DATA ON NATIONAL HEALTH RESOURCES

InpatientHealth Facilities

aslleported Fromthe

1976 MFI Survey

Statistics about nursing homes, hospitals, and other inpatient health

facilities include number of institutions, beds, and employees as

well as types of ownership, geographic distribution, and comparisons with results of previous MFI surveys. Based on data collected

during May-August 1976.

DHEW Publication No. (PHS) 80-1818

Series 14

Number 23

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

Public Health Service

Office of Health Research, Statistics, and Technology

National Center for Health Statistics

.

Hyattsville, Md. January 1980
Library of Congress Cataloging in Publication Data 

Sutton, Jeannine Fox. 

Inpatient health facilities as reported from the MFI survey, United States, 1976. 

(Vital and health statistics : Series 14, Data from the National Health Survey ; no. 23) 

(DHEW publication ; no. (PHS) 80-1818) 

Includes bibliographical references. 

Supt. of Dots. no.: HE 20.6209: 14/23 

1. Hospitals-United States-Statistics. 2. Nursing homes-united States-Statistics. 

3. Health facilities-United States-Statistics. I. Sirrocco; Alvin, joint author. II. Title. 

III. Series: United States. National Center for Health Statistics. Vital and health statistics : 

Series 14, Data from the National Health Survey, Data on health resources, manpower, and 

facilities ; no . 23. IV. United States. Dept. of Health, Education, and Welfare. DHEW publication ; no. (PHS) 80-1818. 

RA981 .A%9 [362.1’0973] 79-607080 

ISBN 0-8406-0170-O 
NATIONAL CENTER FOR HEALTH STATISTICS

DOROTHY P. RICE, Director

ROBERT A. ISRAEL, Deputy Director

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

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

ROBERT A. ISRAEL, Acting Associate Director for Data Systems

ROBERT M. THORNER, SC.D., Acting Associate Director for International Statistics

ROBERT C. HUBER, Associate Director for Management

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

PETER L. HURLEY, Associate Director for operations

JAMES M. ROBEY, Ph.D., Associate Director for ProgramDevelopment

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

ALICE HAYWOOD,Information Officer

DIVISION OF HEALTH RESOURCES UTILIZATION STATISTICS

GLORIA HOLLIS KAPANTAIS, Director

SHELDON STARR, Deputy Director

EVELYN MATHIS, ChieJ Health Facilities Statistics Branch

JOSEPH BARBANO, Chie~ Health Manpower Statistics Branch

CHARLES CRONER, Chie~ Technical Services Branch

Vital and Health Statistics-Series 14-No. 23

DHEW Publication No. (PHS) 80-1818

Library of CongressCatalog CardNumber 79-607080
CONTENTS

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

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

Nursing Homes .......................................................................................................................................

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

Characteristics ...................................................................................................................................

Utilization .........................................................................................................................................

Residents and Employees ..................................................................................................................

Hospitals ................................................................................................................................................

General Hospitals ..............................................................................................................................

Utilization ...................................................................................................................................

Employees ...................................................................................................................................

Specialty Hospitals ............................................................................................................................

Utilization ...................................................................................................................................

Employees ...................................................................................................................................

Other Inpatient Heafth Facilities ............................................................................................................

Utilization .........................................................................................................................................

Residents and Employees ..................................................................................................................

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

List of Detailed Tables ...........................................................................................................................

Appendixes

I. h4ethodology .............................................................................................................................

11. Classification Procedures for Nursing Homes mdHospitds ......................................................

111. The Cooperative Health Statistics System .................................................................................

IV. Questionnaires ..........................................................................................................................

1.

2.

3.

4.

5,

6.

7.

LIST OF TEXT FIGURES

Number of nursing homes by type of certification: United States, 1976 ........................................

Number of nursing home beds per 1,000 population 65 years and over in each State: United

States, 1976 .................................................................................................................................

Number of hospital beds per 1,000 population by selected years: United States, 1976 ..................

Average number of beds per generzf hospitrd by selected years: United States, 1976 .....................

Dktribution of outpatient visits for general hospitals, by type of visit: United States, 1976 ..........

Average number of full-time equivalent employees per general hospital, by selected years: United

States, 1976 .................................................................................................................................

Distribution of outpatient visits for specialty hospitals, by type of visit: United States, 1976 .......

1

1

2

2

2

5

6

7

7

8

9

10

10

11

12

14

14

16

17

49

51

54

55

3

5

7

8

9

9

12

...

Ill
LIST OF TEXT TABLES

A. Number of inpatient health facilities, beds, and residents, by type of facifity: United States,

1976

.

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

B. Number of nursing homes and percent distribution by type of service, according to bed size, ownership, and geographic region: United States, 1976 .....................................................................

c. Number of nursing homes, beds, and average bed size of homes, by type of service: United States,

1967, 1969, 1971, 1973, and 1976 .............................................................................................

D. Average bed size of nursing homes by ownership and geographic region: United States, 1976 .......

E. Number of nursing homes and percent distribution by type of area, bed size, and ownership:

United States, 1976 .....................................................................................................................

F. Percent distribution of nursing homes, according to bed size, and percent change since 1971:

United States, 1971, 1973, and 1976 . .........................................................................................

G. Occupancy rate and number of admissions per bed (turnover rate) for nursing homes, by bed size,

ownership, and geographic region: United States, 1976 ...............................................................

H. Percent distribution of nursing home residents by sex, according to age: United States, 1976 .......

J. Number of fufl-time equivalent employees per nursing home and per 100 residents, by ownership

and geographic region: United States, 1976 .................................................................................

K. Number of general hospitafs and percent distribution by type of area, according to ownership and

geographic region: United States, 1976 .......................................................................................

L. Occupancy rates and number of admissions per bed (turnover rate) for general hospitals, by bed

size, ownership, and geographic region: United States, 1976 .......................................................

M. Number of speciafty hospitafs and percent dktribution by type of area, according to ownership

and geographic region: United States, 1976 . ................................................................................

N. Number of specialty hospitafs and specialty hospital beds by type of hospital for selected years,

and percent change since 1971: United States, 1976 ...................................................................

O. Occupancy rate and number of admissions per bed (turnover rate) for speciafty hospitals, by bed

size, ownership, and geographic region: United States, 1976 .......................................................

P. Number and percent change of full-time, part-time, and fulI-time equivalent employees (FTE’s)

in speciaIty hospitals: United States, 1971, 1973, and 1976 ........................................................

Q. Number of other inpatient heafth facilities by type of facility, and percent change since 1971:

United States, 1971, 1973, and 1976 ..........................................................................................

R. Number of other inpatient heafth facilities and percent distribution by type of area, according to

bed size and ownership: United States, 1976 ...............................................................................

s. Average bed size for other inpatient health facilities by type of facility, ad percent change since

1971: United States, 1971, 1973, and 1976 ................................................................................

T. Occupancy rate and number of admissions per bed (turnover rate) for other inpatient health facilities, by bedsfize, ownership, mdgeoWaphic re@on: United States, 1976 ... ....... .........................

u. Percent distribution of other inpatient heafth facilities by sex, according to age: United States,

1976 ................................................................................................................................ ............

W. Number of fuIl-time equivalent employ eesperl OOresidents inotier inpatient hedthfaciIitiesby

type of facility, andpercent chmgesince 1971: United States: 1971 and 1976 ..........................

1

3

4

4

5

5

6

6

7

8

9

10

11

11

12

13

13

14

15

15

15

Iv
SYMBOLS

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

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

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

Quantity more than Obutless than 0.05 ------ 0.0

Figure does not meet standards of

reliability or precision ------------------------------ *
INPATIENT HEALTH FACILITIES

Jew-mine Fox Suttona and Al Sirrocco,

Division of Health Manpower and Facilities Statistics

INTRODUCTION

The data presented in this report reflect

findings from the 1976 Master Facility Inventory (MFI) Survey. This is the sixth survey of

inpatient health facilities since 1963 and the

first to utilize data collected through the Cooperative Health Statistics System (CHSS)}

Through this system, MFI data were collected

by 16 States and compiled with data collected

by the National Center for Health Statistics and

the American Hospital Association for 20,468

nursing homes, 7,271 hospitals, and 6,280 other

inpatient health facilities (homes for the mentally retarded, for dependent children, for

unwed mothers, etc.). Table A shows a breakTable A. Number of inpatient health facilities, beds, and

residents, by type of facility: United States, 1976

Type of facil ity I ~aci,ities I Beds I Residents

I I I

All facilities .......... 34,019 3,171,937 2,661,794

Nursing homes.,.............. 20,468 I 1,414,865 I 1,300,054

‘m All hospitals., ..................

General

Specialty ....................

Other inpatient health

facilities ....................... I 6,280 375,805 328,422

~Form cd y with the Division of Health Manpower

and Facilities Statistics.

bA Federal and State cooperative data-gathering

systcm.

down of the number of these facilities, and their

beds and residents.

Excellent response rates have been obtained

for every MFI Survey that has been conducted

(over 90 percent in each instance). The 1976

Survey response rate was 92 percent for hospitals and 95 percent for nursing homes and other

inpatient health facilities. However, the numb ers

presented in this report do not show all of these

facilities as being nonrespondents. If the nonresponding facility participated in an earlier MFI

Survey, the prior data for that facility were used

for the 1976 Survey data.

Data collected through the MFI Survey cover

many phases of facility ownership and operation, such as capacity (bed size) and the number

of residents or patients, admissions, discharges,

inpatient days, and employees. These data have

been used over the years for planning health

care delivery systems, health services, urban development, etc.

Nursing homes, hospitals, and other inpatient facilities are discussed separately. Nursing

homes are defined here as establishments with

three beds or more that provide nursing or personal care to the aged, infirm, or chronically ill.

Hospitals are defined as establishments that have

six beds or more and are licensed as hospitals.

Other inpatient health facilities must simply

have one or more resident beds.

Background

The Master Facility Inventory Survey was

first conducted by the National Center for

Health Statistics in 1963.1 The data collected

included type of facility, number of beds, and

1
type of ownership–data necessary to classify the

various facilities. From these data came a Master

Facility Inventory listing of nursing homes,

hospitals, and other inpatient health facilities

that could be used as a sampling frame for more

detailed surveys of these institutions and their

employees and residents.

The Agency Reporting System was developed from 1963 through 1967.2 This ongoing

system allows for constant updating of the MFI

listing by obtaining the names and addresses of

all new hospitals, nursing homes, and other inpatient health facilities in the country.

Master Facility Inventory surveys were conducted in 1967,8, 1969: 1971? 1973,6 and

1976. Each year the questionnaires were improved and expanded to include more detailed

information about each facility. Nursing homes

and other health facilities have been surveyed

in the past by the U.S. Bureau of the Census. In

1968, in an effort to avoid duplication of effort,

the National Center for Health Statistics (NCHS)

began a contractual arrangement with the

American Hospital Association (AHA) to use its

Annual Survey of Hospitals to update information for the hospital portion of the IvIFI. Since

about 5 percent of the hospitals in the United

States are not members of AHA, NCHS, in conjunction with AHA, has conducted a separate

survey of these hospitals.

It should be noted that AHA registers facilities classified as hospitals for the mentally retarded. For the MFI, however, all facilities for

the mentally retarded are classified as “other

health facilities.” In 1976 AHA reported 53

hospitals for the mentally retarded; these were

included by NCHS among the 1,919 facilities

serving the mentally retarded or other neurologically handicapped.

In 1970 the National Center for Health Statistics began work on the establishment of a

Cooperative Health Statistics System (CHSS),7

which would decentralize the responsibility for

collecting data in such areas as vital statistics,

health manpower, and health facilities from the

Federal to the State level. By 1976 this system

was in operation, and 16 States within CHSS

collected some or all the MFI data. Appendix

III shows the States in the system and the data

collected by each State.

NURSING HOMES

Background

Since 1963 the National Center for Health

Statistics has conducted surveys of facilities that

provide nursing and personal care. The MFI

Survey was conducted in 1963, 1967, 1969,

1971, 1973, and 1976. A more detailed survey

of nursing homes was conducted in 1968,8 and

many questions from that survey are now part

of the MFI Survey.

Several sample surveys of nursing homes

have also been conducted by NCHS. The resident Places Survey (RPS) was conducted in

1963, 1964, and 1969 to obtain detailed information not only about the establishments but

also about their employees and residents. An

even more extensive sample survey, the National

Nursing Home Survey? was conducted in 1973

to obtain detailed information on nursing homes

and their services, costs, residents, and staff.

Nursing homes provide different types of

services and nursing care. To classify homes by

level and type of service, NCHS developed a system by which homes are grouped according to

type of care–nursing care, personal care with

nursing, personal care, and domiciliary care. The

criteria for classifying homes are given in appendix II.

Since the Master Facility Inventory Survey

was begun prior to the passage of Medicare and

Medicaid legislation, the MFI classification of

nursing homes according to the type of service

provided does not correspond exactly to the

definitions of Medicare extended care facilities

or Medicaid skilled nursing homes or intermediate care facilities given in appendix II. Because

of the current availability of the certification

status of homes according to Medicare and Medicaid standards, this report focuses on both the

NCHS type of service and the certification of

the home.

Characteristics

In 1976 the typical nursing home had less

than 100 beds and a proprietary type of ownership. Of all homes, 76.1 percent had less than

100 beds, 65.6 percent were nursing care homes,

and 75 percent were proprietary homes (table B).

2
Table B. Number and percent distribution of nursing homes by type of service, according to bed size, ownership, and geographic region:

United States, 1976

Selected characteristic

All homes.............................................................................................

Bed size

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

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

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

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

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

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

200.299 beds ..........i.o..........................................................................................

300-499 bds ......................o................................................................................

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

Type of ownership

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

Proprieta~ ...........................................................................o...............................

Nonprofit .............................................................................................................

Geographic region

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

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

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

Wast.a...................................................................................................................

The North Central Region had 27 percent

of the U.S. population aged 65 years and over

and almost t?O percent of all nursing homes in”

the United States. In contrast, the South Region

had 32 percent of the population 65 years and

over and 25 percent of the nursing homes.

O\,er half the homes with more than 75 beds

were certified as skilled facilities under Medicare. Figure 1 shows that about 81.4 percent

were certified either as skilled homes under

Medicare or Medicaid (39.2 percent), intermediate care homes under Medicaid (25.2 percent ), or

both (17 percent). The remaining 18.6 percent

of homes were not certified or had unknown

certification.

Since 1967 the number of beds in nursing

homes has increased steadily. However the number of homes increased to 22,004 in 1971 and

then decreased to 20,468 in 1976 (table C). In

spite of this decrease, the average number of

beds pm home has increased about 2.5-3.0 per

Number

20,468

2,707

2,968

3,935

3,596

2,374

4,022

607

193

66

1,402

15,343

3,723

4,200

6,106

5,123

5,039

100.0

13.2

14.5

19.2

17.6

11.6

19.7

3.0

0.9

0.3

6.8

75.0

18.2

20.5

29.8

25.0

24.6

Percent distribution

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

65.6

4.8

33.6

70.9

85.1

89.5

89.2

86.8

78.8

81.8

76.5

63.4

70.4

59.7

77.9

73.5

47.4

34.4

95.2

66.5

29.1

14.9

10.5

10.8

13.2

21.2

18.2

23.5

36.6

29.6

40.3

22.1

26.5

52.6

Figure 1. Number of nursing homes by type of certification:

United States, 1976

3
Table C. Number of nursing homes, beds, and average bad size of homes, by type of service: United States, 1967, 1969, 1971, 1973,

and 1976

All types of service Nursing care I

Personal care and other

Year

Homes Beds Average

bed size

1976 ........................................ 20,468 1,414,865 69

1973 .............. .......................... 21,834 1,327,704 61

1971 ................ ........................ 22,004 1,201,598 55

1969 ........................................ 18,910 943,876 50

1967 ........................................ 19,141 836,554 44

year. Nursing care homes have increased by 14

beds per home since 1973 (an average of 4.7

beds per home per year), whereas personal care

and other homes have had an increase of only

2 beds per home (an average of 0.7 beds per

home per year). Thus there has been little

change in the bed size of personal care and other

homes but a considerable increase in that of

nursing care homes. This indicates an increased

demand for higher quality care leading to the enlargement of homes that provide such care.

Table D presents more data on the bed size

of nursing homes in 1976. The average bed size

of proprietary homes (62.6 beds per home) was

much smaller than that of homes owned by nonprofit groups (81.3 beds per home) or by the

government ( 108.1 beds per home). The average

bed size of homes in the West Region was only

47.6 beds per home, compared to over 70 beds

per home in the other regions. The population in

Table D. Average bed sizeof nursing homes by ownership and

geographic region: United States, 1976

Type of ownership and Average

geographic region bad size

All homes ................................................. 69.1

Type of ownership

Government ............................................................. 108.1

Proprietary ................ ................................o.............. 62.6

Nonprofit ................................................................. 81.3

Geographic region

Northeast ............ ............ .......... ................ ............ ... 72.3

North Central ........................................................... 79.0

South ..... ...........................................................4...... 75.8

West ................................................................ ........ . 47.6

Homes Beds Average Homes Beds Average

badsize bed size

13,417

14,873

12,871

11,484

10,636

1,174,092

1,107,358

917,707

704,217

584,052

88

74

71

61

55

7,051

6,961

9,133

7,426

8,505

240,773

220,346

283,891

239,659

252,502

34

32

31

32

30

the West Region is less concentrated and there

are few large metropolitan areas; this might

account for the smaller average size o f the western homes.

Figure 2 shows the number of nursing home

beds per 1,000 population aged 65 years and

over for each State. In 1976 Nebraska had more

beds (119) available for this population than the

other States did. Florida, on the other hand, had

the lowest ratio of beds per 1,000 residents 65

years and over.

Table E shows that in 1976 about 61 percent of all homes were located within a standard

metropolitan statistical area (SMSA) .’ Eighty

percent or more of the homes with 200 beds or

more, were in SMSA’S. Most State or local

government-owned homes were not located in

SMSA’S; over half the Federal homes were located in SMSA’S.

Table F shows the number of nursing homes

according to bed size group and confirms the

decline in the number of smaller nursing homes.

Since 1971, the number of homes with less than

25 beds and 25-49 beds has decreased, whereas

the number of homes in all other bed size groups

has increased.

CA standard metropolitan statistical area is defined

as an integrated economic and social unit with a large

population nucleus. Each SMSA contains at least (1) one

central city with 50,000 inhabitants or more or (2) two

cities having contiguous boundaries and constituting, for

general economic end social purposes, a single community with a combined population of at least 50,000,

the smaller of which must have a population of at least

15,000.
—

Figure 2. Number of nursing home beds per 1,000 population 65 years and over in each State: United States, 1976

Table E. Number and parcant distribution of nursing homas by

type of araa, bed size, and ownarship: Unitad States, 1976

Bed size and ownership

All homes ...............

Bed size

3-9 kds .....................o......o......

10.24 beds ................,,, ,, ., ........

26.49 beds,,.,,.,,,,,,,,.,,,, ,,,.,.,,,,,,

50.74 beds!..................,..,..,,.,.,

75.99 beds...............................

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

200.299 beds.., ........................

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

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

Type of ownership

AH government.,,,,,,,,,,,,,,,,,,.,,,,

Federal ...............................

Stata-local ........o.................

Proprietary .,,.,,,,, .....................

Nonprofit ................................

All

araas

Number

20,468

2,684

2,968

3,935

3,586

2,374

4,022

607

193

66

1,402

90

1,312

15,343

3,723

SMSA Outside

SMSA

1

Percent

61

-

67

63

55

48

60

68

84

82

80

33

58

32

63

61

39

33

37

45

52

40

32

16

18

20

67

44

68

37

39

Table F. Percant distribution of nursing homas, according to

bed size. and percent change since 1971: Unitad States,

1971, 1973, and 1976

Bed size

All bed sizes...

Lessthan 25 beds..,........

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

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

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

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

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

300-499 baas .................

500 beds or moral ..........

Utilization

T

1976 1973 1971

Percent distribution

100.0

27.7

18.2

17.6

11.6

19.7

3.0

0.9

0.3

100.0

33.8

20,9

16.2

10.4

15.4

2.3

0.8

0.3

100.0

37.6

21.7

15.8

9.3

12.8

1.9

0.6

0.2

Percent

change

since

1971

-31.3

-17.7

+3.5

+16.0

+42.4

i-43.8

+36,9

+46.7

About 87 percent of the 20,468 nursing

homes in the survey reported admissions for

calendar year 1975 (table 6), There were about

5
1,300,OOO admissions to 17,908 homes, or an 

average of about 74 admissions per home. About 

85 percent of the homes reported #dischargesabout 1,200,OOO or an average of 66 discharges 

per home. Not all homes were in operation for 

all of 1975-679 homes were in operation for 

part of the year. When data for these homes are 

inflated to represent the entire year, there were 

1,347,317 admissions and 1,168,687 discharges. 

One indicator of nursing home utilization is 

the turnover rate (average number of admissions 

per bed). Table G shows how this rate varied 

according to selected nursing home characteristics. Nursing homes admitted about 10 persons 

for every 10 beds in 1976. However, larger 

homes (those with more than 500 beds) admitted only about 3 persons for every 10 beds. 

Western homes admitted almost 14 persons for 

Table G. Occupancy rate and number of admissions per bed 

(turnover rate) for nursing homes, by bed size, ownership, 

and geographic region: United States, 1976 

Selected characteristic 

All homes* . . . . . . . . . . . . . . . . . . . . 

Bed size 

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

I O-24 beds .................................... 

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

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

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

100-l 99 beds ....... . ........................ 

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

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

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

Type of ownership 

Government ,...*.,.......,.,................. 

Proprietary ..,..,.,....,...........,.....,..... 

Nonprofit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..A.. 

Geographic region 

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

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

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

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

‘Number of residents 

Number of beds ’ 

Under 65 years .............................. r 100.0 50.4 49.6 

65-74 years .................................... 100.0 37.2 62.8 

75 years and over .......................... 100.0 25.5 74.5 

*Data reflect homes reporting admissions-87 percent of all ‘Sex was reported for 94.9 percent of all residents. 

homes. *Age was reported for 82.5 percent of all residents. 

*ccupalncy rate 

(percent) 

Number of 

admissions 

per bed 

1.7 

1.0 

0.9 

0.9 

1.1 

1.2 

0.9 

0.7 

0.3 

0.8 

1.1 

0.9 

0.8 

1.0 

0.9 

1.4 

every 10 beds-the highest turnover rate for any 

region. 

The occupancy rate is given by the average 

number of residents per bed. As shown in table 

G, nursing homes operated at 92 percent occupancy in 1976. The table also shows how the 

occupancy rates varied according to selected 

facility characteristics. 

Residents and Employees 

Since the average life expectancy in 1975 

was 76.5 years for women and 68.7 years for 

men, it would be expected that more women 

than men were residents of nursing homes. Table 

H shows that 69.6 percent of the residents in 

nursing homes in 19 76 were female and only 

30.4 percent were male. Fewer female than male 

residents were in the under-65 age group, but 

74.5 percent of all residents 75 years and over 

were women. 

Nursing homes employed more than 650,000 

full-time employees in 1976 and more than 

300,000 part-time employees, or over 800,000 

full-time equivalent employees (number of fulltime employees -I- 0.5 X number of part-time employees). Table J shows that there were 39.4 fulltime equivalent employees (FTE’s) per home 

and 62.4 FTE’s per 100 residents in nursing 

homes in 1976. The State- and local-governmentowned homes had more employees (81) per 100 

residents than homes with other types of ownership did. Federally owned homes and proprietary homes had less than 60 employees per 100 

residents. 

Table H. Percent distribution of nursing home residents by sex, 

according to age: United States, 1976 

Age Both 

sexes 1 Female 

Percent distribution 

All ages*. ....................... 100.0 30.4 69.6 

6 
Table J. Number of full-time equivalent employees per nursing

home and per 100 residents, by ownership and geographic

region: United States, 1976

Number of full-time

equivalent em~loyees

Type of ownership

and geographic region Per

nursing

home

All homes ............................... 39.4

Type of ownership

All government .................................... ... 78.1

Federal .. ............................................ 44.9

State-local ......................................... 80.3

Proprietary ................... .......................... 32.9

Nonprofit ................ ............................... 51.5

Geographic region

Northeast ... ..................................... ....... 47.3

North Central ................................... ...... 44.0

South ..... ................................................ 41.7

West ............ .. .... ........ ...... ...... ...... .......... . 24.8

Per 100

residents

62.4

79.2

52.5

80.8

57.4

69.7

70.1

60.8

61.0

57.7

hlore employees attended nursing home residents in the Northeast Region than in any of the

other three regions of the country. Northeastern hurries had an average of 10 more employees

pm 100 residents.

Detailed tables 1-19 give additional data for

nursing homes.

HOSPITALS

Thr number of hospitals in the United States

dccn.asccl from 8,183 in 1963 to 7,271 in 1976.

Fixurc 3 sho~vs that the number of hospital beds

pw 1,0[)0 population decreased from 8.3 in

19(i:\ to 6 ,J in 1976, d~le mainly to the decrease

sh[)um for specialty hospitals, The number of

beck per 1,000 population for general hospitals

increased bct~vecn 1963 and 19(57 and has re.

nl.iin~’d rathm constant at 4..9 or 5.0 since than.

I1(l\vL’vL’t-,the tivcrage bed sixc for all hospitals has rmnaincd about 190-200 beds per

h( ~s]~it:d. In 1976 it was approximately 191 beds

~jcr ht,s])itid.

In 1!~7(i, S7.5 percent of the hospitals in the

United StatL~sIvcrc ~encral, medical, and surgical

hospitals. ‘1’hl’ remaining 910 hospitals were

s]x,(”ialty hosljitals, over half’ of which were psy -

(hi.ltric l.lcilili~s (table 23).

5

I

4 ------- --------- . . . . . . . . . .

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

. . . . . . . . . .

3 ““- . . . . . .

. . . . . . . . . .

-. ...,.

2 ““--. . . . .

-. . . . . . .

1 L 1 I ! ! I

1963 1967 1969 1971 1973 1976

YEAR

Figure 3. Number of hospital beds per 1,000 population by

selected years: United States, 1976

Because general and specialty hospitals differ

in the types of service offered and populations

served, they are examined separately.

General Hospitals

In 1976 there were 6,361 general hospitals

with a total of 1,069,828 beds (an average of

168 beds per hospital). Over half the hospitals

were owned by nonprofit groups (52.5 percent)

and over one-third of them were located in the

South (table K).

Figure 4 shows the change in the number of

beds per general hospital since 1963. The average number of beds has increased by almost 40

percent, whereas the number of general hospitals

has decreased by about 5 percent. This suggests

a trend toward fewer, but larger, general hospitals in the United States.

In 1976 only half (50.2 percent) of the general hospitals (but almost three-fourths of the

beds) were located within standard metropolitan

statistical areas (table K); thus, large general

hospitals were located primarily within SMSA’S.

An examination of the distribution of SLMSA

general hospitals according to the type of ownership shows that 63.4 percent of all hospitals

owned by the Federal Government and only

27.8 percent of hospitals owned by State and

local governments were located in SMSA’S. The

average bed ske of federally owned general

hospitals was 285 beds, whereas the average bed

size of State- and local-government-owned general hospitals was 93 beds. This concentration of

7
Table K. Number of general hospitals and percent distribution by type of area, according to ownership and geographic region:

United States, 1976

Type of ownership and geographic region

All general hospitals ............................................................................................

Ownership

All government ...................................................................................................................c

Federal ...........................................................................................................mo..oco..oooo.o.

State-local ........................ .......... .. .................................................... ..............................

Proprietary ............................................................................................... ......o.o..................

Nonprofit ................... .....................................................................c...............o.c<..@o........t...

Geographic region

Northeast ........... ...............................................................................................o...............o.

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

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

West .......................................................... ..... .......................................................m...c.........

170 r

160

150

140

130

120

1963 1967 1969 1971 1973 1976

YEAR

Figure 4. Average number of beds per general hospital by selected

years: United States, 1976

the larger federally owned hospitals is one reason for the high number of general hospital beds

in SMSA’S.

In 1976, about 70 percent of the general

hospitals in the Northeastern United States were

located within SMSA’S. The North Central and

South Regions of the United States had less than

45 percent of the SMSA hospitals, although both

the South and North Central Regions have more

SMSA’S than the Northeast.

Utilization

A major measure of a hospital’s utilization

is its occupancy rate. The occupancy rate

All

general

hospitals

Number

6,361

2,220

352

1,868

800

3,341

972

1,813

2,338

1,238

Percent distribution

100.0

34.9

5.5

29.4

12.6

52.5

15.3

28.5

36.8

19.5

50.2

33.5

63.4

27.8

68.8

56.8

70.4

41.2

44.8

57.5

Number of inpatient days

49.8

66.5

36.6

72.2

31.2

43.2

29.5

58.9

55.2

42.5

Number of beds X 365

for general hospitals in 1976 was 74 perccnt–

about the same as the 75 percent occupancy rate

in 1973. Table L shows that the occupancy rate

increases as the bed size of the hospital increases, General hospitals with less than 25 beds

had an average occupancy rate of 47 percent,

whereas hospitak with 500 beds m- more had a

rate of 81 percent.

General hospitals with proprietary or nonprofit types of ownership had occupancy rates

of over 75 percent. Government-owned hospitals, on the other hand, had an average rate of

69 percent.

General hospitals in the Northeast Rc:ion

had an overall occupancy rate of 81 percent,

compared with a rate of 56 percent for general

hospitals in the North Central Region. One reason for this may be that northeastern hospitals

were, on the average, much larger than those of

the other regions (244 beds per hospital), ;mcl

larger hospitals tend to have higher occupancy

rates.
In 1976, 36,026,854 persons were admitted

to general hospitals, and 36,004,670 were dischurScd (table 26). On the average, almost 34

persons were admitted for each bed during

1976–one more than the 33 admissions per bed

in 1973 and three more than the 31 admissions

pm- bcd in 1967. Table L shows the distribution

of admissions according to the hospital’s bed

sin’, ownership, and geographic region.

Outpatient visits are another important

mcwurc of hospital utilization. In 1976, 6,333

~~mmd hospitals (99.6 percent) reported outpaticnt visits; they increased 15.6 percent since

1973 in spite of a decrease in the number of

hospitals reporting such visits. Of 261,281,396

uutputirmt visits in 1976, 29.4 percent were

cmvr~tmcy visits, 38.9 percent were clinic visits,

und 31.7 percent were other types of outpatient

visits such as referred patient visits (figure 5).

Table L. Occupancy rate and number of admissions per bad

(turnover rate) for general hospitals, by bed size, ownershim and geographic region: United States, 1976

Selected characteristic

All general hospitals ......

Bed size .

6-9 beds ............................ ............

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

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

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

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

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

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

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

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

Type of ownership

Government, .......... ........ ...............

Proprietary ..,, ..............).................

Nonprofit ......................................

Geographic ragion

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

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

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

West.,.,,, ........................................

Ifqunlhtr of inpatient days

Number of beds X 365 .

Occupancy

rate 1

( parcent)

74

32

48

55

62

64

70

76

79

81

69

76

78

81

56

72

67

Number of

admissions

per bed

33.7

24.1

33.6

34.5

35.2

33.8

35.5

36.3

35,0

28.8

33.7

35.6

36.1

31.7

33.6

34.1

36.0

EMPLOYEES

In 1976 there were almost 2.5 million fulltime employees and over 600,000 part-time employees in general hospitals. The number of fulltime equivalent employees ( FTE’s) increased

13.6 percent since 1973 and 53 percent since

1967. Since the number of patients per general

hospital increased only 4.2 percent since 1973

and 27.6 percent since 1967, the large increase

in employees indicates that more staff are being

made available to patients in general hospitals

every year. Figure 6 shows that the number of

FTE’s per general hospital increased from 276

in 1967 to 440 in 1976—an increase of almost

60 percent.

Figure 5. Distribution of outpatient visits for general hospitals

by type of visit: United States, 1976

500 J

a r

II 200 I

1 I 1 I

1967 1969 1971 1973 1976

YEAR

Figure 6. Average number of full-time equivalent employeas par

general hospital, by selected years: United States, 1976

9
Specialty Hospitals

There were 910 specialty hospitals in 1976:

Number

Specialty of

hospitals

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

Psychiatry ........ .......................................................

Chronic disease .......................... .............................

Alcohol and drug abuse ...........................................

Tuberculosis ............................................................

Obstetrics and gynecology .......... ............................

Eyes, ears, nose, and throat ................................ .....

Rehabilitation ............ .... ............................. ............

Orthopedics ............................................................

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

910

502

63

48

21

26

22

72

34

122

In 1976 almost half of the 910 specialty hospitals were government-owned facilities (47.6

percent); most were State or local government

facilities. The West Region, with only 14.7 percent of the specialty hospitals, reported fewer

of these facilities than the other regions did

(table M).

In 1976, 81.3 percent of all specialty hospitals were located within standard metropolitan

statistical areas (SMSA’S) (table M). Fewer

government-owned than proprietary or nonprofit hospitals were in SMSA’S. Still, about 70

percent of the government-owned hospitals were

SMSA facilities.

The number of specialty hospitals has decreased 15 percent since 1971 (table N). Most

dramatic is the change in tuberculosis (TB)

facilities. Since 1971 there has been about an 80

percent decrease in both the number of TB hospitals and the number of TB beds. This substantial decrease is attributable to medical advances

in the area of respiratory diseases and widespread TB detection programs.

Note the decrease in the size of psychiatric

facilities. Since 1971 the number of beds has decreased by 41.6 percent, compared with a

decrease of only 5.8 percent in the number of

facilities.

Utilization

The utilization of specialty hospitals as

measured by occupancy rate

Number of inpatient days

Number of beds X 365

has remained constant (82 percent) since 1971.

This rate is 8 percent higher than that for general hospitals.

Like general hospitals, the smaller specialty

hospitals had lower occupancy rates (36 percent

for hospitals with 6-9 beds) and the Iargcr hospitals had higher rates (85 percent for hospitals

with 500 beds or more). Table O shows how

Table M. Number of specialty hospitals and percent distribution by type of area, ac

United States, 1976

Type of ownership and geographic region

All specialty hospitals...; ......................................................................................

Type of ownership

All government ....................................................................................................................

Federal ...........................................................................................................................

State-local ........... ........................ ........................................ .............. .... ........................ .

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

Nonprofit ................................................................................................. ...........................

Geographic region

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

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

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

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

rding to ownership and geographic region:

All AH Outside

specialty Iocetions SMSA

hospitals SMSA

Number Percent distribution

910 100.0 81.3 18.7

433 47.6 70.4 29.6

28 3.1 67.9 32,1

405 44.5 70.6 29.4

196 21.5 88.8 11.2

281 30.9 92.9 7.1

282 31.0 87.2 12.8

203 22.3 75.4 24.6

291 32.0 77.7 22.3

134 14.7 85.8 14.2

10
Table N. Number of specialty hospitals and specialty hospital beds by type of hospital for selected years and percent change since

1971: United Statas, 1971, 1973, and 1976

Specialty hospital and specialty hospital beds 1976 1973

All specialty hospitals ............................ .................... .... .. .......... .......... ...... ........

Psychiatric ............................................................................. ............................................

Chronic disease ................... ....................................... .............. ....... ....... .............. ... ...........

Alcoholic and other chemical dependencies ....... ........................................ ........................

Tukrculosis ................. ......................................................................................................

Rohabllitation ....................................................................................................................

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

All specialty hospital beds ........... .......................................................................

Psychiatric ...................................................... ...................................... .............................

Chronic disease .................................................................... ... ...........................................

Alcoholics and drug abusers .................................. .......... ...................................................

Tuberculosis .... ................ ........................... ........................................................................

Rehabilitation ............. ............. .. ............................. ...........................................................

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

910

502

63

48

21

72

204

980

508

70

41

65

73

223

==4==

244,358

19,933

2,429

3,546

8,678

32,495

338,574

22,350

2,408

10,215

8,721

36,362

uccupancy rate varies according to bed size,

ownership, and geographic region.

Another measure of utilization is the number of :idmissions per bed (turnover rate). Specialty huspitals admitted 1,158,358 persons in

1976, an average of 3.7 persons per bed. The

turnovcr r~te was higher in 1976 than in either

1971 or 1973.

Gm-wally, smaller hospitals had higher turnovcor rates than larger hospitals did, suggesting

th;tt thu larger hospitals were mostly long-stay

h(~spit:ik. Proprietary and nonprofit hospitals’

Iutd hixher turnover rates than govw-nmentn~vnt}ci hospitals did. Most government-owned

specialty hospitals are long-stay facilities.

Specialty hospitals reported 11,035,653 outpatient visits in 1976, an average of 17,406 visits

pc’r reporting hospital. About 81 percent were

clinic visits. Outpatient visits increased by 17

pcrccnt from 1972 to 1976. However, the numhcr of specialty hospitals reporting these services

dccr~!asvd from 717 in 1972 to 634 in 1976,

or about 12 percent. Figure 7 shows the distriImti[m of outpatient visits for specialty

hospitals.

Employees

In addition to the decrease in the number

of specialty hospitals from 1971 to 1976, the

1971

1.071

533

90

43

99

66

240

503,189

418,487

24,614

2,647

17,806

7,544

32,091

Percent

change

since

1971

-15.0

-5.8

-30.0

+1 1.6

-78.8

+9.1

-15.0

——-38.1

-41.6

-19.0

-8.2

-80.1

+1 5.0

+1 .3

Table O. Occupancy rate and numtxx of admissions per bad

(turnover rate) for specialty hospitals, by bed size, ownership, and geographic region: United States, 1976

Selected characteristic

All specialty hospitals ...

Bed size

6-9 beds ........................................

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

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

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

75-99 &ds ....................................

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

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

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

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

Type of ownership

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

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

Nonprofit ......................................

Geographic region

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

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

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

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

lNumber of inpatient days

Number of beds X 365 “

Occupancy

ratel

(percent)

82

36

62

67

68

70

73

78

82

85

83

79

80

81

83

78

75

Number of

admissions

per bed

3.7

43.2

24.4

15.3

11.6

10.1

11.8

5.9

4.4

1.8

2.2

12.5

9.9

3.0

3.7

4.2

5.3

11
Figure 7. Distribution of outpatient visits for specialty hospitals,

by type of vis~t: United States, 1976

number of full-time equivalent employees decreased. There was a 5.3 decrease in staffYcompared to a 15 percent decrease in the number of

hospitals; thus the number of employees per

hospital actually increased. In addition, the

number of employees per 100 patients also increased. In 1976 there 147 FTE’s per 100 patients, compared with 111 in 1973 and 96 in

1971 (table P).

Detailed tables 20-42 give additional data for

hospitals.

OTHER INPATIENT HEALTH

FACILITIES

The 1976 Master Facility Inventory (MFI)

Survey included 6,280 inpatient health facilities

other than nursing homes and hospitals. These

facilities included resident facilities or schools

for the following:

Type of inpatient

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

Blind .......................................................................

Deaf ........................................................................

Emotionally disturtwd .................................,,..,,,.,..

Mentally retarded ....................................................

Other neurologically handicapped ...........................

Physically handicapped ...........................................

Dap(mdent chi Idren.................................................

Unwed mothers .......................................................

Alcoholics ...............................................................

Drug abusers...........................................................

Multiple and other disorders ...................................

Number

of

facilities

6,280

65

1,5:

1,876

44

87

867

105

798

85

751

The multiple-purpose facility category incorporates homes such as those for dependent children and the emotionally disturbed and those

for the physically handicapped and the mentally

retarded.

Table Q shows the change in the number of

homes in each category from 1971 to 1976. The

number of other inpatient health facilities has

increased by 31.7 percent since 1971. The most

dramatic change occurred in the number of facilities that provide care for alcoholics and drug

Table P. Number and percent change of full-time, part-time, and full-time equivalent employees (FTE’s) in specialty hospitels:

United States, 1971,1973, and 1976

I

I

Number of employees I

Number of

FTE’s

Year and percent change since 1971 1

I I

I

Full tima Part time FTE I

Per

bed

1976 ................................................................................................................. 360,254 30,114 375,311

1973 ...............................................................................................................0. 368,749 30,049 383,774

1971

0;9;

................................................................................................................. 381,533 29,971 396,522 0.79

Percent change since 1971 ................................................................................ -5.6 +0.5 -5.3 +51 .9

Per 100

patients

147

111

86

+53.1

12
Table Q. Number of other inpatient health facilities by type of facility, and percent change since 1971: Unitad States, 1971, 1973,

and 1976

Type of facility

I

19761973

All other inpatient facilities ...........................................................................................

Blind or deaf ,,, ..................................................................... ..........................................................

Emotionally disturbed ........................................ ...........................................................................

Mentally retarded and other neurologically handicapped . ............................................................

Physically handicapped .............. ............ ....................... .................................................................

Dependent children .............................. ..................... ............. ........................................................

Unwed mothers ..... ............... ................................................. .........................................................

Alcoholics and drug abusers ....... ................................................... .................................................

Multiple and other disorders ...... .... ............................ ....................................................................T

6,280 4,836

125 167

1,543 1,282

1,919 1,348

87 65

867 917

105 144

883 809

751 104

1971

4,769

143

875

1,236

94

1,015

176

166

1,064

Percent

change

since

1971

+31 .7

–1 2.6

+76.3

+55.3

-7.4

-14.6

–40.3

+431 .9

-29.4

abusers-an increase of over 400 percent, indi- About 73 percent of the other inpatient

catinx a dynamic response to the increased prob- health facilities were located within SMSA’S

lems of alcoholism and drug abuse, particularly (table R)–12 percent more than nursing home

by nonprofit groups who own almost 82 percent facilities in SMSA’S. In 1976 the typical other

of the facilities. health facility had fewer than 25 beds and nonTable R. Number of other inpatient health facilities and percent distribution by type of area, according to bed size and ownership:

United States, 1976

Bed size and type of ownership

All other inpatient facilities ... .... ........................... ..............................................

Bed size

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

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

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

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

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

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

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

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

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

Type of ownership

All government .......................................................................... .........................................

Federal ... ......................................... ....................... ........................................................

State-local ................................... ...................................................................................

Proprietary ................i ................ .........................................................................................

Nonprofit .................................................................. ................................................. .........

All

other

inpatient

facilities

Number

6,280

1,647

1,832

1,163

542

240

315

95

71

142

BI 6

38

778

2,018

3,443

All SMSA Outside

locations SMSA

I I

Percent distribution

100.0

26.2

29.2

18.5

8.6

3.8

5.0

1.5

1.1

2.3

13.0

0.6

12.4

32.1

54.8

72.9

72.3

70.9

73.7

76.9

75.4

76.2

71.6

64.8

62.0

64.2

71.1

63.9

71.9

75.6

27.1

27.7

29.1

26.3

23.1

24.6

23.8

28.4

35.2

38.0

31.9

28.9

36.1

28.1

24.4

13
profit ownership. Over half the facilities had

fewer than 25 beds (55.4 percent). and/or were

owned by a nonprofit group (54.8 percent).

The average bed size of other inpatient

heaIth facilities decreased by about 41 percent

from 1971 to 1976 (table S). None of the various types of facilities showed an increase in

average bed size. Homes for unwed mothers and

homes for the emotionally disturbed showed an

increase in average bed size between 1971 and

1973, but in 1976 it had declined to the 1971

level or lower.

In 1976, other inpatient health facilities had

375,805 beds, of which 82.8 percent were licensed and 19.6 percent were certified for Medicaid as intermediate care.

Utilization

Almost 550,000 admissions were reported

by 4,825 other inpatient health facilities for

1975–almost 114 per home. Discharges averaged about 176 per home for the 4,608 homes

reporting discharges. Both average admissions

and average dkcharges were higher for other

health facilities than for nursing homes.

Table T shows that the turnover rate (admissions per bed) for other inpatient health facilities was higher than that for nursing homes. In

1975, 16 persons were admitted for every 10

beds in the average other inpatient health facility. Like nursing homes, other facilities with 500

beds or more had a lower turnover rate and

homes in the West Region of the country had a

higher rate than the other three regions did.

An approximation of the occupancy rate

(number of residents per bed) for other inpatient health facilities in 1976 was 87 percent.

Table T shows how this rate varied according to

bed size, ownership, and geographic region.

Residents and Employees

Other inpatient health facilities reported

328,422 residents in 1976–a decrease of 20.9

percent since 1971 but only 3,6 percent since

1973. Unlike the residents of nursing homes,

most of the residents in other inpatient health

facilities were male (57.4 percent)$ and 80 percent of the residents whose ages were reported,e

were under the age of 45 (table U).

In 1976 there were 255,592 full-time employees, 44,453 part-time employees, and

277,819 full-time equivalent employees (FTE’s)

in other inpatient health facilities. Homes for

the physically handicapped and homes for the

emotionally disturbed had more than 100 FTE

employees for every 100 residents (table W).

Homes for dependent children and homes for

alcoholics and drug abusers, on the other hand,

dNinety percent response to question.

‘Seventy-six percent response to question.

Table S. Average bad size for other inpatient health facilities by type of facility, and percent change since 1971: United States, 1971,

1973, 1976

Type of facility

All other inpatient facilities ...........................................................................................

Blind or deaf ..................................................................................................................................

Emotionally disturbed ...................................................................................................................

Mentally retarded and other neurologically handcapped ...............................................................

Physically handicapped ..................................................................................................................

Dependent children ........................................................................................................................

Unwed mothers .................................................................................................,, ,,...,,,,,,,, ..............

Alcoholics and drug abusars...........................................................................................................

1976 1973 1971

I 1

Average bed size

59.8

152

41

97

53

46

29

32 I

82.9 101.6

146 171

47 41

161 173

74 89

53 60

42 37

41 80

Percent

change

since

1971

-41.1

-11.1

-43,9

-40.4

-23.3

-21.6

-60,0

14
Table T. Occupancy rata and number of admissions per bed

(turnover rate) for other inpatient health facilities, by bed

size, -ownership, and geographic region: United States,

19751

Selected characteristic

All facilities ...............

Bed size

Less than 9 beds ...........................

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

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

50-74 beds .!..........0...... .................

75.99 beds.,,,,,,,,,,,..,.,.,,,,,,......,.,...

100-199 bads ................................

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

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

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

Ownarship

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

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

Nonprofit .....................................

Geographic region

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

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

South ....................,, ...........!.... .....

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

Occupancy

rate 2

(percent)

94

86

85

86

84

87

89

89

88

87

90

87

89

89

84

89

Table W. Number of full-time equivalent employees per 100

residents in other inpatient health facilities by type of

facility, and ~ercent change since 1971: United States,

Number of

admissions

per bed Type of facility

1.6

2.0

5.5

3.5

2.8

3.3

1.7

1.2

0.6

0.3

1.1

1.7

2.5

1.5

1.2

1.6

2.6

lTh~ admi~~ions are for the calendar Year 1975.

2Number of residents

Number of beds .

3on,y 76.8 percent of the facilities reported admissions.

had less than 60 FTE employees per 100 residents. Table W shows the number of FTE’s

1971 and 1976

-L1976 1971

Number of

FTE’s per

100 residents

All facilities ....................

81ind or deaf ..................................

Emotionally disturbed . ...................

Mentally ratarded and other

neurologically handicapped .........

Physically handicapped ..................

Dependent children ........................

Unwed mothers ..............................

Alcoholics and drug abusers ...........

Multiple and other disorders ...... .....

76

63

101

91

152

57

67

52

79

per 100 residents for each type c

62

;

65

84

53

66

54

57

Percent

change

since

1971

+22.6

+16.7

+46.4

+40.0

+80.9

+7.5

+1.5

-3.7

+38.6

“ facility. The

;atio seems to vary according-to the amount of

assistance needed by the residents.

Table W also shows that the number of

FTE’s per 100 residents increased from 1971 to

1976 for all types of facilities except those

which treat alcoholics and drug abusers. The

most dfdmatic change occurred in homes for the

physically handicapped-the number of FTE’s

per 100 residents increased 80.9 percent.

Tables 43-47 give additional data for other

inpatient health facilities.

Tabla U. Percent distribution of residents of other inpatient health facilities by sex, according to age: United States, 1976

Age

All ages2 ................................................ .....................................................................

Under 45 years ..................... ................................................................................ ......................

45-64 years ................................................. ................................................................................

65 years and over ........................................................................................................................

Percent distribution

-m

lsex ,Vos rell~rted for 89.6 percent of all res~dents.

2tigc was rcPorted for 75,6 percent of all residents.

15
REFERENCES

1National Center for Health Statistics: Development

and maintenance of a national inventory ofhospitals and

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

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

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

2National Center for Health Statistics: The agency

reporting system. Vital and Health Statistics. PHS Pub.

No. 1000-Series l-No. 6. Public Health Service. Washington. U.S. Government Printing Office, Apr. 1968.

3National Center for Health Statistics: Inpatient

health facilities as reported from the 1967 MFI Survey,

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

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

Mental Health Administration. Washington. U.S. Government Printing Office, June 1972.

4National Center for Health Statistics: Inpatient

health facilities as reported from the 1969 M FI Survey,

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

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

Mental Health Administration. Washington. U.S. Government Printing Office, Dec. 1972.

5Nation~ Center for Health Statistics: Inpatient

health facilities as reported from the 1971 MFI Survey,

by A. Shrocco. Vital and Health Statistics, Series 14-No.

12. DHEW Pub. No. (HRA) 74-1807. Health Resources

Administration. Washington. U.S. Government Printing

Office, Mar. 1974.

6National Center for Health Statistics: Inpatient

health facilities as reported from the 1973 MFI Survey,

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

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

Administration. Washington. U.S. Government Printing

Office, May 1976.

‘National Center for Health Statistics: The Cooperative Health Statistics System: Its mission and program.

Vital and Health Statistics. Series 4-No. 19. DHEW Pub.

No. (HRA) 77-1456. Health Resources Administration.

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

1977.

8National Center for Health Statistics: Employees in

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

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

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

Services and Mental Health Administration. Washington,

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

‘National Center for Health Statistics: Selected

operating and financial characteristics of nursing homes,

United States: 1973-74 National Nursing Home Survey,

by M. R. Meiners. Vital and Health Statistics. Series 13-

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

Printing Office, Dec. 1975.

16
LIST OF DETAILED TABLES

1. Number of persons 65 years and over, number of nursing homes, beds, and beds per 1,000 population 65 years and over, by

State: United States, 1976 ........................................................................................................................................................

2. Number of nursing homes by certification status, type of service, and State: United States, 1976 ...........................................

3, Number of nursing homes and beds by certification status and typa of ownership: Unitad States, 1976 ..................................

4. Number of nursing homes and beds by certification status and bed siza: United States, 1976 ..................................................

5. Number of nursing homes and beds by type of service and ownership: United States, 1976 .....................................................

6, Number of nursing homes by selected characteristics and State: United States, 1976 ...............................................................

7, Number of nursing homes by selected characteristics and type of ownership: United States, 1976 ........................................

8. Number of nursing homes by selacted characteristics and bad size: Unitad States, 1976 ..........................................................

9. Number of nursing homas by bed size and State: United States, 1976 ......................................................................................

10. Number of nursing homes by type of patient, geographic region, and division: United Statas, 1976 ...............................!........

11. Number of nursing homes by typa of patient and ownership: United States, 1976 ................................................. ..................

12, Number of nursing homes by type of patient and bed size: United States, 1976 ......................................................................

13. Number of employaes in nursing homes by employment status, geographic region, and division: United States, 1976 .............

14. Number of employees in nursing homes by employment status and type of ownership of home: United States, 1976 .............

15. Number of employees in nursing homes by employment status and certification status of home: United States, 1976 ............

16. Number of registered and licensed practical nurses in nursing homes by employment status and State: United States, 1976 ...

17. Number of registered nurses in nursing and personal care homes by geographic region, employment status, type of ownership, and bed size: United States, 1976 ...............................................................................................................................!.....

18. Number of licensed practical nurses in nursing and personal care homes by geographic region, employment status, type of

ownership of home, and bed size: United States, 1976 ........................................O..................• .............O...00....CO.................•...O..

19. Number of nursing homas by type of service providad, shift worked, and Iavel of skill of parson in charge: United States,

1976 ,,,,..,,,....,,,,., ,,..............................!..... ....................................................................................................,,..........!. ..............

20. Number of hospitals by type and State: United States, 1976 ....................................................................................................

21. Number of hospitel beds by type of hospital and State: United States, 1976 ...........................................................................

22. Number of hospital beds and beds per 1,000 population by type of hospital and State: United States, 1976 ...........................

23. Number of hospitals by type and bed size: Unitad States, 1976 ...............................................................................................

24. Number of hospitals by typa and ownarship: Unitad States, 1976 ............................................................................................

25. Number of hospital beds by type of hospital and ownership: United States, 1976 ...................................................................

19

20

21

21

22

22

23

23

24

25

25

26

26

27

27

28

29

29

30

31

32

33

34

34

34

17
26. Number of general hospitals by selected characteristics and State: United States, 1976 ...........................................................

27. Number of specialty hospitals by selected characteristics and State: United States, 1976 ............................................... ..........

28. Averege daily census and number of inpatient days for selected specialty hospitals, by State: United States, 1976 ..................

29. Number of employees in general hospitals by employment stetus and bed size: United States, 1976 .......................................

30. Number of employees in general hospitals by employment status and type of ownership: United States, 1976 ......................

31. Number of employees in general hospitals by employment status, geographic ragiom and division: United States, 1976 .........

32. Number of full-time and part-time employees in general hospitals by occupation: United States, 1976 ...................................

33, Number of general hospitels raporting outpatient visits and number of visits, by type of visit and bed size: United States,

1976 .................... .................................... .................................. ...................................... ................ ................................ .........

.........a. ..4........................................................................................"...."......."......".."""...." 34. Number of general hospitals reporting outpatient wslts and number of vlslts, by type of vmt and type of ownership.

States, 1976

35. Number of ganeral hospitals reporting outpatient visits and number of visits, by typa of visit, geographic region, and division: United States, 1976 ............................................................................................................................................ ..............

36. Number of employees in specialty hospitals by employment status and bed size of hospital: United Statesr 1976 ...................

37. Number of employees in specialty hospitals by employment status and type of ownership of hospital: Unitad States, 1976 ...

38. Number of employees in specialty hospitals by employment status, geographic region, and division: United States, 1976 .......

39. Numbar of employees in specialty hospitals by employment status and occupation: United States, 1976 ................................

40. Number of specialty hospitals reporting outpatient visits and number of visits, by type of visit and bed siza: United States,

1976 .............................................. .............................................................................................. .............. .....?........ .................

41. Numbar of specialty hospitals reporting outpatient visits and number of visits, by type of visit and type of ownership:

United Statas, 1976 .,..............................................0..........................!.... ................................................................ ................ .0

42. Number of specialty hospitals reporting outpatient visits and number of visits, by type of visit, geographic region, and divi.

sion: United States, 1976 .......................... ...................................................................... ................................ #............... ..........

43. Selected characteristics of other inpatient health facilities, by type of facility: United Statas, 1976 ........................................

44. Selected characteristics of other inpatient health facilities, by type of ownership: United Statas, 1976 ...................................

45. Selected characteristics of other inpatient health facilities, by bed size: United States, 1976 ...................................................

46. Selected characteristics of other inpatient health facilities, by geographic region and division: United States, 1976 .................

47. Number of other inpatient health facilities by type of facility and State: United States, 1976 .................................................

35

36

37

38

38

39

39

40

40

41

41

42

42

43

43

43

44

44

45

45

46

47

18
Table 1. Number of persons 65 years and over, number of nursing homes, beds, and beds per 1,000 population 65 Years and over. bv

State: United States,”1 976

State

United States ..........................................................................................

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

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

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

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

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

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

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

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

District of Columbia ................................... ................................ ............................

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

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

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

ldaho .......................... ................................. ........ ............................ ...................... .

llllnois ......................m.................................. ............. .................................. ............

lndfana ........................................................................................... ............ ............

lowa ........................ .............................. ...................................... .......... .................

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

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

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

Matne ............................................................................................................. ........

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

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

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

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

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

Mlssouti .............. ......................................................... ........................................ .. .

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

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

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

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

New JerseV .............................................................................................................

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

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

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

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

Ohto ..... ..................................................... ........................... ................................. .

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

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

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

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

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

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

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

Tt*xas ............................................................................ ..........................................

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

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

Vlrgmia ............. .................................................... .............. ...................... .............

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

West Virginia .............................l ........... ....................l ...........................c............... .

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

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

Total U.S.

population

65 years

and over

22,936,000

388,000

9,000

235,000

277,000

2,121,000

218,oOO

330,000

51,000

72,000

1,383,000

443,000

60,000

81,000

1,171,000

540,000

367,000

289,000

373,000

355,000

128,000

350,000

682,000

834,000

445,000

259,000

608,000

77,000

196,000

47,000

91,000

787,000

94,000

2, C68,000

513,000

75,000

1,089,000

339,000

266,000

1,404,000

116,000

240,000

86,000

453,000

1,193,000

94,000

53,000

441,000

374,000

214,000

523,000

34,000

All

nursing

homes

20,468

217

11

71

217

3,500

243

356

29

70

335

325

144

67

936

506

552

393

321

205

307

191

869

704

517

147

474

107

264

37

115

467

72

1,027

722

103

953

362

283

676

120

119

154

290

1,105

104

263

341

370

127

530

30

All beds

1,414,865

19,489

782

5,914

19,803

138,219

22,731

24,573

2,228

2,873

33,097

29,455

3,188

4,823

88,311

37,611

33,874

23,195

20,950

19,135

9,020

19,154

50,940

66,750

43,036

9,023

33,746

5,335

23,349

1,638

6,378

33,976

3,366

104,523

24,614

6,878

64,903

26,650

17,189

61,891

7,330

8,701

8,386

20,092

102,139

4,613

5,130

25,435

30,344

5,585

52,577

1,923

All beds

par 1,000

population

65 years

and over

61.7

50.2

86.9

25.2

71.5

65.2

104.3

74.5

43.7

39.9

23.9

66.5

53.1

59.5

75.4

69.7

92.3

80.3

56.2

53.9

70.5

54.7

74.7

80.0

96.7

34.8

55.5

69.3

119.1

34.9

70.1

43.2

35.8

50.5

48.0

91.7

59.6

78.6

64.6

44.1

63.2

36.3

97.5

44.4

85.6

49.1

96.8

57.7

81.1

26.1

100.5

56.6

19
Table2. Number ofnursing homes bycertifimtion status, type ofsawiu, and State: United States, 1976

.

Stata

United States..................................

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

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

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

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

California ...................................c...................

Colorado .................................,,,,.,,,,,,.....,...,,,

Connecticut !,.!.,.,,,,.,.,.... .................................

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

District of Columbia .......................................

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

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

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

ldaho..............................................................

lllinois ............................................................

lndiana ...........................................................

lowa ...............................................................

Kaneas............................................................

Kantucky .......................................................

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

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

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

Massachu~tts ..................................................

Michigan ........................................,.,,..,,...,,,,,,,

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

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

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

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

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

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

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

Naw Jarsey ..,,,,,,..,..,.,,,,,.,,,.,,,,,,. ,,, ,,,..,,...,,, ...,,,

New Mexico .................................................,.,

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

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

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

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

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

Oragon ............................................................

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

Rhoda island ...................................................

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

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

Tennessaa........................................................

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

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

Vermont.,,, ......................................................

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

Washington ......................................,,. .,.....,...,,

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

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

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

Skillet

care 1

(1)

8,01[

17[

[

1[

9f

1,53!

17:

20;

:

2:

21:

I g~

7f

5d

314

12E

54

76

1Oc

Zg

58

96

238

391

249

84

99

71

43

16

2;:

19

528

270

50

337

40

48

37

48

73

45

55

288

30

22

74

212

43

319

14

Certification status

Intermadiats

cara2

(2)

5,1 6(

2:

:

62

G

37

4:

Ic

17

E

64

14

6

301

213

302

222

65

136

100

48

381

148

205

18

37

11

206

4

47

23

24

87

32

17

336

191

95

61

62

18

51

205

715

34

26

112

40

26

162

8

8oth skillad

and intermediate

care3

(3)

3,472

125

5

1

44

279

92

34

5

14

48

113

18

49

132

101

22

43

44

18

22

58

185

193

137

5

73

46

30

6

16

86

12

134

94

9

196

20

13

195

37

27

18

44

156

15

17

44

58

21

312

6

Unknown4

(4)

3,25S

11

1

2E

1,CkW

16

4g

3

19

6a

17

31

1

150

102

92

60

54

34

64

25

14:

19

17

12

4

11

109

6

176

214

18

140

:

76

1

14

31

26

22

36

59

54

23

3

Type of service

Nursing

cara

(5)

13,417

195

10

67

203

1,279

208

222

22

26

280

312

36

54

705

411

392

330

182

194

133

157

528

478

399

129

367

82

241

21

85

290

39

547

172

68

825

333

190

573

80

105

105

253

957

86

50

169

293

76

435

23

Parsonal care

and othar

homes

(6)

7.051

22

:

14

2,221

35

134

7

44

55

13

108

13

231

95

160

1%!

11

174

34

341

226

118

18

107

25

43

16

1;;

33

480

650

35

126

::

103

40

14

49

37

148

18

213

172

77

51

95

7

lIncludes homes certified as both skilled and intermediate care (column 3).

2Excludes homes certified as both skilled and intermediate care (column 3).

3Home5 ~th both stilled and intermediate care beds.

4Que5tion on certification was not answered.
Table 3. Number of nursing homes and beds by certification status and type of ownership: United States, 1976

I

Certification status

Both Medicare

Type of ownarship Skilled Intermediate skilled and Unknown4 and skilled Intermediate

carel care2 intermediate Medicaid care beds5

care3 beds5

(1) (2) (3) (4) (5) (6)

Number of homes Num&x of beds

Ail types of ownership .......... ............. 8,018 5,160 3,472 3,259 824,999 532,752

Government ....................................................... 641 349 302 152 76,564 52,367

Federal ........ .......... .. .......... ...... .............. ....... 14 3 1 27 685 188

State.local ........................ ............................. 627 346 301 125 75,879 52,179

Proprietary ........................................................ 5,768 3,924 2,370 2,681 592,871 373,201

Nonprofit ............. ............ .. .... .. ...... .. .... ...... .. ..... 1,609 887 800 424 155,6s34 107,184

Church ........................... ............................... 448 224 259 112 39,535 29,786

Other ............................................................ 1,161 663 541 312 116,029 77,398

llncludeq homes certified ~S both skilled and intermediate care (column 3).

2F\clud& homes certified as both skilled and intermediate care (column 3).

3Ht,me, ,;~th both skilled and intermediate care beds.

4CluUstion an certification was not answered.

5~L,mc of these beds are ~robabl~ certified ~S both skilled and intermediate care. Double COUII@g Will eXkJ between COIUIOIIS

s :~nd 6.

Table 4. Number of nursing homes and beds by certification status and &d size: United States, 1976

Bed size

All bed sizes.., ....... .............................

3.9 beds .............................................................

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

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

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

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

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

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

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

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

Skilled

care 1

(1)

8,018

698

497

976

1,357

1,329

2,539

452

126

44

Intermediate

care

(2)

Certification status

Both

skilled and

intermediate

care 3

(3)

Number of homes

5,160

117

538

1,479

1,412

618

893

69

25

9

3,472

128

124

305

527

5B0

1,418

277

81

32

llI1c]udus homes Certified as both skilled and intermediate care [column 3).

‘Excludes homes certified as both skilled and intermediate care ~column j).

3Ht1n1eS ,,,itl, both stilled and intermediate care beds.

~LluL,st~L,ll“n ~crti~cation was not answered.

Unknown4

(4)

3,259

960

754

570

378

194

333

45

17

8

Medicare

and skilled

Medicaid

beds5

(5)

Intermediate

care beds5

(6)

Numbar of beds

824,999

3,460

9,600

47,102

98,141

147,037

356,361

102,764

38,808

21,728

532.752

1,146

11,310

60,150

98,920

80,631

198,331

45,127

20,829

16.308

5SUIIIC ,If these beds are probably certified as both skilled and intermediate care. Double counting will exist between columns

21
Table 5. Number of nursing homes and beds by type of service and ownership: United States, 1976

All homes

Type of ownership

Homes I Beds

All types of ownership ....................................................

F

20,468 1,414,865

Government ........................... ......................................................... 1.402 151563

Federal ....................................... ........................................ ........ 90 8,543

State-local ................................ .................. ............ .................... 1,312 143,020

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

IJ=-1==

Nonprofit .................................... .. ........................ .......................... 3,723 302,953

Church ................................. .................................. .... .. .............. 996 92,096

Other ............................................ .. .................. ......................... 2,727 210,857

state

United States........

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

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

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

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

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

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

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

De[aware .........................

Oistr,ct of Columbia .......

Florida ..,..,,..........,.......,..

Georg,a ...........................

Hawau.. ..........................

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

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

Indiana,., .........................

Iowa., ..............................

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

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

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

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

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

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

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

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

Mksisslppi .......................

Missour, .... ..... . . ...... ...

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

Nebraska ..,,.........,........,.,

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

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

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

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

P&3w York .......................

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

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

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

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

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

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

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

South Carol ina ................

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

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

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

Utah, ...............................

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

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

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

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

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

Wyoming..., .....................

Nursing care homes

I

Personal care and

other homes

1 1

Homes I Beds I Homes I Beds

Table 6. Number of nursing homes by selected characteristics and State: United States, 1976

Nursing

homes

20,4a8

217

11

71

217

3,500

243

356

29

70

335

325

144

67

936

50s

552

393

3’21

205

307

191

869

704

517

147

474

107

284

37

115

4a7

72

1,027

722

103

953

362

263

a7a

120

119

154

29o

1,105

104

2a3

341

370

127

530

30

ke.mdents

l,293,2a5

1a,396

705

5,612

18,454

124,456

19,071

23,233

2,045

2,493

29,5S4

26,163

2,919

4,581

80,674

33,68a

31,681

21,a75

19,176

la,211

8,601

16,164

4a,lo7

58,779

41,038

8,502

30,620

6,097

21,230

1,426

5,929

32,291

3,006

97,297

22,734

a357a

60,341

24,170

16,913

5a,996

a,697

7,953

7,887

19,293

a4,340

4,350

4,540

23,661

27,929

5,04a

47,901

1.752

II Homes reportngadm,ss,o”s

,.

Beds

1,414,665

19,489

782

6,914

19,803

136,219

22,731

24,573

2,228

2,673

33,097

29,455

3,168

4,823

88,311

37,al 1

33,874

23,195

20,950

19,135

9,020

19,154

50,940

66,750

43,038

9,023

33,746

6,335

23,349

1,a36

a,378

33,97a

3,366

104,523

24,614

6,878

64,903

2a,650

17,189

61 ,a91

7,330

8,701

8,386

20,092

I 02,13e

4,613

5,130

25,435

30,344

5,585

52,577

1,923

Homes

17.9oa

-

189

11

70

196

2,746

229

315

27

41

312

294

92

66

664

470

497

356

298

I a7

247

185

845

657

500

130

431

90

268

28

108

413

57

930

545

e7

842

319

255

a27

116

108

142

2ao

eo7

90

145

295

342

101

524

27

aeds

1.307,803

16,606

782

5,896

17,455

125,804

21,775

22,188

z,lal

2,711

31,589

26,620

2,964

4,735

81,355

34,8M

31,538

21,041

19,594

17,473

8,183

18,869

50,579

a4,075

42,045

8,166

31,660

4,917

22,540

1,234

a,149

30,052

3,243

97,43a

22,a59

6,7ao

58,455

23,272

15,870

58,57a

6,97a

7,848

7,883

19,5a0

a3,822

4,133

3,74s

24,424

26,656

4,903

52,037

1,673

Admisswns

1.319,111

18,244

1,568

11,ao9

11,640

185,174

20,454

18,545

1,689

1,489

45,157

22,622

7,169

4,866

64,369

27,27a

28,075

15,599

19,845

10,394

7,918

15,857

35,281

5a,940

31,779

8,599

24,844

4,605

19,869

2,S19

8,144

33,083

7,361

77,668

23,021

3,117

57,116,

19,728

18,405

47,313

8,177

7,558

4,156

la,523

69,a73

7,554

3,243

17,160

34,611

7,658

121,652

1,675

Homes reporting discharges

Homes

17.471

1as

10

70

195

2,609

212

311

26

39

306

294

82

65

845

472

490

347

293

186

244

1?9

a49

653

497

127

432

91

268

28

103

398

53

905

511

96

a13

314

262

al 4

119

104

142

275

a95

8a

127

277

340

95

515

27

+

8eds Dischwges

1,291,838 1,1 53,a31

16,528 I “- “--

“774

5,698

17,348

123,916

19,898

22,086

2,1 6a

2,570

30,888

2a,620

2,822

4,705

80,009

34,758

31,289

20,61a

19,478

17,420

8,084

16,544

50,a38

63,791

41,958

7,974

31,542

4,957

22,619

1,237

8,086

29,147

3,203

88,424

22,194

6,734

67,372

23,050

15,677

56,137

7,023

7,72a

7,965

19,353

az,al 7

4,023

3,363

24,077

28,436

4,738

51,427

1,673

16,473

1,475

11,454

9,643

156,899

17,657

16,471

1,301

1,312

40,009

19,613

2,472

4,653

52,909

23,a31

21,903

12,898

17,812

7,493

6,910

14,002

33,379

52,839

30,332

7,244

22,200

4,248

19,5o2

2,352

5,307

27,514

7,080

71,326

19,711

2,617

50,300

15,765

1a,050

42,170

7,578

6,457

3,467

10,072

58,a43

13,045

2,586

15,262

31,989

5,605

111,469

1,411

1

Homes reuortma-.mDattent davs

=

Homes Beds

14,343 1,096,464

155

10

a9

138

1,793

228

222

20

45

229

235

107

65

601

355

388

266

216

1Zt

186

149

887

633

503

95

462

76

263

22

78

273

51

684

42o

77

629

147

168

460

119

93

108

274

a68

62

;%

237

74

527

22

13,936

66ti

6,874

12,915

89,473

21,517

16,376

1,702

2,446

23,261

22,015

2,586

4,712

60,087

28,723

26,336

16,296

15,167

11,881

6,616

16,283

50,a78

62,el 7

42,144

5,874

32,904

4,444

21,970

1,141

4,803

21,affi

2,427

78,168

18,759

5,447

46,936

10,675

10,515

49,657

7,023

6,881

6,077

19,126

a0,882

3,116

3,a73

22,929

19,923

3,930

52,075

1.616

Inpatvmt

days

372.336.769

4,a58,088

202,702

1,977,532

3,920,041

33,6a5,697

6,671,015

6,233,382

542,935

724,038

7,277,619

9,636,099

767,583

1,688,070

26,609,279

10,158,657

8,458,614

5,797,233

5,048,535

4,133,308

2,i60,994

5,130,506

17,003,350

20,638,8a7

14,275,610

1,972,214

10,697,7C6

1,358,845

7,262,221

340,396

1,518,002

7,001,146

776,948

26,354,752

5,509,844

1,762,976

14,452,a5a

3,765,633

3,491,590

la,905,394

2,066,534

2,xl 7,466

2,069,G58

6,183,549

24,119,423

3,071,674

1,126.2GG

a,G85,867

6,338,926

1,048,392

17,237,874

525,abl

22
Table 7. Number of nursing homes by selected characteristics and type of ownership: United States, 1976

Total Homes reporting Homes raporting Homas raporting

admissions discharges inpatient days

Type of ownership

Nursing Residents Beds Homes Admissions Homes Discharges Homes inpatient

homes days

All typas of ownership..,.. 20,466 1,293,285 1,414,865 17,908 1,319,111 17,471 1,153,631 14,343 372,336,769

Government ..................................... 1,402 138,234 151,563 1,304 117,420 1,291 108,865 1,191 43,902,726

F~deral ....................................... 90 7,712 8,543 76 4,917 72 4,884 72 2,595,782

State-loca l.................................. 1,312 130,522 143,020 1,228 112,503 1,219 103,971 1,119 41,306,944

Proprietary ...................................... 15,341 880,012 960,333 13,145 941,290 12,810 812,472 10,147 245,902,180

Nonprofit ........................................ 3,723 275,030 302,953 3,459 260,401 3,369 232,282 3,005 82,531,863

Church........................................ 996 84,368 92,096 933 67,982 917 55,571 827 25,010,237

Other .......................................... 2.727 190,662 210,857 2,526 192,419 2,452 176,721 2,178 57,521,626

Table8. Number ofnursing homes byselected characteristics andkd size: United Statas,1976

Bed size

All bed sizes.....................

39 beds.,.........................................

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

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

60-74 beds.......................................

75.99 beds.......................................

100.199 beds...................................

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

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

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

Nursing

homes

20.468

2,707

2,868

3,935

3,596

2,374

4,022

607

193

66

Total

Residents

1,293,285

12,871

45,147

133,895

200,806

193,587

477,611

127,583

60,341

41,444

II Homes reporting I

Homas reporting I

Homes reporting

admissions discharges inpatient days

-----11---

8edsllHOmes

14,752 1,626

50,068 2,519

144,616 3,622

214,716 3,376

208,486 2,242

524,055 3,726

140,886 561

70,190 173

47,087 63 s

Admissions Homes

1,319,111 17,471

15,031 1,466

43,556 2,416

120,038 3,554

173,399 3,333

208,579 2,223

584,696 3,680

114,537 554

41,494 173

17,781 62

Discharges Homes Inpatiant

davs

m

181,775 1,882 62,090,400

517,955 3,185 139,320,602

94,122 488 36,508,680

36,706 154 17,184,978

15,848 53 11,451,030

23
Table9. Number ofnursing homes by bedsize and State: United States, 1976

State

United States .................

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

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

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

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

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

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

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

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

District of Columbia ........... ...........

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

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

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

ldaho .............................................

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 Carol ina .................. .... .........

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

All 3-9

homes beds

20,468 2,707

217 1

11 1

71 -

217 1

3,500 1,441

243 11

356 22

29 1

70 46

335 1

325 2

144 104

67 -

936 10

506 3

552 23

393 15

321 10

20.5 -

307 121

191 ,3

669 18

704 27

517 9

147 4

474 2

107 12

284 4

37 4

115 9

467 15

72 21

1,027 55

722 354

103 4

953 25

362 7

283 13

676 14

120 -

119 4

154 30

290 1

1,105 3

104 2

263 153

341 63

370 11

127 19

530 5

30 3

10-24

beds

2,968

4

2

4

5

653

15

85

6

7

22

13

8

6

96

77

80

44

35

4

61

20

206

74

61

16

64

23

22

16

36

134

14

226

81

13

167

10

64

97

35

10

3:

26

36

57

68

38

33

56

2

25-49

beds

3,935

36

1

10

31

377

35

72

5

4

53

42

9

19

204

165

129

87

99

21

63

41

261

123

84

40

140

27

44

6

28

94

11

177

95

20

290

63

71

171

26

33

37

99

166

33

26

50

:

104

8

50-74

beds

3,596

55

1

21

65

299

55

51

6

4

74

84

8

11

158

72

167

144

76

49

34

31

116

132

133

46

104

25

110

3

17

51

11

92

83

32

161

132

50

106

26

19

:

292

17

10

60

76

17

85

4

75-99

beds

2,374

40

3

16

47

407

22

31

5

1

41

53

3

15

150

55

69

38

44

57

15

23

90

64

74

10

50

9

37

4

6

32

5

112

29

16

91

57

45

73

11

27

13

41

163

7

9

17

60

8

72

7

100-199

beds

4,022

76

3

19

59

279

91

83

5

4

119

120

11

15

226

113

75

63

49

68

12

57

170

221

133

31

100

9

55

4

14

118

7

213

70

16

176

86

38

156

17

22

9

50

414

9

8

z

12

154

6

200-299

beds

607

4

1

6

32

10

9

1

18

8

1

1

66

15

8

2

6

5

12

7

46

16

10

2

10

2

12

3

92

8

35

6

38

4

2

2

2

32

15

15

3

40

300-49C

beds

193

1

10

3

2

2

6

3

25

5

1

2

1

3

1

14

6

4

1

3

9

36

2

2

6

1

1

11

1

2

1

8

7

1

12

500

beds

or

more

66

1

2

2

1

1

1

1

1

1

1

1

1

3

1

1

2

24

2

1

10

1

1

1

3

2

24
Tablal O, Numkrof nursing homes bytypeof patient, geographic region, anddivision: United States, l976

Geographic region and division

United States.............................................................

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

Naw England .............................................................................

Middle Atlantic .........................................................................

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

East North Central ....................................................................

West North Central ....................................................................

South ,,,,,.,.,,,,.,,,,,, ,,., !,.,..,,.0.,...........................................

South Atlantic .,, ,,,,,.!,................................................................

East South’ Central ,.,,. ...............................................................

West South Central .,. ,..,,,,,,..,,,., ...................,,.,.,..,,,,.,..,., ,,, .....0..

West...,,,,,,,,.,, ,.,,.,,,,,,,, ,,....,, ,,....................................0......

Mountain ...................................................................................

Pacific ...................o...................................................................

‘“-

homes

2,030 275 293 158

2,170 486 639 245

=lm

5,039 1,447 1,261 878

731 182 177 138

4,308 1,265 1,084 740

Drug Senile addicts

++%

+

34 445

53 1,311

238 2,486

152 1,630

86 856

191 2,292

77 1,263

45 515

69 514

253 2,682

56 279

197 2,403

lNOTF.: Figures may notaddto totals due tosomehomes accepting more than onetype ofpatient, andother homes not accepting

any of these types.

Table Il. Number ofnursing homes by type of patient and ownership: United States, 1976

I

Typa of ownership All

homes

All types of ownership ..............................................

L

20,468

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

t1,402

Federal ................................................................................. 90

State40cal ,,,,,,,,,...............................,.,.,,,,,...,.,,. !,0................ 1,312

Proprietary ..........o.........o.........o.................................................

l--

15,341

Nonprofit ..................................................................................

Church .................................................................................

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

3J2Q

996

2,727

Type of patient

Emotionally Mentally Alcoholics Drug

disturbed Senile retarded addicts

1

4,667 5,236 2,614 769 9,216

367 463 286 99 653

45 32 42 19 55

322 431 244 60 598

3,758 4,095 2,037 556 6,988

I I I I

541 678 290 114 1,574

120 144 57 22 416

421 534 233 92 1,158

NOTE: Figures may not add to totals due to some homes accepting more than one type of patient, and other homes not accepting

any of these types.

25
Table 12. Number of nursing homes by type of patient and bed size: United States, 1976

Bed size All

homes

Type of patient

Emotionally

disturbed

Mentally

retarded

5,236

Drug

addicts

769

Alcoholics

2,614

Senile

All bed sizes .......................... ..................... ............... 9,216

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

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

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

50-74 &ds .......................................... .... .............................. .....

75-99 kds .......... ................................... ..... ..... ........ ......... .........

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

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

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

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

20,468 4,667

2,707

2,968

3,935

3,596

2,374

4,022

607

193

66

810

716

877

785

554

780

100

36

9

636

722

1,052

966

647

1,005

158

35

15

265

357

475

484

365

555

74

26

13

52

102

146

162

111

161

26

6

3

1,087

1,201

1,777

1,674

1,246

1,830

286

84

31

NOTE: Figures may not add to totals due to some homes accepting more than one type ofpatient, andother homes not accepting

any of these tjpes.

TabIe 13. Number ofemployees innursing homes byemployment status, geographic region, and division: United States, 1976

Geographic region and division

Employment status

Full-time

equivalent

Full time Part time

United States ........................ ............................ .. ...........................................................

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

New England ........................................................................ .........................................................

Middle Atlentic ................................ .....~................................. ... .................................... ...... .........

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

East North Central .. ............ ... ...................................... ........................ .................. .... .. ............ .....

West North Central ... ................................ ............................................................ .........................

652,697

154.368

307,445

88.561

806,420

198,641

63,017

135,632

268,906

42,930

111,438

207,034

40,174

48,387

123,744

136,301

70,733

188.500

73,511

50,233

50.387

173,057

95,850

213.694

South Atlantic ..... ....... ................................................... ..... ... .............. .. .......... ............ ..................

East South Central ............................................................ .. J............... ........................ ..................

West North Central .......................................... ..................... .... .....................................................

79,435

35,505

73,560

102,795

22,735

9,534

18,118

44,753

90,803

40,272

82,619

125.172

Mountain ................... ................... ....... ............................................................ ..............................

Pacific ............... .................................................................. ....................... ...................................

24,205

78,590

11,097

33,656

29,754

95,418
Table 14. Number ofemployees innursing homes byemployment status and~peof ownership of home: United States, 1976

Employment status

Type of ownership

Full time Part time Full-time

equivalent

All types of ownerships ......................... ........................................................................ 652,697 307,445 805,420

Government .................................................................................................................................. 96,279 26,343 109,451

Federal .................................................................................................................. ................... 3,352 1,385 4,045

State-local ......................................................................................... ....................................... 92,927 24,958 105,406

Proprietary .................................. ............................... .. ........................ .. ............ ........................... 407,381 195,940 505,351

Nonprofit ......................... .......................... ........................ ................................ ........ ................... 149,037 85,162 191,618

Church ............................. ......................... ........................................... .................................... 42,548 27,255 56,176

Other .......................................... .............................................................................................. 106,489 57,907 135,443

Table 15. Number ofemployees innursing homes byemployment status endcertitication status of home: United States, 1976

Employment status

Certificate on status

Full time Part time Full-time

equivalent

Skilled nursing facility 1........ .................................................... .. .. ..................................... ............ 392,871 187,203 486,473

Intermediate carez ..................... ...................... .......................................... ................................... 147,287 73,979 184,277

Both skillad nursing facility and intermediate care facility 3 .................................................. ........ 202,182 97,571 250,968

Unknown certification ....... ........................................... ................. ............................................. 52,646 19,762 62,527

Not certified ..................................... ........ .. .. .................................................................. ............... 112,539 46,263 135,671

lIncIudeS homes certified as both skilled and intermediate care (row 3).

2E\cludes homes certified as both skilled and intermediate care (row 3).

3H&5 with both stilled and intermediate care beds.

4Question on ~ertification was not answered.

27

,
Table 16. Number of registered and Iicensad practical nurses in nursing homes by employment stetus and Stata: United Statas, 1976

Steta

United States...............................................................................................

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

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

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

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

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

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

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

Delawere .....................................................................................................................

District of Columbia .................................................................................................,.,

FIorida ...............................................................................................,......!.......,,,. .,!...

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

Hawaii ,..,.,,,,.,.....,,, .......................................,..,.!,..,,,....,,. ,... ,,......................................

ldaho...........................................................................................................................

lllinois .................o...........e...........l .....................................................o..................o......

lndiana ........................................................................................................................

lowa ............................................................................................................................

Kanws .........................................................................................................................

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

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

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

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

Massachuwtts ..............................................................................................................

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

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

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

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

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

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

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

Naw Hampshire ...........................................................................................................

New Jer@y ..................................................................................................................

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

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

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

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

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

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

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

Pennsylvania., j,,.,,,.,,.,,,.,,,,.,,,,,,,,,..,,,.,.,,.,,,,.....,,,,,.,,,,,,,,.,,,...,.,,,,,,,......,.,e,,...,.,..,.,,.o.....

Rhode Island ,.,...................................,.,, ,,,,.,,,.,,,.,,.,, ,,..,. ,., .,,..., ...................................

South Carolina ,..,,..,.,,,,,,,.,.. ......................,!,,,.,, ,..,...,. ,...,,.!!,,,,,,.,.. .................!. .,.,,....!.

South Dakota ......................................,,...........!...0...................................................0..

Tennessaa.................................................~..................................................................

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

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

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

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

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

West Virginia ............................................................................................c..................

Wisconsin .................................................................................................................,, ,

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

Registered nurse

Full time

45,817

400

75

435

367

4,145

834

1,283

92

109

1,395

765

260

193

2,850

1,083

836

462

387

356

337

705

1,879

1,819

1,138

307

631

230

433

116

431

1,8s3

98

5,543

729

170

2,281

360

573

3,295

318

333

217

391

1,201

139

200

741

1,231

191

1,439

71

Part time

34,378

205

28

167

97

2,548

715

1,735

113

36

606

354

85

129

1,973

705

847

369

245

141

221

517

2,509

1,638

1,477

114

378

202

472

43

322

1,585

30

3,246

374

210

‘1,863

206

359

2,465

288

159

242

175

749

94

140

453

788

127

1,991

33

Licensad practical

nurse

Full tima

61,564

1,358

44

218

989

5,206

810

822

1;;

1,819

1,825

193

219

2,971

1,127

1,077

583

738

1,114

275

952

2,022

2,190

1,222

793

1,271

272

630

127

236

1,244

187

5,590

941

173

3,726

1,102

456

3,853

252

445

167

1,281

6,4S7

250

207

1,230

946

262

1,436

69

Part time

27,711

412

5

100

264

2,235

484

869

37

35

582

435

41

142

1,224

465

587

279

262

349

193

418

2,137

1,430

1,275

176

483

117

315

24

147

641

52

2,360

402

167

1,722

266

171

1,266

202

146

134

395

1,646

101

107

394

600

92

1,413

43

28
Table 17. Number ofregistered nurses innursing andpersonal care homes bygeographic region employ mentstatus, type of ownership

of home and bed size: United States, 1976

Type of ownership and bed size

All South ] NorthCentral I West geographic regions]]Northeast

Part time Full time Part time Full time Part time

4,671 13,339 11,S!65 8,400 5,221

152 347 481 397 262

590 1,129 1,242 964 832

1,639 3,704 3,656 3,109 2,103

2,290 a,l 59 6,5aa 3,930 2,024

281 2,125 1,345 788 276

Full time

All types of ownership .....

Lws than 25 Lads .............................

25.49 beds .... ...................................

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

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

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

Lus$ thm 25 beds ............................ .

25.49 beds ................................. ......

60-99 beds .......................................

100 Imds or moral ............................

Nonprof it.., ................. ..........

Less thiin 25 beds ......................... ....

2$49 beds .......................................

50.99 ~d~ ............ ...........................

100 beds or mono .............................

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

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

26.49 beds .......................................

GO.99 beds ............................ ...........

100 beds m more ...................... .......

8,829

169

806

2,728

5,126

1,249

4,180 4;150 I

1,281 1,486

12,836 10,783 3,295 3,385

27,423 la,047 1 o,zoa 7,147

6,584 I 2748[1 2422[ 846

186 127 2

506 309 44 28

1,023 62o 232 100

4,867 1,692 2,144 718

26

203

237

783

1,685

19

77

106

79

31 42

133 127

404 339

1,557 a37

127 66

128 77

150 75

383 58 mm 1,026 3,428 I 3,905 1,651 I 1,025

59

229

524

873

5,895

84

374

1,967

3,470

48

165

344

469

139

376

1,021

1,892

193

445

1,253

2,014

126

362

544

619

74

284

343

324

3,364 T

7,766

177

620

2,279

4,710

6,715 5,961 3,920

750 810 345 357

2,283 2,4S1 815 962

8,794 7,311 2,133 2,373

16,296 11,650 5,188 4,531

65

348

1,1 a9

1,742

24a

670

2,o64

3,735

144

474

2.415

2,928

122

471

1,885

1,642

Table 18. Number of licensed practical nurses in nursing and personal care homes by geographic region, employment status, type of

ownership of home, and bed size: United States, 1976

South I

North Cantral AIIgeogr,phicregion, I We5t II Northemt

Type of ownership and bad size

Full time I I%rttkne I I Full time I Part time Full timeF

Part time Full time Part time

6,290 16,673 9,494

175 838 420

737 2,096 1,293

2,345 4,703 3,147

3,033 9,136 4,634

Full tmw I Part time

All types of ownership .....

Lt,m than 25 beds.., ..........................

75.49 bcd$ ... ....................................

50.99 buds ........... ........................ ....

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

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

Less lhdn 25 beds, ....... .....................

25.49 beds ......................>.............. ..

G0.991mds .................. ............ .. .. .....

lUO k,ds or more..,.., .......................

Nunprof,t ..............................

LI,M than 25 beds .............................

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

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

100 Imd$ or more ....................... ......

PrO~rwtwy .............. ..............

LI:SSthm 25 beds,..., ............. ...........

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

!099 Lads ...................... ...... ......... .

t 00 beds or more .............................

al,564 27,711 14,501 7,912

2,171 1,350 64o 489

6,526 3,610 1,447 1,144

18,364 9,226 2,698 1,937

34,503 13,325 9,716 4,342

8,309 1,988 2,861 401

193 95 3 1

760 319

1,459 584 2: :?

5,897 990 2,547 327

12,637 6,162 4,064 1,884

550 386 188 146

1,490 936 441 297

3,616 2,058 884 499

6,981 2,772 2,571 942

40,618 19,561 7,556 5,627

21,493 T

8,997 4,016

508 266

1,078 636

3,847 1,797

3,584 1,316

385

1,905

7,116

12,087

2,258 371 I 2,552 I 1,046 636 I 170

21

122

139

89

26 29

188 134

509 323

1,829 560

99 44

116 51

153 61

270 14

65

409

533

1,251

3,192

91

337

1,060

1,714

16,043

975 T

3,950 2,691

135 141

458 352

1,201 1,016

2,156 1,182

40

131

362

442

136 69

254 156

481 181

540 206

4,944 10,071 I 5,757 6,848 I 3,233

1,428 859 449 342

4,27a 2,565 959 836

13,289 6,584 1,65o 1,377

21,625 9,563 4,598 3,073

229

1,159

5,533

9,122

114

484

I ,a44

2,502 -i477 250

1,450 ao7

2,993 t ,ao8

5,151 2,892

273 153

708 429

3,213 1,555

2,754 1,096

29
Table 19. Number of nursing homes by type of service provided, shift worked, and level of skill of person in charge: United States, 1976

Work shift and Iavel of skill

Total ........................... ............................................ .................oo.ocooeoo.t ... ..coo..................

Day shift

On call ....................................... .. .. ...... .... ................................................................. ...................... .

Registered nurse ......................... .................................................... ............. ... ............................ .....

Licensed practical nurse ........ ............ .................... .................................. .................. ......................

Nurse's aide ........................ .... ............................o.. ................ ..c.o+...4..o.....c...ocmc.o..........@.o<.......mo.oo.tc.

Other ......................................................................o........@..o.o.oo...o............$@..o.o..t........+...........o@.o....

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

Evaning shiftl

On call ................................................................ ....................................... ................. .................... .

Registered nurse .................. ................................................... ................ .........................................

Licensed practical nurse ................. .... ................ ................................. .. ................. ........ .................

Nurse’s aide ....... ...... .............. .... ............ ............ .............. ............ .... .......... ................................. .....

Other .......................................... ...............................o...............oo...@.o@.oo.. .... .....c.o.o.... .. ..ooooo4...o.mcm..o

Unknown .................................... ....................................................o............+... o.o+.o..t..................o..

Night shift2

On call ..........................................................................................<.cc<.e.o. ..........o...oo.......ooo.oo..to... o..o.

Registered nurse ..............................................................................................................................

Licensed practical nurse ...... ............................ ........................ ........ ................ ................... ............,

Nurse’s aide .......... ............ .......................................................... ........ ............. ...... ................... .......

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

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

All homes

20,468

879

6,794

1,225

794

978

9,798

987

3,826

3,263

1,430

716

9,681

1,187

3,212

3,005

2,031

650

9,679

cara

homes

13,417

16

6,218

851

24

46

6,262

92

3,559

2,928

491

70

6,268

173

3,021

2,771

1,081

86

6,269

Personal

care with

nursing

and other

homes

7,051

863

576

374

770

932

3,536

895

267

335

939

646

3,413

1,014

191

234

950

564

3,410

19 homes providing ~ur~ing care and SS6 providing personal care with nursing and other types of care had no evening shift.

216 homes providing nursing care and 688 providing personal care with nursing and other tYPeS of care had no night shift.
Table 20. Number of hospitals by type and State: United States, 1976

State

United States ........ ...... .. .. ........ .. .. ...... .. ...

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

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

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

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

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

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

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

Delaware .............................. ................................<..

District of Columbia ........ ................ .............. ........

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

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

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

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

lllinois,,,,,,,..,.,,,,,,,,,.,,..,,..,,....,,,.,,.,,.,.,.......,...,...,,.,.,

lndlana ................. ...... .............. .. .... .. .............. .. .......

lowa ................................................ .. ............ ..........

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

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

Louisiana ..,! .., .,.....,. ........................ ...................... ..

Maine ........................................................... ..........!

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

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

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

Minnesota ,..,.,,,.,,,,, ., .... .................... .......... .............

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

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

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

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

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

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

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

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

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

North Carol ina ................................. .............. .........

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

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

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

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

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

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

South Carol ina ....................... .................................

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

Tenneswa ......... .......................................................

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

utdh ... .... .... ...... .. .. ... .. .... .. .. . ... .... .. . .. .... . .. .. ... .. ... ... . ... .

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

Vlrqlnla ........................... ...................... ..................

W~shlngton .......................................... ...................

Wwit Virginia ............................... ...... .... .... .... ........ ..

Wlsconsln,,,,,,,,,,,,,,,,,,,,,,,,..,,,,.,,.,,..,,.....,.,.,...,,.,.,,,...

V/yomlng ................................ ...... .......................... .

All

hospitals

7,271

148

25

83

101

641

103

68

15

20

260

204

27

51

284

140

143

164

127

160

55

85

196

254

187

126

178

68

112

26

34

142

57

396

163

58

249

147

88

322

21

90

72

179

578

43

20

137

130

89

175

30

General

6,361

138

24

78

98

571

91

46

10

15

232

182

20

48

251

121

137

155

113

144

53

57

127

221

176

119

160

66

107

23

31

114

49

317

142

57

214

139

81

251

15

82

68

154

527

39

18

108

120

78

146

28

Total

910

10

1

5

3

7a

12

22

5

5

28

22

7

3

33

19

6

9

14

16

2

28

69

33

11

7

18

2

5

3

3

28

8

79

21

1

35

8

7

71

6

8

4

25

51

4

2

29

10

11

29

2

Specialty hospitals

Psychiatric

502

6

1

4

2

42

7

13

2

2

18

15

1

2

20

12

6

7

6

7

2

13

26

22

8

3

9

1

4

1

2

14

3

48

8

1

25

6

4

34

3

5

1:

22

1

2

77

5

6

17

2

Chronic

disease

63

2

5

1

2

1

1

4

21

2

1

2

1

6

1

1

3

1

3

1

3

1

berculosis

21

2

1

1

1

4

1

1

1

3

1

1

2

1

1

Other

324

2

1

1

26

5

4

2

3

9

7

3

1

12

5

2

4

9

10

21

9

3

3

8

1

1

2

1

12

4

25

10

9

1

3

34

2

2

2

8

27

2

11

4

2

11

31
Table 21. Number of hospital beds by type of hospital and State: United States, 1976

State

United States .................................

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

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

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

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

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

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

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

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

District of Columbia ......................................

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

New Hampshira .............................................

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

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

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

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

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

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

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

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

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

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

South Carol ina...............................................

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

Tennessae ......................................................

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

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

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

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

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

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

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

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

All

beds

1,381,267

23,482

1,629

11,198

13,625

111,176

15,123

17,941

4,073

10,541

54,798

32,391

3,877

3,610

71,776

32,610

19,892

17,003

19,473

25,128

6,699

25,322

44,827

50,581

29,468

17,660

35,869

5,426

11,539

3,358

5,082

45,041

6,239

137,488

32,438

5,470

65,432

17,005

12,076

89,645

7,017

17,405

5,884

32,402

76,861

5,105

3,134

32,409

16,290

16,029

30,081

2,639

General

beds

1,069,828

—

19,880

1,429

10,103

11,956

93,387

12,317

12,433

2,483

6,882

45,955

25,271

2,916

3,325

61,560

24,623

17,533

15,144

16,669

19,298

5,693

15,121

27,420

41,842

24,675

13,459

29,156

4,286

10,494

28844

3,655

31,603

4,805

90,425

24,499

4,659

53,381

13,868

10,049

59,657

3,746

12,676

4,593

25,047

65,352

4,459

2,488

23,438

13,943

11,870

25,558

1,903

Total

:,111,439

3,602

200

1,095

1,669

17,789

2,806

5,508

1,590

3,659

8,843

7,120

961

285

10,216

7,987

2,359

1,859

2,804

5,830

1,006

10,201

17,407

8,739

4,793

4,201

6,713

1,140

1,045

514

1,427

13,438

1,434

47,063

7,939

811

12,051

3,137

2,027

29,988

3,271

4,729

1,291

7,355

11,509

646

646

8,971

2,347

4,159

4,523

736

Specialty hospital beds

Psychiatric

244,358

3,301

200

1,017

1,607

13,114

2,125

4,355

680

2,823

8,006

6,777

245

247

6,914

6,876

2,359

1,730

2,250

3,894

1,006

7,148

9,274

6,552

4,076

4,038

4,641

980

1,035

451

1,384

11,620

1,001

39,063

6,573

811

10,711

2,832

1,937

20,211

1,741

4,339

1,170

5,380

9,028

368

646

7,668

2,189

3,204

4,025

736

Chronic

disease

19,933

167

584

653

183

1,676

124

1,109

4,749

588

25

349

296

3,217

513

231

2,513

451

1,329

198

913

65

3,546

178

150

237

66

270

361

124

427

686

280

148

325

262

32

Other

43,602

134

78

62

4,497

681

569

257

836

687

343

296

38

1,626

921

129

284

1,936

1,583

3,260

1,599

717

138

1,645

160

10

63

43

1,469

137

4,783

680

827

74

90

7,264

1,079

110

121

498

2,156

80

1,041

126

42

433

32
Table 22, Number of hospital beds and beds per 1,000 population by type of hospital and Stete: United States, 1976

State

United States .............................................

Alabma .....................................................................

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

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

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

California ........................................................o..........

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

Connecticut .........................................o..............e.o....

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

District of Columbia ..................................................

Florida ..............!. ,,. ,,,..,.,,..,. ,.,,,,...........,,0,,,!!.,.,... .......

Georgia .................................................,.,...,,,,.!... ......

Hawaii .......i ................................................................

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

lllinoism ..........m..o.....i .........oo....................o...................

Indiana ,...............,,, ,,.,,.,!.,,,, .................,, .!!,.........,,, ....

lowa ...........m...................o...oo..............................oo......

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

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

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

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

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

Massachusetts ................,,,..........................................

Michigan .........i ..........................................................

Minnesota .................................................t................

Mississippi .,.,,,,, ,.,,,.....................................................

Missouri ,.............!.. ...........!.... ....................................

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

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

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

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

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

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

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

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

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

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

C)klahoma ..................................................................

Oregon .................o...m......$..........................................

Pennsylvania .................o............................................

Rhode lslend ..............................................................

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

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

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

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

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

Vermont ..........,,.... .,.,,,..,,...,,, ....................................

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

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

West Virginia ,,,.,,.......,,, ,,,......................0...... ..............

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

Wyoming ..................................................0.0.,,,,....00..!.

All hospitals

Beds

1,381,267

23,482

1,629

11,198

13,625

111,176

15,123

17,941

4,073

10,541

54,798

32,391

3,877

3,610

71,776

32,610

19,892

17,003

19,473

25,128

6,699

25,322

44,827

50,581

29,468

17,660

35,869

5,426

11,539

3,358

5,082

45,041

6,239

137,488

32,438

5,470

65,A32

17,005

12,076

89,645

7,017

17,405

5,884

32,402

76,681

5,105

3,134

32,409

16,290

16,029

30,081

2,639

Beds

per 1,000

population

6.4

6.4

4.3

4.9

6.5

5.2

5.9

5.8

7.0

15,0

6.5

6.5

4,4

4.3

6,4

6.2

6.9

7.4

5.7

6.5

6.3

6.1

7.7

5.6

7.4

7.5

7.5

7.2

7.4

5.5

6.2

6.1

5.3

7.6

5.9

8.5

6.1

6.1

5.2

7.6

7.6

6.1

8.6

7.7

6.2

4.2

6.6

6.4

4.5

8.8

6.5

6.8

General hospitals

Beds

1,069,82E

19,880

1,429

10,103

11,956

93,387

12,317

12,433

2,483

6,882

45,955

25,271

2,916

3,325

61,560

24,623

17,533

15,144

16,669

19,298

5,693

15,121

27,420

41,842

24,675

13,459

29,156

4,286

10,494

2,844

3,655

31,603

4,805

90,425

24,499

4,659

53,381

13,868

10,049

59,657

3,746

12,676

4,593

25,047

65,352

4,459

2,488

23,438

13,943

11,870

25,558

1,903

Beds

per 1,000

population

5.0

5.4

3.7

4.5

5.7

4.3

4.8

4.0

4.3

9.8

5,5

5.1

3.3

4.0

5.5

4.6

6.1

6.6

4.9

5.0

5.3

3.6

4.7

4.6

6.2

::;

5.7

6.8

4.7

4.4

4.3

4.1

5.0

4.5

7.2

5.0

5.0

4.3

5.0

4.0

4.5

6.7

5.9

5.2

3.6

5.2

4.7

3.9

6.5

5.5

4.9

Psychiatric hospitals

Beds

244.358

3,301

200

1,017

1,607

13,114

2,125

4,355

680

2,823

8,006

6,777

245

247

6,914

6,876

2,359

1,730

2,250

3,894

1,008

7,148

9,274

6,552

4,076

4,038

4,641

980

1,035

451

1,384

11,620

1,001

39,063

6,573

811

10,711

2,832

1,937

20,211

1,741

4,339

1,170

5,380

9,028

368

646

7,668

2,189

3,204

4,025

736

8eds

per 1,000

population

1.1

0.9

0.5

0.4

0.8

0.6

0.8

1.4

1.2

4.0

1.0

1.4

0.3

0,3

0.6

1.3

0,8

0.7

0.7

1.0

0.9

1.7

1.6

0.7

1.0

1.7

1,0

1.3

0.7

0.7

1.7

1.6

0.9

2.2

1.2

1.3

1.0

1.0

0.8

1.7

1.9

1.5

1.7

1.3

0.7

0.3

1.4

1.5

0.6

1.8

0.9

1.9

33
Table 23, Number ofhospitals bytypeand bed size: United States, 1976

Bed size

All bed sizes ............................................

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

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

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

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

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

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

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

500-999 beds ......................................... .................

1,000 beds or more .......................................... .... ...

-4-- All General

hospitals hospitals

7,271 6,361

-1-

436 376

1,375 1,248

962 838

769 679

1,588 1,421

826 759

743 666

436 329

136 45

Specialty hospitals

II I I I

Total

910

Psychiatric Chronic I

Tuberculosis

disease

Other

502 I 63 I 21 I 324

60 16 44

127 53 2 2 70

124 61 10 2 51

90 45 4 4 37

167 80 17 5 65

67 33 9 5 20

77 46 11 3 17

107 83 6 18

91 85 4 2

Tab[e 24. Number of hospitals bytype and ownership: United States, 1976

Specialty hospital

Typa of ownership All General

hospitals hospitals Total Psychiatric Chronic Tuberculosis

disease

Other

All types of ownership ........................... . 7,271 6,361 910 502 63 21 324

Government ....................... ..................................... 2,653 2,220 433 296 40 19 78

Federal ..... ................... ..... ............... ....... ............ 380 352 26 25 3

State-local ........................... ............... ................ 2,273 1,668 405 271 40 19 75

Proprietary .................... .................................. ........ 996 800 196 117 4 75

Nonprofit .... ..... ...... .......................... .................... ... 3,622 3,341 281 89 19 2 171

Church .................................................... ........... 776 734 42 13 4 25

Other ....................... ............ ...... .. ...... ...... .......... 2,846 2,607 239 76 15 2 146

Table 25. Number of hospital beds by type of hospital and ownership: United States, 1976

Type of ownership All

beds

All types of ownership ................... 1,381,267

Government ................. ....... .. ......................... 584,218

Federal .... ......................... ........................ 126,916

State.local ................................................. 457,302

Proprietary ............................................ ........ 95,993

Nonprofit ...................................................... 701,056

Church ...................................................... 192,182

Other ................... ............ ......................... 508,874

General I

beds I

Total

=-l-=

Specialty k,ospital Ixds

Psychiatric Chronic Tuberculosis

disease

Other

244,358 I 19,933 I 3,546 I 43,602

9,507 I 336 I 3,629

I

8,417 3,135 178 18,486

1,319 261 1,991

7,098 2,874 178 16,497

34
Table 26. Number of general hospitals by salected characteristics and State: United States, 1976

State

United States ..... .....

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

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

Aroma . . . . ......... .................... ..

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

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

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

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

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

District of Columbia ...............

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

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

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

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

Illmom ....................................

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

lowa .......... ................ ...... .......

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

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

Loulslana ................................

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

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

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

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

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

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

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

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

Nebraska..., ...... .. .....................

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

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

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

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

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

North Carol ina.,,,.,.,..., .. .. ........

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

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

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

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

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

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

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

South DJkota .........................

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

Texas.., ..................................

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

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

Vlrgmia.., ................................

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

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

Wwconsin, ...............................

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

Average

deily

census

797,677

-

14,685

866

7,355

8,570

62,011

8,800

98742

2,009

5,430

32,505

17,368

2,089

2,212

47,034

18,931

11,995

10,639

13,064

13,691

4,251

12,420

21,580

32,386

17,606

9,627

21,728

2,614

7,047

1,908

2,650

25,763

3,243

77,033

19,171

3,226

42,522

9,342

6,830

46,642

3,075

9,466

2,978

18,794

45,724

3,125

1,887

18,249

9,395

8,994

18,241

1,165

Admissions

36,026,854

686,131

53,972

357,730

423,162

3,236,528

459,195

436,694

78,444

194,988

1,526,395

913,559

99,384

131,278

1,981,000

857,087

567,065

456,381

627,787

709,810

180,663

512,274

897,107

1,438,566

728,232

466,640

940,755

143,697

309,146

99,864

131,580

1,055,556

186,886

2,687,179

872,126

143,785

1,825,423

512,643

368,980

1,922,400

126,846

463,717

142,980

884,033

2,328,723

194,221

78,004

769,071

570,103

404,724

768,774

65,586

Discharges

36,004,670

697,382

53,720

357,989

423,393

3,235,272

459,534

436,433

78,036

194,887

1,524,309

910,655

99,088

131,002

1,978,785

857,070

567,048

456,408

627,866

709,306

180,628

511,988

897,556

1,437,999

727,601

465,373

940,216

143,450

309,071

98,920

132,013

1,055,534

186,728

2,686,406

872,257

143,852

1,825,694

512,639

368,803

1,921,081

126,404

463,389

143,118

882,737

2,324,503

194,209

77,822

768,510

570,126

404,305

768,339

65,236

Inpatient

days

291,152,042

5,359,991

315,985

2,684,581

3,128,030

22,633,925

3,211,903

3,555,795

733,308

1,981,943

11,864,356

6,339,279

762,571

807,336

17,167,275

6,909,959

4,378,094

3,883,258

4,768,487

4,997,216

1,551,665

4,533,409

7,876,704

11,820,867

6,426,058

3,513,841

7,930,576

954,059

2,572,074

688,287

967,391

9,403,406

1,183,710

28,117,127

6,997,445

1,177,438

15,520,538

3,409,984

2,492,873

17,024,180

1,122,407

3,455,254

1,086,904

6,859,703

~6,689,308

1,140,592

688,884

6,660,934

3,429,135

3,282,809

6,657,939

425,249

Average

census

per 100,000

population

372

401

227

324

406

288

341

313

345

774

386

349

236

266

419

357

418

461

381

356

397

300

371

356

444

409

455

347

454

313

322

351

278

426

351

502

398

338

293

393

332

332

434

446

366

254

398

363

260

494

396

299

per 100,000

population

16,783

18,994

14,129

15,759

20,085

15,040

17,778

14,010

13,478

27,776

18,126

18,381

11,205

15,798

17,642

16,165

19,758

19,757

18,314

18,480

16,884

12,362

15,443

15,801

18,367

19,823

19,689

19,083

19,906

16,371

16,007

14,389

16,001

14,859

15,947

22,362

17,076

18,534

15,843

16,206

13,683

16,282

20,843

20,978

18,649

15,816

16,387

15,284

15,784

22,225

16,680

16,817

Discharges

per 100,000

population

16,773

19,028

14,C63

15,770

20,076

15,034

17,791

14,002

13,408

27,762

18,101

18,323

11,171

15,764

17,622

16,165

19,758

19,758

18,316

18,467

16,881

12,355

15,451

15,795

18,351

19,769

19,678

19,050

19,902

16,216

16,060

14,388

15,987

14,855

15,949

22,372

17,079

18,534

15,835

16,195

13,636

16,271

20,863

20,948

18,615

15,815

16,349

15,272

15,784

22,202

16,670

16,727

35
Table 27. Number of specialty hospitals by selected characteristics and State: Unitad States, 1976

State

United States ..........

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

Alaska,., ..................................

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

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

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

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

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

Delaware,., ..............................

District of Columbia ...............

Flordia ....................................

Georgia,., ................................

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

Idaho ..,...,.,,.,.,,,..,...,...,.......,,.’.

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

Indiana ....,,,..,,,.,,, ...................

lowa .......................................

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

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

Louisana .................................

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

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

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

Michigan ................................,

Minnesota ..,...,,,,,.,, .................

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

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

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

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

Nevada..,.,.., ............................

Naw Hampshire ......................

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

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

New York,..., ..........................

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

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

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

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

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

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

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

South Carol ina..,,,,,,,,,, ............

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

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

Taxes, .....................................

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

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

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

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

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

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

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

Average

daily

census

255,641

3,085

157

818

1,204

13,119

2,185

4,565

1,485

2,867

7,034

6,546

756

234

8,651

6,261

1,943

1,483

1,989

4,168

682

8,572

14,308

7,343

3,784

3,344

4,948

858

652

257

1,173

11,077

1,040

41,817

5,956

589

10,377

2,506

1,582

25,176

2,969

3,994

1,120

6,438

9,003

512

485

7,172

1,903

3,347

3,562

545

Admissions

1,1 58,35&

15,131

70C

5,42S

5,412

102,1 Oc

20,909

20,733

3,275

19,409

30,983

38,724

16,55C

1,378

41,580

14,049

6,532

5,702

14,173

35,580

1,589

29,715

64,331

38,309

11,138

8,950

34,462

3,182

3,787

2,924

3,773

29,344

5,207

140,497

41,740

2,470

33,791

15,062

6,080

80,919

19,099

9,082

4,409

24,147

58,191

2,436

1,130

35,475

12,827

9,122

24,552

2,269

1,174,561

15,183

680

5,461

5,496

102,429

21,755

21,028

3,298

19,587

31,336

40,818

16,359

1,381

42,481

14,513

6,560

5,953

14,245

35,671

1,728

29,736

64,256

38,836

11,402

9,944

34,161

3,407

3,989

2,956

3,954

29,739

5,287

143,324

41,979

2,460

35,353

15,234

6,154

82,635

19,498

9,486

4,438

24,581

57,557

2,430

1,148

35,868

12,915

9,290

24,328

2,254

Inpatient

days

93,308,849

1,126,104

57,200

298,470

439,549

4,788,542

797,365

1,666,171

541,923

1,046,283

2,567,463

2,389,386

275,924

85,336

3,157,651

2,285,352

709,349

541,328

725,856

1,521,198

248,916

3,128,841

5,222,354

2,680,234

1,381,067

1,220,384

1,806,134

313,219

237,813

93,805

428,220

4,043,261

379,708

15,263,226

2,173,848

215,070

3,787,740

914,768

577,378

9,189,368

1,083,510

1,457,853

408,907

2,349,867

3,285,992

186,945

176,982

2,617,718

694,486

1,221,711

1,300,143

198,921

Average

census

per 100,000

population

12

8

4

4

6

6

8

;:

41

8

13

9

:

12

7

6

6

11

6

21

25

8

10

14

10

11

4

4

14

15

9

23

11

9

10

9

7

21

32

14

16

15

7

4

10

14

5

18

8

14

Admissions

per 100,000

population

54

41

18

24

26

47

81

67

56

276

37

78

167

17

37

26

23

25

41

93

15

72

111

42

28

38

72

42

24

48

46

40

45

78

76

38

32

54

26

68

206

32

64

57

47

20

24

70

36

50

53

58

Discharges

per 100,000

population

55

41

18

24

26

48

%

57

279

37

82

184

17

38

27

23

26

42

93

16

72

111

43

29

42

71

45

::

48

41

45

79

77

38

33

55

26

70

210

33

65

!58

46

20

24

71

36

51

53

58

36
T6ble 28. Average dail y census and nur,lber of inpatient days for selected specialty hospitals, by State: United States, 1976

State

United States .... .....

Al,ibdrn;l ......... ......... .... .. ........

Al~sh,I .... .. .............. .. ..... ........

Arlzun;~ .. ......... ... ... ....... ...... .. .

Arh,msm..., .. .... ..... ....... .... ..... .

C.1llfwnl.1 .. .. ........... ... .. ....... ...

Calcw~du ..... ....... ... ......... .......

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

Dcl.lwme ........................... ... .

Distrmt of Columbia ........ .. .. ..

Flwdm. . .. ............. .................

Grorql. t.. ..... ..................... ... ..

H.!waii .... .. .................... ... ......

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

Illmols ........... ... .. ........ ...........

lndl,m~ ... ... ......... ... .... ....... .....

Iow’1 .. .. ... .............. .................

Kanws .... .. .. ....................... ...

Kcntuchy .. ... ... ..... ........... .. ....

Loulsdnd ...... .... ...... ........... .....

M.utw .... ............................ ....

M,wyltmd ...... .... ... .... ............. .

M.wmchusett s..... ..... .. ...... .. ...

Mlchigdn.,...,,.,...,.,,,...,,,.,,,,,,,,

Mlnncsma .... ..... .......... .. .... .. ...

MISSISSIPPI .. ..... ....... ..... ....... ...

Mtmwri . . ....... ............. ... ...... ..

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

Nubr.lska .............. .... .............

Nwddd .... ......... .... ... .. ..........,,

Nt.w Hdmpshire ......... .... ........

N!,w Jtirwy .. ............ .... ..... .....

Nuw Mexico ......... .. .. ......... ... .

Ntiw York ......... .. ... .. ........... ..

North Cwcdma ...... ....... .... .. ...

North Dakota. +.....,...........,.,.,..

Ohm ........ . ........... .................

Oklahoma.,..,...,,.. ... ..............

Owgon .. ........... ..s... ......... .. ....

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

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

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

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

T,mnessee .. ... ................ ...... .. .

Tux.c+ ..... ..... .. ......... .. .. ........ ... .

Ut,!h ... ........... .......... ..... .... .....

Vwmant . . ... .. .... .... ........ .. .. .. .. .

V)rqlm,3 .... ........... ........ .. ...... ..

Wmhmgtcm . ........... .. .. .. .. .. .... ..

Wmt Vwglma . ........ ............ .. ..

Wiwcmsln ... .................... .. .....

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

All specialty

hospitals

Average

daily

census

255,641

3,085

157

818

1,204

13,119

2,185

4,565

1,485

2,867

7,034

6,546

756

234

8,651

6,261

1,943

1,483

1,989

4,168

682

8,572

14,306

7,343

3,784

3,344

4,948

858

652

257

1,173

11,077

1,040

41,817

5,956

589

10,377

2,508

1,582

25,176

2,969

3,994

1,120

6,438

9,003

512

485

7,172

1,903

3,347

3,562

545

Inpatient

days

93,308,84Q

1,126,104

57,200

298,47a

439,549

4,768,542

797,365

1,666,171

541,923

1,046,283

2,587,463

2,389,386

275,924

85,336

3,157,651

2,285,352

709,349

541,328

725,856

1,521,198

248,916

3,128,841

5,222,354

2,680,234

1,381,067

1,220,384

1,806,134

313,219

237,813

93,805

428,220

4,043,261

379,708

15,263,226

2,173,848

215,070

3,787,740

914,768

577,378

9,189,368

1,083,510

1,457,853

408,907

2,349,867

3,285,892

186,945

176,982

2,617,718

694,498

1,221,711

1,300,143

198,921

Psychiatric

hospitals

Average

dailv

census

202,632

2,954

157

775

1,160

9,795

1,727

3,533

627

2,173

6,382

6,343

210

203

6,048

5,353

1,943

1,436

1,748

2,833

682

6,214

7,931

5,580

3,215

3,229

3,440

774

650

224

1,136

9,655

774

34,800

5,048

589

9,258

2,271

1,538

16,708

1,478

3,810

1,031

4,760

7,301

303

485

6,235

1,809

2,558

3,189

545

Inpatient

days

73,980,505

1,078,205

57,20C

282,812

423,39C

3,575,215

630,394

1,289,723

229,014

793,037

2,329,519

2,315,347

76,770

74,093

2,207,669

1,953,941

709,349

524,719

637,929

1,033,996

248,916

2,268,112

2,894,700

2,036,590

1,173,310

1,178,698

1,255,516

282,578

237,392

81,588

414,752

3,524,058

282,532

12,701,961

1,842,547

215,070

3,382,811

828,820

561,277

6,098,277

539,630

1,390,672,

376,178

1,737,342

2,664,747

110,768

176,962

2,275,826

660,202

933,496

1,163,914

198,921

Chronic disease

hospitals

Averaga

daily

cansus

17,597

57

508

642

168

1,502

97

1,044

3,891

527

19

272

190

2,943

445

182

2,484

405

1,252

148

766

58

Inpatient

days

6,422,786

20,799

185,311

234,231

60,660

548,298

35,387

381,211

1,420,124

192,353

6,825

99,125

69,207

1,074,331

162,376

66,503

908,605

147,818

456,852

54,054

278,665

21,051

Tuberculosis

hospitals

Average

daily

census

2,o81

83

137

186

35

79

209

47

291

440

104

108

206

138

19

Inpatient

days

759,551

30,174

49,855

67,869

12,870

28,874

76,346

17,049

106,199

160,674

37,867

39,361

75,249

50,339

6,825

Other specialty

hospitals

Average

daily

census

33,332

74

43

44

3,242

457

524

216

694

515

203

193

31

1,101

776

46

162

1,335

1,105

2,440

1,236

589

96

1,218

84

1

33

37

1,151

77

4,074

467

665

53

44

5,985

1,085

80

90

319

1,496

61

799

E

316

days

12,166,007

27,100

15,658

16,159

1,183,153

166,971

191,137

78,678

253,246

186,089

74,039

70,625

11,243

401,684

283,154

16,608

59,053

487,202

403,172

890,481

451,291

207,757

34,861

444,419

30,641

421

12,217

13,468

420,078

27,969

1,4s8,934

170,627

242,553

19,445

16,101

2,184,488

396,062

29,314

32,729

116,312

545,996

22,123

291,553

27,469

8,660

115,178

37
Table 29. Number of employees in generel hospitals by employment status and bed size: United States, 1976

Bed size

All bad sizes ................................ ................ ...... .............. .... .........................................

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

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

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

50-74 bds ............ ................................ .. .......................... ............. ......... .....................................

75-99 &ds ............ ................. .............. .................... ............ .... .......... ............... ..... ......................

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

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

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

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

Employment status

Full time

2,485,035

239

12,942

71,923

89,380

103,460

394,622

415,949

645,104

751,416

Part time

629,603

53

5,190

28,568

28,428

36,325

122,034

120,871

158,569

129,565

Full-time

equivalent

2,799,837

266

15,537

86,207

103,594

121,623

455,639

476,3B5

724,389

816,199

Table 30, Number of employees in general hospitals by employment status and type of ownership: United States, 1976

Employment status

Type of ownership

Full time Part time

All types of ownership .......... ........ ...................... .......... .................. .................... ...... ... 2,485,035 629,603

Government .. ........ ...... ...... .......................... ...... .................................... ....................................... 753,926 123,443

Federal ........................... ............................................ .....o...... ....................c.@...coo....... ............ 240,551 15,745

State-local ........................... .................. ...... .... .......... ................................ .............................. 513,375 107,698

Proprietary ....................... ............................ ...........................c.........................c.ooooooot ....m......@.... 139,980 38,656

Nonprofit ....... ................................ .............................................c............. ...cc...@.o.oc......to.......o...o 1,591,129 467,504

Church .......... ................................................................o.................om.....oo...oc...m.. .........c@ooo..ooo. 438,438 135,266

Other ...................... .................................................................................o@@oco ...... .. .........a......4 1,152,691 332,238

Full-time

equivalent

2,799,837

815,648

248,424

567,224

159,308

1,824,881

506,071

1,318,810
Table 31. Number of employees in general hospitals by employment status, geographic region, and division: United States, 1976

Geographic ragion and division

United States ............................ .... .... .... ................ ...................... .. .............. .. .. .. .... .......

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

New England ............................................ .. ........................................... ............. ...... .......... .........

Middle Atlantic ................................. ........ ...................................... ........ .............. .. ...... ... ............

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

East North Central ................................. .. ................................... .................................................

West North Central ............... ...................... .............. .... ...................... ...................... .... .... ...........

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

South Atlantic .................. ...... .................................... ............ ........................... ..... ............ .........

East South Central ............................................ ........................ ...................................................

West South Central .................................................................. .................... ........ ...... ...... .. .... ......

West ..........n.................................... ..................... .................... .............. .......... .. ................

Mountain ....................................... .................................. ........ .............. .......... ............................

Pacific ....................................................................................................... ...................................

Employment status

Full time

2,485,035

602,753

148,874

453,879

677.097

478,673

198,424

805,614

401,054

159,325

245,235

399,571

103,898

295,673

Part time

629,603

161,362

56,252

105,110

226,950

146,297

80,653

137,259

68,025

26,270

42,964

104.032

26,737

77,295

Full time

equivalent

2,799,837

683,434

177,000

506,434

790,572

551,822

238,750

874,244

435,087

172,460

266,717

451.587

117,267

334,321

Table 32. Number of full-time and part-time employees in general hospitals, by occupation: United States, 1976

Occupation

All employees ........................ ..................................................... ....................... ...............................

Physicians and dentists ............ ........ ........ ....... ..... ................................ ..... .........................................................

Mcdlc~l residents .... ...................... ................ ............................ ................ .. ...... ...... ...........................................

Dental residents ..... .. ........ .................. ............................................. ..................................................................

Other trainees ....... ............ ............ ........ .................................... .. ................ .. ...................... ..............................

Rcglstwed nurses ............................. ...................... ............ ........................................ ............ ...........................

Licensed practical nurses .................. .. ........ .............. .................. ........... ... .. ................. ......................................

All other personnel ............................................... .. .. .............. .......... .................................... ........ ......... ...........

Employment status

Full time

2,485,035

35,915

61,410

1,357

16,814

429,264

196,835

1,743,440

Part time

629,603

16,722

2,766

88

5,873

155,860

53,588

394,706

39
Table 33. Number of general hospitals reporting outpatient visits and number of visits, by type of visit and bed size: United States,

1976

I General

Bed size hospitals

reporting

visits

All kdsizes ....... .......... .................... .................... ....

3-9 kds ................ ....... ................. .. ........... ........................... ...

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

25-49 kds .......................... .............. .......... ............................ .

5@74 &ds ........ .... .. ........................ .. ................ .. .....................

75-99 &ds ...................................................... ...................... ...

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

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

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

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

6,333

12

360

1,237

831

679

1,417

758

665

374

Type of visit

Outpatient Emergency Clinic

261,281,396 76,844,327 101,690,096

192,400 19,455 165,003

3,808,901 540,184 2,789,565

13,330,509 3,003,214 6,517,208

11,948,852 3,773,703 4,334,987

13,172,201 4,158,277 4,317,274

41,282,308 15,421,766 9,981,357

43,307,017 15,034,898 13,641,603

64,752,275 19,138,804 21,495,372

69,486,932 15,754,026 38,407,727

Other

82,786,973

7,942

479,152

3,810,087

3,840,162

4,696,650

15,879,186

14,630,516

24,118,099

15,325,179

Table 34. Number of general hospitals reporting outpatient visits and number of visits, by type of visit and type of ownersh{p: Umtecl

States, 1976

Type of ownership

I General

hospitals

reporting

visits

All types of ownership ........ .. .... ...... ...................... ...

l==

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

t

2,215

Federal .......................................... ...... ............................... 352

State.locaI ..................... .......................... ........................ .... 1,863

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

l--

781

Nonprofit ............................. ...... .................................. ...........

Church ............ .................................... ........................ ........

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

3,337

734

2,603

Outpatient

261,281,396

112,543,621

54,772,463

57,771,158

8.390.675

140,347,700

33918134

106;428;966

TyDe of visit

Emergency I

Clinic IOther

I I

76,844,327 101,650,096 82,786,973

23,588,145 69,951,383 19,024,093

4,361,905 42,913,382 7,497,176

19,208,240 27,038,001 11,526,917

4,234,229 1,674,540 2,481,906

49,041,953 30,024,173 61,280,974

12,153,073 5,065,143 16,699,91 g

36,888,880 24,959.030 44,581,056

40
Table 35, Number of genaral hospitals reporting outpatient visits and number of visits, by type of visit, geographic region, and division:

United States, 1976

Geographic region and division

United States............................................................

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

New England ,,,,,.......................................................................

Middle Atlantic ,.............0.....!.,.,.........,!.. ..................................

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

East North Cantral ...................................................................

Wast North Central ...................................................................

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

South Atlantic ..........................................................................

East South Central ...................................................................

West South Central ...................................................................

West,,.,,,.,.0.,,,,.,., ............................................................

Mountain ..................................................................................

Pacific ......................................................................................

Ganeral

hospitals

reporting

visits

6,333

972

290

682

1,805

950

855

2,324

900

519

905

1,232

420

612

Outpatient

261,281,396

68,339,554

16,922,880

51,416,674

63,234,055

46,116,002

17,118,053

79,333,225

43,295,896

12,934,977

23,102,352

50.374.562

13,632,002

36,742,560

Type of visit

Emergency Clinic I

Other

76,844,327 101,650,096 82,786,973

‘19,497,195 23,936,532 24,905,827

5,463,334 5,029,489 6,430,057

14,033,861 18,907,043 18,475,770

19,192,643 19,649,909 24,391,903

14,204,682 12,370,226 19,541,094

4,987,961 7,279,683 4,850,409

25,050,56 35,694,166 18,588,498

13,200,737 19,189,783 10,905,376

4,994,259 4,575,824 3,364,894

6,855,565 11,928,559 4,318,228

13,103,928 22,369,469 14,901,145

3,226,793 6,368,669 4,036,520

9,877,135 16,000,800 10,864,625

Teble 36. Number of employees in specialty hospitals by employment status and bed size: United States, 1976

Bed size

AH bed sizas.................................................................................................................

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

10-24 ~ds ........................................................................oo.........................................................

26-49 beds...................................................................................................................................

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

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

10&199beds...i ...........................................................................................................................

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

300-499 beds.........................................................................................................................0.....

500 bads or more .........................................................................................................................

Employment status

Full time

360,254

83

1,873

8,841

12,222

12,353

42,260

26,404

49,784

215,434

Part time

30,114

64

712

2,424

2,952

2,836

6,635

3,038

2,910

8,543

Full-time

equivalent

375,311

115

2,229

10,053

13,698

13,771

45,578

27,923

42,239

219,706

41
Table 37. Number of employees in specialty hospitals by employment status and type of ownership: United States, 1976

Type of ownership

All types of ownership ............ .................... .... ... ........................................ .. ................

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

Federal ....... ........................................... ................................ .......... .................... ...................

State.local ........... ...... .............................................. .............. .. ........................................ ........

Proprietary ................... .................................. ............................ .................... .... ...........e.............

Nonprofit ................. ..... .................. .......... .. ............ .............................................. ......................

Church ................ ............................ ...... ................ ....... .......... .............. ...... ..... .... .. ..................

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

Employment status

Full time I

Part time I

Full-time

equwaleni

w

16,487 4,729 18,852

I I

Table 38. Numbar of employees in specialty hospitals by employment status, geographic region, and division: United States, 1976

Geographic region and division

United States ......... ..................... .. ............................. .............. ............................ ..........

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

New England ................................... .... .. ............ .. .. .................. .............. .... ....................................

Middle Atlantic ......................... ............................................ .............. ..........................................

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

East North Central ...................... .................. ......................................................... .............. ........ .

West North Central ............................. ....................................... ...................... .... .... ................ ......

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

South Atlantic .................................... .................. ................ ............................................ .............

East South Central ............... .................. ..... ................ ................. ............. ...... ...... ................ ........

West South Central ................. ......................... ................ ......................................... .....................

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

Mountain ................................. ........................ ................ .. ........ ...... ............ .. ................................

Pacific .............................. ...................... .................... ............ .......................... .. ...........................

Employment status

Full time

360,254

140.828

38,751

102,077

73,646

51,710

21,936

107,577

61,715

18,238

27,624

38,203

11,754

26,449

Part time

30,114

12.454

5,038

7,416

6,400

4,972

1,428

6,767

3,603

1,086

2,078

4,493

1,263

3,230

Full-time

equwalent

375,311

147,055

41,270

105,785

76,846

54,196

22,650

110,960

63,516

18,781

28,663

40,450

12,386

28,064
Table 39. Number of employees in specialty hospitals by employment status and occupation: United States, 1976

Occupation

All employ ees ........................................................................................ ........................ .. ...................

Physicians and dentists ................. ............................ .............. ........................................................ ....................

Medical residents .......... ........ .. ........ ........ .. ...... .......... .......... ...... ...... .. ........ .. .......... .... .................. .. ......................

Dental residents ............... ...................................... ............. ....... ............ ..... ..................... ...................................

Other trainees ....................... ..... ........... .. ...................... ........ .............. ...... .................... ... ...................................

Registered nurses .. ................ ............... ........................... ................. ............. ...... ..... ..... .... ..................................

Licensed practical nurses ....................................... ....... ........ .................... ............ .... ..........................................

All other employ ees.................................. ...... .............. ....... ... ........ ............... ........... .................. ........................

Employment status

Full time

360,254

8,145

2,781

101

2,234

31,690

19,040

296,263

Part time

30,114

3,221

294

14

527

5,473

1,410

19,175

Table 40, Number of specialty hospitals reporting outpatient visits and number of visits, by type of visit and bed size: United States,

Bad size

All bad sizes ....................... ...................................... ...... ..

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

10-24 kds .................... ....................................................................

26.49 beds ........................................................................................

50.74 beds .............................................. .. ........................................

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

100.199 beds .............................................................. ......................

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

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

600 beds or more ................. ...... ......................................................

Specialty

hospitals

reporting

visits

634

7

40

96

88

69

130

48

40

116

Type of visit

Outpatient I

Emergency

T

11,035,653 455,872

42,593 1,484

325,500 14,183

892,246 44,826

679,440 12,356

619,085 12,252

2,257,641 168,101

1,272,334 62,580

1,038,849 81,614

3,907,965 58,476

8,912,145

8,223

281,598

670,020

528,408

446,042

1,748,923

1,138,953

623,476

3,466,502

Other

1,667,618

32,886

29,701

177,400

138,676

160,791

340,617

70,801

333,759

382,987

Table 41. Number of specialty hospitals reporting outpatient visits and number of visits, by type of visit and type of ownership: United

States, 1976

Type of ownership

All types of ownership ........ .... .... .. .. ...................... ...........

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

Federel ........................ ............ ................................................ .. ..

State-local ...................................... .. .......... .................................

Proprietary ........<..... ..... ......................................................... ...........

Nonprofit ............. .......... ........ ...................... .............................. ......

Church ............................. .................... .. .... .............. ...................

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

Spacialty

hospitals

reporting

visits

634

276

28

248

113

245

35

210

Type of visit

Outpatient I

Emergency Clinic I

other

=1

I I

11,035,653 455,872 8,912,145 1,667,618

1

6,824,216 175,760 5,955,758 692,698

1,395,912 19,066 1,273,593 103,253

5,428,304 156,694 4,682,165 589,445

41 25,073 I 400,851 212,153

I I

43
Table 42. Number of specialty hospitals reporting outpatient visits and numbar of visits, by type of visit, geographic region, and

division: United Statesr 1976

Geographic region and division

United States ..................................................................

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

New England...................................................................................

Middle Atlantic ...............................................................................

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

Eest North Central ..........................................................................

West North Central .........................................................................

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

South Central .....................~............................................................

East South Central ..........................................................................

Wast South Central .........................................................................

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

Mountain ........................................................................................

Pacific ..........................J..................................................................

Specialty

hospitals

reporting

visits

634

209

77

132

148

105

43

188

93

37

58

89

30

59

Outpatient

11,035,653

5,356,455

1,271,722

4,084,733

2,153,156

1,311,473

841,663

2,137,827

1,045,571

266,315

825,941

1,388,235

459,673

928,582

Type of visit

Emargency Clinic Other

455,872 8,912,145 1,667,618

205,449 4,235,324 915,664

53,727 840,542 277,453

151,722 3,294,782 638,211

89,632 1,767,379 296,125

54,845

34,787

57,729

36,245

8,270

13,214

103,082

33,753

69,309

1,083,292 173,336

684,087 122,789

T

1,793,722 288,376

844,117 165,209

235,258 22,787

714,347 98,380

Table 43. Selected characteristics of other inpatient health facilities, by typa of facility: United Statas, 1976

Type of facility

All facilities ..................................................................................

Blind ............................................................................................................

Deaf .............................................................................................................

Emotionally disturbed ..0...,,....,,,.,,.,,.,,0.0,,,,. ,!,,,,,,,,,.,,,, ................................,

Mentally ratarded .........................................................................................

Other neurologically handicapped ...............................................................

Physically handicapped ..............................................................................

Dependent children ......................................................................................

Unwed mothers ............................................................................................

Alcoholics ....................................................................................................

Drug abuses..................................................................................................

Multipla disorders ........................................................................................

Others ................,,..,, ...!..,.., ..,,.,... ,,,,..,,,.,,...,,,. ,.,,,,,,.,.,...,.,., ..........................

6,280

65

60

1,543

1,875

44

87

867

105

798

85

508

243

Beds

375,805

5,827

13,214

62,687

182,454

3,159

4,599

40,133

3,055

23,836

4,320

23,860

8,661

Residents

326,021

4,848

12,292

53,417

163,497

2,694

3,670

32,794

2,131

19,102

3,325

20,594

7,659

Employment status

Full time

255,592

3,610

6,560

48,384

141,884

2,011

5,323

16,942

1,069

7,052

2,284

14,730

5,963

Pert time

44.453

841

632

12,653

15,269

416

996

4,133

767

4,055

524

2,373

1,794
Table 44. Selected characteristics of other inpatient health facilities, by type of ownership: United States, 1976

Total Facilities reporting Facilities reporting Intermediate

Typo of ownership admissicms discharges Licensed Medicaid

beds

Facilities

beds

Residents Beds Facilities Admissions Facilities Discharge.

,:i::::::::::::::::m z iii; iii‘iii ii PrOprletary ....... ........ .. .... .......... .. .... ..

Nanproftt . ............ ........ ... ....... ...... ....

Table 45. Selected characteristics of other inpatient health facilities, by bed size: United States, 1976

All bed

‘edsize

sizes .... ........ ....... ..w6,260 326,021

39 beds ........................... ........... .. .... 1,880 9,262

10-24 beds ................... ........ ...... ..... .. 1,’32 24,366

2b49 beds ........ ........ ... ... ........ ........ 1,163 34,135

50-74 Lads ......................... .. .. .. ..... .. 542 27,715

7E-99 beds ........... ......... ......... ....... .... 240 17,032

1OO-199 beds ........ .. ......... .. ............... 315 36,395

200-299 beds, ....... ........... ........... ...... 95 20,084

300-499 beds . .. .............. ...... .... ......... 71 24,486

GOO beds m’ mom .. ....... ..... .......... .. .. . 142 132,546

II Facilities reporting

admissions

TF

Beds Facilities Admissions

375,805 4,625 549,926

10,122 1,039 12,514

26,777 1,514 131,857

40,761 1,019 124,639

32,250 482 78,971

20,460 212 59,741

42,359 270 60,213

22,579 85 23,437

27,570 66 15,352

150,907 138 43,202

Facilities reporting

discharges Licensed

Facilities

4,608

926

1,448

1,004

470

211

264

63

65

137T

bads

Discharges

813,010 321,280

10,181 9,278

218,431 22,884

125,253 43,207

93,633 25,987

77,051 15,973

56,027 36,970

166,519 19,531

14,352 22,650

49,563 124,600

Intermediate

Medicaid

beds

73.514

1,019

1,453

2,528

2,121

2,554

7,102

3,913

7,101

45,723

45
Table 46. Selected characteristics of other inpatient health facilities, by geographic region and division: United States, 1976

Geographic region and division

United States....................

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

New England....................................

Middle Atlantic ................................

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

East North Central ...........................

West North Central.., ........................

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

South Atlantic ..................................

East South Central ...........................

West South Central...........................

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

Mountain ..........................................

Pacific ..............................................

Facilities

6,280

Total II Facilities reporting I

+

Facilities reporting Intermediata admissions discharges Licensed

beds Medicaid

Discharges beds

1,219

652

567

1,718

970

748

1,310

726

214

370

2,033

379

1,654

-=W==-l ““’! 143,779 1,015

I

27,503 29,924 552 82,305 524

66,502 76,449 489 61,474 491

“ 91,064 I 109,497 II 1,088 I 156,177 I 1.050

42,724 62,788 600 106,008 574

14,564 17,690 181 15,987 181

33,776 39,019 307 34,184 295

53,821 60,822 1.286 137.089 1.210

13,945 16,223 295 30,945 260

39,676 44,599 981 106,144 930

613,010 321,280 73,514

134,965 91,337 22,828

76,260 29,418 1,056

58,705 61,919 21,770

107,217 82,814 14,461

70,147 57,084 9,819

37,076 25,730 4,632

342,820 93,238 26,063

279,093 46,C43 10,220

34,980 11,920 3,702

28,747 35,275 14,131

228,008 53,891 8,182

29,C61 13,806 2,322

198,947 40,085 6,660

46
Table 47. Number of other inpatient health facilities by type of facility and State: United States, 1976

All

facilities

r

Blind

------. .......

Other

neurOIagically

handicapped

State$ Physically

handicapmd

Emotionally

disturbed

Mentally

retarded

Oependent

chddren

Drug

abusers

Multiple

disor&rs Oeaf Alcoholics

10! 798

11

4

77

5

188

7

13

4

6

35

9

2

5

17

11

15

4

11

2

4

28

71

15

23

2

4

6

9

4

1

7

8

31

22

2

15

e

12

14

3

14

5

B

29

a

7

18

14

3

32

3

85 508

5

1

3

4

I aa

7

tl

4

5

12

5

11

1

15

7

14

7

5

3

10

5

9

2

2

1

4

5

2

3

7

5

25

16

1

33

:

19

6

2

e

13

4

8

10

9

243

1

d

2

19

3

41

2

43

10

2

6

1

2

2

;

14

1

1

24

1

United States ......

Alahma .............................

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

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

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

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

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

Connecudcut ......................

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

Dlstrlct of Columbia ............

Flardla ...............................

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

Hawaii,., ..............................

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

Illinois.,, .............................

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

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

Kttnsas,................................

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

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

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

Maryland,.,...,.,,,,,,,,,,......,,.,.

Massachuwtts .,,...................

Mlchlgan ..............................

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

Mlnls$ippl ..........................

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

Montana ...,..,,.........,.....,,.,,.,

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

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

New Hampshlr@...................

New Jersay ..........................

New Mexico ,..,,,,,,,,,,,,,,,,,,,,,

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

North Carollno .,..,,..,, ..........

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

Ohio., ..................................

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

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

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

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

Sauth Carohna ...................

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

Tennesme ............................

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

Utah,, ..................................

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

Vlrglnla ...............................

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

Wmt Vlrglnia, ......................

Wlsconsln ...........................

Wvomang .............................

T

6,280 65

49

14

58

48

1,408

144

90

27

1:

79

45

60 1,543 1,s75 44 87 867

1

2

3

2

1

2

1

1

1

1

1

1

2

1

3

2

2

3

1

1

1

7

4

1

1

2

:

1

1

1

1

;

1

2

7

14

3E

26

27

8

15

39

18

5

10

63

28

28

11

1:

20

23

115

4B

65

2

36

1

5

1

e

26

s;

le

2

55

10

21

43

9

7

a

8

35

9

1s

19

41

4

100

2

5

1

11

7

696

43

28

6

1

26

B

24

14

39

22

21

14

5

20

31

13

97

49

114

2

138

3

11

3

1

20

6

51

42

4

lal

9

6

4s

12

6

3

a

29

13

1

24

42

a

10

1

2

1

2

19

1

1

2

1

2

c

4

2

2

2

2

2

2

1

5

1

1

2

3

1

2

6

1

1

1

4

3

1

1

1

16

7

9

13

31

6

3

2

7

37

31

1

23

29

7

19

37

17

4

a

24

14

42

1:

4

9

2

a

11

14

42

30

3

65

la

1

52

9

15

4

39

69

2

7

33

14

10

3

2

2

1

2

1

6

2

1

4

2

1

1

3

3

1

1

2

4

2

~

3

2

2

1

1

1

1

7

3

1

3

2

3

7

1

4

11

1

2

2

1

4

12

3

2

1

2

1

5

1

1

1

1

1

2

1

3

1

3

2

1

1

7

3

1

2

3

1

1

1

1

1

12

1

3

4

1

7

2

11

6

2

2

1

2

1

2

6

3

10

1

1

2

1

4

1

1

1

2

2

1

2

2

1

2

2

1

7

2

4

1

:

1

1

1

1

1

2

107

a9

61

68

66

;:

373

146

298

20

21 i’

19

44

13

24

90

46

275

140

16

3%

61

28

40

53

25

77

195

36

63

110

130

34

183

10

47
APPENDIXES

CONTENTS

I. Methodolorrv ..................................................................................................................................

Nursing-Homes and Other Facilities ..........................................................................................

Hospitals ...................................................................................................................................

II. Classification Procedures for Nursing Homes and Hospitrds ............................................................

Nursing Homes .............................. ........ ........ ........ ...................................................................

Personal Care and Other Homes ............................................................ ...................................

Hospitafs ......................... ..........................................................................................................

III. The Cooperative HeaItb Statistics System ......................................................................................

IV. Qwtmnnrmes ............................................. ................................................................ ...................

. .

1976 Master Facility Inventory Survey (Nursing Homes) ..........................................................

1976 Master Facility Inventory (Other Health Facilities) ..........................................................

LIST OF APPENDIX TABLES

I. Number of responses and nonresponses by State: United States, 1976 ..........................................

II. Classification of institutions by type of service ..............................................................................

49

49

49

51

51

51

52

54

55

55

61

50

52

48
APPENDIX I

METHODOLOGY

Nursing Homes and Other Facilities

Sunvy procedures. –The nursing home and

other facilities mailing list for the 1976 Master

Facilities Inventory (MFI) was created by merging two lists—the final list of facilities for the

1973 MF1 Survey and the list of new facilities

(births) gathered by the Agency Reporting System (ARS).Z

TIN 1973 MFI list consisted of 26,670 facilities, and the ARS list contained approximately

7,500 births. These approximately 34,500 facilities made up the 1976 nonhospital mailing list.

After the completed questionnaires were returned, those homes that were out of business

and those that did not meet the National Center

for Health Statistics (NCHS) definition of health

facilities were eliminated. The final tally of nursing homes and other facilities for 1976 was

28,379 (table 1).

Of these 28,379 homes, 26,748 returned

completed questionnaires, resulting in a response

rat e gf 94 percent, Data for items that were not

completed by the homes were obtained through

vurious types of imputation procedures, whenever possible, 1973 MFI data were used. When a

responding home failed to answer a major question (bed size, ownership, type of facility, patients), a fail-edit questionnaire containing the

omitted question was sent,

The mailing dates for the nursing home and

NOTE: A list of references follows the text.

other facilities portion of the MFI were as

follows:

Initial mailing–May 5, 1976

First followup–June 2, 1976

Second followup–June 23, 1976

Telephone followup–August 4, 1976

Hospitals

Unlike nursing homes and other health facilities, which are surveyed every 2 yeears, hospitals are surveyed annually. The 1976 mailing list

for hospitals was created by merging the list of

hospitals from the 1975 survey with the list of

new (or potentially new) hospitals found between the 1975 and 1976 surveys. This 1976

mailing list was composed of three parts: (1)

hospitals registered and surveyed by the American Hospital Association (AHA), (2) hospitals

belonging to and surveyed by the American

Osteopathic Association (AOA), and (3) remaining non-AHA, non-AOA hospitals, which are

usually surveyed ‘by NCHS but were surveyed by

AHAin 1976.

The 1975 list contained 7,336 hospitals. To

this list were added new hospitals (potential

“births”). After eliminating duplicate, out-ofbusiness, and out-of-scope hospitals, the final

tally of hospitals for 1976 was 7,271.

The response rate for these 7,271 hospitals

was approximately 92 percent. The imputation

procedure: used in obtaining missing hospital

data were similar to those used in obtaining

missing nursing home data.

49
Table 1. Number of responses and nonresponsas by State: United States, 1976

Stata

United States .............................. .......................................... .......... ..........

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

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

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

Arkansas ...................... .................... .................. ......................................................<

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

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

Connecticut ................................................. .................... .................................o.......

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

District of Columbia ............................ ........ .......... ...................................................

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

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

Hawaii .................................................................................................o....................

ldaho ................................................................................. .......................................

lllinois ............. ....................................................................................................c....

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

New Hampshira ...... .................................................. ...................... ..........................

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

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

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

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

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

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

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

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

PannsyIvania............................................................................e..................o...o.........

Rhoda island ............................................................................................................

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

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

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

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

Utah .......................................................................................................o..............@..

Vermont ........................................................................................................o..........

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

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

Wisconsin West Virginia ............................................................................................................

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

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

All

responses

28,379

275

32

146

273

5,541

400

465

60

125

516

415

197

130

1,170

682

713

481

415

283

404

279

1,242

874

823

175

691

136

351

52

744

580

132

1,372

964

121

1,369

447

360

904

160

174

185

371

1,343

147

326

476

538

165

714

41

All

nonresponses

1,631

9

7

17

8

632

13

19

4

15

18

11

8

9

58

69

72

27

26

12

25

8

0

24

10

8

0

10

23

2

5

23

15

70

102

2

58

24

21

26

0

2

6

4

43

7

10

25

38

4

1

1

Responding facilities

Nursing

homas

20,468

217

11

71

217

3,500

243

356

29

70

335

325

144

67

936

506

552

393

321

205

307

191

869

704

517

147

474

107

284

37

115

467

72

1,027

722

103

953

362

283

676

120

119

154

290

1,105

104

263

341

370

127

530

30

Other

facilities

6,280

49

14

58

48

1,409

144

90

::

163

79

45

54

176

107

89

61

68

66

72

80

373

146

296

20

217

19

44

13

24

90

45

275

140

16

358

61

56

202

40

53

25

77

195

36

53

110

130

34

183

10

50
APPENDIX II

CLASSIFICATION PROCEDURES FOR NURSING HOMES AND HOSPITALS

Nursing Homes

The criteria for classifying institutions are

based on several factors: the number of persons

rccciving nursing care during the week prior to

the day of the survey, administration of medications and treatments in accordance with physician’s orders; supervision over medications that

may be self-administerred, the routine provision

of certain personal services (rub and massage,

help with the tub bath or shower, dressing, correspondence, shopping, walking, getting about,

and eating); and the employment of registered

professional or licensed practical nurses. On the

basis of these factors, four types of establishments and their definitions were distinguished.

They are.

Nursing cart? home. –An establishment is a

nursing care home if nursing care is the primary

imd predominant function of the facility. Facilities which meet the following criteria are classified iis nursing care homes in this report: One or

more registered nurses or licensed practical

nurses were employed, and 50 percent or more

of the residents received nursing care during the

week prior to the survey. (Nursing care is defined as the provision of one or more of the following services: nasal feeding, catheterization,

irri@ion, oxygen therapy, full bed bath, enema,

hypodermic injection, intravenous injection,

temperature-pulse-respiration, blood pressure,

application of dressing or bandages, and bowel

und Madder retraining.)

Personal Care and Other Homes

Ptmonal care home with nursing.–An establishment is a personal care home with nursing if

personal care is the primary and predominant

function of the facility but some nursing care is

also provided. If an establishment met either of

the following criteria it was classified as a personal care home with nursing:

1.

2.

Some, but less than 50 percent, of the

residents received nursing care during

the week prior to the survey, and there

was one or more registered professional

or licensed practical nurses on the staff.

Some residents received nursing care

during the week prior to the survey, no

registered nurses or licensed practical

nurses were on the staff, but one or

more of the following conditions were

met:

a. Medications and treatments were administered in accordance with physician’s orders.

‘b. Supervision over self-administered

medications was provided.

c. Three or more personal services were

ruotinely provided.

Personal care home. –An establishment is a

personal care home if the primary and predominant function of the facility is personal cm-e, and

no residents received nursing care durin~ the

week prior to the survey. Establishments ~vith

one or both of the following criteria arc classified as personal care homes in this report

whether or not they employed re~istered nurses

or licensed practical nurses:

1. Medications and treatments were achninistered in accordance ~vith physician’s

51
2.

orders, or supervision over medication

that may be self-administered was provided.

Three or more personal services were

routinely provided.

Domiciliary care home. –A facility is a domiciliary care home if the primary and predominant function of the facility is domiciliary care

but the facility has a responsibility for providing some personal care. If the criteria for a

nursing care home or personal care home are not

met but one or two of the personal services are

routinely provided, the establishment is classified as a domiciliary care home in this report.

In the classification process, a criterion was

considered not to have been met if the information for that criterion was unknown. For instance, if the type of nursing staff was unknown

for a facility, it was considered as not having

met the criteria or as having one or more registered nurses or licensed practical nurses on the

staff. Establishments that indicated that some

nursing care was provided but that did not give

the number of persons to whom this care was

provided were considered as providing nursing

care to some, but less than 50 percent, of patients or residents. Table II shows in detail the

classification of the establishments.

The following definitions pertain to the

certification of nursing homes under the Medicare and Medicaid programs:

Skilled nursing facility (SNF) .–Skilled nursing facility refers to certification as a skilled

nursing facility under Medicare, under

Medicaid, or under both programs.

Intermediate care facility (ICF).–Intermediate care facility refers to certification as an

intermediate care facility under Medicaid.

Not certified.-Not certified refers to facilities that are not certified as providers of

care either by Medicare or Medicaid.

Hospitals

General medical and surgical hospitals. –

These are establishments licensed as hospitals

that provide diagnostic and treatment services

for patients who have a variety of medical conditions, both surgical and nonsurgical. For this

report, a hospital unit of an institution (prison

hospital, college infirmary, etc.) is considered

a general hospital.

Table II. Classification criteria of institutions by type of service

Classification variables Classification criteria

Percent of total rasirients who received nursing 50 percent or more

Some but lessthan

care during the week before day of survay 50 percent

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

Does the institution provide:

Administration of medicine or treatments

according to doctor’s orders

. . . Yes No . . . Yes No

Supervision over self-ad”~inistered medicine?

Does the institution offer assistancewith three or Yes

more activities for daily living? .,. . . . No . . . . . . Yes No

Does the institution offer assistancewith one or

two activities for daily Iiving? . . . . . . . . . Yes No . . . . . . . . . Yes No

Does the institution offer room andlor board as its

only service? . . . . . . . . . . . . Yes . . . . . . . . . . . . Yes

Institution Nc Pcn Pcn Pc D Pcn Pcn Pcn Pc D

lNc = Nursing care home.

Pcn = Personal care with nursing home.

Pc = Personal care home.

D = Domiciliary care home (out-of-scope).

B = Boarding or rooming house (out-of-scope).

None

0+

Yes No

. . . Yes No

. . . . . . Yes No

. . . . . . . . . Yes

Pc Pc D B

52
Sp(’cialty hospitals. –These are establishments liccnscd as hospitals that usually limit

their admissions to patients with specified illncsscs or conditions. The specialty hospitals dist-usswi in this report are psychiatric, tuberculosis, chronic disease, rehabilitation, maternity,

uncl idcoholic or drug abuse. The remaining

types of specialty hospitals are grouped to-

~cthcr and called other. This category includes

Armc’d Forces dispensaries, eye, ear, nose, and

throat hospitals, orthopedic hospitals; and any

other type of hospital not already specified. As

section B(2) on the hospital questionnaire indicates, there are two categories for facilities

dealing with the mentally retarded: a hospital

unit within a school for the mentally retarded

(code 12) and an institution for the mentally

retarded (code 62) (see appendix IV). Any

facility that was one of these two types was

removed from the hospital list and placed on the

mentally retarded portion of the “other health

facilities” list.

000

53
APPENDIX Ill

THE COOPERATIVE HEALTH STATISTICS SYSTEM

To meet problems such as lack of uniformity, continuity, compatibility, and geographic

detail, as well as duplication of data gathering

within the Federal Government, Public Law

93.353 authorized the National Center for

Health Statistics (NCHS) to develop a Cooperative Health Statistics System (CHSS) “to assist

State and local health agencies and Federal agencies involved in matters relating to health .“ The

goal of this legislation is to establish and maintain a coordinated data system within the

United States. The system has many uses. They

include guiding decisionmaking regarding health

care, identifying health needs, and monitoring

and evaluating health programs and services.

The 1976 MF1 Survey was the first endeavor

to utilize the CHSS. Since all States did not have

operative systems in 1976, data were gathered as

follows;

The CHSS States that gathered data for

both nursing homes and other health facilities

were:

Massachusetts

hlissouri

Rhode Island

Vermont

Wisconsin

The States that

of the MFI Survey

conducted a specified part

(all other MFI data for the

State were collected by NCHS and AHA) were:

o

State

Arizona

Michigan

Minnesota

Tennessee

Idaho

Virginia

Nebraska

Colorado

Pennsylvania

North Carolina

Texas

Data collected by State

All nursing homes

Licensed nursing homes

Licensed nursing homes

and licensed other health

facilities

All nursing homes

Licensed nursing homes

and licensed other health

facilities

Licensed nursing homes

Licensed nursin~ homes

and licensed oth-er health

facilities

Licensed nursing homes

and licensed other health

facilities

Licensed nursing homes

and licensed other health

facilities

Licensed nursing homes

All nursing homes

Because some nonresponse data were imputed

by NCHS, the numbers that appear in tables in

which data are broken down by State may not

agree with the figures reported by the individwd

States. The imputation was done for consistency

with procedures used for non-CHSS States and

for comparing 1976 data with data from previous MFI surveys.

00

54
APPENDIX IV

QUESTIONNAIRES

1976 Master Facility Inventory Survey (Nursing Homes)

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

Public Health Smvica

Health Resources Administration

Nabonal Center for H@aIth Statistics

1976

MASTER FACILITY

INVENTORY SURVEY

I

r 1

(NURSING HOMES)

L -1

I

RETURN COMPLETED QUESTIONNAIRE TO:

Data Preparation Branch

National Center for Health Statistics

USPHS, Room 202

Box 12214

Research Triangle Park, N.C. 277D9

Dear Administrator

As part of its rcsponsibdity to proride information on the Nation’s health resources, the

National Cenlcr for Health Statistics (NCHS) co fleets information on all nursing and related

care facititics in the United States, in addition to those which provide some kind of personal

or domiciliary care. The purpose of this annuat survey is TO OBTAIN CURRENT INFOR.

hlATION FROh! EACH FACILITY o“ its .wmership, staff size, nurnher of beds a“d other

related facility characteristics. The information till be used to provide statistics on the

number and kinds of mch facilities m the United States and the CHANGES THAT OCCUR.

RED since the last hk.ter Facdhy Inventory Survey.

The i“formatio” from scctic.m A and B of this cpcstionnair., as related to imdiridml

facilities or hstings, will bc made avadable upon request to the NCHS. The data from

scctiom C and D, however, are trmted as conlidemd and will not he released to anyone or

used in any way other than for statistical summaries. These summaries will be presented in a

manner to ensure that no ind:viduaf facilit}, can be identified.

Plc.L$c fill out the q“cstionnairc and ret.m il mthm five (5) d=ys in the enclosed prc.

addressed cnvcl”pc.

Thank you for your cooperation i“ this volmtay survey.

Simerely yours,

El,@ L. WMe

AssocIatc Director for Data Systems

Nation&f Center (or HcaJth Statistics

E“ck)stm

SECTION A– IDENTIFICATION OF FACILITY

Please refer to the mailing label above, then mark all zdditions and corrections accotdhtg to the questions

below. Detailed identiticaficm i. formaticm is neaded to prevent duplicate listin~ and to assure that your

faclhty IS properly reprewnted in the survey.

1. 1$the NAME shown on the mailing label correct for your facility? ,

CARD1

I ❑ Yes

c, 12

2UN0 Enter correct nanw

IRA-1 16 (1-7 by—-— “— -

55
2. k the ADDRESS shown on the mailing label the correst

mailing address for your facility?

[

NUMBER OR BOX STREET OR ROUTE

,,13

1 ❑Yes

2~No - Enter correct mailing addreaa ~ CITY OR TOWN

STATE ZIP CODE COUNTY

3, What Is the telephone number of your facility?

CC14.23 AREA CODE NUMBER

INSTRUCTIONS FOR COMPLETING THIS FORM

1.

.

. .

3.

A

5.

6.

hu.ludc. in rhis rcprwt information only for the facility

in.mwd ill the mtiling Iabelor forits SUCCESSOR if the

n.mwl,r miner hxchangcd.

Ik t,, ll~me,mcl address chmges, rluplicat clistings,or

,,dn.r rm.wma, you mayreceive more thmoneqt!estionn.urc wtdcr different names or addresses. lfyourecei~,e

more than one form forthcsame facility, complcteonc

onl! amfretum all othcrswith the notation “Completed

.md returned under . ..(givenam eoffacilityoncom.

plcted form and the IDENTIFICATION NUMBER

found in the upper left comer of the mailing label).”

If this facili!y is a nursing unit of a retirement center,

report ur.ly [or the nursing unit.

If this facility is an SNF unit of a hospitsl, report only

for the SN’Funit.

Plcaac answer all applicable questions. Definitions and

spcciaf instructions me given with the questions when

nceffcd. If your answer to a question is “None,” put a

zero in the appropriate space. DO h’OT LEAVE THE

SPACE BLANfi.

For auestions 4, 12, and 18, data should be rer)orted for

a 12-month perkd, preferably the calendar year from

7.

8.

9.

Januaryl, 1975 thrmtgh December 31, 197f.. Ifdatais

fora different 12-month pcriodthan this, indicatethc

time period used:

Beginningdate: ~

,,24,2S 26,27 28,19

End:ng date: -

Y**V

,, 30,31 32,33 34,35

(lb. mntfu, &y,, andyezrsaretok 2ddt ““robe”.)

Is this nursing home part of a larqer <rnup of homes?

Yes ❑ No O

If the answerto the abovei$YESandinformationrorthis home is

available+ at your home office,pleaseforwardthis question

mire to your home office with the imtmction to fill it out for

your *pecificfacility.

If you arc the home office and receive a forwarded questionnaire from one or more of your homes, please fill

out each questionnaire you receive. (WC need separate

information forcachhomc).

If you are thchomc office andreccivc aqucstimtnairc

addressed specifically to you, do not fill it out. How.

ever, please provide us with the name and address of afl

homes for which you are the home office.

SECTION B– FACILITY INFORMATION

4. Were you in oparetion during all 12 months of 1975? ccaa I Yes ❑ 2 No ❑

5. Read all the categories, then mark (X) the ONE box 23

that BEST describes the TYPE OF OWNERSHIP which ~,

opsrstes this facility.

26

m

21

22

11

cc37,38

12

13

14

15

1a

17

la

19

❑ Individual

I

❑ Partnership For profit

❑ Corporation

❑ Church-related

❑ Nonprofit corporation

❑ Other nonprofit ownership

❑ State government

❑ County government

❑ City government

❑ City-county government

❑ Hospital District

❑ U.S. Public Health Service

❑ Armed Forces

❑ VeteranaAdministration

❑ Other Federal Agancy-Specify

.

H6A-136 (2-76) P,w 2

56
6. Read all the categories, then mark (X) the ONE box 31 n Skilled Nursing Facilitv (certified under either

that BEST describes the TYPE OF SERVICE this facili-

—

h’fedicarc or-hfedicaid)’

w offers the MAJORITY of its residents or patients.

Enttr m tbc cnmmcnts section on the last page any

32 ❑ Skilled Nursing Facility unit of a hospital

33 ❑ Nursing care unit of a retirement center

rem.wk~ yLw m~y hcwc rc,g.mfing the correct classification

34 ❑ Sheltered or custodial care home (inc]udc homes for

(II dlis futility. theaged)

35 ❑ Other type of nursing home

— —-— —- —. —-— —— -—-—--

Resdent facdny or schoolfor the–

01 ❑ Blind

02 ❑ Deaf

03 ❑ Emotionally disturbed

CC39.40 w ~ Mentally retarded

m ❑ Other neurologically handicapped

w ❑ Physically handicapped

.-. —— -- ----- ------- -----

07 ❑ Orphanaga or home for dependent children

08 ❑ Home for unwed mothers

-— -—---- ___ ___ ____ -----

Rwdent treatment centerfor.-.

m a Alcoholics

10 ❑ Drug abusers

-— -- —---- -- —-- -— —-- ---

II ❑ Other facility -( Spcc@)

7a. What is the licensed bad capacity of this facility? _ . . ...44

(1) How many of these beds are certified for ,Medicare? cc45.48

(2) How many of these beds are certified for Medicaid as:

(a) skilled beds? cc49.52

(b) intermediate care beds? cc53.56

b. How many beds are currently set up and staffed for use (include only accommodations with support.

inx services, such as food, laundry, and hous.eke.epin,q, for patients m rewfents who stay in excess

of 24 hours)? w 57.60

8. Does this facili~ ACCEPT persons of all ages, including infants and children?

I ❑ Yes (Skip to question 9)

LX 61

2 ❑ No— a. What is the ~nimum age accepted? cc62,63

b. What is the maximum age accepted? cc64,65

9. Does this facility accept --

w 66

I ❑ Males only? 2 ❑ Females only? 3 ❑ Both males and females?

10. Does your facility accapt persons who are: (hlark (x) all that apply)

cc 67 a. ❑ Mentally ill or emotionally disturbed?

m 68 b. ❑ Mentally retarded? ccTOd. ❑ Orug addicts?

cc 69 c. ❑ Alcoholics? c,71e. ❑ Senile?

11. ~b&$am# below the number of residents or patients who stayed in this facility last night, by their

-——

Age Male Female

Under 21 cc72.75 CL- 96.99

21.44 m 76.79 cc 100.,03

45.64 cc80.a3 cc104.107

65-74 ccS4.87 m 108.111

75 and over cc88.91 cc 112.11s

Total patients cc92.95 cc 116.119

HRA-136 (2-76) Pow 3

57
12a. How many inpatient days of care were randered in 1975? (This is the sum

of rlaily inp~timt census count, preferably from 1/1 /75 through 12/31 /75,)

CARD*

cc 11.17

b. How many admissions were there during 1975? cc 1s.21

c. How many discharges (including deaths) were there during 1975? ,, 22.23

d. How many deaths were there during 1975? ,, 26.28

SECTION C–CLASSIFICATION INFORMATION (Confidential)

13, Please enter below the “number of full-time and part-time employees who work in this facility. For each type of

part-time employaa, enter the total number of hours worked in this facility over the last aeven days. (Full-time means

35 or more hourc a week.) Include owners, managers, teaching staff, research workers, staff of outpatient facilities or

extended care units, temporarily absant employees, trainees (if nn .tbe payroll), a“d members of religious orders whether

paid or unpaid.

Number of Number of Number of hours

full-time staff part.time staff worked (over the

(35+ hours (under 35 hours la-cc7 days by all

a week) a week) part.time employees)

Administrators and

CARD 3 CARD 4

Assistant Administrators cc29-31 cc11-13 cctl.ls

Physicians

cc32.34 cc14.16 .x 1s-20

Dentists

,.3s.37 ,.17.19 ,.21.25

Registered Nurses

cc3840 .. 20-22 cc26.m

LPN or Vocational Nurses

,.41.43 CC2%2s ,, 31.3s

-.

Nursing Aides, Orderlies,

and Attendants

cc4446 cc26.10 c, SUB

Licensed Pharmacists

cc4749 cc29.31 cc414s

Dietitians and Dietetic

Technicians

. . SC-52 cc32.3* cc46.50

Occupational Therapists

.x 53.s5 cc3s.37 ccS1.S5

Occupational Therapy

Assistants and Aides

cc56.58 cc3840 coSS.60

Speech Pathologists and

Audiologists cc$9.61 cc41.43 .,61 6$

Physical Therapists

., 62.64 .. 44.46 .’ 66.,.

Physical Therapy

Assistants and Aides

,, 65.67 cc4749 ,,717s

Recreational Therapists

cc68-70 ccsO.s2 ,. 76.80

Medical Social Workers

c, 71.73 cc53.55 ,.81 ?.$

All other health professional

and technical personnel

cc74.76 cc56.58 cc86.90

All non.health professional

and technical personnel

cc77.79 ccS9.61 cc91.95

Total (all employees) cc80.83 u a2.s.4 cc96.100

HRA-136 (2-76) Paw 4

58
14.

CARD 5

Msik (X) the box that indicates the level of skiu of the OAY SHIFT cc II

wraon lNCHARGE OF NURSING CAREwhowas ON

DUTY yesterday (that is-on the premises, awake,

dressed, and routinely serving the patients) for each

shift.

If the person IN CHARGE is merely “ON CALL,”

mark the box, “Person in charge is ON CALL.”

If you do not have all of the shifts indicated, mark the

“No such shift” box as appropriate.

2 ❑ RN on duty

3 ❑ LPNond.ty

4 ❑ Nurse’s Aide on duty

s ❑ Other on duty-Specify occ”patio”

EVENING SHIFT .c,a

ID

40

50

Person in charge is”ON CALL”

RN or duty (i..., awake and drc.wed)

LPN on duty (i.e., awake and dressed)

Nurse’s Aide on duty (i.e., wake find drcswd)

Other on duty -Spcc!fy occupation

No such Shift

NIGHT SHIFT w13

1 ❑ per$On In charge is ‘JON CAL L-,

2 ❑ RNon duty (i.e., awake a“d dr~$st.d)

3 ❑ LPN on duty (i.e., awake and dressed)

4 ❑ Nurse’s rNde on duty (i.e., mvakc ~“d dw,scd)

5 ❑ Other on duty-speedy OCCUp., I,t, I,

6 ❑ No such Shift

15, During the paat 7 days, how many of the RESIDENTS Count each resident or patient only ONCE no maner hov

or PATIENTS in this faaility received “Nursing Cam?” many sewices he recewed.

Consider that a resident or patient received “Nursing

CaIe” if he received one or more of the following sew- Number of residents who

ices: taking of tmnperat”re, pulse, respiration, or blood . . !4.17 recewed nursing care

pressure, ftdl.bcd bath, nzaal feeding, catheterization, irrigation, oxygen therapy, enema, hypodermic injection,

intravenous injection, application of a dressing or ban.

dagc, bowel or bladder retraining.

HRA-136 (2-76)

—.—

Pm 5

59
16. WJdchz of the fsdlow”ng aarvicas am ROUTINELY providad to residants in addition to room and

a. Supervision over medications which may be selfadministered

b. Medications and treatments administered in

accordance with physician’s orders

c. Rub and maaaaga

d. Help with tub or shower

e. Help with dressing

f. Help with correspondence or shopping

9. Help with walking or getting about

h. Help with eating

i. Room and tmard ONLY

,, 18 I ❑ Yes

,C ,, , I-J Yes

,,,0 I ❑ Yes

cc21 t ❑ Yes

,C 22 I ❑ yes

,.,3 I ❑ Yes

c. 14 I lJ Yes

cc25 I l_J Yes

,C2, I ❑ Yes

SECTION D–FINANCES (Confidential)

17. Last month, what was your basi; MONTHLY charge for a resident’s lodgin9, maak, and rOutina

nursing mm? (Exclude charges for physician services, private duty nursing, tbcrapy, drugs, special

mkdiccJ supplies, specicl diet, laboratory tests, and medicd equipment.)

Medicare patients -$ cc27.30or D No Medicare patienta

Medicaid patients -$ ., 31.34or n No Medicaid patients

All other patients -$ c. 35.38

18a. What wara your facility’a TOTAL OPERATING EXPENSES for the 1975 calandar yaar?

$ cc33’4s

b. How much of thaw total 1975 exfmnaes ware:

(1) Payroll coata $ cc4C,.SZ

(2) Nonpayroll costs? (Include equipment rent, insurance, taxes and Iicenscs, interest, dcprccntinn,

building and land rent, food, drugs, laundry, utilities, supplies and equipment, and all nthcr miscellaneous expenses.)

$ c. 53-59

COMMENTS:

SECTION E-RESPONDENT Name and title of person completing this form Date c;mpleted

INFORMATION

HSA-136 (2-76) P.m a

60
1976 Master Facility Inventory (Other Health Facilities)

OMB Clea,a”ce No. 68 R1500

EXPlr,tlO” date Jm”ary 1977

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

Public Health Swvice

Health Resources Administration

National Center for Health Statistics

r

(OTHER HEALTH FACILITIES)

1

L --l

1976

MASTER FACILITY

INVENTORY

RETURN COMPLETEO QUESTIONNAIRE TO:

Data Preparation Branch

National Center for Health Statistics

USPHS, Room 200

BOX 12214

Research Triangle Park, N.C. 27709

Dear Administrator:

As part of its responsibility to provide information on the Nation’s health resources, the

National Center for Health Statistics (NCHS) collects information on all custodial and

remedidpre facilities inthe United St&s. ‘

The purpose of this annual survey is TO OBTAIN CURRSNT INFORMATION FROM

EACH FACILITY on its ownership, staff size, number of beds andother. related facility

characteristics. The information will be used to provide statistics on the number and kinds

of such facilities in the United States and the CHANGES THAT OCCURRED since the last

Master Facility Inventory Survey.

The information from sections A and B of thk questionnaire, as related to individual

facilities or listings, will be made available upon request to the NCHS. The data from

sections C and D, however, are treated asconfidential and will not be released to anyone or

used in anyway other than forstitisticd summties. Thcsesummxies tillbepresented ina

manner toensure that noindividua.1 facility can be identified.

Please fill out the questionnaire and return itwitbin5 days intheenclosed preaddressed

envelope.

Thank you for your cooperation in this voluntary survey.

Sincerely yours,

Elijah %,. White

Associate Dkector for Data Systems

National Center for Health Statistics

Enclosure

SECTION A-IDENTIFICATION OF FACILITY

Please refer to the mailing label above, then mark all additions andcorrections according to the questions

below. Oetailed identification information isneedwl toprevent duplicate listings andto assure that your

facility is properly represented in the survey.

1. IS the NAME shown on the mailing Iahel correct for your facility?

~ARol 1 ❑ Yes

cc12

ZDNo-Enter correct name c

61
2. Is the ADDRESS drown on the mailing label the correct

mailing addrass for your facility?

(

NUMBER OR BOX STREETOR ROUTE

,,13

I ❑Yes

2 ❑NO -Enter correct mailing address ~ CITY OR TOWN

“( STATE ZIP COOE COUNTY

3. What is the telephone numhar of your facility?

.. 14.23 AR EACOOE NUMBER

INSTRUCTIONS FOR COMPLETING THIS FORM

1.

2.

3.

Include in this report information only forthc facility

named in the mailiig label or for its SUCCESSOR if the

name or owmer has changed.

Due to name and address changes, duplicate listings, or

other reasons, you may receive more than one questionnaire under different names or addresses. Ifyou receive

more than one form forthc same facility, compkteone

only and retumall others with thenotation <<Completed

and” returned under. . . (give name of facility o; cmnpleted form and the IDENTIFICATION NUMBER

found in the upper left comer of the mailing label).”

PIease answer all applicable questions. Definitiomand

special instructions are given with the questions when

needed. If your am.wcr to a question is “None,” put a

4.

zero in tbe appropriate space. DO NOT LEAVE THE

SPACE BLANK.

For questions 4, 11, and 14, data should be reported for

a 12.month period, prefembly the calendar year from

Ianuarv 1. 1975 throuzh December 31. 1975. Ifdatais

~or a &ff&nt 12-mo;th period tbanthis, indicatetbe

time period used:

“ff”i”gd”” --J--J_

..14,25 ,.16,27 .%19

Ending date: +

cc 30,31 cc 32,33 ,.34,3s

(The nm.ths, days,and wan are to b. 2d@ numbers.)

SECTION B - FACILITY INFORMATION .

4.

5.

Were you in operation during all 12 months of

1975? CC36 1 Y32n

23 ❑ Individual

Read all the c;tageries, then mark (X) the ONE box

that BEST describaa the TYPE OF OWNERSHIP which 24 ❑ Partnership

opzrates this facility. 25 ❑ Corporation I

23 ❑ Church related

21

L

22

11

w 37,3, ‘2

13

14

15

16

17

18

la

2No D

For profit

❑ Nonprofit corpaation

❑ Other nonprofit ownerzhip

❑ State government

(_J County government

❑ City government

❑ City-coumy government

❑ Hospital Oktrict

❑ U.S. Public Health Service

❑ Armed Forcm

❑ Veterans Admi”iatratio”

❑ Other Federal Agency-Specify ~

HRA-135 (2-76) Pw 2

62
6. Read all the categories, then mark (X) the ONE box Residentfachty or school for thathat BEST describes the TYPE OF SERVICE this facility offers the MAJORITY of its residents or patients. o! ❑ Blind

Enter in the comments section on the last page any 02 ❑ Deaf

remarks you may have regardhg the correct classification

of this facility.

os ❑ Emotionally disturbed

w ❑ Mentally retarded

05 ❑ Other neurologically handicapped

CM❑ Physically handicapped

.——————--- ——————-—.——————

OT❑ Orphanage or home for dependent children

,, 39,40

m ❑ HOme for unwed mothers

-——-———————————————————— --

Residenttreatment centerfor-.

m ❑ Alcoholics

10 ❑ Drug abusers

——————---———————-————————

I I ❑ Other facility (specify) v

—

w ❑ Skilled Nursing Facility (certified under either

Medicare or Medic~d)

m ❑ Skilled Nursing Facility unit of a hospital

33 ❑ Nursing care unit of a retirement center

24 ❑ Sheltered or Custodial care home (include homes

for the aced)

“,

35 ❑ Other type of nursing home

7a.

b.

What is the licensed&d capaci~ of this faciliw? cc4144

(1) HOW many of thesa beds are cartified for Medicaid as intermediate care bads? —cc 4s-s8

How many beds are currently set up and staffed for use (include .mly accommodations with supporting

wrvicm, such M food, Immdr), and housekeeping, for patients or residents who stai, m excess of 24

htmrs)? c, 49.52

8. Does this facility ACCEPT persona of all ages, including infants and children?

. . !3

! ❑YE.5 (Skip t,, qucstmn 9)

20N0 7

a. What is the minimum age accepted?

b. What ia the maximum age accepted?

m 54, 55

a 36.57

8. Does this facdity mxept---

,, so

I ❑ Males only?

2❑ Females only?

3 UBoth males and females?

IINA-115 (2-76) Pacrl3

R

63
10. Please enter below the number of residents or patients who stayed in this facility last night, by their

age and sex.

Age Male Female

Under 21 cc59.62 cc S3.86

21.44 cc63.66 cc 87.s0

45.64 cc67.70 cc 91.94

65-74 cc71.74 cc 95.98

75 and over c. 75.78 cc 99.102

Total patients cc79.82 cc 103.106

‘ ha. How many inpatient days of cars (the sum of the daily patient ceIIs:: :ount from 1/1/75 through

12/3 1/75) were rendered in 1975? cc11.17

b. How many admissions were there during 1975? cc18.23

c, How many dischar@s (including deaths) were there during 1975? m 24.29

d. How many deaths warm there during 1975? ,.30.32

SECTION C – CLASSIFICATION INFORMATION (Confidential)

12. Please enter below the number of full-time and part-time employses who work in thb facility. For each tyIM of

past-time employae, enter the total number of bouts worked in this faciliW over the last s-evendays. (Full-time means

35 or more hours a week.) Include owners, managers, teaching staff, resaarch workers, etaff of outpatient facilities or

extended care units, temporarily absant employees, trainees (if on the payroll), and members of religious orders whether

paid or unpaid.

Number of Number of Number of hours

full-time staff part-time staff worked (over tbe

(35+ hours (Under 35 hours last 7 days by afl

a week) a week) part-time employee~:

Administrators and CARD3 CARD4

Assistant Adminiattators cc33.3s cc11.13 cc11.1s

Physicians cc36-ss cc14.16 ,, 1a-20

Dentists u 3941 cc17.19 cc21.25

Registered Nurses cc4244 cc 20.22 cc 2a.30

LPN or Vocational Nurs~ cc4s-67 cc 13.7. s cc 31.35

Nursing Aides, Orderlies,

and Attendants cc48.S0 cc 26-28 cc 3640

Licensed Pharmacists ccS1.S3 cc29.31 ,04145

Dietitians and

Oietetic Technicians ccw.sa ,, 32.34 . . 4a.so

Occupational Therapists ccS7.59 cc35.37 m S155

Occupational Therapy

Assistants and Aides ,.34.62 w 3840 c, s6.60

Speech Pathologists

and Audiologists ,, 63.6S cc 4143 ,, 61.6s

Physical Therapista cc6s.68 ,, 4446 CC66.70

Physical Therapy

Assistants and Aides cc69.71 cc4749 m 7,.7s

Recreational Therapists ,, 72.74 ccSO.S2 cc76.8~

Medical Social Workers ,, 7s.77 ccS3.5S ccS1.ns

All other health professional

and technical personnel cc7a.sO cc53-58 ,, 86.)0

All nomhealth professional

and technical personnel ,.81.83 ccS9.61 m 91.9A

Total (all employees) cc84.87 sc62.64 ,. 9a.loa

hA-135 (’I.- 76) P,.# 4

64
SECTION D - FINANCES (Confidential)

13. Last month, what was your basic MONTHLY chaws for a resident’s lodging, meals, and routine care?

(Exclude chwges for physician services, private duty nursing, therapy, drugs, special medical supplies,

special dkt, laboratory tests, and medical equipment.)

CARDS5

Medicare patients .$ cc 11-14 ~~

Medicaid patients -$ m 1s.1s ~~

All other patientc -$ cc 19.22

❑ No Medicare patients

❑ No Medicaid patients

I&. What were your facility’s TOTAL OPERATING EXPENSES for the 1975 calendar year?

$

cc23.29

b. How much of these total 1975 expensss were:

(1) Payroll costs? $ C. 30.36

(2) Nonpayroll costs? (Include equipment rent, insurance, taxes and licenses, interest, depreciation,

buildin~ and kmd rent, food, dregs, laundry, utilities, supplies and eq”ipm.s”t, and all other

miscellaneous expenses. )

$ cc 3743

COMMENTS:

SECTION E- R ESPONOENT Name and title of person completing form Oate completed

INFORMATION

HRA-135 (2-76) P.m 5 .“ , G$”,”.. C”T?“,”1!.0 0,,,,, ,9,6..,,,.,,,

*U.S. GOVERNMENT PRINTING OFFICE: 1980 311-240/1 1-3 65
VITAL AND HEALTH STATISTICS Series

Series 1, Prougrams and Collection Procedures. –Reports which describe the general programs of the National

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

definitions and other material necessary for understanding the data.

St’rit~s 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 collected data, and contributions to statistical theorv.

S(’ries 3, Analytical Studies. –Reports presenting analytical or interpretive studies based on vital and health

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

St”ritqs4. Documents and Committee Reports. –Final reports of major committees concerned with vital and

health statistics and documents such as recommended model \,ital registration Iatvs and re~,ised birth

and death certificates.

A’+,rics1(1. Data Fro m the Health Interview Survey. —Statistics on illness, accidental injuries, disability, use of

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

in a continuing national household interview survey.

.$ ‘ri(> 11. Dutu From the Health Examination Survey and the Health and Nutrition Examination Survey. – I.)~ta

from direct examination, testing, and measurement of national samples of the civilian noninstitutiomdized population provide the basis for two types of reports: (1) estimates of the medically defined

prev.dence 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.

S(”ri(’s 12, Daiu Front the Institutionalized Population Surz,eys. –Discontinued effective 1975. Future reports tr[~m

these surveys will be in Series 13.

Si’ritx 13, Data on Health Resources f.Jti2i.zation. —Statistics on the utilization of health manpower and fw illtlcs

providing long-term care, ambulatory care, hospital care, and family planning services.

St<ric’s14, Data on Health Resources: Manpower and Facilities. –Statistics on the numbers, geqgrapblt cflstr]-

bution, and characteristics of health resources including physicians, dentists, nurses, other he~lth

occupations, hospitals, nursing homes, and outpatient facilities.

Se~it,s 20. Data on Afortality-Va rious statistics on mortality other than as included in re,qrlm annual or munthl~

reports. Special analyses by cause of death, age, and other demographic va.riahles: geqqraphic md ttmc

series analyses; and statistics on characteristics of deaths not available from the vital records based on

sample surveys of those records.

Sf’rit’s 21, Dutu on Natality, hfarriage, and Dizlorce. —Val-ious statistics on natality, marri~ge, and divorce (}ther

than as included in regular annual or monthly reports. Special anal), ses by demographic variahies.

geographic and time series analyses; studies of fertility; and statistics on characteristics of births not

av.tilable from the vital records based on sample surveys of those records.

St.rils 22. Data From the National Mortaiitj, and ,Vatality Surz,e},s. –Discontinued effective 1975. Future repotts

from these sample surveys based on vital records will be included in Series 20 and 21, respe, ti~cl}

S.wits 23. Data From the National Survey of Famil>, Grou,th. –Statistics on fertilitv. family furrn.ztion arci (iis.

solution, family planning, and related maternal and infant health topics derived from a b]ennid sunc>

of a nationwide probability sample of ever-married women 15-44 years of age.

For a list of titles of reports published in these series, }vrite to: Sc]entlfic and “f_echnical In~ormatl[~n Branch

Nation~l Center for lIcalth Statis[l( s

Public lIeAlth Semwe

Hyattsvil]e, \lci, 20782
NCHS

U.S DEPARTMENT OF HEALTH, EDUCATION, ANO WELFARE POSTAGE AND FEES PAID

Publ(c Health %W,W

Of f,.. of Hemlh Research, SI.msI(cs, and Technology

Nat(om Center for He81th Stat, st, cs

3700 Em Wesl H,ghway

Hvatwk Maryland 20782

us OEPARTMENTOFH E.W

HEW 396

THIRD CLASS

OFFICIAL BUSINESS

PENALTY FOR PRIVATE USE S300 I 1 ,’ P’11,”,, ,,$~ t’, 11,$

l.,,(t) (,8’!/ //,,,/,/, 5,,, ,,, (,<,

5,, ,,< ,11 <1,1 &{l, \(ll\