NATIONAL CENTER Series 12 

For HEALTH STATISTICS I Number 2 

VITAL and HEALTH STATISTICS 

DATA FROM THE NATIONAL HEALTH SURVEY 

Characteristics of Residents 

in Institutions for the aged 

and chronically ill 

UnitedStates- April- June1963 

Statistics on age, sex, color, length of stay, and selected health characteristics of residents in institutionsfor the aged and chronically ill. Based on data 

collected from institutions during the period AprilJune 1963. 

Washington, D.C. September 1965 

U.S. DEPARTMENT OF 

HEALTH, EDUCATION, AND WELFARE Public Health Service 

Anthony J. Celebrezze Luther L. Terry 

Secretary Surgeon General 
.t, 

.. 

f 

Public Health Service Publication No. 1000.Series 12-No. 2 

For sale by the Superintendent of Documents, U.S. Government Printing ofliee 

Washington, D.C., 20402 - Price 40 cenb 
NATIONAL CENTER FOR HEALTH STATISTICS 

FORREST E. LINDER, PH. D., Diwctor 

THEODORE D.WOOLSEY, Deputy Director 

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

WALT R. SIMMONS, M.A., Statisiical Advisor 

ALICE M.WATERHOUSE,M.D., Medical Advisor 

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

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

DIVISION OF HEALTHRECORDSSTATISTICS 

MONROEG. SIRKEN,PH.D., C&f 

Public Yealth Service Publication No. 1000.Series 12.No. 2 

Library of Congress Catalog Card Number 65-61547 
------------- 

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

CONTENTS 

Page 

Inf-r~luction ________________________________________------------------ 1

Sources and Qualifications of Data _________-_____-_________ 2 

Nursing and personal Care Homes-------------------------------------- 2 

Description of Homes----------------------------------------------- 2 

Personal Characteristics of Residents-------------------------------- 3 

Age, Sex, and Color --___-_____-__-_____------------------------- 3 

Length of Stay--------------------------------------------------- 6 

Health Characteristics of Residents -_-_----_----_-------------------- 7 

Age and Sex--------------- _____-____-___--____------------------ 8 

Characteristics of Homes ________________________________________ -

Long-Stay Geriatric and Chronic Disease Hospitals----------------------- 10 

Description of "Hospitals" _______________________________________c- -_ 10 

Personal Characteristics of patients -___ - ___-_______ - -___ 12 

Age, Sex, and Color _-_--____--_-__---_-------------------------- 12 

Length of Stay--------------------------------------------------- 14 

Health Characteristics of patients ~~____~~__~_~~_~_ ---_--------------- 14 

15 

Detailed Tables------------------------------------------------------- 16 

Appendix I. Technical Notes on Survey Design and Procedures----------- 39 

Background of Report----------------------------------------------- 39 

&sign of Survey--------------------------------------------------- 39 

General Qualifications---------------------------------------------- 41 

Reliability of Estimates ________ ______________________________ -_-_--- 42 

Appendix II. Definitions of Certain Terms Used in This Report------------ 46 

1. Terms Relating to Home, “Hospital,” or Resident-------------------- 46 

11. Demographic Terms _________________-______________________---- - 47 

Appendix III. Classification of Homes Providing Nursing and Personal Care-- 48 

Appendix IV. Questionnaire for Resident Places Survey-l----------------- 50 

9 
IN THIS REPORT national information about the health and related 

characteristics of residents OYpatients in institutions for the aged and 

chronically ill in the United States is provided for the fkst time. Data 

presented ivz this report were collected during April-June 1963 and aye 

based on a probability sample of about 37,000 residents of institutions 

such as nursing homes, homes for the aged, and hospitals which specialize in the long-term caye of the aged OY chronically ill. Statistics 

aye presented on age, sex, color, length of stay, and selected health 

characteristics of residents in these institutions. 

Based on estimates derived from this survey, there weye about 505,000 

residents in 16,370 homes providing nursing and personal care to the 

agedand chronically ill. In addition, there were about 77,000 patients in 

728 chronic disease and geriatric hospitals. 

Approximately .70 percent of the residents in the nursing and personal 

cave homesfor the aged weYe at least 75 years of age. The average age 

was 77.6 years. Approximately 66 percent of the residents were women. 

Only 4 percent of the residents in the homes weye nonwhite. 

Patients in the geriatric and chronic disease hospitals weye primarily 

elderly peysons, but, on the average, they were younger than the residents in nursing homes. Nine percent of the patients in these hospitals 

were nonwhite. This is aboz& the same as the proportion for the total 

civilian population 20 years of age and over which is nonwhite. 

The average duration of stay of residents in these homes as well as the 

“hospitals,” from the date of last admission to the institution to the date 

of the survey, was 3 years. 

The health status of residents in homes for the aged was related to their 

age as well as to the type of ownership and primary type of service provided by the home. Disability in terms of ambulation, continence, mental 

awareness, hearing, and vision increased with advancing age of the residents. Residents in proprietary homes had poorer health than those in 

the nonprofit and government-owned homes. Also, residents in homes 

providing nursing caYe as their primary and predominant @netion had 

poorer health than those in homes providing routine personal services 

only. 

SYMBOLS 

Data not available- _-_____-_____-________ __-

Category notapplicable------------------ . . . 

Quantity zero __________________________ _ 

Quantity more than 0 but less than0.05---- 0.0 

Figure does not meet standards of * reliability orprecision-----------------
CHARACTERISTICS OF RESIDENTS 

IN INSTITUTIONS 

FOR THE AGED AND CHRONICALLY ILL 

Gooloo S. Wunderlich, Ph.D., Division of Health Records Statistics 

INTRODUCTION 

This report presents findings from the first 

of a series of institutional population surveys. 

The institutional population surveys within the 

Division of Health Records Statistics are a part 

of the National Health Survey program, which 

obtains information about the health of the United 

States population.’ 

Institutions included within the scope of these 

surveys cover a wide variety of facilities which 

are in business to provide medical, nursing,personal, domiciliary, or custodial care to groups of 

unrelated individuals who have no usual place of 

residence elsewhere. These establishments include institutions such as long-stay hospitals, 

nursing homes, homes for the aged, homes for 

incurables, homes for the blind and deaf, homes 

for crippled children, orphan asylums, homes for 

dependent children, detention homes for juvenile 

delinquents, prisons, reformatories, and penitentiaries. Because of the heterogeneity of these 

various institutions statistics on the institutional 

population are being collected in a series of ad 

Izoc surveys of specific types of institutions. This 

procedure enables collection of statistics which 

are problem oriented to the specific type of institution surveyed; it also provides more general 

purpose data related to the total institutional 

population. 

The first such survey, referred to in this 

report as the Resident Places Survey-l, covered 

establishments providing nursing and personal 

care to the aged, infirm. and chronically ill. 

These include nursing homes, convalescent homes, 

homes for the aged, geriatric and chronic disease 

hospitals, and nursing home units and chronic 

disease wards of general hospitals. Although 

chronic disease wards and possibly some of the 

nursing home units are not usually considered as 

institutions but as integral parts of short-stay 

hospitals, they were included in the survey because of the type of care provided and are considered in this report as institutions. The decision 

to survey this particular segment of the institutions first was influenced by the current interest 

in the health of the aged and chronically ill, many 

of whom are being cared for in resident institutions. Data are needed on the characteristics of 

residents of these institutions, the types of services provided, and the characteristics of the staff 

employed. 

Several local and State surveys of nursing 

homes and related facilities have been conducted 

during recent years in the United States.” The 

only survey that extended beyond the boundaries 

of a single State was the survey of nursing homes 

and related facilities conducted in 13 States during 1953 and 1954, following a design suggested 

by the Commission on Chronic Illness.” Hence, 

the statistics derived from the Resident Places 

Survey- 1 should provide for the first time national 

information of this nature about residents in 

nursing homes and related facilities. 

This report describes the personal and health 

characteristics of residents in institutions for the 

aged and chronically ill. The discussion of the 

data is divided into two main sections. The first 

1 
section deals with “nursing and personal care 

homes ,‘I which include nursing homes, convalescent homes, and other homes for the aged providing nursing or personal care to the residents 

The second section deals with long-stay geriatric 

and chronic disease hospitals, which also include 

nursing home units and chronic disease wards of 

general hospitals. 

SOURCES AND 

QUALIFICATIONS OF DATA 

The data presented in this report are based 

on the Resident Places Survey-l, conducted by 

the National Center for Health Statistics during 

April-June 1963. This survey was conducted by 

mail except for institutions with 300 or more 

beds, where data were collected by personal 

visits. This report is based on data obtained from 

a probability sample of 3,178 nursing or personal 

care homes for the aged, geriatric and chronic 

disease hospitals, and nursing home units and 

chronic disease wards of general hospitals. Even 

though long-stay psychiatric hospitals were also 

included in the scope of the survey, data for these 

hospitals are not included in this report. Although 

institutions within the scope of this survey are 

by no means homogeneous, they all are engaged 

in caring for the aged or chronically ill population. 

Resident institutions which provide care pri­

,marily to children, those homes for the aged 

which maintain less than three beds, and homes 

which provide room and board only were not 

within the scope of the survey. 

The universe from which the sample was 

selected is the Master Facility Inventory.4 This 

Inventory is composed of a comprehensive list 

of institutions and hospitals in the United States 

and serves as a sampling frame for institutions 

within the scope of the various Institutional Population Surveys. Preliminary evaluation of the 

Master Facility Inventory indicates approximately 

85-90 percent completeness in the listing of nursing homes and related facilities which are covered 

in the Resident Places Survey-l. Hence, statistics presented in this report should be interpreted with caution, as any incompleteness in the 

Master Facility Inventory is necessarily reflected 

in the sample. 

’ A description of the sample design of the 

survey, estimation techniques, and general qualifications of the data obtained in the survey is 

given in Appendix I. Statistics shown in this report 

are estimates based on a sample and are therefore subject to sampling errors. Although the 

sampling errors for most of the estimates are 

relatively low, the error may be high when the 

population on which a percentage is based is 

small. Tables and a chart of relative standard 

errors and instructions for use of these tables 

and chart are also presented in Appendix I. 

In addition to sampling errors the reported 

survey data are subject to measurement errors. 

In an attempt to keep such errors to a minimum, 

the questionnaire was made as self-explanatory 

as possible, i.e., definitions and explanations 

were included as part of each question. Definitions 

of certain terms used in this report are presented 

in Appendix II. 

In the absence of any commonly accepted 

definitions of nursing home, convalescent home, 

or the other institutions of this type, criteria 

were developed by the National Center for Health 

Statistics which could be used to classify an institution according to the predominant type of 

service provided. These criteria and the procedures used to develop them are described in 

Appendix III. 

A facsimile of the questionnaire used for the 

Survey is shown in Appendix IV. 

NURSING AND 

PERSONAL CARE HOMES 

Description of Homes 

In order to better understand the characteristics of residents of homes providing nursing 

and personal care to the aged, a brief description of these homes may be helpfuL5 

Data collected in the Resident Places Survey-l indicated an estimated 505,242 residents 

in about 16,370 nursing and personal care homes 

in the United States (table 1). Eighty-two percent 

of these homes were proprietary, that is, they 

were privately owned and operated. However, 

they accounted for only 61 percent of the residents, 

implying that proprietary homes were smaller 
-------------------------- 

than those operated under other types of ownership. This latter group includes homes operated 

by nonprofit organizations and homes operated 

by State, local, or Federal Government. Twelve 

percent of the homes were operated by nonprofit 

organizations, and the remaining 6 percent were 

operated by State, local, or Federal Government. 

Forty-eight percent of the total homes were 

classified as nursing care homes, that is, they 

provided nursing care as their primary type of 

service. Thirty percent were personal-care-withnursing homes, that is, they were primarily personal care homes with some nursing services 

provided. The remaining 22 percent provided 

routine personal care only. The nursing care 

homes and the personal-care-with-nursing homes 

were similar in size, averaging 40 and 39 beds, 

respectively. Personal care homes, however, 

were much smaller, with an average of 16 beds 

per home. Almost 95 percent of the homes maintained less than 100 beds; 64 percent of these 

maintained less than 30 beds. The proprietary 

homes had, on the average, 26 beds and 23 residents per home. Comparable figures for nonprofit homes were 65 beds and 59 residents; and 

for government homes, 96 beds and 81 residents. 

As shown in table A, the government homes 

were much larger than the homes operated under 

nqnprofit and proprietary ownerships regardless 

of the type of service grovided. 

Personal Characteristics of Residents 

The residents in nursing and personal care 

homes are identified and classified by age, sex, 

color, and length of stay in these institutions. 

Age, Sex, and Color 

Nursing and personal care homes are predominantly institutions for the care of the elderly 

population. This fact is supported by the age 

distribution of residents in these institutions 

(table 2). Approximately 12 percent of the estimated 505,242 residents were under 65 years of 

age, and as little as 2 percent wereunder 45 years 

of age. At the other extreme 70 percent of the 

residents were 75 years and older. The average 

age of the residents was 77.6 years. 

‘Ikis selectivity in age becomes more apparent when considered in relation to the age 

distribution of the total civilian population. As 

Table A. Average number of beds and residents in nursing and personal care homes, by 

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

Type of ownership 

Primary type of service 

All 

types Proprietary Nonprofit Government 

Average number of beds 

All types----------------------- 34.7 25.9 65.2 95.9 

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

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

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

40.4 

39.1 

16.4 

32.3 78.4 

23.9 75.1 

13.6 26.9 

124.8 

91.7 

37.3 

Average number of residents 

All types----------------------- 30.9 23.1 59.3 81.2 

Nursing care 36.6 29.3 71.2 112.5 

Personal care with nursing------------ 34.4 21.1 68.9 73.3 

Personal care------------------------- 13.5 11.3 23.3 26.9 

3 
shown in table B, almost 5 out of every 1,000 

persons 20 years and over were residents in 

nursing and personal care homes. This rate 

increased sharply with increasing age. hess than 

1 out of every 1,000 persons 20 to 65 years of 

age was in these homes compared with more 

than 148 per 1,000 persons 85 years of age and 

older. 

About 66 percent of the estimated 505,242 

residents were women (table C). There were 

more men than women residents under 65 years 

of age. However, after 65 years this ratio was 

reversed, with twice as many women as men. 

The average age was 79 years for females and 

75 years for males. This sex difference in the 

resident population reflects the sex difference 

observed in the older ages in the total population. 

However, as shown in table B, this is not the only 

factor accounting for the larger proportion of 

women in nursing and personal care homes. The 

number of residents in homes for the aged per 

1,000 persons 65 years and older was much larger 

for females than for males in each of the age 

groups shown. Moreover, the differences increased very sharply with advancing age. 

Table B. Number of residents in nursing and personal care homes per 1,000 population

20 years and over, by age, color, and sex: United States, April-June 1963 

Total White Nonwhite 

Age 

Total Male Female Total Male Female Total Male Female 

. 

Number per 1,000 population 

All ages20+ years-- 4.5 3.2 3.4 6.0 1.7 -

20-64 years----- 0.6 0.6 0.6 0.5 

65-74 years----- E 2; 5.9 25 

75-84 years----- 3x 29:1 30:5 4z.t 13.8 12:4 1E 

85+ years------- 14814 105.6 111.9 185: 8 41.8 40.4 42:9 

ii 

Table AC. Percent distribution of residents of nursing and personal care homes,by age, 

sex, and color: United States, April-June 1963 

Total Age ll residents Male Female White Nonwhite agePercent sdistribution

66 

-

96 

-

10 

4 

-

Under 65 years-------------------------- 46 65-74 years----------------------------- 6 

75-84 years ---_-_----------------------- 2; 2

8% years------------------------------- 73 98 2 

Average age in years-------------------- 79.1 77.9 69.7 

4 
---------------------------------------- 

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

Only 4 percent of the residents in nursing 

and personal care homes, compared with 10 

percent in the total population, were nonwhite. 

The nonwhite resident population was younger 

than the white. The estimated average age was 

almost 70 years for the nonwhite and 78 years 

for the white resident population. The proportion of nonwhite persons decreased with increasing age. Whereas 10 percent of the residents under 65 years of age were nonwhite, 

only 2 percent of the residents 85 years and 

older were nonwhite (table C). This color difference in older ages is a function not only of 

differential longevity but also of differential rate 

of residence in homes for the aged. As shown in 

table B, relative to the total population 65 years 

and older the proportion of nonwhite persons in 

nursing and personal care homes was much 

smaller than the proportion of white persons in 

each age group shown, and the differences became progressively greater with age. 

Table D. Percent distribution of residents 

: 

Geographic region 

Number of residents ---------------_----------------

All regions 

Northeast------------------------------------------------

North Central ---------------_---------------------------- South----------------------------------------------------

West -----------_-----------~-----------------------------

All regions----------------------------------------

Northeast------------------------------------------------

North Central

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

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

per population 20 years and over in nursing and personal care homes, by color and geographic

region United States, April-June 1963 

As 96 percent of the residents were white, 

information on the sex composition of the total 

resident population discussed earlier essentially 

reflects the sex composition of the white resident population. The nonwhite resident population 

was comprised almost equally of females and 

males, while the ratio of females to males among 

the white residents was 2 to 1. 

A larger proportion of the residents in the 

South Region were under 65 years of age than 

those in the North Central, Northeast, and West 

Regions (table 3). The North Central Region had 

more white residents in homes per 1,000 white 

persons than any of the other regions (table D). 

This rate of residence for white persons was 

lowest in homes in the South Region. For nonwhite persons homes in the Northeast had a 

higher rate of residence per 1,000 nonwhite 

persons than any of the other regions. The number of nonwhite residents per 1,000 nonwhite 

persons in homes located in the South, West, and 

and number of residents 1,000 

Total White Nonwhite 

505,242 485,402 19,840 

Percent distribution 

100 v 100 100 

30 23 

Z? 

1; ;; 

14 E 11 

Number per 1,000 

population 

4.6 4.9 1.8 

5.2 

24; I:“; 

-i2:: ::; 

NOTE: Population aged 20 years and over used to compute ratios shown in the above 

table obtained from U.S. Bureau of the Census, U.S. Census of Population.1960, General 

Population Characteristics,United States Summary, Final Report PC (I)-lB, U.S. Government Prmtlng Ofrice, Washington, 1961. 

5 
22 2-z 

North Central Regions was about the same. It 

should be noted that the 50 percent of nonwhite 

residents in homes in the South essentially reflects the concentration of the nonwhite population in this region. Approximately 53 percent of 

the nonwhite population in the United States is in 

the South Region. 

Among the three ownership groups shown in 

table 4, the nonprofit homes had a much larger 

proportion of residents 75 years of age and older 

than the proprietary and government homes. In 

the nonprofit homes 5 percent of the residents 

were under 65 years of age, and as many as 

81 percent were 75 years and older; the government-operated homes had 27 percent of the residents under 65 years of age and only 52 percent 

75 years and older. Comparable figures for proprietary homes are 11 percent and 71 percent. 

The government homes also had a much larger 

proportion of men than the proprietary and nonprofit institutions. While the ratio of females 

to males in proprietary homes was 2 to 1 and in 

the nonprofit homes almost 3 to 1, it was completely reversed in the government homes, where 

more than 50 percent of the residents were men. 

The large domiciliary care units of the Veterans 

Administration included in the homes operated 

under government auspices contributed largely 

to this difference. 

Residents in personal care homes were 

younger than those in homes providing nursing 

services (table 5). Ten percent of the residents 

in nursing care homes, compared with 18 perTable E. Average length of stay of residents 

type of ownership and size of home: Unitednursing and personal care

States, April-June 1963 

cent in the personal care homes, were under 

65 years of age. This pattern was also apparent 

among both male and female residents. However, when white and nonwhite persons were 

considered separately, this pattern did not hold 

in the nonwhite resident population. 

Length of Stay 

The length of stay of residents innursingand 

personal care homes discussed in this report refers to the time interval between the date of 

last admission to the home and the date of the 

survey in that home. Therefore, length-of-stay 

statistics presented in this report do not represent the total length of stay in these homes for 

the aged and only the most recent stay for persons with multiple admissions. 

Tables 6 and 7 show the distribution of residents by length of stay classified, respectively, 

according to type of ownership and primary type 

of service provided by the homes. Almost 35 percent of the residents had been in the home less 

than 1 year, and only 5 percent had stayed as 

long as 10 or more years. 

The estimated average length of stay since 

their last admission to the home was 3 years. 

Residents in proprietary homes had the shortest 

length of stay, an average of 2.3 years as corn- .. 

pared with 4.4 years in government homes ana 

4.2 years in nonprofit homes (table E). 

As shown in table 6, 40 percent of the residents in proprietary homes had spent less than 

in homes, by 

Size of home 

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

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

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

100-299 beds--------------------------

300+ beds-----------------------------

Type of ownership 

All types Proprietary Nonprofit Government 

Stay in years 

3.0 2.3 4.2 4.4 

;:; 2.3 4.1 2:: 

2:: 2:7 4:8 t:: 

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

1 year in the home. A long stay of 10 or more 

years is relatively infrequent in proprietary 

homes. Only 2 percent of the residents in these 

homes, compared with 10 percent in thenonprofit 

homes and 12 percent in the government-operated 

homes, had stayed that long. 

The variation noted in length of stay of residents according to size of the homes is more a 

reflection of the differences by type of ownership than by size because of the close relationship between the size and the type of ownership of the homes. The average length of stay 

for residents in homes maintaining 300 or more 

beds was 4.6 years as compared with only 2.5 

years in homes with less than 30 beds. However, when the homes were further classified by 

type of ownership, no real differences by size 

of the homes were observed. 

The length of stay also varied by the primary type of service provided by the home 

(table 7). Residents in nursing care homes had 

the shortest length of stay, an average of 2.5 

years as compared with 3.4 years in personal 

care homes and 3.8 years inpersonal-care-withnursing homes (table F). 

Table 8 shows the distribution of residents 

by length of stay classified according to sex and 

age. There was some evidence that women stayed 

in nursing and personal care homes for aslightly 

longer period of time than men, an average of 

3.1 years compared with 2.8 years. When males 

and females were further classified by age, no 

sex differences were observed among residents 

under 85 years of age. However, females 85 years 

Table F. Average length of stay of residents 

primary of service and geographic region: 

and older stayed in these homes longer than 

males in the same age group. 

Several factors should be kept in mind when 

interpreting the data on length of stay of residents in the various institutions. Length of stay 

as presented in this report is affected by the 

length of time these institutions have existed. 

Proprietary homes are probably newer than nonprofit and government-operated homes, so the 

average length of stay of residents in the proprietary homes tends to be shorter. The cost of 

care to the resident, combined with the possible 

tendency to “shop around,” may also account for 

the shorter length of stay in proprietary homes. 

Health Characteristics of Residents 

The health characteristics of residents in 

nursing and personal care homes are discussed 

in terms of ambulation, mental awareness, continence, hearing, and vision. The residents are 

classified in 1 of 3 categories according to extent of disability-none, partial, or complete-in 

each of these health characteristics (see Appendix 

II). These health characteristics are then related 

to the age and sex of the residents and to selected 

characteristics of the homes. 

Of the estimated 505,242 persons in nursing 

and personal care homes about 57 percent were 

out of bed except for normal rest or sleep, and 

about as many were able to walk alone or with a 

cane or crutch. Approximately three-fourths of 

the total residents were continent, i.e., had control of their bladder and bowels, and half of 

in nursing and personal care homes, by 

type United States, April-June 1963 

Geographic region 

Primary type of service 

All North- North 

regions east Central South West 

Stay in years 

All types --_------_----------_______ 

Nursing care 

Personal care with nursing---------------- ?jq==qq Personal care ------------------_-_____3___ 

7 
. 

the residents were always mentally aware of their 

surroundings. Four-fifths of the residents had no 

serious problems with hearing or vision. 

Age and Sex 

Table 9 shows the percent distribution of 

residents by extent of disability in selected 

health characteristics according to age and sex. 

Among the age groups shown, both physical 

and mental disability increased with advancing 

age of the residents. The proportion of residents. who were disabled was lower among those 

under 65 years of age than among those 85 years 

and older. These differences ranged from 14 to 

21 percent among the various health characteristics shown. 

PERCENT DISTRIBUTION 

Incontinence and mental confusion observed 

among the older persons is commonly the result 

of senility and other usual processes of aging. 

However, the incontinence and mental confusion 

reported for over 10 percent of the persons under 

65 years of age suggests that in these persons 

these disabilities are more likely the result of 

stroke or other related diseases requiring longterm care. 

Eleven to 20 percent of the residents under 

6.5 years of age had “complete” disability in one 

or more of the health characteristics shown in 

figure 1. Although these homes are predominantly 

homes for the care of the aged, a substantial percent of residents under 65 years of age with a disabling condition suggests that disability, regardless of age, is a crucial factor in the decision .to 

PERCENT DISTRIBUTION 

20 40 60 80 100 -

Age 0 20 40 60 80 100 

I I I I I r I I I I I 

Walking status Continence status 

Under 65 years 

65-74 years 

75- 84 years 

85f years 

Mental status 

Under 65 years 

65-74 years 

.;.:: No disability lrtial disability e;; Complete disability q . . . . . . .

Figure I. Percent distribution of residents in nursing and personal care homes, by extent of disability 

in selected health characteristics according to age. 
enter a nursing home. One possible explanation 

may be that younger persons are more likely 

than older persons to be in a nursing or personal 

care home because of a severe or long-term disability that cannot becaredfor at home by members of the family. Older persons, on the other 

hand, may enter such a home because of general 

infirmity accompanying old age and because of 

the difficulties of living alone at an advancedage. 

Although the proportion of residents with 

hearing and vision problems also increased with 

age, it probably reflects the normal audiovisual 

changes associated with aging. Approximately 94 

percent of the residents under 65 years of age 

had no problems with hearing. This proportion 

dropped to 74 percent for those 85 years and older. 

The same pattern was noted in their ability to 

see. Almost 90 percent of those under 65 years 

had no serious problem with vision, 8 percent 

had serious problems, and 3 percent were blind. 

However, among residents 85 years and older 

only 72 percent had no problems with vision, 

24 percent were reported to have serious problems, and 5 percent were blind. 

With the exception of hearing and vision 

status the proportion of disabled persons was 

larger for females than for males; this pattern 

prevailed throughout all age groups shown. However, except in the age groups under 65 years 

and 85 years and older the differences were 

small. Among residents under 65 years thesesex 

differences ranged from 8 to 15 percent among 

the various health characteristics. Among residents 85 years and older the sex difference was 

most pronounced in the ability to walk. Only 

47 percent of the females in this age group, 

compared with 60 percent of the males, could 

walk unassisted. 

Although no sex differences were noted in 

hearing ability of residents under 75 years of 

age, after 75 years a larger proportion of males 

than of females had hearing problems. These 

findings are consistent with those of Beasley 

and Webster and others, namely, that among 

the aged population hearing impairment was proportionately higher for males than for females6 

Slight sex differences in vision impairment observed among most of the age groups shown can 

be explained by sampling variability in the statistics. 

Characteristics of Homes 

Health status of the residents andcharacteristics of the institution in which they lived were 

closely related (tables 9-11). 

As illustrated in figure 2, the proportion of 

residents with physical or mental disability was 

Primary type PERCENT DISTRIBUTION 

of service 0 PO 40 60 80 100 

I I I I I 

Bed Status 

Parsonal cars 

Personal care 

wth nursing 

Fwsonal care 

with nurrmg 

Nursinq cpra 

Personal cars 

Personal core 

with nursing 

Nurrinq care 

Figure 2. Percent distribution of residents in 

nursing and personal care homes, by extent of 

disability in selected health characteristics 

according to primary type of service. 

9 
related to the type of service provided in the 

home. As would be expected, nursing care homes 

had a larger proportion of residents with disabilities than the other two types of homes probably because persons with severe disability are 

more likely to enter a home equipped to provide 

skilled nursing services than a home that provides personal services only. 

Type of PERCENT DISTRIBUTION 

ownership 0 20 40 60 80 lO( 

I I I I I I 

Bed status 

Nonprofit 

Government 

Proprietary 

Walking status 

Nonprofit 

Sovernment 

Proprietary 

Continence status 

Vonprofit 

;overnment 

‘roprietory 

Mental status 

Vanprofit 

3overnmant 

‘roprietory 

Figure 3. Percent distribution of residents in 

nursing and personal care homes, by extent of 

disability in selected health characteristics 

according to type of ownership. 

Although the same pattern was also noted in 

hearing and vision status of residents, the differences were not as pronounced as those in the 

other four health characteristics (table 10). 

Proprietary homes had a much larger proportion of persons with a disability than homes 

operated under other types of ownership. Nonprofit homes had the lowest proportion of persons with disabling conditions (fig. 3). Exceptions to this were hearing status and vision status 

of the residents, where no variations were observed by type of ownership of the homes. 

The close relationship between type of service and ownership of the homes may, to a large 

extent, account for these differences by type of 

ownership. However, table 10 shows that there 

were definite differences in the health status of 

the residents according to type of ownership of 

the homes regardless of the effect of type of 

service provided. Within each of the three typeof-service categories proprietary homes had a 

larger proportion of residents who were disabled 

than homes operated under other types of ownership.

Data in table 11 indicate that the proportion 

of residents with disability decreased as size of 

the institutions increased. Institutions maintaining less than 100 beds had a larger proportion of 

residents with disabling conditions thanthe larger 

institutions. When the institutions were further 

classified by type of service provided, the same 

pattern was apparent for each type-of-service 

category except personal care homes. 

LONG-STAY GERIATRIC 

AND CHRONIC DISEASE HOSPITALS 

Description of “Hospitals,” 

Nursing and personal care to the aged and 

chronically ill is also provided in geriatric and 

chronic disease hospitals as well as nursing 

home units and chronic disease wards of general 

hospitals. All such hospitals andunits of hospitals 

are combined into a single group and referred 

to in the following discussion as “hospitals.” 

In addition to a description of the characteristics 

of patients in these “hospitals ,” comparisons 

10 
with residents in nursing and personal care homes in the North Central Region, 37 percent of the 

are made when appropriate. government-operated hospitals were in the West, 

According to the survey estimate, there were and almost 41 percent of the proprietary hospitals 

77,076 patients in 728 “hospitals” in the United were located in the South. 

States. As shown in table G, these728 “hospitals” 

comprised of 58 geriatric hospitals, 113 chronic 

disease hospitals, and 557 chronic disease wards Table G. Number and types of “hospitals” 

and nursing home units of general hospitals. Al- and number of patients in these “hosmost half-47 percent-of these facilities were pitals” : United States, April-June r963 

operated under nonprofit auspices, and another 

Number Number 38 percent were owned by State, local, and Federal Type of “hospital” of “hos- of Governments. The remaining 15 percent were pitals” patients privately owned (table H). “Hospitals” operated 

under government ownership accounted for 68 All types----- 728 77,076 percent of the residents. 

Thirty-seven percent of these “hospitals” Chronic disease----- 113 30,054 were located in the North Central Region, fol- Geriatric----------- .-r 58 14,079 

lowed by 25 percent in the West (table J). Type Chronic disease ward 

of ownership of these “hospitals” tends to be and/or 

of 

nursing home 

unit general associated with region. About half of the “hos- hospital----------- 557 32,943 pitals” under nonprofit ownership were located 

Table H. Number and percent distribution of "hospitals"' and patients, by type of 

ownership and size of "hospital": United States, April-June 1963 

Type of 

of ownership and size 'Hospitals" Patients "Hospitals" 1 Patients "hospital" 

All “hospitals”* _------------_---

Type of ownership 

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

Nonprofit-------------------------------

Other----------------------------------

Size of "hospital" 

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

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

100-299 beds---------------------------

300+ beds------------------------------

Number Percent distribution 

728 77,076 100 

113 

339 

276 

261 3,950 

298 12,073 2: 

104 14,681 14 

65 46,372 9 

-"Hospitals" include only geriatric and chronic disease hospitals and chronic disease wards and nursing home units of general hospitals. 

11 

100 
----------- 

Table J. Percent distribution of “hospitals,“r by type of ownership and geographic

region: United States, April-June I.963 

Type of ownership 

Geographic region 

All types Proprietary Nonprofit Government 

Number of “hospitals” 728 113 339 276 

Percent distribution 

All regions--------------------- 100 100 100 100 

Northeast --------^--------_-----------

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

south---------------------------------

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

:; 

E 

iii 

41 

23 

298 

z 

ii 

f97 

1 “Hospitals” include only geriatric and chronic disease hospitals and chronic disease wards and nursing home units of general hospitals. 

Personal Characteristics of Patients 

Age, Sex, and Color 

patients in these chronic disease and geriatric hospitals, as in the nursing and personal 

care homes, were primarily elderly persons (table 

12). However, they were younger than the residents in nursing and personal care homes. Fortyeight percent of the patients in these “hospitals” 

were at least 75 years old, and as many as 27 

percent were under 65 years of age. Comparable 

figures for the residents in the nursing and personal care homes were 70 percent and 12 percent. 

The estimated average age was 70.9 years for 

this “hospital” population and 77.6 years for 

residents in nursing and personal care homes. 

Unlike the sex ratio favoring females observed in nursing and personal care homes, 

54 percent of the “hospital” patiems were males 

(table K). More than twice as many males as 

females were under 75 years of age. After 75 

years this ratio was reversed, with slightly 

more females among ,patients 75-84 years of 

age and almost twice as many females among 

those 85 years and older. This disproportionate 

number of females in the very old ages is, to a 

large extent, a function of differential longevity. 

As shown in table L, relative to the total population 75 years and older the proportion of 

“hospital” patients in these ages was about the 

same for males and females. 

Nine percent of the “hospital” patients, compared with 10 percent in the total population, 

were nonwhite. Unlike the distribution of nonwhite residents in nursing and personal care 

homes, which favored females, about 60 percent 

of the nonwhite patients in “hospitals” were male 

(table 12). ‘Ibis high proportion of males prevailed among all age groups shown with the exception of the 85-and-older age group. 

The nonwhite patients were younger than the 

white, with an average age of 64.0 years for the 

nonwhite and 71.6 years for the white patients. 

The proportion of nonwhite patients in the “hospital” population decreased with increasing age. 

About 15 percent of the patients under 65 years 

of age were nonwhite, while only 4 percent of 

those 85 years and older were nonwhite (tableK). 

Relative to the white and nonwhite populations the 

“hospitals” had almost equal proportions of white 

and nonwhite patients per 1,000 persons in each 

of the age groups shown with the exception of 

85 years and older (table L). 

12 
12:4 14: 14:2 13:2 i-z 

Among the ownership groups shown in table for the male patients. The slight differences ob13, the government-owned “hospitals” had a served among the males can be explained by 

much larger proportion of patients under 65 years sampling variations in the statistics. 

of age than “hospitals” under other types of As previously stated, 54 percent of the paownership. About 33 percent of the patients inthe tients in these “hospitals” were males. As seen 

government-operated “hospitals ,‘I compared with in table 13, this high proportion of males is 

20 percent in the proprietary “hospitals” and only largely accounted for by the large number of males 

15 percent in the nonprofit “hospitals ,” were under in “hospitals” operated under government aus65 years of age. When males and females were pices; these “hospitals” accounted for 68 percent 

considered separately, this pattern did not hold of the patients. Whereas almost 64 percent of 

Table K. Percent distribution of patients in "hospitals,"1 by age, sex, and color: 

United States, April-June 1963 

Number Non- Age of pa- Total Male Female White white tients 

Percent distribution 

All ages--------------------- 77,076 100 54 461 91 9 

Under 65 years--------------------- 21,028 100 68 15

65-74 years------------------------ 19,200 100 2: ;2 E 11

75-84 years------------------------ 23,242 100

85+ years-------------------------- 13,606 100 35 2 2 : 

Average age in years--------------- . . . 70.9 67.8 74.6 71.6 64.0 

1

-"Hospitals" include only geriatric and chronic disease hospitals and chronic disease wards and nursing home units of general hospitals. 

Table L. Number of patients in "hospitals"* per 1,000 population 20 years and over, 

by age, color, and sex: United States, April-June 1963 

Total White Nonwhite 

Total Male Female Total Male Female Total Male Female 

Number per 1,000 population 

All ages20+ years-- 0.7 0.8 0.6 0.7 I 0.8 0.6 0.6 1 0.8 0.5 

20-64 years----- 0.2 0.3 0.1 0.2 0.3 0.1 0.3 0.4 0.2 

65-74 years----- 1.0 3.3 

75-84 years----- E 

85+ years------- 13:6 2-z 22 3 i-56 i-2 1::; 6:7 t:? 28:2 ”

1

"Hospitals" include only geriatric and chronic disease hospitals and chronic disease wards and nursing home units of general hospitals. 

13 
the patients in the government-operated hospitals 

were males, only 44 percent of the patients in 

proprietary “hospitals” and 33 percent in nonprofit “hospitals” were males. 

Length of Stay 

Table 14 shows the distribution of patients by 

length of stay in these “hospitals” according to 

sex and age. At the time of the survey almost 42 

percent of the patients had been in these facilities 

for less than 1 year since they were last admitted. 

Seven percent had stayed for as long as 10 years. 

The average length of stay for all patients was 

3.1 years. 

Although some variation by sex and age was 

observed in length of stay of the patients, the 

differences mainly reflect sampling errors in the 

data. 

PERCENT DISTRIBUTION 

0 20 40 60 80 100 Age 

Health Characteristics of Patients 

Of the estimated 77,076 patients in “hospitals” 57 percent were usually out of bed except for ordinary rest or sleep, and 52 percent 

were able to walk alone or with the help of a 

cane or crutch. Almost three-fourths of the 

patients were continent, and 59 percent were 

usually aware of their surroundings. More than 

four-fifths of the patients had no serious problem with either vision or hearing ability (table 15). 

Disability, both physical and mental, increased with advancing age of the patients (fig. 4). 

This age differential was most pronounced in the 

patients’ awareness of their surroundings. Almost 

75 percent of the patients under 65 years of age, 

compared with 42 percent of those 85 years and 

older, were always mentally aware. 

PERCENT DISTRIBUTION 

0 20 40 60 80 100 - I I I I I I I 

Walking status Continence status 

Under 65 yews 

65-74 years 

75- 84 years 

85f years 

Bed status Mental status 

Under 65 years 

65-74 years 

75-84 years 

. . . . . . , . , . . . . . . . . 

85f years , 

. 

. 

. 

. 

. 

.

,

. 

. 

. 

. 

. 

. 

. 

. 

. 

. 

, 

. 

. 

. 

. 

. 

. 

. 

. 

. 

. 

. 

. 

. 

. 

. . . . . . . . . . . . . . , . . . 

No disability Partial disability Complete disobility 

Figure 4. Percent distribution of patients in geriatric and chronic disease hospitals, by extent of 

disability in selected health characteristics according to age. 

14 
A much larger proportion of females than of 

males were disabled in one or more of the health 

categories studied. Most of the sex differences 

in the various health status categories, with the 

exceptions of hearing status and vision status, 

were accounted for by patients under 75 years of 

age. Among those 75 years and older this difference existed only in terms of ambulation status. 

The sex difference observed in hearing and vision 

impairments was primarily a function of differences in the age composition of the male and 

female patients. When total males and females 

were considered irrespective of age, more females than males had disabilities with hearing 

and vision. However, when they were further 

classified by age, no real differences were observed. Slight differences that may be noted in 

some of the age groups shown in table 15 can 

be explained, by sampling variations in the data. 

Compared with the residents in nursing and 

personal care homes, the patients in the “hospitals” were more disabled in terms of ambulation. Fifty-two percent of the “hospital” patients, as compared with 58 percent of the residents in nursing and personal care homes, were 

able to walk alone. This difference prevailed 

throughout the age groups shown. A relatively 

larger proportion of patients were aware of their 

surroundings in these “hospitals” than in the 

nursing and personal care homes. Most of this 

difference in mental awareness, however, was accounted for in the younger age groups. After 

75 years slight differences observed between the 

homes and the “hospitals” reflect sampling variations in the data. 

REFERENCES 

‘National Center for Health Statistics: Origin, program, 

and operation of the U.S. National Health Suwey. Vital and 

Health Statisiirs. FHF Fub. No. lOtlO-Series I-No. 1. Public 

Health Service. Washington. U.S. Government Printingoffice, 

Aug. 1963. 

2Rtageman, I., Baney, A. hi., and Brooks, B. W.: State and 

local surveys of nursing homes and related facilities-annotations of selected studies. Hospital and Wedicat Facilities 

Seers. PHS Pub. So. 930-G-1. Public Health Service. Washington. U.S. Government Printing Office, June 1962. 

3Solon, J.. Roberts, D. W., Krueger, D. E., and Baney, A. 

51.: Nursing homes, their patients and their care. Public Health 

Monograph; No. 46. PHS Fub. No. 503. Washington. U.S. Government Printing Office, 1957. 

4rhational Center for Health Statistics: Develooment and 

maintenance of a national inventory of hospitals and institutions. Vital and Health Statistics. FHS Pub. h’o. IOOO-Series 

I-No. 3. Public Health Service. Washington. L1.S. Government 

Printing Office, Feb. 1965. 

5A detailed discussion of the characteristics of the institutions may be found in National Center for Health Statistics: Institutions for the aged and chronically ill. Vital and 

Health Stalistics. PHS Pub. No. 1000~Series It?-No. 1. Fublit Health Service. Washington. U.S. Government Printing 

Office, July 1965. 

6Beasley, W. C.: The general problem of deafness in the 

population. Laryngoscope 50:856-905, 1940, and Webster, J. 

C. Himes, H. W. and Lichtenstein, hi.: San Diego County Fair 

Hearing Survey. J. Acous. Sot. Am. 22:473-483; 1950, cited 

and discussed in Eisdorfer, C.: Audition in the Aged in Backgound Paper on Research in Gerontology: Medical; prepared 

under direction of Committee on Research in Gerontology: 

Medical. White House Conference on Aging, pp. 102-109. 

Washington, U.S. Government Printing Office, Jan. 1961. 

000 

15 
DETAILED. TABLES 

Page NURSING AND PERSONAL CARE HOMES 

Homes and residents 

Table 1. Number and percent distribution of nursing and personal care homes and residents,

by primary type of service, type of ownership, and size of home: United States, 

April-June 1963-----------------------------------------------------------------

Residents by sex, age, and color 

2. Number and percent distribution of residents in nursing and personal care homes,

by sex, age, and color: United States, April-June 1963--------------------------

3. Number and percent distribution of residents in nursing and personal care homes,

by sex, age, color, and geographic region: United States, April-June 1963-------

4. Number and percent distribution of residents in nursing and personal care homes,

by sex, age, and type of ownership: United States, April-June 1963--------------

5. Number and percent distribution of residents in nursing and personal care homes,

by sex, age, color, and primary type of service: United States, April-June 1963-

Residents by length of stay 

6. Percent distribution of residents in nursing and personal care homes, by length of stay according to type of ownership and size of home: United States, April- June 1963-----------------------------------------------------------------------

7. Percent distribution of residents in nursing and personal care homes, by length of stay according to geographic region and primary type of service: United 

States, April-June 1963---------------------------------------------------------

8. Percent distribution of residents in nursing and personal care homes, by length of stay according to sex and age: United States, April-June 1963----------------

Residents by health characteristics 

9. Percent distribution of residents in nursing and personal care homes, by extent 

of disability in selected health characteristics according to sex and age: United 

States, April-June 1963---------------------------------------------------------

10. Percent distribution of residents in nursing and personal care homes, by extent 

of disability in selected health characteristics according to primary type of 

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

11. Percent distribution of residents in nursing and personal care homes, by extent 

of disability in selected health characteristics according to primary type of 

service and size of home: United States, April-June 1963------------------------

18 

19 

20 

21 

22 

23 

24 

25 

26 

28 

30 

16 
DETAILED TABLES-Con. 

Page 

"HOSPITALS" 

color: United Table 12. Number and percent distribution of patients in "hospitals," States, April-June 1963------------------------------------------- by sex, age, and 

13. Number and percent distributionof April-June in "hospitals," by sex, age, and type of ownership: United States, patients 1963------------------------------------

sex and age: United States, April-June 14. Percent distribution of patients in "hospitals," by length of stay according to 1963-------------------------------------

15. Percent distribution of patients in "hospitals," by extent of disability in 

selected health characteristics according to sex and age: United States, April- June 1963-----------------------------------------------------------------------

POPULATION 

16. Population aged LO years and over used in obtaining rates shown in this publi­ cation, by sex, age, and color: United States, 1963-----------------------------

32 

33 

34 

36 

38 

17 
Table 1. Number and percent 

-

distribution of nursing and personal care homes and residents, by

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

Primary type of service 

Type of ownership and Total Nursing care Personal care Personal care size of home with nursing 

Homes Residents Homes Residents Homes Residents Homes Residents 

Number of homes 

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

I

6,370 505,242 7,834 286,373 4,968 170,678 3,568 48,191 

Type of ownership 

Proprietary------------ 3,428 310,416 6,845 200,552 3,628 76,501 2,955 33,363 

Nonprofit-------------- 2,012 119,275 616 43,854 939 64,793 457 10,628 

Government------------- 930 75,551 373 41,967 401 29,384 156 4,200 

Size of home 

Under 30 beds---------- 0,502 140,573 4,205 69,260 3,120 42,044 3,177 29,269 

30-99 beds------------- 4,981 222,199 3,152 140,700 1,472 67,126 356 14,373 

100-299 beds----------- 808 108,904 433 58,151 341 46,498 34 4,255 

300+ beds-------------- 80 33,566 44 18,262 35 15,010 1 294 

Percent distribution 

Total------------ 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 ! 

Type of ownership 

Proprietary------------ 82.0 61.4 87.4 70.0 73.0 44.8 82.8 69.2 

Nonprofit-------------- 12.3 23.6 7.9 15.3 18.9 38.0 12.8 22.1 

Government------------- 5.7 15.0 4.8 14.7 8.1 17.2 4.4 8.7 

Size of home 

Under 30 beds---------- 64.2 27.8 53.7 24.2 62.8 24.6 89.0 60.7 

30-99 beds------------- 30.4 44.0 40.2 49.1 29.6 39.3 10.0 29.8 

100-299 be&----------- 4.9 21.6 5.5 20.3 6.9 27.2 1.0 8.8 

300+ beds-------------- 0.5 6.6 0.6 6.4 0.7 8.8 0.0 0.6 

18 
Table 2. Number and percent distribution of residents 

age, and color: United States, 

in nursing and ersonal care homes, by sex, April-June 19E3 

Sex and age Total White Nonwhite Total White Nonwhite 

Both sexes Number of residents Percent distribution 

All ages-------------------- 505.242 485.402 19,840 100.0 100.0 100 .o 

Under 65 years---------------- 59,678 53,659 6,019 11.8 11.1 30.3 

under 45 years-------------------- 11,088 9,572 1,516 2.2 2.0 7.6 

45-64 years----------------------- 48,590 44,087 4,503 9.6 9.1 22.7 

65-74 years----------------------- 89,619 84,404 5,215 17.7 17.4 26.3 

75-84 years----------------------- 207,243 201,983 5,260 41.0 41.6 26.5 

8* years------------------------- 148,702 145,356 3,346 29.4 29.9 16.9 

Male 

All ages-------------------- 173,063 163,574 9,489 100.0 100.0 100.0 

Under 65 years---------------- 32,021 28,679 3,342 18.5 17.5 35.2 

Under 45 years-------------------- 5,802 4,961 841 3.4 3.0 8.9 

45-64 years----------------------- 26,219 23,718 2,501 15.1. 14.5 26.4 

65-74 years----------------------- 35,147 32,574 2,573 20.3 19.9 27.1. 

1 75-84 years----------------------- 65,233 63,032 2,201 37.7 38.5 23.2 

85+ years------------------------- 40,662 39,289 1,373 23.5 24.0 14.5 

Female 

Al1 ages-------------------- 332,179 321,828 10,351 100.0 LOO.0 100.0 

Under 65 years---------------- 27,657 24,980 2,677 8.3 7.8 25.9 

Under 45 years-------------------- 5,286 4,6LL 675 1.6 1.4 6.5 

45-64 years----------------------- 22,371 20,369 2,002 6.7 6.3 19.3 

65-74 years----------------------- 54,472 , 51,830 2,642 16.4 16.1 25.5 

75-84 years----------------------- 142,010 138,951 3,059 42.8 43.2 29.6 

85+ years------------------------- 108,040 106,067 1,973 32.5 33.0 19.1 

19 
Table 3. Number and percent distribution of residents in nursing and personal care homes,by sex, age, color, and geographic region: United States, April-June 1963 

Geographic region 

Sex, age, and color II I I I 

All r$;nsI( Northeast ( z;::;lI South / West regions I/ 

Northeast ( :;;;;,I South ( West 

I, I I I 

Total residents Number of residents Percent distribution 

All ages-----------------. 505,242 149,282 184,880 97,884 73,196 100.0 loo.0 / 1oo.c 100.0 100.0 = -

",,der 65 years-----------------. 59,678 17,379 22,017 13,762 6,520 ll.E 11.6 1l.S 14.1 8.9 

65-74years--------------------. 89,619 26,233 32,170 17,636 13,580 17.7 17.6 17.4 18.0 18.6 

75-84 YedTS--------------------. 207,243 61,648 76,137 39,180 30,278 41.0 41.3 41.2 40.0 41.4 

85.f. years----------------------. 148,702 44,022 54,556 27,306 22,818 29.4 29.5 29.: 27.9 31.2 

Male -

All ages------------------ 173,063 48,081 66,891 32,730 25,361 100.0 100.0 1oo.c 100.0 100.0 

"n&r 65 years------------------ 32,021 9,173 11,850 6,939 4,'059 18.5 19.1 17.i 21.2 16.0 

65-74years--------------------- 35,147 10,349 12,564 6,875 5,359 20.3 21.5 18.E 21.0 21.1 

75-84 years--------------------- 65,233 18,186 25,962 11,351 9,734 37.7 37.8 38.& 34.7 38.4 

8% years----------------------- 40,662 10,373 16,515 7,565 6,209 23.5 21.6 24.7 23.1 24.5 

Female 

All ages-----------------. 332,179 101,201 117,989 65,154 07,835 100.0 100.0 1oo.c 100.0 100.0 

7 

"n&r 65 years------------------ 27,657 8,206 10,167 6,823 2,461 7.8 7.7 8.4 a.7 5.1 

65-74years--------------------- 54,472 15,884 19,606 10,761 8,221 16.1 15.4 16.5 15.9 17.2 

,5-8/+ years--------------------- L42,OlO 43,462 50,175 27,829 20,544 43.2 43.2 42.& 43.9 42.9 i 

85+ years----------------------- 108,040 33,649 38,041 19,741 16,609 33.0 33.6 32.4 31.5 34.7 

White 

All ages------------------ L185,402 144,704 181,776 87,955 70,967 100.0 100.0 100.0 100.0 100.0 

"n&r 65 years------------------ 53,659 15,975 21,116 10,688 5,880 11.1 11.0 11.6 12.2 8.3 

65-74years--------------------- 84,404 24,957 31,435 14,988 L3,024 17.4 17.2 17.3 17.0 18.4 

75-84 years--------------------- 201,983 60,414 75,280 36,582 29,707 41.6 41.8 41.4 41.6 41.9 

85+ years----------------------- : 145,356 43,358 53,945 25,697 22,356 29.9 30.0 29.7 29.2 31.5 

Nonwhite 

All ages------------------ 19,840 4,578 3.104 9,929 2,229 100.0 100.0 100.0 100.0 100.0 

"n&r 65 years------------------ 6,019 1,404 901 3,074 640 30.3 30.7 29.0 31.0 28.7 

65-74years--------------------- 5,215 1,276 735 2,648 556 26.3 27.9 23.7 26.7 24.9 

75-84 years--------------------- 5,260 1,234 857 2,598 571 26.5 27.0 27.6 26.2 25.6 

a5+ years----------------------- 3,346 664 611 1,609 462 16.9 14.5 19.7 16.2 20.7 

20 
Table 4. Number and percent distribution of residents in nursing and personal care homes, by sex, 

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

Type of ownership 

Total. !I Proprietary Nonprofit Government 

505.242 

59,678

89,619

207,243

148,702 

173,063 

32,021

35,147

65,233

40,662 

332,179 

27,657

54,472

142,010

108,040 

100 .o 

11.8 

17.7 

41.0

29.4 

100 .o 

18.5

20.3 

37.7

23.5 

100 .o 

1E 

4218 

32.5 

Number of residents 

310.416 119,275 75.551 

33,591 6,031 20,056

56,398 17,128 16,093 127,246 56,415 23,582

93,181 39,701 15,820 

102,761 28,933 41,369 

15,779 2,735 13,507

21,213 4,469 9,465

40,756 12,767 11,710

25,013 8,962 6,687 

207,655 90,342 34,182 

3,296 6,549 

12,659 6,628 

1;m; L;xi , , 

Percent distribution 

LO.8 5.3. 26.5

La.2 14.4 21.3 

41.0 47.3 31.2 

30.0 33.3 20.9 

100 .o 100.0 100.0 

15.4 9.5

15.4 ;5*; 5K 44.1 2813 

24:3 31.0 16.2 

100.0 100.0 100.0 

3.6 19.2 

LE 14.0 19.4 

41:7 48.3 34.7 

32.8 34.0 26.7 

21 
Table 5. Number and percent distribution of residents in nursing and primary type of service: United States,

and personal care homes, by sex, age, color, April-June 1963 

Primary type of service 

Sex, age, and color 

Total residents Number of residents Percent distribution 

All ages---------- 505,242 286,373 170,678 48,191 I100.0 100.0 100.0 100.0 

Under 65 years---------- 59,678 29,872 21,311 8,495 11.8 10.4 12.5 17.6 

65-74 years------------- 89,619 51,886 28,880 8,853 17.7 18.1 16.9 18.4 

75-84 years------------- 207,243 116,376 72,134 18,733 41.0 40.6 42.3 38.9 

85+ years--------------- 148,702 88,239 48,353 12,110 29.4 30.8 28.3 25.1 

Male 

All ages---------- 173,063 95,303 59,519 18,241 100.0 100.0 100.0 100.0 

Under 65 years----------

65-74 years-------------

32,021 

35,147 

15,408 

19,729 

12,311 

11,480 

4,302 

3,938 

18.5 

20.3 

16.2 

20.7 

20.7 

19.3 

23.6 

21.6 

75-84 years------------- 65,233 36,678 22,123 6,432 37.7 38.5 37.2 35.3 

85+ years--------------- 40,662 23,488 13,605 3,569 23.5 24.6 22.9 19.6 

Female 

All ages---------- 332.179 191,070 111.159 29,950 100.0 100.0 100.0 100.0 

Under 65 years---------- 27,657 14,464 9,000 4,193 8.3 7.6 8.1 14.0 I 

65-74 years------------- 54,472 32,157 17,400 4,915 16.4 16.8 15.7 16.4 /

75-84 years------------- 142,010 79,698 50,011 12,301 42.8 41.7 45.0 41.1 8 

85+ years--------------- 108,040 64,751 34,748 8,541 32.5 33.9 31.3 28.5 

White 

All ages---------- 485,402 275,503 164,082 45,817 100.0 100.0 100.0 100.0 

Under 65 years----------

65-74 years-------------

53,659 

84,404 

26,852 

48,852 

19,054 

27,321 

7,753 

8,231 

11.1 

17.4 

9.7 

17.7 

11.6 

16.7 

16.9 

18.0 

75-84 years------------- 201,983 113,403 70,379 18,201 41.6 41.2 42.9 39.7 

85+ years--------------- 145,356 86,396 47,328 11,632 29.9 31.4 28.8 25.4 

Nonwhite 

A.11 ages---------- 19,840 10,870 6,596 2,374 100.0 100.0 100.0 100.0 

Under 65 years----------

65-74 years-------------

6,019 

5,215 

3,020 

3,034 

2,257 

1,559 

742 

622 

30.3 

26.3 

27.8 

27.9 

34.2 

23.6 

31.3 

26.2 

75-84 years------------- 5,260 2,973 1,755 532 26.5 27.4 26.6 22.4 

85+ years--------------- 3,346 1,843 1,025 478 16.9 17.0 15.5 20.1 

22 
i 

l 

Table 6. Percent distribution of residents in nursing and personal care homes, by length of stay

according to type of ownership and 

-

size of home: United States, April-June 1963 

Length of stay 

Type of ownership and Number 

of II I I I I size of home resident: Total Under 

II 1 year 

Total Percent distribution 

All sizes--------------- 505,242 

;

1 

34.E 19.7 

I 

12.7 

I 

15.0 

I 

12.4 

I 

100.0 5.4

Under 30 beds----------------- 140,57: 100.0 37.5 21.2 13.6 14.9 10.6 2.8 

30-99 beds-------------------- 222,195 100.0 37.2 20.4 12.4 14.5 11.2 4.3 

100-299 beds------------------ 108,9OL 100.0 28.6 17.3 13.0 16.2 16.0 8.6 

300+ beds--------------------- 33,56( 100.0 27.E 16.6 9.8 14.7 18.2 12.9 

Proprietary 

All sizes--------------- 310,41( 100.0 40.0 21.6 13.0 14.0 9.4 2.1 

Under 30 beds----------------- 128,12: 100.0 38.3 21.7 13.6 14.8 9.5 2.0 

30-99 beds-------------------- 151,197 100.0 41.5 21.8 1-2.4 13.1 9.3 1.8 

100-299 beds------------------ 28,401 100.0 39.4 19.7 13.5 15.1 9.0 3.3 

300+ beds--------------------- 2,69: 100.0 41.7 16.9 10.1 15.3 12.2 3.9 

Nonprofit 

All sizes--------------- 119,27! 100.0 24.1 16.3 12.8 17.9 18.8 10.1 

Under 30 beds----------------- 9,25r 100.0 28.4 14.9 11.9 16.5 17.7 10.6 

30-99 beds-------------------- 46,451 100.0 26.2 17.1 12.9 18.0 16.5 9.3 

100-299 beds------------------ 52,754 100.0 22.1 15.9 13.2 18.2 20.5 10.0 

300+ beds--------------------- 10,81E 100.0 21.2 15.2 11.2 17.4 21.2 13.8 

Government 

All sizes--------------- 75,551 100.0 30.5 17.6 11.2 14.3 14.7 11.6 

Under 30 beds----------------- 3,196 100.0 31.6 19.1 15.6 14.7 7.6 11.5 

30-99 beds-------------------- 24,551 100.0 31.4 17.7 11.1 16.1 13.5 10.2 

100-299 beds------------------ 27,751 100.0 30.4 17.5 12.3 13.6 14.6 11.4 

300+ beds--------------------- 20,053 100.0 29.5 17.4 9.0 13.2 17.3 13.6 

23 
Table 7. Percent distribution of residents in nursing and personal care homes, by length of 

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

Length of stay Number 

Geographic region and of 

primary type of service residents Total Under 1-2 2-3 3-5 5-10 

1 year years years years years lO+ years 

All regions Percent distribution 

All types--------------- 505,242 100.0 34.8 19.7 12.7 15.0 12.4 5.4 

Nursing care------------------ 286,373 100.0 38.5 20.7 12.8 14.5 10.2 3.4 

Personal care with nursing---- 170,678 100.0 29.8 18.2 12.5 15.5 15.6 8.4 

personal care----------------- 48,191 100 .o 31.1 19.0 12.6 16.4 14.0 6.8 

Northeast 

All types--------------- 149,282 100.0 33.7 18.8 12.5 14.4 13.7 7.0 

Nursing care------------------ 95,176 100.0 37.2 19.8 13.0 13.8 11.3 4.9 

Personal care with nursing---- 40,479 100.0 27.1 15.9 11.0 16.3 18.6 11.2 

personal care----------------- 13,627 100.0 28.0 19.9 13.3 13.8 16.1 9.0 

North Central 

All types--------------- 184,880 100.0 32.7 19.1 13.3 15.8 13.1 6.0 

I 

Nursing care------------------ 91,713 100.0 35.9 20.2 13.5 16.1 10.9 3.3 

Personal care with nursing---- 76,524 100.0 28.6 18.2 13.1 15.1 16.0 9.0 

personal care----------------- 16,643 100.0 33.8 17.2 12.6 17.1 12.4 6.8 

I 

South 

All types--------------- 97,884 100.0 36.6 21.7 L2.4 15.5 10.3 3.5 

Nursing care------------------ 56,876 100.0 39.5 22.8 L2.0 15.0 9.0 1.8 

Personal care with nursing---- 30,913 100.0 33.3 19.9 L3.4 15.5 12.3 5.5 

personal care----------------- 10,095 100.0 30.7 20.5 11.2 18.8 11.9 7.0 

West 

All types--------------- 73,196 100.0 40.2 20.5 !2.1 13.4 10.5 3.2 

Nursing care------------------ 42,608 100.0 44.9 21.2 -2.1 11.8 7.7 2.2 

Personal care with nursing---- 22,762 100.0 34.4 19.8 -1.5 15.3 13.8 5.3 

personal care----------------- 7,826 100.0 31.4 19.4 .3.5 16.4 16.3 2.9 

24 
Table 8. Percent distribution of residents in nursing and personal care homes, by length of stay

according to sex and age: United States, April-June 1963 

Length of stay Number Average Sex and age of length residents Total Under 1-2 2-3 3-5 5-10 

1 year years years years years lO+ years of stay 

Both sexes Percent distribution 

All ages-------- 505,242 100.0 34.8 19.7 12.7 15.0 12.4 -

Under 65 years-------- 59,678 100 .o 37.5 18.3 11.2 13.6 11.9 7.5 3.4 

65-74 years----------- 89,619 100.0 38.7 19.8 12.7 13.9 10.2 4.8 2.8 

75-84 years----------- 207,243 100 .o 36.0 20.5 12.8 14.6 11.9 4.1 2.8 

85+ years------------- 148,702 100.0 29.7 19.1 13.1 16.7 14.6 6.7 3.4 

Male 

All ages-------- 173,063 100.0 38.3 19.5 12.3 13.8 11.0 5.1 2.8 

Under 65 years-------- 32,021 100.0 40.1 17.7 11.4 13.5 10.7 6.6 3.1 

65-74 year+---------- 35,147 100.0 38.8 18.2 12.6 13.6 11.3 5.5 2.9 

75-84 years----------- 65,233 100.0 39.6 20.4 12.4 13.2 10.3 4.1 2.6 

85+ years------------- 40,662 100.0 34.4 20.6 12.5 15.2 12.1 5.2 2.9 

Female 

All ages-------- 332,179 100.0 33.0 19.8 12.9 15.6 13.1 5.6 3.1 

Under 65 years-------- 27,657 100.0 34.7 19.0 10.9 13.6 13.3 8.4 3.7 

65-74 years----------- 54,472 100.0 38.5 20.8 12.8 14.2 9.4 4.3 2.7 

75-84 years----------- 142,010 100.0 34.4 20.6 13.0 15.3 12.6 4.1 2.9 

85+ years------------- 108,040 100.0 28.0 18.5 13.4 17.3 15.6 7.3 3.6 

25 
Table 9. Percent distribution of residents in nursing and personal care homes, by extent of disaBed status Walking status 

Number 

of Sex and age resi- Total In bed In bed Walks Never dents out of part of most of un~~~~ted with bed time time assistance walks 

Both sexes Percent distribution 

All ages---- io5,242 100.0 57.1 25.8 17.1 58.0 18.2 23.8 - - - -

Under 65 years---- 59,678 100 .o 69.7 16.6 13.7 66.3 14.1 $9.6 

65-74 years------- 89,619 100.0 60.8 24.4 14.9 60.8 17.3 21.9 

75-84 years------- !07,243 100.0 57.8 26.1 16.0 59.8 17.5 22.6 

85+ years--------- .48,702 100.0 49 .o 29.9 21.1 50.3 21.4 28.3 

Male 

All ages---- .73,063 100.0 61.3 24.3 14.4 65.1 16.4 18.5 

Under 65 years---- 32,021 100.0 75.4 13.9 10.7 73.2 12.9 13.9 

65-74 years------- 35,147 100.0 64.8 22.8 12.5 66.7 16.1 17.2 

75-84 years------- 65,233 100 .o 58.4 26.5 15.1 63.6 16.7 19.7 

85+ years--------- 40,662 100.0 51.8 30.4 17.8 59.6 19.1 21.3 

Female 

All ages---- 132,179 100.0 55.0 26.6 18.5 54.3 19.1 26.6 

Under 65 years---- 27,657 100.0 63.0 19.7 17.3 58.3 15.6 26.1 

65-74 years------- 54,472 100.0 58.2 25.4 16.5 57.0 18.1 24.9 

75-84 years------- .42,010 100.0 57.6 26.0 16.5 58.1 17.9 24.0 

85+ years--------- .08,040 100.0 47.9 29.7 22.4 46.8 22.2 30.9 

26 
bility in selected health characteristics accordingto sex and age: United States, April-June 1963 

t 

Continence status Mental status Hearing status Vision status 

IConti- Partially In- Confused Confused NO Serious No 

nent conti- conti- ig:r parttime 

of most of serious problem serious Serious Blind 

nent nent time problem or deaf problem problem 

Percent distribution 

73.2 7.8 19.0 50.2 32.2 17.6 84.1 15.9 80.6 16.0 3.4 i 

81.6 5.2 13.2 61.7 27.1 11.3 94.3 5.7 89.8 7.7 2.5 

77.0 7.3 15.7 55.0 30.7 14.3 90.7 9.3 86.5 11.0 2.5 

73.0 7.8 19.2 49.9 31.9 18.2 85.6 14.4 82.0 15.2 2.8 

67.8 9.1 23.1 43.3 35.5 21.2 73.8 26.2 71.5 23.5 5.0 

75.3 8.3 16.4 53.8 30.9 15.2 83.8 16.2 82.5 14.1 3.4 

85.4 4.7 9.9 66.1 23.7 10.2 94.5 5.5 91.1 6.9 2.0 

77.8 7.8 14.3 56.7 30.1 13.2 89.7 10.3 87.4 9.9 2.7 

72.3 9.0 18.6 50.8 32.5 16.7 83.6 16.4 81.9 14.8 3.3 

70.0 10.2 19.8 46.4 34.8 18.7 70.8 29.2 72.5 22.3 5.2 

72.1 7.5 20.4 48.4 32.8 18.8 84.2 15.8 79.7 17.0 3.3 

77.1 5.7 17.1 56.5 31.0 12.5 94.0 6.0 88.2 8.7 3.1 

76.4 7.0 16.6 53.9 31.0 15.1 91.3 8.7 85.8 11.8 2.4 

73.3 7.2 19.4 49.4 31.6 19.0 86.6 13.4 82.1 15.3 2.6 

67.0 8.7 24.4 42.1 35.8 22.1 74.9 25.1 71.2 24.0 4.9 

27 
Table 10. Percent distributionofresidents in nursing and personal care homes, by extent of disaship: United States, 

= 

Primary type of 

service and type of ownership 

Number 

of 

residents 

Total 

Bed status Walking 

'> 

status 

All types of 

sernce Percent distribution 

Total------- 05,242 100.0 57. .l 25.f 17.1 58.C 18.; 23.8 

Proprietary------- 10,41( 100.0 50. 8 29.1 20.1 50.E 2O.L 28.8 

Nonprofit--------- 19,27! 100 .o 71. 2 19.L 9.5 73.c 14.2 12.7 

Government-------- 75,551 100.0 61. 0 22.t 16.3 63.1 15.t 20.6 

Nursing care 

Tot-l------- 86,37: 100.0 47. 6 3o.c 21.9 46.7 22.0 31.2 

Proprietary------- 00,552 100.0 43. 9 32.4 23.8 41.9 23.5 34.5 

Nonprofit--------- 43,854 100.0 59. 9 26.1 13.9 62.0 18.1 19.9 

Government-------- 41,967 100 .o 52. 2 26.7 21.1 53.6 19.0 27.3 

Personal care with 

nursing 

Total------- 70,678 100.0 66. 8 21.0 12.2 70.0 14.2 15.9 

Proprietary------- 76,501 100.0 57. 5 26.0 16.5 61.4 16.4 22.2 

Nonprofit--------- 54,793 100.0 76. 0 16.5 7.5 77.6 12.8 9.6 

Government-------- 29,384 100.0 70. 6 18.2 11.2 75.4 11.4 13.2 

Personal care 

Total------- $8,191 100.0 79. 14.4 5.7 82.3 9.8 7.9 

Proprietary------- 33,363 100.0 77. 16.2 6.7 79.6 10.4 9.9 

Nonprofit--------- LO,628 100.0 88. 8.9 3.1 90.3 7.3 2.5 

Government-------- 4,200 100.0 81. 13.5 4.6 83.6 10.8 5.6 

28 
bility in selected health characteristics according to primary type of service and type of ownerApril-June 1963 

Continence status I Mental status I Hearing status Vision status 

ccnti- Partially In- Always Confused Confused No Serious No 

r lent conti- conti- aware parttime 

of most of serious problem serious Serious Plind 

nent nent time problem or deaf:. problem problem 

Percent distribution 

i 73.2 7.8 19.0 50.2 32.2 17.6 84.1 15.5 80-t 16.0 3.4 -

67.3 9.0 23.8 43.c 36.L 20.6 83.t 16.L 79 .c 17.3 3.7 

85.0 5.7 9.3 68.0 22.c 10.0 85.: 14.2 83.9 13.4 2.6 

78.9 6.2 14.9 52.0 31.c 17.0 83.5 16.1 82.1 14.6 3.3 

66.2 9.1 24.7 42.9 35.8 21.3 82.2 17.7 78.5 17.7 3.8 

61.9 9.9 28.1 38.3 38.4 23.3 82.4 17.6 78.0 18.1 4.0 

79.3 7.0 13.7 58.3 27.5 14.2 82.2 17.2 80.0 16.7 3.3 

73.0 7.4 19.6 48.5 32.4 19.2 81.2 18.8 79.4 16.9 3.7 

80.6 6.4 12.9 57.9 28.2 13.8 85.5 14.5 82.6 14.5 2.9 

73.1 8.0 18.9 46.5 35.3 18.2 84.8 15.2 79.3 17.3 3.4 

87.4 5.2 7.3 72.2 19.6 8.3 85.9 14.1 85.4 12.3 2.3 

85.3 5.1 9.6 56.1 29.0 14.9 86.7 13.3 85.0 12.1 2.9 

88.3 4.6 7.2 66.8 24.5 8.7 89.6 10.4 86.6 11.2 2.2 

55.8 5.5 8.7 63.0 26.9 10.0 88.8 11.2 84.8 12.9 2.3 

93.6 3.0 3.3 82.2 14.0 3.8 91.1 8.9 91.2 6.8 2.0 

34.1 1.5 4.4 58.0 31.8 10.2 91.5 8.5 88.7 9.2 2.1 

29 
Table 11. Percent distr .bution of residents in nursing and persona care homes,by extent of disaUnited States, 

-

Bed status Walking status 

Primary type of Number 

of service and size resi- Total 

out of In bed 

of 

In bed of home dents bed part time 

Walks Walks Never with 

time 

most of unassisted assistance walks 

All types of 

servxe Percent distribution 

All sizes--, 505,242 100.0 57.1 25.8 17.1 58.0 18.2 23.8 -

Under 30 beds----, 140,573 100.0 56.6 25.6 17.8 56.8 18.0 25.2 

30-99 beds-------, - 222,199 100.0 51.7 29.0 19.3 53.5 19.4 27.1 

loo-299 beds-----, 108,904 100.0 64.7 22.3 13.1 64.9 17.6 17.5 

300+ beds--------, 33,566 100.0 71.3 16.7 12.0 70.3 13.0 16.8 

Nursing care 

All sizes--, - 286,373 100.0 47.6 30.6 21.9 46.7 22.0 31.2 -

Under 30 beds----. 69,260 100.0 45.0 31.1 23.9 41.4 23.1 35.5 

30-99 beds-------, - L40,700 100.0 43.1 33.3 23.6 44.1 22.5 33.4 

loo-299 beds-----, 58,151 100.0 55.0 27.4 17.6 54.7 21.8 23.5 

300+ beds--------. 18,262 100.0 67.8 17.6 14.6 61.7 15.5 22.8 

Personal care wit1 1 nursing 

All sizes--, - 170,678 100.0 66.8 21.0 12.2 70.0 14.2 15.9 -

Under 30 beds----. 42,044 58.5 24.7 16.8 63.9 15.6 20.4 

30-99 beds-------. 67,126 64.3 22.7 13.0 67.0 15.0 18.0 

loo-299 beds-----, 46,498 75.2 17.0 7.9 76.3 13.0 10.7 

300+ beds--------, 15,010 75.2 15.8 9.0 80.2 10.0 9.8 

Personal care 

All sizes--, 48,191 79.9 14.4 5.7 82.3 9.8 7.9 

Under 30 beds----, 29,269 81.3 13.9 4.8 82.7 9.6 7.8 

30-99 beds-------. 14,373 76.6 16.3 7.0 81.9 9.9 8.2 

loo-299 beds-----, 4,255 81.3 10.7 8.0 80.7 11.0 8.3 

300+ beds--------. 294 85.7 14.3 90.5 9.5 

30 
bility in selected health characteristics according to primary type of service and size of home:

April-June 1963 - I= Continence 

I 

status r Mental status Hearing status Vision status 

mti- Partially In- Always Confused Confused No Serious No 

ient conti- conti- aware part of most of serious problem serious Serious Plind 

nent nent time time problem or deaf problem problem 

Percent distribution 

73.2 7.8 19.0 50.2 32.2 17.6 84.1 15.91 80-c 16.0 3.4 

71.3 8.8 19.9 49.4 34.7 15.9 85.2 14.8 79.4 17.3 3.4 

70.3 8.1 21.6 45.7 34.2 20.1 83.0 17.0 79.2 17.0 3.7 

78.6 6.8 14.7 56.4 27.8 15.8 84.0 16.0 82.9 13.9 3.2 

82.5 5.0 12.5 63.8 22.4 13.8 86.7 13.3 87.5 10.6 1.9 

66.2 9.1 24.7 42.9 35.8 21.3 82.3 17.7 78.5 17.7 3.8 

62.2 11.1 26.7 42.1 38.1 19.8 83.5 16.5 77.6 18.5 3.8 

64.3 8.9 26.7 39.3 37.3 23.4 81.5 18.5 77.2 18.6 4.2 

71.8 8.2 20.0 47.6 32.7 19.7 81.8 18.2 80.5 16.0 3.5 

78.1 6.0 15.9 58.2 25.9 15.9 84.5 15.5 85.1 12.7 2.1 

80.6 6.4 12.9 57.9 28.2 13.8 85.5 14.5 2.9 

74.7 7.9 17.4 48.6 36.6 14.8 84.8 18.7 3.5 

79.0 6.9 14.1 54.8 29.7 15.5 84.8 15.2 82.0 15.1 2.9 

86.2 5.2 8.6 66.9 21.8 11.3 86.1 13.9 85.3 11.9 2.8 

87.6 3.8 8.6 70.3 18.2 11.5 89.0 11.0 90.0 8.2 1.7 

88.3 4.6 7.2 66.8 24.5 8.7 89.6 10.4 86.6 11.2 2.2 

88.2 4.3 7.5 67.7 24.1 8.2 90 .o 10.0 85.7 12.2 2.1 

88.5 5.0 6.4 66.4 24.6 9.0 88.3 11.7 87.0 10.7 2.3 

87.3 4.7 8.0 61.4 27.3 11.3 90.2 9.8 90.2 7.2 2.6 

95.2 4.8 81.0 19.0 100.0 100.0 

31 
-- 

-- 

Table 12. Number and percent distribution of patients in "hosoitals,"' by sex, age, and color: 

United States,'April-June 1963' 

Sex and age Total White Nonwhite Total jl 

Both sexes Number of patients Percent distribution 

All ages--------------------- 77,076 69.892 7,184 100.0 100.0 100.0 

Under 65 years----------------- 21,028 17,808 3,22C 27.3 25.5 44.8 

Under 45 years--------------------- 5,183 4,146 1,037 6.7 5.9 14.4 

45-64 years------------------------ 15,845 13,662 2,183 20.6 19.5 30.4 

65-74 years------------------------ 19,200 17,126 2,074 24.9 24.5 28.9 

75-84 years------------------------ 23,242 21,891 1,351 30.2 31.3 18.8 

85+ years-------------------------- 13,606 13,067 539 17.7 18.7 7.5 

Male 

All ages--------------------- 41,928 37,636 4,292 100.0 100.0 100.0 

Under 65 years----------------- 14.302 12,367 1,935 34.1 32.9 45.1 

Under 45 years--------------------- 3,300 2,690 610 7.9 7.1 14.2 

45-64 years------------------------ 11,002 9,677 1,325 26.2 25.7 30.9 

65-74 years------------------------ 12,686 11,312 1,374 30.3 30.1 32.0 

75-84 years------------------------ 10,148 9,326 822 24.2 24.8 19.2 

85+ years-------------------------- 4,792 4,631 161 11.4 12.3 3.8 

Female 

All ages--------------------- 35,148 32,256 2,892 100.0 100.0 100.0 

Under 65 years--------------------- 6,726 5,441 1,285 19.1 16.9 44.4 

Under 45 years--------------------- 1,883 1,456 427 5.4 4.5 14.8 

45-64 years------------------------ 4,843 3,985 858 13.8 12.4 29.7 

65-74 years------------------------ 6,514 5,814 700 18.5 18.0 24.2 

75-84 years------------------------ 13,094 12,565 529 37.3 39.0 18.3 

85+ years-------------------------- 8,814 8,436 378 25.1 26.2 13.1 

"'Hospitals" include only geriatric and chronic disease hospitals and chronic disease wards 

and nursing home units of general hospitals. 

32 
21.3 

Table 13. Number and percent distribution of patients in "hospitals,"' by sex, age, and type of 

ownership: United States, April-June 1963 

Sex and age 

Both sexes 

All ages------------------------------

Under 65 years------------------------------

65-74 years---------------------------------

75-84 years--------------------------------- 85+ years-----------------------------------

Male 

All ages------------------------------

Under 65 years------------------------------

65-74 years---------------------------------

75-84 years---------------------------------

85+ years-----------------------------------

Female 

All ages-----------------------------

Under 65 years------------------------------ 65-74 years---------------------------------

75-84 years---------------------------------

85+ years-----------------------------------

Both sexes 

All ages------------------------------

Under 65 years------------------------------ 65-74 years---------------------------------

75-84 years---------------------------------

85+ years-----------------------------------

Male 

All ages------------------------------

Under 65 years------------------------------

65-74 years---------------------------------

75-84 years---------------------------------

85+ years-----------------------------------

Female 

All ages------------------------------

Under 65 years------------------------------

65-74 years---------------------------------

75-84 years---------------------------------

85+ years-----------------------------------

Type of ownership 

Total Proprietary Nonprofit Government 

Number of patients 

77,076 3,792 __-___--.20,882 .52,402 

21,022 765 3,028 17,235 19,206 832 3,272 15,096

23,244 1,269 8,873 13,100 13,606 926 5,709 6,971 

41,928 1,681 6,850 33,397 

463 1,462 12,377 3 2 470 1,031 11,185

lo:148 481 2,756

4,792 267 1,601 8%> 

35.148 2,111 14.032 19.005 

302 1,566 4,858 362 2,241 3,911

788 6,117 6,189

659 4,108 4,047 

Percent distribution 

100.01 100.0 100 -0 

27.: 20.2 14.5 32.9 

24.5 21.9 15.7 28.8 

30.2 33.5 42.5 25 .o 

17.i 24.4 27.3 13.3 

100.0 100.o 100.o 100.0 

z-0’ 15.1 

37.1 

33.5 

28:6 40.2 20.7 

15.9 23.4 8.8 

100.0 100.0) 100.0 100.0 , 

19.1 14.3 11.2 25.6 

18.5 17.1 16.0 20.6 

37.3 37.3 43.4 32.6 

25.1 31.2 29.3 21.3 

lYlospitals" include only geriatricandchronic disease hospitals and chronic disease wards and 

nursing home units of general hospitals. 

33 
Table 14. Percent distribution of patients in "hospita " by length of stay according to sex 

and age: United States, Apr :S:.June 1963 

Number Length of stay 

Average Sex and age of length residents Total Under l-2 2-3 3-5 5-10

1 year years years years years lo+ years 

of stay 

Both sexes Percent distribution 

All ages-------- 77,076 100.0 41.8 17.7 9.8 11.9 11.6 7.1 3.1 

Under 65 years-------- 21,028 100.0 47.8 17.5 8.6 10.6 9.9 5.7 2.6 

65-74 years----------- 19,200 100.0 42.5 16.4 10.1 10.5 11.9 8.6 3.4 

75-84 years----------- 23,242 100.0 41.0 17.4 11.0 12.4 11.2 7.0 3.1 

85+ years------------- 13,606 100.0 33.5 20.2 9.1 15.4 14.4 7'.4 3.5 

Male 

All ages-------- 41,928 100.0 42.4 17.4 9.3 11.8 11.4 7.6 3.1 

Under 65 years-------- 14,302 100.0 47.4 19.5 8.1 10.8 9.0 5.3 2.5 

65-74 years----------- 12,686 100.0 40.9 15.3 10.0 11.0 13.0 9.8 3.6 

75-84 years----------- 10,148 100.0 39.8 17.6 11.4 13.2 10.3 7.7 3.2 

85+ years------------- 4,792 100.0 37.3 16.3 7.1 14.2 16.2 8.9 3.6 

Female 

All ages-------- 35,148 LOO.0 41.2 18.0 10.3 12.1 11.8 6.5 3.0 

Under 65 years-------- 6,726 LOO.o 48.7 13.5 9.8 10.1 11.6 6.4 2.8 

65-74 years----------- 6,514 LOO.0 45.3 18.4 10.3 9.5 9.9 6.5 2.9 

75-84 years----------- 13,094 LOO.0 42.0 17.2 10.7 11.7 11.9 6.5 3.0 

85+ years------------- 8,814 LOO.0 31.4 22.4 10.2 16.0 13.4 6.6 3.4 - ___ 

"'Hospitals" include only geriatricandchronic disease hospitals and chronic disease wards and 

nursing home units of general hospitals. 

34 
Table 15. Percent distribution of patients in "hospitals,"* by extent of disability in 

Bed status Walking status 

Number 

of Sex and age resi- Total I I I I 

dents 

Both sexes Percent distribution 

All ages---- 77,076 LOO .o 7 57.3 25.0 17.7 52.0 23.7 24.4 - -

Under 65 years---- 21,028 100.0 65.1 19.3 15.6 56.9 21.6 21.4 

65-74 years------- 19,200 100.0 60.9 23.6 15.5 56.3 22.0 21.8 

75-84 years------- 23,242 100.0 54.7 26.3 18.9 50.6 23.9 25.5 

85+ years--------- 13,606 100.0 44.5 33.3 22.2 40.5 28.8 30.7 

Male 

All ages---- 41,928 100.0 65.6 21.3 13.0 62.1 20.5 17.4 

Under 65 years---- 14,302 100.0 72.9 15.7 11.4 64.8 19.0 16.2 

65-74 years------- 12,686 100 .o 66.5 21.2 12.3 64.5 19.8 15.6 

75-84 years------- 10,148 100.0 60.0 25.1 14.9 58.9 20.7 20.3 

85+ years--------- 4,792 100.0 53.7 30.4 15.9 54.2 25.9 19.9 

Female 

All ages---- 35,148 100.0 47.4 29.3 23.3 39.9 2765 32.7 

Under 65 years---- 6,726 100.0 48.7 26.9 24.4 40.1 27.3 32.6 

65-74 years------- 6,514 100 .o 49.9 28.3 21.8 40.2 26.1 33.7 

75-84 years------- 13,094 100.0 50.7 27.3 22.0 44.2 26.3 29.5 

85+ years--------- 8,814 100 .o 39.5 34.9 25.6 33.0 30.3 36.6 

'"Hospitals" include only geriatric and chronic disease hospitalsandchronic disease wards and 

nursing home units of general hospitals. 

36 
selected health characteristics accordingtosex and age: United States,April-June 1963 

Continence status Mental status Hearing status Vision status 

Conti- Partially Confused Confused No Serious No Serious Plind 

nent conti- co%.- A1ways part

time 

of most of serious problem serious problem 

nent nent aware time problem or deaf problem 

Percent distribution 

73.9 6.9 19.2 58.8 25.8 15.3 86.9 13.1 85.0 12.3 2.7 

80.5 4.5 15.0 74.5 18.6 6.9 95.2 4.8 93.6 4.7 1.6 

78.6 6.2 15.1 63.9 21.9 14.2 91.8 8.2 89.4 8.3 2.3 

69.7 8.6 21.7 50.4 31.0 18.6 85.0 15.0 80.6 16.7 2.7 

64.3 8.4 27.3 41.9 33.8 24.3 70.5 29.5 73.1 21.9 5.0 

79.1 6.6 14.4 65.9 23.0 11.1 88.7 11.3 88.5 9.2 2.3 

86.1 3.8 10.0 77.8 17.2 4.9 95.1 4.9 94.8 3.8 1.4 

83.3 5.9 10.8 69.1 19.6 11.3 92.0 8.0 91.1 6.8 2.1 

69.4 9.7 20.9 54.5 31.4 14.1 83.9 16.1 83.5 13.3 3.2 

67.4 9.7 22.9 45.7 31.2 23.1 70.5 29.5 73.6 22.6 3.8 

67.8 7.2 25.0 50.5 29.2 20.3 84.8 15.2 80.9 16.0 3.2 

68.4 6.0 25.6 67.4 21.6 11.0 95.4 4.6 91.3 6.7 2.1 

69.6 6.9 23.5 53.9 26.2 19.9 91.3 8.7 86.1 11.3 2.6 

69.9 7.7 22.3 47.2 30.6 22.2 85.9 14.1 78.3 19.3 2.4 

6217 1 7.7 29.7 39.9 35.3 24.9 70.5 29.5 72.9 21.6 5.6 

37 
Table 16. Population aged 20 years and over used in obtaining rates shown in this publication, by sex, age, and color: United States, 1963 

Sex and age Total White Nonwhite VI/Nonwhite 

Both sexes Population in thousands Percent distribution 

All ages-20+ years---------- 11,560 100.0 100.0 100.0 

20-64 years------------------- 10,215 84.4 84.0 88.4 

20&!+ years----------------------- 6,627 50.9 50.2 57.3 

45-64 years----------------------- 3,588 33.5 33.8 31.0 

65-74 years----------------------- 885 10.1 10.3 7.7 r 

75-84 years----------------------- 381 4.6 4.8 3.3 

85+ years------------------------- 1,002 922 80 0.9 0.9 0.7 

Male 

All ages-20+ years---------- 53,374 47,977 5,396 100.0 100.0 100.0 

20-64 years------------------- 45,597 40,822 4,773 85.4 85.1 88.5 

20-44 years----------------------- 27,274 24,231 3,041 51.1 50.5 56.4 

45-64 years----------------------- 18,323 16,591 1,732 34.3 34.6 32.1 

65-74 years----------------------- 5,150 4,739 412 9.6 9.9 7.6 

75-84 years----------------------- 2,242 2,065 177 4.2 4.3 3.3 

85+ years------------------------- 385 351 34 0.7 0.7 0.6 

Female 

All ages-20+ years---------- 59,365 53,198 6,166 100.0 100.0 100.0 

20-64 years------------------- 49,575 44,131 5,443 83.5 83.0 88.3 

20-44 years----------------------- 30,106 26,520 3,586 50.7 49.8 58.2 

45-64 years----------------------- 19,469 17,611 1,857 32.8 33.1 30.1 

65-74 years----------------------- 6,185 5,712 473 10.4 10.7 7.7 

75-84 years----------------------- 2,988 2,784 204 5.0 5.2 3.3 

85+ years------------------------- 617 571 46 1.0 1.1 0.7 

Source: U.S. Bureau of the Census:Estimates of the civilian resident population of the United 

States, by age, color, and sex, July 1, 1963, with comparable figures for April 1, 1960. Current 

Population Reports, Series P-25, No. 276. Washington, D.C., 1963. 

38 
APPENDIX I 

TECHNICAL NOTES ON SURVEY DESIGN AND PROCEDURES 

Background of Report 

This report is the second of a series of statistical 

reports prepared by the National Center for Health 

Statistics on the health of the institutional population 

of the United States. It is based on data collected 

during April-June 1963 in a nationwide sample of 

resident institutions providing nursing and personal 

care to the aged and chronically ill. 

The survey was conducted by mail except for institutions with 300 or more beds, where personalvisits 

were made to obtain the information. The questionnaire elicited information on the type of nurse in charge 

of nursing care; admission policies and other general 

characteristics of the institution; age, sex, color, and 

length of stay of residents in the institution; and the 

health of residents in terms of their physical and mental 

conditions. The respondent was usually the administrator, the nurse in charge, or another responsible employee of the institution. The sources of information were 

records maintained in the institution and/or the personal 

knowledge of the respondent. This report describes the 

personal and health characteristics of residents in 

these institutions. 

Design of Survey 

Sample Design 

The universe for the survey was the Master Facility Inventory of theNational Center for Health Statistics. 

This Inventory was divided into two groups: Group I 

was comprised of institutions for which classification 

information was available on the basis of data collected 

in the MFI Survey; Group II was comprised of those 

institutions which were assumed to be in-scope of the 

Resident Places Survey-l but for which current data 

were not available. The only information available for 

these institutions was that recorded on source lists 

originally used in assembling the Master Facility Inventory. 

The sampling for the survey was based primarily 

on a stratified, multistage, probability design. Theprimary strata consisted of four bed-size groups, each 

further stratified by four type-of-service groups. 

Sampling was systematic within these primary strata, 

and the sequence of the listing of institutions within the 

strata was hy geographic region. type of ownership, 

State, and county. 

The four bed-size groups were (1) under 30 beds. 

(2) 30-99 beds, (3) 100-299 beds, and (4) 300 or more 

beds. The four type-of-service groups were (1) nursing 

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

(3) personal care homes. and (4) domiciliary care homes. 

As indicated in Appendix III, domiciliary care homes 

are included with personal care homes in this report. 

For purposes of stratification chronic disease and 

qeriatric hospitals and chronic disease wards of general 

hospitals were included with nursing care homes, while 

nursing home units of general hospitals were included 

with nursing or personal care homes depending upon the 

primary type of service provided in these units. These 

geriatric and chronic disease hospitals and units and 

wards of general hospitals are combined in this rcport in a single group and referred to as “hospitals.” 

As all relevant information for stratification was 

not available for the institutions in Group II of the 

universe, these institutions were listed at the end of 

those in Group I for the corresponding bed-sizegroups. 

The universe for the residents sampled in the 

survey was the total number of residents on the register of the institution on the day the questionnaire was 

completed. The sample of residents within an institution was selected systematically. The respondent was 

asked to Iist on the questionnaire al1 the residents who 

were on the register of the institution on the day of the 

survey and to complete the health information for those 

residents who fell on the predetermined sample lines. 

This scheme is illustrated on the questionnaire reproduced in Appendix IV. 

The national sample included 3,486 institutions 

and 36,581 residents. Of these 3,486 institutions 3,178 

were in business and within the scope of the survey. 

Table I shows the distribution of institutions in the 

sampling frame and in the sample by strata and whether 

or not the institutions in the sample were in business 

and in-scope of the survey. 

The sampling rates for institutions ranged from 

unity for the largest places to 1 in 15 for the smallest* 

places. The sampling rate for residents within these 

institutions ranged from unity in the smallest institutions to 1 in 15 in the largest institutions (table II). 

This insured a self-weighting sample. 

39 
Table I. Distribution of institutions for the aged in the MFI and in the RPS-1 sample by strata 

(type of service and bed-size classes), by whether or not the sample institutions were in business and within scope of the survey: United States 

Number of establishments in the sample Number of 

establishments 

in the sam- Out of scope, Type of 

and 

service pling frame In-scope and in out of business, 

number of beds Total 

business 

f 

or duplicate 

Group Group Total Group Group Total Group Group

I 111 I II I II 

Total -_-_-___ 16,962 2,516 3.486 3.178 3.056 122 308 154 154 - - -

Nursing care'? 

Under 30 beds 

(and unknown)------- 30-99 beds-----------

100-299 beds---------

300+ beds------------

Personal care 

with nursing 

Under 30 beds 

(and unknown)------- 30-99 beds-----------

100-299 beds---------

300+ beds------------

Personal care without nursing 

Under 30 beds 

(and unknown)------- 30-99 beds-----------

100-299 beds---------

300+ beds------------

Domiciliary care 

Under 30 beds 

(and unknown)------- 30-99 beds-----------

100-299 beds---------

300+ beds------------

4,690 2,144 455 331 290 41 124 102 

3,389 351 1,243 1,160 1,085 75 2: 

526 16 362 336 331 2 20 “: 

96 5 101 91 90 : 10 6 4 

3,129 209 196 196 13 13 

1,479 478 478 16 16 

357 228 228 

41 

'i;:

41 39 39 i ; 

2,279 146 132 132 14 

313 104 100 100 4 

23 18 17 17 

5 5 4 4 : 

551 42 36 

77 27 27 E 

0 

0’ i i 0 

'The institutions in Group II are classified on the basis of old information obtained from establishment source lists that were used in assembling the MFI. For convenience they are shown 

under the nursing care category in this table. 

gIncluded are long-stay geriatric and chronic disease hospitals and chronic disease wards of 

general hospitals. The nursing home units are spread throughout the various type-of-service 

strata depending on the primary type of service provided in the units. 

Collection of Data visits were made to all remaining institutions with 

loo-299 heds, and telephone calls were made to all inData for this survey were collected primarily by stitutions having less than 100 beds. 

mail by the U.S. Bureau of the Census acting as collecting agent for the Center. Personal visits were made 

by the Bureau of the Census interviewers to all institutions with 300 or more beds. Followup procedures 

consisted of a regular first-class mailing 3 weeks after 

the initial mailing and a certified mail 3 weeks later. 

For nonresponse cases after these procedures personal 

40 

Approximately 144 percent of the institutions responded to the original mailing. This figure includes 

the institutions with 300 or more beds, where personal 

visits were made and initial response was 100 percent. 

The first mail followup added 23 percent, and the certified mail brought in an additional 18 percent of the 

total responses received. Personal visit or telephone 
Table II. Sampling fractions and number of institutions and residents in the sample, by size 

strata: United States, 1963 

Sampling fractions Sample 

Size strata 

Institutions 

All sixes--------------------

Under 30 beds (and unknowe)-------­ 30-99 beds------------------------- :::’ 

loo-299 beds----------------------- 2/3

300f beds __------------------------ 1 

followup added another 9 percent to the total responses. 

Thus. questionnaires were completed by 94 percent of 

the institutions selected in the sample that were in 

business and within the scope of the survey. 

Processing of Data 

The Bureau of the Census edited and coded the 

completed questionnaires in accordance with specifications established hy the National Center for Health 

Statistics. If the reported data were inadequate for 

certain key items, further mail inquiries were made 

specifically for these items. Thirty-two percent of the 

questionnaires did not pass editing criteria for one or 

more items and required further mail inquiry. About 

83-percent response was received from these inquiries. 

After the edited and coded data were transcribed 

on punchcards. the staff of the National Center for 

Health Statistics processed the data on electronic computers. This included assignment of weights, ratio adjustments, and other related procedures necessary to 

produce national estimates from the sample data. It also 

included matching with basic identifying information 

contained in the Master Facility Inventory as well as 

carrying out internal edits and consistency checks to 

eliminate “impossible” responses, errors in editing, 

coding, or processing. 

Estimating Methods 

Statistics reported in this publication are essentially the result of two stages of ratio adjustment, one 

at each stage of selection. The purpose of the ratio 

estimation technique is to take into account all relevant 

information in the estimation process, thereby reducing 

the variability of the estimate. 

The first-stage ratio adjustment was included in 

the estimation of resident and institution data for all 

strata from which a sample of institutions was drawn. 

The first-stage adjustment factor was obtained for a 

stratum by dividing the total number of beds reported 

Residents Overall Institutions Residents 

1/15 3,178 36,581 

695 9,188

:,5 :t:: 1,765 14,743 l/10 584 7,750 l/l5 134 4,900 

in the Master Facility Inventory for all institutions 

in the stratum by the estimate of the total number of 

beds obtained through a simple inflation of the Master 

Facility Inventory bed data of sample institutions inthe 

stratum. The effect of this first stage of ratio adjustment was to bring the sample in closer agreement with 

the known universe of beds. 

The second-stage ratio adjustment was included in 

the estimation of resident data for those strata in which 

residents were sampled within the sampIe institutions. 

This second-stage ratio adjustment factor is the product 

of two fractions: (1) the total number of residents in the 

institution divided by the number of residents designated as sample residents by the systematic selection 

scheme, and (2) the sampling fraction upon which the 

systematic selection was based. This second-stage 

adjustment corrects the sample for over- or underrepresentation of residents in the particular sample 

selected. 

The basic types of statistics presented in this report are aggregates and proportions of persons with 

specified personal or health characteristics. 

General Qualifications 

Nonresponse and Imputation of Missing Data 

A total of 203 institutions refused to respond after 

all followup procedures were completed. Almost 60 percent of these 203 institutions maintained 30-99 beds, and 

most of the remaining 40 percent maintained less than 

30 beds. In addition, 308 institutions were found to be 

out of business, out of scope of the survey, or duplicates. 

Statistics presented in this report are adjusted for 

nonresponse for an entire institution by the use of a 

separate nonresponse adjustment factor for each sizeservice stratum, which is further stratified by the 

three major ownership groups. This factor is the ratio 

of the total sample institutions divided by the responding 

institutions. Data are also adjusted for resident nonresponse within an institution by a procedure which 

41 
imputes to residents for whom no data were obtained 

the characteristics of respondents within the same 

institution. Missing personal or health data for all residents in an institution were imputed from characteristics of residents in another institution in the same 

size-service stratum. Adjustment for nonresponse in 

resident data was minimal; imputation of unknown data 

was less than 3 percent for any single item. 

Limitations of Personal and Health Information 

A general problem in nursing homes and related 

facilities is the lack of uniformity in and the quality of 

the records which are available. Data on length of stay, 

age, color, and sex of residents were obtained from 

existing records. 

However, information on the health conditions of 

the residents was based primarily on “proxy” response, 

i.e., on the personal knowledge of the nurse or other 

responsible person responding on behalf of the sample 

person. Hence, the data are no better than the respondents’ knowledge of the health of the residents and 

their ability to respond to specific questions. For this 

reason a consistency check was attempted during the 

development stages of the survey. After the questionnaires were completed and returned by the respondents, 

26 of the institutions were visited by the staff of the 

National Center for Health Statistics to evaluate the 

reliability of the health information. During these 

visits the respondent was asked to give information 

on the health conditions for all or a sample of the residents independently of the response already reported 

by the respondent on the questionnaire. If the two responses were consistent, they were defined as accurate. Approximately 97 percent of the responses 

were consistent with those originally reported on the 

questionnaires. 

Reliability of Estimates 

Since statistics presented in this report are estimates based on a sample, they may differ from the 

figures that would have been obtained from a complete 

enumeration of all institutions and residents in the 

universe using the same questionnaire and survey procedures. As in all surveys, in addition to sampling 

errors, survey r.esults are also subject to measurement errors. 

The standard error is primarily a measure of the 

sampling variations that occur by chance because only 

a sample, rather than the entire universe, is surveyed. 

As calculated for this report, the standard error also 

reflects part of the measurement error, but it does not 

measure any systematic biases in the data. The chances 

are about 68 out of 100 that an estimate from the sample 

differs from the value obtained from complete enumeration by less than the standard error. The chances are 

about 95 out of 100 that thedifferenceis less than twice 

the standard error. Throughout the report, differences 

between two sample estimates are generally considered 

to be statistically significant if they exceed twice their 

standard error. 

The relative standard error of an estimate is obtained by dividing the standard error of theestimate by 

the estimate itself and is expressed as a percentage of 

the estimate. 

In order to derive standard errors which would be 

applicable to a wide variety of statistics and which could 

be prepared at a moderate cost, a number of approximations were required. Therefore, the chart andtables 

shown in this appendix provide estimates of approximate standard errors and relative standard errors 

rather than the precise error for any specific statistic. 

Rules to determine the approximate standard errors 

and relative standard errors for estimates presentedin 

this report are as follows: 

1. Estimates of aggregates: Approximate relative 

standard errors of estimates of aggregates, such 

as the number of women in nursingcarehomes, 

are obtained from the appropriate curve in 

figure A. 

2. Estimates of percentages in percent distribution: Approximate standard errors of the percentages are given in the appropriate columns 

in tables III and IV. 

3. Estimates of rates: Where the denominator is 

the total U.S. population or includes allpersons 

in one or more subgroups of the total population, 

the relative standard error of the rateis equivalent to the relative standard error of the 

numerator, which can be obtained directly from 

figure A. For example, table B shows that there 

were 5.6 women in nursing and personal care 

homes per 1,000 women 20 years of age and 

over in the total population. The numerator of 

this rate is 332,179, the estimated number of 

female residents in nursing and personal care 

homes (table 2), and its approximate relative 

standard error is 1.1 percent. Therefore, the 

standard error of the rate is 0.06 (1.1 percent 

of 5.6). 

4. Estimates of averages: Approximate standard 

errors of the average length of stay and average 

age are obtained from tables V and VI, respectively. 

5. Difference 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. This 

formula will represent the actual standard 

error quite accurately for the difference between separate and uncorrelatedcharacteristics 

although it is only a rough approximation in 

most other cases. 

42 
Table III. Approximate standard errors of percentages shown in this report for U.S. estimates 

Estimated percent 

Base of the percent (number of residents) 

2 or 98 I 5 or 95 I 10 or 90 I 25 or 75 I 50 

Standard error expressed in percentage points 

6.0 8.7 10.1 

4:; z-i; 4:;

218 

1.6 1.8 

20 1.4 1.6 

0:9 1.2 1.4 

1.1 

z E 

0:4 0:6 0'9 

0.3 0.4 0:5 

;:i 1.9 2:3 

Example of use of table III: An estimated 41 percent of the 505,242 personsinnursing and per­ sonal care homes were 75-84 years of age (table 2). Linear interpolation between the values shown 

in table III will yield an approximate standard error of 0.5 percent for a statistic of 41 per- cent with a base of 505,242. 

Table IV. Approximate standard errors of percentages shown in this report for regional estimates 

Estimated percent 

Base of the percent (number of residents) 

2 or 98 5 or 95 10 or 90 25 or 75 50 

Standard error expressed in percentage points 

3.5 10.8 I:? 

2.2 $:Fj 

117 

Example of use of table IV: An estimated 41 percent of the 149,282 persons sonal care homes in the Northeast Region were 75-84 years of age (table 3). between the values shown in table IV will yield an approximate standard error 

a statistic of 41 percent with a base of 149,282. 

2:4 

2.0 

1.5 

1.2 

in nursing and per- Linear interpolation

of 1.0 percent for 

43 
Figure A. Relative standard errors of estimated numbers of residents shown in this report

for aggregates for data of all types: United States and regional estimates, April-June 

1963 

1 

lQ,OOO 100,000 600,000 

Size of estimate 

Example of use of chart: An estimate of 100,000 residents of institutions in the United 

States (at bottom of chart) has a relative standard error of 2 percent (read from the scale 

at left side of chart) or a standard error of 2,000 (2 percent of 100,000). 

44 
3:2 

Table V. Approximate standard errors of estimates of average length of stay shown in this report 

Estimated average length of stay in years 

Base of average (number of residents) 

Standard error 

Example of use of table V: The average duration of stay for the 505,242 residents in nursing and personal care homes was 3 years (table 6). From table V itis seen that the approximate standard error is 0.1 years for an estimated average of 3 years with a base of 505,242. 

Table VI. Approximate standard errors of estimates of average age shown in this report 

Estimated average age in years 

Base of average (number of residents) 

60 I 65 I 70 I 75 I 80 

Standard error 

15.4 16.1 16.8 17.5 18.1 

10.9 11.4 12.0 12.4 12.9 

22 2: 8.1 

:-: 

4:3 E 

2; 

t:!? t-; 4:5 2-f 

4.; 3:5 

2:4 2 2.7 29 

Example of use of table VI: The average age for the 505,242 residents in nursing and personal 

care homes was 77.6 (table C) From table VI it is seen that the approximate standard 

error is 2.9 years fo?%'estimated aGerage age of 77.6 years with a base of 505,242. 

ooo45 

3.0 
APPENDIX II 

DEFINITIONS OF CERTAIN TERMS USED IN THIS REPORT 

I. Terms Relating to Home, “Hospital,” or Resident 

Institution for the aged: This term refers to allestabHome for the aged: 

“Hospital”: 

Nursing home unit: 

lishments that were within the 

scope of the Resident Places 

Survey- 1 except long-stay 

psychiatric hospitals. Included 

are nursing and personal care 

homes as well as long-stay 

“hospitals” and units of hospitals which specialize in the 

care of the aged. 

A home for the aged is a nursing home, convalescent home, 

or related facility providing 

nursing or personal care to 

the aged or chronically ill. 

The term “hospital” in this 

report refers to chronic disease and geriatric hospitals 

and nursing home units and 

chronic disease wards of general hospitals. 

A nursing home unit is a unit 

maintained by a general hospital for patients requiring 

nursing care but not the full 

range of hospital services. 

A chronic disease ward in a 

general hospital is a ward set 

aside for the long-term treatment of patients with chronic 

diseases. This excludes wards 

set up for the treatment of 

tuberculosis, mental illness, 

alcoholism, or drug addiction. 

A bed is any bed set up and 

regularly maintained for use 

by a resident or patient whether or not the bed was in use 

at the time of the survey. This 

excludes beds used by staffor 

any beds used for emergency 

services only. 

A resident (or patient) is any 

person who has been formally 

admitted to the institution and 

is currently on the register of 

the institution. This includes a 

resident who is temporarily 

away in a short-stay hospital, 

visiting with friends or relatives, etc., but whose bed is 

maintained for him in the 

home. 

Length of stay: Length of stay in this report 

refers to the current stay in 

the institution. It means the 

period of stay starting from 

the date of last admission to 

the institution to the date of the 

survey. 

Nursing caye: Nursing care is definedas the 

provision of one or more of 

the following services: 

Hypodermic injection 

Intravenous injection 

Taking of temperature-pulserespiration or blood pressure 

Application of dressings or 

bandages 

Bowel and bladder retraining 

Nasal feeding 

Catheterization 

Irrigation 

Oxygen therapy 

Full bed bath 

Enema 

Health characteristics: The health of the resident is 

discussed in this report in 

terms of six health characteristics. Each resident was 

classified in 1 of 3 categories 

according to extent of disability in each of the health characteristics as decribed below. 

“No disability” refers to category (l), “partial disability” 

refers to 

“complete 

to category 

to this was 

which only 

were used. 

Bed status: 

category (2), and 

disability” refers 

(3). An exception 

hearing status, in 

two categories 

1. Out of bed means that except for 

ordinary rest or sleep a person is 

out of bed most of the time. 

Chronic disease 

Bed: 

Resident: 

ward: 

46 
2. In bed part qf time means that 

besides ordinary rest or sleep a 

person stays in bed part of the time. 

3. In bed means that thepersonusually 

stays in bed all or most ofthe time. 

H’alking stalus: 

1. Walks unassisted means that aperson walks unassisted or with acane 

or crutch. 

2. Walks with assistance means that a 

person gets about only with a walker, 

an attendant’s help, or by his own 

efforts in a wheelchair. 

3. Neuet- ualks means that a personis 

not able to walk at all or is completely dependent on others to get 

about. 

Com?nence status: 

1. Continext means that a person normaIly can control feces and urine. 

2. Partially incontinent means that a 

person normally can control either 

urine or feces but not both. 

3. Incontinent means that a person 

normally cannot control either feces 

or urine. 

dlental status: Mental status refers to a person’s 

awareness of surroundings as follows: 

1. Alloaq’s C(IOUY~means that a person 

is not confused, i.e., he is completely aware of his surroundings. 

2. Confused part of time means that a 

person is sometimes not aware of 

his surroundings but is not confused all or most of the time. 

3. Conficsed means that a person is 

confused all or most of the time. 

Heaving status: 

1. No serious problem with hearing 

2. Sel-iolts problem with hearing or 

deaf 

Vision status: 

1. No serious problem means that a 

person has no problem seeing either 

with or without glasses. If a person is reported to be blind in one 

eye, he is also included in this 

category. 

2. Serious problem means that a person has a serious problem with seeing even with glasses but is not 

blind. 

-QOO 

3. Blind means that a person is blind 

in both eyes. 

II. Demographic Terms 

Age: Age shown in this report is 

based on the date of birth 

reported for each person. The 

date of birth is recorded in 

single years of age and 

grouped in various distributions depending upon the purpose of the table. 

Colov: Color is recorded as white and 

nonwhite. 

Region.- Classification of establishments by geographic area is 

provided by grouping the States 

into regions. These regions 

correspond to those used by 

the Bureau of the Census. They 

are as follows: 

Reg?on States Included 

Northeast _____--___--_- hlaine, New Hampshire, 

Vermont, Massachusetts, 

Rhode Island, Connecticut, 

New York, New Jersey, 

Pennsylvania 

North Crntral---------- hfichigan, Ohio, Indiana, 

IIIinois, Wisconsin, 

Minnesota, Iowa, Missouri, 

North Dakota, SouthDakota, 

Nebraska, Kansas 

South------------------ Delaware, Maryland, 

District of Columbia, 

Virginia, West Virginia, 

North Carolina, South 

Carolina, Georgia, Florida, 

Kentucky, Tennessee, 

Alabama, Mississippi, 

Arkansas, Louisiana, 

Oklahoma, Texas 

West _____-___--___--__ Montana, Idaho, Wyoming, 

Colorado, New Mexico, 

Arizona, Utah, Nevada, 

Alaska, Washington, 

Oregon, California, Hawaii 

47 
APPENDIX III 

CLASSIFICATION OF HOMES PROVIDING NURSING AND PERSONAL CARE 

The institutions in the Resident Places Survey-l 

were classified by the primary type of service provided on the basis of data collected for the Master 

Facility Inventory. The classification criteria used are 

based on four factors: 

1. The first factor was the number of persons 

receiving nursing care (defined in Appendix II) 

during the week prior to the day of the MFI 

Survey. 

2. The second factor was whether or not (a)medications and treatments were administered in accordance with physicians’ orders, or (b) supervision over medications which may be selfadministered was provided, or (c) neither administration of nor supervision over medications and treatments was provided. 

3. The third factor was the number of specified 

personal services routinely provided. These 

personal services (referred to below as criterion personal services) included rub and 

massage, help with tub bath or shower, dressing, 

correspondence or shopping, walking or getting 

about, and help with feeding. This list represents an attempt to cover the most typical personal services provided by either personal or 

domiciliary care homes. 

4. The fourth factor was the presence or absence 

of registered nurses or licensed practical 

nurses on the staff. 

On the basis of these factors three types of establishments were distinguished and defined as follows: 

Nursing caye home-An institution is a nursing 

care home if nursing care is the primary and predominant function of the facility. Those meeting the 

following criteria are classified as nursing care homes 

in this report: one or more registered nurses or 

licensed practical nurses were employed, and 50 percent or more of the residents received nursing care 

during the week prior to the survey. 

Personal-care-with-nursing home,-An institution 

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. If an institution 

met either of the following criteria, it was classified 

as a personal-care-with-nursing home in this report: 

1. Some. but less than 50 percent, of the residents 

received nursing care during the week prior to 

the survey, and there was one or more registered nurses or licensed practical nurses on 

the staff, or 

48 

2. Some of the residents received nursing care 

during the week prior to the survey, no registered nurses or licensed practical nurses 

were on the staff, but one or more of the 

following conditions were met: 

A. Medications and treatments were administered in accordance with physicians’ orders. 

B. Supervision over self-administered medications was provided. 

C. Three or more criterion personal services 

were routinely provided. 

Personal caye home-An institution is a personal 

care home if the primary and predominant function of 

the facility is personal care and no residents received 

nursing care during the week prior to the survey. Places 

in which any one or more of the following criteria are 

met are classified as personal care homes in this report whether or not they employed registered nurses 

or licensed practical nurses: 

1. Medications and treatments were administered 

in accordance with physicians’ orders, or 

supervision over medications which may be 

self-administered was provided. 

2. Three or more of the criterion personal services were routinely provided. 

Also included in the category of “personal care 

homes” are “domiciliary care homes.” An institution 

is a domiciliary care home if the primary and predominant function of the facility is domiciliary care 

but it has a responsibility for providing some personal 

care. If the criteria for a nursing care home are not 

met but one or two of the criterion personal services 

are routinely provided, the establishment is classified 

as a domiciliary care home. Although domiciliary care 

homes are included with personal care homes in this 

report, for purposes of stratification domiciliary care 

homes are considered as a separate type-of-service 

stratum (Appendix I). 

In the classification process a criterion was considered as not having been met if the necessary information for that criterion was unknown. For instance, if 

the type of nursing staff was unknown for a particular 

place, it was considered as not havingmetthe criterion 

of having one or more registered nurses on the staff. 

An establishment indicating that some nursing care 

was provided but not the number of persons to whom 

this care was provided was considered as an institution providing nursing care to some, but less than 

50 percent, of its patients or residents. Table VII 

shows in detail the scheme for the classification of 

establishments. 
Table VII. Criteria for classification of institutions 

Classification 

variables T 

Percent of total 

residents who received 50 percent

nursing care during or more 

the week prior to day

of study 

Number of registered 

or licensed practical 

nurses 

Are medications or 

treatments adminis- . . . No 

tered in accordance 

with physician orders? 

Is supervision over 

self-administered medications provided? 

Are three or more serv 

ices offered? 

Are one or two services offered? 

Is room and/or board 

the only service 

offered? 

Classification* 

> . Legend:vNursing care home-----------------------N 

Personal$carekwith+nursing

personal care home----------------------P 

Classification criteria 

Some but less None than 50 percent 

f None 1+ None 

5. 0. 

5. S. 

P 

home---------Pn 

Domiciliary care home-------------------D 

Boarding or rooming house(out of scope)-B 

ooo49 
-- 

APPENDIX IV 

QUESTlO,NNAlRE FOR 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 institution as a unit and includes additional space for reports 

on all residents of an institution. Such repetitive spaces are omitted 

in this illustration. 

Budget Bureau No.1&R620-R1: Approval Exirer December 31.19C

CONFIDENTIAL - This information is collected under authority of Public Law & of the 84th Congress (70 Scat. 489; 

42 U.S.C. 305). All information which would pcrmit 

strictly confidential, will bc used only by persons 

closed or released to other persons 01 used for any 

m4$RS-2c 

U.S. DEPARTMENT OF COMMERCE BUREAU OF THE CEt4SUS *CT,NG *s COLLECTlNC *GENT FOR THE 

U. S. NATIONAL HEALTH SURVEY 

Gentlemen: 

identification of an individual or of an esrsblishmcnt will be held 

engaged in and for the purposes of the survey and will not be diu 

other purpose (22 FR 1687). 

(lr nscsaaary, p*e*.a dl.Ql** to dmw correct name ami ad&o,*, 

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 suwnary will be presented in 

such a manner that no individual establishment or person can be identified. 

Thank you for your cooperation. 

Sincerely yours, 

GhG 

Richard M. Scammon 

Director 

Bureau of the Census 
-- 

-- 

GENERAL INSTRUCTIONS FOR COMPLETING THE QUESTIONNAIRE 

Bose your answers on records, as appropriate, when records arc available. 

Step l- Complete Port I, ESTABLISHMENT INFORMATION. 

These questions should be self-explanatory. The word ‘*establishment” 

refers to the facility providing service to residents or patients, such as a 

hospital, nursing home, home for the aged, and so forth. The words 

“resident or patient” are used interchangeably in this questionnaire. The 

people being cared for are usually referred to as “residents.” However, 

they are referred to as “patients” when this term seems more appropriate. 

Step 2 Complete Part II, CENSUS OF RESIDENTS OR PATIENTS. 

List in Column (b) the name of each person (resident or poticnt) who is 

currently on your register as a formal admission. (The number lisccd 

should be the same as shown for Parr I, Question 7.) (If this is a general 

hospital, or some specialty hospital, except chronic disease and/or coovalescent, geriatric, and rehabilitation, list only the patients or residents 

in your chronic disease ward and/or nursing home unit. All ocher establishments 

should list all of their patients or residents.) List the names in any order 

that is most convenient to you. If the names are not listed in alphabetical 

order or in sequence by some assigned number, such as admission number, 

please explain the order of the lisring in the “Comments” section on 

Page 4. 

For each person listed, record the date he was last admitted to your 

establishment, his date of birth, sex, and race. You may wish to make 

these entries as you record the persons’ names in Column (b). If date of 

last admission or date of birth is not known, record your best estimate of 

the date. 

Normally, the date of last admission refers to the date of admission to the 

nursing home, convalescenr home, hospital, etc. However, if this is a general 

hospital with a chronic disease ward or a nursing home unit,tle date of last 

admission refers to 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 last admission refers to the 

date of admission to the nursing home unit or the hospital, which ever was first. 

Step 3 -- c003piOtc pati iii, ~EkTii OF RESIDEHTS OR PATIENTS. 

Some of the lines in Part III arc blocked out, while others are not. For 

the lines not blocked out (identified by L circled line number), make the 

appropriate entries in the columns in Put IIl for the person whose name 

appearson that line in Part II, Column (b). This informacioo should be 

provided by the person best acquainted with the health of the residents 

in this estahlishmenc. 

Step 4 - The names of persons entered on Port II are needed only as a means of 

identification in case there should be a question about an entry on the 

questionnaire when it is reviewed. If you prefer, you may tear off the strip 

on Part II which contains the names of patients. If you do tcor off tbis port 

of tbc form, please keep it in your files for at least 6 months. 

Step 5 -- For convenience of contact in the event that questions concerning an entry do 

arise, the person completing the questionnaire should enter his name and give 

his tide or position, telephone number, and the date the form is completed on 

the bottom of Part I. 

Step 6 After you have completed the questionnaire, return it in the enclosed 

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. 

51 
-- 

Part I - ESTABLISHMENT INFORMATION 

(NOTE: When the term “RESIDENT” is used in the questionnaire, it refers co resident or patient.) 

. To provide a general picture of your admission policy: 

Do you accept the following types of rssidontr? w.wk(x) “yoa~~ or “h’o” for each Item.> 1OYcs ZONo a. Mdss . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

b. Fern&. . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . IOYSS ZOND 

C. Bedlast patlonts. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1OYCS ZONO 

d. Mentally ill patients (that is, diagnosed by a physician as mentally ill.). . . . . . . . . . . 1 OYcs P 0 No 

e. Do you ossapt persons of 011 ages, including children? . . . . . . . . . . . . . . . a . . a . . ! 0 Yes 0 No 

I.wP co 2,) (ccmplrte 1.(W 

(1) If “No” What ages do you qscspt? (mark IX) ONB bax only). . . . . . . . . . . . . . . . . . 2 0 65 sod oyet 

8 0 18 md over 

4 lg Under 18 

5 0 Ocher 

(sposily a/e)-

1. Do you provide nursing care R residents in yaw establishment? . . . . . . . . . . . . . . . . . . I 0 Yes z0No 

106 to (SldP 10 

1. Who is in charge of nursing care? (hark IX, 0~lj box 0nty.l 

(NOTE: “~dbtho,” aa mad bdow, msan. 40 halIre or ma* par %vOSk.) _._ 

I 0 Registered Nurse, full tima 5 0 Licensed Practical Nurse, full clma I .,:_ i 

,, 

2 0 Registered Nurse, part time A 0 Licensed Practical Nurse, pan time 1 . _‘,i I 

II D Neither Registered Nurse nor Licensed Precrical Nurse : 

I,; ;I 

i L,‘, 

5. Are there one or mote nurses or ~uI.o’s aider ON DUTY 24 hours D day? . . . . . . . . . . . lOYes 2 0 No 

i. How many beds are ragularly mointainad for residents? (Include -J bed. *et UP for we Number 

svhachor or not the,. are h Y.O ot tks pro.onc urns. Exclude hsd. mod hy .t.u 01 a~,. bad. u.od 

sxs*u.kdy Ior eaw**oncy .a-rrsa., . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

r. How many residents ore turrcntly on your register as formal admissions, Number 

who have not bean discharged? (Do not include employee* cr~roprlstaa., . . . . . . , . . . . . 

I. Of the residents in this establishment (Question 7, above) - Number 

a. How m,my slept hare low night?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

b. How many werq.tmnpoterlly DWDY last night in D hospital? (If this establish&r Is 

0 hespltol, how manjl residents wete temporarily away last night in soma other Number 

ho8pi~ol?)................................................... 

C. How m.my wvore tmnporerily .way last night In some place other rhan D Number 

hospital7 . . . . . . . . . . . . . . . . a e e e a a a em e e a.. . e. e e. a a -a * e e.. . a e e a e e 

). How mlny .dm,rsIons did you hwa during 1967.?. . . . . . . . . . . . . . . . . . . . . . . . . . . . Number 

,. How mrmy discharger did you have during 1962, excluding deaths?. . . . . . . . . . . . . . . . Numbcr 

I. How many persons died during 1962 whll o rosidantr of this establishmeat? (Include l ll Number 

arhOdfd wms on your rsplstor 0.m tbar#a tompaelh .maY Ial . howAd ce *c!ne otimr Pl*-.J. . . . 

L Are nil psrs~nr admitted to this establishment rsqurad to be examined by a pbyslslan 

before or soon after admission? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . loYe* 2ONo 

(P., 3. What 1s your most frsqwnt, your highest, end Most frequennc. . . . . . . . s @.7cdh) 

your lowest charge PER MONTH for lodplng, me&, 

nursing care, and other personal ssrvlcss7 . . . . . . . . . . . Highest. . . . . , . . . . . I 

Pm 

.i Lowrs1.. . . . . . . . . . . 5 math) 

Number 4. How mmy persons an omployod in this sstoblishment? (/n&de .np.,d ~prop.m. 

mam*sr. 01 rolWou. odorq .md omner. who “.“dIY wo,* IS hour, 01 mm. a we& In th,. 

o~t~bllshmal*. . . . . . . . . . . . . . . . . . . . . . . . ,. . . . . . . . . . . . . . . . . . . . . . . . . , . . . . 

Name of person completing this form Telephone No. and Ext. Dart complcred 

I “4 ..,,. :Lwr” i” ,: Title or position !, :eo;p~~~~~~~~~~~i’i,g ~~~

Establishment Number 

52 
Part II - CENSUS OF 

RESIDENTS OR PATIMTS 

If you wish you may death md k-g 

this stub of Part I/ far your recora’r. 

IF YOU 00 TEAR OFF THIS STRIP, 

PLEASE RETAIN IT IN YOUR FILES 

FOR AT LEAST 6 MONTHS. 

List the names of all residents 

in this cstsblirhmenr 

p.s footmale b.lOW, 

2 2 

Port Ill- HEALTH OF RESIDENTS OR PATIENTS 

IMPORTANT: Complet. on. line of Port 111 for each person listed on those Ii-r of Part II that or* idcntifl=d by o CIRCLED NUMBER. 1 BED STATUS 

IExcept in hod for WALKING STATUS VISION STATUS CONTINENCE MENTAL STATUS 

ordinary rest or sleep) Amreaeas of surrolmditq 

w-t m ONLY WE 0, Ih... #II.. c.wcd.. for .ach r.,id.mrJ 

wrli m ONLY mm 0, th.,. ,ur C.,.,d.. for .mh ,.sidrrt) 

(h-t) 

V U. 5. GOVERNMENT PRINTIXG OFFICE : 1965 0 - 782-287 

53 
SELECTED REPORTS FROM THE NATIONAL CENTER FOR HEALTH STATISTICS 

Public Health Service Publication No. 1000 

Series 1. Program and collection procedures 

NO. 1. Origin, Program, and Operation of the U.S. NatIonal Health Survey. 35 cents. 

NO. 2. Health Survey Procedure: Concepts, Questionnaire Development, and Definitions in the Health Interview Survey. 45 cents. 

No. 3. Development and Vlaintenance of a National Inventory of Hospitals and Institutions. 25 cents. 

h-0. 4. Plan and Initial Program of the Health Examination Survey. 

2. Data evaluation and methods research 

No. 1. Comparison of Two-Vision Testing Devices. 30 cents. 

NO. 2. Measurement of Personal Health Expenditures. 15 rents. 

NO. 3. The One-Hour Glucose Tolerance Test. Xl cents. 

NO. 4. Comparison of Two Methods of Constructing Abridged Life Tables. 15 cents. 

No. 5. An Index of Health: Mathematical Models. 25 cents. 

A-o. 6. Reporting of Hospitalization in the Health Interriav Survey. 

NO. 7. Health Interview Kesponses Compared With Medical Records. 

NO. 8. Comparison of Hospitalization Reporting in Three Survey Procedures. 

NO. 9. Cooperation in Health Examination Surveys. 

10. Hospital Utilization in the Last Year of Life. 

Series 3. .Analyticel studies 

NO. 1. The Change in Mortality Trend in the United States. 35 cents. 

NO. 2. Recent Wxtality Trends in Chile. 30 cents. 

Scrles 4. Documents and wmmittee reports 

No reports to date. 

Series 10. Data From the Health Intewiow Survey 

Series il. Data From the Health Examination Survey 

Series 12. Data From the Health Records Survey 

NO. 1. Institutions for the ,\ged and Chromcally Ill. Irnited Stales. .Aprll-June 1963. 

No. 2. Characteristics of Residents in Institutions for the Aged and Chronically 111. United States, April-June 1963. 

Series 20. Data on mortwlity 

Series 21. Data on natality, marriage, and divorce 

Series 22. Data from the program of sample surveys related to wtal records.