PROPER~ OF TH& 

Data from the PUBLICATIONS BRANCH 

LIBMRY NATIONALHEALTHSURVEY f2?lTORlAL

Series 1 

Number9 

Designand Methodologyof the 

1967MasterFacility 

InventorySurvey 

A description and evaluation of the 1967 survey, which updated the original Master Facility Inventory, together with 

a summary of the Inventory’s early development. 

DHEW Publication No. (HSM) 73-1260 

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


Public Health Service


Health %vices and Mental Health Administration


., 

Rockville, Md. January 1971 
Public Health Service Publication No. 1000-Series 1-No. 9 
NATIONAL CENTER FOR HEALTH STATISTICS 

* 

THEODORE D.WOOLSEY, Director 

PHILIP S. LAWRENCE, SC.D., As.sociat e Director 

OSWALD K. SAGEN, Ph.D.,, Assistant Director {or Health Statistics Development 

WALT R. S1MMONS, M.A., Assistant Director /or Research and Scient i/it Development 

JAF.IES E. KELLY, D. D.s., Dental Advisor 

EDWARD E. MINTY, Executive O/ficer 

DIVISION OF HEALTH RESOURCES 

SIEGFRIED A. HOERMANN, Director 

PETER L. HURLEY, Deputy Director 

NOAH SHERMAN, Chief, Family planning Statistics Branch 

GRACE WHITE, Acting Chief, Hospital Discharge Survey Branch 

G. GLORIA HOLLIS, Chief, Health Facility Statistics Branch 

PAULA STEWART, Acting Chief, Health Manpower Statistics Branch 

Public Health Service Publication Na. 1000-Series J- No. 9 

Library of Congress Catalog Card Number 72-60-5818 
PREFACE 

One of the responsibilities of the National Center for Health Statistics is to gather comprehensive statistics on all types of health facilities and services, The Master Facility Inventory (MFI), which is a 

statistical program of data collection of all inpatient health facilities, 

develops a list of such health facilities. A continuing effort is made to 

keep this list current. To this end, a survey of the MFI is conducted 

biennially, and an Agency Reporting System (ARS) has been developed 

to provide information on new institutions. 

The maintenance of the MFI was made possible through the cooperation of many individuals who completed questionnaires in a 1967 mail 

survey of inpatient health facilities, and of a number of agencies which 

provided lists of health facilities from which the mailing list for the 

survey was compiled. Their cooperation is gratefully acknowledged. 

In this survey of hospitals and inpatient facilities conducted by the 

National Center for Health Statistics $lCHS), assurance was given that 

“the statistics will be presented in such a manner that no individual 

facili~ can be identified.” Therefore NCHS will not publish a directory 

of establishments, 

The U.S. Bureau of the Census made especially valuable contributions to the 1967 MFI Survey, which included such operations as 

matching the names of hospitals and institutions on different lists to 

eliminate duplicates and the collection of data from establishments to 

determine their current status and nature of business. 

Overall plans for the 1967 MFI survey, including the development 

of procedures and general specifications for collating lists and surveying establishments, were the responsibility of the National Center for 

Health Statistics and were developed under the supervision of Peter 

Hurley with the assistance of James DeLozier. 

This report was prepared by G. Gloria Hollis. 

iii

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SYMBOLS 

Data not available 

Category not applicable . . . 

Quantity zero 

Quantitymorethan O but less than O.05---- 0.0 

Figure doesnot meet standards of 

* reliabilityor precision 

iv 
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CONTENTS


Description of the Master Facility Inventory


Explanation of tie MFI----------------------------------------------


Purposes of the MFI------------------------------------------------


Background


The Agency Reporting System


1967 MFISurvey


Summary


Survey Objective


Mailing List


Survey Questionnaires


Pretest----------------------------------------------------:-------


Survey @erations


Facility Classification


Survey Evaluation


Response to the 1967MFI


Appendix I. FOmS


Appendix II. Definitions and Classification Procedures


Criteria for Classifying Nursing, Personal, or Domiciliary Care Homes-­


Definitions of Other Terms


1 

1 

2 

2 

2 

3 

3 

3 

3 

4 

4 

5 

10 

10


10


12 

28 

28 

29 

v 
IN THIS REPORT is a detailed description of the procedures used in 

1967 by the National Center for Health Statistics (NCHS) in a survey to 

update the Master Facility Inventory (MFI). 

The MFI is “a comprehensive file of inpatient health facilities such as 

kospituls, nursing care and related homes, and selected custodial and 

comectional institutions in the United States. 

In ordev to keep the data in the file cwrent, biennial mail surveys are 

conducted of all facilities in the MFI. 

In addition to a summary of the development of the MFI, this report @“ves 

a sequential account of how the 1967 survey was conducted and attempts 

an evaluation of the results of the survey. 

vi 
DESIGN AND METHODOLOGY OF THE


1967 MFI SURVEY


DESCRIPTION OF THE MASTER detailed description of the criteria used 

for classifying nursing, personal, or domFACILITY INVENTORY iciliary care homes. 

3. Residential schools or homes for the deaf. 

Explanation	 of the MFI 4. Residential schools or homes for the 

blind. 

The Master Facility Inventory is a compre- 5. Homes for unwed mothers. 

hensive file of those facilities in the United States 6. Orphan asylums and homes for dependent 

which provide medical, nursing, personal, or children. 

custodial care to groups of unrelated persons on 7. Homes for crippled children. 

an “inpatient” (at least overnight) basis, It also 8. Homes for incurable. 

includes certain residential training facilities and 9. Residential schools or detention homes 

correctional institutions. (For convenience, the for juvenile delinquents. 

term inpatient facilities or simply facilities is 10. Prisons, reformatories, and penitentiaused to mean all types of places in scope for the ries operated by the Federal or State 

MFI.) governments. (The MFI excludes county 

In order to keep the MFI current, the entire or municipal jails.) 

list of inpatient health facilities is surveyed biennially to update the data NCHS has. The MFI does not include special dwelling 

At the time of the 1967 survey, the MFI in- places or group quarters such as hotels, private 

cluded the following types of places: residential clubs, fraternity or sorority houses, 

monasteries, nurse’s homes, “flophouses,” labor 

1. Hospitals with six or more beds. camps, etc. 

2.	 Establishments which provide nursing or The MFI is maintained on computer tape 

personal care to the aged, infirm, or and contains the name, address, geographic area 

chronically ill. These include such places code, and basic descriptive data of each facility. 

as nursing homes, convalescent homes, The data for hospitals include ownership or conhomes for the aged, rest homes, boarding trol, major service area, limitation of patients 

homes for the aged, and homes for the by age and/or sex (if any), number of beds, averneedy such as almshouse, county homes, age length of stay, average daily patient census, 

and “poor” farms. In addition to having and number of admissions. For nursing homes, 

three or more beds, the primary criterion the data include ownership or control, type of 

for determining if such establishments facility, limitation of patients by age and/or sex 

are in-scope for the MFI is their function (if any), and number of beds. For other facilities, 

of providing some kind of care in addition the data include ownership or control, type of 

to room and board. See appendix II for a facility, limitation of inmates by age and/or sex 

I 
(if any), and number of persons who stayed in the 

facility. All data in the MFI are obtained directly 

from the facilities through mail surveys. 

Purposes of the MFI 

The MFI has two basic purposes. It is an 

important national source of statistics on the 

number, type, and geographic distribution of 

inpatient facilities in the United States. In addition, 

it serves as the universe from which probability 

samples may be selected for conducting sample 

surveys. 

Background 

The MFI was first assembled during 1962-

1963. During this time a series of mail surveys 

were conducted after succeeding stages of development to determine the current status and 

nature of the places added to the MFI. Facilities 

were also added during 1964 and 1965. Up to the 

time of the 1967 MFI survey, the MFI had been 

used as the sampling frame for three major 

surveys —the Hospital Discharge Survey, the 

Resident Places Survey 1, and the Resident Places 

Survey 2. (Further information on the MFI, its 

purposes, and its development from the 1962-

1963 surveys may be found in NCHS publication 

Series l-No. 3).8 

One of the difficulties with this developmental 

stage of the MFI had been the lack of any means 

of updating the file. As changes rapidly occur 

among inpatient health facilities, it was necessary to develop some means to keep the MFI 

current so that the Center would have accurate 

data on these facilities. In addition, since the 

MJ?I is used as the universe from which probability sample surveys are drawn, it is imperative 

that it be an up-to-date list of facilities, properly 

classified and accompanied by critical identifying 

attributes, such as number of beds. 

Therefore two methods have been developed 

to keep the MFI current. The first of these, the 

a 

National Center for Health Statistics: Development and 

maintenance of a national inventory of hospitals and institutions. Vital and Health Statistics. PHS Pub. No. 1000-

Series l-No. 3. Public Health Service. Washington. U.S. 

Government Printing Office, Feb. 1965. 

Agency Reporting System, is a program for determining the names and addresses of all newly 

established inpatient health facilities. The second 

is a continuing series of biennial surveys of the 

MFI to gather current data on the facilities. 

During 1966-1967, the MFI was first updated 

with the Agency Reporting System, by using lists 

and directories of hospitals and resident facilities 

provided by various city, State, and Federal 

Government agencies. In August 1967, the second 

method of updating was initiated, with a survey of 

all ‘MFI establishments, using a mailing list 

complete as of January 1, 1967. 

This report will describe in detail the 

methodology of the 1967 MFI survey, the first of 

the biennial updating surveys, and attempt an objective evaluation of the results. 

The Agency Reporting System 

An increasing number of new hospitals and 

institutions begin operation each year, many go 

out of business, and ownerships, names, and 

services offered to patients change frequently. 

This is particularly true with regard to nursing 

and personal care homes, which comprise more 

than half of the MFL Therefore, as mentioned 

above, some updating procedure was necessary 

between the biennial MF1 surveys if the inventory 

was to remain complete for any length of time. 

The main concern in updating the file was to 

identify new facilities. Other changes, such as 

name and address changes and facilities going 

out of business, could be made through direct 

contact with the facilities in the biennial surveys 

of the MFI. 

It was decided that an input system at the 

State level was needed to keep the MFI abreast 

of these changes because nearly all facilities in 

the MFI are regulated or controlled by one or 

more State agencies. This decision led to the 

development of the Agency Reporting System 

(ARS), which includes State agencies which administer, regulate, certify, approve, list, or are 

otherwise concerned with medical and resident 

care facilities; national voluntary organizations 

and Federal and State agencies, including health, 

welfare, and voluntary religious organizations; 

publishers of commercial directories; and Federal agencies that administer inpatient facilities. 

2 
At regular intervals, these agencies send the 

Center lists of new facilities to be added to the 

MFI, These lists contain such information as 

name, address, type of institution, and ownership. 

The ARS is subdivided into two information 

files. A Basic Information File is maintained to 

record information about each type of facility 

within each State. The Basic Information File 

provides information from each State and the 

District of Columbia on each type of facility listed 

in the MFI and also on the lists from which each 

type of facility is enumerated. 

The Reporting Information File is maintained 

to assist in mailing letters and recording responses from each of the agencies in the ARS. It 

is a control. record of “who” sent in “what,” 

‘Iwhen, 1! For a detailed account of the development of the ARS, see NCHS publication Series 1, 

No. 6! 

1967 MFI SURVEY 

Introduction 

The 1967 MFI survey was conducted during 

August-December 1967 by the National Center 

for Health Statistics with the Bureau of 

the Census acting as collecting agent. It was a 

mail survey consisting of an original mailing, 

two mail followup inquiries to those facilities 

that did not respond to the previous mailings, 

and an intensive telephone and personal visit 

followup to those facilities that still had not replied 

after all three mailings. Questionnaires were 

sent to 44,097 addresses; 31,292 were considered 

act ively engaged in providing inpatient care at 

the time of the survey, of which 29,269 (or 94 

percent) facilities returned the questionnaires. 

The remaining 6 percent either refused to respond 

or were never heard from during the repeated 

followups. 

. 

1)N$liond Centerfor Health Slalislics: The wcrwy rcporLin~ system for maintaining the national inventory of hospitals 

and institutions. Vital and Health Statistics. PIIS Pub. No. 

1000 -Suries l-iJo. 6. Public Health Service, Washington. US 

Gw~wnnmnt Printing Office, Apr. 1968. 

Survey Obiective 

The primary objective of the survey was to 

collect current statistical data from those facilities in the MFI that were in business. In addition, 

the NCHS wished to have sufficient data available 

from each facility to enable use of the MFI as 

an efficient sampling frame for sample surveys 

of hospitals and other medical and paramedical 

inpatient facilities. Toward these ends, the survey 

was designed to: 

L	 Obtain current statistical data from each 

facility. 

2.	 Obtain adequate identification information 

to eliminate duplication within the MFI 

and to enable easy identification and 

location of each facility. A facility maybe 

known by two different names, which might 

lead to inclusion of the facility on a list 

under each name. If other data, such as 

address, type of service, etc., were 

available and could be compared in such 

instances, it would be possible to eliminate 

duplicates. 

3.	 Obtain maximum response in order that 

the MFI might be as complete as possible. 

4.	 Obtain data to classify each facility for 

sample survey stratification. For example, the type of facility, such as long 

term hospital or personal care home, and 

the bed size are variables often used in 

sample stratification. 

Mailing List 

The mailing list for the 1967 MFI survey 

was assembled as follows: Through the Agency 

Reporting System, the NCHS contacted some 350 

government and nongovernment agencies which 

maintain lists or directories of facilities within 

the scope of the MFI and requested a copy of 

their lists. Most were State government agencies. 

All lists and directories were then clerically 

merged, along with the 1963 MFI, to produce a 

single large list, as free from duplicates as 

possible. 

3 
The names and addresses on the list were 

edited to a standard format, put onto punch 

cards, and subsequently put onto computer tape 

in fixed field records. This latter procedure 

greatly facilitated the matching of names and 

addresses to eliminate duplicates, which was 

done by computer and, when a further clerical 

check was necessary, by clerks. The telephone 

number, number of beds, and owner’s name-were 

included on the tape record of each facility for 

use during the 1967 survey. At the time the mailing list was compiled, each facility was classified 

into one of three broad categories: (1) hospitals; (2) 

nursing, personal care, and domiciliary homes; 

and (3) penal, custodial, and training facilities. 

The classifications were generally based on 

the facility’s name or function or other information available from the lists and directories 

used in compiling the final mailing list. Thus, a 

hospital was defined as a facility licensed by the 

State as a hospital or operated as a hospital by 

a Federal or State agency. Facilities which provide some form of nursing, personal, or domiciliary care were classified according to the 

primary service provided, (See “Facility Classification,” p. 10.) Penal, custodial, and training 

facilities were defined as establishments wilich 

provide services such as training and sheltered 

care rather than medical or nursing care. This 

general classification subsequently determined 

which of the three types of questionnaires these 

facilities were sent. 

Survey Questionnaires 

Because of the heterogeneity of the facilities 

in the MFI, and the consequent need to obtain 

somewhat different information from the various 

types of facilities, three different questionnaires 

were used in the 1967 MFI survey. The three 

different forms were designed to survey each of 

the three broad classifications mentioned above, 

i.e., (1) hospitals; (2) nursing, personal care, 

and domiciliary care homes; and (3) other inpatient health facilities, i.e., custodial, training, 

and Federal or State penal facilities. (See appendix 

I for copies of these forms.) For brevity, the 

three classifications are hereafter referred to 

respectively as “hospital,” “nursing home,” ad 

“other.” In order to simplify the survey operation, 

the three queqfionnaires were made as nearly the 

same as practicable, and, in general, they differ 

only in a few questions. 

Each of the three forms requests a considerable amount of identification information in 

section A. This section was designed to obtain 

information which will assure that the facilities 

are properly represented in the MFI and are 

listed only once. Name, mailing address, location 

address, zip code, and telephone number were 

requested. “Cross-checking these items as the 

survey returns were processed kept duplication 

to a minimum. 

Sections B and C differ slightly among the 

forms. On all three types, however, these sections 

were designed to obtain some basic data for 

national statistics on inpatient facilities and to 

stratify the MFI for sample selection. 

The final question on each of the three forms 

was used to detect facilities missing from the 

MFI. It requests that the owner of the responding 

facility provide the names of all other facilities 

he owns. All names and addresses thus reported 

during the survey were searched on the mailing 

list and a questionnaire immediately sent to those 

not found. 

To the extent possible, the three questionnaires were preceded to simplify the data processing operations; that is, a number was printed 

beside the answer boxes of most questions. The 

numbers were then used as the coded answers 

to be punched directly from the questionnaire. 

All three types of forms were kept as brief 

as possible since maximizing the response rate 

was an important survey objective. Only information absolutely essential to the survey’s objectives was requested. 

Pretest 

The questionnaires and mailing procedures 

planned for the 1967 MFI survey were pretested 

during March and April 1967. Approximately 

350 facilities were chosen at random for the 

pretest in seven States, and an additional 100 

facilities were selected in Boston and New 

Orleans. Questionnaires were mailed March 1, 

1967, and a followup inquiry was mailed to nonrespondents 2 weeks later. Personal visit interviews were conducted 1 week later in 23 facili4 
ties in New Orleans and in 18 facilities in Boston 

in an attempt to evaluate the questionnaire and 

survey procedure. Facilities representing all 

three major classifications of the MFI were 

visited in these two cities. Some had responded 

to the pretest inquiry and some had not. 

Four weeks after the pretest was initiated, 

about 90 percent of the facilities had responded 

to either the initial mailing or to the followup 

inquiry. Due to the lack of problems encountered 

by the responding facilities in completing the 

questionnaires and to the low nonresponse rate 

of 10 percent, a second followup mail inquiry was 

not sent. The personal visit evaluations also indicated that, generally, the questionnaires were 

clearly understood, and could be quickly and 

easily completed so that only minor changes were 

needed for use in the national survey. 

Survey Operations 

Timing of mailouts 

The 1967 MFI survey was launched August 

4, 1967. Questionnaires were mailed from the 

Jeffersonville, Indiana, office of the Bureau of 

the Census. 

Following the initial mailing, there were two 

mail followup inquiries to nonrespondents. The 

first, consisting of a reminder letter and a copy 

of the questionnaire, was sent by regular mail 

Table A. Number and percent of questionnaires 

to nonrespondents 3 weeks after the initial mailout. At that “time, 23,372 questionnaires” had been 

returned either by respondents or by the Post 

Office as undeliverable. The second followup inquiry, sent 5 weeks after the initial mailing, also 

consisted of a reminder letter and a copy of the 

questionnaire. It was sent by certified mail to 

the 13,014 facilities which had not responded at 

that time. 

The final followup procedure for nonresponding facilities was an interviewer followup conducted in late September 1967 by the various 

field offices of the Bureau of the Census. It consisted of telephone calls and/or personal visits 

to the 2,864 facilities not yet heard from. 

Table A shows the cumulative number and 

percent of survey returns at selected intervals 

during the survey period. 

Clerical editing, coding, and punching procedures 

As the returned questionnaires were received 

in Jeffersonville, they were sorted clerically by 

the three types of questionnaires. Those forms 

returned by the Post Office and those returned 

by the respondent as out of business, out of scope 

of the MFI, etc., were coded as such and received 

no further editing. “Good returns,” i.e., those 

from facilities in operation and in scope of. the 

MFI, were carefully edited by trained clerks 

following suecific written editing and coding inreceived during each of the stages of 

the survey 

Questionnaires completed and returned 

Total number 

Date of questionnaires mailed Cumulative number Cumulative percent 

received to date of total mailout 

August 4, 1967 ----------------- 44,097 

August 25, 1967 (first follow-up) - 20,725 23,37~ 53.; 

September 8, 1967 (second 

followup)---------------------

September-October 1967 (Census 

13,014 31,083 70.5 

field followup)--------------- 2,864 ‘ 41,233 93.5 
structions. In general, the instructions were 

designed to: 

‘Determine that all key items were completed properly. For hospitals, these 

items were: ownership, type of service, 

age of patients, bed size, average length 

of patient stay, admissions, full-time and 

part-time staff. For nursing care and related homes, the key items were: ownership, type of service, bed size, number of 

persons who stayed in the facility “last 

night, ” number of persons receiving nursing care, type of services offered, and 

full-time staff. For other facilities, the 

key items were: ownership, type of 

service, age of patients, number of persons who stayed in the ~acility “last night,” 

and full- time staff. 

‘As sure that the facility for which the 

questionnaire was completed was in scope 

of the MFI. 

“Detect any inconsistencies or unreasonable entries. 

�Assure that the form contained information for one and only one facility. 

� Determine from the identification information that the reporting facility was not 

already on the MFI. 

‘Prepare the questionnaires so that all 

data could be easily punched onto cards 

directly from the questionnaire. 

When key questions were not completed on a 

questionnaire, the form was said to have “failed 

edit.” As it was necessary that data be available 

for these key questions, the following procedures 

were used: 

Fov hospitals, the missing data were usually obtained from the 1967 “Hospitals Guide Issue” of 

the Jownal of the Amwkan Hospitul Association? 

For ?wnre@”stered hospitals an.@for nursing 

homes and “othw” jiwilities, missing data were 

requested from the responding facility by sending 

them a fail-edit questionnaire requesting only 

c 

Americanllospilal Association: Hospitals guide issue, 

part 2. J, A.H.A. Chicago, Aug. 1967. 

the specific information needed. (Fail-edit forms 

are reproduced in appendix I.) For those facilities not returning the fail- edit inquiry, data were 

imputed from various other sources when available or were coded as unknown. These “unknowns” 

were then mechanically imputed at a later stage 

of editing. 

If a facility was misclassified when the 

mailing list was prepared and returned an incorrect type of questionnaire, the proper form 

was usually mailed with an explanatory note. 

In some instances this was not necessary because 

enough data were available on the returned incorrect form to complete the correct one. Most 

mistakes of this tfie were made when the hospital form was sent to a nonhospital facility. Of 

227 forms of the wrong type sent, 188 were hospital forms, 19 were nursing home forms, and 20 

were other forms. Many of these mistakes were 

attributable to the initial inclusion of all mental 

facilities in the “hospitals” category. This meant 

that some homes for the mentally retarded were 

sent the hospital form. Many of them returned 

their form with the remark that they are not a 

hospital. These homes were then sent the “other” 

form. 

, After the questionnaires went through the 

clerical editing and coding process, the data were 

punched onto cards and subsequently put onto computer tape. The effective cut~off date for survey 

returns was November 17, 1967. All editing, 

coding, and keypunching, however, was not completed until January 1968, and questionnaires received after the cut-off date were processed 

when time permitted. 

By January 31, 1968, all survey operations 

being done by the Bureau of the Census had been 

completed, At that time, the NCHS received from 

the Bureau of the Census computer tapes containing a data record for each of the 44,097 

facilities on the original survey mailing list. The 

data records for those places found to be out 

of. business, out of scope, not responding after 

repeated contact, etc., contained only a code 

indicating such, along with the facility’s name 

and address. For those responding facilities 

which were in scope of the survey and in business, 

the data records included the name(s), address 

(es), and virtually all of the information provided” 

by the respondent on the survey questionnaire. 

6 
I Machine edit and imputations 

A second edit of the MFI data was then done, 

this time by NCHS computer processing. This 

edit was rather extensive and was intended to 

detect inconsistencies, unreasonable data, clerical errors, and keypunching mistakes made 

when the data were punched onto cards from the 

questionnaires. The questionnaires for those 

facilities which had one or more data items that 

failed to meet the editing specifications were 

reexamined and necessary corrections were made 

to the data tape records. 

The following are some of the types of editing done by computer processing, along with 

specific examples of each: 

Numeric items (such as number of beds, 

full-time employees, etc.) were examined 

to see that they did not exceed a specified 

maximum size beyond which the data 

would be questionable. 

Example:	 Homes for dependent children 

with more than 200 residents 

were checked for accuracy by 

referring back to the entry on 

the questionnaire. 

Numeric items were compared with other 

related numeric items for the facility. 

Example:	 Hospital questionnaires were 

reexamined when the average 

daily inpatient census was 

greater than 110 percent of the 

number of beds or less than 10 

percent of the number of beds. 

Coded items (items such as type of ownership, where a numerical entry represents 

the respondent’s answer) were checked to 

see that they fell within the range of permissible numbers. Anything other than 

the specific allowable codes was an 

erroneous entry. 

All of the above edit checks required reexamination of the questionnaires when an error 

was detected by the computer. An additional type 

of edit was performed, however, which made 

changes in the data automatically without the need 

of looking at questionnaires. Some examples of 

these types of edit checks are: 

● All facilities responding to the nursing 

home questionnaire and indicating that 

they were responsible for room and board 

only are out -of -scope of the MFI and were 

made so. 

‘Adult penal institutions not owned by a 

State or the Federal Government were 

made out-of -scope, i.e., county or municipal jails. 

“Hospitals and nursing homes with less 

than the minimum number of beds required for inclusion in the MFI (i.e., six 

beds for hospitals and three beds for 

nursing homes) were arbitrarily made 

out of scope. 

The final computer editing procedure was to 

impute all of the key items still unknown. The 

imputations for unknown items for a facility were 

based on the available data for the responding 

facilities on the MFI with the same ownership, 

type of service, and approximately the same bed 

size. As an example, to impute an unknown number 

of employees in a privately owned nursing home 

with less than 25 beds, a ratio of employees to 

beds was calculated using the data for all responding privately owned nursing homes with less than 

25 beds in the MFI. The value then used as the 

facility’s number of employees was equal to the 

calculated ratio for all privately owned nursing 

homes with less than 25 beds times the number 

of beds in the facility having an unknown number 

of employees. Thus, if the ratio was 1:4 and a 

facility had 12 beds but an unknown number of 

employees, the number of employees was imputed 

as three (!4x 12). 

All mechanical imputations were based on 

such critical items as the number of beds or residents the facilities have. Because of this, the 

question on number of beds was given particular 

attention throughout the editing process and a 

value was never imputed arbitrarily, that is, each 

facility that had this item imputed received individual attention. Number of beds maintained was 

obtained either from other items on the facility’s 

questionnaire, a published list or directory of 

facilities (such as the AHA Hospitals Guide Issue 

or the Directory of the American Osteopathic 

Hospital Association), the 1963 MFI, or by corre7 
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------

spondence with the State agency responsible for 

licensure of the facility. 

In all instances where data were obtained 

from a source other than the facility itself, the 

source of the imputed data was coded and kept as 

part of the data record for the facility. A total 

of 16,480 imputations were made to the 12 items 

considered key data. 

Table B shows the number and percent of 

missing items and the method of imputing infor ­

mation. 

Table C gives the number of imputations 

made to missing items by each source of the imputed information. Through the utilization of all 

these sources of information, it was possible to 

complete all the key items on the questionnaires, 

using data that were not only characteristic of 

these facilities individually but also were accurate on an overall statistical basis. 

Of the seven sources of imputed information, 

the last two listed in table C need further explanation. The major source for addition of inpatient 

health facilities to the MFI is the Agency Reporting System (ARS), which is a program for 

determining on at least an annual basis the names 

and addresses of all newly established inpatient 

facilities. “The Agency Reporting System” (p. 2) 

explains the origin and functions of the ARS. When 

the ARS was used as the basis of imputed information for the MFI, reference was made to the 

appropriate facility directory, and the missing 

information for the facility was entered onto the 

tape record. 

Table B. Number and percent of missing items and method of imputing data 

Missing items 

Hosp’ital questionnaire 

Type of service 

Number of physicians 

and dentist s ---------- ownershipNumber of beds 

Admissions in 1966 ----- Average length of stayAge limitation 

ownership

Full-time staff 

Persons receiving careType of facility 

Number of patients


Services “provided-


Number of beds


Other questionnaire


Ownership


Type of facility


Full-time staff


Age limitation


Number of persons


a Total missing Data entered from Machine 

of items clerical sources imputation 

possible


entries
 Number Percent Number Percent Wmber Percent


8,147 4,704 58 4,089 615 

16,294 2,;;; 17 1,$;: 1,329 

8,147 12 

8,147 887 11 284 60; 

8,147 595 356 239 

8,147 :;; ; 426 56 

8,147 4 212 93 

19,141 2,410 13 2,410 

38,282 581 2 54 52: 

19,141 517 3 6 511 

19,141 169 1 169 

19,141 163 1 27 13; 

153,128 96 1 19 77 

19,141 38 38 

3,298 1,055 3; 1,055 

3,298 209 209 

3,298 198 6 100 9; 

3,298 179 133 46 

3,298 144 : 144 3 

8

---------

----------- --------------- ----------

----------

--------------- ---------

-------- ------

------- ----------

--------------- --------

---------

---------- -------

Table C. Number of imputations made to missing items by source of information .. 

Missing items 

Hospital questionnaire 

Type of service 

Number of physicians 

and dentists 

ownership 

Number of beds 

Admissi,ons in 1966------

Average length of stay-­

Age li.mi.tation 

auest ~ onnarre 

Ownership


Full-time staff


Persons receiving care-­


Type of facility


Number of patients


Services provided


Number of beds


Other questionnaire 

Ownership


Type of facil_ity
 Full-time staff


Age li.mi.tation


Number of persons


1967 Directory Other Original Total of the items Kachfne of hos- American 1963 

miss ing pital Osteopathic MI?I qu::- Rer%%g impuitems guide Hospital tion- System tation 

issue Association naire directory 

4,704 3,481 

2,752 1,400 

996 289 

887 205 

595 331 

;;; 406 

188 

2,410 11 

581 2 

517 . . . 169 . . . 163 . . . 96 � . . 38 . . . 

1,055 320 

209 . . . 198 9 

179 . . . 144 . . . 

3 :.. 580 25 615 

� 0, . . . 1,329 

: 506 :: 133 . . . 3 . . . 3 603 

2 1 ;? 1 239 

2 . . . . . . 56 

1 . . . ;! . . . 93 

2 411 1,480 506 . . . . . . . . . 5; . . . 527 . . . . . . . . . 511 

1 3 55 110 � *. . . . . . . 27 . . . 136 

1 ..* 18 � . . 77 

. . . . . . 37 1 . . . 

40 519 108 ,... . . . . . . 1:: 63 . . . . . . . . . 1 . . . 1% : 2: 

1 . . . 136 4 3 

questionnaire required a large number ofimputations. Instead of indicating their major service 

only, the hospitals tended to check all services 

they offered. These cases were resolved according to editing rules which took into consideration 

certain natural groupings and priorities. For 

example, if several varied types ofserviceswere 

checked the item was coded as “general,” thus 

encompassing the several varieties checked. (As 

multiple entries were acceptable in the pretest, 

this problem had not arisen then.) 

The item asking for the number ofphysicians 

and dentists on the hospital questionnaire was 

often left blank, accounting for the large number 

of imputations for this item. 

Data for some facilities using the nursing 

home or other questionnaire were obtained from 

Machine imputations were made based onthe 

numbsr of beds or persons, ownership, and type 

of facility. Ratios were computed for the above 

classes for various characteristics ofthereporting facilities. These ratios were then applied for 

each of the missing items. By this method, it was 

possible to impute numkrsthat were consistent 

with the size and type of facility. 

As can be seen from tabIe B, the ownership 

question on all three formswasp oorlyanswered 

and required a large number of imputations. The 

problem was due totherespondents makingmultiple entries for this item, inwhichthey not only 

checked the facility’s ownership butalsothetype 

of agency responsible for its licensure. 

Multiple entries was also the reason the 

item concerning type of service on the hospital 

9 
the American Osteopathic Directory in those cases 

involving convalescent hospitals, extended care 

facilities, and mental retardation hospitals. 

Facility Classification 

Hospitils and “other” facilities 

Each facility on the 1967 MFI is classified by 

its primary type of service according to the information provided on the survey questionnaire. In 

the case of hospitals and “others,” the facilities 

are !!SeH. classified)” that is, the respondent’s 

answer to the specific question requesting the 

primary type of service provided in his facility 

becomes its classification (question 10 on the 

hospital questionnaire and seven on the “other”). 

In those cases where the respondent checked 

nothing or more than one primary type of service, 

the type selected was determined by examining 

other data on the questionnaire, such as the facility’s name, age and sex of patients, etc., or by 

consulting various lists and directories of facilities such as hospital licensure lists. 

Nursing and personal care homes 

The classification of nursing, personal care, 

and related homes is not so simple, however, 

since facilities calling themselves nursing homes 

do not necessarily provide nursing care as their 

primary type of service. Consequently, a scheme 

for refining the classification similiar to that 

used in the 1963 MFI was adopted in the 1967 MFI. 

The scheme made it possible to classify nursing, 

personal, and domiciliary care homes ~formly 

into four groups according to the level of care 

provided to the residents. 

The four classifications are defined as 

follows: 

1.	 A nursing care home provides nursing care 

to 50 percent or more of its residents during 

the week prior to the day the questionnaire 

was completed and has at least one registered 

professional nurse or licensed practical nurse 

working 35 or more hours per week. Nursing 

services include nasal feeding, catheterization, irrigation, oxygen therapy, full bed bath, 

enema, hypodermic injection, intravenous injection, temperature-pulse -respiration, blood 

pressure, application of dressing or bandage, 

or bowel and bladder retraining. 

2.	 A personal care home with nursing provides 

nursing care to some, but less than 50 percent, 

of the residents or provides nursing care to 

more than 50 percent of the residents, but has 

no full-time RN’s or LPN’s on the staff. 

3.	 A personal care home does not provide nursing 

care to any residents during the reference 

week but routinely provides three or more of 

the six personal services specified on the 

questionnaire (help with tub bath or shower, 

dressing, correspondence or shopping, waJking or getting about, eating, and the provision 

of rub and massage). 

4*	 A domiciliary care home pr6vides care primarily to residents able to care for themselves. 

Such a home has an accepted responsibility 

for the personal well-being of its residents 

and provides personal services as needed. A 

domiciliary care home routinely provides one 

or two of the specified personal services and 

did not provide nursing care to any of its 

residents during the week prior to the day the 

questionnaire was completed. 

See appendix H for a more detailed description 

of the classification system. 

SURVEY EVALUATION 

Response to the 1967 MFI 

In any large survey undertaking such as the 

MFI, it is usually not feasible to obtain a reply 

from all the respondents or even to verify each 

one’s existence. In the 1967 MFI, for example, 

14,828 facilities either did not respond to our 

several inquiries, were found to be out of scope 

of the MFI (that is, did not meet the minimum 

bed size or definitional criteria or were out of 

business), or the questiomaires were returned 

by the Post Office as undeliverable for such reasons as unknown address, unclaimed, etc., as 

shown in table D. 

The duplicates listed in table D were those 

facilities which were included more than once in 

the MFI listing and were therefore sent more than 

10 
-------------------- --------------------

- --- ------ ------ ---- - -------------- ------

------------------- ------------------------------------

-------------------------

- -- ----- --- - --- - ---- ----- --- - ----- -- - - - -- ---- - ------------ -- - ------------ - --

----------------------------- - --- --- - -- -- -- - -- - - --- - - -- - -- - -- - -- - ------- -- -- - -- -- - -- -- -- --- -- -- - ----- ----------

Table D. Number and type of unusable questionnaires by type of facility: Master Facil. 

ity Inventory, August 1967 

Type of unusable questionnaires 

Total 

Out of’ scope 

Duplicates


Didn’t meet,definitional criteria


Out of business


Under construction and temporarily out of business-


Nonresponse 

Questionnaire not returned 

Post Office returns 

Unknown- -----

Unclaimed 

Insufficient address 

Other -

Moved . - -- -

Type of facility 

Total Hospital Nursing Other home


14,828 3,487 10,088 1,253 

2,270 699 1,156 415 

5,312 1,678 3,368 266 

4,227 774 3,222 231 

133 33 64 16 

730 90 523 117 

751 63 621 67 

172 153 

138 ;: 2: 

232 1% 32 

883 ;; 714 78 

one questionnaire. Included in these duplicates 

were 392 facilities which were either subunits of 

the responding facility (for example, aunit ofa 

hospital complex located at a separate address), 

or conversely, a complex of which theresponding 

fa’cilit y was a part (for example, the adminis ­

trative office for several nursing homes, each 

located at a different address). 

The majorityof the 5,312facilities classified 

in table Dasnot meeting the definitional criteria 

were “hospitals” with less than sixbeds,’’nursing 

homes” with less than three beds, or facilities 

that only provided room and board. 

Questionnaires returned by the Post Office 

for reasons such as out of business, deceased, 

or demolished were included with thosequestionnaires returned by the addressees as being no 

longer in business. Included in the 730 nonresponse questionnaires were those that the facility 

returned to NCHS completely blank, refusals, and 

those sent to facilities that were never heard 

from in any manner. 

Before calculating the response rate, all 

those facilities that were included in the MFI 

mailingsbut were later identifiedas. out of scope 

were deleted. Using the resulting.figures as the 

base, the response rates are93.5 percent for the 

MFI in general, 97.4 percent for the hospital 

portion, 91.8 percent for nursing homes, and93.8 

percent for other facilities. 

Although a great deal ofeffortwas madeto 

include in the MFIall existing hospitals with six 

or more beds and resident places with three or 

more beds, it is reasonable to assume that some 

proportion of these places, hopefully small, was 

missed. Those that were missed are thoseplaces 

which for some reason rarely appear enlists of 

institutions. They are probably marginal places, 

either in definition or in size. Also missing are 

those places which were judged to beout of scope 

of the MFI because they had fewer than the required number of beds, but which have since expanded in bed size. 

000 
APPENDIX I€

FORMS€

0 RMt4H5-HR~4 (H)a ,.2,.6, ) FORM APPRovED 

BUDGET BuREAU NO. 68-S67036 

U.S.€ DEPARTMENT OF COMMERCE 

BUREAU OF THE CENSUS 

ACTING As collecting AGENT FOR THE 

U.S. PUBLIC HEALTH SERVICE 

NATIONAL CENTER FOR HEALTH STATISTICS 

r -1 

FOLLOW-UP INQUIRY 

Master Faci Iity Inventory 

1- -1 

Gentlemen: 

Thank you for returning the Master Facility Inventory questionnaire 

(Form NHS-HRS-4(H)). 

Some necessary information, however, was missing from the original 

form. Please supply the information for the items circled in red on the 

reverse side of this letter. 

After entering the necessary information, please return this form in the 

enclosed envelope which requires no postage. 

We should”appreciate your returning the completed form within three days. 

Sincerely yours, 

&.&~ 

A. Ross Eckler


Director


Bureau of the Census


Enclosure 

12 
I 

FOLLOW-UP INQUIRY 

NOTE - please complete the item(s) circled in red. 

8.	 Please place an “’X” in only ONE box for the type 11. Does your hospital serve: Check only one 

of organization operoting your hospita!. The type 

of organization legally responsible far the apera- .1 D Primarily children (under 21) 

tion of the haspital. Check only one 

11 Q State z � Primarily adults (ZI or over) 

12 � County 3 n BoA children and adults 

13 D City	 State–Local 

Government q U Other age limitation – Specify 7 14 � City - County 

I IS D Hospital District 

16 � U.S. Public Health Service 13. What is the total number of beds reqrrlarly maintained 

-i (set up and staffed far use), for inp~tien{s? 

17 n Armed Forces Include beds in subunits af the hospital such as Federal nursing home units. Do not include beds used 

I Ie D Veterans Administration 

Government exclusively for emergency services and bassinets 

in newborn nursery. 

I 19 � Other Federal Agency 

Specify __________ 

r 

1 

%= 

14. What was the average length af patient stay (per ‘onPro fit discharge) in your hospital during calendar year 1966

20 D Church related 

1 

I n Less than 30 days 

24 � Partnership 2 � 30 days or more

25 23”1 � Corporation ‘orPro fit

16. What was the number of inpatient admissions to your 

haspital during calendar year 1966? 

IO. Please read all of the follawing TYPES OF Exclude newborn. 

SERVICES, then check the term(s) that best 

describes your hospitol. klicate your major Total admissions 

service area(s) only. 

3 I � General medical and surgical 

32 � Psychiatric 

33 � Mental deficiency or retardation 19. Please give the number of full-time and part-time 

personnel currently ON THE PAYROLL of yaur 

34 m Geriatric hospital. 

35 � Tuberculaeis Include al I donated services of members of rel igious 

orders. Exclude al I trainees, private duty nurses M � Orthopedic, and volunteers. (Ful l-time and part-time are 

37 ~ Maternity defined below.) 

3B n Eye, ear, nose and throat Full-time Part-t ime 

39 ~ Chronic disease Personnel (35 hrs. or mm.= (Less than 35 

per week) hrs. per week) 

40 [~ Epileptic 

I 41 � Alcholic a. Number of physicians 

u D Narcotic and dentists 

1 43 n Contagious disease 

44 I__J Rehabilitation center 

49 n Other - Specify treatment area b. All other I I 

7 

— c. Total (a plus b)

FORM NHs-HR5-4[Hlrl (7.27-67) 

13 
0 RM h4tts-tiR$5(t4)Cl 

7-27-67> 

U.S. DEPARTMENT OF COMMERCE 

BUREAU OF THE CENSUS 

AcTING As COLLECTING AGENT FOR THE 

U.S. PuBLIC HEALTH SERVICE 

NATIONAL CENTER FOR HEALTH STATISTICS 

FOLLOW-UP INQUIRY 

Master Facility Inventory 

Gentlemen: 

Thank you for returning 

(Form NHS-HRS-5(N)). 

FORM APPROVED 

BUDGET BUREAU NO. 68-S6 7035 

r 1


1- -1 

the Master Facility Inventory questionnaire 

%me necessary information, however, was missing from the original 

form. Please supply the information for the items circled in red on the 

reverse side of this letter. 

After entering the necessary information, please return this form in the 

enclosed envelope which requires no postage. 

We should appreciate your returning the completed form within three days. 

Sincerely yours,


A. Ross Eckler


Director


Bttreau of the Census


Enclosure 
FOLLOW-UP’INQUIRY 

NOTE -Please comp/ete tfre item(s) circled in red. 

6.	 Please place an “X” in anly ONE box for the type 11. What is the tatal NUMBER OF PERSONS (patients 

of organization operating your facility. The type or residents), who stayed in your facility last night? 

of cv-ganization legally responsible fortheopero- Do NOT include employees or owners. 

tion of the facility. Check only one 

11 ~~ State > 

T

i 12 [~ County 

12. During the past seven days, haw many of the 

13 ~ City State–Local PERSONS in question 11 received “Nursing Care”? 

1 Government Consider that a person received “Nursing Care” 

1s QYewW_J Nasal feeding 

Catheterization 

Irrigation 

Temperature-pulserespiration 

Blood pressure 

16 ~ LI.S. Public Health Service Ox gen therapy 

Fu i’1 bed bath 

Application of dressing 

or bandage 

17 � Armed Forces Federal 

Enema 

Hypodermic injection 

Bowel and bladder 

retraining 

18 ~ Veterans Administration 

Governmen Intravenous injection 

19 @ Other Federal Agency ] 

r spcci/y______–––– I 

14~

City - County if he received any of the following services: 

20 ~ Church related 13. Which of the following services are ROUTINELY 1 provided? Check all that apply. 

21 1 m Supervision is provided over medications 

which may be self-administered 22 ::= ‘“”profit 2 � Medications and treatments are administered in accordance with physicians orders 23 [~ Individual 3 D Rub and massage 

24 ~ Partnership For profit 4 a Help with tub bath or shower 

5 ~ Help with dressing 

25 ~ Corporation J 6 � Help with correspondence or shopping 

7 m Help with walking or getting about 

7.	 Please read ALL af the following, then check the s � Help with eating 

ONE t~rm which best describes yaur facility. OR 

Check one only 

so m Nursing Home 9 � Not responsible for providing any services 

except room and board — (1 this box is st D Convalescent Home checked no other box shou [ d be checked 

52 � Rest Home in question 13. ) 

53 � Home for the ,4ged 

54 � Boarding Home for the Aged 14. What is the total number of full-time personnel on the 

55 ~ Home for Crippled Children payroll of this facility? Full-time persannel are 

M � Home for Needy those who usuolly work 3.5 hours or more per week. 

Include owners, managers, and members ot religious 57 D Home for Incurable orders who work ful l-time whether on the payroll or 

513 � Home for the Mentally Retarded not. Do nat include volunteers, private duty nurses, 

S9 � Other – Please describe and part-time emplayees. 

-7’ 

r 

I 

10.	 What is the TOTAL NUMBER OF BEDS regularly 

maintained for patients or residents? Of the obave personnel, how many are: 

b.	 Licensed practical 

or vocational nurses. 

Include al I beds set up and staffed for use whether 

or not they are in use at the presenj time. 

Do NOT include beds used by staff or awners and . . Licensed registered 

beds used exclusively for emergency services. 

r ‘urses”””

15 
.ORM NHS.HRS.6(0)0 7-27-6?) 

U.S. DEPARTMENT OF COMMERCE 

BUREAU OF THE CENSUS 

ACTING As cOLLECTING AGENT FOR THE 

U.S. PUBLIC HEALTH SERVICE 

NATIONAL CENTER FOR HEALTH STATISTICS 

FOLLOW-UP INQUIRY 

Master Facility lnventary 

Gentlemen: 

Thank you for returning 

(Form NHS-HRS-6(0)). 

FORM APPROVED


BUDGET BUREAU NO. 68-S67036


r- 1 

1- -1 

the Master Facility Inventory questionnaire 

Some necessary information, however, was missing from the original 

form. Please supply the information for the items circled in red on the 

reverse” side ‘of this letter. 

After entering the necessary information, please return this form in the 

enclosed envelope which requires no postage. 

We should appreciate your returning the completed form within three days. 

Sincerely yours,


A. Ross Eckler


Director


Bureau of the Census


Enclosure 

16 
FOLLOW-UP INQUIRY 

{0 TE - P/ease complete the item(s) circled in red. 

6.	 please place on “X” in only ONE box for the type 8. Daes your faci Iity serve: Check only one 

of organization ~perating your facility. The type 

of orgonizotion legally responsible for the opero- f � prirn~ily children (under 21) tion of the foci I ity. Check only one 

11 [j State z � Primarily adults (’21 or over) 

12 n County 

3 n Both children and adults 

13 m City State–Local 

Government 

14 � City - County 

4 � Other age limitation – Specify 

-7 

IS ~	 Hospital District 

d 

16 � U.S. Public Health Service 10. What is the total NUMBER OF PERSONS (residents, 

patients or inmates), who stayed in this facility 

17 m Armed Forces Federal lost night? 

Government Do NOT include employees ord proprietors. -

IE ~ Veterans Administration 

Total persons 

19 c Other Federal Agency 

Specify _____ –––_– A 

20 � Church related 

11. What is the total number of full-time personnel 

currently	 an the pa rail of this facility? 

Ful l-time personne ore those who work 35 hours or :::d NOnPrO~t Include m-per-k owner;, managers, 

‘ ond members of religious 

orders who work ful l-time whether on the payrol I or 

Total full-time personnel 

Ed ‘or’refit ‘ot 

7.	 PIease read ALL of the following, then check the 

ONE term which best describes your facility. 

Check one only 

Sheltered care, custodial care and 

training facilities 

70 � Home or resident school for deaf 

71 n Home or resident school for blind 

74 � Home for unwed mothers 

7S � Orphanage 

76 a Home for dependent children 

77 D Home or school for physically handicapped 

713� Home or resident school for mentally retarded 

79 n Home or resident school for emotion~ly disturbed 

al @	 Other -

Describe 

Correctional facilities 

S2 � Training school for juvenile delinquents 

S3 ~1 Detention home, primaily for juvenile delinrpents 

M � Reformatory 

85 a Prison, jail, or penitentiary 

86 ~ Other correctional 

facility – Describe 

i 

FORM NHS.HRS.6(0)m \7-27 .67) 

17 
--

# 

&ml#HS-HRSd(0) FORM APPROVED 

BUDGET BUREAU NO. 68-.%7036 

U.S. DEPARTMENT OF COMMERCE 

BUREAU OF THE CENSUS 

AC T,P+G AS COLLECTING ACENT FOR THE 

U.S. PUBLIC HEALTH SERVICE 

NATIONAL CENTER FOR HEALTH ST ATt STt CS 

MASTER FACILITY INVENTORY 

Dear Sir: 

The National Center for Health Statistics (NCHS) of the U.S. Public Health Service is assembling att up.todate list of all facilities in tbe United States which provide some kind of medical, nursing, personal, domiciliary 

or custodial care. 

This rogramis hein conducted asapart of the U. S. National Health Surve ,authorized by Public Law652 

84th { ongress. The !3ureauoI the Cens"sbas been re~ested toactas colecti"g l“ agent fortie NCHSin

compiling tbe list. 

TIM purpose oftbis survey, in wbicb youarebeing asked topmticipate, istoobtain current infomation, such 

as number of beds, staff size, and types of services rovided, from each facility on the list. The information 

will be used to compile statistics on the number and i mds of such facilities in the United States. 

Sections Aand Boffiis form request verification oftbenme andaddress of the facili~, ~peofservice, ty e 

of ownership, staff size and capacity. Section Casks for additional information which isneededfordetaile z 

statistics on other characteristics of the facility. All information providedin Section C will be accorded 

confidential treatment by the Bu:eau of the Census and the Public Health Service and the statistics will be 

presented in .=mchamanner that no individual facility can be identified. 

Forthis purpose wearerequesting that you complete thisquestionnaire foryour facility andretum it within 

five days in the enclosed postage-paid envelope. 'f$equestionnaire isvecybrief andshould take only a few 

minutes to complete. 

‘Thank you for your cooperation. 

Sincerely yours, 

&- ~ 

A. Ross Eckler 

Director 

Bureau of the Census 

Enclosure 

Section A - IDENTIFICATION OF FACILITY 

‘Please refer to the mailing label above, then make all additions and corrections according to the questiohs 

below. Detailed identification info~mation isneeded toprevent duplicate listings and to assure thatyour 

facility improperly represented in our files. (Please~pempritzt) 

NAME shown in the Iabel above Correct nameof facility i[di[ferent fr.amabove 

3 Km’~+kwyc.urfacility? 

1C3 Yes 

z~ NO~please line through name in label 

andenter correct rtame — 

~ lsyo.rfacili~know. hyanyo+herNAMES(S)? ‘ther”amesofyour faci]ity 

1[3 Yeseplease give other name(s)— — —-—- ———— ——. — —--- —— --— 

ZC_J No 

3 

3 

Istheaddr::s shown inthelabel above the 

correct ma,l,ng address for your facility? 

Number jStreet ~P.O. Box, route, etc. 1 

l[_J Yes City or town 

2[3 NO+please line through address on label and give vow entire 

cofrect moifing address. 

county ,

I State 

1 ! ZIP Code 

1 

4 

3 

Is your mailing address also the ACTUAL LOCATION of your facility? 

Number j .%eet 

, 

ll_~ Yes City or town 

2 El NO-pleaSC 9iVe complete address 10, 

actuol location of Uottf fdlitu. 

cou”ly ! Slate 

1 ; ZIP Code I 

What is the telephone number of your focility? ‘“” ‘“de ~Number 1. 

— 

— 

— 

18 
I 

GENERAL INSTRUCTIONS FOR COMPLETING QUESTIONNAIRE 

a.	 include inthisreport information forthefacility namedin themailing label or foritssuccessor ifthe name 

or owner has changed. Include information for one facility only, but report for the entire facility including 

infirmaries and other subunits. 

b.	 Duetonme andaddress chmges, duplicate listings inourfile, orotber reasons, youmay have been sent 

more than one questionnaire under different names or addresses. If you receive more than one form for tbe 

same facility, complete one only andretum all others with the notation “Completed and returned under . . . 

(give name of facility uncompleted form).” 

c.	 Answer all questions, please. Definitions and special instructions are given with the questions when 

needed. 

d.	 Return thecompleted questionnaire in&e postage paid enveloPe provided, tn: Jeffersonville Census 

Operations Office, 1201 East 10th Street, Jeffersonville, Indiana 47130. 

Section B - CLASSIFICATION INFORMATION 

Please place an “X” in only ONE box for the type o

8Does yo.r facility serve: Check nnly one 

3

6 ofarganization operating yo.r facility. The tYpe 

of organization legally responsible for the opera- ID Primarily children (under 21) tionof the facility. Check nnly one 

!IO State ‘m Primaily adults (z1 or CWer) 

lzn County 3D Both children and adults State–Local 130 City Government 4CI other age limitation – specif~ 

ten City - County 7 

ma Hospital District A . -——- _____ _____ _____ 

!sC U.S. Public Health Service o9 Ooes your facility serve: Check only one

;7D Armed Forces Federal 1~ Males only 

tan Veterans Administration Government 

z � Females only 

190 Other Federal Agency 

L.Wecil _–_ –____ 3m Both maIes and females 

10 What IS the total NUMBER OF PERSONS(residents,

~=~~tion ]NOnPOf patients or inmates), who stayed in this facility ‘a+gh? 

Do NOT i;clude employees and proprietors. 

Total p,t,O~S 

EtiFOrprO fit 

- Please continue with question 11 in Section C. 

Please read ALL of the following, then check the Comments 

3

7 ONE term which best describes your facility. 

Check one only 

Sheltered care, custodial core and 

training facilities 

700 Home or ~eside”t .S&ool for deaf


710 Home or ~esident school for blind


74C Home for ~“we,j ~~ther~


7’5U Orphanage


76D Home for dependm t children


770 Home or school for physical handicapped


78� Home or resident school for mentally retarded


790 Home or resident school for emotionally disturbed


ala other


Describe _____________ ___ 

COrrectiOnOl facilities 

OZD Training school for jusenile delinquents 

man Dete”ticm hmne,~inmrily for juvenile delinqe”ts 

aam Reformatory 

850 Prison, jail, or penitentiary 

860 Other correctional 

facility-Describe -_-___ -_–__– 

19 
S.ction C - INFORMATION FOR STATISTICAL USE ONLY 

11 What is the total number of full-time p.rsonncl at is the NAME of the person, corporation, or 3 curr.ntly on the payroll of this facility? ~ % organization which owns this facility? 

Full-time personnel are those who work 35 hours or 

more per week. Include owners, managers, and 

members of religious orders wlm wcrk full-time 

whether on the puyrol I or not. 

r Does this facility maintain a hospital, infirmary or 

~ oth.r medical unit? 

1m Yes +Plea3e answer a thraugh f 

befow for that unit. 

xnNo+Goto13 

a, What type of unit is maintained? 

in Hospital 

ZO Infirmary 

so Other - Describe ____________ 

b.€What type of scrvic. is provid.d in the unit? 

10 Outpatient only 

2i_3 Inpatient only 

3D Both inpatient and outpatient 

c. Who is responsible for medical care in the unit? 

Check one onlu 

ID Physician 

z13 A registered nurse 

3n Other - Specify _______ ______ 

d.€What is the total number of beds rtgularly 

maintained in the unit for inpatients? 

r � .€Are the admissions to this unit rastrictad to the 

patients, rtsidents, i“matcs, or �mployoes of 

this facility? 

f. If the nom. or address for the unit is different 

than that for tho faci Iity, pltase givQ tho correct 

nom- and addresq bdow. 

Name 

Address - Number and street 

Cily€ ~State \ ZIP code 

I ! I , 

Name 

1 

Does the owner of thiq facility own or operate 

3€ any related or similor fvcility which is NOT 

included in this repert? 

For example, another facility of the type Ii steal 

in question7, or a hospital, nursing home, or 

other institution. 

to Yes 2 � NV+GO to 15 

+ 

Please provide the following information for ali 

other foci Iiti*s owned. 

Use the “Comments” section if additional spcxe 

is needed, or attach o seporote Ii sting when 

available. 

Name o! lacility 

Type of facility 

Address - Number and street 

City 

stale	 ~ ZIP code I 

1 

I 

Name of person completing this form 

l’itle 

Jate 

ZOMMENTS-. General comments are invited as well as comments an specijic items 

20 
---- ---- ---- ----

[

m,F!i#Hs.HRs.5(N) FORW APPRO VED 

BUDGET BCIREACINO, 68-S67036 

U.S. DEPARTMENT OF COMMERCE 

BUREAU 0. THZ CENSUS 

ACTING AS cOLLECTING AGENT FoR THE 

us. ,w16uc HEALTH SERVICE 

NATIONAL CENTER FOP, HEALTH STATISTICS 

MASTER FACILITY INVENTORY 

— 

Dear SIT: 

The Xational Center for Health Statistics (SCHS) of the U.S. Public Health Service is assembling an up-todate list of all facilities in the LTnited States which provide some kind of medical, nursing, personal, domiciliary 

or custodial care. 

This rogramis bein conducted asapmtof the U. S. Sational Health Surve., authorized by Public La$v652, 

84th /!ongress. The %ureauof the Census basbeen re~ested toactas colecting { agent for&e 3CHSin 

compiling tbe list. 

‘f%epurpose of this survey, in whicb you are being asked tn participate, istn obtain current information, such 

as number of beds, staff size, and types of services rovided, from each facility on the list. The information 

will be used to compile statistics on the nwnber a“d i“mds nf. s”cb facilities in the United States. 

Sections .4and Bofhisform request verification of thename andaddress of the facility, type ofservice, ty e 

of ownership, staff size and capacit Section C asks fnr additional information which is needed for detaile L? 

statistics on other characteristics of’tbe facility. All;nformation providerl in Section C will be accorded 

confidential treatment by the Bureau of the Census and the Public Health %n,ice and the statistics will be 

presented insucha manner that no individual facility can be identified. 

Forthis purpose wearerequesting that you cnmplete thisquestinnnaire foryour facility andreturnit witbin 

five days in the enclosed postage-paid envelope. The questionnaire isverybrief andsbould take only a few 

minutes to complete.


Thank you for your cooperation.


Enclosure


Section 

Please refer to themailing label abwe, 

Sincerely yours, 

CZ@--9-w3=42JZJw 

A, Ross@Eckler


Director


Bureau of the Census


A - IDENTIFICATION OF FACILITY 

then make alladditions andcorrections according to the questions 

below. Detailed identification information isneeded toprevent duplicate listings andtoassure fiat your 

facility improperly represented in our files. (P2ease tuDe or print) 

lsth. NAME shown inthel.bel above Correct name of facility if different from above (3

1 

cOrr*ct for your facility? 

IC: Yes 

213 Xo+Please line through name in label 

andenter correct name _ 

(

~ IS ye”,’.. I , Ity known by any other NAMES(S)? “her ‘am’s “f your ‘aci’iLy 

I [~ Yes--Please gice other name(s)— .—— - --—-

z~~ so 

Sumber ~Street ~P.O. Box, route, etc. lstheaddr:~s shown inthelobel above the (3 

3 correct mall[ng address for your facility? o 1 

City m town 

1[3 Yes ~~~ Xo+pleUSe line through address on { state ~ZIP Code label and give your entire county 

1 carrect mai[;ng address. I 

Is your mailing address also the ACTUAL Xwnber ~Street (34 LOCATION ofyour facility? 1 

( 

l[_J Yes City m toun 

2[1 xO+PkaSe give complete address for 

actuollocotion o!vourfacilitv. 

County ~ State 

1 

I 

~ZIP Code 

1 

, 

What IS th. telephone number of your facility? Area Code ;N”’”b” ‘ I 

21 
---

----- -----

I 

GENERAL INSTRUCTIONS FOR COMPLETING QUESTIONNAIRE 

o.	 lncl.de inthisreport information forthefacility named inthemailing lahelor foritssuccessor if the 

name or owner has than ed. Include information for one facility only, but report for the entire facility 

including infirmaries anf other subunits. 

b.	 Due tonameand address cbanges, duplicate listings in our file, or other reasons, youmay have been 

sent more than one questionnaire under different names or addresses. If you receive more than one 

form forthe same facility, complete one only andreturn allothers with thenotation’’Completed and 

returned under . . . (give name of facility on completed form).” 

c.	 Answer allquestions, please. Definitions andspecial i”stmctions are given with the questions when 

needed. 

d.	 Return thecompleted questiannairein the postage paid envelope provided, to: Jeffers,mville Census 

Operations Office, 1201 East 10tb Street, Jeffersonville, Indiana 47130. 

Section 8- CLASSIFICATION INFORMATION 

“ “ in only ONE box for the typ lease read ALL of the following, then check ~p&&!$o~o~ope~atingyo 0 .rfcxility. The type rm which best describes your facility. 

of organization legally res~nsible for theopero- 9 !;eY5;only 

:ion of the facility. Check onlv one w n Nursing Home 

,, � Convalescent Home ,,D State 52� Rest Home 

,. � County m u Home for the Aged 

s. n Boarding Home for the Aged 

,sO City State–Local M � Home for Crippled Children 

Government m � Home for Needy 

.7 m Home for Incurahles 1413 City - County S, m Home for the Mentally Retarded 

,.D 

J

Hos ital District so D Other 

- Please describe 7 -—-— -——--— ____ _ 10n U.S. Public Health Service 

~ Does your focility serve: Check unly one 

17 � Armed Forces I ~ Primarily children (under 21) 

tan Veterans Administration 

Federal 

Government z m Primarily adults (21 or over) 

9 � BoA children and ad”lt~ 

,s n Other Federal Agency 4 � Ofier age limitation 

- Specif~ -7 

-_!Specify _– –____ 

---—- -. 

~ Does your facility serve: Check only one 

! n Males only 2n Females only 

:E55521N””P’”” s a Both males and females 

mu I“dlvidmd ~ What is the TOTAL NUMBER OF BEDS regularly ) maintained for patients or residents? 

Include al I beds set up and staffed for use whether z.n Partnership For profit or not they ore in use at the present time. Do N07 

include beds used by staff or owners and beds 

25~ 

d

Corporation used exclusively for emergency services. 

Total beds 

Section C - INFORMATION FOR STATISTICAL USE ONLY 

hat is the total NUMBER OF PERSONS (patient! hich of the following services are ROUTINELY 

~ ! residents), who stoyed in your facility Iastnight $ ~rovided? Check all tkat apply. 

Do NOT include employees or owners. 

I n	 supervision is provided over meXlcaticms 

which may be self-administered 

r ZO Medications und treatments are admin- 1 istered in accordance with physicians 

wing the past seven cloys, how many of the orders 

@ ~ERSONS in question 11 received “N”rSing Core” a Q Rub and massage Consider that a person received “Nursing tare” 

if he received any of the fol lowing services: an Help with tub bath or shower 

checked no other box should be checked 

sO Help with dressing 

Nasal feeding 

Catbeterization 

Twnperature-pulserespiration 6 � Help with carrespondeuce or shoPPi”6 

irrigation Blood pressure 

Tn Help with walking or getting show 

Ox g.. therapy 

Fu I 1 bed bath 

Application of dressing 

or bandage 8 � Help with eating 

Enema Bowel and bladder 

Hypodermic injection retraining OR 

Intravenous injection 

9 n Not responsible for providing a“y service, 

Nmd)er of persons except room and board 

- (If this box is r in question 13. ) 

22 
I Section C - INFORMATION FOR STATISTICAL USE ONLY (Continued) 

~	 What is the total number of full-time personnel on the lbDoe. the owner of this facilify own or operate any 

payroll of this facility? Ful l-time personnel are o related or similar facility providing inpatient services 

those who usual Iy work 35 hours or more per week. which is NOT included in this report? 

Include owners, managers, and members of religious For example, onother faci I ity of the type Ii steal in 

orders who work ful l-time whether on the payrol I or question 7 or a hospital, or other institution. 

not. Do not include VOI unteers, prhmte duty nurses, Yes ,0 N.+Go to17 and port-time employees. 

TOTAL full-time personnel ‘7 

Please provide the following information for all 

other facilities owned. Use the “Comments” section 

if additions i space i $ needed or attach a seporate 

Of the above personnel, how many are: listing when availuble. 

4N.me 01 facility 

a.	 Licensed registered 

nurses . . . . . . . . . Type 01 facility 

b.	 Licensed ractical or Address - Number end street vocationa r nurses. . 

What is the NAME of the person, corporation, or Cily 3 other organization which owns this facility? 

Name Slate ~ ZIP code 

I 

1 

@ Name Of person completing this form I Date 

t 

I 

‘Pitle 

COhNIENTS - General comments are invited as well as comments on specific items. 

23 
--- -------

:ORM NHS-HRS4 (H) 5.14.67, 

U.S. DEPARTMENT OF COMMERCE 

-UREA” OF THE CENSUS 

AC T,WG AS COLLECTING AGENT FOR I’HE 

U.S. PUBLIC HEALTH SERWCE 

NATIONAL CENTER FOR HEALTH STATISTIC, 

MASTER FACILITY INVENTORY 

Dear sic 

The Sational Center for Health Statistics 

FORM APPROVED 

BUDGET BUREAU NO. 68-S67036 

i 

(NCHS) of the fJ. S. Puhlic Health Service isassembling an up-to-date 

list of all facilities in tbe United States which provide some kind of medical, nursing, personal, domiciliary 

or custOdIal care. 

This rogrrunis bein conducted asapart of the U.S. National Healtb Survey, authorized by Public Law652, 

84th 8 ongress. The %ureauof the Census has been requested toactas collecting agent fortbe YCHSin 

compiling the list. 

Thepurpose of this survey, inwhich youarebeing asked to participate, istoobtain current information, such 

as number of beds, staff size, and types of services provided, from each facility on \b: list. The information 

will be used to compile statistics on tbe number and kinds of such facilities in the Lntted States. 

Sections .iand Bofthis form request verification of thename andaddress of the facility, type ofservice, ty 

of ownership, staff size and capacity. Section C asks foraddltional information which is needed fordetaile J’ 

statistics onotber characteristics of the facility. AU information providedin Section C will be accorded 

confidential treatment by the Bureau of the Census and the Public Health Sewice and tbe statistics will be 

presented in such a manner that no individual facility can be identified. 

Forthis purpose wearerequesting &atyoucomplete this questionnaire foryour facility and return it within 

five days intheenclosed postage-paid envelope. Tbequestionnaire isverybrief andshould take only a few 

minutes to complete. 

Tbank you for your cooperation. 

Sincerely yours, 

ci.~&#Q4­

.!. Ross Eckler


Director


Bureau of tb# Census


Enclosure 

Section A - HOSPITAL IDENTIFICATION 

Please refer to themailing label above, then make all additions andcorrections according to the questions 

below. Detailed identification information isneeded toprevent duplicate listings andtoassure tbat your 

hospital improperly represented in our files. (Please type orpr.%t) 

1 l~the NAME shown inthe label above Correct name of hospital if different from above 

) correct for your hospital? 

1 ~~ Yes 

2 ~] Xo+Please line through name in label 

and enter correct name— 

~ Is your hospital known by ony other NAME(S)? “be’ “M” “f your b“spi’a’ 

1 c~ yesePleUse give other name(s)_ —--- -------—- —------

2 C-J x0 

e 

, 

3 Is the address shown in the label above the Yumber 1

~ Sweet 1

I P.O. Box, route, etc. 

correct mailing address for your hospital? 

City or town I El Yes 

z El So-please line through address on county f Stale ; ZIP Code label and give your entire I I correct mailing address. 

~ 

our mailing address also the ACTUAL 

!O~ATION of your hospital? 

X“mber I Street 

1 

1 c-j Yes City or town 

2 c: NO-PleaSe 9iue complete address jor County f State ~ ZIP Code aciuaf location of year hospital. I 

~_L.”.__ 

5 What is the telephone number of your hospital? ‘~rea “ode +‘umber 

L “. 

24 
a.

----------------- ---

-------------

--------------------

GENERAL INSTRUCTIONS FOR COMPLETING QUESTIONNAIRE 

Please read these instructions before completing Sections B and C. 

a.	 HOSPITAL as used in this form refers to homes and institutions for the mentally retarded and other mental 

facilities, medical units of nonhospital establishments (provided tbe units have one or more inpatient beds), 

as well as facilities generally recognized to be hospitals. If this facilitv is not a hospital please use the 

“Comments” section o“ page 4 to describe the facility and tbe services it offers and return the. questionnaire. 

b.	 Includt in this report data for your entire hospital and all parts, units, component institutions, etc. However, 

do not includo any component or unit which has its own separate discharge procedures. The latter are to be 

considered separate facilities and should be reported in question 20. If you are in doubt about any unit, 

please include the unit and explain in the “Comments” secticm. 

c,	 Answer all questions, please. Definitions and special instructions are iven with the question when needed. 

The reporting period used should be calender year 1966. If another yearf y period is used for completing this 

form, please indicate that period in the “Comments” section. 

d.	 Duetomme and address chemges, duplicate Iisti”gsin o“r file, orother reasons, youmay have been sent 

more than one questionnaire under different names or addresses. If you receive more than one form for the 

same hospital, complete one only and return all others with the notation “Completeda ndreturnedunder. . . 

(give name of hospital on completed form).” 

� .	 Return the completed questionnaire i“ the postage-paid cmvelope provided, to: Jefferson’ville Ce”s”s 

Operations Office, 1201 East 10tb Street, Jeffersonville, Indiana 47130. 

Sec+ion B-CLASSIFICATION INFORMATION 

~ 

your hospital part ofa GROUP OR SYSTEM of 

~ospitals, e.g. medic.l center, city or nonprofit o 

system? 

Isyourhospitol owned by the same organization 

as indicated in question 8? 

20N0 I mYes 

‘v ‘es 

What Is the name of thegro.p .arsystmr,? 2 a No - Indicate the type of ownership ~ 

______________________ Isyour hospital the health care facility fir a larger 10 Please read all of the following TYPES OF 

nonhospltttl institution? o SERVICES, then check the term(s) that best 

describes your hospital. hzdicate your major 

! � yes~complete b and C. 2 � NO+GO to 8 service areafs) only. 

b.	 What is the name and address of the nonhospital 3 I � General medical and surgical 

institution? 

Nmnv 32 � Psychiatric 

Address - Number and street 33 n Mental deficiency or retardation 

Cfij-------------~TaiI
 ---------(iiFG71Y 34 � Geriatric 

I I 

35 � Tuberculosis c. Are the admissions to the hospital usually 

restricted to residents or employees of the 36 m Orthopedic nonhospitol institution? 

In Yes’ 2= No 37 � Maternity 

~ p/=;se@a.~en [X,flnonlyonebo xfor+he~pe o 0 ganizatlon operotlng your hospital. The type = n Eye, ear, nose and throat
 of organization legal Iy responsible for the opera­


tion of the hospital. Check only one
 ~ m Chronic dkease 

1t � State 

12 � county 40 � Epileptic 

13n City State–Local 41 n \lcoholic 

Government 

14� City – County 420 Yarcotic 

Is � J

Hospital District 43 � Contagious disease 

!6 D U.S. Public Health Ser., ice 

44 D Rehabilitation center 

17 D Armed Forces Federal 

M � Veterans Administration Government 49 m Other - Specify treatment area 

,9,C Other Federal Agency 

J Specify 

1~ Primarily children (under 21) 

@OO:::ad:~””’ 20 PrlmarJy adults (21 or over) 

:: El!;:tiO” ]Xnpofit 

23 n Individual 

For profit 40 Other age limitation - SPeci[Y 7 24 n Partnership 

2s � Corporation } 

25 
\ Section B - CLASSIFICATION INFORMATION (Continued) 

2 Does your hospital serve: Check only one 14 what was the average length of patient stay (Per

) od]schorge) in your hospital during calendar year 1966? 

1n Males only I � Less than 30 days 

2U Females only 2n 30 days or more 

SD Both males and females 

o15What was the average daily patient census in your

hospital during calendar y.or 1966? 

Exclude nezubom 

3 What is the total number of beds regularly maintained Aver.~e daily patient census 

)* (set u and staffed for use), for inpatients? 

Inclu e beds in subunits of the hospital such os


nursing home units. Do not include beds used


exclusively for emergancy services and bassinets @~h:,wasfh=n.mberof inpa+ientadmissio.sto yew


in newborn nursery. o pltal during calendar year 1966? 

Exclude newborn. 

Total beds Total admissions 

Section C - INFORMATION FOR STATISTICAL USE ONLY 

~ Bedsin ServicelJnits- (@P&l ive the number of full -tfme and part-time 

cane currently ON THE PAYROLL of your l-aspital. 

Please indicate below the number of inpatient beds Include al I donated services of members of religious 

regularly set up and staffed for use in each of the orders. Exclude al i trainees, pr, vote duty nurses “service units” maintained by your hospital. and volunteers. (Full-time and !xrt-t ime are 

Report for a designated service if o separate and defined below.) 

distinct unit is regularly maintained for the service. 

Include component institutions, divisions, nursing 

home units, etc. The total should agree with the 

total bed count provided in question 13? Personnel 

Full-tire 

f35~~7e 

Part-1ime 

(L.ss than 35 

hrs. p. week) 

Service unit Number of beds a. Number of physicians 

and dentists a.	 \le{lcal,’surgical 

(Include intensive care) 

b. Obstetrical b. All other 

c. Pediatric 

c. Total (a plus b) 

d. Psychiatric the owner of your hospital ownor operate any 

@%ed or similar facility providing inpatient services e. Iiental retardation — which is NOT included in this report?

Forexample, another hospital, o nursing home, a 

f. Tuberculosis mental or other resident institutic,n. 

g. Rehabilitation 1 Yes z O NO*GO to 21 

h. Chronic disease 

(Other than above) i’ 

Please provide the following information for all other 

i. Vursing/convalescent facilities owned. 

Use	 the “Comments” section on pcge 4 if additional 

spcce is needed, or attach o separate Iisting whm j. All other available. If additional facilities are too numerous 

k. Total beds (Sum of’ ‘a” through tolist, i“dicote the nmne cmd gdd.e~s where a 

“j” should be same as number complete I ist may be obtained. 

in question 13) 

@	 Do any of the “units” reported above have o name Name .1 facility 

other than the name shown for the hospital in 

qu~stions 1 rind 2? 

Type of facility 

2= Yo*Go to 19 

‘Tyes


Please give name and type of service for each Mdress - Number and street
 such unit. use page 4 for additional units. 

\ w,<. 

Cily 

Typ. 

%31. ~ ZIP code 

1 

1 

~ ~ame of person completing this form	 ~Ike 

8 

.itle 

26 
COWEXTS — Ceneral comments are invited as well as comments on specific items. 

27 
APPENDIX II 

DEFINITIONS AND CLASSIFICATION PROCEDURES 

Criteria for Classifying Nursing, Personall 

or Domiciliary Care Homes 

The criteria for classifying these types of institutions are based on several factors: (1) the number of persons receiving nursing care during the week 

prior to the day of the survey (nursing, care is defined in “Definitions of Other Terms”), (2) adm&istration of medications and treatments in accordance 

with physicians orders, (3) supervision over medications which may be self-administered, (4) the routine provision of the following criterion personal 

services: rub and massage, help with tub bath or 

shower, help with dressing, correspondence, shopping, 

walking or getting about, and help with eating, 

and (5) the employment of of registered professional or licensed practical nurses. On the basis 

of these factors, four types of establishment were 

distinguished and are defined as follows: 

Nursing cave home. -An establishment is a nursing 

care home if nursing care is the primary and predominant function of the facility. Those meeting the 

following criteria are classified as nursing care homes 

in this report: One or more registered nurses or 

licensed practical nurses were employed, and 50 percent or more of the residents received nursing car,e 

during the week prior to the survey. 

Penwnal cave home m“th nuysing.-An estabHshment is a personal care home with nursing if personal 

care is the primary and predominant function of the 

facility but some nursing care is also provided. If an 

establishment met either of the following criteria it 

was classified as a personal care home with nursing: 

1.	 Some but less than 50 percent of the residents 

received nursing care during the week prior to 

the survey and there was one or more registered 

professional or licensed practical nurses on 

the staff. 

2.	 Some of the residents received nursing care 

during the week prior to the survey, no registered nurses or licensed practical nurses 

were on the staff, but one or more of the following conditions were met: 

A. Medications ‘ and treatments were administered in accordance with physicians’ 

orders. 

B. Supervision over self-administered medications was provided. 

C.	 Three or more personal services were 

routinely provided. 

Pevsonal caye home.—An establishment is a personal care home if the ,primary and predominant 

function of the facility is personal care, and no residents received nursing care during the week prior to 

the survey. Places in which one or more of the following criteria were met are classified as personal care 

homes in this report whether or not they employed 

registered nurses or licensed practical nurses. 

1.	 Medications and treatments were administered 

in accordance with physician’s orders, or 

supervision over medications which may be 

self-administered was provided. 

2.	 Three or more of the criterion personal services were routinely provided. 

Domiciliary care home.-Afacilityis a domiciliary 

care home if the primary and predominant fimction of 

the facility is domiciliary care but has a responsibility 

for providing some personal care. If the criteria for a 

nursing care home or personal care home are not met 

but one or two of the criterion personal services are 

routinely provided, the establishment is classified as a 

domiciliary care home in this report. 

In the classification process, a criterion was considered as not having been met. if the necessary information for that criterion was unknown. For instance, if 

the type of nursing staff was unknown for a particular 

place, it was considered as not having met the criteria 

of having one or more registered nurses or licensed 

practical nurses on the staff. Establishments indicating 

that some nursing “care was provided, but not the number of persons to whom this care was provided, were 

considered as institutions providing nursing care to 

some but less than 50 percent of their patients or residents. Table I shows in detail the classification of the 

establishments. 

28 
.

\ 

I Table I. Criteria for classification of establishments 

Classf.fication variables Classification criteria 

Percent of total I I 

residents who received Some but less 50 percentor more nursing care during
 than 50 percent


of study *

Number of registered or licensed practical 1+ None 1+ None nurses 

Are medications or treatment administer- . . . Yes No . . . Yes No 

ed in accordance with 

physician orders? 

the week prior to day


Is supervision over
 self-administered “med- ... ...Yes No ... ...Yes No€

ications provided?€ I I I I 1 I I I 

Are 3+ services


offered? . .. . . . . . . No


Are one or two serv­
 ices offered? . . . ... . . . . . . yes NO .....:......Yes ‘No


Is room and/or board€

the only service€

offered? ... ... ... ... ...Yes .. ... ... ... ... Yes€

Classification N Pn Pn Pn P D m Pn Pn p% D D


Legend:	 Nursing care home--------------.--------N 

Personal care home with nursing---------pn Personal care home----------------------p Domiciliary care home-------------------D 

Boardimg or rooming house(out of scope)-13 

None 

1+ None 

Yes No Yes No 

,.. Yes No . . . Yes No 

,.. . .. Yes No . . . . . . Yes No 

,.. . . . . . . Yes No . . . . . . . . . Yes No 

.. . . .. ... No Yes . . . . . . . . . . . . Yes 

P P P D B p p p D B 

Definitions of Other Terms the predominant type of service provided if

Reporti~ unit.—The term “reportingu nit’’refers 

to the individual units which make up the Master 

Facility Inventory. The primary objective is to be 

able to classify places in MFIfor any type of hospital 

or institutional survey that might be undertaken. To 

accomplish this objective a reporting unit is defined 

as the smallest organizational unit of an enterprise 

which provides services to persons whether on a 

profit or nonprofit basis, which has a separately 

assigned staff or work force, and which maintains 

separate books or administrative records. The reporting unit is usually at a single physical location, but 

maybe composed of several subunits at different locations. In some instances the service provided in a reporting unit will be mixed, as, for example, in large psychiatric hospitals, which often have special wards 

for geriatric and tuberculosis patients as well as a 

general medical and surgical facility for the treatment of patients within the institution. Here, however, 

as with all other types of units in the Master Facility Inventory, the primary consideration for classification is 

the reporting unit is composed of persons receiving 

several types of services. 

StzoYt-stay and long-stay hospitals. —Hospitals are 

classifiedin theMasterFacilityInventoryinaccordance 

with the average length of stay ofpatients discharged 

during the calendar year prior to the survey. A shortstay hospital is one with an average stay of less than 30 

days. A long-stay hospital is one with an average 

length of stayof 300r more days. 

Bed.—Forhospi@ls ,abed is defined as one which 

is regularly maintained (set Up and staffed for use). 

Those used exclusively for emergency services and 

bassinets for newborn infants are not considered to be 

beds for the purpose of the Master Facility Inventory. 

A bed in a nursing home or related facility is defined as one set Up and regularly maintained for 

patients or residents. This excludes many beds maintained for staff and those used exclusively foremergency services. 

Resident OY inmate.— For the purpose of the 

Master Facility Inventory a “residenti’ or “inmate” 

is defined as a person formally admitted to or con29 
fined in an institution and who slept in the establishment “last night,” i.e., the night prior to the day that 

the nature-of-business questionnaire was completed 

for the establishment. 

Employee, —An employee is defined as a person 

paid by the establishment or a working member of a 

religious order who usually works 15 or more hours a 

week in the establishment. An owner is an employee 

if he usually works in the establishment at least 15 

hours a week. 

Nursing caye. —For the purpose of classifying 

homes on the Master Facility Inventory which provide 

nursing care to residents, nursing care is defined as 

the	 provision of one or mc,re of the following services: 

Nasai feeding 

Catheterization


Irrigation


Oxygen therapy


Full bed bath


Enema


Hypodermic injection


Intravenous injection


Temperature-pulse -respiration


Blood pressure


Application of dressings or bandages


Bowel and bladder retraining


000 

30

VITAL AND HEALTH STATISTICS PUBLICATION SERIES 

Public Health Service Publication No. 1000 

SeYies 1. Programs and collection procedures. —Reports which describe the general programs of the National 

Center for Health Statistics and its offices and divisions, data collection methods used, definitions, 

and other material necessary for understanding the data. 

Series 2.	 Datu evaluation and methods research. — Studies of new statistical methodology including: experimental tests of new survey methods, studies of vital statistics collection methods, new analytical 

techniques, objective evaluations of reliability of collected data, contributions to statistical theory. 

Series 3. Analytical studies .-Reports presenting analytical or interpretive studies basedon vital and health 

statistics, carrying the analysis further than the expository types of reports in the other series. 

Series 4. Documents and committee ~epovts. — 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. 

Sevies 10.	 Dat2zfrom the Health Interview Swrvev. —Statistics on illness, accidental injuries, disability, use 

of hospital, medical, dental, and other services, and other health-related topics, based on data 

collected in a continuing national household interview survey. 

Series 11. Data f%om the Health Examination Survey. —Data from direct examination, testing, and measurement of national samples of the civilian, noninstitutional population provide the basis for two types 

of reports: (1) estimates of the medically defined prevalence of specific diseases in the United 

States and the distributions of the population with respect to physical, physiological, and psychological characteristics; and (2) analysis of relationships among the various measurements without 

reference to an explicit finite universe of persons. 

Sevies 12.	 Datxzjrom the Institutional Population Surveys — Statistics relating to the health characteristics of 

persons in institutions, and their medical, nursing, and personal care received, based on national 

samples of establishments providing these services and samples of the residents or patients. 

Series 13.	 Data J%om the Hospital Discharge Survey. —Statistics relating to discharged patients in short-stay 

hospitals, based on a sample of patient records in a national sample of hospitals. 

Series 14.	 Data on health resources: manpower and facilities. —Statistics on the numbers, geographic distribution, and characteristics of health resources including physicians, dentists, nurses, other health 

occupations, hospitals, nursing homes, and outpatient facilities. 

Series 20.	 Data on mortality. — Various statistics on mortality other than as included in regular annual or 

monthly reports —special analyses by cause of death, age, and other demographic variables, also 

geographic and time series analyses. 

Sm”es 21.	 Data on rtatality, mawiage, “and divorce, —Various statistics on natality, marriage, and divorce 

other than as included in regular annual or monthly reports-special analyses by demographic 

variables, also geographic and time series analyses, studies of fertility. 

Sm”es 22. Data Jrom the National Natality and Mortality Surveys. — Statistics on characteristics of births 

and deaths not available from the vital records, based on sample surveys stemming from these 

records, including such topics as mortality by socioeconomic class, hospital experience in the 

last year of life, medical care during pregnancy, health insurance coverage, etc. 

For a list of titles of reports published in these series, write to: Office of Information 

National Center for Health Statistics 

Public Health Service, HSMHA 

Rockville, Md. 20852