Data on

NATIONAL HEALTH RESOURCES

Employeesin NursingHomes

in the UnitedStates:

1973-74 National Nursing Home Survey

Statistics on nursing home employees including hourly wages, work

experience, education, age, sex, and race, according to certification,

ownership, bed capacity, and regional location of the homes. Based

on data collected in the 1973-74 National Nursing Home Survey.

DHEW Publication No. (PHS) 79-1815

Series 14

Number 20

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

Public Health Service

Office of the Assistant Secretary for Health

National Center for Health Statistics

Hyattsville, Md. February 1979
Library of Congress Cataloging in Publication Data

Sirmcm ), Alvin.

Emplc )Iem in nursing hmncs in the U.S.

(1’it:d :Ind he31th st.ltistics: Series 1-!, Data on naticmal health resources: no. 20) (DI IE\\’

pllhlicatii~n; (PHS) 7!3-1S15)

ltlcl I.ldcs hihliographical references.

1. Nursing homes-Unitecl States -EmpIo~ees-Statistics. I. Title. II. Serius: Lkiitcl I

St :itrs. N;lti~_j]~~ilCenter for Health Statistics. \~itaJ and health statistics: Series 14, Dai~l ~In

nuti(tn:ti Ile;llth resources, rntinpo~ver and facilities; no. 2(I. 111.Series: United States. 13cpt.

f~l’J-fu:ilIII, F,(ll[r:ltinn, and \\~clfoK. DHEIV publication: (PHS) 79-1 815. [DNLhi: 1. Nursin+

AJ.~ll]]tlx\t:i.-LTnitecl States. 2. Nursing staff —SuppIy ancl distribution-unitec[ States.

IY: ;\ N I 4s\m 11[:).2ft 1

1?.19!37.s55 S31.7’61’362160973 78-56s1

lsm (1-s406-0130-1
NATIONAL CENTER FOR HEALTH STATISTICS

DOROTHY P. RICE, Director

ROBERT A. ISRAEL, Deputy Director

JACOB J. FELDMAN, Ph.D., Associtite Director for Analysis

GAIL F, FISHER, Ph.D., Associate Director for the Cooperative Health Statistics System

ELIJAH L. WHITE, Associate Director for Data Systems

JAMES T. BAIRD, JR., Ph.D., Associate Director for Internutiotud Statistics

ROBERT C, HUBER, Associate Director for Management

MONROE G. SIRKEN, Ph.D., Associate Director for Mathematical Statistics

PETER L. HURLEY, Associate Director for Operations

JAMES M. ROBEY, Ph.D., Associate Director for Program Development

PAUL E. LEAVERTON, Ph.D., Associate Director for Research

ALICE HAYWOOD, Information Officer

DIVISION OF HEALTH MANPOWER AND FACILITIES STATISTICS

GLORIA HOLLIS KAPANTAIS, Director

SHELDON STARR, Deputy Director

EVELYN MATHIS, ChieJ Health Facilities Statistics Branch

JOSEPH BARBANO, Chief Health Manpower Statistics Branch

CHARLES CRONER, Chiej Technical Services Branch

Vital and Health Statistics-Series 14-No. 20

DHEW Publication No. (PHS) 79-1815.

Library of Congress Catalog Card Number 78-5681
CONTENTS

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

Scope of Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Background . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Qualifications oftheData . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Highlights. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Total Staff . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Administrativeand Me&lcalStaff . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Nursing Staff . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

ThcmpeuticSt aft . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Staffin Charge of Shifts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

ListofDetailed Tables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Appendixes

I. Technical NotesonMethods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

H. Definitions of Certain Terms Used in This Report . . . . . . . . . . . . . . . . . . . . . . . . . .

HI. Criteria for Classifying Nursing Homes According to Level of Nursing Care . . . . . . . . . . . .

IV. Selected Questionnaires Used in the 1973-74 National Nursing Home Survey . . . . . . . . . .

LISTOFTEXTTABLES

A. Number of full-time and part-time administrative and medical employees in nursing homes, by

typeofemployee: United States, 1973-74 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

B. Averages of total years of nursing home and hospital experience as a registered nurse and years of

current nursing home employment, byaverage hourly wage: United States, 1973-74 . . . . . .

C. Averages of total years of nursing home and hospital experience as a licensed practical nurse and

years of current nursing home employment, b y average hourly wage: United States, 1973-74..

D. Averages of total years of nursing home and hospital experience as a nurse’s aide and years of

current nursinghome employment, by average hourly wage: United States, 1973-74 . . . . . .

E. Numbers of full-time and part-time therapeutic employees in nursing homes, b y type of emplo yee:

United States, 1973-74 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

F, Number of nursing homes and full-time equivalent (FTE) therapeutic emplo yees and rate per 100

homes, by selected nursing home characteristics: United States, 1973-74 . . . . . . . . . . . . .

G. Number of full-time and part-time therapeutic employees, by region of hospitzd and years of

education: United States, 1973-74 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1

I

1

1

2

2

3

5

8

8

10

11

25

34

36

37

3

6

6

7

8

8

9

...

Ill
SYMBOLS

Data not available ----------------------------------------- ---

Category not applicable -------------------------------- . . .

Quantity zero ----------------------------------------------- -

Quantity more.than Obut less than 0.05------ 0.0

Figure does not meet standards of

reliability or precision ------------------------------

*

iv
EMPLOYEES IN NURSING HOMES IN THE UNITED STATES:

1973-74 NATIONAL NURSING HOME SURVEY

AlSirrocco, Division of Health Manpower and Facilities Statistics

INTRODUCTION

Scope of Report

From August 1973 to April 1974, the National Center for Health Statistics, through the

Division of Health Resources Utilization Statistics, conducted a nationwide sample survey of

nursing homes, their residents, and staff. This

report presents estimates from that survey on

the characteristics of employees working in

those homes.

Data relating to nursing home characteristics

such as certification, ownership, bed capacity,

and regional location were obtained by means of

the survey. In addition, numerous questions

elicited data pertaining to employee characteristics such as race, sex, and age as well as

covering such topics as salary and other benefits,

length of current and past employment, extent

of formal education, and kinds of training

courses. Because so many important variables

have been defined, a tremendous amount of

information is available from the survey. However, in order to present as many tables as possible, the discussion and analysis of this report are

limited to only the highlights of the major employee categories.

Background

Since 1963 the National Center for Health

Statistics (NCHS) has employed two types of

surveys to gather nursing home data—universe

surveys and sample surveys.

During universe surveys a mailout questionnaire is used to elicit basic information on characteristics of all known nursing homes in the

United States. A series of these universe surveys,

called Master Facility Inventory (MFI) Surveys,

has been conducted (1963,1 1967,2 1969,3

1971,4 and 19735). A special ad hoc universe

survey was conducted in 19686 and more detailed information was obtained than in the MFI

Surveys.

‘However, the more detailed and time consuming surveys are perhaps more efficiently conducted as sample surveys, which cover only a

small fraction of the total universe and can be

conducted via personal interviews rather than

mailings. This technique has been used a number

of times by NCHS in collecting nursing home

data (1963,7 1964,8 and 19699). The universe

used in drawing the samples for these surveys

has in each case been the most recent MFI listing

with newly opened nursing homes added to it.

The 1973-74 National Nursing Home Survey 10-13 is the latest completed sample survey.

Qualifications of the Data

Since the 1973-74 nursing home survey was

conducted pn”or to the 1973 MFI Survey, the

universe used in drawing the sample was the

1971 MFI together with all nursing homes that

were found to have begun operation between

the time of the 1971 MFI Survey through

January 1973.

To be included in the sample, a nursing

home had to qualify by NCHS criteria as either a
nursing care home or a personal care home with

nursing service (appendix IV). This sampling

provision excluded homes where the care offered was entirely personal or domiciliary. Also

excluded from the sample were nursing homes in

Alaska and Hawaii,

‘ BeZause t~unwerse was based on the-1971

.. . ....

survey, all homes found in that survey to be

personal care or domiciliary care were excluded

from the sampling frame, since there was no way

of knowing if they had upgraded to a personal

care with nursing or nursing care home by the

time the 1973-74 survey began. As a result of

these exclusions, the estimates from this survey

do not correspond precisely to the figures from

the 1973 MFI Survey. (See appendix I,

“Sampling Frame,” for details.)

To participate as a Medicare provider, a

home must be certified as an extended care facility (ECF) according to the requirements of Medicare legislation in effect at the time of the

survey (Title XVIII of the Social Security Act).

To participate as a Medicaid provider, a home

could be certified as a skilled nursing home

(SNH) and/or as an intermediate care facility

(ICF) according to the requirements of Medicaid

legislation (Title XIX of the Social Security

Act) .’

Of the homes which were certified, some

were certified under bo i% the Medicare and

Medicaid programs. Other homes certified only

by the Medicaid program were certified to participate as both a skilled nursing home and an

intermediate care facility. In order to provide

detailed data by certification status, some small

certification subgroups were combined with

larger ones when both provided similar levels of

care. Thus, those homes classified throughout

, this report as having been certified by both

Medicare and Medicaid actually include 8 percent that were certified by Medicare only. Similarly, those homes classified as having been certified by Medicaid as skilled nursing homes actually include 35 percent that were also certified

as intermediate care facilities.

‘The extended care facility and skilled nursing home

designations are used in this report because most of the

survey was conducted prior to legislation that created

the skilled nursing facility designation.

Many - of the survey findings discussed in

these pages are expressed as percentages of the

estimated employees. Tables of sampling errors

for these estimated percentages as well as other

sampling errors appear in appendix I.

When discussed in terms of rates and ratios,

employees in nursing homes probably can best

be examined by using full-time equivalent (FTE)

employees. This measurement has been used

from time to time throughout this report and

can be derived by using the follo~ving formula:

FTE = (full-time employees) + (part-time employee hours/35 hours). However, since the

primary emphasis is on the characteristics of the

staff, the central focus will be on the actual

full-time and part-time employees. Definitions

of terms used in this report are given in appendix II.

HIGHLIGHTS

The following discussion desk with total

staff, the three major health-related categories of

employees (administrative and medical staff,

nursing staff, and therapeutic staff), and employees in charge of shifts. The final group has

been included in order to compare attributes of

employees selected to be in charge of nursing

care with those not selected. The survey counted

but did not collect information for the group

“All other staff.” The counts are presented in

tables 1 and 2.

Total Staff

An estimated 590,000 full-time (table 1) and

270,000 part-time (table 2) employees worked

in the 15,700 nursing homes covered by the survey. Excludlng the clerical and office staff, food

service personnel, and housekeeping and maintenance personnel, for \vhom no data \vere collected, the total numbers of health-related enlployees were approximately 409,000 full-time

(table 1) and 174,000 part-time (table 2). Converting these to full-time equivalents (FTI?’s),

there were 46 FTE health-related employees per

100 residents. In 1968 a comparable statistic

showed a rate of 42 FTE’s per 100 residents.6

2
Administrative and Medical Staff

The types of nursing home employees included in this group are listed in table A, along

with the number of full-time and part-time

employees estimated to be in each category (extracted from tables 1 and 2).

Table A. Number of full-time and part-time administrative and

medical employees in nursing homes, bv tvDe of emcdo’vee:

United States,”1 973-74 -

Type of employee

Total administrative and

medical employ ees,....................

Administrative or assistant

administrator ..................................

Physician (M.D. or D. O.)., ................

Dentist ..............................................

Pharmacist ........................................

Dietitian or nutritionist ....................

Registered medical record

administrator ..................................

Other professional occupations

(includes interns, residents, therapeutic recreators) ............................

Other medical record administrators

and technicians ...............................

Full-time

24,700

18,800

1,000

100

600

1,300

*loo

1,600

1,200

Part-t ime

22,600

2,200

5,700

1,300

2,900

6,000

1,600

1,900

1,000

The total number of all these types of

employees working full time in nursing ‘homes

\vas approximately 25,000, of which 19,000

were administrators or assistant administrators.

Because they made up such a large proportion of

the group, the remainder of this section will deal

only with administrators and assistant administrators, The survey did not distinguish bet~vecn administrate ors and assistant administrators;

thcrcl’ore, they will be treated as one and

referred to as administrators. The number of

part-time administrators was so small that only

the full-time administrators will be discussed

here.

A look at administrators as a whole revealed

● About an equal number of women and

men.

. Some black administrators (3 percent)

but mostly white (96 percent).

. An average age of 47 years.

. An average hourly wage of $5.44.

. A preponderance of high school graduates (95 percent).

. 2 out of 5 with college degrees.

● An average current employment of 6.3

years.

● An average total work experience of

10.6 years as nursing home or hospital

administrators.

Although this overall view is useful, an even

c1e are r picture emerges when comparisons

between the sexes, races, and ages are made relative to their salaries, education, and work experience. Additional analyses can then be made in

terms of the certification status, bed capacity,

ownership, and location of the nursing homes

themselves.

One observation concerning nursing home

administrators was that men apparently received

more compensation (wages and fringe benefits)

in their capacity as administrators than women

received. This was shown in a number of tables,

most of which will be discussed here.

The average hourly wage of full-time administrators was $6.22 for men and $4.56 for

women (table 1).Although this difference was

not statistically significant, it is strikingly consistent with similar findings that were

statistically significant. For instance, only 22

percent of the male administrators earned less

than $4.00 per hour, whereas 45 percent of the

female administrators earned less than this

(tables 3 and 4, respectively). At the other end,

nearly 36 percent of the men earned $6.00 or

more an hour, yet only 20 percent of the

women did so.

There were also differences between the

sexes in the fringe benefits received by these administrators. Most notably, in the area of health

and/or life insurance coverage, nearly 66 percent

of the men compared with 44 percent of the

women received this benefit (tables 3 and 4,

respectively). In the area of pensions, about 21

percent of the men compared with 9 percent of

the women received pensions.

Men had more years of formal education

than women, with the median being 15 years for

men and 13 for women. If salaries for men and

women of equal education (13 years or more)

3
are compared, the salaries for the men were still

significantly higher. Of this group, only 17 percent of the men versus 39 percent of the women

earned less than $4.00 per hour. Furthermore,

40 percent of the men versus 24 percent of the

women earned $6.00 or more per hour.

A nonsignificant difference was evident for

those with 12 years or less of education, as 60

percent of the men compared with 41 percent of

the women earned $4.00 or more per hour.

The women were approximately the same

age as the men (48 years of age and 45 years of

age, respectively) (table 1). Although tables 3

and 4 show that women earned less than men in

each of the four age groups, none of the differences were statistically significant. The tables

also indicate that age had no apparent effect on

salaries for either men or women. This is illustrated by the fact that the younger, the middleaged, and the older administrators of each sex

had approximately the same proportion of their

age group earning less than $4.00, $4.00 to

$5.99, and $6.00 or more per hour.

Women had not only more years of current

employment than men but also more years of

total experience as administrators in nursing

homes and hospitals. The average number of

years of current employment as nursing home

administrator was 7.2 for women and 5.3 for

men (tables 4 and 3, respectively). The average

number of years of total experience was 12.0 for

women and 9.0 for men. Actually, as tables 3

and 4 indicate, there appears to be little or no

relationship between years of employment and

salaries for men or women.

The study showed that the administrators of

homes of large bed size generally had

higher salaries than those in the small homes.

This seems reasonable since the large homes

would have more residents, more staff, and, in

general, more responsibilities. Tables 3 and 4

show that the large nursing homes tended to

employ the men, while the small homes employed the women. Specifically, in the homes

with 100 or more beds, of the 5,900 administrators, 2 out of 3 were men. In the homes with

less than 50 beds, of the 6,200 administrators, 2

out of 3 were women.

On the surface, therefore, the salary differences between male and female administrators

appear to depend on the size of the nursing

home; that is, the large homes (with higher

salaries) employed more men, while the small

homes (with lower salaries) employed more

women. However, tables 3 and 4 indicate that

salary differences between the sexes existed

within both homes. For instance, in the largest

homes (100 beds or more) only 14 percent of

the men compared with 38 percent of the

women earned less than $4.00 an hour, whereas

50 percent of the men compared with 26 percent of the women earned $6.00 or more an

hour. Similarly, in the smallest homes (less than

50 beds) women tended to earn lower wages

while men tended to earn higher wages.

The survey found that 96.4 percent of the

nursing home administrators were white and 3.1

percent were black (table 5). Since there were so

few black administrators (about 600) and even

fewer were of all other races combined (less than

100), detailed comparisons between races would

not prove significant because the sampling errors

are too large.

A synopsis of remaining highlights for administrative and medical staff follows.

From a regional standpoint, it was found

(table 6) that the estimates were higher for

average hourly wages paid to administrators

working in the Northeast Region of the United

States ($6.92), while the estimates were lower

for wages paid to those in the South ($4.39).

The differences between these estimates were

not statistically significant.

Type of ownership of the home had no discernible effect on salaries. Proprietary nursing

homes paid approximately the same salaries to

administrators as nonprofit and government

homes paid (tables 6, 7, and 8).

During the year prior to the survey, approximately 77 percent of the administrators had

taken nondegree health-related courses, and 62

percent had taken courses specifically related to

nursing home administration (table 9).

Finally, comparing this survey with a 1969

surveyg showed an increase in the percent of

administrators having more than 12 years of

education (50 percent in 1969 and 70 percent in

1973-74) and more than double the number of

administrators under the age of 35 (1,600 in

1969 and 3,400 in 1973-74).
Nursing Staff

For purposes of this report the nursing staff

will be divided into three categories—registered

nurses, licensed practical or vocational nurses,

and nurse’s aides (and orderlies).

R eg”stered nurses.–h estimated 38,700

full-time (table 1) and 28,500 part-time (table 2)

registered nurses (RN’s) were employed in the

nursing homes covered by the 1973-74 survey.

As a, whole, these RN’s had the following

characteristics:

. More than 98 percent were women.

. Ninety-five percent were white and three

percent were black.

. Average age was 44.

. Average hourly wages were $4.83 for

full-time work and $4.61 for part-time.

. Virtually all (98 percent) had 13 years or

more of education.

. For full-time RN’s the average current

employment was 3.5 years.

. For full-time RN’s the average total

work experience as an RN was 14.2

years.

With so few men and so few black RN’s,

detailed comparisons could not be made

between sexes and races. The large sampling

errors would render the differences not significant. The following figures show the relative size

of the estimate.

. Average hourly wage–women $4.83, men

$4.93; white $4.82, black $5.56.

. Average age–women 44, men 39; white

44, black 42.

. Total llN work experience–women 14.2

“years, men 10.9 years; white 14.3 years,

black 14.7 years.

In the absence of sex and race comparisons,

other points of interest arose. Full-time RN’s

earned an average of $4.83 an hour, a rate that

was quite uniform throughout the United States.

The range in the hourly wage paid to RN’s

from one region to another was from $5.02 per

hour in the South to $4.61 per hour in the West

(table 6). A further indication of how uniform

their salaries were is shown in table 7, which

indicates that 73 percent of all full-time RN’s

earned between $3.00 and $4.99 an hour. In

fact, 88 percent earned between $3.00 and

$5.99 an hour (not shown).

Neither the age of the nurse nor the ownership or certification of the nursing home had an

appreciable effect on the RN’s salaries (tables 6

and 7). However, the bed size of the home did

reflect a difference in their salaries. As table 7

illustrates, RN’s in the large homes tended to

make higher salaries. Years of experience also

seemed to make a difference in the hourly wage

earnings of RN’s. Those with higher wages had

more years of experience (table B). (As obvious

as this may seem, no such statement could be

made regarding the administrators.)

In the area of fringe benefits, RN’s generaIly

received paid vacations (86 percent) and other

types of leave (68 percent) but seldom received

pensions (20 percent), cash bonuses (13 percent), or meals (38 percent). About half received

health and/or life insurance benefits (table 10).

Finally, there were an estimated 53JiO0 fulltime equivalent RN’s employed in_ nursing

homes–a substantial increase over the 34,500

employed in 1968.6 The number of full-time

equivalent RN’s per 100 residents increased

from 4.2 in 1968 to 5.0 in 1973-74 (table 11).

Licensed practical or vocational nurses.–An

estimated 52,100 full-time and 20,500 part-time ‘

licensed practical or vocational nurses (LPN’s)

were employed in nursing homes during

1973-74. As a whole, these LPN’s had the

following characteristics:

. Almost 98 percent were women.

. About 80 percent were white, 18 percent black, and 2 percent Spanish

American.

. Average age was 41.

. Average hourly wage was $3.21.

. More than 75 percent had 13 years or

more of education.

● For full-time LPN’s the average current

employment was 3.3 years.

. For full-time LPN’s the average total

work experience as an LPN was 9.2

years.
Table B. Averages of total years of nursing home and hospital experience as a registered nurse and years of current nursing home employ.

ment, by average hourly wage: United States, 1973-74

Average hourly wage

All

Employment in hospitals and nursing homes registered Less than

nurses $3.00 $3.00-$3.99 $4.00-.$4.99

$5.00 or

more

Average years

Total experience .................................................... 14.2 13.5 12.8 14.2 16.5

Currant employ merit ............................................. 3.5 3.7 3.2 3.2 4.5

As with RN’s, comparisons between male

and female LPN’s would not be statistically significant. The following figures show the relative

size of the estimates.

● Average hourly wage-men $3.81, women $3.20.

● Average age–men 37, women 41.

. Total LPN work experience–men 11.3

years, women 9.2 years.

There was a much higher percentage of black

LPN’s than black RN’s. The estimated 10,100

black full-time LPN’s represented nearly onefifth of all full-time LPN’s. There were an estimat ed 1,000 Spanish-American LPN’s. Large

sampling errors rule out comparisons, but the

following figures show the relative size of the

estimates.

. Average hourly wage–white $3.09, black

$3.70.

. Average age–white 41, black 40.

. Total LPN work experience-white 8.8

years, black 10.8 years.

Although e durational requirements for

LPN’s varied among States, a look at the educational levels of LPN’s is still useful. Most fulltime LPN’s (57 percent) had 13 years of education, whereas 25 percent had 12 years or less,

and 18 percent had 14 years or more. The

number of years of education appeared to have

an effect on LPN salaries, as seen in table 7. One

indication of this is that only 36 percent of

LPN’s with 11 years or less of education earned

$3.00 or more an hour; 63 percent of LPN’s

with 14 years or more of education earned this

amount.

Table 6 shows that age had no noticeable

effect on salaries, and table 7 indicates the same

for ownership. The bed size of the home appears

to have a slight effect on salaries (large

homes paying more) but not to the extent that

was shown for RN’s (table 7). LPN’s with the

most years of experience usuaUy earned the

highest wages (table C).

In terms of certification, those homes

certified for both Medicare and Medicaid

(includes Medicare only) had a higher percentage

of full-time LPN’s earning $3.00 or more per

hour than did any of the other certification

groups.

Table C. Averages of tota I years of nursing home and hospital experience as a licensed practical nurse and years of current nursing home

employment, by average hourly wage: United States, 1973-74

All Average hourly wage

licensed

Employment in hospitals and nursing homes practical Less than

$2.50-$2.99 $3.00-$3.99

$4.00 or

nurses $2.50 more

Average years

Total experience .................................................... 9.3 9.0 8.0 9.4 11.2

Current employ merit ............................................. 3.4 3.9 2.7 3.1 4.5

6
The average hourly wage of LPN’s ($3.21

per hour) varied the most between the Northeast

Region ($3.53 per hour) and the South ($2.90

per hour) as seen in table 6. The difference

between the two was not statistically significant,

however.

MI me arett of trmge benefits, LPN’s generally

received paid vacations (83 percent) but seldom

received cash bonuses (14 percent), pensions (15

percent ), or meals (32 percent). Just under half

received health and/or life insurance benefits,

and just over half received other types of leave

(table 10). _

Finally, there were an estimated 63,700 fulltime equivalent LPN’s employed in nursing

homes–a substantial increase over the 42,600 employed in 1968.6 The number of full-time equivalent LPN’s per 100 residents increased from 5.2

in 1968 to 5.9 during 1973-74 (table 11).

Nurse’s aides.–An estimated 283,400 fulltime and 91,000 part-time nurse’s aides (and

orderlies) were employed in nursing homes

during 1973-74 (table 5). As a whole, these

nurse’s aides had the following characteristics:

. Ninety-five percent were women.

. Seventy-four percent were white, 21 percent were black, and 3 percent were

Spanish American.

. Average age was 36.

. Average hourly wage was $2.25 for fulltime and $2.11 for part-time.

. Most had 12 years or less of education

(82 percent).

. For full-time nurse’s aides the average

current employment was 2.9 years (table

D).

Table D, Averages of total years of nursing home and hospital

experience as a nurse’s aide and years of current nursing home

employment, by average hourly wage: United States, 1973-74

Employment in hospitels

and nursing homes

Total experience ....................

Current employ merit ............

t

I

Average hourly wege

All

nurse’s Less

aides than $2.00- ‘:?

$2.00 $2.49 more

I 1 I

Average years

5.1 4.0 5.8 7.3

2.9 2.3 3.2 4.4

. For full-time nurse’s aides the average

total work experience as a nurse’s aide

was 5.1 years (table D).

As before, differences are not statisticaHy

significant when comparing men and women

who are full-time nurse’s aides. The following

figures for full-time nurse’s aides show the

relative size of the estimates.

● Average hourly wage–men $2.36, women $2.24.

. Average age–men 33, women 36.

. Total nurse’s aide work experience–men

5.3 years, women 5.1 years.

For an estimated 201,500 white, 67,300

black, and 10,900 Spanish American full-time

nurse’s aides, the following figures can be

shown, although the differences are not statistically significant.

● Average hourly wage–white $2.15, black

$2.57, Spanish American $2.09.

. Average age–white 36, black 37, Spanish

American 32.

. Total nurse’s aide work expenence–

white 4.9 years, black 5.6 years, Spanish

American 4.0 years.

A brief look at the educational levels of

full-time nurse’s aides showed an estimated 43

percent had less than 12 years of education, with

another 40 percent having exactly 12 years of

education (table 8).

Once again bed size had the most noticeable

effect on salaries. Full-time nurse’s aides who

worked in nursing homes with less than 100 beds

earned an average of $2.03 an hour compared

with those working in homes with 200 beds or

more, who averaged $2.90 an hour (table 6).

From one geographical region to another

there was little difference in the average hourly

wage paid to nurse’s aides working in nursing

homes. The Northeast Region had the highest

average hourly wage with $2.63, while the North

Central and South had the lowest with $2.08 and

$2.06, respectively (table 6).

As for fringe benefits, nurse’s aides generally

received paid vacations (79 percent ) but seldom

received cash bonuses (13 percent), pensions (15

percent), or meals (25 percent). Less than half (41

7
percent) received health and/or life insurance benefits and approximately haIf received other types

of leave (table 10).

Finally, there were an estimated 335,500

full-time equivalent nurse’s aides in nursing

homes–a substantial increase over the 216,700

employed in 1968.6 The number of full-time

equivalent nurse’s aides per 100 residents increased from 26.6 in 1968 to 31.2 in 1973-74

(table 11).

Therapeutic Staff

The types of nursing home employees included in this group are shown in table E, along

with the number of full-time and part-time employees estimated to be in each category (extracted from table 1).

A look at the data for the therapeutic staff

revealed

. About 8 out of 10 were women.

. Nearly 96 percent where white.

. Average age was 40.

. Average hourly wage was .$3.87 for fulltime work and $7.88 for part-time.

. Average current employment was 2.8

years.

. Average total work experience for fulltime work was 5.4 years and 9.8 years

for part-time.

Table F, which shows the number of full-time

equivalent therapeutic employees per 100 homes,

indicates that the small and noncertified nursing

Table E. Numbers of full-time and part-time therapeutic employees in nursing homes, by type of employee: United

States, 1973-74

Type of employee Full-time Part-time

Total therapeutic staff ........................

Registered occupational therapists ........

Registered physical therapists ................

Activities directors ................................

Social workers .......................................

Speech pathologists, audiologists ...........

Occupational therapist assistants ...........

Physical therapist assistants ...................

Social worker technicians/assistants ......

10,400

600

1,200

4,700

1,200

*loo

800

1,200

600

11,700

1,400

3,000

2,700

2,400

700

600

*500

*400

Table F. Number of nursing homes and full-time equivalent (FTE)

therapeutic employees and rate per 100 homes, by selected

nursing home characteristics: United Statas,1973-74

Nursing home characteristic

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

Certification

Both Medicare and Medicaid . .....

Skilled nursing home . ................

Intermediate care facility . .........

Not certified ................................

Bed size

Less than 50 beds .......................

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

100 beds or more ........................

Ownership

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

Government and nonprofit .........

Homes

5,700

4,200

3,500

4,400

3,600

6,400

5,500

3,BO0

1,900

3,900

FTE

therapeutic

employeas

14,300

8,000

3,500

1,600

1,200

1,500

4,700

8,200

9,600

4,700

Rate

per

100

91

190

100

36

33

23

85

216

81

121

18 percent of these homes were certified for Medicare only.

235 percent of these frorneswere certified asboth skikl nUrsing horn-es and intermediate care facilities.

NOTE: Figures may not add to totak due to rounding.

homes were the least likely

personnel on their staff.

to have therapeutic

The regional picture in table G shows the

Northeast and North Central with more than

twice as many therapeutic staff persons as the

South and West. This table also shows part-time

therapeutic staff members as having more years

of education than those on the full-time staff.

Staff in Charge of Shifts

An important measure of care provided by

nursing homes is the level of skill of the person in

charge of nursing care for the entire facility. This

section will focus on those persons in charge who

were on duty (awake, dressed, and serving the

residents) for one or more shifts.

Since other reportsl 1Y1~ have already discussed the person in charge of the various shifts

in terms of the characteristics of the home, this
Table G. Number of full-time and part-time therapeutic emDloyees, bv region of hos~ital and years of education: United

States, 19~3-~4

Region and education

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

Region

Northeast .........................................

North Central ...................................

South ............. .............. ....................

West ................. ................................

Education .—

Less than 12 years ............................

12 years ....... .............. ......................

13-15 years ......................................

16 years .,,.,, .................................O...

17 years .................................. .........

Full-time

lerapeutic

mployees

10,400

3,800

3,500

1,500

1,600

900

2,900

2,500

2,300

1,800

Part-time

lerapeutic

!mployees

11,700

4,200

3,800

1,400

2,300

“400

1,400

1,800

3,000

5,100

report will deal only with the characteristics of

the people themselves.

At the time of the survey, there were about

44,300 shifts in the 15,700 nursing homes, with

86 perctmt of the homes utilizing 3 shifts.

Approximately 39,000 of these shifts were supervised by full-time employees, while the remaining

5,300 shifts were supervised by part-time employms, Most of the shifts were run by RN’s

( 17,2L}L) full-time and 3,400 part-time), followed

c-I(js~Ily by LPN’s (13,800 full-time and 1,300

part-time), then nurse’s aides (6,7 00 full-time and

600 part-time) and administrators (1,200 fulltime).

It is interesting to note that, although there

were about an equal number of male and female

administrators (9,400), of the 1,200 administrators in charge, 1,100 were women.

Table 12 shows the average age of each of the

full-time employee groups in charge of shifts.

When compared with the ages of the employee

groups as a whole (table 1), there was very little

age difference found.

Table 12 gives the average hourly wages of

full-time employees in charge of shifts and this

can be compared with the wages of the entire

employee groups shown in table 1. Although the

staff in charge showed lower average hourly wages

in every instance, their numbers were too small to

make these differences statistically significant.

The distribution of the people in charge by

regions of the country are also shown in table 12.

Note the rather large differences in the use of

RN’s, LPN’s, and nurse’s aides. The North Central

Region utilized nurse’s aides in nearly 1 out of

every 3 shifts, whereas the Northeast and West

Regions rarely had nurse’s aides in charge. One

possible explanation for this is that the North

Central Region had more small homes (less than

50 beds) than the other regions,l 0 and nurse’s

aides were much more likely to be put in charge

of the small rather than the large homes (table 12).

—ooo —
REFERENCES

1National Center for Health Statistics: Development

and maintenance of a national inventory of hospitals and

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

1000-Series l-No. 3. Public Health Service. Washington.

U.S. Government Printing Office, Feb. 1965.

2National Center for Health Statistics: Inpatient

health facilities as reported from the 1967 MFI Survey,

by A. Sirrocco. Vital and Health Statistics. Series 14-No.

4. DHEW Pub. No. (HSM) 72-1065. Health Services and

Mental Health Administration. Washington. U.S. GovernmentPrinting Office, June 1972.

3National Center for Health Statistics: Inpatient

health facilities as reported from the 1969 MFI Survey,

by A. Sirrocco. Vital and Health Statistics. Series 14-No.

6. DHEW Pub. No. (HSM) 73-1801. Health Services and

Mental Health Administration. Washington. U.S. GovernmentPrinting Office, Dec. 1972.

4 National Center for Health Statistics: Inpatient

health facilities as reported from the 1971 MFI Survey,

by A. Sirrocco. Vital and Health Statistics. Series 14-No.

12. DHEW Pub. No. (HSM) 74-1807. Health Services

and Mental Health Administration. Washington. U.S.

Government Printing Office, Mar. 1974.

5National Center for Health Statistics: Inpatient

health facilities as reported from the 1973 MFI Survey,

by A. Sirrocco. Vital and Health Statistics. Series 14-No.

16. DHEW Pub. No. (HRA) 76-1811. Health Resources

Administration. Washington. U.S. Government Printing

Office, May 1976.

6National Center for Health Statistics: Employees in

nursing homes, United States, April-September 1968, by

J. F. Van Nostrand. Vital and Health Statistics. Series

12-No. 15. DHEW Pub. No. (HSM) 73-1700. Health

Services and Mental Health Administration. Washington.

U.S. Government Printing Office, Oct. 1972.

7National Center for Health Statistics: Institutions

for the age d and chronically ill, United States,

April-June 1963, by E. E. Bryant. Vital and Health Stat istics. PHS Pub. No. 1000-Series 12-No.1. Public

Health Service. Washington. U.S. Government Printing

Office, July 1965.

8National Center for Health Statistics: Employees in

nursing and personal care homes: Number, work experience, special training, and wages, United States,

May-June 1964, by C. A. Taube and E. E. Bryant. J’ital

and Health Statistics. PHS Pub. No, 1000-Series 12-No.

6. Public Health Service. Washington. U.S. Government

Printing Office, Jan. 1967.

9National Center for Health Statistics: Administrators of nursing and personal care homes: Education

and training, United States, June-August 1969, by B. G.

Brown. Vital and Health Statistics. Series 12-No. 18.

DHEW Pub. No. (HSM) 73-1703. Health Services and

Mental Health Administration. Washington. U.S. GovernmentPrinting Office, Feb. 1973.

1‘National Center for Health Statistics: Selected

operating and financial characteristics of nursing homes,

United States: 1973-74 National Nursing Home Survey,

by M. R. Meiners. Vital and Health Statistics. Series

13-No. 22. DHEW Pub. No. (HRA) 76-1773. Health Resources Administration. Washington. U.S. Government

Printing Office, Dec. 1975:

11 National Center for Health - Statistics: Characteristics, social contacts, and activities of nursing home

residents, United States, 1973-74 National Nursing

Home Survey, by A. Zappolo. Vital and Health Statistics. Series 13-No. 27. DHEW Pub. No. (HRA) 77-1778.

Health Resources Administration. Washington. U.S.

Government Printing Office, May 1977.

12 National Center for Health Statistics: Utilization of

nursing homes, United States, National Nursing Home

Survey, August 1973-April 1974, by J. F. Sutton. J’ital

and Health Statistics. Series 13-No. 28. DHEW Pub. No.

(HRA) 77-1779. Health Resources Administration.

Washington. U.S. Government Printing Office, July

1977.

13 National Center for Health Statistics: Nursing

homes in the United States, 1973-74 National Nursing

Home Survey, by A. Sirrocco and H. Koch. Vital and

Health Statistics. Series 14-No. 17. DHEW Pub. No.

(HRA) 78-1812. Health Resources Administration.

Washington. U.S. Government Printing Office, Oct.

1977.

14Van Nostrand, J. F.: Development of survey methodology to measure cost and quality of care in nursing

homes. Paper presented at 10lst Annual Meeting of

American Public Health Association, San Francisco,

NOV. 8, 1973.

10
LIST OF DETAILED TABLES

1.

2.

3,

4.

5.

6.

i’,

8.

9.

Number, average

States, 1973-74

Number, average

States, 1973-74

hourly wage, and averege age of full-time nursing home employees, by sex and selected occupations: United

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

hourly wage, and average age of part-time nursing home employees, by sex and selected occupations: United

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

Data for selected characteristics of full-time male administrators: United States, 1973-74. . . . . . . . . . . . . . . . . . . . . .

Data for selected characteristics of full-time female administrators: United States, 1973-74 . . . . . . . . . . . . . . . . . . . .

Number and percent distribution of full-time end part-time nursing home employees, by race or ethnicity and age for selected

occupational categories and occupations: United States, 1973-74 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Average hourly wage for selected full-time nursing home employees, by salected characteristics: United States, 1973-74 . . . .

Data for selected characteristics of full-time registered nurses and full-time licensed practical nurses: United States, 1973-74. .

Data for selectad characteristics of full-time administrators and full-time nurse’s aides: United States, 1973-74 . . . . . . . . .

Percent of selected full-time nursing home employees taking nondegree health-related courses, by type of course: United

States, 1973 -74 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .-. ..-. .-. .”. .”. .~- . . . ..- . . . . .

10. Number and percent of selected full-time nursing home employees receiving fringe benefits, by type of benefit: United States,

1973-74 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

11. Number and rate per 100 residents of full-time equivalent registered nurses, licensed practical nurses, and nurse’s aides in

nursing homes, by selected nursing home characteristics: United States, 1973-74 . . . . . . . . . . . . . . . . . . . . . . . . . .

12. Data for selected characteristics of full-time employees in charge of shifts, by type of employee: United States, 1973-74 . . .

12

13

14

15

16

17

18

19

20

21

22

23

11
Table 1. Number, average hourly wage, and average age of full-time nursing home employees, by sex and selected occupations: United States, 197’3-74

Occupation

Number of full-time employees Average hourly wage Average age

Both

sexes

Both

sexes

Both

sexes

Male Male

$4.4;

Female .iale

38

34

39

37

33

35

27

39

X

*

33

28

57

45

—.. .

45

50

‘?;

34

25

46

34

---

Fema1e

38

38

44

41

36

39

38

::

39

27

39

35

43

47

All employees -------- 409,300

374,200

28,900

16,400

*500

1,100

14,800

1,200

380,400 .$2.85 $2.73

Nursing staff ----------- 357,800 2.64 2.5L

4.9:

3.81

2.3(

5.92

2.65 3E

R:giatered nurse --------------

L~censed practical or

vocational nurse -------------

Nurse’s aide ------------------

38,700

52,100

283,400

10,400

600

1,200

4,700

1,200

*loo

800

1,200

600

24,700

38,200

51,000

268,600

9,200

4.83

3.21

2.25

3.87

4.83

3.20

2.24

3.62

44

41

36

Therapeutic staff ------- 39

Registered occupational

therapist --------------------

Registered physical

therapist --------------------

Activities director -----------

Social worker -----------------

Speech pathologist,

audiologist ------------------

Occupational therapiat

assistant --------------------

Physical therapist

asaiatant --------------------

Social worker technician,

assistant --------------------

*loo

*400

*loo

*300

*loo

*200

11,400

9,400

800

*loo

*500

*400

*1OO

39,000

*500

800

4,500

1,000

*loo

700

1,000

600

13,300

9,400

*loo

*1OO

1,300

*loo

1,200

1,100

141,000

4.27

7.94

2.88

5.58

5.23

2.95

2.68

3.25

5.75

5.21

9.5[

3.6C

5.0:

*

3.62

2.7C

6.7C

7.lC

6.22

18.35

24.12

7.57

3.70

9.23

5.66

4.24

---

4.12

7.20

2.86

5.71

5.23

2.89

2’.68

3.11

4.52

4.56

12.82

*

7.18

+.48

5.23

3.96

3.58

---

36

?;

38

27

39

34

43

46

47

z;

46

44

44

42

40

---

Administrative and

medical staff ----------

Administrator, assistant

administra tor----------------

Physic ian2--------------------

Dentist -----------------------

Pharmacist --------------------

Dietitian or nutritionist -----

Registered medical record

administra tor----------------

Other professional

occupati0ns3 -----------------

Othermedicalrecord

administrators and

technicians ------------------

All other staff4--------

18,800

1,000

*loo

600

1,300

*loo

1,600

1,200

180,000

5.44

17.53

24.12

7.50

4.47

5.63

4.39

3.66

---

49

49

*

2:

46

41

41

---

1Excludes “all other staff. 1!

2lncl”des medical doctors and doctors of osteopathy.

31ncludes interns, residents , and therapeutic recreators.

4Includes clerks, bookkeepers, cooks, kitchen help, housekeeping and maintenance personnel, etc.

12
Table 2. Number, average hourly wage, and average age of part-time nursing home employees, by sex and selected occupations: United States, 1973-74

Number of Dart-time Average hourly wage Average age

emplo$ees

Occupation

Both

sexes

Both

sexes

Both

sexes

Female Male Female Female

$11.08

——

2.55

6.26

3.86

2.16

11.28

$3.37

2.79

37

36

40

28

44

34

26

39

37

36

All employees l-------- 174,300

140,000

20,300 154,100 $4.09

2.78

4.61

3.21

2.11

7.88

Nursing staff ----------- 5,400 134,600

28,500

20,500

91,000

11,700

1,400

3,000

2,700

2,400

700

600

>k51313

>k400

22,600

9,300

$:5(3(3

4,600

3,100

1,700

80:

*300

*1OO

$cllyJ

11,800

28,200

20,000

86,400

8,600

1,400

1,300

2,600

1,600

+<4131J

*500

>:5O(J

~~300

10,800

4.60

3.20

2.11

6.77

43

40

33

41

43

40

33

41

Registered nurse --------------

Licensed practical or

vocational nurse -------------

Nurse’s aide ------------------

Therapeutic staff -------

Registered occupational

therapist --------------------

Registered physical

therapist --------------------

Activities director -----------

Social worker -----------------

Speech pathologist,

audiologis t------------------

Occupation 1 therapiat

assistant --------------------

Physical therapist

assistant --------------------

Social worker technician,

assistant --------------------

9.01

11.03

3.66

9.18

11.38

5.14

3.80

5.54

11.83

9<

11.12

9<

11.39

12.66

*

4.62

7.77

17.02

8.42

10.93

3.53

8.19

10.59

5.17

3.70

4.95

8.03

38

::

42

36

42

40

47

44

———

47

49

46

41

42

45

38

45

---

.,,>.

39

3:

40

*

35

37

46

38

40

43

43

33

41

41

49

43

Administrative and

medical ataff ----------

Administrator, assistant

administra tor----------------

Phvsician2 --------------------

Dentist -----------------------

Pharmacist --------------------

Dietitian or nutritionist -----

Registered medical record

adminis trator----------------

Other profess ional

OccupatiOns 3-----------------

Other medical record

administrators and

technicians ------------------

All other staff J--------

——. —- ——. .——-— —..- ..—-..

8.50

23.86

13.72

10.51

*

4.64

12.32

9.13

---

—.-. ..

5.54

18.71

,“:

6.22

7.64

10.70

6.34

4.63

---

-.

46

::

41

?.

46

42

52

---

.

49

46

.:

45

42

45

35

43

---

. -—

2,200

5,700

1,300

2,900

6,000

1,600

1,900

1,000

95,000

_ .-.——.

1,400

5,300

1,300

2,600

i-loo

900

>?20(3

22,000

—..—— -...

800

*400

*3(3(3

6,000

1,500

1,000

800

73,000

—.

7.39

23.49

16.33

9.93

7.68

10.48

8.88

5.27

---

1Excl Lldes “all other staff .“

‘Includes medical doctors and doctors of osteopathy.

{Includes interns, residents, and therapeutic recreators.

+Includes clerks , bookkeepers , cooks , kitchen help, housekeeping and maintenance personnel, etc.

13
Table 3. Data for selected characteristics of full-time male administrators: United

States, 1973-74

Characteristic

All homes -----------------------------

NURSING HOM8

Bed size

Less than 50 beds---------------------------

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

100 beds or more----------------------------

Region

Northeast -----------------------------------

Woo:: -Central -------------------------------

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

West ----------------------------------------

Ownership

Proprietary ---------------------------------

Government and nonprofit --------------------

ADMINISTRATOR

Age —

Under 35 years ------------------------------

35-44 years ---------------------------------

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

55 years and over ---------------------------

Education

Less than 12 years--------------------------

12 years ------------------------------------

13 years------------------------------------

14 years------------------------------------

15 years or more ----------------------------

Benefits

Paid vacation -------------------------------

Cash bonus ----------------------------------

Pension -------------------------------------

Health, life insurance ----------------------

Other leave’ --------------------------------

Meals ---------------------------------------

Total

9,400

2,000

3,600

3,800

2,500

3,000

2,500

1,300

6,900

2,500

2,200

2,000

3,100

2,100

*400

1,800

600

1,600

5,000

7,800

2,100

2,000

6,100

8,400

4,600

Number

eporting

wages

8,900

2,000

3,400

3,500

2,300

2,900

2,300

1,300

6,500

2,400

2,000

1,900

3,000

2,000

*400

1,600

600

1,500

4,800

7,500

2,000

1,900

5,900

8,100

4,400

Full -time male administrator

I

Wages per hour

iverage

lourly All Less

wage hourly than $:.;;- $;.;;- $6.00

wages $4.00 “ “

or more

I

Percent distribution

$6.22 100.0

5.77 100.0

5.33 100.0

7.33 100.0

8.21 100.0

5.79 100.0

4.95 100.0

5.93 100.0

6.23 100.0

6.18 100.0

6.09 100.0

5.86 100.0

5.77 100.0

7.33 100.0

fc3.21 100.0

5.52 100.0

5.44 100.0

5.25 100.0

7.08 100.0

6.44 100.0

7.89 100.0

6.45 100.0

6.50 100.0

6.35 100.0

5.81 100.0

22.2

34.6

24.0

13.6

14.5

24.4

28.1

20.5

20.1

28.0

24.0

17.2

20.4

27.7

31.:

14.9

15.5

17.5

18.7

17.0

21.3

15.4

20.5

25.8

22.6

25.2

26.8

17.2

12,7

23.1

34.7

17.4

23.2

21.1

24.b

21.6

24.6

18.7

18.;

31.2

38.0

19.2

23.4

18.0

18.2

20.8

22.6

23.2

19.2

15.2

21.7

19.1

21.1

17.3

17.5

23.2

21.0

14.4

18.8

21.4

20.8

15.4

24.;

21.4

17.1

18.7

19.8

23.3

14.8

19.9

19.1

15.8

35.9

25.0

27.5

50.2

51.8

35.2

lq.fi

38,9

35.7

36.5

32.7

39.8

34.2

38.3

>,<

25,7

32.3

29.3

44.6

38.2

41.6

45.9

43.9

37.7

35.2

Employment Average in years

Current employment -------------------------

Total experience --------------------------

Average age of administrator ----------------

.- ; X1.1 :

‘Includes civic and personal leave (jury duty, military reserves, voting, and funerals) and release time far

att$nding training institutes.

-Includes only experience as administrator in nursing home or hospital.

14
Table 4, Data for selected characteristics of full-time female administrators: United

Characteristic

.

All homes -----------------------------

NURSING HOME

Bed size

LCSY than 50 beds ---------------------------

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

100 beds cm more -----------------------------

Region

Nertheast -----------------------------------

North Central -------------------------------

%nYch---------------------------------------

West ----------------------------------------

Ownership

Pruprictary---------------------------------

Government and nonprofit --------------------

ADNINISTMTOR

Age —

Onder 35 years ------------------------------

35-/44years ---------------------------------

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

55 years and over ---------------------------

I?ducation

Lusa than 12 years --------------------------

12 years ------------------------------------

13 years ------------------------------------

14 years ------------------------------------

15 years or more ----------------------------

Benefits

Paid vacation -------------------------------

Cash bcmus ----------------------------------

pcnsi”n -------------------------------------

tlmlth, life insurance ----------------------

other ‘Ieavel--------------------------------

Nmlls --------“--------- --------------- .--.--

Employment

Current employment --------------------------

Tut.11experience !---------------------------

Avuraxe age of administrator ----------------

States, 1973-74

Total

9,400

4,200

3,200

2,100

2,300

3,000

3,000

1,100

7,600

1,800

1,200

1,800

2,900

3,500

700

2,800

1,800

1,100

3,000

6,600

1,500

900

4,200

7,100

5,200

Number

reporting

wages

7,900

3,200

2,800

1,800

1,800

2,500

2,500

1,000

6,300

1,500

1,200

1,600

2,300

2,800

~<400

2,300

1,500

1,000

2,600

6,100

1,400

900

3,700

6,300

4,300

Full- time female administrator

Average

hourly

wage

1:::

48

$4.56

4.07

4.92

4.87

5.27

4.74

3.87

4.53

4.47

4.91

4.31

4.16

4.64

4.82

,~4.22

4.16

3.95

4.13

5.47

4.76

4.76

4.31

4.99

4.67

4.47

Wages per hour

II I I I

All Less

hourly than $:.:;- $;.;;- $6.00

wages $4.00 “ “

or more

II I I I

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

100.0

100.0

45.4

56.2

38.3

37.7

28.3

51.3

53.7

41.1

44.4

49.6

51.6

48.8

40.5

44.9

56.;

52.7

48.8

26.4

41.9

39.4

:;.;

42:6

49.8

Average in year

. . . . . .

. . . . . .

. . . . . .

I

47 I

23.3

19.7

28.1

22.0

24.0

20.2

25.5

24.1

25.0

16.0

25.0

22.0

22.1

24.1

>?

18.1

29.8

27.0

23.3

25.0

24.2

23.8

26.4

24.4

21.2

1!:;

48

11.7

9.6

12.8

13.9

18.1

1;::

12.8

12.2

9.9

U

17.1

10.9

>:

13.6

3.7

13.3

15.8

12.9

14.5

13.8

14.6

12.3

12.6

1::$

50

19.6

14.6

20.8

26.4

29.6

23.4

2::;

18.4

24.5

17.2

19.7

20.3

19.9

>:

11.7

13.7

11.0

34.5

20.2

21.8

14.5

28.2

20.8

16.5

1:::

49

I I I

iIncludes civic and personal leave (jury duty, military reserves , voting, and funerals) and release tise for

sttcndin}x training institutes.

JIncludes only experience as administrator in nursing home or hospital.

15
Table 5. Number and percent distribution of full-time and part-time nursing home

employees, by race or ethnicity and age for selected occupational categories and

occupations: United States, 1973-74

All employees Race or ethnicity

Spsnish American Other 1

Age for selected

occupational category

and occupation

Whitel Black 1

Fulltime

30,000

41.6

26.8

20.0

11.7

800

>’$

J<

*

,,,

*400

Parttime

!5,400

51.3

22.2

13.6

12.9

600

*

>:

>,<

%-

*~200

>’C

,!r

,,<

*

!4,600

53.1

21.7

12.7

12.5

>;-

>’<

>’:

>t

>?

f:400

>:-

.~.

>:

>rc

2,700

35.0

29.7

22.5

*

.1,500

57.8

19.8

10.5

12.0

Fulltime .

5,400

48.5

16.5

24.4

10.6

*300

——

>’C

>’:

>,..

,c.-

;Woo

>k

;’C

;!

;:

5,000

47.8

16.0

25.2

11.0

>...

———

.,,,

:’./

,,:

;,..

700

FulltimePart -

time

174,300

80,300

33,200

29,800

31,100

22,600

——

4,800

6,700

6,000

5,200

11,800

Full -

time

311,600

41.2

19.0

21.6

18.2

23,500

Parttime

155,000

45.4

18.6

17.6

18.4

21,700

FulltimePart -

t~me

Parttime

—.

409,300 12,300

60.2

20.1

15.1

4.6

*loo

l,fiofl

5~.1

>,,.

Y:

;,:30(3

All employees- -----

Under 35 years -----------

35-44 years --------------

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

55 years and over --------

1;;,:-7:

86:300

67,300

24,700

Occupational category

Administrateive and

medical -----------

Under 35 years -----------

35-44years --------------

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

55 years and over --------

Therapeutic --------

5,200

;,:3:

7:300

10,400

20.3

20.1

29.6

29.9

9,800

21.0

29.3

26.4

23.2

11,400

34.9

24.7

24.2

16.1

L21,900

*

*

;’e

.,,<

*

—.

>,;

>:

>7<

?r

2,200

50.1

23.1,,..

,.>.

...

,,.-

>’,.

,’,..

,...

,.,..

2’.(

*

.,,..

,.,.

1,300

Under 35 years -----------

35-44years --------------

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

55 years and over --------

Nursing ------------

4,200

2,100

2,200

1,800

374,200

4,100

3,000

2,800

1,900

1.40,000

40.6

20.2

21.1

18.0

278,300

;,<

>k

,,.

,:

78,800

41.9

26.8

19.8

11.5

600

>,e

*

*

f?

1,500

>:

33.9

>*

*

LO,1OO

>’?

>k

;,..

.A.

12,100

60.3

20.0

15.2

4.6

Under 35 years -----------

35-44years --------------

45-5byears --------------

55 years and over --------

162,300

76,800

76,800

58,200

18,800

71,400

23,600

21,000

24,000

2,200

~:.]

20:9

17.3

18,100

50.7

16.1

15.4

17.7

2,100

55.1

.....

,...

>,..

,:

—

,$<

,!:

>’<

>7..

,’:400

Occupation

Administrator ------

Under 35 years -----------

35-44years --------------

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

55 years and over--------

3,400

3,800

6,000

5,600

38,700

>’t

>’<

700

700

28,500

18.5

20.2

31.7

29.6

36,300

;:.

;’<

30.2

30.5

27,600

>’;

:’:

;,<

>7<

>~zoo

>k

>\-

>$

,...

1,000

Registered nurse---

—

Under 35 years -----------

35-44 years --------------

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

55 years and over --------

Licensed practical

nurse-------------

9,500

9,000

10,500

9,600

52,100

7,900

8,100

6,700

5,800

20,500

23.9

22.8

27.9

25.4

40,600

27.0

28.4

;$ ;

.

17,400

>,,

7:

>’<

>,,

;’:200

;,c

>:

.,,

*

1,800

50.7

>,:

?<

>!

:,:

:’..

?<

>,.$

,*500

—.

.,!,.

>...

;f.-

;,..

1,800

48.7.,,.,

29.5

>’;

,.:

;7..

:’:

.,,..

;’:200

Under 35 years -----------

35-44 years --------------

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

55 years and over --------

18,500

11,500

11,400

10,800

283,400

9,000

4,000

3,100

4,400

91,000

35.0

20.7

21.8

22.5

201,500

44.9

17.6

14.1

23.4

76,900

35.8

26.0

23.4

14.8

;7,300

;:.;

19:3

10.9

52.6

>,<

;,,

7:

Nurse’s aide ------- 10,900

Under 35 years -----------

35-44 years --------------

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

55 years and over --------

134,300

56,400

54,900

37,800

54,500

11,500

11,100

13,800

——

48.0

17.8

19.5

14.7

60.6

11.3

12.7

15.5

61.9

19.0

15.1

;’.-

1Excludes Spanish American.

‘Excludes “all other staff” (clerks,

etc.).

bookkeepers, cooks, kitchen help, housekeeping and maintenance personnel ,

16
Table 6. Average hourly wage for selected full-time nursing home employees, by selected

characteristics: United States, 1973-74

*

Characteristic

All homes------------------

NURSING HOME

Bed size

Less than 50 beds----------------

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

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

200 beds or more-----------------

Resion

Northeast------------------------

North Central--------------------

South----------------------------

west-----------------------------

Ownership

Proprietary----------------------

Governmentand nonprofit---------

EklPLOYEE

Age —

Under 35 years-r-----------------

35-44 years----------------------

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

55 years and over----------------

Administrator

$5.44

4.71

5.14

5.70

9.37

6.92

5.30

4.39

5.33

5.36

5.68

5.43

5.08

5.27

5.88

Full-time employee

Registered Licensed

practical Nurse’s

nurse

nurse

aide

Average hourly wage

$4.83

4.20

4.66

4.94

5.28

4.77

4.94

5.02

4.61

4.71

5.06

4.43

5.14

5.05

4.68

$3.21

2.88

3.11

3.25

3.67

3.53

3.13

2.90

3.51

3.21

3.21

3.13

3.24

3.36

3.19

$2.25

2.05

2.02

2.25

2.90

2.63

2.08

2.06

2.38

2.19

2.37

2.18

2.28

2.33

2.32

17
Table 7. Data for selected characteristics of full-time registered nurses and full-time

licensed practical nurses: United States, 1973-74

Characteristic

All nursing hOmes-------------

Less than 50 beds-----------

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

100 beds or more------------

NURSING H(l.iE

Ownership

Proprietary---------------

Less than 50 beds-------------

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

100 beds Or more--------------

Government and nonprofit--

Less than 50 beds-------------

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

100 beds or more--------------

Certification

Borh Medicare and

MedicaidZ----------------

Less than 50 beds-------------

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

100 beds or more--------------

Skilled nursing home3-----

Less than 50 beds-------------

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

100 beds or more--------------

Intermediatecare

facility ----------------

Less than 50 beds-------------

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

100 beds or nwEe--------------

Not certified-------------

Less than 50 beds-------------

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

100 beds or more--------------

Region

Northeast---------------------

North Central-----------------

south-------------------------

West--------------------------

EMPLOYEE ——

Education

Less than 12 years------------

12 years----------------------

13 years----------------------

14 years----------------------

15 years or mOre--------------

Number

,eporting

wages>

3:,;::

11;700

20,900

24,300

3,200

8,500

12,600

12,900

1,400

3,100

8,300

18,900

900

5,700

12,400

10,600

1,000

3,400

6,200

4,100

1,200

1,800

1,100

3,500

1,500

800

1,200

13,800

10,200

6,400

6,700

*ZOO

*400

3,700

4,200

28,600

Registered nurse

Average hourly wage group

~

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

Percent distribution

30.7

38.6

37.8

25.0

31.5

35.7

35.5

27.7

29.3

45.4

44.1

21.1

25.2

31.1

32.0

21.6

34.4

35.2

44.2

29.0

3B.5

32.2

40.5

41.7

40.5

50.5

45.5

25.1

26.1

32.2

40.4

28.7

25.5 45.8

52.3 13.1

32.2

;:; 32.5

3.0 30.4

42.6

43.1

38.8

44.6

44.2

44.9

42.5

45.2

39.6

39.1

28.8

43.7

44.7

47.9

44.0

44.7

41.5

48.8

32.8

45.1

40.4

43.5

36.7

43.0

37.3

36.2

32.4

41.8

43.2

42.6

38.9

44.9

lB.6

29.9

35.9

40.7

44.1

22.7

10.3

19.0

27.4

19.9

1?::

23.9

28.0

11.5

22.6

32.8

27.5

16.5

21.5

31.0

20.5

12.1

18.8

22.8

11.5

1;:;

11.9

16.3

1::3

28.9

2B.1

21.2

13.5

22.7

10.0

2:::

23.9

22.6

v

Licensed practical nurse

Number

reporting

wages]

50,200

7,900

16,700

25,600

35,000

6,100

12,300

16,500

15,200

1,800

4,300

9,100

21,000

1,600

6,800

12,600

15,600

1,700

5,400

8,500

9,100

2,900

3,200

3,000

;,;():

1;300

1,500

12,500

13,500

16,400

7>800

4,800

7,700

2B,700

6,200

2,800

Average hcmrly wage group

~

II I 1 1

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

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

14.9

22.0

18.6

10.5

15.6

23.9

17.4

11.3

13.5

15.6

22.2

9.0

1;.$’

17:41

9.2~

14.7

19.9

17.8

11.6

22.0

31.5

21.5

13.4

IB.7

25.9

21.0

8.5

10.3

12.6

23.9

7.8

2B.3

15.9

13.6

11.6

11.6

1Excludes employees who donated their services.

28 percent of these homes were certified for Medicare only.

335 percent of these homes were certified as b~h skilled nursing homes and intermediatecare facilities

33.9

37.7

36.6

31.0

35.2

34.0

37.5

34.0

30.9

50.5

24.1

25.6

25.5

40.2

24.9

24.0

40.0

41.6

44.1

37.0

44.0

36.0

48.1

47.li

32.0

34.3

38.2

23.9

18.6

34.9

47.2

28.8

35.5

35.1

36.1

25.1

25.5

40.6

34.8

37.8

44.3

39.2

36.0

38.0

41,3

43.9

30.6

37.1

49.7

::.:

47:7

47.7

37.0

35.9

32.0

40.3

28.5

24.3

27.5

33.5

41.7

31.7

3h.5

59.5

49.4

45.6

25.4

49.9

28.6

40.0

41.2

47.7

41.0

NOTE: Figures may not add to totals due to rounding.

18
Table 8. Data for selected characteristics of full-time administrators and ftill-time

nurse’s aides: United States, 1973-74

Characteristic

All nursing homes---------------------

Less than 50 beds -------------------

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

100 beds cm more--------------------

NLIRSINGHOME

Ownership

Proprietary-----------------------

Less than 50 beds---------------------

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

100 beds ar more----------------------

Gavcrnment and nonprofit----------

Less than 50 beds---------------------

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

100 beds or more----------------------

Certification

Both Mcdi.careand Medicaid2-------

Less than 50 beds---------------------

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

100 beds or more----------------------

Skilled nursing home3-------------

Less than 50 beds---------------------

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

100 beds cm more----------------------

Intermediatecare facility--------

Less than 50 beds---------------------

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

100 beds or more ----------------------

Not certified ---------------------

Less than 50 beds---------------------

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

100 beds or more----------------------

Region

Nurtbcast-----------------------------

Nartk Central-------------------------

south---------------------------------

West----------------------------------

EMPLOYEE

Educati.an

Less than 12 years--------------------

12 wars------------------------------

13 years------------------------------

14 b.cara------------------------------

15 years cm more----------------------

Number

reporting

wages1

16,700

5,200

6,200

5,300

12,800

4,500

4,800

3,600

3,900

700

1,500

1,700

5,000

*500

2,000

2,500

4,400

1,000

1>900

1,600

f,;:g

1:600

900

3,000

1,900

800

*400

4,100

5,500

4,900

2,300

700

4,000

2,100

2,500

7,400

Administrator

Average hourly wage group

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

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

33.0

48.0

30.6

21.7

32.1

46.6

28.8

18.7

36.4

56.4

36.1

28.2

15.8

33.4

15.9

12.2

26.7

28.6

31.8

19.5

41.4

43.3

39.1

41.7

59.3

66.5

46.4

50.2

20.5

36.8

41.3

29.4

I

75.8

46.1

42.8

29.1 !

20.6

—d

22.9

21.8

27.4

18.8

24.1

24.5

26.3

20.7

19.1

3::?

14.8

22.9

30.4

30.1

15.8

17.6

10.5

21.1

17.6

30.8

28.1

34.8

28.9

19.6

18.9

20.7

20.7

17.7

21.7

30.0

20.3

14.1

18.3

30.2

33.5

20.6

15.7

11.7

17.6

17.3

16.6

11.1

19.9

19.0

12.6

15.2

10.1

13.7

20.3

3.4

23.9

20.7

20.3

27.2

18.9

17.8

11.9

12.7

12.4

9.2

6.8

4.9

9.2

11.1

19.8

11.6

15.4

18.7

4.2

18.1

8.4

15.5

17.7

———

28.2

18.5

24.4

42.1

27.2

17.8

25.0

41.5

31.8

23.1

22.7

&3.4

41.0

32.7

30.0

51.3

35.4

33.5

28.2

45.0

15.9

15.8

13.7

20.1

14.4

9.8

23.7

17.9

42.0

29.7

13.3

31.6

5.9

17.5

18.6

21.9

41.0

-—

.

Nurse’s aide

Number

reporting

wages!

274,100

38,100

94,200

141,900

191,500

28,200

71,100

92,200

82,600

9,800

23,100

49,700

113,400

5,700

36,200

71,600

79,000

6,200

26,600

46,300

53,000

16,000

21,100

15,900

28,700

10,300

10>300

8,200

57,200

90,700

76,300

49,900

118,200

109,900

22,600

13,600

9>900

Average hourly wage group

E4E!-_L “’;’-‘c 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

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

1Iticludcs employees who dons ted their services.

28 puccnt of these homes were certified for Nedicare only.

335 p~,rcent of these homes were certified as -lled nursing homes and intermediate care facilities

54.9

67.7

64.6

45.0

61.7

70.9

68.6

53.6

38.9

58.5

52.1

29.0

45.0

44.’2

56.1

39.3

53.7

66.3

62.6

46.8

75.1

78.7

78.7

66.6

59.9

64.0

70.2

41.8

19.9

57.5

75.9

57.9

57.1

54.4

54.7

47.1

43.8

29.5

24.4

29.7

30. E

27.3

22.3

26.5

29.4

34.8

30.6

39.4

33.5

34.4

38.3

37.0

32.8

29.8

32.1

31.2

28.7

19.5

15.3

17.7

26.3

28. o

26.3

24.4

34.4

39.9

31.7

16.9

33.2

28.1

31.6

28. o

35.5

19.0

.—

15.7

7.8

2.2:;

11.0

::;

17.0

26.2

11.0

3%:

20.6

16.8

2;:;

16.5

1.6

2::;

2:8

3.5

7.1

12.2

9.7

2;:;

40.3

10.7

7.3

9.0

14.8

13.9

17.3

17.4

37.1

—

NoTI: : Figures may not add tO totals due to rounding.

19
Table 9. Percent of selected full-time nursing home employees taking nondegree healthrelated courses, by type of course: IJni.tedStates, 1973-7’4

Type of course

One or more courses ---------

Nursing care of the aged ----------

Medical care of the aged ----------

Social problems of the aged -------

Physical therapy ------------------

Occupational therapy --------------

Nutrition -------------------------

Nursing home administration -------

Inservice education ---------------

Medical records -------------------

Activity programs -----------------

Social services -------------------

Pharmacology and care of drugs----

All

full-time

employees

35.5

18.0

$;

;:!?

2:$

19.6

4.2

5.8

3.3

6.0

Full-time employee

Administrator

77.1

37.0

3::;

13.3

2;::

62.0

24.1

17.2

23.0

17.0

15.1

Registered

nurse

56.9

33.6

2:::

17.1

5.5

H

34.0

10.7

2:;

18.7

Licensed

practical

nurse

41.0

19.4

12:$

9.1

3.2

H

26.1

4.4

5.8

12:;

Nurse’s aide

27.4

14.8

3.8

5.6

5.3

H

1;:!

2.3

3.0

i:;

20
Table 10. Number and percent of selected full-time nursing home employees receiving

fringe benefits, by type of benefit: United States, 1973-74

Type of benefit

All full-timeemployees----

Paid vacation--------------------

Cash bonus-----------------------

Pension--------------------------

Health, life insurance-y---------

Other leavel---------------------

Meals----------------------------

Full-time employee

Registered Licensed

Administrator nurse

practical Nurse’s aide

nurse

Number

18,800I 38,700 I 52,100I 283,400

Percent

76.7

19.3

15.2

;;.;

52:2

86.1 82.6’ 79.1

13.3 13.8 12.6

19.8 15.4 15.4

.55.; 43.3 40.5

55.8 50.2

38:4 32.2 25.3

lIncludescivic and personal leave (jury duty,military reserves,Voting, funerals)and release

time for attending institutes.

21
Table 11. Number and rate per 100 residents of full-time equivalent registered nurses,

licensed practical nurses, and nurse’s aides in nursing homes, by selected nursing

home characteristics: United States, 1973-74

Nursing home

characteristic

All homes-----------------------

Certification

Both Medicare and Medicaid~-----------

Skilled nursing homez-----------------

Intermediatecare facility -----------

Not certified-------------------------

Bed size

Less than 50 beds---------------------

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

100 beds or more----------------------

Ownership

Proprietary---------------------------

Governmentand nonprofit--------------

Full-time equivalent

Registerednurse

Number

53,500

27,100

15,800

5,600

5,000

7,500

16,500

29,500

35,000

18,500

Rate per

100

residents

5

6

Licensed practical

nurse

Number

63,700

26,700

19,800

11,600

5,600

10,700

21,100

31,900

44,300

19,400

Rate per

100

residents

6

Nurse’s aide

Number

335,500

137,100

96,300

66,900

35,300

51,000

114,600

169,900

233,600

102,000

Rat;oger

residents

31

31

31

31

32

18 ercent of these homes were certified for Medicare Only.

z35ppercentof these homes were certified as both skilled nursing homes and intermediate

facilities.

care

NOTE: Figures may not add to totals due to rounding.

22
Table 12. Data for selected characteristics of full-time employees incharge of shifts,

by type of employee: United States, 1973-74

Characteristic

All homes-------------------

Less than 50 beds-----------------

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

100 beds or more ------------------

NURSING HOME

Ownership

Proprietary -------------------

Less than 50 beds -----------------

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

100 beds or more ------------------

Government and nonprofit ------

Less than 50 beds -----------------

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

100 beds or more ------------------

Certification

Both Medicare and Medicaid --------

Skilled nursing home--------------

Intermediate care facility--------

Not certified ---------------------

ReEion

Northeast -------------------------

North Central ---------------------

south -----------------------------

West ------------------------------

EMPLOYEE

Education

Less than 12 years ----------------

12 years --------------------------

13 years --------------------------

14 years --------------------------

15 years or more ------------------

Employment

Current employment ----------------

Total experiencel -----------------

Other

Age------------------------------

Hourly wage ----------------------

Type of employee

I I I

Registered Licensed

Administrator

nurse

practical Nurse’s aide

nurse

1,200

1,000

?Cloo

>kloo”

1,100

900

>’<

-k

>ql)o

-k

;!;

>k

>?

.A.

$<300

800

>’<30(3

>?4()()

>?2(30

9C200

$;200

>*4(Jo

>qoo

~floo

+<300

9.6

16.8

55

Number

17,200

3,200

6,700

7,200

12,500

2,400

5,000

5,100

4,700

900

1,700

2,100

7,700

4,900

2,800

1,700

4,600

4,800

3,800

3,900

~<~()()

>Q()()

1,700

1,700

13,500

Average in years

1;:;

46

13,800

5,300

6,000

2,500

10,800

4,400

4,700

1,700

3,000

900

1,400

800

3,200

3,500

5,000

2,000

2,000

4,300

5,000

2,400

1,400

2,300

7,400

1,700

900

;:;

43

$2.911

Average in dollars

$4.57] $3.101

6,700

5,000

1,400

$<300

5,300

4,000

1,100>!:

1,400

1,000

;:400

-,’.

>.;

>,:

3,300

3,200

600

4,000

1,500

600

3,200

2,500

600

;~300

>%1(J()

4.9

7.1

44

$1.97

lTOtal experience in a nursing home Or hospital.

23
APPENDIXES

CONTENTS

l. Technical Notes on Methods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Survey Design . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Sampling Frame . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Sampling Design . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Data Collection Procedures for 1973-74 National Nursing Home Survey -,. . . . . . . . . .

General Qualifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Nonresponse andlmputationof Missing Data . . . . . . . . . . . . . . . . . . . . . . . . . .

Roundingof Numbers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Data Processing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Estimation Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

11. Definitionsof Certain Terms Usedin This Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

ill. Criteria for Classify ing Nursing Homes According to Level of Nursing Care . . . . . . . . . . . . . .

Typesof Facilities lnciudedinthe Survey . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

lV. Selected Questionnaires Used in the 1973-74 National Nursing Home Survey . . . . . . . . . . . . .

LISTOFAPPENDIX TABLES

I. Dktributionof facilities in the 1973-74 National Nursing Home Survey universe anddkposition

of sample facilities according to primary sampling stratz Conterminous United States . . . .

IL Standard errors ofpercents forprofessionaf employees . . . . . . . . . . . . . . . . . . . . . . . .

III. Standard cmorsof percents fortotal employees, nurse’s aides, andnonprofessional employees . .

IV. Standard emors ofaverage hourly wages forprofessional employees . . . . . . . . . . . . . . . . .

v. Standard emorsof average homlywages fortotaI andnonprofessionaI employees . . . . . . . . . .

VI. Standard emorsofaverage employee ages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

VII. Standard errors of average years of education for total employees . . . . . . . . . . . . . . . . . .

VIII. Standard errors of average length of work experience for total employees . . . . . . . . . . . . . .

LIST OF APPENDIX FIGURES

I. Summary ofdatacoflection procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

11. States included inthe fourgeographic regions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

25

25

25

26

27

26

28

28

28

29

29

34

36

36

37

26

30

30

31

t31

32

32

33

28

35

24
APPENDIX I

TECHNICAL NOTES ON METHODS

SURVEY DESIGN

From August 1973 to April 1974, the

Division of Health Resources Utilization Statistics (DHRUS) conducted the National Nursing

Home Survey (NNHS)–a sample survey of

nursing homes, their residents and staff in the

l-onterminous United States. The survey was

clesi~ncd and developed by DHRUS in conjuncti(m ~vith a group of experts in various fields

encompassing the broad area of long-term

care.14 It was specifically designed as the first of

a series of surveys to satisfy the diverse data

needs of those who establish standards for, plan,

pnn’ide, and assess long-term care services.

Sampling Frame

“Jle 1973-74 NNHS focused on nursing

h[nmes Ivhich provided some level of nursing

rm’. Only facilities providing nursing care were

included because detailed questions on facility

services and resident health status were relevant

(only to these facilities. They included both

nursing care homes and personal care homes

with nursing, while personal care homes without

nursing and domiciliary care homes were excluded. Facilities were either freestanding

establishments or nursing care units of hospitals,

retirement centers, and similar institutions. A

definition of nursing care and detailed criteria

for classifying facilities providing such care are

presented in appendix III.

The survey universe consisted of two groups

of facilities: ,those providing some level of

*

NOTE: A list of references follows the text.

nursing care as classified in the 1971 Master

Facility Inventory (MFI) and those opening for

business in 1972. The major group (93 percent)

was composed of all nursing homes providing

some level of nursing care as classified by the

1971 MFI. MFI is a census of all inpatient health

facilities conducted every 2 years by mail by the

National Center for Health Statistics. A detailed

description of how MFI was developed, its content, and procedures for updating and assessing

its coverage has been published.

In order for data collection to begin in

August, the sampling frame was “frozen” in the

spring of 1973 so that the sample could be

selected in ample time to permit the scheduling

of nationwide data collection. To obtain as current a sample frame as possible, all nursing

homes which opened for business during 1972

were also included in the universe. (Facilities

opening in early 1973 could not be included

since data about them were not yet available.)

The facilities which opened in 1972 comprised

the second, and smaller (7 percent), group of

facilities in the universe. Although the universe

include d only facilities providing nursing care,

all facilities opened in 1972 were included

because the level of nursing care they provided was unknown prior to the survey. Once

NNHS was conducted, facilities not meeting the

criteria were classified as out of scope (see tabIe

I for details).

Although NNHS was conducted in 1973-74,

it should be noted that estimates will not correspond precisely to figures from the 1973 MFI

census for several reasons. In comparison to the

MFI, the NNHS universe excluded the following: 1) personal care homes and domiciliary care

25
Table 1. Distribution of facilities in the 1973-74 National Nursing Home Survey universe and disposition of sample facilities according to

primary sampling strata: Conterminous United States

Number of facilities in sample

Universe

(sampling

frame) 1

17,685

4,099

2

149

538

1,713

1,385

224

68

20

7,473

Certification status and size of facility Out of scope

or out

of business

In scope and in business Total

facilities

2,118

803

Responding

1,908

Jonresponding

147

20

63

26

All types .............................................................

Both Medicare and Medicaid and

Medicare only ................................................

Un known number of beds .....................................

Less than 25 beds ..................................................

2549 beds .............................................................

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

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

200-299 beds .........................................................

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

500 beds or more ........ ..........................................

Medicaid only ......................................................

Unknown number of beds .....................................

Less than 15 beds ..................................................

15-24 beds ....................................................... ......

2549 beds .............................................................

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

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

200-299 beds .........................................................

300499 beds .........................................................

500 beds or more ............................................... ...

Not cetiified ........................................................

Unknown number of beds .....................................

Less than 15 beds ........................................ ..........

15-24 beds ................... ..........................................

2549 beds .............................................................

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

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

200-299 beds.........................................................

300499 beds .........................................................

500 beds or more ..................................................

7!57

4

35

228

370

100

46

20

790

7

8

4

1

34

1

1

7

11

3

2

1

24

3

34

214

351

93

43

19

732

3

250

967

2,253

2,688

1,108

145

43

16

6,113

5

36

123

293

241

52

24

16

525

1

5

11

4

3

5

3

2

93

2

1

3

8

6

3

1

13

2

30

109

281

232

44

20

14

419

19

1,279

1,062

1,575

1,334

652

120

52

20

23

38

87

145

141

43

28

20

10

9

13

19

21

12

4

5

3

5

4

1

13

29

71

121

116

31

23

15

lThe universe c~n~isted of nursing homes providing some level of nursing care as classified in the 1971 MFI and those Wened ‘or

business in 1972.

tion of establishments and the seccmd stage was

a selection of residents and employees of the

sample establishments. In preparation for the

first-stage sample selection, establishments listed

in MFI were sorted into three types of strata

based on Medicare and Medicaid certification:

1) both Medicare and Medicaid and Medicare

onIy; 2) Medicaid only; and 3) not certified,

Facilities in each of these three strata were

sorted into bed size groups, producing 26 primary strata as shown in table I. The nursing

homes in the universe were ordered by type of

homes; 2) facilities which opened in 1973; and

3) facilities which, between 1971 and 1973,

upgraded the level of care they provided, thereby meeting the “nursing care” criteria when

surveyed in the 1973 MFI. Data from NNHS are

also subject to sampling variability, while data

from MFI are not, since MFI is a census.

Sampling Design

The sampling was a stratified two-stage

probability design: The fii-st stage was a selec26
ownership, geographic region, State, and county.

The sample was then selected systematically

after, a random start within each primary stratum. Table I sho~vs the distribution of establishments in the sampling frame and the final

disposition of the sample with regard to response imd in-scope status. The number of facilities estimated by the survey (15,749) is less

than the universe figure (17,685) because some

facilities went out ‘of business or out of scope

bct~reen the time the universe was “frozen” and

the survey was conducted. Differences ranging

iknn 2,100-2,900 between survey estimates and

universe figures occurred in the 1963,1

1964,S and 1969s nursing home surveys for

the same reason.

The second-stage selection of residents and

employees was carried out by the interviewers at

Ihc time of their visits to the establishments in

accorckmce with specific instructions given for

mch sample establishment. The sample frame

for residents was the total number of residents

(m the rwqister of the establishment on the evening prior to the day of the survey. Residents

1v11oIvere physically absent from the facility due

to cwernight leave or a hospital visit but had a

bccl maintained for them at the establishment

were included in the sample frame. An average

of 10 residents were in the sample per facility.

The sampling frame for employees was the

Stuff Control Record on which the interviewer

Iistcd the names of all staff (including those

mnployed by contract) and sampled professional,

semiprofessional, and nursing staff. Those generally not involved in direct patient care, such as

ofllcc staff, food service, housekeeping, and

maintenance personnel, were excluded from the

sample. The interviewer used predesignated

sampling instructions that appeared at the head

uf each column of this form. An average of 14

staff were in the sample per facility.

Data Collection Proceduresfor 1973-74

National Nursing Home Survey

The 1973-74 NNHS utilized eight questionmtirm. (See appendix IV for copies of questionn:(ircs relevant to this report. ”For all other data

m]llcction instruments, see reference 1O.)

NOTE: A list of references follows the text.

Administrator Letter and

Facility Questionnaire

Expense Questionnaire

Resident Control Record

Resident Questionnaire

Worksheet

Staff Questionnaire-Parts I and II

Staff Control Record

Data were collected according to the following procedure:

1.

2.

3.

A letter was sent to the administrators of

sample facilities informing them of the

survey and the fact that an interviewer

would contact them for an appointment.

On the back of the letter was a worksheet which the administrator was

requested to fill out prior to the interviewer’s visit. This worksheet asked for

those data that required access to records and some time in compiling (such

as total admissions and discharges, inpatient days of care, etc.). Included with

this introductory letter were letters of

endorsement from the American Nursing

Home Association and the American

Association of Homes for the Aging

urging the administrators to participate

in the survey.

Several days to 1 week after the mailing

of the letters, the interviewer telephoned

the sample facility and made an appointment with the administrator.

At the time of the appointment, the following procedures were followed: The

Facility Questionnaire was completed by

the interviewer who interviewed the

administrator or owner of the facility.

After completing this form, the interviewer secured the administrator’s

permission to send the Expense Questionnaire to the facility’s accountant. (If

financial records were not kept by an

outside firm, the Expense Questionnaire

was filled out by the administrator, with

the interviewer present.) The interviewer

completed the Staff Control Record (a

list of all currently employed staff both

full and part time), selected the sample

27
of staff from it, and prepared Staff Questionnaires, Parts I and II, which were left

for each sample staff person to complete, seal in addressed and franked

envelopes (one for each part of the questionnaire), and return either to the interviewer or by mail. The interviewer then

completed the Resident Control Record

(a list of all residents currently in the

facility), selected the sample of residents

from it, and filled a Resident Questionnaire for each sample person by interviewing the member of the nursing staff

familiar with care provided to the resident. The nurse referred to the resident’s

medical records. No resident was interviewed directly.

If the Expense Questionnaire was not returned

within 2 weeks, the interviewer telephoned the

accountant requesting its prompt return. If the

Staff Questionnaires were not returned in 1

\veek, the intervie~ver contacted the staff member and requested the return of the form.

Figure I presents a summary of the data colIectio; proce-dures.

GENERAL QUALIFICATIONS

Nonresponse and Imputation

of Missing Data

Response rates differed for each type

questionnaire as indicated below:

Questionnaire Response Rate

Facility .................... 97 percent

Expense ................... 88 percent

Resident .................. 98 percent

Staff ........................ 82 percent

of

Generally, response rates were higher for

questionnaires administered in a personal interview situation (facility and resident) as compared to those which were self-enumerated

(expense and staff). Statistics presented in this

report were adjusted for failure of a facility to

respond. Data were also adjusted for nonFigure 1. Summary of data collection procedures

1 I

Questionnaire I

Respondent I

interview

situation

Facility ............. Administrator

Expense ............ Facility’s accountant

Rasident ............ Member of nursing staff

familiar with care provided to the resident

or resident’s medical

records (1 O sampled

residents per facility)

Staff .................. Sampled staff member

(14 per facility)

Personal interview

Self-enumerated

questionnaire

Personal interview

Self-enumerated

questionnaire

I I

response which resulted from failure to complete one of the questionnaires (expense, resident, staff) or from failure to complete an item

on a questionnaire. Those items left unanswered

on a partiaHy completed questionnaire (facility,

expense, resident, staff) were generally imputed

by assigning a value from a responding unit with

major characteristics identical to those of the

nonresponding unit.

Rounding of Numbers

Estimates of employees 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 basis of oli,qinal,

unrounded @ures and will not necessarily agree

precisely with percents which might be calculated from rounded data.

Data Processing

A series of checks was performed during the

course of the survey. This included field followups for missing and inconsistent data, some

manual editing of the questionnaires, extensive

editing conducted by computer to assure that all

responses were accurate, consistent, logical, and

complete. Once the data base was edited, the

computer was used to calculate and assign

weights, ratio adjustments, recodes, and other

related procedures necessary to produce national

estimates from the sample data.

28
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 estimation of number of establishments and establishment data not related to size

are inilated by the reciprocal of the probability

of selecting the sample establishment and adjusted for the nonresponding establishments

within primary certification-size strata. Two ratio

adjustments, one at each stage of selection, were

ako used in the estimation process. The firststage ratio adjustment (along with the above

inflation factors) was included in the estimation

of establishment data related to size, resident

data, and staff data for alI primary certificationsize strata from which a sample of facilities was

druwn. The numerator was the total beds according to the Master Facility Inventory data for

all facilities in the stratum. The denominator

was the estimate of the total beds obtained

through a simple inflation of the Master Facility

Inventory data for the sample homes 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 adjustment was included in

the estimation of resident and staff data within

establishments. The second-stage ratio adjustment is the product of two fractions: The first is

the inverse of the sampling fraction for residents

(or staff) upon which the selection is based; the

second is the ratio of the number of sample residents (or staff) in the establishment to the number of residents (or staff) for whom questionnaires were completed within the facility.

RELIABILITY OF ESTIMATES

As in any survey, the results are subject to

reporting and processing errors and errors due to

nonresponse. To the extent possible, these types

of errors were kept to a minimum by methods

built into survey procedures.

Since statistics presented in this report are

based on a sample, they will differ somewhat

from figures that would have been obtained if a

complete census had been taken using the same

schedules, instructions, and procedures.

The standard error 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 sampIe size increases, the standard error generally

decreases.

The relative standard error of an estimate is

obtained by dividing the standard error of the

estimate by the estimate itself and is expressed

as a percentage of the estimate. According to

NCHS standards, reliable estimates are those

which have a relative standard error of 25 percent or less. For a relative standard error of 25

percent or less, the minimum number of employees is 600. Thus employee estimates must

be 600 or larger in order to meet the standards

of reliability. In this report asterisks are shown

for any cell with a number of less than 600 or a

percent which represents a number of less than

600, that is, with more than a 25-percent relative standard error. Tables II and III present

standard errors for categories of employees, and

tables IV and V present standard errors for

average hourly wages for categories of employees. Tables VI, VII, and VIII present standard errors for average age, years of education,

and years of employment for employees, respectively.

Because of the relationship between the

relative standard error and the estimate, the

standard error of an estimate can be found by

multiplying the estimate by its relative standard

error.

For example, table 4 shows that in nursing

homes with less than 50 beds, 56.2 percent of

the 4,200 female administrators earned less than

$4.00 per hour, while table 3 shows that 34.6

percent of the 2,000 male administrators earned

this amount. Using the standard errors of percentages in table II and interpolating, it was

found that the standard error was 4.32 for the

women and 5.21 for the men. The chances are

about 95 out of 100 that an estimate from the

29
Table II. Standard errors of percents for professional employees

Baseof estimated percent

(number of professional employees)

4oo ........................................................

500 ........................................................

600 ........................................................

700 ........................................................

800 ........................................................

900 ........................................................

1.ooo.....................................................

2,000 .....................................................

3.000 .....................................................

4rooo .....................................................

5.000 .....................................................

6.000 .....................................................

7.000 .....................................................

8.000 .....................................................

9.000 .....................................................

lo.ooo .............."....................................

20.000 ...................................................

30.000 ...................................................

40.000 ...................................................

50.000 ........n..........................................

60.000 ...................................................

70.000 ...................................................

80.000 ...................................................

90,000 ...................................................

loo.ooo .................................................

2oo.ooo .................................................

Estimated percent

1 or 99 2 or 98 5 or 95 100r90 20 or 80 30 or 70 40 or 60 50

Standard error in percentage points

2.45

2.19

2.00

1.85

1.73

1.64

1.55

1.10

0.90

0.78

0.69

0.63

0.59

0.55

0.52

0.49

0.35

0.28

0.25

0.22

0.20

0.19

0.17

0.16

0.16

0.11

3.45

3.09

2.82

2.61

2.44

2.30

2.18

1.54

1.26

1.09

0.98

0.89

0.83

0.77

0.73

0.69

0.49

0.40

0.35

0.31

0.28

0.26

0.24

0.23

0.22

0.15

5.37

4.81

4.39

4.06

3.80

3.58

3.40

2.40

1.96

1.70

1.52

1.39

1.28

1.20

1.13

1.07

0.76

0.62

0.54

0.48

0.44

0.41

0.38

0.36

0.34

0.24

7.40

6.62

6.04

5.59

5.23

4.93

4.68

3.31

2.70

2.34

2.09

1.91

1.77

1.65

1.56

1.48

1.05

0.85

0.74

0.66

0.60

0.56

0.52

0.49

0.47

0.33

9.86

8.82

8.05

7.46

6.97

6.58

6.24

4.41

3.60

3.12

2.79

2.56

2.36

2.21

2.08

1,97

1.39

1.14

0.99

0.88

0.81

0.75

0.70

0.66

0.62

0.44

11.30

10.11

9.23

8.54

7.99

7.53

7.15

5.05

4.13

3.57

3.20

2.92

2.70

2.53

2.38

2.26

1.60

1.30

1.13

1.01

0.92

0.85

0.80

0.75

0.71

0.51

12.08

10.80

9.86

9.13

8.54

8.05

7.64

5.40

4.41

3.82

3.42

3.12

2.89

2.70

2.55

2.42

1.71

1.39

1.21

1.08

0.99

0.91

0.85

0.81

0.76

0.54

12.33

11.03

10.07

9.32

8.72

8.22

7.80

6.51

4.50

3.90

3.49

3.18

2.9!5

2.76

2.60

2.47

1.74

1.42

1.23

1.10

1.01

0.93

0.87

0.82

0.78

0.55

Table I I1. Standard errors of percents for total employees, nurse’s aides, and nonprofessional employees

Base of estimated percent

(number of employees)

2.000 .....................................................

4;000 .....................................................

5,000 .....................................................

6.0M .....................................................

7.000 .....................................................

8,000 .....................................................

9,000 .....................................................

lo.ooo ...................................................

20.000 ...................................................

30.000 ...................................................

40.000 ...................................................

50,000 ...................................................

60.000 ...................................................

70.000 ...................................................

80.000 ...................................................

90.000 ...................................................

1oo.ooo .................................................

2oo.ooo .................................................

300,000 .................................................

400,000 .................................................

5oo.ooo .................................................

Estimated percent

1 or 99 2 or 98 5 or 95 100r90 20 or 80 30 or 70 40 or 60 50

Standard error in percentage points

2.22

1.81

1.57

1.40

1.28

1.19

1.11

1.05

0.99

0.70

0.57

0.50

0.44

0.41

0.38

0.35

0.33

0.31

0.22

0.18

0.16

0.14

3.12

2.55

2.21

1.98

1.80

1.67

1.56

1.47

1.40

0.99

0.81

0.70

0.62

0.57

0.53

0.49

0.47

0.44

0.31

0.26

0.22

0.20

4.86

3.97

3.44

3.08

2.81

2.60

2.43

2.29

2.18

1.54

1.26

1.09

0.97

0.89

0.82

0.77

0.73

0.69

0.49

0.40

0.34

0.31

6.70

5.47

4.73

4.23

3.87

3.58

3.35

3.16

2.99

2.12

1.73

1.50

1.34

1.22

1.13

1.06

1.00

0.95

0.67

0.55

0.47

0.42

8.93

7.29

6.31

5.65

5.15

4.77

4.46

4.21

3.99

2.82

2.30

2.00

1.79

1.63

1.51

1.41

1.33

1.26

0.89

0.73

0.63

0.56

10.23

8.35

7.23

6.47

5.90

5.47

5.11

4.82

4.57

3.23

2.64

2.29

2.05

1.87

1.73

1.62

1.52

1.45

1.02

0.84

0.72

0.65

10.93

8.93

7.73

6.91

6.31

5.84

5.47

5.15

4.89

3.46

2.82

2.44

2.19

2.00

1.85

1.73

1.63

1.55

1.09

0.89

0.77

0.69

11.16

9.11

7.89

7.06

6.44

5.96

5.58

5.26

4.99

3.53

2.88

2.50

2.23

2.04

1.89

1.76

1.66

1.58

1.12

0.91

0.79

0.71

30
Table IV. Standard errors of average hourly wages for professional employees

Base of average wage

(number of professional employees)

Average hourly wage

B2.00 $2.50 $3.00 $3.50 $4.00 $4.50 $5.00 $5.50 $6.00 $6.50 $7.00 $8.00 $10.00

Standard error in dollars

0.84

0.69

0.60

0.54

0.49

0.46

0.43

0.41

0.39

0.28

0.24

0.21

0.19

0.15

0.12

0.91

0.75

0.65

0.58

0.53

0.49

0.46

0.44

0.42

0.30

0.26

0.23

0.21

0.16

0.14

0.98

0.80

0.69

0.62

0.57

0.53

0.50

0.47

0.45

0.33

0.28

0.25

0.23

0.18

0.15

1.04

0.85

0.74

0.67

0.61

0.57

0.53

0.50

0.48

0.35

0.30

0.26

0.24

0.19

0.16

2,000 .............................

3,000 .............................

4,000 .............................

5,000 .............................

6,000 .............................

7,000 .............................

8,000 .............................

9,000 .............................

10,000 ...........................

20,000 ...........................

30,000 ...........................

40,000 ...........................

50,000 ...........................

100,000 .........................

200,000 .........................

0.70

0.58

0.50

0.45

0.41

0.38

0.36

0.34

0.32

0.23

0.19

0.17

0.16

0.12

0.10

0.77

0.63

0.55

0.49

0.45

0.42

0.39

0.37

0.35

0.26

0.21

0.19

0.17

0.14

0.11

1.17

0.96

0.83

0.75

0.68

0.64

0.60

0.57

0.54

0.40

0.33

0.30

0.28

0.22

0.19

1.23

1.01

0.88

0.79

0.72

0.67

0.63

0.60

0.57

0.42

0.35

0.32

0.29

0.24

0.20

1.59

1.31

1.14

1.02

0.94

0.87

0.82

0.78

0.74

0.55

0.47

0.42

0.39

0.32

0.28

‘0.55

0.45

0.39

0.35

0.32

0.30

0.28

0.26

0.25

0.18

0.15

0.13

0.12

0.09

0.07

“0.63

0.52

0.45

0.40

0.37

0.34

0.32

0.30

0.29

0.21

0.17

0.15

0.14

0.11

0.09

1.10

0.91

0.79

0.71

0.65

0.60

0.56

0.53

0.51

0.37

0.31

0.28

0.26

0.21

0.18

1.35

1.11

0.96

0.87

0.79

0.74

0.69

0.66

0.63

0.46

0.39

0.35

0.32

0.26

0.23

sample differs from the value that would have differences between selected characteristics are

been obtained from a complete census by less

than twice the standard error. To continue the

above example, the chances are 95 out of 100

that the true values are contained in the intervals

56.2 * 2(-!.32) for women (47.7 to 64.7), and

34.6 + 2(5.21) for men (24.4 to 44.8).

Statistical tests to determine whether the

statistically significant can be performed by

comparing the confidence intervals for the estimates in question. If there is no overlapping of

the confidence intervals, the estimates are considered statistically different. In the example

above there is no overlapping and, therefore, the

differences are statistically different.

Table V. Standard errors of average hourly wages for total and nonprofessional employees

8ase of average wage

(number of employees)

Average hourly wage

$1.75 $2.00 $2.25 $2.50 $2.75 $3.00 $3.50 $4.00 $5.00

Standard error in dollars

3,000 ..........................................................

4.000 ..........................................................

5,000 ..........................................................

6,000 ..........................................................

7.000 ..........................................................

8.000 ..........................................................

9,000 ..........................................................

lo.ooo ........................................................

20.000 ........................................................

30,000 ........................................................

40,000 ........................................................

50,000 ........................................................

100,000 ......................................................

2oo.ooo ......................................................

300,000 ......................................................

4oo.ooo ......................................................

500,000 ......................................................

550.000 ......................................................

*O.62

*0.54

*0.48

‘0.44

0.41

0.38

0.36

0.34

0.24

0.20

0.17

0.15

0.11

0.07

0.06

0.05

0.04

0.04

*o .68

*0.59

*0.52

0.48

0.44

0.41

0.39

0.37

0.26

0.21

0.18

0.16

0.11

0.08

0.06

0.05

0.05

0.04

*0.73

‘0.63

*G.57

0.52

0.48

0.45

0.42

0.40

0.28

0.23

0.20

0.18

0.12

0.09

0.07

0.06

0.05

0.05

*0.78

*0.68

0.61

0.55

0.51

0.48

0.45

0.43

0.30

0.25

0.21

0.19

0.13

0.09

0.07

0.06

0.05

0.05

*O.84

*0.72

0.65

0.59

0.55

0.51

0.48

0.46

0.32

0.26

0.23

0.20

0.14

0.10

0.08

0.06

0.06

0.05

‘0.89

*0.77

0.69

0.63

0.58

0.54

0.51

0.49

0.34

0.28

0.24

0.21

0.15

0.10

0.08

0.07

0.06

0.05

“0.99

0.86

0.76

0.70

0.65

0.60

0.57

0.54

0.38

0.31

0.27

0.24

0.17

0.11

0.09

0.07

0.06

0.06

*1 .09

0.94

0.64

0.77

0.71

0.66

0.63

0.59

0.42

0.34

0.29

0.26

0.18

0.12

0.10

0.06

0.07

0.06

* 1.28

1.11

0.99

0.91

0.84

0.78

0.74

0.70

0.49

0.40

0.35

0.31

0.21

0.14

0.11

0.09

0.08

0.07

31
Table V1. Standard errors of averaae-,, emdovee aaes -

Average age

20 25 30 35 40 45 50 55 60

Baseof average age

(number of employees)

Standard error in years

3.000 ..........................................................

4,000 ..........................................................

5.000 ..........................................................

6.000 ..........................................................

7,000 ..........................................................

8,000 ..........................................................

9.000 ..........................................................

10,000 ........................................................

20.000 ........................................................

30.000 ........................................................

40,000 ........................................................

50,000 ........................................................

100,000 ......................................................

2oo.ooo ......................................................

300,000 ......................................................

400,000 ......................................................

mo.ooo ......................................................

550.000 ......................................................

*

4.34

3.88

3.54

3.28

3.07

2.89

2.74

1.94

1.59

1.38

1.23

0.88

0.63

0.52

0.46

0.41

0.40

5.96

5.16

4.62

4.21

3.90

3.65

3.44

3.27

2.31

1.89

1.64

1.47

1.05

0.75

0.62

0.55

0.50

0.48

6.90

5.97

5.34

4.88

4.52

4.23

3.99

3.78

2.68

2.19

1.90

1.70

1.21

0.87

0.72

0.64

0.58

0.56

7.83

6.78

6.07

5.54

5.13

4.80

4.53

4.29

3.04

2.49

2.16

1.93

1.38

0.99

0.82

0.73

0.66

0.63

8.76

7.59

6.79

6.20

5.74

5.37

5.06

4.80

3.40

2.78

2.42

2.16

1.54

1.11

0.92

0.81

0.74

0.71

9.69

8.39

7.50

6.85

6.35

5.94

5.60

5.31

3.76

3.08

2.67

2.39

1.77

1.23

1.02

0.90

0.82

0.79

10.61

9.19

8.22

7.51

6.95

6.50

6.13

5.82

4.12

3.37

2.93

2.62

1.87

1.35

1.12

0.99

0.90

0.87

16.53

9.99

8.93

8.16

7.55

7.07

6.67

6.32

4.48

3.67

3.18

2.85

2.04

1.47

1.22

1.08

0.88

0.94

12.45

10.78

9.65

8.81

8.16

7.63

7.20

6.83

4.84

3.96

3.44

3.08

2.20

1.59

1.32

1.17

1.06

1.02

Table VI 1. Standard errors of average years of education for total employees

Average years of education

Base of average years

(number of employees)

10111/12113114115116 117

Standard error in years

2.58

2.24

2.00

1.83

1.70

1.59

1.50

1.42

1.02

0.84

0.73

0.66

0.49

0.37

0.33

0.30

0.28

0.28

3,000 ..........................................

4,000 ..........................................

5,000 ..........................................

6,000 ..........................................

7,000 ..........................................

8,000 ..........................................

9,000 ..........................................

10,000 ........................................

20,000 ........................................

30,000 ........................................

40,000 ........................................

50,000 ........................................

100,000 ......................................

200,000 ......................................

300,000 ......................................

400,000 ......................................

500,000 ......................................

550,000 ......................................

1.83

1.59

1.42

1.30

1.21

1.13

1.06

1.01

0.72

0.59

0.52

0.47

0.34

0.26

0.23

0.21

0.19

0.19

2.02

1.75

1.57

1.43

1.33

1.24

1.17

1.11

0.80

0.65

0.57

0.52

0.38

0.29

0.25

0.23

0.22

0.21

2.21

1.91

1.71

1.57

1.45

1.36

1.28

1.22

0.87

0.72

0.63

0.56

0.42

0.32

0.28

0.25

0.24

0.23

2.39

2.08

1.86

1.70

1.57

1.47

1.39

1.32

0.94

0.78

0.68

0.61

0.45

0.35

0.30

0.28

0.26

0.25

2.76

2.40

2.15

1.96

1.82

1.70

1.61

1.53

1.09

0.90

0.79

0.71

0.52

0.40

0.35

0.32

0.30

0.30

2.95

2.56

2.29

2.09

1.94

1.82

1.77

1.63

1.16

0.96

0.84

0.76

0.56

0.43

0.38

0.35

0.33

0.32

3.13

2.72

2.43

2.22

2.06

1.93

1.82

1.73

1.24

1.02

0.89

0.81

0.60

0.46

0.40

0.37

0.35

0.34

3.32

2.88

2.58

2.35

2.18

2.04

1.93

1.83

1.31

1.08

0.94

0.85

0.63

0.49

0.43

0.39

0.37

0.36

3.50

3.04

2.72

2.49

2.30

2.16

2.04

1.93

1.38

1.14

1.00

0.90

0.67

0.51

0.45

0.42

0.39

0.38

32
Table VI Ii. 3tandard errors of average length of work experience for total employees

Base of average employment

(numbar Of employaas)

3,000 ..........................................

4,000 ..........................................

5,000 ..........................................

6,000 ..........................................

7,000 ..........................................

8,000 ..........................................

9,000 ..........................................

10,000 ........................................

20,000 ........................................

30,000 ........................................

40,000 ........................................

50,000 ........................................

100,000 ......................................

200,000 ................. . . . . . . . . . . . . . . . . . . . . .

300,000 ......................................

400,000 ......................................

500,000 ......................................

550,000 ......................................

Avarage years of employment

1 2 3 5 7 9 11 13 15 17

*0.43

●0.37

*0.33

“0.30

*0.28

*0.26

0.25

0.23

0.17

0.14

0.12

0.11

0.08

0.06

0.05

0.04

0.04

0.04

“0.66

*0.57

*0.51

0.46

0.43

0.40

0.38

0.36

0.26

0.21

0.18

0.17

0.12

0.09

0.08

0.07

0.07

0.06

‘0.86

0.75

0.67

0.61

0.57

0.53

0.50

0.48

0.34

0.28

0.24

0.22

0.16

0.12

0.11

0.10

0.09

0.09

* 1.26

1.09

0.98

0.89

0.83

0.77

0.73

0.69

0.50

0.41

0.36

0.32

0.24

0.19

0.17

0.15

0.14

0.14

—ooo–

Standard error in yaars

1.64

1.42

1.27

1.16

1.08

1.01

0.95

0.91

0.65

0.54

0.47

0.43

0.32

0.25

0.22

0.21

0.20

0.19

2.01

1.75

1.56

1.43

1.33

1.24

1.17

1.11

0.80

0.66

0.5B

0.53

0.40

0.31

0.28

0.26

0.25

0.24

2.39

2.07

1.85

1.70

1.57

1.47

1.39

1.32

0.95

0.79

0.69

0.63

0.47

0.38

0.34

0.31

0.30

0.29

2.76

2.39

2.14

1.96

1.82

1.70

1.61

1.53

1.10

0.91

O.BO

0.73

0.55

0.44

0.39

0.37

0.35

0.35

3.13

2.71

2.43

2.22

2.06

1.93

1.83

1.73

1.25

1.04

0.91

0.83

0.63

0.50

0.45

0.42

0.40

0.40

3.50

3.03

2.72

2.49

2.31

2.16

2.04

1.94

1.40

1.16

1.02

0.93

0.71

0.56

0.51

0.47

0.45

0.45

33
APPENDIX Ii

DEFINITIONS OF CERTAIN TERMS USED IN THIS REPORT

Resident. –A resident is a person who has

been formally admitted but not discharged from

an establishment. All such persons were included

in the survey whether or not they were physically present at the time of the survey.

Certification status. —Certification status

refers to the facility certification by the Medicare and/or Medicaid programs.

Medicare refers to the medical assistance

provided in Title XVIII of the Social Security Act. Medicare is a health insurance program administered by the Social Security

Administration for persons aged 65 years

and over who are eligible for benefits.

Extended care facility refers to certification as an extended care facility under

Medicare.

Medicaid refers to the medical assistance

provided in Title XIX of the Social Security

Act. Medicaid is a State-administered program for the medically indigent.

Skilled nursing home refers to certification as a skilled nursing home under

Medicaid.

Intermediate care facility refers to certification as an intermediate care facility

under Medicaid.

Not certified refers to facilities which are

not certified as providers of care either

by Medicare or Medicaid.

Type of ownership. –Type of ownership

refers to the type of organization that controls

and operates the nursing home.

Proprietary facility is a facility operated

under private commercial ownership.

‘Nonprofit facility is a facility operated

under voluntary or nonprofit auspices, including both church-related facilities and

those not church related.

Government facility is a facility operated

under Federal, State, or local government

auspices.

Employee. –This term refers to any person

who was on the staff of the facility or was employed under contract. It includes any paid

worker, proprietor, or member of a religious

order who contributes his services.

Full-time employees are those who worked

35 hours or more in the week prior to the

survey.

Part-time employees are those who worked

less than 35 hours in the week prior to the

survey.

Full-time equivalents are equal to 35 hours

of “part-time” employees’ work per week

for the purposes of this report.

Race or ethnicity. –Race or ethnicity refers

to the resident’s primary racial or ethnic heritage

as perceived by the staff informant. In this

report, persons reported as “Caucasian” were

classified as “white ,“ those reported as “Negro”

34
Figure 11.States included in the four geographic regions

Region States Included

Northeast, ........ Maine, New Hampshire, Vermont, Massachusetts,

Rhode Islend, Connecticut, New York, New

Jersey, Pennsylvania

North Central., Michigan, Ohio, Indiana, Illinois, Wisconsin,

Minnesota, Iowa, Missouri, North Dakota,

South Dakota, Kansas, Nebraska

Scwth .............. Delaware, Maryland, District of Columbia,

Virginia, West Virginia, North Carolina, South

Carolina, Georgia, Florida, Kentucky, Texas,

Tennessee, Alabama, Mississippi, Arkansas,

Louisiana, Oklahoma

West ...............m Montana, Idaho, Wyoming, Colorado, New

Mexico, Arizona, Utah, Nevada, Washington,

Alaska, Oregon, California, Hawaii

as “black,” and those reported as “American

Indian,” “Oriental,” or “other” as “other.”

Those reported as “Spanish American” were

classified as such.

Geographic region. –Classification of facilities by geographic area is provided by grouping

the States (excluding Alaska and Hawaii) into

regions. These regions correspond to those used

by the U.S. Bureau of the Census and are shown

in figure II.

—ooo —

35
APPENDIX Ill

CRITERIA FOR CLASSIFYING NURSING HOMES

ACCORDING TO LEVEL OF NURSING CARE

Types of Facilities Included

In the Survey

Institutions included in the 1973-74 Nursing

Home Survey were those classified as either

nursing care homes or personal care homes with

nursing according to data collected in the 1971

Master Facility Inventory Survey4 conducted by

the National Center for Health Statistics.

Definitions for these two classes of nursing

homes were as follows:

Nursing Care Home

. Fifty percent or more of the residents

received nursing care during the week

prior to the survey. (Nursing care is

defined as the provision of one or more

of the following services: taking

temperature-pulse-respiration or blood

pressure; full bed bath;. application of

dressings or bandages; catheterization;

intravenous, intramuscular, or hypodermic injection; nasal feeding; irrigation; bowel and bladder retraining; oxygen therapy; and enema.)

NOTE: A list of references follows the text.

. At least one full-time (35 hours or more

per week) registered nurse (RN) or licensed practical nurse (LPN) was employed.

Personal Care Home With Nursing

Some but less than 50 percent of the

residents received nursing care during the

week prior to the survey.

At least one full-time RN or LPN was

employed.

or

Some of the residents received nursing

care during the week prior to the survey.

No full-time RN or LPN was employed.

The institution either:

Provided administration of medicines or

supervision over self-administered medicines.

or

Provided assistance with three or more

activities for daily living (such as help

with tub bath or shower; help with dressing, correspondence, or shopping; help

with walking or getting about; and help

with eating).

—ooo —

36
APPENDIX IV

SELECTED QUESTIONNAIRES USED

IN THE 1973-74 NATIONAL NURSING HOME SURVEY

7

-J~,~ L !,, ,

(0.

(’.:i~,,”;, DEF’ARTMENT OF HEALTH, EDUCATION, AND WELFARE

. .

!.,<,...= ,+. PUBLIC HEALTH SERVICE

~

HEALTH RESOURCES ADMINISTRATION

ROCKVILLE, MARYLAND 20S52

NATIONAL CENTER FOR

HEALTH sTATI ST[CS

Dear Administrator:

The National Center for Health Statistics (NCHS) of the U. S. Public

Health Service is conducting a sample survey of resident facilities

providing nursing and personal care to obtain basic data on their

policies, services, and staff. This survey is being conducted as a

part of the Department of Health, Education, and Welfare’s nursing

home improvement program. The information from this survey will be

used to compile statistics on the number and kinds of such facilities

in the United States. Enclosed are two summary reports from previous

surveys, which are illustrative of the kinds of data to be obtained

from this survey. These statistics will be used to meet the needs of

Congress, State legislatures, Federal, regional, and local health

planners, national health associations, and many others who plan and

provide health services to the aged.

As you can see from these reports, it is not possible to identify any

particular facility. We wish to as sure you that any information which

permits the identification of the services provided by your facility,

or the residents and staff will be held strictly confidential. This

information will be used only by persons engaged i.~ and for the purposes

of the survey, and will not be disclosed or released to others for any

purpose. Because the NCHS is committed to provide a factual basis for

planning national programs designed to advance the health of the American

people, limited basic information about your facility (such as name,

address, size, type, and ownership) will be made available upon request

to the NCHS.

Within about one week an interviewer will contact you for an appointment;

this person will be with Applied Management Sciences, the firm under

Federal contract to co~duct this survey. In preparation for this call,

please review the worksheet printed on the back of this letter. These

questions request necessary information which may take time to assemble

from your records. I have enclosed them so that you may do this at

your convenience prior to the interviewer’s visit.

This survey includes a small, carefully selected nationwide sample of

nursing homes and similar facilities. Because this ntirsing home represents several facilities of similar type, your participation is vital in

obtaining accurate and complete data. We would appreciate your cooperation

in this effort.

Sincerely yours,

G?_.”d G fl~.

Edward B. Perrin, Ph. D. Acting Director

37
STAFF CLASSIFICATION CARD

1973 Nursing Home Survey

National Center for Health Statistics

Health Resources Administration

Rockville, Maryland

WHICH OF THE FOLLOWING JOB CATEGORIES BEST FITS THE JOB WHICH THIS EMPLOYEE DOES IN THIS FACILITY?

01.

02.

03.

04.

05.

06.

07.

08.

09.

10.

11.

12.

13.

14.

15.

16.

17.

18.

19.

20.

21.

22.

23.

ADMINISTRATOR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

PHYSICIAN (M.D. OR D.O.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

DENTIST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

PHARMACIST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

REGISTERED OCCUPATIONALTHERAPIST . . . . . . . . . . . . . . . . . . . .

REGISTERED PHYSICALTHERAPIST . . . . . . . . . . . . . . . . . . . . . . . . . .

ACTIVITIES DIRECTOR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

DIETITIAN OR NUTRITIONIST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

REGISTERED MEDICAL RECORD ADMINISTRATOR . . . . . . . . . . . . . .

SOCIALWORKER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SPEECHPATHOLOGISTAND/OR AUDIOLOGIST. . . . . . . . . . . . . . . . . .

OTHER PROFESSIONAL OCCUPATIONS (INCLUDES INTERN,

RESIDENT,THERAPEUTIC RECREATOR) . . . . . . . . . . . . . . . . . . . . . .

OCCUPATION THERAPISTASSISTANT . . . . . . . . . . . . . . . . . . . . . . . .

PHYSICALTHERAPISTASSISTANT . . . . . . . . . . . . . . . . . . . . . . . . . .

SOCIALWORKERTECHNICIAN/ASSISTANT . . . . . . . . . . . . . . . . . . . .

OTHER MEDICAL RECORD ADMINISTRATORS ANDTECHNICIANS . . . .

.

GROUP A

Enter in Column i

of Staff Control Record

REGISTEREDNURSE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

LICENSED PRACTICALNURSEOR LICENSED VOCATIONAL NURSE . . .

NURSE’SAIDE ANDORDERLY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

CLERICAL, BOOKKEEPING,OR OTHER OFFICESTAFF . . . . . . . . . . . .

FOODSERVICE PERSONNEL(COOK, KITCHEN HELP,ETC.) . . . . . . . .

HOUSEKEEPING AND MAINTENANCE PERSOI)INEL (MAID,

LAUNDRYMAN, MAINTENANCE MAN, ETC.) . . . . . . . . . . . . . . . . . . . .

JOB OTHER THANTHOSE LISTED ABOVE (PLEASE SPECIFYJOB ~

TITLE ON THEINDIVIDUALLINE OF STAFF CONTROL RECORD) . . . .

GROUP B

Enter in Column j

of Staff Control Record

GROUP C

Enter in Column k

of Staff Control Record

GROUP D

Enter in Column I

of Staff Control Record

GROUP E

Enter in Column m

of Staff Control Record

38
.SIAEE.QUES.TKMMd.liE-MTJ

1673 Nursing Homo Survey

National Contor for Health Statistics

HMlth Ramurms Admlnistmtlon

IWR%=’-7

Rockvlllo, Maryland

F

ASSURANCE OF CONFIDENTIALITY-All Information

which would parmit Identification of the i“dividud will be held

In strict confidence, will be usedonly by partons engagedin and

for the purpa%Gsof tho suwev, and will not be discloted or released

6CC1-4

A. ESTABLISHMENT NO.

~ 3;” “NENO”uIl

CC2 ccl 1

The National Center for Health Statistics of the Health Your answerswill be givenconfidemial treatmem. The i“forrnati.an will be

ResourcesAdministration isco”ducti”g a nationwide usedfor statisticalpurposesonly, and will be presentedin such a manner that

survey in nursinghomes.One of the pwpmes of the swvey no individual permnOr e=bllshmO.t ~nbaide"tifi&. After completing the

isto obtain certain information about the staff emdwed i“ these form pleasereturn it in the envetorm!mwided.

facilities. Wewmddappreciateym.irtaki”gthebriefamoumof

time necessaryto complete this questionnaire.

You may ask questionsof the intewiewer or by calling 80&636-W56.

1. HOW LONG HAVE YOU WORKED AS A

a. IN THIS FACILITY?

no

Years Months

CC20

b.

CC22

SIMILAR ‘%;;%;:F;%;;M:: FACILITIES n n ‘R

Years Months

CC24 CC26

c. IN HOSPITALS?

OnoR

Years Months

Cczs CC30

Mark (X) this box

[f you have never

worked in any other

nursinghome.

Mark (Xl this box

if you have

nwer worked

in a hospital.

•1

❑

2. WHAT IS YOUR DATE OF BIRTH? //

Month Day Year

CC32,33 CC34,35 CC36,37

3. HOW MANY HOURS PER WEEK 00 YOU USUALLY WORK IN THIS FACILITY7

Uho”rs

CC38

4. HOW MANY HOURS DID YOU WORK LAST WEEK IN THIS FACILITY?

n hours ‘R ❑ none

CC40

6, BESIDES THE HOURS WORKED IN THtS FACILITY, HOW MANY ADDITIONAL HOURS OID YOU WORK IN YOUR

PROFESSION LAST WEEK?

o hours ‘R ❑ .0..

CC42

6. WHAT IS YOUR SALARY BEFORE DEDUCTIONS FOR THE WORK YOU PERFORM IN THIS FACILITY ONLY?

( Mark (X) Only One BOX)

$ . per

CC44

\

1

52-1 ❑ week

-2 •l hOur

OR -3 ❑ two weeks

❑ I C1.a”atem,,ew,cm

-1 ❑ one month

CC51.1 -5 •1 other time rmricd, specify 53

Form 73NHS4 Page 1

39
—— ——-- .. ---- .

7. IN ADDITION TO THIS SALARY, 00 YOU RECEIVE:

(MarktheYesorNoBoxfor Each Line) Yes No

a. Paidvx-mien, paid holidays, and/or paid sick leave? . . . . . . . . . 54-1 ❑ “2 ❑

b. Cmhbonus? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56-1 ❑ -2 ❑

c. PensionPlan in addition to SocialSecurity? . . . . . . . . . . . . . . . . 66.1 ❑ “2 •1

d. Health insurance7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57-1 ❑ -2 ❑

e. Life insurance? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5S-1 ❑ -2 •1

f. Releasetime for attending training institutes? . . . . . . . . . . . . . . 59-1 ❑ “2 •1

g. Civic or personalleave [suchas leavefor jury duty, military

resewes,voting, funerals}? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 601 ❑ “2 D

h. f100m? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61.1 ❑ -2 •1

i. Meals? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62-1 ❑ “2 ❑

j. Other? Specify_ 63-1 ❑ “

64. “2 •1

8. LAST WEEK IN THIS FACILITY, DIO YOU PERFORM ANY OF THE FOLLOWING SERVICES:

(Mark the Yes or No Box for Each Line)

Yes No

a. Administration of the fe.illty7 . . . . . . . . . . . . . . . . . . . . . . . . . . 65-1 ❑ -2 •1

b. Nursing care? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55-1 ❑ -2 •1

c. Mticals.d dental care? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67-1 ❑ “2 •1

d. Physicaltherspy7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6S-1 ❑ “2 •1

e. Occupational therapy? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6%1 ❑ ‘2 •1

f. Recreational therapy? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70.1 ❑ -2 •1

g. Speechandhearlng therapy? . . . . . . . . . . . . . . . . . . . . . . . . . . . 71-1 ❑ “2 •1

h. Social work? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72-1 ❑ -2 •1

L Clerical work7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73-1 ❑ “2 •1

j. Kitchen/dietary work, grocew shopping? . . . . . . . . . . . . . . . . . . 74-1 ❑ -2 •1

k. Ho.wkeePing services’f . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75.1 ❑ -2 •1

1. Other? Specify service_ ~7- 76.1 ❑ -2 ❑

9. WHAT IS THE HIGHEST GRADE YOU Clrcla Mglwst gradecompletad CARD2

COMPLETEO IN SCHOOL? ccl4-2

a. College . . . . . . . . . . . . . . . . 1 2 3 4 5 or more CC15

b. Nursingschool [diploma) . . 1 2 3 ccl 6

c. Junior colle+y . . . . . . . . . . . 1 2 CC17

d. High school . . . . . . . . . . . . 1 2 3 4 CC16

e. Elementary school . . . . . . . 1 2 3 4 5 6 7 8 ccl 9

Ioa. WHICH OF THE FOLLOWING DEGREES

00 YOU HAVE? b. FOR EACH DEGREE THAT YOU c. IN WHAT YEAR DID YOU

(Mark all that apply, count HAVE PLEASE ENTER YOUR RECEIVE EACH DEGREE?

completed degreesonly) MAJOR FIELD OF STUDY

Associatedegreeor certificate 20-1 19

CC25,26 CC27,28

Bachelor’sdegree 21-1 ❑ - 19

CC29+30 CC31,32

Master’sdegree 22-1 19

CC33,34 CC35,36

Doctorate (M. D., D. O., Ph.D., 23.1 19

etc.)

If “Oneofth,se,mark (x) box ~ andskipmouestlo. 111

CC37,3S CC39,40

Form 73NHs-4 Pase2
11, HAVE YOU TAKEN ANY NON-DEGREE TRAININGCOURSES lNTHE PASTYEAR? TRAINING COURSESINCLUDE

CLASSSESSIONSAND SEMINARS. DO~lNCLUDE COURSESFOR DEGREE CREDIT.

42.1 Yes -2

L.

No

(skip to aumtlon 12)

b. FOR EACH OF THE SUBJECTAREAS c. NUMBER OF

LISTEO BELOW, INDICATE HOW MANY COURSES”

NON-DEGREE TRAINING COURSES* YOU TAKEN IN PAST

HAVE TAKEN WITHIN THE PASTYEAR. 12 MONTHS

a. Nursingcare of the aged

or chronically Ill

b. Medical or dental care of the

aged or chronically ill I I

CC43,44

CC45,46

c. Mental or social problems of

the aged or chronically ill I I (%47,4s

d, Physical theropy or

rehabilitation I I

0. Occupational therapy

f. Nutrition or food services

9. Nursing home administration

h. Inmwica Education

1. Medical records

CC49,50

CC51,52

CC53,54

CC55,56

CC57,58

CC69,60

1. Activity programs for the

aged or chronically ill I I

CC61,62

k. Social Se!vices for the aged

or chronically ill I I CC63,64

1. Pharmacology and care of

drugs I I

I

m, Other course related to your work

i

Specify

G7. I I

‘Tralnlng coursns include claswxionsa”d seminars. Cm not include

courses for degree credit.

CC65,66

CC68,69

Form73NHS.4

PLEASETURN THE PAGE FOR THE NEXT QUESTION,

Page3

41
12. ARE YOU A PHYSICIAN (M.D. OR 0.0.)?

●✎ Ows ❑ No(Plwstop,thisIsthelStquetilonwMchapplias*oyo..

~ankvou foryourcoopmatlon. Plewreturn tiequestlonnaire

/“ ‘2

In the mclossd postagt paid envelopeeither to the intewiewer or to:

/

Applied Mamwment Sciences

S62 Wayne Avenue, Suite 701

Silver SPri”g, Maryland 2CM1O)

b. DO YOU ATTENO YOUR OWN PRIVATE PATIENTS IN THIS HOME?

CARD3 15-1 ❑ Yes*b.1 HOW MANY OF YOUR OWN PRIVATE PATIENTS DO YOU ATTEND IN THIS FAClLlTY7_

m

pmimts

“2~N”

CC16

c, ARE YOU NOW ATTENOING PATIENTS TEMPORARILY IN THIS

FACILITY TO COVER FOR THE PATlENT’S OWN PHYSICIAN? 19-10 Yes .2D NCI

d. DO YOU TAKE EMERGENCY CALLS FOR,4VYPATIENT — IN THIS HOME? Z&l ❑ Yes -20 ‘0

e. 00 YOU, PROVIOE OTHER OIRECTPATIENTSERVICE IN BEHALF OF

THE HOME’S RESPONSIBILITY FOR SECURING SUCH COVERAGES

(e.g., AOMISSION EXAMS, PRONOUNCING DEATHS, SECURING

MEDICATION ANO OIETOROERS, ETC.]? 21-10 Y., .20 No

f. 00 YOU PROVIOE INSERVICE TRAINING TO THE HOME% PERSONNEL? 22.10 Yes -20 No

% FOR HOW MANY RESIDENTS IN THIS HOME 00 YOU PROVIOE MEOICAL CARE?

ra$ident$

CC23

Thank wwforyourco opermion. PluaSreturn thequtilonnaire intheencloA postwpaidonvalope

either to the interviewer .x to:

42

Applied Manas.smentSciences,Inc.

S62 Wayne Avenue, Suite 701

3ilv0r Spring, Maryla”d zO91O

Page4 Form 73NHs.4
STAFF CONTROL RECORD

Sheet _of _

1973 N.mlng H.mu survey

N,tlonal Cent,, for Health StatT,tlcs m

Health ResourcesAdmlnlstmtlon

%ckvllle. Maryland

ASSURANCE OFCONFIOENTIALIW .Alllnformatlon wM&wo.ld@fmit Idendflc?wm

cc, 3 cd

of thn individual wIN be held 1. strict mnf,dm=, wIN be .ssd ..1” by ww.s .nsdwd ESTABLISHMENT NO

[n and for the wpws of the s.rw, and will not be dhcl.sal or releasd to 00xrs

10,..” pu,ooses,

LINE

NR.

2’7AFF sEX ETIIN,c .ACKGRO. NC. SMPL.3YE. HOURS WORKED OCCUPATION LINE

NR,

““k’ow’hen’m’’O’’’’r~n’

nom, t,[,mc.n ,.,.,, -.. ,q.,”” En,” W, F,.”! s,,11 Cl,.llica,!m w

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Form73NHs-3

W.S. WVEFOW3NT PRIt?RNG OFFICE : 1979 0-281.359/7
VITAL AND HEALTH STATISTICS Series

Series 1,

Series 2.

Series 3.

Series 4.

Programs and Collection Procedures. –Reports which describe the general programs of the National

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

definitions and other material necessary for understanding the data.

Data Evaluation and Methods Research. –Studies of new statistical methodology including experimental tests of new survey methods, studies of vital statistics collection methods, new analytical

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

Analytical Studies. –Reports presenting analytical or interpretive studies based on vital and bed th

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

Documents and committee Re~orts. –Final reports of maior committees concerned with vital and

health statistics and documents” such as recommended model vital registration laws and revised birth

and death certificates.

Series 10. Data From the Health Interview Survey. –Statistics on illness, accidental injuries, disability, use of

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

in a continuing national household interview survey. +

S(,ri,,.\ 11. Data h’rorn the Health Examination Survey and the Health and Nutrition Examination Survey. –Data

from direct examination, testing, and measurement of national samples of the civilian noninstitutionalized population provide the basis for two types of reports: (1) estimates of the medically defined

prevalence of specific diseases in the United States and the distributions of the population with respect

to physical, physiological, and psychological characteristics and (2) analysis of relationships among the

various measurements without reference to an explicit finite universe of persons.

Series 12. Data From the Institutionalized Population Survey s.–Discontinued effective 1975. Future reports from

these surveys will be in Series 13.

Series 13. Data on Health Resources Utilization. –Statistics on the utilization of health manpower and facilities

providing long-term care, ambulatory care, hospital care, and family planning services.

Series 14. Data on Health Resources: Manpower and Facilities. –Statistics on the numbers, geographic distribution, and characteristics of health resources including physicians, dentists, nurses, other health

occupations, hospitals, nursing homes, and outpatient facilities.

Series 20. Data orL Mortality, –Various statistics on mortality other than as included in regular annual or monthly

reports. Special analyses by cause of death, age, and other demographic variables; geographic and time

series analyses; and statistics on characteristics of deaths not available from the vital records based on

sample surveys of those records.

Series 21. Data on Natality, Marriage, and Divorce. –Various statistics on natality, marriage, and divorce other

than as included in regular annual or monthly reports. Special analyses by demographic variables;

geographic and time series analyses; studies of fertility; and statistics on characteristics of births not

available from the vital records based on sample surveys of those records.

Series 22. Data From the National Mortality and Natality Surveys. --Discontinued effective 1975. Future reports

from these sample surveys based on vital records will be included in Series 20 and 21, respectively.

Series 23. Data From the National Survey of Family Growth. –Statistics on fertility, family formation and dissolution, family planning, and related maternal and infant health topics derived from a biennial survey

of a nationwide probability sample of ever-married women 15-44 years of age.

For a list of titles of reports published in these series, write to: Scientific and Technical Information Branch

National Center for Health Statistics

Public Iiealth Service

Hyattsville, \ld. 20782