

Modification (6).

Reliability of Estimates

Because the statistics presented in

this report are based on a sample, they

will differ somewhat from figures that

would have been obtained if a complete

census had been taken using the same

schedules, instructions, and procedures.

The standard error (SE) is primarily a

measure of the variability that occurs by

chance because only a sample, rather

than the entire universe, is surveyed.

The SE also reflects part of the

measurement error, but it does not

measure any systematic biases in the

data nor other nonsampling error. The

chances are about 95 in 100 that an

estimate from the sample differs from

the value that would be obtained from a

complete census by less than twice the

SE.

The SE’s used in this report were

approximated using SUDAAN software.

SUDAAN computes SE’s by using a

first-order Taylor approximation of the

deviation of estimates from their

expected values. A description of the

software and the approach it uses had

been published (7). Although exact SE

estimates were used in tests of

significance in this report, SE’s for

aggregate estimates presented may be

estimated using the general formula:

SE(X) = X c RSE(X)

where X is the estimate and relative

standard error (RSE) RSE(X) is the RSE

of the estimate. The (RSE(X)) may be

estimated using the following general

formula (8):

RSE(X) = Œ A +

B

X

where X is the estimate and A and B are

the appropriate coefficients from table I.

To approximate the (RSE(p)) and

the (SE(p)) of a percent p, the

appropriate value of parameter B from

table I is used in the following equation:

RSE(p) = Œ B c (100 – p)

p c Y

where p = 100 c X/Y, X = the numerator

of the estimated percent, and Y = the

denominator of the estimated percent

and

SE(p) = p c RSE(p)

The SE of a percent is valid only

when one of the following conditions is

satisfied: The RSE of the denominator is

5 percent or less (9) or the RSE’s of the

numerator and the denominator are both

10 percent or less (10).

The SE’s for the average daily

charge and length of stay since

admission are presented in

tables II–VIII. The SE’s are presented

by selected characteristics of the facility,

current residents, and discharges.

Presentation of Estimates

Publication of estimates for the

NNHS is based on the RSE of the

estimate and the number of a sample

record on which the estimate is based.

Estimates are not presented in NCHS

reports unless a reasonable assumption

regarding the probability distribution of

the sampling error is possible.

Because of the complex sample

design of the NNHS, the following

guidelines are used for presenting the

estimates:

+ If the sample size is less than 30,

the value of the estimate is not

reported.

+ If the sample size is 30–59, or if the

sample size is 60 or more and the

RSE is 30 percent or more, the

estimate is reported but should not

be assumed reliable. This is

indicated by an asterisk in the

tables.

+ If the sample size is 60 or more and

the RSE is less than 30 percent, the

estimate is reported and is

considered reliable.

+ The actual RSE for each estimate,

using SUDAAN software, was used

for this procedure.

Table I. Parameters used to compute relative standard errors by type of estimate

Type of estimate

Parameters

A B

Facilities ....................... 0.002888 8.364379

Admissions ..................... 0.015809 850.354391

Beds ......................... –0.000519 1,096.816184

Full-time equivalent employees ......... –0.000568 1,044.497366

Current residents ................. 0.001692 250.959236

Discharged residents ............... 0.028768 634.470897

Series 13, No. 147 [ Page 77
Table II. Standard errors for average per diem rates for private pay patients, by level of care of facility and for Medicare and Medicaid

patients by certification status of facility, according to selected facility characteristics: United States, 1997

Facility characteristics

Level of care Certification status

Skilled Intermediate Residential Medicare Medicaid

Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.3 1.7 8.6 3.6 2.6

Ownership

Proprietary . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.6 1.6 12.5 3.8 1.4

Voluntary nonprofit . . . . . . . . . . . . . . . . . . . . . . . 5.4 4.9 4.1 9.2 9.5

Government and other . . . . . . . . . . . . . . . . . . . . . 6.3 4.2 * 7.4 3.3

Certification

Certified—

By Medicare and Medicaid . . . . . . . . . . . . . . . . . 2.6 2.1 11.4 3.8 3.0

By Medicare only ....................... *8.3 * * *11.8 . . .

By Medicaid only . . . . . . . . . . . . . . . . . . . . . . . 3.7 2.1 *5.9 . . . 2.1

Not certified . . . . . . . . . . . . . . . . . . . . . . . . . . . * * * ... ...

Beds

Fewer than 50 beds ...................... *14.4 *13.6 * *23.6 *11.6

50–99 beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3.2 2.4 24.5 5.9 6.0

100–199 beds . . . . . . . . . . . . . . . . . . . . . . . . . . 2.4 1.6 3.0 3.8 0.9

200 beds or more . . . . . . . . . . . . . . . . . . . . . . . . 3.6 2.8 *6.8 5.5 2.3

Region

Northeast . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3.1 4.6 *57.7 4.6 1.8

Midwest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3.0 1.6 3.1 4.3 1.2

South . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.7 2.0 2.9 6.3 6.8

West . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9.2 9.6 *4.6 13.1 6.4

Location of agency

Metropolitan statistical area . . . . . . . . . . . . . . . . . . 3.2 1.9 14.7 4.9 1.8

Nonmetropolitan statistical area . . . . . . . . . . . . . . . 2.8 3.0 3.0 4.3 5.8

Affiliation1

Chain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3.2 2.3 2.4 4.2 1.9

Independent . . . . . . . . . . . . . . . . . . . . . . . . . . . 3.4 2.6 17.6 6.6 5.6

*Figure does not meet standard of reliability or precision, because sample size is less than 30 and therefore, is not reported. If shown with a number, it should not be assumed reliable because the

sample size is between 50 to 59 or the sample size is greater than 59 but has a relative standard error over 30 percent.

. . . Category not applicable.

1Excludes unknown.

Page 78 [ Series 13, No. 147
Table III. Standard errors for average length of stay since admission of nursing home

residents and discharges, by selected facility characteristics: United States, 1997

Facility characteristics

Current

resident Discharges

All facilities ...................................... 15.4 14.3

Ownership

Proprietary ...................................... 18.4 13.9

Voluntary nonprofit ................................. 30.4 35.9

Government and other ............................... 61.1 113.5

Certification

Certified—

By Medicare and Medicaid ........................... 15.9 15.4

By Medicare only ................................. 55.0 19.3

By Medicaid only ................................. 64.4 50.8

Not certified . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88.6 87.1

Beds

Fewer than 50 beds ................................ 65.6 29.7

50–99 beds ...................................... 30.5 34.4

100–199 beds .................................... 22.7 19.6

200 beds or more .................................. 30.6 21.7

Geographic region

Northeast ....................................... 30.3 26.4

Midwest ........................................ 27.7 24.9

South ......................................... 29.4 28.2

West . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35.1 24.8

Location of agency

Metropolitan statistical area ............................ 16.9 16.4

Nonmetropolitan statistical area ......................... 31.7 31.1

Affiliation1

Chain ......................................... 20.1 15.6

Independent ..................................... 23.4 28.2

1Excludes unknown.

Series 13, No. 147 [ Page 79
Table IV. Standard errors for average daily charge of nursing home residents by primary source of payment in month before interview, by

selected facility characteristics: United States, 1997

Facility characteristics

All

sources

Private

sources1 Medicare Medicaid

All other

sources2

Average daily charge

All facilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.9 2.6 10.4 1.6 11.6

Ownership

Proprietary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.2 3.7 11.3 1.4 19.8

Voluntary nonprofit . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.5 3.8 25.4 5.3 19.7

Government and other . . . . . . . . . . . . . . . . . . . . . . . . . . 4.4 6.0 *13.2 4.6 *14.2

Certification

Certified—

By Medicare and Medicaid . . . . . . . . . . . . . . . . . . . . . . 2.1 3.0 10.7 1.7 16.1

By Medicare only . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7.2 5.5 39.6 * *

By Medicaid only . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.1 3.0 * 2.4 *26.2

Not certified . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7.3 8.2 * * *17.6

Beds

Fewer than 50 beds . . . . . . . . . . . . . . . . . . . . . . . . . . . 9.7 5.6 60.4 9.5 *26.9

50–99 beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.1 3.9 31.2 4.2 *13.0

100–199 beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.6 4.2 12.4 1.6 21.0

200 beds or more . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3.9 6.4 18.9 3.6 14.3

Geographic region

Northeast . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.0 6.8 20.8 3.0 14.1

Midwest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.6 3.6 17.2 1.6 *38.0

South . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3.4 4.6 20.7 1.9 *11.8

West . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6.1 7.8 20.9 8.5 24.2

Location of agency

Metropolitan statistical area . . . . . . . . . . . . . . . . . . . . . . . 2.5 3.5 12.8 2.2 13.4

Nonmetropolitan statistical area . . . . . . . . . . . . . . . . . . . . 2.2 2.1 15.3 1.6 *17.3

Affiliation3

Chain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.7 3.9 16.1 1.6 17.4

Independent . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.6 3.3 9.8 3.0 11.7

*Figure does not meet standard of reliability or precision, because sample size is less than 30 and therefore, is not reported. If shown with a number, it should not be assumed reliable because the

sample size is between 30 to 59 or the sample size is greater than 59 but has a relative standard error over 30 percent.

1Includes private insurance, family support, Social Security benefits, and retirement funds.

2Includes Supplemental Security Income, religious organizations, foundations, agencies, Veterans’ Administration (VA) contracts, pensions, or other VA compensation, payment source not yet

determined, other, and unknown sources.

3Excludes unknown.

Page 80 [ Series 13, No. 147
Table V. Standard errors for average daily charge of nursing home residents by primary source of payment in month before interview, by

selected resident characteristics: United States, 1997

Resident characteristics

All

sources

Private

sources1 Medicare Medicaid

All other

sources2

Average daily charge

All residents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.9 2.6 10.4 1.6 11.6

Age3

Under 65 years . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6.6 39.0 *40.8 5.8 *19.4

65 years and over . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.9 2.3 10.7 1.4 13.1

65–74 years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.7 12.7 23.8 3.2 *74.8

75–84 years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.9 3.5 17.6 1.6 12.1

85 years and over . . . . . . . . . . . . . . . . . . . . . . . . . 2.1 2.4 12.6 1.6 10.1

Sex

Male . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3.5 6.5 16.1 3.7 18.3

Female . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.0 2.5 11.8 1.4 10.1

Race

White . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.8 2.6 9.7 1.4 13.2

Black and other . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7.3 *21.1 45.8 3.9 *21.0

Black . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7.9 *25.0 49.2 4.1 *13.2

Unknown ................................ 17.1 * * *6.1 *

Hispanic origin

Hispanic ................................. 15.4 * *20.9 14.9 *

Non-Hispanic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.9 2.4 11.4 1.4 12.6

Unknown . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5.7 7.5 19.2 3.7 *

Current marital status

Married . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.7 7.5 20.3 4.4 *39.7

Widowed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.9 2.6 10.2 1.6 8.4

Divorced or separated . . . . . . . . . . . . . . . . . . . . . . . . 8.5 7.9 87.3 2.4 *24.2

Single or never married . . . . . . . . . . . . . . . . . . . . . . . 3.1 5.0 23.1 2.7 *20.5

Unknown . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9.4 * * 7.9 *

Residence before admission

Private or semiprivate residence . . . . . . . . . . . . . . . . . . 2.0 4.2 9.3 1.7 11.2

Retirement home . . . . . . . . . . . . . . . . . . . . . . . . . . . 5.1 6.9 * *4.8 *

Board and care or residential care facility . . . . . . . . . . . . 4.1 6.7 *25.1 3.2 *

Nursing home . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5.6 4.6 72.7 2.2 *

Hospital . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3.2 4.2 13.6 2.8 22.0

Mental health facility . . . . . . . . . . . . . . . . . . . . . . . . . 5.8 * * 6.3 *

Other or unknown . . . . . . . . . . . . . . . . . . . . . . . . . . . 7.9 *11.6 * 5.6 *

Living arrangement before admission

Alone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.7 4.2 15.8 2.4 *11.5

With family members . . . . . . . . . . . . . . . . . . . . . . . . . 2.7 6.3 13.0 2.9 *16.8

Only with nonfamily members . . . . . . . . . . . . . . . . . . . 6.0 *7.0 * 5.1 *

Other or unknown . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.5 3.1 13.4 2.0 16.5

*Figure does not meet standard of reliability or precision, because sample size is less than 30 and therefore, is not reported. If shown with a number, it should not be assumed reliable because the

sample size is between 30 to 59 or the sample size is greater than 59 but has a relative standard error over 30 percent.

1Includes private insurance, family support, Social Security benefits, and retirement funds.

2Includes Supplemental Security Income, religious organizations, foundations, agencies, Veterans’ Administration (VA) contracts, pensions, or other VA compensation, payment source not yet

determined, other, and unknown sources.

3Excludes unknown.

Series 13, No. 147 [ Page 81
Table VI. Standard errors for average length of stay since admission for nursing home

residents, by demographic characteristics: United States, 1997

Demographic characteristics

Current

residents Discharge

All residents .............................. 15.4 14.3

Age1

Under 65 years ............................ 67.2 21.6

65 years and over ........................... 15.1 15.3

65–74 years ............................. 41.8 14.4

75–84 years ............................. 24.2 17.2

85 years and over ......................... 19.2 24.7

Sex

Male ................................... 28.6 13.6

Female ................................. 17.2 18.4

Race

White .................................. 16.5 15.2

Black and other ............................ 40.1 29.2

Black ................................. 42.0 29.1

Unknown ................................ 159.8 19.9

Hispanic origin

Hispanic ................................. 75.3 46.6

Non-Hispanic .............................. 16.2 15.4

Unknown ................................ 53.3 31.8

Current marital status

Married ................................. 21.3 12.1

Widowed ................................ 15.4 19.1

Divorced or separated ........................ 50.8 34.4

Single or never married ....................... 56.6 42.2

Unknown ................................ 245.9 37.4

Current residence

Private or semiprivate residence .................. 25.8 39.3

Retirement home ........................... 73.6 68.8

Board and care or residential care facility ............ 97.1 53.1

Nursing home ............................. 42.7 65.6

Hospital ................................. 18.9 11.9

Mental health facility ......................... 213.6 *140.9

Other or unknown ........................... 87.1 56.0

Living arrangement before admission

Alone .................................. 36.5 55.1

With family members ......................... 34.7 38.9

Only with nonfamily members ................... 71.2 77.9

Unknown ................................ 18.3 13.7

*Figure does not meet standard of reliability or precision, because sample size is less than 30 and therefore, is not reported. If

shown with a number, it should not be assumed reliable because the sample size is between 30 to 59 or the sample size is greater

than 59 but has a relative standard error over 30 percent.

1Excludes unknown.

Page 82 [ Series 13, No. 147
Table VII. Standard errors for average length of stay since admission for nursing home

residents and discharges, by primary diagnosis at admission: United States, 1997

Diagnosis and ICD–9–CM code1

Current

residents Discharges

Total ................................................. 15.4 14.3

Infectious and parasitic diseases . . . . . . . . . . . . . . . . . . . . . . . . . . 001–139 130.4 48.8

Neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 140–239 58.0 18.4

Malignant neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . 140–208,230–234 54.9 18.2

Endocrine, nutritional, and metabolic diseases and immunity disorders . . 240–279 41.7 35.2

Diabetes mellitus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 250 47.5 48.9

Diseases of the blood and blood-forming organs . . . . . . . . . . . . . . . . 280–289 168.5 *92.9

Anemias . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 280–285 147.7 *96.9

Mental disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 290–319 47.5 49.2

Senile dementia or organic brain syndrome .................. 290, 310 62.9 97.6

Mental retardation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 317–319 319.6 *

Other mental disorders . . . . . . . . . . . . . . . . . . . . . . . . 291–309, 311–316 50.2 47.6

Diseases of the nervous system and sense organs . . . . . . . . . . . . . . 320–389 45.8 69.6

Alzheimer’s disease .................................. 331.0 33.4 102.0

Parkinson’s disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 332 73.1 108.7

Multiple sclerosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 340 214.2 *

Paralytic syndromes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 342–344 353.4 *78.1

Other diseases of the nervous system and sense organs . . . . . . . . . 320–330,

331.3–331.9,333–337,341,345–389 111.1 174.8

Diseases of the circulatory system . . . . . . . . . . . . . . . . . . . . . . . . 390–459 26.6 21.0

Essential hypertension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 401 59.8 114.1

Heart disease . . . . . . . . . . . . 391–392.0,393–398,402,404,410–416,420–429 45.9 31.7

Diseases of the respiratory system . . . . . . . . . . . . . . . . . . . . . . . . 460–519 36.7 24.4

Pneumonia, all forms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 480–486 52.1 31.0

Other diseases of the respiratory system . . . . . . . . . . . . . . . . . . . 490–496 51.0 27.3

Diseases of the digestive system . . . . . . . . . . . . . . . . . . . . . . . . . 520–579 54.6 49.4

Diseases of the genitourinary system . . . . . . . . . . . . . . . . . . . . . . . 580–629 56.2 41.5

Urinary tract infection . . . . . . . . . . . . . . . . . . . 580–583,590, 595,597,599.0 71.8 35.8

Diseases of the skin and subcutaneous tissue . . . . . . . . . . . . . . . . . 680–709 101.0 46.8

Decubitus ulcer ..................................... 707.0 *133.7 *61.7

Other chronic ulcer of the skin ........................ 707.1–707.9 * *

Diseases of the musculoskeletal system and connective tissue . . . . . . . 710–739 48.3 35.7

Rheumatoid arthritis, except spine . . . . . . . . . . . . . . . . . . . . . . . . . . 714 * *

Osteoarthritis and allied disorders, except spine . . . . . . . . . . . . . . . . . . 715 93.7 70.0

Other arthropathies and related disorders . . . . . . . . . . . . . .710–714,716–719 *121.5 *85.1

Osteoporosis ...................................... 733.0 *163.9 *

Congenital anomalies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 740–759 * *

Symptoms, signs, and ill-defined conditions . . . . . . . . . . . . . . . . . . . 780–799 57.6 47.8

Senility without mention of psychosis . . . . . . . . . . . . . . . . . . . . . . . . . 797 * *

Injury and poisoning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 800–999 34.1 24.7

Fracture of neck of femur . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 820 43.3 48.5

Other fractures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 800–819,821–829 56.3 31.5

Supplementary classification . . . . . . . . . . . . . . . . . . . . . . . . . . . . V01–V82 49.8 20.8

Posthospital aftercare . . . . . . . . . . . . . V42–V46,V52,V53.3–V53.7,V54–V58 58.7 17.1

Unknown or no diagnosis .................................... * *

*Figure does not meet standard of reliability or precision, because sample size is less than 30 and therefore, is not reported. If

shown with a number, it should not be assumed reliable because the sample size is between 30 to 59 or the sample size is greater

than 59 but has a relative standard error over 30 percent.

1Based on the International Classification of Diseases, 9th Revision, Clinical Modification (6).

Series 13, No. 147 [ Page 83
Table VIII. Standard errors for average length of stay since admission of nursing home

discharges by source of payment and reason for discharge: United States, October

1996–September 1997

Residential characteristics

Standard error

for average

length of stay

Total ............................................... 14.3

Source of payment

Private sources1 ........................................ 17.3

Medicare . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9.4

Medicaid ............................................ 30.3

All other sources2 ....................................... 33.6

Reason for discharge

Recovered ........................................... 16.6

Stabilized . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.1

Deceased ............................................ 28.9

Admitted to hospital ...................................... 17.9

Admitted to another nursing home ............................. 40.9

Other or unknown . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11.3

*Figure does not meet standard of reliability or precision, because sample size is less than 30 and therefore, is not reported. If

shown with a number, it should not be assumed reliable because the sample size is between 30 to 59 or the sample size is greater

than 59 but has a relative standard error over 30 percent.

1Includes private insurance, family support, Social Security benefits, and retirement funds.

2Includes Supplemental Security Income, religious organizations, foundations, agencies, Veterans’ Administration (VA) contracts,

pensions, or other VA compensation, payment source not yet determined, other, and unknown sources.

Page 84 [ Series 13, No. 147
Appendix II

Definitions of Certain

Terms Used in This Report

Terms Relating to Facilities

Nursing homes—Facilities with

three beds or more that routinely

provide nursing care services. Facilities

may be certified by Medicare or

Medicaid, or not certified but licensed

by the State as a nursing home. These

facilities may be freestanding or a

distinct unit of a larger facility.

Bed—One that is set up and staffed

for use, whether or not it was in use by

a resident at the time of the survey. Not

included are beds used by staff or

owners or beds used exclusively for

emergency purposes, for day care, or for

night care.

Certified bed—One that is certified

under the Medicare program, the

Medicaid program, or both. (See

definition under ‘‘Certification’’ for

details.)

Certification—Facility certification

provided by Medicare and/or Medicaid.

Medicare—The medical assistance

provided in title XVIII of the Social

Security Act. Medicare is a health

insurance program administered by the

Social Security Administration for

persons aged 65 years and over and for

disabled persons who are eligible for

benefits.

Medicaid—The medical assistance

provided in title XIX of the Social

Security Act. Medicaid is a

State-administered program for the

medically indigent.

Not certified—A facility not

certified as a provider of care by either

Medicare or Medicaid.

Admissions—The count of

admissions to a nursing home for

calendar year 1996.

Occupancy rate—A measure of bed

utilization calculated by dividing

residents by available beds.

Geographic region—The four

geographic regions of the United States

that correspond to those used by the

U.S. Bureau of the Census.

Region States included

Northeast Maine, New Hampshire,

Vermont, Massachusetts,

Rhode Island, Connecticut,

New York, New Jersey,

Pennsylvania

Midwest Michigan, Ohio, Indiana,

Illinois, Wisconsin,

Minnesota, Iowa, Missouri,

North Dakota, South Dakota,

Kansas, Nebraska

South Delaware, Maryland, District

of Columbia, Virginia, West

Virginia, North Carolina,

South Carolina, Georgia,

Florida, Kentucky, Texas,

Tennessee, Alabama,

Mississippi, Arkansas,

Louisiana, Oklahoma

West Montana, Idaho, Wyoming,

Colorado, New Mexico,

Arizona, Utah, Nevada,

Washington, Oregon,

California (Alaska and

Hawaii are excluded.)

Location—Locale of the facility

providing services is classified as inside

a metropolitan statistical area (MSA) or

outside an MSA.

Metropolitan statistical

area—Definition and titles are

established by the U.S. Office of

Management and Budget with advice

from the Federal committee on MSA’s.

Generally, an MSA consists of a county

or group of counties containing at least

one city (or twin cities) having a

population of 50,000 or more plus

adjacent counties that are metropolitan

in character and are economically and

socially integrated with the central city.

In New England, towns and cities rather

than counties are the units used in

defining MSA’s. There is neither a limit

to the number of adjacent counties

included in the MSA as long as they are

integrated with the central city, nor a

limit to a single State; boundaries may

cross State lines. The metropolitan

population in this report is based on

MSA’s as defined in the 1980 Census

and does not include any subsequent

additions or changes.

Not in MSA—All other places in the

country.

Ownership—The type of

organization that controls and operates

the nursing home.

Proprietary facility—A facility

operated under private commercial

ownership.

Voluntary nonprofit facility—A

facility operated under voluntary or

nonprofit auspices, including

church-related facilities.

Government facility—A facility

operated under Federal, State, or local

government auspices.

Service—A type of service referring

to classes of services offered by a

nursing home to its residents. Residents

fall into five major categories: Health

care; therapy services provided by

professionals at the nursing home; social

services; ancillary services such as

hospice services, vocational

rehabilitation, and transportation; and

other types of services.

Employee—An individual providing

services to the residents of the nursing

home. Employee data presented in this

report pertain to full-time equivalent

(FTE) employees. FTE’s are used to

neutralize the variations between

facilities that hire part-time workers to

cover the number of hours of a full-time

worker. The 1995 survey asked the

administrator for the number of FTE’s

for selected categories of employees.

Terms Relating to Occupational

Categories

Administrative and medical

staff—Administrators, assistant

administrators, physicians (M.D. or

D.O.), dentist, dietitians or nutritionists,

and members of other professional

occupations.

Therapeutic staff—Registered

physical therapists, social workers, and

speech pathologists or audiologists.

Nursing staff—Registered nurses,

licensed practical nurses, licensed

vocational nurses, and nurse’s aides or

orderlies.

Terms Relating to Residents

and Discharges

Current resident—A person on the

roster of the nursing home as of the

night before the survey. Included are all

Series 13, No. 147 [ Page 85
residents for whom beds are maintained,

even though they may be away on

overnight leave or in a hospital.

Discharge—A person formally

discharged from care by the facility

during a designated month randomly

selected for each facility before data

collection. Both live and deceased

discharges are included. Residents were

counted more than once if the patient

was discharged more than once during

the reference period.

Demographic Items

Age—The resident’s age at the time

of interview, calculated as the difference

in years between the date of birth and

the date of interview.

Race—The resident’s racial

background as reported by facility staff.

Hispanic origin—A person of

Mexican, Cuban, Central or South

American, or other Spanish culture or

origin, regardless of race, as reported by

facility staff.

Marital status—The marital status

at the time of the survey (for current

residents) or the time of discharge (for

discharges).

Other Items

Activities of daily living—Activities

that are classified into five categories

(bathing, dressing, eating, transferring,

and using toilet room) that reflect the

resident’s capacity for self-care. The

resident’s need for assistance with these

activities refers to personal help

received from agency staff at the time of

the survey (current residents) or the last

time care was provided (for discharges).

Help that a resident may receive from

persons who are not staff of the facility

(for example, family members, friends,

or individuals employed directly by the

patient and not by the facility) is not

included.

Instrumental activities of daily

living—Activities referring to four daily

tasks (care of personal possessions;

handling money; securing personal

items, such as newspaper, toilet articles,

or snack food; and using the telephone)

involving interaction with or adaptation

to the resident’s immediate environment.

The resident’s need for assistance or

supervision in performing these

activities refers to personal help

received from facility staff at the time of

the survey (for current residents) or the

last time care was provided (for

discharges). Help that a resident may

receive from persons who are not staff

of the facility (for example, family

members, friends, or individuals

employed directly by the patient and not

by the facility) is not included.

Primary source of payment—The

one payment source expected to pay (for

current residents) or that did pay (for

discharges) the greatest amount of the

resident’s charge.

Own income or family

support—This includes health insurance,

retirement funds, and social security.

Medicare—Money received under

the Medicare program.

Medicaid—Money received under

the Medicaid program.

Other government assistance or

welfare—Sources of government aid

(Federal, State, or local) other than

Medicare or Medicaid.

All other sources—Sources that

include religious organizations,

foundations, volunteer agencies,

Veterans’ Administration contracts,

initial payment arrangements, life care

arrangements, miscellaneous sources,

and no-charge arrangements.

Charge—The total amount charged

to the resident by the facility during a

specific period.

Length of stay since

admission—The period of stay from the

date of the resident’s most recent

admission to the facility to the date of

the survey interview (for current

residents) or to the day of discharge (for

discharges).

Page 86 [ Series 13, No. 147
Appendix III

Survey Instruments Used in the 1997 National Nursing Home Survey

Series 13, No. 147 [ Page 87
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Appendix IV

Letters to Facility Administrators and Endorsement Letters

Series 13, No. 147 [ Page 117
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Series 13, No. 147 [ Page 119
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Series 13, No. 147 [ Page 121
Vital and Health Statistics

series descriptions

SERIES 1. Programs and Collection Procedures—These reports

describe the data collection programs of the National Center

for Health Statistics. They include descriptions of the methods

used to collect and process the data, definitions, and other

material necessary for understanding the data.

SERIES 2. Data Evaluation and Methods Research—These reports are

studies of new statistical methods and include analytical

techniques, objective evaluations of reliability of collected data,

and contributions to statistical theory. These studies also

include experimental tests of new survey methods and

comparisons of U.S. methodology with those of other

countries.

SERIES 3. Analytical and Epidemiological Studies—These reports

present analytical or interpretive studies based on vital and

health statistics. These reports carry the analyses further than

the expository types of reports in the other series.

SERIES 4. Documents and Committee Reports—These are final

reports of major committees concerned with vital and health

statistics and documents such as recommended model vital

registration laws and revised birth and death certificates.

SERIES 5. International Vital and Health Statistics Reports—These

reports are analytical or descriptive reports that compare U.S.

vital and health statistics with those of other countries or

present other international data of relevance to the health

statistics system of the United States.

SERIES 6. Cognition and Survey Measurement—These reports are

from the National Laboratory for Collaborative Research in

Cognition and Survey Measurement. They use methods of

cognitive science to design, evaluate, and test survey

instruments.

SERIES 10. Data From the National Health Interview Survey—These

reports contain statistics on illness; unintentional injuries;

disability; use of hospital, medical, and other health services;

and a wide range of special current health topics covering

many aspects of health behaviors, health status, and health

care utilization. They are based on data collected in a

continuing national household interview survey.

SERIES 11. Data From the National Health Examination Survey, the

National Health and Nutrition Examination Surveys, and

the Hispanic Health and Nutrition Examination Survey—

Data from direct examination, testing, and measurement on

representative samples of the civilian noninstitutionalized

population provide the basis for (1) medically defined total

prevalence of specific diseases or conditions in the United

States and the distributions of the population with respect to

physical, physiological, and psychological characteristics, and

(2) analyses of trends and relationships among various

measurements and between survey periods.

SERIES 12. Data From the Institutionalized Population Surveys—

Discontinued in 1975. Reports from these surveys are

included in Series 13.

SERIES 13. Data From the National Health Care Survey—These reports

contain statistics on health resources and the public’s use of

health care resources including ambulatory, hospital, and longterm care services based on data collected directly from

health care providers and provider records.

SERIES 14. Data on Health Resources: Manpower and Facilities—

Discontinued in 1990. Reports on the numbers, geographic

distribution, and characteristics of health resources are now

included in Series 13.

SERIES 15. Data From Special Surveys—These reports contain statistics

on health and health-related topics collected in special

surveys that are not part of the continuing data systems of the

National Center for Health Statistics.

SERIES 16. Compilations of Advance Data From Vital and Health

Statistics—Advance Data Reports provide early release of

information from the National Center for Health Statistics’

health and demographic surveys. They are compiled in the

order in which they are published. Some of these releases

may be followed by detailed reports in Series 10–13.

SERIES 20. Data on Mortality—These reports contain statistics on

mortality that are not included in regular, annual, or monthly

reports. Special analyses by cause of death, age, other

demographic variables, and geographic and trend analyses

are included.

SERIES 21. Data on Natality, Marriage, and Divorce—These reports

contain statistics on natality, marriage, and divorce that are

not included in regular, annual, or monthly reports. Special

analyses by health and demographic variables and

geographic and trend analyses are included.

SERIES 22. Data From the National Mortality and Natality Surveys—

Discontinued in 1975. Reports from these sample surveys,

based on vital records, are now published in Series 20 or 21.

SERIES 23. Data From the National Survey of Family Growth—These

reports contain statistics on factors that affect birth rates,

including contraception, infertility, cohabitation, marriage,

divorce, and remarriage; adoption; use of medical care for

family planning and infertility; and related maternal and infant

health topics. These statistics are based on national surveys

of women of childbearing age.

SERIES 24. Compilations of Data on Natality, Mortality, Marriage,

Divorce, and Induced Terminations of Pregnancy—

These include advance reports of births, deaths, marriages,

and divorces based on final data from the National Vital

Statistics System that were published as supplements to the

Monthly Vital Statistics Report (MVSR). These reports provide

highlights and summaries of detailed data subsequently

published in Vital Statistics of the United States. Other

supplements to the MVSR published here provide selected

findings based on final data from the National Vital Statistics

System and may be followed by detailed reports in Series 20

or 21.

For answers to questions about this report or for a list of reports published in

these series, contact:

Data Dissemination Branch

National Center for Health Statistics

Centers for Disease Control and Prevention

6525 Belcrest Road, Room 1064

Hyattsville, MD 20782-2003

(301) 458–4636

E-mail: nchsquery@cdc.gov

Internet: www.cdc.gov/nchs/
DHHS Publication No. (PHS) 2000-1718, Series 13, No. 1470-0309 (7/00)

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