Series 14

DATA ON NATIONAL HEALTH Rc!OURCES Number 6 

Inpatient 

HealthFacilities 

as Reportedfrom the 

1969MFI Survey 

Statistics about nursing homes, hospitals, and other 

kinds of inpatient health facilities include numbers *.. of institutions, beds, and employee;, as well as 

types of ownership, geographic distribution, and 

comparisons with other surveys. Based on data 

collected during the period July-September 1969. 

DHEW Publication No. (HSM) 73-1801 

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

Public Health Service 

Health Services and Mental Health Administration 

National Center for Health Statistics 

Rockville, Md. December 1972 
Vital and Health Statistics-Series 14-No. 6 

For sale by the Superintendent 01 Documents, U.S. Coverment Printing Office, Washington, D.C. 20402 - Price $1.00 
NATIONAL CENTER FOR HEALTH STATISTICS 

THEODORE D. WOOLSEY, Director 

EDWARD B. PERRIN, Ph.D., Deputy Director 

PHILIP S. LAWRENCE, Sc.D., Associate Director 

OSWALD K. SAGEN, Ph.D., Assistant Director for Health Statistics Devebpment 

WALT R. SIMMONS, M.A., Assistant Director for Research and Scientific Development 

JOHN J. HANLON, M.D., Medical Advisor 

JAMES E. KELLY, D.D.S., Dental Advisor 

EDWARD E. MINTY, Executive Officer 

ALICE HAYWOOD, Information Officer 

DIVISION OF HEALTH RESOURCES STATISTICS 

SIEGFRIED A. HOERMANN, Director 

PETER L. HURLEY, Deputy Director 

HENRY S. MOUNT, Chief, Health Manpower Statistics Branch 

G. GLORIA HOLLIS, Chief, He&h Facilities Statistics Branch 

WILLIAM F. STEWART, Chief, Family Pkznning Statistics Branch 

GRACE K. WHITE, Chief Hoqital Discharge Survey Branch 

COOPERATION OF THE BUREAU OF THE CENSUS 

Under the legislation establishing the National Health Survey, the Public 

Health Service is authorized to use, insofar as 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 Bureau of the Census, under a contractual arrangement, 

participated in. planning the survey and collecting the data. 

Vital and Health Statistics-Series 1~-NO. 6 

DHEW Publication No. (HSM) 73-1801 

Library of Congress Catalog Card Number 72-600140 
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CONTENTS ’ 

Introduction----------------------------------------------------------

Background --------------------------L-------------------------------

Nursing Homes ----------__-__----_____________________---------------. 

Highlights “----“-““---‘-- “-““----,---‘

Background ------------L----_--------------------------------------

Comparison Betwe@-the 1967 &d 1969 MFISurveys--------------------

Comparison of 1969 MFI Survey With ANHA Findings-------------------

Comparison of 1969 MFI With a Published List of Nursing Homes--------

Hospitals -_-__-_--_-_c-------________c___________---------------------

Highlights ------------------------r----------------------------~-----

Comparison Between the 1967 and 1969 Hospital Data-------------------

Other Health Facilities 

Highlights ----_-_-L------------------------------------------------

Comparison Between the 1967 and 1969 “Other Health Facilities”

Match of Various Listings of MR Facilities --_---c----------__---------

References 

List of DetailedTables 

Appendix I. Methodology -,---------------,---------,----------------~--

Appendix II. Questionnaires -------------------------------------I----

Nursing Homes 

Hospitals 

“Other Health Facilities” -----------,----,---,,---,,,-‘-,,,-,-,----~--------------

Appendix III. Classification Procedures andDefinitions-------------------

Criteria for Classifying Nursing Homes-------------------------------

Definitions ---_-----------------------------------------------------

Appendix IV. Populations Used in This Report ------_---------------------

1 

1 

2 

2 

2 

3 

5 

8 

9 . 

9 

10 

12 

12 

14 

14 

15 

16 

46 

47 

47 

50 

54 

57 

57 

58 

60 

. . . 111 
SYMBOLS 

Data not available ________________c_______ 

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

Quantity zero --_-____-__--- - _____________ 

Quantity more than 0 but less than 0.0%---

Figure does not meet standards of 

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

iv 

___ 

. . . 

_ 

0.0 

% 
INPATIENT HEALTH FACILITIE!S 

J&II Sirrocco, Division of Health Resokmes Stutist& 

INTRODUCiON 

This report reflects the findings from the 

1969 Master Facility Inventory (MFI) Survey. 

This survey is the third of its kind; the first 

survey was conducted in 1963r and the second 

in 1967.2 In addition to statistics from the 1969 

survey, this report includes (1) a comparison 

of the results of the 1967 MFI Survey with those 

of the 1969 MFI Survey; (2) a comparison of the 

results of the 1969 MFI Survey with those of the 

1969 American Nursing Home Association Survey; (3) a brief comparison of the MFI nursing 

home list and an independent nursing home list; 

and (4) a comparison of the MFI list of facilities 

for the mentally retarded and various national 

lists of these facilities. 

Included in the 1969 MFI Survey were 18,910 

nursing homes, 7,776 hospitals, 966 facilities for 

the mentally retarded, 968 homes for dependent 

children (including orphanages), 498 homes or 

resident schools for the emotionally disturbed, 

171 homes for unwed mothers, 123 homes for the 

deaf and/or blind, 41 resident facilities for the 

physically handicapped, 740 correctional facilities for children (those under age 21), and 718 

other types of health related facilities. This 

latter group included such places as residential 

treatment centers for alcoholics or drug addicts, 

boarding schools and health facilities exclusively for American Indians, and multipurpose 

types of facilities such as homes for the blind 

and mentally retarded. 

For purposes of the MFI, nursing homes are 

defined as establishments with three beds or more 

which provide nursing or personal care to the 

Iaged, infirm, or chronically ‘ill. Hospitals include 

all establishments having six beds or more that 

.&-e licensed as hospitals. 

Background 

In 1963 the National Center for Health Statistics (NCHS) conducted its first national survey of all health facilities and institutions.’ The 

survey was called the Master Facility Inventory 

Survey, and it covered the same types of facilities included in the 1969 survey with one addidon. The 1963 survey included Federal- and 

State-operated adult penal institutions within 

the framework of correctional facilities. 

For the 1963 survey, names and addresses 

of approximately 46,000 health facilities and institutions were obtained from State and Federal 

licensing or regulating lists and from lists 

furnished by the Division of Vital Statistics. of 

the Center, the Health Care Facilities Services 

of Health Services and Mental Health Administration, the American Hospital Association, and 

the U.S. Bureau of the Census. By matching and 

unduplicating these various lists, a final listing 

of about 30,000 facilities was established. The 

response rate for this first MFI Survey was 93 

percent.,

Information obtained from the 1963 survey 

was very basic, with such data being collected 

as type of facility, number of beds, and type of 

ownership. These data were used primarily for 

classifying the various establishments. In addition to supplying basic information on health 

facilities, the resulting list of facilities (with the 

corresponding classification information) was 
used as the sampling frame for the moredetailed 

surveys conducted on the institutionalized population within these facilities. 

The second MFI survey was conducted from 

August through December 1967: Between the 

1963 and 1967 surveys, the Agency Reporting 

System was devised for obtaining the names and ’ 

addresses of all new hospitals, nursing homes, 

and other health facilities in the country.3 The 

1967 survey found over 31,000facilities providing 

inpatient health care, and more than 29,000 of 

these returned their completed questionnaires 

(a response rate of 94 percent). Future biennial 

MFI surveys will be conducted to keep the data 

on these facilities current. 

The basic information of the 1967 survey 

provided valuable information to other government agencies as well as to privateorganizations 

and individuals. With this in mind, the 1969 MFI 

questionnaires (one for nursing homes and one 

for facilities other than hospitals) were expanded 

to include more detailed information about each 

facility, making it possible for NCHS to provide 

even more information. In spite of the extra 

questions, the 1969 survey had a response rate 

of 96 percent. 

To avoid the duplication of effort involved in 

having hospital administrators fill out two similar questionnaires, NCHS and the American 

Hospital Association (AHA) entered into a contractual arrangement, prior to the 1969 MFI 

Survey, in which the AHA’s annual survey of 

hospitals became the instrument for updating 

information for the hospital portion of the MFI. 

However, since not all hospitals are registered 

or members of the AHA, it was necessary for 

NCHS to conduct a separate survey on the nonAHA hospitals, which make up about 10 percent 

of all the hospitals in the country. The hospital 

portion of the MFI is therefore conducted every 

year in conjunction with the annual AHA hospital 

survey. A large amount of new information on 

hospitals is now available due to this arrangement with the AHA. 

Methodology for the 1969 MFI Survey is 

given in appendix I. 

It should be noted that Series 14, No. 4,” 

contains the actual data from the 1967 MFI 

Survey. Comparisons were obtained by using 

the statistics found in that report. 

NURSING HOMES 

Highlights 

In 1969 there were 18,910 nursing homes 

according to the MFI survey conducted that year, 

These homes contained nearly 950,000 beds and 

850,000 residents (an occupancy rate of 90 percent). The residents were served by almost 

450,000 full-time employees and by more than 

140,000 part-time employees (7 employees for 

every 10 residents). 

These are just a few of the basic findings 

from the nursing home portion of the 1969 MFI 

:Survey. The following sections take a closer, 

more in-depth look at the nursing home field 

and show how it has changed since the 1967 MFI 

Survey was conducted. 

Background 

Before presenting the nursing home data, an 

explanation is given here on how nursing homes 

were classified. 

Many different terms are used to describe 

a nursing home facility, but the terms. used give 

no real indication of the degree of nursing services provided by the facility. As an example, 

one 50-bed facility calling itself a “home for the 

aged” might have many full-time registered 

nurses andmight provide many nursing care services, whereas some other 50-bed facility also 

calling itself a “home for the aged” might have 

no registered ‘nurses and might provide only a 

minimum of nursing care services. Standardization of terms was therefore essential before 

the nursing home data could be meaningfully 

discussed. (See appendix II, Master Facility 

Inventory, Form HRS-5(N), section B, question 

5a.) 

Since the inception of the MFI, the National 

Center for Health Statistics has grouped nursing 

homes according to primary type of service: 

(1) nursing care homes, (2) personal care with 

nursing homes, (3) personal care homes (without nursing care), and (4) domiciliary care 

homes. (Henceforth in this report, these four 

types of homes will be referred to as simply 

NC homes, PCN homes, PC homes, and DC 

homes, respectively.) 

2 
The criteria given in appendix III were developed by NCHS in order to classify eachnursing 

home into one of these four types. Essentially, 

the classification is based on the number of 

persons receiving nursing care, the services 

provided, and the ‘employment of full-time registered nurses JWs) and licenfied practical 

nurses (LPN’s). Table’1 (a$endix III) gives the. 

criteria for classifying all nursing hdmes. 

Comparison Between the 1967 and .1969 

MFI Surveys 

Beds, s~vices, and dwnership.-Table A 

shows that even though thF@! were 231 fewer 

homes in 1969 than in 1967, there was an in­

&ease of more than 100,000 in the number of 

beds. A reduction in the number of homes with 

an increase in the number of beds seems to indicate that smaller nursing homes were going 

out of business (or expanding) and larger pursing 

homes were being built. 

By comparing the detailed data for 1967 with ’ 

that for 1969, it is evident that there was indeed 

a decrease in the number of smaller homes and 

an increase in the number of larger homes.’ In 

fact, there were 1,320 fewer homes w@h less 

than 50 beds in 1969 than there were in 1967, 

while at the same time there’ were 1,089 more 

homes with 50 beds or more. in 1969 thaq’there 

were in 1967 (tables 1 and 2). 

The decreases in the number of ‘smaller 

homes (those with less than 50 beds) occurred 

primarily for PCN homes and PC homes, with 

decreases of 313 and 614 homes, respectively 

(table 1”). The increases in the number of larger 

homes (those with 50 beds or more) occurred 

almost exclusively for the NC homes, with an 

increase of 1,116 homes. There was a slight increase in the larger PC homes, but among PCN 

and DC homes there were decreases. 

The increase in the number of NC homes 

coupled with an even larger increase in the number of beds in NC homes raised the average bed 

capacity of NC. homes from 55 beds in 1967 

to 61 beds in 1969. The Pq homes -showed.an 

aDetailed t&es in this report are from the 1969 MFI 

’ Survey only; data fkom the 1967 survey can only be obtained 

from Series 14, No. 4. 

Table A. Nuiber of nursing homes and be& 

in homes: United States, l.967 and 1969 

iear Beds 

1969------------------ 943,876 1967------------------ 836,554 

‘in&ease over these 2 years from 47 beds to almost 50 beds per home, while the PC homes increased in bed size from 15 to almost 17 beds. 

The DC homes were the only ones to show a decrease, going from 18 beds per home to 10 beds 

per home (table 3). 

When nursing homes were grouped according 

to primary type of service, the decrease in homes 

and increase in beds became more explicit. Table 

B shows that the number of NC homes and of 

beds increased and that the number of homes and 

beds of the other three types decreased. While 

the increase in the number of NC homes was 

more than offset by the decrease’in the number 

of the other three types of homes, the increase 

in the number of beds in NC homes was much 

. greater than the decrease in beds in the other 

homes. 

Table C cross-classifies the type of home 

by the three major types of ownership and indicates the net change in the number of homes 

between 1967 and 1969. For NC homes the.table 

shows an increase in the number of homes in 

each of the ownership categories; Although the 

largest increase in the number of NC homes 

occurred for those run by profit organizations 

(443), the largest percentage increase (32 per-’ 

cent) took place among the NC homes run by 

nonprofit organizations. It should be noted that 

with but one exception the number of PCN, PC, 

and DC homes decreased noticeably in each of 

the ownership categories. That one exception is 

seen gmong government owned PCN homes, where 

a very slight increase occurred. 

Table C indicates, therefore, that the change 

which occurred in the nursing home fieldbetween 

1967 and 1969 did not come about as a result of 

a shift in ownership of the homes but rather as 

a result of a shift in the types of care offered in 

the homes. Jt appears that there was a general 

3 
Table B. Number of nursing homes and of beds and net change since 1967, by primary 

type of service: United States, 1969 and 1967 

Increase or 1969 1967 decrease in: 

Primary type of service I 

Homes Beds Homes I Beds 

Nursing care---------------------- 11,484 704,217 10,636 584,052 +848 +l”;,;;;

Personal care with nursing-------- 3,514 174,874 3,853 181,096 -339 

Personal care--------------------- 3,792 63,532 4,396 66,787 -604 -3;255

Domiciliary care------------------ 120 

upgrading of nursing homes, with not only more 

services being offered but also more full-time 

employees being made available. A discussion 

of employees in nursing homes is given in the 

next section. 

Employees and residents.,-Almost 450,000 

full-time employees worked in nursing homes in 

1969, an increase of over 60,000 full-time employees since 1967 (tables 4 and 5). This increase took place solely in NC homes, where 

more than 365,000 persons were employed full 

time in 1969. This represented an increase of 

about 63,500 over the 1967 figure. On the other 

hand, full-time employees in PCN and PC homes 

decreased over this 2-year span. (Table 6 shows 

number of full-time RN’s and LPN’s by State and 

by primary type of service of nursing homes. 

1,253 256 4,619 -136 -3,366 I 

However, no statistics on employees in domiciliary care homes were available for 1967 or 

for 1969.) It should be pointed out, however, that 

the number of residents in NC homes also increased, while in PCN and PC homes they decreased (table 7). The effect of these changes 

on the ratios of employee to patient was for the 

most part negligible, as indicated in table D. The 

only major difference was in full-time nurses 

in PC homes, where the rate per 1,000 residents increased by 27 percent. 

Geographic distribution.-The homes in the 

West Region (particularly in California) were 

generally smaller than those in the other regions 

(table 8). More than half of the homes in the West 

had less than 25 beds, whereas in the Northeast 

the median was about 35 beds, in the North 

Table C. Number of ,nursing homes in 1969 and net change in the number of homes since 

1967, by type of ownership and primary type of service: United States

= - All types of T Government Proprietary Nonprofit owner ship

Primary type of 

service Net Num- Net Net Num- Net Number change ber change Number change ber change 

All types of service----..--- 18,910 -231 f202 

Nursing care---------- 11,484 +848 +392 

Personal care with 

nursing--T----------- -339 316 +5 2,187 -222 1,011 -122 

Personal care--------- -604 506 -76 2,879 -477 407 

Domiciliary care------ -136 22 -14 83 -105 15 1;; 

4 
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Table D. Ratio of residents to full-time employees and to full-time nursing staff, by primary type of service provided by home: United States, 1967 and 1969 

I 

Full-time employees Full-time RN ’s and LPN ’s 

Primary type of service 

1969 1967 1969 1967 

l%.;des domiciliary care homes. 

GO Small homes 

mLorge homes 

50 . c 

Northeast South West 

REGION 

Figure I. Percent of small homes (less than 25 beds) and 

large homes (I06 beds or more), by geographic region . 

Central 40 beds, and in the South about 45 beds. 

Figure 1 shows the percentages of small 

and large nursing homes within each regic& 

The Northeast Region had the majority of 

the homes in the country with 500 beds or more. 

Of the 21 homes with 500 to 999 beds, the Northeast had 15; and of the eight homes with 1,000 

beds or more, it had three (table 8). 

Rate per 1,000 employees 

563.8 

395.6 

288.8 

Table6 9-15 show that all ihe homes in the 

Northeast with 500 beds or more were either NC 

homes or PCN homes. These tables also indicate that the North Central Region had themost 

NC homes and the West had the fewest. In fact, 

the North Central Region had nearly twice as 

many as the West (3,855 compared with 1,943). 

This same situation occurred with PCN homes. 

The North Central Region had the most and the 

West had the lea&, with the North Central having 

twice as many as the West. With PC homes, 

however, the West had by,far the most (1,407), 

and the South had the fewest (643). 

A regional distribution of nursing homes by 

type of service and number of beds is given in 

table 13. 

Conclusions.-There seemed to be two factors related to the change which tqok place among 

nursing homes Tom 1967 to 1969: (1) the closing 

of smaller homes and the building of larger ones, 

and (2) an increase in the quality and amount of 

care given in the homes (as reflected by the increases in the number of nursing personnel and 

the number of NC homes). Both of these developments are closely related to the 1965-66 passage of ‘the Medicare and Medicaid amendments 

(Titles XVIII and XIX) to the Social Security 

Act. 

Comparison of 1969 MFI Survey 

With ANHA Findings 

On July 6, 1969, the American Nursing Home 

Association (ANHA) announced in its Ne’ws Release the results from a survey on January 1, 

5 
--- 

1969,‘of State licensing agencies in which data 

were collected on licensed nursing homes and 

other related long-term facilities. This section 

compares the findings of the ANHA survey with 

those of the 1969 MFI Survey. Since the MFI 

survey was conducted from September through 

November 1969, the difference in the survey period would account for some of the differences 

in the, survey findings. 

The ANHA made two classifications, 1for 

homes: (1) facilities licensed as nursinghomesi.e., those providing at least 8 hours a day of 

nursing care by a registered nurse or licensed - .-. practical nurse-and (2) other related long-term 

facilities such as personal care homes andhomes 

for the aged. 

The MFI, as stated earlier, classifies nursing 

homes into four groups: nursing care, personal 

care withnursing,personal care (without nursing), 

and domiciliary care. For comparative purposes, 

if the MFI’s NC homes were combined with PCN 

homes and PC homes were combined with DC 

homes, these two groups tould be closer 

to the ANHA’s two groups than any other groups 

would be. However, ,not all the MFI’s PCN homes 

met the ANHA’s criteria for nursing homes, 

since the former homes may or may not have an 

RN or LPN working 8 hours a day. It was therefore decided that the best way to compare the 

two surveys would be to use the statistics for 

the total facilities involved,’rather than the statistics for the various classification groups. 

The ANHA reported 23,013 facilities and 

1,024,510 beds, which was over 4,000 facilities 

and over 80,500 beds more than were counted 

in the MFI survey. It was discovered, however, 

that many of the nursing homes and related 

facilities included in the ANHA survey did not 

meet the definitions and requirements which 

NCHS, established for inclusion in the nursing 

home portion of the MFI survey. 

For instance, the ANHA, working with the 

State licensing agencies, included such facilities 

as long-term units of hospitals, homes for the 

mentally retarded, homes for alcoholics, infirmaries, sheltered care homes, day care centers, and restoration centers. Although none of 

these types of establishments were included in 

the nursing home part of the MFI survey, they 

accounted for almost 1,200 of the 23,013 facil- ‘. 

ides in the ANHA survey. 

In this regard; the ANHA..survey included 

4,380 boarding homes for the aged (the MFI 

survey included only 1,622). Many of these .ANHA 

homes did not meet the minimum standards (in 

terms of personnel and services offered) for 

nursing home facilities being included in the 

MFI survey. 

In addition, many of the ANHA boarding 

homes had fewer than three beds and therefore 

were not counted in the MFI survey, which included only homes with three beds or more. 

Evidence of the, fact that many of the ANHA 

boarding homes had less, than three beds ‘can 

be found by looking at the California boarding 

homes. California had 3,378 (77 percent) of the 

I 4,380 such homes reported by the ANHA. These 

. 3,378 homes contained 18,750 beds, an average 

of just 5.6 beds per home. It would appear, 

therefore, that many of California’s boarding 

homes had to ‘have less than three beds in order 

to hold the average down to 5.6. 

If the same criteria for inclusion were used 

in the two surveys, the results would actually 

be quite comparable. Table E shows the dis-’ 

tribution by State of the nursing homes and their 

beds for the two surveys. The non-MFI type 

facilities have been excluded from the ANHA 

figures, while the ANHA boarding homes have 

been included but kept separate. The percentage difference between the two surveys is also 

shown. 

When the two surveys were compared; ir.S.. 

totals showed that the ANHA had 17,470 nursing 

homes with 903,592 beds and 4,380 boakding 

homes with 58,519 beds, while the MFI nursing 

homes had 18,910 facilities with 943,876 beds. 

If the 1,622 MFI boarding homes for theaged 

were included with the 4,380 ANHA boarding 

homes, then the addition of these boarding homes 

to the 17,470 ANHA nursing homes would bring 

the new ANHA total to 19,092. The addition of 

the 23,400 (approximate) beds in these 1,622 

homes would bring the new ANHA total pumber 

of beds to about 927,000. These revised ANHA 

totals would then’ be very close to the 18,910 

MFI homes and the 943,876 MFI beds. 

6 
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----------------------------- 

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Table E. Number of homes and their bed size in-the.ANHA and Ml?1 Surveys, with percent differences for the MPI: United States and each State, 1969 

ANHAl MPI Percent 

difference2 

Area 

Homes Xomes Beds Homes Beds 

-._- . 

United States------------ 17,470 903,592

(4,380 (58,519) L8,91( 943,876 

A 

+8 +4 

Alabama------------------------------ 185 11,004 17'( 11,265 Alaska -------___--------------------- 6 251 192 -2 2:

Arizona -_-__------------------------- 3,453 7: 4,929 +35 +43

Arkansas 12 13,086 191 12,431 -3 -5

California ---_----------------------- 1,546 99,w.J 2,811 104,885 +82 +5 

(3,378 '(18,750 

Colorado----------------------------- 186 11,449 12,220 Connecticut-------------------------- 450 1;>;;; z; 16,764 -2 -';i Delaware ----------------------------- 3i 1,390 +19 -15 District of Columbia----------------- 1;; 2:348 9c 2,367 -26

Florida ----_------------------------- 27,139 2;: 23,138 -10 2; Georgia -----_------------------------ 1% 14,461 Hawall------------------------------- 146 1,910 8: 1;s 95;; -45 -2

Idaho ----------------_--------------- 3,221 45 3:108 -6 -4

(6512, (577 

Illinois 736 49,716 1, ooc 56,506 +36 +14

Indiana ------_--------_----__________ 450 23,655 476 25,945 443 +10 . (10 (85 

Iowa --------------------------------- 511 19,904 678 29,561 Kansas ----_----_-----_--------------- $06: 17,912 431 17,316 +:; 

(308 

Kentucky ----_-_-------_-------------- 340 14,964 295 13,062 -13 -13 . . Loulslana-----------------.----------- 201 12,239 184 11,740 -4

Maine -------_---_-_-_-_-_------------ 148 4,299 278 5,839 +i," +36

092: (1,973: 

Maryland --_------_-_-_-----_--------- 207 10,868 ,14,025 +11 +29 Massachusetts------------------------ 952 40,250 GE 39,674 Michigan -------_--------------------- 493 521 34,084 ;6' +iZ Minnesota -------------------_-------- 413 x:; 493 31,118 +20 +10

(261; (8:574) 

Mississippi 4,566 4,182 +1 -8 Missouri--------L------ ----------m--- 4;: 24,012 4% 26,291 +10 Montana------------------------------ ._110 3,789 79 3,014 2; -20 

Nebraska -------_--------------------- $2 12(3945;: 268 12,639 -5 -2 Nevada---_-___---_------_-___________ '771 864 +12 New Hampshire------------------------ 1% 4,872 1;; 3,982 22 -18 New Jersey -----_--------------------- 348 ,19.531 505 25,484 i-45 +30 

(241: (4,958; 

New Mexico ---------------,----,,L,,,, 1,909 2,417 +70 +27 New York -----_-------------_--------- 1;0$ 75,489 1,055 North Carolina----------------------- 820 14,551 997%~ 1; +22

-8 

North Dakota------------------------- 110 5,490 797: 5:693 -11 ..$ Ohio ------------_--_----------------- 1,136 1,112 -2 Oklahoma------------_---------------- 381 4xE 421 4x2 +10 +4 Oregon _------_----------------------- 12:815 141204 +11 Pennsylvania------------------------- 20' 36,933 2: 50,062 +iB +36 

(105) (17,948: 

7 

See footnotes at end of table. 
-------- 

Table E. Number of homes and their bed size in the.ANHA and MI?1 Surveys, with percent ., differences for the MPI: United States and each State, 1969-Con. 

ANHAl MFI Percent 

-r----l- I difference2

Area 

Homes Beds bme s Beds Homes Beds 

&ode Island-------------------------

South Carolina----------------------­

.south Dakota-------------------------

Tennessee--------------------

Texas--------------------------------

Utah --_------------------------------ Vermont------------------------------

Virginia-----------------------------

Washington---------------------------. 

West Virginia------------------------

Wisconsin----------------------------

Wvominn-----------------------------­

lNumbers in parentheses are for number 

2+ indicates MPI has more; - iridicates 

162 

(%30) 

150 6,043 130 5,774 -13 -4 

229 10,480 216 10,829 -6 +3 

783 46,798 900 5;,;91; +15 +15 

153 4,875 128 -18 

126 2,728 103 2;696 -2 

361 12,169 262 ‘10,530 -27 -2 

371 22.870 257 17,727 -31 -22 

(60) (4,426) 

1,918 2,542 -24 ,+33 

5:;

32 

35,636 4% 28,146 -17 -21 

1,416. 29 1.226 -9 -13 

of boarding homes in ANHA and numberof beds. 

Ml?1 has fewer. 

Comparison of 1969 MFI With a Published List 

of Nursing Homes 

Another source of information on nursing 

homes ,is published in a three-volume set of 

books called U.S. Guide to Nwsing Homes.’ 

Each volume encompasses an area of the country 

(East Coast, Midwest, West Coast) and lists 

by State and by city within the State the names, 

addresses, and certain characteristics of the 

nursing homes in these cities. The Guide was 

prepared from lists of nursing homes obtained 

from those State and Federal agencies which 

either license or are responsible for formulating standards for the operation of nursing homes. 

The author attempted to include every nursing 

home with 25 beds or more and nearly every 

home with 20 beds or more. 

The three volumes have been compared with 

the MFI list of nursing homes to help determine 

the scope of coverage of the MFI. TheGuide contains approximately 8,500 nursing home facilities. 

It included homes that provided different intensities of care, from skilled nursing to personal 

care to residential care. The MFI list contained 11,465 nursing homes that had 25 beds 

or more and an additional 1,803 homes that had 

20 to 24 beds. The MFI therefore had 35 percent more nursing homes if just the facilities 

with 25 beds or more are counted and 56 percent more if those with 20 to 24 beds are counted. 

A comparison of the .number of nursing homes 

in the Guide and in the MFI is shown in the table 

below. The figures taken from the Guide are 

approximate and presumably rounded to the 

nearest hundred. The figures for the MFI include only nursing homes with 25 beds or more. 

The major difference took place in the States of 

the Midwest. The MFL contained approximately 

87 percent more homes than the Guide in these 

States. 

8 
Area I Guide MFI 

NOTE: East Coast= Connecticut, Delaware,District of Columbia, Florida, Georgia, Maine, Maryland, Massachusetts, New

Hampshire, New Jersey, New York, North

Car0 lina , Pennsylvania, Rhode Island, South Carolina, Vermont, Virginia ,- and 

West Virginia; Midwest = Aiabama, .Ar- Ikansas, Illinois, Indiana, Kentucky, Louisiana, Michigan,Iowa, Kansas, Minnesota, Mississippi, Missouri, Nebraska, Ohio, Oklahoma, Tennessee, and Wisconsin-;- West 

Coast = Arizona, California, Colorado, Hw, Idaho, Montana, Nevada, New Mexico; North Dakota, Oregon,South Dakota, Texas, Utah, Washington, and Wyoming. 

HOSPITALS 

Highlights 

There were 7,776 hospitals in the United 

States in 1969 according to the joint survey conducted by NCHS and the American Hospital 

Association (AHA). Approximately 7,060 of these 

hospitals were registered by the AHA in 1969; 

the remaining 716 were not members of theAHA. 

A total of 6,482 (83 percent) of the hospitals 

classified themselves as general medical and 

surgical or, simply, general hospitals (table 

14). The 1,294 remaining hospitals classified 

themselves as various types of specialty hospitals: most of which were of the long-stay 

variety (average length of stay for patients is 

30 days or more). General hospitals contained 

more than 977,000 beds, an average of just over 

125 beds per hospital. Excluding psychiatric 

hospitals and beds, specialty hospitals had an 

bSee page 2, section B, of the hospital questionnaire 

(appendix II) for list of various’ kinds of hospitals. For the 

purposes of this report, the various kinds are general, 

psychiatric, tuberculosis, geriatric, eye-ear-nose-throat and 

chronic (disease) hospitals. The remaining kinds have been 

grouped under “other.” 

average bed capacity ‘of 139. The 497 psychiatric ‘hospitals, however, contained’over 475,000’ 

.beds, an average of 956 beds per hospital. 

Almost 31.7 million hospital admissions 

were reported in 1969. In addition, there were 

over 182 million visits to the outpatient departments of these hospitals (table 14). More. 

than 30.4 million (96 percent) of the admissions 

and more than 169 million (93 percent) of the 

outpatient visits took place in general hospitals. This puts the average number of admissions 

per general hospital at 4,698 and the average 

number of outpatient visits per general hospital at 26,143. 

Table 14 also shows that there were 31.8 

million hospital discharges reported during 1969; 

more than 30.5 million (or 96 percent) of these 

were from general hospitals (an average of 4,714 

discharges per general hospital in 1969). Comparing these discharge rates with the admission 

rates for general hospitals, it becomes evident 

that general hospitals were discharging patients 

at a faster rate than they were admitting them. 

A possible reason for this is given later in the 

section on admissions. 

This was also true of specialty hospitals as 

. a whole (over 15,000 more discharges than admissions). It was not true, however, of each individual type of specialty hospital. For geriatric, 

chronic, eye-ear-nose-throat (EENT), and orthopedic hospitals, more admissions than discharges were reported in 1969. 

In long-stay hospitals, it is logical to have 

more admissions than discharges since the pa­

* tients tend to remain for longer periods of time, 

and most geriatric, chronic, and orthopedic hospitals are long-stay. The EENT hospitals, on 

the other hand, are short-stay, and the reason 

for the almost 4 percent more admissions than 

. discharges is unclear. 

The reverse of the EENT situation occurred 

with the psychiatric and tuberculosis hospitals. 

These two types of long-stay hospitals reported 

more discharges than admissions. It is known 

that tuberculosis hospitals have been disappearing from the hospital scene (down from 166 in 

L 1967 to 114 by 1969) and that because of new 

drugs and treatments the remaining ones are now 

able to release patients more quickly. This 

perhaps explains why they had more discharges 

9 
than admissions. A similar explanation is possible for geriatric hospitals since emphasis is 

being placed on rehabilitation and extended care 

facilities with the result that geriatric hospitals are fading from the hospital scene also 

(down from 191 in 1967 to only 99 by 1969). 

Comparison Between 1967 and 1969 

Hospital ; Data 

hwicei, beds, and owner&ip.- In 1967there 

were 8,147 hospitals in the United States, and in 

1969 there were 7,776, a decrease of 371 hospitals. The number of hospitals, like nursing 

homes, decreased between 1967 and 1969; however, unlike nuring homes, hospitals showed a 

decrease inbed capacity over this 2-year period. 

The average bed capacity of hospitals changed 

very little from 1967 to 1969. (See table F.) 

when hospitals were grouped by type of service (general versus specialty), general hospitals were found to have decreased from 6,685 

in 1967 to 6,482 in 1969. In spite of this decrease 

of 203 general hospitals, there was an increase 

of 18,651 beds in these hospitals. Specialty hospitals, on the other hand, incurred a loss both of 

hospitals (168) and of beds (86,126). 

Table G shows that the decrease in hospitals 

took place among those with the smaller bed 

capacities. Virtually all of the decreaseoccurred 

among hospitals with less than 100 beds; in fact, 

the largest decrease was in hospitals with less 

than 25 beds. Over this same 2-year period, the 

number ‘of hospitals with 100 beds or more actually increased. Therefore the same type of 

situation which nursing homes encountered was 

also encountered by hospitals-i.e., a decrease 

Table F. Number of hospitals and beds, with average bed capacity per hospital: United States, 1967 and 1969 

Table G. Number of hosDitals and difference in number between 1967 and 1969,

by bed size: United States 

Bed size 1 1969 1 1967 1 D;;cfrI I I 

I 

L&s than 25 beds- 713 I 912 -199 25-49 beds-------- 1,733 1,866 -133 

50-74 beds-------- 1,097 1,169 -72 

75 -99 beds-------- 733 777 -44 

100-199 beds------ 1%; 1,499

200-299 beds------ 732 2; 

.300-499 beds------ 671 623 +48 

500 beds or more-- 567 569 -2 

in the number of smaller facilities and an increase in the number of larger facilities. 

Table 15 classifies hospitals by bed size 

and type of ownership, and table 16 displays both 

general and specialty hospitals and beds by State. 

Table 15 shows 2,752 government operated hos- _ 

pitals, 1,115 proprietary hospitals, and ‘3,909 

nonprofit hospitals in 1969. This represented an 

increase ov.er 1967 of 42 government hospitals 

but decreases of 287 proprietary and 126 nonprofit hospitals. 

These, facts, coupled with the findings about 

bed size, i&Ii&ate that the decrease in hospitals 

took place primarily in small (less than 100 

beds) proprietary hospitals. There was, in fact, 

a decrease of 284 such hospitals. 

One probable cause of the decline in the 

number of small proprietary ,hospitals was the 

conversion of hospitals to nursing homes. Someof 

the smaller facilities listed as hospitals in 1967 

were no longer providing the services of a hospital in 1969, and were therefore taken off the 

hospital list and put on the nursing home list. 

In addition the NCHS definition of a hospital specifies that the facility must have at 

least six inpatient beds. Some of the extremely 

small hospitals fluctuate in bed capacity and 

fall below this minimum number, resulting in 

their deletion from the survey. 

Although there was an overall increase of 

42 government hospitals, there was a decrease 

of 29 such hospitals in the group with 500 beds I or more, Considering the increase of 27 non- 1967------ .8,147 1,631,101 200 profit hospitals in this same bed-size range, it lgfjg------ 7,776 1,563,626 201 

appears that a shift in ownership has taken place. 

10 
Like proprietary hospitals, which showed a 

rather large decrease in the number of hospitals 

with less than 100 beds, the nonprofit.hospitals 

also showed a rather large decrease (190) in 

hospitals with less than 100 beds. But un2ik.e 

proprietary hospitals, which showed almost no 

change in the number of hospitals with 100 beds 

or more, nonprofit hospitals showed an increase 

of 64 hospitals having 100 beds or more. 

Therefore, while proprietary hospitals 

showed virtually nothing but decreases within 

all bed-size ranges from 1967 to 1969, nonprofit hospitals showed both increases and decreases within the various bed-size ranges. This 

would indicate either the enlarging of the smaller 

nonprofit hospitals, the building of new large 

nonprofit hospitals, or, perhaps more likely; 

the changing of ownership status. 

+ldmissions, patient census, anddisckarges.~ 

There was an overall increase of nearly 950,000 

admissions from 1967 to 1969, bringing the 1969 

figure to almost 31.7 million (table 17). Approximately 850,000 of the increase in admissions 

took place in general hospitals, with the remaining 100,000 admissions occurring in specialty hospitals. 

However, there were nearly 75,000 fewer 

hospital patients (average daily patient census) 

in 1969 than there were in 1967. The increase 

of 42,000 patients in general hospitals needs no 

explanation, but the decrease of over 116,‘OOO 

patients in specialty hospitals does. More admissions and more patients seem consistent. 

More admissions and less patients (in fact, a 9-

percent’ increase in admissions and a 19-percent decrease in patients) a$e an indication that 

patients in specialty hospitals are remaining in 

these hospitals for much shorter periods oftime. 

A check of the average length of stay of hospital 

patients for 1967 and 1969 verifies this assump-, 

tion. In 1967 the average length of stay in all 

hospitals was 16.0 days in contrast with 14.6 days 

in 1969. General hospitals showed little change9.0 days in 1967 and 9.3 days in 1969. Specialty 

hospitals, however, showed a rather large change, 

from 197.2 days in 1967 down to 146.9 days 

in 1969. This means that the average patient 

: in a specialty hospital in 1969 was ieaving that 

hospital 50 days sooner than was the average 

patient in 1967. 

Two reasons can be set forth. The first is 

an apparent change in hospital policy towards 

a more rapid turnover of patients. A long recovery period in hospitals is unnecessary if a 

recuperating patient can get satisfactory treatment at home or in a skilled nursing home. Therefore by releasing patients earlier, hospitals will 

have more beds available, and hence more admissions will be possible. 

The second reason relates back to thenursing 

home section of this report. In that section it 

was mentioned that a number of geriatric hospitaIs in 1967 were reclassified as nursing homes 

in 1969. Geriatric hospitals are long-stay facilities, and the elimination of their patients from 

the hospital statistics would reduce the average 

length of stay in specialty hospitals. 

Employees.-Hospitals in 1969 employed 

more than 2 1/4millionNl-timepersonnel, anin­

.crease of over l/4 million full-time personnel 

from 1967. Virtually all of this increase took 

place in general hospitals (table 18). 

The average number of full-time employees 

per general hospital for 1969 was 291, whereas 

in 1967 there were 245 full-time employees per 

general hospital. This increase in full-time employees was much greater than the increase which 

took place in the average number of patients in 

general hospitals (109 patients per general hospital in 1967 versus 119 patients pergeneralhospita1 in 1969). The actual ratio over these 2 

years was 2.2 full-time employees per patient in 

1967 and 2.5 full-time employees per patient in 

1969. 

For specialty hospitals the average number 

of full-time employees per hospital was 259 in 

1967 and 295 in 1969. With the average number 

of patients in specialty hospitals at 419 in 1967 

and 383 in 1969, the average number of fulltime employees per patient in these hospitals 

was therefore 0.6 in 1967 and 0.8 in 1969. 

The ‘total number of part-time employees 

in hospitals increased by almost 75,000 persons 

during this period, from 422,811 in 1967 to 

496,003 in 1969 (table 19). Adding this increase 

in part-time employees to the increase in fulltime employees brought the total accretion in 

personnel to over 325,000. This rather large 

increase in employees coupled with the decrease 

: in the number of hospitals brought the average 

11 ’ 
staff of a.hospital from 299 employees in 1967 

to 356 employees in 1969. 

Geographic dist&bution.-In 1969 there were 

approximately five general hospital beds and 

three specialty hospital beds for every 1,000 

people in the United States. The general hospital beds were distributed fairly evenly by region, with the highest beds to 1,000 population 

rate being 5.11 in the North Central Region and 

the lowest being 4.64 in the West. The specialty 

hospital beds showed a wider distribution, from 

4.52 in the Northeast to 1.74 in the West (table 

20). 

The District of Columbia had the highest 

beds to population rate both in general hospitals 

(10.57) and specialty hospitals (9.19). Maryland 

had the lowest rate for general hospitals (3.75), 

and Montana had the lowest for specialty hospitals (0.59). Excluding the District of Columbia, 

the States with the highest beds to population 

rates for general and specialty hospitals were 

North Dakota and Massachusetts, with 7.09 and 

5.61, respectively., 

Excluding the District of Columbia, the State 

with the highest total hospital rate (general plus 

specialty) was Wyoming, which held an overall 

rate of 11.48 hospital beds per 1,000 population. 

Massachusetts was second with a rate of 10.40, 

and New York was third with a rate of 10.35. 

The State having the lowest overall beds to 

1,000 population rate was Utah with 4.98. 

Table 21 shows the State and regional general hospital totals for patient census, admissions, and discharges along with corresponding 

rates per 1,000 population for the regions. Table 

22 gives the same information for specialty 

hospitals. 

The West, considering that it had the lowest 

average patient census, had rather high admission and discharge rates for general hospitals. 

Patients of general hospitals in the West Region had a shorter length of stay (8.2 days) than 

did patients of general hospitals in the other 

regions. The South, with the largest number of 

people in general hospitals, had the highest admission and discharge rates and the second 

shortest length of stay (8.5 days). The Northeast 

had the lowest admission and discharge rates 

and the longest length of stay (10.8 days per 

patient). 

For specialty hospitals, once again the West 

Region had the lowest average patient census 

and the shortest length of stay, while the Northeast had the highest average patient census and 

longest length of stay.

The Northeast, although having 22 percent 

less people than the South, had 38 percent more 

patients and 36 percent more beds (table 20). 

“OTHER HEALTH FACILITIES” 

Highlights 

Included in the 1969 MFI Survey were 4,225 

health facilities other than hospitals and nursing 

homes. These facilities, henceforth to be called 

“other health facilities ,” included resident schools 

or homes for the deaf, blind, unwed mothers, 

the physically handicapped, the mentally retarded, 

the emotionally disturbed, and dependent children; orphanages, children’s correctional institutions, and miscellaneous facilities .’ 

The largest of all the “other health facil-’ 

ities ,‘I in terms of numbers, were orphanages and 

homes for dependent children (combined here 

because of their similar nature). There were 

968 such facilities, representing 23 percent of 

the total group. Facilities for the mentally retarded (MR) had almost as many (966)) 

representing 23 percent of the total (table 23). 

Over 434,000 residentsd were staying in 

the 4,225 various facilities when the survey was 

conducted, and more than 200,000 of that number were in MR facilities. Correctional facilities for children had the second largest number, just under 91,000 residents (table 24). 

cIn an effort to find out what these miscellaneous 

facilities were, a sample of approximately 50 percent of the 

questionnaires which had the “other” box checked were 

examined for write-ins. Many were combinations of several 

types of facilities (deaf and blind, mentally retarded and 

emotionally disturbed, etc.) Those that could easily be placed 

in one or the other category were so placed, and the remaining 

combination facilities were put in the “miscellaneous” 

category. The most frequently appearing write-ins were 

rehabilitation facilities for alcholics and drug addicts and health 

facilities for Indians. 

dThe term “residents” refers to the residents or patients 

staying in the facility at the time of the survey. 

12 
Table H. Number of facilities and number of residents, full-time and part-time employees, and part-time hours in “other health facilities. ” with staff ratios. by type of facility: UnitedStates, 1969 - -

TyPe of facility .~-_’ 

All facilities-­

Deaf or blind or bothUnwed mothers---------

Physically handi­ capped-;-------------

Mentally retarded-----

Emotionally disturbedDependent children-.---

Correctional -fXfity- Miscellaneous---------

Facilities Residents 

4,225 434,339 

123 23;;;

171 , 

3,477

92: 200,181 

.498 17,738 

. 54,039

97Pi 42,075 

740 90,961 

Full-time Part-time Part-time Staff 

employees employees hours. ratiol’ 

- -. 220.112 22,945 372,924 531 

12,177 1,091 597 

1,826 906 ~:~%; , 488

2,482 256 4,953 754 

111,535 6,741 1;; 9;;; 574 

8,930 2,403 567 

23,645 , 4,783 74:241 

13,807 2,743 43,816 2 

45,710 4,022 57,556 521 

‘Full-time employees and full-time equivalents per 1,000 residents. 

There were approximately 220,00O’full-time 

and 23,000 part-time employees working to serve 

the more than 434,000 residents (table IQ With 

the conversion of part-time personnel to fulltime equivalents,e there were in essence about 

230,000 full-time employees, or roughly 531 

employees for every 1,000 residents in all facilities. Despite having more than 200,000 patients 

(46 percent of the total number of residents), 

MR facilities h.ad a‘ratio of 574 employees per 

1,000 residents when full-time equivalents were 

considered (tables l-l and 25). 

Almost half (1,959) of the 4,225 facilities 

were operated by nonprofit organizations (table 

26). On the other hand, only 21 percent (909) 

were run by proprietary organizations, and over 

half (477) of these were MR facilities. In fact, 

almost half of all MR facilities were run for 

profit. 

Most facilities for the mentally retarded 

offer programs for training, educating, or rehabilitating their patients. The programs most 

frequently offered include classes for educable 

children, classes for trainable children, classes 

.e“F&time equivalents” were computed by dividing the 

number of part-time hours by 35 (hours). For the purpose of 

the survey, if an employee worked 35 hours or more per week, 

that employee was considered a full-time employee. 

for profoundly retarded children, classes for 

adults, classes in vocational training, and medical rehabilitation programs. The programs that 

any MR facility offers gepepd’ mainly on the 

type of patients that the facility accepts (degree 

of retardation, age, and so forth). In this regard, there are three basic degrees of retardation: (1) those retarded the most are called 

the profoundly retarded, (2) those that are less 

retarded are called trainable, and (3) those that 

are the least retarded are called educable. 

Of the 966 MR facilities, 255 (26 percent) 

offered classes for the profoundly retarded, 363 

(38 percent) offered classes for the trainable, 

and 311 (32 percent) offered classes for the 

educable (table 27). Table 27 also shows that 

more government owned MR facilities offered 

more of the various programs (793) than didproprietary (539) and nonprofit MR facilities (405). 

In fact, the 32 percent difference between the 

number of programs offered by the ‘government 

owned facilities andproprietary facilities existed 

even though there were many more proprietary 

facilities (477 to 258). In addition, only 57 of the 

966 facilities offered all six major programs, 

an< 46 of them were government ownedfacilities. 

Most homes for the deaf or blind (75 percent) only admitted persons under 21 years of 

age (table 28). Many homes for the’emotionally 

13 
distrubed (41 percent) also only served this 

younger group. 

In 150 MR facilities, 168 facilities for 

the emotionally disturbed, and 156 homes for 

dependent children (which include orphanages) 

only males were admitted, whereas in 165 MR 

facilities, 97 facilities for the emotionally disturbed, and 81 homes for dependent children only 

females were admitted. Of course in the vast 

majority of these types of facilities both males 

and females were admitted-651 facilities for 

the mentally retarded, 233 for the emotionally 

disturbed, and 731 for dependent children. 

Comparison Between the 1967 and 1969 

“Other Health Facilities” 

From the MFI survey in 1969, 123 homes for 

the deaf and/or blind were found. This represented 

a decrease of 11 percent from the 138 found in 

1967. A similar decrease (10 percent) occurred 

in the number of residents in these homes, which 

dropped from 23,621 in 1967 to 21,232 in 1969. 

Decreases also occurred in homes for unwed mothers and in homes for dependent children (which include orphanages). Whereas homes 

for unwed mothers decreased from 181 in 1967 

to 171 in 1969, the biggest numerical decline 

took place in homes for dependent children which 

dropped from 1,059 in 1967 to 968 in 1969, a 

decrease of 91 facilities (9 percent). Similar 

decreases also took place in the number of 

residents in these homes. 

Institutions for the ‘physically handicapped, 

emotionally disturbed, and mentally retarded 

showed increases in both facilities and patients 

over these 2 years. Institutions for the physically 

handicapped rose from 30 in 1967 to 41 in 1969, 

but the patients in these facilities increasedfrom 

1,345 to 3,477, bringing the average size of such 

institutions from 45 patients per home in 1967 

to 85 patients per home in 1969. 

Institutions for the mentally retarded and 

emotionally disturbed have been grouped together 

here to make them comparable with those in 

the 1967 survey. These facilities increased by 

22 percent (from 1,193 in 1967 to 1,464 in 1969), 

but the patients increased by less than 3 percent (213,115 to 217,919). The result was a decrease from 179 patients per home to 149 patients per home over this 2-year period. 

Match of Various Listings of MR Facilities 

As was mentioned in the previous section, 

there were 966 facilities for the mentally retarded surveyed in the 1969 MFI. Due to the 

varying licensing regulations between States, it 

was questionable whether State listings of this 

type of facility were completel Since most’of the 

MR facilities surveyed in the 1969 MFI were 

obtained from such lists, a study was conducted 

in which the MFI list of these facilities was 

matched with each of five national directories 

or listings: 

‘l%e Accreditation Council for Facilities 

for the Mentally Retarded5 

The Secretary’s Committee on Mental Retardation, Department of Health, Education, 

and Welfare6 

The American Association on’Menta1 Deficiency7 

List of facilities approved under Title I, 

Part C, Public Law 88-164’ 

Porter Sargent Publisher Directory fok Exceptional Childtveng 

A total of 399 additional MR facilities were 

found through these national sources. The national 

lists, however, included both inpatient and outpatient facilities, whereas the MFI survey deals 

with only inpatient facilities. The ,399 facilities 

were therefore included as part of a separate 

and more recent survey, the preliminary findings of which indicated that 143 of these facilities were valid inpatient MR facilities. That 

represented an increase of about 15 percent over 

the 966 such places already on the MPI list. The 

143 newly found facilities will therefore be added 

to the MFI list of these places. 

14 
REFERENCES, . 

INational Center for Health Statistics: 

maintenance of a national inventory 

institutions. Vital and He&h Statisfics. 

1000Series l:No. 3. Public Health Service. 

Government Printing Office, Feb. 1965. 

ZNational Center for Health Statistics: 

facilities as reported from the 1967 MFI 

Health Sfafistics. Series 14-No. 4. DHEW 

Development and 

of hospitals and 

PHS Pub; No. 

Washington. -U.S. 

Inpatient he&h 

Survey. Vital and 

Pub: No. (HSM) 

72-1065. Washington. U.S. Government Printing Office, June 

1972. 

3National Center for Health Statistics: Design and 

methodology of the 1967 Master Facility Inventory Survey. 

Vital and Health Statistic+ PHS Pub. No. lOOO-Series l-No. 9. 

Public Health S&ice~~Washington. U.S. Government Printing 

Office, Jan. 1971. 

4Greenberg Dan: U.S. Guide to Nursing Homes, 3 

regional editions. New ,York. Grosset and DurrIap, Inc., 1970: 

5Joint Commission on Accreditation of Hospitrds: List of 

Public and Private Residential’ Facilities for the Mentally 

Retarded and State Operating and Licensing Agencies. 

Accreditation Council for Facilities for the Mentally Retarded, 

Mar. 1971. 

6Secret&y’s Committee on Mental Retardation: Directory 

of State and Local Resources for the Mentally Retarded. 

Washington, D.C. Department of Health, Education, and 

Welfare, June 1970. . 

. 7Division of Special Studies: Listings of Residential 

Facilities for the Mentally Retarded. Albany, N.Y. The 

’ American Association on Mental Deficiency, 1968. 

8Social and Rehabilitation Service: List of Facilities 

Approved for Federal Assistance Under the Mental Retardation 

Facikies and Community Mental Health Centers Construction 

. Act of 1963, Title I, Part C, Public Law 88-164, as amended. 

Washington, D.C. December 31,197O. 

‘D.R. Young, editor: Directory for Exceptional Children, 

6th edition. Boston. Porter Sargent Publisher, 1969. 

0.0 0 

’ 

’ 

15 
--------------------------- ------- ---- 

-- 

-- 

LIST OF DETAILED TABLES 

Page 

Table 1. ;umter of nursing homes, by primary type of service and bed size: United States, --___-- -_--.s- --_-- ----_--_--------_---- .18 

ice: United States, 2. Number of nursing homes and beds, by type of ownership and primary type of serv1969--------------------------------------------------------- 18 

3. Number of nursing homes and beds, by primary type of service: United States and

each St-f-e, 1969-----------------------------------------------------------~----- 19 

4. Number of full;time and part-time employees in nursing homes, by primary type of 

service provided by Eiomited States and each State, 1969--------------------- 20 _ ..- . - -

5; Number of full-time employees Fn nursing homes, by primary type of service pro­ vided by home: United States and each State, 1969-------1-;~-----------------L---- 21 - _---- .--

6. Number of full-time RN's and LPN's in nursing homes, by primary type of service 

provided by home: United States and each State, 1969----------------------------- 22 

7. Number of residents in nursing homes, by primary type of service: United States

and each State, 1969------------------------------------------------------------- 23 

8. Number of nursing homes, by bed size: United States, each region and State,.1969- 24 

9. yumier of nursing care homes, by bed size: United States, each region and State, ,,,,,,,,,,-,,,----,----,----------------------------------~-------------------- 25 

10. gion and State, 

Number of personal care with nursing homes, by bed size: United States, each re1969------------------------------------------------------------- 26 

11. &&er of personal care homes, by bed size: United States, each region and State, ---------_------------------------------------------------------------------- 27 

12. Number of domiciliary care homes, by bed size:

Stat-, 1969---------------------------------------------------------------------- United'States, each region and 

28 

13. Number of nursing homes and beds,by primary type of service: United States, each 

region and State, 1969 _------------^--_------------------------------------------ 29 

14. Numberofhospitals beds, patients, admissions, outpatient visits, and discharges, by type of hospital: United States, 1969---------------------------------------'-- 30 

15. Number of hospitals, by type of ownership, type of hospital, and bed size: United 

States, 1969 ---_----------------------------------------------------------------- 31 

16. Number of general and specialty hospitals and number of beds in these hospitals,

by type of hospital: United States and each State, 1969-------------------------- 32 

17; Number of admissions to hospitals, by type of hospital:. United States and each 

State, 1969 __--__----_----------------------------------------------------------- 34 

16 
---------------------------------------------------------------------------- 

LIST OF DETAILED TABLES-Con. . 

Table 18. 

19. 

20. 

21. 

22. 

23. 

24. 

25. 

26. 

27. 

28. 

. 

yu&er of full-time employees,bytype of hospital: United States and each State, 

Number of full-time and part-time hospital employees, by typeofhospital: United

Stat-s, 1969--------------------------------------------------~-----------------

Number of beds and beds per 1,000 population,bytype of hospital: United States, each region and State, 1969-----------------------------------------------------

Number of patients, admissions, and dischargesingeneral hospitals,bygeographic

region and State; and rates per 1,000 population, by region: United States, 1969--------------------------------------------------,---------~----------------

Number of patients, admissions, and discharges in specialty hospitals, by geo­ graphic region and State; and rates per 1,000 States, 1969-------------------------------------------------------------------- population, by regl'on: United 

Number of "other health facilities," by type. of facility: United States, each region and State, 1969----------------------------------------------------------

Number of residents in !'other health facilities," by type of facility: United 

States, each regiqn and State, 1969----------------------------------------------

Number of facilities and number of full-time and part-time employees and part- time hours in facilities for the mentally retarded and in all remaining'l'other health facilities," by type of .ownership and number of residents: United States, 1969-------------------------------------.---------------------------------------

Number of "other health facilities," by number of residents, and t-e of facility: United St-t-s, 1969--------------------------------------- type of ownership, 

Number of facilities for the mentally retarded, by programs offered, type of 

ownership, and number of residents: United States, 1969-------------------------

Number of "other health facilities," by type of facility and age and sex of the 

residents primarily served: Dnited States, 1969---------------------------------

Page 

35 

36 

37 

38 

39 

40 

41 

42 

43 

44 

45 

17 
----------------------------- 

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

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

3a122 

Table 1. Number of nursing homes, by primary type of service and bed size: United States, 1969 

Personal 

All Nursing care Personal Domiciliary Bed size homes care with care care 

nursing 

Number of nursing homes 

18,910 11,484 3,514 

163 

407

351 

380 

315

a24 

412 

233 

309 

;'7

'a 

3,792 120 

Less than 5 beds 679 81 407 28

5-g beds------------------------------------- 1,778 193 1,124 54 10-14 beds----------------------------------- 1,480 13 

15-19 beds ----------------------------------- 1,705 % :z 11 20-24 beds----------------------------------- 1,803 1,173 311 4 25-49 beds- 4,625 3,298 494 50-74 beds----------------------------------- 2,904 2,380 111 ? 

75-99 beds 1,627 1,365 100-199 beds--------------------------------- 1,933 1,592 i; 200-299 beds--------------------------------- 254 176 300-499 beds--------------------------------- 55 2 500 beas or more----------------------------- x; 21 

Table 2. Number of nursing homes and bedr by type of iFship and primary type of service: 

Unii id State !S, 191 I 

I 

500 

Type of ownership and 25-49 50-74 75 -99 100-199 200-299 300-499 beds 

primary type of service beds beds beds beds beds beds or 

more 

Number of nursing homes 

All types of owner- ship---------------- 18,910 117,445 4,625 2,904 1,627 1,933 254 93 29 

Nursing care---------------

Personal care with nursing- Personal care--------------

Domiciliary care-----------

11,484 2,597 3,298 3,514 1,616 824 

494

3 *:;i 110 9 

2,380 1,365 '1,592

412 233 309 

111 29 32 

1 

176 

75

3 

55 

37

1 

21 

8 

Government------------- 1,390 11 699 230 158 a2 131 40 30 20 

Nursing care---------------

Personal care with nursing- personal care--------------

Domiciliary care-----------

% 169: 

129 

506 421 i; 22 21 

103 52: zz 

%; 5 7 - -

33 

7 

21 

9 

14

6 

Proprietary------------ 14,470 116,174 3,611 2,130 1,174 1,265 95 20 1 

Nursing care---------------

Personal care with nursing- Personal care--------------

9,321 2,320 2,750 2,187 1,307 528 

2,879 2,470 321 

1,882 1,073 1,191 a7

% 14 f: 

ia 

2 

1 

Domiciliary care----------- 83 77 6 

Nonprofit-------------- 784 616 371 537 43 8 

Nursing car---------------- 419 395 236 306 

Personal care with nursing- 242 190 125 220

personal care-------------- 121 30 10 11 

Domiciliary care----------- :I 2 

-

1 
II 

5 

Table 3. Number of nursing homes and

-

beds, by primary type of service: United States and each 

State, 1969 - All homes Nursing care Personal care Personal cart 3 Domiciliary 

Area 

with nursing T . care 

Homes Beds Homes Beds Home2 Beds Homes Beds Home 

United States--- 18.91( 943,87( 5 704,2x 174,871 3,792 63,53: 121 1.253

Arizona---------------

Alabama---------------

Alaska---------------- 1

Ar~sas--------------

California------------, 

Colorado--------------, 

Connecticut-----------, 

Delaware--------------, 

District of Columbia-­ Florida---------------. 

Georgia---------------.

Hawaii----------------. 

Idaho-----------------. 

IllFnois-------------~ 

Indiana---------------. 

Iowa------------------. 

Kansas----------------. 

Kentucky--------------.

Louisiana-------------. 

line-----------------. 

MarJrl~+---------sm. 

Massac-nusetts---------- Michigan--------------.

Minnesota-------------. 

Mississippi------------

Missouri---------------

Montana----------------

Nebraska---------------

Nevada-----------------

New Hampshire--~------­

&w Jersey------------­ . New &xico-------------

New York---------------

North Caroliua---------

North Dakota-----------

Ohio-------------------

Okl&o,,,+-------------

Oregon-----------------

Pennsylvania-----------

Rhode Isl~d-----------

South Carolina---------

South Dakota----------- Tennessee--------------

Texas------------------

Utah-------------------

Vermont----------------

VirgFnia---------------

Wash~gton-------------

West Virginia---------- Wisconsin---r----------

Wyoming----------------

12,43j

104,,88! 

t

5 11,781

75,281 

65(

15,ost 1,2G 

7 

14,25; 286 

12,22( 

""l,$f ;;,;2’ 

a75: 

1,601

1,91! 690 

2 

1; 

2:36; 

23,131 

1,16i

,19,05( 2; 3,13; $2 34 

13,961

1,55; 

3,10E

56,506 

25,945 

13,226

1,037

2,791

38,595 

18,708 

455 

30t 

293 

13,076 

5,71c 

2i! 

9 

11,261 10,66: 471 5 i2r 

1st 

4,E 4,42; 3:: 14; 32 

29,561 123 3,;;; 36 

17,316 7 

f; 1,698

x: 6’ 5:839 89 79; 42 

2,031 252 

5,307 1% 

4,441 2% 10162 

4;845 1:;

12 

2:059 24.

536 212 11 

43 1,013 

165 

2: 202 

l% 

1: 92 2; 

17,630

2,012 ""13' 

47,788 250 

302 f~~3 , ’ 29

49,532 36,857 10,978 1,625 23,815 21,331 2,255 220 

14,204 10,176 2,810 1,207 

550,;;; 3;,9290; 10,340 1,750 

, , 1,301 651 

5,413 4,753 182 

5,774 3,953 10,829 8,504 3% 

53,615 

, 181 

2,696 2,004 21 

x2; 

2:542 

32 

28,146 23 

3,996' 4;s;;; 1,495 

1,226 

19 
Table 4. Number of full-time and part-time employees in nursing homes,

provided by home: United States and each State, 1969 by primary type of service 

Nursing care Personal care Personal care with nursing 

Area 

Full- Parttime time 

Number of employees 

United States---------------------- 365,065 112,402 62,062 22,341 16,098 6,998 

Alabama----------------------------------

Alaska-----------------------------------

Arizona----------------------------------

Arkansas---------------------------------

California-------------------------------

6,827 

2,5E

5,245

39,954 

759 212 40 

# I 

;I; 100 

254 123 

10,274 4,814 1,287 

56 

3i 

3,688 

6 

1; 

1,59; 

Colorado---------------------------------

Connecticut------------------------------

Delaware---------------------------------

District of Columbia---------------------

Florida----------------------------------

5,596

6,;;; 

794 

10,897 

1,533 159

4,093 2% 

132 263 421: 

323

1,7% 1,104 1% 

Georgia----------------------------------

Hawaii-----------------------------------

Idaho------------------------------------

Illinois---------------------------------

Indiana----------------------------------

7,417

599 

1,529

18,987 

1,014 190 

136 146 

513 145 

5,935 

123 

68 

1,06! 523 

, 

Iowa-------------------------------------

Kansas-----------------------------------

Kentucky---------------------------------

7,709

4,267

3,537 

2,597 

I% 

530 

314 

454 

“lo’; 104 

9,537 2,482 4%: 373 113 

Louisiana-------------------------------- 5,330 '138 Maine------------------------------------ 2,471 256 219 8; 

Maryland ------_----_--_-___-------------- 6,769 1,908 826 276 136 Massachusetts----------------------------

Minnesota--------------------------------

Mississippi------------------------------

16,611

9,371

2,020 

$,g;; 

'287 

2,001 

1,;;; 

593 

131;; 

401 

42 

Missouri---------------------------------

Montana----------------------------------

Nebraska---------------------------------

Nevada-----------------------------------

x: 

21688 

370 

2,131

336 

133:; 

2,281

116 

1,66n4 

573 

8;: 

233 

2:; 

New Hampshire---------------------------- 1,313 678 456 18': z 

New Jersey-------------------------------

New Mexico-------------------------------

New York---------------------------------

North Carolina---------------------------

North Dakota-----------------------------

10,484

1,350

30,050

4,345

1,455 

3,;;; 

8,967 806 

693 

1,312 

6,5!:

2,100

749 

“E 

2,158 610 

285 

'22 

1,512

868 

184 

315 

6:: 

407 

91 

Ohio-------------------------------------

Oklahoma--------------------------------- 17,742

9,471 5,458 4,;;; 1,;;; '2 

106 

13,477 10,697 1,882 1,360 725 

Michigan---------------------------------

Oregon----------------------------------- 4,847 :9:: 838 256 254 1:: 

Pennsylvania----------------------------- 20,891 6:358 3,957 1,308 195 &ode Island----------------------------- 1,507 858 467 257 E 73 

South Carolina--------------------------- 2,712 29 South Dakota----------------------------- 1,778 2% Tennessee--------------------------.----- 4,966 133 ‘35: Texas------------------------------------ 25,022 103 Utah-------------------------------------- 1,068 232' 20 

Vermont---------------------------------- 1,165 543 122

Virginia ----__-_----_---_-______________^ 4,520 841 956 251 2:: 1:; Washington------------------------------- 6,213 2,381 1,038 West Virginia---------------------------- 289 212 'E E Wisconsin-------------------------------- ix% 5,249 1,533 898 232 1680 Wyoming---------------------------------- '365 118 58 5 59 23 

#Data suppressed to comply with confidentiality requirements. 

20 
Table 5. Number of full-time employees in nursing homes, by primary type of service 

provided by home: United States and, each State, 1969 -

Personal care Nursing care Twith nursing Personal care 

Type of ownersh%p 

Homes Employees 

All types of ownership------------------- 3,514 16,119 

Government: 

Federal--------------------- 22 316 18 584 28 94 

State or local-------------d 524 32,440 298 5,994 478 Z,690 

9,321 262,556 2,187 23,564 2,879 10,845 

Nonprofit: 

Church---------------------- 559 22,735 383 14,842 92 825 

Other----------------------- 1,058 47,018 628 17,078 315 2,665 

21 
--------------------------- 

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

Table 6. Numberof full-time RN's and LPN'sin nursing homes, by primary typeof service provided by home: 

United States and each State, 1969 - - . 

Personal care Personal care 

Area T Nursing care TI 

with nursing 

RN’S LPN's RN’S LPN’s RN’S LPN's 

United States------------------~---------

Alal;ama----------------------------------------

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 -------__---------------------------

Missouri---------------------------------------

Montana----------------------------------------

Nebraska---------------------------------------

Nevada-----------------------------------------

New Hampshire----------------------------------

New Jersey-------------------------------------

New Mexico-------------------------------------

New York---------------------------------------

North Carolina---------------------------------

North Dakota-----------------------------------

Ohio-------------------------------------------

Oklahoma---------------------------------------

Oregon-----------------------------------------

Pennsylvania-----------------------------------

F&ode Island-----------------------------------

South Carolina---------------------------------

South Dakota-----------------------------------

Tennessee--------------------------------------

Texas------------------------------------------

Utah-------------------------------------------

Vermont----------------------------------------

Virginia---------------------------------------

Washington-------------------------------------

West Virginia----------------------------------

Wisconsin--------------------------------------

Wyoming----------------------------------------

29,952 39,627 637 1,513 

313 916 2 4 - m 

6:: 33: 1 2 

236 435 -

3,256 3,486 119 347 

497 

1,125 ;:2' 262' 

iii #

:A 1:x 6 22 

1,037 1,137 12 16 

E 

225 

418 

233 

566 697

2,391 Et;

'829 1,;:; 

ho;; 

115 224 

::4 

795 

131 

13 

2 

182 

"Z f 

1% 150 3 

1,276 36 

2,;$ 128 

107 

151 *. ., 

2,423 650 

307 

11 

i 20' 

3,511

224 

65 

7 

107 

24 

237 303 7 

172 

268 

125 

561 9” 

3,607 27 

134 7 

145 151 

293 

701 ";x";

144 

8% 661 

31 41 

#Data suppressed to comply with confidentiality requirements. 

22 
----------------------------------------- 

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

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

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

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

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

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

Table 7. Number of residents in nursing homes, by primary type of service United States and each 

State, 1969 

Domil All Nursing Area ciliary homes care care 

Number of residents 

United States------------------------ 849,775 634,747 158,327 55,625 1,076 

Alabama "'T""""""""'-----------------------

Alaska ------i------------------------------------ 10,375 9,~;; 463 109

13c AriZona--------------r---------------------------- 4,427 3,983 3% 11; 31 Arkansas----------------------------------------- 11,214 10,671 543 -

California ------------------L-------------------- 91,373 65,494 12,966 12,664 24; 

Colorado----------------------------------------- 11,274 9,568 1,483 223 Connecticut-------------------------------------- 1;3;; 12,873 1,769 921 12 Delaware----------------------------------------- 698 578 

District of Columbia --_-----L----_--------------- 2;031 1,077 734 2;; Florida------------------------------------------ 19,544 15,902 2,838 772 3; 

Georgia------------------------------------------ 1;,;;1 12,329 406 262 Hawaii------------------------------------------- 991 287 206 Idaho-------------------------------------------- 2:825 2,539 263 

Illinois 50,817 34,861 11,787 yi; Indiana 21,916 15,778 4,955 3

Iowa---------------------------------------------

Kansas------------------------------------------- I: %i 1;,;;; 8,246 2,;;; 6,731 Kentucky----------------------------------------- 11;682 $633 4,503 1,546 Louisiana---------------------------------------- 1;,;;; 1;s;;; 224 Maine-------------------------------------------- , , 631 71i 

Maryland--------+ !\ 10,661 1,869 227 Massachusetts--~-------------------------------- xz 28,935 4,902 1; Michigan Minnesota----------------------------;----------- 31;185 

t%: 

1'51:; 

Mississippi-------------------------------------- y;; , x:: 

3:097 '423 

1:902 E 

17.7 9 

~ssouri-----------------------------------------

Montana------------------------------------------ 23,997 1;,;2 5,682 892 

2,79a 382 145 Nebraska----------------------------------------- 11,639 6;695 4,273 659 i; Nevada------------------------------------------- 708 575 109

New Hampshire -----c----_---------___________c____ 3,533 2,566 828; 73 9' 

New Jersey --------L------------------------------ 22,322 y,;g$ 3,075 96 New Mexico-------------L------------------------- 1,952 150 New York----------------------------------------- 63,754 44:343 10; North Carolina----------------------------------- 16,166 7,354 North Dakota------------------------------------- 5,258 2,478 xt;

'880 2 

-*....- 33,492 9,890 1,355 56

Oklahoma _---------------------------------------- 18,339 1,917 147

Oregon ------------------------------------------- 9,164 2,591 1,113 1: Pennsylvania------------------------------------- 3;,;;; 9,584 1,373 66

Rhode Island , 1,211 599 

South Carolina---------------T-------------------- 438 139

South Dakota f;% 1,234 305 Tennessee---------------------------------------- 71396 1,853 291 Texas-------------------------------------------- 4;,;;; 1,280 Utah--------------------------------------------- , x;3 157 

Vermont-------------------------------------------- 1,901 340 275 Virginia 6,468 2,288 951 Washington--------------------------------------T 12,561 2,913 West Virginia------------------------------------ 1,637 538 3:: Wisconsin---------------------------------------- 20,496 4,;;; 834 Wyoming------------------------------------------ 696 179 

23 
Table 8. Number of nursing homes,by bed size: United States, each region and State,1969 

I, I I I I , I I I 

Less 1,000 All than 25-49 50-74 75-99 100-199 200-299 300-499 500-999 beds Area sizes beds beds beds beds beds beds beds or 

United States----

Northeast----------

Connecticut------------

Maine------------------

Massachusetts----------

New Hampshire---------- New Jersey-------------

New york--'i------------

Pennsylvania-----------

Rhode Island-----------

Vermont----------------

North Central------

Illinois---------------

Indiana----------------

Iowa-------------------

Kansas-----------------

Michigan---------------

Minnesota--------------

Missouri---------------

Nebraska---------------

North Dakota----------- Ohio-------------------

South Dakota-----------

Wisconsin--------------

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

Alabama----------------

Arkansas---------------

Delaware---------------

District of Columbia--- Florida----------------

Georgia-----.----------

Kentucky---------------

Louisiana--------------

Maryland ------w---b----

Mississippi------------

North Carolina--------- Oklahoma---------------

South Carolina--------- Tennessee--------------

Texas------------------

Virginia---------------

West Virginia----------

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

Alaska-----------------

Arizona----------------

California-------------

Colorado---------------

Hawaii-----------------

Idaho------------------

Montana----------------

Nevada-----------------

New Mexico------------­ ~~~~~~~-~~~~.---- -----c-------------

Washington-------------

Wyoming---------------­

b%s more 

Number of nursing homes 

4,625 1,627 254 

282 28 

47 

15 

116 

i

1

.- s': 

101 1: 

113 7 

24 

8 

6,117 11 2,135 1,676 662 85 

329 6 

151 

: 

14: 2 

129 

56 

1;: .4 

4; 

4

3;;

127 t 

4,560 /( 1,529 56 

176 22 

191 

E 

9": 73

322 

215 :i 

295 110 

2% 13 

99 370 

770 551 

"9": 27: 

216 

LZ 

E 140 

62 27 

4,043 !! 2,110 

8 

167 2; 

4;

7 

? 

25 

i 

206 

4; 7 

-

24 
- --- -- --- ---- 

---- 

Table 9. Number of nursing care homes, by bed size: United States, each region and State, 1969 

Less 1,000 All than 25-45 50-74 75-99 liCl;i99 2iNl;f99 3~Nld~99 

5~",J~99 beds Area sizes beds beds beds or bf:s more 

Nmber of nursing care ‘homes 

United States---- 11,484 2,38( 

Northeast---------- 2,555 835 361 

Cozmecticut-----------.

Maine------------------

Massachusetts----------

New Hampshire---------- New Jersey------------ New York---------------

Pennsylvania-----------

Rhode Island-----------

Vermont----------------

North Central------

Illinois---------------

Indiana----------------

Iowa-------------------

Kas as ---­ &f-&~g~-------------

Minnesota--------------

Missouri---------------

Nebraska------- ________ North Dakota----------- Ohio-------------------

South Dakota----------- Wisconsin--------------

i

1 

zi 

.2 

215 1

115 ­

zi

381 

2% i

296 

301 

'2: 

826 

3;: 

5927 

110 

23 

2$ 

86 

831 South mm__ --_----___ 3,131 . 

Alabama----------------

Arkansas---------------

Delaware---------------

District of Columbia--- Florida- -_..- _______ Georgia----------------

KenfUFky---------------

Lou~slana--------------

Maryland---------------

Mississippi------------

North Carolina--------- Oklahoma-----------'---

South Carolina--------- Tennessee--------------

Texas------------------

Virginia---------------

West Virginia---------G 

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

Alaska-----------------

Arizona----------------

California-------------

Colorado---------------

Hawaii-----------------

Idaho------------------

Montana----------------

Nevada-----------------

New Mexico-------------

Oregon-----------------

Utah------------------~ 

Washington-------------

Wyo,ing-----,,L,,,,,,,­

: i

195 

21 

5" 

11 

; 

3: 

'2 

25 
- -:---- Table 10. Number of personal care with nursing homes, by bed size: United States, each 'region and

State. 1969 

1,000 

Area 300-499 500-999 beds 

beds beds or 

more I 

United States----

Northeast-------t--

Connecticut------------

Maine------------------

Massachusetts----------

New Hampshire---------- New Jersey-----------

New y,,,-k---m--------

Pennsylvania-----L----­ fio& Island--------

Vermont----------------

North Central------

Illinois---------------

Indiana----------------

Iowa-------------------

Kansas-----------------

Michigan---------------

Minnesota--------------

Missouri---------------

Nebraska---------------

North Dakota----------- Ohio-------------------

South Dakota----------- Wisconsin--------------

3,514 

749 

900 

I 79 

163 

188 

J i5" 

110 

102 

2;: 

1:: 

south ---m--m --m-w-- 761 

Alabama -m---m---- ----mm 

Arkansas ----m-m a-------

Delaware---------------

District of Columbia--- Florida -w---m---m----mGeorgia----------------

Kentucky---------------

ILouisiana--------------

Maryland---------T-----

Mississippi------------

North Carolina--------- Oklahoma---------------

South Carolina--------- Tennessee--------------

Texas------------------

Virginia---------------

West Virginia---------­

west--;------------ 649 

Number of personal care with nursing homes 

824 412 233 309 37 

184 97 51 86 19 5 

8 3 

14 

5 

8 

2 

Ei g 18 

1 

z 

130 36 

27 13 

2. 

2: 

6 i 

2 

; f 

; 

2: ii 

1 

9 i 

51 

42 

w 

i 

Alaska-----------------

Arizona----------------

California-------------

Colorado---------------

Hawaii-----------------

Idaho-------m----- ---mm 

Montana----------------

Nevada-----------------

New M~ico-------------

Oregon-----------------

Utah------------------­

washingt,,n-------------

Wyoming----------------

302 18 21 

3 8 

2: 

:: i 

19 1 1 

4 

5 i 

i 

% 5" 

13 5 i 

1 1 

26 
-- - - -- -- -- -- - -- --- - - - 

Table 11. Nmber of personal care homes, by'bed size: United States, each region and State, 1969 

Less 

All than 25-49 50-74 75-99 Area sizes beds beds beds 

b% 

United States--------- T3,79: -3,122 

Nmber of personal care homes 

494 111 3 1 

Northeast--------------- 85t 671 22 1 

Connecticut-----------------

Maine----------------------- 1 

Massachusetts---------------

New Hampshire--------------- ; 

NW Jersey------------------

New York--------------------

4 

10 

i 

Pe~sylvania----------------

Rhode Island----- __________ 4 

1 

Vermont---------------------

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

Illinois--------------------

Indiana---------------------

Iowa------------------------

Kansas----------------------

Michigan-------------------­

~~esota-------------------

Missouri--------------------

Nebraska--------------------

North Dakota----------------

Ohio------------------------

South Dakota----------------

Wisconsin-------------------

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

Alabama---------------------

Arkansas--------------------

Delaware--------------------

District of Columbia--------

Florida--------------------­ - -_-----------------_- ~~~~-------------------_ 

Louisiana-l------------------

Maryland-------------------­

~ssissippi-----------------

North Carolina--------------

Oklahoma--------------------

South Carolina-------------­

.Tennessee-------------------

Texas-----------------------

Virginia--------------------

West Virginia---------------

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

Alaska----------------------

Arizona---------------------

California------------------

Colorado--------------------

Hawaii----------------------

Idaho-----------------------

Montana---------------------

Nevada-----;----------------

New Mexico-----------------­

.Oregon----------------------

Utah------------------------

Washington-----------------­

wyom-ing 

641 50 

10 

1: 

1 . - 2 

:: r -

z! 

1 

643 12 1 1 

5 

; 

f S i 

13 

62 

i 

1.407 1,286 27 

7 3 

,214 1,124 53 2; 

1 

3; 358 ? 

1: 

6 

1; 

5 

i 

:: i - 2 51: 9 2' 

1: 2 i

9 3 

27 
----------- 

---------- 

Table 12. Number of domiciliary care homes, by bed 

size: United States, each region and State, 1969 

Less 

All than 25-49 5Y$4 Area sizes 25 beds 

beds 

Number of domiciliary 

care homes 

United States- 120 110 

Northeast-------

Connec'ticut--------- Maine---------------

Massachusetts-------

New Hampshire------- New .Jersey---------- New York------------

Pennsylvania--------

Rhode Island-------- Ve~ont-------------

North Central---

Illinois------------

Indiana-------------

IJpJa-----------

K~sas-------------­

; fi&ig~-----------­

i@*nesota

~sso~i------------

N&,ra&a------

North Dakota-------- Ohio----------------

South Dakota-------- Wisco~s-j*----------­

south--------

Alabama ;,-

Arkas as ---mm ---w-mDelaware------------

District of Col~bia-----------

Florida-------------

Georgia----..--------

Kentu,-ky-------

Louisiana-----------

Maryla&-------

Mississippi---------

North'Carolina------ Oklahoma-----------

South Carolina------ Te~essee-------

Texas-------------

Virgi*ia------------

West Virginia------­

west---------

Alaska -v------e- --mm 

Arizona-------------

C&jfo~ia----------

Colorado---------

Hawaii--------------

Idaho----------

Mont~a-----------

Nevada----------

New M~ico----------

Oregon---------

Utah------------

Washington----------

Wy~ing-------..----­

30 26 

2 2 

s z 

5' % 

9 

; 

; 2' 

21 17 

25 25 

; 

i i 

i i 

13 13 

1 1 

i 

i 

z 3 

44 42 

i 

39 38 

i 

; 

1 

1 

i -

i 

.l 

2S 
-- 

Table 13. Number of nursing

- homes and beds,by primary type of service: United States, each region and 

State, 1969 - -

1 All homes Nursing care Personal care Personal care lomiciliary

with nursing care 

Area 

Homes Homes Beds 1,,,,I. 1iiiq-z Somes Beds 

United States--- 18,910 343,876 11,484 704,217 i 3,514 174,874 

T

3,792 53,532 120 1,253

Northeast--------- 4,190 218,842 2,555 161,037 749 40,717 856 L6,68i 30 407 

Connecticut----------- 331 16,764 224 13,819 

259 

1,915 % 1,018 2 

Maine----------------- 5,839 133 4,280 724 793 7 i;

Massachusetts--------- '9:; 608 31,486 144 149 2,869 

New Hampshire--------- 127 2,834 35 %% i 2 

New Jersey--------- 505 2:: 17,630 4:155 1;; 3,5:2 5 115 

New York----------- 1,;;; 2:; 15,588 250 5,607 113 

Pennsylvania---------- zz m 1,750 ; 69

3:293 7: 1p;fg Rhode Island---------- 162 :s 651

Vermont--------------- 103 ;; 2,004 17 >354 22 317 2' 2; 

North Central----- 6,li7 322,605 3,855 227,965 1,355 74,946 886 L9,373 21 321 

Illinois-------------- 1,000 591 38,595 200 13,076 4,814 21 

Indiana--------------- 476 346 18,708 1,518 

Iowa------------------ 678 1:: 59'::: 3,058 3: 

Kansas -_------------ 431 23: 188 7:348 899 

Michigan--------------

iit ;,g; 1,296 10: 

fi~esota------------- 542931 iii 24 

Missouri-------------- 301 110 6:108 P'E 

Nebraska-------------- 4% 1:,;;; 124 102 4,763 '734 

North Dakota---------- 2,070 979 2 

Ohio ---.-------------- - l,l%

130 

49 :532 8% 2% 10,978 1,625 72 

South Dakota---------- 5,774 1,427 394 

Wisconsin------------- 456 28,146 3:: . 1;: 4,992 984 2; 

south---------- 4,560 232,090 3,131 188,574 761 33,272 10,071 25 173 

Alabama---------,------ 176 11,265 . 161 10,663 124 Arkansas-------------- 12,431 181 11,781 %I Delaware-------------- % 1,390 759 

E 

592 

District of Columbia-- 2,367 %; 1,166 858 32: 

Florida---------------

Georgia--------------- 3;; 259 19,050 3s;;; 917 i ,34. 

Kentucky--------------

Louisiana-------------

Maryland--------------

Mississippi-----------

North Carolina-----l--

Oklahoma--------------

South Carolina--------

Tennessee-------------

Texas-----------------

Virginia--------------

West Virginia--------­

west-----..-------

Alaska----------------

Arizona---------------

California------------

Colorado--------------

Hawaii---------.-------

Idaho----------------­

/ Montana---------------

Nevada----------------

New M~ico------------

Oregon----------------

Utah------------------

Washington----;-------

Wyoming--------------­

. 

215 :x36; 188 13,226 14 282 

295 13:062 125 6,445 108 4,;;; 1,698 

184 11,740 177 11,469 6 i 6'

230 14,025 188 2,031 25; 1;,;g 4,182 If 536 212 

7;: 1;: 8:442 6,499 2,780 131 :i 

421 wz 364 21,331 2i30 2,255 220 1 

51413 4,753 7 478 182 

900 

262 

62 

53,615 

1;,;2; , % 

47,105 

6,946 

1,769 

1% 

46 

14 

5,002 

2,g 

1,495 

1,092 

90 

3 32 

4,043 170.,339 1,943 126,641 649 25,939 17,407 44 352 

4 192 3 158 34 

2,8::: 

4,929

104,885 l,Z 

4,427 

75,287 '15 E 

140 

14a; 

i 

39 

2:: 10,829 ;g 8,504 1,970 345 

3 

i is 

12,220 141 10,374 11604 

'E 1,557 1,037 306 214 

3,108 $ 291 

. ";; 3,014 2% 429 1:; 

864 '718 120 

5": 2,417 ;39 2,012 1% 230 

282 14,204 172 10,176 1,207 

128 3,996 63 2,275 2% 181 

1;,;;; 191 14,;;; 3:146 

"Z 2 14 195 E5' 

29 
Table 14. Number of hospitals, beds, patients, admissions, outpatient visits, and discharges, by type of hospital: United States, 1969 

Type of hospital Hospitals Beds Patients Admissions 

out - patient Disvisits charges 

All hospitals-------- 7,776 1,563,626 1,266,740 31,689,716 182,055,096 31,810,342 

General-------------------- 6,482 977,380 770,791 30,453,667 169,461,583 30,558,390 

Specialty------------------ 1,294 586,246 495 ) 949 1,236,049 12,593,513 1,251,952 

Psychiatric-------------- 497 475,153 412,652 598,961 3,485,427 610,882 

Tuberculosis------------- 114 20,962 13,746 37,663 773,216 39,186 

. . Gerlatrlc---------------- 99 20,518 18,232 20,567 438,846 19,843 

Chronic disease---------- 73 19,250 15,981 25,772 462,747 25,462 

Eye, ear, nose, throat--- 32 1,682 1,093 89,226 586,611 85,937 

Other-------------------- 479 48,681 34,245 463,860 6,846,666 470,642 

30 
Table 15. Number of hospitals,by type of ownem&p,type of hospital, and bed size: United States 

Less 500 All than 25-49 50-74 75-99 100-199 200-299 100-499 beds sizes 

b::s 

>eds beds )eds beds beds beds or more 

Type of ownership and 

type of hospital 

All types of o~ership--------­

&ve-ent-----------

General-----------------­

psychiatric--------------

Tuberculosis------------- Geriatric----------------

Chronic disease----------

Eye, ear, nose, throat--- Other--------------------

Proprietary----------

General-----------------­

psychiatric--------------

Tuberculosis-------------

Geriatric----------------

Chronic disease----------

Eye, ear, nose, throat--- Other--------------------

Nonprofit------------

General-----------------­

psychiatric--------------

Tuberculosisr------------

Geriatric----------------

Chronic disease----------

Eye, ear, nose, throat--- Other--;----------------­

7,776 713 1,733 ,097 733 

2,752 225 659 407 227 

2,056 190 

."4' 35z 185 

319 

2: 

1,547 715 671 567 

431 187 204 412 

121 

% 

140 

58 

146

225 c 

11 ; 

4 

6 1;

9 

30 1; 9' 1; 

151 26 6 

125 22 6 

22 2 

‘t: 

106 4 10 14

1 4 

4;; 1 3 

18: 31 4; 22 

1,115 274 366 176 

901 205 307 145 

85 8 25 

7 

3,: 4 1; 6 

i

622 22 13 5

; 

3,909 214 708 514 

3,525 157 605 

93 7 21 

7 

22; 2

; 

4

"; 

231 451 72 42 

1: 

5 

i 

15 

116 

2 

9 i ; 1 3 

2 

390 965 502 461 155 

146 3k: 892T 48z 454 

3 2

1 ; 4 2 

; _.5 5 24 

291 35 -; 2 i 

31 
-- 

Table 16. Number of general and specialty hospitals and number of b# ;9in these hospitals, by type.of hospital: United States and each State, - -.. ,, I II All hospitals II General Psychiatric TTuberculosis 

Area 

Hospitals Beds Hospitals Beds Xospitals Beds Hospitals Beds 

United States------------- 7,776 1,563,626 6,482 977.380 497 475,153 114 20,962 

Alabama-----------.--------------

Alaska--------------------------

Arizona-------------------------

Arkansas------------------------

California----------------------

145 

30 

180: 

693 

27,074

1,873 

9,997

11,148

124,810 

129 

8’; 

5:; 

1;‘;;; 

8:598 

9,769

87,969 

9,112

225 

1,219 

777 

26,687 

1,125 

160 

2";: 

Colorado------------------------ 17,950 13,758 2,839 Connecticut--------------------- 22 20,898 11,796 Delaware------------------------ 4,618 2,222 I% District of Columbia------------ 214 15,059 8,054 5:930 Florida------------------------- 218 31,236 

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

43,996 11,373 99i 

195 34,055 172 20,624 12,259 440 

5,243 22 3,219 687 350 

532 3,873 2,948 681 

316 88,599 2:: 26,714 1,;;; 137 33,941 115 x95:, 10,975 

156 141 16,346 3,354 400 

171 zx% 157 13,463 4,134

138 21;370 117 14,044 5,036 9%

165 2,511 150 17,205

72 9,088 64 5,799 5% , ‘2

29,042 14,514 11,171 565 

282; 58,761 1253 27,076 20,785 209 

64,481 240 18,716

2 29,308 186 4x67; ,626267

130 17,612 119 101861 i?:~~ , 377

183 3;s;;; 24,721 9,419

4,396 170 

1;; 13:051 

2,802 ‘2% 2.g 132 

z: 6,202 3:230 2,322 7; 

152 106 2y;i 20,230 

792 % 

1;;; 3:: 88:079 500 

147 21,070 x~: 1,160

67 64 4,404 1:353 

273 74,162 46;762 233352:; 1,486

168 17,028 ::t 1;s;;: 520 

12,935 3:402 

3:; 109,678 2682 66”::;; 3;s;;; 1,13;

25 8,743 19 , , 

94 18,843 6851 1;,:;; 62)z 109 

640 

6,539

16797 30,928 152 19:898 9;060 265 

616 75,376 5t,gz 14,286 1,625

46 5,215 ‘tz , 608 

3,804 2,194 1,552

1% 36,118 20,208 y,g; 6:;

139 19,264 14,037 380 

16,626 10,413 5:025 594 

29197 38,099 23,751 12,112 528 

34 3,779 2,041 1,040 

52 
--------------------------- 

Table 16. Number of general and specialty hospitals and nuniber of beds in these hospitals, by type of 

hospital: United States and each State, 1969-Con. - -.__ . . . 

Geriatric T Chronic Eye, e=, Other disease nose, throat

Area 

Hospi- Beds Hospi- Beds Xospi- Beds Hospi- Beds tals tals tals tals. 

United States---------------- 99 20,518 73 19,250 32 1,682 479 48,681 

Alabama----------------------------

Alaska-----------------------------

Arizona-----------------------------

303 

12 

Arkansas--------------------;-------

California------------------------- 2: 

11;;

2,989 36; 

12: 

6,465 

Colorado---------------------------

Connecticut-----------------L-------

Delaware--------------------------- 29;

259 

72: . - 12 

10 1,301

852 

District of Columbia--------------- 842 'ii : 2'; Florida---------------------------- 9 397 

Georgia----------------------------

Hawaii----------------------------- i 146 !i 25751 

2 104 12 

Idaho------------------------------ 4 z67 

200 Illinois---------------------------- i 33; ; 13; 12 879 Indiana---------------------------- 1 'ii 1

; 

127 5 1,194 

Iowa-------------------------------

Kansas----------------------------- i 24 i 15; Kentucky--------------------------; ­ ~Louisiana-------------------------- i 1 1oi Maine------------------------------- 3 'ZX i 13; 

upland--------------------------- 267 1,089 Massachusetts---------------------- : 1,535 19" 4,:;; i 186 1,436 

Michigan Minnesota-------------------------- 10 967 2 faZg'

'353 

Mississippi------------------------ ; 6; i s' 113 

Missouri---------------------------

Montana----------------------------

230 

:. 

1,005

228 

12 2,7;; 

Nebraska--------------------------- 253 61 615 Nevada-----------------------------

New Hampshire---------------------- 45i z 1:; 

New Jersey-------------------------

New Mexico-------------------------

New York---------------------------

North Carolina---------------------

780 

330

3,250 

4 

9' 

1 

649 . -

593;; 548 

90 

23 

5 

25 

1,427 ' 

192 z 

5,666 

North Dakota----------------------- 2 29' 

Ohio-------------------------------

Oklahoma---------------------------

8 by; 292 7 12 900 

Oregon-----------------------------

Pennsylvania-----------------------

Rhode Island-----------------------

z 

6 

168 

2,598 18;

937 19; 

i 

32 

2 

2: 

3,697 272 

South Carolina--------------------- 1 41 38 12 5 South Dakota----------------------- 1 Tennessee-------------------------- 48; Texas------------'----------------- i 1,88S ii t: Utah------------------------------- 1 !1 1 

Vermont----------------------------

Virginia--------------------------- -i 6; 11; 1; 44:. 

Washington------------------------- 10 322 West Virginia---------------------- ; 488 :2 64 Wisconsin-------------------------- 749 2 347 612 

Wyoming---------------------------- : 48 650 

33 
Table 17. Number of admissions to hospitals, by type of hospital: United States and each State, 1969 

II I II I I I I I 

Area ho spitals General Specialty Psychi- Tuber- Geriat- .Chronic __Eyes ear, Other All _ WXe, atric Eis ric disease throat 

Number of admissions 

United States------ ,689,716 30,453,667 L,236,049 598,961 37,662 20,567 25,772 89,226 463,860 

Alabama----------,-------

Alaska-------------------

Arizona------------------

Arkansas-----------------

California---------------

5;52>;;; 

283:778 

325,386

,924,275 

5;;>;;; 

279:090 

319,538

2,808,151 

14,311 6,779 1,526 428 334 

4,688 30;

5,848 9% 5oc 1,328 116,124 561834 1,416 4,317 

24 

200 

-

6,006 

62 

1,179

53,357 

Colorado-----------------

Connecticut--------------

Delaware-----------------

District of Colmbia----- Florida------------------

4x;

73:433 

206,978

,025,114 

433,687

373,733

70,541

192,315 1,006,645 

16,313 10,971 119 

25,;;; y,g 44;

120 

141663 4:355 

1,73e 

259

18,469 10,424 

1,oos 262 

107 

5,223 

x;:: 

;I;;:

2 

Georgia------------------

Hawaii-------------------

Idaho--------------------

Illinois-----------------

Indiana------------------

758,111

101,411

111,130 

,;;;>;;; , 

724,232

91,346

108,499

1,669,626

721,932 

:x~~ 16,106 1,212 

2:631 KE "i 14; 

56,152 351343 3,;;; 12,461 6,985 1;;

756 

196 

1,122

312 

8,222-

4,158 

7,583

8,142

1,524

11,559

4,364 

Iowa---------------------

Kansas-------------------

Kentucky-----------------

Louisiana----------------

Maine--------------------

509,997

411,121

576,005 

z: :E, 

497,795

399,849

554,807

598,865

162,471 

12,202 1,088 11,27.2 241 86

21,198 2,083 22,687 176 

3,364 :z 610 

820 

274 2,493 

4,413 

2% 

lo:016 

Maryland-----------------

Massachusetts------------

Michigan-----------------

Minnesota----------------

Mississippi--------------

%'E 

,352:853

668,652

371,977 

423,449

790,099

1,313,621

653,235

363,924 

30,619 19,996 1,047 99,292 24,517 455 1,9467 20,203 1,529 857

2x:: 11,955 81053 5,196 2% -

911 

5,851

323 

64 

11,169 

11; 

8,599 

12% 

31042 

2,099 

Missouri----------------- 809,629 781,865 27,;;; 14,746 1,851 10,613 Montana------------------ 141,802 140,926 3;: 2: - 134 Nebraska----------------- 2;;,;5857 264,988 7,199 2,;;97 284 4,270 Nevada------------------- 75,027 2,628 1,779 New Hmpshir------------- 1081627 103,886 4,741 2,384 a; 13; 2,133 

N&w Jersey --~~~-~-~-~~-~- 904,241 857,945 19,876 1,022 639 711 24,048 NW Mexico--------------- 165,088 160,601 1,617 275 294 2,301 )&, York----------------- ,520,529 2,363,870 62,563 802 1,491 6,379 28,49; 52,;;; North Carolina----------- 771,736 739,514 y; > 3,341 404 5,740 North Dakota------------- 136,536 134,008 '348

Ohio--------------------- ,570,656 46,936 29,924 1,856 825 566 870 12,895 Oklahoma----------------- 462,010 15,765 9,153 649 301 5,662 Oregon------------------- 320,187 11,975 7,914 374 16; 3,526 Pennsylvania------------- ,815,236 61,642 24,917 1,654 1,211 1,026 11,548- $$f a,,& Island--------- 131,923 15,978 5,397 , 

South Carolina----------- 385,495 14,724 1,z; 506 762 995 5,828; South Dakota------------- 128,378 3,923 Tennessee---------------- 710,910 Texas-------------------- ,926,653 2% 

741 17; 2,21; 11,428 

"tab --__ __-_----- _-- _- ___ 162,760 1:124 1,927 1,219 2,313 32,555 59 273 

Vermont------------------ 73,106 71,502 1,604 1,451 130 Virginia----------------- 655,366 622,349 33,017 18,132 BE 22; Washington--------------- 541,087 526,763 14,324 8,036 735 m West Virgi*ia------------ 341,246 10,181 5,335 414 84; 1:423 Wisconsin---------------- :i: G3: 713,537 30,394 2;s;; 1,490 56; 1,615 6,150 Wyoming------------------ 661239 64,020 2,219 > 18 620 

34 

i 
Table 18. Number of full-time employeewby type of hospital: United States and each State. 1969 

All Area hospitals General Specialty psychiatric 

'Et-rlosis q&-@$z

Number of full-time employees 

United States-----. 

Al&~a------------ ---F-. 

Alaska------------------. 

Arizona-----------------. 

Arkansas----------------. 

California--------------. 

Colorado----------------. 

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

Delaware----------------. 

District of Columbia----. Florida-----------------. 

Georgia------------------

Hawaii------------------. 

Idaho-------------------. 

Illinois-----------------

Indiana------------------

Iowa---------------------

I(ansas-------------------

Kentucky----------------.

Louisiana---------------. 

Maine-------------------. 

~=yland----------------.

Massachusetts------------

Michigan-----------------

MiMesota----------------

Mississippi--------------

Missouri-----------------

Montana-----------------­

.Nebraska-----------------

Nevada-------------------

New Hampshire------------

New Jersev--------------- New Mexico---------------

New York-----------------

North Carolina----------- North Dakota-------------

Ohio---------------------

Oklahoma-----------------

Oregon-------------------

P-Sylvania------------­

p&,& Island-------

South Carolina----------- South Dakota-------------

Tennessee----------------

Texas--------------------

Utah---------------------

Vermont------------------

Virginia-----------------

Washington---------------

West Virginia------------

Wisconsin----------------

WyOn;ing-----------------­

is “E ;g,;;; x5 

1981187 - 171:52C 26:667 

30,396 %%% 2% 

6:396 11723 

22,212 5,053 . 69,348 7,043 

4;,g 4;>;;: 1% 

5:062 4:4oa '662 

129,176 20,031 45,773 yg , 7,176 

24,526 3,443 . g>;;; 4,341

4,921 

2,270,595 .X,888,636 381,959 266,885 18,263 14,846 19,707 3,550 58,708 

36,770 32,411 4,359 i,996 963 

1s . - 400 2,683 2,405 278 230 

883 15; - 28

806 353 i3i 133

15,954 340 1,993 28; 8,091 

3,714 55 

5,;;; 648 736 x:

521 '238

4,013 z61 118 386

5,588 70; 748 

4,188 192 608

428 16; 2:; 433

483 105

16,391 26; 276 1,;;; 5,896 4f 143 

2,807 344 - 292 

3,913 7;; 15; 182 

897 x:i 214 160 978

1:204 77 126 

7,225 '1,132 2,648 

10,424

3,494

1,973 

735 

196 

400 

314 

3; 

-

b 

2,420 

2: 

7,732 

2,13;

322 

220 

125 

1 

7; 

617 

190 2,160 

1,OfZ 

1,016 74 20; i5 

10,865 629 

44,985 

5,;;; 

645 

148 

586 

972 

464 

280 

3,469 

905 

7,gj 1,360 192 

1,487

177

10,355

704 

305 

11,452 1,;;; 646 267 6 

2J:il 

211018 

1,277 88; 

24 

1,382 18;

587 339 

429 31 29 7 287 

13,460 1!E 3,756 606 4,399 

324 35; 1,71:: 960 76;; 673 338:; 

990 

7,031 g 14; 3,078

2,297 214 535 ii:

6,;;; 447 124 

35 

32:492 

9,279 4%: I 

32,620 11,661

24,325 

1;>;;; 

2:549 

4;,30;; 10,510

424 

13:951 .3,393 4,006 378 

5,453 1,364 

14,366

1,234

68,675

7,214

1,021 

96,332 15,020

24,489 2,750 15,247 2,471 120,296 28,258 10,479 1,840 

40:374 1;;; 2,882

1,387

6,930 105,631 13,243

8,010 496 

1,032

8,156 

4% 

8'206 

1:260 

68,092

10,439

268,061 

4;,;;g3 

111,352 

f3 % 

1481554 

12,319 

22,415

6,940

47,304

118,874

8,506 

5,542

48,997 
------------------------------------ 

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

Table 19. Number of full-time and part-time hospital employees, by type of hospital: United States, 1969 

All General Specialty Type of employee hospitals hospitals hospitals 

All employees 

Full-time 2,270,595 1,888,636 381,959 

Part-time --__----_-___--__-_----------------- 496,003 463,725 32,278 ' 

Physicians 

Full-time ___-_____--___------________________ 34,037 25,591 8,446 

Part-time -_____-_--_-------__---------------- 14,375 9,934 4,441 

Dentists 

Full-time -------_-__-_--_--_----------------- 3,602 2,962 640 

Part-time -___--____-_--___---________________ 1,003 503 500 

Interns 

Full-time __-______----_----_----------------- 49,159 46,237 2,922 

Part-time _---__--___-_--_-------------------- 2,659 2;419 240 

Other trainees 

Full-time --___------_---_-------------------- 36,925 33,113 3,812 

Part-time __--_-____---_---------------------- 7,444 6,534 910 

RN’S 

Full-time __----__-__-_3-_-__----------------- 308,988 281,058 27,930 . Part-time------------------------------------ 133,755 128,068 5,687 " -

LPN's 

Full-time 163,271 146,641 16,630 

Part-time ----------------_--_---------------- 33,272 31,976 1,296 

Other employees 

Full-time ------------------_----------------- 1,674,613 1,353,034 321,579 

Part-time --------------___------------------- 303,495 '284,291 19,204 

36 
--------------------------- 

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

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

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

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

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

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

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

Table 20. Number of beds and beds per 1,000 population by type of hospital: United States, each

region and State, 1969 

Bepol$r Beds Bepo;r 

popuiationl popuiationl 

977,380 4.86 586.246 

236,036 4.85 220,227 4.52 

3.93 9,102 l;se;;g 5.85 3,289 27:076 4.79 31,685 3,230 4.46 2,972

27,914 3.93 23,771

88,079 99,325

663.;;; 2::

6:62 452.;;; 

2:194 5.02 1:610 

286,425 5.11 144,450 2.57 

58,493 5.30 30,106 21,157 4.11 1:s ;g flts3

16,346 5.83 1:45

13,463 6.02 4:594 2.05

4.64 263,;g; 2.70 

x; 5.98 1.82

24;721 5.33 13:407 2.89

9,754 6.62 3,297 2.24

4,404 7.09 1,702 2.74

4:,;5; 27,400 2.59 . 2% 2,202 23:751 5:43 14,348 ?E. 

295,774 4.76 161,902 2.60 

16,534 10,540 9,769

2,222 3% 

8,054 7:005

31,236 12,760 

1;s;;; 

7;906

14,528

6,751 21,070 y,;;; 

4.48 7:336

5.11 11,030

20,701

~% 1;,;g 5:96 3 

159,145 4.64 59,667 1.74 

1,594 5.39 279

8,598 4.95 1,399 :i’i 

Area 

. . 

United States---------------------

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

Connecticut-----------------------------

Maine-----------------------------------

Massachusetts 

New Hampshire New Jersey New York--------------------------------

Pennsylvania----------------------------

Rhode Island --------------_---_--------- Vermont---------------------------------

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

Illinois--------------------------------

Iudiana Iowa------------------------------------

Kansas------------------------------------

Michigan _------------------------------- Minnesota-------------------------------

Missouri--------------------------------

Nebraska--------------------------------

North Dakota -------___-_---_------------ Ohio------------------------------------

South Dakota Wisconsin-------------------------------

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

Alabama---------------------------------

Arkansas ------------------_------------- Delaware District of Columbia--------------------

FloridaL--------------------------------

Georgia---------------------------------

Kentucky -------------_------------------ Louisiana-------------------------------

Maryland ----_----_--------__------------ Mississippi

North Carolina ---------_--_--_---_------ Oklahoma --------------------------i-------

South Carolina Tennessee-------------------------------

Texas-----------------------------------

Virginia

West Virginia --------_------------------

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

Alaska----------------------------

Arizona---------------------------------

California------------------------------

Colorado ----------',,--,---,,--,,,,,,,,,, Hawaii----------------------------------

Idaho -----------------_--_______________ Montana---------------------------------

Nevada------------------------------'----

New Mexico------------------------------

Oregon ---------------------------------- Utah------------------------------------

Washington -------------_----------------

Wyoming--------------_-_----------------

______ 

87,969 4;46 36,841 1.87

13,758 6.35 1.94

3,219 4.29 %Z 2.70

2,948 '925 1.31

E3 .59 ;% 4183 1:: 1.01

4:806 1,457 8,974 3,961 ?%

4,486 729 :70

14,037 1.56

2,041 x87 , 5.28

'See appendix TV for population figures. 

37 
------- 

------- 

Table 21. Number of patients,admissions, and dischargesingeneral hospitals, by geographic region and State; and rates per 1,000 population, by region: United States, 1969 -

Area 

United States----------------------------------

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

Connecticut------------------------------------------

Maine---------------------------------------------~--

Massachusetts----------------------------------------

New Hampshire-------------;---------------------------

New Jersey ------_--_--------------------------------- New York---------------------------------------------

Pennsylvania __-_------------------------------------­ aode Island----------------------------------------~ 

"ermont----------------------------------------------

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

Patients Admissions Discharges 

Number 

770.791 30.453.667 30,558,390 

193,946 6,593,045 6,613,890 

9,564

4,318

21,748 

373,733

162,471

790,099 

26’51%~ 

8131320

2,438 103,886 103,899 22,746 857,945 856,456 73,288 2,363,870 2,360,609 52,975 1,753,594 1,753,990 5,173 115,945 1;p;g 1,696 71,502 9

227,148 8,798,631 8,867,737 

Illinois------------------------------------ m-----m-- 1,669,626 1,;;;,;;; Indiana---------------------------------------------- 721,932 1owa------------------------------------------------- 497,795 520'757 Kansas---------------------------------------- 399,849 400:274 Michigan---------------------------------------------

Minnesota--------------------------------------------

Missouri---------------------------------------------

Nebraska---------------------------------------------

North Dakota-----------------------------------------

Ohio-------------------------------------------------

South Dakota-----------------------------------------

Wisconsin--------------------------------------------

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

Alabama----------------------------------------------

Arkansas---------------------------------------------

Delaware---------------------------------------------

District of Columbia---------------------------------

Florida--------------------------------------- 6,586 192:315 191,707 24,430 1,006,645 1,005,349 ceorgia---------------------------------------------- 16,490 724,232 725,986 Kentucky--------------------------------------------- 11,732 Louisiana- -_ _____ ___________________________________ 12,459 3% z%;i 11,413 423:449 

w;,;;; 1,;&y: 

781:865 780:112 

6,994 264,988 262,969 3,114 134.008 135,050

3:,;;; 1,523;720 1,;;;s;;; 124,455

171653 713,537 '755 :099 

231,667 9,858,832 9,853,616 

13,261 538,035 543,309 7,584 318,050 1,759 3:;';2f 69,505 

Maryland---------------------------------------------

Mississippi------------------------------------------

North Carolina---------------------------------------

Oklahoma---------------------------------------------

South Carolina---------------------------------------

Tennessee--------------------------------------------

Texas------------------------------------------------

Virginia---------------------------------------------

West Virginia----------------------------------------

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

Alaska-----------------------------------------------

Arisona----------------------------------------------

California ----_----_--------------------------------- Colorado---------------------------------------------

Hawaii-----------------------------------------------

Idaho------------------------------------------------

Montana----------------------------------------------

Nevada-----------------------------------------------

New Mexico-------------------------------------------

Oregon -----__-------_-------------------------------­ "tah-------------------------------------------------

Washington -_--__--_----------------------------------

Wyoming _-_____---------------------------------------

United States----------------------------------

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

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

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

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

8,449 363,924 g:;;; 

16,816 739,514 749:579 

446,245 2% E%

16:032 3:;: 670;920 41,066 1,862:560 1,867,966 16,707 622,349 615,895 8,334 341,246 339,195 

118,030 5,203,159 5,223,147 

1,016 45,201 44,975 6,394 279,090 275,049 2,808,151 2,831,918 E?% 

21522 4;;,:;; 431,887

90,944 2,015 108 :499

3,070 1;;,;;; % %

1,728 741623

3,320 160:601 162,513 6,379 308,212

3,329 161,636 10,221 526,763 1,346 64,020 

Rate per 1,000 population* 

------_---

'See appendix IV for population figures. 

38 
--------------------------------------------- 

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

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

-- -- ---- 

Table 22. Number of patients, admissions, and discharges in specialty hospitals, by geographic region and 

State; and rates per 1,000 population, by region:.Ihited States, 1969 -

Area Patients Admissions 

United States----------------------------------

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

Connecticut------------------------------------------

Maine------------------------------------------------

Massachusetts----------------------------------------

New Hampshire __-_-__-__--_--_------------------------ New Jersey------------------------------------------- New York---------------------------------------------

Pennsylvania-----------------------------------------

Rhode Island ______--_------_------------------------- Vermont------------------------------------- -----_--_ 

North Central------------------------------ --_--m 

Illinois---------------------------------------------

Indiana----------------------------------------------

Iowa------------------------------------------ ------a 

Kansas-----------------------------------------------

Michigan---------------------------------------------

Minnesota--------------------------------------------

Missouri---------------------------------------------

Nebraska North Dakota-----------------------------------------

Ohio-------------------------------------------------

South Dakota-----------------------------------------

Wisconsin--------------------------------------------

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

Alabama----------------------------------------------

Arkansas---------------------------------------------

Delaware District of Columbia---------------------------------

Florida---------------------------------------------- Georgia----------------------------------------------

Kentucky---------------------------------------------

Louisiana--------------------------------------------

Maryland Mississippi------------------------------------------

North Carolina---------------------------------------

Oklahoma---------------------------------------------

South Carolina---------------------------------------

Tennessee--------------------------------------------

Texas------------------------------------------------

Virginia------------------ ------------_-- - ---_--_-_--, West Virginia----------------------------------------

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

Alaska-----------------------------------------------

Ariaona----------------------------------------------

California-------------------------------------------

Colorado---------------------------------------------

Hawaii-----------------------------------------------

Idaho------------------------------------------------

Montana----------------------------------------------

Nevada-----------------------------------------------

New Mexico----------------- --_-----_-- ----_ :-

Oregon-----------------------------------------------

Utah-------------------------------------------------

Washington-------------------------------------------

Wyoming----------------------------------------------

United States----------------------------------

Northeast---------------- -__------__-----_----------- Nor-h Central---------------------------------------­

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

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

?See appendix IV for population figures. 

Number 

495,949 1,236,049 

189,017 412,952 

8,308 23,376 2,989 3,364 26,556 99,292 2,562 4,741 19,415 46,296

83,958 156,659 41,533

2,302 x4;:

1,394 1:604 

119,993 265,480 

24,710 56,152 11,025 12,461 2,889 12,202

3,245 11,272 21,099 39,232 5,321 15,417 10,898 27,764 2,483 7,199 1,427 2,528

2;,;30; 46,936

3,923 12;157 30,394 

137,397 ?69,735 

8,931 14,311 930 5,848 2,166 2,892

6,137 14,663

11,056 18,469 10,542 33,879 6,039 21,198

6,298 22,687 12,232 30,619 5,414 8,053 10,649 32,222

3,459 15,765

14,724 2;;:

18:853 :x4

14,114 331017 

5,201 10,181 

49,542 187,882 

196 428

1,390 4,688 30,541 116,124

3,875 16,313 

1,;g 10,065

2,631 337 876 

452 2,628 1,094 4,487 3,340 11,975 633 1,124 3,941 14,324

1,392 2,219 

Rate per 1,000 populat 

2.5 6.1 

Discharges 

.^ 

1,251,952 

418,477 

24,417

2,971

98,808

4,749

46,543

1;p; 

15:434

1,918 

274,563 

60,671

13,356

11,66,8

11,752

38,670

15,438

27,639 

368;492 

17,496

5,899

2,334

15,082

18,483

34.139

22,534

23,058

30,288

7,662 

3Lx: 

13:717 

26,428

64,822

30,231

10,092 

190,420 

422 

4,686 116,185 

w: 

2:503 

861 

2,647

4,666

12,942

1,146

14,892

2,237 

6.2 

39 
-------------- 

------ 

----- ---- 

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

Table 23. Number of "other hea .th facilities. " bv tvne of facilitv: United States, each region and State, 1969 -

Mis- (

t 

lorrec ­ :ional Area :;_: cella- Li iacil­ neous ity 

Number of "other health facilities" 

United States--- 4,225 123 171 966 498 968 718 740 

Northeast---------

Connecticut-----------

Maine-----------------

Massachusetts---------

New Hampshire--------­

:+2; &l;ey------------

Pennsylvania----------

Rhode Island----------

Vermont---------------

773 38 35 175 95 197 86 142 

3 6 :: 51 : 

2 

4 6 

15 

5’ 

26 x: 

94 i 8 

4 99 1 

225 15 15 259 ii 22

228 8 18 75 42

: 2

21: : 1 ; 

3 

7 1 

North Central----- 1,075 34 44 240 126 261 192 

Illinois-------------- 173 Indiana--------------- 88 2

t :

: 

17 45 

33 Iowa------------------

Kansas---------------- :3 i: 

:i Michigan-------------- 124 4 MinnesoTa-------------

Missouri-------------- 55’ z z 1 

: 14

6 

32 

1 

22 Nebraska-------------- 36 2 4

2’ 38 

North Dakota---------- 12

Ohio------------------ 237 

South Dakota---------- 24 Wisconsin------------- 95 

South- w-m _-mm __ __ _ 1,106 

Alabama---------------

Arkansas--------------

Del;3ware--------------

District of Columbia-­ Florida---------

Georgia---------------

Kentucky--------------

Louisiana-------------

Maryland--------------

Mississippi-----------

North Carolina--------

Okfahoma--------------

South Carolina--------

Tennessee-------------

Texas-----------------

Virginia--------------

West Virginia---------

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

14 2 8 1 

i 

1; 6:

; 2 i 2; 1: 

37 64 16 69 387 

2: :3 

5, 5 2

5 ii :. 38 

17 

1; 9 

7 

f 1; 

2 31; 

17 

1 3: 

Alaska----------------

Arizona--------------- 61; California------------ 810 Colorado--------------

Hawaii---------------- 5:

Idaho----------- - 6 Montana----------­

:; 

10 

26 

1 12 

19

8 

208 123 205 

k 2

320 164 

8 10

26 7 

; ;

i 2:

3 5 

13

99 z

8, 4 

1 2 

Nevada----------------

New Mexico------------

Oregon Utah------------------

Washington---------~--

Wyoming--------------­

:: 

44 

73

8 

40 
-- 

Table 24. Number of residents in "other health facilities," by type of facility: United States, each region and State, 1969 

Deaf Physi- Men- tionEmo- Depend- Mis- Correc- All unwed tally tally ally ent cella- Area tional facil- b%d mothers handi- re- dis- chil- facil­ ities 

b::h capped tarded turbed dren' neous ity 

II -L 

Number of residents 

United States--- .34,339 11,232 4,636 3,47; !00,181 17,738 54,039 42,075 90.961 - -i 

Northeast--------- 06,042 4,875 991 56b 58,465 3,387 14,397 7;937 15,426 

Connecticut----------- 6,086 751 4,233 279 585 Maine----------------- 2,346 166 z: 1,260 P2 189 z 572 Massachusetts--------- 10,820 463 97 4,982 804 495 2,771 1,208 New Hampshire--------- 1,782 122 994 322 191 pew Jersey------------ 12,145 594 242 7,214, 2:; 918 2:; 2,584 New York-------------- 38,963 1,306 423 21,979 1,083 6,108 1,777 6,287 Pennsylvania---------- 30,074 1,274 107 15,288 1,027 5,537 2,;;; 3,758 Rhode Island---------- 1,653 1,029 15 269 Vermont--------------- 2,173 1:: 2 1,486 56 280 35 1;; 

North Central----- .14,706 5,610 1,194 58,855 4,228 11,697 8,061 24,457 

Illinois-------------- 21,236 223 Indiana--------------- 10,839 29’ 115 

52 

- y,;;; 42; 31% 3,338 184 Iowa------------------ 4,942 526 m 2:550 693 378 Kansas---------------- 3,741 441 z; 15c 2,078 175 22 129 

Michigan--------------

Minnesota------------- 1;,;;; 634 134 217 10,676 602 1,242 SC 5,434 171 ;2:: Missouri-------------- 6;306 z f i- - 3,279 248 fz 153 Nebraska-------------- 3,652 195 15 - 2,148 175 423 166 530 North Dakota---------- 2,310 125 65 1,510 402 Ohio------------------ 23,622 571 2% 1c 10,859 3,087: 923 .,6;81 South Dakota---------- 2,987 181 1,253 647 781 Wisconsin------------- 9,515 357 6;; 6; 4,587 229 956 1,927: South--------- 28,922 8,922 1,754 1,631 56,154 23.660 7.798 25.812 

Alabama--------------- 5,575 703 21 28 1,202 129 1,163 Arkansas-------------- 3,585 848 

2: 

xx;

'657 

671 521 Delaware-------------- 132 269; District of Columbia-- x0':. 33 42 581 it4 Florida--------------- 13:183 

Georgia--------------- 8,032 1,027: 

217 76; 6,6% 1,097 6:: 3,698 103 3,011 1,808 598 1,306 Kentucky-------------- 1,256 1,379 288 912 Louisiana------------- f;% % 5; 

1;: 3,716 835 107 1,029 Maryland-------------- 12:146 610 261i 369 1,702 3,600 Mississippi----------- 3,188 581 21 ";%2' 496 320 488 North Carolina-------- 12,420 1,315 5:089 2,608 1,086 2,224 Oklahc)ma-------------- 5,794 329 4; 2,861 54 1,570 189 710 South Carolina-------- 5,792 3,228 59 1,355 556 551 Tennessee------------- 7,559 578 1% 2,585 2,566 292 1,329 Texas----------------- 25,212 831 557 13;; 13,p51 9:: 5,170 954 3,600 Virginia-------------- 9,742 119 3,906 1,457 392 3,277 West Virginia--------- 3,020 z2' 50 3% 536 3:: 364 149 968 

West-------------- 84,669 1,825 697 678 26,707 6,932 4,285 18,279 25,266 

Alaska---------------- 498 105 166 133 Arizona--------------- 10,352 248 k60 1,226 E 548 6,9%; 1,287 California------------

Colorado-------------- 44,321 195 255 60; 14,282 4,691 1,589 4,598; 18,019 5,464 40 127 2,317 202 544 1,535 Hawaii---------------- 1,333 839 82 262 117 Idaho----------------- 1,116 151 1; 701 6:: 181 Montana--------------- 2,147 74 23 979 40 274 55; 198 Nevada---------------- 592 75 111 318 New Mexico------------ 6,827 371 9% 6% 545 3,680 572 

Oregon---------------- 4,441 303 2,839 349 105 753 Utah------------------ 2,248 7; 1,215 2; 485 353 

Washington------------ 4,431 44; 6% 255 730 1,692 Wyoming--------------- 899 2:: 160 108 

41 
Table 25. Numberof facilities and number of full-time and part-time employees and part-time hours 

in facilities for the mentally retarded and in all remaining "other health facilities," by type of ownership and number of residents: United States, 1969 

Facilities for the mentally Remaining "other health 

retarded facilities" 

Type of ownership and 

number of residents All Full- Part- Part- All Full- Part- Partities $ees plE;ees worked ities ,loyees plZ;ees worked 

All types of owner- ship--------------- 966 11,535 6,741 119,812 108,577 16,204 253,112 

Less than 25 residents----

25-49 residents-----------

50-74 residents-----------

75-99 residents-----------

100-199 residents---------

200-299 residents---------

300-499 residents---------

500 residents or more-----

1,960

1,688

1,641

1,281 

4,995

3,412 

5,377 

91,181 

822 

548 

514 

309 

530 

312 

249 

3,457 

14,219

10,447

9,710 

5,878 

9,952 

5,319 

3,795 

60,492 

1,526 

655 

345 

178 

295 

102 

z: 

7,518 

10,755 

9,659 

7,688 

23,106 

12,074 

17,417 

20,360 

3,666 

3,076 

1,878 

1,085 

3,382 

1,329 

993 

795 

66,515 

46,396 

30,798 

18,815 

45,447 

18,211 

14,709 

12,221 

Government------------ 258 97,473 3,897 67,134 68,430 6,192 89,713 

Less than 25 residents----

25-49 residents-----------

50-74 residents-----------

75-99 residents-----------

100-199 residents---------

200-299 residents---------

300-499 residents---------

500 residents or more-----

271 

110 

197 

231 

2,778 

2,433 

4,826 

86,627 

z 

32 

1;: 

208 

205 

3,168 

1,;;; 

659 

614 

2,542 

3,671 

3,109 

54,271 

366 

171 

119 

1% 

69 

ii: 

2,391 

3,559 

4,012 

3,918 

14,357 

8,291 

14,582 

17,320 

845 

586 

580 

387 

1,876 

826 

628 

464 

13,868 

10,087 

9,950 

6,850 

21,518 

11,471 

x: , 

Proprietary----------- 4,011 1,258 24,257 432 2,270 1,078 22,322 

Less than 25 residents----

25-49 residents-----------

50-74 residents-----------

75-99 residents-----------

100-199 residents---------

200-299 residents---------

300-499 residents---------

359 

z; 

:; 

3 

1,121 

714 

520 

378 

754 

241 

514 

257 

144 

104 

2 

8,354 

5,185 

3,185 

2,125 

2,211 

1,082 

378 

25 

:;: 

2 

888 

384 

513 

384 

101 

800 

113 

100 

:; 

18,155 

1,473 

1,571 

968 

155 

500 residents or more----- i 28; 8; 2,11; 

Nonprofit------------- 231 10,051 1,586 28,421 1,728 37,877 8,934 141,077 

Less than 25 residents----

25-49 residents----------- E 

568 

864 

215 

263 

4,168 782 

459 

4,239 

6,812 

2,021 

2,377 34;836 

Eacil- time time _ ,time 

hours em- hours facil- time time time 

50-74 residents----------- 28 924 338 x 209 5,134 1,198 19,277 

75-99 residents----------- 672 168 31139 91 3,386 643 10,997 

100-199 residents--------- 21: 1,463 310 5,;;; 129 8,648 1,496 23,774

200-299 residents--------- 4 738 33 3,783 503 6,740

300-499 residents--------- 3 551 ti 686 19 2,835 365 5,991

500 residents or more----- 7 4,271 207 4,106 6 3,040 331 4,970 

42 
than 

Table 26. Number of "other health facilities," by number of residents, type of ownership, andtype of facility: United States, 1969 

l Number of residents 

Ail . . . 

Type of ownership and facil­ type of facility ities Less 

25 25-49 SO-74 75-99 100-199 200-299 300-499 or5;zre 

1 

Number of "other health facilities" 

All types of 

ownership------- 4,225 2,080 776 398 209 356 119 108 179 

Deaf or blind or both-- 123 8 38 16 15 8 

Unwed mothers----------

Physically handicapped- Mentally retarded------

Emotionally disturbed--

Dependent children-----

Miscellaneous----------

Correctional facility--

171 

4T 

966 ~ 498 

968 

718 

740 

it 

5::: 

344 

359 

466 

231 

1 

2: 

fZ 

60 

3 

2 

2 

z! 

97 

i 

17 

2 

f;

43 

138 

122 

25 

i 

111 

i 

i: 

Government--------- 1,357 463 122 81 183 79 86 164 

Deaf or blind or both-- 66 1 3 4 5 22 12 11 8 

Unwed mothers----------

Physically handicapped- Mentally retarded------

Emotionally disturbed--

Dependent children-----

Miscellaneous----------

2;: 

84 

178 

138 

i 

:97 

P2 

;

8 

i 

i 

1 

f i 7 

2 

i 

ix 

2 

1'0 

8' 

I 

15 

f 

10; 

: 

Correctional facility-- 620 185 1% 76 i? 85 4; 4: 4: 

Proprietary-------- 909 73.7 89 39 22 17 3 

Deaf or blind or both--

Unwed mothers---------- 2 -z 

Physically handicapped- Mentally retarded------

Emotionally disturbed--

Dependent children-----

Miscellaneous----------

Correctional facility--

47;

151 

2;: 

7 

35: 

129 

12 

222 

5 

22 12 

1 I 

10 

1 

2 

1;

1 

i 

; 

Nonprofit---------- 1,959 S80 508 237 106 156 37 22 

Deaf or blind or both--

Unwed mothers----------

Physically handicapped- Mentally retarded------

Emotionally disturbed--

Dependent children-----

Miscellaneous------.----

1% 

21 

231 

263 

773 

336 

;; 

1:: 

264 

200 

3 

1: 1 

5 

1;

2 

116 577 

27 14 

16 

2 

27 

689 

4 

4 

125 

6 

Correctional facility-- 113 41 12 9 Pi 6 

43 
Table 27. Number of facilities for the mentally retarded,by programs offered, type of ownership, and number of residents: United States, 1969 

Programs for: 

Type of ownership All All fa- and number of cili- pro-l Pro- Voca- Medical Other No residents ties grams foundly Adults tional reha- pro- pro­ retarded train- bilitachildren ing tion grams grams 

Number of facilities 

All types of 

ownership-- 966 311 363 255 228 218 143 219 299’ 

Less than 25 

residents-------- i: 114 106 232 

25-49 residents--- 44 ;2 :i 43 “ii 17 

50-99 residents--- 36 43 2 ‘ii

100-499 residents- 5: 3: 50 2 21;

500-999 residents- 2 2 31 30 31 21 15 

10 

2 

1,000 residents 

or more---------- 65 66 58 48 60 41 36 1 

Government-- 258 133 141 116 103 121 88 91 61 

Less than 25 

residents--------

25-49 residents---

50-99 residents---

100-499 residents500-999 residents1,000 residents 

97 

8 

7 

f i 

12 

; 

;: 

13 

;

2 

11 

; 

;; 

9 

z 

2158 

4 

z 

f; 

8 

2’ 

2’: 

20 

; 

:i 

49 

7 

2 

or more---------- 64 62 62 55 46 56 40 35 

Proprietary- 88 120 86 73 44 40 88 176 

Less than 25 

residents-------- 359 50 I; 25 30 

3 :i 

148

25-49 residents--- 19

50-99 residents--- E :z 15 ii 6 6 100-499 residents- 18 6 7 6 s 2 2

500-999 residents- 2 1

1,000 residents 

or more----------

Nonprofit--- 231 90 102 53 15 40 62 

Less than 25 

residents--------

25-49 residents---

50-99 residents---

100-499 residents500-999 residentsz: 

43 

34 

3 

29' 

20 

24 

3 

28 17

;59 7 

23 :: 

3 2 

14 

ii 

17 

2 

1,000 residents 

or more---------- 4 3 4 3 4 1 

%ncludes facilities that offer all six specified programs, but exludes facilities with other 

programs. 

44 
4,225 123 171 

19 

1 

Table 28. Number of "other 

-

healthfacilities," bytype of'.facility and age and sex of the residents 

primarily served: United States, 1969 

I I I I _ EUIO- Depend- Ks Correc- Sex and age of resi- All 

Deaf 

Unwed @f;;-. Men- tion- ent cella- tional dentiepr;;;arily facily, b%d mothers handi- tally - ally chil- neous facil­ ities disb::h capped tgtded turbed dren ity _ I! I I I I I I I 

Number of "other health facilities" 

Total-----------

I

4,225 11 123 1 171 41 966 498 968 718 740: 

1.,049 3 5 150 ==168' I== 156 240 327 

Under 21 years-------- 499 - 45 71 .138 19 222 

21 years and over----- 221 3 65 41 - 103 8 

All ages-------------- 329 - 40 56 18 118 97 

676 '6 152 165 97 81 62 11s 

.&ier 21 years-------- --_ _ 243 - 19 30 34 67 8 85 

21 years aud over----- 149 5 1 2 92 23 1 25 

All ages-------------- 284 1 132 .43 40 13 29 26 

Both sexes-------- 2,500 114 19 34 651 '233 731 416 302 

Under 21 years-------- 1,360 92 5 19 269 98 633 87 157 

21 years-and over----- 195 9 6 80 43 - 55 .2 

All ages---T---------- 945 13 14 9 302 92 98 274 143 
APPENDIX I 

METHODOLOGY ‘, 

A total of 24,857 nursing homes and “other. 

health facilities” were on the Master Facility Inventory file prior to the mailout of the 1969 MFI Survey. Since a sample survey (Resident Places Survey-3) 

had recently been conducted among 2,077 of thenursing 

homes and 20 of the “other health facilities,” further 

information on these places was not necessary, and 

they were therefore not included in the 1969 MFI 

Survey. Hence the initial mailout for the 1969 MFI 

Survey involved 27,267 questionnaires (22,780 nursing 

homes and 4,487 “other health facilities”). Results 

of the various stages of the mailout ‘are shown in 

the table below. 

Stage 

Initial 

mailout 

First followup 

Second followup 

Field followup 

Cutoff’ 

&estion- Tota. naires ques- re- Date tionnaires ceived 

.__--.- (cumu­ mailed- ,lative

number). 

October 11, 1969 27,267 S-B 

October 27, 1969 14,549 12,718 

November 10, 1969 10,254 17,013 

December 1, 1969 5,836 21,431 

January 29, 1970 27,255 

A total of 4,627 questionnaires (3,732 nursing 

homes and 895 “other health facilities”) were found to 

be out of scope; i.e., they were duplicate returns or 

the facilities were now out of business, demolished, 

or under construction, provided day care only, or 

in. some other way did not meet the minimum standards for inclusion in the MFI. 

000 

All but 12 questionnaires (all nursing’ homes) 

were received in one form or another. In addition to 

these nonresponses, there were 1,492 other kinds such 

as postmaster return refusals and other types of postmaster returns. Of these, 1,422 werefornursinghomes 

and 82 were for .“other health facilities.” 

After deleting the out-of-scope, cases from the 

initial mailout, the resulting. ,response. rate was 92.$ 

percent for nursing homes and 97.7 percent for “other, 

health facilities.” The overall response rate for the 

1969 MFI Survey was 93.4 percent. 

The hospital portion of the survey, which was 

conducted in cooperation with the American Hospital 

Association, had a response rate of 93.1 percent. 

The survey operations, which included mailing 

of questi&nn&-es; editing, coding, and punching the 

resulting data; and imputing for missing data, were 

virtually identical to those used in the 1967 MFI Survey. Those procedures are discussed in detail in 

Vital and Health Statist&;. Series 1, No. 9.3 

In an effort to check the completeness of coverage of the MFI lists of hospitals, nursing homes, and 

“other health facilities,” the Complement Survey was 

conducted. (The Complement Survey has been discussed in detail in I%u~ a.i$ Health Statist&, Series 

1, No. 3.l) The Complement Survey matches the health 

facilities found independently in an’area sample survey against the MFI list of facilities for that area. Any 

facility discovered in the sample survey but missed 

by the MFI constituted undercoverage, and an appropriate weight was assigned to the missed facility. The 

U.S. Bureau of the Census handled the matching and 

the weighting, procedures for the 1969 Complement 

Survey. The results indicated that the MFI undercoverage was 6 percent for facilities and 1 percent 

for beds. Or, stating it in positive terms, the MFI list 

contained 94 percent of all the health facilities in the 

United States and 99 percent of all the health facility 

beds. This latter figure indicates that the facilities 

that were missed were small facilities, since the 6 

percent missed contained only 1 percent of the total 

beds. 

46 
APPENDIX II. QUESTIONNAIRES 

Nursing Homes -_ . ~~~9-(Nl FORM APPROVED 

.. ‘BUDGET BUREAU NO. 68.S69057 

._, 

: ..- .I ,, . ,, 

” I .. / 

us; DEPeiRTMENT OF cdMmkRts” ­ pRE*UbF WE,CENSUD 

MASTERFACILITY INVENTORY 

ETURN TO: 

~fhrsonvill~ cenrus Opar.tionr Division 

!Ol East 10th Street . 

dfersoavill~~!ndiano 47130.9 ..m..m...: ,. _ _. __ _ _ , -

‘THIRD REQUEST 

Dear Sir: 

The National Center for Health Statistics (NCHS) of the U.S. Public Health Service is 

conducting its bignnial survey of all facilities in the United States which provide some 

kind of medical, nursing, personal, domiciliary, or custodial care. 

This program is being conducted as a part of the U.S. National Health Survey, authorized 

by Public Law 652, B4th Congress. llie Bureau of the Census has been requested to act 

as collecting’agent for the NCHS for this survey. 

The purpose of this survey is to obtain current information on number of beds, staff sire, 

and types of services provided, from each facility. The informatidn will be used tp 

compile statistics on the number and kinds of such facilities in the United States. 

The questionnaire is very brief and should take only a few minutes to complete: Sections 

A and B request verification of the name and address of faciliQ, type of service, type 

of ownership, and capacity: Section C asks for additional information which is needed,to 

complete detailed statistics on other characteristics of facilities. All information in 

Section C will be held in confidence by the Bureau of the Census’and the Public Health 

Service and wiII.notbe.used for purposes d,inspection. registration, or taxation. The 

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

Please complete this questionnaire and return it within five days in the enclosed postagepaid envelope. 

Thank you for your cooperation. 

Sincerely, 

&lyc 

GEORGE H. BROWN 

Director 

Bureau of the Census 

Eoclosure 

Section A - lDENTlFlCATlON OF FACILITY 

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

below. Detailed identification information is needed to prevent duplicate listings and to assure that your 

facility is properly represented in our files. (Please type or print) 

1 Is the NAME shown in the label above Correct name of facility if different from above 

3 correct for your facility? 

01 

I OYes 

. . 

2 0 No--Please lik through name in label 

and enter correct n~trne 

2 Is the address shown in the label above the 

3 correctmailing address for your facility? 

Number \

I 

Street IP.0. Box. Rowe. etc. 

f 

0 Yes City or row” ;

I 

County 02 

. . 

q No-- Please line through address on State ;ZlPCode label and give your entire 

correct mailing address. I 

I Area code ; Number 

t 

3

3 What is the telephone number of your facility? I 

. 

47 
..<. ,_. .. 

GENERAL INSTRUCTIONS FOR COMPLETING SECTIONS B AND C 

o. Include in this report information for the facility named in the mailing label or for its successor if the name 

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

infirmaries and orher subunits. 

b. Due to &me and address changes, duplicate listjngs in our file, or other reasons. you may have bee” sent 

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

same facility, complete ens only and return all orhers tiirh the notation “Completed and returned under . . . 

(give name of facility on completed form and the identification number found in the upper left co,“e,.of. the 

label).” 

E. Answer all question;, please. Definitions and special instructions are give” wjrh the questidns when 

needed. If you, answer to a question is “none,” put a zero in the appropriare space. Do nor leave the 

space blank. 

d. Return the completed qoestionnoire in the postage paid envelope provided, to: jeffersonville Census 

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

Section B - CLASSIFICATION INFORMATION 

pI ease read ALL of the following categories then NOTE - If fhis is a “Retirement Center” or similar type 

3

4 check only ONE box for the type of orSonirotion facility, s’uch as apartment for the WELL aged. life-care’ 

which operates this facility - the type of orgoniza- community; etc. and you checked box 59 in question 53 

tion legally responsible for its operation. AND box 2 in questio’n 5b. please report for the nurslng 

Check only one unit only in questions 6 through 15. 

13 I, 0 state 

12q CountY 

6

0 What is the TOTAL NUMBER OF BEDS regularly 

maintained for patients or residents? 

State-Local 

Gover’nment r3uCiv 

/n&de all bed; set up and staffdd for use 

whether or nor they are in use at rhe present time. 

14 0 City-County Do NOT include beds used by staff or owners and 

.I ,~~Hosp,fal District beds used exclusively for emergency services. 

06 Total beds 160 U.S. Public Health Service 

.1-/ 0 Armed Forces 

7 14 this facility participating in the “Medicare” 18 0 Veterans Administration ,Oprogram? Federal 

Government, ,9 0 Other Federal Asency I-J Yes - How many of the beds 07 

Specify in question 6 ore 

“Certified” for Medi-&e? .- .’ :‘. i:, oq ‘No 20 0 Church rslared~ 

tionprofir 2, 0 NonprofIt corporation 0

8 Does your facility serve: Check only one 

122 0 Ocher ,nonprofit 08 I 0 Primarily chiltre” (under 21) 

2 0 Primdrily adults (21 or over) 

23 0 Individual 3 0 Both children and adults 

‘For profit 240 

1 25 0 

Parvrershlp 

Corporatlo” 

4 0 Other age limitation - Specify 7 

5 a. Please read all of the following, then check 3 Check only one 09 , 0 Males dnly 

4 eo 0 Nursing Home and/or E.C.F. 2 0 Females only 

51 0 Convalescent Home 3 0 Both males and females 

52 0 Rest Home 

53 n Home for the Aged - Please continue wifhqvestion 10;” Section C. 

54 0 Boardl,ng Home for the Aged Comments 

55 q Home for Crippled Children 

se0 Home for Needy 

‘57 0 Home for lncurables 

se 0 Home for Mentally Retarded 

59 0 Nursing Care Unit for Retirement Center 

60 0 Other - Specify 

the ONE term which best describes your facility. 0

9 Does your f&lity serve: Check only one 

7 Fill only if box 59 above has been checked 

b. What is the overage length of patient stay in 

_ this horsing core unit? 

I5 1 [7 Less than 30 days -Skip to question 15 

2 q 30days or more - Conlinue with question 6 

48 
. . Section C - INFORMATION FOR STATISTICAL USE 0tiL.U 

10 What is the fatal NUMBER OF PERSONS (patients NOTE - If this is a “Retirement Center” or similar type 0 or raGdents), who stayed in vour facility lost night? facility (box 59 in question 5a AND box 2 in question 5b’ 

Do NOT include employees or owners. . and separate staff figures are unavailable for the nursing 

unit, please estimate the approximate number for questions I3 and 14. 

. 10 Number of persons 

BULL-TIME EMPLOYEES 

13 a. Whot is the total number of full-time personnel Instructions for question l I 0 currently ,employed by this facility? Full-time 

Question I I asks for the number of persons who have personnel are those who usually work 35 hours 

received any “Nursing Care” during the past 7 days. dr more per week. 

For this question consider only those persons who were 

in your facility,last ni,ght, that is, the number of persons lnelude owners, managers. and members of 

entered in question IO.’ religious orders who work full-time whether 

on the payroll or not. .’ , 

rVhen figuring how many persons received “Nursing :. . I Care.” count each-person-only once-no matter how many- - _ Do NUT melode volunteer workers dr 

, 

prTvate of the listed nursing serviies he may have received.. duty nurses. ,Do not count part-time employees 

Example: ,as full-time equivalents... 

If a facility.had 4 patients la& night (A, B, C. and D) and 

juring the past 7 days:. ‘. 

. .. . Vlr. A received 3 of the !isted;seservices . : . . .‘. Count l 

*i,. B received l of the’lis-Gd services . . . . . . Count l 

-, b. Of the above personnel, how many are: 

‘4r. C didn’t receive any’ofthe services . . . . . Count 0 

14 ‘Ir. D received 5 of the listed Services . . . . . . Count I (I) Licensed registered 

nurscp . . . . . . . . . . . Then-Total number of persons receiving. 

nursrng care . . . . . . . . . . . . . . . . . . . . . 3 (2) Licensed practical or 15 

vocational nurses . . . 

During the post 7 days, how many of the PERSONS 

in question 10 received “Nursing Care”? PART-TIME EMPLOYEES Consider that a person received “Nursing Care” 

if he received any of the following services: 14 o. What is the total number of port-time personnel 0 cerrentty employed by this facility? Part-time Nasal feeding Temperature-pulse- personnel are those who usually work less than 

-. respiration 35 hours per week..~, ’ Catheterization 

Irrigation 

Oxygen therapy 

Blood pressure. : 

Application of dressing 

or bandage. 

include bwners. managers, and members of 

religious orders who work part-time whether 

on the payroll or not. ’ 

Full bed bath . Bowel or bladder . Do NOT include volunteers, private duty 

retraining nurses, or full-time employees. .’ 

Enema 

Hypodermic’injection ’ 

Intravenous injection ’ 

,-. ____, ,-

11 Number of persons b. W&t is the total number of man-hours worked by 

the above port-time personnel during the lost 7 

days of the most recent pay period? _ 

12 Which of the following services are ROUTINELY 

3 provided? ;Check all that apply 

2 7 0 Supervision is provided over medications 

which may be self-administered C. Of the abow+ part-time personnel how many ore: 

- a 0 Fledications and treatments are adminjstered’ 18 ’ in accordance with physicians orders (I) Licensed registered 

19 

. q Help with tub bath or shower (2) Liiensed practical or 

vocational nurses . . . 

0 Help with dressing 15 Person completing this form 

q Rub and massage nurses . . . . . . . . . . 

E Help with correspondence or shopping 0 Name 

0 Help with walking or getting about 

q Help with eating 

Title 

OR , -

a 0 Not responsible for providing any services 

except room and board - Ifthis box is checked Date . . no other box should be &eked in question 12. 

49 
--- 

Hospitals -.-

FORM APPROVED 

HSM-T-16 B”DOET BVRE*” NO. MI-1oEa II/G9 

U.S. PUBLIC HEALTH SERVICE 

NATIONAL CENTER FOR HEALTH STATISTICS 

ANNUAL 

SURVEY 

OF 

1969 HOSPITALS 

t 

Dear Sir: 

The National Center for Health Statistics (NCHS) of the U. S. public Health Service is conducting its 

annual survey of hospitals in the United States. This program is being cpnducted as part of the U. S. 

National Health Survey. 

The purpose of this survey, in which you are being asked to participate, is to obtain current information, such as number of beds, staff size, and types of services provided. The information will be 

used to compile statistics on the pumber and kinds of hospitals in the United States. 

Sections A and B of this form request verification of the 

ownership and capacity. Sections C - F ask for additional 

statistics on other characteristics of hospitals. 

For this purpose we are .requesting that you complete this 

it within five days in the enclosed postage-paid envelope. 

take long to complete. 

Thank you for your cooperation. 

name and address, type of service, type Of 

information which is needed to cbmplete 

questionnaire for your hospital and return 

The questionnaire is brief and should not 

Sincerely yours, 

-i’iz4&& p. L-ACC, 

Theodore D. .Jkoolsey J 

Director 

Enclosure NatiOnal Cevter for Health Statistics 

SECTl,ON A HdSPlTAL IDENTIFICATION 

Pleas refer to the inailing label above. then make all additions and corrections according to the questions &low. 

Detailed identification information is needed fo prevent duplicate listings andlo as.wre that your hospital is properly 

represented in our Fi\es. (PLEASE TYPE OR PRINT) 

CORRECTNAME OF HosPlTn~ IF DlFPERENTPROMABOVE. (1) Is the NAME shown in the label above 

correct for your hospital? 

loYES 

(21 Is the ADDRESS shown in the label 

above the correct mailing address for 

your hospital? 

lOYES 

2n NO.waas he thmugh ad& on !Sbelon.3g,vEy.ar e”ti,e CorreCr mallha sddre.,. 

NUMBER,; STREET 

I

I ClTY OR TOWN 

COUNTY 

i P.O.BOX, ROUTE,ETC. 

I 

1 ST*TE lZlP CODE 

I 

I

I 

I

I 

I

# 

(3) What is the telephone number of your frREACOOE ; NUMBER 

hospital? I 

, 

50 
-- 

PLEASE R’EAD THESE INSTRUCTIONS BEFORE CbMPLETlNG SECTiONS B -.F 

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

facilities, medical qnits of nonhospital estabtishmeks (provided the units have one or.more inpatient beds), as well 

a~ faci!ities generally recognized to be hospitals. If this facility is not a hospital please usa the “COMMENTS” 

section on page 4 to describe the facility and the services it offers and raturn the questiqnnaira. 

b. Include in this report data for your entire hosjkl and all parts, units, compbnent institutions, etc. However, do 

not include any component or unit which has its own separate discharge procedures. The la&r are to be considered 

separate facilities and should ba reported in the “COMMENTS”. If you are in doubt about any unit, please include 

the unit and explain in the “COMMENTS”section. 

& ‘Answer all questions, please. Definitions and special instruction are given with the question when needed. 

d. Due to name and add-. changes, duplicate listingsin our file, or other reasons, you may have been sept more than 

one questionnaire under different names and addkssas. If you have received more than one form for the same 

hospital, complete one only and return all others with the notation “completed and returned under. . .. (give name 

of hospital on completad form).” 

e. Return the complet&,qu&ionnaire in the postage-paid envelope, to: . 

CHIEF, HEALTH FACILITY STATISTICS BRANCH . 

. ROOM 3421, HEWSOUTH BUILDING 

NATlbNAL CENTER FOR HEALTH STATISTICS 

WASHINGTON, D. C. 20201 

_,.. .__-... -_. .- ._* . .._ . .: ._ _..~_ - -._. . . . .- . .._. ._._ -. ,. .._-. . 

SECTION B CLASSlFlCATlON 

(1) Please place an ‘jk’ on only one box for the type of organization operating ydur h&pit& (The type of organization 

legally rasponsiblefqrthe qperation of the hbspital). ’ 

CHECK ONLY ONE 

(2) Check the ONE category bel?w that BEST d&xi& the type of sanrice that your hospital provides to the MAJORi*, 

.of patients admitted. 

10 [7 Ganwal madlcal and ,urgkaI 44 0 Mairnlw a2 0 Merits, nta,dc.dM 

22 0 F*yshiatrk 4s [7 EW, **I, nom and throat 72 u E~llaprlc 

33 0 T”bo,C”lolh 96 0 ~hyd.31 h3bnit4th 82 0 Abhdk 

42 ,, 

43 ,, 

Namotlc 

Ge,l.trh 

41 q O,d$padic 

48 0 ~Chronls 

49 0 0tll.r -spscify tnament ama 

Y 

!3) Does your hospital restrict admissions primarily to children Y&s q NO17 

SECTION C FACILITIES AND SERVICES 

51 
-- 

---- 

Be sure to make an entry for every blank in Sections D. E, and F. Enter ‘V’wheraver zero is appropriate. All statistics 

reported In Sections D. l&and F must be on a comparable basis. For axample,‘all units included in D-l must ,ba included 

in E and F, and vice versa. For sections D-E, report data for a ll-month period, prefarabfy the period ending September 

391969. If another yearly period is used for, completing these sections, please indicate that period in the “Cc.mnienta” 

section. For Section F (“PERSONNEL”), report data as of September 30.1969. 

SECTION D BEDS.AND UTlLlZATlOi 

(1) AOULT AND PEDIATRIC INPATIENTS iexclude newborn nursery): 

a. Was there a permanent change in the total number of adult and pediatric beds during the reporting period? 

__..__.__._. . . . .._____.__..__._..~.~....~~~~.~~~..~~~~....~~.~..~~~~.~ ____._.___..____...--- ..__.... --_..-.--- . . . . . . . ---- YESONOO 

If yes, give data(s) of change and number of beds added or withdrawn from usa. 

(Show increase by + and decrease by -) Data BKiS~ 

b. Does your hospital maintain separate units specifically designated for short-term and long-term care of adult 

and pediatric patients (exclude newborn nursery)? 

YES f--J (Fill Cch. Ill. (31 for ‘NO $Li$;;i&y each weltlo” below). q A:;; 

l Report total admissions and total discharges from the hospital. (This may not be the sum of dolumns 1 and 2 because of 

internal transfers). 

(4) HOME CARE 

SECTION E FINANCES 

Exclude professional fees and salaries to interns, rasidents, and other trainees in payroll expanses (2a). Report these in 

non payroll expenses (2bI. 

(1) - - ­

wtlm !#a* “O”, hap,“,‘. NET REVENUE for the reDcIting perlo* s 

(2) * T What wsm you, hosplt.l’l TOTAL EXPENSES for rhe mponing p.rlcd7 1s --.-i 

52 
SECTION F PERSONNEL 

Report all full-time and part-time penonnel who ware on the payroll of your hospital as of September 30,1969. lncluda 

men@n of religious orders for whom dollar equivalents are reported in E - 2 -a above. Exclude private duty nurses and 

volunteers, and all personnet whose salary is totally financed by outside research grants. 

Will your hospital be able to report data on future Annual Surveys for the calendar year rather than for the year ending 

September 307 YESO NOG 

DATE OF COMPLETlON SlONATUREOF PERSONCOMPLETlNtS”R”EY 

I I 

IF SIGNED BY PERSON OTHER THAN ADMINISTRATOR (give title) 

COMMENTS 

53 
Other Health Facilities .., 

;yps-6iol FORM APPROVED ‘,. . BUDGET BUREAU NO. 68-s69067 

MASTER FACILITY INViNTORY 

ETURN TO: 

afferronvllla Csn.us Opsrotlons Diririon 

201 East 1Mh itrsat 

affersonvills, Indlano 47130 

Dear Sir: . 

The National’Center for Health Statistics (NCHS) of the U.S. Public Health Service is 

conducting its biennial survey of all facilities in the United States which provide some 

kind of medical, nursing, personal, domiciliary, or custodial care. 

This program is being conducted as a part of the U.S. National Health Survey, authorized 

by Public Law 652. 84th Congress. The Bureau of thi Census has been requeited to act 

as collecting agent for the NCHS for this survey. i 

The purpose of this survey is to obtain current information on number of. beds, staff size. 

and types of services provided, from each fdcility: The inforniation will be used to 

compile statistics on the number and kinds of such facilitiesin the United States. 

The questionnaire is very brief and should take only a few minutes to complete: Sections 

A and B request verification of thf! name and address of facility, type of service, typ) 

of ownership, and capacity: Section C asks for additional information which is needed to 

complete detailed statistics on other character.istics of faciiities. All information in 

Section C will be held in confidence by the Bureau of the Census and the ‘Public Health 

Service and will not be used for purposes of inspection, registration, or taxation. The 

statistics will be presented in such a manner that no ihdividual faiility can be ide.ntified. 

Please complete this questionnaire and return it within five days in the enclosed postagepaid envelope. 

Thank you fo; your cooperation. 

Sincerely, * 

;&g&-J&I..- ; .., 

GEORGE H. BROWN 

‘, Directbr 

Bureau of the Census 

Enclosure 

Sectiwi A - IDENTIFICATION PF FACILITY 

Please refer to,the mailing label above, then make all additions and corrections according t0 the questions 

bilow. Detailed identification information is needed to prevent duplicate listings and to assure that Your 

facility is properly represented in our fi’les. (Please fype or print) 

1 Is the NAME shorn in the Iabsl’above Correct name of facility if different from above 

3 correct for your facility? 

01 

I 0 Yes 

p 0 No-Please’line through nume in lube1 

and cnt.er correct name 

2 

3 

Is the address shown in the label above the 

correct mailing address for your facility? 

Number : 

I 

Street 

, I 

) P.O. 

I 

Box. Route. etc. 

p Yes City or town ; County

I 

02 

C No-- Please line through &dress on 

Azbel and give your entire Stat.2 

corrertmoiling address. 

Area code : Number 

3

3 What is the t+phonc number of your facility? I 

56 
GENERAL INSTRUCTIONS FOR COMPLETING SECTIONS B AND C 

o. Include in this report information for the facility named in the mailing label or for its successor if the name 

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

infirmaries and other subgnits. 

b. Due to name and address ihanges. duplicate listings-in owfile. or other r&on&, you may i&e been sent’ 

more than one questionnaire under different names or hddresses. If you receive niore than-one form for the 

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

~gi)n~m~,of facility on complefed form and the identification number found in the upper left corner of the 

.e. Answer 011 questions, pleas;. Definitions and special instructions aie given with the questions when 

needed. If your answer to a question is.“none,” put a zero in the appropriate space. Do not leave the. 

space blank. ‘. 

d. Return the completed &.&moire in the postage paid envelope provided, to: Jeffersonvil;e Census : 

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

Section B - CLASSlFlCiTlON INFORMATION 

4 Please reqd ALL of the following cotegoriis, then i a. Please read ALL of tbe~foll&ig, then check the 

3 check only ONE box for the type of organization 0 ONE term which best describes .yoor facility. 

which operates this facility - the type of,orgonira- Check 6nly one tion legally responsible for its operation. -

Check only one ’ . 07 / 70 c] Fo;yeeao; resident school 

71 0 Home or residentichwl for blind 

740 Home for unwed mothers 

14l-J city - County -7.5 0 Orphanage 

15 0 Hospital District Resident ,.s~‘+~e for dependenrgildren 

Facilities 77 0 Home resident school 16 j-J U.S. Public Health Service 

17 0 Armed Forces’ 

20 0 Church ralared 

2, 0 Nonprofit corporation 

u 0 Other nonprofit 

Does your facility serve: Check only one 

or for physically handicapped 

7.~0 Resident faciltty for mentally retarded (Complete 8b &.low, 

73 0 Home or resident school for emotionally disturbed 

81 0 Other resident ficility 

Describe 

\ 

87.0 Training school for juvenile

delinquents 

8.3 0 Dctentiori home, primarily for juvenile delinquents 

86 m Other correctional facility 

3 Complete question 8b only if you checked box 78 )4 1 0 Primarily children (under 21) in question 8~; otherwise continue with’questim 9. 

2 0 Primarily adults (21 or over) b. Which of the following programs d&s this facility . 

3 0 Both children and adults hove? Please check ALL programs provided. 

08 I 0 Classes for educable children . 4 0. Other age limitation - Specify .7*. 2 0 Classes for trainable chiltjren 

3 [ZI Classes for profoundly retarded children 

6 Does your facility serve: Check only one 4 0 Classes for adults -Specify 

3 

)5 I q Males only 

2 q Females only 5 0 Classes in vocational training 

B 0 Both males and fe!ales 6 0 Medical rehabilitation 

7 What is the total NUMBER OF PERSONS (residents, 7 0 Other programs - Emergency respite care, 

3 patients, or inmotes),who +toyed in this facility followup of released persons,‘etc. 

lost night? Describe Do NOT include employees and propiietors. 

06 ‘Total persons 

55 

5 
Section C - INFORMATION FOR STATISTICAL USE ONLY 

IJ What is the total number of full~timc personnel currently employed by this facility? 09 Tatal full-rime 

3 Full-time personnel are those who work 35 hours or more per week. P~WWl~l 

Include owners; managers, and members of religious orders who work full time 

whether on the payroll or not. 

Do NOT include volunteers or private duty nurses. 

Do NOT count part-time employees as full-time equivalents. 

10 a. What is the total number of port-time persopnel currently employed by this 10 Total pa&me 

3 facility? Part-time personnel are those who usually work less than 35 hours personnel 

per week. 

Include owners, managers. and members of religious orders who work 

part-time ‘whether on the payroll or not. 

Do NOT include volunteers or private duty nurses. 

b. Wh is the TOTAL number of man-hours worked by the above part-time 11 Total man-hours 

pe r? onnel during the last 7 days of the most recent pay period? 

Name of person completing this Form Title Date 

3 

:omments 

56 
APPENDIX III ’ 

CLASilFlCATlON PROCEdURES AND DEFINITIONS . 

Criteria for Classifying Nursing Homes 2. Some of the residents received nursing care 

during the. week prior to the survey, no regThe criteria for classifying institutions are based istered nurses or licensed practical nurses 

on several factors: (1) the number of persons re- were on the staff, but one or more of the folceiving nursing care during the week prior to the day lowing conditions were met: 

of the survey, (2) administration of medications and A. Medications and treatments were admintreatments in accordance with physician’s orders, istered in accordance with physician’s 

(3) supervision over medications which may be self- orders. 

administered, (4) the routine provision of the fol- B. Supervision over self-administered medilowing criterion personal services: rub and massage, cations was provided. 

help with tub bath or shower, help with dressing, cor- C. Three or more personal services were 

respondence, shopping, walking or getting about, and routinely provided. . 

help with eating, and (5) the employment of registered 

professional or licensed practical nurses. On the basis Personal care home .-An establishment is a perof these factors, four types of establishments were sonal care home if the primary and predominant funcdistinguished and are defined as follows: tion of the facility is personal care and no residents 

Nursiw care home. -An establishmentisanursing received nursing care during the week prior to the 

care home if nursing care is the primary and pre- survey. Places in which one or more of the following 

dominant function of the facility. Those meeting the criteria were met are classified as personal care homes 

. following criteria are classified as nursing carehomes in this report whether or not they employed registered 

in this report: One or more registered nurses or li- nurses or licensed practical nurses. 

censed practical nurses were employed, and 50 percent or more of the residents received nursing care 1. Medications and treatments were administered 

during the week prior to the survey; (Nursing care in accordance ,with physician’s orders, or 

is defined as the provision of one or more of the fol- supervision over medications which may be 

lowing services: nasal feeding, catheterization, irri- self-administered was provided. 

gation, oxygen therapy, full bed bath, enema, hypodermic 2. Three or more of the criterion personal servinjection, intravenous injection, temperature-pulse- ices were routinely provided. 

respiration, blood pressure, application of dressings ’ 

or bandages, and bowel and bladder retraining.) 

Personal cave home with nursing. -An establish- Domiciliary cave home. -A facility is a domicilment is a personal care home with nursing if per- iary care home if the primary and predominant funcsonal care is the primary and predominant function of tion of the facility is domiciliary care but the facility 

the facility but some nursing care is also provided. If has a responsibility for providing some personal care. 

an establishment met either of the following criteria If the criteria for a nursing care home or personal 

care home are not met but one or two .of the criterion it was classified as a personal care homewith nursing: personal services are routinely provided, the estab1. Some but less than 50 percent of the residents lishment is classified as a domiciliary care home in 

received nursing care during the week prior this report. 

to the survey and there was one registered In the classification process, a criterion was 

professional or licensed practical nurse or considered as not having been met if the necessary 

more on the staff. . 

57 
Yes No 

. . . Yes No 

PCNl PCNI PC D 

Table I. Classification of institutions by type of s’ervice: 1969 MFI Survey 

2 

Classification variables T Classification crFter$a 

Percent of total residents who received nursing T 50 percent or more Some but less than None care during the week prior to day of survey 50 percent 

Number of registered or licensed practical None None nurses 

Does the institution provide: (a) Administration of medicine or treatments 

according to doctor's orders . . . Yes 

(b) Supervision over szif-administered 

medicine? 

- -

Does the institution offer assistance with three activities or more for daily living? . . . . . . 

Does the institurion offer assistance with 

one or two activities for daily living? . . . 

Does the institution offer room and/or board 

as its only service? . . . 

Institution’ NC PCN 

'NC-Nursing care home 

PCN-Personal care with nursing home 

PC-Personal care home 

D-Domiciliary care home 

B-Boarding or rooming house (out of.scope) 

information for that criterion was unknown. For instance, if the type of nursing staff was unknown for 

a particular place, it was considered as not having met 

the criteria of having one or more registered nurses 

or licensed practical nurses on the staff. Establishments indicating that some nursing care was provided, but not the number of persons to whom this 

care was provided, were considered as institutions 

providing nursing care to some but less than 50 percent of their patients or residents. Table I shows in 

detail the classification of the establishments. 

Definitions 

Be&-For hospitals, a bed is defined as one 

which is regularly maintained (set up and staffed for 

use). Those used exclusively for emergency services 

and bassinets for newborn infants are not considered 

58 

-? No Yes No Yes No -I--- . . . Yes No . . . Yes No

I

I I

I 

I 

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

. ..I... . , ./. . . . ..iYes . Yes . . . . . . . . . Yes 

PCN PCN PCN PC 1 D PC PC D B 

beds for the purpose of the Master Facility Inventory. 

A bed in a nursing home or related facility is 

defined as one set up and regularly maintained for 

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

Resident OY pat+&- For the purpose of the 

Master Facility Inventory a “resident” or “patient” 

is defined as a person formally admitted to or confined in an institution who slept in the establishment 

the night prior to the day that the nature-of-business 

questionnaire was completed for the establishment. 

Employee. - An employee is defined as either a 

person paid by the establishment or a working member of a religious order who works in the establishment. If an employee works 35 hours or more a week, 

the employee is considered full time. Anyone working less than 35 hours a week is considered part time. 
Geographic regions and divisions. -States are 

classified into four regions and’ nine divisions which 

correspond to those used by the U.S. Bureau of the 

Census as follows: 

Northeast Region 

New England Division 

Maine, New Hampshire, Vermont, 

Massachusetts, Rhode Island, Connecticut 

Middle Atlantic Division 

New York, New Jersey, Pennsylvania 

North Central Region 

East North Central Division 

Ohio, Indiana, Illinois, Michigan, Wisconsin 

West North Central Division 

Minnesota, Iowa, Missouri, North Dakota, 

South Dakota, Nebraska, Kansas 

-000 

South Retion 

South Atlantic Division 

Delaware, Maryland, District of Columbia, 

Virginia, West Virginia, North Carolina, 

South Carolina, Georgia, Florida 

East South Central Division 

Kentucky, Tennessee, Alabama, 

Mississippi 

West South Central Division 

Arkansas, Louisiana, Oklahoma, Texas 

West Region 

Mountain Division 

Montana, Idaho, Wyoming, Colorado, New 

Mexico, Arizona, Utah, Nevada 

Pacific Division 

Washington, Oregon, California, Alaska, 

Hawaii 

59 
------------------ ---- 

APPENDIX IV 

POPULATIONS USED IN THIS REPORT 

report: United States, each region, division, and State,

July 1, 1969 - -

Populations used in this 

Area 

United States-----------

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

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

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

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

New England-------------------

Maine-----------------------

New Hampshire--------------- Vermont---------------------

Massachusetts---------------

Rhode Island----------------

Connecticut-----------------

Middle Atlantic---------------

New York--------------------

New Jersey------------------

Pennsylvania----------------

East North Central------------

Ohio------------------------

Indiana---------------------

Illinois--------------------

Michigan--------------------

Wisconsin-------------------

West North Central------------

Minnesota-------------------

Iowa-----------------------­ . Missouri--------------------

North Dakota----------------

South Dakota----------------

Nebraska--------------------

Kansas----------------------

SOURCE: U.S. Bureau 

Resident 

population

in 

thousands 

201,306 

48,678

56,106

62,190 

34,332 

11,736 

992 

724 

437 

5,650

932 

3,000 

36,941 

18,105

7,095

11,741 

39,904 

10,563

5,143

11,039

8,781

4,378 

16,203 

3,758

2,805

4,640 

621 

668 

1,474

2,236 

Resident 

Area 1population

in 

1thousands 

South Atlantic---------------- 30,324 

Delaware-------------------- 540 Maryland-------------------- 3,868

District of Columbia-------- 762 Virginia-------------~----- 4,614 

West Virginia--------------- 1,746 North Carolina-------------- 5,031 South Carolina-------------- 2,570 Georgia--------------------- 4,551 Florida--------------------- 6,641 

East South Central------------ 12,755 

Kentucky-------------------- 3,198 Tennessee------------------- 3,897 Alabama--- -_--___ - __________ 3,440 Mississippi----------------- 2,220 

West South Central------------ 19,112 

Arkansas-------------------- 1,913 Louisiana-------------------

Oklahoma-------------------- ;A;; 

Texas----------------------- 11:045 

Mountain---------------------- 8,171 

Montana--------------------- 694 Idaho----------------------- 707 

Wyomin if 

_-_-------------_---- 329 Colora o-------------------- 2,166 

New Mexico------------------ 1,011 AriZona--------------r------- 1,737 Utah------------------------

Nevada---------------------- 1,047 

480 

Pacific------------i---------- 26,162 

Washington------------------ 3,343 Oregon---------------------- 2,062 California

Alaska-------- ---_-_--_- 19, ;;; 

Hawaii----------- --__- - __-__ 750 - -

Population projection. Current

Pooulation ReDor& Series P-25, No. 460. Washington. U.S. Government PrintingOffice, June 7, 1971. 

BOO---

60 

U. S. GOVERNMENT PFtUWIN'G OFFICE:1972 515-209/29 

of the Census: estimates and 
ViTAL AND HEALTH STATISTICS PUBLICATION SERIES 

Formerly Public Health Service Publication No. 1000 

Series I. Programs and collection procedures.- Reports which describe thegeneralprograms of the National 

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

and other material necessary for understanding the data. 

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

techniques, objective evaluations of reliability of collecteddata, contributions to statistical theory. 

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

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

Series 4. Documents and committee reports .-Final reports of major committees concerned with vital and 

health statistics, and documents such as recommended model vital registration laws and revised 

birth and death certificates. 

Series 10. Data j+om the Health Interview Survev .-Statistics on illness, accidental injuries, disability, use 

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

collected in a continuing national household interview survey. 

Series 11. Data from the Health Examination Survey .-Data from direct examination, testing, and measurement of national samples of the civilian, noninstitutionalpopulation provide the basis for two types 

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

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

reference to an explicit finite universe of persons. 

Series 12. Data @om the Institutional Population Surveys .-Statistics relating to the health characteristics of 

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

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

Series 13. Data from the Hospital Discharge Survey.- Statistics relating to discharged patients in short-stay 

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

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

occupations, hospitals, nursing homes, and outpatient facilities. 

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

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

geographic and time series analyses. 

Series 21. Data on natality, marriage, and divorce .-Various statistics on natality, marriage, and divorce 

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

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

Series 22. Data from the National Natality and Mortality Surveys.- Statistics on characteristics of births 

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

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

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

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

National Center for Health Statistics 

Public Health Service, HSMHA 

Rockville, Md. 20852