Vitaland

HealthStatistics

Discharges From

Nursing Homes:

1985 National Nursing

Home Survey

Series 13:

Data From the National Health Survey

Non103

Statistics are presented on the characteristics of persons discharged from

nursing homes over a 12-month period during 1984-85. Data are presented

on discharge status (live or dead), duration of stay, dependencies in mobility

and continence, living arrangements (prior to admission and after discharge],

primary diagnoses at admission and discharge, primary sources of payment

for admission and discharge months, histories of other institutionalizations

according to sex and age, marital status at discharge, race, and Hispanic

origin, Also presented is information on nursing home discharges by facility

characteristics including ownership status, bed size, chain affiliation, and

whether the nursing home was in a metropolitan statistical area.

U.S. DEPARllvlENT OF HEALTH AND HUMAN SERVICES

Public Health Service

Centers for Disease Control

National Center for Health Statistics

Hyattsville, Maryland

March 1990

DHHS Publication No. (PHS) 90-1764
copyright information

All material appearing in this report IS m the publtc domam and may be

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

appreciated.

Suggestad citation

Sekscenskl ES. Dmcharges from nursing homes: 1985 National Nursing Home

Survey. Nattonal Center for Health Statistics. Vital Health Stat 13(103). 1990.

Library of Congress Catabging-in-Publiition Date

Sekscenski, E.

Discharges from nursing homes :1985 National Nursing Home Survey.

p. cm.—(Vltal and health statistics. Series 13, Data from the National

Health Survey : no. 103) (DHHS publication ; no. (PHS) 90-1764)

Author: Edward S. Sekscenski.

“March 1990. ”

ISBN 0-84064431-9

1. Nursing homes—Un@d States—Utilization—Statst!cs. 1.National

Nursing Home Survey (U.S.) Il. Natlonai Center for Health Statistics (U.S.)

Ill. Tllle. IV. Series. V. Series: Vital and health statistics. Series 13, Data from

the national health survey ; no. 103.

[DNLM: 1. Nursing Homes—Untted States—statistics. 2. Patient

D!scharge-Umted States—statistics. W2 A N 148vm no. 103]

RA407.3.A349 no. 103

[RA997]

362.1 ‘0973’021 s-dc20

[362.1 ‘60973021]

DNLMIDLC

for Library of Congress 89-600251

CIP
National Center for Health Statistics

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

Robert A. Israel, DeputyDirector

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

cmd Epidemiology

Gail F. Fisher, Ph. D., Associate Director for Planning and

Extramural Programs

Peter L. Hurley, Associate Director for VW and Health

Statistics Systems

Stephen E. Nieberding, Associate Director for Management

Charles J. Rothwell, Associate Director for Data Processing

and Services

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

and Methodology

Division of Health Care Statistics

W. Edward Bacon, Division Director

Thomas McLemore, Deputy Director

Evelyn S. Mathis, Chie$ Long-Term Care Statistics Branch
Contents

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

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Data collection and type of data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Facility characteristics Ownership, certification status, bed size, chain affiliation, and geographic location. . . . . . . . . . .

Discharge characteristics: Demographics, marital status, and living arrangements prior to admission and after

discharge . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Dependencies in selected activities of daily living Mobility and continence . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Primary admission and discharge diagnoses. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Primary diagnoses at admission . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Primary diagnoses at discharge . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Sources ofpayment fornursing home care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Ownincome or family support . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Medicare . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Medicaid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Shifts to Medicaid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Histories ofother institutionalizations.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Other nursing horn essay s...... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Hospitalizations during asingle nursing home stay... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

List ofdetailed tables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Appendixes

L Technica lnote sonmethods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

IL Definitions of certain terms used in this report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

111. Survey instrument . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Text figure

1. Percent ofdischarges whowere discharged in thesameprimary ICD–9-CM diagnosis chapterin which theywere

admitted . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

List oftexttables

A. Number ofnursing homes, beds, mddiscllmges, mdpercent distn%ution ofnursing homes, beds, mddiscl~mges,

according to selected facility characteristics: United States, 1984-85 and 1976. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

B. Number and percent distribution ofnursing home discharges, according to selected characteristicx United States,

1984-S5and 1976 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

C. Number of nursing home discharges and number and percent distribution of live discharges by destination,

accordingto living arrangement prior to admission: United States, 1984-85 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

D. Number and percent distributionof live dischargesbyliving arrangement after dischargti United States, 1984-85

and 1976 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

E. Number of nursing home discharges by age at discharge and percent distribution of nursing home dischargesby

partial index ofdependency, accordingto ageat discharge: United States, 1984-85 and 1976

F. Numberofnursinghornedischargesby sexandageatdischargeandpercent ofnursinghomedischargesbytype of

. . . . . . . . . . . . . . . . .

dependency during last 7 days in nursing home, sex, and age at discharge United States, 1984-85 . . . . . . . . . . . . .

1

1

2

3

5

9

11

11

13

15

15

15

16

17

20

20

20

23

24

13

4

6

7

7

9

10

...

HI
G. Number and percent distribution of nursing home discharges, by primary diagnosis at admission and primary

diagnosis at discharge: United States, 1984-85 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

H. Number of allnursing home discharges byduration ofstay, percent distribution ofnursing home dischargesby

primary source of payment for admission and discharge months, according to duration of stay, and median duration

of stay and percent of persons ages 85 years and over, by primary source of payment for admission and discharge

months: United States, 1984-85 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

J. Nursing home discharges with no Medicaid payment source for admission month and percent shifting to Medicaid

as a source of payment by their discharge month, by primary source of payment for admission month, duration of

stay, and type of Medicaid: United States, 1984--85 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

K. Number of nursing home discharges by sex and age at discharge and percent distribution of nursing home

discharges by history of other known stays in nursing homes and hospitals according to sex and age at discharge

United States, 1984-85 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

L. Number of nursing home discharges by discharge status and duration of stay and percent distribution of nursing

home discharges by history of other known stays in nursing homes and hospitals, according to discharge status and

duration of stay United States, 1984-85 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

Symbols

--- Data not available

. . . Categoty not applicable

Quantity zero

0.0 Quantity more than zero but less than

0.05

z Quantity more than zero but less than

500 where numbers are rounded to

thousands

* Figure does not meet standard of

reliability or precision (more than 30

percent relative standard error)

# Figure suppressed to comply with

confidentiality requirements
Discharges From

Nursing Homes: 1985

National Nursing Home

Survey

by Edward S. Sekscenski, M.P.H., formerly

with the Division of Health Care Statistics

Introduction

Overview

This report presents detailed information on the characteristics of persons discharged from nursing and related

care homes over a 12-month period in 1984-85. The data

are estimates based on a sample of nursing home discharges

from the 1985 National Nursing Home Survey (NNHS). A

previous report presented preliminary data from the same

component of the survey in less detail (1). The estimates

presented in this report do not differ from the preliminary

estimates of the earlier report, with the exception of a slight

change in the detail on age. That change, due to some final

edits of the data, resulted in a slight shift in the magnitude

of some age categories. The estimate of total discharges

from the survey, which was not affected by the edits, was

found to be 1,223,500 over the 12-month period.

The 1985 NNHS is the third in an ongoing series of

sample surveys designed to provide comprehensive national

data on nursing homes, their services, residents, discharges,

and staff, and is conducted periodically by the National

Center for Health Statistics (NCHS). The first NNHS was

conducted in 1973–74. Data on discharges in that survey

were limited to estimates based on counts of the total

number of discharges from nursing homes in the survey

obtained from interviews with the facilities’ administrators.

No demographic or health status data on discharges were

gathered in the 1973-74 NNHS (2).

In contrast, discharge data from the second NNHS,

conducted in 1977, as well as tkom the 1985 NNHS were

obtained from random samples of discharges from the

sample nursing homes occurring over periods of 12 consecutive months. For the 1977 survey, the reference period for

discharges was calendar year 1976. For the 1985 survey, the

reference period was the 12-month period immediately

preceding the survey date. Because data collection in the

1985 NNHS was conducted between August 1985 and

January 1986, the 12-month reference period for discharges

could have fallen anywhere beginning August 1984 and

ending January 1986. For example, for those nursing homes

in which data collection took place on a particular day in

September 1985, all discharges occurring in that home

from that date in September 1984 to the night before that

date in September 19S5 had an equal chance of falling into

the sample from which the estimates on the characteristics

of total discharges were obtained. The full sample consisted

of a maximum of six discharges from each of the facilities in

the nursing home survey.

Facilities included in the universe of the 1985 NNHS

are all types of nursing and related-care homes in the 48

conterminous United States that regularly provide nursing

or personal care services to residents, regardless of the level

of service provision or the certification status of the facility.

In addition, the nursing homes had to have three beds or

more set up and staffed for use by residents. They could be

either free-standing facilities or nursing care units of a

hospital, retirement center, or similar institution as long as

the unit maintained financial and employee records separate from the parent institution. Facilities belonging to

nursing home chains also were included providing that

separate employee and financial records were available for

the individwd facility. Facilities providing only room and

board were excluded, as were those serving only persons

with specific health problems (for example, mental retardation or alcoholism).

The sampling frame for the 1985 NNHS consisted of

the following component

The 1982 National Master Facility Inventory (3), a

census of nursing and related-care homes conducted by

NCHS

Homes identified in the 1982 Complement Survey of

the National Master Facility Inventory as “missing”

from the 1982 NMFI

Nursing homes opened for business horn 1982 through

June 1984 and identified by the NCHS Agency Reporting System (4)

Hos~ital-based nursing homes identified in records of .

the Health Care Finn-cing Administration

The resulting frame contained about 20,500 nursing

homes, and a sample of 1,220 homes was selected. In this

report, the terms “nursing homes” and “nursing and relatedcare homes” are used interchangeably.

Estimates in this report are based on a sample of 6,023

discharges from the 1,079 nursing homes participating in

the survey. A more detailed description of the survey

design, data collection methodology, and estimation procedures for the NNHS has been published elsewhere (5). A

1
brief discussion of the standard errors associated with these

data is presented in appendix I to this report. Further

discussion of analysis of data from NCHS surveys is published elsewhere (6,7). For convenience, this report uses

the terms “discharges” and “discharged residents” interchangeably. In appendix IX,definitions of terms used in this

report are presented. Reference to definition is essential for

interpretation of the data.

Data collection and type of data

Data in this report were obtained from personal interviews conducted in the sample nursing homes with the

employees deemed most knowledgeable of the conditions

and medical histories of the discharged residents. In most

cases the interviewee was either a nurse or medical records

person who consulted the available medical records of the

discharged resident during the interview. As was true in the

NNHS of previous years, no discharges were consulted

personally in this component of the survey. Appendix III of

this report presents a facsimile of the survey instrument

used in the discharge resident component of the 1985

NNHS. Facsimiles of all other survey instruments used in

the 1985 NNHS are published elsewhere (5).

Data in this report that are also comparable with that

found in the 1977 NNHS include information on the characteristics of persons discharged from nursing homes, such

as their discharge status (live or dead); duration of stay (for

those with multiple stays duration is presented for the stay

relevant to the admission date immediately preceding the

survey discharge date); age and marital status at discharge;

sex; living arrangement after discharge for live discharges;

specific information on health status of discharges (including primary diagnosis at admission and functional

status in mobility or continence); and sources of payment

for nursing home care for the month of discharge.

By means of the 1985 NNHS, NCHS also collected

data on a number of characteristics of discharges that were

not obtained in the previous survey. For example, information on race and Hispanic origin of discharges was newly

collected in the present survey. Such information had been

obtained only for current residents in previous NNHS’S. To

obtain a better understanding of nursing home utilization

from a wider perspective, the 1985 NNHS also collected

information on the living arrangements of all discharges for

the period immediately prior to their admission to the

nursing home, data on the diagnoses of discharges at the

time of discharge, and payment sources for their nursing

home care for the month of admission.

The 12-month reference period from which the discharged resident sam~le was drawn in the 1985 NNHS was

changed from that used in the 1977 survey in an attempt to

obtain more current and readily available data and to

provide information on discharges from nursing homes that

more closely relate to the reference period for current

residents in the survey. The reference period for the current resident sample in both the 1985 and 1977 .NNHS was

the night immediately preceding the survey date. While this

change in survey methodology does provide for greater

comparability betsveen the current resident and discharge

resident components of the NNHS in reference to time,

several major conceptual differences remain between the

two components of the survey.

Because the discharge component is designed to estimate the number of discharges that occur in a nursing

home over a 12-month period, it may underestimate those

nursing home residents who tend to stay for very long

periods of time. Put somewhat differently, the likelihood of

being included in the discharge sample for those whose

stays were relatively short was greater than it was for those

whose stays were relatively long. On the other hand, the

current resident components of both the 1985 and 1977

NNHS provide estimates on the characteristics of persons

likely to be in a nursing home on any given day. Because

short-stay utilizers of nursing homes are less likely to be in

the facility on any given day than are long-stay utilizers, the

current resident component tends to underestimate those

with very short stays. The current resident component,

therefore, provides an accurate “snapshot” of resident

characteristics at a point in time, while the discharge component provides one measure of the changes in the nursing

home population over a specific period of time, :12months.

These differences are discussed in more detail in other

NCHS publications (8). However, comparison of the completed median duration of stay of discharged residents, 82

days, with the interrupted median length of stay of current

residents in the 1985 NNHS, 614 days, demonstrates the

basic conceptual differences in these two separate measures of nursing home utilizers.

Again, the purpose of this report is to present estimates

on the characteristics of discharges from the 1985 NNHS.

Some comparisons also will be made between estimates

from the 1977 and 1985 discharge resident components of

the NNHS where appropriate. The next section provides a

brief summary of the highlights of data from the facility

component of the 1985 survey. Other NCHS reports provide more detail on the data obtained in the facility and

current resident components of the present survey (5,9).

The remainder of this report deals exclusively with characteristics of discharged residents, including a focus on their

sources of ~avment for nursing home care.
Facility characteristics:

Ownership, certification

status, bed size, chain

affiliation, and

geographic location

The 1,223,500 discharges estimated in the 1985 National Nursing Home Survey (NNHS) were discharged

from 19,100 nursing and related-care homes. Data on

various characteristics of these facilities were also obtained

in the 1985 NNHS and a more detailed description of this

information has been published by NCHS (10). This section

summarizes the data on the different types of nursing

homes in the United States in relation to differences in the

characteristics of discharges occurring in various types of

facilities.

Facilities in the 1985 NNHS can be categorized according to their ownership and certification status, bed size,

geographic region of the country, affiliation in a chain of

nursing homes, and whether or not they are located in a

metropolitan statistical area (MSA). The proportional distribution of discharges by facility characteristic is closely

related to the overall distribution of facilities by type and by

nursing home bed size (see tables 1 and 2). Other factors,

however, especially those that are specific to characteristics

of discharges by nursing home type, interact to affect the

overall distribution of discharges by we and status of

nursing home. These factors include the age, sex, marital

status, duration of stay, health, discharge status, and functional status in activities of daily living.

Proprietary nursing homes, despite having the smallest

average bed size in the 1985 and 1977 surveys (78 and 67

beds, respectively), maintained the hugest share of total

beds (69 percent in either year) due to their overwhelming

share of facilities (75 and 77 percent in 19S5 and 1977,

respectively) (see table A). The proprietary homes’ share of

total nursing home discharges, therefore, was 74 percent in

1984-85, not significantly different from their 72 percent

share in 1976.

Nonprofit nursing homes, on the other hand, with an

average of 98 beds per facility in 1985, accounted for

2(I percent of a]l nursing homes in 1985 and 19 percent of

all discharges in 1984-85, also not significantly different

from their 20 percent share 8 years earlier. Governmentoperated nursing homes, with an average of 132 beds per

home, made up about 5 percent of all facilities in 1985 and

7 percent of all discharges in 1984-85.

According to certification status, about three-fourths of

all facilities in both the 1985 and 1977 NNHS were certified

by the Medicare or Medicaid programs as either skilled

nursing facilities, intermediate care facilities, or combined

SNF and ICF homes (that is, they had beds that were

certified in both programs). There was a slight increase in

the proportion of nursing homes that were combined

skilled nursing and intermediate care facilities and a corresponding decrease in the proportion of facilities certified as

either SNF-onIy or ICF-only homes (see table A). The

distribution of discharges showed a similar shift with the

combined SNF and ICF nursing homes accounting for

49 percent of all discharges in 1984-85, up from 40 percent

in 1976; nursing homes certified as SNF accounted for only

27 percent of discharges, down from 34 percent. Nursing

homes certified as intermediate care facilities only, however, while decreasing in total number, accounted for

19 percent of all discharges in 1976 and 18 percent of the

total in 1984-85.

By geographic region, the hugest proportions of nursing homes, as well as discharges in the 1985 NNHS were in

the midwest and south sections of the country. Each of

these regions accounted for about 29 and 32 percent of

facilities and about 31 and 28 percent of discharges, respectively. The northeast region of the country had about

23 percent of nursing homes and 19 percent of discharges.

The west accounted for only about 16 percent of all nursing

homes, but for 21 percent of all discharges because of the

shorter average duration of stay among its discharges,

290 days.

The proportion of nursing homes affiliated with other

nursing homes in a chain rose significantly between 1977

and 1985, from 28 to 41 percent of all facilities. These

facilities accounted for 49 percent of all beds and

53 percent of all discharges in the 1985 NNHS. Nongovemment, independent nursing homes, on the other hand,

represented 53 percent of all facilities, 42 percent of all

nursing home beds, and accounted for 39 percent of all

discharges in 1984-85.

Nationwide, most discharges in the 1985 NNHS,

71 percent, occurred in nursing homes located within a

MSA. The proportion of discharges occurring outside

MSA’S, however, varied by geographic region of the country, reflecting somewhat the urban-rural mix of differing

regions of the United States. The northeast and west

regions were represented by the largest proportions of

discharges occurring in nursing homes located within an

MS~ 88 and 85 percent, respectively. In the south and

midwest regions, on the other hand, only 59 and 64 percent

of discharges, respectively, occurred at nursing homes

located in an MSA.

3
Table ~. Number of nursing homes, beds, and discharges, and percent distribution of nursing homes, beds, and discharges, according

to selected facility characterisitcs: United States, 1984-85 and 1976

Nursing homes Nursing home beds Discharges

Facility characteristic 1984-65 1976 1964-65 1976 198445 1976

Number

Total, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19,100 18,900 1,624,200 1,402,400 1,223,500 1,117,500

Percent distribution

Ownership

Proprietary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75,0 76.8 69.1 69.3 73.7

Voluntarynonproft . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

71.9

19.7 17.7 22.6 21.1 19.3 20,1

Governmen t . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5.3 5,5 8.1 11,9 7.1 8,0

Certification

Sldllednureingfacilifyonly..... . . . . . . . . . . . . . . . . . . . 18.3 19.1 19.0 21.0 27.2

Skilled nursing faclllty and intermediate

33.9

carefacllity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29.7 24.2 44.6 39.2 48.5

Intermadfatecarefacllltyonly.. . . . . . . . . . . . . . . . . . . . .

40.1

27.6 31.6 25.2 27.9 18.3 18.8

Notcettifled . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24.4 25.0 11.3 11.9 6.0 7.1

Bed size

Lessthan50beds . . . . . . . . . . . . . . . . . . . . . . . . . . . 33.2 42.3 9.3 13.0 9.2 13.4

50-99beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32.5 30.6 27.4 29.8 26.8 29.0

100-199beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28.1 22.3 43.2 39.0 45.4 42.9

200bedsormore. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6.2 4.6 20.1 18.2 18.6 14.7

Census region

Northeast . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23.1 20.5 22.8 22.5 19,3 22.1

Midwest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29.2 31.2 32.7 34.5 31.3 30.1

South . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32.2 26.0 30.1 27.2 28.3 24,2

West . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15.6 22.4 14.4 15.8 21,1 23,5

Affiliation

Chain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41.3 28.1 49.3 35.4 52.9

Independent . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . .

52.6 66.4 41.9 54.9 39.2

Government . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

---

5.3 5.5 8.1 9.7 7.1

Unknown . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

---

* ..- * . . .

.8 ---

Metropolitan statistical area (MSA)

MA. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60.6 .-. 68.2 71.4

Not MSA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

--- ---

39.4 . . . 31.8 --- 28.6 ..-

NOTE Figures may not add to totsls becsuse of rounding.

4
Discharge

characteristics:

Demographics, marital

status, and living

arrangements prior to

admission and after

discharge

The estimated total of 1,223,500 discharges from nursing homes in 1984-85 represents about a 9.5 percent

increase from the total number of discharges estimated in

the 1977 National Nursing Home Survey (NNHS) (see

table B). About 37 percent of all discharges in the 1985

NNHS were men; 63 percent were women (see table 3).

Also among all discharges in the recent survey, 72 percent

were discharged alive, a proportion that was about the

same for men and women. Neither the sex ratio nor the

ratio of live versus dead discharges in the 1985 NNHS was

significantly different from that found in the 1977 survey.

This lack of difference from the 1977 survey exists

despite an aging of the overall discharge population represented by a significant increase in the proportion of all

discharges aged 85 years and over from 30 to 35 percent.

Most of the increase among discharges in this older age

group occurred among women discharges from nursing

homes. The proportion of all women who were aged

85 years and over rose between surveys, from 34 percent in

1976 to 41 percent in 1984-85. The proportion of men who

were of this age group was 23 percent in 1976 and

25 percent in 1984-85. The median age of women, therefore, was higher than that for men, 83 and 78 years,

respectively, according to the 1985 survey.

Also, despite the aging of the discharge population, the

distribution of all discharges by marital status did not

change significantly between the 1977 and 1985 surveys

(see table B). Overall, widowed persons constituted the

majority of all discharges, about 55 percent in the 1985

survey. However, the vast majority of discharges who were

widowed were women, 80 percent in 1984-85, due partially

to the age differences between men and women dischruges.

By contrast, married discharges made up about 22 percent

of the total in 1984-85, and men accounted for 64 percent

of all discharges who were married.

Discharges who were either divorced or separated at

the time of their discharge as well as those who were never

married, on the other hand, were more evenly divided

between men and women. About 7 percent of all discharges

were of divorced or separated marital status, and 54 percent of these were men. Of the remaining 12 percent of

total discharges who had never been married, 51 percent

were men. Marital status was unknown for about 4 percent

of all discharges in the 1985 survey.

As was noted earlier, information on race and Hispanic

origin of discharged residents of nursing homes was

obtained for the first time in the 1985 NNHS. According to

the survey, 92.8 percent of all discharges in 1984-85 were

white persons, while 6.7 percent were black persons and

another one-half of 1 percent were of other racial groups

including Asian and Pacific Islander, American Indian, and

Alaskan native. About 3 percent of all discharges were

known to have been of Hispanic origin, an ethnicity designation that is distinct from race. However, for another

5 percent of discharges, ethnicity status was unknown (see

table B).

By age, white persons tended to be older than were

discharges in the other two racial groups. Whereas

36 percent of white discharges were 85 years of age or over,

only 25 percent of black and other discharges were of this

age group. The median age of white discharges, 81 years,

was also higher than that of black and other discharges,

78 years.

The proportion of black and other discharges who were

men was about the same as that for white discharges, 40

and 37 percent, respectively. The proportions of all black

and other discharges who were married, however, was

smaller than the comparable proportion for white discharges, 14 versus 23 percent. On the other hand, the

proportion of black and other discharges who were divorced or separated, 28 percent, was higher than that for

white discharges, 19 percent. Nearly the same proportions

of either racial group were widowed, 50 percent of black

and other and 55 percent of white discharges.

Among discharges who were known to be of Hispanic

origin, about 31 percent were aged 85 years and over. Their

median age was 80 years. The sex ratio of Hispanic c!ischarges, however, was about the reverse of that for all

discharges, 66 percent were men and 34 percent were

women. Discharges lmown to be of Hispanic origin were

too small a group for which to compare their estimates on

marital status with those of discharges known not to be

Hispanic. The fact that Hispanic discharge estimates represent a small proportion of the overall total also limits

comparison of this group with regard to differences that

may exist in discharge status. No statistically significant

difference, however, was apparent between the proportions

of Hispanic versus all discharges who were discharged alive,

77 versus 72 percent.

AISOnew to the NNHS is information collected in the

1985 survey on the living arrangements of all discharges

immediately prior to their admission to the nursing home.

5
Table B. Number and percent distribution of nursing home discharges, according to selected characteristics: United States, 1984-85 and

1976

1964-65 discharges 1976 Uixharges

Percent Percent

Characteristic Number i,2 distribution Number 1,2 distribution

Dischargestatus

All discharges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ,., 1,223,500 2100.0 1,117,500 %cs).o

Lwedischarges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 877,000

Deaddischarges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

71.7 825,500 73.9

344,200 28.1 289,800 25.9

Sex

Male . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 455,500 37.2

Female . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

407,700 26.5

768,000 62.8 709,800 63.5

Age at discharge

lJnder65years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 133,100 10.9

Under45years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

136,200 12.1

34,900 2.9

45-54years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

33,900 3.0

29,800 2.4

55-64years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

33,500 3.0

68,500 5.6

65yesrsand over . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

68,800 6.2

1,090,400 89.1

65-69years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

981,300 87.8

69,300 5.7

70-74years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

81,300 7.3

133,200 10.9

75-79years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

122,300 10.9

195,400 16.0

80-64years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

204$600 18.3

262,900 21.5

85-69years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

241,200 21.6

231,300 18.9

90-94years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

210,100 18.8

138,100 11.3

95yearsandover . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

90,500 8,1

60,300 4.9 31,100 2.8

Marital StatUS at discharge

Married . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 273,200 22.3

Widowed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

255,900 22.9

669,200 54.7

Dlvorcedorsepareted . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

628,400 58.2

84,800 6.9

Nevermerried . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

75,200 6.7

151,800 12.4 127,200

Unknown . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

11.4

44,600 3.6 30,800 2.6

Race

White . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,135,900

Black . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

92.8 . . . .-.

62,000

Other. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

6.7 --- ---

5,600 0.5 -.. . . .

Hispanic origin

Hispanic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35,500

Non-Hispanic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2.9 --- ---

1,130,700

Unknown . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

92.4 .-. ---

57,400 4.7 ..- ---

lFigures may not addiolotals because of rwnding.

‘Total includes small number of unknowns.

Such information provides a more comprehensive understanding of nursing home utilization than that available

from previous surveys. The following section presents a

brief description of the proportional distribution of discharges accordingto specific characteristics of discharges,

including their living arrangements prior to admission to

the nursing home.

The majority of all discharges, nearly 7 of every 10,

were admitted from another health facility (see tables C

and3).About55 percent of the total were admitted directly

from a general or short-stay hospital, while another

7percent of all discharges had been in another nursing

home immediately prior to their stay in the sample facility.

Yet another3 percent ofdischarges, mostly men, had been

admitted from Veterans hospitals, and 5 percent were

admitted from other health facilities of unknown type.

Admissions from other health facilities, however, varied

according to age of the discharged resident. Although

55percent of all discharges had been admitted from a

general or short-stay hospital, among those under age

6

65years, only44 percenthad been admitted from ageneral

or short-stay hospital. While another 11 percent of these

younger discharges had been admitted from a Veterans

hospital, only about 2percent ofdischarges aged165 years

and over had been admitted directly from a Veterans

hospital. Similarly, although about 11 percent of discharges

under age 65 years were admitted directly from a mental

facility (namely, a mental hospital, facility for the mentally

retarded, mental health center, or psychiatric unit of a

general or short-stay hospital) only 2 percent of discharges

aged 65 years and over were admitted from one of these

facilites.

Another7percent ofall discharges, or lin lOadmitted

from another health facility, were admitted from another

nursing home. While4percent ofthose under age65years

had come from another nursing home,8 perceni ofthose

85 years and over were represented by transfers from

another nursing home.

About 28 percent of all nursing home discharges had

been admitted from a private or semiprivate residence.
Table C. Number of nursing home discharges and number and percent distribution of five discharges by destination, according to living

arrangement prior to admission: United States, 1984-85

Lfve dischergw

DestiratFcrr

Private or Other

All semiprivate health

LMrrg arrangement prhr to admlsWivr discharges Total Totai residence faclllty

Number

Alldlscharges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Private orsemlprivate residence . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Alone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Withfamilymembers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Wtihrsonfamilymember s....... . . . . . . . . . . . . . . . . . . . . . . . .

Unlmownifwith others . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Anotherhealthfacillty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Anothernurslng home . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

General orshort-stay hospital, except psychbtrlcunfi. . . . . . . . . . . . .

Veteranshospitai . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Otherhealthfacilityorunknowntype . . . . . . . . . . . . . . . . . . . . . . .

Unknownorother . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1,223,500

340,700

110,200

185,100

23,300

22,100

648,700

82,500

674,300

33,000

59,100

34,100

877,000

236,100

77,500

128,400

16,300

16,000

616,400

52,400

489,200

26,8C0

46,200

22,8IXI

Percntdlsfrlbutbn

100.0 30.4 67.5

100.0 40.5 58.1

100.0 38.1 60.1

100.0 41.8 57.3

100.0 46.4 51.9

100.0 35.4 61.4

100.0 27.0 70,8

100.0 12.5 84.5

100.0 30.0 68.6

10Q.O 18.9 75.4

100.0 17.5 75.4

100.0 15.2 74.9

iTot~ jnc]~d~s SAI percent cf unknowndetlnatbns.

NOTE Figuresmay not add to totals because of rounding.

More than half of these discharges, 15 percent of the total,

had been living with family members when they were

admitted. Another 9 percent of all discharges had lived

aloneinaresidence prior totheirnursing homeadmissions,

while about 2 percent lived with nonfamily members in a

residence. By age, discharges under age 65 years were

about as likely as those over 65 yearsto have been living

with family members prior to their admissions, but were

less likely to have been living alone or with nonfamily

members. By sex, men were about as likely as women to

have been admitted from a private or semiprivate residence,26 and29 percent of each total, respectively. But

women were more likely to have been living alone prior to

their admissions, 11 percent, versus 6 percent for men.

Similarly, by marital status, discharges who were not married, including those who were widowed, divorced, or separated, as well as those never married, were as likely as

those who were married to have been admitted from a

private or semiprivate residence, 28 percent of each group.

Those who were unmarried, however, were more likely to

have lived either alone or with nonfamily members.

Prior living arrangements differed only slightly by race.

For exampIe, white and bIack discharges and other discharges were about as likely to have been admitted from a

private or semiprivate residence—28 percent and 24 percent, respectively. Black and other nonwhite discharges,

however, were somewhat more likely to have been admitted

directly from a general or short-stay hospital. About

60 percent of black and other nonwhite discharges were

admitted from hospitals as opposed to about 55 percent of

white discharges.

The proportional distribution of live discharges by

living arrangement after discharge changed significantly

between the 1977 and 1985 surveys (see table D). The

major factor affecting this distributional change was an

increase in the proportion of live discharges who went

immediately to another health facility upon leaving the

sample nursing home. This trend was due entirely to an

increase in discharges to general or short-stay hospitals.

The proportion of live discharges who were discharged to a

private or semiprivate residence decreased between surveys

also by a significant amount.

Table D. Number and percent distribution of live discharges by living arrangement after discharge: United States, 1984-85 and 1976

1964-85 discharges 1976 discharges

Percent Percent

LMrrg arrangement after discharge Number distr[bufkm Number Wtibtrtlorr

All livedischarges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 877,000 100.0 825,500 100.0

Priva!eorsamlprivate residence . . . . . . . . . . . . . . . . . . . . . . . . . . . . 266,400 30.4 306,700 37.2

Another health facility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 591,500 67.5 484,200 58,7

Another nursing home . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 98,000 11.2 108,600 13,2

General or shorhstsy hospital, except psychiatric unit. . . . . . . . . . . . . 430,200 49.1 339,500 41.1

Velerans hospital . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20,800 2.4 .-.

OIherhaalIh facll~orunknown ~pe . . . . . . . . . . . . . . . . . . . . . . .

. . .

42,600 4.9 36,000 4.4

Unknown orother . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19,000 2.2 34,700 4.2

NOTE Figuresmaynotadd to tofafs bewse of rounding.

7
The increase in the proportion of live discharges who

went directly to short-stay hospitals following their nursing

home stay was the result of an increase in hospitalizations

among discharges aged 65–84 years than of the aging of the

discharge population. Among all live discharges, the proportion discharged to general or short-stay hospitals increased from 41 to 49 percent between 1976 and 1984-85.

While the proportion of hospitalizations among live discharges aged 85 years and over remained high, 52 percent

in 1976 and 56 percent in 1984-85, the proportion among

those aged 65–84 years increased from 39 to 50 percent

over the same period of time.

The proportion of all live discharges directly to a

private or semiprivate residence decreased from 37 to 30

percent between the 1977 and 1985 NNHS. Not surprisingly, most of the decrease here came among discharges

aged 65-84 years as opposed to those aged 85 and over.

Among live discharges aged 65–74 years, the proportion

discharged to a private or semiprivate residence decreased

from 45 to 32 percent, while among those aged 75-84 years,

the comparable decrease was from 39 to 30 percent. However, among live discharges who were 85 years of age and

over, 30 percent were discharged to a residence in 1976 ~~

compared with 26 percent in 1984-85.

Table C shows the discharge destination of all live

discharges in 1984-85, according to their living arrangements prior to admission to the nursing home. Although

only 41 percent of all discharges who had been admitted

from a private or semiprivate residence were discharged to

one or the other type of residence, 71 percent of those

admitted from another health facility were discharged back

to another facility (see also table 4).
Dependencies in

selected activities of

daily living: Mobility

and continence

The proportions of discharges who were dependent’ in

specific activities of daily living (ADL) increased behveen

the 1977 and 1985 National Nursing Home Surveys

(NNHS) among all age groups and regardless of discharge status. In both NNHS’S, information on ADL dependencies is limited in the discharge component of the

survey to whether the discharge was continent of bowels or

bladder, or both, in the last 7 days in the nursing home and

whether the discharge was chairfast or bedfast during the

last week before discharge.

Among all discharges in 1985, 45 percent were dependent in continence (bowels or bladder, or both) and mobility (they were either chairfast or bedfast) (see tables E and

5). The comparable proportion of discharges dependent in

both of these ADL functions was only 35 percent in the

1977 survey. In contrast, the proportion of all discharges

who were independent regarding continence and mobility

decreased between surveys from 40 to 31 percent. Increased dependencies of discharges were evident among all

major age groups between surveys (see table E). Although

data in both surveys show that the prevalence of dependencies in both ADL functions tends to increase with age,

increases in the proportions of discharges dependent in

continence and mobility also were significant between surveys among those aged under 65, 65–74, 75–84, and

85 years and over. Similarly, decreases between the 1977

and 1985 surveys in the proportion of discharges who were

independent in both functions also were significant in each

age group.

These increased dependencies were as apparent among

live discharges as among dead discharges. Overall, 33 percent of live discharges were dependent in continence and

mobiIity in the 1985 NNHS compared with 23 percent of all

live discharges in the 1977 survey. The proportion of all

dead discharges who were dependent in continence and

mobility during the last 7 days of their nursing home stay

increased horn 66 to 77 percent between surveys.

Most of the proportional increase in dual dependencies

among live discharges is due to increased dependencies

among those discharged to another health facility, especially among those who were discharged to a general or

short-stay hospital. As was noted previously, a larger proportion of persons who were discharged alive from nursing

homes were discharged to other health facilities in 1984-85

than was the case in 1976. Among those discharges to other

health facilities, the proportion dependent in continence

and mobility also increased from 35 to 44 percent between

surveys. Among discharges to general or short-stay hospitals, the comparable proportional increase in dually dependent discharges was from 38 to 47 percent. Among

discharges who went to a private or semiprivate residence,

on the other hand, 7 percent were dependent in mobility

and continence in 1976 while 11 percent were dually dependent in 1984-85. In contrast, the proportion of live

Table E. Number of nursing home discharges by age at discharge and percent distribution of nursing home discharges by partiai index of

dependency, according to age at discharge: United States, 1984-65 and 1976

1984-85 discharges

Partialindexof dependency

Not

dependent Dependent Dependent

in mobility Dependent in in mobility

or in mobdly continence and

Age at discharge Total Total continence only only continence

1976 discharges

Partki index of dependency

Not

dependent Dependent Dependent

in mobility Dependent in in mobility

or in mobility continence and

Total Total continence only only continence

Number Percent distribution

All discharges . . . . . . . . 1,223,500

Under 65years . . . . . . . 133,100

65 years and over . . . . . 1,090,400

66-74 years . . . . . . . . 202,500

75-84 years . . . . . . . . 458,300

85 years and over . . . . 429,700

100.0 31.0 14.8 8.8

100.0 44.4 13.6 8.5

100.0 29.3 15.0 6.8

100.0 36.2 17.2 7.2

100.0 29.7 15.7 9.2

100.0 25.7 13.5 9.1

Number

.— —

45.4 1,117,500 100.0

33.4 136,300 100.0

46.9 981,200 100.0

38.4 203,600 100.0

46.0 445,800 100.0

51.8 331,80Q 100.0

Percent distribution

40.1 12.6 12.7 34.5

52.4 13.5 9.7 24.3

38.4 12.5 13.1 35.9

43.2 11.6 13.5 31.7

40.9 12.7 13.5 32.9

32.3 12.8 12.3 426

9
discharges discharged to a private or semiprivate residence

and who were independent in continence and mobility

decreased slightly from 69 to 64 percent, while the proportion of discharges to other health facilities who were independent in these ADL functions fell from 36 to 28 percent.

According to the individual measures of functional

status, the percent of discharges who were dependent in

mobility, regardless of their continence status, increased

between surveys from 47 to 60 percent. All of this increase

in mobility dependency was the result of a proportional

increase among discharges who were bedfast in their last

week in the nursing home, from 21 percent to 35 percent.

The proportion of all discharges who were chairfast, meanwhile, did not change significantly. It was 27 percent in 1976

and 25 percent in 1984-85 (table F).

With regard to continence status, 54 percent of all

discharges in the 1985 NNHS had difficulty controlling

bowel or bladder, or both, during their last 7 days in the

nursing home or had had an ostomy in either bowels or

bladder (see table E). This proportion is up significantly

from the 47 percent who had some continence dependency

in 1976. In the 1985 NNHS, about 44 percent of all

discharges had difficulty controlling their bowels and

another 1 percent had had an ostomy in their blowels. Also

among all discharges in 1984-85, 42 percent had difficnl~

controlling the bladder and another 11 percent had had a

bladder ostomy or catheter to perform this function. Excluding all those with any ostomy, about 36 percent of all

discharges in the 1985 NNHS had difficulty controlling

bowel and bladder, a proportion significantly higher than

the 27 percent of all discharges who were immntinent of

bowel and bladder in the 1977 survey. Significant increases

between the 1977 and 1985 NNHS’S in the proportions of

discharges who had some form of continence dependency

were evident among live as well as dead discharges, and

among most groups of discharges by age. An exception was

persons aged 65 to 74 years at discharge—about 45 percent

were dependent in some form of continence in either

survey period. Among live discharges, the proportion dependent in at least one form of continence rose from 19 to

22 percent for those who were discharged to a private or

semiprivate residence, and from 49 to 54 percent among

those discharged to another health facility. Among live

discharges to a general or short-stay hospital, continence

dependency increased from 54 to 58 percent.

Table F. Number of nursing home discharges by sex and age at discharge and percent of nursing home discharges by type of

dependency during last 7 days in nursing home, se~ and age at discharge: United States, 1984-85

Type of dependency

Incontinent Incontinent

Sex and age at discharge Discharges Bedf%t Chairfir.st of bladder7 of bowekl

Number Percent

Alldischarges, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,223,500

Sex

34.8 25.4 52.8 45,2

Male . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 455,500

Female . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

33.2 26.9 54.8 46.3

788,000 36.8 24.6 51.6 44.6

Age at discharge

Under 65 years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 133,100 24.4

65years andover . . . . . . . . . . . . . . . . . . . . . . . ..<4

22.7 40.9 30.9

1,090,400 36.1

65-74 years . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

25.8 54.2

202,500 31.0

47.0

75-84 years . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

25.4 43.9

458,300 33.9

36,9

85yeers And over . . . . . . . . . . . . . . . . . . . . . . . . . .

27.3 54.0 46.1

429,600 40.8 24.3 59.3 52.6

1lnctide~thosewi?ahadan ostomyto performthisfunctkm.
Primary admission and

discharge diagnoses

Information on the diagnoses of nursing home discharges was collected in the 1985 NNHS for the time of

admission and the time of discharge, regardless of discharge status. This information was obtained in the interview with the nursing home employee who was the main

respondent for the discharge component of the survey. The

employee was asked to provide the primary and all other

diagnoses listed in the medical records of the discharged

resident. Subsequent to the data collection process, these

stated diagnoses were centrally coded in the data preparation process of the survey according to the diagnostic

groupings of the International Classification of Diseases, 9th

Revision, Clinical Modificti”on, or ICD-9–CM (11). This

classification system is primarily an arrangement of diseases segmented into various diagnosis chapters. This section presents cross-tabular information on the numbers and

rates of discharges as classified in 15 primaxy diagnosis

chapters at times of admission and discharge according to

various other discharge characteristics.

AIthough there is little difference in the overall distributions of discharges in comparing primary diagnosis at

admission and primary diagnosis at discharge (see table G),

this lack of distributional variation masks specific changes

in the primary diagnoses of many individual discharges

between admission and discharge. The proportions of individual discharges who were discharged within the same

primary diagnosis chapter in which they had been admitted

actually varied rather widely by major diagnosis group (see

figure 1).

Primary diagnoses at admission

The ICD–9-CM chapter representing the largest proportion of discharges by primary diagnosis at admission was

chapter 7, diseases of the circulatory system. About

31 percent of all discharges were admitted with a disease

within this primary diagnosis group. Heart disease, including coronary atherosclerosis, other ischemic heart disease,

congestive heart failure, and other heart disease, accounted

for about half of all discharges admitted with a primary

diagnosis of a circulatory system disease. Cerebrovascular

disease also accounted for a large proportion of all discharges’ primary admission diagnoses, about 12 percent.

The remaining admissions in this disease group were represented by those with hypertension or atherosclerosis as

their primary diagnosis.

Discharges with primaxy diagnoses of mental disorders

or injuries and poisonings together accounted for the admissions of about one-fifth of all nursing home discharges

in the 1985 survey. The former diagnosis chapter includes

nonpsychotic mental disorders due to organic brain damage, psychoses other than senile dementia, and senile dementia as well as mental retardation and other mental

disorders. Fractures of the neck of the femur (hip fractures) accounted for half of all injury and poisoning admissions, or 5 percent of all admissions of discharges in the

survey. All other major diagnosis chapters each accounted

for fewer than 1 in 10 admissions of all discharges in the

survey.

AS might be expected, significant differences were

evident between the distributions of primary admission

diagnoses of discharges according to their eventual discharge status. For example, while 29 percent of all live

discharges had been admitted with a primary diagnosis of a

disease of the circulatory system, 35 percent of all dead

discharges had been admitted with a primary diagnosis of a

disease in this diagnosis chapter (see table 6). As a correlate of the above, discharge status also varied according to

prima~ diagnosis at admission. The proportion of all discharges who had been admitted with a prima~ diagnosis of

injuries and poisonings and who were discharged alive, for

example, at 84 percent, was significantly greater than the

overall proportion of live discharges. On the other hand,

the proportion of discharges who were discharged alive who

had had a primary admission diagnosis of neoplasms,

46 percent, was significantly below that for all discharges

(see table 7).

Some differences also were evident between the distributions of prima~ admission diagnoses of male and female

discharges (see table 8). Within some diagnosis groups,

however, age seemed to be an underlying factor confounding the difference by sex. For example, although a significantly larger proportion of female than male discharges

had a primary admission diagnosis of diseases of the

circulatory system, the proportion of discharges of

either sex having a primary admission diagnosis in this

disease group tended to be larger among older discharges.

The fact that women admitted to nursing homes, on average, were older than men, therefore, had an impact on the

proportional difference between the sexes in this diagnosis

group.

11
Table G. Number and percent distribution of nursing home discharges, by primary diagnosis at admission and primary diagnosis at

discharge: United States, 1984-85

At admission At discharge

Number of Percent Number of

Diagnosis and ICD-9-CM codef

Percent

discharges dktrtbution dl.scharges d!strlbution

Allcategorles. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Chapter1. Infectious and parasitic diseases . . . . . . . . . . . .001-139

Chapler2. Neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...140-239

Malignant neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 140-208

Chapter 3, Endocrine, nutritional, and metabolic diseases and immunity

disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .240-279

Diabetes mellifus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..250

ClIapter4. Diseases of the blood and blood-forming organs . . . . . . .28Cr-289

Anemias . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...28&285

Chapter5. Mentaldlsorders . . . . . . . . . . . . . . . . . . . . . . . . . . ...280-319

Senile dementia andother organic psychotic conditions . . . , . . .. 290-294

Otherpsychoses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...295-299

Neurotic and personaiitydisorders . . . . . . . . . . . . . . . . . ..300-301

Specific nonpsychotlc mental disorders duetoorganic brain damage . . . .. 310

Menta[retardatlon . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..317+19

Othermental dlsordere . . . . . . . . . . . . . . . . . . . . . . . . . 302-309,311-316

Chapter6. Diseases of thenervous system and sense organs . . . . . .. 320-389

Alzheimer’s disease and other specified and unspacifled

degeneration of the brain . . . . . . . . . . . . . . . . . . . . 331.0,331.2,331.9

parkinson’sdisease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...332

Chapter7. Diseases oftheclrcuiatorysystem . . . . . . ., . . . . . . . ...390-459

Essential hypertension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...401

Heartdlsease . . . . . . . . . . . . . . . . . 391-392.0, 393-398, 402, 404, 410-429

Coronaryatherosclerosis .,.. . . . . . . . . . . . . . . . . . . . . . . . ...414.0

Ofherlschemlc heart disease . . . . . . . . . . . . . . . . 410-413,414.1-414.9

Congestiveheartfahrre .. . . . . . . . . . . . . . . . . . . . . . . . . . . ...428.0

Otherheartdlsease . . . . . 391-398, 402, 404, 415, 420-427, 428.1429.9

Cerebrovaecuiardisease . . . . . . . . . . . . . . . . . . . . . . . . . . . ...430-436

Atherosclerosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..44o

Chapter8. Diseases oftherespiratory system . . . . . . . . . . . . . . . ..460-519

Pneumonia, aiiforms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...480-486

Chronic obstructive pulmonay dise~eand aliiedcond~ons. . . .. 490-496

Chapter9. Diseases of thedigesfivesystem . . . . . . . . . . . . . . . . . .. 520-579

Chapter 10. Diseases of thegenifourinary syefem. . . . . . . . . . . ..560-628

Urinary tract lnfecfion, N.E.C...... . . . . . . . . . . . . . . . . . . . . . . . . 599.0

Chapter 12. Dlseaees of theskln and subcutaneous tissue . . . . . . . . .. 680-709

Decubitusuicere . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...707.0

Chapter 13. Diseases of the musculoskeie!al system and connective

tissue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...710-739

Rheumatoid arthrtis, osteoarthritis, and allied disorders,

exceptspine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...714-715

OtherarthrMsor rheumatism , . . . . . . . . . . . . . . . . . 710-713,716,729.0

Ostaoporosls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...733.0

Chapter 16. Symptoms, signs, and iii-defined conditions . . . . , . . . .. 780-799

Senilitywithoutpsychoses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...797

Chapier17. injuryandpolsoning . . . . . . . . . . . . . . . . . . . . . . . ...80&999

Fractureofneckoffemur . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...820

Ofherfractures . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..80U19. 821-S29

Supplementarycle.ssifications, . . . . . . . . . . . . . . . . . . . . . . . . . ..VOI-V82

Persons with polentiai health hazards related to personal and

familyhistory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..VIO-V19

Persons with acondition influencing their health status. . . , . . .V41W/49

Unknown brother . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1,223,500

8,700

65,800

80,400

68,700

45,200

8,600

6,100

140,700

22,500

39,200

7,200

47,800

8,700

15,300

80,900

24,300

20,600

376,500

24,800

181,600

53,300

19,800

61,700

46,800

142,600

13,400

84,600

24,800

45,100

51,300

30,800

14,000

15,300

8,900

63,500

21,400

13,700

5,200

41,100

7,500

124,400

61,900

37,400

19,200

9,900

7,900

23,100

100.0

0.7

7.0

6.6

5.6

3.7

0.7

0.7

11.5

1.8

3.2

0.6

3.9

0.7

1.3

6.6

2.0

1.7

30.8

2.0

14.8

4.4

1.6

5.0

3.8

11.7

1.1

6.9

2.0

3.7

4.2

2.5

1.1

1.3

0.7

5.2

1.8

1.1

0.4

3.4

0.6

10.2

5.1

3.1

1.6

0.8

0.6

1.9

1,223,500

14,800

89,700

84,100

57,800

35,400

8,200

7,600

100,000

15,100

30,200

5,900

30,400

5,300

12,900

67,600

19,300

14,900

390,400

15,100

219,500

37,600

27,300

66,700

85,800

127,900

11,400

110,200

55,300

37,500

56,800

38,800

15,700

13,300

7,600

49,000

16,300

10,400

*

79,800

5,500

88,600

46,100

25,100

21,100

10,600

8,800

37,300

100.0

1.2

7.3

6.9

4.7

2.9

0.7

0.6

8.2

1.2

2.5

0.5

2.5

0.4

1.1

5.5

1.6

1.2

31.9

1.2

17.9

3.1

2.2

5.6

7.0

10.5

0.9

9.0

4.5

3.1

4.6

3.2

1.3

1.1

0.6

4.0

1.3

0.9

*

6.5

0.5

7.2

3.8

2.1

1.7

0.9

0.7

3.0

1Diagnostic groupings and code number inclusions are bssed on the International Classification of Diseases,9th Revision, Clinical Modification.

NOTES:N.E.C. refersto not elsewhere clesslfled. Figures msy not add to totals because of rounding.

Significant differences also existed in the proportional the respiratory systernhadsuch a living arrangement prior

distributions ofprior livingarrangements arnongdischarges to admission (see table 9). About 66 percent of these

with differing primary admission diagnoses. Although discharges had been admitted directly from a hospital,

28percentofa11 dischargeswere admitted froma privateor which insignificantly above the55 percent of all discharges

semiprivate residence, for example, only 20 percent of admitted from hospitals. On the other hand, about

those whose primary admission diagnosis wasa diseaseof 38 percent of discharges with a primary admission diagnosis

12
All chapters

infectious and parasitic diseases’

Neoplasms 83.0

Endocrine, nutritional, and metabdc diseases and immunity dkorders

Oiseases of the Mood and blood-forming organs’

Mental disorders

O&awe of the nervws system and sense organs

Oiseases of the circulatory system

Oisaases of the respiratory system

Oiseases of the digestive system

C4seases of the genitourinary system

. Oiseases of the skin and Subcutaneous tissue

Oiseases of Ihe musculoskeletat system and connective tissue

Symptoms, signs, and illdefined conditions

Injury and poisoning

All other

o 10 20 30 40 so 60 70 80 90

Percenl

lFgure doesrd meetstsnUard at relrabihty or prmsbn.

Figure 1. Percent of discharges who were discharged in the same primary ICD-9-CM diagnosis chapter in which they were admitted.

of diseases of the nervous system and sense organs were

admitted from private or semiprivate residences while

39 percent were admitted from hospitals.

Average and median durations of stay varied by discharges’ primary admission diagnoses (see table 7). According to the major ICD–9-CM chapters of primary

admission diagnoses, persons who had been admitted with

a mental disorder tended to have had rather lengthy stays in

the nursing home, 638 days on average, while those whose

primary admission diagnosis was neoplasms tended to have

had relatively short stays, 154 days on average. Persons

admitted with a primary diagnosis of a respiratory system

disease also tended to have had shorter stays, 230 days on

average. Although median duration of stay for all discharges was 82 days, it was 200 days for those admitted with

a primmy diagnosis of a disease of the nervous system and

27 days for those admitted with neoplasms.

Confounding factors influencing discharges’ average

durations of stay by primzuy admission diagnosis include

discharge status of all discharges and the discharge destinations of live discharges. In general, durations of stay tended

to be longer for discharges who were eventually discharged

dead and for live discharges who were discharged to another heaMl facility, among discharges with the same

primary admission diagnosis. For example, while the average length of stay for all discharges with a primary admission diagnosis of a disease of the circulato~ system was 429

days, it was 312 days for those who were discharged alive,

and 672 days for those discharged dead. Among those

discharged alive, persons who were discharged to a private

or semiprivate residence and who had had a primary admission diagnosis of a circulatory system disease stayed an

average of 133 days in the nursing home compared with

average stays of 387 days among discharges with similar

primary admission diagnoses who went directly to a general

or short-stay hospital.

Primary diagnoses at discharge

As was the case at admission, the ICD–9–CM chapter

representing the largest proportion of discharges by primary diagnosis at discharge was diseases of the circulatory

system (see table 10). In fact, about an equal proportion of

discharges had a disease in this primary diagnosis group at

discharge, 32 percent at admission, 31 percent. However,

only about three-quarters of discharges who entered with a

primary diagnosis of a circulatory system disease were

discharged with a primary diagnosis in this chapter. On the

13
other hand, about one of every eight discharges who had

been admitted with a primary diagnosis other than that of a

circulatory system disease were eventually discharged with

a primary diagnosis in this disease group.

As was also the case at admission, heart disease and

cerebrovascular disease accounted for large proportions of

all discharges’ primary diagnoses at discharge, 18 percent

and 11 percent, respectively (see table 11). Most discharges

who had been admitted with a noncirculatory system

primary diagnosis and were discharged with a disease in

this group, were discharged with a primary diagnosis of

heart disease. Among those whose primary admission and

discharge diagnoses were both diseases of the circulatory

system, nearly 4 in 10 were discharged with a primary

diagnosis of heart disease.

Other primary diagnosis chapters with somewhat large

proportions of discharges include respirato~ system diseases, 9 percent; mental disorders, 8 percent; neoplasms,

7 percent; injuries and poisonings, 7 percent; and symptoms, signs, and ill-defined conditions, 7 percent (see

table 12). Nearly 4 of every 10 discharges whose primary

discharge diagnoses were diseases of the respirator system

and nearly half of those with primary discharge diagnoses

within the injuries and poisonings diagnosis group had been

admitted with primary diagnoses outside these disease

groups. Among the former, a large proportion was discharged with a primary diagnosis of pneumonia. Among the

latter, more than half were discharged with a primary

diagnosis of hip fracture. In either case, a large proportion

of these discharges were discharged alive to general or

short-stay hospitals.

In general, discharge destinations of live discharges

varied significantly with primruy diagnosis at discharge. For

example, although 49 percent of all live discharges were

discharged directly to general or short-stay hospitals,

70 percent of those with a primaq diagnosis of a disease of

the respiratory system were transferred directly to a hospital, as were 82 percent of those with a prima~ discharge

diagnosis of a disease of the genitourinary system (see

table 13). On the other hand, while 30 percent of all live

discharges went to a private or semiprivate residence upon

discharge, 47 percent of those who were discharged with a

primary diagnosis of injuries or poisonings went to some

kind of residence upon discharge. However, only 15 percent

of live discharges with a primary diagnosis of a disease of

the respiratory system were discharged to a residence.

14
Sources of payment for

nursing home care

The 1985 National Nursing Home Survey collected

information on the sources of payment for nursing home

care for the month of admission and the month of discharge. This represents an expansion of the source of

payment information available from the 1977 survey, when

such data were collected only for the month of discharge.

From the data collected in the 1985 NNHS it is, therefore,

possible to observe shifts that may have occurred in the use

of one payment source to another payment source over the

course of a single stay in a nursing home. These data do not

allow for analysis of when during the nursing home stay

such shifting may have occurred. However, some patterns

are evident in analyzing changes in the payment sources of

tie admission and discharge months of discharges with

differing completed durations of stay. Shifting is most

evident among two groups of discharges—those who enter

with Medicare as the primary payment source in their

admission month and those who shift to a primary payment

source of Medicaid in their discharge month.

Own income or family support

Own income or family support was the primary source

of payment for nursing home care in the admission and

discharge months of about 4 in every 10 discharges, regardless of their eventual durations of stay (see tables H, 14,

and 15). This source, which also includes private health

insurance, retirement funds, and Social Security income,

was the primaq payment source for the admission months

of about 40 percent of all live nursing home discharges and

for 47 percent of all dead discharges.

A higher proportion of white discharges, 44 percent,

than black discharges, 16 percent, relied primarily on own

income or family support to pay for their first month in the

nursing home. Hispanic discharges also had a lower than

average proportion, 28 percent, who relied on this source in

their admission month. By prior living arrangement, those

discharges admitted from a private or semiprivate residence

were more likely than those admitted from another health

facility to have relied primarily on own income or family

support to pay for their admission months, 57 as opposed to

36 percent.

Nearly 9 of every 10 discharges whose primary source

of payment in their admission months was own income or

family support also used this primary payment source in

their discharge month (see table 16). This proportion differed somewhat according to the discharges’ completed

duration of stay. The longer the duration of stay, the

greater the proportion shifting to another primary payment

source. Most discharges who shifted from own income as

their primary payment source in their admission months to

another primary source in their discharge months shifted to

some form of Medicaid. Shifts to Medicaid from any nonMedicaid primary payment source are discussed in more

detail later in this report.

Medicare

About 18 percent of all discharges entered the nursing

home with Medicare as their primary source of payment.

The proportion relying primarily on Medicare, however,

varied somewhat according to eventual duration of stay.

Although 30 percent of all discharges who stayed less than

1 month relied primarily on Medicare as their source of

payment for nursing home care, only 6 percent of those

whose eventual stays were 6 months or longer relied on

Medicare as their primary payment source in their admission months. Due partially to the Medicare program’s

limitation of 100 days coverage for skikd nursing home

services (12), a relatively small proportion of all discharges

used Medicare as their primary source of payment for their

discharge month, 12 percent. By and large, those discharges

who relied on Medicare as their primary payment source in

their discharge month had relatively short durations of stay

in the nursing home. Medicare was the primary source of

payment in the discharge month of only 5 percent of all

discharges with stays of 1 month or more and of 2 percent

of those with stays of 3 months or longer.

It follows, therefore, that relatively small proportions of

discharges who entered a nursing home primarily on Medicare and who stayed for more than a month were discharged with Medicare as a primary source of payment.

Although more than half of all discharges who entered a

nursing home with Medicare as their primary source of

payment had stays of less than 1 month, among those who

stayed 1 month or more only 37 percent also relied ptimarily on Medicare in their discharge month. Among those

who had stays of 3 months’ or more duration and had

entered primarily on Medicare, only 21 percent were discharged primarily on Medicare.

As noted above, many discharges who entered the

nursing home with Medicare as their primary payment

source for their admission months shifted to another primary source of payment in their discharge months. Among

15
TableH.Number of all nursing home discharges by duration of stay, percent distribution of nursing home discharges by primary source

of payment for admission and discharge months, according to duration of stay, and median duration of stay and percent of persons

ages 85 years and over, by primary source of payment for admission and discharge months: United States, 1984-85

Duration of stay

1 month

to Median Persons ages

All Less than less than 6 months duration 65 yeare

Primary source of payment stays 1 month 6 months or more of stay and over

Number Days

Alldischsrges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,233,500 379,000 388,900 455,800

Percent distribution

82 37.5

Primary source of payment for admission month

Alleources . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100.0 100.0 100.0 100.0

42.3

6.4

82

77

29

37.5

42.9

33.2

Income or famllysupport . . . . . . . . . . . . . . . . . . . . . . . . .

Me~care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Medicaid

Skilled . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Intermediate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Allothersources . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

41.9

17.6

42.5

29.8

40.9

18.9

15.5

19.6

5.4

11.5

10.6

5.6

15.3

19.7

5.2

19.0

27.0

5.4

145

187

104

35.2

35.8

22.3

Primafy source of payment for discharge month

Allsources . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100.0 100.0 100.0 100.0

37.8

‘k

82

67

19

37.5

Incomeorfamilysupport . . . . . . . . . . . . . . . . . . . . . . . . .

Memcare . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Medicaid

Skilled . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Intermediate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

All othersources . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

41.8

12.1

43.4

28.5

45.1

8.8

41.4

30.4

18.9

21.3

6.0

12.2

9.9

8.1

16.0

21.2

6.9

25.2

30.9

5.1

178

220

83

39.2

37.1

21.0

NOTE Figuresmay notadd to totalsbecausaof rounding.

those discharges who stayed 1 month or more in the

nursing home, 32 percent shifted from Medicare to own

income as their primary source of payment, and about

28percent shifted primarily to some form of Medicaid.

Among discharges whose stays were 3months orlonger in

duration, 33 percent shifted from Medicare toownimmme

or family support as their primary sourceof payment and

another 33 percent shifted to some form of Medicaid funds

as their prima~ payment source for their discharge

months. (A more detailed discussion of shifts to Medicaid

from non-Medicaid payment sources is presented in the

next section.)

Unlike own income or family support, the utilization of

Medicare as the primary payment source for the admission

months of discharges did not vary widely by race of the

discharge. Although there was an observed difference in

the proportions of white and black discharges who used

Medicare as their primary payment source in their admission month, 18 and 14percent, respectively, this difference

is not statistically significant.

Due to one of the Medicare program’s eligibility requirements for nursing home care, that of a 3-day hospital

stay within 30 days preceding a nursing home admission,

living arrangement prior to admission had a great impact

on the likelihood of the utilization of Medicare as the

primary payment source for a discharge’s admission month

in the nursing home. About 25 percent of discharges who

had been admitted directly from a general or short-stay

hospital entered with a primary payment source of Medicare as opposed to 9 percent of discharges who had been

admitted from a private or semiprivate residence.

16

Interestingly, 8 percent of discharges who were admitted

from another nursing home used Medicare as a primary

payment source for their first month in the sample nursing

home. It is presumable that those discharges admitted from

a residence had been discharged from a general or shortstay hospital within 30 days prior to their admission to the

sample nursing home and that discharges admitted from

another nursing home had not yet reached their 100th day

of eligibility for Medicare skilled nursing home care.

Medicaid

A total of 35 percent of all discharges in the 1985

National Nursing Home Survey had been admitted to the

nursing home with a primary source of payment of Me&

icaid. About 15.5 percent of all discharges used primarily

Medicaid skilled care funds in their admission months and

19.6 percent used pnimarily Medicaid intermediate care

funds. By the month of discharge, a total of 40 percent of

discharges relied primarily on some form of Medicaid to

pay for their nursing home care.

Higher than average proportions of discharges who

either entered the sample nursing home from another

nursing home, and/or had had a previous nursing home

stay, used a form of Medicaid as their primary payment

source in their admission month, 42 percent in each case.

The proportion of discharges utilizing either form of Me&

icaid as a primary source of payment for their discharge

months also was higher the greater the eventual duration of

stay. The fact that Medicaid is more likely to be the source

of payment for discharges with long durations of stay as
well as for those who were admitted from another nursing

home is a reflection of who is and who is not eligible for

Medicaid funds and may be partially the result of what has

been called the “spend down” effect (described in the next

section).

Shifts to Medicaid

Medicaid is a joint Federal/State program that pays for

the health care of persons who cannot afford to pay for the

care themselves. Strict guidelines are established for Medicaid eligibility by the individual States, under the auspices

of federally mandated regulations. States differ substantially, however, in the setting of income and asset limitations as well as medical need criteria by which persons may

qualify for either intermediate care or skilled nursing facility funds to pay for their nursing home services. (One State,

Arizona, does not participate in the Medicaid program at

all. Arizona has opted to have its own State program of

health care funding for those unable to afford health care

on their own.)

A number of persons who enter nursing homes who do

not use any Medicaid payment source for their admission

month shift to a Medicaid source by their month of discharge. Although reasons vary for this shift, many nursing

home residents become eligible for Medicaid largely as a

result of their institutionalization. Among those whose

income was above the limit established for Medicaid eligibility, institutionalization often results in a lowering of their

income below the threshold amount. Also, some States

define Medicaid eligibility to include those persons (or

families) whose income falls below a designated level as a

direct result of out-of-pocket medical expenses.

Other persons whose higher asset levels made them

ineligible for Medicaid when they entered a nursing home

may have spent some of their asset base to pay for nursing

home care. Some of these persons, therefore, become

eligible for Medicaid at some point into their nursing home

stay. The longer the duration of stay in the nursing home,

the larger the proportion of persons who become eligible

for Medicaid due to reduction or loss of income or through

the use of a portion of assets to pay for nursing home care

(the “spend down” effect).

About 55 percent of all discharges with eventual durations of stay of 1 month or more were known to have used

no Medicaid skilled or intermediate care funds to pay for

their admission months in the nursing home (table J]. This

proportion excludes all discharges who used either form of

Medicaid in their admission months for either their primary

or supplementary sources of payment (as well as a very

small number of discharges for whom use of Medicaid was

unknown). Among these discharges who used no Medicaid

funds in their admission months, a total of 17 percent

shifted to a form of Medicaid as either their primary or

supplementary payment source for their months of discharge. The proportions of discharges making such a shift

differed according to primary source of payment and completed duration of stay in the sample facility. Shifts to a

Medicaid source of payment in the discharge month from

no Medicaid source in the admission month, however, did

not seem to be greatly affected by whether the discharge

had a known history of at least one other stay in a nursing

home (see table J).

Among all discharges who had no Medicaid payment

source in their admission month and who stayed from

1 month to less than 6 months in the nursing home,

10 percent shifted to some form of Medicaid by the discharge month. hong the comparable group of discharges

whose stays were 6 months or longer in duration, a total of

23 percent shifted to some form of Medicaid. Regardless of

either their eventual duration of stay or their primary

source of payment for their admission month, for most of

the discharges who shifted from no Medicaid source to a

source of Medicaid some time during their stay, Medicaid

was their primary source of payment in their discharge

month.

Among discharges whose sample stay was 1 month or

longer in duration and who were known to have had at least

one other nursing home stay, a total of 18 percent who had

had no Medicaid payment source in their admission month

shifted to some form of Medicaid by their month of discharge. The comparable proportion among those who did

not have a known history of another nursing home stay was

16 percent, not statistically different from those who had

had another stay. Among either group of discharges whose

sample stays were between 1 and 6 month’s duration,

13 percent of those with another nursing home stay shifted

from no Medicaid to a Medicaid source some time during

their stay, and 9 percent of those without a known other

stay made the same shift. For those whose sample stays

were 6 months or more, 22 percent with another stay and

24 percent who had no known history of other stays converted to Medicaid by their discharge month.

About 15 percent of all discharges who stayed more

than 1 month, who had entered the nursing home with no

Medicaid source of payment, and had relied primarily on

own income or family support for their admission month,

shifted to a Medicaid source of payment by their discharge

month. Among these discharges, slightly more than haIf

shifted to Medicaid intermediate care funds as opposed to

Medicaid skilled funds. For more than 8 of every 10 of

these discharges who shifted to either Medicaid source,

Medicaid represented the primary source of payment for

their discharge month. The proportion of discharges who

shifted to any Medicaid from a primary source of payment

of own income was 8 percent among those whose stays

were from 1 to Iess than 6 months, but it was 21 percent

among those whose stays were 6 months or longer.

As noted above, many discharges who were admitted to

the nursing home primarily on Medicare and had stays of

relatively long duration shifted to a form of Medicaid as

their primary payment source for their discharge month.

Nearly 9 of every 10 discharges who relied primarily on

Medicare and stayed 1 month or more in the nursing home

also had no Medicaid supplementary source of payment in

their admission month. Among this latter group a total of

17
Table J. Nursing home discharges with no Medicaid payment source for admission month and percent shifting to Medicaid as a source

of payment by their discharge month, by primary source of payment for admission month, duration of stay, and type of Medicaid:

United Statea, 1984-S5

Discharges without

Diectfafgee shliflng to any Medicaid In discharge

month fmm no Madicak/ in admkslon month

any hfedbah7 payment

Primary source of payment for source In their fi.4edk?aid, Medtcaid, Medica+d,

admieeion month and duration of stay admksion monthq toiet skilled intermediate

All discharges Number

Stay In sample home 1 month or Iongec

Allsources, except Madlcald . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Ownincomeor famllysupport . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Medicare . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Another non-Medicsid sources . . . . . . . . . . . . . . . . . . . . . . . . . . .

463,500

330,200

89,600

43,700

16.5 8.8 7.8

15.0 6.4 8.6

26,8 20.2 8.8

* * *

Sample stay 1 month to less than 6 months

Allsources, except Medicaid . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Ownincomeor family support . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Medicare . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Another non-Medicaid sources . . . . . . . . . . . . . . . . . . . . . . . . . . .

235,900

150,000

86,100

19,800

10.4 6.3 4.1

7.9 3.5 4.4

18.4 14.0 *

* * *

Sample stay 6 months or more:

Allsources, except Medicaid . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Ownincome or family support . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Medicare . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Another non-Medicaid sources . . . . . . . . . . . . . . . . . . . . . . . . . . .

227,600

1EXJ,200

23,500

23,800

22.9 11.4 11.6

20.9 6.6 12.1

50.3 37.6 *

* * *

Discharges with known other nursing home stay

SIayinsemple homel morr!h orlonger:

Allsources, excepl Medicaid . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Ownincomeor famllysupport . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Medicare . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Allothernon-Medicsfdsources . . . . . . . . . . . . . . . . . . . . . . . . . . .

17.5

15.1

31.7

*

8.6

5.7

22.5

*

9.0

9.4

*

222.700

41;100

21,000 *

Samplestayl month lolessthan6months:

Ailsources, exceptMedicald. . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Own incomeorfamilysupport. . . . . . . . . . . . . . . . . . . . . . . . . . . .

Madlcare . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Allothernon-Medicaldsources . . . . . . . . . . . . . . . . . . . . . . . . . . .

109,400

72,600

28,700

6.100

12.6

9.1

23.9

*

6.7

*

*

*

5.9

*

*

*

Sampie stay 6 months or more:

Allsources, except Medicaid. ,. . . . . . . . . . . . . . . . . . . . . . . . . . .

Own lncomeorfsmilysuppoft . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Medicare . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Allothernon-Medicaldsources. . . . . . . . . . . . . . . . . . . . . . . . . . .

. 113,300

87,900

12,400

13,000

22.3

20.0

49.7

*

10.4

7.4

36.2

*

11.9

12.6

*

*

Dischargeswithno knownolherslay

Slay in sample home 1 month or longe~

Allsources,exceptMedicaid... . . . . . . . . . . . . . . . . . . . . . . . . . .

Ownlncomeorfamilysuppoft... . . . . . . . . . . . . . . . . . . . . . . . . .

Medicare . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Allothernon-Medlcaidsources . . . . . . . . . . . . . . . . . . . . . . . . . . .

240,800

169,700

46,400

22,600

15.6

14.9

22.6

*

9.0

7,0

18.2

*

6.8

7.9

*

*

Samplestayl month tolessthen6months

Alisources, except Medicaid . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Own incomeorfamiiysupport . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Medicare . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Allolhernon-Medicaidsources . . . . . . . . . . . . . . . . . . . . . . . . . . .

126,500

77,400

37,400

11,600

8.5

6.6

14.2

*

5.9

*

12.7

*

*

*

*

Sample stay 6 months or more:

Allsources, exceptMedicsid. . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Ownincomeorfamilysupport... . . . . . . . . . . . . . . . . . . . . . . . . .

Medicare . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Allothernon-Medicaidsources . . . . . . . . . . . . . . . . . . . . . . . . . . .

1NorrMedlcald totals exclude all known prirmuy and supplernenfary Madlcald swfces of payment for nwnth of admission.

NOTEFlguresmay notaddtototals because ofrourding.

114,200

92,300

11,100

Io,aoo

23.6 124 11.2

21.7 10.1 11.6

51.0 * *

* * *

27 percent shifted to a form of Medicaid by the time of Unlike theshiftto Medicaid among thosewho entered

their discharge. For the vast majority ofthisgroup, Medi- primarily on own income, most discharges who shiftedto

caid represented their discharge month’s primary payment Medicaid from a primary source of Medicare shifted to

source. Medicaid skilled as opposed to Medicaid interm.ediate care

18
funds. Like the shift of those originally relying primarily on However, while about 18 percent of all discharges with

own income, the shift from Medicare to any Medicaid stays of from 1 to less than 6 months who entered primarily

varied according to completed duration of stay. About 3 of on Medicare had shifted to some Medicaid source of

every 4 discharges who shifted from a non-Medicaid pre- payment by their discharge month, 50 percent of the commary source of payment of Medicare to Medicaid shifted to parable group with stays of 6 months or more had made the

Medicaid skilled funds in their discharge month. This ratio same shift.

did not vary significantly by completed duration of stay.

19
Histories of other

institutionalizations

Also new to the National Nursing Home Survey

(NNHS) in 1985 was the collection of data on histories of

other institutionalizations of the discharge population.

These data show that many of the discharges in the 1985

survey had had other stays in the sample facility and in

other nursing homes. A smaller proportion of discharges

had had one hospital stay or more while they were residents

in the sample facility. (The measure of hospitalizations of

discharges while they were residents in the sample nursing

home may reflect definitional differences between varying

nursing homes with regard to what constitutes a formal

discharge from the sample facility. As collected in the 1985

NNHS, data on hospitalizations measure the number and

proportion of discharges who were ever admitted to a

short-stay hospital while they were residents in the sample

facility without being formally discharged from the sample

facility. Some nursing homes automatically formally discharge residents who are admitted to hospitals but others

do not, thus making data comparison difficult.)

Other nursing home stays

About half of all nursing home discharges in the 1985

NNHS had had at least one other stay in a nursing home

according to the discharges’ medical records available at

the time of the survey (see tables 17 and 18). The proportion was about the same for men and women discharges, 49

and 52 percent, respectively, and was also about the same

for all major age groups of discharges (see table K). For

about three-quarters of all discharges with known histories

of one other nursing home stay or more, at least one such

stay was in the sample nursing home. This also was true for

about the same proportion of men discharges, 76 percent,

as women discharges, 78 percent. The proportion of discharges with two other stays or more in the sample facility

also did not vary between men and women, 47 and

48 percent, respectively, among discharges with known

other stays in the sample facility.

Among all discharges with known histories of any other

nursing home stay, about one-third had had stays in nursing

homes other than the sample facility. Among these 210,200

discharges, three-quarters had had one stay or more in just

one other nursing home. Again, no major differences existed in either the overall proportion of discharges with

known other stays in other nursing homes, nor in the

number of other nursing homes ever resided in among the

major age and sex groups of discharges.

Hospitalizations during a single

nursing home stay

About 15 percent of all discharges in the NNHS 1985

survey had had at least one hospital stay while residents in

the sample facility that did not result in a formal discharge

from the nursing home. Among all discharges who had

such a hospitalization, 53 percent had just one. Although

the proportion of discharges with hospitalizations during

their stays did not vary by sex, it did vary by completed

duration of stay (table L). As might be expected, the

likelihood of a hospitalization during a stay at the sample

facility tended to increase as duration of stay rose (see

tables 17 and 18). The median duration of stay of discharges who had had hospitalizations while they were residents in the sample nursing home was 475 days as opposed

to just 59 days for those known not to have had a hospitalization during their reference stay. (The longer durations of

stay among discharges who had a known hospitalization

may be due partially to nursing home policy regarding what

is and is not a formal discharge from the nursing home.

Discharges from nursing homes that tended to not formally

discharge their residents for any hospitalization would be

seen as having longer durations of stay than those who had

resided in facilities that tended to formally discharge their

residents each time they were admitted to a hospital.)

20
Table K. Number of nursing home discharges by sex and age at discharge and percent distribution of nursing home discharges by

history of other known stays in nursing homes and hospitals, according to sex and age st discharge: United States, 1984-85

Age al discharge

Sex

Hisloty of ciher stays All Under 65yaers 65-74 75-64 65 years

In nursing homes and hospitals discharges MsJe Female 65 years and over years yeara and over

Number

133,100 1,090,400 458,300 429,600

100.0

51.4

48.6

39.6

58.0

24

19.2

10.6

9.2

*

13.2

*

2.5

18.1

78.1

3.8

8.7

3.6

4.4

1.5

Discharges . . . . . . . . . . . . . . . . . 1,223,500 455,500

10+3.0

49.1

50.9

37.2

61.0

1.8

18.8

6.6

9.1

*

12.6

1.3

3.3

14.7

82.6

2.5

8.2

2.7

2.7

1.1

766,000 202,400

Percent distribution

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

Other stay in any nursing home

Yes . . . . . . . . . . . . . . . . . . . . . .

Noorunknown . . . . . . . . . . . . . .

51.0 5CI.6

49.0 49.4

49.7

50.3

50.2

49.8

50.6

49.4

51.5

48.5

Other stay(s) at sample facility

Yes . . . . . . . . . . . . . . . . . . . . . .

No . . . . . . . . . . . . . . . . . . . . . .

Unknown . . . . . . . . . . . . . . . . . .

39.0

59.0

2.0

40.1

57.6

2.1

39.9 38.9

%.3 59.1

* 2.0

36.5

621

*

39.3

58.7

2.0

Numberofotherstays at

samplefacilii

I stay . . . . . . . . . . . . . . . . . . . .

2stays . . . . . . . . . . . . . . . . . . . .

3staysormore . . . . . . . . . . . . . .

Unknown . . . . . . . . . . . . . . . . . .

20.3

9.5

8.9

*

21.1

10.0

8.7

&

20.2 20.3

8.4 9.6

11.1 8.6

● *

220

7.6

6.7

*

20.5

9.7

8.9

+

Numberofothernursing homes

ever resided in

Iothernursinghome . . . . . . . . . .

2ormoreothernursing homes . . . .

Unknown . . . . . . . . . . . . . . . . . .

13.0

1.1

3.1

13.2

1.0

2.9

11.4 13.2

* 1.0

6.6 26

13.4

*

3.4

13.0

*

2.3

Hospital stay while a reskfent in

sample faclllfy

Yes . . . . . . . . . . . . . . . . . . . . . .

No . . . . . . . . . . . . . . . . . . . . . .

Unknown . . . . . . . . . . . . . . . . . .

10.8

67.0

*

14.1

83.7

22

14.8

82.4

2.8

14.9

82.2

2.9

12.7 15.1

84.8 82.1

* 28

Numberofstaysin short-stay

hospital while restdent

I stay . . . . . . . . . . . . . . . . . . . .

2stays . . . . . . . . . . . . . . . . . . . .

3staysorormore . . . . . . . . . . . .

Unknown . . . . . . . . . . . . . . . . . .

6.0 7.7

2.6

2.7

*

7.8

2.9

3.0

1.1

7.5

2.9

3.3

1.1

7.9 7.8

* 29

* 3.2

* 1.1

*

*

*

NOTE Figures may not add to totals bacause of rowdlng.

21
Table L. Number of nursing home discharges by discharge status and duration of stay and percent distribution of nursing home

discharges by history of other known stays in nursing homes and hospitals, according to discharge status and duration of stay

United States, 1984-85

Duration of stay

Discharge status 1 month

Ail Less than to lees tham 6 months

H/story of other stays in nursing homes and hospitals discharges Live Dead 1 month 6 months or more

Discharges. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,223,500 877,000

100.0

56.9

43.1

45.5

52.7

1.8

23.2

11.1

10.8

*

13.6

1.3

3.5

11.5

85.7

2.8

6.5

1.9

2.1

1.0

344,200 379,000

Percentdistribution

100.0 100.0

366,900 455,600

Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Other stay in any nursing home

Yes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Noorunknown . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

100.0 100.0 100.0

50.6

49.4

34.6 42.8

85.4 57.2

53.3

46.7

55.0

45.0

Other stay(s) al sample facility

Yes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

No . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Unknown . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

39.0

59.0

2.0

22.5 33.7

75.3 84.5

2.2 1.8

43.4

54.9

1.7

39.7

57.8

2.4

Numberofolherefays ateamplefacility

I stay . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2stays . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3staysormore . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Unknown . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

20.3

9.5

6.9

*

13.0 16.7

5.4 9.1

4.0 7.8

* *

22.1

9.8

10.8

*

21.7

9.6

8.2

*

Numberofother nurelnghomes everresldedin

Iothernurelng home . . . . . . . . . . . . . . . . . . . . . . . . . . .

2othernureinghomesormore. . . . . . . . . . . . . . . . . . . . .

Unknown . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

13.0

1.1

3.1

11.6 10.3

* *

2.1 1.8

11.7

*

3.2

16.3

1.6

4.0

Hospital stay while a resident in sample facility

Yes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

No . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Unknown . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

14.6

82.4

2.8

23.1 4.6

74.6 94.2

2.3 *

10.1

87.8

2.1

27.2

66.2

4.6

Number of stays in short-stay hospital while resident

I stay . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2stays . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3etaysormore . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Unknown. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

7.8

2.9

3.0

1.1

11.0 3.4

5.2 *

5.4 *

1.5 *

7.2

1.5

*

*

11.9

6.2

6.9

2.3

NOTEFiguresmay notaddtototalsbecause ofrounding.

22
References

I. Sekscenski ES. Discharges tkom numing homes: Prelimimmy

data from the 1985 National Nursing Home Survey. Advance

data from vital and health statistic no 142. Hyattsville,

Maryland: National Center for Health Statistics. 1987.

2. Zappolo A. Discharges from numing homes: 1977 National

Nursing Home Survey. National Center for Health Statistics.

Vital Health Stat. 13 (54). Washington: Public Health Service.

1981.

3. Roper DA. Nursing and related care homes as reported from

the 1982 National Master Facility Invento~. National Center

for Health Statistics. Vital Health Stat. 14 (32). Washington:

Public Health Smvice. 1986.

4. National Center for Health Statistics. The agency? reporting

systems for maintaining the NationaI Inventory of Hospitals

and Institutions. National Center for Health Statistics. Vital

Health Stat. 1 (6). Washington: Public Health Service. 1968.

5. Hing E, Sekscenski E, Strahan G. The National Nursing

Home Survey 1985 summay for the United States. National

Center for Health Statistics. Vital Health Stat. 13 (97). Washington Public Health Service. 1989.

6. McCarthy PJ. Replication, an approach to the analysis of data

7.

8.

from complex surveys. National Center for Health Statistics.

Vital Health Stat. 2 (14). Washington: Public Health Service.

1966.

McCarthy PJ. Pseudoreplication, further evaluation and application of the balanced half-sample technique. National Center

for Health Statistics. Vital Health Stat. 2 (31). Washington

Health Services and Mental Health Administration. 1969.

Hing E, Zappolo A. A comparison of nursing home residents

and discharges from the 1977 National Nursing Home Survey

United States. Advance data from vital and health statisti=,

no 29. Hyattsville, Ma@and National Center for Health

Statistics. 1978.

9.

10.

11.

12.

13.

14.

15.

16.

17.

Hing E. Use of nursing homes by the elderly, prelimina~ data

from the 1985 National Nursing Home Survey. Advance data

from vital and health statisti% no 135. Hyattsviile, Maryland

National Center for Health Statistics. 1987.

Strahan G. Nursing home characteristics, preliminary data

from the 1985 National Nursing Home Survey. Advance data

from vital and health statistiw, no 131. Hyattsville, Maryland:

National Center for Health Statistics. 1987.

Public Health Service and HeaIth Care Financing Administration. International Classification of Diseases, 9th revision,

clinical modification. Washington: Public Health Service.

1980.

Health Care Financing Administration. Your Medicare handbook. Washington: U.S. Government Printing Office. 1986.

Sirrocco A. National Center for Health Statistics. An overview of the 1982 National Master Facility Invento~ Survey of

Nursing and Related Care Homes. Advance data from vital

and health statistic$ no 111. Hyattsville, Maryland: Public

Health Service. 1985.

Shimizu I. The 1985 National Nursing Home Sumey design.

Proceedings of the Section on Survey Research Methods,

1986 annual meetings of the American Statistical Association. Chicago: American Statistical Association. 1987.

Hansen MH, Hunvitz WN, Madow WG. Sample survey

methods and theog’, VOIL New York John Wiley and Sons.

1953.

Cochran WG. Sampling techniques. New York: John Wiley

and Sons. 1953.

Katz S, Ford AE, Moskowitz RW, et al. Studies of illness in

the aged. JAMA 185(12):914-19. 1963.

23
List of detailed tables

1. Number of nursing home discharges and average duration of stay by discharge status, facility certification, and

bed size, and percent distribution of nursing home

discharges by duration of stay, according to discharge

status, facility certification, and bed size: United States,

1984-85 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2. Number ofnursing home discharges andaverageduration of stay by discharge status, facility certification, and

bed size, and percent distribution-of nursing home

discharges by duration of stay, according to discharge

status, facility certification, and owne-mhip: Unit;d

States, 1984-85 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3. Numberofnursinghome discharges bydurationofstay,

discharge status, and selected characteristics, and average and median durations of stay, by discharge status

and selected characteristics: United States, 1984-85 . . .

4. Number of live nursing home discharges and average

and median durations of stay, by selected characteristics, and percent distribution by living arrangement

after discharge, according to selected characteristics:

United States, 1984-85 . . . . . . . . . . . . . . . . . . . . . . . . .

5. Number of nursing home discharges, by dependencies

inmobilityand continence,partial indexofdependency,

discharge status, selected characteristics, and duration

of stay, and median age and average duration of stay, by

dependencies in mobility and continence and partial

index of dependency United States, 1984-85 . . . . . . . .

6. Number and percent distribution ofnursing home discharges by primary diagnosis at admission, according to

discharge status: United States, 1984-85 . . . . . . . . . . .

7. Number of nursing home discharges and average and

median durations of stay, by primary diagnosis at admission, and percent distribution of nursing home discharges by discharge status and duration of stay,

according to prima~ diagnosis at admission: United

States, 1984-85 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

8. Number of nursing home discharges and median age,

by primary diagnosis at admission, and percent distribution of nursing home discharges by-sex and age at

discharge, according to primary diagnosis at admission:

United States, 1984-85 . . . . . . . . . . . . . . . . . . . . . . . . .

9. Number ofnursing home dischargesa ndaveragcduration of stay, by primary diagnosis at admission, and

percent distribution of nursing home discharges by

discharge living arrangement prior to admission, according to prima~ diagnosis at admission: United

States, 1984-85 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

10. Number and percent distribution ofnursing home discharges by primary diagnosis at discharge, according to

discharge status: United States, 1984–85 . . . . . . . . . . .

11. Number of nursing home discharges and average and

median durations of stay, by primary diagnosis at discharge, and percent distribution of nursing ho]me discharges by discharge status and duration a,f stay,

according to primary diagnosis at discharge United

25 States, 1984-85 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

12. Number of nursing home discharges and median age,

by primary diagnosis at discharge, and percent distribution of nursing home discharges by sex and age at

discharge, according toprimaq diagnosis at discharge

United States, 1984-85 . . . . . . . . . . . . . . . . . . . . . . . . .

27 13. Number ofnursing home discharges andaverageduration of stay, by primary diagnosis at discharge, and

percent distribution of live nursing home discharges by

living arrangement after discharge, according to

29 primmy diagnosis at discharge: United States,

1984-85 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

14. Number ofnursing home discharges bydischargesta~s

andselected characteristics, and percent distribution of

nursing home discharges byprimary source of payment

32 for admission month, according to discharge status and

selected characteristics: United States, 1984-85 . . . . . .

15. Number of nursing home discharges, by discharge

status and selected characteristics, and percent distribution of nursing home discharges byprirnmysource of

payment for discharge month, according to discharge

35 status and selected characteristics: United States,

1984-85 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

16. Number of nursing home discharges by sex, marital

39 status and age at discharge, selected characteristics, and

primary source of payment for admission month, and

percent distribution of nursing home discharges by

primary source of payment for discharge month, according to sex, marital status and age at discharge, and

primary source of payment for admission month:

40 United States, 1984-85 . . . . . . . . . . . . . . . . . . . . . . . . .

17. Number of nursing home discharges and average and

median durations of stay, by sex and other stays in

nursing homes and hospitals, and percent distribution

of nursing home discharges by discharge status and

41 duration of stay, according to sex and other stays in

nursing homes and hospitals: United States,

1984-85 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

18. Number of nursing home discharges and average and

median durations of stay, by age at discharge and other

stays in nursing homes and hospitals, and percent dis42 tnbution of nursing home discharges by discharge status and duration of stay, according to age at discharge

and other stays in nursing homes and hospitals:

43 United States, 1984-85 . . . . . . . . . . . . . . . . . . . . . . . . .

44

45

46

47

51

55

59

60

24
Table 1. Number of nursing home discharges and average duration of stay by discharge status, facility certification, and bed size, and

percent distribution of nursing home discharges by duration of stay, according to discharge statua, facility certification, and bed siz=

United States, 1984-65

Duration of stay

1 month 3 months 6 months 7 year 3 yeacs

.%ss to to to to to Average

Discharge status, facility certhkation, All than Iess then less than less than lees than less than 5 years duration

and bad size Discharges stays 1 month 3 months 6 months 12 months 3 years 5 years or more of stay

All discharges Number Percent d~tribufion Days

All nursing homes

Lessthan 50 beds . . . . . . . . . . . . . . . . . . . . . . . . .

50-99 beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

100-199 beds . . . . . . . . . . . . . . . . . . . . . . . . . . . .

200 bedsormore . . . . . . . . . . . . . . . . . . . . . . . . . .

39.3

30.5

30.0

30.0

10.4

12.3

11.0

10.2

11.;

9.5

9.1

*

14.9

11.0

10.6

*

10.6

122

*

*

*

*

*

11.2

13.5

121

11.0

*

11.4

10.6

*

*

16.6

120

11.6

*

12.4

13.8

*

*

*

*

*

5.9

10.4

127

11.4

*

13.3

10.9

10.7

*

6.5

13.0

121

*

9.9

12.2

*

*

*

*

*

6.1

9.6

13.1

11.6

*

10.7

10.4

10.1

*

8.0

13.8

125

●

11.0

11.7

*

*

*

*

*

15.0

16.1

14.9

14.4

*

14.3

14.2

13.0

*

13.4

14.2

14.9

23.7

20.0

18.2

*

25.6

25.0

*

*

16.0

13.9

13.7

13.3

*

13.6

123

12.3

*

10.2

123

13.9

●

18.1

19.0

●

27.2

●

*

*

4.9

4.6

5.1

6.3

*

*

*

●

*

5.0

5.3

6.6

●

5.7

6.5

●

*

●

*

*

*

3.4

3.4

5.5

*

*

*

●

*

*

3.6

6.0

*

*

*

●

*

*

*

●

5.4

5.4

5.4

7.0

*

*

4.3

*

*

*

5.0

6.8

*

9.7

6.0

*

*

*

*

*

*

3.5

3.2

4.8

*

*

*

*

*

*

2.7

*

*

*

*

*

*

*

*

*

401

396

389

43a

223

254

304

281

254

328

379

435

628

595

503

725

618

718

488

eal

330

295

294

345

128

228

232

272

221

237

278

323

433

368

410

555

615

625

329

714

112,300

326,500

555,100

227.700

100.0 19.2

20.6

20.9

20.7

23.1

21.2

24.0

21.4

19.1

22.8

20.7

20.7

*

19.0

19.7

*

*

*

*

*

19.6

24.4

22.8

23.8

26.9

24.6

24.0

23.2

*

27.6

23.1

24.1

22.;

22.3

●

●

*

●

*

100.0

100.0

100.0

Skilled nursing facility only

Lessthan 50 beds . . . . . . . . . . . . . . . . . . . . . . . . .

50-99 beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

100-199 beds . . . . . . . . . . . . . . . . . . . . . . . . . . . .

200 bedsormore . . . . . . . . . . . . . . . . . . . . . . . . . .

37,200

113,100

116,700

65,400

100.0

100.0

100.0

100.0

49.0

34.2

34.6

38.5

Skilled nursing faclltty and Intermediate care facility

Lessthan 50 beds . . . . . . . . . . . . . . . . . . . . . . . . .

50-99 beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

100-199beds . . . . . . . . . . . . . . . . . . . . . . . . . . . .

200bedsormore . . . . . . . . . . . . . . . . . . . . . . . . . .

27,300

109,900

323,500

133,300

100.0

100.0

100.0

100.0

56.3

31.4

30.8

28.4

Interrnadiate care facillty oni~

Lessthen50Pxds . . . . . . . . . . . . . . . . . . . . . . . . .

50-99beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

100-199beds . . . . . . . . . . . . . . . . . . . . . . . . . . . .

200bedsormore . . . . . . . . . . . . . . . . . . . . . . . . . .

20,600

83,900

99,300

19,600

100.0

100.0

100.0

100.0

*

25.1

23.3

●

Noncertified

Lessthan60beds . . . . . . . . . . . . . . . . . . . . . . . . .

50-99beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

100-199beds . . . . . . . . . . . . . . . . . . . . . . . . . . . .

200bedsormore . . . . . . . . . . . . . . . . . . . . . . . . . .

27,200

21,600

15,600

9.300

100.0

100.0

100.0

100.0

29.0

27.3

*

*

Live discharges

Ailnursinghome!x

Lessthen50beds . . . . . . . . . . . . . . . . . . . . . . . . .

50-99bads . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

100-199beds . . . . . . . . . . . . . . . . . . . . . . . . . . . .

200bedsormore . . . . . . . . . . . . . . . . . . . . . . . . . .

85,800

235,200

396,600

159,300

100.0

100.0

100.0

100.0

40.3

31.6

31.6

30.0

Skilled nursing facimy only

Lessthsn50beds . . . . . . . . . . . . . . . . . . . . . . . . .

50-99beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

100-199beds . . . . . . . . . . . . . . . . . . . . . . . . . . . .

200bedsormore . . . . . . . . . . . . . . . . . . . . . . . . . .

31,000

85,800

87,100

47,000

100.0

100.0

100.0

100.0

46.9

35.1

3a.5

36.2

Skilied nurslngfacmty andlntermediate csre facimy!

Lessthan50beds . . . . . . . . . . . . . . . . . . . . . . . . .

50-99bects . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

100-199beds . . . . . . . . . . . . . . . . . . . . . . . . . . . .

200bedsormore . . . . . . . . . . . . . . . . . . . . . . . . . .

17,200

78,200

223,400

91,900

ICO.O

Ifxr.o

100.0

100.0

57.0

32.1

326

28.3

Intermediate care facility only

Lessthan50beds . . . . . . . . . . . . . . . . . . . . . . . . .

50-99beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

100-199beds . . . . . . . . . . . . . . . . . . . . . . . . . . . .

200badsormore . . . . . . . . . . . . . . . . . . . . . . . . . .

14,400

55,800

74,400

13,000

100.0

100.0

100.0

100.0

*

26.8

22.9

●

Not certified:

Lessthan50bads . . . . . . . . . . . . . . . . . . . . . . . . .

50-99beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

100-199beds . . . . . . . . . . . . . . . . . . . . . . . . . . . .

200bedsormore . . . . . . . . . . . . . . . . . . . . . . . . . .

23,200

15,700

11,800

7,500

100.0

100.0

100.0

100.0

31.2

*

●

*

See foclnotes at end of table.

25
Table 1. Number of nursing home discharges and average duration of stay by discharge status, facility certification, and bed size, and

percent distribution of nursing home discharges by duration of stay, according to discharge status, facility certification, and bed size:

United Statea, 1984-85-Con.

Duration of stay

1 month 3 months 6 months 1 year 3 years

Lass tO to to to to Average

Discharge status, facility cert~cation, All than less than lass than less than less than less than 5 years duration

and bed size Discharges stays 1 month 3 months 6 months 12 months 3 yeare 5 yeats or more of stay

Dead discharges Number Percent distribution Days

All nursing homes

Lessths.n 50 baas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2(5,400 100.o 36.3

——

50-99 bads . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92,700 100.0 27.6

100-199 beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...156.800 100.0 25.6

200 beds or more . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68,200 100.O 29.9

Skilled nursing facility only:

Lessthan 50 beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6,200 100.0 *

50-99 beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27,400 100.0 31.2

100-199 beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29,400 100.0 23.3

200 bedsormore . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18,500 100.0 39.4

Skilled nursing facility and intermediate care facility:

Lessthan 50 beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10,100 100.0 55.o

50-99 beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31,600 100,0 29.6

100-199 bsds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99,500 100.0 26.7

200 beds ormore . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41,300 100.0 28.6

Intermediate care facility only:

Lessthan 50 beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6,000 100.0

50-99 beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27,900 loo.o 21.;

100-199 beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24,200 100.0 25.4

200 beds ormore . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6,600 100.0 *

●

10.8

18.2

13.5

*

*

24.2

*

*

*

15.3

13.2

*

*

*

*

*

*

*

●

*

9.5

8.5

8.6

*

*

*

*

*

*

9.0

*

*

*

*

*

*

*

*

12.3

11.5

10.9

*

21.5

*

*

*

*

11.2

*

*

●

*

%

*

*

*

*

21.8

18.1

16.9

*

*

19.5

*

*

21.3

16.6

17.1

*

24.0

*

*

*

*

*

*

*

7.7

9.2

8.2

*

*

*

*

*

*

9.1

*

*

*

‘&

*

*

*

*

●

*

10.3

11.0

12.0

*

*

*

*

*

*

“10.1

“13.5

*

“19.6

*

*

*

*

*

*

654

627

652

696

336

512

303

310

556

608

680

1,110

1,013

790

1,062

Not certiied:

Lessthan 50 beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . * * *

50-99beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5,800 100.0 ●

100-199beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . * * *

200bedsormore . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . * * *

I Incbdessmall number of discharges withunknowndischargeStatus.

NOTE Figuresmay notadd to totals because of rwndlng.

*

967

*

*

26
Table 2. Number of nursing home discharges and average duration of stay by discharge status, facility certification, and bed size, and

percent distribution of nursing home discharges by duration of stay, according to discharge status, facility certification, and ownership:

United States, 1984-85

Duration of stay

1 month 3 months 6 months 1 year 3 yezvs

Lass to to to 10 to Average

Dtscharge status, faciflty certifkatkxr, .4 than less than less then less than !a.sstham lass than 5 years dutatiorr

and ownersh@ Df.scharges slays 1 month 3 months 6 months 12 months 3 years 5 years or more of stay

All discharges Number Percent distribution Days

All nursing homes:

Allownership hypes . . . . . . . . . . . . . . . . . . . . . . . . .

Proprietary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Voluntary nonprofti . . . . . . . . . . . . . . . . . . . . . . . . .

Government . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Skilled nursing faciiity only

Allownership types . . . . . . . . . . . . . . . . . . . . . . . . .

Proprietary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Voluntary nonprofti . . . . . . . . . . . . . . . . . . . . . . . . .

Government . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Skilled nursing facilny end intermediate care facil-~

Allownefship hypes. . . . . . . . . . . . . . . . . . . . . . . . .

Proprietary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Voiuntarynonproft . . . . . . . . . . . . . . . . . . . . . . . . .

Government . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Intermediate care facllify only

Allownershipfypes . . . . . . . . . . . . . . . . . . . . . . . . .

Proprietary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Voluntarynonprofit . . . . . . . . . . . . . . . . . . . . . . . . .

Government . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Not certiiid:

Aliownershipfypes . . . . . . . . . . . . . . . . . . . . . . . . .

Proprietary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Voluntarynonproflf . . . . . . . . . . . . . . . . . . . . . . . . .

Government . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Live discharges

Allnurelnghomex

Allownershiptypas . . . . . . . . . . . . . . . . . . . . . . . . .

Proprlatary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Voluntarynonprofit . . . . . . . . . . . . . . . . . . . . . . . . .

Government . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Skilled nursingfacility only

Aliownershiptypes . . . . . . . . . . . . . . . . . . . . . . . . .

PropMary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Voluntarynonprofif . . . . . . . . . . . . . . . . . . . . . . . . .

Government . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Skilled nursing facility and intermediate care facllify

Allownershiptypes . . . . . . . . . . . . . . . . . . . . . . . . .

Proprietary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Voluntarynonprofd . . . . . . . . . . . . . . . . . . . . . . . . .

Government . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Intermediate care facilii only

Allownefehlpfypes . . . . . . . . . . . . . . . . . . . . . . . . .

Proprietary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Voluntarynonprofif . . . . . . . . . . . . . . . . . . . . . . . . .

Government . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Not cerfiied:

Allownershiptypes . . . . . . . . . . . . . . . . . . . . . . . . .

Propfielary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Voiuntarynonproft . . . . . . . . . . . . . . . . . . . . . . . . .

Government . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1,223,500 Ioa.o 31.0

eol,zoo 100.0 SO.4

235,900 ICJ3.O 33.3

86,500 100.0 31.1

332,400 100.0 36.8

257,700 100.0 34.9

44,800 100.0 40.1

29,900 lCO.O 4a.4

594,000 100.0 31.5

426,200 100.0 31.1

132,000 100.0 35.9

35,600 100.0 20.6

223,400 100.0 22.7

164,500 100.0 23.7

45,900 100.0 17.5

12,900 100.0 “

73,700 100.0 25.1

52,700 100.0 23.2

13,100 100.0 38.9

7,eoo 100.0 *

877,000 100.0 32.3

659,800 100.0 31.2

157,300 100.0 37.3

59,800 100.0 31.4

250,600 100.0 38.6

193,eoo 100.0 37.0

33,700 100.0 41.6

23,000 100.0 47.4

410,600 100.0 32.6

299,900 100.0 31.9

68,700 100.0 38.4

22,000 100.0 ●

157,600 100.0 23.6

125,000 100.0 22.8

24,600 100.0 23.4

7,900 100.0 *

58,200 100.0 26.6

41,200 100.0 23.5

10,100 100.0 47.9

6,900 100.0 *

20.6

21.6

18.1

17.1

224

225

23.3

20.6

21.0

22.2

18.7

15.3

‘f9.4

20.9

14.5

●

13.3

14.8

*

*

23.1

23.7

21.0

21.3

24.5

23.9

26.5

23.3

23.9

25.0

21.0

*

22.5

23.5

*

*

12.8

14.2

*

*

11.2

11.7

9.0

11.9

10.4

10.5

*

*

11.3

12.4

7.2

14.2

12.3

12.4

14.2

*

10.0

9.7

*

●

12.2

12.5

10.1

13.2

10.9

10.6

*

*

125

13.5

6.2

*

13.7

13.6

*

*

11.4

*

*

*

11.2

11.7

9.6

10.9

10.9

12.2

*

*

11.5

11.6

9.9

15.1

10.6

10.1

13.5

*

12.5

14.6

*

*

11.2

11.8

9.4

9.6

9.7

11.2

*

*

11.9

120

11.1

*

10.7

10.7

*

*

13.8

15.9

●

*

15.1

15.3

14.4

15.1

12.9

13.5

12.6

*

14.1

14.1

13.8

15.5

19.1

19.4

16.6

*

21.6

22.3

*

*

13.9

14.0

13.1

14.4

11.8

12.2

*

*

12.4

12.0

12.6

*

18.5

19.1

*

*

21.0

22.2

*

*

5.2

4.5

7.2

6.9

3.0

2.9

*

*

5.5

4.7

6.9

*

7.0

6.0

10.7

*

7.1

*

*

*

3.8

3.3

5.0

*

1.9

*

*

*

3.8

2.8

5.4

*

5.9

5.7

*

*

*

●

*

*

5.7

4.9

8.5

7.1

3.5

3.6

*

*

5.2

4.0

7.6

*

8.9

7.5

13.1

*

10.3

9.6

*

*

3.6

3.5

4.0

*

2.6

2.9

*

*

2.9

2.7

*

*

5.1

4.7

*

*

*

*

*

*

401

366

503

491

273

281

283

190

377

334

454

601

569

507

762

687

666

594

645

848

307

299

327

350

225

244

176

136

278

257

300

462

416

405

471

426

572

532

712

611

See fookies at end of table.

27
Table 2. Number of nursing home discharges and average duration of stay by discharge status, facility certification, and bed size, and

percent distribution of nursing home discharges by duration of stay, according to discharge statua, facility certification, and ownership:

United States, 1984-85-Con.

Duratimr of stay

1 month 3 months 6 months 1 year 3 years

Less to to to to to Average

Discharge status, faclllty certification, All than less than less than less than less than lass than 5 years duration

and ownership Discharges stays 1 month 3 months 6 months 12 months 3 years 5 years or more of stay

Dead discharges Number Percent distribution Days

All ..nursina —.-...-home= . .

Allownership types . . . . . . . . . . . . . . . . . . . . . . . . .

Proprietary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Voluntary nonproft . . . . . . . . . . . . . . . . . . . . . . . . .

Government . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Skilled nursing facility only

Ailownerahip types . . . . . . . . . . . . . . . . . . . . . . . . .

Proprietary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Voluntatynonprofk . . . . . . . . . . . . . . . . . . . . . . . . .

Government . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Skilled nursing facility and intermediate care facility

Ailownershiplypes . . . . . . . . . . . . . . . . . . . . . . . . .

Proprietary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Voiuntatynonprofit . . . . . . . . . . . . . . . . . . . . . . . . .

Government . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Intermediate care facilify only

Aliownershlptypes . . . . . . . . . . . . . . . . . . . . . . . . .

Proprietary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Voluntarynonprofit . . . . . . . . . . . . . . . . . . . . . . . . .

Government . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Not certiiied:

Aliownershlptypes . . . . . . . . . . . . . . . . . . . . . . . . .

Proprieta~ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Voiuntatynonprofii . . . . . . . . . . . . . . . . . . . . . . . . .

Government . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

344,200

240,000

77,400

26,700

81,500

63,500

11,000

6,900

182,600

125,800

43,100

13,700

64,600

39,200

20,400

5,000

15,500

11,600

*

●

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

*

*

27.8

28.3

25.4

30.3

31.6

26.7

*

*

29.2

29.2

30.8

*

21.2

26.7

*

●

*

*

*

*

14.3

15.6

12.5

*

16.2

18.2

*

*

14.4

15.3

14.0

*

11.5

12.1

*

*

*

*

*

+

6.7

9.4

6.6

*

6.6

10.3

●

*

8.8

9.7

*

*

9.2

*

*

*

*

*

*

11.1

11.4

9.5

*

14.8

15.1

*

*

10.4

10.7

*

*

9.6

*

*

*

*

*

*

18.3

18.9

17.1

*

16.3

17.4

*

●

17.9

16.9

16.3

*

20.6

20.6

*

*

*

*

*

8.6

7.8

11.6

*

6.1

*

*

*

9.2

9.1

*

*

9.6

*

*

*

*

*

*

*

11.1

8.6

17.3

*

6.3

*

*

*

10.1

7.2

16.1

*

16.1

16.8

●

+

*

*

*

*

640

551

858

808

419

392

612

361

599

517

764

625

943

836

1,124

1,042

1,015

816

*

*

1Inchdes small rwmber of discharges with unknown discharge status.

NOTE Figures may not add to totals because of rounding.

28
Table 3. Number of nursing home discharges by duration of stay, discharge status, and selected characteristics, and average and

median durations of stay, by discharge status and selected characteristics: United States, 1984-65

Duration of stay

1 month 3 months 6 months 1 year 3 years

to to to to to Average Median

All Lees than less than less then lees than lass then Iass then 5 yaam duration durat[on

Dbcherge status and characteristic stays 1 month 3 months 6 months 12 months 3 yeare 5 years or more of stay of stay

Number of discharges Days

Alldischargesi . . . . . . . . . . . . . . .

Age at discharge:

Under 65yesrs . . . . . . . . . . . . .

Under 45years . . . . . . . . . . . .

4&34years . . . . . . . . . . . . . .

55-84 years . . . . . . . . . . . . . .

65years Andover . . . . . . . . . . .

65-69 years . . . . . . . . . . . . . .

70-74 years . . . . . . . . . . . . . .

75-79 years . . . . . . . . . . . . . .

80-84 years . . . . . . . . . . . . . .

85-89 years . . . . . . . . . . . . . .

90-94 years . . . . . . . . . . . . . .

95yesrs And over . . . . . . . . . .

Sex

Male . . . . . . . . . . . . . . . . . . . .

Female . . . . . . . . . . . . . . . . . .

Rac&

White . . . . . . . . . . . . . . . . . . .

Black . . . . . . . . . . . . . . . . . . .

Other . . . . . . . . . . . . . . . . . . .

Hispanic origin:

Hispanic . . . . . . . . . . . . . . . . .

Non-Hispanic . . . . . . . . . . . . . .

Unknown . . . . . . . . . . . . . . . . .

Marital status at discharge

Married . . . . . . . . . . . . . . . . . .

Widowed . . . . . . . . . . . . . . . . .

Divorced orseparated . . . . . . . . .

Nevermarrisd . . . . . . . . . . . . . .

Unknown . . . . . . . . . . . . . . . . .

Ltving arrangement prior

toadmlssion:

Private orsemiprivate residence. . .

Alone . . . . . . . . . . . . . . . . . .

Wilhfamllymembers. . . . . . . .

Wdhnonfamlly members. . . . . .

Unknown . . . . . . . . . . . . . . .

Anolherhealthfaciiii. . . . . . . . .

Anothernurslng home.. . . . . .

General orshort-stay hospitalz. .

Mentalfaciliiy3 . . . . . . . . . . . .

Veteretwhospitel . . . . . . . . . .

Ofherorunknown . . . . . . . . . .

Unknownorother . . . . . . . . . . .

Living arrangement after discharge

Private orsamiprivate residence. . .

Anotherhealthfacility. . . . . . . . .

Anothernursing home. . . . . . .

Genersl orshort-stay hospttalz. .

Mentalfacility3 . . . . . . . . . . . .

Veferanshospital . . . . . . . . . .

Otherorunknown. . . . . . . . . .

Unknownorother. . . . . . . . . . .

Number known to have died in

otherhealthfacilii. . . . . . . . . .

1,223,500

133,100

34,800

29,600

68,500

1,090,400

69,300

138,200

195,400

262,900

231,300

438,100

60,300

455,500

768,000

1,135,900

62,000

5,600

S5,500

1,130,700

57,400

273,200

669,200

84,800

151,800

44,800

340,700

110,200

185,100

23,300

22,100

848,700

82,500

674,300

36,200

33,000

22,600

34,100

268,400

591,500

98,000

430,200

20,500

20,600

22,C410

19,000

116,600

379,000

43,eoo

10,300

14,100

19,500

335,100

25,100

46,400

69,800

89,300

61,000

33,800

9,700

162,600

216,400

352,900

23,900

*

10,700

346,900

21,500

120,400

182,700

24,200

37,800

13,800

93,500

28,500

51,300

7,100

6,600

277,700

14,100

240.700

7;900

5,000

7,800

119,800

156,700

29,100

109,600

4,900

6,700

6,500

6,400

32,700

252,200

32,700

7,400

6,500

18,800

219,800

15,600

27,800

43,400

56,000

44,100

21,100

11,500

91,600

160,500

234,400

16,200

●

232=

lo,50il

5s,100

134,100

17,400

35,700

7,000

64,700

19,200

36,300

*

5,800

183,300

12,100

155,800

●

7,700

*

+

62,000

115,100

21,100

79,800

*

5,100

4,900

5,300

22,200

138,700

15,900

*

*

9,500

120,800

7,000

19,200

20,300

30,200

23,800

12,000

8,200

51,300

85,400

124,900

11,600

5,200

127,600

*

25,400

77,300

11,400

16,700

5,900

35,600

12,300

19,400

*

*

97,700

8,500

77,000

4,800

*

*

*

29,800

75,900

14,900

52,700

*

*

*

*

11,600

137,400

14,000

●

*

7,8C43

123,400

9,1fxr

12,600

22,300

31,400

28,000

15,800

*

53,600

83,600

126,300

10,800

*

*

126,700

8,200

28,700

75,000

10,200

16,900

6,500

36,700

12,003

20,800

*

*

97,700

11,600

73,500

●

6,800

*

*

14,100

81,600

10,100

64,300

*

*

*

*

17,80+)

185,200

17,500

6,800

8,&

167,700

9,400

17,SQ0

25,600

36,400

39,300

28,500

I0,60CI

60,800

124,500

172@o

12,200

*

8,200

169,600

7,400

28,800

112,000

12,6C0

28,0c0

5,900

58,900

18,500

32,5JJO

4,800

●

120,700

18,700

84,000

7,700

*

5,700

5,600

15,500

105,100

14,700

79,900

*

*

*

*

18,700

63,200

4,800

*

*

*

56,400

*

4,700

6,700

10,300

16,300

10,500

6,800

17,300

45,800

59,600

●

*

*

59,000

*

6,300

43,20+3

*

7,100

*

24,300

9,500

12@oo

*

*

35,400

7,600

24,000

*

*

*

*

●

28,400

*

23,000

*

*

*

●

7,200

68,800

●

*

*

*

65,400

*

*

7,300

9,300

16,700

16,400

9,500

16,003

51,900

65,700

*

●

*

65,000

*

5,600

44,900

5,300

11,600

*

26,800

10,100

13,000

*

*

36,100

9,800

19,500

*

*

*

6,900

*

27,700

*

21,000

*

*

*

*

6,200

401

283

324

238

281

418

248

306

309

305

505

622

865

319

450

406

333

472

372

404

361

213

450

440

506

390

519

575

491

547

450

332

714

265

550

282

654

943

116

381

351

406

339

235

426

377

434

82

69

88

35

77

84

55

57

65

67

124

198

239

66

93

82

101

44

113

83

71

41

107

90

101

125

116

149

111

145

66

72

263

57

158

108

169

316

36

113

83

130

127

65

78

47

106

See fac+notesat end oftable.

29
Table 3. Number of nursing home discharges by duration of stay, discharge status, and selected characteristics, and average and

median durations of stay, by discharge status and selected characteristics: United States, 1984-85— Con.

Durat/on of stay

1 month 3 months 6 months 1 year 3 years

fo to to to to Average Median

Atl Less than less than less than less than less than less than 5 years duration duration

Discharge skdus and characteristic stays 1 month 3 months 6 months 12 months 3 years 5 years or more of stay of stay

Number of discharges Days

307 70

70

88

34

80

71

54

58

59

59

92

113

Llvedischarges . . . . . . . . . . . . . . 877,000 283,100

37,400

9,200

13,500

14,800

245,700

21,500

38,100

50,200

68,800

40,100

22,700

6,400

113,200

169,900

263,600

17,600

*

7,100

258,400

17,600

86,200

135,400

18,500

32,100

10,900

73,400

22,500

40,100

5,500

5,200

203,900

11,600

172,600

9,900

6,300

*

5,800

119,900

156,700

‘29,100

109,600

4,900

6,700

6,500

6,400

32,700

ea,200

13,200

*

*

7,300

85,000

7,700

10,800

15,700

21,300

18,400

9,300

*

39,900

58,300

90,400

7,500

*

*

89,@10

6,800

19,000

52,700

8,300

12,600

5,400

24,200

9,200

12,600

*

*

71,800

7,200

53,800

5,60;

*

*

14,100

81,600

10,100

64,300

*

*

*

*

17,800

121,900

14,800

6,800

*

6,000

107,200

7,000

13,700

18,000

24,800

22,100

15,600

5,900

39,300

62,600

113,000

8,200

*

6,000

111,100

4,800

19,900

69,700

9,200

19,900

*

38,600

11,900

20,000

*

78,60:

9,800

55,300

5,700

*

*

4,800

15,500

105,100

14,700

79,900

*

*

*

*

18,700

33,500

*

*

*

*

29,300

*

*

*

4,900

10,300

*

*

9,900

23,600

31,300

*

*

30,200

*

*

20,400

*

5,300

*

13,300

5,700

6,600

*

*

18,500

*

12,500

*

*

*

*

*

29,400

*

23,000

*

*

*

*

7,200

31,300

*

*

*

*

27,800

*

*

*

*

7,500

6,400

*

8,400

22,900

28,700

*

*

27,700

*

*

18,200

*

5,100

*

9,500

*

5,100

*

*

17,800

*

9,300

*

*

*

*

*

27,700

*

21,000

*

*

●

*

6,200

202,400

30,700

7,100

6,200

17,400

171,600

13,700

20,600

35,000

45,900

31,200

17,100

8,100

72,800

129,500

187,700

13,100

*

188,20;

9,400

46,600

103,300

15,600

31,300

5,700

52,600

16,100

2e,loo

*

5,300

146,900

9,200

123,500

●

7,100

*

*

82,000

115,100

21,100

79,800

*

6,100

4,900

5,300

22,200

106,700

14,500

*

*

6,500

92,200

5,900

16,400

15,900

24,300

16,800

9,100

*

41,300

65,400

96,500

10,100

*

96,200

*

19,300

58,700

9,400

14,100

5,100

26,400

9,100

14,900

*

76,60;

7,100

61,600

●

*

*

*

29,800

75,900

14,900

52,700

*

*

*

*

11,800

Age at discharge:

Under ffiyear s . . . . . . . . . . . .

Under 45years . . . . . . . . . . . .

45-54 years . . . . . . . . . . . . . .

55-64 yeafe . . . . . . . . . . . . . .

05years And over . . . . . . . . . . .

65-69 years . . . . . . . . . . . . . .

70-74 yeafs . . . . . . . . . . . . . .

75-79 year3 . . . . . . . . . . . . . .

60-84 yeafs . . . . . . . . . . . . . .

65-89 years . . . . . . . . . . . . . .

90-94 yesrs . . . . . . . . . . . . . .

95years And over . . . . . . . . . .

118,100

32,300

27,900

57,900

758,600

56,200

102,300

142,600

193,700

146,400

84,700

30,900

270

3~4

220

269

313

218

246

263

231

416

437

626 106

Sex

Male . . . . . . . . . . . . . . . . . . . .

Female . . . . . . . . . . . . . . . . . .

Race:

White . . . . . . . . . . . . . . . . . . .

Black . . . . . . . . . . . . . . . . . . .

Other . . . . . . . . . . . . . . . . . . .

324,600

552,300

256

337

306

64

72

68

87

*

140

69

62

42

79

81

85

91

76

91

76

101

56

65

811,200

61,200

*

3C6

*

Hispanic origin:

Hispank. . . . . . . . . . . . . . . . . .

Non-Hispanic . . . . . . . . . . . . . .

Unknown . . . . . . . . . . . . . . . . .

27,600

80s,800

45.500

399

304

313

193

Marital status at discharge

Married . . . . . . . . . . . . . . . . . .

Widowed . . . . . . . . . . . . . . . . .

Divorced orseparzded. . . . . . . . .

Nevermarr!ed . . . . . . . . . . . . . .

Unknown . . . . . . . . . . . . . . . . .

197,700

458,400

66,800

120,600

33,400

327

379

376

315

373

378

372

411

313

263

Living arrangement prior to

admission:

Private orsemiprivate residence. . .

Alone . . . . . . . . . . . . . . . . .

Withfamilymembers. . . . . . . .

Wlhnontamllymembere. . . . . .

Unknown . . . . . . . . . . . . . .

Anotherhealthfaciltty. . . . . . . . .

Anothernufeing home.. . . . .

Generel orshort-etay hospitalz. .

Mentalfacilitys . . . . . . . . . . . .

Veteranshospifal . . . . . .

Otherorunknown . . . . . . . . . .

Unknownorother . . . . . . . .

238,100

77,500

128,400

16,300

16,000

616,000

52,400

488,800

31,900

26,800

16,000

22,600

507 159

217

441

248

56

134

94

166

310

36

555

800

116

Living arrangement after discharge:

Privsfe orsemlprivate residence. . .

Anotherhealthfacilify. . . . . . . . .

Anothernurslng home.. . . . . .

General orshort-stay hospitalz. .

MentalfaciIity3 . . . . . . . . . . . .

Veterans hospital . . . . . . . . . .

Otherorunknown . . . . . . . . .

Unknown brother . . . . . . . . . . .

Numbar known to have died in

otherhealthfacllii. . . . . .

266,400

591,500

98,000

430,300

20,500

20,800

22,000

19,000

391 113

351 83

130

127

65

76

47

106

408

3.39

235

426

377

116,600 434

See footncies et end of table.

30
Table 3. Number of nursing home diachargea by duration of stay, discharge atstus, and aeiected characteristics, and average and

median durations of stay, by discharge status and selected characteristics: United States, 1984-85-Con.

Duratkm of stay

1 month 3 months 6 months Iyear 3 Yeats

10 to to to to Aw?rage M.s@an

All Less than tess them Ias.s than 1sss than less than less then 5 yeats cfuretbn duration

Discharge status and chsmcteristio stays 1 month 3 months 6 months 12 months 3 pus 5 years or more of stay of stay

Number of discharges Days

Deaddischargea . . . . . . . . . . . . .

Age at dlschargsx

Under 65yeafs . . . . . . . . . . . . .

65yearsand over . . . . . . . . . . .

65-69 years . . . . . . . . . . . . . .

70-74 yearn . . . . . . . . . . . . .

76-79 yeafs . . . . . . . . . . . . . .

80-64 yeafs . . . . . . . . . . . . . .

85-69 yeafs . . . . . . . . . . . . . .

90-94 yewa . . . . . . . . . . . . . .

95years andover . . . . . . . . . .

Sex

Male . . . . . . . . . . . . . . . . . . . .

Female . . . . . . . . . . . . . . . . . .

Race

White . . . . . . . . . . . . . . . . . . .

Black . . . . . . . . . . . . . . . . . . .

Ocher . . . . . . . . . . . . . . . . . . .

Hispank orlgln:

Hispanic. . . . . . . . . . . . . . . . .

Non-Hiapanfc . . . . . . . . . . . . . .

Unknown . . . . . . . . . . . . . . . . .

Marltafstafusatdfscharga

Married . . . . . . . . . . . . . . . . . .

Widowed . . . . . . . . . . . . . . . . .

Divofcedorsaparated. . . . . . . . .

Nevermarrfed . . . . . . . . . . . . . .

Unknown . . . . . . . . . . . . . . . . .

Uvlngarrangement priorto

admlssiom

Private orsemlprivate reskience. . .

Alone . . . . . . . . . . . . . . . . . .

Withfarnilymembers . . . . . . . .

Wlthnonfamllymemlxm. . . . .

Unknown . . . . . . . . . . . . . . .

Anotherheallh faollfly . . . . . . . . .

AnothernursIng home.. . . . . .

General orshort-stay hospitalz. .

Olherorunknown . . . . . . . . . .

344,200

15,000

329,200

11,100

30,900

52,100

68,700

83,900

53,300

29,300

130,100

214,000

322,500

20,700

*

7,600

325,600

10,600

75,400

209,600

16,000

30,500

10,500

101,600

32,600

56,600

7,100

5,4cra

232,400

30,100

185,300

17,100

95,700

6,500

e9,200

*

10,30+3

19,800

20,700

20,700

Il,ooo

*

49,500

46,200

89,100

6,400

*

*

6ii,500

*

34,200

47,200

5,700

5,700

*

20,200

6,100

11,200

*

*

73,600

*

68,100

*

49,200

*

47,300

*

7,200

8,400

Io,ooo

12,400

+

*

18,900

30,300

46,100

*

*

47,300

*

11,500

30,%X)

*

*

*

11,600

●

7,200

●

*

36,400

*

32,200

*

30,000

*

28,503

*

*

*

5,600

6,900

*

*

Io,ooo

19,SQ0

28,S00

*

*

28,4CQ

*

6,100

18,500

*

*

*

9,400

*

●

+

19,1;

15,1;

*

36,300

*

37,500

*

*

5,900

9,eoo

9,700

6,500

*

13,300

25,000

35,100

●

*

37,400

*

9,700

22,100

*

*

*

11,600

*

8,000

*

*

25,f3@3

●

19,500

*

83,100

*

80,400

*

*

7,600

11,700

17,200

12,700

*

21,500

41,700

56,600

*

*

*

56,400

*

42=

*

6,100

*

20,200

6,600

12,41XI

*

4Z!J

8,900

28,700

*

29,600

*

29,000

*

*

*

5,300

7,900

6,100

*

7,500

22,100

28,300

*

*

28,700

*

*

22,800

*

*

*

Il,ooo

*

5,400

*

*

16,900

*

11,400

*

3e,30a

*

37,300

*

*

*

5,300

9,100

9,900

6,700

9,500

28,800

36,600

*

*

*

37,000

*

●

26,600

*

6,400

*

17,200

7,04)0

8,000

*

*

18,304)

5,400

10,200

*

163

41

176

107

57

74

148

197

430

571

74

246

165

113

*

40

173

187

2;

116

Soa

237

322

513

309

228

195

110

601

65

640

365

651

402

503

434

511

661

9,144

1,114

473

741

650

413

*

278

e5ir

561

265

717

885

1,020

642

683

1,036

760

6!57

669

513

1,077

391

643 297

llnchdessmalirwmber ofdlschargeswilh unkrowmdlsctmrgestalus.

2Pwchla!rk unitsare excluded.

NOTE Figuresmaynotadd to tofalsbec.wse of rourding.

31
Table 4. Number of live nursing home discharges and average and median durations of stay, by selected characteristics, and percent

distribution by living arrangement after discharge, according to selected characteristics: United States, 1984-85

Living arrangement after discharge

Another health facility

Pr/vate

or Another Other Unknown Average Median

Live All semiprivate nursing Short-slay health or duration duration

Characteristic discharges arrangements raeldence home hospitafi facility other of stay of stay

Sex Number

Both sexes:

All arrangements . . . . . . . . . . . . . . . . . . . . . . . . . .

Private orsemiprNate resktence. . . . . . . . . . . . . .

Alone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Withfamllymembers . . . . . . . . . . . . . . . . . . . . .

Unknown brother . . . . . . . . . . . . . . . . . . . . . . .

Anolherhealthfacility . . . . . . . . . . . . . . . . . . . . . .

Anothernursing home . . . . . . . . . . . . . . . . . . . .

General or shori-stay hospital, except

psychlafrlcunit . . . . . . . . . . . . . . . . . . . . . . . .

Ofherhealthfacility . . . . . . . . . . . . . . . . . . . . . .

Unknownorother . . . . . . . . . . . . . . . . . . . . . . . .

Male:

Allarrsngements . . . . . . . . . . . . . . . . . . . . . . . . . .

Privaleorsemiprivate residence. . . , . . . . . . . . . . . .

Alone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Wtihfamilymembers . . . . . . . . . . . . . . . . . . . . .

Unknownorother . . . . . . . . . . . . . . . . . . . . . . .

Anotherhealthfacilify . . . . . . . . . . . . . . . . . . . . . .

Anothernureing home..... . . . . . . . . . . . . . . .

General or short-stay hospital, except

psychlatrlcunit . . . . . . . . . . . . . . . . . . . . . . . .

Otherhealthfacikty. . . . . . . . . . . . . . . . . . . . . .

Unknownorother . . . . . . . . . . . . . . . . . . . . . . . .

Female

Allarrangements . . . . . . . . . . . . . . . . . . . . . . . . . .

Privateorsemlprivate residence. . . . . . . . . . . . . . .

Alone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Wtihfamilymembere .,...... . . . . . . . . . . . . .

Unknownorother . . . . . . . . . . . .. . . . . . . . . . . .

Anotherhealthfacillty . . . . . . . . . . . . . . . . . . . . . . .

Anothernursing home.... . . . . . . . . . . . . . . . .

Generaf or shott-stay hospital, except

psychiatrlcunit . . . . . . . . . . . . . . . . . . . . . . . .

Otherhealthfacility. . . . . . . . . . . . . . . . . . . . . .

Unknownorother . . . . . . . . . . . . . . . . . . . . . . . .

Mariialstatusat ctkcharge

Married:

Allarrangements . . . . . . . . . . . . . . . . . . . . . . . . . .

Privateorsemlprivate residence. . . . . . . . . . . . .

Alone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Wthfamilymembers . . . . . . . . . . . . . . . . . . . . .

Unknownoro!her . . . . . . . . . . . . . . . . . . . . . . .

Anotherheatthfaciliiy . . . . . . . . . . . . . . . . . . . . . .

Anolhernurslng home . . . . . . . . . . . . . . . . . . . .

General or short-stay hospital, except

psychiatric unit . . . . . . . . . . . . . . . . . . . . . . . .

Otherhealthfacility . . . . . . . . . . . . . . . . . . . . . .

Unknownorother . . . . . . . . . . . . . . . . . . . . . . . .

Widowed:

Aliarrangements . . . . . . . . . . . . . . . . . . . . . . . . . .

Pnvateorsemiprivate residence. . . . . . . . . . . . . . .

Alone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Withfamilymembers. . . . . . . . . . . . . . . . . . . . . .

Unknownorother . . . . . . . . . . . . . . . . . . . . . . .

Anotherhealthfaclllfy . . . . . . . . . . . . . . . . . . . . . .

Anolhernursing home . . . . . . . . . . . . . . . . . . . .

General or short-stay hospital, except

psychiatrlcunit . . . . . . . . . . . . . . . . . . . . . . . .

Otherhealthfacility . . . . . . . . . . . . . . . . . . . . . .

Unknownorother . . . . . . . . . . . . . . . . . . . . . . . .

877,000

238,100

77,500

128,400

32,200

816,000

52,400

488,800

74,800

22,800

324,600

63,000

18,300

55,500

9,200

234,200

20,700

162,500

50,900

7,500

552,300

155,200

59,200

72,900

23,000

361,800

31,700

326,300

23,900

15,400

197,700

54,500

*

48,900

●

140,200

6,800

114,700

18,800

*

458,400

126,600

56,700

52,800

19,000

316,000

28,100

270,500

17,400

13,600

Percent distribution

100.0

100.0

100.0

100.0

100.0

100.0

1rxl.o

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

*

100.0

*

100.0

100.0

100.0

100.0

*

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

30.4

40.5

36.1

41.8

40.9

27.0

12.5

30.0

17.7

*

28.6

42.5

32.6

46.7

*

24.1

*

26.6

18.3

*

31.4

39.4

39.8

38.1

424

26.6

15.1

30.7

20.7

*

34.5

51.7

*

52.9

*

28.1

*

31.2

*

*

29.4

36.0

36.1

33.4

43.0

27.1

*

29.7

*

*

11.2

11.5

11.1

11.9

*

11.1

17.6

10.3

11.7

*

10.6

6.8

*

*

*

12.0

*

11.9

12.1

*

11.5

14.0

127

15.9

*

10.5

20.7

9.4

*

*

13.8

*

*

●

●

18.0

*

14.5

*

*

11.6

13.0

11.8

14.7

*

11.0

19.1

10.3

*

*

49.1

41.6

45.7

40.6

37.4

51.7

61.4

55.0

229

54.2

45.8

41.5

47.5

40.1

*

47.5

66.0

65.0

16.2

*

51.0

42.0

45.2

40.9

37.1

54.2

58.4

55.1

37.1

61.6

43.1

35.9

*

35.4

*

45.4

*

50.1

*

*

53.1

47.1

48.9

47.8

39.5

55.4

63.8

55.8

35.0

57.0

7.2

4.8

*

4.8

*

8.1

*

3.3

41.1

*

12.1

7.5

*

*

*

13.5

●

3.0

49.6

*

4.4

3.4

●

*

*

4.7

*

3.4

23.1

*

7.4

*

*

*

*

9.1

*

*

47.6

*

4.4

*

*

●

*

4.8

*

3.2

31.0

*

2.2

*

*

*

*

2.2

*

1.4

6.6

●

2.9

*

*

*

*

2.8

*

*

*

*

1.7

*

*

*

*

1.6

*

*

*

*

*

*

*

—

*

*

*

*

1.4

*

*

*

*

1.7

*

*

*

*

Days

307

373

378

372

363

263

507

217

396

800

256

340

331

338

380

213

349

178

269

682

337

391

393

397

364

294

611

236

866

858

193

236*

240

*

170

320

155

207

*

327

396

416

369

411

201

603

233

497

759

70

76

91

78

62

65

159

1:

310

64

69

120

59

64

61

130

55

78

118

72

79

74

66

62

67

220

56

254

395

42

40

*

40

*

40

96

40

42

*

79

79

91

84

62

76

215

66

116

271

See footnotes at end of table.

32
Table 4. Number of live nursing home discharges and average and median durations of stay, by selected characteristics, and percent

distribution by living arrangement after discharge, according to selected characteristics: United States, 1984-85-Con.

Livingarrwrgement after discharge

Another health facility

Private

or Another Other Unknown Average Median

Lfve All samipnVate nursing Shor?stay health or duration duration

Characteristic discharges arrangements residence home hospitati fisciliiy other of stay of stay

Martial Status at Discharge-Con. Number

. ....... . -._J. uivorceo or separamcx

Allarrengemenfa . . . . . . . . . . . . . . . . . . . . . . . . . .

PrFmfe or semlprivafe residence. . . . . . . . . . . . . . . .

Alone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Withtemily members . . . . . . . . . . . . . . . . . . . . .

Unknown orother . . . . . . . . . . . . . . . . . . . . . . .

Anolherheelth facilii . . . . . . . . . . . . . . . . . . . . . .

Another nutsinghom e . . . . . . . . . . . . . . . . . . .

General or short-stay hospital, except

psychfstrlo untt . . . . . . . . . . . . . . . . . . . . . . . .

Otherhealthfacility.. . . . . . . . . . . . . . . . . . . . .

Unlmownorother . . . . . . . . . . . . . . . . . . . . . . . .

Never married:

Allarrangemenls . . . . . . . . . . . . . . . . . . . . . . . . . .

Private orsemiprivate residence . . . . . . . . . . . . . . . .

Alone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Withfernilymembars . . . . . . . . . . . . . . . . . . . . .

Unknownorother . . . . . . . . . . . . . . . . . . . . . . .

Anotherhealthtscllity . . . . . . . . . . . . . . . . . . . . . .

Anothernursing home . . . . . . . . . . . . . . . . . . . .

General or short-stay hospital, except

psychiatriountt . . . . . . . . . . . . . . . . . . . . . . . .

Crtherheatthfacillty . . . . . . . . . . . . . . . . . . . . . .

Unknownorother . . . . . . . . . . . . . . . . . . . . . . . .

Unknowrx

Allerrengementc . . . . . . . . . . . . . . . . . . . . . . . . . .

Pdvateorsemiprivate reskienca. . . . . . . . . . . . . . . .

Alone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Wtthfernllymembers . . . . . . . . . . . . . . . . . . . . .

Unknownorolher . . . . . . . . . . . . . . . . . . . . . . .

Anotherhealthfacility . . . . . . . . . . . . . . . . . . . . . .

Anothernurslng home . . . . . . . . . . . . . . . . . . . .

General or short-stay hospital, except

psychletriounit. . . . . . . . . . . . . . . . . . . . . . . .

Otherhealthfacility . . . . . . . . . . . . . . . . . . . . . .

Unknownorolher . . . . . . . . . . . . . . . . . . . . . . . .

Age al dlacharge

Under 65 years of age

Allarrangements . . . . . . . . . . . . . . . . . . . . . . . . . .

Prtvate orsemlprivate residence.. . . . . . . . . . . . . . .

Alone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Wlthfarnllymembers . . . . . . . . . . . . . . . . . . . . .

Unknownorother . . . . . . . . . . . . . . . . . . . . . . .

Anotherhealthfacillty . . . . . . . . . . . . . . . . . . . . . .

Anothernurslnghome . . . . . . . . . . . . . . . . . . . .

General or short-stay hospital, except

psychialricunlt . . . . . . . . . . . . . . . . . . . . . . . .

Ofherhealthfscilify . . . . . . . . . . . . . . . . . . . . . .

Unknownorother . . . . . . . . . . . . . . . . . . . . . . .

65-74 years of age:

Allarrangements . . . . . . . . . . . . . . . . . . . . . . . . . .

Privateorsemlpriveferesldence.. . . . . . . . . . . . . . .

Alone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Withfamllymembers . . . . . . . . . . . . . . . . . . . . .

Unlmownorother . . . . . . . . . . . . . . . . . . . . . . .

66,600

16,900

6,300

6,200

*

49,100

5,400

28,200

15,400

*

120,600

32,300

10,300

16,900

5,100

64,600

8,800

54,700

21,000

*

33,400

5,800

*

*

●

26,100

*

20,600

*

*

118,100

28,900

5,600

18,300

4,7c0

66,000

5,100

50,300

30,600

●

160,500

34,200

12,200

17,800

*

Anolherhealthfacility . . . . . . . . . . . . . . . . . . . . . . 122,600

Anothernurslng home . . . . . . . . . . . . . . . . . . . . 10,100

General or short-stay hospital, except

psychiatriounit . . . . . . . . . . . . . . . . . . . . . . . . 90,200

Otherhealthfacllity . . . . . . . . . . . . . . . . . . . . . . 22,300

Unlmownorolher . . . . . . . . . . . . . . . . . . . . . . . . ●

See foohies at eti of table.

Percent distribution Days

100.0

100.0

100.0

100.0

*

100.0

100.0

100.0

100.0

*

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

*

100.0

100.0

*

*

*

100.0

*

100.0

*

*

100.0

1W.o

100.0

100.0

100.0

100.0

100.0

100.0

100.0

*

100.0

100.0

100.0

100.0

*

100.0

100.0

100.0

100.0

*

32.3

40.4

*

*

*

30.0

*

37.9

●

29.3

43.5

47.9

39.3

*

25.2

*

28.3

*

19.6

*

*

*

21.2

*

*

*

*

36.0

50.4

*

54.0

*

35.2

*

40.5

29.5

*

32.2

44.4

45.7

45.3

*

28.8

*

35.3

*

*

9.6

*

*

*

*

*

*

*

*

*

6.4

+

●

*

*

6.3

*

*

*

*

*

*

*

+

*

*

*

*

*

6.0

*

*

*

*

*

*

*

12.6

*

*

*

*

12.5

●

10.2

22.5

*

36.0

29.0

*

*

*

40.6

*

51.6

*

*

46.6

35.5

*

36.4

*

51.2

55.7

59.4

26.0

*

59.8

*

*

*

*

62.6

*

65.1

●

*

30.9

20.3

*

*

*

34.7

*

46.1

*

+.

43.6

35.2

●

30.7

*

45.7

69.5

48.2

24.7

*

15.5

*

*

*

*

17.3

●

*

45.0

*

12.5

*

*

*

*

13.5

*

*

429

*

*

*

*

*

*

*

●

19.0

*

*

*

*

20.7

*

*

43.7

+

9.4

*

●

*

*

11.2

*

*

42.8

●

*

*

*

*

*

*

●

☛

5.1

*

*

*

*

●

*

*

*

*

●

*

*

*

*

6.2

*

+

*

*

*

*

●

*

*

*

●

*

*

*

*

*

*

*

379

511

247

832

*

306

422

230

406

*

376

469

325

562

452

329

527

237

466

*

315

210

*

*

*

264

*

260

*

*

270

359

202

462

156

241

510

157

333

*

236

247

247

262

*

220

356

176

332

*

81

90

110

60

*

6a

139

45

153

*

85

116

73

166

101

60

153

68

137

*

91

111

*

*

*

67

*

*

111

2,000

70

77

89

eo

22

64

159

*

113

32

56

74

*

80

66

50

118

1 44

*

420

33
Table 4. Number of live nursing home discharges and average and median durations of stay, by selected characteriatica,and percent

distribution by fiving arrangement after discharge, according to selected characteristisc~ United States, 1984-85-Con.

LMng arrangement affer discharge

Another health facility

Private

or Another Other Unknown Average Median

Live All samipr/vate nursing Short-slay health or duration duration

Characteristic dkchargas arrangements residence home hospifall facilii other of stay of stay

Age at Discharge-Con. Number Percent distribution Days

—

75-84 yeare of age

All arrangements . . . . . . . . . . . . . . . . . . . . . . . . . .

Private or semiprivate residance. . . . . . . . . . . . . . . .

Alone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

With fami!ymembere . . . . . . . . . . . . . . . . . . . . .

Unknown brother . . . . . . . . . . . . . . . . . . . . . . .

Another health facility . . . . . . . . . . . . . . . . . . . . . .

Another nureing home . . . . . . . . . . . . . . . . . . . .

General or short-stay hospital, except

psychiatric unif . . . . . . . . . . . . . . . . . . . . . . . .

Olherhealth tacility . . . . . . . . . . . . . . . . . . . . . .

Unknownorother . . . . . . . . . . . . . . . . . . . . . . . .

100.0 30.4 11.3

10.7

15.3

*

*

11.7

*

52.8 4.2 *

45.6 * *

46.3 * *

46.4 + ‘

* * *

55.5 4.1 *

57.5 * *

245

298

373

243

59

68

91

58

106

56

97

49

141

173

99

84

117

79

62

102

315

84

126

970

336,400

92,800

32,400

50,000

10,400

236,000

20,100

100.0

100.0

100.0

100.0

100.0

100.0

39.4

34.4

39.8

53.0

27.2

*

336

214

381

203,900

12,000

7,600

100.0

100.0

100.0

29.2

*

*

11.2

*

*

56.1 * *

41.9 * *

* * *

186

407

537

85 years and ovec

Ailarrangements . . . . . . . . . . . . . . . . . . . . . . . . . .

Priiateorsemipriveferesidence. . . . . . . . . . . . . . . .

Alone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Wthfamiiymembere . . . . . . . . . . . . . . . . . . . . .

Unknownorother . . . . . . . . . . . . . . . . . . . . . . .

Anotherheaithfacility . . . . . . . . . . . . . . . . . . . . . .

Anothernursing home....,.. . . . . . . . . . . . . .

General or short-stay hospital, except

psychialricunit . . . . . . . . . . . . . . . . . . . . . . . .

Otherhealthfacilii . . . . . . . . . . . . . . . . . . . . . .

Unknownorother . . . . . . . . . . . . . . . . . . . . . . . .

262,000 100.0 25.8 12.5

12.0

12.:

*

12.3

*

55.6 4.4 * 448

82,300

27,100

42,300

12,900

171,300

17,200

100.0

100.0

100.0

100.0

100.0

100.0

36.6

36.1

37.5

*

21.5

*

47.9 * * 514

51.6 * - 463

45.5 * * 533

47.7 * * 519

59.3 4.9 * 374

64.3 + * 743

144,300

9,800

6,400

100.0

100.0

100.0

24.3

*

*

11.1

*

‘b

60.9 * * 307

* ● * 724

64.4 * - 1.300

1Generalor shorktay hospital, except pscychlatricunit.

NOTE:Flguresmay notaddtototalsbecause ofrounding.

34
Table 5. Number of nursing home discharges, by dependencies in mobility and continence, partial index of dependency, discharge

status, selected characteristics, and duration of stay, and median age and average duration of stay, by dependencies in mobility and

continence and partial index of dependencfi United States, 1984-85

PariM index of dependency in

aciiviiiesof dailyihfirr~

Not Dependent

Dependent Dependent dependent in Dqerrdent Dependent in moblifly

Dischatgestatus,characteristic, Aii in in mobiiHyor in mobiiity in wntinence and

and durationof stay dL$chq@s mobiiityi continerrd continence oniy . oniy continence

Alldischarges4 . . . . . . . . . . . . . . . . . . . . . . . .

Age at discharge:

Under 65yeafs . . . . . . . . . . . . . . . . . . . . . . .

Under 45yeafs . . . . . . . . . . . . . . . . . . . . .

45-54 yeafs . . . . . . . . . . . . . . . . . . . . . . .

5S64years . . . . . . . . . . . . . . . . . . . . . . .

65years andover . . . . . . . . . . . . . . . . . . . . .

65-69 yeara . . . . . . . . . . . . . . . . . . . . . . .

70-74 years . . . . . . . . . . . . . . . . . . . . . . .

75-79 year3 . . . . . . . . . . . . . . . . . . . . . . . . .

60-64 years . . . . . . . . . . . . . . . . . . . . . . .

85-69 years . . . . . . . . . . . . . . . . . . . . . . .

20-94 yeafs . . . . . . . . . . . . . . . . . . . . . . .

95years andover . . . . . . . . . . . . . . . . . . .

MedIanage . . . . . . . . . . . . . . . . . . . . . . . . . .

Sex

Male . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Female . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Race

Whtfe . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Black . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Ofher . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Hispanicorigln:

Hispanic . . . . . . . . . . . . . . . . . . . . . . . . . . .

Non-Hispanb . . . . . . . . . . . . . . . . . . . . . . . .

Unknown . . . . . . . . . . . . . . . . . . . . . . . . . .

Matftalslatusatdischafg&

Married . . . . . . . . . . . . . . . . . . . . . . . . . . .

Widowed . . . . . . . . . . . . . . . . . . . . . . . . . . .

Divorcedorseparated . . . . . . . . . . . . . . . . . .

Nevermafriad . . . . . . . . . . . . . . . . . . . . . . .

Unknown . . . . . . . . . . . . . . . . . . . . . . . . . .

13urstlon of stay

Lessthan lmonth . . . . . . . . . . . . . . . . . . . .

lmonlhtolessthan3months. . . . . . . . . . . . .

3monthstolessthen6months . . . . . . . . . . . .

6monthstolessthan 12months . . . . . . . . . . .

lyeartolessthan3years . . . . . . . . . . . . . . . .

3yearstolessthan5years . . . . . . . . . . . . . . .

5yearsormore . . . . . . . . . . . . . . . . . . . . . .

Averageduralkmofstay. . . . . . . . . . . . . . . . .

Uving arrangement prior to admission:

Privateoraemiprivate residence.. . . . . . . . . .

Alone . . . . . . . . . . . . . . . . . . . . . . . . . .

Wifhfamilymembefs . . . . . . . . . . . . . . . .

With nonfamilymembers. . . . . . . . . . . . . .

Unknownifwtlhothefs . . . . . . . . . . . . . . .

Anotherhealthfacilify . . . . . . . . . . . . . . . . .

Anolhernurslng home . . . . . . . . . . . . . . .

General orshoft-stay hospitals . . . . . . . . . .

Mentalfacilitye . . . . . . . . . . . . . . . . . . . .

Veteranshospltal . . . . . . . . . . . . . . . . . . .

Otherhealthfacllityorunknown . . . . . . . . .

Unknown orotherarrangement. . . . . . . . . . .

1,223,500

133,100

34,200

29,800

6s,500

1,0W,400

69,300

133,200

195,400

262,eoCl

231,300

138.100

61

455,50Q

766,000

1,135,900

82,W)

5,600

35,500

1,130,700

57,400

273,200

669,200

64,600

151,600

44,600

379,000

252,200

138,700

137,400

165,200

63,200

ee,eoo

401

340,700

110,200

185,100

23,300

22,100

S46,700

82,500

674,300

36,200

33,000

22,600

34,100

736,900

62,700

15,500

12,500

34,600

674,200

34,300

79,600

122,500

157,800

146,200

S)O,1OO

43,500

82

273,500

463,400

679,300

54,000

*

18,700

690,600

27,500

181,60a

406,800

43,500

79,400

25,700

221,000

137,000

80,400

82,800

116,300

41,200

46,300

442

178,200

51,900

104,500

12,300

9,400

540,100

53,500

439,700

14,200

20,200

12,500

18.700

662,200

55,600

13,600

10,700

31,300

607,100

26,100

66,300

101,400

151,400

133,800

65,400

42,700

62

255,600

407,100

611,700

48,200

●

16,000

620,400

26,500

167,200

371,300

33,400

71,000

19,200

193,300

123,300

72,600

76,600

109,100

40,200

45,600

460

171,6(XJ

50,000

103,200

11,200

7,300

474,400

50,700

362,900

13,800

17,200

9,800

17,000

Number

379,000

59,100

17,60+3

14,300

27,000

319$(XJ

30,3cd

42,900

59,200

76,2Q0

63,400

34,600

12,300

Years

79

139,500

23e,500

354,600

22,400

●

14,000

342,400

22,700

63,100

203,400

36,600

60,000

15,700

126,400

ao,200

44,800

35,200

50,500

15,500

16,400

Days

324

Number

125,100

45,600

60,2U0

8,000

11,400

241,200

21,600

179,100

20,400

11,400

8,500

12,700

181,600

18,200

*

4,600

10,200

163,400

12,800

24,000

34,100

35,3rx)

34,000

18,CKXI

5,200

60

60,200

121,400

169,600

11,400

●

5,500

167,600

8,300

42,200

94,500

14,500

20,700

9,700

5e,400

36,803

19,300

23,500

25,600

7,400

7,81X)

346

44,0ilo

14,60U

21,700

*

●

133,1c4t

10,000

112,400

*

*

●

*

107,600

11,300

*

*

6,700

e6,3cs3

*

10,500

13,100

28,700

21,700

13,200

*

62

42,!3)0

65,1 W

102,000

5,600

*

97,500

7,300

28,500

59,100

*

12,400

*

31,700

25,100

11,500

9,300

18,400

6,500

5,100

391

37,400

12,700

20,300

*

●

67,400

7,200

55,600

*

*

*

●

555,300

44,500

12,200

7,700

24,600

510,900

21,500

55,800

88,300

122,600

112,200

72,100

38,300

82

213,400

342,000

509,700

42,600

*

13,200

522,900

19,200

139,400

312,200

29,000

58,700

16,000

161,600

98,200

61,100

69,200

90,700

33,700

40,700

474

134,200

37,300

82,800

6,100

5,900

407,000

43,500

327,300

12,200

15,800

8,200

14,200

See footnotes at erd of teble.

35
Table 5. Number of nursing home discharges, by dependencies in mobility and continence, partiai index of dependency, discharge

status, seiected characteristics, and duration of stay, and median age and average duration of stay, by dependencies in mobility and

continence and partiai index of dependency: United States, 1984-85-Con.

Partial index of dependency In

activities of dally livin@

Not Dependent

Dependent Dependent dependent in Dependent Dependent in mobility

Dtscharge status, characteristic, All in /n mobllify or in moblllty In continence and

and duration of stay discharges mobllity~ corrthrenc~ contlrrerrce only only continence

Number

346,900

56,600

17,500

13,600

25,600

290,200

28,800

40,900

55,200

66,500

57,700

29,400

9,700

Yeare

79

Livedischarges . . . . . . . . . . . . . . . . . . . . . . . . 146,800 92,700 290,500

Age at discharge:

Under 65years . . . . . . . . . . . . . . . . . . . . . . .

Under 45yeam . . . . . . . . . . . . . . . . . . . . .

45-54 yeare . . . . . . . . . . . . . . . . . . . . . . .

5584yeare . . . . . . . . . . . . . . . . . . . . . . .

65years andover . . . . . . . . . . . . . . . . . . . . .

65-89 years . . . . . . . . . . . . . . . . . . . . . . .

70-74 years . . . . . . . . . . . . . . . . . . . . . . .

75-79 yeare . . . . . . . . . . . . . . . . . . . . . . .

80-84 years . . . . . . . . . . . . . . . . . . . . . . .

85-89 years . . . . . . . . . . . . . . . . . . . . . . .

90-84 yeare . . . . . . . . . . . . . . . . . . . . . . .

95years andover . . . . . . . . . . . . . . . . . . .

877,000

118,100

32,300

27,900

57,900

758,800

58,200

102,3CXI

142,600

193,700

146,400

84,700

437,300

50,500

13,300

11,300

26,000

386,800

24,800

51,800

75,900

98,800

72,500

43,700

18,200

80

160,500

276,600

399,600

35,200

*

12,400

405,800

19,100

111,900

225,800

28,300

53,000

18,300

134,600

93,600

53,700

58,000

64,800

17,900

14,600

320

91,900

24,500

55,900

5,900

5,700

335,200

28,600

273,700

10,700

14,700

7,600

10,300

383,300

44,100

11,500

9,700

22,900

339,100

17,700

43,500

58,800

95,400

83,200

42,900

17,700

81

152,200

231,100

349,800

31,300

*

10,800

354,700

18,000

105,000

199,100

19,900

46,000

13,200

115,500

81,800

48,700

45,700

61,100

16,600

13,900

330

89,600

23,800

58,800

5,400

*

284,300

26,400

230,600

10,300

11,500

5,500

9,300

17,3fxl

*

*

9,400

129,500

11,7W

18,000

28,600

28,800

25,400

12,400

*

10,900

●

*

6,300

81,800

*

9,600

11,500

25,400

16,200

11,600

*

33,200

10,004

6,700

16,600

257,300

13,100

33,800

47,300

70,000

47,000

31,300

14,700

Median age . . . . . . . . . . . . . . . . . . . . . . . . . . 80

324,600

552,300

811,200

61,200

*

27,600

803,800

46,500

197,700

458,400

66,800

120,600

33,400

283,100

202,400

106,700

98,200

121,900

33,500

31,300

307

238,100

77,500

128,400

16,300

16,000

616,000

52,400

488,800

31,900

26,800

16,000

22,800

79 81 80

Sex

Male . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Female . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Race

White . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Black . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Other . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Hispenlc origin:

Hispanic . . . . . . . . . . . . . . . . . . . . . . . . . . .

Non-Hispanic . . . . . . . . . . . . . . . . . . . . . . . .

Unknown . . . . . . . . . . . . . . . . . . . . . . . . . .

Mariial status at discharge

Married . . . . . . . . . . . . . . . . . . . . . . . . . . .

Widowed . . . . . . . . . . . . . . . . . . . . . . . . . . .

Divorcedorseperated . . . . . . . . . . . . . . . . . .

Nevermarried . . . . . . . . . . . . . . . . . . . . . . .

Unknown . . . . . . . . . . . . . . . . . . . . . . . . . .

Duration of stay

Leesthan l month . . . . . . . . . . . . . . . . . . . . . .

lmonthlo lessthan3months. . . . . . . . . . . . .

3monthstolessthan 6months. . . . . . . . . . . .

6monthstolessthan 12months , . . . . . . . . . .

lyeartolessthan3years . . . . . . . . . . . . . . . .

3yearstolessthan5years. . . . . . . . . . . . . . .

5yearsormore . . . . . . . . . . . . . . . . . . . . . .

37,700

55,000

114,500

176,100

126,400

220,500

323,900

21,000

*

12,500

314,200

20,200

59,000

184,600

34,500

56,600

11,900

120,100

86,100

42,600

31,800

42,100

11,100

13,000

Days

263

Number

113,000

41,800

54,600

7,500

9,100

223,400

16,700

166,200

19,900

11,000

7,600

10,500

46,103

loo.7c0

137,4rM

9,000

*

87,700

5,100

262,200

28,200

*

*

134,900

7,400

*

83,800

6,200

7,900

270,900

11,700

33,6Q3

74,50U

12,300

18,100

6,300

26,700

47,800

*

11,000

*

78,300

151,400

15,900

34,900

10,000

47,5CII

34,500

15,3txl

20,600

18,700

5,900

*

28,300

22,600

10,300

8,300

15,000

*

*

67,100

59,200

38,400

37,400

46,100

12,100

10,300

Averageduratlon ofstay . . . . . . . . . . . . . . . . . . 306 337 327

Living arrangement prior toadmlseion: . . . . . . . .

Private orsemiprivate residence . . . . . .

Alone . . . . . . . . . . . . . . . . . . . . . . . . . . .

Withfamilymembers . . . . . . . . . . . . . . . . . .

WHhnonfamiiymembers. . . . . . . . . . . . . . . .

Unknowntfwithothers . . . . . . . . . . . . . . . .

Anotherhealthfacility . . . . . . . . . . . . . . . . . . .

Anothernursing home . . . . . . . . . . . . . . . . .

General orshort-stay hospita15. . . . . . . . . . .

Mentalfacllitys . . . . . . . . . . . . . . . . . . . . . .

Veteranshospifal . . . . . . . . . . . . . . . . . . . .

Otherheaith facilityor unknown. . . . . . . . . . .

Unknown orotherarrangement . . . . . . . . . . . .

35,500

11,900

17,00a

*

●

108,200

7,200

92,000

*

33,200

11,200

17,900

*

*

57,400

5,100

48,900

●

56,400

12,600

38,800

*

*

226,900

21,400

181,700

8,900

10,400

*

7,200

* *

*

*

*

*

See footnotesat end oftable.

36
Table 5. Number of nursing home discharges, by dependencies in mobifity and continence, pam”alindex of dependency, discharge

status, selected characteristics, and duration of stay, and median age and average duration of stay, by dependencies in mobility and

continence and partial index of dependency United States, 1984-85-Con.

PartLal Index of dependency In

actfviflae of daily Iivin&

Not Dependent

Dependent Dependent dependent in Dependent Dependent [n mobility

Di.scharye status, chtvacteristlc, All /n in mobility or In mobility in continence and

and duration of stay discharges mobililyf contlnend continence only only continence

LMng arrangement after discharge

Private or semiprivate resktence . . . . . . . . . . . .

Another healfhfaciltty . . . . . . . . . . . . . . . . . . .

Another nursing home . . . . . . . . . . . . . . . . .

General or short-stay hospifai5. . . . . . . . . . . .

Mental facilii8 . . . . . . . . . . . . . . . . . . . . . .

Veterans hospksl. . . . . . . . . . . . . . . . . . . .

Other health facility or unknown. . . . . . . . . . .

Unlmown or other arrangement . . . . . . . . . . . .

Number who died In other health facility. . . . . . .

Dead dMharges . . . . . . . . . . . . . . . . . . . . . . .

Age et discharge

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Under 65years . . . . . . . . . . . . . . . . . . . . . . . .

65yeare orover . . . . . . . . . . . . . . . . . . . . . .

65-69 years . . . . . . . . . . . . . . . . . . . . . . .

70-74 yeare . . . . . . . . . . . . . . . . . . . . . . .

7&64years . . . . . . . . . . . . . . . . . . . . . . .

85-69 yeefs . . . . . . . . . . . . . . . . . . . . . . .

90-94 yesrs . . . . . . . . . . . . . . . . . . . . . . .

95yesfs andover . . . . . . . . . . . . . . . . . . .

Median age . . . . . . . . . . . . . . . . . . . . . . . . . .

Sex

Male . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Female . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Race:

White. . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Black . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Other . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Hlspanlcorigin:

HisPrmio . . . . . . . . . . . . . . . . . . . . . . . . . . .

Non-Hispsnk . . . . . . . . . . . . . . . . . . . . . . . .

Unknown . . . . . . . . . . . . . . . . . . . . . . . . . .

Marital status at discharge

Married . . . . . . . . . . . . . . . . . . . . . . . . . . .

Widowed . . . . . . . . . . . . . . . . . . . . . . . . . . .

Divorcedorseparated . . . . . . . . . . . . . . . . . .

Nevermarrled . . . . . . . . . . . . . . . . . . . . . . .

Unknown . . . . . . . . . . . . . . . . . . . . . . . . . .

Duratkmofstay

Lessthen l month . . . . . . . . . . . . . . . . . . . .

lmonthtolessthen3months. . . . . . . . . . . . .

3monthstolessthan6months . . . . . . . . . . . .

6monthsto lessthan12months . . . . . . . . . . .

lyeartolessthan3yesre . . . . . . . . . . . . . . . .

3yeerstolessthan5yeare. . . . . . . . . . . . . . .

5yearsormore . . . . . . . . . . . . . . . . . . . . . .

Averagedufationofstay . . . . . . . . . . . . . . . . . .

Seefcdrde9aterd oftable.

266,400

591,500

98,000

430,200

20,500

20,800

22,000

19,000

116,600

344,200

15,000

11,100

30,900

120,800

83,900

53,300

29,300

84

130,100

214,000

322,500

20,700

*

7,800

325.600

75,400

209,800

18,000

30,500

10,500

95,700

49,200

30,000

38,3CKI

63,100

29,600

36,300

640

Oe,ooo

363,300

48,300

286,600

7,000

11,000

10,500

5,0iro

84,500

2e9,100

12,200

286,900

9,500

28,00CI

104,300

73,500

46,400

25,200

84

l12,eoo

188,200

279,200

18,800

*

6,300

264,500

8,400

69,600

180,600

15,300

26,300

7,400

86,400

43,400

26,600

34,600

51,500

23,200

33,4(X3

619

57,500

320,800

47,100

247,500

6,600

9,700

9,900

5,000

74,100

279,400

11,700

267,800

8,400

22,900

98,400

70,500

42,500

25,100

64

103,600

175,600

261,600

17,000

*

5,400

265,500

8,500

62,900

172,000

13,500

25,000

6,000

77,600

41,500

23,800

32,900

48,000

23,700

31,700

639

Number

169,200

165,800

35,400

99,900

12,200

8,800

9,500

11,900

23,300

30,200

*

27,900

*

*

11,600

4,900

5,300

●

Yeafe

63

Number

12,5C0

17,7LM

26,900

●

*

27,5LXl

●

*

17,900

*

*

*

6,000

*

●

*

8,200

*

*

Days

797

39,700

105,000

15,400

62,800

*

*

*

*

19,200

34,500

*

33,600

*

6,000

10,800

8,500

5,500

*

63

14,c03

20,5JJ0

31,900

*

*

*

32,6CCI

●

8,400

19,900

*

*

*

Il,eoo

*

*

*

6,900

*

*

510

28,200

62,400

14,300

43,700

*

*

*

*

8,700

14,900

*

14,400

*

*

4,900

5,500

*

*

66

4,700

10,100

14,300

*

*

13,700

●

*

11,300

*

●

*

*

*

*

*

*

*

*

728

29,300

258,400

32,8CXI

203,700

5,200

8,700

7,800*

65,300

264,600

11,200

253,300

8,400

22,000

93,500

65,000

40,800

23,600

84

98,900

165,700

247,300

16,400

*

5,300

251,800

7.500

61,100

160,700

13,100

23,700

6,000

74,500

39,100

22,600

31,900

44,600

21,700

30,200

634

37
Table 5. Number of nursing home discharges, by dependencies in mobility and continence, partial index of dependency, discharge

status, selected characteristics, and duration of stay, and median age and average duration of stay, by dependencies in mobility and

continence and partial index of dependency: United States, 1984-85-Con.

Partial index of dependency in

activities of daily iivirr@

Discharge status, characferktk,

Not Dependent

Dependent Dependent dependent In Dependent Dependent in mobility

All in tn mobiiitv or in mobility in continence and

and duration of stay discharges mobilityl continend continence only only wntinence

Number

LMng arrangement prior to admission:

Prkate or semiprivate residence . . . . . . . . . . . 101,600 86,100 81,900 11,300 8,40.3

Alone . . . . . . . . . . . . . . . . . . . . . . . . . . .

*

32,600 27,300

77,700

26,000 *

Wtihfamily members . . . . . . . . . . . . . . . . . .

* *

56,600

24,600

48,70+3

Wthnonfamily members . . . . . . . . . . . . . . .

46,400 5,600 * *

7,100 6,500 5,700 *

44,000

Unknown ffwifh others . . . . . . . . . . . . . . . .

* *

5,400 *

5,600

*

Anolher heslthfacllify . . . . . . . . . . . . . . . . . . . 232,400 204,7043 190,000 17,7; 24,7; 10,00; 180,00;

Another nursing home . . . . . . . . . . . . . . . . . 30,100 24,800 24,200 *

General or short-stay hospifats. . . . . . . . . . . .

* *

185,300 165,900

22,100

152,200

Mentelfacili@ . . . . . . . . . . . . . . . . . . . . . .

12,700 20,3m 6,700 145,500

● * * *

Vetersns hosptial . . . . . . . . . . . . . . . . . . . .

* * *

6,200 5,500 5,700 ●

Other health facility or unknown. . . . . . . . . . .

* *

6,600 5,000 *

5,4(X3

*

Unknown or other arrsngemenf . . . . . . . . . . . .

* * *

10,100 8,200 7,600 ● * * 6,900

i Refers to discharge wb was chairfast or bedfast.

‘Refers to discharge who had trouble contrc4ing bowel or bladder, or both, or wha had an osfon-y.

3See appendix II for definition of index.

41nchdes small rwmber of discharges with unknown discharge status.

5Ps~hlatric units are excluded.

‘Mental hospitals, faciliti6e for the mentaliy retarded, general or short-stay hospital psychiatric units, end nmrtal health centers are Inckrded.

NOTE Figures may not add to totals became of rounding.

38
Table 6. Number and percent distribution of nursing home discharges by primary diagnosis at admission, according to discharge status:

United States, 1984-65

Alldkchargee I-h@disch~as Dead dlschargee

Pemant Pement Percent

PrImatydkgnosls at admIsslonend ICD-9-CM oode~ Number dfstribuflon Number distribution Number distributbrr

Allcsfegories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Chapter 1. lnfectbus and parasitic

diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..ool-1~

ChapterZ. NeoplasmS . . . . . . . . . . . . . . . . . . . . . . . . . ...140-239

Malignantneoplaams . . . . . . . . . . . . . . . . . . . . . . . . ...140-203

Chapter 3. Endootfne, nutfiiionfd, and metabolic

discs.sesandimmunitydisorders. . . . . . . . . . . . . . . . . . ...240-279

Dkabetesmellifus. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~

Chapter 4. Diseases of the blood and bIood-forming organs . ...280-289

Anemias . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..28~235

Chapter5. Mentaidisorders . . . . . . . . . . . . . . . . . . . . . . ..~19

Senile dementii and other organlo psychot!c

conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..~2e4

Otherpsychoses . . . . . . . . . . . . . . . .. -- - . . . . . . . . ..2e5-299

Neurotlcand pareonaliid[sorder’e . . . . . . . . . . . . . . . . ...300-301

Specific nonpsychotic mental d~ordefs due to

organiobraindamage . . . . . . . . . . . . . . . . . . . . . . . . . . . ..310

Mental retardation . . . . . . . . . . . . . . . . . . . . . . . . . . ...317-319

Ofhermenfaldis.orders . . . . . . . . . . . . . . . . . . ..30M09.311+8

Chapter 6. Diseases of the nervous system and sense organs . ..320-389

Alzhelmer’s disease and other specified and unspecified

degeneration ofthebtaln . . . . . . . . . . . . . . ...331.0.331.2.331.9

Parkinson’sdiseeee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..332

Chapter7. Diseasesofthe clrculatorysystem . . . . . . . . . . ...390-459

Essentlalhypertension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4ol

Heartdlsaaee . . . . . . . . . . . .391-392.0,383-398, 402, 404, 410-429

Coronafyatherosclerosie . . . . . . . . . . . . . . . . . . . . . . . ..414.o

Otheri?.ohemisheartdiseese . . . . . . . . . . . .41W13,414.1-4i4.9

Congestlvehaartfallure . . . . . . . . . . . . . . . . . . . . . . . ...428.0

Otherheartdlsease . . . 391-398,402,404,415, 4X)-427, 428.1 -429.9

Cerebrovasculardisease . . . . . . . . . . . . . . . . . . . . . . . ..’+30-438

Atherosclerosla . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 440

Chapter6. Dlseaeesoftherespkatotysyetem . . . . . . . . . . . ..460+9

Pneumonla+allforrns . . . . . . . . . . . . . . . . . . . . . . . . . ..4=6

Chronic obstruofive pulmonaty disaese

andalIiadcondltlons . . . . . . . . . . . . . . . . . . . . . . . . . ..4eo-49e

Chapter9. DIsaaeesofthedigestlvesystem . . . . . . . . . . . ...520-579

Chapter 10.Dlsessas ofthegenitourinafy system . . . . . . . . ...580-629

Urinarytraclinfection, N.E.C. . . . . . . . . . . . . . . . . . . . . . . . .599.0

Chapter 12 Diseeeesofthesklnandsubouteneoust[eeue . . ...680-709

Daoubttusulcers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .707.0

Chapter13.Diseases ofthemusculoskelalal syetemend

connectivetlssue . . . . . . . . . . . . . . . . . . . . . . . . . . . ...710-739

Rheumatoid arthritis, osteoatihritls,

andallied disorders, except spine. . . . . . . . . . . . . . . . . . .714-715

Other erthritisor rheumatism . . . . . . . . . . . . ...710-713.718.729.0

Osteoporosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...7320

Chapter 16. Symptoms, signs, andill-deflned conditions.. . . . . .780-799

Senility wlthoutpsychosIe . . . . . . . . . . . . . . . . . . . . . . . . . .. 797

Chapter 17. lnjuryand poisoning . . . . . . . . . . . . . . . . . . ...800-999

Fracture ofneckoffemur . . . . . . . . . . . . . . . . . . . . . . . . . ...820

Other fractures...........,.. . . . . . . . . . ..80R19. 821-829

Supplementary classifications . . . . . . . . . . . . . . . . . . . . . . .VOI-V82

Persons with potential heallh hazards related to personal

and family histofy . . . . . . . . . . . . . . . . . . . . . . . . . . .. WO-W9

Pereonswith aconditlon influencing their health stafus. . . . . .V40-V49

Unknownorother . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1,223,500

8,700

86,800

80,400

68,700

45,200

8,800

8,100

140,700

22,500

39,2CSJ

7,200

47,800

8,700

15,300

ao,eoo

24,300

20,800

376,500

24,800

181,800

53,300

19,800

61,700

46,800

142,800

13,400

84,800

24,800

45,100

51,300

30,800

14,000

15,300

8,900

83,500

21,400

13,700

5,200

41,100

7,500

124,400

61,900

37,400

19,200

9,900

7,900

23,100

100.0

0.7

7.0

6.6

5.6

3.7

0.7

0.7

11.5

1.8

3.2

0.6

3.9

0.7

1.3

6.6

2.0

1.7

30.8

2.0

14.8

4.4

1.6

5.0

3.8

11.7

1.1

6.9

2.0

3.7

4.2

25

1.1

1.3

0.7

5.2

1.8

1.1

0.4

3.4

0.6

10.2

5.1

3.1

1.6

0.8

0.6

1.9

8i7,000

5,000

39,700

35,500

54.afxr

5,100

*

104,200

15,100

33,200

6,400

28,400

6,900

14,200

58,200

14,500

14,600

254,600

17,700

123,700

33,800

14,200

39,700

38,000

96,000

6,800

62,400

18,100

33,400

41,200

21,700

10,800

9,800

5,700

50,30U

16,000

11,100

*

30,800

*

103,900

50,000

32,100

15,800

8,80ir

5,700

19,200

100.0

0.6

4.5

4.0

6.3

4.1

0.6

0.5

11.9

1.7

3.8

0.7

3.2

0.8

1.6

6.6

1.7

1.7

29.0

2.0

14.1

3.9

1.6

4.5

4.1

10.9

0.8

7.1

2.1

3.8

4.7

2.5

1.2

1.1

0.8

5.7

1.8

1.3

0.5

3.5

0.5

11.9

5.7

3.7

1.8

1.0

0.7

22

344,200

*

46,100

44,900

13,900

9,200

*

*

?$,500

7,400

6,000

*

19,5ca

*

*

22,700

9,700

6,000

121,500

7,100

57,600

19,400

5,600

21,803

10,800

48,600

6,500

21,60Q

6,7(X3

11,100

9,9Q0

9,100

*

5,500

*

13,200

5,400

*

*

10,100

*

20,400

11,900

5,300

*

*

*

*

100.0

1.1

13.4

13.0

4.0

2.7

1.1

1.0

10.6

21

1.8

0.2

5.7

0.5

0.3

6.6

28

1.7

35.3

2.1

16.7

5.6

1.6

6.3

3.1

13.5

1.9

6.3

1.9

3.2

2.9

2.6

0.9

1.6

0.9

3.8

1.6

0.7

0.3

2.9

0.9

5.9

3.5

1.5

1.0

0.3

0.6

0.9

t ~lqno~tic gmupiw~a~c o~wm~ri mlusionsa rektiont kltiernationdC l=siflcdiono fDlse*es,~ hWvlsiOmC llnl~M~fl~ti0n.

NOTESZ N.E.C. rsfersto not elsewhere classified. Figures msy not sdd to totals bscame of rounding.

39
Table 7. Number of nursing home dischargea and average and metiandurationa of Wy, byprimary diagnosis atadmission, and

percent distribution of nursing home discharges by discharge status and duration of stay, according to primary diagnosis at admission:

United States, 1984-85

Discharge status 1 month Average Median

Primary diagnosis at All Less than to less than 6 months duration duration

admission and ICD-9-CA4 codel discharges Total Live Dead 1 month 6 months or more of stay of stay

All categories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Chapter 1. Infectious and parasitic diseases. . . . . . . . . . .001-139

Chapter 2. Neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . ...140-239

Malignant neoplasms . . . . . . . . . . . . . . . . . . . . . . . . ...140-208

Chapter3. Endocrine, nulrtlonal, andmetabolic diseaaes

andimmuntty disorders . . . . . . . . . . . . . . . . . . . . . . . . . . 240-279

Dla.betes melliius . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...250

Chapter 4. Diseases of the blood and blood-formlng organs . . ..280-289

Anemias . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .280-285

Chapter5. Mentaldisorders . . . . . . . . . . . . . . . . . . . . . ...290-319

Senlledementla andother organic psychotic conditions . . . .29&284

Ofherpaychoses . . . . . . . . . . . . . . . . . . . . . . . . . . . ...295-299

Neurotic and pereonalitydisorders . . . . . . . . . . . . . . . . .300-301

Specific nonpsychotic mental disorders due to organic brain

damage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .310

Mental retardation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 317-319

Othermenlaldisorders . . . . . . . . . . . . . . . . . ...300-309.311-316

CtIapter 6. Diieaaes of thenervous system andsense organs . . .320-389

Alzheimer’s disease and other specified and unspecified

degeneration oftllebrain . . , . . . . . . . . . . 331.0,331.2,331.9

Parkinson’sdisease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..332

Chapter 7. Diseases of theclrculatory system . . . . . . . . . . . . .39&459

Essenfialhypertension . . . . . . . . . . . . . . . . . . . . . . . . . . . ..401

Heaftdlsease . . . . . . . . . . . . 391-392.0,393-398, 402, 404, 410-429

Coronaryatherosclerosls . . . . . . . . . . . . . . . . . . . . . . ...414.0

Other ischemlc heartdisease . . . . . . . . . . . .410-413, 4I4.I-4I4.9

Congestivehaartfailure . . . . . . . . . . . . . . . . . . . . . . . . . . 428.0

Otherheartdlseaee. . . 391-398, 402, 404, 415,420-427, 428.1 -429.9

Cerebrovaaculardisease . . . . . . . . . . . . . . . . . . . . . . ...430-438

Atherosclerosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ,...440

Chapter8. Diaeaees oftherespkatorysystem . . . . . . . . . . ...460-519

Pneumonla,aflforms . . . . . . . . . . . . . . . . . . . . . . . . . ..48C-488

Chronic obstructive pulmonary diseaee andallled condtilons .. 490-496

Chapter 9. Dlsesaes of thedigestivesyslem . . . . . . . . . . . ...520-579

Chapter 10. Diseases of thegenitourinary syetem . . . . . . . . ...580-829

Urinary traclinfection, N.E.C. . . . . . . . . . . . . . . . . . . . . . ...599.0

Chapter 12. Diseases of theskin andsubcutaneous tiesue . . . . .680-709

D=uMtusuicem . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...707.0

Chapter 13. Diseases of the musculoskeletal system and

connectivetissue . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..71G739

Rheumatoid arthritis, osteoarthritis, and allied disorders,

exceptspine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...714-715

Ofherarihriiis orrheumatism . . . . . . . . . . . .71&713,716,729.O

osteoporosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .733.0

Chapter 16. Symptomsrsigns, and iii-defined conditions. . . . . . .76C-799

Senilitywithoutpsychosis . . . . . . . . . . . . . . . . . . . . . . . . ...797

Chapter 17. lnJuryandpoisonlng . . . , . . . . . . . . . . ...800-999

Fractureofneckoffemur . . . . . . . . . . . . . . . . . . . . . . . . . ..820

Otherfracfures . . . . . . . . . . . . . . . . . . . . . . ...800-619.821-829

SUppleMenta~Cl~SfiiCatiOnS . , . . . . . . . . . . . . . . .VOI–V62

Persons with potential health hazards related to personai

and family hlstofy . . . . . . . . . , . . . . . . . . . . . . . . . . . ..VIO-V19

Peraons wilhacondition influencing their health status . . , ,V40-V49

Unknownorother . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Number Percent d~tribution Days

1,223,500 100.0 71.7

8,700 100.0 57.2

85,600 100.0 46.3

80,400 100.0 44.2

68,700 100.0 79.8

45,200 100.0 79.7

8,800 100.0 57.9

8,100 100.0 *

140,700 100.0 74.0

22,500 100.0 67.2

39,200 100.0 84.6

7,200 100.0 89.7

47,800 100.0 59.3

8,700 100.0 79.5

15,300 100.0 92.7

80,900 100.0 72.0

24,300 100.0 59.8

20,600 100.0 71.0

376,500 100.0 67.6

24,800 100.0 71.3

181,600 100.0 66.1

53,300 100.0 63.4

19,800 100.0 71.8

61,700 100.0 64.4

46,800 100.0 76.9

142,600 100.0 67.3

13,400 100.0 50.7

84,600 100.0 73.7

24,800 100.0 73.0

45,100 100.0 74.0

51,300 100.0 80.4

30,800 100.0 70.5

14,000 100.0 77.0

15,300 100.0 63.8

8,900 100.0 64.1

63,500 100.0 79.2

21,400 100.0 74.6

13,700 100.0 81.4

5,200 100.0 *

41,100 100.0 75.1

7,500 100.0 *

124,400 100.0 83.6

61,900 100.0 80.7

37,400 100.0 85.9

19,200 100.0 82.6

9,900 100.0 89.5

7,900 100.0 72.4

23,100 100.0 63.1

28.1

*

53.7

55.6

20.2

20.3

*

*

26.0

32.8

15.4

*

40.7

*

*

28.0

40.2

29.0

32.3

28.7

31.7

36.5

28.2

35.4

23.0

32.7

4s.5

25.5

27.0

24.7

19.3

28.5

*

36.2

*

20.7

25.4

*

*

24.6

*

16.4

19.3

14.1

*

*

*

*

31.0

*

51.8

53.0

28.3

23.0

*

*

zi?.2

*

23.6

*

18.7

*

*

19.6

*

*

28.2

23.0

27.8

16.2

36.5

31.7

32.0

31.5

*

36.5

37.4

31.2

41.5

35.2

*

42.1

*

31.2

*

*

*

36.1

*

33.2

34.4

27.7

32.7

*

*

27.5

31.6

‘h

32.2

31.8

36.0

36.3

*

*

27.2

31.7

23.6

*

28.3

*

35.4

28.2

29.6

*

31.9

20.7

30.6

25,1

38.1

35.8

26.8

36,9

*

32,9

29.3

37.9

32.2

29.0

35.2

*

*

33.5

36.2

●

*

21.2

*

40.6

41.1

49.3

37.6

50.4

*

21.6

37.2

*

16.0

15.2

35.7

40.7

54.5

*

50.6

49.1

52.8

*

55.1

61.9

37.5

52.1

52.5

64.8

39.9

56.4

41.6

58.7

2?%4

32.4

41.2

31.6

88.7

30.6

33.3

30.9

26.4

35.8

41.5

33.4

*

35.3

42.1

38.8

*

42.7

69.4

28.2

24.5

23.1

29.7

*

*

51.0

401

331

154

134

353

370

617

629

638

377

682

584

’702

1,363

383

520

373

564

429

503

442

701

258

278

440

348

994

230

219

238

285

293

35a

244

172

417

499

!577

497

494

1,005

267

299

202

406

179

551

:783

82

94

27

26

65

103

201

201

185

179

221

35

239

702

108

200

210

329

102

237

117

256

71

78

87

62

534

56

68

64

43

77

91

47

30

60

117

82

147

111

694

60

59

60

56

56

86

181

10iagnnsllcgroupingsand code numberinclusionsare basedon the internationalClassificationof oiseeses,SthFletision,ClinicalModification.

NOTES N.E.C. refersto not elsewhere classified. Flguras may not add to totais because of rounding.

40
Table 8. Number of nursing home discharges and median age, by primary diagnosis at admission, and percent distribution of nursing

home discharges by sex and age at discharge, according to primary diagnosis at admission: United States, 1984-85

Age at discharge

Sex

Primary diagnosb at IJnder 65 years 8S74 75-64 85 years Median

admlss+on and ICD-9-CM Codeq Discharges Tot& Male Female 65 years and over years years and over age

Years

89.1

90.8

87.3

89.0

87.2

84.7

92.1

91.4

76.2

91.0

57.8

66.2

97.3

*

57.1

78.5

926

96.9

95.3

95.7

97.4

99.6

96.4

98.5

93.7

93.1

100.0

80.5

97.0

8a3

84.7

91.6

92.3

90.5

89.6

94.8

94.6

97.0

100.0

89.9

100.0

89.7

98.5

88.9

90.8

91.2

90.4

93.2

16.5

*

22.2

22.6

19.5

23.4

*

*

17.5

*

19.0

*

13.1

*

*

226

29.6

26.4

14.4

*

10.6

9.0

*

10.8

10.5

19.6

*

20.7

●

26.6

13.6

16.8

*

*

*

19.6

*

*

16.4

●

12.3

12.3

*

*

●

*

*

All categories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Chapter 1. Infectious and parasitic diseases . . . . . . . . . ...001-139

Chapter 2. Neoplssms . . . . . . . . . . . . . . . . . . . . . . . ...140-239

Malignant neoplaems . . . . . . . . . . . . . . . . . . . . . . ...140-208

Chapter 3. Endocrine, nutritional, and metabolic diseases

end immunity disorders . . . . . . . . . . . . . . . . . . . . . ...240-279

Diabetes meifiius . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...250

Chapter 4. Diseases of the blood and blood-forrnlng organs ..280-289

Anemias . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...280-285

Chapter 5. Mental disorders . . . . . . . . . . . . . . . . . . . ...290-319

Seniie dementia and other organic psychotic conditions . ..290-284

Ofherpsychoses . . . . . . . . . . . . . . . . . . . . . . . . . ...295-289

Neurotic and personality disordem. . . . . . . . . . . . . . ...300-301

Specific nonpsychotlc mental disorders due to organic

bralndamage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...310

Mentsfrelefdatlon . . . . . . . . . . . . . . . . . . . . . . . . ...317-319

Other mentai disorders. . . . . . . . . . . . . . . . . . 300-309,311+316

Chapter 6. Diseases of the nervous system and

sense organs . . . . . . . . . . . . . . . . . . . . . . . . . . . ...320-389

Alzheimer’s disease and other specified end unspecified

degeneration of the brain . . . . . . . . . . . . ...331.0.331.2.331.9

Parklnson’s dieeaee . . . . . . . . . . . . . . . . . . . . . . . . . . ...332

Chapter 7. Diseases of the circulatory system . . . . . . . . ...390-459

Essential hypertension . . . . . . . . . . . . . . . . . . . . . . . . ...401

Heaffdiseaee. . . . . . . . . . .391 -392.0,393-398,402,404,410429

Corona~a!heroscierosls . . . . . . . . . . . . . . . . . . . . . ..4l4.O

Other Ischemfo heart disease . . . . . . . ...410-413.414.1-414.9

Congestive hesrtfailure . . . . . . . . . . . . . . . . . . . . . ...428.0

Othar heart disease .391 -396,402,404,415, 420-427, 428.1-429.9

Cerebrovascular disesee . . . . . . . . . . . . . . . . . . . . ...430-436

Atherosclerosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...440

Chapter 8. Diseaees of therespiratory syetem. . . . . . . . ...460-519

Pneumonia, aliforms . . . . . . . . . . . . . . . . . . . . . . ...460-186

Chronic obstructive pulmonary disease end ailled

condfiions . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...490-496

Chapter 9. Disesses of thedigestivesystem . . . . . . . . . ...520-579

Chapter 10. Diseeees of thegenffourinary syetem. . . . . . ...580-829

Urinary tract infection, N. E.C.. . . . . . . . . . . . . . . . . . . ...599.0

Chapter 12. Disesees of theskin andsubcutaneaJs tissue . ..660-709

Decubitus ulcers . . . . . . . . . . . . . . . . . . . . . . . . . . . ...707.0

Chapter 13. Diseases of the musculoskeletal system and

connective tissue . . . . . . . . . . . . . . . . . . . . . . . . . ...710-739

Rheumafoki arthritis, os$eoarfhrttis, and ailied dlsordere,

except spine . . . . . . . . . . . . . . . . . . . . . . . . . . . ...714-715

OIherarthritis orrheumatism. . . . . . . . . . . . .71&713, 716, 729.O

Osteoporosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...733.0

Chapter 16. Symptoms, signs, andill-defined conditions. . ...780-799

Seniliiwithout psychosis . . . . . . . . . . . . . . . . . . . . . . ...797

Chapter 17. Injury and poisoning . . . . . . . . . . . . . . . . ...800-999

Fracture ofneckoffemur . . . . . . . . . . . . . . . . . . . . . . ...820

Other fractures . . . . . . . . . . . . . . . . . . . . . ..80C-619. 821-829

Supplementary classifications. . . . . . . . . . . . . . . . . . . .. VOI-V82

Persons wfth potentiai heaith hazards related to personal

and famllyhlstory . . . . . . . . . . . . . . . . . . . . . . . . .. VICW19

Persons with acondition influencing their health status. . . .V40-V49

Unknown orother . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1,223,500

6,700

85,800

80,400

100.0 37.2

100.0 *

100.0 48.1

100.0 48.1

828 10.9

*

12.7

11.0

12.8

15.3

*

*

23.8

*

42.2

*

*

*

42.9

21.5

*

*

4.7

*

2.6

*

*

*

*

6.9

9.5

+

11.7

15.3

*

*

*

*

*

*

*

*

10.3

*

*

*

*

*

●

37.5

*

43.4

44.5

37.2

320

*

*

31.9

46.2

25.8

*

40.3

*

*

38.2

47,2

45.3

37.4

35.0

35.1

34.2

34.2

37.7

33.2

40.6

*

426

42.7

43.0

31.9

39.2

39.7

40.3

*

33.8

27.3

*

*

35.1

*

40.0

49.6

35.2

37.6

*

*

41.2

35.1

*

21.7

22.0

30.5

29.4

*

*

26.8

28.0

13.1

*

43.9

*

*

17.5

*

25.2

43.5

44.7

51.7

56.5

48.0

50.0

50.0

32.7

64.3

27.3

48.6

18.7

39.2

35.6

*

34.2

*

41.4

49.4

50.9

*

38.5

74.2

37.3

34.5

48.5

42.2

*

*

43.3

81

84

78

79

80

79

85

86

78

82

69

80

83

63

67

77

77

79

83

83

85

87

84

85

84

81

88

79

84

77

82

60

60

83

82

83

84

85

84

82

88

81

82

83

83

83

64

64

65.5

51.9

51.9

68,700

45,200

8,800

8,100

140,700

22,500

39,200

7,200

100.0 28.4

100.0 28.8

100.0 *

100.0 *

100.0 43.8

100.0 45.2

100.0 48.4

100.0 *

71.6

70.2

89.7

86.9

58.2

54.8

51.6

88.0

47,800

8,700

15,300

100.0 37.7

100.0 *

100.0 54.0

823

54.6

48.0

80,900 100.0 43.7 58.3

24,300

20,600

376,500

24,800

161,600

53,300

19,800

61,700

46,800

142,600

13,400

84,600

24,600

100.0 34.3

100.0 39.9

100.0 34.0

100.0 *

100.0 32.0

100.0 31.5

100.0 44.2

100.0 26.8

100.0 34.3

100.0 37.9

100.0 *

100.0 57.9

100.0 52.1

65.7

80.1

88.0

63.4

68.0

88.5

55.8

73.2

85.7

82.1

88.5

421

47.9

45,100

51,300

30,800

14,000

15,300

8,900

100.0 59.8

100.0 36.4

100.0 54.5

100.0 54.5

100.0 *

IWO *

40.2

63.6

45.5

45.5

71.9

69.9

63,300 100.0 30.0 70.0

21,400

13,700

5,200

41,100

7,500

124,400

61,901J

37,400

19,200

100.0 27.2

100.0 *

100.0 *

100.0 42.3

100.0 ●

100.0 20.8

100.0 18.6

100.0 21.9

100.0 26.5

72.8

83.1

*

79.2

81.4

78.1

73.5

9,800

7,900

23,100

100.0 *

Im.o *

100.0 33.5

66.7

80.3

86.5

lDIagmtI= grmp@s end ~c& Wrnber imlus[om arebased on the International Classificellon of Diseases, 8th Revision Clinkd Mcdificstlon.

NOTSS N.E.C. refem to notelsevdwe classified. Figures may not add to totals bemuse of rcumtlrg.

41
Table 9. Number of nursing home discharges and average duration of stay, by primary diagnosis at admission, and percent distribution

of nursing home discharges by discharge living arrangement prior to admission, according to primary diagnosis at admission:

United States, 1984-85

Living arrangement prior to admission

Another health facility

Private or Another Other Average

Primary diagnosis at All semipriwde nurslrrg Short-stay health Unknown duration

admission and \CD-sWhf code~ Discharges dlecharges r.estderrce home hospital 2 facliity or other of stay

Allcategories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Chapter l.lnfectious andparesitlc diseases . . . . . . . . . . . . . .001-136

Chapter 2. Neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . ...140-239

Malignant neoplasms . . . . . . . . . . . . . . . . . . . . . . . . ...140-208

Chapter3. Endocrine, nutritional, andmetaboilc diseese.s

andimmunffydlsorders. . . . . . . . . . . . . . . . . . . . . . . . ...240-279

Diebetesmeliitus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...250

Chapter4. Disessesofthe bIoodand biood-formlng organs . . ..280-289

AneMISS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .260-285

Chapter5. Mentaidisorders . . . . . . . . . . . . . . . . . . . . . . . . . 290-319

Senile dementia andother organic psychoth condiflons. . . . . .29&294

Otherpsychoses . . . . . . . . . . . . . . . . . . . . . . . . . . . ...296-299

Neuroticand personalttydisorders . . . . . , . . . . . . . . . . ...300-301

Specific nonpsychotic mental disordem due to organic

breindamage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...310

Mental retardation . . . . . . . . . . . . . . . . . . . . . . . . . . ...317-319

Othermentatdisorders . . . . . . . . . . . . . . . . . ...300-309.311-316

Chapter 6. Diseases oflhenervous system andsense organs . . .320-369

Alzheimer’s disease and other specified and unspecified

degeneration of the brain . , . . . . . . . . . . . . . 331.0,331.2,331.9

Parkinson’sdisease . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...332

Chapter7. Diseaees ofthecircuiatorysystem . . . . . . . . . . ...390-459

Eesentialhyperlenslon . . . . . . . . . . . . . . . . . . . . . . . . . . ...401

Heartdiseaee . . . . . . . . . . . . 391-392.0,393-396, 402, 404, 410-429

Coronaryatheroscierosis . . . . . . . . . . . . . . . . . . . . . . . ..414.0

Otherlschemic heart disease. ., . . . . . . . . . . 410-413,414.1-414.9

Congestiveheartfatlure . . . . . . . . . . . . . . . . . . . . . . . ...428.0

Other heart disease. . . 391-396,402,404,415,420-427,428.1-429.9

Cerebrovescuiardiseese . . . . . . . . . . . . . . . . . . . . . . . ..430-4M

Atherosclerosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..44o

Chapter8. Diseasesofthe respiratorysystem. . . . . . . . . . . . . .460-519

Pneumonia, aliforms . . . . . . . . . . . . . . . . . . . . . . . . . . .480-486

Chronic obstructive pulmona~dise~e mdaiiied condflions. . .490-496

Chapter9. Diseasas ofthedlgestive system. . . . . . . . . . . . . . .520-579

Chapter 10. Diseases of thegenifourinary system . . . . . . . . . . .580-629

Urinerytractlnfection, N.E.C . . . . . . . . . . . . . . . . . . . . . . . ..599.o

Chapter 12. Diseaaes of theskin andsubcutanaous tissue. . . . . .680-709

Decubfiusulcers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..707.o

Chapter 13. Diseases of the muscuioskeletal system and connective

tissue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..710-739

Rheumatoid arthritis, osteoarthritis, and stiied dtsorders,

exceptspine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...714-715

Otherarthriiis orrheumatism . . . . . . . . . . . . . . . 710-713,716,729.0

Osteoporosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .733.0

Chapter16. Symptoms, slgns,and ill-deflnedcondifions. . . . ...780-799

Senilitywithoutpsychosis . . . . . . . . . . . . . . . . . . . . . . . . . ...797

Chapter 17. lnjuryandpolsoning . . . . . . . . . . . . . . . . . ..8(G999

Fractureofneckoffemur . . . . . . . . . . . . . . . . . . . . . . . . . ...820

Ofherfractures . . . . . . . . . . . . . . . . . . . . . . ...800-819. 821-829

Supplementafyclassifications . . . . . . . . . . . . . . . . . . . . . . ,vol-V82

Persons with potentni health hazards reiated to personai and famiiy

history . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..vIo-v19

Persons with acondition influencing their health status . , . . .V40-V49

Unknownorother . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Number Percent distribution Days

1,223,500

8,700

85,8Clt

80,400

68,700

45,200

8,800

8,100

140,700

22,500

39,200

7,200

47,800

8,700

15,300

80,900

24,300

20,600

376,500

24,800

181,600

53,300

19,800

61,700

46,600

142,600

13,400

84,600

24,800

45,100

51,300

30,600

14,000

15,3csl

8,900

63,500

21,400

13,700

5,200

41,100

7,500

124,400

61,900

37,400

19,200

9,900

7,900

23,1 W

100.0

100.0

100.0

100.0

100.0

100.0

1cm.o

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

10Q.O

10Q.O

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

27.8

*

26.4

26.9

27.0

33.8

●

*

28.5

28.4

22.1

*

34.1

*

33.7

37.6

42.3

40.5

30.1

36.0

33.2

35.5

26.9

29.1

36.6

23.6

46.9

19.5

25.;

23.9

*

*

*

+

32,7

36.9

43.2

*

30.9

*

20.3

16.5

21.9

34.6

*

*

51.7

6.7

*

*

*

+

*

*

*

9.3

+

*

*

12.1

*

*

7.6

*

*

7.7

*

8.5

11.0

*

*

*

6.0

*

●

●

*

*

*

*

*

*

7.6

*

*

*

*

*

4.8

*

*

*

*

*

*

55.1

54.4

63.6

62.5

61.9

52.6

61.3

67.1

35.0

37.1

23.0

*

43.5

*

*

39.3

41.2

33.8

54.4

42.0

50.7

46.3

57.2

55.7

46.5

63.2

*

66.3

78.4

60.8

66.8

70.2

80.4

81.6

90.4

51.6

40.0

39.4

*

55.6

*

69.2

73.6

66.9

53.1

●

62.1

22.0

7.5

*

*

*

*

*

*

*

24.1

*

47.4

*

*

*

*

11.8

*

*

4.9

*

4.4

*

*

*

*

5.2

*

8.2

*

*

*

*

*

*

*

*

*

*

*

*

*

4.9

*

*

*

*

*

*

2.8

*

*

*

*

*

*

*

*

*

*

*

*

*

*

*

*

*

29

*

3.2

*

*

*

*

*

*

●

*

*

*

*

*

*

*

*

*

*

*

*

*

*

*

*

401

331

154

134

353

370

617

629

638

377

662

564

702

1,363

363

520

373

564

429

503

442

701

258

278

440

348

994

230

219

238

265

293

350

244

172

417

499

577

497

494

1,005

267

299

202

406

179

551

763

1 Dlagno$tlc groupings andcode number incluslom are&d onthelnternational Cl=slflc~ion of Dse=es, %hRetiSiOn Clinid M~ificatiOn.

‘General or short-stay hospital, except psychiatric unit.

NOTES N.E.C. refem to not elsewhere classified. Figures may not add to totals because of rounding.

42
Table 10. Number and percent distribution of nursing home discharges by primary diagnosis at discharge, according to discharge

ststu~ United States, 1984-85

All dlscharyea LWe discherge.$ Deed discharges

Primary dlagnosk at discharge diagnosis Percent Percent Percent

and lCD-sCM code? Number dWibutW? Number dktribufkm Number distribution

Allcsfegorles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Chapter 1. Infectious and parasitic diseases . . . . . . . . . . . ...001-139

Chapter 2. Neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . ...140-239

Malignant neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . ..14W?08

Chapter 3. Endocrine, nldrillonal, and metabolic diseases

andimmunify disorders . . . . . . . . . . . . . . . . . . . . . . . ...240-279

Diabetes mellitus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...250

Chapter4. Diseesesofthe blood and blood-forming organs . ...280-289

Anemias . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...280-285

Chapter5. Mentaldlsorders . . . . . . . . . . . . . . . . . . . . . . ..290-319

Senile dementia andotherorganic psychotic conditions . . ...290-294

Other psychoses . . . . . . . . . . . . . . . . . . . . . . . . . . . ...295-299

Neurotic andperaonality disorders. . . . . . . . . . . . . . . . ...300-301

Specific nonpsychotlc mental disorders due to organic

braindamage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...310

Mentalretardatlon . . . . . . . . . . . . . . . . . . . . . . . . . . ...317-319

Olhermentaldisordere . . . . . . . . . . . . . . . . . . . .300-309,311+16

Chapter 6. Diseases of thenervous system endsense organs . ..320-369

Alzheimer’s disease and othar specified and unspecified

Degeneration of the brain . . . . . . . . . . . . . . . ..331.0.331.2,331.9

Parkinson’sdisease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..332

Chapter7. Diseases ofthecirculatorysystem . . . . . . . . . . ...390-459

Essential hypertension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 401

Heartdisease . . . . . . . . . . . . 391-392.0,393-398,402,404,410-429

Coronaryatherosclerosis . . . . . . . . . . . . . . . . . . . . . . . ..414.0

Otherischemic heartdlsease . . . . . . . . . . ..410-413.414.1-414.9

Congestiveheartfailure . . . . . . . . . . . . . . . . . . . . . . . ...428.0

Other heart disease. . . 391-398,402,404, 415,420-427, 428.1 -429.9

Cerebrovasculardisease . . . . . . . . . . . . . . . . . . . . . . ...430436

Atherosclerosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 440

CiIapter8. Dlsa8ses ofiherespirelory system . . . . . . . . . . ...460-519

Pneumonkr,allforms . . . . . . . . . . . . . . . . . . . . . . . . ...430-466

Chronic obstructive pulmonary dlsaese andalliedcondiions .. 490496

Chapter 9. Diseesesof thedigestlvesystem . . . . . . . . . . . ...520-579

Chapter 10. Diseasas of thegenitourinsry sysIem . . . . . . . . ...580-629

Urinarytraclinfection, N.E.C. . . . . . . . . . . . . . . . . . . . . . . ..599.0

Chapter 12. Diseeses of theskin andsubcutaneous tissue. . . ...880-709

Decubitusulcers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .707.0

Chapter 13. Diseases of the musculoskeletal system

andconnestivetissue . . . . . . . . . . . . . . . . . . . . . . . . . ...710-739

Rheumatoid arthritis, osteoarthritis, and allied d~orders, except

spine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..714-715

Otherarthritlsorrheumatlsm . . . . . . . . . . . . . ..710-713.716,729.0

Osteoporosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...733. 0

Chapter 16. Symptoms, signs,and ill-defined condtiins. . . . ...780-799

Senllitywithoutpsychosis . . . . . . . . . . . . . . . . . . . . . . . . . ..7g7

Chapter 17. lnjuryandpolsoning . . . . . . . . . . . . . . . . . . ...800-999

Fractureofneckoffemur . . . . . . . . . . . . . . . . . . . . . . . . . . ..82o

Otherfractures . . . . . . . . . . . . . . . . . . . . . . ...800-619.821-829

SUppleMenta~ClaSS~CatIOnS . . . . . . . . . . . . . . . . . . . . . ..VOI-V82

Pereons with potential health h&zsrds related 10 personal

andfamilyhistory . . . . . . . . . . . . . . . . . . . . . . . . . . . ..VIO-V19

Persons with acondiflon influencing their health stefus. . . . . .V40-V49

Unlmownorother . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1,23,500

14,800

89,700

84,100

57,800

35,400

8,200

7,600

Ioo,ooo

15,100

30,200

5,900

30,400

5,300

12,900

67,600

19,300

14,900

390,400

15,100

219,500

37,600

27,300

68,700

85,600

127,900

11,400

110,200

55,300

37,500

56,600

38,600

15,700

13,WJ

7,600

16,300

10,400

●

79,6Ca

5,500

88,60CI

46,100

25,100

21,100

10,600

8,800

37,300

100.0

1.2

7.3

6.9

4.7

29

0.7

0.6

8.2

1.2

25

0.5

25

0.4

1.1

5.5

1.6

1.2

31.9

1.2

17.9

3.1

22

5.6

7.0

10.5

0.9

9.0

4.5

3.1

4.6

3.2

1.3

1.1

0.6

4.0

1.3

0.9

*

6.5

0.5

7.2

3.8

21

1.7

0.9

0.7

3.1

877,000

11,600

44,600

39,700

49,500

32,500

6,500

6,100

35,5cKr

11,9C0

28,700

5,700

22,000

*

12,500

54,500

12,900

12,100

230,100

12,200

116,200

22,200

13,800

42,200

36,000

82,000

5,700

76,600

34,700

29,1CSI

49,600

28,600

13,600

12,500

7,400

44,100

14,300

9,400

●

55,6J30

●

63,000

43,100

24,300

19,600

10,700

7,600

25,000

100.0

1.3

5.1

4.5

5.6

3.7

0.7

0.7

9.7

1.4

3.3

0.6

2.5

*

1.4

6.2

1.5

1.4

26.2

1.4

13.2

2.5

1.6

4.8

4.3

9.4

0.7

8.7

4.0

3.3

5.7

3.3

1.6

1.4

0.8

5.0

1.6

1.1

*

6.3

*

9.5

4.9

28

2.3

1.2

0.9

28

344,200

*

45,000

44,400

8,300

*

*

*

14,400

*

*

*

8,300

*

*

13,100

6,400

*

160,000

*

103,000

15,400

13,200

26,500

47,800

45,600

5,700

33,000

20,600

7,600

7,200

10,200

*

*

*

4,600

*

*

*

24,100

*

5,600

*

*

*

*

*

11,200

100.0

*

13.1

12.9

2.4

0.9

0.5

0.4

4.2

0.9

0.4

*

2.4

*

*

3.8

1.9

*

46.5

*

29.9

4.5

3.8

7.7

13.9

13.3

1.7

9.6

6.0

2.3

2.1

3.0

0.6

0.2

0.1

1.4

*

*

*

7.0

0.3

1.6

*

*

*

*

*

3.3

10@mS\IC groupings and code number Inclusions are tied on the lntemationel Classification of Dlseeses,SthReVISIOL Ctirksl Mcxfifhtion.

NOTES N,E.C. refem to not elsewhere classlfed. Figures my not add to totals because of routil~.

4s
Table 11. Number of nursing home discharges and average and median durations of stay, by primary diagnosis at discharge, and

percent distribution of nursing home discharges by discharge status and duration of stay, according to primary diagnosis at discharge:

United States, 1984-85

Duration of stay

Discharge stafus 1 month Average Median

Primary d[agnosk at All Less than to less than 6 months duration duration

discharge and ICD-9-CA4 Codet discharges Total Live Dead 1 month 6 months or more of stay of stay

All categories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,223,500

Number Percent distribution Days

Chapter l.lnfecllous andparasific diseases . . . . . . . . . . .001–139

Chapter2. Neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . ...140--239

Mallgnantneoplasms . . . . . . . . . . . . . . . . . . . . . . . . ...140-208

Chapter 3. Endocrine, nutritional, and metalmllc

diseaeesand lmmunitydisorders . . . . . . . . . . . . . . . . .24C-279

Diabetesmellitus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...250

Chapter 4. Diseases of the blood end blood-forming organs . ...280-289

Anemlae . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28C-285

Chapter5. Mentaldlsordera . . . . . . . . . . . . . . . . . . . . . . ..290-319

Senile demerrtia andolher organic psychotic corrditions. . ..290-294

Otherpsychoses . . . . . . . . . . . . . . . . . . . . . . . . . . . ...295-299

Neuroticand personalifydlsorders . . . . . . . . . . . . . . ...300-301

Specific nonpsychotic mental disorders due to

organicbraindamage . . . . . . . . . . . . . . . . . . . . . . . . . . . ..310

Mentalretardalion . . . . . . . . . . . . . . . . . . . . . . . . . . . . .317-319

Othermentaidisordera . . . . . . . . . . . . . . . . . ...300-309.311-316

Chapter 6. Dlseaees of thenervous system andsense organs . ..320-389

Alzheimer’s disease and other specified and unspecified

degeneration of the brain . . . . . . . . . . . . ...331.0.331.2.331.9

Parkinson’sdiseaee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..332

Chapter7. Dieeases oftheclrculatory system . . . . . . . . . . . ..390-459

Essential hypertension . . . . . . . . . . . . . . . . . . . . . . . . . . . ..401

Heartdisease . . . . . . . . . . . 391-392.0, 393-398, 402, 404,410-429

Coronatyatherosclerosls . . . . . . . . . . . . . . . . . . . . . . . ..414.0

Other ischemlc heart diseasa . . . . . . . . . . 410-413,414.1-414.9

Congestiveheartfallure . . . . . . . . . . . . . . . . . . . . . . . ...428.0

Otherheartdlsease. . . 391-398, 402, 404, 415, 420-427, 428.1-429.9

Cerebrovasculardisease . . . . . . . . . . . . . . . . . . . . . . . ..430-436

Atherosclerosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...440

Chapter6. Diseaeesoftherespirafo~system . . . . . . . . . . . . .46C-519

Pneumonia, allforms . . . . . . . . . . . . . . . . . . . . . . . . . . .480-466

Chronic obstructive pulmonary disease andsllied conditions , .490-496

Chapter9. Diseaees of!hedlgestiie system . . . . . . . . . . . . .520-579

Chapter 10. Dlseaees of thegenitourinary system . . . . . . . . . . .580-629

Urinarytractinfecfion, N.E.C. . . . . . . . . . . . . . . . . . . . . . . . .599.0

Chapter 12. Diseases of theskin andsubcutaneous tissue . . ..680-709

Decubirusulcers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ,. .707.0

Chapter 13. Diseases of the musculoskeletal system and

connectivetissue . . . . . . . . . . . . . . . . . . . . . . . . . . . ...71&739

Rheumatoid arthritis, osteoarthrttii, and allied disorders,

exceptspine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..71+715

Ofherarthritlsor rheumatism . . . . . . . . . . . . ..710-713.716,729.0

Osteoporosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 733.0

Chapter 16. Symptoms, signs, andill-defined conditions. . . . . . ,780-799

Senilitywithoutpsychosls . . . . . . . . . . . . . . . . . . . . . . . . ...797

Chapter 17. lnJuryandpoisonlng . . . . . . . . . . . . . . . . . . . ,800-999

Fraclureofneckoffemur . . . . . . . . . . . . . . . . . . . . . . . . . ..820

Otherfractures . . . . . . . . . . . . . . . . . . . . . . ...800-819. 821-829

Supplementafyclassifications . . . . . . . . . . . . . . . . . . . . . .VOI-V82

Persons with potential health hazards related 10 personal

andfamilyhistory . . . . . . . . . . . . . . . . . . . . . . . . . . ..VIO-V19

Persons wlthacondltlon influencing thelrtleatth status. . . . . .V40-V49

Unknownorother . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

14,800

89,700

64,100

57,800

35,400

8,200

7,600

100,000

15,100

30,200

5,900

30,400

5,300

12,900

67,600

19,300

14,900

390,400

15,100

219,500

37,600

27,300

68,700

85,800

127,900

11,400

110,200

55,300

37,500

56,600

38,600

15,700

13,300

7,600

49,000

16,300

10,400

●

79,800

5,500

88,600

46,100

25,100

21,100

10,800

8,800

37,300

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100,0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

t’)

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

71.7

78,1

49.8

47.1

85.7

91.6

78.6

80.3

85.5

79.0

95.0

95.6

72.4

●

97.0

80.6

66.9

80.8

58.9

80.8

52.9

59.0

50.5

61.4

44.2

64.1

50.2

69.5

62.8

77.6

87.3

73.7

87.5

93.8

96.9

90.1

88.2

90.1

m

69.6

*

93.6

93.5

96.9

93.7

98.7

86.3

66.6

26.1

*

50.2

52.8

14.3

*

*

*

14.4

*

*

*

27.2

*

*

19.4

33.1

*

41.0

●

46.9

41.0

48.4

38.6

55.8

35.8

49.8

29.9

37.2

20.7

12.7

26.3

*

*

*

9.9

*

fi*

30.2

*

6.4

*

*

*

*

*

30.1

31.0

33.6

51.6

53.0

25.0

23.9

*

*

253

*

29.8

*

19.1

*

*

21.6

*

*

27.3

*

26.0

16.6

27.8

27.6

28.3

30.8

*

31.4

24.3

32.9

39.7

33.1

*

*

*

39.8

37.2

(? *

30.0

*

33.5

32.2

26,1

29,1

*

*

31.4

31.8

*

32.1

31.3

38.6

37.3

*

*

26.6

*

21.0

●

29.5

*

36.9

30.3

26.9

*

32.3

*

32.3

29.3

35.6

33.5

31.7

34.8

*

30.4

28.2

37.2

30.7

33.5

42.4

*

*

32.6

33.3

t) *

25.4

*

37.1

38.5

46.5

48.9

51.3

*

27.7

37.2

40.7

16.3

15.7

36.4

38.8

*

*

47.9

51.4

48.2

*

51.4

*

*

46.1

57.4

52.0

40.4

49.6

41.6

54.1

36.7

38.9

40.0

34.4

71.0

38.2

47.5

29.9

29.7

33.4

32.1

41.4

*

27.6

29.5

6’

44.6

*

29.4

29.4

27.4

*

*

*

40.9

401

412

193

186

313

334

377

332

562

495

546

349

649

1,207

302

456

420

436

464

335

494

686

449

358

532

400

1,031

404

536

293

295

340

362

423

322

295

380

475

187

405

660

284

273

303

305

2175

212

517

82

85

27

26

85

90

64

53

153

183

165

30

210

441

108

160

310

226

97

117

112

229

118

105

86

83

403

97

162

58

45

60

94

83

54

48

68

54

98

132

154

67

71

61

52

66

49

106

1Diagnostic groupings end code number Inclusions are based on the International Classification of Diseases, elh Revision, Clinical Modification.

‘Data or computation error.

NOTES N.E.C. refe!s to not elsewhere classified. Figures msy not add to totals because of roundirg.

44
Table 12. Number of nursing home discharges and median age, by primary diagnosis at discharge, and percent distribution ~f nursing

home discharges by sex and age at discharge, according to primary diagnosis at discharge: United States, 1984-85

Age af discharge

sex

P[lmary diegnosk et Under 65 years 65-74 7S64 65 years Median

dischargeand ICD-9-CM codeq Dkchargee Total Male Female 65 yews and over years years end over age

Number Percent distribufiin Years

Allcstegories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Chapter 1. lnfecfiius and parasiflc diseases . . . . . . . . . ...001-139

Chapfer2. Neop18ems . . . . . . . . . . . . . . . . . . . . . . ...140-239

Meiignent neoplasms . . . . . . . . . . . . . . . . . . . . . . . ...140-208

Chapter 3. Endocrine, nutritional, and metabolic diseases

andlmmunity disorders . . . . . . . . . . . . . . . . . . . . . ...240-279

Oiabetes mellifus . . . . . . . . . . . . . . . . . . . . . . . . . . . ...250

Chapter 4. Diseases of the blood end blood-forming

organs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...280-289

Anemias . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...280-285

Chapter 5. Mental dlsordefs . . . . . . . . . . . . . . . . . . . ...290-319

Senile dementia and other organic psychotic

conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...290-294

Other psychoses . . . . . . . . . . . . . . . . . . . . . . . . ...295-299

Neurotlcafrd personalit ydlsordere . . . . . . . . . . . . . ...300-301

Specific nonpeychotic mental disorders due to organic

brain damage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...310

MentsI retardation . . . . . . . . . . . . . . . . . . . . . . . . ...317-319

Other mental disordere . . . . . . . . . . . . . . . . . .302=309,311 +16

Chapter 6. Diseases of the nervous syslem and

Senseorgans . . . . . . . . . . . . . . . . . . . . . . . . . . . ...320-389

Alzheimer’s diieeee and other specified and unspecified

degeneration of the brakr . . . . . . . . . . . . ...331.0.331.2.331.9

Parkinson’sdieease . . . . . . . . . . . . . . . . . . . . . . . . . . . ..332

Chapter7. Dlseesesoftheclrculatorysystem . . . . . . . . ...390-459

Eesentialhypertension . . . . . . . . . . . . . . . . . . . . . . . . . . . 401

Heertdlseaee . . . . . . . . . . 391-392.0,393-398,402, 404, 41W129

Coronary atheroschlereis . . . . . . . . . . . . . . . . . . . . ...414.0

Other lschemic heart disease . . . . . . . . ..41@113, 414.l-414.9

Congestive heart failure . . . . . . . . . . . . . . . . . . . . . ...428.0

other heart diseeee . . . . . . . . . . . . . .WW396,402,404,415,

420-427, 428.1-429.9

Cerebrovasculsr disease . . . . . . . . . . . . . . . . . . . ...430-438

Atherosclerosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...440

Chapter 8. Disessesof therespira.fory system . . . . . . . . ...480-519

Pneumonia, all forms . . . . . . . . . . . . . . . . . . . . . . ...460-486

Chronk obstructive pulmonary dsease and allied

conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...490-498

Chapter 9. Diseases of thedigestiiesystem . . . . . . . . . ...520-579

Chapter 10. Diseases of thegenttourinary syetem . . . . . ...580-829

Urinary track infection,. N.E.C. . . . . . . . . . . . . . . . . . . . .. 599.0

Chapter 12. Dlseaees of theskin afrdsubcularreous tissue . ..880-709

Decubitus ulcere . . . . . . . . . . . . . . . . . . . . . . . . . . ...707.0

Chapter 13. Diseases of the musculoskeletai system and

connective tissue . . . . . . . . . . . . . . . . . . . . . . . . . ...710-739

Rheumatoid arthritis, osteoarlhritii, and aiiied

disorders, except spine . . . . . . . . . . . . . . . . . . . ...714-715

Other arthrttle orrheumatlem . . . . . . . . . ...710-713.716.729.0

Osteoporosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...733.0

Chapter 16. Symptoms, signs, end[il-defined cond~ions . ...780-799

Senllifywlthout psychoses . . . . . . . . . . . . . . . . . . . . . ...797

Chapter 17. lnjufyend poisoning.. . . . . . . . . . . . . . . ...800-999

Fraoture ofneckoffemur . . . . . . . . . . . . . . . . . . . . . . ...820

Other fractures . . . . . . . . . . . . . . . . . . . ...800-819. 821-829

.$UppleMer@t’yCIS@fl CZdiOnS . . . . . . . . . . . . . . . . . . .VO1-V62

Persons with potential heaith hazards reiated to personai

and family history . . . . . . . . . . . . . . . . . . . . . . . . ..vIo-v19

Persons wlhacondition influencing their health status . . .V40-V49

Unknown brother . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1,223,500

14,800

89,700

84,100

100.0

100.0

100.0

100.0

37.2

47.4

47.0

46.3

62.8

526

53.0

83.7

10.9

*

13.5

11.2

128

16.0

*

●

29.2

*

49.7

●

*

*

46.1

21.7

*

●

4.8

3.;

●

*

*

5.5

8.5

8.3

*

●

15.0

*

●

*

*

●

*

*

9.8

6.4

*

*

*

*

*

*

89.1

87.6

86.5

88.8

67.2

84.0

93.8

93.3

70.8

87.4

50.3

*

98.6

53.;

78.3

921

97.1

95.2

91.8

96.5

99.6

93.6

98.7

94.5

93.5

100.0

91.7

95.7

87.7

85.0

88.5

82.1

68.2

90.9

94.1

95.0

96.1

*

90.2

IOQ.O

91.6

97.6

89.4

85.0

85.1

826

89.8

‘t6.5

*

20.4

21.0

37.5 35.1

*

20.6

20.9

28.1

25.5

*

*

23.7

*

*

*

46.2

*

*

18.9

*

*

44.9

44.5

51.1

56.7

42.2

51.3

51.2

33.7

87.3

35.7

49.0

20.8

30.3

36.2

*

*

*

33.4

48.7

*

*

37.1

*

35.4

32.4

40.4

36.3

*

*

43.1

81

80

78

78

79

77

83

83

76

81

85

74

83

60

67

76

77

76

63

82

85

88

83

85

65

81

89

61

84

77

80

82

80

82

79

81

64

82

84

82

85

82

82

62

80

80

78

81

44.4

45.5

48.9

57,800

35,400

100.0

100.0

32.4

322

87.6

67.6

225

26.1

38.8

32.4

8,200

7,600

1Oo,m

100.0

100.0

100.0

*

*

71.6

8e.3

S8.4

*

*

*

*

43.6 18.3 28.8

15,1ca

30,20fJ

5,900

100.0

100.0

100.0

34.1

49.0

*

65.9

51.0

+

*

21.4

●

44.4

22.0

*

30,400

5,30fJ

12.eoo

IOQ.O 33.3

*

86.9

68.7

●

●

*

*

●

38.9

*

*

87,8C0 100.0 42.0 58.0 24.0 35.4

19,300

14,900

330,400

15,100

219,50iI

37,800

27,300

66,700

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

324

39.5

328

*

30.5

28.4

36.2

30.6

67.6

60.5

67.2

88.3

69.5

71.6

63.6

69.4

27.0

*

13.7

*

9.9

*

*

10.1

49.0

43.2

38.7

*

35.6

37.7

37.8

37.2

85,800

127,9(X)

11,400

110,200

55,300

100.0

Ica.o

100.0

100.0

100.0

29.6

38.1

*

49.9

45.1

70.4

61.9

76.3

50.1

54.9

10.7

20.8

*

20.0

11.3

326

39.0

*

35.9

35.3

37,5(M

56,800

38,800

15,700

13,300

7,800

100.0

100.0

100.0

100.0

100.0

100.0

58.0

40.5

48.2

51.0

*

*

44.0

5e.5

51.8

49.0

72.8

81.5

27.3

17.6

*

*

39.6

37.1

40.3

41.9

39.2

*

*

*

49,0cra 100.030.4 69.6 22.0 38.6

16,300

10,400

*

79,800

5,500

88,600

46,100

25,100

21,100

100.0

100.0

*

100.0

100.0

100.0

100.0

100.0

100.0

29.8 70.2

86.8

+

56.7

*

80.0

83.2

80.4

71.2

*

●

☛

*

*

*

43.3

*

15.1

*

380*

20.0

16.8

19.6

28.8

13.2

13.2

*

43.0

51.9

38.6

327 ●

10,800

6,800

37,300

100.0

100.0

100.0

75.6

84.5

68.9

*

●

*

*

31.1 * 36.0

1Dlagrmstlcgrwphgs andcoderumba inclusionsarebased on the tnteme.tionsl Classification of Diseases, Sth Ravislo~ ClinlcsJ Mcdificatlon.

NOTES N.E.C, refers to rot elsewhere classifti. Figures my not add to totals bemuse of rcurxlirg.

45
Table 13. Number of nursing home discharges snd average duration of stay, by primary diagnosis at discharge, and percent distribution

of live nursing home discharges by living arrangement after discharge, according to primary diagnosis at discharge: United States,

1984-85

Living mangement tier discharge

Another health facllify

Private or Another Other Average

Primary diagnosis at Live All semipr~ate nursing ShorWay healtlr Unknown duration

dkcharge and ICD-9-CM code 1 discharges discharges resldenca home hospital z fircllity or ottrer of stay

Allcategories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Chapter 1. Infectious and parasitic diseases . . . . . . . . . . . ...001-139

Chapter 2. Neoplssms . . . . . . . . . . . . . . . . . . . . . . . . . ...140-239

Malignant neoplasms . . . . . . . . . . . . . . . . . . . . . . . . ...140-208

Chapter 3. Endocrine, nutritional, and metabolic diseases and immunity

disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...240-279

Dlabeles mellifus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...250

Chapter 4. Diseeses of the blood and blood-formlng organs . ...280-289

Anemias . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...280-285

Chapter5. Mentaldisorders . . . . . . . . . . . . . . . . . . . . . . ..280-319

Senliedementia andother organic psychotic conditions . . . . . . ..290

Psychoses other thanseniledementia . . . . . . . . . . . . . . ,291–299

Neurotic andpereonaltty disordere . . . . . . . . . . . . . . . . ...300-301

Specific nonpsychotic mental disorders due to organio brain

damage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...310

Mental retardeflon . . . . . . . . . . . . . . . . . . . . . . . . . . ...317-319

Othermentai disordere . . . . . . . . . . . . . . . . . . . .300-309,311-316

Chapter 6. Diseases of thenefvous syetemend sense organs . . .320+369

Alzheimer’s disease and other specified and unspedfied

degeneration of the brain . . . . . . . . . . . . . . ...331.0.331.2.331.9

Parkinson’s disease . . . . . . . . . . . . .,.............,...332

Chapter 7. Diseases of thecirculatofy system . . . . . . . . . . ...390-459

Essential hypertension . . . . . . . . . . . . . . . . . . . . . . . . . . ...401

Hearidiseaee . . . . . . . . . . . . 391-392.0,393-398,402, 404,410-429

Coronary atherosclerosis . . . . . . . . . . . . . . . . . . . . . . ...414.0

Olheriachemic heart disesse . . . . . . . . . . . . 410-413,414.1+14.9

Congestive hesrtfailure . . . . . . . . . . . . . . . . . . . . . . . ...428.0

Other heart diseeae. . . 381-398, 402,404,415, 420-427,428. 1+?8.9

Cerebrovascular disease . . . . . . . . . . . . . . . . . . . . . . ...430436

Atherosclerosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...440

Chapter 8. Disessesof thereeplratofy system . . . . . . . . . . ...460-519

Pneumonia, ail forms. . . . . . . . . . . . . . . . . . . . . . . . ...460-466

Chronic obstructive pulmonary dlseese and allied conditions .. 490496

Chapter 9. Diseases of thedigestivesystem . . . . . . . . . . . ...520-579

Chapter 10. Diseaseeof thegenitourlnary syatem . . . . . . . . ...560-629

Urinary tract infection, N.E.C. . . . . . . , . . . . . . . . . . . . . . . . .599.0

Chapter 12. Diseases of theskin 8ndsubcutaneous lissue . . . .680-709

Decubifus uicefe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...707.0

Chapter 13. Diseases of the musculoskeletai system

andconnectiie tissue . . . . . . . . . . . . . . . . . . . . . . . . . ...710-739

Rheumatoid arthritis, osleoartlwitis, and allied disorders,

except spine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...714-715

Ofherarthritia orrheumatlsm. . . . . . . . . . ...710-713.716.729.0

Osteoporosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...733.0

Chapter 16. Symptoms, signs, andiil-detined conditions . . . . . ..780-799

Seniiitywithout psychosis ..,..... . . . . . . . . . . . . . . . . . ...797

Chapter 17. lnjuryand poieonlng. . . . . . . . . . . . . . . . . . . . . .80C-999

Fracture ofneck of femur . . . . . . . . . . . . . . . . . . . . . . . . . . . .820

Other fractures . . . . . . . . . . . . . . . . . . . . . . . ...800-619.821+329

Supplementary claesitications. . . . . . . . . . . . . . . . . ., . . . . .VOI-V82

Persons with potential health hezerds ralated to personal

and family history . . . . . . . . . . . . . . . . . . . . . . . . . . . ..VIO-V19

Persons with acondition influencing their health status. . . . . . .V40-V49

Unknown orother . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Number Percent distribution Days

——

877,000

11,600

44,600

39,700

49,500

32,500

6,500

6,100

85,500

11,900

28,700

5,700

22,000*

12,500

54,500

12,900

12,100

230,100

12,200

118,200

22,200

13,800

42,200

36,000

82,tYJ0

5,700

76,600

34,700

29,100

48,600

28,600

13,800

12,600

7,400

44,100

14,300

9,400

*

55,800

*

63,000

43,100

24,300

19,800

10,700

7,600

25,000

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

Ioit.o

100.0

100.0

100.0

●

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

f 00.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

*

100.0

●

100.0

100.0

100.0

100.0

IWO

100.0

100.0

30.4

*

31.8

34.6

27.5

31.5

*

*

25.3

*

19.8

*

21.6

*

39.4

28.9

*

*

31.7

*

31.7

32.5

35.4

27.1

35.1

33.2

*

14.9

*

26.0

27.6

*

*

*

&

48.8

45.3

*

*

18.9

*

48.6

40.8

61.2

63.3

74.9

*

50.4

11.2

*

*

*

120

16.6

*

*

13.6

*

●

*

*

*

16.4

*

*

12.7

*

9.8

*

*

*

16.;

*

9.4

*

*

*

*

*

*

*

~7.5

*

*

*

*

*

9.5

12.2

*

*

*

*

*

49.1

87.0

46.7

45.4

56.0

48.2

81.4

60.3

30.6

*

22.1

*

49.4

*

*

46.4

46.5

44.4

47.6

50.8

51.7

48.2

46.5

59.9

45.7

39.3

*

70.0

82.7

51.6

61.4

81.9

86.0

61.9

*

26.5

*

*

*

66.6

*

38.1

43.3

30.5

*

*

*

23.0

7.2

*

*

*

*

*

23.4

*

41.7

*

*

*

*

*

*

*

6.3

*

4.8

*

*

*

*

8.6

*

*

*

*

*

*

*

*

*

*

*

*

*

*

*

*

*

*

*

*

2,2

*

*

,E

,k

. .

.-

7.1

It

,k

,*

*

*

*

*

*

*

$,

3,

i,

$,

4,

4,

*,

*,

*

*

-.

*

*

*

*

*

*

*

*

*

*

*

●

*

*

*

307

354

168

190

263

269

212

168

456

456

465

200

484

987

308

373

363

297

28a

254

277

414

230

266

223

283

735

312

391

295

248

286

372

400

273

225

239

418

176

357

611

257

265

262

303

362

212

414

1Diagnosticgroupingsand code rwmberinclusionsare basedon the internationalClassificationof Diseases,Slh Revision,ClinicalModification.

‘General or short-stay hospital, except psychiatric unit.

NOTES N.E.C. refers to not elsewtiere classified. Figures may not add to totals because of rounding.
Table 14. Number of nursing home discharges by discharge status and selected characteristics, and percent distribution of nursing

home discharges by primary source of payment for admission month, according to discharge status and selected characterieticw

United States, 1984-65

Primerysourca ofpayment for admission month

Own kwme

Atl or fmliy Mad&W, Medhxh7, AI1other

Discharge status end characteristic Dischzqw sources Suppmt hkker’a Skivad intermediate sources

Alldischargesl . . . . . . . . . . . . . . . . . . . . . . . .

Age at discharge

Under 65yeafs . . . . . . . . . . . . . . . . . .. . . . . .

Under 45yeafs . . . . . . . . . . . . . . . . . . . . .

45-54 years . . . . . . . . . . . . . . . . . . . . . . .

55-64 yeafs . . . . . . . . . . . . . . . . . . . . . . .

65yearaand over . . . . . . . . . . . . . . . . . . . . .

65-69 yesrs . . . . . . . . . . . . . . . . . . . . . . .

70-74 yesfs . . . . . . . . . . . . . . . . . . . . . . .

7.%79 yeats . . . . . . . . . . . . . . . . . . . . . . .

80-64 years . . . . . . . . . . . . . . . . . . . . . . .

85-69 years . . . . . . . . . . . . . . . . . . . . . . .

90-94 yeers . . . . . . . . . . . . . . . . . . . . . . .

95yesfsand over . . . . . . . . . . . . . . . . . . .

Sex

Mate . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Female . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Race:

White . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Black.. . . . . . . . . . . . . . . . . . . . . . . . . . . .

other . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Hlspanlc origin:

Hispsnb . . . . . . . . . . . . . . . . . . . . . . . . . . .

Non-Hispank . . . . . . . . . . . . . . . . . . . . . . . .

Unknown . . . . . . . . . . . . . . . . . . . . . . . . . .

Mafltatstafusatdischsrger

Martfwf . . . . . . . . . . . . . . . . . . . . . . . . . . .

Widowed . . . . . . . . . . . . . . . . . . . . . . . . . . .

Divorcedorsepsfated . . . . . . . . . . . . . . . . . .

Nevermafrisrt . . . . . . . . . . . . . . . . . . . . . . .

Unknown . . . . . . . . . . . . . . . . . . . . . . . . . .

Livingarrsngement prtortoadmbsbn:

Privateorsemlpfivate rasktence . . . . . . . . . . . .

Alone . . . . . . . . . . . . . . . . . . . . . . . . . . .

Withfamilymembefs . . . . . . . . . . . . . . . . . .

With nonfamilymembefs . . . . . . . . . . . . . . .

Unknownlfwttholhers . . . . . . . . . . . . . . . .

Anolherheallhfaclltty . . . . . . . . . . . . . . . . . . .

Anothernufsinghome . . . . . . . . . . . . . . . . .

General or short-stay hospttal, except

psych!atrkunit . . . . . . . . . . . . . . . . . . . .

Menlat hospilel, facilily for mentally retarded,

genersf or short-stay hospital psychiatric unit,

ormenlafhealthcanter . . . . . . . . . . . . . . .

Veleranshospftal . . . . . . . . . . . . . . . . . . . .

OtherhealthfacMty orunknown. . . . . . . . . . .

Unknown orotheraffsngement . . . . . . . . . . . .

Livingarfangement afterdischafge

Prtvateorsemipftvaleresktence . . . . . . . . . . . .

Anotherhesfthfacitily . . . . . . . . . . . . . . . . . . .

Anothernufsinghome . . . . . . . . . . . . . . . . .

General or short-stay hospttal,except

psychlatricunft . . . . . . . . . . . . . . . . . . . .

Mental hospftat, fscllity for mentally retarded,

general or short-stayhospitalpsychiatric

unit,ormentslhealth center. . . . . . . . . . . .

Veteranshosplfai . . . . . . . . . . . . . . . . . . . .

Otherhealth facilltyorunknown. , . . . . . . . . .

Unknownorotherafrangemenf . . . . . . . . . . . .

Numbarwhodied Inolherhealthfacility. . . . . . .

Seefodmtesatthe endoftable.

Number Pefcentdistfibutbn

1,223,500

133,100

34,900

29,800

66,500

1,0SQ,400

69,300

133,200

195,400

262,900

231,300

136,100

60,300

455,500

768,000

l,135,e@3

82,000

5,600

35,500

1,130,700

57,400

273,200

669,200

64,6CW

151,600

44,600

340,700

110,200

185,100

23,300

22,100

648,700

82,600

674,300

36,200

33,00a

34;100

268,400

591,500

98,000

430,200

20,500

20,800

22,000

19,000

116,600

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

Irn).o

100.0

100.0

103.0

100.0

100.0

100.0

100.0

41.9

27.1

32.3

17.3

28.6

43.7

31.1

30.0

44.0

48.5

47.6

49.5

46.9

39.7

43.2

43.9

16.3

*

27.9

428

33.1

44.9

44.7

26.7

36.9

31.7

57.0

620

56.0

65.9

41.6

36.1

48.0

2S.3

25.2

15.3

422

35.6

49.6

36.0

47.0

34.8

23.6

26.0

31.0

33.1

37.3

17.6

8.4

17.9

6.5

18.7

18.7

29.9

21.0

37.1

17.3

14.2

10.0

17.7

17.6

18.0

14.1

*

17.9

17.4

24.8

16.6

10.6

13.1

16.4

6.5

8.5

8.6

●

21.;

7.7

25.2

15.1

●

*

*

25.3

14.4

21.0

13.6

*

*

14.;

15.5

E

23.6

20.4

14.5

f8.1

13.6

126

15.5

13.7

15.8

14.0

15.4

15.5

14.6

26.2

●

26.3

14.8

21.5

10.6

15.5

23.8

18.1

20.4

6.6

6.4

8.6

●

*

18.0

18.1

16.5

19.8

21.:

19.7

10.4

18.2

10.2

20.6

*

*

*

*

16.8

19.6

26.0

25.2

21.2

28.6

16.8

22.2

18.5

17.8

18.8

16.1

17.9

23.9

17.3

21.0

18.4

35.3

*

26.5

19.3

21.2

13.7

20.5

25.1

223

23.2

21.7

16.8

23.6

21.3

21.4

18.4

24.2

17.6

28.5

●

27.;

10.2

25.3

19.0

27.4

34.2

*

*

26.;

5.4

15.1

*

20.1

13.9

4.3

9.9

8.0

4.6

2.1

3.3

*

*

9.9

2.8

5.2

6.0

*

*

5.3

●

6.0

2.8

13.7

10.6

*

4.1

4.4

3.2

●

5.;

●

2.2

+

73.6

●

●

4.5

6.1

●

3.5

●

59.6

*

5,:

47
Table 14. Number of nursing home discharges by discharge status and selected characteristics, and percent distribution of nursing

home discharges by primary source of payment for admission month, according to discharge status and selected characteristics:

United States, 1984-85-Con.

Pr7mary source of payment for admission month

Own Income

All or family Medicaid, Medicaid, Ali other

Discharge status and characteristic Discharges sources support Medicare skiiied intermediate sources

Duration of slay

Lessthan l month . . . . . . . . . . . . . . . . . . . .

lmonthto lessthan 3........ . . . . . . . . . .

3months lolessthan 6........ . . . . . . . . .

6monthsto lessthan 12....... . . . . . . . . . .

lyearto lessthan 3 . . . . . . . . . . . . . . . . . . .

3yearsto lessthan 5 . . . . . . . . . . . . . . . . . . .

5yeare or more . . . . . . . . . . . . . . . . . . . . . .

Livedlscharges . . . . . . . . . . . . . . . . . . . . . . . .

Age at discharge:

Under 65yeare . . . . . . . . . . . . . . . . . . . . . . .

Under 45years . . . . . . . . . . . . . . . . . . . . .

45-54 years . . . . . . . . . . . . . . . . . . . . . . .

55-64 years . . . . . . . . . . . . . . . . . . . . . . .

65years And over . . . . . . . . . . . . . . . . . . . . .

65-89years . . . . . . . . . . . . . . . . . . . . . . .

70-74years . . . . . . . . . . . . . . . . . . . . . . .

75-79years . . . . . . . . . . . . . . . . . . . . . . .

80-84yeare . . . . . . . . . . . . . . . . . . . . .

85-89yesrs . . . . . . . . . . . . . . . . . . . . . . .

90-94years . . . . . . . . . . . . . . . . . . . . . . .

95yearsandover . . . . . . . . . . . . . . . . . . .

Sex

Male . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Female . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Race:

White . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Black . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

other . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Hispanic origin:

Hispanic . . . . . . . . . . . . . . . . . . . . . . . . . . .

Non-Hispanic . . . . . . . . . . . . . . . . . . . . . . .

Unknown . . . . . . . . . . . . . . . . . . . . . . . . . .

Marifal slalusat discharge:

Married . . . . . . . . . . . . . . . . . . . . . . . . . . .

Widowed . . . . . . . . . . . . . . . . . . . . . . . . . . .

Divorcedorseparated . . . . . . . . . . . . . . . . . .

Nevermerried . . . . . . . . . . . . . . . . . . . . . . .

Unknown . . . . . . . . . . . . . . . . . . . . . . . . . .

Living arrangement prior to admission:

Private orsemiprivate residence , . . . . . . . . .

Alone . . . . . . . . . . . . . . . . . . . . . . . . . . .

Wihfamilymembers . . . . . . . . . . . . . . . . . .

Withnonfamilymembere . . . . . . . . . . . . . . .

Unknownifwifhothers . . . . . . . . . . . . . . . .

Anotherhealthfacility . . . . . . . . . . . . . . . . . . .

Anofhernurslng home . . . . . . . . . . . . . . . . .

General or short-stay hospital, except

psychietricunif . . . . . . . . . . . . . . . . . . . .

Mental hospital, facilii for mentally retarded,

general or short-stay hospital psychiatric unit,

ormental health center... . . . . . . . . . . . .

Veterans hospifal . . . . . . . . . . . . . . . . . . . .

Otherhealthfacilityorunknown. . . . . . . .

Unknown orotherarrangement . . . . . . . . . . . .

Seefmtnotesat erdoftable.

Percent distribution

379,000

252,200

136,700

137,400

185,200

63,200

69,800

877,000

118,100

32,300

27,900

57,900

758,800

58,200

102,300

142,600

193,700

146,400

64,700

30,900

324,600

552,300

611,200

61,200

*

27,600

603,800

45,500

197,700

458,400

66,800

120,600

33,400

236,100

77,500

128,400

16,300

16,000

616,000

52,400

488,800

31,900

26,600

16,000

22,800

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

*

100.0

i 00.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

42.5

42.3

38.2

42.3

43.0

42.4

40.3

40.1

25.7

32.6

17.4

25.7

423

30.7

27.4

43.0

45.8

46.9

50.7

44.4

37.6

41.6

42.1

14.6

●

24.1

41.1

32.4

42.5

43.6

25.6

34.8

25.7

56.7

60.0

56.8

51.3

45.4

33.9

41.0

34.9

22.5

*

35.2

32.9

29.6

19.6

17.7

9.1

5.8

*

*

17.8

8.9

19.0

8.9

19.2

19,7

32.0

21.3

15.9

16.6

14.6

*

16.9

16.3

16.4

11.3

*

16.1

17.6

25.6

17.2

9.8

12.5

15.0

9.1

8.1

10.2

*

*

21.6

*

24,6

17.1

*

*

*

11.5

15.6

14.7

20.6

19.9

18.6

13,6

15.6

24.3

31.5

25.0

20.0

14.3

18.0

13.0

12.8

15.8

13.2

13.7

15.7

16.3

15.2

14.6

27.0

*

31.5

14.7

21.6

11.2

14.9

24.4

19.4

21.3

8.5

7.0

8.1

*

*

18.2

19.2

18.5

19.9

*

*

22.1

10.6

18.0

22.8

21.5

26.9

30.7

34.6

20.5

26.6

24.9

19.5

30.9

19.6

22.1

18.5

19.2

20.3

19.1

17.9

23.0

18.7

21.6

19.2

37.8

*

29.6

20.2

21.7

15.1

21.3

24.5

22.2

28.6

21.6

20.2

22.1

*

*

20.0

27.1

19.5

27.6

*

*

25.0

5.6

4.5

6.6

6.6

4.4

*

*

5.9

14.6

*

19.0

14.5

4.6

9.6

9.1

3.8

*

4.1

*

*

10.5

3.3

5.6

9.4

*

*

5.9

*

5.6

3.1

15.5

11.1

*

4.1

*

*

*

*

6.3

*

2.4

*

72.9

*

*

48
Table 14. Number of nursing home discharges by discharge status and selected characteristics, and percent distribution of nursing

home discharges by primary source of payment for admission month, according to discharge status and selected characteristics:

United States, 1984-S5-Con.

Prfmary aoum ofpq.ment for admtssbn monttr

Omlhcorrre

Ail or fmi& h4edkxdd, Medbaid, All other

DL$chatge status and ctramterisfk Discha&res SOUK8S support Me@cars skilled intermedkte sources

Living arrangement after discharge

Private or semiprivate resklence . . . . . . . . . . . .

Another health faclllty.. . . . . . . . . . . . . . . . . .

Anolhernuralng home . . . . . . . . . . . . . . . .

General or short-stay hoepltal, except

psychlatrio untt. . . . . . . . . . . . . . . . . . . .

Mental hosptfal, facllify for mentally retarded,

general or short-stay hospttel psychiatric unit,

ormentat health center . . . . . . . . . . . . . .. .

Veterens hospital . . . . . . . . . . . . . . . . . . . .

Other health facillfy or unlmown. . . . . . . . . . .

Unknown or other arrangement . . . . . . . . . . . .

Number who died in other health facll~. . . . . . . .

Duration of stay . . . . . . . . . . . . . . . . . . . . . . . .

Lessthan l month . . . . . . . . . . . . . . . . . . . .

lmonthto less fhan3 . . . . . . . . . . . . . . . . . .

3monthsto lesslhan6 . . . . . . . . . . . . . . . . .

6monthsto lessthan 12 . . . . . . . . . . . . . . . . .

lyearto lessthan 3 . . . . . . . . . . . . . . . . . . .

3yeamto lessthan 5 . . . . . . . . . . . . . . . . . . .

5yearsormore . . . . . . . . . . . . . . . . . . . . . .

Deaddischarges . . . . . . . . . . . . . . . . . . . . . . .

Age at dlecharge

Under 65years . . . . . . . . . . . . . . . . . . . . . . .

65years andover . . . . . . . . . . . . . . . . . . . . .

65-69 years . . . . . . . . . . . . . . . . . . . . . . .

70-74 years . . . . . . . . . . . . . . . . . . . . . . .

75-79 yeare . . . . . . . . . . . . . . . . . . . . . . .

60-64 yeare . . . . . . . . . . . . . . . . . . . . . . .

85-69 years . . . . . . . . . . . . . . . . . . . . . . .

90-94 years . . . . . . . . . . . . . . . . . . . . . . .

95yearsand over . . . . . . . . . . . . . . . . . . .

Sex

Male . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Female . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Race

Wh~e . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Black . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Other . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Hispanic origin:

Hispanic . . . . . . . . . . . . . . . . . . . . . . . . . . .

Non-Hispanic . . . . . . . . . . . . . . . . . . . . . . . .

Unknown . . . . . . . . . . . . . . . . . . . . . . . . . .

Marifalstafusatdlschsrg&

Married . . . . . . . . . . . . . . . . . . . . . . . . . . .

Widowed . . . . . . . . . . . . . . . . . . . . . . . . . . .

Divorcedorsepsrated . . . . . . . . . . . . . . . . . .

Nevermarrled . . . . . . . . . . . . . . . . . . . . . . .

Unknown . . . . . . . . . . . . . . . . . . . . . . . . . .

Living arrangement prior to admission

Private orsemlprlvate resktence. . . . . . . . . . . .

Alone . . . . . . . . . . . . . . . . . . . . . . . . . . .

Wthfamllymembere . . . . . . . . . . . . . . . . . .

Withnonfamllymembars . . . . . . . . . . . . . . .

Unknownlfwithothere . . . . . . . . . . . . . . . .

Anotherhealthfacllify . . . . . . . . . . . . . . . . . . .

Anothernursing home . . . . . . . . . . . . . . . . .

General or short-stay hospital, except

psychiatrlcunit . . . . . . . . . . . . . . . . . . . .

Otherheallhfacllity orunknown. . . . . . . . . . .

%efootnotesatecd oftable.

266,400

591.500

430,200

20,50Q

20,600

22,000

19,000

116,600

263,100

2Q2,400

106,700

S6,200

121,s00

33,500

31,300

344,200

15,000

32s,200

11,100

30,900

*1OO

66,700

63,900

53,300

2s,300

130,100

214,000

322,500

20,700

*

7,600

325,600

10,600

75,400

209,600

18,000

30,500

10,50+3

101,600

32$00

56,600

7,100

5,400

232,400

30,100

185,300

17,100

Percentdbtritxdbn

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

moo

..

lCQ.O

100.0

100.0

Iwo

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

●

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

10Q.O

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

49.6

36.0

47.0

34.8

23.6

26.0

31.0

33.1

37.3

43.2

41.7

34.9

39.0

36.6

37.5

30.3

46.6

38.0

47.0

*

3S.6

47.5

43.3

49.2

47.7

49.6

45.2

47A

48.$

●

47.:

●

51.1

47.0

30.2

40.9

50.7

56.2

88.5

54.5

*

*

41.7

54.s

39.7

40.6

25.3

14.4

21.0

13.6

●

*

*

14.2

28.1

~6.3

20.3

8.0

5.5

●

*

17.2

*

17.8

●

23.1

20.2

2Q.5

18.5

13.2

●

19.6

15.7

16.9

*

●

17.3

●

23.0

15.4

*

15.7

●

7.2

*

*

*

22;

*

26.7

*

10.4

18.2

10.2

20.6

*

*

●

*

16.6

?1.8

15.6

14.6

20.8

20.7

16.7

●

15.0

*

15.0

●

15.8

124

14.8

14.5

18.9

*

13.2

16.2

14.5

23.7

*

●

+4.7

*

9.1

16.7

●

●

*

9.0

9.;

*

*

17.7

15.9

18.6

*

10.2

25.3

19.0

27.4

34.2

‘&

*

*

26.3

11.2

19.1

23.1

24.5

30.2

34.0

41.3

17.2

*

17.0

*

16.4

14.2

14.8

15.9

18.0

24.9

13.8

19.2

16.3

2S.3

●

17.;

*

9.9

18.7

27.3

23.3

●

221

15.6

28.6

*

*

14.4

19.1

13.3

*

4.5

6.1

*

3.5

*

59.6

*

*

5.4

5.6

5.1

7.0

7.8

5.1

*

*

4.0

●

3.3

*

*

*

*

*

*

*

8.0

*

4,0

*

3.;

*

7.0

*

*

●

*

*

●

*

*

4.1

●

29.:

49
Table 14. Number of nursing home discharge by discharge status and selected characteristics, and percent distribution of nursing

home discharges by primary source of payment for admission month, according to discharge status and selected characteristics:

United States, 1984-85-Con.

Own income

All or family Medicaid, Medkaid, Ali other

Discharge status and characterbtic Discharges sources Suppoti Medicare skilled intermediate sources

Number Percent distribution

Durallon of stay . . . . . . . . . . . . . . . . . . . . . . .

Lessthan l month . . . . . . . . . . . . . . . . . . . . 95,700 100.0 40.5 34.8 10.4

lmonthtoleesthan3 . . . . . . . . . . . . . . . . . .

5.7

49,200 100.0 44.7 25.2 14.7 1::

3monthstolessthan6 . . . . . . . . . . . . . . . . .

*

30,000 100.0 49.9 * *

6monthstolessthan 12..... . . . . . . . . . . . .

21.6 *

38,300 100.0 51.0 ● 20.6

lyearto lessthan3 . . . . . . . . . . . . . . . . . .

14.2 *

63,100 100.0 51.4 * 16.4

3yearetolessthan 5........ . . . . . . . . . . .

20.7 *

29,800 100.0 48.1 * 18.2 27.0 *

5yearsormore . . . . . . . . . . . . . . . . . . . . . . 38,300 103.0 48.2 * 13.9 2e.4 *

1Includes small rumber of discharges with unknown dischsrge status.

NOTE Figuresmaynotadd to totals because of rounding.

50
Table 1S. Number of nursing home discharges by discharge status and seiected characteristics, and percent distribution of nursing

home discharges by primary eource of payment for discharge month, according to discharge status and aeiected characteristics:

United States, 1984-85

Primary source ofpaymanl ford&charge month

Own hrcorna

Atl or family Medkxtd, Medkwd, All other

Discharge status arrd characterLstio Dlscfrer@sa sources support Mad#care skilled intermediate sources

Alldischargasl . . . . . . . . . . . . . . . . . .

Age at dlscherga

Under 65yaars . . . . . . . . . . . . . . . . . . . . . . .

Under 45years . . . . . . . . . . . . . . . . . . . . .

45-54years . . . . . . . . . . . . . . . . . . . . . . .

55-64yeers . . . . . . . . . . . . . . . . . . . . . . .

65yearsandover . . . . . . . . . . . . . . . . . . . . .

6S6eyesrs . . . . . . . . . . . . . . . . . . . . . . .

70-74yaars . . . . . . . . . . . . . . . . . . . . . . .

75-79yeers . . . . . . . . . . . . . . . . . . . . . . .

6&64yeets . . . . . . . . . . . . . . . . . . . . . . .

65-69yeare . . . . . . . . . . . . . . . . . . . . . . .

9cQ4yaers . . . . . . . . . . . . . . . . . . . . . . .

95yearsandovar . . . . . . . . . . . . .

sax

Mate. . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Female . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Raccx

White . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Black . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Other . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Hlspankor@in:

Hispanic . . . . . . . . . . . . . . . . . . . . . . . . . . .

Non-Hispsnlc . . . . . . . . . . . . . . . . . . . . . . . .

Unknown . . . . . . . . . . . . . . . . . . . . . . . . . .

Marttatstatusetdischarge:

Marrfad . . . . . . . . . . . . . . . . . . . . . . . . . . .

Wtiowed . . . . . . . . . . . . . . . . . . . . . . . . . . .

Dlvorcadorsepsrated . . . . . . . . . . . . . . . . . .

Nevermarriad . . . . . . . . . . . . . . . . . . . . . . .

Unknown . . . . . . . . . . . . . . . . . . . . . . . . . .

Livlngarrangement prbrtoadmis!don:

Private orsemlprivate raatdence . . . . . . . . . . . .

Alone . . . . . . . . . . . . . . . . . . . . . . . . . . .

Withfamllymembars . . . . . . . . . . . . . . . . . .

Wtthnonfamiiymembars . . . . . . . . . . . . . . .

Unknowntfwtthofhers . . . . . . . . . . . . . . . .

Anofherheaithfacliiiy . . . . . . . . . . . . . . . . . . .

Anothernurslnghome . . . . . . . . . . . . . . . . .

General or short-stay hospital, except

psychistrlcunit. . . . . . . . . . . . . . . . . . . .

Mental hospifat, facility for mentatty retarded,

general or short-stay hospht psychiatric unit,

ormentathaaifhcanter . . . . . . . . . . . . . . .

Veleranshospitat . . . . . . . . . . . . . . . . . . . .

Other haatthfacilttyor unknown. . . . . . . . . .

Unknown orothararrangemant . . . . . . . . . . .

LMng arrangement after dtscharga

Privateorsemiprtvaterasidance . . . . . . . . . .

Anotherhealthfacitity . . . . . . . . . . . . . . . . . . .

Anothernursing home . . . . . . . . . . . . . . . . .

Genarai or short-stay hospifet, except

paychiatricuntt . . . . . . . . . . . . . . . . . . . .

Mental hospitai, faciitfy for mentally retarded,

general or short-stay hospital psychiafrfc unk,

ormentai heaithcenter . . . . . . . . . . . . . . .

Vateranshospitet . . . . . . . . . . . . . . . . . . . .

Ofherheelthfacllifyorunknown... . . . . . . . .

Unknown orotherarrengement . . . . . . . . . . . .

Numbarwhodiad inotherheaith facility . . . . . . .

%efootnotesatend cftable.

Number

1,223,5CSI

133,100

34,eoo

2e,600

66,500

1,oeo,400

6e,300

133,200

1e5,400

262,900

231,300

136,100

60,300

455,500

766,000

1,1 35,eoo

62,000

5,600

35,500

1,130,700

57,400

273,200

669,200

64,600

151,600

44,600

340,700

110,200

165,100

23,300

22,100

646,700

62,500

674,300

36,200

33,000

22,600

34,100

266,400

591,500

66,000

430,200

20,500

20,60JI

22,000

19,000

116,600

Parcentdiilrilmtbn

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

1CX1.o

ICQ.O

100.0

100.0

100.0

Im.o

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

41.6

26.7

30.5

16.5

26.4

43.6

34.5

34.0

44.5

46.1

46.4

48.1

40.6

40.1

42.8

43,7

16.8

●

25.5

42.5

37.1

46.2

44.1

25.5

35.3

33.1

54.0

57.6

53.1

53.7

44.1

37.0

44.3

37.5

23.5

17.7

46.1

36.5

54.5

35.6

47.6

34.3

●

26.2

2e.9

37.6

37.3

12.1

7.6

*

17.9

*

12.6

13.7

20.7

15.1

11.2

11.9

7.4

●

13.4

11.3

12.5

7.3

●

12.3

10.1

19.6

10.5

8.9

8.4

*

5.9

6.1

5.6

●

●

15.0

*

17.6

14.3

*

●

*

16.6

6.6

15.0

7.4

*

*

●

9.0

16.9

26.5

26.4

25.6

25.9

16.0

16.7

16.7

15.3

16.1

16.9

19.9

20.0

17,5

19,7

17.9

31.5

*

30.6

18.2

24,2

11.8

19.6

26.3

22.3

26.1

12.7

11.0

12.9

●

●

21.2

21.6

21.6

16.9

24.;

22.3

11.2

21.3

10.5

24.6

●

●

●

●

20.4

21.3

25.1

27.3

20.9

25.6

20.6

23.5

19.2

20.3

20.5

19.7

21.2

26.1

19.0

22.7

20.1

36.9

*

27.9

21.1

m.9

14.6

22.5

26.4

24.1

25.3

23.2

20.4

25.2

21.9

21.9

20.4

26.4

19.7

30.6

●

●

26.2

9.0

27.6

20,2

30.3

36.3

22.:

●

27.6

6;0

14,1

●

17.2

13.2

5.0

9.6

9.4

4.7

4.2

3.1

●

*

10.0

3.6

5.6

7.4

*

●

5.6

*

7.7

3.4

12.9

9.9

●

4.2

5.0

3.2

*

+

6.4

●

3.3

●

66.0

*

●

6.5

6.5

6.7

3.4

*

56.9

●

●

5,7

51
Table 15. Number of nursing home discharges by discharge status and selected characteristics,and percent distribution of nursing

home discharges by primary source of payment for discharge month, according to discharge status and selected characteristics:

United States, 19S4-S5-Con.

IWmary soums ofpsymerd for dkcharge month

Dwn ktcome

An or fmify Medlcakt, Medicaid, All other

Dtscharge status and charso?erlstk Dlscharga.s eowcas Supporf Medbsm sklIlad Intermediate sources

Duration of stay

Lassthan l month . . . . . . . . . . . . . . . . . . . .

lmonthto lessthan3 . . . . . . . . . . . . . . . . . .

3months tolassthan 6........ . . . . . . . . .

6months toleesthan 12 . . . . . . . . . . . . . . . . .

lyearto lessthan 3 . . . . . . . . . . . . . . . . . . .

3yearsto lessthen 5 . . . . . . . . . . . . . . . . . . .

5yearsormore . . . . . . . . . . . . . . . . . . . . . .

Llvedischerges . . . . . . . . . . . . . . . . . . . . . . . .

Age at discharge

Under 65yeare . . . . . . . . . . . . . . . . . . . . . . .

Under 45yeare . . . . . . . . . . . . . . . . . . . . .

45-54 years . . . . . . . . . . . . . . . . . . . . . . .

55+4years . . . . . . . . . . . . . . . . . . . . . . .

65years andover . . . . . . . . . . . . . . . . . . . . .

S5-69yeefs . . . . . . . . . . . . . . . . . . . . . . .

70-74years . . . . . . . . . . . . . . . . . . . . . . .

75-79yesrs . . . . . . . . . . . . . . . . . . . . . . .

SO-S4years . . . . . . . . . . . . . . . . . . . . . . .

65-S9years . . . . . . . . . . . . . . . . . . . . . . .

90-e4yaars . . . . . . . . . . . . . . . . . . . . . . .

95yearsandover . . . . . . . . . . . . . . . . . . .

Sex

Male . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Female . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Race

Whtie, . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Black . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Other . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Htspenicorlgin:

Hispanic . . . . . . . . . . . . . . . . . . . . . . . . . . .

Non-Hispanic. . . . . . . . . . . . . . . . . . . . . . . .

Unknown . . . . . . . . . . . . . . . . . . . . . . . . . .

Marital status atdiecharge:

Married . . . . . . . . . . . . . . . . . . . . . . . . . . .

Widowed . . . . . . . . . . . . . . . . . . . . . . . . . . .

Divorcedorsepefated . . . . . . . . . . . . . . . . . .

Nevermarried . . . . . . . . . . . . . . . . . . . . . . .

Unknown . . . . . . . . . . . . . . . . . . . . . . . . . .

LMng arrangement prior to admisslcm:

Privateorsemiprivateresklenca . , . . . . . . . . . .

Alone . . . . . . . . . . . . . . . . . . . . . . . . . . .

Withfamilymembers . . . . . . . . . . . . . . . . . .

Wtihnonfamilymembars . . . . . . . . . . . . . . .

Unknown ifwifhothefs . . . . . . . . . . . . . . . .

Anotherheatlhfacllify . . . . . . . . . . . . . . . . . . .

Anothernursinghome . . . . . . . . . . . . . . . . .

General or short-stay hospital, except

psychistrkunif . . . . . . . . . . . . . . . . . . . .

Mental hospital,facilify formentally retarded,

general or short-stay hospital psychlefrb unit,

ormentathealthcenter . . . . . . . . . . . . . . .

Veteranshoepitel . . . . . . . . . . . . . . . . . . . .

Ofherheallh fecllifyorunknown. . . . . . . . . . .

Unknown orotherarrengement . . . . . . . . . . . .

Number

379,000

252,200

136,700

137,400

185,200

83,200

69,eJ30

877,000

118,100

32,300

27,900

57,900

756,aoo

5%,200

102,300

142,600

163,700

146,400

84,700

30,900

324.600

811,200

61,200

●

27,600

ao3,e410

45,500

197,700

458,400

66,600

120,600

33,400

236,100

n,m

126,400

16,300

16,000

616,000

52,400

488,800

31,800

26,600

16,000

22,800

Percent distribution

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

10Q.O

*

100.0

Im.o

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

43.4

47.9

40.0

41.1

38.7

34.1

37.0

41.4

25.8

30.6

18.7

26.5

43.8

34.2

32.3

44.2

46.6

46.1

51.3

3e.9

3e. 1

42.7

43.5

15.7

+

23.9

42.2

37.1

45.0

45.0

24.3

35.0

27.6

58.6

59.4

56.3

53.9

50.6

35.5

38.9

36.8

20.6

●

45.4

40.8

28.5

10.6

5.0

●

*

●

*

11.9

8.6

*

19.0

12.:

15.0

21.4

14.7

10.1

10.0

7.3

*

12.0

11.7

12.4

*

●

12.1

●

19.4

10.5

8.5

8,5

*

5.7

*

6.1

*

●

14.7

●

16.9

16.2

*

●

12.2

16,8

20.3

27.0

25.6

22.9

21.9

16.0

26.2

30.4

25.8

24.1

16.7

18.4

14.9

15.5

16.9

17.9

16.0

21.1

17.9

18.1

17.0

30.4

●

33.2

17.2

23.4

12.2

17.9

25.2

21.6

27.3

11.0

9.8

11.2

*

●

20.6

24.5

21.0

18.3

*

*

21.4

9.9

18.7

25.8

24.3

30.5

37.7

36.8

21.9

25.6

27.2

19.2

27.8

21.4

23.1

20.2

21.6

21.1

20.3

21.6

26.6

20.1

23.0

20.6

39.7

*

30.9

21.7

21.4

15.4

22.8

26.7

24.3

31.1

22.1

19.9

23.3

●

*

21.9

28.4

21.5

30.7

*

22.:

6.1

5.8

8.8

6.0

3.6

*

7.2

6.8

13.6

*

17.3

13.7

5.7

9.3

11.2

4.0

5.3

3.7

*

*

10.9

4.4

6.6

8.9

*

*

6.8

*

7.9

1?3

10.6

*

4.4

*

*

*

●

7.4

*

3.9

*

67.6

*

*

Seefootrlotesarend Oftsble.

52
Table 15. Number of nursing home discharges by discharge status and selected characteristics, and percent distribution of nursing

home discharges by primary source of payment for discharge month, according to discharge status and selected characteristics:

United States, 1984-85-Con.

Primaty source of payment for discharge month

Own inmme

All or family MediceW, Medicaid, AII other

Discharge status and characteristic Discharges sources support Medicare skilled intermediate sources

Number Percent distribution

Living arrangement after discharge

Private or semiprivate residence . . . . . . . . . . . .

Another health fac.ilii . . . . . . . . . . . . . . . . . . .

Another nuraing home . . . . . . . . . . . . . . . . .

General or short-stay hospttal, except

psychlafric. unit . . . . . . . . . . . . . . . . . . . .

Mental hospital, facility for mentaliy retarded,

geneml or short-stay hospital psychiatric unit,

ormenkathealthc enter . . . . . . . . . . . . . . .

Vetersns hospifal . . . . . . . . . . . . . . . . . . . .

Other health facility or unknown. . . . . . . . . . .

Unknown or other arrangement . . . . . . . . . . . .

Number who dlad In other health facility . . . . . . . .

Duration of sfay:

Lesethan l month . . . . . . . . . . . . . . . . . . . .

lmonlhto lessthan3 . . . . . . . . . . . . . . . . . .

3monlhsto lessthan6 . . . . . . . . . . . . . . . . .

6monthsto lessthan 12 . . . . . . . . . . . . . . . . .

lyearto lessthan 3 . . . . . . . . . . . . . . . . . . .

3yearsfo lessthan 5 . . . . . . . . . . . . . . . . . . .

5yearsormore . . . . . . . . . . . . . . . . . . . . . .

Deaddfscharges . . . . . . . . . . . . . . . . . . . . . . .

Age at discharge

Under 65years . . . . . . . . . . . . . . . . . . . . . . .

65years and over . . . . . . . . . . . . . . . . . . . .

65-69 yaara . . . . . . . . . . . . . . . . . . . . . . .

70-74 years . . . . . . . . . . . . . . . . . . . . . . .

7%79years . . . . . . . . . . . . . . . . . . . . . . .

80-64 yeere . . . . . . . . . . . . . . . . . . . . . . .

8549years . . . . . . . . . . . . . . . . . . . . . . .

90-94 years . . . . . . . . . . . . . . . . . . . . . . .

95yaars and over . . . . . . . . . . . . . . . . . . .

Sex

Male . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Female . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Race:

White . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Black . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Other . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Hispanic origin:

Hispanic . . . . . . . . . . . . . . . . . . . . . . . . . . .

Non-Hlspank . . . . . . . . . . . . . . . . . . . . . . . .

Unknown . . . . . . . . . . . . . . . . . . . . . . . . . .

Maritatstatusatdischsrge:

Married . . . . . . . . . . . . . . . . . . . . . . . . . . .

Widowed . . . . . . . . . . . . . . . . . . . . . . . . . . .

Dworcedorseparated . . . . . . . . . . . . . . . . . .

Nevermerried . . . . . . . . . . . . . . . . . . . . . . .

Unknown . . . . . . . . . . . . . . . . . . . . . . . . . .

Uving arrangement prior to admission:

Private orsemlprivate residerme. . . . . . . . . . . .

Alone . . . . . . . . . . . . . . . . . . . . . . . . . . .

Withfernllymembers . . . . . . . . . . . . . . . . . .

With nonfamilymembers . . . . . . . . . . . . . . .

Unknown ifwithotheL?. . . . . . . . . . . . . . . . .

Anotherheallhfacillty . . . . . . . . . . . . . . . . . . .

Anothernursinghome . . . . . . . . . . . . . . . . .

General or short-stay hospital, except

psychiatriounit . . . . . . . . . . . . . . . . . . . .

Mental hospital, facility for mentally retarded,

general or short-stay hospital, psychiatric unit,

ormentelhezdthcenter . . . . . . . . . . . . . . .

Veteranshospifal . . . . . . . . . . . . . . . . . . . .

Otherhealthfacilityorunknown.. . . . . . . . . .

266,400

591,500

96,000

430,200

20,500

20,600

22,000

19,000

116,600

2s3,100

202,40(1

106,700

98,200

121,800

33,500

31,300

344,200

15,000

329,200

11,100

30,900

52,100

68,700

83,900

53,300

29,300

130,100

214,000

322,500

20,700

*

7,800

325,600

10,600

75,400

209,800

18,000

30,500

10,500

101,600

32,600

56,600

7,100

5,400

232,400

30,100

165,300

*

6,200

6,600

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

*

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

*

100.0

100.0

54.5

35.6

47.6

34.3

*

26.2

29.9

37.6

37.3

44.6

4s.1

37.1

37.8

35.5

30.0

30.0

42.6

34.2

43.2

*

3e.4

45.7

44.5

43.4

43.2

41.6

42.8

428

44.3

*

*

*

43.2

*

49.4

42.0

29.8

37.2

49.2

47.9

53.5

45.7

*

41.;

53.9

39.2

*

*

+

18.8

8.8

15.0

7.4

*

●

*

9.0

26.3

9.8

5.6

●

*

12.7

13.2

●

16.4

16.4

14.2

15.3

*

*

16.8

10.1

12.7

*

*

127

●

20.4

10.7

*

*

*

6.3

+

*

*

15.;

*

19.6

●

11.2

21.3

10.5

24.6

*

*

*

*

20.4

12.7

16.2

20.2

26.2

24.2

22.2

15.6

21.1

*

20.7

*

22.5

15.0

21.3

20.8

25.9

18.6

16.7

23.7

20.3

34.7

*

*

20.8

*

10.7

23.2

30.6

25.5

●

16.6

*

16.8

*

22.;

17.1

24.1

*

*

*

9.0

27.8

20.2

30.3

36.3

*

22.4

*

27.6

10.1

19.1

27.1

27.6

33.9

41.5

44.2

19.7

●

19.7

*

16.0

17.2

18.7

18.6

20.6

29.5

16.4

21.8

19.0

28.9

*

*

19.8

*

126

21.9

*

23.8

*

%.8

21.6

29.3

*

*

16.4

23.1

15.2

*

*

6.5

6.5

6.7

3.4

*

56.9

*

●

5.7

6.2

6.8

9.7

6.9

4.9

*

*

3.7

*

3.1

*

*

*

*

*

●

*

7.2

*

3.7

*

*

3.5

6.9

*

*

*

*

*

*

*

*

*

3.6

*

*

*

*

See fcdnotes at end oftable.

53
Table 15. Number of nursing home discharges by discharge status and selected characteristics, and percent distribution of nursing

home discharges by primary source of payment for discharge month, according to discharge status and selected characteristics:

United States, 1984-85-Con.

Primary soume of payment for discharge month

Dwn Income

All or firmly Msx71csW, Medicaid, All other

Discharge status arrd characterktic Discharges sources support Medbara skilled Intermediate sources

Number Percent distribution

Duration of stay

Lessthan lmordh . . . . . . . . . . . . . . . . . . . . 95,700 100.0 39.7 34.8 10.5 9.0 5.9

lmonthto lessthan 3 . . . . . . . . . . . . . . . . . . 49,200 100.0 46.8 15.0 19.2 17.0

3months tolessthen 6........ . . . . . . . . .

*

30,000 100.0 50.6 * 20.6 21.3

6months tolessthan 12 . . . . . . . . . . . . . . . . .

*

36,300 100.0 49.8 * 29.9 18.5

lyearto lessthan3 . . . . . . . . . . . . . . . . . . .

*

63,100 100.0 44.9 * 28.9 24.0

3yerxstol essthan5 . . . . . . . . . . . . . . . . . . .

*

29,600 100.0 36.9 * 23.5 33.4

5yearsor more . . . . . . . . . . . . . . . . . . . . . .

*

36,300 100.0 31.7 * 26.7 34.7 *

1Imhdes smell rwmber of discharges with unknown disctmrge SMUS.

NOTE Figures may m! add to totals becsuse of rounding.

54
Table 16. Number of nursing home discharges by sex, marital status and age at discharge, selected characteristics, and primary source

of payment for admisaion month, and percent distribution of nursing home discharges by primary source of payment for discharge

month, according to sex, marital status and age at discharge, and primary source of payment for admission month: United States,

1984-65

Primaryswce ofpayment for discharge month

Sax, marital status end age at discharge, Dwrr income

charscterktbs, and primary source of payment All or famity Medicaid, M&&id,

for admki.sbn month

All other

Dfecharges sources support Medicare skilled kdennediate sources

Sex

Both sexes:

Allsources . . . . . . . . . . . . . . . . . . . . . . . . .

Own income or family support. . . . . . . . . . . .

Medicare . . . . . . . . . . . . . . . . . . . . . . . . .

Medlceid, skilled . . . . . . . . . . . . . . . . . . . .

Medicaid, inlermedwte. . . . . . . . . . . . . . . . .

Allolher sources . . . . . . . . . . . . . . . . . . . .

Male

Allsources . . . . . . . . . . . . . . . . . . . . . . . . .

Own income or family support. . . . . . . . . . . .

Medicare . . . . . . . . . . . . . . . . . . . . . . . . .

Medicaid, skilled . . . . . . . . . . . . . . . . . . . .

Medicskt, lnterrnedlate . . . . . . . . . . . . . . . . .

Allothersources . . . . . . . . . . . . . . . . . . . .

Female

Allsources . . . . . . . . . . . . . . . . . . . . . . . . .

Ownincomeorfamily support. . . . . . . . . . . .

Medicare . . . . . . . . . . . . . . . . . . . . . . . . .

Medioald,skllIed . . . . . . . . . . . . . . . . . . . .

Mecticaid, lntermedlafe. . . . . . . . . . . . . . . . .

Allothersources . . . . . . . . . . . . . . . . . . . .

Marlfalstatusatdischarge

Married:

Allsources . . . . . . . . . . . . . . . . . . . . . . . . .

Ownincomeorfamilysupport. . . . . . . . . . . .

Medicare . . . . . . . . . . . . . . . . . . . . . . . . .

Medicaid,skilled . . . . . . . . . . . . . . . . . . . .

Medicaid, lnterrnediste . . . . . . . . . . . . . . . . .

Allothersmmes.. . . . . . . . . . . . . . . . . . .

Widowed

Allsources . . . . . . . . . . . . . . . . . . . . . . . . .

Ownlncomeorfamily support . . . . . . . . . . . .

Medicare . . . . . . . . . . . . . . . . . . . . . . . . .

Medlcaid,skilled . . . . . . . . . . . . . . . . . . . .

Medlceid, interrrredkrte. . . . . . . . . . . . . . . . .

Allothersources . . . . . . . . . . . . . . . . . . . .

Divorced or separated:

Allsources . . . . . . . . . . . . . . . . . . . . . . . . .

Ownlncomeorfamilysupport. . . . . . . . . . . .

Medicare . . . . . . . . . . . . . . . . . . . . . . . . .

Medicald,skllled . . . . . . . . . . . . . . . . . . . .

Medicaid, lntermediale. . . . . . . . . . . . . . . . .

Allothersources . . . . . . . . . . . . . . . . . . . .

Never married

Allsources . . . . . . . . . . . . . . . . . . . . . . . . .

Ownincomeorfamilysupport . . . . . . . . . . . .

Medicare . . . . . . . . . . . . . . . . . . . . . . . . .

Medicaid,skilled . . . . . . . . . . . . . . . . . . . .

Medicaid, intermediate. . . . . . . . . . . . . . . . .

Allothersources . . . . . . . . . . . . . . . . . . . .

Unknown. . . . . . . . . . . . . . . . . . . . . . . . . . .

Allsources . . . . . . . . . . . . . . . . . . . . . . . . .

Ownincomeorfamily support. . . . . . . . . . . .

Medicare . . . . . . . . . . . . . . . . . . . . . . . . .

Medicaid,skilled . . . . . . . . . . . . . . . . . . . .

Medicaid, intermediate. . . . . . . . . . . . . . . . .

Allothersources . . . . . . . . . . . . . . . . . . . .

1,223,5C0

512,600

215,500

189,200

239,600

66,400

455,500

181,000

60,500

70,000

78,900

45,200

768,000

331,700

135,000

119,100

160,900

21,300

273,200

122,800

67,600

29,000

37,300

16,400

669,200

296,600

111,400

103,400

137,000

16,600

64,600

22,700

9,000

20,200

21,300

11,600

151,600

54,500

19,900

27,500

33,900

18,000

44,600

14,100

7,300

9,100

10,300

*

Percentd~tribution

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

1133.O

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

IOQ.O

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

Iwo

1C$Jo

100.0

100.0

100.0

100.0

100.0

*

41.6

66.6

17.1

3.1

4.7

*

*

40.1

69.9

16.6

*

*

*

428

87.9

17.5

*

5.3

*

46.2

90.6

16.6

*

*

*

44.1

66.4

17.7

5.;

*

25.5

65.7

*

*

*

*

35.3

87.2

*

*

*

*

33.1

6&7

*

*

*

121

*

66.0

●

*

*

13.4

*

723

*

*

11.3

*

622

*

*

*

19.6

*

76.2

●

*

*

10.5

*

61.0

*

*

*

8.9

76.;

●

8.4

*

63.0

*

*

*

*

18.9

4.1

11.8

91.4

4.0

*

17.5

3.4

7.9

eo.5

*

*

19.7

4.5

14.2

91.9

4.4

*

11.8

*

*

85.9

*

*

19.6

4.6

14.5

92.0

3.8

*

26.3

●

94.;

●

*

223

*

*

93.6

*

*

26.1

*

*

89.7

*

*

21.3

5.7

3.5

3.5

eo.o

*

19.0

5.4

*

90.:

*

227

5.6

3.6

4.2

69.7

*

14.6

4.2

*

*

87.1

225

5.9

*

*

eo.2

*

26.4

●

*

*

91.0

*

24.1

*

*

*

90.9

*

25.3

*

*

*

93.0

6.0

1.3

*

*

*

69.6

10.0

*

+

*

90.3

3.6

1.5

*

*

*

87.9

7.7

*

*

*

91.2

3.4

*

*

*

*

89.3

129

●

*

91.9

9.9

*

*

*

84.9

*

*

*

See ride at endoftable.

55
Table 16. Number of nursing home discharges by sex, marital status and age at discharge, selected characteristics, and primary source

of payment for admission month, and percent distribution of nursing home discharges by primary source of payment for discharge

month, according to sex, marital status and age at discharge, and primary source of payment for admisaion month: United States,

1984-85-Con.

Primefy source of payment for dtscherge month

Sex, manlal status and age at drwh~e, own income

characterLWcs, andprlmary source of payment Atl or family Medicaid, Medicaid, Ail other

for admission month Discharges sources Suppcm Medicare skilled irrfermedIefe Soumes

Duration of stay-Con.

6 months or more

Allsources . . . . . . . . . . . . . . . . . . . . . . . . .

Own income or family support. . . . . . . . . . . .

Medicare . . . . . . . . . . . . . . . . . . . . . . . . .

Medicaid, skilled . . . . . . . . . . . . . . . . . . . .

Medicaid, intermediate. . . . . . . . . . . . . . . . .

Ail other sources . . . . . . . . . . . . . . . . . . . .

1 year or more

All sources . . . . . . . . . . . . . . . . . . . . . . . . .

Own income or family support. . . . . . . . . . . .

Medicare . . . . . . . . . . . . . . . . . . . . . . . . .

Medicaid, skilled . . . . . . . . . . . . . . . . . . . .

Medicaid, intermediate. . . . . . . . . . . . . . . . .

All other sources . . . . . . . . . . . . . . . . . . . .

3 years or more

Allsources . . . . . . . . . . . . . . . . . . . . . . . . .

Own Income or family support. . . . . . . . . . . .

Medicare . . . . . . . . . . . . . . . . . . . . . . . . .

Medicakf, skilled . . . . . . . . . . . . . . . . . . . .

Medicaid, inlermedBte. . . . . . . . . . . . . . . . .

Allolher sources . . . . . . . . . . . . . . . . . . . .

5 yeare or more

Allsources . . . . . . . . . . . . . . . . . . . . . . . . .

Ownincome or ferniiysupport. . . . . . . . . . . .

Medicare . . . . . . . . . . . . . . . . . . . . . . . . .

Medicaid, skiiled . . . . . . . . . . . . . . . . . . . .

Medicaid, intermediate. . . . . . . . . . . . . . . . .

Allolhersources . . . . . . . . . . . . . . . . . . . .

Number Percent distribution

455,600

192,500

29,000

86,400

123,000

24,700

318,200

134,500

16,500

58,100

93,500

15,600

133,000

54,930

5,700

21,200

43,600

7,500

69,600

26,100

*

9,500

24,200

*

100.0 37.6 1.2 26.2 30.9 5.1

100.0 79.3 ● 8.3 10.6 *

100.0 32.9 * 40.3 *

100.0 * * 90.6 * *

100.0 * * 6.0 90.4 *

100.0 * * * * 77.9

100.0 36.1 * 24.4 33.7 4.7

100.0 76.6 * 8.9 12.0 *

100.0 35.9 * 38.1 *

100.0 * * 88.0 * *

100.0 * * 7.0 90.2 *

100.0 * * * * 73.7

100.0 32.5 * 22.4 38.3 6.1

100.0 70.3 ● 11.0 15.3 *

100.0 * * * *

100.0 * * 63.9 * ●

100.0 * * *, 88.0 *

100.0 * * * 79.1

100.0 31.0 * 21.9 36.8 7.2

100.0 85.4 * ● ● *

+ * * * *

100.0 * 63.7

100.0 * * 67.; *

* * * * *

NOTE Figures may not add to totals because of rounding.

57
Table 17. Number of nursing home discharges and average and median durations of stay, by sex and other stays in nursing homes and

hospitals, and percent distribution of nursing home discharges by discharge status and duration of stay, according to sex and other

stays in nursing homes and hospitals: United States, 1984-85-Con.

Duratkm of sky

1 month

Dfsch.srge status to Average Median

Sax amt other stays in nursing homes less than less than 6 months duration duraiiorr

and hospttals Discharges Totat Ltve Deed 1 month 6 months or more of stay of stay

Female

Ofhar stay in any nursing home

Yes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Noorunknown . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Olherstay(s) atsarnplefacllily . . . . . . . . . . . . . . . . . . . . .

Yes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

No . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Unknown . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Numbarofotherstays atsamplefacllity

I stay . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2stays . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3slayeormore . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Unknown . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Number of other nursing homes ever resided in:

Ioihernursinghome . . . . . . . . . . . . . . . . . . . . . . . . . .

2othernureinghomasormore. . . . . . . . . . . . . . . . . . . .

Unknown . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Hospital stay while a resident In sample faciliy

Yes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

No . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Unknown . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Number of stays in short-stay hospital while resident

I stay . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2stays . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3staysormore . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Unknown . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Number

395,600

372,400

307,900

443,600

16,400

162,200

76,400

88,700

*

101,500

7,eoo

22,300

114,100

631,500

22,400

58,000

22,500

25,000

8,600

Percent cfismmtiin Days

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

●

100.0

100.0

100.0

100.0

100.0

100.0

100.0

1OQ.o

100.0

100.0

80.3

83.0

83.5

84.3

62.2

82.1

65.0

85.3

*

73.0

63.1

61.4

54.1

75.2

71.0

58.7

42.6

48.8

88.2

19.7 23.9 32.9

36.6 326 31.1

16.5 24.8 34.9

35.6 30.7 30.1

31.9 * 28.8

17.8 25.4 32.5

15.0 25.3 34.1

14.7 23.7 41.2

● * *

26.9 21.4 29.2

● * *

* * 24.4

45.3 9.8 21.3

24.8 32.1 34.2

24.9 * 24.1

41.0 13.5 29.5

55.4 * *

50.8 * *

● * *

43.4

36.2

40.4

39.3

48.3

422

40.6

35.1

*

49.6

*

58.6

69.0

33.8

64.6

57.0

79.6

85.1

74.9

433

468

373

502

487

428

344

262

*

576

615

*

1,007

●

788

729

1,138

*

1,257

120

70

110

62

130

113

106

97

193

177

259

*

547

*

309

256

624

*

922

NOIE Figures may rot add to totalsbecaum of rounding.

59
Table 18. Number of nursing home discharges and average and median durations of stay, by age at discharge and other stays in 

nursing homes and hospitals, and percent distribution of nursing home discharges by discharge status and duration of stay, according 

to age at discharge and other stays in nursing homes and hospitals: United States, 1984-85 

Duration of stay 

Sex and other stays in nursing homes 

and hospitals 

I month 

D&charge status to Average Median 

Less than less than 6 months duration duration 

Discharges Total Live Dead 1 month 6 months or more of stay of stay 

Under 65 years Number Percent distribution Days 

Other stay in any nursing home: 

Yes ..................................... 

No or unknown. ............................. 

67,800 

65,300 

100.0 

100.0 

100.0 

100.0 

* 

100.0 

100.0 

100.0 

* 

100.0 

* 

100.0 

100.0 

100.0 

* 

100.0 

* 

* 

* 

100.0 

100.0 

100.0 

100.0 

100.0 

100.0 

100.0 

100.0 

* 

100.0 

100.0 

100.0 

100.0 

100.0 

100.0 

100.0 

100.0 

100.0 

100.0 

95.4 * 33.1 36.2 30.9 * + 

81.9 18.1 32.9 36.8 30.3 * * 

Other stay(s) at sample facility: 

Yes ..................................... 

No ...................................... 

Unknown ................................. 

53,000 

77,600 * 

95.4 * 35.2 37.5 27.5 * * 

83.9 16.1 32.0 35.7 32.2 291 67 * * * * * * 147 

Number of other stays at sample facility: 

lstay .................................... 

2stays ................................... 

3staysormore .............................. 

Unknown ................................. 

26,900 

11,200 

14,800 

* 

92.3 

96.5 

100.0 * 

* 

f 22.5 

49.4 

47.4 

* 

41.2 * 

37.8 

36.8 370 90 

* 171 38 

* 166 37 * * 1,199 

Number of other nursing homes ever resided in: 

I other nursing home. ......................... 

2 other nursing homes or more. ................... 

Unknown ................................. 

Hospital stay while a resident in sample facility: 

Yes ..................................... 

NO ...................................... 

Unknown ................................. 

15,200 

+ 

9,000 

94.6 * * 37.4 36.0 418 90 * * * + * * 140 

98.7 * * * * 272 135 

16,900 

112,900 

* 

88.6 * * * 67.0 589 335 

88.6 Il.4 36.5 38.9 24.8 233 54 * * * * * * 166 

Number of stays in short-stay hospital while resident: 

Istay .................................... 

2stays ................................... 

3staysormore .............................. 

Unknown ................................. 

10,500 * 

* 

* 

88.4 * * * 67.2 516 323 * * * * * * 423 * * * * * * 390 

+ * * * * * 423 

65 years and over 

Other stay in any nursing home: 

Yes ..................................... 

Noorunknown .............................. 

Other stay(s) at sample facility: 

Yes ..................................... 

NO ...................................... 

Unknown ................................. 

Number of other stays at sample facility: 

lstay .................................... 

2stays ................................... 

3staysormore .............................. 

Unknown ................................. 

Number of other nursing homes ever resided in: 

1 other nursing home. ......................... 

2 other nursing homes or more. ................... 

Unknown ................................. 

Hospital stay while a resident in sample facility: 

Yes ..................................... 

NO ...................................... 

Unknown ................................. 

551,400 

539,000 

78.8 21.0 25.4 33.1 41.8 405 114 

60.1 39.6 36.2 29.3 34.6 427 64 

424,200 

644,100 

22,100 

82.2 17.7 25.7 35.1 39.4 353 106 

61.6 38.3 34.1 28.8 37.2 * * 

60.9 34.4 29.5 24.9 45.6 568 130 

221,100 

105,200 

93,500 * 

80.7 19.3 25.9 33.8 40.4 * * 

82.3 17.1 27.6 33.0 39.4 340 106 

85.4 14.6 24.3 39.1 37.8 252 103 * * * * * * 56 

143,700 

11,000 

28,500 

72.8 27.2 24.5 27.7 48.1 * * 

82.2 * * * 57.3 562 271 

75.6 24.4 18.1 30.7 51.1 * * 

164,200 

895,700 

30,500 

52.3 47.2 9.5 21.6 68.9 974 519 

72.8 27.2 35.3 33.2 31.7 * * 

69.4 25.4 * 23.3 64.8 801 309 

Number of stays in short-stay hospital while resident: 

lstay .................................... 

2stays ................................... 

3staysormore .............................. 

Unknown ................................. 

84,700 

32,100 

35,400 

12,100 

56.5 43.4 13.8 30.4 55.8 656 

44.2 54.1 * 17.4 81.1 1,130 

47.7 52.0 * * 85.7 1,404 

58.7 41.3 * + 79.2 1,536 

See note at end of table. 

237 

608 

962 

970 1 

60 
Table 18. Number of nursing home discharges and average and median durations of stay, by age at discharge and other stays in

nursing homes and hospitals, and percent distribution of nursing home discharges by discharge status and duration of stay, according

to age at discharge and other stays in nursing homes and hospitals: United States, 1984-85-Con.

Duration of stay

1 monfh

Dfscharge status to Average Median

Sex and other stays in nursing homes Less than less than 6 months durat.bn duration

and hospitals Dischargw Total LWe Dead 1 month 6 months or more of stay of stay

65-74 years

Other stay in any nursing home:

Yes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Noorunknown . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Other stay(s) at sample facility

Yes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

No . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Unknown . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Number of olher stays at sample facility

Inlay . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2stays . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3stayeormore . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Unknown . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Numberofother nursinghomesever residedin:

Iothernureinghome . . . . . . . . . . . . . . . . . . . . . . . . . .

2othernureinghomesormore.. . . . . . . . . . . . . . . . . . .

Unknown . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Hospifalstaywhile aresidentlnsample facility

Yes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

No . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Unknown . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Number of stays in short-stay hospital while resident:

I stay . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2stays . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3staysormore . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Unknown . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

75-84 years

Other stay In any nursing home:

Yes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Noorunknown . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Other stay(s) at sample facility:

Yes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

No . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Unknown . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Numberofotherstays atsamplefaciiii

I stay . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2stays . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3staysormore . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Unknown . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Number of other nursing homes ever resided in:

Iothernureinghome . . . . . . . . . . . . . . . . . . . . . . . . . .

2othernursinghomesormore.. . . . . . . . . . . . . . . . . . .

Unknown . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Hospital stay while a resident in sample facility

Yes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

No . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Unknown . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Number of stays in short-stay hospital while resident

lstsy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2stays . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3staysormore . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Unknown . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Number Percent distribution

100,600

101,900

73,900

125,800

*

44,500

15,300

13,600

*

27,200

*

6,800

21,800

176,300

*

12,200

*

*

●

230,000

228,300

180,0Q0

268,100

9,200

94,000

44,400

40,600

*

59,800

●

10,800

64,500

383,800

10,100

35,300

13,000

12,3CXI

●

100.0

100.0

100.0

100.0

●

100.0

100.0

100.0

●

100.0

*

100.0

100.0

100.0

*

100.0

*

*

*

100.0

1OQ.o

100.0

100.0

100.0

100.0

100.0

100.0

*

100.0

*

100.0

100.0

1CrQ.o

100.0

100.0

100.0

100.0

*

87.1

71.5

89.5

73.7

*

89.5

85.7

93.9

*

83.2

*

91.5

71.2

79.8

*

79.2

*

*

*

81.6

65.1

84.7

65.6

79.0

82.6

85.6

89.5

*

76.1

*

80.6

59.9

75.7

73.4

63.7

55.9

54.4

*

12.9

28.5

10.5

26.3

*

*

●

*

*

*

*

*

28.6

20.2

*

●

*

*

●

18.0

34.7

14.9

34.3

*

17.3

13.0

*

*

23.9

*

●

38.5

24.3

*

36.3

42.0

44.7

*

28.4

421

26.1

40.2

*

26.3

*

*

*

36.3

*

*

*

36.6

*

*

*

*

27.7

41.7

28.9

38.7

●

29.9

27.5

28.9

●

26.4

*

*

13.2

38.8

●

18.5

●

*

*

36.6

32.3

38.0

32.3

*

40.0

*

43.3

*

33.5

*

●

30.5

35.2

*

39.7

*

*

*

36.4

28.0

39.2

28.8

*

36.5

41.0

44.1

*

27.0

*

*

23.3

34.5

*

31.1

*

●

35.0

25.6

35.9

27.5

*

33.6

43.6

35.3

●

30.2

*

*

66.7

26.2

*

45.8

*

*

*

36.5

29.4

32.4

32.7

*

33.6

31.5

29.6

*

47.2

*

63.0

63.5

27.1

60.2

50.4

79.5

77.5

*

Days

293

*

286

290

*

271

376

237

*

*

*

372

770

226

*

505

*

*

*

314

299

265

329

464

286

278

166

*

455

*

455

808

218

476

585

859

1,151

*

88

*

102

44

19

102

93

113

38

+’

271

122

244

1:

159

*

735

251

86

48

76

55

119

74

73

76

193

137

268

268

352

49

205

196

553

778

1,243

Seecdeatend oftable.

61
Table 18. Number of nursing home discharges and average and median durations of stay, by age at discharge and other stays in

nursing homes and hospitsis, and percent distribution of nursing home discharges by discharge status and duration of stay, according

to age at diecharge and other stays In nursing homes and hospitsis: United States, 1984-85-Con.

DuratJon of stay

1 rnonm

Dbchatge stafus to Avarsge Madian

.%xandofharstaph numhghomea Lass than lass than 6 months duralbr dum@n

sndhoqMale Dtscfwws Totat L&@ Daad Irnonth 6rnon#s ormore Ofsfay ofsfay

85yssrssndovar

Ofher slay In any nursing home:

Yes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Noorunknown . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Dther stay(s) at sample fscil~

Yes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

No . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Unknown . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Number Percent dtefrlbufbn

Number of other stays at sample facilily

I stay. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2staye . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3sfayeormore . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Unknown . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Number of other nursing homes aver rasktad h:

Iothernurstng home . . . . . . . . . . . . . . . . . . . . . . . . . .

2othernursing homasormore . . . . . . . . . . . . . . . . . . . .

Unknown . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

HospMlstaywhileareeklentineemplefacit~ . . . . . . . . . . .

Yes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

No . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Unknown . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Numbarofsfaye Inshmt-etayhospttat Whileraekbnk

I stay . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2staye . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3staysormore . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Unknown . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

220,900

208,800

170,300

249,200

10,100

82,600

45,500

39,300

●

56,700

●

10,800

77,800

335,600

16,200

37,300

15,500

18,800

8,300

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

*

Iwo

●

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

72.2

49.1

78.3

51.2

●

73.7

n.9

78.3

●

64.2

80.:

40.7

65.7

59.8

42.2

40.7”

*

27.8

50.3

23.7

48.7

46.4

26.3

22.1

21.7

●

35.7

●

*

58.7

34.3

35.2

57.4

69.4

69.3

●

21.5

27.4

22.1

26.0

*

21.0

27.0

20.5

16.8

●

●

*

29.5

*

●

●

●

*

28.1

28.1

29.6

27.1

●

27.5

27.3

32.5

*

25.7

●

+

17.8

30.7

●

28.6

●

●

*

50.5

44.8

48.4

46.9

53.0

51.8

45.6

47.0

*

57.5

●

44.9

76.3

39.9

70.9

84.3

86.8

89.7

81.4

Days

550

636

477

665

785

595

368

343

●

746

●

405

1,166

433

1,138

772

1,438

1,620

1,501

188

120

165

144

238

201

154

+37

42

277

200

168

718

91

670

402

869

1,132

1.026

NOTEFiguresmay notsddtobralsbscsuse c4munding.

62
Appendixes

Contents

I. Technical notes onmethods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Survey design . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Data collection procedures for the 1985 NNHS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

General qualifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Hypothesis testing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

IL Definitions of certain terms used in this report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Terms relating to facilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Terms relating to discharges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

III. Survey instrument . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

List of appendix figures

I. Relative standard errors for estimated number of discharged residents, current residents, and facilities . . . . . . . .

List of appendix tables

I. Comparison between the 1985 NNHS (estimates) and 1986 ILTCP showing number of homes and beds by type

of home . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

II. Number of facilities in the 1985 National Nursing Home Survey universe and sample, by disposition and sampling

stratz Conterminous United States, 1985 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

III. Summary of data collection procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

v.

..................................

Standard errors for average and median lengl.h of stay for all discharges and for median length of stay for live and

dead discharges, by discharged resident and facility characteristics United States, 1984-85 . . . . . . . . . . . . . . . . . .

64

64

66

67

68

71

71

72

74

69

64

65

66

68

70

63
Appendix I

Technical notes on

methods

Survey design

From August 1985 through January 1986, the Division

of Health Care Statistics conducted the 1985 National

Nursing Home Survey (NNHS)— a sample survey of nursing homes, their residents, discharges, and staff in the

conterminous United States. The survey was designed and

developed by the National Center for HeaIth Statistics, with

input from several other Federal agencies. The 1985 survey

was the third of a series of surveys designed to satis~ the

diverse data needs of those who establish standards for,

provide, and assess long-term care services. The first survey

was conducted from August 1973 through April 1974, and

the second survey was conducted from May through December 1977.

Sampling frame

The 1985 NNHS included all types of nursing and

related-care homes with three beds or more set up and

staffed for use by residents and routinely providing nursing

and personal care services. Facilities were either freestanding establishments or nursing care units of hospitals, retirement centers, or similar institutions maintaining financial

and employee records separate from those of the larger

institutions. Residential care facilities were excluded. These

included community care facilities in California, adult congregate living facilities in Florida, family care homes in

Kentucky, and adult foster care homes in Michigan (3).

The universe for the 1985 NNHS consisted of four

components (1) the base, the 1982 National Master Facility Inventory (NMFI), which is a census of nursing and

related-care homes; (2) data on homes identified in the

1982 Complement Survey of the NMFI as “missing” from

the 1982 NMFI; (3) data on hospital-based nursing homes

obtained from the Health Care Financing Administration;

and (4) data on nursing homes opened for business between 1982 and June 1, 1984. The resulting frame cmtained information on 20,479 nursing and related-care

facilities. Detailed descriptions of the 1982 NMFf survey

design and procedures have been published (3,13).

Because not all residential care facilities could be

identified, an unknown number of them were present in the

sampling frame. It was not until after the 1986 Inventory of

Long-Term Care Places (ILTCP) had been conducted that

such facilities could be classified as residential facilities and

that an estimate could be obtained for the number of these

facilities that were included in the 1985 NNHS.

64

Using the 1986 ILTCP to identify homes in the 1985

NNHS sample that were classified as residential in 1986,

32 such homes were found. The weights for these homes

produced an estimate of 2,200 residential facilities and

71,000 beds for 1985. Table I gives a comparison of the

two surveys reflecting this adjustment in residential

facilities.

Table L Comparison between the 1965 NNHS (eatimatea) and

1986 ILTCP showing number of homes and beds by type of

home

1985 NNHS 1.966 ILTCP

Type of home Homes i3eds Homes Beds

Total . . . . . . . . . . . . . . . . . 19,100 1,624,200 26,400 l,7aT,sxl

C&llrii. . . . . . . . . . . . . . . 14,400

Unceftii . . . . . . . . . . . . . . 2,S00

1,441,300 14,100 1,4s1,200

111,900 3,00cf 114,s00

Reakiential . . . . . . . . . . . . . . 2,200 71,0CQ 9,300 ml,acfo

NOTE NNHSrefwsto NationalNurairqHomesu~ ILTCP@em to Imanforyd Long-Tam

Care Fiacea.

Estimates for the 1985 NNHS will not correspond

precisely to figures from either the 1982 NMFI census or

the 1986 ILTCP survey for several other reasons. Among

the reasons for differences are that the three sumeys

differed in time of data collection and in data collection

procedures and that the 1982 NMFI was a combination of

data collected by 3.5 States and data collected by the

National Center for Health Statistics via mail survey in the

remaining States and in the 35 States where certain types of

nursing and related-care homes were not surveyed by these

States. In contrast, the NNHS is conducted by personal

interview. Thus the NNHS methodology permitted more

scrutiny in the identification and exclusion of facilities that

were out of scope. Finally, because the NNHS is a sample

survey, its data are subject to sampling variability; because

the NMFI and ILTCP surveys are a census, their data are

not.

Sampling design

The sampling was basically a stratified two-stage probability design. The first stage was the selection of facilities,

and the second stage was the selection of residents, discharges, and R.N.’s from the sample facilities. In preparation for the first-stage sample selection, facilities listed in

the universe were sorted into the following types of strata,

based on Medicare and Medicaid certification: (1) certified
Table IL Number of facilities in the 1985 National Nursing Home Survey universe and sample, by disposition and sampling strata

Conterminous United States, 1985

Sample

In soopa and in business

Unkerea All out Ofscope or

Sarr@ng strafa (sampling frame)i factMee out of business Nonresponding Responding

Alllypes of certification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20,479 1,220 57 64 1,079

Cerlifled

COmp18m8nt SUN8yhOM8S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 19 1 2 16

3-14 beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 112 5 2 0 3

16-24beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 364 9 1 0 8

2549beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,876 43 4 3 36

50-99beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5,000 269 9 21 239

10Cr-199beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4,604 478 9 28 441

200-399beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 661 196 1 13 182

4ocr-699beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77 17 1 3 13

600bedsormore . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26 10 1 0 9

Unlmownbedsize . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 10 1 3 6

Not certii

Complementsurveyhomes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 336 14 3 0

3-14beds . . . . . . . . . . . . . . . . 5 . . . . . . . . . . . . . . . . . . . . . . . . .

11

2,346 8 3 1

15-24beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4

1,0s7 10 3 1

2E-49beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

6

1,185 15 2 1

50-99beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

12

1,029 35 1 3

100-199beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

31

727 w 2 3

200-399beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

34

132 14 1 1

400-599beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

12

19 5 1 0 4

600bedsormore . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 4 1 0

Unlmownbedsize . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3

627 20 10 1 9

. .

by either Medicare or Medicaid or (2) not certified by

either Medicare or Medicaid. Facilities in each of these two

strata were sorted by frame source: (1) 1982 Complement

Survey and (2) all other sources (that is, 1982 NMFI,

Health Care Financing Administration hospital-based nursing homes, and nursing homes opened between 1982 and

1984). Facilities in the Non-Complement Survey strata

were further sorted by bed size, producing the20primary

strata as shown in Table II. The nursing homes in the

universe were ordered by ownership, geographic region,

metropolitan status, State, county and metropolitan statistical area (MSA), and ZIP Code. The sample was then

selected systematically after a random start within each

primary stratum. Table II shows the distribution offacilities in the sampling frame and the final disposition of the

samplewith regard to response and scope status.

The numberofnursing homes estimated in thesurvey

islessthan the universe figure (20,479) for several reasons.

Some facilities went out of business or became ineligible

for the scope of the survey between the time the universe

was frozen and the survey was conducted. A facility was

considered out of scope if it did not provide nursing,

personal, or domiciliary care serviees (for example, a facility providing only room and board) or if it was a nursing

care unit or wing of a hospital, retirement center, or similar

institution without separate financial and employee reeords

for that unit.

The second-stage sampling of residents, discharges,

and registered nurses was carried out by the interviewers at

the time of their visits to the facilities in accordance with

specific instructions to assure a probability sample. The

sample frame for residents was the total number of residents on the register of the facility on the evening prior to

the day of the survey. Residents who were physically absent

from the facility due to overnight leave or a hospital visit

but who had a bed maintained for them at the facility were

included in the sample frame. A sample of five residents or

less per facility was selected.

The sampling frame for discharges was the total number of persons discharged alive or dead during the

12 months prior to the survey date. Persons who were

discharged more than once during this 12-month period in

the same nursing home were listed for each discharge.

Current residents discharged during the 12 months prior to

the survey and then readmitted to the sample nursing home

were also eligible to be included in the discharge sampling

frame. Forty-five of the sampled discharges were also

included in the current resident sample. A sample of six

discharges or less per facility was selected.

The sampling frame for nursing staff included all

R.N.’s who were employed by the facility on the day of the

survey. Registered nurses working under a speeial eontractual arrangement or through a temporazy service were

included if they were sehedukd to work during the 24 hours

constituting the survey day. A sample of four R.N.’s or less

per facility was selected.
Data collection procedures for the 1985

NNHS

The 1985 NNHS utilized nine questionnaires:

●

●

●

●

●

●

●

●

●

Facility Questionnaire

Expense Questionnaire and Definition Booklet

Nursing Staff Sampling List

Nursing Staff Questionnaire

Current Resident Sampling List

Current Resident Questionnaire

Discharged Resident Sampling List

Discharged Resident Questionnaire

Next-of-Kin Questionnaire

See appendix 111for facsimiles of the Discharged Resident Sampling List and the Discharged Resident Questionnaire.

Data were collected according to the following procedures:

1. Letters were sent to the administrators of the sample

facilities informing them of the survey and of the fact

that an interviewer would contact them for appointments. Included with this introductory letter were letters of endorsement from the American Association of

Homes for the Aging, the American College of Health

Care Administrators, and the American Health Care

Association urging the administrators to participate in

the survey. A sample report from the 1977survey was

also enclosed to illustrate how the data would be

published.

2. At least 1 week after the letters had been mailed, the

interviewer telephoned each sample facility and made

an appointment with the administrator.

3. During the appointment, the Facility Questionnaire

was completed by the interviewer of the administrator

(or designee) of the nursing home. After completing

this form, the interviewer secured the administrator’s

authorization for completion of the Expense Questionnaire (EQ). Possible respondents to the EQ included

accountants, administrators, and other knowledgeable

staff members. Results from the survey indicate that

the respondents were evenly divided into two groups:

accountants located outside the facility and

administrators and other staff members, such as bookkeepers, based in the facility. When a prepared financial statement was available, it was accepted in lieu of

an EQ. This occurred in one-half of the cases. The

interviewer completed the Nursing Staff Sampling List,

selected the sample of R.N.’s from it, and prepared

Nursing Staff Questionnaires. These were left for each

sample nurse to complete, seal in an addressed envelope, and return either to the interviewer by hand or to

the data processing headquarters by mail. The interviewer completed the Current Resident Sampling List

(a list of all residents in the facility on the night before

the day of the survey), selected the sample of residents

from it, and completed a Current Resident Questionnaire for each sample resident by interviewing the

member of the nursing staff most familiar with care

provided to that resident. The nurse referred to the

resident’s medical record when responding. No resident was interviewed directly.

The interviewer then completed the Discharged

Resident Sampling List (a list of all persons discharged

alive or dead during the 12 months preceding the

survey date), selected a sample of discharges from it,

and completed for that stay a Discharged Resident

Questionnaire for each sample discharge by interviewing a member of the nursing staff, who referred to

medical records. In larger facilities, a team of two or

three interviewers conducted the survey to reduce the

time spent in the facility.

Follow-up information on the two patient samples

was collected via a computer-assisted telephone interview with a next of kin of the current or discharged

resident, using the Next-of-Kin (NOK) Questionnaire.

The next of kin interviewed was identified in the

Current Resident and Discharged Resident Questionnaires and included relatives, guardians, and anyone

familiar with the sampled resident. A discharged resident could also be contacted if discharged to a place of

residence and residing there at the time of the survey.

An attempt was made to identify the “best respondent”

while obtaining next-of-kin information from the nursing home. The best respondent was mailed a letter of

information about the survey, contacted by telephone,

and administered the NOK Questionnaire. Table III

presents a summary of the data collection procedures.

Table 111.Summary of data collection procedures

QueWorrnaire Respondent Inkrview situatbrr

Facility Questionnaire Administrator Interview

Expense CNestiinnaire Administrator, owner, accountant, or @kkaapef Self-enumerated

Nursing Staff Sampling LBt Staff members Informal interview or copied from records

Nursing Staff Queslonnalre Sampled registered nurses Self-enumerated

Current Resident sampling List SW member who refers to currenl resident census Informat Interview or co@ed from records

Current Flesktent Questionnaire Nurse who refers 10 medical record Interview

Discharged Resident sampling L~t Staff member who refers to discharge records Informal interview or copted from records

Discharged Resident Quesfiinnaire Nurse who refers to medical record Interview

Nexl-of-Kin Questionnaire Relatives, guardians, or anyone famiiiar w~h the sampled person Telephone interview

66
General qualifications

Nonresponse and imputation of missing

data

For nursing homes that agreed to participate, response

rates differed for each type of questionnaire:

Rqranse rate Number

Questim”m= fjercent) rqranding

Facility . . . . . . . . . . . . . . . . . . . . 100 1,079

Expens e . . . . . . . . . . . . . . . . . . 68 732

Current . . . . . . . . . . . . . . . . . . . 97 5,243

Discharged resident . . . . . . . . . . . . 95 6,025

Nursing staff . . . . . . . . . . . . . . . . 80 ~763

Next-o f-kin . . . . . . . . . . . . . . . . . 90 9,134

Generally, response rates were higher for questionnaires administered in a personal interview situation (Facility, Current Resident, Discharged Resident, and NOK)

than for those that were sel-fenumerated (Expense and

Staff). Statistics presented in this report were adjusted for

failure of a facility to respond (that is, to participate in the

survey) and for failure to complete any of the other questionnaires (Expense, Current Resident, Discharged Resident, Nursing Staff, or NOK). Those items left unanswered

on a partially completed questionnaire were generally imputed by assigning a value from a responding unit with

major characteristics identical to those of the

non-responding unit.

Rounding of numbers

Estimates of facilities, residents, and discharges have

been rounded to the nearest hundred. For this reason,

detailed figures within tables do not always add to totals.

Percents were calculated on the original, unrounded figures

and will not necessarily agree precisely with percents that

might be calculated from rounded data.

Data processing

Extensive editing was conducted by computer to assure

that all responses were accurate, consistent, logical, and

complete. Once the database was edited, the computer was

used to calculate and assign weights, ratio adjustments,

recodes, and other related procedures necessa~ to produce

national estimates horn the sample data.

Estimation procedures

Statistics reported in this publication are derived by a

ratio estimating procedure. The purpose of ratio estimation

is to take into account all relevant information in the

estimation process, thereby reducing the variability of the

estimate. The estimates of number of facilities and facility

data not related to size are inflated by the reciprocal of the

probability of selecting the sample facility and adjusted for

the nonresponding facilities within primary strata. Two

ratio adjustments, one at each stage of sample selection,

were also used in the estimation process. The first-stage

ratio adjustment (along with the preceding inflation

factors) was included in the estimation of facility data

related to size and of all resident, discharge, and nursing

staff data for all primary types of strata. The numerator was

the total number of beds according to the universe data for

all facilities in the stratum. The denominator was the

estimate of the total number of beds obtained through a

simple inflation of the universe data for the sample facilities

in the stratum. The effect of the first-stage ratio adjustment

was to bring the sample in closer agreement with the known

universe of beds. The second-stage ratio ad~ustment was

included in the estimation of all resident, discharge, and

R.N. data. It is the product of two fractions: The first is the

inverse of the sampling fraction for residents (discharges or

R.N.’s) upon which the selection is based; the second is the

ratio of the number of sample residents (discharges or

R.N.’s) in the facility to the number of residents (discharges

or R.N.’s) for whom questionnaires were completed within

the facility (14).

Reliability of estimates

As in any sample survey, the results are subject to

sampling and nonsampling errors. Nonsampling errors include errors due to a response bias, questionnaire and item

nonresponse, and recording and processing errors. To the

extent possible, the latter types of errors were kept to a

minimum by methods built into survey procedures, such as

standardized interviewer training, observation of interviewers, manual and computer editing, verification of keypunching, and other quality checks. Because survey results are

subject to sampling and non sampling errors, the total error

is larger than errors due to sampling variability alone.

Because the statistics presented in this report are based

on a sample, they will differ somewhat from figures that

would have been obtained had a complete census been

taken using the same schedules, instructions, and

procedures.

The standard error is primarily a measure of the

variability that occurs by chance because only a sample,

rather than the entire universe, is surveyed. The standard

error also reflects part of the measurement error, but it

does not measure any systematic biases in the data. It is

inversely proportional to the square root of the number of

observations in the sample. Thus as the sample size increases, the standard error generally decreases.

The chances are about 6S in 100 that an estimate from

the sample differs by less than the standard error from the

value that would be obtained from a complete census. The

chances are about 95 in 100 that the difference is less than

twice the standard error and about 99 in 100 that it is less

than 2V2 times as large.

The standard errors used for this survey were approximated using the balanced repeated-replication procedure.

This method yields overall variability through observation

of variability among random subsamples of the total sample. A description of the development and evaluation of the

replication technique for error estimation has been

published (6,7).

67
To derive error estimates that would be applicable to a

wide variety of statistics and could be prepared at moderate

cost, several approximations were required.

Rather than calculate standard errors for particular

estimates SX, the calculated variances for a wide variety of

estimates presented in this document were fitted into

curves using the empirically determined relationship between the size of an estimate X and its relative variance

(rel varx), This relationship is expressed as:

$X2

rel var X = —

X2

b

.a+~

where a and b are regression estimates determined by an

iterative procedure.

The relative standard error is then derived by determining the square root of the relative variance curve. The

relative standard error estimates for estimated number of

discharged residents, current residents, and facilities are

shown in figure I.

The relative standard error (RSE(X)) of an estimate X

may be read directly from the curves in figure I or, alternatively, may be calculated by the formula

RSE(X) = dA + B/X

where the appropriate constants A and B for the estimate X

are defined in table IV. Thus, for example, the relative

standard error for estimates of discharges may be calculated by the formula

RSE(X) = tiooo797 + (417.045/x)

where X is the number of admissions of interest.

Tabla W. Parameters ueed to oornpute relative standard errors

by type of estimate

Parameters

Type ofeefhrrate A B

AdmkSiins . . . . . . . . . . . . . . . . . 0.0001011 1,918.aoel

Discharges . . . . . . . . . . . . . . . . . 0.00C1797 417.04s0

Back+ . . . . . . . . . . . . . . . . . . . . -0.00770 1,409.4919

Residents (with or w~houf nexf

of kin) . . . . . . . . . . . . . . . . . . ,

Facilnies . . . . . . . . . . . . . . . . . . .

+.000177 530.23al

-0.00174s so.71az

In this report, estimates that have a relative standard

error of 30 percent or more are considered “unreliable”

and are therefore marked with an asterisk. Because of the

relationship between the relative standard error and the

estimate, the standard error of an estimate can be obtained

by multiplying the estimate by its relative standard error.

Thus, for example, in curve A of figure I, an estimate of

4,700 discharges has a relative standard error of

30 percent; therefore, the standard error is 0.30 X 4,700 =

1,410.

To approximate the relative standard error (RSE(’p))

and the standard error (SE(p)) of a percent p, the

appropriate values of parameter B from table IV are used

in the following equations:

RSE(p) = ~B” (100-P)

p“Y

SE(p) = P . RSE@)

where x = the numerator of the estimated percent

Y = the denominator

P =100”;

The approximation of the relative standard error or the

standard error of a percent is valid when only one of the

following conditions is satisfied: the relative standard error

of the denominator is 5 percent or less (15) or the relative

standard errors of the numerator and the denominators are

both 10 percent or less (16). The standard errors of average and median duration of stay are presented in table V.

Hypothesis testing

To test the difference between two statistics (mean,

percent, and so forth), the two-tailed t-test with 20 degrees

of freedom should be performed to determiqe whether to

reject the null hypothesis (for the two means Xl, Xa the null

hypothesis is HO:xl =X2 with the alternative HA: Xl #X2).

At the 0.05 (5-percent) level, the critical value for the t-test

is 2.09. The standard error of the difference of the two

estimates is approximately the square root of the sum of the

squares of t~e standard error of each-of the est~mates.

Thusi if SE (XJ is the standard grror of X1 and SE (XJ and

SE (XJ is the-stan@rd error of X2,the standard error of the

difference (Xl – X2) is

SE (~1, -~2) = tiSE2 (Xl) + SE2 (XJ

(This formula will represent the actual standard error for

the difference between separate and uncorrelated characteristics, although it is only a rough approximation in most

other cases. The number of replicates, (20) used in the

balanced repeated replication technique can be used to

approximate the number of degrees of freedom when

testing hypotheses about differences between estimated

statistics.) The null hypothesis is rejected (that is, the two

means Xl and X2 are different) if the probability of a type I

error is less than 5 percent; that is, if

x(- *2

z= >2.09

68
40

30

20

0.9

0.8

0.7

0.6

0.5

0.4

0.3

A 2 3 4 56769A 2 3 4 56769A 2 3 456789A 2 3 456789A 2 3 4 56769A

l(n) 1,000 Kl,ooo mo,ooo 1,Ooo,oco Io,ooo,ooo

6ize of estimate

NOTE Rolalii SWWJardmof aw’ve for di?.chargm with cad d kmCMbadedvcd km mlmmb-I ICWUJin Me W.

Figure L Relative standard errors for estimated number of discharged residents, current residents, and facilities

U) m
Table V. Standard errors for average and median length of stay for all discharges and for median length of stay for live and dead

discharges, by diechargad resident and facility characteristic= United States, 19S4-S5

Starrdt@arrorkvler@h cfsteyk?daya

Alldtsoha@a MadM IWd&rr

Dtschm

resldarltCharacteristic Aver.iw Madfarr cft%%aacE2%a

Sax by w

Solhsexes, ailagas . . . . . . . .

lJnder65years . . . . . . . . .

65years andwar . . . . . . . .

65-74 years . . . . . . . . . .

75-64 years . . . . . . . . . .

85yeers And over . . . . . .

Maies, alleges . . . . . . . . . . .

Under 65yeers . . . . . . . . .

65years endwer . . . . . . . .

65-74 years . . . . . . . . . .

75-64 years . . . . . . . . . .

65yaers and over . . . . . .

Femeles, all ages . . . . . . . . .

Urrder85years . . . . . . . . .

65yearsand over . . . . . . . .

65-74 years . . . . . . . . . .

75-s4years . . . . . . . . . .

85years endovar . . . . . .

Race

Whifel . . . . . . . . . . . . . . . .

Black . . . . . . . . . . . . . . . . .

Dithe r . . . . . . . . . . . . . . . .

Hispank origin

Hispanic. . . . . . . . . . . . . . .

Non-Hispartiol . . . . . . . . . . .

Unknown . . . . . . . . . . . . . .

Marital status ef discharge

Married. . . . . . . . . . . . . . . .

widowed . . . . . . . . . . . . . . .

Divorced orsapareted . . . . . .

Never marrbci . . . . . . . . . . .

Unknown . . . . . . . . . . . . . .

Affiliation

Chafe . . . . . . . . . . . . . . . . .

Independent . . . . . . . . . . . . .

Government . . . . . . . . . . . .

Unknown . . . . . . . . . . . . . .

Living arrangement

prtor to admissbn

Private or semiprivate

residence . . . . . . . . . . . . . .

Atone . . . . . . . . . . . . . . .

Wifhfsmily mernbars . . . . .

Wifhnonfarrrity members . . .

Unknown ifwShotftars. . . . .

Arrotherheeffh faoiiify. . . . . . .

AnofhernuWnghoma.....

General or shorl-sfay

hospifalz . . . . . . . . . . . . .

Mentaifacii@ . . . . . . . . . .

Veleranshospfte i........

Other health facility or

unknown . . . . . . . . . . . . .

Unknown brother . . . . . . . . .

i Irichdea a StYldt mmbef d U1’kWWIS.

‘Psyctiarttc units em excluded.

11.9

27.0

14.0

29.8

12.1

23.5

16.2

33.4

20.8

47.7

25.0

43.9

19.6

44.9

19.8

33.9

13.2

33.0

11.8

36.6

287.9

70.3

12.5

58.1

18.3

17.3

73.8

38.4

61.4

18.0

25.3

109.1

110.2

22.6

37.2

34.6

103.6

64.5

11.4

60.4

12.5

106.2

57.6

144.5

1328

3.6

9.6

4.0

6.0

5.2

13.6

6.0

9.7

5.9

11.5

7.2

24.5

5.4

21.1

6.0

7.0

5.7

19.8

4.0

19.4

●

●

4.5

23.6

3.0

9.6

17.0

13.9

●

4.5

8.2

14.2

46.0

15.3

28.9

22.8

●

10.4

4.4

39.6

2.4

36.0

33.4

*

*

3.6

11.0

4.6

5.7

3.6

9.0

6.3

7.7

7.0

14.7

6.0

6.3

4.2

15.0

4.2

6.6

8.4

15.3

3.8

6.3

3.;

16.0

3.6

6.7

12.6

6.3

*

5.2

5.1

2.2

●

2::

9.8

●

10.0

4.5

22.5

2.2

39.7

●

*

●

15.3

22.;

11.5

26.3

37.0

16.2

●

*

*

*

*

27.5

*

35.7

14.4

●

66.7

15.3

*

*

●

19.8

●

6.7

30.4

65.;

*

19.4

36.0

525

54.8

●

6S.6

*

●

16.6

83.6

10.4

*

*

●

●

Standard errvrfor lengthdstay in days

Afldi6cM@sa MM M6iMrr

fix Ihw for dead

Fac#Hycharacferktb Avsriw Madkin dlsohqes discha&ms

~b

PrOpWaly . . . . . . . . . . . . . .

Voiunfarynonprofif . . . . . . . .

Govammant . . . . . . . . . . . . .

CWficafbn

Skiltad nu~,faoilifyoniy. . . .

Skilled nurshg facitlty and

Intarmadiate carafscilily. . . . .

intennadiate csrafactiityonty. .

fwfcartmad . . . . . . . . . . . . .

sadsIza

Fawerthen 50 beds . . . . . . . .

50-99 baas . . . . . . . . . . . . .

loo-lwb ads . . . . . . . . . . . .

200 badsorntora . . . . . . . . .

C%rrsusragbn

Northeast . . . . . . . . . . . . . .

Midwest . . . . . . . . . . . . . . .

South . . . . . . . . . . . . . . . . .

west . . . . . . . . . . . . . . . . .

StaWard Faderai

Admlnisfraffva Region

Ra@rri. . . . . . . . . . . . . . .

Ragbnll . . . . . . . . . . . . . . .

Ragbrtlll . . . . . . . . . . . . . . .

Ra@onlV. . . . . . . . . . . . . .

Ragbn V . . . . . . . . . . . . . . .

Ra@onVi. . . . . . . . . . . . . .

Ra@rIVii . . . . . . . . . . . . . .

Ra@onVill.. . . . . . . . . . . . .

Ragbnlx . . . . . . . . . . . . . .

Ragbnx . . . . . . . . . . . . . . .

Mefropoltranstafistkal

area (MSA)

MEA . . . . . . . . . . . . . . . . .

NotinMSA . . . . . . . . . . . . .

LhAngarrangement after

dischar@

PrfvafeoresmiprNafe

r@denOa . . . . . ...<.....

Alon e . . . . . . . . . . . . . .

Withtamifymambare . . . . . .

Wfthnonfarnilymarnbsfs . . .

Unknownf wlthothers. . . . .

Artothsrhesithfsoaity . . . . . . .

Anotharnursinghoma . . . . .

Ganarai or Sholt-stay

FE%%&+::::::::::

Vaferanehospitsi . . . . . . . .

Olherhaatfhfscltify

orunknown . . . . . . . . . . .

Unknownorofher . . . . . . . . .

Numbarwhodiad inofher

heeifhfaciiSy . . . . . . . . . . . .

13.2

42.5

109.1

23.3

19.0

27.8

79.1

114.7

28.5

15.4

34.3

50.3

21.9

29.9

16.8

48.7

56.7

76.0

28.0

27.2

49.3

51.6

la.5

21.3

40.3

14.2

30.7

9.7

19.6

41.4

20.1

56.7

39.6

119.1

26.5

31.4

4.4

11.4

14.2

5.4

4.5

11.7

83.7

15.5

5.4

5.6

7.4

14.0

6.4

5.9

5.0

34.5

29.1

6.2

7.6

6.5

22.3

9.7

28.2

4.9

7.9

4.9

6.8

2.0

9.7

2.6

10.4

●

●

23.0

7.7

18.5

5.2

4.8

22

3.0

4.8

14.5

33.3

15.2

4.2

8.0

9.1

17.5

6.0

6.2

6.4

*

20.0

127

4.e

6.7

18.2

15.1

●

4.3

6.5

5.2

7.3

2.0

9.7

26

10.4

●

●

23.0

7.7

18.5

19.7

66.6

●

23.8

19.2

78.0

●

*

33.9

25.3

28.6

32.2

34.9

39.0

29.1

52.0

*

●

8.;

●

*

*

*

●

30.6

45.4

3Mertd hospitals,fsdlltie$ for the mentdiy reterded, gWWSl or shut-stsy kspild peyehistrk unite, Sd mWtd * *- S1’ei~~.

70

,—
Appendix II

Definitions of certain

terms used in this

report

Terms relating to facilities

Nursing homes— Facilities with three beds or more that

provide to adults who require it either nursing care or

personal care (such as help with bathing, correspondence,

walking, eating, using the toilet, or dressing) and/or supervision over such activities as money management, ambulation, and shopping. Facilities providing care solely to the

mentally retarded and mentally ill are excluded. A nursing

home may be either fi-ee standing or a distinct unit of a

larger facility.

Bed— One that is setup and staffed for use, whether or

not it was in use by a resident at the time of the survey. Not

included are beds used by staff or owners or beds used

exclusively for emergency purposes, for day care only, or

for night care only.

Licensed bed–One that is licensed by the health

department or other responsible agency.

Cen@d bed— One that is certified as “skilled”

under the Medicare program, the Medicaid program,

or both, or as “intermediate” under the Medicaid

program. (See definition under Certz~cation for

details.)

Certification—Facility certification by Medicare andlor

Medicaid.

Medicare-The medical assistance provided in title

XVIII of the Social Security Act. Medicare is a health

insurance program administered by the Social Securi@

Administration for persons aged 65 years and over and

for disabled persons who are eligiile for benefits.

Medicaid-The medical assistance provided in title

XIX of the Social Security Act. Medicaid is a Stateadministered program for the medically indigent.

Skilled nursing fmility-One certified as a skilled

nursing facility under Medicare, under Medicaid, or

under both programs.

Intemaediate carej2zcility-One certified as an intermediate care facility under Medicaid.

Not cert#ied-Not certified as a provider of care by

either Medicare or Medicaid.

Resident days-The sum of the daily patient census

counts for each day in calendar year 1984 equals the total

resident days of care provided in that year.

Admisswns-The count of admissions to a nursing

home for calendar year 1984.

Occupancy rate-A measure of bed utilization for calendar year 1984, calculated as follows:

~ Estimated number of beds in 1984x 366

Geographic regz”on-Facilities are classified by geographic area by grouping the conterminous States into

regions. These regions correspond to those used by the U.S.

Bureau of the Census.

Region States included

Northeast Maine, New Hampshire, Vermont,

Massachusetts, Rhode Island,

Connecticut, New York,

New Jersey, Pennsylvania

Midwest Michigan, Ohio, Indiana, IIIinois,

Wisconsin, Minnesota, Iowa,

Missouri, North Dakota,

South Dakotz Kansas, Nebraska,

south Delaware, Maryland, District of

Cohunbi~ Virginia, West Virginia,

North Carolina, South Carolina,

Georgia, Florida, Kentucky,

Texas, Temessee, Alabama,

Mississippi, Arkansas, Louisiana,

Oklahoma

West Montan~ Idaho, Wyoming,

Colorado, New Mexico, Arizona,

Utah, Nevada, Washington,

Oregon, California (Alaska and

Hawaii are excluded.)

Standard Federal Administrative Re@”on—Facilities are

classified by Standard Federal Administrative Region by

grouping the conterminous States into 10 regions. These

regions correspond to those used throughout the Federal

Govemmenh

71
Region

Region I

Region II

Region III

Region IV

Region V

Region VI

Region VII

Region VIII

Region IX

Region X

States included

Connecticut, Maine, Massachusetts,

New Hampshire, Rhode Island,

Vermont

New York, New Jersey (Puerto Rico

and Virgin Islands are excluded.)

Delaware, Maryland, Pennsylvania,

Virginia, West Virginia, District of

Columbia

Alabama, Florida, Georgia,

Kentucky, Mississippi, North

Carolina, South Carolina, Tennessee

Illinois, Indiana, Michigan,

Minnesota, Ohio, Wisconsin

Arkansas, Louisiana, New Mexico,

Oklahoma, Texas

Iowa, Kansas, Missouri, Nebraska

Colorado, Montana, North Dakota,

South Dakota, Utah, Wyoming

Arizona, California, Nevada

(Hawaii, Guam, Trust Territory of

Pacific Islands, and American

Samoa are excluded.)

Idaho, Oregon, Washington (Alaska

is excluded.)

Ownership-The type of organization that controls and

operates the nursing home.

Propnetmy facility-One operated under private

commercial ownership.

Voluntary nonprofzt f~iIi~—One operated under

voluntary or nonprofit auspices, including churchrelated facilities.

Government fizi/i&-One operated under Federal,

State, or local government auspices.

Terms relating to discharges

Dircharge-A person who was formally discharged

from a nursing home during the appropriate discharge

reference period (12 months prior to the survey date).

Because the survey period was August 1985 through January 1986, the 12-month reference period was not freed but

rather ranged from August 1984 through January 1986.

Both live and dead discharges are included. Theoretically, a

person who was discharged more than once from a nursing

home during the discharge reference period can be counted

more than once.

primary source of pqment at admission —The one payment source that paid the greatest amount of the patient’s

charge during the calendar month of admission.

Primaiy source of payment at discharge-The one payment source that paid the greatest amount of the patient’s

charge during the calendar month of discharge.

Duration of stay-The time between the date of admission and the date of discharge.

Demographic items—

Age—Age at the time of discharge.

Race -RaciaJ background as reported by the nursing home staff respondent.

Hispanic origin—Of Mexican, Puerto Rican,

Cuban, Central or South American, or other Spanish

culture or origin, regardless of race, as reported by the

nursing home staff respondent.

Living anmwgernentafter dischage for live dischaqe–

The type of residence where the person lives after discharge. Another nursing home—Includes domiciliary or

personal care facilities, intermediate care facilities, and

skilled nursing facilities.

Other health faii@—Includes chronic disease, rehabilitation, geriatric, and other long-term care hospitals, and facilities for the mentally retarded.

Private or semiprivate residence—Includes houses

or apartments, rented rooms, boarding houses, and

retirement homes.

Mm”tal sttis at dtichage-Marital status at the time

of release from the nursing home.

Health status

Activities of ddy living–The activities of daily

living were collected for discharges in the areas of

continence and mobility only, based on information in

the medical record or performance at the time of

discharge.

Partial inder of dependency in activities of dm”ly

living–The partial index of dependency in activities of

daily living is modeled after the seven-level “hierarchy”

of dependence developed by Dr. Sidney Katz (17). The

index is a measure that permits overall classification of

individuals according to their dependency at the time of

discharge in performing the two activities of daily living

just described. Although the resident index covers six

activities, the partial index covers only two because

information on the others was not available in the

medical records of discharges. The partial index has

four categories, with categories hvo and three approximating the category “dependent in only one activity” in

the resident index. l%o activities, ordered in “hierarchy” sequence, represent the criteria for classifying a

discharge as dependent:

Mobility-Was chairfast or bedfast.

Continence—Had difficulty controlling bowels,

bladder, or both; or had an ostomy.

Diagnoses-One or more diseases or injuries (or some

factor that influences health status and contact with health

services that is not itself a current illness or injury) listed by

the attending physician on the patient’s medical record.

Diagnoses were recorded for two time periods: at

admission and at discharge. All diagnoses for sample

72

.—
discharges were transcribed in the order listed. Each sam- certain diseases peculiar to the perinatal period; and

ple discharge was assigned a maximum of eight 5-digit ill-defined conditions. In addition, two supplemental classicodes according to ICD-9-CM. A diagnostic chapter fications are provided: factors influencing health status and

within ICD–9–CM is primarily an arrangement of diseases contact with health services, and external causes of injury

according to their principal anatomic site, with special and poisoning.

chapters for infectious and parasitic diseases; neoplasms; Primary diagnosis-The diagnosis listed first on the

endocrine, nutritional, and metabolic diseasev mental medical record is the primary diagnosis.

disorders; complications of pregnancy and childbirth;

73
Appendix Ill

Survey instrument

1

DEPARTMENT Of HEALTH MO HUMAN SSRWCES

Pusuc HEALTH SERVICE Shews —Of —snOOse OMD ● No. 0s37-031S

Nedonel centusor l+welersatida

a-mu isxmcs 1*31 fes

19s5 NdOnd mmlm$ Home survey L

DISCHARGED RESIDENT SAMPLING LIST caneoi m.[ I I I I I

ConfidentialInformation

Information contadned on this form which would -t idenrifkauionof any individual or establishment has been aJUatui with

a @MJ=Y’Iti tit it will be held in strict confidence, will be used only for purposes autted for this study, and will nor be disclosed

or releasedto others without the consent

Servb Act (42 USC 242nt).

of the individualor the establishmentin accordena with Section 30B(d) of the Public Health

A. Type of identitkr used: 1 ❑ Name 2 ❑ ~a, Sp$cify

I

I

B. Reference period for

discharge sample —

.

/_ /_ to —/— /_ I

c. Total D~chsrgca listed D. Total in Satttpk

,

I E. Intet+ewsr Name I F. Irtterviswsr ID I

Determine the ●ppropriate reference period (12 months prior to suwey date) and enter the dates in Item B ●bove. IJst all residents

discharged alive or dead during that period in the order in which they am @ven to you. Enter the full dischargedate for each discharged resident. Mat all diachar~ ●vents during this period whether or not for the acme resident. Enter the total listed in Item C

above. Compare the total with Table 3 to de tannirte the sample. Circle the line numbers of all sample residenta. Count tie number

arclad and antar it in Item D above.

DISOHARGEO RESIDENTS

UNE

NO. Resident Identifier I

Datte of

Di3cherga

Mm. mu vnmr

,

04 I I

05

06 I I

-.

, I I

08 I

08

10 I

11

12 I I

13

14 I I

! , ,

15 I

16

17 I

18 I

1

19 I

20 I

-. 1

i —— ?

23

24 I

25

PH3-6272

01 f85

lf - Snes ● m rudd CONTINUE ON THE SACK

74
DISCHARGED RESIDENT SAMPLING UST–CONTINUED

DISCHARGED RESIDENTS

UNE

NO.

Reddent kbntifkf I

Date Of

DMo. Day Yez

26 I

27

28

29

30

31

32

33

34

35

36

37

38

39

40 1

41

42

43

u

45

46

47

48

49 I

50 (

If mom Iinm aranwded H ● n-w shamand mnumtir the Iinczbcginnit

with #51. Ronumbu Iinrs on additionalsho.ta 101.1!51,●te.

75
DEPARTMENT OF HEALTH AND HUMAN SERVICES

PUBLIC HEALTH SERVICE OMB t09370t15

National Center for Heatth Statistics APPROVAL ExPIRES 1231 06

1985 National Numing Horns Survey

CONTROL NO.

DISCHARGED RESIDENT QUESTIONNAIRE

CONFIDENTIAL INFORMATION

Information contained on this form wkch would permit identification of any individual or establishment has been cotlected w-hh

a guarantee that it will be held in strict confidence, will be used only for purposes stated for this study, and will not be disclosed

or released to others without the consent of the individual or the establishment in accordance with Section 308(d) of the Public

Health Service Act (42 USC 242m).

A. Interviewer Name B. Interviewer I.D. C. Date of Interview

/ /

Mo thy Yalr

D. Resident Line No. E. Respondent Title F. Date of Discharge

/ /

Mo my Year

ENTER HERE AND ON FOLDOUT SHEET

G. Name of Discharged Resident

tniliat tasl

1. What is the sex of this resident?

01 ❑ Male 02 ❑ Female

2. What is ‘s date of birth?

I SHOW FLASHCARD # 1 i

3a. What is the racial background that best describes this person?

01 •l White 04 ❑ Asian or Pacific Islander

02 ❑ Black 94 ❑ Don’t know

03 ❑ American Indian or Alaska Native

3b. h Hispanic or not?

01 ❑ Hispanic

02 ❑ Not Hispanic

94 ❑ Don’t know

max. I

nR/R7

76
4

.

...

{

[

4a. What was ‘s marital status at admiision?

01 ❑ Married 04 ❑ Separated

02 H Widowed 05 ❑ Never Married

03 ❑ Divorced 94 ❑ Don’t know

4b. What was ‘s marital status at discharge?

01 ❑ Married 04 ❑ Separated

02 ❑ Widowed 05 ❑ Never Married ,,.. .

03’ Cl Divorced 94 ❑ Don’t know

XNTERVIEWEIk READ INTRODUCTORY PARAGRAPH FOR THE SOCXA+ SECURITY NUMBER

ONLY ONCE FOR EACH NEW RESPONDENT.

5. As part of this survey, we would Iike to have ‘s Social security Number. Provision

of this number is voluntary and not providing the number wiIi have no effect in any way on

‘s benefits. This number will be useful in conducting future follow-up studies. it

will be used to match against the vitai statistics records maintained by the National Center for Health

Statistics. This information iscollected under the authority of Secdon 306 of the Public Health Service

Act.

.

What is ‘s Social Security Number?

Social Security #

6. What was the date of admission prior to the discharge date “of (DATE OF DISCHARGE)?

,.. ,

/ /“

ifo. my Year

INTERVIEWER ENTER ADMISSION DATE ON FOLDOUT SHEET THEN ASK Q. 7.

SHOW FLASHCARD # 2 1

7a. Where was staying immediately before entering this facility?

01 ❑ Private residence (house or ap~ment)

02 ❑ Rented room, boarding house

03 ❑ Retirement home

04 ❑ Another health (including mental health) facility (SKIP TO Q. .7c)

05 ❑ Other arrangement, (SPECIFY) (SKIP TO Q. 8)

94 ❑ Don’t know. (SKIP TO Q. 8)

77
7 b. At that time, was living with f~ily members, non-family members, or alone

01 ❑ Whh family members

02 ❑ With non-famiIy members

03 •l Alone

94 ❑ Don’t know

B

I

SHOW FLASHCARD # 3

●

7c. What type of facility was it?

01 U Domiciliary or personal care facility

02 0 Intermediate Care Facility (ICF)

03 ❑ SkilIed Nursing Facility (S~

04 ❑ Facility for mentaUy retarded

OS u General or short-term hospital, ___ 7d. How many nights did

except psychiatric unit spend in the hospital during that stay?

06 0 General or short-term hospital psychiatric unit Number of nights

07 ❑ Veteran’s hospital 94 ~ Don’t know

08 ❑ Mental heaIth center

09 ❑ Residential facility (group home,

cooperative apartment,

familyifoster care home)

10 ❑ State mental hospital

11 D Private mental hospital

12 ❑ Chronic disease, rehabilitation, geriatric or other

Iong-tetm care hospital.

13 ❑ Hospice

14 n Home health agency

15 ❑ Other, (SPECIFY)

94 U Don’t ktiow

~

7e, Where was staying immediately before entering that faciIity?

01 ❑ Private residence (house or apartment)

02 ❑ Rented room, boarding house

03 ❑ Retirement home

04 n This facility (SKIP TO Q. 8)

05 ❑ Another nursing home (SKIP TO Q. 8)

06 D Another health (including mental health) facility (SKIP TO Q. 8)

07 U Other arrangement,(SPECIFY) (SKIP TO Q. 8)

94 n Dmt’t know (SKIP TO Q. 8)

78

————
7f. At that time, was living with family members, non-family members or alone?

01 ❑ With family members

02 ❑ Wkh non-family members

03 •l Alone

94 ❑ Don’t know

Ba. Was ever admitted to a short-stay hospital while a resident in this facility? That is,

from (DATE OF ADMISSION) to (DATE OF DISCHARGE) and w“ithout bekg

formalIy dmharged from @ facility?

01 Cl Yes

02 ❑ No (SKIP TO Q. 9)

940 Don’t know (SKIP TO Q. 9)

lb. How many stays did have in short-stay hospitals from (DATE OF ADMISSION)

to (DATE OF DISCHARGE) and without behg formally d=harged from this facility?

Number of stays

9. On (DATE OF DISCHARGE), was discharged aIive?

B

01 Yes

02 No (SKIP TO Q. 11)

94 Don’t know (SKIP TO Q. 11)

SHOW FKASHCARD # 2

10+ Where did stay immediately after dscharge from th= facility?

01 U Private residence (house or apartment) (SKIP TO Q. 1la)

02 ❑ Rented room, boarding house (SKIP TO Q. 1la)

03 ❑ Retirement home (SKIP TO Q. 1la)

04 ❑ Artother health care facility

05 ❑ Other arrangements, (SPECIFY) (SKIP TO Q. 1la)

94 n Don’t know (SKIP TO Q. 1la)

79
SHOW FLASHCARD # 3

I

10b, What type of facility was it? —

I(IC.

01

02

03

04

05

06

07

08

09

10

11

12

13

14

15

94 I

Did _

Domicilia~ or personal care facility

Intermediate Care Facility (ICF)

Skilled Nursing Facility (SNF) “

Facility for mentally retarded

Oeneral or short-term hospitaI, except psychiatric unit

General or short-term hospital psychiatric unit

Veteran’s hospital

Mental health center

Residential facility (group home, cooperative apartment, family ~foster care home)

State mental hospital

Private mental hospital

Chronic disease, rehabilitation, geriatric or other Iong-term care hospital

Hospice

Home health agency

Other, (SPECIFY) (SKIP TO Q. 1la)

Don’t know (SKIP TO Q. 1la)

die in this other health care facility?

01 •1 Yes

02 ❑ No

94 ❑ Don’t know

1la. Other than the stay from @ATE OF ADMISSION) to (DATE OF DISCHARGE), has

had any other stays at thfi facility?

01 IJ Yes

020 No (SKIP TO INTERVIEWER NOTE AFTER Q. 1lf)

94 ❑ Don’t know (SKIP TO INTERVIEWER NOTE AFTER Q. 11f)

11b. How many times has ‘“ been a resident in this facility besides the stay fro

(DATE OF ADMISSION) to (DATE OF DISCHARGE)?

Times

1It(l). On what dates was admitted and d~charged

from this facility?

Admitted Discharged

month/day/year month/day/year

1.

2.

3.

4.

5. ,_

6.

1Ic(2). Was this discharge to a shf

stay or general hospital?

Yes No Don’t kno~

010 02cl 940

010 020 94EI

010 020 940

Olu 02U 940

010 020 940

010 020 940

7. 010 020 940

8. 010 020 940

INTERVIEWER: ARE ANY DATES LISTED IN Q. llc(l) ABOVE AFI’ER DATE OF

DISCHARGE ON FOLDOUT SHEET?

01 ❑ Yes (Continue with Q. lld) 02 ❑ No (SKIP TO INTERVIEWER NOTE AFTER Q. llf)

80
IId. k stilIa resident?

01 ❑ Yes (SKIP TO INTERVIEWER NOTE A.FIZR Q. 1If)

02 ❑ No

94 ❑ Don’t know (SKIP TO INTERVIEWER NOTE AFTER Q. 110

1Ie. Was discharged alive?

01 •l Yes

02 ❑ No (SKIP TO INTERVIEWER NOTE AFTER Q. 1If)

94 ❑ Don’t know (SKIP TO INTERVIEWER NOTE A.Ff’ER Q. 1If)

11f. Where did go to after discharge from this facility?

01

02

03

04

05

06

07

94

c1

•1

❑

c1

•1

El

El

❑

Private house or apartment

Retirement home

Boarding house, rooming house or rented room

Family/foster care home

Hospice

Artother heakh (including mental health) facility

Other arrangement, (SPECIFY) 1

Don’t know

INTERVIEWER NOTE: REFER TO Q. 9, Q. lk AND Q.he. COl@LETEFINALSTATUS ON

FOLDOUT SHEET. THEN CONTINUE WITH Q. 12

K2a.

12b.

12C.

I

12d.

I

“was ever-in any olher nuriing- home-b&de this one?

01 •1 Yes

02 ❑ No (SKIP TO INTERVIEWER NOTE BEFORE Q. 13)

940 Don’t know (SKIp TO INTERVIEWER NOTE BEFORE Q. 13)

Not counting this facility, in how many different nursing homes did reside?

Number of different homes 94 ❑ Don’t know

Altogether, what was the total length of time that qxnt in all those other nursing

homes? Do not include time spent in this facility.

94 ❑ Don’t know

Years Months

What is the name of each of the@ nursing homes at which was a resident

or patient?

Facility

(1)

(2)

I

(3)

81
12e. How many times was (NAME OF FACILITY lN Q. 12d(l))?

Tiies in facility

12f. On what dates was admitted and discharged from (NAME OF F44CIL1TY IN Q. 12d(1))?

Admitted Dkcharged

Month Year Month Year

1. / ~.

2. ~ ~.

3. ~_ ~.

12g. How llWty times WU a resident in (NAME OF FACILITY IN Q. 12d(2))?

llrnes in facility

12h. On what dates was admitted and discharged from (NAME OF FACILITY IN Q. 12d(2))?

Admitted Dkcharged

Month Year Month Year

1. ~_ ~—

2. / ~.

3. _/_. ~—

12i. How many times was a resident in (NAME OF FACILIIY IN Q. 1M(3))?

Times in facility

12j. On what dates was admitted and discharged from (NAME OF FACILITY lN Q. 12d(3))?

Admitted Discharged

Month Year Month Year

1. / ~.

2. _/_ ~—

J. ~._ .~—

INTERVIEWER NOTE: READ PHRASES IN PARENTHESIS IN Q. 13 ONLY IF “FINAL

STATUS” ON FOLDOUT SHEET IS “ALIVE.” SECTIONS a AND b ARE FILLED OUT ONLY IF

THE DISCHARGE WAS ALIVE. FILL IN AS MANY NAMES AND ADDRESSES AS

AVAIIABLE. ASK RESPONDENT TO INDICATE WHICH CONTACT IS THE “BEST CONTACT”

AND PLACE AN ASTERISK ON THE LINE NEXT TO THAT NAME.

13. In order to follow-up on ‘s complete history of nursing home utikation, we would

like to have any information that you have that will allow us to locate ( as wel

as) ‘s next of kin. Please give me the names, addresses and telephone numbers of

( and) ‘s next of kin, relatives, friends or anyone else

who might know about ,—. . (If was dischargedto another

facility, please give me the name, address and telephone number of that facility).

82
13a. Facility discharged to:

Name

Street

Chyand State

Zip Code

Telephone Number f )

13b. Resident:

Street

City and”State

13c. Next

Zip Code

TeIephone

of Kin:

Number ( )

❑ No next of kin on reeord

Nartte (First, Initial, Last)

Street

City and State

Zip Code

Telephone Number f )

Relationship to Resident

13d. Kin/Friend/Othe~

Name (First, Initial, Last)

City and State

Zip Cock

Telephone Number f }

Relationship to Resident

Name (First, Initial, Last) .

Street

City and State

Zip Code

Telephone Number f )

Relationship to Resident
3f. Ki.n/FnencVOther:

Name (I%st, Initial, L@

street

City and State

Zip Code

Telephone Number (~-.

Relationship to Resident —.

3g. Kin/Friend/Other:

Name (FiIst, initial, Last)

Street

C%y and State

Zip Code ——

Telephone Number ( )

Relationship to Resident

14. According to_ ‘s medical record, what were the primary and other diagnoses at the

time of the admission on (DATE OF ADMISSION)? (SPECIFY)

FOR OFFICE USE ONLY

ICD9 E or V CODE

Primary: 1. I

6. I

7. !

15. According to ‘smedical recoixj,what were ‘s primary

and other diagnmes at the time of the discharge on (DATE OF DISCHARGE)? (SPECIFY)

FOR OFFICE USE ONLY

ICD9 E or V CODE

‘Primary: _ 1.

Other: 2.

4.

..— .—...—

5.
.6a. During the last 7 days before discharge, that is, from (DATE 7 DAYS PRIOR TO DISCHARGE DATE) to

(DATE OF DISCHARGE), W= bedfast?

01 ❑ Yes (SKIP TO Q. 17)

020No ,

94 ❑ Don’t know

[6b. Was chairfast?

01 ❑ Yes

02 ❑ No

94 ❑ Don’t know

17. During the last 7 days before discharge, that is, from (DATE 7 DAYS PRIOR TO DISCHARGE DATE) to

(DATE OF DISCHARGE}, did have any difficulty in controlling

bowels?

01 ❑ Yes

02 ❑ No

03 ❑ Not applicable, had an ostomy

94 u Don’t know

18. During the last 7 days before discharge, that is, from (DATE 7 DAYS PRIOR TO DISCHARGE DATE) to

(DATE OF DISCHARGE), did have any difficulty in controlling

bladder?

01 •1 Yes

02 ❑ No

03 ❑ Not applicable, had ostomy, indwelling catheter, or external device

%1❑ Don’t know

INTERVIEWER READ: The remaining few questions deal with charges and payment sources. Do you have

this information?

01 ❑ Yes 01 ❑ No (DETERMINE WHO HAS INFORMATION AND

WHEN YOU HAVE COMPLETED m THE

DISCHARGED RESIDENT QUESTIONNAIRES,

INVERVIEW THAT PERSON FOR THE INFORMATION, USING PROMPT CARD # 11.)

—

INTERVIEWER: BEFORE PROCEEDING, REFER TO THE ADMISSION AND DISCHARGE DATES

ON THE FOLDOUT SHEET.

WAS THE RESIDENT ADMITTED IN THE SAME MONTH THAT HE/SHE WAS DISCHARGED?,

01 ❑ Yes (SKIP TO Q. 21) 02 ❑ No (CONTINUE WITH Q. 19)

85
EEEEEl

9. What were U the sources of payment for ‘s care for the month of (MONTH ANI)

YEAR OF ADMISSION)? That is, for the month when was admitted to this facility.

(MARK (X) ALL THAT APPLY))

01 •1

020

03 •1

040

05 •1

060

07 •1

08 ❑

Wu

10 ❑

11 •1

12 •1

Own income, family support, health insurance, retirement fuiids, Social Security, etc.

Medicare

Medicaid - skilled nursing

Medicaid - intermediate care

State funded indigent care (excluding Medicaid)

Other government assistance or welfare

Religious organizations, foundations, volunteer agencies

VA contract

Initial payment-life care funds

No charge made for care (facility assumes cost)

Payment source not yet determined

Other, (SPECIFY)

I

SHOW FLASHCARD # 5

1

20. What was the primary source of payment for ‘s care for the month of (MONTH

AND YEAR OF ADMISSION)?

01 •1

02 ❑

03 •1

040

05 ❑

06Kl

07 ❑

08 a

090

10 ❑

11 c1

12 •1

Own income, family support, health insurance, retirement funds, Social Security, etc.

Medicare

Medicaid - skilled nursing

Medicaid - intermediate care

State funded indigent care (excluding Medicaid)

Other government assistance or welfare

Religious organizations, foundations, volunteer agencies

VA contract

Initial payment-life care funds

No charge made for care (facility assumes cost)

Payment source not yet determined

Other, (SPECIIW)

—

86
21. What were &l the sources of payment for ‘s care for the month of (MONTH

AND YEAR OF DISCHARGE)? (MARK (X) ALL THAT APPLY)

01 •1

02 •1

03 •1

040

05 •1

060

07 •1

08 ❑

09n

10 •1

11 •1

12 ❑

Own income, family support, health insurance, retirement funds, %&3 Security, etc.

Medicare

Medicaid - skilled nursing

Me&caid - internlxliate care

State funded indigent care (excluding Medicaid)

Other government assistance or weIfare

Religious organizations, foundations, volunteer agencies

VA contract

Initial payment-life care funds

No charge made for care (facility assumes cost)

Payment source not yet determined

Other, (SPECIFY)

EEEa

22. What was the rimary source of payment for

AND YEAR OF% DI CHARGE)?

‘s care for the month of (MONTH

01

02

03

04

05

06

07

08

09

10

11

12

❑

•1

•1

❑

•1

•1

❑

❑

•1

•1

❑

❑

Own income, family support, health insurance, retirement funds, So&l Seeurity, etc.

Medicare

Medicaid - skilled nursing

Medicaid - jntwrnediate care

State funded indigent care (excluding Medcaid}

Other government assistance or welfare

.

Religious organizations, foundations, voIunteer agencies

VA contract

Initial payment-life care funds

No charge made for care (facility assumes cost)

Payment, source not yet determined

Other, (SPECIFY)

87

f? U.S. GOVERNMENT PRINTING OFFICE 1990 – 261-195 / 20003
Vital and Health Statistics

series descriptions

SERIES 1.

SERIES 2.

SERIES 3.

SERIES 4.

SERIES 5.

SERIES 6.

SERIES 10

SERIES 11.

SERIES 12.

SERIES 13.

SERIES 14.

Programs and Collection Procedures— Repons descrlb!ng

the general programs of the National Center for Health

Stattstlcs and Its offices and dwls!ons and the data ccTlIectlon methods used They also Include deflnltlons and

other material necessary for understanding the data

Data Evaluation and Methods Research— Stud!es of new

statistical methodology Including e.. perlmental tests of

new survey methods, stud!es of v!tal statistics ,collect!on

methods, new analytical techniques, ob)ect[ue evaluations

of rellablllty of collected data, and contr]but[ons 10

statistical theory Studies also Include comparison of

U.S. methodology w!th those of other countries

Analytical and Epidemiological Stud[es— Repnr[s presenting analytical or !nterpretlve studies based on wtai

and health statlstlcs, carrying the analvsls further than

the expository types of reports In the other series

Documents and Committee Reports-Final reports of

maJor committees concerned wtth wtal and ht?alth statistics and documents such as recommended model v!tal

registration laws and rewsed birth and death certlflca?es

Comparative International Vital and Health Statistics

Reports-Analytical and des~rlptwe reports cornpar!ng

U S vnal and health statistics with those of other countres

Cognition and Survey Measurement—Reports from the

National Laboratory}, for Collaborative Research !n Cogn!-

tlon and Survey Measurement using methods of cognrtlue

science to design, evaluate, and test survev instruments

Data From the National Health Interview Survey-Stallst!cs on Illness, accidental Injuries, dlsabjl!tv use of hospital, medical, dental, and other serwces, and other

health-related topics, all based on data collected In the

continuing national household lnterwew survey

Data From the National Health Examination Survey and

the National Health and Nutrition Examination Survey—

Data from direct eiamlnatlon, testing, and meas!~remen[

of national samples of the clvlllan nonlnstltut !onal]zed

population provide the basis for (1 I est]mates of the

medically def{ned prevalence of spec[flc diseases m the

Unned States and the dlstr!but!ons of the pop~latron

with respect to phvslcal, physlalog!cal. anc p~vchoIoglcal character! stlcs and (2) anal}sis of relat!onshlps

among the various measurements without refere”c~ lo

an exoltclt ftnlte universe of persons

Data From the Institutionalized Population SumJeys-DIs.

continued !n 1975 Reports from these survi?}~s are included In Series 13

Data on Health Resources Utilization—Statlstlcs on the

ut!ltzatlon of health manpower and facltltles provldlng

long-term care, ambulatory care, hospital care, and fsm(ly

plannlng services,

Data on Health Resources: Manpower and Facti(tles—

Statlstrcs on the numbers, geographic dlstrlbut, on and

characteristics of health resources Includlng physicians,

dentists, nurses, other health occupations hospitals

nursing homes, and outpatient faclllt!es

SERIES 15

SERIES 16

SERIES 20

SERIES 21

SERIES 22

SERIES 23

SERIES 24

Data From Special Survey s-Statlstlcs on health and

health-related topics collected ]n spec!al surveys that

are not a part of the continuing data systems of the

National Center for Health Statistics

Compilations of Advance Data From Vital and Health

Statistics—These reports provtde early release of data

from the National Center for Health Statlstlcs’ health and

demographic surve,;s Many of these releases are followed

b,+ detailed reports In the Vital and Health Statlstlcs

Series

Data on f’vlortality-Var! ous statlst]cs on mortallty other

than as included rn regular annual or monthly reports

Special analyses by cause of death, age, and other demographic variables geographic and time series analyses;

and stat! st!cs on characteristics of deaths not available

from the v]tal records based on sample surveys of those

records

Data on Nata[ity, Marriage, and Divorce—Various stat!stlcs on natal tty, marriage, and dworce other than as

Included [n regular annual or monthly reports. Special

analyses b; demographic variables: geographic and time

series anal,, ses, studies of fertlllt}! and stat[stlcs on

characteristics of b!rths not avatlable from the vital

records based on sample survevs of those records.

Data From the National Mortality and Natality Scsrveys—

Dlscont!nued in 1975 Reports from these sample surveys

based on v!tal records are included in Series 20 and 21,

respectively

Data From the National Survey of Family Growth—

Stat(stlcs on fertllitv. family formation and dissolution,

family plannlng, and related maternal and Infant health

topics der!ved from a perlodlc survey of a natlonwrde

probab!ljt!; sample of women 1 5–44 years of age.

Compilations of Data on Natality, Mortality, Marriage,

Dworce, and Induced Terminations of Pregnancy—Ad-

,~ance reports of births. deaths, mamages, and dworces

are based on final data from the Nattonal Vital Statistics

S)fstem and are published annually as supplements to the

Monthly V!tal Statlst!cs Report (MVSRI, These reports are

follmved by the publ!catlon of detailed data In Vital Statwt!cs cf the United States annual volumes. Other reports

!nclud!ng Induced terminations of pregnancy issued per!od-

!cally as supplements to the MVSR provide selected flndIngs based on data from the National Vital Statlstlcs

System and mav be folloived by deta!led reports tn Vital

~nd Health Statlst!cs Ser!es

For answers to questions about this report or for a ltst of titles of

reports published !n these ser[es, contact,

Sclent!flc and Techntcal Information Branch

National Center for Health Statlstlcs

Centers for Disease Control

Publ!c Health Sen!ce

Hvatts~.]lle, kld 20782

301-436-8500
U.S. DEPARTMENT OF HEALTH AND

HUMAN SERVICES

Public Health Serv!ce

Centers for Disease Control

National Center for Health Stakstlcs

3700 East-West Highway

Hyatkxdle, Maryland 20782

OFFICIAL BUSINESS

PENALTY FOR PRIVATE USE, $300

DHHS Pubhcatlon No (PHS) 9G1 764, Series 13, No 103