NATIONAL CENTER Series 12 

For HEALTH STATISTICS I Number 1 

VITAL and HEALTH STATISTICS 

DATA FROM THE NATIONAL HEALTH SURVEY 

Institutionsfor the Aged 

and chronically ill 

UnitedStates- April- June1963 

Statistics on number and types of institutions for 

the aged according to whether round-the-clock 

nursing service is provided, type of nurse in charge 

of nursing care, admission policies, and charges 

for care of residents. Based on data collected from 

institutions during the period April-June 1963. 

Washington, D.C. July 1965 

U.S. DEPARTMENT OF 

HEALTH, EDUCATION, AND WELFARE Public Health Service 

Anthony J. Celebrezze Luther L. Terry 

Secretary Surgeon General 
/.. 

! 

r 

. 

Fublic Health Service Publication No. 100Mexies 12-No. 1 

For sale by the Su erintendent of Documents, U.S. Government Printing O&e 

k a&in&m, D.C., 20402 - Price 85 cente 
NATIONALCENTERFORHEALTHSTATISTICS 

FORREST E. LINDER, PH. D., Director 

THEODORED. WOOLSEY, Deputy Director 

OSWALD K. SAGEN, PH.D., Arsirtant Director 

WALT R. SIMMONS, M.A., ~%atirtica~ Advisor 

ALICE M.WATERHOUSE,M.D., Medical Ad&or 

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

LOUIS R. STOLCIS,M.A., Executive Ojicer 

DIVISION OF HEALTH RECORDS STATISTICS 

MONROE G. SIRKEN, PH.D., Chief 

Public Health Service Publication No. lOOO-Series 12.No. 1 

Library of Congress Catalog Card Number 65-61546 
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CONTENTS 

Page 

JnQ-duction ________________________________________------------------ 1 

Background-------------------------------------------------------- 1 

General Survey Design andQualifications------------------------------ 2 

Cflaj-acteristics of Institutions _______-- ______- __________________________ 3 

Type of Service, Ownership, Region, and Size--------------------------

Type of Nurse in Charge of NursingCare------------------------------

Ro~d-the-Clock NursingService __-_ --_----------_-__-_--- _____ ____ 

Admission policy---------------------------------------------------

Charges for Car- of Residents _---_ ____- ____ ___________________ 

Derailed Tables-------------------------------------------------------

Appendix I. Technical Notes on the Survey Design and Prccedures---------

General _____--___---___________________________-------------------

Sampling Frame----------------------------------------------------

Sample Design-----------------------------------------------------

Survey p-j--edure and Response--------------------------------------

Jmpuwtion of Missing Data-- ___------_ __________________________ 

Estimation and Reliability of Est&nates----- ____ ---- ______ - ___________ 

Appendix II. 

A. Definitions of Certain Terms Used in This Report------------------

Terms Relating to Establishments or Residents--------------------

Demographic Terms---------------------------------------------

B. Classification of Establishments by Type of Service and Ownership---

1. Source of Data for Classifying Establishments-------------------

2. Criteria for Classifying Establishments by Type of Service-------

Appendix III. 

A. Questionnaire for the Resident Places Survey-l 

B. Questionnaire for the Master Facility Inventory Survey--------------

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IN THIS REPORT institutions for the aged in the United States aye 

described in terms of their admission policies, type of nuY.se in charge 

of nursing cave, whether OY not round-the-clock nursing service is 

provided, and the amount charged for cave of residents. The data aye 

based on a sample survey conducted during the spring of 1963 of nuysing homes and Yelated facilities, including chronic disease and geriatric hospitals and all types of homes for the aged. 

An estimated 17,100 institutions weYe classified according to the pyimary and predominant type of service provided. On this basis about 46 

percent weYe classified as nursing cave homes and 29 percent as personal-care-with-nursing homes (personal caYe was the primary service, but some nursing caye was provided). Only 4 percent were longstay hospitals OY hospital units for the cave of the aged and chronically 

ill. The remaining 21 percent were homes which routinely provided 

personal care but not nursing cave. 

About two-thirds of the institutions reported that their policy was to 

admit bedfast patients. Almost all of the nursing care homes and “hospitals” had such a policy. This is consistent with the findings that the 

vast majority of the nursing caye homes ana’ “hospitals” employed a 

nuxse of some type to supervise nursing caye and provided nursing 

service 24 hours a day. 

The average charge most frequently made by institutions for the aged 

(excluding hospitals) was $170 per resident per month. This was the 

charge made directly by the institution for lodging, meals, nursing 

care, and other personal services. The average most frequent charge 

ranged from $117 per month for personal care homes to $206 per 

month for nursing care homes. 

SYMBOLS 

Data not available-- __ __ -___ _ _ _ _ ___ _ _ __- __ 

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

Quantity zero ____________________________ _ 

Quantity more than 0 but less than 0.05----- 0.0 

Figure does not meet standards of * reliability or precision------------------
INSTITUTIONS FOR THE AGED 

AND CHRONICALLY ILL 

E. Earl Bryant, Division of Health tiecords Statistics 

INTRODUCTION 

Background 

The data presented in this report are based 

on the first of the institutional populationsurveys 

being conducted by the Division of Health Records 

Statistics of the National Center for Health Statistics. The Institutional Population Survey is part 

of the National Health Survey program to provide 

current health statistics on the Nation’s population. In other parts of the program, statistics 

are collected about the noninstitutional population 

from personal interviews, physical examinations, 

and hospital records. A detailed description of 

the National Health Survey program has been 

published.* 

The term “institution,” as used in the Institutional Population Survey, refers to all group 

quarters in which residents, patients, or inmates are domiciled for the purpose of medical, psychiatric, nursing, personal, or custodial care. Included, for example, are longterm hospitals, nursing homes, homes for the 

aged, homes for incurables, homes for the 

blind or deaf, homes for crippled or dependent children, detention homes for juvenile delinquents, reformatories, and penitentiaries. 

The list illustrates the heterogeneity of 

the institutional population. One would expect 

residents of certain types of institutions to 

be well, in general, having health characteristics not unlike those of the noninstitutional 

‘National Center for Health Statistics: Origin, program, and operation of the U.S. National Health Survey. Vi&Z and Health Stalk-tics. PHS Pub. No. 1000~Series l-No. 1. Public Healtb Service. 

Washington. U.S. Government Printing Office, Aug. 1963. 

population. Contrastingly, many of the residents 

of other types of institutions are very ill, immobile, senile, etc. In some types of institutions the best source of health data is the 

sample person; in other types it is a proxy 

respondent, such as a nurse or an administrator; still in others the best data source is 

records. Because of this diversity among the 

population groups, the Institutional Population 

Survey is being conducted in a series of ad 

hoc surveys covering different types of institutions or classes of the population. This procedure makes it feasible to collect statistics 

which have a special meaning for a particular 

segment of the population; it also enables the 

collection of information which has a similar 

meaning for all classes of the population. 

The survey on which this report is based 

was conducted during April-June 1963. Included 

in the survey were all types of resident places 

which provide nursing, personal, or domiciliary 

care to the aged or chronically and mentally 

ill. For convenience the survey is referred 

to as the “Resident Places Survey-l,” or RPS-1. 

This report, which presents statistics on 

such characteristics of institutions for the aged 

as admission policy, type of service, size of 

institution, type of ownership, and geographic 

region, is the first of a series to be published 

on the findings of the RPS-1. A second report 

deals with the characteristics of residents in 

these institutions.* 

2National Center for Health Statistics: Characteristics of residents in institutions for the aged and chronically ill. Vital and 

Henlth Statistics. PHS Pub. No. 1000~Series 12-No. 2. Public 

Health Service. Washington. U.S. Government Printing Office. 

1 
General Survey Design and Qualifications 

The scope of the RPS-1 included all resident institutions in the United States which 

provide care to the aged or chronically and 

mentally ill. This includes nursing homes, convalescent homes, rest homes, and other similar 

types of places with 3 or more beds; nursing home units and chronic disease wards of 

general hospitals; chronic disease and geriatric hospitals; and psychiatric hospitals. Homes 

for the aged which did not routinely provide 

some level of personal care, i.e., provided 

only room and board, were not within the scope 

of the survey. The chronic disease wards and 

possibly some of the nursing home units are 

usually not considered as institutions but as 

integral parts of short-stay hospitals. They 

were included in this survey because of the 

type of care provided. 

The sampling frame for the survey was 

the Master Facility Inventory (MFI), which is 

discussed in Appendix I. A detailed description of its development and content as well as 

a procedure for evaluating its coverage has 

been published.3 It should be emphasized that 

the data in this report can be no more representative of the establishments in the United 

States than the universe from which the sample 

was selected. According to preliminary research to evaluate the coverage of the MFI, 

the sampling frame for the RPS-I may have 

been no more than 85-90 percent complete. 

This should be remembered when interpreting 

the data. 

The survey was based on a probability 

sample of 172 mental hospitals and 3,176 nonmental facilities which were found to be in 

business and in-scope at the time of the survey. With the exception of establishments with 

300 or more beds the survey was conducted 

by mail. Personal visits were made to the 

larger homes and “hospitals” to select a sam3National Center for Health Statistics: Development and maintenance of a national inventory of hospitals and institutions. Vital 

and HeaZth Statistics. PHS Pub. No. 1000~Series I-No. 3. Public 

Health Service. Washington. U.S. Government Printing Office, Feb. 

1965. 

ple of patients or residents and to aid in the 

completion of the questionnaires. Health and 

related information about residents in the sample as well as certain information about the 

institutions was collected. The data presented 

in this report are based on that collected about 

nonmental institutions. Details about the sample design and survey procedures are described 

in Appendix I of this report. A facsimile of 

the questionnaire used in the survey is shown 

in Appendix III. 

Since the estimates derived from the survey are based on a sample rather than on 

all establishments in the United States, the 

estimates are subject to sampling variability. 

The sampling errors for most of the estimates 

shown in the report are relatively small; however, caution should be taken in interpretation 

when estimates are based on small numbers. 

Tables of approximate sampling errors and 

illustrations on the use of the tables are given 

in Appendix I. 

Definitions of certain terms used in this 

report may be found in Appendix II-A. To properly interpret the data, the reader should become familiar with the definitions. Special 

attention is called to the procedure for classifying institutions, which is described in Appendix II-B. The classification of homes for 

the aged, i.e., nursing homes, rest homes, 

and related types of places, is based on the 

type of service provided in the home rather 

than on state licensure laws or what the home 

may be called. 

The data used for classifying homes for the 

aged in this report were collected primarily 

during April-June 1962 in a survey of all establishments listed in the Master Facility Inventory. Thus, there was a time intervalof about 

a year between the MFI Survey and the RPS-1. 

During this l-year interval the type of service 

probably changed for some of the establishments: a nursing home may have converted 

to personal care only and vice versa. However, because of the relatively short time period between the two surveys any changes which 

may have occurred should not have a large 

effect on the statistics presented in this report. 

2 
CHARACTERISTICS OF INSTITUTIONS 

This report describes characteristics of 

an estimated 17,098 institutions in the United 

States which provide nursing or personal care 

to the aged and chronically ill in terms of 

their admission policies, type of nurse in charge of 

nursing care, whether or not round-the-clock 

nursing service is provided, and the amount 

charged for the care of residents. The institutions are classified according to the primary type of service provided as well as by 

size of institution, type of ownership, and the 

geographic region in which they are located. 

In this analysis the major findings of the survey and the more important relationships which 

seem apparent from the data are discussed. 

More detailed information about the establishments is given in tables 1-13, which follow 

the text of the report. 

Type of Service, Ownership, 

Region, and Size 

Table 1 shows how the institutions are 

distributed by type of service, geographic region, and type of ownership. Table 4 shows 

how they are distributed by size. The 17,098 

institutions are classified in four type-ofservice categories; 728 are hospitals or hospital units consisting of geriatric and chronic 

disease hospitals and chronic disease wards 

Table A. Percent distribution of institutions aged, by primary type and type of ownership: United States, April-June 1963 

Type of ownership 

Primary type of service 

Number All types Proprietary Church no$:z&t G~~~~­

Percent distribution 

All types---------- 17,098 100 79 8 6 7 

Nursing care------------- 7,834 100 87 5 3 5

Personal care 

with nursing------------ 4,968 100 13 

Personal care------------ 3,568 100 ii i : 

Hospital care------------ 728 100 16 253 24 38 

and nursing home units of general hospitals. 

For convenience these facilities will be referred to as “hospitals.” The remaining 16,370 

establishments, often referred to in this 

report as “homes for the aged,” include 7,834 

nursing care homes (the primary and predominant service is nursing care), 4,968 personal-care-with-nursing homes (the primary and 

predominant service is personal care, but some 

nursing care is provided), and 3,568 personal 

care homes. The procedure for classifying institutions is described in Appendix II-B. 

Most of the institutions were privately owned 

(table A). This was true for each type of institution except “hospitals,” where only 16 percent were under proprietary control. The most 

frequent operator of “hospitals” was government (Federal, State, city, or county), which 

controlled 38 percent of the “hospitals.” The 

remaining 62 percent was about equally divided among proprietary, church, and other 

nonprofit organizations. 

As shown in table 4, most of the institutions were quite small. Almost two-thirds 

of them maintained less than 30 beds. Only 

about 6 percent of the places had 100 or more 

beds. 

The estimated average size for all types 

of institutions for the aged was about 39 beds. 

As shown in table B, the average size varied considerably by type of service and type 

of ownership. Privately owned institutions were 

much smaller than nonprofit institutions for 

for the of service 

3 
each type of service, and nonprofit were consistently smaller than the government-owned 

institutions. 

A larger proportion of the Nation’s institutions for the aged were located in the 

North Central Region (36 percent) than in any 

other region (table 1). The next largest proportion was observed for the Northeast (28 

percent), followed by the South (22 percent) 

and the West (15 percent). In general, this 

pattern exists for each type-of-service, ownership group. 

Relative to the population 65 years of age 

and over, by region, there were as many institutions for the aged in the West as the Northeast (1.0 per 1,000 population 65 years and 

over). The lowest proportion was observed for 

the South (0.8 per 1,000 population 65 years 

and over); the highest, for the North Central 

Region (1.2 per 1,000 population 65 years and 

over). In terms of beds maintained in the institutions, the South had only 29 beds per 1,000 

.- population 65 years and over compared with 

ratios of 42, 44, and 46 per 1,000 population 

65 years and over for the West, Northeast, 

and North Central Regions, respectively. 

The distributions of institutions within regions by type of service are somewhat different for the various regions. For example, 

the proportion of all institutions in a region 

that are nursing care homes ranges from 42 

percent for the North Central Region to 52 

Table B. Average size of institutions for 

of service and type of ownership: 

Primary type of service 

percent for the Northeast. The pattern is reversed for personal-care-with-nursing homes: 

the highest proportion was observed for the 

North Central Region; the lowest, for the Northeast. When nursing care and personal-carewith-nursing homes are combined, however, the 

ratio of homes providing nursing care to total 

institutions is about the same for each region. 

Nearly half of all church-operated institutions 

were located in the North Central Region; by 

type of service the proportion ranged from 

45 percent for personal-care-with-nursing homes 

to 60 percent for “hospitals.” 

Type of Nurse in Charge of Nursing Care 

In the RPS-1 the respondent was asked, 

“DO you provide nursing care to the residents in your establishment?” If the answer 

was “yes ,1’ he was asked, “Who is in charge 

of nursing care?" and was instructed to indicate the type of nurse in charge and whether or not she worked full- or part-time. He 

was also asked, “Is there at least one nurse 

or nurse’s aide on duty 24 hours a day?” (This 

question is discussed in the next section of 

this report,) If the respondent’s answer to the 

question regarding nursing care was “no,” he 

was instructed to skip the questions concerning 

24 hours’ nursing service and the supervision 

of nursing care. 

the aged (number of beds), by primary type United States, April-June 1963 

Type of ownership 

Nonprofit All types Proprietary (ion;t~~~ng Government 

Average number of beds 

All types--------------------- 39 26 66 126 

Nursing care------------------------ 40 32 78 125 

Personal care with nursing---------- 24 92

Personal care----------------------- E ;7’ 

Hospital care----------------------- 126 ii 71 2;; 

4 
It should be realized that the question concerning the provision of nursing care was asked 

as a screening question only and was not used 

to classify institutions. As in other parts of 

the report the classification of institutions by 

type of service is based on detailed information collected in surveys of all establishments 

in the Master Facility Inventory. The classification procedure is described in Appendix 

II-B. Tables 2-4 show how the institutions are 

distributed according to the type of nurse in 

charge of nursing care, by primary type of 

service, type of ownership, size of institution, 

and geographic region. 

About two-fifths of all establishments employed a full-time registered professional nurse 

(RN) to supervise nursing care (table 2). Parttime RN’s were the supervisors in a tenth 

of the institutions, while the supervisor was 

a full-time licensed practical nurse (LPN) in 

a fifth of the places. Approximately 30 percent of the homes for the aged and 3 percent 

of the “hospitals” did not have a nurse of 

any type in charge of nursing care. The majority of the homes without a nurse in charge 

of nursing care were personal care homes 

which did not provide nursing care. 

Almost all of the nursing care homes had 

a nurse of some level of skill in charge of 

nursing care. In 55 percent of the homes the 

person was a full-time RN, and in 28 percent she was a full-time LPN. About twothirds of the personal-care-with-nursing homes 

employed a nurse of. some type to supervise 

nursing care. Of such places having nurse supervisors, about 40 percent of them employed 

full-time RN’s, and 35 percent employed fulltime LPN’s. The remaining 25 percent used 

part-time RN’s and LPN’s. 

Full-time RN’s were in charge of nursing 

care in a third of proprietary nursing and personal care homes compared with about half 

of the homes operated by government and nonprofit organizations. The proportions differ substantially between the various type-of-service classes. About half of the proprietary nursing care homes, compared with two-thirds of 

those operated by nonprofit organizations and 

85 percent of government nursing care homes, 

employed full-time RN supervisors. Proprietary nursing care homes, however, utilized parttime RN’s and full-time LPN’s more frequently than did homes of other types of ownership. Nonprofit homes used full-time LPN’s 

more frequently than did government homes. 

If all levels of nursing skill are combined, 

there is not much difference by type of ownership in the proportion of nursing care homes 

with a nurse in charge of nursing care. 

For personal-care-with-nursing homes about 

half of those under nonprofit ownership had 

a full-time RN supervisor; this is nearly twice 

the proportion for the other types of ownership. Only 22 percent of these nonprofit homes 

were without a nurse supervisor of some type; 

this is about half the proportion for other ownership types. 

Considering the proportion of establishments with a nurse of some type to supervise nursing care, there are no differences 

in the proportions for personal care homes 

by ownership and very little for “hospitals.” 

About 25 percent of the personal care homes 

for each type of ownership employed a nurse, 

either full- or part-time, to supervise nursing care. Almost all of the “hospitals,” regardless of type of ownership, had a nurse 

in charge of nursing care, the vast majority 

of which were full-time RN’s. 

As shown in table 4, RN’s were more 

often in charge of nursing care in large than 

in small homes. This is illustrated in figure 1, 

which shows that the proportion of homes employing full-time RN supervisors increases 

consistently as the size of the home increases 

for both nursing care homes and personalcare-with-nursing homes. This pattern does not 

prevail for “hospitals,” however; the proportion 

is approximately the same for all “hospitals” 

regardless of size. 

The low proportion of full-time RN’s in 

small homes is partially compensated by relatively high proportions of LPN’s and parttime RN’s. This is especially noticeable for 

nursing care homes: about half of those with 

less than 30 beds, compared with only 8 per5 
Personal care with nursing 

Nursing care 

Under 30 30 - 49 50-99 loo+ 

beds beds beds beds 

SIZE OF HOME 

Figure I. Percent of homes with a full-time RN 

in charge of nursing care, by primary type of 

service and size of home. 

cent of those with 100 or more beds, employed either a part-time RN or a full-time 

LPN. 

Table 3 shows how the institutions are 

distributed by type of nurse in charge of nursing care according to primary type of service and region. There is a noticeable difference 

between the proportion of nursing care homes 

in the West and those of other regions which 

employed full-time RN’s to supervise nursing care. About three-fourths of the nursing 

care homes in the West had a full-time RN 

in charge of nursing care; this compares with 

less than half of the homes in the South and 

North Central Regions and two-thirds of the 

homes in the Northeast (fig. 2). Nursing 

care homes in the other regions used parttime RN’s as well as full- and part-time LPN’s 

more often than did homes in the West. Consequently, there is not much difference by 

region in the proportion of homes which did 

not have a nurse supervisor of some type. 

The only notable difference for “hospitals” by 

region was observed for the North Central 

Region, where only 83 percent had a full-time 

RN supervisor. This compares with 94 percent or greater for “hospitals” in other regions. About 16 percent of the “hospitals” in 

the North Central Region, compared with less 

than 2 percent in the other regions, used parttime RN supervisors. . 

TYPE OF NURSE IN CHARGE OF NURSING CARE: 

m RN full-time 

RN part-time 

LPN full-time 

South 

II 11 I I 11 I I I 0 20 40 60 60 100 

PERCENT OF NURSING CARE HOMES 

-

Figure 2. Percent distribution of Nursing Care 

Homes, by type of nurse in charge of nursing 

care according to region. 

6 
Round -the-Clock Nursing Service 

The respondents in the survey were asked, 

“Are there one or more nurses or nurse’s 

aides ON DUTY 24 hours a day?” On the basis 

of answers to this question it is estimated 

that about 78 percent of the institutions had 

a nurse or nurse’s aide on duty 24 hours a 

day (tables 2-4). 

The proportion varies up or down depending on the type of service provided in the 

institutions. Almost all of the places classified as “hospitals” and nursing care homes 

provided round-the-clock nursing service. About 

four-fifths of the personal-care-with-nursing 

homes and a third of the personal care homes 

had a nurse or nurse’s aide on duty at all 

times. 

As shown in table 2, within a type-ofservice class there is little, if any, variation in the proportion of institutions providing round-the-clock nursing service, by type 

of ownership. The only exception was observed 

for personal-care-with-nursing homes. Only twothirds of the government homes had a nurse 

or nurse’s aide on duty at all times, while 

three-fourths of the proprietary homes and almost 90 percent of the nonprofit homes provided round-the-clock care. The reason for this 

difference is not clear. Possibly the level of 

nursing care required in the government homes 

is lower than in the homes of other ownerships. The governmentpersonal-care-with-nursing homes are almost entirely city-county operated; this may or may not be a clue. 

Except for “hospitals” and nursing care 

homes the provision of round-the-clock nursing service is related to the size of the homes 

(table 4). For personal-care-with-nursing homes, 

for example, the proportion increases with each 

size group, ranging from 73 percent for homes 

with less than 30 beds to 98 percent for homes 

with 100 or more beds. This same pattern 

was observed for personal care homes, but 

the proportion is lower for each size group 

than for corresponding sizes of personal-carewith-nursing homes. 

There is almost no variation between regions in the proportion of institutions providing round-the-clock nursing service (table 3). 

The only difference for any type of institution was observed for personal care homes. 

In the Northeast Region only 19 percent of 

the homes had a nurse on duty 24 hours a 

day; this is in comparison with proportions 

ranging from 34 to 45 percent for the other 

regions. 

Admission Policy 

Tables 5-10 show how the institutions are 

distributed according to certain admission policies. The findings of their stated policies regarding admission of men and women, bedfast patients, mentally ill patients, recipients 

of public assistance or welfare, age limitations, and requirement of a physical examination before (or soon after) admission are 

discussed in this section. 

Sex. -Most institutions accepted both men and 

women. However, when there was a limitation 

because of sex, it was usually to accept only 

women. Ninety-seven percent of the “hospitals” 

and 89 percent of the nursing care homes accepted both sexes compared with 82 percent 

of the personal-care-with-nursing homes and 

66 percent of the personal care homes. Of 

the places accepting only one sex, the ratio 

was at least 4 to 1 in favor of homes for women for each type of institution except “hospitals.” Three percent of the “hospitals” admitted only males, while less than one percent admitted only females. 

The admission policy regarding sex is apparently more related to the size of the homes 

than to other factors in this analysis. As shown 

in table 9, except for “hospitals” the proportion of places accepting both sexes for each 

type of service is lowest for institutions with 

less than 30 beds. For places with 30 or 

more beds the proportions are of similar size 

for each type of institution. The lowest proportion was observed for personal care homes 

with less than 30 beds: only 63 percent of 

these homes accepted residents of both sexes. 

Admission policy regarding the sex of residents appears to be influenced by type of ownership also. For each of the three types of nursing and personal care homes the lowest proportion of homes accepting both sexes was 

7 
observed for nonprofit homes, followed by proprietary and government homes (table 7). Nearly 

half of the nonprofit personal care homes and 

a third of the proprietary homes were restricted to one sex; this compares with only 

2 percent of the government homes. 

In general, the patterns for each region 

are similar to those for the United States as 

a whole (table 5). One exception is interesting, however: there are as many personal care 

homes in the West Region for men as there 

are for women-about 16 percent of the total 

homes for either sex. The proportion of personal care homes restricting admissions by 

sex is about the same for each region, but 

the vast majority of these homes in the other 

three regions are for women. 

Bedfast patients. -Bedfast patients were accepted by about two-thirds of the institutions. 

The proportion varies appreciably depending 

on the type of institution. Over 90 percent 

of the “hospitals” and nursing care homes accepted bedfast patients. This compares with 

63 percent of the personal-care-with-nursing 

homes and 18 percent of the personal care 

homes (table C). 

One might question why bedfast patients 

are not accepted by all “hospitals” and nursing care homes or why they are accepted by 

personal care homes which do not routinely 

provide nursing care. There are several possible explanations. Probably the best one is 

based on the procedure for classifying establis hments. The criteria for classifying institutions for the aged (except “hospitals”) are 

based on the type of service provided, as 

reported by the institutions themselves, rather than on the availability of facilities to provide service. According to information collected in this survey, about a third of the 

places classified as personal care homes had 

a nurse or nurse’s aide on duty 24 hours a 

day. Thus, some of these homes would probably accept bedfast patients. Another explanation also relates to the classification of establishments. The data used in classifying places 

were collected in a Master Facility Inventory survey about a year prior to the RPS-1. 

Consequently, it is likely that the primary type 

of service provided by a few of the places 

had changed during the I-year interval bctween the two surveys. 

Except for “hospitals” institutions operated by nonprofit organizations (church and other nonprofit) were less likely to admit bedfast 

patients than those operated under government 

or proprietary auspices (table 8). For example, 77 percent of the nonprofit nursing care 

homes, as compared with 96 percent for both 

proprietary and government homes, accepted 

bedfast patients. The contrast is even greater 

for personal-care-with-nursing homes. The proTable C. Percent of institutions for the aged which admit bedfast patients, by primary

type of service and type of ownership: United States, April-June 1963

Primary type of service 

All types 

All types---------------------

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

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

Hospital care-----------------------

Type of ownership 

Church 

Proprietary and other Government 

nonprofit 

Percent of institutions 

69 73 47 73 

96 96 

z: 72 :; 

20 E 

100 94 

8 
portions were of similar size for proprietary 

and government nursing care homes and “hospitals.” For other types of places, however, 

the percent of homes accepting bedfast patients was slightly higher for proprietary ownerships than for government. 

Whether or not an institution accepts bedfast patients is also related to the size of 

the institution. Two patterns shown in table 

10 seem worthnoting. For personal care homes the 

proportion of homes accepting bedfast patients increases with the size of the home. This is consistent with the findings shown in table 4: the proportion of personal care homes providing roundthe-clock nursing service and the proportion 

of the homes with nurse supervisors increases 

with the size of the home. For other types 

of institutions a reverse pattern is seen, as 

shown in table 10; the pattern is most marked 

for personal-care-with-nursing homes, but it 

is also evident for “hospitals” and nursing 

care homes. 

Except for personal care homes there is 

very little geographical variation in the proportion of institutions accepting bedfast patients (table 6). About 10 percent of the personal care homes in the West and Northeast 

accepted bedfast patients compared with 20 percent of the homes in the North Central Region and 30 percent of the homes in the South. 

The reason for these differences is not known. 

However, it is clear that a larger proportion 

of the residents of personal care homes are 

disabled in the South and North Central Regions than in the Northeast and West. Data 

collected in this survey indicate that about 

10 percent of the residents in personal care 

homes in the South were in bed most of the 

time. This compares with 7 percent for the 

North Central Region, 5 percent for the West, 

and 1 percent for the Northeast. 

Mentdly ill patients.-‘The data presented in 

this report concerning the acceptance of mentally ill patients refer to mental illness as diagnosed by a physician. As indicated in table 

6, about a fourth of all institutions accepted 

mentally ill patients. There is some variation in the proportion by type of institution, 

but the differences are not large; the proportions range from 19 percent for personal 

care homes to 31 percent for personal-carewith-nursing homes. 

Institutions operated by church and other 

nonprofit organizations accepted mentally ill 

patients much less often than did institutions of 

other ownerships (table 8). As shown in figure 3, this was especially true for personal 

care homes, with or without nursing, where the 

percent of government and proprietary homes 

admitting the mentally ill was over five times 

the percent for nonprofit homes. 

There also appears to be a relationship 

between the acceptance of mentally ill patients 

and the size of the institutions (table 10). In 

general, the proportion decreases as the size 

of the institution increases. The pattern is 

more distinct, however, for personal-care-withnursing homes than for other types of places. 

According to geographic location, the 

smallest proportion of institutions accepting mentally ill patients was observed for the Northeast Region, where only 13 percent of the institutions accepted the mentally ill (table 6). 

The proportion is about twice as high for institutions in other regions. 

Public assistance OY welfare patients. -The 

respondents in the survey were asked,‘% you 

accept persons who are recipients of public 

assistance or welfare?” They were told to include Old-Age Assistance, Aid to Permanently 

and Totally Disabled, Aid to the Blind, Medical Assistance for the Aged, and general welfare. 

On the basis of answers to this question an 

estimated 91 percent of the institutions for 

the aged accepted welfare patients (tables D 

and 6). 

The proportion does not vary much by 

type of institution: it ranges from 85 percent 

for “hospitals” to 92 percent for nursing care 

homes. 

Probably the most important factor as to 

whether or not an institution accepts welfare 

patients is type of ownership. As shown in 

table D, 93 percent of the proprietary institutions, compared with 82 and 85 percent of 

the nonprofit and government establishments, 

respectively, accepted welfare patients. Within a type-of-ownership class there was some 

9 
TYPE OF OWNERSHIP: 

m Proprietary 

Church and other nonprofit 

pi Go”er”me”+ 

I5 

P 

L 0 .-

Personal cws Personal “Hospi to I” 

with nursing care care 

PRIMARY TYPE OF SERVICE 

Figure 3. Percent of institutions for the aged accepting mentally ill patients, by primary type of service and type of ownership. 

Table D. Percent of institutions for the aged which admit recipients of public assistance or welfare, by primary type of service and type of ownership: United States, 

April-June 1963 

Type of ownership 

Primary type of service Church 

All types Proprietary and other Government 

nonprofit 

Percent of institutions 

All types--------------------- 91 

L 

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

Personal care with nursing---------- =YJ=q=q personal care----------------------- Hospital care-----------------------

10 
variation by type of service. For proprietary 

institutions the lowest proportion observed was 

fox “hospitals,” where only 75 percent accepted welfare patients. This compares with 

a proportion of more than 90 percent for other 

types of proprietary institutions. 

One explanation why welfare patients are 

not accepted by some institutions is related 

to finances. In some States welfare payments 

must be accepted as full payment for a person’s care. Thus, if a nursing home, for example, has a charge which exceeds the welfare allotment, the home would not be likely 

to accept the recipient of welfare or public 

assistance. Some government and nonprofit institutions reported that they do not accept recipients of welfare or public assistance because they do not charge their patients. Ln 

this survey about 12 percent of the nonprofit homes and II percent of the government 

homes indicated that residents were not charged 

for care, It is believed that the substantial 

proportion of government and nonprofit homes, 

particularly those that do not charge for care, 

reporting that they do not accept recipients 

of welfare is possibly due to a misunderstanding 

of the question that was asked. In a number 

of instances their negative reply was qualified 

with a statement that they do not accept such 

persons because this factor is irrelevant to 

the question of whether they accept them or 

not, since no charge is made for care: patients are accepted on some other basis, such 

as whether they are veterans, members of 

a religious group, and so forth, 

The proportion of institutions accepting welfare patients also varies by size for some 

types of institutions (table 10). Although the 

pattern is not marked, there is some evidence that smaller institutions are more likely 

to accept welfare patients than are larger ones. 

This may not be so much a function of size, 

however, as it is of ownership. Proprietary 

homes, which tend to be smaller than those 

of other types of ownership, also more often 

accept recipients of welfare or public assistance. 

There is little variation between regions 

in the proportion of institutions accepting welfare patients. The major differences were observed for nursing care homes and personalcare-with-nursing homes in the Northeast Region, where the proportions ranged from 5 to 

13 percentage points less than for these types 

of homes in the other regions. For “hospitals” 

the proportion accepting welfare patients ranged 

from 76 percent for the South to 96 percent 

for the West. The difference in the proportions for “hospitals” may be partially explained 

by the way the “hospitals” are distributed by 

ownership. About 15 percent of the “hospitals” 

in the West, compared with 28 percent in the 

South, were proprietary. As previously mentioned, proprietary “hospitals” less often accepted welfare patients than did those of other 

types of ownership. However, the reason for 

the lower percentage of nursing care homes 

and personal-care-with-nursing homes in the 

Northeast Region accepting welfare patients is 

not clear. There are relatively fewer proprietary personal-care-with-nursing homes in 

the Northeast than in other regions, and the 

proportion of the nursing care homes in the 

Northeast that are proprietary is about the 

same as it is for other regions. Therefore, 

the reason given for “hospitals” is not supported for these types of homes. 

Age. -As indicated on the questionnaire reproduced in Appendix III, the respondent was 

asked, “To provide a general picture of your 

admission policy: do you accept-persons of 

all ages, including children?” If the answer 

was “yes,” he was told to go to the next question; if the answer was “no,” he was asked, 

“What ages do you accept?,” with an instruction to mark one of several boxes provided 

for different age groups. Tables 5, 7, and 9 

show how the establishments are distributed 

according to their stated admission policy concerning the age of residents. 

There was a wide variation in the admission policy regarding age of residents for 

the various type-of-service, ownership groups. 

Fewer nursing care homes limited their admissions to older people (65+ years) than did 

other types of homes. The lowest proportion 

limiting admissions to older people, however, 

was observed for “hospitals,” where the majority either had no age restriction or admissions were limited to adults. Only about 

11 
a fourth of the nursing care homes, as compared with 37 percent of the personal-carewith-nursing homes and 47 percent of the personal care homes, indicated that they accept 

only patients 65 years of age and over (tables 

E and 7). This should be expected, since nursing homes often provide care to younger people who are suffering from accidents or chronic conditions such as strokes, cancer, etc. 

The personal care homes are usually domiciles for the aged. As shown in table E, for 

each type of home those operated by nonprofit organizations limited their admissions to 

older people more often than did proprietary 

homes and much more often than did homes 

operated by government agencies. 

About 91 percent of the institutions accepted adults only; 9 percent accepted people of all ages. It may be noted in table 7 

that the proportion of government-operated institutions with no age restriction was about 

twice as high as that of proprietary places 

and 1% times as high as that of nonprofit facilities. None of the establishments admitted 

children only, since children’s homes were not 

within the scope of the survey. 

The category “home accepts other ages 

only” in tables 5, 7, and 9 is composed of such 

responses as “accept 75 years and over,” “accept 40 years and over,” “accept 25 years 

and over,” etc. About 58 percent of all institutions for the aged classified in this group 

indicated that the people had to be at least 

50 years of age to be admitted. The minimum 

age accepted by about 90 percent of the homes 

accepting “other ages only” was between 30 

and 50 years. Probably for many of these institutions there was no set policy regarding 

age. When faced with the question, the respondent possibly decided on a lower age limit according to what seemed logical to him, 

or the decision may have been made on the 

basis of the youngest person admitted in recent months. 

The proportion of nursing care homes accepting only persons 65 years of age and over 

was about twice as high for homes with less 

than 30 beds than for homes in larger size 

groups (table 9). A similar pattern was observed 

for personal care homes, but the trend was reversed for personal-care-with-nursing homes. 

In the latter class the proportion was not as 

big for the smaller homes as for the larger 

ones. 

By region there are interesting contrasts 

in admission policy by age. Only 4 percent 

of all institutions for the aged in the Northeast accepted all ages compared with 7 percent in the North Central, 11 percent in the 

South, and 18 percent in the West (table 5). 

Many of the “hospitals” did not restrict admissions on the basis of age. However, even 

Table E. Percent of institutions for the aged which admit only residents 65 years of 

age and over, by primary type& service and type of ownership: United States, April- June 1963 

Primary type of service 

All types---------------------

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

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

Hospital care-----------------------

Type of ownership 

Church 

All types Proprietary and other Government 

nonprofit 

Percent of institutions 

32 32 49 10 

41 

i; t’; E 

47 47 GZ 

13 11 10 

12 
for “hospitals” the proportion for the South 

and the West was larger than for the other two Lowesf charge 

_------ Most frequent regions. A fourth of the nursing care homes *-..*..--..-..--. Highest charge 

charge 

in the West accepted people of all ages. This 

is 2% to 5 times the proportion observed for - e-- :.....- ­ (He- *......

the other regions. Nursing care homes in the *...-- *...--

. ..f other three regions more often admitted only ,...” 

adults than did homes in the West. 

Physical examination before admission.-h 

the survey respondents were asked, “Are all 

persons admitted to this establishment required 

to be examined by a physician before or soon 

after admission?” As shown in tables 6, 8, 

and 10, the vast majority of all institutions, 

regardless of type, stated that an examination 

was required. The lowest proportion for any 

type of place was observed for personal care I homes (87 percent). Nearly all institutions of $100 $200 $300 $400 $! m

other types required an examination for ad- CHARGE PER RESIDENT PER MONTH mission. 

There is very little, if any, variation in 

the proportion of institutions requiring a phys- Figure 4. Cumulative percent distribution of

ical examination, by either region, size of in- Vomes for the dged (all types of service), acstitution, or type of ownership. cording to the lowest, most frequent, and highest charges per month for care Gf residents. 

Charges for Care of Residents 

The data discussed in this section are As shown in figure 4, the charges for care 

based on answers to the question, “What are of residents ranged from “no charge” to more 

your most frequent, your highest, and your than $500 per month. 

lowest charges per month for lodging, meals, These amounts were the exception, hownursing care, and other personal services?” ever, since only about 2 percent of the homes 

It is recognized that such measures do not had “no charge” and only a negligible number 

provide precise facts about charges being made (about 25 homes) charged at least $500. More 

for the care of residents. However, by knowing typically a home charged about $170 per resthe mode (most frequent charge) and the range ident per month; this was the average most 

of charges (i.e., the minimum and the max- frequent charge made by all homes. The avimum), one has a crude description of the erage lowest and highest charges were $138 

distribution of charges. For the present anal- and $220, respectively (table F). The most 

ysis the mode and range are thought to pro- frequent charge was closer to the minimum 

vide a useful picture of the distribution, since than to the maximum charge probably because 

there is a tendency for a particular institu- a large proportion (about 50 percent) of the 

tion to have the same charge for most of its residents of these homes were recipients of 

residents. public assistance or welfare. Thus, in homes 

“Hospitals” are not included in this part whose residents were largely on public asof the report, since the question about charges sistance, the lowest charge was often the same 

was framed primarily for nursing and personal as the most frequent charge, 

care homes and thus was not appropriate for Charges for care vary considerably de­

“hospitals” in many instances. pending on the type of service provided by a 

13 
Table F. Average lowest, most frequent, and highest charges per resident per month, by geographic region and primary type of service: United States, April-June 1963 

Region and primary type of service Lowest 1 fzi$nt / Highest 

All regions 

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

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

personal care----------------------------------------------

Northeast 

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

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

personal care----------------------------------------------

North Central 

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

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

personal care----------------------------------------------

South 

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

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

personal care----------------------------------------------

West 

All types--------------------------------------------

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

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

Personal care---------------------------------------------­

home. As shown in table F, the average most 

frequent charge ranged from $117 per month 

in personal care homes to $206 in nursing 

care homes. The lowest and highest charges 

vary in a similar way. 

A comparison of figure 5 with figure 4 

also illustrates this fact. For example, figure 4 shows that about 70 percent of all types 

of homes had a most frequent charge of $200 

or less; correspondingly figure 5 shows that 

only 50 percent of the nursing care homes 

had charges of $200 or less. 

Average charge per

resident per month 

in dollars 

138 170 220 

169 206 271 

116 147 189 

99 117 146 

160 196 252 

200 238 314 

131 169 204 

90 116 145 

121 151 195 

142 180 231 

106 134 182 

102 113 140 

115 143 186 

134 167 220 

101 127 159 

96 115 154 

175 208 273 

213 252 339 

152 187 243 

116 131 151 

Another factor which relates to charges 

for care, one which is correlated with the 

level of care provided in a home, is the type 

of nurse in charge of nursing care, i.e., fulltime RN, part-time RN, full-time LPN, or parttime LPN. Table 11 shows how the homes are distributed according to their most frequent charge, 

by primary type of service and type of nurse 

in charge of nursing care. The higher the skill 

of the nurse, the higher the charge for care. 

Among nursing care homes, for example, 62 

percent of those with a full-time RN super14 
Lowarf charge 

._----- Most frequent charge 

.. . . . . . . . . . ..-.. Hlghcrt charge 

CHARGE PER RESIDENT PER MONTH 

Figure 5. Cumulative percent distribution of 

Nursing Care Homes according to the lowest, 

most frequent, and highest charges per month 

for care of residents. 

visor charged $200 or more per month per 

resident; this is in comparison with 34 percent of the homes with a part-time RN supervisor and 38 percent with a full-time LPN 

supervisor. This relationship was also observed 

for both personal-care-with-nursing and personal care homes. 

Charges also vary by type of ownership 

within each type-of-service class (tables G and 

12). The average most frequent charge for proprietary homes of all types was $179; this 

compares with $128 and $121 for nonprofit 

and government homes, respectively. The differences between charges for proprietary and 

other types of ownership are of similar size 

for each type-of-service class. The data suggest that nonprofit homes charge slightly more 

than do government homes, since the observed 

difference is in the same direction for each 

type-of-service class. The evidence is not definitive, however, since the estimates have relatively large sampling errors; tbus, the differences are not statistically significant. 

A relationship between charges and type 

of ownership is reasonable, since proprietary 

homes are in business for profit. It should 

be pointed out, however, that the differences 

between these estimated charges do not necessarily indicate either the amount of profit 

being made by homes under different types 

of ownership or the cost of providing care. 

Possibly the charges made by nonprofit and 

government homes are lower than those made 

by proprietary homes because they have sources 

of income other than the individuals being served. 

The highest charges were observed for 

the West and Northeast Regions; the lowest, 

Table G. Average most frequent charge per month for care of residents, by primary type of service and type of ownership: United States, April-June 1963 

Type of ownership 

Primary type of service 

All types Proprietary Nonprofit Government 

Average most frequent charge in dollars 

All types--------------------- 170 179 128 121 

Nursing care------------------------ 206 211 176 165 

Personal care with nursing---------- 147 159 113 104 

personal care----------------------- 117 124 86 66 

15 
Northeast North Central South 

GEOGRAPHIC REGION 

Figure 6. Average lowest, mosr frequent, and 

highest charges per month for care of resilient 

in Pursing Care Home, by region. 

for the South and North Central Regions (tables 

F and 13). As shown in table 13, nearly half 

of all homes in both the West and Northeast 

had a most frequent charge of over $200 per 

month. This compares with 15-20 perc&nt of 

the homes in the other regions with a charge 

of over $200 per month. The estimated average most frequent charge per month, as shown 

in table F, was $208 for the West, $196 for 

the Northeast, $151 for the North Central, and 

$143 for the South. 

The ma in reason for this difference between the West-Northeast Regions and the 

South-North Central Regions is the larger amount 

charged by nursing care homes in the Northeast and West. For personal-care-with-nursing homes the differences are not statistically 

significant even though they appear to be large. 

Figure 6 illustrates the differences between 

regions in the charges made by nursing care 

homes. 

One possible explanation for the higher 

charges in the Northeast and West Regions 

may be related to the level of care provided 

or to the facilities available for providing care. 

As previously mentioned, figure 2 shows that 

the percent of nursing care homes under the 

supervision of a full-time RN was highest in 

the West and Northeast Regions and lowest 

in the North Central and South. 

000 

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

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

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

DETAILED TABLES 

Page 

Table 1. Number of institutions for the aged,by type of ownership, geographic region, and 

primary type of service: United States, April-June 1963------------------------- 18 

2. Number and percent distribution of institutions for the aged,by type of nurse in 

charge ofnursing care and whether a nurseornurse's aide is on duty 24 hours per day accordin 1 8 63---------------------

to primary type of service and type of ownership: United States,

&.,-~l-J~e 19 

3. Number and percent distribution of institutions for the aged,by type of nurse in 

charge of nursing careandwhether a nurseornurse's aide is on duty 24 hours per day accordin to geographic region and primary type of service: United States,

Ap,--l-J~e 1 %63--------------------- 20 

4. Number and percent distribution of institutions for the aged,by type of nurse in 

charge of nursing care and whetheranurseornurse'a aide is on duty 24 hours per day accordin to primary type of service and size of institution: United States, 

April-June 1 8 63-------------------- 21 

5. Number and percent distribution of institutions for the aged,by admission policy regarding sex and ageofresidents accordingto geographic region and primary type of service: United States, April-June 1963-------------------------------------- 22 

6. Percent of institutions for the aged which have a policy to admit patients who 

are bedfast, mentally ill, or recipients of public assistance or welfare; or to 

require residents to be examined by a physician before admission, by geographic region and primary type of service: United States, April-June 1963-------------- 23 

7. Number and percent distribution of institutions for theaged, by admission policy regarding sex and age of residents according to primary type of service and type

of ownership: United States, April-June 1963 ------_----------------------------- 24 

a. Percent of institutions for the aged which have a policy to admit patients who 

are bedfast, mentally ill, or recipients of public assistance or welfare; or to 

require residents to be examined by a physician before admission,by prfmary type of service and type of ownership: United States, April-June 1963---------------- 25 

9. Number and percent distribution of institutions for the aged,by admission policy regarding sex and age of residents according to primary type of service and size 

of institution: United States, April-June 1963 -_-------------------------------- 26 

10. Percent of institutions for the aged which have a policy to admit patients who 

are bedfast, mentally ill, or recipients ef public assistance or welfare; or to 

require residenta to be examined by a physician before admirsion,by primary type of service and size of institution: United States, April-June 1963-------------- 27 

11. Number and percent distribution of homes for the aged, by most frequent charge 

per resident per month according to primary type of service and type of nurse in 

charge of nursing care: United States, April-June 1963-------------------------- 28 

12. Number and percent distribution of homes for the aged, by most frequent charge 

per resident per month accordingtoprimary typeof service and type of ownership:

United States, April-June 1963 ---------_-------_-------------------------------- 29 

13. Number and percent distribution of homes for the aged, by most frequent charge 

per resident per month accordingto geographic region and primary typeof service: 

United States, April-June 1963 ------------------_------------------------------- 30 

17 
Table 1. Number of institutions for the aged, by type of ownership, geographic region, and primary type of service: United States, April-June 1963 

Type of ownership 

Region and primary type of service All Other State and Federal 

types Proprietary Church nonprofit local government Government 

All regions Number of institutions 

All type.+--------- 17,098 13,541 1,373 978 1,112 94 -

Nursing care------------- 7,834 6,845 387 229 360 13 

Personal care with nursing------------ 4,968 3,628 638 301 356 45 

Personal care------------ 3,568 2,955 181 276 150 6 

Hospital care------------ 728 113 167 172 246 30 

Northeast 

All types---------- 4,697 3,729 326 389 238 15 

Nursing car-------------- 2,451 2,171 91 77 106 6 

Personal care

with nursing------------ 1,052 642 198 129 81 2 

Personal care------------ 1,076 904 27 132 13 

Hospital care------------ 118 12 10 51 38 7 

North Central 

All types---------- 6,097 4,624 667 267 525 14 

Nursing care------------- 2,530 2,109 179 69 171 2 

Personal care

with nursing------------ 2,133 1,546 288 95 198 6 

Personal care------------ 1,163 940 100 37 86 

Hospital care------------ 271 29 100 6E 70 6 

South 

All types---------- 3,833 3,180 238 18: 39 

Nursing care------------- 1,693 1,526 59 54 5 

Personal care

oith nursing------------ 1,140 910 106 48 56 20 

Personal care------------ 839 698 

Hospital care------------ 161 46 

West Nu All types---------- 2,471 2,008 rsing 

46 

27 

142 

58 

45 

36 

139 

29 

47 

41 

156 

34 

3 

11 

care-------------26 

1,038 

Personal

with nucare rsing----------

530 46 29 20 17 

Personal care------------ 414 8 62 5 3 

Hospital care------------ 26 30 19 97 6 

18 
-- 

Table 2. Number and percent distributionof institutions for the aged,by type of nurse in charge of nursing csre and whether s nurseornurse's aldeis on duty 24 hours per day accordingtoprimary type of service and typeof ownership: United States, April-June 1963 

Nurse or nurse's

Total Type of nurse Ln charge of nursing csre afde on duty 24 hours per day 

Primary type of service 

and type of ownership Neither

RN LPN LPN RN nor LPN 

YumberI1 full-time parTtime full-time part-time or nursing Yes NO c*re not

provided 

All types Percent dtstribution 

100.0 37.6 __- 9.3 - 21.9 - 2.8 28.4 78.3 21.7 -

ProprFetary----------------- 13,541 100.0 33.3 LO.1 24.5 3.3 28.9 77.9 22.1 

Church and other nonprofit-- 2,351 100.0 51.9 6.6 14.7 1.2 25.7 80.5 19.6 

Government------------------ 1,206 100.0 58.5 6.8 7.2 27.5 79.4 20.6 

Nursing are 

7,834 100 .o 55.1 11.8 27.6 1.6 4.0 96.1 3.9 

hroprietsry----------------- 6,845 LOO.0 52.3 12.7 29.6 1.8 3.6 96.0 4.0 

Church and other nonprofic-- 616 100.0 68.0 5.4 18.2 8.4 95.8 4.2 

Government------------------ 373 100.0 84.5 6.7 4.8 3.8 98.7 1.3 

Personal csre with nursing 

4,968 100.0 26.0 9.0 22.3 5.5 37.2 79.3 20.7 

hroprietary----------------- 3,628 100.0 19.5 9.4 23.7 7.3 40.1 78.2 21.8 

Church and other nonprofFt-- 939 100.0 50.7 5.7 20.6 1.0 21.9 88.2 11.7 

Government------------------ 401 100.0 26.9 12.2 14.0 47.1 68.3 31.7 

Personal csre 

Total----------------- 3,568 100.0 4.6 5.1 13.4 2.2 74.7 33.8 66.2 

h-oprietary----------------- 2,955 100.0 3.7 5.0 14.5 2.0 74.8 34.7 65.3 

Church and other nonprofit-- 457 100.0 5.9 7.0 8.5 4.2 74.6 30.2 70.0 

Government------------------ 156 100.0 18.6 6.4 75.0 28.2 71.8 

Hospital care 

Total -------------__-- 728 100.0 90.7 6.3 0.4 2.6 98.8 1.2 

Proprietary----------------- 113 100.0 96.5 2.7 100.0 

Church and other nonprofit-- 339 100.0 87.6 10.3 1.8 98.5 1.5 

Government------------------ 276 100.0 91.7 2.9 1.1 4.3 98.6 1.4 
Table 3. Number and percent distribution dinstitutions for the aged,by type of nurse in charge of nursing care and whether a nurse or nurse's aide is on duty 24 hours per day according to geographic region and primary type of service: 

United States, April-June 1963 

- I 

Nurse or nurse's

Total Type of nurse in charge of nursing care aide on duty

24 hours per day

Region and primary type T 

of service I 1 Neither 1

RN Number part-time NO 

provided 

All regions : Percent distribution 

All types----------- 17,098 100.0 37.6 9.3 21.9 2.8 20.4 78.3 21.7 - - - - - - -

Nup-sing care---------..------ 7,834 100.0 55.1 11.8 27.6 1.6 4.0 96.1 3.9 

Personal care with nursing-- 4,968 100.0 26.0 9.0 22.3 5.5 37.2 79.3 20.7 

pers#J*a1 care--------------- 3,568 100.0 4.6 5.1 13.4 2.2 74.7 33.8 66.2 

Hospital care-..------------- 728 100.0 90.7 6.3 0.4 2.6 98.8 1.2 

Northeast 

All types----------- 4,697 100.0 47.5 6.5 20.8 0.4 24.8 75.3 24.7 

Nu&,-,g care---------------- 2,541 100.0 65.7 7.6 24.7 0.0 2.0 96.4 3.6 

Personal care with nursing-- 1,052 100.0 44.0 8.6 19.3 1.5 26.6 80.5 19.4 

Personal care--------------- 1,076 100.0 4.3 2.5 15.7 0.3 77.3 19.3 80.7 

Hospital care-------..------- 118 100.0 94.9 5.1 100.0 

North Central 

All types------------- 6,097 100.0 30.2 12.6 22.3 3.7 31.2 79.0 21.0 

Nursing car----------------- 2,530 100.0 45.2 17.5 32.7 1.6 3.0 95.6 4.4 

Personal care with nursing-- 2,133 100.0 19.0 9.9 20.0 7.8 43.2 78.5 21.5 

Personal care--------------- 1,163 '100 .o 5.3 6.3 9.1 1.6 77.6 39.1 60.9 

Hospital care--------------- 271 100.0 83.0 15.5 0.0 0.0 1.5 98.9 1.1 

South 

All types------------- 3,833 100.0 27.6 10.3 26.3 5.1 30.7 79.3 20.7 

Nursing ca~-e---------------- 1,693 100.0 40.3 13.5 32.0 4.9 9.2 96.8 3.3 

Personal care with nursing-- 1,140 100.0 18.2 9.0 26.9 8.1 37.8 76.3 23.7 

perso*al care--------------- 839 100.0 2.3 7.3 18.6 2.3 69.7 44.9 55.2 

Hospital care--------------- 161 100.0 93.8 1.2 1.9 0.0 3.7 96.9 3.1 

west

-

All types------------- 2.471 100.0 52.6 5.3 16.3 1.5 24.3 80.9 19.0 

Nursing care-------------..-- 1,159 100.0 75.7 5.8 16.0 0.0 2.7 95.6 4.4 

Personal care with nursing-- 642 100.0 33.3 6.1 26.6 0.0 33.9 85.2 14.8 

personal care--------------- 492 100.0 7.5 4.3 9.6 7.7 71.1 34.4 65.8 

Hospital care--------------- 178 100.0 96.6 1.7 0.0 0.0 1.7 PP.4 0.6 

20 
Table 4. Number and percent distributionof institutions for the aged,by type of nurse in charge of nursing care and whether * nurse or nurse’s aide is on duty 24 hours per day according to prCmry type of service and size of institution:

united States, April-June. -

1963 

T- Nurse or nurse’s Total Type of nurse in charge of nursing care aide on duty 24 hours per day

Primary type of service

and size of institution 

lumber ful.l%me / psrEtime 1 fuEime 1 parEke ( 3 1 Ye' / No 

All types 

Total----------------- .7,098 100.0 - -

Percent distribution 

37.6 9.3 21.9 2.8 28.4 78.3 21.7 

,,nder 30 beds----------- .0,763 100.0 22.4 10.4 24.9 4.0 38.3 69.7 30.3 

30-49 beds------------------ 3,225 100.0 53.1 9.6 22.1 1.2 14.0 90.4 9.6 

50-99 beds------------------ 2,053 100.0 70.4 6.1 13.4 0.5 9.5 94.9 5.1 

LO‘-,+beds------------------- 1,057 100.0 81.7 3.7 7.1 7.7 97.1 2.9 

Nursing care 

Total----------------- 7,834 100.0 55.1 11.8 27.6 1.6 4.0 96.1 3.9 

"n&r 30 beds--------------- 4,205 100.0 40.6 15.3 37.2 2.6 4.3 94.6 5.4 

30-49 beds------------------ 1,964 100.0 63.0 10.2 22.0 0.8 4.0 97.7 2.3 

50-99 beds------------------ 1,188 100.0 80.4 5.9 11.1 2.6 97.8 2.2 

10(,+ beds------------------- 477 100.0 87.2 2.3 5.9 4.6 97.7 2.1 

Personal care with nursing 

Total----------------- 4,968 100.0 26.0 9.0 22.3 5.5 37.2 79.3 20.7 

"n&r 30 beds------------ 3,120 100.0 12.1 9.8 22.2 7.8 48.0 73.1 26.9 

30-49 beds------------------ 853 100.0 34.5 a.9 29.1 2.7 24.9 82.5 17.5 

50-99 beds------------------ 619 100.0 54.4 6.3 20.2 1.6 17.4 94.7 5.3 

low beds------------------- 376 100.0 74.5 6.1 10.9 8.8 97.9 2.1 

Personal care 

Total----------------- 3,568 100.0 4.6 5.1 13.4 2.2 74, 33.8 66.2 

"n&r 30 beds------------ 3,177 100.0 3.0 4.4 13.3 2.5 76.8 30.9 69.2 

30-49 beds------------------ 242 100.0 12.8 9.9 11.6 65.7 54.1 45.9 

50-99 beds------------------ 114 100.0 21.9 11.4 16.7 50.0 59.6 40.4 

1,-,0+ beds------------------- 35 100.0 40.0 14.3 17.1 28.6 80.0 20.0 

Hospital care 

Total----------------- 728 100 .o 90.7 6.3 0.4 2 98.8 1.2 

"n&r 30 beds----------- 261 100.0 87.8 12.2 LOO.0 

30-49 beds------------------ 166 100.0 89.8 6.6 1.8 1.8 98.2 L.8 

50-99 beds------------------ 132 100.0 97.7 2.3 98.1 1.9 

LOO+beds------------------- 169 100.0 90.5 9.5 96.4 3.6 

21 
Table 5. Number and percent distribution of institutions for the aged, by admission policy regarding sex and age of residents according to geographic region and primary type of service:

United States, April-June 1963 

-

T Total Policy to admit 

Region and primary 

type of service 

Number Percent Both Males Females Any 18+ 65+ Other 

sexes only only ages FT;s years ages only only 

All regions Percent distribution 

All types------------ 100.o 82.6 3.0 14.4 8.5 35.8 32.3 23.4 - -

Nursing care--------------- 7,834 100.o 89.2 1.2 9.6 10.1 40.4 -24.5 24.9 

Personal care with nursing- 4,968 100.o 82.0 3.3 14.7 5.6 36.3 36.8 21,4 

Personal care-------------- 3,568 100.o 66.2 6.4 27.4 3.0 25.7 47.1 24.2 

Hospital care-------------- 728 100.0 96.7 3.0 0.3 39.1 32.2 12.6 16.1 

Northeast 

All types------------ 4,697 100 .o 83.3 3.0 13.8 4.0 34.6 36.6 24.8 

Nursing care--------------- 2,451 100 .o 91.9 0.3 7.8 4.6 42.0 26.3 27.0 

Personal care with nursing- 1,052 100 .o 75.7 5.5 18.8 1.5 28.5 46.4 23.6 

personal care-------------- 1,076 100.0 70.0 6.0 24.0 1.8 22.6 53.5 22.1 

Hospital care-------------- 118 100 .o 92.4 7.6 34.7 42.4 7.6 16.1 

North Central 

All types------------ 6,097 100 .o 79.4 4.0 16.6 6.8 36.0 32.0 25.2 

Nursing car---------------- 2,530 100.0 81.9 3.0 15.1 8.5 40.0 24.6 27.0 

Personal care with nursing- 2,133 100.0 82.9 3.9 13.1 5.0 35.7 34.1 25.1 

Personal care-------------- 1,163 100.0 63.1 7.0 29.9 1.4 27.2 47.9 23.6 

Hospital care-------------- 271 100 .o 98.2 1.1 0.7 28.4 39.1 16.6 15.9 

South 

All types------------ 3,833 100 .o 84.9 0.3 14.8 10.5 42.1 26.3 21.2 

Nursing care--------------- 1,693 100 .o 92.3 0.2 7.6 10.1 45.2 19.7 25.1 

Personal care with nursing- 1,140 100 .o 86.7 0.6 12.7 8.6 49.3 29.0 13.1 

personal care-------------- 839 100 .o 65.2 34.9 5.6 30.2 39.7 24.7 

Hospital car--------------- 161 100 .o 98.1 1.9 55.3 20.5 6.2 18.6 

West 

All types------------ 2,471 100 .o 85.7 4.6 9.8 18.4 28.0 34.2 19.4 

Nursing care--------------- 1,159 100 .o 94.7 0.9 4.6 25.2 31.1 27.9 15.7 

Personal care with nursing- 642 100 .o 80.9 2.2 16.8 8.9 27.8 43.2 19.9 

Personal care-------------- 492 100.0 67.2 16.5 16.3 5.3 21.6 44.0 29.3 

Hospital care-------------- 178 100.0 95.5 4.5 $4.4 26.4 15.7 14.0 

22 
.Table 6. Percent of institutions for the aged which have a policy to admit patients who are bedfast, mentally i&or recipients of public assistance or welfare; or to require residents to be 

examined by a physician before admission, by geographic region and primary type of service: 

United States, April-June 1963 

Policy to admit 

Region and primary type of service Bedfast ill Mentally Recipients of Patients 

after 

patients patients public assistance examination or welfare by physician 

All regions 

All types------------------------ 69.3 

Nursing care--------------------------- 94.2 

Personal care with nursing------------- 63.2 

personal care-------------------------- 17.7 

Hospital care-------------------------- 96.4 

Northeast 

All types------------------------ 63.7 

Nursing care--------------------------- 94.0 

Personal care with nursing------------- 45.6 

personal care-------------------------- 9.7 

Hospital care-------------------------- 88.1 

North Central 

All types------------------------ 71.5 

Nursing care--------------------------- 94.6 

Personal care with nursing------------- 68.8 

personal care-------------------------- 20.1 

Hospital care-------------------------- 96.7 

South 

All types------------------------ 73.7 

Nursing care--------------------------- 95.9 

Personal care with nursing------------- 69.9 

personal care-------------------------- 29.8 

Hospital care-------------------------- 96.9 

West 

All types------------------------ 67.7 

Nursing care--------------------------- /-GPersonal care with nursing------------- 61.9 

personal care-------------------------- 8.8 

Hospit-1 care-------------------------- 100.0 

Percent of institutions 

24.9 90.5 95.7 

23.6 92.2 99.2 

31.4 90.2 96.0 

18.5 88.3 86.7 

26.1 84.9 100.0 

12.5 85.5 97.4 

14.0 86.2 100.0 

12.4 82.1 97.4 

8.4 87.7 91 .o 

18.6 81.4 100.0 

31.3 92.7 94.8 

30.8 97 .o 99.7 

37.2 90.9 95.5 

23.6 88.7 81.8 

23.6 84.5 100 .o 

30.1 92.0 95.0 

30.5 94.9 98.7 

38.6 93.5 95.9 

17.6 87.4 85.5 

31.7 76.4 100.0 

24.7 91.9 95.6 

18.3 90.6 97.2 

30.8 94.9 95.2 

30.1 90 .o 90.8 

29.8 95.5 100.0 

23 
-- 

Table 7. Number and percent distribution of institutions for the aged, by admission policy regarding sex and age of residents according to priinary type of service and type of ownership:

United States, April-June 1963 

Total Policy to admit 

Primary type of service 

and type of ownership 18+ 65+ Other

nber Percent Both Males Females Any years years ages sexes only only ages only only only 

All types Percent distribution 

Total----------------- r,098 100.0 - 82.6 3.0 14.4 8.5 35.8 32.3 23.4 

Proprietary----------------- 3,541 100 .o 82.5 2.9 14.6 7.6 37.6 31.5 23.2 

Church and other nonprofit-- !,351 100 .o 76.9 2.7 20.4 10.3 19.9 48.5 21.4 

Government------------------ 1,206 100.0 95.5 3.7 0.7 15.4 46.3 10.0 28.1 

Nursing care 

Total----------------- 7,834 100.0 89.2 1.2 9.6 10.1 40.4 24.5 24.9 

Proprietary----------------- 5,845 100.0 89.4 1.2 9.3 10.6 40.7 24.1 24.6 

Church and other nonprofit-- 616 100.0 79.9 1.6 18.7 5.5 30.4 40.7 23.4 

Government------------------ 373 100.0 99.7 0.3 9.4 51.5 6.4 32.4 

Personal care with nursing 

Total----------------- i,968 100.0 82.0 3.3 14.7 5.6 36.3 36.8 21.4 

Proprietary----------------- 3,628 100.0 82.2 3.2 14.7 4.6 41.2 33.2 20.9 * 

Church and other nonprofit-- 939 100.0 77.3 2.4 20.1 6.7 9.4 62.8 21.3 

Government------------------ 401 100.0 91.5 6.2 2.2 11.5 54.6 8.0 25.7 

Personal care 

Total----------------- 3,568 100.0 66.2 6.4 27.4 3.0 25.7 47.1 24.2 

Proprietary----------------- 2,955 100.0 66.1 6.8 27.2 2.8 26.9 47.3 23.0 

Church and other nonprofit-- 457 100.0 56.5 5.5 38.3 0.4 11.4 58.2 30.2 

Government------------------ 156 100.0 98.1 1.9 15.4 44.9 10.9 28.8 

Hospital care 

Total----------------- 728 100.0 96.7 3.0 0.3 39.1 32.2 12.6 16.1 

Proprietary----------------- 113 100.0 100.0 54.0 13.3 10.6 22.1 

Church and other nonprofit-- 339 100 .o 97.6 1.8 0.6 42.1 41.8 9.7 6.5 

Government------------------ 276 100 .o 93.8 5.8 29.3 27.9 17.0 25.4 

24 
Table 8. Percent of institutions 

fast, mentally ill, or recipients be examined by a physician before 

United States, April-June 1963 

Primary type of service 

and type of ownership 

All tvoes 

Total----------------------------

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

Church and other nonprofit-------------

Government-----------------------------

Nursing care 

Total----------------------------

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

Church and other nonprofit-------------

Government-----------------------------

Personal care with nursing 

Total----------------------------

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

Church and other nonprofit------------­

, Governrrtent-----------------------------

Personal care 

Total----------------------------

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

Church and other nonprofit-------------

Government-----------------------------

Hospital care 

Total----------------------------

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

Church and other nonprofit-------------

Government----------------------------­

for the aged which have a policy to admit patients who are bedof public assistance or welfare; or to require residents to 

admission, by primary type of service and type of ownership: 

Policy to admit 

Bedfast pients of Patients 

after patients ---istance examination 

by physician 

Percent of institutions 

69.3 24.9 90.5 95.7 

72.8 26.7 92.5 95.5 

47.1 10.6 81.8 96.6 

73.1 33.1 84.9 95.9 

94.2 23.6 92.2 99.2 

95.6 24.6 92.6 99.2 

77.4 15.3 86.9 99.5 

96.2 19.3 93.3 99.2 

63.2 31.4 90.2 96.0 

72.3 36.2 92.8 95.6 

29.4 6.4 81.5 96.9 

61.1 46.6 86.0 97.0 

17.7 18.5 88.3 86.7 

19.9 20.1 92.4 86.6 

5.7 4.2 70.7 90.2 

11.5 30.8 62.2 77.6 

96.4 26.1 84.9 100.0 

100 .o 18.6 75.2 100.o 

96.8 22.6 87.6 100.o 

94.2 33.3 84.8 100.0 

25 
Table 9. Number and percent distribution of institutions for the aged, by admission policy regarding sex and age of residents according to primary type of service and size of institution: 

United States, April-June 1963

-

T Total II Policy to admit

1 Primary type of service 

and size of institution 

Number Percent Both Males Females Any 18+ 65+ Other 

sexes only only ages years years ages only only only 

All types 

Total---------------

Under 30 be&.-------------

30-49 be&----------------

50-99 be&----------------

100+ beds-----------------

Nursing care 

Total---------------

Under 30 beds-------------

30-49 be&,----------------

50-99 be&----------------

100+ beds-----------------

17,098 

10,763 

3,225 

2,053 

1,057 

7,834 

4,205 

1,964 

1,188 

477 

Personal care with nursing 

Total--------------- 4.968 

Under 30 be&------------- 3,120 

30-49 be&---------------- 853 

50-99 beds---------------- 619 

10()+ beds----------------- 376 

Personal care 

Tot-l--------------- 3,568 

Under 30 be&------------- 3,177 

30-49 beds---------------- 242 

50-99 be&---------------- 114 

100+ beds----------------- 35 

Hospital care 

Tot-l--------------- 728 

Under 30 be&------------- 261 

30-49 be&---------------- 166 

50-99 beds---------------- 132 

100+ beds----------------- 169 

100.o 

100.0 

100.0 

100 .o 

100.0 

100.0 

100.0 

100.0 

100.0 

100.0 

100 .o 

100.0 

100.0 

100.0 

100.0 

100.0 

100.0 

100.0 

100 .o 

100.0 

100.0 

Percent distribution 

82.6 3.0 14.4 8.5 35.8 32.3 23.4 - -

76.1 3.9 20.1 6.3 

93.6 .l.O 5.4 12.0 

93.3 1.6 5.1 13.0 

95.0 2.6 2.5 10.9 

89.2 1.2 9.6 10.1 

83.4 1.7 14.9 8.0 

95.8 0.5 3.7 11.6 

94.9 1.1 4.0 15.8 

97.9 0.4 1.7 8.4 

82.0 3.3 14.7 5.6 

77.3 4.2 18.5 4.6 

88.3 1;2 10.6 7.7 

90.3 1.8 7.9 Q.9 

93.1 2.7 4.2 6.4 

66.2 6.4 27.4 3.0 

63.1 6.7 30.2 2.6 

92.1 4.1 4.1 9.1 

89.5 2.6 7.9 

94.3 5.7 8.6 

96.7 3.0 0.3 39.1 

100.0 100.0 45.0 

100.0 98.2 1.8 44.6 

100.0 95.5 4.5 32.6 

100.0 91.1 8.3 1.2 29.6 

33.4 37.8 

42.4 22.6 

39.4 22.6 

33.4 24.9 

40.4 24.5 

35.4 32.1 

47.4 16.8 

44.9 13.7 

45.0 16.8 

36.3 36.8 

39.5 35.6 

37.7 34.8 

29.7 41.5 

17.0 42.7 

25.7 47.1 

25.2 49.2 

33.1 30.6 

23.7 31.6 

25.7 20.0 

32.2 12.6 

26.7 16.0 

19.9 17.5 

49.2 5.3 

39.1 8.9 

22.5 

23.0 

25.1 

30.7 

24.9 

24.4 

24.2 

26.2 

29.8 

21.4 

20.2 

19.6 r 

22.0 

34.5 * 

24.2 

23.0 

27.3 

45.6 

42.9 

16.1 

12.2 

18.1 

12.9 

22.5 

24 
Table 10. Percent of institutions for the aged which have a policy to admit patients who are 

bedfast, mentally ill, or recipients of public assistance or welfare; or to require residents 

to be examined by a physician before admission, by primary type of service and size of 

institution: United States, April-June 1963 

Policy to admit 

Primary type of service and Recipients Patients size of institution Bedfast Mentally ill of public after 

patients patients assistance examination 

welfare by physician 

All types 

All sizes------------------------

Under 30 beds--------------------------

30-49 beds-----------------------------

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

100+ beds------------------------------

Nursing care 

All sizes------------------------

Under 30 beds--------------------------

30-49 beds-----------------------------

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

100+ beds------------------------------

Personal care with nursing 

All sizes------------------------

Under 30 beds--------------------------

30-49 beds-----------------------------

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

10()+ beds------------------------------

Personal care 

All sizes------------------------

Under 30 beds--------------------------

30-49 beds-----------------------------

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

1(-JO+beds--------------------:-----------

Hospital care 

All sizes------------------------

Under 30 beds--------------------------

30-49 beds-----------------------------

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

100+ beds-----------------------------­

or 

Percent of institutions 

69.3 24.9 90.5 95.7 

62.9 25.4 90.9 94.0 

82.7 27.5 91.3 98.7 

80.8 21.5 89.9 98.3 

71.5 18.9 85.1 99 .o 

94.2 23.6 92.2 99.2 

93.1 23.4 91.2 99.0 

97.0 26.5 94.5 99.1 

95.0 21.8 92.8 99.7 

89.5 18.3 90.5 99.6 

63.2 31.4 90.2 96.0 

66.3 34.3 93.0 94.9 

63.3 34.0 88.4 98.5 

59.5 22.9 85.6 96.6 

44.3 15.9 77.7 98.4 

17.7 18.5 88.3 86.7 

16.5 18.8 88.2 85.8 

25.6 16.5 87.6 95.5 

28.1 10.5 92.1 91.2 

31.4 25.7 91.4 91.4 

96.4 26.1 84.9 100.0 

100.0 31.3 93.9 100.0 

96.4 21.7 74.1 100.0 

97.7 21.2 81.1 100.0 

89.9 26.0 84.6 100.0 

27 
Table 11 Number and percent distributionofhomes for the aged, by most frequent charge per resident per month 

according to primary type of service and type of nurse in charge of nursing care: United States, AprilJune 1963 

- Primary type of -I- Total Most frequent charge per resident per month 

service and type 

charge 

of nurse of in 

Number Percent NO Initial 

nursing care --Icharge $l-$99 $lOO-$149 $150-$199 $200-$299 $3OOt pilot Unknown 

All types Percent distribution 

Total------- 16,370 100.0 2.3 8.9 28.5 24.8 23.0 6.9 1.1 4.5 

RN full-time------ 5,770 100.0 2.6 3.6 11.4 24.2 38.0 15.9 1.3 3.1 

RN part-time------ 1,551 100.0 0.6 5.2 34.6 32.2 21.0 3.2 0.6 2.7 

LPN full-time----- 3,742 100.0 1.5 5.2 28.7 32.3 23.9 3.7 0.7 3.9 

LPN part-time----- 476 100.0 4.6 13.2 46.0 24.2 4.0 7.6 

Neither RN nor LPN---------- 4,830 100.0 2.9 18.8 45.3 17.4 6.9 0.5 1.4 6.8 

Nursing care 

Total------- 7,834 100.0 0.8 2.6 15.0 28.7 37.6 12.5 0.2 2.6 

RN full-time------ 4,314 100.0 1.3 1.8 9.3 22.7 42.5 19.4 0.3 2.8 

RN part-time------ 925 100.0 3.4 24.0 36.3 28.6 5.3 2.3 

LPN full-time----- 2,158 100.0 0.1 3.9 15.2 40.1 34.2 3.6 0.2 2.8 

LPN part-time----- 123 100.0 2.4 73.2 21.1 2.4 -

Neither RN nor LPN---------- 312 100.0 1.0 2.6 41.0 14.1 33.3 5.1 2.9 

Personal care with nursing 

Total------- 4,968 100.0 3.6 11.3 36.4 24.8 12.8 2.8 2.0 6.3 

RN full-time------ 1,291 100.0 7.4 8.2 15.0 29.3 25.6 5.7 4.5 4.3 

RN part-time------ 445 100.0 2.0 a.3 50.6 19.8 13.5 1.3 4.7 

LPN full-time----- 1,107 100.0 4.5 4.3 45.9 23.6 8.7 5.2 2.0 5.6 

LPN part-time----- 274 100.0 1.1 a.0 47.1 24.5 5.8 - 13.1 

Neither RN nor LPN---------- 1,851 100.0 1.1 18.8 40.7 23.6 7.2 0.3 0.6 7.6 

Personal care 

Total------ 3,568 100.0 4.0 19.3 47.3 16.2 5.3 0.3 1.8 5.8 

RN full-time------ 165 100.0 14.5 35.2 23.0 18.8 3.6 1.8 1.8 

RN part-time------ 181 100.0 7.2 49.2 42.0 1.7 

LPN full-time----- 477 100.0 1.3 13.0 49.7 17.6 12.6 0.6 4.8 

LPN part-time----- 79 100.0 24.1 48.1 27.8 -

Neither RN nor LPN---------- 2,667 100.0 4.4 20.7 48.9 13.5 3.6 2.2 6.8 

28 
Table 12. Number and percent distributionofhomes for the aged, bymost frequent charge per resident per month 

according to primary type of service and type of ownership: United States, April-June 1963 

Total Most frequent charge per resident per month 

Primary type of 

service and type No Initial of ownership !kunber ?ercent charge $I-$99 $100-$149 $150-$199 $200-$299 $300+ pzz?t Unknown 

All types Percent distribution 

16,370 2.3 a.9 28.5 24.8 23.0 6.9 

Proprietary------- L3,428 6.3 30.3 25.8 25.2 4.2 

Church and 

other nonprofit-- 2,013 12.3 16.2 22.2 20.7 3.3 7.2 4.1 

Government-------- 11.3 29.8 17.1 2.4 8.0 

Nursing care 

Total------- 7,834 0.8 2.6 15.0 28.7 37.6 12.5 2.6 

Proprietary------- 6,845 0.1 1.8 14.5 28.9 13.2 2.4 

Church and 

other nonprofit-- 5.4 5.2 17.7 27.6 9.6 2.6 1.8 

Government-------- 18.8 28.4 21.4 3.8 9.1 

Personal care with nursing 

Total------- 4,968 3.6 36.4 24.8 12.8 2.8 6.3 

Proprietary------- 3,628 100.0 0.5 6.5 41.1 26.8 3.5 5.8 

Church and 

other nonprofit-- 100.0 13.3 25.0 0.7 7.6 7.0 

Government-------- 100.0 a.5 20.4 6.5 1.2 9.2 

Personal care 

Total------- 3,568 100.0 4.0 47.3 16.2 0.3 1.8 5.8 

Proprietary------- 100.0 0.1 53.4 6.7 

Church and 

other nonprofit-- 458 100.0 19.7 22.3 8.7 1.3 

Government------- 156 100.0 32.7 4.5 16.0 1.9 

29 
Table 13. Number and percent distributionof homes for the aged, bymost _.. frequent charge,per resident per month 

according to geographic region and primary type of service: United States, April-June 1963

- Region and I- Total Most frequent charge per resident per month 

primary type of service Initial 

Percent charge No $I-$99 $lOo-$149 $uo-$199 $z.OO-$299 $300+ pgnt Unknown

All regions Percent distribution 

All types--- 16.370 100.0 2.3 8.9 28.5 24.8 23.0 6.9 1.1 4.5 

Nursing care------ 7,834 100.0 0.8 2.6 15.0 28.7 37.6 12.5 0.2 2.6 

Personal care with nursing----- 4,968 100.0 3.6 11.3 36.4 24.8 12.8 2.8 2.0 6.3 

Personal care----- 3,568 100.0 4.0 19.3 47.3 16.2 5.3 0.3 1.8 5.8 

Northeast 

All types--- 4,579 100.0 3.4 8.7 18.8 15.5 33.2 13.8 2.2 4.5 

Nursing care------ 2,451 100.0 1.4 2.7 5.1 16.7 49.1 22.6 0.2 2.2 

Personal care with nursing----- 1,052 100.0 6.9 11.1 19.0 19.5 23.0 6.5 5.2 a.7 

Personal care----- 1,076 100.0 4.6 20.2 49.8 8.7 6.6 0.9 3.6 5.8 

North Central 

All types--- 5.826 100.0 1.5 10.6 32.3 30.6 17.3 1.8 0.9 5.0 

Nursing care------ 2,530 100.0 0.3 3.4 16.8 39.5 34.3 3.1 0.1 2.4 

Personal care with nursing----- 2,133 100.0 2.5 13.0 41.0 28.3 5.6 1.1 1.3 7.2 

Personal care----- 1,163 100.0 2.3 21.7 49.8 15.5 1.9 2.0 6.9 

South 

All types--- 3,672 100.0 2.8 9.5 41.3 26.3 13.3 1.8 0.4 4.5 

Nursing care------ 1,693 100.0 0.9 2.5 31.8 35.9 21.1 3.5 0.4 3.8 

Personal care with nursing----- 1,140 100.0 3.5 14.2 48.2 19.8 7.9 0.5 0.8 5.1 

Personal care----- 839 100.0 5.6 17.1 51.1 15.8 4.9 5.4 

west 

All types--- 2,293 100.0 1.6 3.9 17.9 26.4 32.7 14.3 0.5 2.7 

Nursing care------ 1,159 100.0 0.3 0.6 7.1 20.4 44.2 24.9 0.2 2.5 

Personal care with nursing----- 642 100.0 1.9 1.1 28.5 30.6 28.8 6.2 0.9 2.2 

Personal care----- 492 100.0 4.3 15.2 29.7 35.0 10.8 0.6 4.1 

30 
APPENDIX I 

TECHNICAL NOTES ON THE SURVEY DESIGN AND PROCEDURES 

General 

The Resident Places Survey-l was a survey of 

resident institutions in the United States which provide 

psychiatric, medical, nursing, and personal care to the 

aged, infirm, or chronically ill. The survey was directed toward the aged, institutional population; however, all people who were residents of facilities within 

the scope of the survey were included regardless of 

age. The survey was conducted during April-June 1963 

in a probability sample of the following types of establishments: nursing homes, convalescent homes, homes 

for the aged and other related facilities, chronic disease 

and geriatric hospitals, chronic disease wards andnursing home units of general hospitals, and psychiatric hospitals, both private and public. 

The U.S. Bureau of the Census collected and edited 

the data according to specifications of theNational Center for Health Statistics. The data collection procedure 

was primarily by self-enumeration; the survey was conducted by mail in establishments with less than 300 beds. 

For the larger homes andhospitals personal visits were 

made to select the sample of residents andto aid in the 

completion of questionnaires. Health and related information about residents in the sample as well as certain 

information about the institutions was collected. Some 

types of information requested, especially the health 

information, were provided on the basis of a nurse’s 

or other responsible employee’s memory or personal 

knowledge. However, maximum use of records was 

encouraged. 

In several respects the survey of mental hospitals 

was different from that of nursing homes and related 

facilities. Both the establishment part of the questionnaire and the sample design were different. Since mental 

hospitals are not included in this report, the procedures 

described in this appendix refer only to the survey of 

nonmental facilities. 

Sampling Frame 

The Master Facility Inventory (MFI) was the sampling frame for the survey. A detailed descriptionof 

how the MFI was developed, its content, maintenance 

plans, and a procedure for assessing the completeness 

of its coverage has been published.” The MFI includes 

the names, addresses, and certaindescriptiveinformation about “all” hospitals and resident institutions inthe 

United States. It was developed by collating a large number of published and unpublished lists of establishments 

and by obtaining information by mail inquiries for each 

of the establishments to classify them by their nature and 

status of business. Among the lists used in assembling 

the MFI were (1) a list of nursing homes, convalescent 

homes, homes for the aged, etc. that were in the files 

of state licensing agencies in 1961, (2) skilled nursing 

homes listed in “State Plans” submitted by the States 

to the Public Health Service under the provisions of 

the Hill-Burton Hospital Construction Act, and (3) a 

list of hospitals and institutions in which people were 

born or died during January and February 1958 as 

shown on birth and death certificates on file in the Division of Vital StaFistics, PHS. 

It is estimated on the basis of preliminary results 

of research to evaluate coverage of the MFI that the 

sampling frame for the RPS-1 was at least 85 percent 

complete. The indications are that the places not on 

the MFI are relatively small, possibly no more than 

half as large, on the average, as those listed. 

The scope of the MFI excluded all nursing homes 

and related facilities which maintained less than 3 beds 

or did not routinely provide some personal care to residents. On this basis about 1,400homes which were confirmed to be in business were excluded from the MFI. 

Sample Design 

The sample was a stratified, muItistage design. The 

sampling frame was divided into two groups on the basis 

of whether or not current information was available about 

the establishment. Group I was composed of establishments which returned a questionnaire in the previous 

MFI Survey. Group II contained places which were 

possibly within the scope of the RPS- 1 but were not confirmed in the MFI, i.e., nonresponses, questionnaires 

not delivered by the Post Office because of insufficient 

addresses, etc. Group I was then sorted into 16 type-ofservice, bed-size groups. Further stratification within 

each of these basic strata was accomplished by sorting 

by geographic division, type of ownership, and county 

within each State. Group II was stratified in a similar 

manner except that the specific type of institution was 

not known. The information that was available for Group 

II establishments was that recorded on source lists used 

31 
-- 

Table I. Distribution of institutions for the aged in the Master Facility Inventory and in the 

RPS-1 sample by strata (type of service and size of institution), by whether or not the sample institutions were in business land within the scope of the survey: United States 

Number of institutions in the sample 

Number of instiand of Out of scope, out Type of 

size 

service tutions in the MFI 

Total BIn-scope and in business business, or duplicate 

of 

institution 

Group I Group II* Total Group I :roup I Total Group I Group II 

Total 

All types-- 16,962 2,516 3,486 3,178 3,056 122 308 154 154 - -

Nursing care2 

Under 30 beds 

,ha;; ~;;oy) - 4,690 2,144 455 331 290 41 124 102

i: 42 - 3,389 351 1,243 1,160 1,085 75 

loo-299 beds--- 526 16 362 336 331 5 2 20 

300+ beds------ 96 5 101 91 90 1 10 6 :: 

Personal care 

with nursing 

,;a;; g:"""'-: 

loo-299 beds---

3,129

1,479 

357 

209 

494 

236 

196 

478 

228 

196 

478 

228 

:6' 

8 

:z 

8 

300+ beds------ 41 41 39 39 2 2 

Personal care 

Under 30 beds 

Under 30 beds 

(and unknown)- 2,279 146 132 132 14 14 

30-99 beds----- 313 104 100 100 4 4 

100-299 beds--- 23 18 17 17 

300+ beds------ 5 5 4 4 : : 

Domiciliary 

care 

Under 30 beds 

(and unknown)- 551 42 6 6 

30-99 beds----- 77 27 4; ;"7 

100-299 beds--- 7 3 3 3 

300+ beds-----­

'The institutions in Group II are classified on the basis of old information obtained from establishment source lists that used in assembling the sampling frame (MFI). They shown

under the nursing care 

21ncluded are long-stay

general hospitals. The 

depending on the primary 

32 

were are 

category in this table for convenience. 

geriatric and chronic disease hospitals and chronic disease wards of 

nursing home units are spread through the various type-of-service strata 

type of service provided in the units. 
in assembling the MFI. After stratification the Group 

II places were listed at the end of those in Group I for 

corresponding size groups. The sample of establishments was then selected systematically after a random 

start within each of the 16 basic strata. 

The second-stage sample was a systematic selection of residents or patients who were domiciled in the 

sample establishments. The sampling rate for the selection of establishments was variable depending on the 

number of beds maintained by an establishment. HOWever, the product of this first-stage sampling rate and 

the second-stage rate was a constant (l/15). Further 

discussion of the procedure for sampling residents 

appears in the report which deals with thecharacteristics of residents of nursing and persona1carehomes.s 

Table I shows the distribution of nonmental institutions in the RPS-1 sampling frame and the number in 

the sample by strata. The initial sample contained 

3,486 places. Of these, 3,178 were found to be in business and within the scope of the survey. As shown in 

table I, less than half of the places in the Group II sample and about 95 percent of those in the Group I sample 

were part of the final sample, i.e., within scope and in 

business. A large proportion of the deletions from the 

Group I sample was due to duplications in the MFI. 

Survey Procedure and Response 

For places with less than 300 beds a questionnaire 

was sent by first-class mail. Using certified mail and 

an interval of 3 weeks after each preceding letter, two 

reminder letters were sent to nonrespondents. Telephone calls were made to establishments which had not 

responded to the mail inquiries; appointments for personal visits were routinely requested during the telephone call for all places with 100 or more beds. A 

personal visit was offered for smaller places ifthe respondent indicated that help was needed. After all waves 

of solicitations 203 establishments, or about 6 percent 

of the total in-scope sample, failed to cooperate in the 

survey. Forty-nine of these were in Group II of the sampling frame. (Group II consists of establishments not 

responding in the MFI Survey.) In Group I the nonrespondents were somewhat smaller than were the respondents; this is indicated in table II. 

Imputation of Missing Data 

The missing information due to establishment nonresponse has been imputed to be the same as that reported by respondents in the survey. Anonresponseadjustment consisting of three type-of-ownership groups 

within each of the 16 type-of-service, bed-size strata 

was made for each of 48 subdivisions of the sample. The 

assumption was that nonrespondents in a group had the 

same characteristics as did respondents. 

Any bias in estimates that may have resulted from 

this procedure should be small, since a highproportion 

of the establishments in the sample returned a questionnaire. The nonresponse rate was smaller for about 

three-fourths of the 48 groups than the 6 percent that was 

experienced for the total sample. The highest rate for 

any group was 17 percent; for about 95 percent of the 

groups the nonresponse rate did not exceed 10 percent. 

Also, certain of the individual items were imputed 

when left blank by responding establishments. Theproportion of the sample establishments with particular 

items unknown ranged from “zero” for question 2a of 

the questionnaire (“Do you accept males?“) to 8.7 percent for question 4 (“Who is in charge of nursing care?“). 

Other items on the questionnaire for which itemnonresponse was relatively high included question 2d, “Do you 

accept mentally ill patients?” (5.7 percent); question 5, 

“IS there a nurse or nurse’s aide on duty 24 hours a 

day?” (6.8 percent); question 8b, “Do you have residents 

in hospital?” (7.5percent); andquestion 8c, “Do you have 

Table II. Distribution of institutions in the Group I sample, by response status and size of institution: United States, April-June 1963 

Response status 

Size of institution Questionnaire returned Questionnaire not 

I returned 

Number Percent Number Percent 

All sizes--------------------------------- 2,902 100.0 154 100.0 

Under 30 beds----------------------------------- 617 21.3 1% 24.0 

30-99 beds--------------------------------------

LOO-299 beds------------------------------------

1,;;; 54.7 

19.5 14 

66.9 

9.1 

300~ beds--------------------------------------- 133 4.6 

33 
residents away in some place other than a hospital?” 

(7.6 percent). Less than 3 percent of the establishments 

failed to report other items for which data are presented 

in this report. 

For items that were imputed, the following procedures were used (The numbers in the parentheses are the 

number of unknowns .): 

A. Accept female patients? (2 establishments)-imputed “yes.” 

B. Accept persons of any ages? (7 establishments)-imputed ‘“yes.” 

C. Accept public welfare patients? (4 establishments)-imputed “no.” 

D. Number of residents on public assistance? 

(78 establishments)-The number of such 

residents for an establishment was estimated by multiplying the number of residents in the establishment by the ratio 

“number of people on public assistance as 

reported by all establishments divided by 

the total number of residents in homes accepting people on public assistanceor welfare.” 

E. Accept mentally ill patients? (170 establishments)-All sample establishments 

were sorted into the four type-of-service 

strata used in the sample design. Then 

within each of these strata the establishments were sorted by bed size. In each of 

these groups the unknowns were assigned 

the answer that had been given for the preceding establishment in the listing. 

F. Accept bedfast patients7 (26 establishments)-The answers were imputed in the 

same way as for “accept mentally ill patients.” 

Estimation and Reliability of Estimates 

The statistics presented in this report are essentially the product of a ratio estimation technique. An 

adjustment factor R - B,/B,~ was determined for each 

noncertainty stratum of the sample design. Bi is the 

total number of beds for establishments in the i th stratum according to the MFI. B; is the estimated number 

of beds for establishments in the i th stratum; it is obtained through a simple inflation of the MFI data for 

sample establishments in the ith stratum. The purpose 

of ratio estimation is to take into account all relevant 

information in the estimation process, thereby reducing 

the variability of the estimate. 

Since the statistics presented in this report are 

based on a sample, they will differ somewhat from figures that would have been obtained if a complete census 

had been taken using the same schedules, instructions, 

procedures, etc. As in any survey the results are also 

subject to reporting and processing errors and errors 

due to nonresponse. 

The standard error is primarily a measure of sampling variability. It does not include estimates of any 

biases which may be reflected in the data. The chances 

are about 68 out of 100 that an estimate from the sample 

would differ from a complete census by less than the 

standard error. The chances are about95outof 100 that 

the difference would be less than twice the standard 

error and about 99 out of 100 that it would be less than 

2% times as large. 

In general, the standard error of one statistic is 

different from that of another even when the two come 

from the same survey. In order to derive standard 

errors that would be applicable to a widevariety of statistics and could be prepared at a moderate cost, a 

number of approximations were required. As a result, 

the relative standard errors shown in figure A and the 

standard errors shown in tables III andIV should be interpreted as approximate rather than precise for any 

specific estimate. (The relative standard error of an 

estimate is obtained by dividing the standard error of 

an estimate by the estimate itself and is expressed as 

a percentage of the estimate.) 

The standard errors (and relative standard errors) 

shown in this appendix are not directly applicable to 

differences between two sample estimates. The standard error of a difference is approximately the square 

root of the sum of the squares of each standard error 

considered separately. Although it is only a rough approximation in most other cases, this formula willrepresent the actual standard error quite accurately for the 

difference between separate and uncorrelated characteristics. 

The reliability of an estimated rate or percentage, 

computed by using sample data for both numerator and 

denominator, depends on both the size of the rate and 

the size of the total upon which the rate is based, i.e., 

the denominator. Generally, estimated rates are relatively more reliable than the corresponding absolute 

estimates of the numerator of the rate, particularly if 

the rate is high. Table III shows approximate standard 

errors of estimated percentages when the characteristic used to form the numerator of the percentage is a 

subclass of the denominator. 

34 
0 Figure A. Approximate relative standard errors of estimated number of institutions shown 

in this report 

.oo 

10 

1 

.1 

Size of estimate 

Illustration on use of chart: As shown in table 2, there are estimated to be 7,834 nursing 

care homes in the United States. The relative standard error of 7,834 is approximately 2.1 

percent (read from scale at left side of chart); the standard error of 7,834 is 165 (2.1 

percent of 7,834). 

35 
Table III. Approximate standard errors of percentages shown in this report 

I 

Estimated percent Base of estimated percent (number of institutions) 

5 or 95 10 or 90 20 or 80 30 or 70 40 or 60 50 

Standard error expressed in percentage points 

4.9 

2: 

8.2 

5.2 

1:6 

22 

1.0 1.6 t 1.6 

i-;

0:6 

Illustration of the use of table III. Table 2 shows that 52 percent of the 6,845 nursing care 

homes in the United States had a registered nurse in charge of nursing care. As shown in this 

table, the standard error of 50 percent based on 6,845 homes lies between 1.3 and 1.6 percentage points. Thus, by interpolation the desired standard error is approximately 1.4 percentage points. 

Table IV. Approximate standard errors of average charges for care shown in this report 

Average monthly charge in dollars 

Size of denominator (number of institutions) 

100 150 200 250 300 

Standard error in dollars 

z; 40 

28 

14 19 

11 

:i 

11 

7 

5 

Illustration of the use of table IV. The average most frequent charge by nursing care homes in 

the United Statesis $206 per month. Table 10 shows that there are 7,834 nursing care homes in the 

United States. From table IV it is seen that the standard error of a $200 average charge based on 

5,000 homes is $9.00; it is $5.00 based on 10,000 homes. Therefore, the standard error of $206 

based on 7,834 homes is between $5.00 and $9.00. By interpolation the desired standard error is 

approximately $7.00. 

ooo36 
----- 

----- -- 

APPENDIX II 

A. DEFINITIONS OF CERTAIN TERMS USED IN THIS REPORT 

Terms Relating to Establishments or Residents 

Imtitution for the aged.-This term refers to all 

places, except psychiatric hospitals, that were within 

the scope of the RPS-1. Included are long-term hospitals, nursing and personal care homes, and general 

hospital units which specialize in the care of the aged 

and chronically ill. 

Home for the aged.-This term refers to nursing 

and personal care homes only. It does not include the 

hospitals or hospital units. 

Nursing care. - Nursing care is definedas the provision of one or more of the following: 

Hypodermic injection 

Intravenous injection 

Taking of temperature-pulse-respiration or 

blood pressure 

Application of dressings or bandages 

Bowel and bladder retraining 

Nasal feeding 

Catheterization 

Irrigation 

Oxygen therapy 

Full bed bath 

Enema 

Bed. - For homes providing nursing or personal 

care, a bed is defined as one set up and regularly 

maintained for patients or residents. Beds maintained 

for staff and beds used exclusively for emergency 

services are excluded. Hospital beds are those regularly maintained (set up and staffed for use) for inpatients. Beds used exclusively for emergency services 

and bassinets for newborn infants are not included. 

Resident.- A resident is defined for the purpose of 

the RPS-1 as a person who has been formally admitted 

to but not discharged from an establishment. All such 

persons were included in the survey even though they 

were not physically present at the time. 

EmpEoyee.- An employee is defined as a person 

paid by the establishment or as a working member of a 

religious order who usually works 15 or more hours a 

week in the establishment. An owner is ‘an employee 

if he usually works in the establishment at least 15 

hours a week. 

“Past 7 days. I’- The term “past 7 days” refers to 

the 7 days prior to the day that the questionnaire was 

completed for the MFI Survey. 

MentaLl>) ill patient.-For the purposes of this survey a patient is defined to be mentally ill if he has been 

diagnosed as mentally ill by a physician. 

Public assistance OY welfare.-This term includes 

the following Federal assistance programs: Old-Age 

Assistance, Aid to Permanently and Totally Disabled, 

Aid to the Blind, and Medical Assistance for the Aged. 

It also includes general welfare programs of local or 

State governments. 

Full-time.-A full-time registered nurse or licensed practical nurse is one who works 40 or more 

hours per week. 

Part-time .-A part-time RN or LPN is one who 

works less than 40 hours per week. 

Demographic Terms 

Regions and States included in each region.-For 

the purpose of classifying homes and hospitals by 

geographic area, the States are grouped into regions. 

They correspond to those used by the Bureau of the 

Census and are as follows: 

Region States Included 

Northeast--------- Maine, New Hampshire, Vermont, 

Massachusetts, Rhode Island, 

Connecticut, New York, New 

Jersey, and Pennsylvania 

North Central Michigan, Ohio, Illinois, Indiana, 

Wisconsin, Minnesota, Iowa, 

Missouri, North Dakota, South 

Dakota, Nebraska, and Kansas 

&)um --_--- Delaware, Maryland, District of 

Columbia, Virginia, West Virginia, 

North Carolina, South Carolina, 

Georgia, Florida, Kentucky, 

Tennessee, Alabama, Mississippi, 

Arkansas, Louisiana, Oklahoma, 

and Texas 

West _- __-___ ___ _ Montana, Idaho, Wyoming, 

Colorado, New Mexico, Arizona, 

Utah, Nevada, Washington, Oregon, 

California, Hawaii, and Alaska 

37 
B. CLASSIFICATION OF ESTABLISHMENTS BY TYPE OF SERVICE AND OWNERSHIP 

1. Source of Data for Classifying Establishments 

The establishments in the RPS-1 were classified 

by type of service and type of ownership on the basis 

of information collected for the MFI. 3 (A brief description of the MFI is given in Appendix I; pertinent parts 

of the MFI questionnaire are reproduced in Appendix 

III.) The MFI survey of establishments, whichcomposed 

the sampling frame for the RPS-1, was conducted 

during April-October 1962. A survey during April-June 

1962 included about 85 percent of the establishments. 

The remainder was surveyed during September and 

October 1962. Thus, the time interval between the MFI 

Survey and the RPS-1 was approximately 1 year. During this l-year interval the type of ownership or type 

of service probably changed for some of the establishments. However, because of the short time period between the two surveys any changes which may have 

occurred should have only negligible effect on the distribution of establishments by either type of service or 

type of ownership. 

2. Criteria for Classifying Establishments 

by Type of Service 

The different types of homes for the aged have 

been classified according to the primary and predominant type of service provided to their residents. The 

criteria for classifying these homes are based on the 

following factors: 

The number of persons receiving nursing care 

during the “past 7 days” (term defined in Appendix 

II-A). 

Whether or not medications and treatments are 

administered in accordance with physicians’ orders. 

Whether or not supervision over medications which 

may be self-administered is provided. 

The number of specified personal services routinely provided. These personal services, referred 

to as criterion personal services, include rub and 

massage; help with tub bath or shower; help with 

dressing, correspondence, or shopping; help with 

walking or getting about; and help with feeding. 

The presence or absence of nurses on the staff. 

On the basis of these factors three types of establishments are distinguished and defined as follows: 

Nursing cave home.- An establishment is a nursing care home if nursing care is its primary and pre30 

dominant function. Those meeting the following criteria 

are classified as nursing care homes in this report: 

One or more RN’s or LPN’s were employed 15 or more 

hours per week, and 50 percent or more of the residents 

received nursing care during the “past 7 days.” 

Personal-care-with-nursing home.-An establishment is a personal-care-with-nursing home if personal 

care is the primary and predominant function of the 

facility but some nursing care is also provided. The 

following criteria were used in classifying personalcare-with-nursing homes in this report: 

a. Some of the residents (less than 50 percent) 

received nursing care during the “past 7 days,” 

and one or more RN’s or LPN’s wereemployed 

15 or more hours per week; or 

b. Some of the residents received nursing care 

during the “past 7 days,” but no RN’s or LPN’s 

were on the staff; however, one or more of the 

following conditions were met: 

(1) Medications and treatments were administered in accordance with physicians’ orders. 

(2) Supervision over self-administered medications was provided. 

(3) Three or more of the criterion personal 

services were provided. 

Personal caye home .-An establishment is a personal care home if it has a function to provide personal 

care but ordinarily not nursing care. Places in which 

any one of the following criteria are met are classified 

as personal care homes in this report: 

Medications and treatments were administered 

in accordance withphysicians’ orders; or supervision over medications which may be self-administered was provided, and no residents received nursing care during the week prior to 

the survey in the establishment. 

Three or more of the criterion personal services were routinely provided, and no residents 

received nursing care during the week prior to 

the survey in the establishment. 

Only one or two of the criterion personal services were routinely provided, there were no 

RN’s or LPN’s on the staff, and the conditions 

in the preceding paragraph a were not met except that nursing care may have been provided. 

Nursing care was provided to one or more residents during the week prior to the survey in the 

establishment, but, otherwise, the only service 
provided was room and board. Either of the last 

two criteria (paragraphs c and d) defines a 

“domiciliary care home,” which was one of the 

variables for stratification of the sampling 

frame for this survey. These domiciliary care 

homes are classed with personal care homes 

in this report. 

In the classification process a criterion was considered as not having been met if the necessary information for the criterion was unknown. For instance, if 

the type of nursing staff was unknown for a particular 

place, it was considered as not having met the criterion 

of having one or more RN’s or LPN’s on the staff. Establishments indicating that some nursing care was 

provided (but not the number of persons to whom this 

care was provided) were considered as institutions providing nursing care to some, but less than 50 percent, 

of their residents. 

Table V shows in detail the scheme for classifying 

establishments. 

Hospitals .-Included in this category are chronic 

disease and geriatric hospitals and chronic disease 

wards and nursing home units of general hospitals. In 

the MFI the term “hospitals” is not formally defined. 

For the purpose of the inventory and this survey an 

establishment is a “hospital” if the respondent in the 

MFI Survey said his facility was a hospital (see MFI 

questionnaire in Appendix III). Specialty hospitals were 

asked to indicate the specialty as geriatric, chronic disease, etc. General hospitals were asked the following 

questions: (1) Does this hospital maintain a special 

ward(s) set aside for the long-term treatment of patients with chronic disease? (Exclude tuberculosis, 

mental illness, alcoholism, or drug addiction), and 

(2) Does this hospital maintain a nursing home unit 

for patients requiring nursing care but not the full 

range of hospital services? The chronic disease wards 

and nursing home units included in this report are 

those maintained by hospitals which answered “yes” 

to these questions; consequently, they were determined 

to be long-stay facilities at the time of the RPS- 1. 

Table V. Criteria for classification of establishments 

Classification Classification criteria variables 

Percent of total 

residents who received 50 percent Some but less 

nursing care during or more than 50 percent None 

the week prior to day of study 

Number of registered 

or licensed practical Il-i- I None None 

Are medications or 

treatments adminis- . . . YES No 

‘..f’esI No 

tered in accordance 

with physician orders? 

Is supervision over 

self-administered med- . . . . . . Yes No 

ications provided? 

Arethree or more services offered? . . . . . . . ..Yes No 

. . . . . . . . . .a. 0.. 

Classification 1 N IPn)PnIPnI P ID PnPnPnPnDDPPPD 8 

Legend: Nursing care home-----------------------N 

Personal-care-with-nursing home---------Pn personal care home----------------------P 

Domiciliary care home-------------------D 

Boarding or rooming house(out of scope)-B 

-OOGI l-!- I None 

lesl No No 

Yes . . . . .. . . . No Yes . . . . . . . . . . . . Yes 

B PP PD B , 

39 
-- 

APPENDIX III 

A. QUESTIONNAIRE FOR THE RESIDENT PLACES SURVEY-l 

The following items show the exact content and 

wording of the questionnaire used in the RPS-1. The 

actual questionnaire was designed for an establishment 

as a unit and includes additional space for reports on 

all residents of an establishment. Suchrepetitive spaces 

are omitted in this illustration. 

Budget EsutcuJ NO.6&R620-R1; Approval Expires Decemba 31,,9(

CONFIDENTIAL - This information is collected under authority of Public Law 652 of the 84th Congress (70 Stat. 489; 

42 U.S.C. 305). All information which would permit identification of an individual or of an establishment will bc held 

strictly confider&al, will be used only by persons engaged in and for the purposes of the survey and will not be dir 

closed or released to other persons or used for my other purpose (22 FR 1687). 

~2~lpS.2’ (,f “OCeOaary, p,a.l.e chmpo to .hav cor*ect Dams *“cl *ddme.) 

U.S. DEPARTMENT OF COMMERCE mURE*U OF THE CENSUS ACTING ** CO‘LECrlNC AGENT FOR THE 

U. S. NATIONAL HEALTH SURVEY 

Gentlemen: 

The U.S. National Health Survey of the Public Health Service, authorized 

by Public Law 652, 84th Congress, is conducting a survey of nursing homes, 

convalescent or rest homes, homes for the aged, chronic disease hospitals,

and other establishments in the United States whose primary function is 

to provide medical, nursing, personal or domiciliary care to the aged, 

infirm, or chronically ill. This is one of a series of surveys mentioned 

in a recent inquiry to your establishment by the Bureau of the Census 

which is acting as the collecting agent for the U.S. National Health 

Survey. 

The purpose of the survey is to obtain much needed information on the 

health of residents in these establishments and facts related to their 

care. Please answer the questions on the inside of this form and return 

it as soon as possible preferably within the week. A self-addressed 

envelope which requires no postage has been provided for your convenience. 

The information will be given confidential treatment by the U.S. National 

Health Survey and the Bureau of the Census, and will be used for statistical purposes only. It will not be used for any regulatory, licensing 

or accreditation purposes; any published summary will be presented in 

such a manner that no individual establishment or person can be identified. 

Thank you for your cooperation. 

Sincerely yours, 

G&G 

Richard M. Scammon 

Director 

Bureau of the Census 

40 
GENERAL INSTRUCTIONS FOR COMPLETING THE QUESTIONNAIRE 

Base your answers on records, as appropriate, when records are available. 

Step lStep 2-

Step 3 

Step 4 

Step 5 

Step 6 

Complete Part I, ESTABLISHMENT INFORMATION. 

These quesrions should be self-explanatory. The word “establishment” 

refers to rhe facility providing service to residents or patients, such as a 

hospital, nursing home, home for rhe aged, and so forth. The words 

“reside& or patient” are used interchangeably in this questionnaire. The 

people being cared for are usually rFferred fo as “residents.” However, 

they are referred to as “pa&r&’ when this term seems more appropriate. 

Complete Part II, CENSUS OP RESIDENTS OR PATIENTS. 

List in Column (b) the name of each person (resident or patient) who is 

currently on your register as a formal admission. (The number listed 

should be rhe same as shown for Parr I, Quesrion 7.) (If rhis is a general 

hospital, or some specialty hospital, except chronic disease and/or COP 

valescent, geriatric, and rehabilicaeion, list only the patients or residents 

in your chronic disease ward and/or nursing home unir. All orher establishments 

should list all of their patients or residents.) List the names in any order 

rhar is most convenient 

order or in sequence by 

please explain rbe order 

Page 4. 

For each person listed, 

establishment, his date 

to you. If the aamcs are not listed in alphabetical 

some assigned number, such as admission number, 

of the listing in rhe “Commeocs” section on 

record the date he was last admitted fo your 

of birth, sex, and race. You may wish fo make 

these entries as you record rhe persons’ names in Column (6). If date of 

last admission or date of birrh is not known, record your best estimate of 

the dare. 

Normally, the date of last admission refers to the date of admission co the 

nursing home, convalescent home, hospital, etc. However, if this is a general 

hospital with a chronic disease ward or a nursing home unit,the date of last 

admission refers fo the date of admission to the ward or nursing unit. If this 

is a chronic disease and/or convalescent, geriatric, or rehabilitation hospital 

and you maintain a nursing home unit, the date of lasr admission refers co the 

date of admission CO the nursing home unit or the hospital, which ever was first. 

__Complete Part III, HEALTH OF RESIDENTS OR PATIENTS. 

Some of the lines in Parr III are blocked out, while others are not. For 

the lines nor blocked out (identified by a circled line number), make the 

appropriate entries in the columns in Part III for the person whose name 

appearson chat line in Part II, Column (b). This information should be 

provided by the person best acquainted with the he&h of the residents 

in this establishmenr. 

__The names of persons entered on Part 11 are needed only as a means of 

identification in case there should be a question about an entry on the 

quesrionnaire when it is reviewed. If you prefer, you may fear off the scrip 

on Part II which contains the names of patients. If you do tear off this part 

of the form, please keep it in your files for ot least 6 months. , 

__ For convenience of contact in the event that questions concerning an entry do 

aese, he person completing the quesrionnaire shbuld enter his name and give 

his title or position, telephone number, and the date the form is completed oa 

the bottom of Port 1. 

__ After you have completed the quesrionnaire, return ir in the eqclosed 

postage-free envelope. If the self-addressed envelope gets misplaced 

before the questionnaire can be completed, return the completed 

questionnaire to the Bureau of the Census, Jeffersonville, Indiana. 

Record any comments about the establishment or about individuals on Page 4. 

41 
’

-- 

Part I - ESTABLISHMENT INFORMATION 

(NOTE: When the term “RESIDENT” is used in the questionnaire, it refers to rosldent o, patient.) 

1. When did this astoblishmant begin sccspting residents at its present address? (~1~s tie mcwh. y..r> 

tiara It fhl wenod AT TM.9 ADDRESS aa a “lad”* fmm, con”al*,con* home, c*ro”,c d,as..e 

*odr.l, .LC.. OP.” thou&e ihe owner.h,p or control h.. a,nse chanpd h.“dS.) . . . . . . . . . . . . . . . 

!. To provide a general picture of your admission policy: 

Do you accept the following types of ,sridants? f~ark (x> “rem * or ,wo** ror sash nom.> 1OYes ZONO 0. Mols~...................................................... 

b. Fomal.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I OYcs z 0 No 

C. Bedfast patients. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I 0 Yes 2 0 No 

d. Mantolly Ill potlentr (char is, diagnosed by a physician as mencally ill.). . . . . . . . . . . I OYes SONO 

e. Do you accept parsons of all oger, including shildre,? . . . . . . . . . . . . . . . . . . . . . 10 Yes ON. 

lskr.0 co 2,) (chnpr~ro 2a(1>> 

(1) If “No” What egos do you occop,? (hark IX) ONE box on,,,) . . . . . . . . . . . . . . . . . . p 0 65 and DYer 

3 0 18 nnd over 

40 Under IS 

I 0 Other 

(SP.SllY age>­

f. Do you occspt persons who are recipients of Public Assistance o, Welfare? I OYes 2 0 NO 

PlS l”d”doa Old .%a A..*.rDE., .4,d to Pmmanr*y and Totdry Dlaabtsd, ,463 m ,hO phnPl.L~ (skip co Blhd. Medioal A..I.tMc. IO, lh. A@d, sldgmsrar wal,aro.) . . . . . , . . , . . . . . . . , . . . Zf II)J Oue.don 3) 

Number (1) How many residents do you how who are on Public A,rirtansc o, Walfaro? . . . . . . -

I. Do you provide nursing CD,= (0 rarldents in you, establishment? . . . . . . . . . . . . . . . . . . 1OYCS 2ONO 

(GO *o (.wP to 

O”s.Ll.3” 4 mo*t,on 6) 

I. Who is in charge of nursing care? (~e,k (XI ONE box only) 

(NOTE: ‘~F~I+~~~,‘- ao vsOd bsh. nle*n* IO hours a, mmrs pm woaa> 

I 0 Registered Nurse, full tlms J 0 Licensed Practical Nurse, full time 

P 0 Registered Nurse, pa,, time l 0 Licensed Practical Nurse, part time 

LI 0 Neither Registered Nurse nor Licensed Practical Nurse 

i Are there one o, mo,e nurses o, nwse’s aides ON DUTY 24 hours (I day? . . . . . . . . . . . I 0 Ycr 20NO 

b. How many beds we ragulorly mointoined fo, rsridents? (Include my beds as, up IM YD. Number 

w*aLhor or nor ,flsy UD b “SO a, WI* pr#T*enDLthe. Exclude bsda u..d by .I.I, or M,. bsda u.sd 

srchsfvsty hr mnsrpansy asrvlss.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

‘. How many residents ore currently on you, register as formal admissions, Number 

who hove not been dischrwged? (Do not include sm~fwca~ or~rwrlalor..~ . . . . . . . . . . . . 

I. Of the residents in this srtabllrhmont (Question 7, above) - Number 

a. How may slept ha,. l.ast night? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

b. How many wo,e temporarily away lost night in a hospital? (If this establishment is 

.a hospital, how many residenrs were temporarily away last night in some other Number 

ho.pitol?)................................................... 

E, How many were ,.mpo,arlly away last night In some place other than a Number 

horpit.l?.................................................... 

I. How m,,ny admission, did yeu hws during 19627. . . . . . . . . . . . . . . . . . . . . . . . . . . . Number 

I. now ,,,.,“y discharges did you hove during 1962, excluding deaths?. . . . . . . . . . . . . . . . Number 

1. How many persons died during 1962 while residents of this establishment? flncfude -11 Number 

who dad Wh,,D 0” your ,e*,.t.r *van l*o”** rompor.rl*Y .W.Y h . h0aPO.r or some or.%r Plato.>. . . . 

2 Are 011 persons admitted to this establishment reqwred to bs examined by a physician 

before D, soon after admission? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Yes ZONO 

(PC., 3. What is you, most frequent, you, highest, and Most frequent. . . . . . . . 5 OlO”,h, 

you, lowc~t charge PER MONTH fc., lodging, ms.ls, 

nursing sam, and other psrsonol servlcas? . . . . . . . . . . . wrr 

Highest. . . . . . . . . . . I modI) 

G-C 

t i.w.*t. . . . . . . . . . . . 5 dzo”*~ 

Number 4. How may persons we employed in this establishment? (Include an paw M,,Io,.~~., 

ma.mhr. ol..lUio”. ord.r., rrd .,m.,. who uau.ll,. work IS hour, or mm,. l w.ok ,n ,,,,. 

..L~bl~.hnml. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . , 

Name of person completing this form Telephone No. and Err. Date complered 

4 Title or position __““. “. I 

COMPLETE PARTS II AND Ill ” 

OF THE,QUESTIONNAIRE. , 

. Esrablishmcnr Number 

1 

PICE 3 

42 
Parr II - CENSUS OF 

RESIDENTS OR PATIENTS r Port II - CENSUS OF RESIDRNTS OR PATIWTS 1 If ,mv wilh you may daroch md kep 

thls stub of Par, II fw your ncwds. 

IF YOU DO TEAR OFF THIS STRIP, Enter rcai- Enter ElItei 

PLEASE RETAIN IT IN YOUR FILES dent’s De. resident’s msidenr’s 

FOR AT LEAST 6 MONTHS. of Birth 5.x Ra. 

(month, day, 

year) foreach 

residcnr 

(cl (4 (4 (0 (d 

1 

Port III- HEALTH OF REStDENTS OR PATIENTS 

IMPORTANT: C.mpl.ta on. Ii”. of Part 111 for roch prson fisted on ihose /tn.* of Pan II *hoc cw. Idmtlfled b,. D CIRCLED NUMBER. 

BED STATUS 

(Except In bed for 

ordinary rest or deep) 

43 
B. QUESTIONNAIRE FOR THE MASTER FACILITY INVENTORY SURVEY 

The following items show the exact content and 

wording of that part of the MFI questionnaire which 

pertains to the classification of establishments within 

the scope of the RPS-1. 

Section A. FOR ALL ESTABLISHMENTS 

. DESCRIPTION OF ESTABLISHMENT . Please read all of the classes listed below, then place an ‘IX” in the box opposite 

the class which bosc describes this establishment. 

0. HOSPITALS 

I 0 General hospital . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . .,.. . . . . . .., . . . . . . . . . COMPLETE Sestlon B on P,,.. 3 

P 0 Specialty hospital vnsluds. Indtutlona 01 home- lor the mentally rarddl . . . . . . COMPLETE S.don C on P.,,. 3 

Note: If this is a hospltltl system composed of B general hospital and a specialty hospiml, complete both 

Section B and Section C. If it is composed of mote than one specialty hospital, complete Section C 

for one of them and furnish the same information for each of the othecs ora B separate sheet of paper. 

b. ESTABLISHMENTS WHICH PROVIDE NURSING, PERSONAL, OR DOMICILIARY CARE 

3 0 Nursing Home 

4 [7 Convalescent Home 

s 0 Rest Home 

6 0 Home for the Aged i 

7 0 Boarding Home for the Age{ COMPLETE S.ctlon D on P.,,. 3 

LI 0 Home for Crippled Children 1 o 0 Home for Incnrables 

,o 0 Home fat the Needy nnsludw County Homo.. ~fm.hou~w, Poor 8krm.J 

t I IJ Boarding House 

,z 0 Other (~,a..s de.cr,be) 

E. OTHER ESTABLISHMENTS 

I 3 0 Home ot School for the Deaf 

I II 0 Home or School for the Blind 

I I 0 Home for Unwed Mothers 

16 0 Orphan Asylum or Home for Dependent Children COMPLETE S.stion E 0” Par. 3 

17 0 School or Detention Home for Juvenile Delinquents 

11 0 Prison, Reformatory, Penitentiary, ot Jail 

,q 0 Other (P,....e de.crlbe) 

44 
Section B - GENERAL HOSPITAL 

1. Tot.,, numb.r of b.d, ngularly m.1ntain.d (s.t up and stoffod for us*) for Inpa,l.n,s. (Includ. beds in 

subunits of the hospital such as rwds or conr&~ent units. Exclude beds used exclusively for emer 

scncy wxviccs snd bassinets for ncrbom infants.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

2. Do.s rhls hospital admit children only? , OYes 2 ,JNo 

3. On th. .w.mp., how long dld po+l.nt. I 0 Lcrs than 30 dsys stay in this hospital during calmdw z 0 30 d-y* at mote y.w 1%1? 1 

4. Numbw of pald l mployws. (Include proprietors, manwets, and all paid employees who usually work 15 hours 

or more a week fn this esrnblisbment.) 

(7%. t,pur. .hOW” I” I,.“? IS. .hO”ld b. ,h. .““I of a. Ii&r.. .?lom I” irm. I.. .“d Ib., 

m. Number of physicimtr (including residents and ititems), txuses and cxber professional petsorrel, urd uchniciuss . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

b. Number of all other paid employees including adminirtn~ire personnel, clerical mnd office rodters,

.rtend,nr~,~dcurtod~lratkerr..................:........................................... + 

E. Tot.1 number of cmployeer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . = 

5;. Do., this hospital nmlntaln a q~eslol ward(n) s.t asId* for tha long-tam! 1 0 Yea Wornpkre 6, 7, .nd 8) tnmmnt of patlwts v&h chronic disease? (Exclude rubctcolosis, 2 0 ND fski~ to ou..tton PJ mental illness, alcoholism, or dny addiction.) 1 

6. Number of beds in this ward(s) tbst ate tcSululy m&t&cd for 

inp.tiellt*........................................................... . . . . . . . . . 

7. Number of admissions to this ward(s) during c&ndu year 1961. . . . . . . . . . . . . . . . . . . . . 

8. Approrimare wenSc dsily cenna in rhis wud(s) during 

c&ndsryear 1961............................................................ 

2. Does this hospiral admit shildmn only? 

3. Tot.1 nunbw of b.ds ngularly maIntained (w up and st.zff.d for us.) for Inpatlants. (Exclud. beds used 

exclusively for emetgeacy setvices and bassiners for newborn inbnrs.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

4. What ~0s tha numb,, of InpatIent odmlsslons to tha hospfml during calendar y-r 19611 . . . . . , . . . . . . . . . . . 

5. What was tha q,proxlmot. owmg. daily c.nsus during sal*ndor y.or lWl7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

6. On th. av.mge, how lonp did patients ‘toy in this t 0 Less th.n 30 days 

hospIt. during calm~dar y.ar lW17 1 ,-J 30 d.ys ot mote 

1 

7. Numb-r of paid employ~s. (Include propricrorr, mumgets, urd aI1 paid employees who usually work 15 hours 

ot mote a week in this establishment.) 

~Th. ,*a”,. .lxom in 1t.m 7s. .hO”ld b. Ill. .Yrn OI Ih. Ill”“. .hOl” in n.m. 7.. .“d Ib., 

a. Number of physicians (including residents snd inrcms), nurses md other profcasional personnel, 

and tecbnicisns . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

b. Number of all other paid employees including adminirrntive personnel, clerical and office workers, 

attendnuts, sad cuswdial workers. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

C. Tom1 number of employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..f. 

45 
+ 

Section D - ESTABLISHMENT WHICH PROVIDES NURSING, PERSONAL, OR DOMICILIARY CARE 

1 

NOTE& If the repotting establishment is a hospital which baa s nursing home unit (“Yes” box checked in Question 9, 

Section B or in Question 8, Section C), rhe items in this section refer to that nursing home unit only. 

1. Tot.4 number of beds ngularly me,ntalned for petlws or residents. (In&d. any beds set up for use 

whether ot not they ate in use at the present rime. Exsluda beds used by staff ot any beds used 

exclusively for emergency services.) . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . , . . ,... . . . . . . . . . . . . . . , . . . . . . . . . . . 

2. Total number of pwwns (patients or residents) who slept in this establishment last nrght (axcludlng 

.mplay..s.nd propriator~)........................................................................ 

3. F x the pntposc of this survey, the following list of setvices define “Nurslng Care”: 

Nasal feedings Eacmas Application of dressings 

Catheterizations Hypodermic injections or bandages 

Irrigsrions. Intravenous Injections Bowel and bladder 

Oxygen therapy Temperacure - pulse - tespitation retraining 

Full bed baths Blood pressure 

I

I Durin,, the ps+ s.v.n days, how many of the PERSONSin Question 2 reseivmd“Nursing C.r.7”. . . . . . . . 

4. Whjch of the follDwing .~w/c.s a,. ROUTINELY providad? (‘IX” slf that applvl 

1 0 Supervision .is provided over medications l 0 Help with tub bath ot shower which may be self-administered 5 0 Help with dressing 

z 0 Medications and cteatmerus are adminis- 6 0 Help with correspondence ot shopping FtTedsin accordance with physicians’ 

7 0 Help with walking ot getting about 

s IJ Rub and massage (I 0 Help with feeding 

9 0 Not responsible for providing any setvices except room and board 

5. Numberof paid smploycos. (Insluda proprietors, maoagets, and all pold employees aho usually work 

15 hours or more a week in this establishmenr) 

n-hS ligurc .hOW” I” ztsm Sd. dm”ld L.o Ihe .“rn OI **s Ilpure. *how” I” nsm. sa.. db., and SC.) 

a. Number of registered professional nutses ......................................................... 

b. Number of licensed practical nurses. ........................................................... 

c. Number of all other paid employees including physicians, proptietors, managers, nurse’s aides, 

d. Totalnvmberofemployees 

orderlies, clerical and office 

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

workers, attendants, and custodial workers. ........................... a

+= 000 

f U.S. GOVERNMENT PRlNTlNG OFFICE : 1965 o-777-447 

46 
Kbk’O~‘l.‘~ E‘HOM THE NATIONAL CENTER FOR HEALTH STATLSTICS 

Puolic Health Service Publication No. 1000 

Series 1. Programs and collection procedures 

No. 1. Origin, Program, and Operation of t.hP U.S. National Health Survey. 35 cents. 

No. 2. Health Survey Procedure: Concepts, Questionnaire Development, and Definitions in the Health Interview Survey. 45 writs. 

No. 3. Development and Maintenance of a National Inventory of Hospitals and Institutions. 25 cents. 

No. 4. Plan and Initial Program of the Health Examination Survey. 

Series 2. Data evaluation and methods research 

No. 1. Comparison of Two-Vision Testing Devices. 30 cents. 

NO. 2. Measurement of Personal Health Expenditures. 45 cents. 

No. 3. The One-Hour Glucose Tolerance Test. 30 cents. 

No. 4. Comparison of Tao Methods of Constructing i\hridged Life Tables. 15 cents. 

No. 5. 4n Index of Health: Mathematical Models. 

No. G. Reporting of Hospitalization in the Health Interview Surwy. 

No. 7. Health Interview Responses Compared With Medical Records. 

No. 8. Comparison of Hospitalization Reporting in Three Survey Procedures. 

No. 9. Cooperation in Health Examination Surveys. 

No. 10. Hospital Utilization in the Last Year of Life. 

Series 3. Analytical studies 

No. 1. The Change in Mortality Trend in the United States. 35 cents. 

No. 2. Recent Mortality Trends in Chile. 30 rents. 

Series 4. Documents and committee reoorts 

No reports to date. 

Series 10. Data From the Health Interview Survey 

No. 1. .Acute Conditions, Incidence and Associated Disability. Ilnited States, July 1961-June 196”. 40 rents. 

SO. 2. Family Income in Relation to Selected Health Characteristics, Unitrd States. 40 cents. 

NO. 3. Length of Convalrscenre \fter Surgery, United States, July 1960-June 1961. 35 rents. 

No. 4. Disability Days, United States, July 1961.June 1962. 40 cents. 

SO. 5. Current Estimates From the Health Interview Survey, United States, July 1962-June 1963. 35 cents. 

No. 6. Impairments Due to Injury, by Class and Type of .iccident, United State-z, July 19.59.June 1961. 25 cents. 

SO. 7. Disability \mong Persons in the Labor Force, by Employment Status, Ilnited States, July 1961-June 1962. 40 cent.-. 

NO. b. Types of Injuries, Incidence and i\ssocinted Disability, United States. July 1957.June 1961. 35 cents. 

SO. 9. Medical Care, Hralth Status, and Family Income, Unibed States. 55 cents. 

So. 10. .Acute Conditions, Incidenre and .4ssociated Disability, United States, July 1962.June 1963. 45 crnts. 

No. 11. Health Insurance Coverage, United States, July 1962.June 1963. 15 cents. 

No. 12. Bed Disability Among the Chronically Limited, I!nited StRtes, July 1957.June 3961. 45 conk. 

2io. 13. Current Estimates From the Health Interview Survey, United States, July 196%JunP 1964. 40 cents. 

No. 14. Illness, Disability, and Hospitalization Among Veterans. United States, July I95i-June 1961. 35 rents. 

No. 15. Acute Conditions, Incidence and Associated Disability, I!nitc?d States, July 1963-June 1964. 40 cent?. 

No. 16. Health Insurance, Type of Insuring Organization and \!ultiplt~ Coverage, I:nitrd State*, July 1962-June 1963. 35 rents. 

No. 17. Chronic Condition5 and -\ctivity Limitations. United States, July 1961.June 1963. 35 cents. 

Series 11. Data From the Health Examination Survey 

NO. 1. Cycle I of the Health Examination Survey: Sample and Response, United States, 1960-1962. 30 writs. 

No. 2. Glucose Tolerance of 4dults. United States, 1960-1962. 25 rents. 

NO. 3. Binocular Visual Acuity of Adults, United States, 1960.1962. 25 rents. 

No. 4. Blood Prrs.sure of ,ldults. by Age and Sex. United Statrs, 1960-1962. 35 cents. 

NO. 5. Blood Pressure of \dulta. by Race and Region, Ilnitrd States. 1960.1962. 25 cenlh. 

No. 6. Heart Disease In Adults, Unitrd St&es, 1960-1962. 35 rents. 

No. 7. Selected Dental Findings in Adults, United States, 1960-1962. 30 rents. 

No. 8. Weight, Height, and Selected Body Dimensions of Adults, Cnitcd Stoles, 1960-1962. 

9. Findings on the Serologic Test for Syphilis in ,idults, I.nitrd Statrs. 1960-1963. 

Series 12. Data From the Health Records Sur\tty -

NO. 1. Institutioni for the .\ged and Chronically Ill, United States, \prll-June 1963. 

Series 20. Data on mortolitv 

No reports to datr. 

Serirs 21. Data on natality, marriage, and divorrc, 

No. 1. Natality Statistics Analysis, United States, 1962. f.i writs. 

No. 2. Demographic Chararteristirs of Persons hlarrird Ilcztwcrn Janunry 1965 an(l .Junc, 1958, Ilnited Statrs. 35 (,(,nt?. 

Spries 22. Data from the program of sample suw<l,ys related to vital r(wxds. 

No reports to date.