Vital and

Health Statistics

Nursing Home

Characteristics: 1986

Inventory of Long-Term

Care Places

Series 14:

Data From the National Health Survey

No, 33

This report presents State and national statistics on nursing and related care

homes from the 1986 inventory of Long-Term Care Pisces, inciuded are

facility characteristics such as ownership and certification status, and

number of beds and residents. Aiso inciuded are occupancy rates, beds

per aged population, and numbers of biack and Hispanic residents,

US. DEPARTMENT OF HEALTH AND HUMAN SERVICES

Public Health Service

Centers for Disease Control ..

National Center for Health Statistics

Hyaftsvllle,Maryland

Manh 1989

DHHS publication No, (PHS) 89-1828
——

1

Copyright information

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

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

appreciated.

suggestedcitation

Sirrocca A. 1989. Nursing home characteristics: 1986 Inventory of Long-Term

Care Places. National Center for Health Statlske. Vital Health Stat 14(33).

Library of congress Cataloging-in-Publication Date

Slrrocco, Al.

Nursing home characteristics.

(Series 14, Data from the National Health Survey ; no. 33) (DHHS

publication ; no. (PHS) 89-1828)

Bibliography: p.

Supt. of Dots. no.: HE 20.6209:14/33

1. Nursing homes—United States—Statistics. 2. Long-term care facilities—

United States—Statistics. 1. National Center for Health Statistics (U.S.) Il. Title.

Ill. Series: Vital and health statistics. Series 14, Data from the national health

survey ; no. 33, IV. Series: DHHS publication ; no. (PHS) 69-1828. [DNLM: 1.

Homes for the Aged—United States-statistics. 2. Long-Term Care-United

States—statistics. 3. Nursing homee-United States—statistics.

W2 A N148vn no.33]

RA997.S545 1989 362.1 ‘60973021 68-600432

ISBN O-640&3405-X
National Center for Health Statistics

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

Robert A. Israel, Deputy Director

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

and Epidemiology

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

Extramural Programs

Peter L. Hurley, Associate Director for Vital and Health

Statistics Systems

Stephen E. Nieberding, Associate Director for Management

Charles J. Rothwell, Associate Director for Data Processing

and Services

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

and Methodology

Sandra S. Smith, Public Affairs Ofticer

Dtision of Health Care Statistics

W. Edward Bacon, Ph.D., Director

Joan F. Van Nostrand, Deputy Director

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

Cooperation of the U.S. Bureau of the Census

Under the legislation establishing the National Health Survey, the Public Health

Service is authorized to use, insofar aa possible, the services or facilities of other

Federal, State, or private agencies.

In accordance with specifications established by the National Center for Health

Statistics, the U.S. Bureau of the Census, under a contractual arrangement,

participated in planning the survey and collecting the data.
Introduction and background . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Classificationoffacilities..... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ....r.-

Nursinghomehighlights . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Nursinghomegrowth . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

Appendixes

L Technicalnotes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

II. Questionnaireusedinthesurvey . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

111.Classificationsanddefinitions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

I-M of text tabfes

A. Number ofnursing mdrelated cmehomes, kds, mdresidents, by~~ofhome: United SWtes, 1986 . . . . . . .

B. Number andpercent tistibution ofnursing mdrelated caehome bds, including totilad unduplicated, by~peof

certification: UnitedStates,1986 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

C. Number and percent distribution of black, other than black, Hispanic, and non-Hispanic residents in nursing and

relatedcarehomes,bytypeofhome UnitedStates,1986 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

D. Number and percent distribution of black, other than black, Hispanic, and non-Hispanic residents in nursing

homes, bytypeofcertification: United States, 1986 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

E, Percent distribution of residents in nursing and related care homes by age of resident, according to type of

home: United States, 1986 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

F, Numbers and percents of selected nursing home characteristics, by survey years; and changes between

survey years: United States, 1967,1976, and 1986 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Listof text figures

1. Occupancy rate ofnursing homes by State: United States, 1986. . . . . . . . . . . . . . . . . . . . . . . . . . .

2. Number ofnursing home bds~rl,W ~pulation 65yewsof ageandover by State: United States, 1986 . . . . .

I

2

3

8

9

26

28

32

3

5

6

6

7

8

4

4
Symbols

-.. Data not available

. . . Category not applical$e

Quantity zero

0.0 Quantity more than ziro but less than

0.05

z Quantity more than zero but less than

500 where numbers are rounded to

thousands

●

Figure does not meet standards of

reliability or precision

# Figure suppressed to comply with

confidentiality requirements

iv
Nursing Home

Characteristics: 1986

inventory of Long-Term

Care Places

by Al Sirrocco, Division of Health Care Statistics

Introduction and background

This report presents data by State on nursing and related

care homes from the 1986 Inventory of Long-Term Care

Places. Its focus will be on facility characteristics such as

ownership and certification status, and numbers of beds and

residents. Also included are occupancy rates, beds per aged

population, and numbers of black and Hispanic residents.

The National Center for Health Statistics (NCHS), in

cooperation with the National Center for Health Services Research and Health Care Technology Assessment (NCHSR/

HCTA) and the Health Care Fktancing Administration

(HCFA), employed the staff of the U.S. Bureau of the Census

to conduct the 1986 Inventory of Long-Term Care Places

(ILTCP). The purpose of the ILTCP was to provide a current

sampling frame for two segments of the institutional component

of the 1987 National Medical Expendhure Survey. The two

segments were (1) nursing and related care homes, and

(2) facilities for the mentally retarded. These two facility

types will be defined in the “classification of facilities” section,

which is presented below.

The ILTCP had never been conducted prior to the 1986

survey. However, a similar survey, the National Master Facility Inventory (NMFI), had been conducted many times between

1967 and 1982.1 Each NMFI surveyed nursing homes, but

mental retardation (MR) facilities had not been surveyed since

the 1976 NMFI? The vpes of questions asked in both the

ILTCP and the NMFI were similar enough that a decision

was made to publish the ILTCP data as a means of updating

the NMFI nursing home data. At the same time, the ILTCP

data on MR facilities would provide baseline information on

these facilities.

In creating the mailing list for the ILTCP, the 1982 NMFI

was used as the starting point for the nursing home file.

A description of the survey procedures, including how the

mailing file was created, is given in the technical notes.

‘National Center for Health Statistics, D. Roper. 1986. Nursing and related

care homes as reported from the 1982 National Master Facility Inventory

Survey. Vital smd Health Statistics. Series 14, No. 32. DHHS Pub. No.

(PHS) 86-1827. Public Health Service. Washington U.S. Government PrintingOffIce.

‘Nationrd Center for Herdth Statistics, J. F. Sutton and A. Sirrocco. 1980.

Inpatient herdth facilities as reported from the 1976 NMFl Survey. Vital

and Health Statistics. Series 14, No. 23. DHEW Pub. No. (PHS) 80-1818.

Oftice of Heatth Research, Statistics and Technology. Washington: U.S.

GovernmentPrinting OffIce.

1
Classification of facilities

To be classified as a nursing or related care home, a care home, it was subclassified as either a nursing home

home had to have three or more beds and must have provided or residential facility. Homes certified as skilled nursing facilieither (a) nursing care, or (b) personal care and/or custodial ties (SNF’S) or intermediate care facilities (ICF’S) were classicare to its residents. To be included as an MR facility, a fied as nursing homes. Uncertified facilities that were licensed

facility could have had any number of beds, but its primary as nursing homes or provided nursing care services were also

focus had to have been to serve MR residents. Thus, a nursing classified as nursing homes. All remaining related care homes

home with a small MR wing would remain a nursing home. were classified asresidential facilities.

Once a facility was classified as a nursing or related
Nursing home highlights

Counting hospital-based facilities, there were 26,380 nursing and related care homes with 1,767,497 beds, and 1,609,419

4

residents in 1986 (tabl A). Since few of the previous NMFI

surveys were able to o tain complete counts of hospital-based

facilities, these places were usually excluded from the data

b

presented in NMFI re rts. To make the 1986 ILTCP data

more comparable to the NMFI data, the 734 hospital-based

facilities data are presented separately in many of the tables

in this report,

b

Table A. Number of nursing nd related care hornea bedaj and

reddentq by type of home nited Statea 1936

Type of home \ Homes Beds Residents

Number

All homes . . . . . . . . . . . . . . . . . 26,380 1,767,497 1,609,419

Nursing homes . . . . . ...]..... 16,388 1,504,663 1,360,777

Hospital-based facilities. . . . ~ . . . . . 734 60,983 56,166

Residential facilities . . . . . . ! . . . . . 9,258 201,631 172,476

I

I

There were 16,388 ursing homes and 9,258 residential

facilities found in 1986 (table 1). If the 734 hospital-based

facilities are included, t e total nursing home count would

increase to 17,122. Similarly, if the hospital-based beds

(60,983) and residents (56, 166) were added to the nursing

home beds (1,504,683) and residents (1,380,777), the total

for all nursing homes would be 1,565,666 beds and 1,436,943

residents (tables 2 and 3).

The occupancy rate for nursing homes was the same

(91.8 percent), whether or not hospital-based facilities were

included (table 4). The residential facilities had a lower occupancy rate (85.4 percent) than the nursing homes. Only three

States (New Mexico, Texas, Montana) had higher occupancy

rates for residential facilities than they had for nursing homes,

and of these, Montana could be dkcounted because its rate

was based on only 6 residential beds. The lowest nursing

home occupancy rates were in Texas (83.0 percent) and New

Mexico (83.6 percent), whereas the highest rate was in Mississippi (97.2 percent). Table 4 also shows the consistently high

nursing home occupancy rates in the New England States,

with Rhode Island, Maine, and Connecticut all having rates

?’

over 96 percent, and Ve ont, New Hampshire, and Massachusetts all near 95 pert nt. The high- and low-occupancy

areas can be seen more cleariy in figure 1.

As indicated in table 5; which shows nursing home occupancy rates by bed-size ~oups, the smaller homes (under

25 beds) had lower occupancyrates than the larger homes.

It should be noted, however, that of the 46 States that had

large nursing homes (200 beds or more), 14 had occupancy

rates below 90 percent for these homes, and 6 of these were

below 85 percent. Indiana, which had the third lowest overall

occupancy rate (84.9 percent), had the lowest occupancy rate

for large nursing homes (79.7 percent).

Table 6 gives a clear indication of the bed-size differences

between nursing homes (92 beds) and residential facilities

(22 beds). This large bed-size difference exists in every State.

New York had both the largest nursing homes (159 beds)

and the largest residential facilities (62 beds).

Illinois had the highest average number of beds for all

facilities (122 beds) despite the fact that New York had a

much higher average than Illinois for each type of home

(nursing homes—159 beds for New York to 127 beds for

Illinois, hospital-based-129 to 96, residential-62 to 52).

The explanation for this unusual situation is that New York

had many more residential facilities than Illinois (419 to 48),

and these facilities brought down its overall average.

An additional approach to displaying the bed-size difference between nursing homes and residential facilities is shown

in tables 7 and 8, which give counts of these facilities by

bed-size groups. Tables 9 and 10 give numbers and percent

distribution of nursing homes by bed-size group, ownership,

and geographic region.

Table 11 presents the number of beds per 1,000 population

aged 65 years and over for each type of home. Figure 2

displays the nursing home portion of this table in rather dramatic fashion. It clearly shows that the aged in the Midwestern

States had more nursing home beds available to them than

the aged in other parts of the country had. The aged in New

England and in the West South Central States (Arkansas,

Louisiana, Oklahoma, Texas) had the next highest rates. On

the other hand, the States in the West and Southeast had

the lowest rates.

Table 11 also indicates that some States offset lower

nursing home bed rates with higher-than-average bed rates

in their residential facilities (for example, California, New

York, North Carolina, and Virginia). Other States used higherthan-average bed rates in their hospital-based facilities to offset

lower-than-average bed rates in their nursing homes (for example, Delaware, Hawaii, and Montana). North Dakota’s bed

rate for nursing homes (67. 1) was only the 13th highest among

the States, but since it had the highest bed rate for hospitalbased facilities (14.6) and a high bed rate for residential

facilities (11.4), its 93.1 overall bed rate ranked second only

to Nebraska’s 95.3.

The appendix table displays the percent of each State’s

resident population that was aged 65 years and over.

3
I

FQure 1. Occupancy rate of nursing homes by State: United States, 1986

)t occupancyrate

95.0 to 100

90.0 to 94.9

85.0 to 89.9

80.0 to 84.9

NOTE, Rate excludes hospital-based and residential facifity beda. u

]te

66 to 83

56 to 65.9

46 to 55.9

38 to 45.9

15 to 35.9

Figure 2. Number of nursing home beds per 1,000 population.65 years of age and over by State United States, 1986

4
Whereas the number of beds per aged population gives

a measure of access (as shown in table 4 and figure 2),

table 12 gives a measure of utilization—the percent of all

people 65 years of age and over who were residing in nursing

homes in 1986 (4.3 percent). Though not shown, another

0.2 percent resided in hospital-based facilities, while 0.4 percent resided in residential facilities. The highest percents for

nursing homes occurred in Minnesota, South Dakota, and

Iowa, with 7.4,7.2, and 7.1 percent, respectively. The lowest

such percent was in Hawaii, with 1.3 percent, followed by

Arizona, Florida, and Nevada, all at 2.2 percent.

Not only did Hawaii, Arizona, Florida, and Nevada have

the lowest percent of their aged residing in nursing homes,

but these four States also had the lowest rates of nursing

home beds per aged population (table 11). It is probably

not just a coincidence that each of these four States is located

in a warm climate and each attracts the retiree population.

Many of these retirees are the healthy aged and therefore

appear in the overall aged population but not in the nursing

home population. According to census estimates (table 13),

there was a 14-percent increase in the population aged 65

years and over from 1980 to 1986. In the four States mentioned,

the increases were as follows: Nevada—52 percent, Hawaii—

37 percent, Arizona-34 percent, and Florida-23 percent.

As the table shows, the ranking of these States, based on

their percent increases, had Nevada first, Hawaii third, Arizona

fourth, andFlorida eighth.

In terms of ownership, 75 percent of all nursing homes

and 85 percent of all residential facilities were under for-profit

ownership (tables 14 and 15). Tables 16 and 17 give the

number of beds by ownership.

In table 18, the number of nursing homes in each State

is presented by certification status. For this report, if a facility

was certified as both SNF and ICF, then it was counted

as an SNF. Tables 19 and 20 show the total number of

beds and residents in these certified and uncertified nursing

homes. Note the word “total.” These are not SNF beds and

SNF residents or ICF beds and ICF residents. An SNF often

has ICF and residential beds in addition to its SNF beds,

and an ICF often has residential beds in addition to its ICF

beds, The beds and residents shown in tables 19 and 20

represent the total of all beds and residents in facilities classified asSNF, ICF, or uncertified.

Table 21, which shows occupancy rates by certification

status, was created by dividing the total number of residents

in each type of certified or uncertified home by the total

number of beds in each type. It shows that SNF’S had the

highest occupancy rates (93 percent) and uncertified nursing

homes had the lowest (86 percent). New Mexico and Louisiana

showed less than 80 percent occupancy in their SNF’S, but

considerably higher rates in their ICF’S (more than 10 percent

higher).

Since a nursing home bed might be certified as Medicare

SNF, Medicaid SNF, and also Medicaid ICF, double and

triple counting could occur when trying to determine how

many SNF and ICF beds there were. An

to avoid duplicating the counts of certified

ILTCP,

effort was made

beds in the 1986

The procedure included a wide range of checks, with

some producing counts of beds known to be duplicates and

others producing counts of beds that were possible duplicates.

An example of bed counts known to be duplicated would

be found in a home reporting 50 total beds, 50 Medicare

SNF beds, and 50 Medicaid SNF beds. To unduplicate this,

the 50 Medicaid beds would have to be subtracted from the

Medicaid total. An example of bed counts that are possible

duplicates would be found in a home reporting 100 total

beds, 43 Medicare SNF beds, and 43 Medicaid SNF beds.

With exactly 43 beds reported for each type, these SNF beds

appear to be duplicated. However, in the absence of specific

information to this effect, they would be treated as

nonduplicates.

Whenever duplication was found between Medicare and

Medicaid SNF beds, the duplication was always removed

from the Medicaid beds. Similarly, when duplication was

found between SNF (either type) and ICF beds, the duplication

was always removed from the ICF beds.

Table B shows the results of this procedure, giving the

reported number of Medicare SNF beds, Medicaid SNF beds,

ICF beds, and residential and uncertified beds, along with

counts of the unduplicated Medicaid SNF and ICF beds.

Table B. Number and percent distributionof nursing and related care

home bed% inefuding total and unduptiite~ by type of certifieatiom

United States, 1986

Type of certification Number Percent distribution

Total beds’ . . . . . . . . . . . . . . . . ...1.706.514 100.0

Total Medicare skilled nursing facitify

(SNF) beds reported . . . . . . . . . 375,216 22.0

Total Medicaid SNF beds reported . . . . . 684,655 . . .

Unduplicated Medicaid SNF bedsz . . . . 461,067 27.0

Total Medicaid intermediate care facility

(lCF) beds reported . . . . . . . . . . . . . 780,029 . . .

Unduplicated ICF beds3 . . . . . . . . . 485,655 28.5

Total residential and uncertified beds” . . . 384,576 22.5

1Excludes hospital-based facility beds.

‘If same bed was reporled as both Medicare SNF and Medicaid SNF, it was counted under

MedicareSNF andsubtractedfromMedicaid SNF

31fsame bed was reported as both SNF and ICF, It was counted under the appropriate SNF

category and subtracted from ICF beds

41ncludea all beds in residential facilities (201,831), all beds in uncertified nursing homaa

(11 1,81 1), and all uncertified beda in certified nursing homes (70,934)

Estimates of black and Hispanic residents were also obtained in the ILTCP. (The survey asked for an actual count

of total residents, but only asked for an approximate count

of black residents and Hispanic residents.) Table C compares

the use (at the time of the survey) of nursing homes, hospitalbased facilities, and residential facilities by black persons

versus persons who are not black and by persons who are

Hispanic versus those who are not Hispanic. The table shows

virtually no differences between these groups of residents.

Table D compares these same groups of residents in their

use of SNF’S, ICF’Sand uncertified nursing homes. The differences were somewhat more noticeable, particularly in the

percents occupying SNF’S versus ICF’S. There were 40.1

percent more persons who were not black in SNF’S than

there were persons who were not black in ICF’S. This compares

with 31.6 percent more black persons in SNF’S than black

5
Table C. Number and peroent dwtributiin of ~ other than black

kfiapsn~ and non-l+iinio residents in nursing and related care homes

by type of horrw United Stateaj 1966

Other than

TW of home Black black Hispanic Non-Hispanic

Number

All homes . . . . . . . . . . . 123,629 1,485,790 33,532 1,575,887

Nursinghomes . . . . . . . . 105,173 l,275,6J34 28,101 1,352,678

Hospital-based facilities. . . . 5,008 51,158 1,021 55,145

Residential facilities . . . . . . 13,448 159,028 4,410 168,068

Percent distribution

All homes . . . . . . . . . . . 100.0 100.0 100.0 100.0

Nursing homes . . . . . . . . 85.1 85.9 83.8 85.8

Hospital-based facilities. . . . 4.1 3.4 3.0 3.5

Residential facilities . . . . . . 10.9 10.7 13.2 10.7

Table D. Numbar and percent dmtrhtiin of ~ other than blaelG

fiispsn”~ and non-fiiinie residents in numing Iwne& by type of

certihtiom United State~ 1988

Other than

Type of certification Black black Hispanic Non-Hispanic

Number

All nursing homes’ . . . . . . 105,173 1,275,604 28,101

Skilled nursing facilities . . . . 66,584 847,818 19,756

Intermediate care facilities . . 33,366 336,606 6,858

Uncertified nursing homes . . 5,221 91,180 1,487

Percent distribution

All nursing homes’ . . . . . . 100.0 100.0 100.0

Skilled nursing facilities . . . . 63.3 66.5 70.3

Intermediate care facilities . . 31.7 26.4 24.4

Uncertified nursing homes . . 5.0 7.1 5.3

1,352,676

894,646

363,116

94,914

100.0

66.1

26.8

7.0

1Excludeshospital-basedand residentialfacilities.

persons in ICP’S, On the other hand, there were 39.3 percent

more non-Hispanic persons in SNF’S than there were nonHispanic persons in ICF’S, and this compares with 45.9 percent

more Hispanic persons in SNF’S than Hispanic persons in

ICF’S.

What table C shows is that both black and Hispanic

residents chose nursing homes over residential facilities at

almost the same rate. Table D then shows that the type of

nursing home chosen most frequently by both groups was

the SNF. However, it appears that Hispanic persons as a

group were more likely than black persons as a group to

be in SNF’S instead of ICF’S. (There were three times more

Hispanic persons in SNF’S than in ICF’S, whereas there were

twice 8smany black persons in SNF’Sas in ICF’S.)

Because of the overlapping that occurs between race and

ethnicity (Hispanic persons can also be black), this difference

between use OfSNF’S and ICF’S becomes muddled, particularly because black Hispanics might have been reported only

as black, only as Hispanic, or as both black and Hkpanic.

Table D $hows the numbers of black and Hispanic residents by type of home, and tables 22 and 23 give counts

byState of black and Hispanic residents in nursing homes.

For tables 22 and 23, it would have been interesting

to compute the following for each State: (1) the percent of

the U.S. population 65 years of age and over who were

black and the percent of the same group who were Hispanic;

(2) the percent of nursing home residents 65 years of age

and over who were black and the percent of the same group

who were Hispanic; (3) the percents of the black population

and of the Hispanic population 65 years of age and over

who resided in nursing homes; and (4) the percents of the

population 65 years of age ared over who were not black

and not Hispanic who resided in nursing homes.

Comparisons could then have been made between (1)

and (2) and between (3) and (4). Unfortunately, 1986 population figures by State for black and Hispanic populations 65

years of age and over could not be found. In addition, the

ILTCP did not count black and Hispanic residents who were

65 years of age and over. The questionnaire was designed

to obtain a count of black residents and Hispanic residents,

as well as a count of residents by age group. It was not

designed to obtain a count of black or Hispanic persons by

age group. (See questionnaire in appendix II.) Similarly, counts

by age groups could not be obtained for persons who were

not black or for persons who were not Hispanic.

However, because 1986 national estimates were available

for black persons 65 years of age and over, and because

national estimates of the black nursing home residents who

were 65 years of age and over could be computed (using

rates from the 1985 National Nursing Home Survey3), national

estimates for the four categories mentioned above were computed for black persons. (Such national estimates were not

available for Hispanic persons.)

The estimates showed that 8.2 percent of the U.S. population 65 years of age and over were black, compared with

an estimated 6.6 percent of the nursing home residents 65

years of age and over who were black. The estimates also

showed that 3.5 percent of the black population 65 years

of age and over resided in nursing homes, compared with

4.3 percent of the population who were not black who were

65 years of age and over. (In each of these comparisons,

hospital-based and residential facilities were excluded.)

Turning to age, table E shows the percent of nursing

home residents who were 65 years of age and over, 22-64

years of age, and under 22 years of age, for each type of

home. Just over 90 percent of all nursing home residents

were 65 years of age and over, with just over 9 percent

being 22 to 64 years of age. By contrast, of the residents

in residential facilities, only 73 percent were 65 years of

age and over, whereas 26 percent were 22 to 64 years of

age. Table 25 gives the percent distribution of nursing home

residents by age group, according to State. It shows that

the States with the highest percents of the 65 years of age

and over group were all in New England-New Hampshire

(95.7), Vermont (95. 1), and Rhode Island (94.4). Utah had

the lowest percent of residents 65 and over (83.0) and, as

might be expected, the highest percent of residents 22 to

64 years of age (16.8).

3Nati~nal Center forHealth Statistics,E. Hb3g. 1987. Use of nursing homes

by the elderly: Preliminary data from the 1985 National Nursing Home

Survey. Advance Data From Vital and Health Statistics. No. 135. DHHS

Pub.No. (PHS) 87-1250. Public Health Service. Hyattsville, Md.

6
Tabte E. Percent distributionof residents in nursing and related care

homee by ege of resident, according to type of home United

Ststes, 1986

Age of resident

Under 22 to 65 years

Type of home All ages 22 years 64 years and over

Percent distribution

Allhomes . . . . . . . . . . ..~ 100.0 0.3 11.2 88.5

Nursing homes . . . . . . . . . . 100.0 0.2 9.3 90.4

Hospital-based facilities. . . . . . 100.0 0.7 11.2 88.1

Residential facilities . . . . . . . 100.0 0.6 26.3 73.1

7
Nursing home growth

The 1986 ILTCP was similar in several respects to the

early National Master Facility Inventory (NMFI) surveys. The

procedures were similar (conducted centrally), the facilities

could be classified according to responses to certain questions,

and facilities for the mentally retarded were included. While

detailed State comparisons could be problematic, an overall

look at some key nursing home measures might be useful.

The fact that NMFI surveys were conducted in 1976 and

1967, with a 10-year and nearly a 20-year interval from 1986,

made these two surveys very attractive for comparison

purposes.

Table F presents a number of important measures for

each of these years. The table shows major growth from

1967 to 1976 in terms of more nursing homes (a 13 percent

increase), more nursing home beds and residents (a 72- and

a 75-percent increase, respectively), more beds per aged population (an additional 16.8 beds per 1,000 aged population),

and more of the aged population residing in nursing homes

(from 3.3 percent to 4.8 percent).

By contrast, the growth was much more modest from

1976 to 1986, and for some measures there was actually

negative growth (decreases). From 1976 to 1986, homes,

beds, and residents showed increases of 4 percent, 19 percent,

and 18 percent, respectively. Beds per aged population decreased by 3.7 per 1,000, and a smaller percent of the aged

population resided in nursing homes (a decrease of from

4.8 percent to 4.5 percent).

Occupancy rates were fairly constant, ranging between

91.0 and 92.2 percent. The U.S. resident aged population

increased by 4.1 million from 1967 to 1976 and by 6.2 million

from 1976 to 1986, increases of 27 percent and 22 percent,

respectively.

Table F. Numbers and percents of selected nurehg home cherecterfa~ by survey yeerw end changes between survey years Unftad Steteq 1S67,

197% and 19S8

Year’ Change frotnCharacteristic 1967 1976 1966 1967 to 1976 1976 to 1966

Number Percent

Homes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14,469 16,426 17,122 + 13.4

Be& . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

+ 4.2

765,146 1,317,209 1,588,375 +72.2

Residents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

+ 19.0

695,997 1,215,116 1,436,943 + 74.6 + 18.3

Numtmr

Beds par 1,000 population aged 65 years and over . . . . . . . . . . . . . . . . . 40.7 57.5 53.8 + 16.8 -3.7

Percent

U.S.residanLs aged65 years and over . . . . . . . . . . . . . . . . . . . . . . . 18,796,000 22,936,000 29,173,000 + 22.0 + 27.2

Pereent

U.S. residents aged 65 years and over in nursing homes . . . . . . . . . . . . . . 3.3 4.6 4.5 +45.5 -6.2

Nursing home badsoccupied . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91.0 92.2 91.6 +1.2 -0.6

1Dataforall 3 years includshoapitel-bsssdfacilities.
List of detailed tables

1. Number of nursing and related care homes by type of

home and State: United States, 1986. . . . . . . . . . .

2, Number of beds in nursing and related care homes by

type of home and State United States, 1986 . . . . . . .

3. Number of residents in nursing and related care homes

by type of home and State United States, 1986 . . . . .

4. Occupancy rates in nursing and related care homes by

type of home andState: UnitedStates, 1986 . . . . . . .

5. Occupancyrates in nursing homes by bed-size group and

State: United States, 1986 . . . . . . . . . . . . . . . .

6. Average number of beds in nursing and related care

homes by type of home and State: United States,

1986 . . . . . . . . . . . . . . . . . . . . . . . . . .

7. Number of nursing homes by bed-size group and State:

United States, 1986 . . . . . . . . . . . . . . . . . . .

8. Number of residential facilities by bed-size group and

State: United States, 1986 . . .’. . . . . . . . . . . . .

9. Number of nursing homes by bed-size group, type of

ownership, and geographic region: United States,

1986 . . . . . . . . . . . . . . . . . . . . . . . . . .

10. Percent distribution of nursing homes by bed-size group,

according to type of ownership, and geographic region:

United States, 1986 . . . . . . . . . . . . . . . . . . .

11. Number of beds per 1,000 population 65 years of age

and over in nursing and related care homes by type

of home and State: United States, 1986 . . . . . . . . .

12. Percent of U.S. resident population 65 years of age

and over residing in nursing homes: United States,

1986, . . . . . . . . . . . . . . . . . . . . . . . . .

13. Percent increase from 1980 to 1986 in U.S. population

10 65 years of age and over (with ranking of 10 highest

States): United States, 1986 . . . . . . . . . . . . . . .

10 14. Number of nursing homes by ownership and State: United

States, 1986 . . . . . . . . . . . . . . . . . . . . . . .

II 15. Number of residential facilities by ownership and

State United States, 1986 . . . . . . . . . . . . . . . .

11 16. Number of beds in nursing homes by ownership and

State: United States, 1986 . . . . . . . . . . . . . . . .

12 17. Number of beds in residential facilities by ownership and State: United States, 1986 . . . . . . . . . . .

18. Number of nursing homes by certification and State:

12 United States, 1986 . . . . . . . . . . . . . . . . . . .

19. Number of beds in nursing homes by certification and

13 State: United States, 1986 . . . . . . . . . . . . . . . .

20. Number of residents in nursing homes by certification

14 and State: United States, 1986 . . . . . . . . . . . . . .

21. Occupancy rates in nursing homes by cetiification and

State United States, 1986 . . . . . . . . . . . . . . . .

15 22. Number of black residents in nursing homes by State:

United States, 1986 . . . . . . . . . . . . . . . . . . .

23. Number of Hispanic residentS in nursing homes by

16 State United States, 1986 . . . . . . . . . . . . . . . .

24. Percent of all nursing home residents who were black

or Hispanic, by State United States, 1986 . . . . . . . .

.-

1/ 25. Percent distribution of nursing home residents by age

group according to State: United States, 1986 . . . . . .

17

18

18

19

20

20

21

21

22

22

23

23

24
Table 1. Numb of nursing and related care homes by type of home and State United States, 1986

HospitalAll Nursing based Residential

State homes home; facilities facilities

All States . . . . . . . . . . . . .

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

Alaska . . . . . . . . . . . . . . .

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

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

California . . . . . . . . . . . . .

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

-Connecticut . . . . . . . . . . . .

Delaware . . . . . . . . . . . . .

DistrictofColumbia. . . . . . . .

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

Georgia . . . . . . . . . . . . . .

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

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

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

Indiana . . . . . . . . . . . . . .

Iowa . . . . . . . . . . . . . . . .

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

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

Louisiana . . . . . . . . . . . . .

Maine . . . . . . . . . . . . . . .

Maryland . . . . . . . . . . . . .

Massachusetts . . . . . . . . . .

Michigan . . . . . . . . . . . . .

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

Mississippi . . . . . . . . . . . .

26,380

288

17

166

271

4,261

313

350

49

36

1,245

601

190

122

817

472

499

399

623

286

367

226

774

2,189

467

163

Numberofhomes

16,386 734

217 20

10 7

107 2

231 4

1,632 50

197 15

243 3

40 2

26 -

637 9

372 19

62 18

66 12

744 25

454 6

422 23

351 26

331 17

276 7

160 11

207 7

641 8

690 24

401 54

143 12

9,256

51

57

36

2,379

101

104

7

10

599

210

110

44

48

12

54

22

275

3

196

14

125

t ,475

26

8

HospitalAll Nursin.o based Residential

State homes home; facilities facillttes

Missouri . . . . . . . . . . . . . .

Montana . . . . . . . . . . . . .

Nebraska . . . . . . . . . . . . .

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

NewHampshire . . . . . . . . . .

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

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

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

NorfhCarolina . . . . . . . . . .

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

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

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

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

Pennsylvania . . . . . . . . . .

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

South Carolina . . . . . . . . .

South Dakota . . . . . . . . . . .

Tennessee . . . . . . . . . . . .

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

Utah . . . . . . . . . . . . . . . .

Vermont . . . . . . . . . . . . . .

Virginia . . . . . . . . . . . . . .

Washington . . . . . . . . . . . .

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

Wisconsin . . . . . . . . . . . . .

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

828

93

270

57

175

600

126

1,058

900

104

1,011

405

266

1,397

130

316

136

381

1,058

114

153

462

405

163

522

39

Numberofhomes

575 9

63 29

209 25

29 6

92 8

334 12

63 7

578 61

355 17

67 16

943 10

366 5

199 7

731 33

108

162 7

115 4

279 10

1,016 7

91 6

61 5

235 13

294 11

95 6

422 32

26 5

244

1

36

22

75

254

56

419

528

21

58

34

62

633

22

127

17

92

35

17

87

214

100

60

66

8

Table2. Numkrof &dsinnursing andrebt~~re homasby ~peofhome and Stat& United States, 1986

Hospita/-

All Nursing based Residential

State homes homes facilities facilities

All States . . . . . . . . . . . . . 1,767,497 1,504,683

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

Alaska . . . . . . . . . . . . . . .

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

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

California . . . . . . . . . . . . .

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

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

Delaware . . . . . . . . . . . . .

DiStriCtOfColumbia. . . . . . . .

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

Georgia . . . . . . . . . . . . . .

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

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

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

Indiana . . . . . . . . . . . . . .

Iowa . . . . . . . . . . . . . . . .

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

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

Louisiana . . . . . . . . . . . . .

Maine . . . . . . . . . . . . . . .

Maryland . . . . . . . . . . . . .

Massachusetts . . . . . . . . .

Michigan . . . . . . . . . . . . .

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

Mississippi . . . . . . . . . . . .

23,559

1,203

13,410

22,678

168,163

20,432

29,709

4,173

3,126

70,487

35,209

3,617

6,235

99,375

46,480

36,563

26,544

26,294

33,811

11,860

25,714

54,621

67,994

48,656

14,123

21,685

1,082

11,250

21,446

118,862

17,323

26,729

3,319

2,960

53,550

32,028

1,606

4,694

94,474

47,061

33,941

25,467

22,886

32,616

9,047

24,330

50,675

50,652

43,604

13,476

60,983

1,118

121

163

423

4,417

954

664

736

853

1,209

1,260

465

2,407

894

1,191

909

542

1,020

634

943

672

1,650

3,762

550

201,831

756

1,997

807

4$864

2,155

2,316

118

148

16,064

1,972

751

1,076

2,494

505

1,431

148

4,866

176

2,179

441

3,074

15,792

1,190

97

HospitalAll Nursing based Residential

State homes homes facilities facilities

Number of beds

Missouri . . . . . . . . . . . . . .

Montana . . . . . . . . . . . . .

Nebraska . . . . . . . . . . . . .

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

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

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

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

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

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

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

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

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

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

Pennsylvania . . . . . . , . . . .

Rhode island . . . . . . . . . . .

South Carolina . . . . . . . . .

South Dakota . . . . . . . . . . .

Tennessee . . . . . . . . . . . .

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

Utah . . . . . . . . . . . . . . . .

Vermont . . . . . . . . . . . . . .

Virginia . . . . . . . . . . . . . .

Washington . . . . . . . . . . . .

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

Wisconsin . . . . . . . . . . . . .

rVyoming . . . . . . . . . . . . .

54,429

6,114

20,661

3,329

8,567

44,967

6,093

125,685

38,859

8,192

85,719

31,445

18,390

101,175

10,339

16,020

8,279

30,917

105,905

6,736

4,508

33,421

33,454

9,819

53,965

2,551

48,262

4,898

17,268

2,677

6,901

35,204

4,902

91,838

26,034

5,904

82,326

29.570

84,232

9,821

13,471

7,600

28,077

103,634

5,655

3,058

24,440

27,986

7,753

49,995

2,165

584

1,210

2,124

125

635

2,955

522

7,865

1,210

1,282

1,187

832

293

3,669

369

195

1,211

671

450

276

1,545

483

531

2,790

192

5,563

6

1,269

527

1,031

6,608

669

25,962

11,615

1,006

2,206

1,043

2,029

13,254

518

2,180

284

1,629

1,600

631

1,174

7,436

4,985

1,535

1,180

194

10
Table3. Numkrof restiente innursing andrebtd ~rehomes by~peof homeand State United States, 1986

HospitalAll Nursing based Residential

State homes homes facilities facilities

Number of residents

All States . . . . . . . . . . . . 1,609,419 1.360.777

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

Alaska . . . . . . . . . . . . . . .

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

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

California . . . . . . . . . . . . .

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

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

Delaware . . . . . . . . . . . . .

DlstrlctofColumbla. . . . . . .

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

Georgia . . . . . . . . . . . . . .

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

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

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

Indiana . . . . . . . . . . . . . .

Iowa . . . . . . . . . . . . . . . .

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

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

Louisiana . . . . . . . . . . . . .

Maine . . . . . . . . . . . . . . .

Maryland . . . . . . . . . . . . .

Massachusetts . . . . . . . . . .

Michigan . . . . . . . . . . . . .

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

Mississippi . . . . . . . . . . . .

21,877

1,028

11,419

20,426

150,809

18,208

28,362

3,864

2,860

62,884

33,217

3,314

5,442

90,327

41,160

33,787

24,174

26,407

29,877

11,267

24,427

51,555

61,890

45,725

13,720

20,266

923

9,694

19,488

110,051

15,473

25,701

3,069

2,748

48,939

30,400

1,527

4,120

85,999

39,964

31,388

23,244

21,543

28,873

8,706

23,127

47,981

46,928

41,172

13,097

56.166

1,098

105

68

354

3,905

848

627

707

793

1,132

1,158

425

2,184

843

1,123

814

479

875

601

917

780

1,548

3,454

542

172,476

553

1,657

564

36,853

1,887

2,034

88

112

13,152

1,685

629

897

2,144

353

1,276

116

4,385

129

1,960

383

2,814

13,414

1,099

81

HospitalAll Nursing based Residential

State homes homes facilities facilities

Number of residents

Missouri. . . . . .

Montana . . . . . . . . . . . .

Nebraska . . . . . . . . . . . . .

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

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

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

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

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

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

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

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

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

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

Pennsylvania . . . . . . .

Rhode island . . . . . . . . . . .

South Carolina . . . . . .

South Dakota . . . . . . . . . . .

Tennessee . . . . . . . . . . . .

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

Utah . . . . . . . . . . . . . . . .

Vermont . . . . . . . . . . . . . .

Virginia . . . . . . . . . . . . . .

Washington . . . . . . . . . . . .

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

Wisconsin . . . . . . . . . . . .

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

46,147

5,634

19,158

3,051

8,008

41,547

5,174

119,606

36,857

7,721

77,719

26,904

16,286

92,590

9,950

15,328

8,008

28,962

88,063

5,742

4,164

31,175

30,643

9,043

49,606

2,307

43,117

4,505

16,107

2,459

6,545

32,827

4,098

88,944

24,754

5,690

74,936

25,350

14,352

78,011

9,481

13,007

7,551

26,473

86,057

4,843

2,890

23,205

25,875

7,330

46,050

1.959

511

1,123

1,965

116

555

2,735

492

7,651

1,177

1,099

1,035

710

247

3,391

362

193

1,174

632

382

285

1,451

335

431

2,578

176

4,519

6

1,086

476

908

5,985

584

23,011

10,926

932

1,748

844

1,687

11,188

469

1,959

264

1,315

1,374

517

1,009

6,519

4,433

1,282

978

172

Tabfe4. Omrpancyretesinnu raingat ire fetatfcerehornesby Wpeof-andSWte United Steteq 1966

HospitalAll Nursing based Residential

State homes homes facilities facilities

All States . . . . . . . . . . . . .

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

Alaska . . . . . . . . . . . . . . .

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

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

California . . . . . . . . . . . . .

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

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

Delaware . . . . . . . . . . . . .

Dk.trlctofColumbla. . . . . . .

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

Georgia . . . . . . . . . . . . . .

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

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

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

Indiana . . . . . . . . . . . . . .

Iowa . . . . . . . . . . . . . . . .

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

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

Louisiana . . . . . . . . . . . . .

Maine . . . . . . . . . . . . . . .

Maryland . . . . . . . . . . . . .

Massachusetts . . . . . . . . . .

Michigan . . . . . . . . . . . . .

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

MisslssiPP1 . . . . . . . . . . . .

91.1

92.9

85.4

85.2

90.1

89.7

89.1

95.5

92.6

91.4

89.2

94.3

91.8

87.3

90.9

84.9

92.4

91.1

93.3

a8.4

95.0

95.0

94.4

91.0

94.2

97.1

Occupancy rate

91.8 92.1

93.3 98.2

85.3 86.8

86.2 41.7

90.9 83.7

92.6 88.4

89.3 88.9

96.2 94.4

92.5 96.0

92.2

91.4 93.0

94.9 93.6

95.1 91.9

87.8 91.4

91.0 90.7

84.9 94.3

92.5 94.3

91.2 89.5

94.1 88.4

a8.5 85.8

96.2 94.8

95.0 97.2

94.6 89.4

92.8 93.8

94.4 91.8

97.2 98.5

85.4

73.1

83.0

72.4

82.1

87.6

87.8

74.6

75.7

81.8

85.4

83.8

83.4

86.0

69.9

89.2

78.4

90.1

73.3

89.9

86.8

91.5

84.9

92.4

83.5

HospitalAll Nursing based Residential

State homes homes facilities facilities

Missouri . . . . . . . . . . . . . . 88.4

Montana . . . . . . . . . . . . 92.1

Nebraska . . . . . . . . . . . . . 92.6

Nevada . . . . . . . . . . . . . . 91.6

New Hampshire . . . . . . . . . . 93.5

New Jersey . . . . . . . . . . . . 92.4

New Mexico . . . . . . . . . . . . 84.9

New York . . . . . . . . . . . . . 95.2

North Carolina . . . . . . . . . . 94.8

North Dakota . . . . . . . . . . 94.2

Ohio . . . . . . . . . . . . . . . . 90.7

Oklahoma . . . . . . . . . . . . . 85.6

Oregon . . . . . . . . . . . . . . 88.6

Pennsylvania . . . . . . 91.5

Rhode Island . . . . . . . . . . . 96.2

South Carolina . . . . . . . . . . 95.7

South Dakota . . . . . . . . . . 96.7

Tennessee . . . . . . . . . . . . 93.7

Texas . . . . 83.2

Utah . . . . . . . . . . . . . . . . 85.2

Vermont . . . . . . . . . . . . . . 92.4

Virginia . . . . . . . . . . . . . . 93.3

Washington . . . . . . . . . . . . 91.6

Weetvirginia . . . . . . . . . . . 92.1

Wisconsin . . . . . . . . . . . . . 91.9

Wyoming . . . . . . . . . . . . . 90.4

Occupancy rate

89.3 87.5

92.0 92.8

93.2 92.5

91.8 92.8

94.8 87.4

93.2 92.6

83.6 94.2

96.8 97.3

95.1 97.3

96.4 85.7

91.0 87.2

85.7 85.3

89.3 84.3

92.6 91.9

96.5

96.6 98.1

96.8 99.0

94.3 96.9

83.0 94.2

85.6 84.9

94.5 96.0

94.9 93.9

92.4 69.4

94.5 81.2

92.1 92.4

90.5 91.7

80.9

100.0

85.6

90.3

88.1

87.9

87.3

88.6

94.1

92.6

79.2

80.9

83.1

84.4

90.5

89.9

93.0

80.7

85.9

81.9

85.9

87.7

88.9

83.5

82.9

88.6

11
Table 5. Occupancy rates in nursing homes by bed-size grotp and Statrx United Stateej 1986

Nursing homes witfrAll bed 3-24 25-99 100-199 200 beds

State sizes beds beds beds or more

Occupancy rate

All States . . . . . . . ..” 91.8

Alabama . . . . . . ...93.3

Alaska . . . . . . . . ...85.3

Arizona . . . . . . . ...88.2

Arkansaa . . . . . . . . . 90.9

California . . . . . . . . . 92.6

Colorado . . . . . . . . . 89.3

Connecticut . . . . . . . . 96.2

Delaware . . . . . . . . . 92.5

District of Columbia . . . . 92.2

Florida . . . . . . . . ...91.4

Georgia . . . . . . . ...94.9

Hawaii . . . . . . . . ...95.1

ldaho . . . . . . . . ...87.8

lllinois . . . . . . . . . ..9l.O

lndiana . . . . . . . ...64.9

lows . . . . . . . . . ...92.5

Kansas . . . . . . . ...91.2

Kentucky . . . . ~ . . . . 94.1

Louisiana . . . . . . . . . 88.5

Maine . . . . . . . . ...86.2

Maryland . . . . . . ...95.0

Massachusetts . . . . . . 94.6

fvlichigan . . . . . . ...92.8

Minnesota . . . . . . . . . 94.4

Mississippi . . . . . . . , 97.2

66.2

64.9

85.4

62.1

64.6

85.0

91.3

100.0

94.3

81.3

61.8

67.6

70.8

72.7

89.6

66.6

66.2

83.1

60.7

91.9

95.2

92.9

63.8

89.7

100.0

92.4

94.5

98.5

89.3

94.5

94.2

89.8

96.3

91.2

88.4

91.4

96.8

95.7

89.9

91.7

88.2

93.3

92.2

94.4

90.3

96.0

94.1

95.6

93.6

95.0

96.7

91.5

94.5

62.0

84.0

69.1

92.6

90.6

95.8

93.0

94.1

91.4

95.2

95.7

86.0

90.4

65.1

91.4

89.6

94.9

89.5

97.2

95.4

94.4

93.8

94.6

97.4

91.9

84.4

96.0

86.5

85.7

67.9

83.6

97.1

92.4

93.6

91.4

98.8

83.7

91.2

79.7

91.4

69.2

91.3

81.3

97.1

95.0

92.9

91.7

93.3

97.2

Nursing homes wittrAll bed 3-24 25-99 100-199 200 beds

State sizes beds beds beds or more

Missouri . . . . . . . . . . 89.3

Montana . . . . . . ...92.0

Nebraska . . . . . . . . . 93.2

Nevada . . . . . . . ...91.8

New Hampshire . . . . . . 94.8

New Jersey . . . . . . . 93.2

New Mexico . . . . . . . . 83.6

New York . . . . . . ...96.6

North Carolina . . . . . . 95.1

Norlh Dakota . . . . . . . 98.4

ohio . . . . . . . . . . ..9l.o

Oklahoma . . . . . . . . . 85.7

Oregon . . . . . . . ...89.3

Pennsylvania . . . . . . . 92.6

Rhode Island . . . . . . . 96.5

South Carolina . . . . . . 96.6

South Dakota . . . . . . . 96.8

Tennessee . . . . . . . . 94.3

Texas . . . . . . . . ...83.0

Utah . . . . . . . . . ...85.6

Vermont . . . . . . . . . . 94.5

Virginia . . . . . . . ...94.9

Washington . . . . . . . . 92.4

West Virginia . . . . . . . 94.5

Wisconsin . . . . . . . . . 92. I

Wyoming . . . . . . ...90.5

62.8

60.6

88.6

77.6

87.5

93.1

90.5

93.0

89.1

100.0

66.0

68.4

85.7

86.8

93.0

93.4

100.0

80.0

63.3

84.1

92.0

87.5

86.5

87.2

85.6

75.0

NOTE Homes exclude hospital-based and residential facilities.

Table 6. Average nufnbar of beds in nursing and related care homes by type of home and State United States, 1966

HospitalAll Nursing based Residential

State homes homes facilities facilities

All States . . . . . . . . . . . . . 67.0

Alabama . . . . . . . . . . . . . 81.8

Alaska . . . . . . . . . . . . . . . 70.8

Arizona . . . . . . . . . . . . . . 60.8

Arkaneas . . . . . . . . . . . . . 63.7

California . . . . . . . . . . . . . 39.5

Colorado . . . . . . . . . . . . . 65.3

Connecticut . . . . . . . . . . . . 84.9

Delaware . . . . . . . . . . . . . 85.2

District’of Columbia . . , . . . . . 86.9

Florida . . . . . . . . . . . . . . . 56.6

Georgia . . . . . . . . . . . . . . 58.6

Hawaii . . . . . . . . . . . . . . . 19.0

Idaho . . . . . . . . . . . . . . . 51.1

Illinois . . . . . . . ..”...... 121.6

Indiana . . . . . . . . . . . . . . 102.7

Iowa . . . . . . . . . . . . . . . . 73.3

Kansas . . . . . . . . . . . . . . 66.5

Kentucky . . . . . . . . . . . . . 45.4

Louisiana . . . . . . . . . . . . . 118.2

Maine . . . . . . . . . . . . . . . 32.3

Maryland . . . . . . . . . . . . . 112.6

Maseachueetfs . . . . . . . . . . 70.6

Michigan . . . . . . . . . . . . . 31.1

Minnesota . . . . . . . . . . . . . 100.9

Mieeiesippi . . . . . . . . . . . . 86.6

Number of beds

91.6

99.9

108.2

105.1

92.8

64.9

87.9

110.0

83.0

114.6

84.1

86.1

25.9

71.1

127.0

103.7

80.4

72.6

69.1

1te.2

56.5

117.5

79.1

73.3

108.7

94.2

83.1

55.9

17.3

81.6

105.e

88.3

63.6

221.3

386.0

94.8

63.6

70.0

38.8

96.3

149.0

51.8

35.0

31.9

145.7

57.6

134.7

109.0

68.8

69.7

45.8

21.8

14.8

35.0

22.4

18.9

21.3

22.3

16.9

14.8

26.8

9.4

6.6

24.5

52.0

42.1

26.5

6.7

17.7

58.7

11.1

31.5

24.6

10.7

45.8

12.1

Occupancy rate

66.2

92.1

94.3

92.8

93.0

92.3

66.4

97.2

96.7

95.5

90.6

66.5

69.9

92.6

96.7

96.7

97.0

95.7

85.3

86.0

91.5

93.5

93.5

96.4

92.6

90.6

90.4

92.8

91.9

91.2

95.4

92.8

80.9

96.8

95.4

97.0

91.2

64.9

88.9

91.9

96.8

97.2

96.3

94.1

61.7

85.2

97.8

95.3

92.6

94.0

93.3

90.4

89.2

90.7

90.8

98.6

97.8

94.4

69.4

96.9

90.4

98.1

91.7

85.4

89.4

94.0

96.2

95.2

93.1

83.1

95.9

90.0

95.9

90.5

Hospita/-

All Nursing based Residential

State homes home; facilities facilities

Number of beds

Mieeouri . . . . . . . . . . . . . . 65.7

Montana . . . . . . . . . . . . . 65.7

Nebraska . . . . . . . . . . . . . 76.6

Nevada . . . . . . . . . . . . . . 58.4

New Hampshire . . . . . . . . . . 49.0

New Jersey . . . . . . . . . . . . 74.9

Naw Mexico . . . . . . . . . . . . 47.6

New York . . . . . . . . . . . . . 118.8

North Carolina . . . . . . . . . . 43.2

Norih Dakota . . . . . . . . . . . 78.6

Ohio . . . . . . . . . . . . . . . . 84.8

Oklahoma . . . . . . . . . . . . . 77.6

Oregon . . . . . . . . . . . . . . 68.6

Pennsylvania . . . . . . . . . . . 72.4

Rhode Island . . . . . . . . . . . 79.5

South Carolina . . . . . . . . . . 50.7

South Dakota . . . . . . . . . . . 60.9

Tennessee . . . . . . . . . . . . 81.1

Texas . . . . . . . . . . . . . . . 100.1

Utah . . . . . . . . . . . . . . . . 59.1

Vermont . . . . . . . . . . . . . . 29.5

Virginia . . . . . . . . . . . . . . 72.3

Washington . . . . . . . . . . . . 82.6

West Virginia . . . . . . . . . . . 60.2

Wiemnsin . . . . . . . . . . . . . 103.4

Wyoming . . . . . . . . . . . . . 65.4

63.9

77.7

82.7

92.3

75.0

105.4

77.8

158.9

73.3

88.1

67.3

80.8

80.7

115.2

90.9

74.0

87.8

100.6

102.0

62.1

50.1

104.0

95.2

81.6

118.5

83.3

64.9

41.7

65.0

20.8

79.4

246.2

74.6

128,9

71.2

80.1

116.7

166.4

41.9

111.6

52.7

48.8

121.1

95.9

75.0

55.2

118.8

43.9

66.4

87.2

36.4

22.9

6.0

35.2

24.0

13.7

26.8

11.5

62.0

22,0

47.9

38.0

30.7

32.7

20.9

23.5

17.2

16.7

17.7

45.7

37.1

13.5

34.7

49.8

25.6

17.4

24.2

12
Tabla7. Number ofnursing homes by bed-stie group and Stat% United Ststeaj 19S6

Ail bed 3-9 10-24 25-49 50-74 75-99 100-199 200-299 300 beds

State sizes beds beds beds beds beds beds beds or rrrore

All States . . . . . . . . . . . . . . . . . . . .

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

Alaska . . . . . . . . . . . . . . . . . . . . . .

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

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

California . . . . . . . . . . . . . . . . . . . .

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

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

Delaware . . . . . . . . . . . . . . . . . . . .

DistrlctofColumbla . . . . . . . . . . . . . . .

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

Georgia . . . . . . . . . . . . . . . . . . . . .

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

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

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

Indiana . . . . . . . . . . . . . . . . . . . . .

Iowa . . . . . . . . . . . . . . . . . . . . . . .

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

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

Louisiana . . . . . . . . . . . . . . . . . . . .

Maine . . . . . . . . . . . . . . . . . . . . . .

Maryland . . . . . . . . . . . . . . . . . . . .

Massachusetts . . . . . . . . . . . . . . . . .

Michigan . . . . . . . . . . . . . . . . . . . . .

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

Mississippi . . . . . . . . . . . . . . . . . . .

Missouri . . . . . . . . . . . . . . . . . . . . .

Montana . . . . . . . . . . . . . . . . . . . .

Nebraska . . . . . . . . . . . . . . . . . . . .

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

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

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

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

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

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

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

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

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

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

Pennsylvania . . . . . . . . . . . . . ...”..

Rhode island . . . . . . . . . . . . . . . . . .

Soulh Carolina . . . . . . . . . . . . . . . . .

South Dakota . . . . . . . . . . . . . . . . . .

Tennessee, . . . . . . . . . . . . . . . . . .

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

Utah . . . . . . . . . . . . . . . . . . . . . . .

Vermont . . . . . . . . . . . . . . . . . . . . .

Virginia . . . . . . . . . . . . . . . . . . . . .

Washington . . . . . . . . . . . . . . . . . . .

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

Wisconsin . . . . . . . . . . . . . . . . . . . .

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

16,388

217

10

107

231

I ,e32

197

243

40

26

637

372

62

66

744

454

422

351

331

276

160

207

841

690

401

143

575

63

209

29

92

334

63

578

355

67

943

366

199

731

106

1e2

115

279

1,016

91

61

235

294

95

422

26

1,340

7

4

481

19

4

1

8

86

54

43

9

7

116

1

24

1

201

1

17

2

2

12

16

5

5

79

1

2

1

3

45

20

5

15

2

6

e

12

3

1

6

1

1,069

11

6

4

143

11

15

4

1

84

23

2

7

5

13

7

3

3

1

12

14

79

75

14

3

69

6

8

3

13

36

5

29

26

1

87

1

13

61

12

34

2

14

6

9

16

32

15

12

17

Numberofnursing homes

2,061

19

2

14

20

223

20

29

6

3

53

le

6

9

56

100

60

52

15

10

35

26

16e

46

30

16

99

15

19

3

6

55

5

44

36

8

179

52

41

65

20

30

22

39

95

23

15

22

44

14

47

5

3,037

37

3

15

59

263

43

36

3

2

97

63

4

11

140

78

174

154

44

27

46

26

64

67

103

44

120

16

93

1

18

28

14

28

46

23

177

135

36

97

22

11

46

38

239

20

9

33

59

20

77

4

2,336

35

15

46

378

20

33

9

2

38

50

2

12

151

63

73

55

42

53

23

26

67

62

73

14

55

8

36

5

10

24

10

87

26

13

63

59

38

59

10

35

25

48

175

15

2

11

59

5

66

6

5,468

96

3

49

91

267

74

103

17

4

247

146

4

16

269

162

99

77

102

164

18

69

204

194

146

63

191

15

44

14

26

133

23

213

129

19

357

112

66

303

36

46

15

112

454

16

11

105

94

42

152

10

805

9

2

7

6

46

10

14

3

25

15

1

2

90

30

8

3

7

20

2

19

16

36

22

1

17

3

4

1

2

24

1

113

7

2

51

6

2

48

6

2

10

37

16

20

1

38

272

1

1

1

11

7

3

5

1

33

8

1

2

7

2

9

12

2

7

1

3

14

59

2

7

33

2

4

3

8

4

19

NOTE: NumMrol homes excludes hospital-basedandresidential raci~Uea.

13
Table 8. Number of residential fsciliies by bed-size group and State United States, 1986

All bed 3-9 10-24 25-49 50-74 75-99 700-199 200-299

State

300 beds

sizes beds beds beds beds beds beds beds or more

Number of residential facilities

All States . . . . . . . . . . . . . . . . . . . .

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

Alaska . . . . . . . . . . . . . . . . . . . . . .

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

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

California . . . . . . . . . . . . . . . . . . . .

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

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

Delaware . . . . . . . . . . . . . . . . . . . .

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

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

Georgia . . . . . . . . . . . . . . . . . . . . .

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

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

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

Indiana . . . . . . . . . . . . . . . . . . . . .

Iowa . . . . . . . . . . . . . . . . . . . . . . .

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

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

Louisiana . . . . . . . . . . . . . . . . . . . .

Maine . . . . . . . . . . . . . . . . . . . . . .

Maryland . . . . . . . . . . . . . . . . . . . .

Massachusetts . . . . . . . . . . . . . . . . .

Michigan . . . . . . . . . . . . . . . . . . . .

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

Mississippi . . . . . . . . . . . . . . . . . . .

Missouri . . . . . . . . . . . . . . . . . . . . .

Montana . . . . . . . . . . . . . . . . . . . .

Nebraska . . . . . . . . . . . . . . . . . . . .

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

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

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

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

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

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

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

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

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

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

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

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

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

South Dakota . . . . . . . . . . . . . . . . . .

Tennessee . . . . . . . . . . . . . . . . . . .

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

Utah . . . . . . . . . . . . . . . . . . . . . . .

Vermont . . . . . . . . . . . . . . . . . . . . .

Virginia . . . . . . . . . . . . . . . . . . . . .

Washington . . . . . . . . . . . . . . . . . . .

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

Wisconsin . . . . . . . . . . . . . . . . . . . .

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

9,258

51

57

36

2,379

101

104

7

10

599

210

110

44

48

12

54

22

275

3

196

14

125

1,475

26

8

244

1

36

22

75

254

56

419

528

21

58

34

62

633

22

127

17

92

35

17

67

214

100

60

68

6

4,578

22

1

11

1,546

46

11

6

7

203

144

100

25

2

1

12

18

196

146

11

1,045

1

2

51

1

6

12

33

67

30

27

300

11

4

4

231

4

50

6

37

9

7

34

26

9

23

29

3

2,626

25

23

11

470

39

61

1

212

63

4

9

10

3

17

3

14

1

28

7

63

364

12

6

130

13

4

34

109

25

159

76

5

15

12

27

239

13

48

5

38

7

2

43

89

39

16

29

3

1,074

2

22

11

142

6

27

1

104

1

4

2

20

6

17

1

27

16

5

41

30

6

37

9

2

7

49

2

96

63

10

8

13

16

120

2

23

5

10

8

2

9

51

21

13

6

1

433

1

6

3

72

1

4

1

36

1

2

3

11

7

16

2

8

12

2

18

1

2

13

1

39

53

2

17

4

11

24

2

3

1

4

3

3

1

27

10

5

1

191

3

47

3

1

1

13

3

1

13

2

2

2

4

1

6

1

5

20

24

3

5

3

7

2

3

3

6

3

2

287

1

2

80

6

27

2

4

2

7

1

16

3

4

4

2

1

10

50

11

1

2

1

1

11

1

1

5

3

8

15

3

1

1

54

19

1

1

1

3

1

1

20

1

1

2

3

15

1

3

1

1

8

1

14
TabIe9. Numkrof nursing homes by bed-ske group, Wpofownerstip, andg~mpMcregbn: United St8tes,1986

All

Bed size and geographic

type of ownersh@ regions Northeast Midwest South West

BED SIZE

All bedslzes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3–9beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

10-24 beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

25-49 beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

50-74 beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

75-99 beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

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

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

500bedsor more . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

TYPEOFOWNERSHIP

Proprietary

All bedsizes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3-9 beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

10-24 beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

25-49 beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

50-74beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

75-99beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

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

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

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

Nonprofit

All bedsizes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3-9beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

10-24beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

25-49beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

50-74beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

75-99 beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

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

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

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

Government

All bedsizes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3-9beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

10-24beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

25-49beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

50-74 beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

75-99beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

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

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

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

16,3e8

274

666

1,893

2,566

1,473

2,579

253

60

10

12,336

203

507

1,426

1,940

1,121

2,030

166

24

1

3,263

54

123

391

522

292

416

58

13

2

789

17

36

74

104

60

133

29

23

7

Number of nursiry homes

2,848

34

145

508

397

242

331

50

21

6

2,063

25

111

394

306

162

210

30

5

1

716

7

29

102

82

71

61

11

3

1

149

2

5

12

9

9

40

9

13

4

5,393

82

260

721

1,077

542

912

103

20

1

3,710

57

197

527

722

361

668

65

10

1,352

22

47

166

291

129

191

27

5

331

3

16

26

64

32

53

11

5

1

5,008

79

159

460

904

542

1,191

89

19

3

4,092

57

123

353

759

468

1,041

62

9

717

15

28

85

122

60

115

19

5

1

199

7

8

22

23

14

35

6

5

2

3,039

79

102

204

168

147

145

11

2,451

64

76

154

153

110

111

9

478

10

19

36

27

32

29

1

110

5

7

14

8

5

5

1

NOTE: Number ofnursing homes excludes hospital-based andresidential facihties.

15
Table lO. Pe-ntdstnbuttin ofnursing homes by b~-shegroup, accor@ngtotypeof ownershP, andgeqraphwregtin: United States, 1986

All

Bed size and geographic

type of ownership regions Northeast Midwest South West

BED SIZE

Ali bedsizes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3-9 beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

10-24beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

25-49beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

50-74beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

75-99beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

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

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

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

TYPEOFOWNERSHIP

Proprietary

All bedsizes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3-9beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

10-24beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

25-49 beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...’.

50-74 beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

76-99beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

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

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

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

Nonprofit

All bedsizes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3-9beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

10-24beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

25-49 beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

50-74 beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

75-99beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

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

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

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

Government

All bedsides . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3-9 beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

10-24beds, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2549 beds . . . . . . . . . . . . . . . . . . . . . . . . .’ . . . . . . . . . . . . . . . . .

50-74beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

75-99beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

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

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

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

100.0

8.2

6.5

12.6

16.5

14.3

33.4

4.9

1.4

0.3

100.0

8.9

7.1

12.3

18.0

14.5

34.1

4.3

0.8

0.1

100.0

4.3

4.6

14.1

21.2

14.5

32.0

6.4

2.3

0.4

100.0

12.9

4.6

10.4

16,6

9.9

27.5

e.9

6.1

3.2

Percent distribution of nursing homes

100.0

4.0

9.3

15.6

12.6

11.4

35.5

7.6

3.0

1.1

100.0

4.5

10.8

17.3

12.6

11.2

35.5

6.2

1.7

0.2

100.0

2.5

6.3

12.8

14.7

12.3

36.0

10.2

4.0

1.7

100.0

3.4

4.0

4.0

4.7

9.4

33.6

15.4

15.4

10.1

100.0

4.5

5.6

13.3

23.2

14.0

32.0

5.6

1.6

0.2

100.0

5.5

6.7

14.0

22.2

13.0

32.1

5.2

1.1

0.1

100.0

1.7

2.9

12.7

25.6

17.0

32.0

5.8

2.1

0.1

100.0

4.2

3.6

8.2

23.6

13.3

31.1

8.8

5.1

2.1

100.0

8.2

5.5

9.5

18.5

13.5

40.4

3.7

0.8

0.1

100.0

7.9

5.5

8.4

16.3

13.8

42.3

3.5

0.4

0.0

100.0

6.0

5.7

14.5

20.5

13.1

33.6

4.2

2.1

0.1

100.0

22.1

4.0

13.6

15.1

8.0

26.1

6.0

3.5

1.6

100.0

18.8

7.2

13.5

16.1

18.7

22.1

3.1

0.4

100.0

19.5

7.3

12.1

15.5

20.5

22.4

2.5

0.3

100.0

11.7

6.7

19.0

19.7

13.0

23.6

5.6

0.6

100.0

35.5

9.1

20.0

14.5

3.6

10.9

5.5

0.9

NOTE Percent distribution excludes hospital-based andresidenlial facilities

16
Table Il. Number of bedsper l, W~pulation 65years ofageand overinnuming andrelated ~rehomea by~eoftiesnd S@te

United States, 1986

Hosp/ta/-

All Nursing based Residential

State homes homes facilities facilities

Number of beds per 1,000 population

All Slates . . . . . . . . . . . . . 60.6 51.6 2.1

Alabama . . . . . . . . . . . . . 47.5 43.7 2.2

Alaska . . . . . . . . . . . . . . . 66.8 60.1 6.7

Arizona . . . . . . . . . . . . . . 32.8 27.5 0.4

Arkansas . . . . . . . . . . . . . 65.9 62.3

California . . . . . . . . . . . . .

1.2

59.0 41.7 1.6

Colorado . . . . . . . . . . . . . 69.5 58.9 3.2

Connecticut . . . . . . . . . . . . 70.2 63.2 1.6

Delaware . . . . . . . . . . . . . 56.0 46.1 10.2

DislrlctofColumbia. . . . . . . . 40.6 36.7

Florida . . . . . . . . . . . . . . . 34.0 25.8 0.4

Georgia . . . . . . . . . . . . . . 57.9 52.7 2.0

Hawaii . . . . . . . . . . . . . . . 35.1 15.6 12.2

Idaho . . . . . . . . . . . . . . . 55.7 41.9 4.2

Illinois ., . . . . . . . . . . . . . 7r.7 68.2 1.7

Indiana . . . . . . . . . . . . . . 73.8 71.7 1.4

Iowa . . . . . . . . . . . . . . . . ee.3 82.0 2.9

Kansas . . . . . . . . . . . . . . 80.4 77.2 2.8

Kentucky . . . . . . . . . . . . . 63.0 51.0 1.2

Louisiana . . . . . . . . . . . . . 74.5 71.6 2.2

Main. . . . . . . . . . . . . . . 76.0 58.0 4.1

Maryland . . . . . . . . . . . . . 54.4 51.4 2.0

Massachusetts . . . , . . . . . . 66.8 63.6 1.1

Michigan . . . . . . . . . . . . . 65.4 46.6 1.6

Minnesota . . . . . . . . . . . . . 92.3 82.9 7.2

Mississippi . . . . . . . . . . . . 45.0 42.9 1.8

6.9

1.5

4.9

2.3

15.8

7.3

5.5

1.6

1.9

7.8

3.2

7.3

9.6

1.8

0.6

3.4

0.4

10.8

0.4

14.0

0.9

3.9

15.2

2.3

0.3

l-kxpitalAll Nursing based Residential

State homes homes facilities facilities

Number of beds per 1,000 population

Missouri . . . . . . . ...”...

Montana . . . . . . . . . . . .

Nebraska . . . . . . . . . . . . .

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

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

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

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

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

NorthCarofina . . . . . . . . . .

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

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

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

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

Pennsylvania . . . . . . . . . .

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

SouthCarofina . . . . . . . . . .

South Dakota . . . . . . . . . . .

Tennessee . . . . . . . . . . . .

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

Utah . . . . . . . . . . . . . . . .

Vermont . . . . . . . . . . . . . .

Virginia . . . . . . . . . . . . . .

Washington . . . . . . . . . . . .

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

Wisconsin . . . . . . . . . . . . .

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

78.4 69.5 0.6

61.8 49.5 12.2

95.3 79.7 9.8

33.6 27.0 1.3

72.0 58.0 5.3

45.6 35.9 3.0

42.3 34.0 3.6

55.0 40.2 3.4

53.2 35.6 1.6

93.1 67.1 14.6

64.9 62.4 0.9

76.5 71.9 2.0

50.6 44.4 0.6

58.3 48.5 2.1

72.6 69.2 -

45.1 37.9 1.0

63.6 78.6 2.0

52.4 47.6 2.0

66.9 65.5 0.4

50.6 42.5 3.4

70.4 47.6 4.3

55.2 40.3 2.5

64.3 53.8 0.9

37.6 29.7 2.0

66.5 60.1 4.5

59.3 50.3 4.5

Table 12, Pementof U.S,resident ppuktmn 65years ofageand overresiting innuming homea: United Stetes,19S6

State Percent

Ali States . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

,Alaska . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

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

California . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

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

Delaware . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

DistrictofColumbia .,...,... . . . . . . . . . . . . . . . . .

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

Georgia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Hawaii, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Icfaho ’. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

Indiana . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Iowa . . . ’. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

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

Louisiana . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Maine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Maryland . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Massachusetts . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Michigan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

Mississippi . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4.3

3.6

4.4

2.2

4.9

3.4

4.7

5.5

4.0

3.1

2.2

4.3

1.3

3.2

5.3

5.4

7.1

6.5

4.3

5.5

5.1

4.5

5.6

4.0

7.4

3.7

6.0

0.1

5.8

5.3

6.7

6.9

4.6

11.4

15.9

11.4

1.7

2.5

5.6

7.6

3.6

6.1

2.9

2.8

1.0

4.7

16.3

12.3

9.6

5.9

1.9

4.5

State Percent

Missouri . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Montana . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Nebraska . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

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

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

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

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

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

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

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

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

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

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

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

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

South Dakota . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Tennessee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

Utah . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Vermont . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Virginia . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . .

Washington . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

Wisconsin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

5.6

4.1

6.9

2.2

5.3

3.1

2.6

3.7

3.0

6.0

5.1

5.5

3.7

4.2

6.3

3.3

7.2

4.1

5.0

3.0

4.2

3.4

4.5

2.5

6.6

4.2

NOTE Figuresare based on July 1986 population estimates from Current Popu/atmrrReports, Series P-25, U.S. Bureau of the Census.

Nursing homes exclude hospital-based and residential facilities

17
Percent

State increase

All States . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

Alaska(ranked2nd) . . . . . . . . . . . . . . . . . . . . . . . . .

Arizona(ranked4th) . . . . . . . . . . . . . . . . . . . . . . . . .

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

California . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

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

Delaware(ranked8th) . . . . . . . . . . . . . . . . . . . . . . . .

tXstricfofColumbia . . . . . . . . . . . . . . . . . . . . . . . . . .

Florida(ranked8th) . . . . . . . . . . . . . . . . . . . . . . . . . .

Georgia . . . . . . . . . . . . . . . . . . . . . . . ...!.....

Hawaii (ranked3rd) . . . . . . . . . . . . . . . . . . . . . . . . . .

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

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

Indiana . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Iowa . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Kansan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

Louisiana . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Maine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Maryland . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Massachusetts . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Michigan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

Mississippi . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

14

13

50

34

10

18

19

15

22

3

23

17

37

19

10

12

7

8

10

14

11

19

9

14

10

9

Percent

State increase

NOTE Dataare ksWon19S0 and19S6Census Bureau @plation estimates.

Tabfa14. Numbarofnuminghomaabyownemhparrd%te UnitedStates+1966

Missouri . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Montana . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Nebraska . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Nevada(ranked lst) . . . . . . . . . . . . . . . . . . . . . . . . .

NewHampshire . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NewJersey . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NewMexim(ranked5th) . . . . . . . . . . . . . . . . . . . . . . .

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

North Carolina(ranked lath).... . . . . . . . . . . . . . . . . .

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

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

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

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

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

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

SouthCarolina(ranked6th) . . . . . . . . . . . . . . . . . . . . .

South Dakota . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Tennessee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

Utah (ranked7th) . . . . . . . . . . . . . . . . . . . . . . . . . . .

Vermont . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Virginia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Washington . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

WeatVirginia . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Wisconsin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

Ownerahr@

State All Proprietary Nonprofit Government

All States . . . . . . . . . . .

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

Alaska . . . . . . . . . . . . .

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

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

California . . . . . . . . . . .

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

Connecticut . . . . . . . . . .

Delaware . . . . . . . . . . .

DistrictofColumbia. . . . . .

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

Georgia . . . . . . . . . . . .

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

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

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

Indiana . . . . . . . . . . . .

lowa . . . . . . . . . . . . . .

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

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

Louisiana . . . . . . . . . . .

Maine . . . . . . . . . . . . .

Maryland . . . . . . . . . . .

Massachusetts . , . . . . . .

Michigan . . . . . . . . . . .

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

Mississippi . . . . . . . . . .

Numberofnursing homes

16,388

217

10

107

231

1,832

197

243

40

26

637

372

62

66

744

454

422

351

331

276

160

207

641

690

401

143

12,336

191

72

192

1,558

146

200

28

13

504

311

43

50

516

374

293

228

262

239

141

146

546

530

194

716

3,263

20

4

32

$:

45

39

11

11:

38

17

8

194

73

116

98

52

32

16

53

61

104

163

12

789

6

6

3

15

49

6

4

1

4

14

23

2

8

34

7

11

25

17

5

3

8

14

56

44

13

7

16

6

52

16

13

25

6

21

10

13

9

19

13

12

24

6

14

16

23

10

20

20

10

11

16

Ownership

State All Proprietary Nonprofit Government

Number of nursing homes

Missouri . . . . . . . . . . . .

Montana . . . . . . . . . . .

Nebraska . . . . . . . . . . .

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

NewHampshire. . . . . . . .

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

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

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

North Carolina . . . . . . . .

North Dakota . . . . . . . . .

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

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

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

Pennsylvania . . . . . . . . .

Rhode Island . . . . . . . . .

South Carolina . . . . . . . .

South Dakota . . . . . . . . .

Tennessee . . . . . . . . . .

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

Utah . . . . . . . . . . . . . .

Vermont . . . . . . . . . . . .

Virginia . . . . . . . . . . . .

Washington . . . . . . . . . .

West Virginia . . . . . . . . .

Wisconsin . . . . . . . . . . .

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

575

63

209

29

92

334

63

578

355

67

943

366

199

731

106

162

115

279

1,016

91

61

235

294

95

422

26

431

33

102

29

57

236

39

335

292

17

750

322

158

431

90

137

50

206

679

83

47

173

230

79

225

10

123 21

14 16

77 30

22 13

79 19

22 2

199 44

50 13

49 1

159 34

35 9

38 3

251 49

17 1

28 17

62 3

44 29

125 12

3 5

12 2

52 10

60 4

13 3

132 65

10 6

NOTE Num&rof kmesexcludes h~fial-ksti aMresidential faci~tiies.

18
Table 15. Number ofreskfential facilities byownersMp and State: United States, 1986

Ownership

State All Proprietary Nonprofit Government

Number of residential facilities

All Slales . . . . . . . . . . .

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

Alaska . . . . . . . . . . . . .

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

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

California . . . . . . . . . . .

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

Connecticut . . . . . . . . . .

Delaware . . . . . . . . . . .

DislriclofColumbia. . . . . .

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

Georgia . . . . . . . . . . . .

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

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

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

Indiana . . . . . . . . . . . .

Iowa . . . . . . . . . . . . . .

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

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

Louisiana . . . . . . . . . . .

Maine . . . . . . . . . . . . .

Maryland . . . . . . . . . . .

Massachusetts . . . . . . . .

Michigan . . . . . . . . . . .

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

Mississippi . . . . . . . . . .

9,258

51

57

36

2,379

101

104

7

10

599

210

110

44

48

12

54

22

275

3

196

14

125

1,475

26

8

7,687 1,115 256

46 4 1

50 6 1

32 4

2,198 145 36

76 20 3

77 26 1

5 2

6 3 1

528 61 10

151 36 21

99 8 3

39 3 2

27 19 2

3 3 6

37 6 11

20 1 1

227 26 22

1 2

164 24 8

9 5

75 49 1

1,290 129 56

20 5 1

4 3 1

fvfissouri . . . . . . . . . . . .

Montana . . . . . . . . . . .

Nebraska . . . . . . . . . . .

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

NewHampshire. . . . .

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

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

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

North Carolina . . . .

North Dakota . . . . . . . . .

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

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

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

Pennsylvania . . . . . .

Rhode Island . . . . . . . . .

South Carolina . . .

South Dakota . . . . . . . . .

Tennessee . . . . . . . . . .

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

Utah . . . . . . . . . . . . . .

bfermont. . . . . . . . . . . .

Virginia . . . . . . . . . . . .

Washington . . . . . . . . . .

Nest Virginia . . . . . . . . .

Wisconsin . . . . . . . . . . .

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

Number of residential facilities

244 221 23

1 1

36 27 6 1

22 20 2

75 54 16 5

254 203 46 5

56 47 10 1

419 299 114 6

528 497 24 7

21 4 16 1

58 21 16 21

34 30 4

62 55 7

633 532 96 5

22 19 2 1

127 116 11

17 13 4

92 59 28 5

35 28 7

17 15 1 1

87 74 12 1

214 177 32 5

100 87 13

60 45 14 1

68 51 16 1

8 6 1 1

Table 16. Number of bedsinnursing homes byownersfdp and State United States, 1986

Ownership —

State All Proprietary Nonprofit Government

All Stales . . . . . . . . . . .

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

Alaska . . . . . . . . . . . . .

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

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

California . . . . . . . . . . .

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

Connecticut . . . . . . . . . .

Delaware . . . . . . . . . . .

District of Columbia. . . . . .

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

Georgia . . . . . . . . . . . .

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

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

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

Indiana . . . .. . . . . . . . .

Iowa . . . . . . . . . . . . . .

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

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

Louisiana . . . . . . . . . . .

Manna . . . . . . . . . . . . .

Maryland . . . . . . . . . . .

Massachusetts . . . . . . . .

Michigan . . . . . . . . . . .

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

Mlssieslppi . . . . . . . . . .

Number of beds

1,504,683 1,076,243 328,728

21,685

1,082

11,250

21,448

118,862

17,323

26,729

3,319

2,980

53,550

32,028

1,606

4,694

94,474

47,081

33,941

25,487

22,886

32,615

9,047

24,330

50,675

50,552

43,604

13,476

18,666 1,630

433

7,840 3,067

18,356 1,660

101,358 16,672

13,083 3,705

21,784 4,104

2,192 1,005

1,235 768

41,992 10,466

27,801 2,753

1,200 296

3,537 646

65,430 23,484

36,657 8,039

22,019 10,417

16,892 7,259

16,949 5,681

28,928 3,026

7,585 1,219

16,678 6,415

40,767 8,662

35,543 9,758

20,556 16,191

11,203 945

99,712

1,167

649

543

1,432

832

535

841

122

977

1,092

1,474

110

511

5,560

2,385

1,505

1,336

256

661

243

1,237

1,246

5,251

4,857

1,328

Ownership

State All Proprietary Nonprofit Government

Ownersh@

State” All Proprietary Nonprofit Government

Number of beds

Missouri . . . . . . . . . . . .

Montana . . . . . . . . . . .

Nebraska . . . . . . . . . . .

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

NewHampshire. . .

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

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

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

North Carolina . . .

North Dakota . . . . . . . . .

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

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

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

Pennsylvania . . . . . .

RhodeIsland . . . . . . . . .

South Carolina . . . . . . .

South Dakota . . . . . . . . .

Tennessee . . . . . . . . . .

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

Utah . . . . . . . . . . . . . .

Vermont . . . . . . . . . . . .

Virginia . . . . . . . . . . . .

Washington . . . . . . . . . .

West Virginia . . . . . . . . .

Wisconsin . . . . . . . . . . .

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

48,262

4,89a

17,288

2,677

6,901

35,204

4,902

91,838

26,034

5,904

82,326

29,570

16,068

84,232

9,821

13,471

7,800

28,077

103,634

5,655

3,058

24,440

27,986

7,753

49,995

2,165

33,435

2,797

8,331

2,677

3,831

24,263

2,892

48,530

20,936

1,576

61,361

25,982

12,630

39,42a

7,842

9,770

3,305

20,372

91,038

4,998

2,579

17,640

21,348

6,132

23,590

907

12,763

946

6,256

1,132

7,802

1,7a3

33,509

4,832

4,268

17,059

2,542

3,156

29,492

1,666

1,953

4,326

3,725

11,957

371

375

5,480

6,446

1,266

14,264

858

2,064

1,155

2,701

1,938

3,139

227

9,799

266

60

3,906

1,046

282

15,312

313

1,748

169

3,980

639

286

104

1,320

192

355

12,141

400

NOTE:Numberof bedsexcludesthoseinhospital-basedandreaidentialfaciNties.

19
Table 17. Numkrof bedainrestiential facititiea byowneraMp and State: United Ststes, 1986

Ownership Ownershb

State All Proprietary Nonprofit Government State Ail Proprietary Nonprofit Government

Number of beds Number of beds

4,766

6

783

401

591

5,282

815

402

126

314

1,461

159

5,775

974

759

325

133

296

2,852

71

195

135

620

394

38

308

1,461

744

519

551

26

All States . . . . . . . . . . .

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

Alaska . . . . . . . . . . . . .

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

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

California . . . . . . . . . . .

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

Connecticut . . . . . . . . . .

Delaware . . . . . . . . . . .

District of Columbia. . . . . .

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

Georgia . . . . . . . . . . . .

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

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

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

Indiana . . . . . . . . . . . .

Iowa . . . . . . . . . . . . . .

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

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

Louisiana . . . . . . . . . . .

Maine . . . . . . . . . . . . .

Maryland . . . . . . . . . . .

Massachusetts . . . . . .

Michigan . . . . . . . . . . .

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

Mississippi . . . . . . .

201,831

756

1,997

807

44,884

2,155

2,316

118

148

16,084

1,972

751

1,076

2,494

505

1,431

146

4,866

176

2,179

441

3,074

15,792

1,190

97

156,461

546

1,662

709

40,133

1,236

1,661

26

34

12,385

1,270

543

651

1,005

65

781

124

3,911

16

1,535

274

1,953

12,032

681

36

36,521

203

249

98

4,235

876

605

90

111

3,458

582

185

152

1,380

81

145

21

866

160

597

167

1,109

3,100

309

49

6,849

7

66

516

43

50

3

241

120

23

73

109

359

505

3

69

47

12

660

Missouri . . . . . . . . . . . .

Montana . . . . . . . . . . .

Nebraska . . . . . . . . . . .

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

NewHampshire. . . . . . .

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

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

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

NorthCarotina . . . . . . . .

North Dakota . . . . . . . . .

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

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

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

Pennsylvania . . . . . .

Rhode Island . . . . . . . . .

South Carolina . . . . . . .

South Dakota . . . . . . . . .

Tennessee . . . . . . . . . .

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

Utah . . . . . . . . . . . . . .

Vermont . . . . . . . . . . . .

Virginia . . . . . . . . . . . .

Washington . . . . . . . . . .

West Virginia . . . . . . . . .

Wisconsin . . . . . . . . . . .

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

5,583

6

1,269

527

1,031

6,808

84

126

45

7

1,325

44

159

1,252

130

5

100

5

10

117

198

10

114

669 503

25,982

11,615

1,006

2,206

1,043

2,029

13,254

516

2,180

284

1,629

1,600

631

1,174

7,436

4,985

1,535

1,160

194

18,882

10,597

88

629

910

1,733

10,272

442

1,965

149

709

1,206

588

856

5,856

4,241

878

619

54

200

12

Tabte 18. Number ofnursing homeaby certification andStete UnitedStates,1986

Certification of nursing homes 1

Skilled Intermediate Uncertified

nursing care nursing

State facilities facilities facilities

Skilled Intetrnediate Uncertified

nursing cars nursing

State facilities facilities facilities

Number of nursing homes

All States . . . . . . . . . . . . . . . . .

Number of nursing homes

8,045

173

4

55

134

1,115

139

187

25

8

394

235

9

50

454

168

26

54

75

25

12

108

330

288

298

116

213

51

35

22

19

214

12

476

162

43

416

12

64

534

87

94

62

62

221

43

20

79

148 214

8 4

151 23

4 3

52 21

34 86

41 10

40 62

77 116

19 5

450 77

333 21

109 26

71 126

35 6

35 53

41 12

156 39

735 60

32 16

21 20

94 62

27 39

47 14

48 34

4 2

5,375 2,968

21 23

6

52

65 12

82 635

33 25

34 22

7 8

7 11

47 196

53 84

9 44

3 13

222 68

254 32

350 46

270 27

118 138

236 15

125 23

77 22

235 76

187 215

88 15

18 9

Missouri . . . . . . . . . . . . . . . . . .

Montana . . . . . . . . . . . . . . . . .

Nebraska . . . . . . . . . . . . . . . . .

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

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

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

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

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

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

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

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

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

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

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

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

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

South Dakota . . . . . . . . . . . . . . .

Tennessee . . . . . . . . . . . . . . . .

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

Utah . . . . . . . . . . . . . . . . . . . .

Vermont . . . . . . . . . . . . . . . . . .

Virginia . . . . . . . . . . . . . . . . . .

Washington . . . . . . . . . . . . . . . .

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

Wisconsin . . . . . . . . . . . . . . . . .

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

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

Alaska . . . . . . . . . . . . . . . . . . .

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

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

California . . . . . . . . . . . . . . . . .

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

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

Delaware . . . . . . . . . . . . . . . .

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

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

Georgia . . . . . . . . . . . . . . . . . .

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

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

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

Indiana . . . . . . . . . . . . . . . . . .

Iowa . . . . . . . . . . . . . . . . . . . .

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

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

Louisiana . . . . . . . . . . . . . . . . .

Maine . . . . . . . . . . . . . . . . . . .

Maryland . . . . . . . . . . . . . . . . .

Massachusetts . . . . . . . . . . . . . .

Michigan . . . . . . . . . . . . . . . . .

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

Mississippi . . . . . . . . . . . . . . . .

228

34

340

20

‘Excludes Iwspital+ssadand residential facilities.

. . .

‘Nursing homes certified as both skilled and intermediate were included with the skilled nursing facilities.

20
Td3fe19. Number of badsinnureing hornesby certification and State United State% 1S66

Certification of nursing homes’

Skilled Intermediate Uncertified

nursing care nursing

State faci/ities2 facilities facilities

All States . . . . . . . . . . . . . . . . .

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

Alaska . . . . . . . . . . . . . . . . . . .

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

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

California . . . . . . . . . . . . . . . . .

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

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

Delaware . . . . . . . . . . . . . . . . .

DistrictofColumbla. . . . . . . . . . . .

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

Georgia . . . . . . . . . . . . . . . . . .

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

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

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

Indians . . . . . . . . . . . . . . . . . .

Iowa . . . . . . . . . . . . . . . . . . . .

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

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

Louisiana . . . . . . . . . . . . . . . . .

Maine . . . . . . . . . . . . . . . . .

Maryland . . . . . . . . . . . . . . . . .

Massachusetts . . . . . . . . . . . . . .

Michigan . . . . . . . . . . . . . . . . .

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

Mississippi . . . . . . . . . . . . . . . .

983,267

19,549

433

8,888

14,975

105,622

15,352

23,712

2,617

1,881

45,644

26,024

762

4,360

66,093

24,300

2,724

5,939

9,923

3,303

1,472

15,860

35,629

36,653

36,996

11,669

Numberofbeds

409,605 111,611

1,260 876

649

4,382

5,753 720

3,137 10,103

1,192 779

2,169 646

410 292

923 176

1,157 6,749

3,022 2,962

497 347

94 240

22,764 5,617

19,653 3,128

27,901 3,316

17,923 1,625

10,828 2,135

27,743 1,569

7,330 245

6,629 1,641

11,761 3,085

10,013 3,666

5,906 702

1,050 557

Certification of nursing homes’

Skilled Intermediate Uncertified

nursing care nursing

State facilities= facilities facilities

Missouri . . . . . . . . . . . . . . . . . .

Montana . . . . . . . . . . . . . . . . .

Nebraska . . . . . . . . . . . . . . . . .

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

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

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

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

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

Norfh Carolina . . . . . . . . . . . . . .

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

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

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

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

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

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

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

South Dakota . . . . . . . . . . . . . . .

Tennessee . . . . . . . . . . . . . .

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

Utah . . . . . . . . . . . . . . . . . . . .

Vermont . . . . . . . . . . . . . . . . . .

Virginia . . . . . . . . . . . . . . . . . .

Washington . . . . . . . . . . . . . . . .

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

Wisconsin . . . . . . . . . . . . . . . . .

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

25,643

4,260

3,796

2,418

2,032

29,065

1,434

83,167

18,532

4,306

50,031

1,266

7,006

75,602

7,936

10,378

5,105

11,266

26,892

3,600

1,900

12,276

23,649

3,549

45,173

1,761

Numberofbeds

11,192 11,427

461 157

11,494 1$96

232 27

4,377 492

1,775 4,364

3,314 154

4,643 4,028

4,381 3,121

1,355 241

27,633 4,662

26,366 1,916

7,619 1,243

4,956 3,674

1,576 307

1,696 1,397

2,299 396

15,460 1,351

69,413 5,329

1,586 269

612 346

9,769 2,375

1,159 3,176

3,678 526

2,637 1,985

165 199

‘Excludes hospital-basedand residentialfacilities.

2Nurslnghomes certified as Imlh skilled and intermediate were included with the ekilled nursing facilities.

Tsbta20. Number ofresidents in nursing homes bycertification and State UnitedStatea,19S6

Certification of nursing homes’

Skilled Intermediate Uncertified

nursing care nursing

State facilities facilities facilities

All States . . . . . . . . . . . . . . . . .

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

Alaska . . . . . . . . . . . . . . . . . . .

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

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

California . . . . . . . . . . . . . . . . .

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

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

Delaware . . . . . . . . . . . . . . . . .

DlskictofColumbia. . . . . . . . . . . .

Florida. .’ . . . . . . . . . . . . . . . . .

Georgia . . . . . . . . . . . . . . . . . .

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

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

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

Indiana . . . . . . . . . . . . . . . . . .

Iowa . . . . . . . . . . . . . . . . . . . .

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

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

Louisiana . . . . . . . . . . . . . . . . .

Maine . . . . . . . . . . . . . . . . . . .

Maryland . . . . . . . . . . . . . . . . .

Massachusetts . . . . . . . . . . . . . .

Michigan . . . . . . . . . . . . . . . . .

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

Mississippi . . . . . . . . . . . . . . . .

Number of residents

914,402

18,291

405

5,832

13,609

96,727

13,719

22,647

2,406

1,747

42,169

25,010

722

3,852

60,441

20,777

2,378

5,351

9,358

2,621

1,412

15,246

34,044

34,584

34,948

11,555

369,974

1,157

5,321

2,833

1,107

2,077

379

651

1,021

2,769

465

61

20,735

16,668

26,004

16,436

10,330

24,908

7,067

6,315

11,197

9,071

5,628

1,000

96,401

778

516

3,662

556

8,491

647

777

282

150

5,749

2,601

320

207

4,823

2,319

3,006

1,457

1,855

1,344

227

1,566

2,720

3,273

596

542

Certification of nursing homes’

Skilled Intermediate Uncertified

nursing care nursing

State facilitie; z facilities faciliti&

Numberofresidents

Missouri . . . . . . . . . . . . . . . . .

Montana . . . . . . . . . . . . . .

Nebraska . . . . . . . . . . . . . . .

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

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

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

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

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

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

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

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

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

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

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

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

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

South Dakota . . . . . . . . . . . . . .

Tennessee . . . . . . . . . . . . . . . .

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

Utah . . . . . . . . . . . . . . . . . . . .

Vermont . . . . . . . . . . . . . . . . .

Virginia . . . . . . . . . . . . . . . . . .

Washington . . . . . . . . . . . .

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

Wisconsin . . . . . . . . . . . . . . . .

Wyommg . . . . . . . . . . . . . . . . .

23,041

3,951

3,525

2,235

1,934

27,152

1,084

60,928

17,777

4,180

46,065

1,036

6,325

70,266

7,677

10,116

4,926

10,317

24,215

3,226

1,815

11,834

21,841

3,402

41,631

1,654

10,254

411

10,811

207

4,208

1,665

2,896

4,396

4,232

1,285

25,022

22,715

6,924

4,649

1,526

1,627

2,240

14,963

57,574

1,381

773

9,336

1,049

3,445

2,582

161

9,822

143

1,771

17

403

4,010

116

3,620

2,751

225

3,849

1,599

1,103

3,096

278

1,262

385

1,193

4,268

236

302

2,035

2,985

483

1,637

144

1Excludeehoepltal-basedand residentialfacilities.

‘Nursing homss certified as both skilled and intermediatewere included with fhe skilled nursing facilities.

21
Table 21. Occupancy rates innureing homes bycertifiition and State United States, 1986

Certification of nursing homes’

Skilled Intermediate Uncertified

nursing care nursing

State facilities facilities facilities

All States . . . . . . . . . . . . . . . . .

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

Alaska . . . . . . . . . . . . . . . . . . .

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

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

California . . . . . . . . . . . . . . . . .

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

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

Delaware . . . . . . . . . . . . . . . . .

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

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

Georgia . . . . . . . . . . . . . . . . . .

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

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

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

Indiana . . . . . . . . . . . . . . . . . .

lowa . . . . . . . . . . . . . . . . . . . .

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

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

Louisiana . . . . . . . . . . . . . . . . .

Maine . . . . . . . . . . . . . . . . . . .

Maryland . . . . . . . . . . . . . . . . .

Massachusetts . . . . . . . . . . . . . .

Michigan . . . . . . . . . . . . . . . . .

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

Mississippi . . . . . . . . . . . . . . . .

93.0

93.6

93.5

84.9

90.9

93.5

89.4

96.4

92.0

92.9

92.4

96.1

94.6

88.3

91.4

85.5

87.3

90.1

94.3

79.4

95.9

96.1

95.0

93.8

94.5

97.4

Occupancy rate

90.3

91.8

92.5

90.3

92.9

95.6

92.4

92.2

68.2

92.3

97.6

64.9

91.1

85.8

93.2

91.7

95.4

89.8

96.4

95.3

95.2

90.6

95.3

95.2

86.2

88.8

79.8

66.1

77.5

84.0

83.0

91.6

96.6

85.2

85.2

87.2

92.2

66.2

85.9

74.1

90.6

89.7

86.9

85.6

92.6

85.1

66.2

86.6

84.9

97.3

Certification of nursing homes’

Skilled Intermediate Uncertified

nursing care nursing

State facilities facilities facilities

Missouri . . . . . . . . . . . . . . . . . .

Montana . . . . . . . . . . . . . . .

Nebraska . . . . . . . . . . . . . . . . .

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

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

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

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

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

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

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

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

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

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

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

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

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

South Dakota . . . . . . . . . . . . . .

Tennessee . . . . . . . . . . . . . . . .

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

Utah . . . . . . . . . . . . . . . . . . . .

Vermont . . . . . . . . . . . . . . . . . .

Virginia . . . . . . . . . . . . . . . . . .

Washington . . . . . . . . . . . . . . . .

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

Wisconsin . . . . . . . . . . . . . . . . .

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

89.6

92.3

92.9

92.4

95.2

93.4

75.6

97.3

95.9

97.0

92.1

60.6

90.3

92.9

96.7

97.5

96.5

91.6

63.8

84.9

95.5

96.4

92.4

95.8

92.6

92.9

Occupancy rate

91.6 86.0

89.2 91.1

94.0 88.6

89.2 63.0

96.1 81.9

93.8 91.9

87.4 75.3

94.7 89.9

96.6 68.1

94.8 93.4

90.6 82.6

86.1 63.4

88.6 88.7

93.6 84.3

96.6 90.6

95.9 90.3

97.4 97.2

96.6 88.3

82.9 80.1

87.1 87.7

95.2 87.3

95.4 85.7

90.5 93.9

93.7 91.6

91.0 82.5

87.0 72.4

Table 22. Number of black residents innursing homes by State: United States, 1986

Black residents

State in nursin.q homesl

All States . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

Alaska . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

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

California . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

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

Delaware . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

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

Georgia” . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

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

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

Indiana . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Iowa . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

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

Louisiana . . . . . . . . . . . . . . . . . . . . . . . . . . .

Maine . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Maryland . . . . . . . . . . . . . . . . . . . . . . . . . . .

Massachusetts . . . . . . . . . . . . . . . . . . . . . . . .

Michigan . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

Mississippi . . . . . . . . . . . . . . . . . . . . . . . . . .

105,173

3,551

23

216

2,700

6,259

367

942

335

1,757

4,391

6,426

2

12

7,877

2,569

177

754

1,554

6,696

11

3,463

724

4,186

333

2,617

Black residents

State in nursing homes~

Missouri . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Montana . . . . . . . . . . . . . . . . . . . . . . . . . . .

Nebraska . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

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

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

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

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

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

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

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

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

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

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

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

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

South Dakota . . . . . . . . . . . . . . . . . . . . . . . . .

Tennessee . . . . . . . . . . . . . . . . . . . . . . . . . .

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

Utah . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Vermont . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Virgini a . . . . . . . . . . . . . . . . . . . . . . . . . . .

Washington . . . . . . . . . . . . . . . . . . . . . . . . . .

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

Wisconsin . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

2,673

8

177

72

8

2,222

53

6,395

4,526

2

5,631

1,477

136

4,082

184

2,885

7

3,036

7,857

22

3

4,068

357

302

640

11

lExcludss hospital-baaedand residential facilities,

2 = Fewerlhan3reporied.

22
Table 23. Number of Hispsnic residents innursing homes by Stste: United States, 1986

Hispanic residents

State in nurs!n.ohomes’

All Stales . . . . . . . . . . . . . . .

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

Alaska . . . . . . . . . . . . . . . . . .

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

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

Californi a . . . . . . . . . . . . . . . . . .

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

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

Delaware . . . . . .

Distrlctof Columbia . . . . . . . .

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

Georgia . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

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

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

Indiana . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Iowa, . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

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

Louisiana . . . . . . . . . . . . . . . . . . . . . . . . . . .

Maine . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Maryland . . . . . . . . . . . . . . . . . . . . . . . . . . .

Massachusetts . . . . . . . . . . . . . . . . . . . . . . . .

Michigan . . . . . . . . . . . . . . . . . . . . . .

Minnesot a . . . . . . . . . . . . . . . . . . . . . . . . . .

Mwslssippi . . . . . . . . . . . . . . . . . . . . . . . . . .

28,101

142

15

732

25

7,790

1,241

250

13

26

2,002

227

38

44

781

158

108

163

42

300

2

76

220

431

94

16

Hispanic residents

State in nursing homes’

Missouri. . . .

Montana . . . . . . . . . . . . . . . . . . . . . . . . . . .

Nebraska . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

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

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

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

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

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

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

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

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

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

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

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

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

South Dakota . . . . . . . . . . . . . . . . . . . . . . . . .

Tennessee . . . . . . . . . . . . . . . . . . . . . . . . .

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

Utah . . . . . . . . . . . . . . . . .

Vermont . . . . . . . . . . . . .

Virgini a . . . . . . . . . . . . . . .

Washingto n . . . . . . . . . . . .

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

Wisconsi n . . . . . . . . . . . . .

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

232

22

55

58

2

490

1,202

2,728

82

53

228

334

104

280

47

9

13

37

6,462

162

2

110

261

13

132

49

‘Excludes hospital-based and residential faaldies.

? Fewcrthan3reperfed

Table 24. Percent ofallnuming home residents whowere black or Wspanic, by State: United Statea, 1986

Residents in nursing

homes’ who wereState Black HisrJanic

All States . . . . . . . . . . . . . . . . . . . . . . . . .

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

Alaska . . . . . . . . . . . . . . . . . . . . . . . . . . .

Arizona, . . . . . . . . . . . . . . . . . . . . . . . . .

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

California . . . . . . . . . . . . . . . .

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

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

Delaware . . . . . . . . . . . . . . . . . . . . . . . . .

DLstrlctofColumbia. . . . . . . . . . . .

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

Georgia . . . . . . . . . . . . . . . . . . . . . . . . . .

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

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

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

Indiana . . . . . . . . . . . . . . . . . . . . . . . . . .

Iowa . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

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

Louisiana . . . . . . . . . . . . . . . . . . . . . . . . .

Maine . . . . . . . . . . . . . . . . . . . . . . . . . . .

Maryland . . . . . . . . . . . . . . . . . . . . . . . . .

Massachusetts . . . . . . . . . . . . . . . . . . . . . .

Michigan . . . . . . . . . . . . . . . . . . . . . . . . .

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

Missisaippl . . . . . . . . . . . . . . . . . . . . . . . .

Percent

7.6

17.6

2.4

2.2

13.9

5.7

2.4

3.7

10.9

63.9

9.0

21.1

.

0.3

9.2

6.4

0.6

3.2

7.2

23.2

0.1

15.0

1.5

8.9

0.8

21.5

2.0

0.7

1.6

7.6

0.1

7.1

8.0

1.0

0.4

0.9

4.1

0.7

2.5

1.1

0.9

0.4

0.3

0.7

0.2

1.0

.

0.3

0.5

0.9

0.2

0.1

Residents in nursing

homes’ whower+

State Black Hispanic

Missouri . . . . . . . . . . . . . . . . . . . . . . . . . .

Montana . . . . . . . . . . . . . . . . . . . . . . . . .

Nebraska . . . . . . . . . . . . . . . . . . . . . . . . .

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

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

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

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

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

Norih Carolina . . . . . . . . . . . . . . . . . . . . . .

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

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

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

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

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

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

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

South Dakota . . . . . . . . . . . . . . . . . . .

Tennessee . . . . ...”..... . . . . . . . . . . . .

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

Utah . . . . . . . . . . . . . . . . . . . . . . . . .

Vermont . . . . . . . . . . . . . . . . . . . .

Virgini a . . . . . . . . . . . . . . . . . . .

Washington . . . . . . . . . . . . . . . . . . . . . . . .

WestVlrginia . . . . . . . . . . . . . . . . . . . . . . .

Wisconsin . . . . . . . . . . . . . . . . . .

Wyommg . . . . . . . . . . . . . . . . . . . . .

6.7

0.2

1.1

2.9

0.1

6.8

1.2

7.2

18.3

●

7.5

5.8

0.9

5.2

1.9

22.2

0.1

11.5

9.1

0.5

0.1

17.5

1.4

4.1

1.4

0.6

0.5

0.5

0.3

2.4

.

1.5

29.3

3.1

0.3

0.9

0.3

1.3

0.7

0.4

0.5

0.1

0.2

0.1

7.5

3.3

.

0.5

1.0

0.2

0.3

2.6

!Excludes hospital-basedand residential facilities,

23
Tabfe 25. PementdwtnMmn ofnuraing time restients byagegmup, =cordngto S@te: Unitetf Sthte& 1986

Age group

Under 22-64 65 years

State Ailaaes 22vears vears and over

Percent distribution of residents

All States . . . . . . . . . . . . . 100,0

Alabama . . . . . . . . . . . . . 100.0

Alaska . . . . . . . . . . . . . . . 100.0

Arizona . . . . . . . . . . . . . . 100.o

Arkansas . . . . . . . . . . . . . 100.0

California . . . . . . . . . . . . . 1011.cI

Colorado . . . . . . . . . . . . . 100.0

Connecticut . . . . . . . . . . . 100.0

Delaware . . . . . . . . . . . . . 100.0

District of Columbia. . . . . . . . loo.o

Florida . . . . . . . . . . . . . . . 100.0

Georgia . . . . . . . . . . . . . . 100.0

Hawaii . . . . . . . . . . . . . . . 100.0

Idaho . . . . . . . . . . . . . . . 100.0

Illinois . . . . . . . . . . . . . . . 100.0

Indiana . . . . . . . . . . . . . . 100.0

Iowa . . . . . . . . . . . . . . . . 100.0

Kansaa . . . . . . . . . . . . . . 100.0

Kentucky . . . . . . . . . . . . . 100.0

Louisiana . . . . . . . . . . . . . 100.0

Maine . . . . . . . . . . . . . . . 100.o

Maryland . . . . . . . . . . . . . 100.0

Massachusetts . . . . . . . . . . 100.0

Michigan . . . . . . . . . . . . . 100.0

Minnesota . . . . . . . . . . . . . 100.0

Mississippi . . . . . . . . . . . . 100.o

0.2

1.4

1.5

0.2

0.1

0.3

0.1

0.1

0.1

1.4

0.1

0.3

0.8

0.4

0.2

0.3

0.2

0.0

0.3

0.1

0.3

0.2

0.2

0.3

0.1

0.8

9.3

9.5

13.0

8.9

13.0

11.2

10.1

9.8

5.8

10.4

6.8

12.5

12.2

11.1

14.5

11.1

8.1

7.6

10.4

13.7

7.7

7.2

7.3

10.9

6.4

11.2

90.4

89.0

85.5

90.8

86.9

88.6

89.8

90.2

94.2

88.2

93.1

67.2

87.0

88.4

85.3

88.5

93.7

92.3

89.3

86.2

92.0

92.6

92.5

86.9

93.5

88.0

Age group

Under 22-84 65 yeare

State Allages 22years years and over

Percent distribution of residents

Missouri . . . . . . . . . . . . . .

Montana . . . . . . . . . . . . .

Nebraska . . . . . . . . . . . . .

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

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

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

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

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

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

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

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

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

Oregon . . . . . . .. I......

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

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

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

South Dakota . . . . . . . . . . .

Tennessee . . . . . . . . . . . .

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

Utah . . . . . . . . . . . . . . . .

Vermont . . . . . . . . .. . . . . .

Virginia . . . . . . . . . . . . . .

Washington . . . . . . . . . . . .

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

Wisconsin . . . . . . . . . . . . .

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

,

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

0.1

0.3

0.1

1.2

0.3

0.4

0.1

0.2

0.1

0.4

0.1

0.2

0.4

0.0

0.1

0.1

0.1

0.3

0.2

0.2

0.1

0.2

0.1

8.7

7.3

7.2

11.2

4.3

6.4

9.0

6.1

10.1

7.1

9.6

11.4

7.3

8.0

5.5

10.0

6.0

9.0

8.0

16.8

4.9

10.1

9.3

10.4

11.1

6.1

91.2

92.3

92.7

87.6

95.7

93.3

90.6

93.9

89.7

92.8

90.0

88.5

92.6

91.5

94.4

90.0

93.9

90.9

91.7

83.0

95.1

89.7

90.7

89.6

88.7

93.8

NOTE: Nursing homes exclude hospital-based andrestiential facilities.

24
Appendixes

Contents

I. Technical notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...26

CreationofILTCPfile . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..26

C]eanupoffile . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

Bailout . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..26

Scopeofthesurvey . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..27

Editing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..27

11. Questionnaireusedinthesurvey . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

111.Classificationsanddefinitions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

Typesofhomes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...32

Characteristicsofhomes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..32

Appendix table

Percent of U.S.resident population 65yemsof'age andover by State: United States, 1986 . . . . . . . . . . . . . . . 27
Appendix I

Technical notes

Creation of ILTCP file

The 1982 National Master Facility Invento~ was used

as the starting point in the creation of the nursing and related

care home portion of the 1986 Invento~ of Long-Term Care

Places. There were approximately 26,000 homes in this file.

For facilities for the mentally retarded, the starting point was

a 1982 study by the University of Minnesota’s Center for

Residential and Community Services (CRCS)$ There were

about 15,000 mental retardation facilities in this file.

To update both files, letters were sent to over 200 State

and national agencies in July 1985 asking them to send any

and all listings and directories that they maintained for nursing

and related care homes and facilities for the mentally retarded.

In September, followup letters were sent to those agencies

that had not responded. These followup letters would very

often name the specific types of facilities (such as adult foster

care homes, family care homes, and congregate living facilities) that had not been received and that the agency was

known to license or regulate. Additional contacts were made

to nonresponding agencies from October through December.

The Minnesota CRCS file included places that were obtained through contacts with local area MR sources. Because

of extremely tight time constraints, NCHS was unable to

contact all of these local area sources. The only ones contacted

were those sources located in States where the number of

MR facilities reported by NCHS’S sources was significantly

lower than the number reported by CRCS.

As the listings and directories of facilities were received,

they were manually matched against the 26,000 nursing and

related care homes and the 15,000 MR facilities. Any facility

that could not be found on these two master files was considered

“new” and was assigned a unique identification number. This

number, along with the new facility’s name and address,

was added to the appropriate nursing home or MR file.

While working with the CRCS file, almost 1,500 places

were found with no names or addresses; they were merely

given numbers (for example, Home #78). The reason for

this, apparently, was that certain States wanted to keep the

locations of these types of places confidential. To do this,

the data were collected by the State and given to CRCS

with all identifiersremoved.Without addresses, these places

had to be removed from the MR file. (.Uis likely that many

4H111 Jj K ad K. c. Win. I gsd. classification of Residential Facilities

,.. ,

for Mentally Retarded People. Brief No. 24. Mhneapolis: Center for Residential andCommunityServices, University of Minnesota.

of these 1,500 places were picked up in the new listings

obtained from the NCHS State sources, and therefore added

back onto the file as new MR facilities.)

Cleanup of file

After adding new facilities, a matching process was begun

for removing duplicates from within and between the two

files. The nursing home file was sorted in three different

ways: 1) by State, first 10 positions of city, and first 10

positions of address; 2) by State, first 10 positions of city,

and first 10 positions of name; and 3) by State, ZIP Code,

and first 10 positions of address. (By choosing only the first

10 positions of the name, address, and city fields, more

matches were created and more duplicates could be caught

and removed.) The same procedures were repeated with the

MR file. The nursing home and MR files were then merged

and the above procedures repeated once again. If there were

any doubts as to whether two places were duplicates, both

were kept in the file. Whatever duplicates still remained in

the file would, in theory, be reported by the respondents

(per instructions on the questionnaire), and removed later.

Mailout

The first questionnaire mailout was begun by the U.S.

Bureau of the Census on February 14, 1986, and this was

followed by a reminder letter a week later. On March 14,

a second questionnaire was sent to all nonresponding facilities,

and on April 4, a third questionnaire was sent to the remaining

nonrespondents.

By the end of the third mailout, nearly 3,300 postmaster

returns (PMR’s) had accumulated. These were reviewed to

determine which ones would or would not be eligible for

the telephone and personal interview followup. As a result

of this review, approximately 1,400 cases were decked eligible for followup and about 1,900 were declared ineligible.

The 1,900 rejects fell into three main categories: (1) small

residential and family care homes, (2) unknown types of facilities from New Jersey, and (3) places with incomplete names

and addresses.

The first group of facilities, with names like “Jane Smith’s

Guest Home” and “Douglas Family Home,” had more than

likely gone out of business. More than 600 of these were

located in California and Michigan. These two States combined

had more than 8,500 of these small, residential care facilities

on the 1982 NMFI file, and virtually all of them were retained

on the ILTCP file. (Only the duplicates would have been

26
removed.) Experience has shown that these types of places

are constantly going in and out of business. The fact that

the Post Office could not locate them, even with complete

addresses, led to the decision to treat them as out of business

and not subject to field followup.

The second group consisted of facilities that were originally obtained from New Jersey’s Bureau of Rooming and

Boarding House Standards. Their listing included everything

from board-and-care facilities (which were in scope) to rooming houses and dormitories (which were out of scope). Although each facility covered by this bureau had a classification

code, a sizable number had been classified as unknown because

d!

they had not yet been visited and c1 sified. To avoid losing

the board-and-care places that might present in this unknown

group, a decision was made to 1“delude all the unknowns

and remove the out-of-scope facilities during the survey. Approximately 350 of these unknown facilities were found among

the PMR’s and eliminated from the field followup.

The third group consisted of places that simply had inadequate and undeliverable names and addresses (for example,

“Resident, Fairfax Street, Putnam, CT 06260” and “Group

Home, Marietta, GA 30060”).

The field followup was completed in July, and the final

overall response rate was 96 percent.

Scope of the survey

The survey contains two broad categories of facilities:

(1) nursing and related care homes, and (2) facilities for

the mentally retarded.

The first category includes skilled nursing facilities

(SNF’S), intermediate care facilities (ICF’S), licensed but uncertified nursing homes, and residential care facilities (for

instance, homes for the aged, personal care homes, and boardand-care homes).

NCHS classified any nursing home with SNF beds as

an SNF, and any nursing home with ICF beds but no SNF

beds as an ICF. Hospital-based nursing homes could be SNF,

ICF, or uncertified.

The appendix table shows the percent of the U.S. resident

population that was 65 years of age and over for each State.

These estimates were obtained using 1986 population figures

from the U.S. Bureau of the Census.

The second category, facilities for the mentally retarded,

includes intermediate care facilities for the mentally retarded

(ICF-MR) and all other facilities for the mentally retarded.

An ICF–MR is a facility that has met certification requirements

set forth in Medicaid regulations.

Edfiing

All nonresponding facilities were removed from the edited

file. Also removed were facilities that provided day care only,

outpatient care only, or else served an out-of-scope population

(for example, only served blind or deaf patients, alcoholics,

drug abusers, or unwed mothers).

Edits were conducted to correct inconsistencies between

data items. For missing items, every attempt was made to

impute data from existing information, but when this was

not possible, 1982 data were substituted when available.

Percent of U.S. resident population65 yeare of age and over by State United States, 1966

Population 65 years

State of age and over’

Percent

All States . . . . . . . . . . . . . . . . . . . . . 12.1

Alabama . . . . . . . . . . . . . . . . . ..’. . 12.2

Alaska . . . . . . . . . . . . . . . . . . . ..1. . 3.3

Arizona . . . . . . . . . . . . . . . . . . . . . 12.3

Arkansas . . . . . . . . . . . . . . . . . . . . . 14.5

California . . . . . . . . . . . . . . . . . . 10.5

Colorado . . . . . . . . . . . . . . . . . . . . . 8.9

Connecticut . . . . . . . . . . . . . . . . . . . . 13.2

Delaware . . . . . . . . . . . . . . . . . . . . . 11.3

District of Columbia . . . . . . . . . . . . ,,, . 12.3

Florida . . . . . . . . . . . . . . . . . . . . . . . 17.7

Georgia . . . . . . . . . . . . . . . . . . . . . . 9.9

Hawaii . . . . . . . . . . . . . . . . . . . . .. . . 9.6

Idaho . . . . . . . . . . . . . . . . . . . . 1.. . 11.1

Illinois . . . . . . . . . . . . . . . . . . . . . . . 11.9

Indiana . . . . . . . . . . . . . . . . . . . . . . 11.9

Iowa . . . . . . . . . . . . . . . . . . . . .1. . . 14.5

Kansas . . . . . . . . . . . . . . . . . . . . . . 13.4

Kentucky . . . . . . . . . . . . . . . . ..i. . . 12.0

Louisiana . . . . . . . . . . . . . . . . . . . . . 10.0

Main. . . . . . . . . . . . . . . . . . . . .. . . 13.2

Maryland . . . . . . . . . . . . . . . . . . . . . 10.5

Massachusetts . . . . . . . . . . . . . . . . . . 13.6

Michigan . . . . . . . . . . . . . . . . . .1’”” 11.3

Minnesota . . . . . . . . . . . . . . . . ..1 . . . 12.4

Mississippi, . . . . . . . . . . . . . . . . . . . 11.9

lBased on 1986 Census Bureau population figures.

Population 65 yeara

State of age and over’

Missouri . . . . . . . . . . . . . . . . . . .

Montana . . . . . . . . . . . . . . . . .

Nebraska . . . . . . . . . . . . . . . . . .

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

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

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

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

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

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

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

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

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

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

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

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

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

South Dakota . . . . . . . . . . . . . . . . . . .

Tennessee . . . . . . . . . . . . . . . . . . . .

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

Utah . . . . . . . . . . . . . . . . . . . . .

Vermont . . . . . . . . . . . . . . . . . . . .

Virginia . . . . . . . . . . . . . . . . . . .

Washington . . . . . . . . . . . . . . . .

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

Wisconsin . . . . . . . . . . . . . . . . . . . . .

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

Percent

13.6

12.0

13.5

10.2

11.5

12.8

9.7

12.8

11.5

12.9

12.2

12.4

13.4

14.6

14.5

10.5

13.9

12.2

9.4

7.9

11.8

10.4

11.6

13.6

13.0

8.5

27
Appendix II

Questionnaire used in the survey

Dear Administrator,

OMB No. 0937-0153: Approval Expms JUIV 31, 191

)RM ILTCP-1

2.3.851

1986 INVENTORY OF

LONG-TERM CARE

PLACES

Bureau of tho Cmsu8

1201 East Tenth Straat

Jaffarsonville, Indimm 47132

As part of our responsibility to provide information on the Nation’s health resources, the National

Center for Health Statistics and the National Center for Health Services Research and Health Care

Technology Aseeasment collect information about facilities providing health care including hospitala,

nursing and related care homes, and facilities that provide some kind of personal care, board and care,

or domiciliary care. We are interested in all homes, even themewith only one bed, as long aa care is

provided to nonrelatives. This information ia collected under the authority of Sections 304 and 306

(42 U.S.C. 242b and 242k) of the Public Health Service Act and, as in past yeara, we hava asked the

Bureau of the Census to conduct the survey for us.

The purpose of this survey is to obtain current information from each facility on ita ownership, number

of beds, certification status, and other relatad facifity characteristic. The questionnaire is short and

will take only a few minutes of your time. The information that you provide for sections A and B of the

questionnaire will be made available by the Centers upon request. However, the data from section C

will be held in strict confidence, will be used only for statistical purposes, and will not be released to

anyone under any circumstances other then as statistical summaries. These summaries will only be

presented in a manner which will ensure that no individual facility can be identified,

Your participation in this survey is voluntary and thare are no penaltiea for your refusal to participate.

However, the information you can provide is needed by the health industry and your cooperation would

be greatly appreciated. Please mail the completed form to the Bureau of the Cenaua within 5 days in the

enclosed envelope which requires no postage.

Sincerely yours,

Manning Feinlaib, M. D., Dr. P.H.

Oirector

National Center for Health Statiatica

#-%J’J’(

John E. Marshall, Ph. D.

Oiractor

National Center for Health Services

Research and Heelth Care Technology Assessment

INSTRUCTIONS FOR COMPLETING THIS FORM

1. Include in this report information only for the facifity named on the your home office with the instruction to fill it out for your specific

maifing label or for its SUCCESSOR if the name or owner has changed. facility.

2. Due to name and address changes, dupficate listings, or other reasons, 4. If you are the home of fica and receive a forwarded questrxtnaire from

you may receive more than ona questionnaire undar different nsmes or one or more of your facilities, please fill out each questionnaire YOU

addresses. If you raceive more than one form for the ssme facifity, raceive. (Wa need saparate information for each facility.]

complete ona only and return all others with the notation ‘, Completed

and retumad under . . . {give name of facility on completed fcm-nand 5. If you area home office, please provide us with the name and address

the IDENTIFICATION NUMBER found in the upper left corner of the of all facilities for which you are the home office.

maifing label).” 6. If you are the homa office and receive a questionnaire addressed

3. Is this facility part of a larger group of famlities? ❑ Yes ❑ No

specifically to you, do not fill it out, unless the home office also

pmwdes some kind of health care service. [f you do provide some kind

If the answer to the above ia YES and information for this facility is

of health care service, complete this questionnaire for the home office

facility. If you do not provide any health care services, please return

aveilabla onlyatyour home office, please forward this questionnaire to the questionnaire with the notation “HOME OFFICE ONLY.”

28
----- ,

I

Kim 3 I

Please answer all questions unless otherwise instructed. Definitions and special instructions are given with the

questions when needed. If your answer to a quest!on is “None,” mark (X) the “None” box where provided or

put a zero in the appropriate space. DO NOT LEAVE THE SPACE BLANK.

Note: Detailed identification information is needed to prevent dupficate fistings and to assure that

your facifity Is properly represented in this survey.

1. IS tho NAME of your home or facility corm

met ● s shown on the mailing label? I

I ❑ Yes 1

I 2❑ No - What is the correct name? ~

I

I

?. Is the ADDRESS on the mailing Isbd corract? , 009

1•l Yes

2 ❑ No — What is the correct mailing address? ~

Number or box, street or route

City or town ~County

1 I

I

I

State j ZIP Code

I

I

I

I

,

j. What is the telephone number of your home or

& Area code

facility?

~Number

I I

I I —

FACILITV INFORMATION

~. Which of those best describes the type of ownership of

,

~

your home or facility? I

Mark (X) only one box.

I ❑ For profit (an individual, partnership, or a corporation)

I 2❑ Nonprofit (for example, a religious group or

nonprofit corporation]

3D Federal government

4D State or IocaI government

5~. What age group does your facility PRIMARILY serve? 012 I I

Mark (XJ only one box. I

I ❑ Adulta ~ What ages?

I 2D Children ~ What ●ges?

I

30 Both

I

b. Which of these groups of parsons does your home or I 013

facility serve PRIMARILY or EXCLUSIVELY? I 1❑ Me”tally ill only

Mark (X) only one box. I

2❑ Me”tally retarded or developmentally disabled only

30 Mentally retarded or memally ill

I

4D Other ne”rological[y or physically handicapped I

5❑ Blind or deaf

I

6D Unwed mothers

7❑ Alcoholics or drug abusers

8D Orphans or other dependent children

9D Terminally ill

100 Some other special group – SpeCiti ~

00 Ooea not serve one special group primarily or

exclusively

1

iemarks

. . . . . .

Page 2

F“HMILr Lr 1 ,,. ,..,,

29
FACILITY INFORMATION – Continued

home or faclllty or ● unit of your facility? 01❑ A Skilled Nursing Facility (SNFL cmtified under either

I

Mark (X) @Jthat apply.

Medicare or Medicaid

02❑ An Intermediate Care Facility IICF), cercifiedunder

Medicaid

03❑ An Intermediate Care Facility for the Mentally Retarded

[ICF-MR) certified under Medicaid

. ----- ------ ------- ------------------------------------ ----

04 ❑ A licensed but not certified nursing home I

05❑ A long-term care winglunit of a licensed hospital

I

mu A nursing care unit of a retirement center {

07❑ A shelteredorcustodialcarehome, including home for the

aged, adult foster care home, board and care home

OSD Some other kind of nursing or p%rsonal care home

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

09❑ A fosterhomefor the memally retarded/developmentally disabled

10❑ A group residence for the mentally retardcdldevelopmentally disabled

I I I ❑ A semi-independent Iiviwdprogram for tha mentally ratardadldevelopmantally

disabled

12❑ A State institution for the mentally retardedldevelopmentally disabled

13❑ Same other kind of place for the maritally retardedldevelopmentally disabled

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

140 Day care facility or outpatient facility only

;;n_i;i;ifi6;iL_i; :--G-&_ i&i-ti;i_&-i -------------

Tao How many W* dtws your homa or facility

,

JJ’16J

CURRENTLY hmm sat up ●nd std’fod for I

us.? Do not Includo beds for day cam only I Beds set up and staffed for use

patients, If ● hospital or rotlmmont cantsr, I

Includa only bock for your Iong-twm cmm unit. I

b. Hwf~ct:tlmd8&r

I 016

(1)Modicam? I

SNF Medicare beds

Nursing Facility

(SNF) beds by –

on None

1

I 017

(2) MwJicaid? I

SNF Medicaid beda

on None I

C. How many bds ●m cmtifhd ●s Intormediata

Cam Facility (ICF) bock by MwJicaid? Excludm

Mds that ●m cwtificd ●s mantaily mtacd.d I

ICF Medicaid beds

ICF-MR. on None

I

d. How many b.ds am cwtifiod ●s

1 019

Intormedimts Cam Facility for ths Mentally I

R@ardod (ICF-MR) Imds by Marflcaid?

ICF-MR Medicaid beds

I

on None

I

Ifthis is a licensedhospitalwith a long-termcarewingor unit, pleaserespondforthe Iong-tarmcaraunitonly. If this is

a nursingcareunitof a retirementcenter, pleaaerespondonlyforthe nursingcareunit.

1986, APPROXIMATELY how many

admissions did your home or facility have? I

Admissions in 1985

b. W-m you in opwation for ●ll of 1986? @

1•l Yes

2❑ No - How many mocrtha W*I* you in

opwationin1885?

?.

Months

0, How many msldonta or patients g

8tiY.d in this facility LAST NIGHT? I Residents last night

t

Iemarka

30
CONFIDENTIAL INFORMATION

information contained in this section which would permit identification of any individual or establishment is being

collected with a guarantee that it will be held in strict confidence by the Bureau of the Census, NCHSR, and NCHS,

NOTICE: will be used only for purposes stated in this study, and will not be disclosed or released to anyone. other than

authorized staff of NCHSR and NCHS without the consent of the individual or establishment in accordance with

Section 308(d) of the Public Health Service Act (42 U.S.C. 242m).

% In ●ddition to room ●nd board, doss your hom~ or facility ~ ~23

ROUTINELY provide rasidsmts -

Please answer yes or no for each activity. p

& nurahrg or medical cera? I ❑ Yes 2DN0 I

b. ●upmvlsion ovw medicatimm that may ba self-

,

@q

●dmhdstarad? I

I ❑ yes 2DN0

I

C, help with bathing? 1 025

I 1❑ Yes 2DN0

1

d. hdp with dressing? I oza

I 1•l Yes 2DN0

0. help with corraspondanca or shopping? I 027

1

1❑ Yes 2DN0

f. halp with walking or gatting about?

,

~

I

1❑ Yes 20N0

,

9. help with ●ating? 1 029

I t❑ Yes 2DN0

h. room ●nd board ONLY? I 030

I I •l Yes 2tl N0

10. Doss your ftcility provida 24-hour-a-day, ssvmwdaya- 1 031

weak suparvislon of its rasidants? I

1 I ❑ Yes 2DN0

I‘f, APPROXIMATELY how many pwaotts who stayed last

1 032

rdght in your homa or facility, or long-tarm care unit if a I

hospital or ratiramant cantw, wora -

Residents

& raaldwtt8 whose car. i8 contracted by tho Veterans

I xn VA facility

Administration? (If VA facility, mark (XJ box.) I on None

b. Black raaidanta?

.—

, 033

I

Black residents

I

on None

C. roaidonta of Hiapwdc origin or ●mxstty (e.g., Cuban,

I 034

Moxlcan, Puwto Rican, ●tc.)? I Hispanic resjdents

I

on None

d. age210r10as? . . . . . . . . . . . . . . .

/036,, -l yaars or less 0( )Ncme

e. agQ22throUgh 64? . . . . . . . . . . . .

/037/ --2-64 years of age O ( ) NOne

f. aaessor oldor? . . . . . . . . . . . . . . /03a/ _6S years or older 0< >None

u. I’hnntally retarded? . . . . . . . . . . . .

/039/ Jantal ly ret,al.ded O ( ) None

REMFIRKS

RESPONDENT INFORMATION

Uameof respondent Title of respcmdem Date completed

THANK YOU FOR YOUR PARTICIPATION IN THIS SURVEY.

tige 4

FoRM,,l CP I (I JJ8!I!

*V . <dn,r..,,, r!, ,,,, ,,,, , , r .! !... .,!!. .

31
Appendix Ill

Classifications and definitions

Types of homes

Nursing homes—A facility having 3 beds or more was

classified as a nursing home if it was (1) certified as a skilled

nursing facility, (2) certified as an i.nterrnediate care facility,

(3) not certified, but licensed as a nursing home, (4) identified

as a nursing care unit of a retirement center, or (5) determined

to provide nursing or medical care andlor provide supervision

over medications that may be self-administered.

Hospital-based facilities—A facility having 3 beds or more

was classified as hospital-based if it (1) was identified as

such by the Health Care Financing Administration, or (2)

reported itself to be exclusively hospital-based on the ILTCP

questionnaire.

Residential facilities—A facility having 3 beds or more

was classified as residential if it (1) was not classified as

a nursing home or hospital-based facility as described above,

and (2) provided personal care or supervision to its residents,

not just room and board (for example, help with bathing,

dressing, eating, walking, shopping, or corresponding).

Characteristics of homes

Ownership-Ownership designates the type of organization that owns the home. Proprietary indicates control by

an individual, p&tnership, or corporation. Nonprofit ownership would include ownership by a religious group or by

a nonprofit corporation. Government ownership refers to

homes operated under Federal, State, or local government

auspices.

Resident—A resident is a person who was formally admitted to, but not dkcharged from, a nursing or related care

home. All such persons who stayed in the home the night

prior to the survey were included.

Occupancy rate—The occupancy rate is computed by dividing the number of residents by the total number of beds.

Certification-A skilled nursing facility (SNF) is certified

under either Medicare (Title XVIII) or Medicaid (Thle XIX)

by the Social Security Administration and provides the most

intensive nursing care available outside of a hospital.

An intermediate care facility (ICF) is certified under

Medicaid (Title XIX) by the Social Security Administration

and provides health-related services on a regular basis to

Medicaid eligibles who do not require hospital or skilled nursing facility care, but who do require institutional care.

(NOTE: For purposes of this report, if a home was certified

as both SNF and ICF, it was classified as an SNF).

Geographic regions and divisions—The U.S. Bureau of

the Census groups the 50 States plus the District of Columbia

into the following regions and divisions:

Northeast region—

New England division-Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, Vermont

Middle Atlantic division—New Jersey, New York,

Pennsylvania

Midwest region—

East North Central division—Illinois, Indiana, Michigan, Ohio, Wisconsin

West North Central division—Iowa, Kansas, Minnesota, Missouri, Nebraska, North Dakota, South

Dakota

South region—

South Atlantic division—Delaware, District of Columbia, Florida, Georgia, Maryland, North Carolina,

South Carolina, Virginia, West Virginia

East South Central division—Alabama, Kentucky,

Mississippi, Tennessee

West South Central division—Arkansas, Louisiana,

Oklahoma, Texas

West region—

Mountain division—Arizona, Colorado, Idaho, Montana, Nevada, New Mexico, Utah, Wyoming

Pacijic division—Alaska, Crdifomia, Hawaii, Oregon, Washington

32 *U.S. GOUERNKNT PRINTING Off ICEt1989-241 -259 tO1009
Vital and Health Statistics

series descriptions

SERIES 1.

SERIES 2.

SERIES 3.

SERIES 4.

SERIES 5,

SERIES 6.

SERIES 10.

SERIES 11.

SERIES 12.

SERIES 13.

SERIES 14.

Programs and Collection Procedures—Reports describing

the general programs of the National Center for Health

Statistics and its offices and divisions and the data COI.

Iaction methods used. They SISO 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 evaluationa

of reliability of collected data, and contributions to

statistica~ theory. Studies also include comparison of

U.S. methodology with those of other countries.

Analytical and Epidemiological Studiea—Reporta presenting analytical or interpretive studies based on vital

and health statistics, carrying the analys!a further than

the expository types of reports in the other aeries.

Documents and Committee Reports-Final reports of

m~jor committees concarnad with vital and health statistics and documants such as recommended model vital

registration laws and revised birth and death certificate.

Comparative International Vital and Health Statiatica

Raporta-Analytical and descriptive reports comparing

U.S. vital and health statistics with those of other countries.

Cognition and Survey Measurement—Reports from the

National Laborato~ for Collaborative Research m Cognition and Suwey Measurement using methods of cognitive

sciance to design, evaluate, and test survey instruments.

Data From the National Health Interview Survey-Statiatics on illness, accidental injuries, disability, use of hospital, medical, dental, and other services, and other

haalth-ralated topics, all based on data collected in the

continuing national household interview survey.

Date From the National Health Examination Survey and

the National Health and Nutrition Examination Survay—

Data from direct examination, testing, and measurement

of national samples of the civilian noninstitutiona lized

population provide the basis for (1) estimates of the

medically definad prevalence of specific dmeases in the

United States and the distributions of tha population

with respect to physical, physiological, and psychological characteristics and (2) analyais of relationships

among the various measurements wkhout reference to

an explicit finite universe of persona.

Data From tha Institutionalized Population Surveys— Discontinued in 1975. Reports from these surveys are included in Series 13.

Data on Health Resources Utilization—Statistics on the

utilization of health manpower and facllmea providing

long-term care, ambulatory care, hospital care, and faintly

planning services.

Data on Health Reaourcaa: Manpower and Facilities—

Statistics on the numbers, geographic dwtrlbutlon, and

charscteristica of health rasources including phyaiciana,

dentista, nurses, other health occupations, hospitala,

nureing homes, and outpatient facilities.

SERIES 15.

SERIES 16.

SERIES 20.

SERIES 21.

SERIES 22.

SERIES 23.

SERIES 24.

For answers

Data From Special Surveys-Statistics on health and

health-related topics collected in special surveys that

are not a part of the continuing data systems of the

National Center for Health Statistics.

Compilations of Advance Data From Vital and Health

Statistics—These reports provide early release of data

from the National Center for Health Statistics’ health and

demographic surveys. Many of these releasas ara followed

by detailed reports in the Vital and Health Statistics

Saries.

Data on Mortality-Var!ous statistics on mortality othar

than as included In regular annual or monthly reports.

Special analyses by cause of death, age, and other demographic variables; geographic and trme series analyses;

and statistic on characteristics of deaths not available

from the wtal records based on sampla surveys of those

records.

Data on Netality, Marriage, and Divorce—Various statistic on natality, marriage, and divorca other than as

Included in regular annual or monthly reports. Special

analyses by demographic variables; geographic and time

series analyses; studies of fertillty; and statistics on

characteristics of births not available from the vital

records based on sample surveys of thosa records.

Deta From the Netional Mortality and Natality Surveya—

Discontinued in 1975. Reports from these sample surveys

based on wtal records ara included in Sanes 20 and 21,

respectwely.

Data From the National Survey of Family Growth—

Statistics on fertility, family formation snd dissolution,

family plannlng, and related maternal and infant health

topics derived from a periodic survey of a nationwide

probability sample of women 15-44 years of age.

Compilation of Data on Natality, Mortality, Marriage,

Divorce, and Induced Termination of Pregnancy—Advance reports of births, deaths, marriages, and divorces

are based on final data from the National Vital Statistics

system and are publlshed annually as supplements to the

Monthly Vital Statistics Repott (MVSR). These reports are

followed by the publication of detailad data in Vital Statistics of the United States annual volumes. Other reports

Including induced termination of pragnancy issued periodically as supplements to the MVSR provide selected findings based on data from the National and Health Statistics

System and may be followed by detailad reports in Vital

and Health Statistics Series.

to quastions about this reDort or for a list of titles of

reports published in these serlea, contact

Scientlflc and Technical Information Branch

National Center for Health Statistics

Centers for Disease Control

Public Health Service

Hyattsville, Md. 20782

301-436-8500
U.S. DEPARTMENT OF HEALTH AND

HUMAN SERVICES

Public Health Setvice

Centers for Disease Control

National Center for HeaRh ~ati~ti~s

3700 East-West Highway

Hyattsville, Maryland 20782

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POSTAGE & FEES PAID

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PERMIT NO. ~

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PENALTV FOR PRIVATE USE, $300

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1 DHHS Publication No. (PHS) 89-1828, Series 14, No. 33

I