From Vital and Health Statistics of the National Center for Health Statistics Number 147 � January 22, 1988 

Nursing and Related Care Homes as Reported From the 

1986 Inventory of Long-Term Care Places 

by Al Sirrocco, Division of Health Care Statistics 

Introduction 

The 1986 Inventory of Long-Term Care Places (ILTCP) 

was a survey of two types of facilitie~ nursing and related care 

homes and facilities for the mentally retarded. This report deals 

only with nursing and related care homes. 

As used in this survey, the term “nursing and related care 

homes” incorporates all nursing care homes including skilled 

nursing facilities and intermediate care facilities, as well as all 

residential care facilities including homes for the aged, personal cam homes, and board and care homes. All of these facilities must maintain three beds or more. 

The National Center for Health Statistics, in cooperation 

with the National Center for Health Services Research and the 

Health Care Financing Administration, employed the U.S. 

Bureau of the Census to conduct the 1986 ILTCP. The purpose of the survey was to provide a current sampling frame for 

two segments of the Institutional Population Component of the 

19$7 National Medical Expenditure Survey. The two segments 

were nursing and related care homes, and facilities for the mentally retarded. The National Medical Expenditure Survey was 

initiated by the National Center for Health Services Research 

in early 1987. 

History and background 

The ILTCP had never been conducted prior to the 1986 

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

1967 and 1982 (NCHS, 1986). Although the nursing homes 

herdbeen surveyed in each NMFI, the mental retardation (MR) 

facilities had not been surveyed since the 1976 NMFI (NCHS, 

1980). The types of questions asked in the ILTCP were similar 

enough to the NMFI questions that a decision was made to use 

the ILTCP data as a means to update the NMFI. 

In 1982, the University of Minnesota’s Center for Residential and Community Services conducted a survey of MR facilities (Hill and Lakin, 1984). The file that resulted from that 

survey was used to create the MR mailing tile for the 1986 

ILTCP. 

Descriptions of the creation of the mailing file and the 

survey procedures are given in the Technical notes. 

Classification of facilities 

The information collected in the ILTCP initially was used 

to separate the nursing and related care homes from the MR 

facilities. Because many facilities served the aged and disabled 

as well as the mentally retarded, it was necessary to combine 

many items of information to classify these facilities. Basically, 

to qualifi as an MR facility, a place had to be primarily MR 

oriented. Thus, a nursing home with a small MR wing would 

remain a nursing home. 

Once a facility was classified as a nursing and related care 

home, it was subclassified into nursing home or residential facility. Homes certified as skilled nursing facilities (SNF’S) or 

intermediate care facilities (ICI?’s) were classified as nursing 

homes. Uncertified facilities that were licensed as nursing homes 

or provided nursing care services were also classified as nursing homes. The remaining places were classified as residential 

facilities. 

Because the ILTCP was designed to identify MR facilities 

as well as nursing and related care homes, it was able to separate the residential facilities serving only the mentally retarded 

from the residential facilities serving the aged and disabled. 

The NMFI surveys from 1978 through 1982 were not designed 

to make this distinction and, therefore, included among their 

residential facilities those that served only the mentally retarded. This was especially true in California and Michigan, 

which had a combined total of 7,228 residential facilities in the 

U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES � Public Health Service � Centers for Disease Control 
2 adamedata 

1982 NMFI. Based on ILTCP edit checks, it appears that as 

many as one-third of these might have been MR residential 

facilities in 1982. The 1982 NMFI report (NCHS, 1986) mentioned the existence of these MR facilities, but had no estimate 

as to how many there were. 

The 1985 National Nursing Home Survey (NNHS) estimated a total count of 19,100 nursing homes (NCHS, 1987). 

This estimate was also influenced by the California and Michigan residential facilities. The inability to identify and exclude 

the MR places from among these facilities led to the decision to 

exclude all 7,228 from the universe. The NNHS estimate of 

4,700 uncertified facilities compared with the ILTCP count of 

12,226 (residential facilities plus uncertified nursing homes) is 

a difference of about 7,500. The difference between the 1986 

ILTCP total count of 26,380 (including hospital-based) and 

the 1985 NNHS total count of 19,100 (which included hospital-based) is about 7,300. Clearly, the exclusion of residential facilities from the 1985 NNHS is the main reason for the 

different counts. 

Discussion 

Countinghospital-based facilities, there were 26,380 nursing 

and related care homes with 1,770,206 beds and 1,609,419 

residents in 1986 (table 1). Because most of the previous NMFI 

surveys were unable to obtain complete counts of hospitalbased facilities, these places were usually excluded from the 

data presented in NMFI reports. To make the 1986 data more 

comparable with the NMFI surveys, this report has removed 

the 734 hospital-based facilities tlom all but the first two tables. 

Table 1 shows the total nursing home counts with the hospital-based facilities included, and table 2 shows the characteristics and distribution of the hospital-based facilities themselves. Using the figures from table 2, the following rates and 

percents can be generated. The occupancy rate for hospitalbased facilities was 92 percent they averaged 83 beds per facility, and 94 percent were certified as SNF’S or ICF’S. In 

addition, they were usually nonprofit (60 percent) or government owned (32 percent). 

The remainder of this report will exclude hospital-based 

facilities, making the total counts 25,646 homes, 1,709,223 

beds, and 1,553,253 residents. This count of homes was actually 203 less than the number of homes found in the 1982 

NMFI survey. The main reason for this lies in the overcount 

of residential facilities in 1982, due to the presence of MR 

facilities primarily in California and Michigan, as mentioned 

earlier. 

The differences in survey procedures and definitions make 

direct comparisons between the ILTCP and NMFI (NCHS, 

1985, 1986) surveys very difticult. The removal of facilities 

with less than 25 beds reduces the impact of these differences 

and makes comparisons more meaningful. Further examination 

of the differences between the WI and ILTCP data is planned 

for a future Series 14 report on the ILTCP. 

Table 3 separates the ILTCP facilities into nursing homes 

and residential facilities. To get a total count of all nursing 

homes, the SNF’S, ICF’S, and uncertified nursing homes were 

combined to form the nursing home category in table 3 and in 

the remaining tables. 

There were 9,613 total homes with less than 25 beds, which 

represented about 37 percent of all homes (table 3). The table 

shows how these homes with less than 25 beds are distributed 

between the nursing homes and residential facilities. The 2,409 

nursing homes in this bed size group represented less than 15 

percent of its total, whereas the 7,204 corresponding residential facilities represented nearly 78 percent of its total. 

The size difference between nursing homes and residential 

facilities is more apparent in table 4. The average bed size 

was 92 for nursing homes and 22 for residential facilities, and 

this big difference is found in each ownership group and each 

region. For nursing homes, the government-owned homes were 

the largest (126 beds), and the for-profit homes, the smallest 

(87 beds). For residential facilities, the nonprofit facilities were 

the largest (35 beds), and the for-profit homes, the smallest (20 

beds). 

Regionally the Northeast had the largest nursing homes 

(108 beds) and largest residential facilities(29 beds). The smallest 

nursing homes were in the West (72 beds), and the smallest 

residential facilities were in the Midwest ( 16 beds). 

Table 4 also shows that within the nursing home category, 

the SNF’S were the largest at 122 beds and had the highest 

occupancy rate (93 percent). The ICF’S were next with an average of 77 beds and a 90-percent occupancy rate, followed by the 

uncertified homes with a 38-bed average and 86 percent occupancy. The averages and rates for the SNF’S and ICF’S were virtually unchanged from those reported in 1982. 

The residential facilities had lower oocupancy rates than 

the nursing homes (85 percent to 92 percent). For nursing homes, 

the lowest occupancy rate (86 percent) occurred in the smaller 

homes (under 25 beds), but for the residential facilities, the 

lowest rate (82 percent) was in the larger homes (200 beds or 

more). Table 4 shows that the highest occupancy rate for nursing 

homes and residential facilities occurred in the Northeast (95 

and 88 percentj respectively). 

The Midwest had more SNF’S and more ICF’S than any 

other region (table 5). Conversely, the West had fewer SNF’S 

and ICF’S than any other region. Just over one-third of the 

SNF’S in the West had 100 beds or more, but in each of the 

other three regions two-thirds of the SNF’S had 100 beds or 

more. Because fewer people 65 years and over lived in the 

West (5.2 million compared with the South’s 9.9 million, the 

Midwest’s 7.4 million, and the Northeast’s 6.7 million), and 

because the West’s population is more spread out, large facilities may not be needed. 

Looking closer at the population figures, table 6 reveals 

that there were 51.7 nursing home beds and 6.9 residential 

facility beds per 1,000 population 65 years and over in 1986. 

Although the West had the lowest nursing home bed rate at 

42.3, it was not that much lower than the South’s rate of 46.9 

or the Northeast’s rate of 47.4. In fact, the West’s SNF rate of 

34.3 was considerably higher than the South’s rate of 24.1. It 

was with the ICF’S rate of 3.8 that the West fell behind. One 

reason for this low ICF rate is that several western States have 

virtually no ICF programs and therefore few ICF’S. 

The estimated number of residents 65 years and over that 

were in nursing homes was 1,249,000, and the number in residential facilities was 126,000 (table 7). In other words, 4.3 

percent of the population 65 years and over resided in nursing 
---

daEedaa3 

homes, and 0.4 percent resided in residential facilities. The 

nursing home rates ranged from a high of 5.6 percent in the 

Midwest to a low of 3.5 percent in the West. For residential 

facilities, the West had the highest rate at 0.8 percent. 

The 1,249,000 nursing home residents that were 65 years 

and over represented 90.4 percent of all nursing home residents (table 8). By contrast, only 73.1 percent of persons in 

residential facilities were 65 years and over, The residential 

facilities displayed much more variation by ownership than did 

the nursing homes. In nonprofit residential facilities, almost 85 

percent of the residents were 65 years and over, but in government-owned residential facilities only 55 percent were 65 years 

and over. 

. . . 

0.0


z


*


#


Table 9 shows the number of black and Hispanic residents 

in nursing homes and residential facilities in 1986. The 105,173 

black residents in nursing homes represented 7.6 percent of the 

total nursing home population. The 28,101 Hispanic nursing 

home residents made up 2.0 percent of the total. Similarly, the 

black residents made up 7.8 percent and the Hispanic residents 

2.6 percent of all persons in residential facilities. 

More than half (55 percent) of the black nursing home 

residents were in the South, with the fewest (7.2 percent) in the 

West. The Hispanic residents were mostly in the West (41.7 

percent) and the South (35.3 percent). The distribution of black 

and Hispanic nursing home residents in each of the ownership 

categories is shown in table 9. 

Symbols 

Data not available


Category not applicable


Quantity zero


Quantity more than zero but less than


0.05 

Quantity more than zero but less than 

500 where numbers are rounded to 

thousands 

Figure does not meet standard of 

reliability or precision 

Figure suppressed to comply with 

confidentiality requirements 
.

4 achancedata 

Table 1. Number of nursing and related care homes (including hospital-based facilities), beds, and residents, by type of facili~ 

United States, 1986 

Type of facility Facilities Beds Residents 

Number 

All facilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26,380 1,770,206 1,609,419 

Nursing homes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16,388 1,507,392 1,380,777 

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

Residential facilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9,258 201,831 172,476 

Table 2. Number of hospital-based facilities, beds, and residents, by seIected characteristics: United Statea, 1986 

Characteristic Facilities Beds Residents 

Total homes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

Bed size 

3-24 beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

25-99 beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

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

200 beds ormore . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

Type of ownership 

Profit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

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

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

Geographic region 

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

Midwest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

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

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

Certification 

Skilled nursing facility..........,.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

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

Uncertified nursing home . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

Residential facility. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

Number 

734 60,983 56,166 

106 1,741 1,511 

476 24,343 22,554 

91 11,732 10,779 

61 23,167 21,322 

63 4,800 4,523 

437 31,747 29,195 

234 24,436 22,448 

141 17,590 16,606 

254 18,975 17,347 

164 13,763 12,834 

175 10,655 9,380 

594 53,060 48,766 

98 5,235 4,960 

42 2,688 2,440 
aduancedata 5 

Table 3. Number of homes and beds for nursing and related care homes by type of home and selected characteristics: United States, 1986 

Residential 

Total homes~ Nursing homes facilities 

Characteristic Homes Beds Homes Beds Homes Beds 

T~t.llllc)mes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

Bed size 

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 tx more . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

Type of ownership 

Profit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

Ncmprcrflt . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

Gmmrnment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

Geographic region 

Nurtht?ust . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

Midwest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

SCmrtll. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

Wlwt . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

Certification 

Shllled nursing facility . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

Intcrmedmte care facility . . . . . . . . . . . . . . . . . . . . . . . . . . 

Unct,rtlflerl nursing home..... . . . . . . . . . . . . . . . . . . . . 

Reslcfcntial facility...........,.. . . . . . . . . . . . . . . . . . 

‘ Excludes htmpltal-based facilities. 

Number 

25,646 1,709,223 16,388 1,507,392 9,258 201,831 

5,918 32.619 1,340 7,154 4,578 25,465 

3,695 58,124 1,069 18,243 2,626 39,881 

3,135 115,469 2,061 77,839 1,074 37,630 

3,470 208,667 3,037 182,658 433 26,009 

2,526 221,647 2,335 205,384 191 16,263 

5,755 756,229 5,468 717,604 287 38,625 

858 198,215 804 186,066 54 12,149 

239 84,899 225 80,140 14 4,759 

50 33,354 49 32,304 1 1,050 

20,223 1,235,413 12,336 1,078,952 7,887 156,461 

4,378 367,249 3,263 328,728 1,115 38,521 

1,045 106,561 789 99,712 256 6,849 

4,863 373,841 2,948 317,505 1,915 56,336 

7,474 539,802 5,393 506,714 2,081 33,088 

7,311 516,508 5,008 464,005 2,303 52,503 

5,998 279,072 3,039 219,168 2,959 59,904 

8,045 984,113 8,045 984,113 

5,375 411,468 5,375 411,468 

2,968 111,811 2,968 111,811 

9,258 201,831 9,258 201,831 
6 ackmdda 

Table 4. Average number of beds and percent occupancy rate of nursing and related care homes by type of home and selected characteristics: 

United States, 1986 

Total homesl Nursing homes Residential facilities 

Average Occupancy Average Occupancy Average Occupancy 

Characteristic 

Total homes . . . . . . . . . . . . . . . . . . . . . . . . . . 

Bed size 

3-24 beds . . . . . . . . . . . . . . . . . . . . . . . . . . . 

25-99 beds . . . . . . . . . . . . . . . . . . . . . . . . . . 

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

200 beds or more . . . . . . . . . . . . . . . . . . . . . 

Type of ownership 

Profit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

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

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

Geographic region 

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

Midwest. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

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

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

Certification 

Skilled nursing facility . . . . . . . . . . . . . . . . . . 

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

Uncertified nursing home . . . . . . . . . . . . . . . 

Residential facility . . . . . . . . . . . . . . . . . . . . . 

1Excludes hospital-bssed facilities. 

bad size rate bed size rate bed size rate 

Number Percent Number Percent Numbar Percent 

67 91 92 92 22 65 

9 85 11 86 9 85 

60 92 63 92 47 87 

131 91 131 92 135 85 

276 91 277 91 260 82 

61 90 87 91 20 85 

84 92 101 92 35 87 

102 93 126 94 27 85 

77 94 108 95 29 88 

72 91 94 91 16 84 

71 90 93 90 23 86 

47 89 72 91 20 83 

122 93 122 93 

77 90 77 90 

38 86 38 86 

22 85 22 85 
7


Table 5. Number and percent distribution of nursing and related care homes by geographic region and bed size, according to type of home and 

certification: United States, 1986 

Geographic region and bed size 

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

Northeast 

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

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

3-24 beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

25-99 beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

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

200 beds or more . . . . . . . . . . . . . . . . . . . . . . . . . . 

Midwest 

Tcrtal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

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

3-24 beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

25-99 beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

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

200 beds or more . . . . . . . . . . . . . . . . . . . . . . . . . . 

South 

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

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

3-24 beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

25–99 beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

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

200 beds or more . . . . . . . . . . . . . . . . . . . . . . . . . . 

West 

Tot,ll . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

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

3-24 beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

25-99 beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

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

200 beds or more . . . . . . . . . . . . . . . . . . . . . . . . . . 

1Excludes hospital-based facilities. 

Total 

homes~ Total 

25,646 16,388 

4,863 2,948 

100.0 100.0 

35.1 13.3 

34.1 39.5 

23.1 35.5 

7.7 11.7 

7,474 5,393 

100.0 100.0 

31.2 10.1 

39.8 50.6 

23.6 32.0 

5.4 7.4 

7,311 5,008 

100.0 100.0 

32.1 13.6 

36.1 41.4 

28.5 40.4 

3.2 4.6 

5,998 3,039 

100.0 100.0 

53.7 26.1 

31.0 48.3 

13.1 22.1 

2.2 3.5 

Nursing homes 

Skilled intermediate Uncertified 

nursing care 

facilities facilities 

Number 

8,045 5,375 

Number 

1,859 647 

Percent distribution 

100.0 100.0 

1.8 18.7 

31.1 64.3 

50.0 14.7 

17.1 2.3 

Number 

2,397 2,228 

Percent distribution 

100.0 100.0 

1.2 8.7 

34.7 70.1 

50.4 19.0 

13.7 2.3 

Number 

1,977 2,148 

Percent distribution 

100.0 100.0 

1.6 5.8 

32.2 55.1 

58.2 36.6 

7.9 2.5 

Number 

1,812 352 

Percent distribution 

100.0 100.0 

2.3 25.3 

60.6 59.9 

32.0 13.6 

5.1 1.1 

nursing Residential 

homes facilities 

2,968 9,258 

442 1,915 

100.0 100.0


53.8 68.7 

38.2 25.8 

5.2 3.9 

2.7 1.6 

768 2,081 

100.0 100.0 

41.8 86.0 

43.6 11.9 

12.1 1.8 

2.5 0.3 

883 2,303 

100.0 100.0


59.6 72.4 

28.9 24.4 

9.6 2.8 

1.9 0.4 

875 2,959 

100.0 100.0 

75.5 82.2 

18.1 13.3 

5.3 3.8 

1.1 0.8 
8 ackincedata 

Table 6. Percent of nursing and related care home beds per 1,000 population 65 years and over by type of home, certification, and geographic 

region: United States, 1986 

Nursing homes 

Skilled Intermediate Uncertified 

Total nursing care nursing Residential 

Geographic regton homesl Total facilities facilities homes facilities 

Beds per 1,000 population 65 years and over 

United States . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58.6 51.7 33.7 14.1 3.8 6.9 

Northeast . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55.8 47.4 38.9 5.9 2.6 8.4 

Midwest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73.0 68.5 41.5 21.8 5.2 4.5 

South . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52.2 46.9 24.1 19.3 3,4 5.3 

West . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53.8 42.3 34.3 3.8 4.2 11.6 

lExcludes hospital-based facilities. 

Table 7. Estimated number of the resident population 65 years and over, and number and percent of this population in nursing and related care 

homes, bytypeof home and geographic region: United States, 1986 

Total 

population Estimated number of residents 65 years and over in— 

65 years 

Geographic region and over Nursing homes~ Residential facilities 

Number in Number in Number in


thousands thousands Parcent thousands Percent


United States . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29,173 1,249 4.3 126 0.4 

Northeast . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6,698 279 4.2 34 0.5 

Midwest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7,394 415 5.6 19 0.3 

South . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9,895 376 3.8 34 0.3 

West . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5,184 179 3.5 39 0.8 

‘Excludes hospital-bssed facilities. 

Table 8. Percent distribution of residents in nursing and related care homes by type of facility and age of resident, according to type of ownership: United States, 1986 

Type of ownership 

Type of facility and age of resident Total Profit Nonprofit Government 

All homesT Percent distribution 

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

Under 65 years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11.4 12.6 6.1 17.3 

65 years and over . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88.6 87.4 93.9 82.7 

Nursing homesl 

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

Under 65 years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9.6 10.4 5.1 15.6 

65 years and over . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90.4 89.6 94.9 84.4 

Residential facilities 

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

Under 65 years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26.9 29.1 15.4 44.9 

65 years and over. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73.1 70.9 84.6 55.1 

1Excludes hospital- bas.sd facilities. 
Table 9. Number and percent distribution of all, black, and Hispanic residents in nursing and related care homes by type of home and geographic region, 

according to type of ownership United States, 1986 

All residents Black residents Hispanic residents 

Type of facility All types of All types of All types of 

and geographic region ownership Profit Nonprofit Government ownership Profit Nonprofit Government ownership Profit Nonprofit Government 

Number 

Total . . . . . . . . . . . . . . . . . . . . 1,553,253 1,116,738 337,336 99,179 118,621 97,426 13,500 7,695 32,511 27,135 4,146 1,230 

Nursing homes! 

Total . . . . . . . . . . . . . . . . . . . . 1,360,777 983,453 303,993 93,331 105,173 86,643 11,448 7,062 28,101 23,647 3,562 872 

Percent distribution 

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

Northeast . . . . . . . . . . . . . . . . 21.8 19.0 27.3 33.5 13.9 10.4 30.9 28.8 14.3 11.8 26.0 34.2 

Midwest . . . . . . . . . . . . . . . . . 33.5 30.2 41.3 41.9 24.0 25.1 22.3 13.4 8.7 8.2 10.9 14.8 

South . . . . . . . . . . . . . . . . . . . . 30.2 34.4 20.1 19.2 55.0 56.8 40.6 56.7 35.3 37.1 28.4 14.2 

West . . . . . . . . . . . . . . . . . . . . 14.5 16.3 11.3 5.4 7.2 7.8 6.1 1.2 41.7 42.9 34.6 36.8 

Residential facilities Number 

Total . . . . . . . . . . . . . . . . . . . . 172,476 133,265 33,343 5,848 13,448 10,783 2,052 613 4,410 3,488 564 358 

Percent distribution 

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

Northeast . . . . . . . . . . . . . . . . 28.6 27.4 33.5 28.1 29.7 26.0 38.5 64.8 25.4 19.3 37.9 65.1 

Midwest . . . . . . . . . . . . . . . . . 16.2 13.6 21,4 46,4 12.8 12,9 12.4 10.9 4.3 3.9 8.7 2.0 

South . . . . . . . . . . . . . . . . . . . . 26.3 26.9 26.4 13,0 46.6 49,1 41.3 20.9 16.1 15.5 14.4 24.3 

West . . . . . . . . . . . . . . . . . . . . 28.9 32.1 18.6 12.5 10.9 12.0 7.8 3.4 54.2 61.3 39.0 8.7 

lExcludes hospital-based facilities 

II 

1 

to 
10 amcdata 

References 

Hill, B. K. and K. C. Lakin. 1984. Classification of Residential Facilities for Mental(v Retarded People, Brief No. 24. Minneapolis Center for Residential and Community Services, University of Minnesota. 

National Center for Health Statistics, J. F. Sutton and A. Sirrocco. 

1980. Inpatient health facilities as reported from the 1976 MFI survey. 

Vita/ andHealth Statistics. Series 14, No. 23. DHEWPub. No. (PHS) 

80-1818. Office of Health Research Statistics and Technology. Washingtorx U.S. Government Printing OffIce. 

National Center for Health Statistics, A, Sirrocco. 1985. An overview 

of the 1982 National Master Facility Inventory Survey of nursing and 

related care homes. Advance Data From VitaI and Health Statistics. 

No. 111. DHHS Pub. No. (PHS) 85–1 250. Public Health Service, 

Hyattsville, Md. 

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

related care homes as reported from the 1982 National Master Facility 

Inventory Survey. Vital and HeaIth Statistics. Series 14, No. 32. 

DHHS Pub. No. (PHS) 86-1827. Public Health Service, Washingtorx U.S. Government Printing OffIce. 

National Center for Health Statistics, G. Strahan. 1987. Nursing home 

characteristics, preliminary data from the 1985 National Nursing Home 

Survey. Advance Data From Vital and Health Statistics. No. 131. 

DHHS Pub. No. (PHS) 87-1250. Public Health Service, Hyattsville, Md. 
11


Technical notes 

Creation of the Inventory of Long-Term 

Care Places mailing file 

The tile was created by the Long-Term Care Statistics 

Branch (LTCSB) of the National Center for Health Statistics. 

The starting point for nursing and related care homes was the 

final data tape from the 1982 National Master Facility Inventory plus new facilities added through April 1984. The starting 

point for facilities for the mentally retarded was a 1982 study 

by the University of Minnesota’s Center for Residential and 

Community Services (CRCS) (Hill and Laldn, 1984). There 

were approximately 26,000 nursing and related care homes 

and 15,000 mental retardation (MR) facilities on these two 

originalfiles. 

To update the files, letters were sent to over 200 State and 

national agencies in July 1985 asking them to send to LTCSB 

any and all listings that they maintained for nursing and related 

care homes, and MR facilities. In September, the LTCSB sent 

followup letters to those agencies that had not responded. These 

followup letters would very often name the specific types of 

facilities that each agency was known to license or regulate. 

Additional contacts were made to nonresponding agencies during 

October, November, and December. 

The Minnesota CRCS file included places that were obtained through contacts with local area MR sources. Because 

of extremely tight time constraints, LTCSB was unable to contact all of these local area sources. The only ones contacted 

were those sources that were located in States where the number 

of MR facilities reported by LTCSB sources was significantly 

lower than the number reported by CRCS. 

As the listings and directories of facilities were received, 

the y were manually matched against the 26,000 nursing homes 

or 15,000 MR facilities. Any facility that could not be found 

on these two original files was considered “new” and was assigned a unique identification number. This number, along with 

the new facility’s name and address, was added to the appr~ 

priate nursing home or MR file. 

Mailout 

The first questionnaire mailout was begun by the U.S. Bureau of the Census on February 14, 1986, and thk was followed 

by a reminder letter a week later. On March 14, a second questionnaire mailout was sent to all nonresponding facilities, and 

on April 4 a thkd mailout was sent to the remaining nonrespondents. 

By the end of the third mailout, nearly 3,300 questionnaires were returned by the U.S. Postal Service. These were 

reviewed to determine which ones would be eligible for the 

telephone and personal interview followup. As a result of this 

review, approximately 1,900 were declared out of scope and 

removed from the survey. About 1,400 cases were declared 

eligible for field followup. The field followup was completed in 

July, bringing the final overall response rate to 96 percent. 
12


Recent Issues of Advance Data 

No. 146. AIDS Knowledge and Attitudes, Provisional Data From 

the National Health Interview Survey United States, August 1987 

(Issued November 19, 1987) 

No. 145. 1986 Summary National Hospital Discharge Survey (Issued 

September 30, 1987) 

No. 144. Expected Source of Payment for Hospital Discharges, United 

States, 1985 (Issued December 7, 1987) 

Suggested citetion 

National Center for Health Statistics, A. Sirrocco.


1988. Nursing and related cere homes as reported


from the 1986 lnvento~ of Long-Term Care Places.


Advance Data From Vita/ and Health Statistics.


No. 147. DHHS Pub. No. (PHS) 88-1250. Public


Health Service. Hyattsville, Md.


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From Vital and Health Statistics 

No. 143. The 1986 Inventory of Long-Term Care Places An Overview of Facilities for the Mentally Retarded (Issued September 30, 

1987) 

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