Data from the Series 12 

NATIONAL HEALTH SURVEY Number 16 

NursingHomes: 

Their Admission,Policies, 

Admissions,and Discharges: 

kited States- April- Septembe1968 r

Statistics on number and 

according to admission 

according to the former 

discharges alive and due 

length of patient stay. 

period of April-September 

types of nursing and related care homes 

policies, total admissions, admissions 

place of residence, total discharges, 

to death, rate of patient turnover, and 

Based on data collected during the 

1968. 

DHEW Publication No. (HSM) 73-1701 

U.S. DEPARTMENT OF HEALTH, 

Public Health 

Health Services and Mental 

National Center for 

Rockville, Md. 

EDUCATION, AND WELFARE 

Service 

Health Administration 

Health Statistics 

December 1972 
Vital and Health Statistics-Series 1%No. 16 

For sale by the Superintendent of Documents, U.S. Government Printing Office, Washington, D.C. Ml02 

Price 90 cents Domestic Postpaid or 65cents GPO Bookstore 
NATIONAL CENTER FOR HEALTH STATISTICS 

THEODORE D. WOOLSEY, Director 

EDWARD B. PERRIN, Deputy Director 

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

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

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

JOHN J HANLON, M.D., Medica Advisor 

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

EDWARD E. MINTY, Executive Officer 

ALICE HAYWOOD, Information Officer 

DIVISION OF HEALTH RESOURCES STATISTICS 

SIEGFRIED A. HOERMANN, Director 

PETER L. HURLEY, Deputy Dirertoy 

HENRY S. MOUNT, Chief, Health Manpower Statistics Branch 

G. GLORIA HOLLIS, Chief, Health FaciZities Statistics Branch 

WILLIAM F. STEWART, Chief, F amily Pkwning Statistks Branch 

GRACE K. WHITE, Chief, Hospital Discharge Survey Branch 

COOPERATION OF THE BUREAU OF THE CENSUS 

Under the legislation establishing the National Health Survey, the Public Health Service 

is authorized to use, insofti as possible, the services or facilities of other Federal, State, 

or private agencies. 

In accordance with specifications established by the National Center for Health 

Statistics, the Bureau of the Census, under a contractual arrangement, participated in 

planning the survey alld collecting the data. 

Vital and Health Statitics-Series 12-No.16 

DHEW Publication Ns. (HSM) 73-1701 

Library of Congress CztaZog C&d Number 72-600139 
-------------------------------------------- 

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

CONTENTS 

Page 

Introduction ________________________________________------------------

Overview ________________________________________------------------

&&y&&on policy-----------------------------------------------------

Type of Patient Accepted 

Patients with Physical Problems _-----------_------------------------

Patients with Mental or Emotional Problems -----_---__-_-__--_-------

Physical Examination Required for Admission-------------------------

Admissions and Discharges --_---_-------------____________________----

Admissions According to the Former Place of Residence---------------

Discharges 

Rate of Patient Turnover --_----_----------_-------------------------

Length of Patient Stay---_----_---_-----_----------------------------

References -----------------_-----------------------------------------

List of DetailedTables -_--^--------------------------------------------

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

General----------~------------------------------------------------

Universe ---_------------------------------------------------------

Data Collection and Processing ------_-_---_--------------------------

Appendix II. Qualifications of the Data---------------------------------

General -----------------_-----------------------------------------

Time Interval Between Establishing the Universe and Conducting the SurveyWeighting Procedure ------------------------------------------------

Rounding of Numbers ------------------------------------------------

Nonresponse and Imputation of Missing Data---------------------------

Appendix III. Definitions of Certain Terms Used in This Report-----------

Terms to Homes or Residents 

1 

2 

3 

3 

3 

8 

10 

12 

12 

14 

15 

17 

19 

21 

47 

47 

47 

47 

49 

49 

49 

49 

50 

50 

52 

R&tag ____- __________________________ 52 

Terms Relating to Demographic Classification------------------------- 52 

Appendix IV. Classification of Nursing Homes by Type of Service---------- 53 

Appendix V. Forms Used in the Survey--------------------------------- 55 

1968 Nursing Home Questionnaire -_-------------__---________________ 5.5 

Fail-E&t Questionnaire--------------------------------------------- 59 

1967 MFI Nursing Home Questionnaire --------_---------_------------- 61 

.. .

III 
SYMBOLS 

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

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

Quantity zero---------------------------- _ 

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

Figure does not meet standards of 

reliability or precision------------------ * 

Data suppressed to comply with 

confidentiality requirements------------- # 
NURSING HOMES: THEIR ADMISSION POLICIES, 

ADMISSIONS, AND DISCHARGES 

Jeannine Fox Sutton, Division 

INTRODUCTION 

Data presentedin this report were collectedin 

the 1968 Nursing Home Survey, which was a 

survey of “all” the nursing homes in the United 

States. (Nursing homes were defined as resident 

institutions which provided nursing or personal 

care and maintained three beds or more for 

patients.) This survey of 18,185 nursing homes 

was conducted in April-September of 1968 and 

collected selected data on the home, such as 

number of residents, admissions, discharges, 

admission policies, monthly charges for care, 

number and kinds of employees, and medical and 

recreational services offered. 

This survey did not collect data on approximately 1,355 homes which opened during the 

1-year interval between establishing the universe 

and conducting the survey. However, basic information on these homes (such as type of service, 

type of ownership, and bed size) was collected in 

1969, and the data collected in the 1968 Survey 

were weighted to account for the existence of these 

newly opened homes. Thus, figures presented in 

this report reflect information for “all” 19,533 

nursing homes in operation in the United States 

in 1968. (See appendix II for further discussion 

on the survey universe and the weighting procedure.) 

The 1968 Nursing Home Survey was the third 

in a series of “ad hoc” surveys of long-term 

health care facilities. The Resident Places Survey-l, the first of these surveys, was conducted 

in April-June 1963 and collected data on nursing 

of Health Resources Statistics 

homes, chronic disease and geriatric hospitals, 

and nursing home units and chronic disease wards 

of general and mental hospitals. Some of the data 

from tbis earlier survey will be compared intbis 

report with the data from the 1968 Nursing Home 

Survey. Further findings of the Resident Places 

Survey-l, as well as a description of its design 

and methodology, may be found in several previously published reports.lm5 The Resident Places 

Survey-2, which was conducted inMay-June 1964, 

is the second of these “ad hoc” surveys and 

concentrated mainly on nursing homes and geriatric hospitals. This second survey collected 

more detailed information about each institution, 

its residents, and its employees. a-14 The Resident Places Survey-l and -2 and the 1968Nursing 

Home Survey are part of the U.S. National Health 

Survey Program.15 

This report presents data on the admissions, 

discharges, and admission policies of nursing 

homes. Other reports &om this survey present 

data on monthly charges for care,16 employees,lT and services offered by these homes.18 (A 

brief comparison of the 1968 summary data with 

data collected in 1963 has also been published.)1g 

To better interpret the data presented in this 

report, the reader should review the background 

material presented in the appendixes. This background material includes information on the 

survey design andprocedures (appendix I); general 

qualifications of the data, weighting, and imputation procedures (appendix II); definitions of terms 

(appendix III); classification of nursing homes 

according to type of service (appendix IV); and 

1 
the forms used in the survey (appendix V). Data 

in this report relate to questions 4, 7, 12, 13, 

and 14 of the form shown inappendix V. 

Overview 

Data from the 1968 Nursing Home Survey on 

admissions and discharges, which may be used as 

measures of the utilization of nursing care and 

related facilities, are, presented in this report. 

These data will be examined, along with various 

admission policies practiced by these nursing 

homes, in order to present an overall picture 

of the turnover of patients in these institutions. 

This report will present comparative data for 

those items of information collected by both the 

1968 Nursing Home Survey and the 1963 Resident Places Survey-l (see Introduction). Table 

A shows the number and percent distributions of 

homes, beds, and residents for these 2 years. 

These data, presented by the three types of 

nursing service categories (see appendix IV), 

provide a picture of the overall changes that 

have occurred in nursing homes between the 2 

years. The number of homes, beds, andresidents 

in personal care homes with nursing (the intermediate level of nursing service) have decreased since 1963, while the number of homes, 

beds, and residents in homes providing nursing 

Table A. Number and percent distribution of nursing and related care homes, beds, and 

residents by type of service provided by home: United States, 1963 and 1968 

[Figures may not add to totals due to rounding for weighting procedure. See appendix II for detaik] 

Type of service 

provided by home 

Nursing care-----------..-- ____ ---_ 

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

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

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

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

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

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

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

Homes 

16,370 1 100.0 1 19,533 1 100.0 1 +19.3 

I I I I 

7,834 47.9 

4,968 30.4 

3,568 21.8 

Beds 

Residents 

505,242 [ 100.0 1813,335 1 100.0 ( +61.0 

I I I I 

+107.3 

-6.8 

+26.0, 

2 
care (the highest level of nursing service) or 

personal care (the lowest level of nursing service) have increased. The greatest percent of 

change occurs for nursing care homes. The 

number of beds and residents in these homes in 

1968 have more than doubled since 1963. This 

increase in nursing care homes may be due to 

institutions’ upgrading their level of service to 

qualify as extended care facilities under the 

Medicare Act or as skilled nursing homes under 

the Medicaid Act. 

ADMISSION POLICY 

The data on admission policy presented in this 

report characterize two specific policies practiced by nursing homes in 1968: (1) The policy 

regarding the type(s) of patients accepted for 

admission and (2) the policy regarding any 

requirements for a physical examination for 

admission. Each of these policies will be examined 

to point out the more important relationships 

revealed by the data. Detailed tables l-5 show how 

the institutions were distributedin 1968according 

to these two policies. 

Type of Patient Accepted 

Admission policy regarding the type(s) of 

patients accepted for admission to nursing and 

related care homes in 1968 is presented in this 

section according to the homes’ response to 

question 4 of the questionnaire (see appendix V): 

“As a general policy, do you accept the following 

types of persons?” The respondent was instructed 

to answer “yes” or “no” for the following types 

of patients: bedfast patients; postsurgical recovery patients; patients transferred from psychiatric facilities; mentally retarded patients; 

patients with heart disease; patients suffering 

from the ill effects of a stroke; patients with 

diabetes, fractured hips, crippling arthritis, or 

cancer; blind patients; alcoholic patients; or 

mentally ill patients. Detailed tables l-3 show 

how the type of service, type of ownership, 

region, bed size, and level of nursing skill 

available in the home affect the acceptability 

of the various types of patients. 

An examination of the data in figure 1 

reveals a grouping of the various types of 

patients into two general categories: patients 

with physical problems and patients with mental 

or emotional problems. Nine of the types of 

patients studied, those with physical problems 

(such as bedfast patients, postsurgical recovery 

patients, etc.), were accepted by over two-thirds 

of all the homes. Four of the types of patients, 

those with mental or emotional problems (patients transferred from psychiatric facilities, 

mentally retarded patients, alcoholic or mentally 

ill persons), found acceptance in less than 53 

percent of the homes. 

Patients With Physical Problems 

The percents for the total number of homes 

accepting each of the nine types of patients with 

physical problems range from 67.0 percent for 

postsurgical recovery patients to 88.2 percent 

for persons with heart disease (table B). These 

percents vary appreciably depending’upon the 

type of service provided by the institution. An 

examination of the percent of homes accepting 

patients having each of the nine types of physical problems reveals that these patients, regardless of the type of problem, were accepted 

in over 84 percent of all homes providingnursing 

care (the highest level of nursing service). In 

personal care homes with nursing (theintermediate level of nursing service), the data vary from 

52.8 percent of these homes that accepted postsurgical recovery patients to 84.8 percent of 

these homes that accepted persons with heart 

disease. The greatest variation for the types of 

patients with physical problems, however, occurs 

in personal care homes (the lowest level of 

nursing service) and ranges from 24.6 percent 

that accepted bedfast patients to 68.8 percent 

that accepted patients with heart disease. Since 

patients having physical problems often require 

higher degrees of nursing care, it appears 

reasonable that, for each type of patient, the 

percent of homes accepting these patients increased in 1968 as the level of nursing service 

increased. 

The availability of a skilled nurse on duty 

in the home also affected the percent of homes 

accepting each type of patient in 1968, as is 

shown in table C. Institutions with a registered 

nurse ,or licensed practical nurse on duty for 

3 
P PATIENTS WITH MENTAL OR PA

EMOTIONAL PROBLEMS 
Table C. Percent of homes accepting patients with physical problems, by type of patient and nursing staff 

available: United States, April-September 1968

-

l- Patients with physical problems 

Nursing staff 

available 

Registered or licensed practical nurse on 

Registered or licensed orac­ tical nurse on duty, one shift or more-­

other nursing staff----------

Patients Patients 

Bedfast Diabetic with with Cancer Blind 

patients patients fractured crippling patients patients

hips arthritis 

87.1 80.2 95.1 94.6 94.8 91.3 93.2 88.3 83.9 

84.6 77.3 94.3 93.5 93.7 89.2 91.8 86.1 82.6 

28.9 37.6 70.8 67.5 67.9 46.1 56.5 41.9 49.1 

TYPE OF SERVICE 

m Nursing care 

Personal cam 

with nuning 

Psnonsl care 

20 40 so so 104 

ollw nursing staff 

I I I I I I 

0 20 40 so SO 1W 

PERCENT DISTRIBUTION 

Figure 2. Percent distribution of homes by type of 

service provided according to type of nurse on duty. 

a2.l &lifts (question 18 of the questionnaire in 

appendix V) represented over 80 percent of those 

institutions accepting each of these types of 

patients. Further examination of the homes having 

this .type of staffing arrangement reveals that 

80.2 percent of them were nursing care homes, 

which provide a higher level of nursing care. For 

those homes having aregisterednurse or licensed 

practical nurse on duty for at least one shift, the 

percent of homes accepting each type of patient 

is slightly lower. Of the homes with this type of 

staffing arrangement, 76.2 percent were nursing 

care homes. (The lower percent of homes having 

the skilled nursing staff (registered or licensed 

practical nurse) for at least one shifi compared 

with the homes having this staff for aZEshifts is 

probably attributable to the smaller percent of 

nursing care homes having the arrangement of a 

registered nurse (RN) or licensedpracticalnurse 

(LPN) on duty for at least one shifl.) Figure 2 

shows the three types of nursing staff arrangements by the type of nursing service provided in 

the home. 

Of the three types of staffing arrangements 

shown in table C, the most variation occurs among 

the homes having other types of nursing staff on 

duty. The variation ranges from 28.9 percent of 

the homes which admit bedfast patients to 70.8 

percent of the homes which admit persons with 

heart disease. Most homes (68.7 percent) having 

nursing staff with this level of skill on duty were 

personal care homes (the lowest level of nursing 

service). 

For all nine types of patients with physical 

problems, the greatest likelihood of being accepted 

5 
for admission (over 70 percent), as is shown in 

table D, was in proprietary (profit) homes. The 

type of ownership, however, did not seem to have 

as great an effect on the percent of homes 

accepting each type of patient for admission in 

1968 as did the type of nursing service. For all 

three types of ownership, over half of the homes 

accepted each type of patient. Proprietary homes, 

however, accepted a greater percent of each type 

of patient than did homes having either of the 

other two types of ownership (government or 

nonprofit). This can best be explained by the fact 

that, of these proprietary homes, over two-thirds 

were nursing care homes, which accepted the 

largest percent of each type of patient in 1968. 

Nursing care homes constituted less than half of 

the homes with either of the other two types of 

ownership. 

The percent of homes accepting each of the 

nine types of patients also seems to be related to 

the size of the institution. For all nine types of 

patients with physical problems, the smaller 

institutions (those with less than 25 beds), accepted 

the lowest percent of patients for admission.‘Variation among the percents for the other three 

size class groups (25-49 beds, SO-99beds, and 100 

beds or more) is slight (table D). Here again,. 

the type of nursing service has its effect since 

only 30 percent of the homes in the less than 

25-bed category were nursing care homes while, 

for each of the other three groups, over 70 

percent of the homes had this type of nursing 

service. 

Little variation occurs in the percent of homes 

accepting patients with physical problems according to geographic region (table D). The nine types 

of patients were admitted to over 57 percent of 

all homes in 1968regardless of region. Ingeneral, 

the least likely region to accept each type of 

patient was the .West; the most likely region was 

the South. The greatest variation among the 

various regions was for bedfast patients, who were 

accepted by 57 percent of the homes in the West 

compared with 78 percent of the homes in the 

South. 

Table D. Percent of homes accepting patients with physical problems, by type of patient and type of owner- ship, bed size, and region of home: United States, April-September 1968

-

T Patients with physical problems 

Type of owner- ship, bed size, Post- Heart Patients Patients 

and region Bedfast surgical disease itroke Diabetic with with Cancer Blind 

patients recovery patients ltients patients fractured crippling patients patients patients hips arthritis 

All homes- 70.2 67.0 88.2 86.8 87.1 78.1 82.7 74.7 74.0 

Type of owner- ship 

Proprietary-----

Nonprofit-------

Government------

73.7 

59.6 

55.3 

70.4 

56.6 

53.0 

89.8 

83.5 

81.4 

89.7 

76.2 

78.3 

88.7 

82.0 

80.4 

80.8 

70.5 

64.9 

85.4 

74.5 

72.1 

77.5 

65.8 

63.8 

76.6 

64.4 

66.2 

Bed size 

Less than 25 

beds-----------

25-49 beds------

50-99 beds------

100 beds or 

47.5 

82.3 

88.8 

51.1 

70.8 

82.7 

78.3 

93.3 

96.0 

76.4 

92.3 

95.0 

77.2 

90.6 

95.7 

60.5 

87.5 

91.5 

68.6 

90.4 

93.3 

55.6 

84.3 

89.9 

56.5 

83.9 

88.1 

more----------- 86.3 83.9 96.2 94.5 96.6 91.8 94.0 90.4 85.4 

Region 

Northeast------- 67.2 69.8 87.1 83.7 85.6 76.2 79.2 73.7 72.2 

North Central--- 75.7 67.1 90.1 89.3 89.1 82.4 86.9 77.7 76.9 South----------- 78.0 70.9 90.3 89.8 88.9 83.6 87.1 78.3 79.2 West------------ 57.0 59.9 84.5 83.1 83.6 67.8 75.6 67.6 65.9 
---------------------------- 

Type of service 0 20 40 60 80 100 I I I I , 

All homes 

Personal care homer 

with nursing 

24.6 

Penonal care homes 

7.7 

I I I I I I 0 20 40 60 90 100 

PERCENT OF HOMES 

Figure 3. Percent of homes accepting bedfast patients, 

by type of service. 

The bedfast patient is the only type ofpatient 

with a physical problem for which we have data 

from the 1963 Resident Places Survey (see 

Introduction). A comparison of the percents of 

the total number of institutions admitting this 

type of patient during these 2 years shows very 

little change (see figure 3). However, if the 

percent of increase is computed, using 1963 as 

the base year, the change becomes quite apparent. 

The number of homes accepting bedfast patients 

increased by 23 percent from 1963, while the 

number of homes increased by only 19.1 percent. The number of nursing care homes accepting this type of patient increased by 42 percent 

from 1963, personal care homes with nursing 

decreased by 31.2 percent, and personal care 

homes increased by 69.3 percent. The total 

number of homes, on the other hand,increased by 

44.2 percent for nursing care homes, decreased 

by 22 percent for personal care homes with 

nursing, and increased by 22.1 percent for personal care homes. The increase inhomes accepting bedfast patients since 1963 is probably due to 

the increased effort to upgrade the care provided 

by these institutions. This effort has probably 

been concentrated in those homes having the lower 

Table E. Percent of homes accepting patients with mental or emotional problems, by 

type of patient and type of service provided by home: United States, April-September 1968 

Patients with mental or emotional problems 

Type of service Psychiatric Mentally Mentally

transfer retarded Alcoholics ill 

patients patients patients 

All homes _-----__-_-_--_--__------- 48.7 52.6 23.7 24.3 

Nursing care----------------------------- 54.5 60.6 27.2 26.8 

Personal care with nursing--------------- 36.5 44.6 17.9 16.3 

Personal care 44.5 38.8 19.7 25.0 
Table F. Percent of homes accepting patients with mental or emotional problems, by type of patient and nursing staff available: United States, April-September 1968 

Patients with mental or emotional problems 

Nursing staff available Psychiatric Mentally Mentally transfer retarded Alcoholics. ill 

patients patients patients 

Registered allor licensed practical nurse 

on duty, shifts---------------------

Registered or licensed practical nurse 

on duty, one shift or more---------------

Other nursing staff---------------------­

levels of nursing service which accounts for the 

increase in those personal care homes accepting 

bedfast patients. 

Patients With Mental or Emotional 

Problems 

The percent of homes accepting the four types 

of patients in this group (patients transferred from 

psychiatric facilities, mentally retardedpatients, 

and alcoholic or mentally ill persons) varies 

from 52.6 percent of the homes accepting mentally 

retarded patients to 23.7 percent accepting alcoholics (table E). Patients transferred from 

psychiatric facilities and mentally retarded patients were accepted by about half of the institutions in 1968, while alcoholic or mentally 

ill persons were accepted only by approximately 

one-fourth of the homes. 

As with patients having physical problems, 

nursing care homes account for the largest 

percent of homes accepting each type of these 

patients. Personal care homes with nursing 

account for the smallest percent of homes accepting psychiatric transfer patients and alcoholic or 

mentally ill persons. For mentally retarded 

patients, however, personal care homes had the 

smallest percent. This is probably due to the 

higher degree of care that is required for 

mentally retarded patients compared with the care 

required for the other three types of patients. 

49.5 56.0 24.8 23.0 

50.1 56.3 25.3 24.1 

44.7 41.9 19.2 24.7 

The availability of skilled nursing staff 

(registered or licensed practical nurse) on duty 

for all shifts seems to have had less effect on 

the percents of those patients with mental and 

emotional problems who were admitted to these 

institutions than it had for those patients with 

physical problems (table F). Of the homes accepting patients with mental or emotional problems, 

slightly more had skilled nursing staff on duty 

for at least one shifl (50.1 percent) than for all 

shiifts (49.5 percent). This fact, plus the fact 

that there is little variation among the percents 

according to the type of available nursing staff, 

suggests that the level of skill of the nurse on 

duty does not affect the acceptance of patients 

with mental or emotional problems in as great 

a degree as it affects the acceptance of those 

patients with physical problems. 

When ownership is considered, nonprofit 

institutions were least likely to accept patients 

with mental or emotional problems in 1968. 

The range of acceptance for these four types 

of patients in nonprofit homes in that year was 

from 36.7 percent for mentally retarded patients 

to 12.4 percent for mentally ill patients. About 

half of the government and proprietary homes 

admitted mentally retarded and psychiatric transfer patients, and about one-fourth admitted alcoholic or mentally ill persons. 

The size of the institution did not affect the 

acceptance of patients with mental and emotional 
problems in 1968 in as great a degree as that 

for those patients with physical problems. The 

most variation among the four size classes for 

each of these types of patients occurs for homes 

accepting mentally retarded patients (table G). 

Note, however, that among homes acceptingmentally ill patients, the largest homes (those with 

100 beds or more) accepted the smallest percent 

of patients for admission. For the other three 

types of patients, the smallest percent of acceptance occurred among homes with less than 25 

beds. 

Table G also shows the percent of homes 

accepting each of these four types of patients 

according to geographic region. Alcoholic or 

mentally ill persons and psychiatric transfer 

patients were the least likely to be accepted for 

admission in homes in the Northeast Region in 

1968, while mentally retarded patients were the 

least likely to be accepted for admission to 

homes in the West Region. The North Central 

Region accounted for the greatest percent of 

acceptance for all four types of these patients. 

Data on mentally ill patients were collected 

in 1963 by the Resident Places Survey. An 

examination of figure 4 reveals that the percent 

of the total number of homes accepting mentally 

ill patients decreased very slightly-from 24.9 

percent in 1963 to 24.3 percent in 1968.However, 

computation of the percent change using 1963 as 

the base year reveals a 16.5-percent increase in 

the total number of homes accepting mentally ill 

persons. Variation in the percents of change 

according to the type of nursing service ranges 

from a 64.7-percent increase in personal care 

homes that accepted mentally ill patients to a 

59.5-percent decrease in the personal care homes 

with nursing accepting these patients. This decrease in the number of personal care homes 

with nursing accepting mentally ill persons probTable G. Percent of homes accepting patients with mental or emotional problems, by type of patient and type of ownership, bed size, and region of home: United States, April-September 1968 ­

rPatients with mental or emotional problems 

bed size, and region Psychiatric Mentally transfer retarded 

patients patients 

All homes-------------------------- 48.7 52.6 

Type of ownership 

Proprietary------------------------------’ 

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

'Government ----_--------------------------

55.2 E*% . 36.7

55.7 57.8 

24.5 

15.6 

31.5 

26.4 

12.4 

25.9 

Bed size 

Less than 25 be& _-_---__----___---_-----

25-49 beds --------_----------------------

50-99 beds ------------------------------- 100 beds' or more-------------------------

43.5 41.9 

52.0 64.8 

52.1 56.1 

52.5 55.3 

19.7 

25.0 

25.6 

30.5 

24.4 

29.7 

20.7 

18.5 

Region 

Type of ownership, 

Northeast-------------------------------- 46.8 19.2 17.4

North Central -__------------_------------ %Z 61.5 28.1 28.6 South------------------------------------ 47:9 20.4 25.8 West-------------------------------------. 44.6 2-Y. 25.2 23.5 

9 
0 20 40 60 60 100 I I I I I I Type of service 

4.3 

All homes 

24.9 

Nursing care homes 

Personal care homes 

with nursing 

L I I I I 1 

0 20 40 60 60 100 

PERCENT OF HOMES 

Figure 4. Percent of homes accepting mentally ill 

patients, by type of service. 

ably accounts for the apparent decrease in the 

total number of homes accepting this type of 

patient. 

Physical Examination Required for Admission 

Admission policy regarding the requirement 

of a physical examination was obtained from the 

response to question 7 of the questionnaire in 

appendix V: “Are all persons admitted to this 

facility required to be examined by a physician 

within the month prior to or, after admission?” 

If the response to the questidn was “yes,” the 

home was instructed to indicate which of the 

following types of physicians performed the 

examination: patient’s personal physician, hospital staff physician, staff physician of the fa-. 

cility, consulting physician of the facility, or 

other physician. Detailed tables 4 and 5 show how 

the homes were distributed in 1968 according 

to their responses to this question, 

Most nursing and related care homes (83.2 

percent) required that all persons admitted to 

the home be examined by a physician (table H). 

Of these homes, 80.6 percent utilized the services of the patient’s personal physician for the 

Table H. Percent of homes requiring a physical examination for admission, by type of 

phys’ician performing the examination and type of service provided by home: United 

States, April-September 1968 

Type of physician performing examination 

Homes Type of requiring Facility Other service examination Personal Ho;:;‘,;’ Fa;:B;:y consulting physician physician physician physician physician 

All homes-- 83.2 80.6 2.9 7.0 8.8 0.7 

Nursing care----- 90.4 85.5 1.6 6.9 5.6 0.5 

Personal care 

with nursing---- 74.2 71.7 2.9 10.5. 14.1 0.8 

Personal care---- 72.6 72.8 7.2 4.5 14.1 1.5 

10 
examination. When the examination was not performed by the personal physician, it was usually 

performed by either the facility staff or the 

consulting physician. 

Nursing care homes required a physical examination for admission more often than did 

homes having either of the other two types of 

nursing service (personal care with nursing or 

personal care). As shown in table H, over 90 

percent of the nursing care homes required a 

physical examination compared with 74.2 percent 

of the personal care homes with nursing and 

72.6 percent of the personal care homes. On the 

basis of these 1968 data, it is indicated that as 

the level of nursing service provided by the 

home decreases, so does the percent of each 

type of home requiring a physical examination 

for admission. 

The type of ownership and geographic location of the home did not seem to ‘affect the 

bractice of requiring a physical examination for 

admission. For all three types of ownership 

(government, proprietary, and nonprofit) between 

82 percent and 86 percent of the homes required 

such an examination (table J). According to 

geographic location, the variation among the 

percents was slight. The West Region had 78.7 

percent (the lowest percent) of the homes practicing this policy compared with 85.3 percent of the 

homes in the North Central Region. 

The size of the institution seemed to have 

an effect on the requirement of a physical examination for admission. The percent of homes 

practicing this policy ranges from 76.3 percent 

of the homes with less than 25 beds to 92 percent of the homes with 100 beds or more. As 

Table J. Percent of homes requiring a physical examination for admission, by type of 

physician performing the examination and type of ownership, region, and bed size of 

home: United States, April-September 1968 - Type of owner- Homes T Type of physician performing examination 

ship, region, requiring and bed size examination Personal Hospital Facility Facility Other staff staff consulting physician physician physician physician physician 

Ali homes-- 83.2 80.6 2.9 7.0 8.8 0.7 

North 

Type of ownership 

Proprietary------

Nonprofit--------

Government-------

82.9 

85.9 

81.6 

%-ii 

63:3 

7 ..8 

11.9 

12.4 

k:: 

1:4 

Region 

Northeast--y----- 84.2 76.5 10.2 0.9 Central---- 80.6 9.2 S’outh--------- Ei 82.7 2; West------------- 78:7 82.8 5:; 1.0 

Bed size 

Less than 25 beds ------------ 76.3 77.9 12.1

25 -49 beds ------- 81.9 8.7 50-99 beds ------- E-1 84.5 

100 beds or more- 92:o 78.9 Z 
shown in table J, the larger the size of the 

institution, the greater the percent of the homes 

requiring such an examination. 

Data on physical examination requirements 

for admission were collected in the 1963 Resident Places .Survey. Figure 5 shows a comparison of the percent of homes that had this requirement for 1963 and 1968. A smaller percent 

of the total homes and of the homes according 

to each type of nursing service required such an 

examination in 1968. However, computation of 

the percent of increase reveals that 4 percent 

more homes practiced this admission policy in 

1968. This percent of increase is probably less 

than it would have been if the questions from 

the two surveys had been identical. The question 

from the 1963 Survey read: “Are all persons 

admitted to this establishment required to be 

examined by a physician before or soon after 

admission?” The 1968 Survey question set a 

time interval for the examination of within a 

month prior to or after admission, which further 

limited the number of homes which might have 

responded to the question. 

ADMISSIONS AND DISCHARGES 

Data on admissions to and discharges from 

nursing and related care homes for the calendar 

year 1967 were collected by questions 12, 13, 

and 14 of the questionnaire in appendix V. These 

questions deal with the total number of admissions, 

the former place of residence of patients admitted, 

the total number of discharges, the number of 

live discharges, and the number of death discharges. Such statistics as the rate of turnover of 

patients and the mean length of stay per admission are examined in this section to point out the 

more important patterns of utilization of these 

institutions. 

During calendar year 1967, an estimated 

801,013 persons were admitted to nursing and 

related care homes and 756,289 were discharged. 

Detailed tables 6-10 show how these data are 

distributed according to the former place of 

residence of the persons admitted and type of 

service, type of ownership, bed size, and geographic region of these institutions. 

Type of service O 20 40 60 60 100 

, 

All homer 

955 

PERCENT OF HOMES 

Figure 5. Percent of homes requiring a physical examination for admission, by type of service. ‘. 

Admissions According to the Former Place 

of Resi’dence 

The most common former places of residence of the 801,013 persons admitted to nursing 

and related care homes in 1967 were general 

hospitals and the patients’ homes. Over 75 percent of the admissions were from these two 

places, and 53.9 percent of them were admitted 

from a general hospital (table K). One possible 

explanation for the large percent of admissions 

from general hospitals concerns the arrangements 

between hospitals and nursing homes for patients 

receiving Medicare. Under Title XVIII-IIealth 

Insurance for the Aged (an amendment to the 

Social Security Act)+ hospital insurance program for persons 65 years of age and older 

was established. This program includes provisions for these patients to receive posthospital 

extended care in a nursing home for up to LOO 

days. These nursing homes must qualify,however, 

12 
Table K. Percent distributionofadmissions to homes by patient's former place of residence and type of service provided by home: United States, 1967 

Patient's, former place of resiynce 

All 

Type of service admissions Mental General Other Patient's 

hospital hospital hospital home 

All homes-----

Nursing care--------

Personal care with 

nursing------------

Personal care------­

as extended care facilities 

100.0 3.5 

100.0 2.3 

100.0 7.7 

100.0 15.9 

under the Medicare 

53.9 5.1 25.9 

59.2 5.2 22.4 

26.6 4.0 46.7 

16.1 4.6 41.9 

nursing and personal care homes, however, most 

of the admissions were directly from the patients’ 

homes. Since most of Medicare’s extended care 

facilities are classified as nursing care homes, 

it is reasonable that the posthospital care program affected the nursing care homes more than 

the other two types of homes. 

As shown in table L, most patients admitted 

to proprietary homes in 1967 were admitted from 

guidelines. This Extended Care Facility Program 

began its operations at the beginning of calendar 

year 1967. 

The effect of this Medicare program also 

shows up when examining homes according to the 

type of service provided. For nursing care homes, 

about 59 percent of the admissions were from 

general hospitals. For personal care homes with 

Table L. Percent distribution. of admissions to homes by patient's former place of 

residence and type of ownership and bed size of home: United States, 1967 -

Type of ownership and bed size 

All homes-----

Type of ownership 

Proprietary---------

Nonprofit----------­

&ve~ent----------

Bed size 

Less than 25 beds---

25-49 beds---m---l--

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

100 beds or more----

All T Patient’s former place of residence 

admissions Mental General Other Patient’s Other Other nursing hospital hospital hospital home place home 

100.0 3.5 53.9 5.1 25.9 9.4 

100.0 57.2 22.9 9.7 

100.0 s-i 41.2 40.8 

100.0 10:4 39.0 31.1 ES 

100.0 10.0 25.2 38.2 16.2 

100.0 4.3 44.3 31.0 12.3 

100.0 2.4 57.0 24.7 8.8 

100.0 2.8 59.9 22.8 7.7 

2.4 
general hospitals (57.2 percent). This is probably 

due to the high percent of nursing care homes 

having a proprietary type of ownership. Of the 

admissions to government-owned and nonprofit 

homes, about 40 percent of the admissions were 

from general hospitals. Also, of the admissions 

to these two types of homes, between 30 and 40 

percent were admitted from the patients’ homes 

compared with 22.9 percent from proprietary 

homes. 

The size of the home seems to have had 

quite an effect upon admissions from the various 

former places of residence (table L). For the 

smaller homes (those with less than 25 beds), 

general hospitals provided 25.2 percent of the 

patients and the patients’ homes were the prior 

residences for 38.2 percent. These percents 

change in the opposite directions, however, as 

the size of the home increases. For admissions 

from general hospitals, the larger the bed size 

of the home, the greater the percent of patients 

admitted. For admissions from the patients’ 

homes, the opposite was true-the smaller homes 

admitted more of these patients. 

The number of admissions in 1967 increased 

over the estimated number of 1962 admissions 

collected in the 1963 Resident Places Survey 

sample by 98.8 percent (figure 6). The large 

increase in admissions to nursing care homes 

(157.3 percent) is probably responsible for the 

total increase since admissions to both personal 

care homes with nursing and personal care homes 

decreased. Since the number of nursing care 

homes had increased by over 44 percent since 

1963, it appears reasonable that the admissions to 

these homes would show a large increase. 

Discharges 

Of the 756,289 discharges from nursing and 

related care homes in 1967, 29.5 percent were 

because of death. This rate of 295 deaths per 

1,000 population in nursing homes in 1967 (population based on data from the 1967Master Facility 

Inventory-see appendix V, question 11) was 

about five times that of the U.S. population 65 

years and over in 1967 (60.4 deaths per 1,000 

population). This is probably due to the relatively 

higher number of very old people and persons in 

poor health in these institutions. (Since the perType of service 

.100- All homer Nursing care Psrsonal care homes Pononal care 

homes with nursing horns% 

Figure 6. Percent of change in admissions to homes 

between 1962 and 1967, by type of service. 

cent of discharges alive is reflected by the percent of discharges due to death, the discussion 

in this section will be limited to the death discharges.) 

An examination of table M shows that a 

higher percent of these death discharges occurred 

in personal care homes with nursing (34.3 percent) than in nursing.care and in personal care 

homes (about 29 percent). According to the type 

of ownership of the facility, a greater percent 

of discharges due to heath occurred in government-owned homes (38.6 percent). Personal care 

homes with nursing that were government owned 

had the smallest percent of discharges due to 

death according to the type of nursing service. 

For personal care homes with nursing with nonprofit or proprietary ownership, however, the 

percent of death discharges was greater than 

the percents for nursing care and personal care 

homes. 

The size of the institution seems to have 

affected the percent of discharges due to death 

in 1967, both for total homes and for nursing 

care homes. The larger the size of the home, 

the smaller the percent of death discharges in 

these institutions. Bed size of thehome, however, 

seemed to have little effect on the percents for 

personal care homes with nursing and personal 

care homes. Deaths in personal care homes 

ranged from 22.2 percent for homes having 100 

beds or more to 32.0 percent for homes with 

less than 25 beds. Death discharges from personal 

14 
Table M. Percent of persons discharged alive and dead, by type of service, type of 

ownership, and bed size of home: United States, 1967 

Percent of persons Percent of persons discharged alive discharged dead 

Type of 

ownership Total Personal Total Personal 

and care care 

bed size 

All 

homes-­

ProprietaryNonprofit---

Government-9 

Bed size 

L;;s& 

--mm 

25-49 beds--

50-99 beds--

100 beds or 

more-------

Nursing homes Personal Nursing homes Personal 

care care care care 

nurs- homes homes with homes with 

nurs- homes 

ing 

70.5 71.1 65.7 

71.8 72.4 65.8 

67.9 63.6

FE. 57.0 72.9 

63.2 63.9

E 64.6 63.5 

71:o 71.8 61.8 

73.2 II 73.7 69.0 

ing 

70.7 29.5 28.9 34.3 29.3 

68.6 28.2 27.6 34.2 31.4 

78.7 32.8 32.1 36.4 21.3 

69.6 38.6 43.0 27.1 30.3 

68.0 35.0 36.8 36.1 

76.6 34.9 35.4 36.5 %: 

71.7 29.0 28.2 38.2 28:3 

77.8 26.8 26.3 31.0 22.2 

that the highest rate ofpatient turnover occurred 

in nursing care homes. This is probably due to 

the emphasis that the enactment of Medicare 

has brought upon discharging the patients within 

100 days. According to the provisions of Medicare, 

after the patient has received 3 consecutive days 

of care in a hospital, Medicare will pay for up 

to 100 days of skilled nursing care in a nursing 

home or other Medicare-approved extended care 

facility. (This payment is made only if the 

patient is admitted within 14 days of his discharge 

from the hospital). This faster discharge policy 

permits a greater number of admissions per bed 

to those homes certified for Medicare. 

The data in table N also indicate a more 

rapid rate of patient turnover in proprietary homes 

than in government and nonprofit homes. This is 

especially true for proprietary homes that are 

classified as nursing care homes. For personal 

care homes withnursing andpersonal care homes, 

however, the rates of turnover of government 

and proprietary homes are somewhat similar. 

15 

care homes with nursing were between 31 percent and 39 percent for all bed-size categories. 

Some variation occurs in the percent of death 

discharges according to geographic region, as 

shown in figure 7. About 34 percent of the 

discharges in the North Central Region were due 

to death compared with 24.9 percent in the West 

Region. As pointed out in the section on admission policy, fewer homes in the West Region 

accepted patients with physical problems than 

did homes in other regions which might explain 

the lower percent of deaths in that region. 

Rate of Patient Turnover 

A relative measure ofturnover,whicha.llows 

a comparison of admissions to be made among 

the various types of institutions, is the number of 

admissions per bed. This ratio varied somewhat 

in 1967 according to the type of service, type of 

ownership, bed size, and geographic region of 

the home. An examination of table N reveals 
The patient turnover rate for nonprofit homes with 

__ Discharged alive these types of services was between 31 and 34 percent. 

Discharged dead The size of the institution seems to have 

affected the rate of patient turnover in 1967. The 

0 20 40 60 80 100 larger the number of beds in the institution, the , I I I I greater this ratio of admissions to beds. This 

All regions pattern, however, although true for total homes 

and nursing care homes, did not hold true for 

personal care homes with nursing and personal 

care homes that year. For these institutions, the 

Northeqn larger homes had the smallest rates of turnover. 

Variations in the rate of patient turnover 

according to region ranged from 7.3 admissions 

per 10 beds in the North Central Region to 11.3 

admissions per 10 beds in the West Region 

(figure 8). Since the West Region had fewer 

nursing and related care homes in 1967 than did 

any of the other regions, it seems reasonable that South the rate of turnover of residents in this region 

was higher to make up for the fewer number of 

homes. Similarly, the North Central Region had 

more homes in 1967 than the other regions and 

had the lowest rate of patient turnover. 

A comparison of the adm issions per bed for I 

0 

I 

20 

I 1 

40 60 

I 

80 

J 

100 institutions in 1962 and 1967 shows quiteachange 

in the utilization of nursing care and personal PERCENT DISCHARGED care homes (figure 9). In 1962, about ‘eight 

:igure 7. Percent of persons discharged from homes patients were admitted for every 10 beds in 

alive and due to death, by region. both of these types of homes. In 1967, however, 

Table N. Admissions per bed in nursing and related care homes, by type of service,

type of ownership, and bed size: United States, 1967

-

lr Type of service 

Type of ownership and bed size Total 

Nursing care Personal care Personal care 

homes homes with homes nursing 

All homes------------------- 0.90 1.07 0.45 0.50 

Type of ownership 

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

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

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

1.10 

0.49 

0.55 

1.21 

0.69 

0.56 

0.66 

0.31 

0.53 

0.55 

0.34 

0.49 

Bed size 

Less than 25 beds----------------- 0.62 0.74 0.53 0.55 

25-49 beds------------------------ 0.74 0.83 0.44 

50-99 beds------------------------ 0.98 1.11 i?E 0.46 

100 beds 01: more------------------ 0.99 1.19 0:43 0.43 L 

16 
I I I I I I I 

0 2 4 6 8 10 12 

ADMISSIONS PER 10 BEDS 

Figure 8. Number of admissions to homes per IO beds, 

by region. 

only five persons were admitted for every 10 

beds in personal care homes compared with11 

persons for every 10 beds in nursingcarehomes. 

Length of Patient Stay 

The mean length of stay per admission provides further insight into theutilizationofnursing 

and related care homes in 1967. This average 

duration of stay, as is shownintable 0, may be 

0 2 4 6 8 10 12 

Pmclnd am bmr willI lnmhg 

Pmoiularelmmw 

0 2 4 6 8 10 12 

ADMISSIONS PER 10 BEDS 

Figure 9. Number of admissiong to homes per IO beds 

for 1962 and 1967. 

Table 0. Mean length of stay in homes in years per admission, dy type of service and 

type of ownership: United States, 1967 

II Type of service 

Type of ownership Total 

Nursing care Persona1 withcare Personal care 

homes homes 

nursing homes 

Mean length of stay in years 

All homes------------------- 1.0 

Proprietary----------------------- 0.8 

Nonprofit------------------------- 1.7 

Government------------------------ 1.6 

17’ 
.’ NUMBER OF YEARS 

I 

Figure IO . Mean length of stay in years per admission, 

by bed size of home. 

considered the projected average period o f time 

th a t p a tie n ts will stay per admission in the 

institutions b e fore being discharged . This average 

is based on the assump tion th a t the admission 

and discharge r a te is constant. As compu ted in 

this repor t, the average leng th o f stay per 

admission is an approxima tion based on the 

r a tio o f the number o f residents on the homes ’ 

registers a t the time o f the survey to the 

number o f admissions to these homes during 

1967 . 

This sta tistic fu rther emphasizes some o f the 

p a tterns o f u tilization brough t o u t by examining the 

r a te o f p a tie n t turnover: (1) Persons in nursing 

care homes had a shorter stay (and higher r a te 

o f turnover) than residents o f personal care 

homes with nursing and personal care homes (table 

0 ); (2) persons in proprie tary homes stayed a 

shorter period o f time than did persons in homes 

with o ther types o f ownership ; (3) the larger 

the size o f the home , the shorter the leng th o f 

000 

Persona1 care homer with nursing 

NUMBER OF YEARS 

Figure II. Mean length of stay in years per admission, 

by type of service provided by home, 1962 and 1967. 

stay per admission (figure 10) ; and (4) the mean 

leng th o f stay (and r a te o f p a tie n t turnover) for 

nursing care and personal care homes changedin 

opposite directions from 1962 to 1967 (figurell). 

As is shown in figure 1 1 , the mean leng th o f 

stay per admission in 1967 was less than for 1962 . 

This is probably due to the shorter leng th o f stay 

o f p a tie n ts in nursing care homes which make up 

over half o f the to tal number o f homes . This 

sta tistic fu rther emphasizes Med icare’s e ffect on 

these homes . Unlike persons in nursing care 

homes , residents o f personal care homes with 

nursing and personal care homes stayed longer 

on the average in 1967 than in 1962 . This longer 

average leng th o f stay is especially n o ticeable for 

personal care homes where the average p a tie n t 

stayed 1 .1 years in 1962 compared with 1 .8years 

in 1967 . 

18 
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personal care services received by residents of nursing and 

personal care homes, United States, May-June 1964. Vital and 

Health Statistics. PHS Pub. No. lOOO-Series 12-No. 10. Public 

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12Nationd Center for Health Statistics: Use of special 

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lOOO-Series 12-No. 11. Public Health Service. Washington. U.S. 

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care homes, United States, May-June 1964. Vital and Health 

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1969. 

14National Center for Health Statistics: Arrangements for 

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1970. 

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

Health Statistics. PHS Pub. No. lOOO-Series l-No. 1. Public 

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Aug. 1963. 

19 
16National Center for Health Statistics: Charges for care 

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and Henlth Stntistics. Series 12-No. 14. DHEW Pub. No. 

(HSM)72-1037. Washington. U.S. Government Printing Office,, 

May 1972. 

17National Center for Health Statistics: Employees in 

nursing homes, United States, April-September 1968. Vital and 

Health Stutistics. Series 12-No. 15. DHEW Pub. No. (HSM) 

73-1700. Washington. U.S. Government Printing Office, Jan. 

1973. 

18National Center for Health Statistics: Services and 

activities offered to nursing home residents, United States, 

April-September 1968. Vital and Health Statistics. Series 

ii-ho. 17. DHEW Pub. No. (HSM) 73-1702. Washington. U.S. 

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19National Center for Health Statistics: Comparison of 

selected characteristics of institutions for the aged, United 

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maintenance of a national inventory of hospitals and institutions. Vital and Health Statistics. PHS Pub. No. lOOO-Series 

l-No. 3. Public Health Service. Washington. U.S. Government 

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000 

20 
---------------------------------------- 

-- -- -- 

LIST OF DETAILED TABLES 

c 

Page 

Table 1. Number of nursing and related care homes? by admission policy regarding physical and mental or emotional condition of patients and type of service, type of ownership, and bed size of home: United States, April-September 1968------------------ 22 

2. Number of nursing and related care homes, by admission policy regarding physical 

United States, April-September

condition of patients by geographic region and State: 26 and mental or emotional 

1968----------------------------------------------

3. Number of nursing and related care homes, by typeofnursing staff arrangement and 

admission policy regardingApril-September mental, and emotional tients: United States, the physical, 1968--------------------------------------condition of pa- 30 

4. Number and percent of nursing and related care homes which require residents to 

be examined by a physician for admission, by type of physician performing the examination and type of service, type of ownership, and bed size of home: United 

States, April-September 1968----------------------------------------------------- 31

5. Number and percent of nursing and related care homes which require residents to 

States, April-September for admission, by geographic region and State: United 33 be examined by a physician 1968-----------------------------------------------------

6. Number of admissions to nursing and related care homes during calendar year 1967 

according to former placeof residenceof patient, by typeofservice,type of ownership, and bed size of home: United States 34 

7. Number of admissions to nursing and related care homes during calendar year 1967 

United 

according to former place of residence of patient,bygeographic region and State: States-------------------------------------------------------------------- 36 

8. Number of admissions to nursing and related care homes and discharges during calendar year 1967, number of admissions per bed, number and percent of discharges- discharged alive or dead-by State and type of service provided by home: United

States-------- _____-______ ____________ - ____ -__-_-- _____ - ____ ____ ____ - ______ 37 

9. Number of admissions to nursing and related care homes and discharges during calendar year 1967, number of admissions per bed, number and percent of dischargeshome: United 

alive or dead-by type of service, type of ownership, and bed size of 

44 discharged States--------------------------------------------------------------

10. Number of admissions to nursing and related care homes and discharges during calendar year 1967, number of admissions per bed, number and percent of discharges- discharged alive or dead-by geographic region and State: United States---------- 46 

21 
Table 1. Number of nursing and related care homes, by admission policy regarding physical and 

mental or emotional condition of patient9 .and type of service, type of ownership, and bed size 

of home: United States, April-September 1968 

[Figuresmay notaddto to& due to roundiugforweightingprocedure.SeeAppendixII for details] -

T Patients with physical problems 

All Type of service, type of ownership, homes 

3edfast and bed size Postsurgical Heart

recovery disease Stroke 

>atients patients patients Jatients 

All types of services 

All types of ownerships-------------- 19,533 13,712 13,090 1'7.233 16,951 

Less than 25 beds--------------------------

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

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

100 beds or more---------------------------

7,839

5,129

4,128

2,438 

3,722 

";%6'

21103 

4,002

3,629

3,413

2,046 

6,138

4,785 

2z, 

5,992

4,733

3,921

2,304 

Proprietary-------------------------- 15,110 11.141 10,639 13,571 13,551 

Less than 25 beds-------------------------- 6,577 3,275 5,278 

50-99 beds --_______________________________ 100 beds or more---------------------------

4';;:

1;397 X";f > 

2:647 

1,338 "1%, 

Nonprofit ---__-______________________ 2,952 1,758 1,671 2,464 

Less than 25 beds--------------------------

25-49 beds -------_-________-__------------- 50-99 beds---------------------------------

100 beds or more---------------------------

566 

689 

910 

788 

231 

373 

623 

531 

254 

311 

600 

507 

380 

556 

806 

722 

325 

493 

754 

677 

Government--------------------------- 1,471 813 780 1,197 1,151 

Less than 25 beds--------------------------

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

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

100 beds 01: more-----.---------------------

696 

265 

257 

253 

215 

183 

201 

214 

259 

153 

166 

201 

480 

228 

241 

249 

2”;: 240 

243 

Nursing care homes 

All types of ownerships-------------- 11,299 10,483 9,505 10,947 11,002 

Less than 25 beds--------------------------

25-49 beds--------------------------------- 2,366

3,741 

1,984

3,501 

1,716

3,081 

2,186 2,216

3,662 

25-49 beds ----------_-__-___-_------------- 3,665 ?% 4,000 

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

100 beds or more--------------------------- :G%, 

3,205

1,793 "1%, 

z';:

11837 

3,284

1,841 

Proprietary-------------------------- 9,404. 8,851 8,054 9,142 9.225 

Less than 25 beds--------------------------

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

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

100 beds or more -__-__-____--_--__--_______ 

G!i 

2;655

1,296 

1,826

3,127

2,614

1,285 

1,572

2,762 

21%J 

2,001

3,231

2,629

1,281 

2,030

3,258

2,646

1,292 

Nonprofit -__-__--____-_-_-__--------- 1,326 1,109 1.009 1,257 1.222 

Less than 25 beds -__-_---_____----_________ 25-49 beds---------------------------------

50-99 beds --_____----__--_----_____________ 

100 beds or more -_----_-__-__----__________ 

141 

300 

503 

382 

100 

248 

434 

327 

2;;

408 

288 

119 

286 

486 

366 

118 

272 

473 

360 

Government--------------------------- 568 524 442 548 554 

Less than 25 beds--------------------------

25-49 beds--------------------------------- 1:; 1:; 2 1% 1% 50-99 beds--------------------------------- 166 157 124 162 164 100 beds or more--------------------------- 190 182 167 189 189 

22 
1,284 451 

463 

198 

881 

Table 1. Number of nursing and related care homes, by admission policy regarding physical and 

mental or emotional condition of patients and type of service, type of ownership, and bed size 

of home: United States, April-September 1968-Xon. 

[Figuresmaynotaddtototals duetoroundingforweighting procedure. SeeAppendixII for details] 

Patients with physical problems-Con. Patients with mental or emotional problems 

Patients Patients 

Cancer Blind Psychiatric Diabetic with with transfer patients fractured crippling patients patients patients hip arthritis 

m 

17,006 15,248 16,157 14,596 14,446 9,508 10,271 4,626 4,741 

6,054

4,646

3,952

2,354 

4,745 5,378

4,486 4,635 

x; 2E , , 

4,357 

x: 

2:205 

4,427

4,301

3,635

2,082 

3,413

2,665

2,150

1,281 

xsz 

$g 

, 

1,540 

1,058 744 

1,913 

1,521 856

13,403 

5,208

3,897

2L1931g: 

, 

12,213 12,898 

Es7 

21856 2:878 

1,372 1,380 

11,714 

3,803

3,723

2,825

1,364 

l.1,570 

3,858

3,675

2,744

1,294 

8,339 

2,892 

2,832 

1,;;; 

3,703 

1,342 

1,085 

813 

3,994 

1,666 

1,;;; 

315 

926 1,083 460 1 366 

112 116 

207 

332 

290 

355 

1:: 

148 

1;:

107 

275 322 145 80 

820 850 1 463 1 381 

462 313 372 300 320 326 279 136 182 

231 203 215 192 197 162 

241 211 231 212 227 148 179 ;4 67: 

249 228 242 235 230 184 193 136 56 

11,021 10,723 10,907 10j372 10,047 6,155 6,851 3,073 1 3,023 

8898 f % 2,164 1,939 1,941 l,i95 1,381 698 786 

31294 3:246 3% 3z 3,341 1,967

1,811 I% 906 1,135 723 

1,851 1,824 1:833 (789 2% , 1,081 1:093 588 378

9,204 ) 9,010 9,137 8,731 8,443 5,212 5,825 2,587 2,643 I 1 

2,001

3,265

2,646

1,293 

1,905

3,186

2,628

1,290 

1,980

3,237

%2' 

, 

1,778

3,101

w6' 

, 

1,782

2,979

2,469

1,213 

1,196

1,778

1,477

761 

1,285

x974 

'773 

630 

801 

730 

426 

712 

1,048

599 

284 

585 632 1 269 1 241 

42 

1;;

242 

1157 

257 

if 

118 

56 

180 173 66 :i 

557 ( 531 I 5511 527i ;il 358 395 1 217 1 139

I I 

46 

1;: 1% 1:: 1% 2 

166 158 162 153 i: 112 

188 185 190 186 140 146 35 

23 
Table 1. Number of nursing and related care homes, by admission policy regarding physical and 

mental or emotional condition of patients and type of service', type of ownership, and bed size 

of home: United States, April-September 1968-con. 

[Figures may notaddtototals dueto roundingforweightingprocedure.SeeAppendixII for details] 

Type of service, type of ownership, and bed size 

Personal care homes with nursing 

All types of ownerships---------------

Less than 25 beds---------------------------

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

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

100 be& 01 more----------------------------

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

Less than 25 beds---------------------------

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

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

100 beds or more----------------------------

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

Less than 25 beds---------------------------

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

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

100 beds or more----------------------------

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

Less than 25 beds---------------------------

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

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

101) beds 01: more----------------------------

Personal care homes 

All types of ownerships---------------

Less than 25 beds---------------------------

25-49 beds ------_-_______-_----------------- 50-99 beds----------------------------------

100 beds or more----------------------------

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

Less than 25 beds---------------------------

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

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

100 beds or more----------------------------

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

Less than 25 beds---------------------------

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

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

100 beds or more----------------------------

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

Less than 25 beds---------------------------

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

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

100 beds 01: more----------------------------

24 

Patients with physical problems 

All I 

homes 

Bedfast Postsurgical Heart 

recovery disease itroke 

patients patients patients .tients 

3,877 2,159 2,047 3,287 3,188 

1,819

875 

909 

550 

1,014

324 

1,490

750 

1,492

728 

657 402 395 571 532 

527 297 314 476 436 

2,392 1,477 1,370 2,091 2,112 

1,523

550 

790 

425 

885 

245 

1,274

510 

1,290

521 

232 191 168 224 218 

86 70 71 84 84 

1,169 927 811 

158 112 

263 

361 

187 

288 

1;;

256 

387 339 302 

316 269 264 

137 z: :; 104 

2: z;

53 3: z: 53 

4,357 2,999 

3,654

513 

2,463

387 2232;; 

147 116 106 

43 33 27 

3,314 2,338 2,213 

2,;;; 2,003

260 1,;;; 

63 

:4 L""6 8 

457 281 215 

267 149 108 

%I 

19 

i;

16 

E 

15 

586 380 333 

481 105 156 310 274 

21 25 45 38 

Ei 19 17 

10 : x 6 4 
494 

243 117 

Table 1. Number of nursing and related care homes, by admission policy regarding physical and 

mental or emotional condition of patients and type of service, type of ownership, and bed size 

of home: United States, April-September 1968~Con. 

[Figures maynotaddtototalsduetoroundingforweightingprocedures.SeeAppendixIIfordetails] 

r Patients with physical problems-Con. I Patients with mental or emotional problems

I 

I 

Patients Patients 

Cancer Blind Psychiatric Hentally Diabetic with with transfer retarded -I-- patients fractured crippling patients patients Alcoholics M%' ?

I patients patients patients hip arthritis 

3,106 2,748 2,987 2,529 2,224 1,416 1,728 693 632 

1,486 2;: 

468 

1,207 645 

402 

1,334 687

532

433 

1,069 605 

457

399 

756 

642 

% 

660 

345 

168 

668 

2:: 

230 

259 

167 

149 

329 

148 

z: 

1,959 1,795 1,954 1,659 1,422 1 1,033 1,192 456 491 

467 1,166 495 

931

449 

666

471 

589

261 

582

1.;;; 1,048 427 :2 2:";

221 202 214 198 214 135 131 

84 78 79 80 71 48 51 f: 4: 

887 1 742 795 671 607 225 346 131 67 

I 

145

298 

331 

1:: 

243

283 

1:;

259

305 

1::

211 

272 

123 

213

232 

$3 

ii: 

;i

80

140 

2: 

78 

2 

19 

2611 212 238 199 195 158 190 106 

I 

74 

s;

36 

is8

45 

35 39 

2,878 1,777, 2,263 1,694 2,175 1,937 1,692 860 1 1,087 

2,;;; 

:z 

1,;;; 

2; 

1,880 304 

22 

1,350 245 

E 

1,730 318

101 

25 

1,458 

'2 

31 

1,237 331 

z 

582

236 

35

6 

798

238 

2'2 

2,240 1,408 1,807 1,324 1,705 1,517 1,322 

1.;;:43

11 

1,204 175

25

3 

1,;;; 

3z 

173 1,094 

50 

7 

225 1,409 

!f; 

257 1,190 

2 

231 1,025 

z 

274 157 186 158 198 1

I 117 105 

148 2 

108

55 it: 2: 

112 40 5 7 

180 8 21 18 

17 7 1: 8 9 

364 212 271 2i3 265 140 169

I 

296 177 225 182 

48 27 33 '2 54 

11 22 

137 ; 39 2 7 

25 
Table 2. Number of nursing and related care homes, by admission policy regarding physical and 

mental or emotional condition of patients by geographic region and State: United States, April- September 1968 

[Figuresmay notaddto totals due to roundingforweightingproceduxSeeAppendixI1 for details] 

. 

Patients with physical problems

All 

homes 

Geographic region and State 

3edfast Postsurgical Heart Stroke 

United States-------------------------

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Mlssourl------------------------------------

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

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

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

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

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

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

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

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

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

latients recovery Esezise 

patients patients patients 

19.533 13.712 13.090 17,233 16,951 

4,479 3,010 3,127 3,902 3,748 

368 265 295 329 322 

285 181 170 221 217 

982 705 736 900 847 

137 95 91 116 115 

516 328 328 410 392 

1,087 652 729 956 920 

810 607 589 721 699 

177 97 113 148 137 

118 80 76 100 9;s 

6,333 4,793 4,250 5,705 5,654 

953 684 629 851 826 

479 399 354 442 430 

752 529 513. 646 664 

482 357 295 431 435 

524 418 366 489 4&2 

512 368 364 462 443 

452 369 282 409 407 

283 188 178 244 249 

94 47 48 87 75 

1,172 968 803 1,070 1,074 

131 90 76 113 109 

497 379 343 463 461 

4,468 3,484 3,167 4,033 4,014 

161 150 129 154 156 

187 179 149 181 182 

33 24 25 32 29 

26 
Table 2. Number of nursing and related care homes, by admission policy regarding physical and 

mental or emotional condition of patients by geographic region and State: United States, April- September 1968-Con. 

[Figures may notaddtototals duetoroundingforweightingprocedure.SeeAppendixII for details) -

I-= Patients with physical problems-Con. TPatients with mental or emotional problems 

Patients Patients 

Diabetic with with Cancer Blind Mental12 

patients fractured crippling patients patients retardec Alcoholic! MezF1y patients patients hip arthritis 

lj,OO6 15,248 16,157 14,596 14.446 13,090 9,50E 4,62t 4,741 

3,834 3,412 3,549 3,299 3,234 1,926 2,09i 86( 777 

326 290 292 292 271 256 20E 11: '127 

213 192 200 187 189 89 11E 5: 56 

867 784 814 775 748 562 579 22; 226 

117 104 113 101 96 50 55 2: 20 

407 350 367 341 337 218 215 si 76 

926 813 863 758 774 379 42E 17: 128 

732 671 681 643 614 253 344 1Oi 86 

147 117 126 114 122 73 9c 5( 36 

99 92 92 87 83 45 59 2; 23 

5,645 5,215 5,501 4,923 4,872 3,546 3,892 1,783 1,811 

851 768 814 725 732 478 544 25E 240 

441 410 425 393 386 239 299 15E 131 

651 603 636 566 538 475 487 21: 309 

427 393 432 373 380 310 347 134 188 

480 444 464 422 398 268 284 139 93 

461 398 425 396 391 359 333. 166 147 

400 387 396 357 361 260 301 122 152 

240 232 249 205 211 189 198 99 96 

81 58 69 55 55 61 57 28 28 

1,053 996 1,034 932 919 579 646 255 277 

110 104 I.08 96 96 67 78 37 33 

450 421 451 403 405 261 319 174 118 

3,973 3.737 3,893 3,498 3,537 2,141 2,450 913 1,154 

154 152 155 140 144 48 103 14 22 

178 180 179 170 174 121 140 65 78 

31 29 29 25 25 11 14 9 7 

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

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

Table 2. Number of nursing and related care homes, by admission policy regarding physical and 

mental or emotional condition of patients by geographic region and State: United States, April- September 1968-Con. 

[Figuresmaynotaddtototalsduetoroundingforweightingprocedure.SeeAppendixIl for details] -

Patients with physical problems All 

omes

Geographic region tlnd State 

Bedfast ostsurgical Heat-t 

f

r

Patients recovery Esease Stroke 

patients )atients atients 

-~-

South-Con. 

District of CoI~bia------------------------ 85 48 62 72 69 

Florida------------------------------------- 333 271 260 306 301 

Georgia------------------------------------- 210 186 160 198 19! 

Kentucky------------------------------------ 300 173 177 257 251 

Louisana------------------------------------ 204 188 163 199 19' 

Maryland------------------------------------ 203 160 156 182 171 

Mississippi--------------------------------- 108 80 70 95 9' 

North Carolina------------------------------ 671 326 331 535 52r 

Oklahoma------------------------------------ 417 395 366 400 40: 

South Carolina------------------------------ 98 '81 70 94 90 

Tennessee----------------------------------- 220 180 150 191 192 

Texas--------------------------------------- 904 799 677 846 858 

Virginia------------------------------------ 271 189 179 232 225 

West Virginia------------------------------- 63 54 44 57 56 

West------------------------------------ 4,253 2,425 2,546 3,593 3,535 

Alaska 4 4 4 4 4 

Arizona------------------------------------- 82 69 5s 75 76 

California ---------------_------.------ ----e- 2,956 1,518 1,667 2,453 2,388 

Colorado------------------------------------ 177 150 144 170 172 

Hawaii-------------------------------------.- 41 17 4( 53 54 

Idaho ---_---_------------------------------- SE 47 41 52 55 

Montana---------------------------- -------e- 82 57 45 75 74 

Nevada-------------------------------------- 2: 13 1L 19 1E 

New Mexico -_-------------------------------- 5E 40 4( 46 4s 

Oregon------------ ----_--------------------- 284 199 18: 245 242 

Utah---------------------------------------- 13: 95 81 118 114 

Washington 27r 199 201 257 255 

Wyoming------------------------------------- 21 17 u 26 2: 

28 
Table 2. Number of nursing and related care homes, by admission policy regarding physical and 

mental or emotional condition of patients by geographic region and State: United States, April- September 1968-Con. 

[Figures may not add to totals due to rounding for weighting procedure. See Appendix II for details] 

- r Patients with physical problems-Con. rPatients with mental or emotional problems 

Patients Patients 

Cancer Blind PsychiatrG Mentally Mentally Iiabetic with with transfer retarded Alcoholics ill patients fractured crippling patients patients patients patients patients hip arthritis 

71 55 71 54 49 26 30 14 16 

306 291 299 284 270 114 140 68 65 

193 195 194 164 170 121 123 29 34 

249 227 251 210 206 148 166 33 86 

199 189 196 183 189 136 141 63 57 

183 171 180 167 169 87 94 33 30 

100 89 89 85 83 44 47 20 28 

508 414 460 354 430 393 362 93 208 

400 393 399 389 370 311 320 204 218 

.93 85 91 80 82 39 53 12 15 

181 182 185 164 171 81 100 29 35 

848 819 842 790 763 360 491 180 211 

223 209 218 190 195 81 91 39 32 

55 55 55 49 46 19 34 8 11 

3,554 2,885 3,214 2,875 2,802 1,896 1,832 1,072 1,000 

4 4 4 4 4 2 3 1 3 

73 71 76 72 70 43 47 27 22 

2,402 1,873 2,117 1,875 1,771 1,090 965 555 518 

170 166 164 147 154 106 125 69 69 

75 39 42 34 51 66 60 28 49 

51 50 53 50 49 32 38 19 14 

71 64 70 61 61 32 50 22 19 

21 17 21 16 16 12 10 12 9 

47 44 47 35 43 29 31 15 18 

244 208 238 219 226 188 200 114 102 

118 100 112 100 104 84 88 69 68 

254 227 247 242 234 194 198 131 97 

25 22 23 20 19 18 16 11 14 

29' 
Table 3. Number of nursing and related care homes, by type of nursing staff arrangement and admission policy regarding the physical, mental, and emotional condition of 

patients: United States, April-September 1968 

[Figures may not add to totals due to rounding for weighting procedure. See Appendix II for details] 

All Other 

Types of patients nursing RN or LPN, EN or LPN, nursing accepted for admission staff all shifts at least staff 

arrangements one shift arrangements 

All homes------------------- 19,533 11,891 14,494 5,039 

Patients with 

physical problems 

Bedfast patients------------------ 13,712 10,361 12,258 1,454 

Postsurgical recovery patients---- 13,090 9,539 11,196 1,894 

Heart disease patients------------ 17,233 11,309 13,665 3,568 

Stroke patients------------------- 16,951 11,243 13,548 3,403 

Diabetic patients----------------- 17,006 11,272 13,583 3,423 

Patients with fractured hips------ 15,248 10,854 12,927 2,321 

Patients with crippling arthritis- 16,157 11,081 13,309 2,848 

Cancer patients------------------- 14,596 10,494 12,484 2,111 

Blind patients-------------------- 14,446 9,975 11,971 2,475 

Patients with mental or 

emotional problems 

Psychiatric transfer patients----- 9,508 5,881 7,256 2,252 

Mentally retarded patients-------- 10,271 6,654 8,159 2,112 

Alcoholic patients---------------- 4,626 2,954 3,661 965 

Mentally ill patients------------- 4,741 2,739 3,498 1,243 

30 
m 

2,966 

139 

Table 4. Number and percent of nursing and related care homes which require residents to be examined 

by a physician for admission, by type of physician performing the examination and type of service, 

type of ownership, and bed size of home: United States, April-September 1968 

[Figuresmay notaddtototds dueto roundingforweightingprocedure.SeeAppendixII for details] -

EIomes requiring Type of physician performing examination 

Type of service, All a physical 

type of ownership, xomes r examination 

Patient's Hosoital Facility Facility Other and bed size personal staff staff consulting physician lumber Percent physician physician physician physician 

All Woes of services 

All types of

ownerships----- 19,533 .6,257 83.2 13,099 1,424 120 

Less than 25 beds-----

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

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

100 beds or more------

7,839

5,129 

x:, 

5,984

4,346

> 

76.3 

84.7 

89.2 

92.0 

4,660 

3,559 

3,112

1,768 

297i

ti 

241 

308 

287 

307 

724 

379 

217 

104 

Proprietary----- 15,110 .2,520 82.9 LO.547 328 1 585 973 

Less than 25 beds----- 25-49 beds------------

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

100 beds or more------

6,577 

2;:: 

1:397 

5,057

3,546

2,632

1,286 

76.9 

84.9 

88.9 

92.1 

4,057

3,001

2,347 

1,142 

22925: 

22 

z2 

122 

79 

547 

266 

124 

36 

51 

z! 

6 

Nonprofit------- 2.952 2,537 85.9 1,792 51 376 301 17 

Less than 25 beds----- 25-49 beds------------

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

566 

689 

910 

412 

583 

821 

72.8 

84.6 

90.2 

257 

407 

620 

1: 

2 

% 

119 

4 

100 beds or more------ 788 720 91.4 508 ; 

Government------ 1,471 1,201 81.6 760 93 182 17 

Less than 25 beds----- 696 516 74.1 61 25-49 beds------------ 265 217 E % 37 2 

50-99 beds------------ 257 E 145 ;p 46 26 

100 beds or more------ 253 E 93:3 117 89 16 4 

Nursing care homes 

All types of 

ownerships----- 11,299 .0,218 90.4 8,735 574 47 

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

100 beds or more------ 2,%, 

3,058 

1,754 %9.” 

118 

53 

E 

9 

Proprietary----- 9,404 8,442 89.8 481 36 

Less than 25 beds-----

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

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

100 beds or more------

1,856 

“ ,1% 

86.4 

I?;: 

92:a 

163 

195 

Z% 

192 

l: 

Nonprofit------- 1,246 94.0 34 175 64 6 

Less than 25 beds----- '25-49 be&------------

~~-~?j beds------------

141 

300 

503 

111 

283 

483 

0

L 

ii 

;; 

1 

t 

100 beds or more------ 382 369 11 74 2 

Government------ 568 531 93.5 27 1

I 114 6 

Less than 25 beds-----

25-49 beds------------ 1:; 1;; 

84.6 

92.6 1:: 

5 

5 4 

Less than 25 beds----- 2,366 2,033 85.9 E 11 25-49 beds------------ 3,741 3,374 90.2 

50-99 beds------------ 166 158 95.2 108 

100 beds or more------ 190 182 95.8 97 1: 11 

31 
68.5 

Table 4. Number and percent of nursing and related care homes whidh require residents to be examined 

by a physician for admission, by type of physician performing the examinatioc and type of service, 

type of ownership, and bed size of home: United States, April-September 1968-Con. 

[Fiwres maynotadd to totalsduetoroundi for weightingprocedure.SeeAppendix11for details] 

Homes requiring Type of physician performing examination 

a physical Type of service, All examination I 

type of ownership, mmes ?atient's lospital Other and bed size )ersonal staff 

lhysician >hysician physician 

Personal care w 

with nursing 

All types of 

ownerships------ 3,877 2,061 84 24 

Less than 25 beds----- 1,819 948 172 25-49 beds------------ 1,;;; 73.3 444 1"; ;i 108 ":

50-99 beds------------ ::: 531 80.8 362 4

100 beds or more------ 527 457 86.7 308 7 9": 51: 5 

Proprietary----- 2,392 1,314 61 88 ( 196 14 

I 

Less than 25 beds----- 1,523 833 49 125 25-49 beds------------ 2 46 50-99 beds------------ 52:; f2 : 13 22 

100 beds or more------ 86 58 2 8 3 

Nonprofit------- 1,169' 610 6 175 I 165 

Less than 25 beds----- 158 32 25-49 beds------------ 263 iz 50-99 beds------------ 361 59

100 beds or more------ 387 65 

Government------ 316 238 ( 75.3 39 (

I 

43 

Less than 25 beds----- 67.2 25-49 beds------------ % 2; 75.8 50-99 beds------------ 63 85.7

100 beds or more-----A 53 2"; 84.9 

Personal care homes 

All types of 

ownerships----- 4,357 3,163 2,302 227 48 

Less than 25 beds----- 2,330; 74.0 2,002 101 39 25-49 beds------------ 222 % 'E

50-99 beds------------ 60 1": 17 5 

100 beds or more------ 932 26' 

72:l 18. z 3 8 1 

Proprietary----- 3,314 2,405 72.6 1,820 168 86 296 36 

Less than 25 beds----- 2,153 74.1 1,642 148 259 33 25-49 beds------------ 62.1 1: 26 50-99 beds------------ % 60.8 '2; 

6 

l7 10 1" 

100 beds or more------ 10 66.7 1 ; 1

INonprofit------- 457 327 ( 71.6 215 10 26 1

I 

72 

Less than 25 beds----- 267 73.0 119 25-49 beds------------ 126 

‘E 69.8 59 27 50-99 beds------------ 46 1 

100 beds or more------ 19 2; 6687'2 . 2

Government------ 586 268 49 

Less than 25 beds----- 481 43 25-49 beds------------

“4:

50-99 beds------------ 2:

100 beds or more------ 10 4 z 2

; 

1 

32 
-------------- 

----------- 

Table 5. Number and percent of nursing and related care homes which require residents to be examined 

by a physician for admission, 

1

by geographic region and State: United States, April-September 1968 

[Figures maynotaddtototals duetoroundingforrveightingprocedure.SeeAppendixn: for details] - -

comes requiring Type of physician performing examination 

a physical Geographic region All Texamination i Patient's Hospital Facility Facility Other and State homes 

personal staff staff consulting physician lumber Percent physician physician physician physician 

United States--- 19,533 .6,257 83.2 13,099 472 1,143 1,424 120 

Northeast--------- 4,479 3,772 84.2 2,887 98 370 383 34 

Connecticut----------- 368 294 79.9 217 23 3 Maine----------------- 285 206 72.3 169 

Massachusetts--------- 982 86.8 728 42 3

New Hampshire--------- Eo" 6 

ye; &;q---------- i% 433 E 2% 

1,087 909 83:6 693 1:;

Pennsylvania---------- 810 89.5 538 99

Rhode Island---------- 177 E 82.5 15 Vermont--------------- 118 99 83.9 Ii13 9 

North Central----- 6,333 5,405 85.3 4,355 115 407 28 

Illinois-------------- 953 840 18 Indiana--------------- 479 406 z: 9 Iowa------------------ 752 616 547 Kansas---------------- 363 

Michigan-------------- %2 2% 322 ;! ~~esota------------- 512 380 Missouri-------------- ;:1' 86.5 258 97 Nebraska-------------- 4% 225 79.5 196

North Dakota---------- 85.1 2 Ohio------------------ 1,:;; 9% 84.6 7% 15 

South Dakota---------- 110 84.0 4 Wisconsin------------- 497 450 90.5 399: 5 

South--------- 4,468 3,734 83.6 3,088 108 25 

Alabama--------------- 161 143 122 Arkansas-------------- 187 166 E-i 133 Delaware-------------- 75:8 16 

District of Columbia-- i5' 2 75.3 Florida--------------- 333 292 22: 

Georgia--------------- 210 x 142 

Kentucky-------------- 300 % 7513 175 Louisana-------------- 204 190 93.1 170 

Maryland-------------- 203 171 84.2 129 Mississippi----------- 77.8 

North Carolina-------- %! ;g 79.6 2; Oklahoma-------------- 417 83.5 

South Carolina-------- 87.8 Tennessee------------- 292: ;i; 16763 Texas----------------- 904 2: 694 2: 

Virginia-------------- 271 194 7116 150

West Virginia--------- 63 53 84.1 32 ; 

West-------------- 4,253 3,346 78.7 2,769 150 

Alaska---------------- 4 2 50.0 Arizona--------------- 79.3 ; i California------------ 2,9&f 2,3;; 77.8 89 Colorado-------------- 177 153 86.4 

‘t 5 Hawaii---------------- 83 91.2 34 Idaho----------------- 95: 87.9 1 ; Montana--------------- 2: Nevada----------------

New Mexico------------ ;3" 

i"3 

E 2'

7411 4 ; 

Oregon--------------- 2:: 222 78.2 17 Utah------------------ 135 104 77.0 187 

Washington------------ 274 219 112 

Wyoming---- 28 22 :E . i 

33 
Table 6. Number of admissions to nursing and related care homes during calendar year 1967 according to for­ mer place of residence of patient, by type of service, type of ownership, and bed size of home: United 

States 

lFiguresmaynotaddtototalsdueto roundingforweightingprocedure.SeeAppendixD:for details] - -

r Former place of residence of patient 

Type of service, All Number of Admissions type of ownership, homes admissions per home Mental General Other Patient's nnrs ing and bed size Other Other 

hospital hospital hosptial home home place 

All types of servxes 

All types of 

ownerships- 19,533 801,013 41.01 27,677 431,574 40,418 207,062 75,340 18,943 

Less than 25 beds- 7,839. 59,659 7.61 5,942 15,035 3,019 9,650 25-49 beds-------- 5,129 127,714 56,626 7,372 3% 15,645

50-99 beds-------- 257,693 ME 2% 146,784 14,569 63:6aa 22,689

100 beds or more-- %, 355,947 146:Ol 9:966 213,129 15,457 80,990 27,355 

Proprietary- L5,llO 643,683 42.60 20,209 

xi 

'367,833 34,678 147,514 62,716 10.732 

Less than 25 beds- 6,577 49,541 7.53 12,977 2,700 18,139 8,505 2,357 

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

100 beds or more-- 2,961 

1,397 

213,304 

270,768 

72.03 

193.81 

51080 

5,345 

124,788 

180,499 

12,807 

12,857 

48,920 

47,570 

19,272 

20,807 

2% 

3;691 

Nonprofit--- 2,952 109,415 32.06 2,510 45.041 3,805 44,669 8.425 4,965 

Less than 25 beds25-49 beds--------

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

100 beds or more--

566 

689 

910 

788 

6,252 

12,087 

;ixf; , 

11.05 

17.55 

39.02 

70.53 

346 

321 

659 

1,185 

1,372 

4,756 

18,046 

20,867 

8X! 

1,466 

1,422 

2% 

111918 

24,589 

495 

994. 

2,643 

4,294 

514 

463 

781 

3,207 

Government-- 1,471 47,915 32.58 4,957 18,699 1,935 14,878 4,199 3,246 

25-49 beds-------- 4,175 110,070 26.36 49,569 6,314 32,886 14,132 

Less than 25 beds- 696 3,866 5.56 734 685 223 651 338 

25-49 beds-------- 265 5,557 20.96 291 2,301 237 E9 520 246 

50-99 beds-------- 8,875 34.59 497 3,950 296 2:850 774 509 

100 beds or more-- ;23 29,616 117.05 3,435 11,763 1,179 8,831 2,254 2,153 

All types of 

ownerships- L1,299 681,797 60.34 15,718 403,468 35,457 153,004 62,013 12,137 

-

Less than 25 beds- 2,366 26.948 11.39 1,221 9,654 1,234 9,870 942 

25-49 beds-------- 3,741 28.12 3,217 50,756 6,299 29,838 2,116 

50-99 beds-------- 3,324 70.77 139,925 13,689 53,660 2,846 

100 beds or more-- 1,868 168.30 "Q'57G 203,133 14,234 59,636 6,235 , 

Proprietary- 9.404 577.299 61.39 12,543 349,217 31,295 123,369 53,138 7,737 

Less than 25 beds- 22,656 10.55 961 8,340 1,151 7,866 3,739 598 

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

100 beds or more-- 200,874 

259,800 

75.67 

200.43 xx";, 

119,984 

i75,835 

12,202 

12,383 

44,805 

44,051 

3% 

19:744 

2,090 

3,259 

Nonprofit--- 1,326 71,790 54.12 1,595 38,563 3,004 20,659 5,799 2,170 

Less than 25 beds25-49 beds--------

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

100 beds or more--

141 

300 

%2 

3,639

7,939 

27,321 

32,891 

25.81 

2s 

86:13 

203 

;382 

873 

1,086

4,134

16,489 

16,853 

5% 

1,292 

1,064 

1,767 

2,233 

6,800 

9,859 

212 

679 

1,988

2,921 

2tt 

366 

1,321 

Government-- 568 32.707 57.53 1,580 15,688 1,158 8,975 3,076 2,231 

Less than 25 beds25-49 beds--------

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

78 

135 

166 

654 

3,272 

7,014 

8.42 

24.27 

42.36 

57 

94 

329 

227 

1,564 

3,452 

12; 

196 

237 

958 

2,055 

3:: 

593 

;g 

25-49 beds-------- 93,970 28.43 2,991 45,058 5,560 26,647 1,789 

100 beds or more-- 190 21,767 114.36 1,101 10,445 787 5,725 2,054 1,654 

34 
1,883 

107 

Table 6. Number of admissions to nursing and related care homes during calendar year 1967 according to former place of residence of patient, by type of service, type of ownership, and bed size of home: United 

States-Con. 

[Fiyresmaynotaddtototals duetoroundingforweightingprocedure.SeeAppen~II for details] -

I- Former place of residence of patient 

Type of service, type of ownership, All Number of Admissions 

and bed size admissions per home Mental

hospital 

Personal care

homes with nursin; 

All types of

ownerships- 3,877 85,090 21.95 6,548 

Less than 25 beds25-49 beds--------

50-99 Beds--------

100 beds or more--

1,819 875

657 

527 

12,633

15,170

18,351

38,936 

6.95

17.33 

27.95

73.93 

1,349

1,117 986

3,096 

Proprietary- 2,392 41.482 17.34 3,311 

Less than 25 beds25-49 beds--------

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

100 beds or more--

1,523 

5%

86 

10,717

11,341

10,116

9,307 

7.04

20.61

43.53

107.97 

1,174 942

664

531 

Nonprofit--- 1,169 32,827 28 .OS 673 

Less than 25 beds35-49 beds--------

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

100 beds or more--

158

263 

2% 

1,199 

259%

221082 

7.59 

9.77 

iELi 

1%

233 

297 

Government-- 316 10,781 34.10 2,565 

Less than 25 beds- 137 717 5.23

25-49 beds-------- 1,262 2: 50-99 be&-------- 6632 1,255 f% 

100 beds or more-- 53 7,546 142:Ol 2,2:; 

Personal care

homes 

All types of

ownerships- 4,357 34,126 7.83 5,410 

Less than 25 beds- 3,654 20,077 5.49 3,372 25-49 beds-------- 14.35 1,200 50-99 beds-------- 22% 28.03

100 beds or more--

2;

43 2:554 59.70 fE 

Proprietary- 24,902 7.51 4,356 

Less than 25 beds- 1;,;;; 5.56 2,727 25-49 beds-------- 14.90 989

50-99 beds-------- 2;314 31.22 352

100 beds or more-- 1,662 113.42 288 

Nonprofit--- 457 4,798 10.49 242 

Less than 25 beds- 267 1,414 5.30 109

25-49 beds-------- 126 1,581 12.55

50-99 be&-------- 46 1,213 26.49 g 100 beds or more-- 19 589 31.69 

586 4,426 7.56 812 

Less than 25 beds- 481 2,495 5.19 536

25-49 beds-------- 1,023 15.07 132

50-99 beds-------- 2 606 22.00 

100 beds or more-- 10 303 31.78 ;z 

General Other Patient's Other Other

hospital hospital home "Fzeng place 

!

22,6221 2,673 608

4,550 916

59% 698 , 1,159 

14,492 ( 2,067 

2,411 559

3,704 616

4,078 455

4,298 437 

5,961) 760 

150'

452 22112 

39,747 8,619 4,173 

5,113 2,290 600

6,304

8,245 1,919 ::; 20,085 2,528 2,503 

14,628 5,807 1,178 

4,066 2,040 466 

:*z 1,563 2.58 

2:833 1,210 237

993 217 

20,765 2,294 2,374 

789 146 

1,410

3,949 

172 

355 

1,475

4,197

14,304 

212

586 

1,350 

;;

382 

1,827 

2,169 I 554 4,353 518 621 

112

393 

345

1,319 

37; 

3;; 

$1 

577

2,947 

104 

122 

185 

66 

;:

459 

14,311 4,708 2,633 

7,821 3,333 1,667 3,438 806

1,783 443"

1,270 4% 312 

9,517 3,771 1,818 

6,206 2,726 1,293 1,981 643 200 

332 110

k% 70 215' 

3,244 332 421 

873 137 131

1,024 103 198 

922

425 i39 is 

1,550 605 394 

741 

4i: 2t4

22;

159 5159 :; 

35 
Table 7. Number of admissions to nursing and related care homes during calendar year 1967 according to former place of residence of patient, by geographic region and State: United States 

[Figure may not add to totals due to rounding weighting procedure. See Appendix II for details] 

-

T Former place of residence of patient 

Other 

hospital hospital hospital home home place 

United

States----- 19.533 801.013 41.01 27.677 431.574 40,418 207.062 75.340 18,943 

Northeast----- 4,479 198,443 44.30 5,839 113,893 6,548 49,670 16,246 6,247 

Connecticut------- Maine------------- 368

285 20,621

5,200 

56.06

18.25 

852

186 13,1262,810 

525

353 1%: 1,758 519 

282

132 

Geographic region All Number of Admissions

and State homes admissions per home Mental General Other Patient's nursing Other 

Massachusetts----- 982 39,625 40.37 1,060 22,453 1,469 9:272 3,728 1,643 New Hampshire----- 137 4,166 30.36 1,191 115 2,415 324 New Jersey-------- 516 28,855 55.87 1,787: 15,726 603 7,672 2,195 8% New York---------- 1,087 54,949 50.55 546 32,737 2,036 13,642 3,863 2,126 Pennsylvania------ 810 38,474 ;;A; 1,110 22,415 1,187 9,530 3,201 1,031 Rhode Island------ 177 187 2,605 160 1,282 87 Ve~ont----------- 118 4;% , 15:25 42 831 101 581 44;; 21

North Central- 6,333 228,129 36.02 10,344 117,354 11,543 61,594 22,769 4,527 A 

Illinois---------- 953 45,585 47.82 1,677 25,717 1,752 10,878 4,544 1,017 Indiana----------- 479 18,110 37.77 430 8,545 1,228 5,496 1,877 534 Iowa-------------- 752 17,427 23.17 1,141 8,640 612 1,819 516 

~nsas------------ 482 11,023 22.86 666 5,001 484 ";G 1,182 155 

Michigan---------- 524 25,214 696 14,517 1,269 51898 396 finnesota--------- 512 20.737 E9' 2,076 9,439 1,584 5,151 x 373 Mjssouri----------

4% 18;430 ‘;20% 1,226 8,425 1,174 5,399 1:;;; 212 N&r-&a---------- 560 4,567 276 3; 249 

94 North Dakota------ %Z 26:27 141 1,037 Ohio-------------- 38:884 33.17 1,017 19,981 2,oE 11,236 3,;;; 7;: South Dakota------ l,l%131 3;255 24.87 167 1,438 177 1,137 Wisconsin--------- 497 17,734 35.70 547 10,046 823 4,260 1,719 335; 

South------- 4,468 196,300 43.93 5,759 106,689 7,964 53,994 18.287 3,608 

Alaba~----------- 161 8,671 53.91 4,660 513 680 129 Arkansas---------- 187 7,805 41.84 3% 3,493 384 x2 Delaware---------- 33 1,376 41.34 19 933 22 '297 gY97 2: . District of Col~bia--------- 2,154 25.21 520 1,302 153 Florida----------- 3% 33,442 100.56 2% 21,496 8;: 7,237 2,881 6% 

Georgia----------- 210 13,367 63.51 1,306 6,852 356 3,667 1,060 126 

Kentucky---------- 300 11,325 37.69 393 5,539 860 3,098 1,183 252 Louisiana--------- 204 8,705 610 3,097 615 Maryland---------- 203 11,789 ";:*;i E x2 518 3,202 967 18

Mississippi------- 108 3,779 34:91 1:950 1,182 403

North Carolina---- 671 11,052 16.48 7:; 5,271 2; 3,083 1,097 3% Oklahoma---------- 417 15,334 36.80 756 6,787 1,953 185

South Carolina---- 5,593 57.17 3,695 144 4% 314

Tennessee--------- 2;: 7,900 35.85 11; 3,887 361 2'465 785 2:: Texas------------- 904 41,614 705 23,610 1,364 11:098 4,169 668 

Virginia---------- 271 9,760 4% 178 5,701 435 2,426 817 205

West Virginia----- 63 2,635 41:79 78 1,596 97 620 224 22 

West ---------- 4,253 178,140 41.89 5,735 93,638 14,363 41,804 18,039 4,562 

Alaska------------ 13.25 Arizona----------- 6,9% 84.85 1:: 4,4:24 272 1,3:L; 3%

California-------- 105,918 35.83 3,276 53,046 10,164 25,195 11,246 Colorado---------- 13,218 578 7,257 1,432 2,;;; 1,225; Hawaii------------ 1,288 IE 114 801 Idaho------------- 2,824 48158 1,803 ;z 663 221 Montana----------- 2,767 33.65 2: 1,693 131 716 163 Nevada------------ 1,249 53.30 829 240

New Mexico-------- 2,129 36.99 2 1,169 :21 577 2% 

Oregon------------ 15, ;;; 54.98 734 7,701 800 4,446 1,521 Utah-------------- 23.57 126 1,572 382 750 303 Washington-------- 22:240 81.29 13,029 884 4,;;; 2,533

Wyoming----------- 686 24.34 5E 271 84 50 

36 
Table 8. Number of admissions to nursing and related care homes and discharges during calendar year 1967, number of admissions per bed, number and percent of discharges-discharged alive or dead-by State and type of service provided by home: United States 

[Figuremaynot addtototals duetoroundingforweightingprocedure.SeeAppendixIIfor details] 

itimber of Yumber of 

State and type of Number of Number of Number of Sischarges Percent Escharges Percent

service provided admissions admissions d;;:;;$"s alive iischarged due to iischarged death by home in 1967 per bed in 1967 alive in 1967 dead 

Alabama------ 8,671 0.91 7,381 4,658 63.1 

Nursing care-------

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

Personal care------

8,153 

510; 

0.93 

0.69 

0.36 

6,889 

471 

20 

4,330 

31'; 

62.9 

67.0 

58.0 

Alaska------- 1~ 1~ # # I/ 

Nursing care-------

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

Personal care------

50 0.62 

i 

44 

B 

18 

5 

41.4 

; 

Arizona------ 6,979 1.63 6,571 5,430 82.6 

Nursing care-------

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

Personal care------

6,382 

531 

66 

1.97 

0.60 

0.42 

5,904 

589 

78 

5,015 

388 

28 

84.9 

65.9 

35.k 

Arkansas----- # # # P # 

Nursing care-------

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

Personal care------

7,590 

145 

I/ 

0.69 

Oo3i 

7,324 

169 

P 

4,966 

87 

# 

67.8 

51.7 

# 

California--- 105,918 1.16 100,712 74,572 74.0 

Nursing care-------

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

Personal care------

87,776 

8,581

9,561 

1.51 

0.51 

0.60 

83,098 

8,647

8,967 

62,095 

6,281

6,197 

74.7 

72.6 

69.1 

Colorado----- 13,218 1.10 13,086 10,259 78.4 

Nursing care-------

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

Personal care------

12,557 

429

232 

1.22 

0.27 

1.53 

12,338 

4:; 

9,754 

264 

241 

79.1 

5E . 

Connecticut-- 20,621 1.20 18,171 13,335 73.4 

Nursing care-------

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

Personal care------

18,336 

1, ;;; 

1.39 

0.66 

0.41 

15,907 

1,679 585 

11,685 

1,294 356 

73.5 

77.3. 

60.8 

Delaware----- 1,376 0.91 1,348 939 69.7 

Nursing care-------

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

Personal care------

1,232 

138 

6 

1.16 

0.36 

0.12 

1,183 

% 

812 

117 

9 

68.7 

79.0 

56.3 

2,723 36.9 

2,559 37.1 

155 33.0 

8 42.0 

1~ 

26 

n 

1,141 

889 

201 

50 

# 

2,358 

82 

# 

26,139 

21,003 

2,366

2,771 

2,826 

2,584 

214 

28 

4,836 

4,222 

385 

229 

409 

371 

31 

7 

58.6 

n 

17.4 

15.1 

~zi. 

P 

32.2 

48.3 

# 

26.0 

25.3 

5~~~. 

21.6 

20.9 

44.8 

10.5 

26.6 

26.5 

22.9 

39.2 

30.3 

31.3 

21.0 

43.8 

?ilata suppressed to comply with confidentiality requirements. 

37 

11 
Table 8. Number of admissions to nursing and related care homes and discharges during calendar year 1967, number of admissions per bed, number and percent of discharges-discharged alive or dead-by State and type of service provided by home: United States-Con. 

[Figures may not add to totals due to rounding for weighting procedure.See Appendix II for details] 

State and type of 

service provided by home 

District of 

Columbia----

Nursing care-------

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

Personal care------

Florida-----. 

Nursing care-------

Personal care with

nursing-----------

Personal care------

Georgia------

Nursing care-------

Personal care with

nursing-----------

Personal care------

Idaho- -----__ 

Nursing care-------

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

Personal care------

Illinois-----

Nursing care-------

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

Personal care------

Indiana------

Nursing care-------

Personal care with nl.lrsing-----------

Personal care------

Iowa---------

Nurs,ing care-------

Personal care with nosing-----------

Personal care------

Nursing care-------

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

Personal care------

Wmber of Number of Number of Number of Number of Percent discharges Percent admissions admissions discharges discharges discharged due to discharged alive in 1967 per bed in 1967 in 1967 alive death dead 

in 1967 

2,154 0.98 2,285 1,710 74.8 575 25.2 

1,738 1.71 1,905 1,511 79.3 394 20.7 

280 

136 

0.27 

1.01 

288 

92 

135 

64 

46.9 

69.2 

153 

28 

53.1 

30.8 

33,442 1.40 30,803 23,752 77.1 7,051 22.9 

31,026 1.69 28,438 22,048 77.5 6,391 22.5 

2,020

395 8%. 1,;;; 1,441 264 

72.5 

69.9 E 

27.5

30.1 

13,367 1.08 11,655 7,922 68.0 3,733 32.0 

11,464 1.12 10,385 7,113 68.5 3,273 31.5 

1,808

94 

0.97 

0.38 1,174

96 

752 

57 

64.1 

58.8 

421 

40 

35.9

41.2 

2,824 0.87 2,759 1,897 68.8 862 31.2 

2,740 0.91 2,661 1,838 69.1 823 30.9 

;z 

0.34 

0.37 36: ;3 z*z. I3 

42.1 

34.4 

45,585 0.86 45,181 31,193 69.0 13,988 31.0 

38,477 1.07 37,869 26,442 69.8 11,427 30.2 , 

x:"; , 

0.39 

0.50 

5,177

2,135 .;,;;z , 60.2 

76.5 

2,060

501 

39.8 

23.5 

18,110 0.81 16,801 10,432 62.1 6,370 37.9 

14,299 0.98 12,929 7,830 60.6 5,099 39.4 

2,901 2,855 1,882 65.9 973 34.1

910 E . 1,017 720 70.7 298 29.3 

17,427 0.59 16,558 10,769 65.0 5,789 35.0 

13,189 0.78 12,422 8,339 4,084 32.9 

2,797 0.32 2,580 1,416 1,;=; 1,440 0.35 1,555 1,014 E-i . 

11,023 0.60 9,703 5,997 3,706 38.2 

6,744 0.74 5,929 3,850 2,079 35.1 

3,866 0.48 3,304 1,;;; 1,g 43.6

414 0.35 469 40.0 

38 
Table 8. Number of admissions to nursing and related care homes and discharges during calendar year 

1967, number of admissions per bed, number and percent of discharges-discharged alive or dead-by State and type of service provided by home: United States-Con. 

[Fiyres ma)?notaddto totalsdueto roundingforweightingprocedure.SeeAppendixIl for details] 

Number of 

State and type of Number of Yumber of Wmber of number of Percent discharges Percent 

service provided admissions admissions discharges discharges Sischarged due to liyeiyged alive by home in 1967 per bed in 1967 in 1967 alive 

in 

death 

1967 

Kentucky----- 11,325 0.90 10,862 7,616 70.1 3,246 29.9 

Nursing care-------

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

Personal care------

8,205 

2,416

704 

1.31 

0.49 

0.51 

7,739 

2,392

730 

5,619 

13;; 

72.6 

63.2 

66.5 

2,121 

881 

245 

27.4 

36.8 

33.5 

Louisana----- 8,705 0.78 7,771 4,913 63.2 2,859 36.8 

Nursing care-------

Personal care with 8,357 0.79 7,472 4,764 63.8 2,707 36.2 

nosing-----------

Personal care------

306 

42 

0.56 

0.40 

252 

48 

127 

22 

50.3 

45.9 

125 

26 z-: . 

Maine-------- 5,200 0.88 4,753 3,208 67.5 1,545 32.5 

Nursing care-------

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

Personal care------

4,034 

745

420 

1.06 

0.65 

0.45 

3,573 

682 

498 

2,455 

420 

334 

68.7 

61.5 

67.0 

1,118 

263 

165 

31.3 

38.5

33.0 

Maryland----- 11,789 1.04 10,972 7,384 67.3 3,588 32.7 

Nursing care-------

Personal care with 10,840 1.23 10,066 6,878 68.3 3,188 31.7 

nursing-----------

Personal care------

826 

122 

0.34 

1.13 

848 

58 ":t E-Z. 33i 

44.5 

38.2 

Massachusetts------- 39,625 0.96 38,756 29,100 75.1 9,657 24.9 

Nursing care-------

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

Personal care------

34,343 

4,184

1,098 

1.03 

0.76 

0.44 

33,227 

4,346

1,184 

24,702 

3,;;; 

74.3 

81.5 

72.3 

8,525 

804 

327 

25.7 

18.5 

27.7 

Michigan----- 25,214 0.82 23,700 16,233 68.5 7,467 31.5 

Nursing care-------

Personal care with 22,968 0.96 20,880 14,493 69.4 6,387 30.6 

nosing----------- 1,904 0.32 2,334 1,393 59.7 941 40.3

Personal care------ 342 0.33 486 347 71.4 139 28.6 

Minnesota---- 20,737 0.66 17,218 11,189 65.0 6,030 35.0 

Nursing care-------

Personal care with 17,463 0.73 14,415 9,399 65.2 5,015 34.8 

nursing----------- 2,402 0.49 1,015 58.0 735 42.0

Personal care------ 872 0.37 ES, 774 73.5 279 26.5 

Mississippi-- 3,779 0.94 3,209 2,359 73.5 850 26.5 

Nursing care------- 3,170 1.07 2,658 1,936 72.8 722 27.2

Personal care with nursing----------- 289 238 61.3

Personal care------ 320 E . 313 :";i 88.7 2 1E . 

39 
--- 

Table 8. Number of admissions to nursing and related care homes and discharges during calendar year 1967, number of admissions per bed, number and percent of discharges-discharged alive or dead-by State and type of service provided by home: United States-Con. -

lFirmresmaynotaddtototalsduetoroundingforweigbtingprocedure.SeeAppendixIIfor details] . - -

Number of

State and type of Number of Number of Number of Number of Percent discharges Percent

service provided admissions admissions discharges discharges discharged due to GdA?zged alive by home in 1967 per bed in 1967 in 1967 alive death 

in 1967 

Missouri----- 18,430 0.75 17,381 11,485 66.1 5,896 33.9 

Nursing care------- 14,745 0.89 13,699 9,204 67.2 4,495 32.8

Personal care with nursing----------- 3,;;; 0.47 3,;;; 2,051 61.1 1,304 '38.9 Personal care------ 0.39 231 70.4 97 29.6 

Montana------ 2,767 0.82 2,582 2,005 77.6 577 22.4 

Nursing care-------

Personal care with 2,289 0.94 2,112 1,645 77.9 467 22.1 

nursing----------- 0.56 400 78.8 21.2

Personal care------ 42: 0.27 71 "2: 64.3 2 35.7 

Nebraska----- 9,255 0.75 7,592 5,323 70.1 2,269 29.9 

Nursing care-------

Personal care with 6,829 1.03 5,214 3,793 72.8 1,421 27.2 

nursing----------- 2,035 0.43 1,963 1,259 64.1 704

Personal care------ 391 0.39 415 271 65.3 144 

Nevada------- 1,249 1.52 1,083 889 82.1 194 17.9 

Nursing care-------

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

Personal care------

1,049 

1:; 

1.93 

0.89 

0.68 

933 

12: 

767 

28 

95 

82.2 

77.1

82.6 

166 

2: 

17.8 

22.9 

17.4 

New Hamp- shire------- 4,166 1.00 4,601 3;493 75.9 1,108 24.1 

Nursing care-------

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

Personal care------

3,811 

222 

133 

1.16 

::'9: 

4,152 

327 

121 

3,194 

212 

86 

76.9 

64.9 

70.9 

958 

':: 

23.1 

22-i . 

New Jersey--- 28,855 1.18 26,915 20,045 74.5 6,869 25.5 

Nursing care-------

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

Personal care------

23,255 

2,613

2,988 

1.43 

0.61 

0.78 

21,562 

2,756

2,596 

15,958 

2,037

2,051 

74.0 

73.9 

79.0 

5,604 

719 

546 

26.0 

26.1 

21.0 

New Mexi.co--- 2,129 1.02 2,213 1,701 76.9 512 23.1 

Nursing care-------

Personal care with 1,975 1.15 2,026 1,591 78.5 435 21.5 

nursing----------- 0.37 43 4.49

Personal care------ l3: 0.46 1:; 67 56E. 2: 38.5 

New York----- 54,949 0.86 54,190 39,079 72.1 15,111 27.9 

Nursing care------- 48,034 1.06 47,303 34,575 73.1 12,728 26.9 

Personal care with nosing----------- 3,688 0.30 4,153 2,462 59.3 1,691 40.7

Personal care------ 3,227 0.51 2,734 2,042 74.7 692 25.3 

40 

1 
----------- 

----------- 

Table 8. Number of admissions to nursing and related care homes and discharges during calendar year 1967, number of admissions per bed, number and percent of discharges-discharged alive or dead-by State and type of service provided by home: United States-Con. 

[Figures maynotaddtototalsduetoroundingforweightingprocedure.SeeAppendiwIIfordetails] 

-.­

service

and type of Number of Number of Number of Percent 

Wnber of 

State Percent provided admissions admissions dis;wgges discharged ii;warges iischarged by home in 1967 per bed in 1967 alive 

in 1967 

death dead

North Caro- lina-------- 11,052 0.74 10,405 6,713 64.5 3,692 35.5 

Nursing care-------

Personal care with 6,864 1.11 6,175 4,244 68.7 1,931 31.3 

n~-ing----------- 2,751 0.50 2,590 13j; 60.3 1,028 39.7 Personal care------ 1,437 0.45 1,640 55.3 733 44.7 

North Dakota- 2,476 0.47 2,543 1,626 63.9 917 36.1 

Nursing care------- 1,436 0.64 1,372 856 62.4 516 37.6 Personal care with nosing----------- 0.36 236 49.6 239 50.4 Personal care------ % 0.34 29'2 534 76.7 162 23.3 

Ohio--------- 38,884 0.76 38,055 24,555 64.5 13,500 35.5 

Nursing care-------

Personal care with 32,968 0.90 32,238 21,064 65.3 11,173 34.7 

nmsin 

Persona K care------ 5,128 0.42 4,922 2,876 58.4 2,046 41.6 

789 0.37 895 615 68.7 280 31.3 

Oklahoma----- 15,334 0.77 12,581 8,470 67.3 4,111 32.7 

Nursing care-------

Personal care with 13,809 0.77 11,083 7,336 66.2 3,747 33.8 

nosing----------- 1,451 0.78 1,457 1,1;; 76.0 350 24.0 Personal care------ 74 0.95 42 65.0 15 35.0 

Oregon------- 15,609 1.07 14,019 10,391 74.1 3,628 25.9 

Nursing care-------

Personal care with 12,375 1.25 10,919 7,779 71.2 3,140 28.8 

nosing----------- 2,602 0.75 2,520 2,192 87.0 328 13.0 Personal care------ 632 0.50 581 420 72.4 160 27.6 

Pennsylvania- 38,474 0.76 38,682 25,688 66.4 12,994 33.6 

Nursing care-------

Personal care with 34,311 0.95 33,535 22,714 67.7 10,821 32.3 

nosing-..--------- 3,523 0.28 3,754 1,834 48.9 1,920 51.1 Personal care------ 640 0.37 1,393 1,140 81.8 253 18.2 

Rhode Island- 4,761 0 .91 4,755 3,385 71.2 1,370 28.8 

Nursing care------- 3,854 1.05 3,688 2,620 71.0 1,068 29.0

Personal care with nosing----------- 0.64 576 424 151 26.3

Personal care------ 5% 0.53 492 341 E-3. 151 30.7 

South Caro- lina-------- 5,593 1.09 6,738 5,335 79.2 1,403 20.8 

Nursing care-------

Personal care with 5,291 1.22 5,062 3,838 75.8 1,224 24.2 

nursing 244

Personal care------ 57 8-E 19; 1,4:; 91.2 143 . 34.2 36 6::: 

41 
Table 8. Number of admissions to nursing and related care homes and discharges during calendar year 1967, number of admissions per bed, number and percent of discharges--discharged alive or dead-by State and type of service provided by home: United States-Con. 

IF msmaynotad~d t(, totals dueto :procedures.S~ LppendixDfor rails] 

Number of 

State and type of Number of Number of Number of rJumber of Percent di;scarrs Percent

service provided admissions admissions d;;:;;Fs discharges discharged disEsc?zged by home in 1967 per bed alive death in 1967 alive 

in 1967 

South Dakota- 3,255 0.58 2,831 1,810 63.9 1,022 36.1 

Nursing care-------

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

Personal care------

2,201 

927 

127 

0.62 

0.52 

0.51 

1,913 

761 

158 

1,221 

501 

88 

63.8 

65.8 

55.8 

692 

260 

70 

36.2 

34.2 

44.2 

Tennessee---- 7,900 0.89 7,172 4,713 65.7 2,459 34.3 

Nursing care-------

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

Personal care------

7,187 

545 

168 

1.02 

0.41 

0.31 

6,393 

535 

243 

4,244 

314 

155 

66.4 

58.6 

63.7 

2,149 

222 

88 

33.6 

41.4 

36.3 

Texas-------- 41,614 0.88 37,033 25,440 68.7 11,592 31.3 

Nursing care-------

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

Personal care------

37,746 

3,;;; 

0.96 

il.53 

0.36 

33,648 

2,833 551 

23,187 

1,843 411 

68.9 

2: . 

10,461 

990 

141 

31.1 

2; . 

Utah--------- 3,176 0.78 3,591 2,591 72.2 1,000 27.8 

Nursing care-------

Personal care with 2,639 0.99 2,996 2,193 73.2 803 26.8 

nursing----------- 458 0.42 452 290 64.1 162

Personal care------ 79 0.28 143 108 75.7 35 

Vermont------ 1,793 0.65 1,861 1,179 63.4 682 36.6 

Nursing care-------

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

Personal care------

1,456 

215 

123 

0.73 

0.52 

0.36 

1,483 

211 

168 

937 

ii: 

63.2 

i?: . 

546 

69 

67 

36.8 

32.9 

39.9 

Virginia----- 9,760 0.90 9,539 6,427 67.4 3,111 32.6 

Nursing care-------

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

Personal care------

8,167 

1,144

449 

1.18 

0.38 

0.51 

8,022 

1,091

426 

5,510 

635 

283 

68.7 

58.2 

66.4 

2,512 

41; 

31.3 

i:-: . 

Washington--- 22,240 1.17 20,894 76.8 4,844 23.2 

Nursing care-------

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

Personal care------

19,192 

2,905 144 

1.41 

0.57 

0.49 

18,377 

2,370

147 

77.5 

70.7 

85.6 

4,128 

7, 

22.5 

::-2. 

West Vir- ginia------- 2,635 1.17 2,397 1,694 70.7 702 29.3 

Nursing care-------

Personal care with 2,353 1.46 2,132 1,516 71.1 617 28.9 

nursing----;------ 250 0.45 235 65.7 ai 34.3 

Personal care------ 32 0.32 29 5: 82.2 5 17.8 

42 
-- 

Table 8. Number of admissions to nursing and related care homes and discharges during calendar year 1967, number of admissions per bed, number and percent of discharges-discharged alive or dead-by State and type of service provided by home: United States-Son. 

[Fiyres mqnnotaddto totalsduetoroundingforweightingprocedure.SeeAppendisII for details1 

kmber of Percent 

Yumber of

State and type of ?umber of Wmber of discharges discharged discharges Percent

service provided ldmissions admissions alive due to discharged by home in 1967 per bed in 1967 alive 

in 1967 

death dead

Wisconsin---- 17,734 0.63 16,830 11,562 68.7 5,268 31.3 

Nursing care-------

Personal care with 15,327 0.73 14,187 9,731 68.6 4,456 31.4 

nursing -_--- -_-- 2,111 0.35 2,266 1,;;; 700 30.9 Personal care------ 296 0.27 376 %: . 112 29.9 

Wyoming------ 686 0.68 566 377 66.5 190 33.5 

Nursing care------- 472 0.84 361 216 59.8 145 40.2 Personal care with nursing----------- 152 0.46 80.1 Personal care------ 62 0.54 25" % 73.0 2: E . 

Hawaii------- 1,288 0.89 1,386 1,044 75.3 342 24.7 

Nursing care-------

Personal care with 1,024 1.12 1,056 833 78.9 222 21.1 

nursing----------- 147 71.1 42 28.9 Personal care------ 1% E . 184 '1::: 57.8 76 42.2 

-

43 
Table 9. Number of admissions to nursin and related

1967, number of admissions per bed, numf er and percent 

care

of 

homes and discharges during calendar year discharges--discharged alive or dead--by type of service, type of ownership, and bed size of home: United States 

Fimxes maynotaddto totalsduetoroundingforweightingprocedure.SeeAppendixII fordetails] I 

lmber of

Type of service, Number of Number of Number of Number of Percent lscharges Percent 

type of ownership, admissions admissions discharges discharges discharged due to iiscsc~ged alive and bed size in 1967 per bed in 1967 in 1967 alive death 

n 1967 

All types of 

services 

All types of 

ownerships-- 801.013 0.90 756.289 533,062 70.5 223,226 29.5 

Less than 25 beds-- 25-49 beds---------

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

100 beds or more---

59,659

127,714

257,693

355,947 

0.62 

i% 

0:99 

64,479

122,293

242,529

326,987 

41,884

79,662

172,306

239,210 

2:: 

71:o 

73.2 

22,595

42,631

70,223

87,777 

E -9” 

29:o 

26.8 

Proprietary-- 643,683 1.10 597,117 428,862 71.8 168.255 28.2 

Less than 25 beds-- 25-49 beds------ 50-99 be&.---------

100 beds or more---

49,541

110,070

213,304

270,768 

0.61 

0.79 

1.13 

1.55 

51,586

103,921 

;g, ;;; 

, 

32,268

67,008

143,011

186,576 

62.6 

64.5 

::?I. 

‘3:YE 

56:351 

55,673 

37.4 

35.5 

28.3 

23.0 

Nonprofit---- 109,415 0.49 112,276 75,424 67.2 36,851 32.8 

Less than 25 beds-- 25-49 beds---------

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

100 beds or more---

6,252

12,087

35,514

55,563 

0.74 

0.49

0.60 

0.43 

9,139

12,924

34,394

55,819 

7,265

9,006 

%:i3 

79.5 

fE 

63:5 

1,874

3,917

10,680

20,380 

20.5 

3 

36:5 

Government--- 47,915 0.55 46,896 28,776 61.4 18,120 38.6 

Less than 25 beds-- 3,866 0.63 3,754 2,351 62.6 1,403 37.4 25-49 beds--------- 5,557 0.61 5,448 3,648 1,799 33.0 50-99 beds ------s-w 8,875 0.54 8,774 5,581 E 3,193 36.4 100 beds or more--- 29,616 0.53 28,920 17,196 59:5 11,725 40.5 

Nursing care homes 

All types of 

ownerships-- 681,797 1.07 636,895 452,905 71.1 183,989 28.9 

Less than 25 beds-- 25-49 be&--------- 50-99 be&.---------

100 beds or more---

26,948

105,181

235,210

314,458 

0.74 

0.83 

1.11 

1.19 

29,831

100,927

219,283

286,855 

'18,866

65,175

157,515

211,350 

E-6" 

7118 

73.7 

10,965 

3:28' 

75:505 

36.8 

35.4 

28.2 

26.3 

Proprietary-- 577,299 1.21 534,486 386,993 72.4 147,493 27.6 

Less than 25 beds--

25-49 be&---------

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

100 beds or more---

22,656

93,970

200,874

259,800 

0.69 

0.84 

1.19 

1.60 

24,471

89,740

187,520

232,754 

E 

7212 

77.1 

9,980

32,236

52,063

53,215 

40.8 

35.9 

27.8 

22.9 

Nonprofit---- 71,790 0.69 69,298 67.9 22,246 32.1 

Less than 25 beds-- 25-49 be&---------

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

100 beds or more---

3,639

7,939

27,321

32,891 

1.66 

z-87: 

0:56 

3,891

5,586

17,682

19,893 

%*9" 

71:o 

62.4 

741 

2,289

7,213

12,004 

16.0 

29.1 

29.0 

37.6 

Government--- 32,707 0.56 18.860 57.0 14,249 43.0 

Less than 25 beds-- 654 0.65 727 483 245 25-49 be&--------- 0.71 3,311 2,085 1,226 ~?~ 50-99 be&--------- x-:2 0.67 6,868 4,375 2,492 36:3

100 beds or more--- 21;767 0.52 22,204 11,918 10,286 46.3 
--------- 

2,375 

--------- 

Table 9. Number of admissions to nursing Bnd related care homes and discharges during calendar year

1967, number of admissions per bed, number and percent of discharges--&scharged alive or dead--by type of service, type of ownership, and bed size of home: United States-Con. 

[Fiyresmaynotaddtototals dueto roundingforweightingprocedure.SeeAppendivII for details] 

Type of service, kmber of Number of Number of 

type of ownership, admissions dmissions; d;rE$es

and bed size in 1967 per bed 

Personal care 

homes with nursing 

All types of 

ownerships-- 85,090 0.45 84.491 

Less than 25 beds--

25-49 be&---------

50-99 beds 

100 beds or more---

12,633

15,170

18,351

38,936 

0.53 13,033

0.50 14,315 0.43 18,879

0.43 38,263 

Proprietary-- 41.482 0.66 38,798 

Less than 25 beds-- 25-49 be&---------

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

100 beds or more---

:x2: 

lo:116 

9,307 

10,881 z-564 10,083 p;

. m1 

Nonprofit---- 32,827 0.31 36,093 

Less than 25 beds-- 25-49 beds---------

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

100 beds or more---

1,199

2,567

6,979

22,082 

0.47 1,414

0.27 3,048

0.29 8,214

0.33 23,417 

10,781 0.53 9.600 

Less than 25 beds-- 717 738 25-49 be& ---mm-m-- 1,262 E6” 1,185 50-99 be&--------- 1,255 0:30 

100 beds or more--- 7,546 0.59 x;z, 

Personal care 

m 

All types of 

ownerships-- 34,126 0.50 34,903 

Less than 25 beds-- 25-49 be& -m---m -we 25,30;; 0.55 21,615 

50-99 be&--------- 41133 i:g 7,051 

100 beds or more--- 2,554 . %> 

Proprietary-- 24,902 0.55 23,833 

Less 

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

100 beds or more---

ZE 

1:662 

0:53

0.96 

4% 

1:054 

Nonprofit---- 4,798 0.34 6.884 

Less than 25 beds--

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

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

100 beds or more---

1,414

1,581

1,213

589 

0.38 

0.37 

0.41 

0.20 

3,093

2,000

1,286

505 

Government--- 4,426 0.49 4,186 

Less than 25 beds--

25-49 beds--------- 50-99 be& 

2,495

1,023 606 

0.66 

8% 

2,289 

LIZ 

than 25 beds-- 16,168 8-E 16,233 25-49 beds---..-----

Number of Number of 

d~~~~~$ed discharges Percent di;;:gges due to di;Ezged death in 1967 alive 

in 1967 

+ 

29,011 34.3 

4,707

5,230

7,218

11,857 

36.1 

36.5 

38.2 

31.0 

25,528 65.8 13,270 34.2 

I 

6,863 63.1 36.9 

6,427 63.7 x: 36.3 

31375 

:tz; , ff -: . 2,221 2.39.

---I-- 22,953 63.6 13.140 36.4

998 70.6 416 29.4 

1,840 60.4 1,208 39.6 

4,962 60.4 39.6 

15,152 64.7 E52 , 35.3

7,000 72.9 2,601 27.1 

465 272 36.9 

"6;*: 366 30.9 

E 53:s 592 46.5 

5,035 78.6 1,371 21.4 

24,677 70.7 10,226 29.3 

t 

14,691 

?';%

11454 

68.0 

76.6 

3%. 

6,924

1,649

1,237 416 

32.0 

23.4 

28.3 

22.2 

16,341 68.6 7,491 31.4 

10,913

3,076 

67.2 5,320

1,022 

32.8 

24.9 

1,535 7652': 913 37.3 

t 

5,4201 

I 

78.7 1,465 21.3 

717 23.2 

1,580

1,071

393 

:Ki 

8313 

77.8 

420 

215 

112 

21.0 

23 . 

818 7716 236 22.4 

2,916 1 69.7 1,270 30.3 

886 38.7 

21.7 

% 17.2 

100 beds or more--- 303 0:24 311 68 21.8 

45 
------- 

----------- 

--- 

-- -- 

-- 

Table 10. Number of admissions to nursing and related care homes and discharges during calendar year 1967, number of admissions per bed, number and percent of discharges-discharged alive or dead-by geographic region and State: United States 

:smaynotaddtototals duetoroundingforweightir‘g Flrocedure.SeeAppendixIIfor details] -

Number of 

Geographic region Number of Number of Jumber of Number of Percent diz;arges Percent 

and State admissions admissions iischarges discharges discharged death dizE:yged alive in 1967 per bed in 1967 in 1967 alive 

in 1967 

United States- 801,013 0.90 756,289 533,062 70.5 223,226 29.5 

Northeast------ 198,443 0.92 192,684 138,512 71.9 54,172 28.1 

Connecticut-------- 20,621 1.20 18,171 13,335 73.4 26.6 Maine------- 5,200 0.88 4,753 3,206 67.5 f;% 32.5 Massachusetts------ 39,625 0.96 38,756 290,lOC 75.1 9:657 24.9 New Hampshire------ 4,166 1.00 4,601 3,493 75.9 1,108 24.1 New Jersey--------- 28,855 1.18 26,915 20,045 74.5 6,869 New York----------- 54,949 0.86 39,079 72.1 15,111 t5.2 

Pennsylvania------- 3;,;67; 2;: 4:755 

3% ‘5 ,g 66.4 12,994 33:6 Rhode Island------- 71.2 1,;;; 28.8 Vermont----- _--_-__ 1:793 0:65 1,861 1:179 63.4 36.6 

North Central-- 228,129 0.73 214,393 142,172 66.3 72,221 33.7 

Illinois 45,585 0.86 45,181 31,193 69.0 13,988 31.0 Indiana------ --_--_ 18,110 0.81 16,801 10,432 62.1 6,370 37.9 Iowa--------------- 17,427 0.59 16,558 10,769 65.0 5,789 ~nsas------ ----_-_ 11,023 0.60 9,703 5,997 61.8 E! 

Michigan------ __- __ 0.82 23,700 16,233 68.5 :G! 31:5 Minnesota----- --___ x; 0.66 17,218 11,189 65.0 6'030 35.0 Misso~i----------- 181430 0.75 17,381 11,485 66.1 5:896 33.9 Nebraska -----__ _ 9,255 7,592 5,323 70.1 2,269 29.9 North Dakota------- '2,476 8.1: 2,543 1,626 63.9 917 36.1 Ohio--------------- 38,884 0:76 38,055 24,555 64.5 13,500 35.5 South Dakota------- 3,255 0.58 2,831 1,810 63.9 1,022 36.1 Wisconsin---------- 17,734 0.63 16,830 11,562 68.7 5,268 31.3 

South--- ---_--_ 196,300 0.94 179,685 125,136 69.6 54.549 30.4 

Alabama _ ----_ __- ___ 8,671 0.91 7,381 4,658 63.1 2,723 36.9 Arkansas - _ _ _ _ ___ __ _ 7,805 0.68 7,535 5,090 67.6 2,444 32.4 Delaware----------- 1,376 0.91 1,348 939 69.7 409 30.3 District of

Columbia---------- 2,154 0.98 2,285 1,710 74.8 575 Flordia 33,442 1.40 30,803 23,752 IZ

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

- - _--- - _ 

13,367 1.08 11,655 7,922 z;*i 7,051 32:0 ; 

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

Louisiana---------- y;: 0.90 10,862 7,616 70:1 x22 29.9

0.78 7,771 4,913 2:859 36..8 

Maryland------ -_--- p; 1.04 10,972 7,384 E-i 3,;;; 32.7 Mississippi-------- 0.94 3,209 ;I;:: 26.5 North Carolina----- 11:052 0.74 10,405 2% 3,692 35.5 Oklahoma ----_____ 15,334 0.77 1y; 8:470 67:3 4,111 South Carolina----- 5,593 1.09 5,335 79.2 1,403 z Tennessee---------- 7,900 0.89 7'172 4,713 65.7 2,459 34:3 Texas _ ___-__ __ __ __ _ 41,614 0.88 37:033 25,440 68.7 11,592 31.3 

Virginia-- ---_--_-- 9,760 9,539 6,427 32.6 West Virginia------ 2,635 E 2,397 1,694 %:'; 3,;;; 29.3 >/ 

West -----_--___ 178,140 1.13 169,527 127,242 75.1 42,284 24.9 

Alaska -----_- ______ 35 54.4 45.6 Arizona------------ 6,9% 6,5% 5,430 82.6 1,12: 17.4 Califo~ia---------

Colorado----------- 105,918 100,712 74,572 74.0 26,139 26.0

13,218 13,086 10,259 78.4 2,826 21.6 Hawaii------------- 1,288 1,386 1,044 75.3 342 24.7 Idaho --___ ______ ___ 2,824 2,759 1,897 68.8 862 31.2 Montana __ _ --_ ___ __ _ 2.767 2,582 2,;;; 77.6 577 22.4 Nevada------------- 1,249 1,083 82.1 194 17.9 New Mexico--------- 2,129 2,213 1,701 76.9 512 23.1 

Oregon---- ------___ 15,609 14,019 10,391 74.1 3,628 25.9 Utah--------------- 3.176 3,591 2,591 72.2 1,000 27.8 Washington--------- 22;240 20,894 16,050 76.8 4,844 23.2 

Wyoming------------ 686 566 377 66.5 190 33.5 

46 
APPENDIX, I 

TECHNICAL NOTES ON THE SURVEY DESIGN AND PROCEDURES 

General 

The 1968 Nursing Home Survey included “all” 

resident institutions in the United States which provide 

nursing or personal care to the aged, infirm, or chronically ill patients. The survey was directed toward the 

aged institutional population; however, all people who 

were residents of institutions within the scope of the 

survey were included regardless of age. The survey, 

conducted during April-September 1968, included 18,185 

nursing homes, convalescent homes, rest homes, homes 

for the aged, and other related facilities. It did not include 1,355 homes which opened in the year prior to 

the survey. Special weighting procedures (as discussed 

in appendix 11) were applied to the data to account for 

the existence of these homes. Resident institutions included in the survey were those which maintained at 

least three beds and provided some type of nursing 

service. (See appendix IV for the procedure used to 

classify these institutions by type of nursing service.) 

This appendix describes the survey design and 

procedures for the 1968 Nursing Home Survey. Succeeding appendixes present the general qualifications 

of the data and the weighting procedure to account for 

the existence of newly opened homes (appendix II), the 

definitions of terms (appendix Ill), the classification of 

institutions by type of nursing service (appendix IV), 

and the forms used in the survey (appendix V). 

Universe 

The universe for the 1968 Nursing Home Survey 

consisted of all institutions classified as nursing homes 

in the 1967 Survey of the Master Facility Inventory 

(MFI). A detailed description of how the MFI was developed, its content, maintenance plans, and a procedure for assessing the completeness of its coverage 

has been published.lqs The MFI includes the names, 

addresses, and certain descriptive information about 

“all” hospitals and resident institutions in the United 

States. It was originally developed by collating a large 

number of published and unpublished lists of establishments and surveying these establishments by mail to 

obtain information on their nature and status of business. 

NOTE: The list of referencesfollows the test. 

Since the MFI serves as a samplingframefor institutions within the scope of the various health facilities 

surveys, it is imperative that it be kept as current as 

possible. To aid in accomplishing this purpose, a 

mechanism known as the Agency Reporting System 

(ARS) has been developed to provide informationonnew 

institutions. This information is incorporated in the 

MFI at regular intervals. A report on the origin and 

development of the ARS has been published.” 

Data Collection and Processing 

Data for this survey were collected primarily by 

mail by the Wolf Research and Development Corporation, under contract to the National Center for Health 

Statistics. In addition to the original mailing, followup 

procedures consisted of three regular first-class 

mailings, each approximately 3 weeks after the prior 

mailing, and a final certified mailing. Prior to the 

certified mailing, Bureau of the Census interviewers 

made personal visits fo approximately 400 of the 

largest nonresponse nursing homes. (These 400 homes 

were not included in the certified followup.) For those 

nonresponse homes left after the certified mailing, a 

sample of 2,000 homes, stratified by bed size and type 

of service, was selected for telephone followup. 

Approximately 22 percent of the 18,185 homes inscope of the survey responded to the ori.ginal mailing. 

The three additional first-class mailings added 39 percent, and the certified mailing plus the Census personal 

interviews added another 19 percent. The telephone 

followup plus the late mail returns brought the total 

response to 87 percent. Of the 2,375 nonresponding 

homes, the majority were those with less than 25 beds 

(table I). Nonresponse decreased as bed size increased. 

The Wolf Corporation hand-edited and coded the 

completed questionnaires in accordance with specifications established by the Center. If the returned 

questionnaire did not contain data for certainkeyitems, 

a further mail inquiry was made specifically for these 

items. Approximately 10 percent of the returned questionnaires did not pass editing criteria for one key 

item or more and therefore required this “fail-edit” 

mailing. 
-- --- 

After the edited and coded data 

magnetic tape, the staff of the Health 

tics Branch processed the data on 

tronic computer. This processing 

each institution with basic identifying 

were recorded on 

Facilities Statisthe Center’s elecincluded matching 

information contained in the 1967 MFI Survey as well as carrying out 

internal edits and consistency checks to eliminate 

“impossible” responses and errors in editing, coding, 

Table I. Number and percent distributions 

size: United States, 

or processing. 

of nursing homes 

April-September 

Questionnaires

mailed 

Bed size I 

Number 

of homes Total 

Percent 

All homes----------- 18,185 100 

Less than 25 beds---------- 7,778 43 

25-49 beds----------------- 4,719 26 

50-99 beds--- ____ _____ 3,935 22 

100 beds or more-----------

.7== 

1,753 10 

-oo48 

by response status and bed 

1968 

Questionnaires 

not returned 

distribution 

87 13 

35 7 

23 3 

20 2 

9 1 
APPENDIX II 

QUALIFICATIONS OF THE DATA 

General 

Two qualifications should be kept in mind regarding 

the MFI, which was the universe for the 1968 Nursing 

Home Survey. First, the data in this report can be no 

more representative of nursing homes in the United 

States than the universe upon uhich the survey was 

based. The 1967 MFI Survey included approximately 

89 percent of the nursing homes in the United States. 

Indications are that those places not on the MFI were 

relatively small, possibly no more than half as large, 

on the average, as those listed. 

Special attention is called to the procedure for 

classifying institutions described in appendix IV. The 

classification of nursing homes, i.e., homes for the 

aged, rest homes, and related mes of places, was 

based on the type of service provided in the home 

rather than on State licensure laws or on what the home 

may call itself. This criterion for classification was 

chosen in the absence of any commonly accepted definition of nursing home or other institutions of this 

type.Second, since the 1968 Nursing Home Survey was a 

census of Wl” nursing homes in the United States, the 

data presented in this report are not subject to sampling variability. However, the data are subject to reporting errors and measurement errors. The accuracy 

of the data depended on the accuracy of personnel and 

business records and, to some extent, on the accuracy 

of the respondent’s replies based on his memory or 

willingness to report correct answers. 

In an attempt to keep measurement errors to a 

minimum, the questionnaire was made as self-explanatory as possible. Not only were definitions and 

explanations included as part of each question, but a 

separate Definition Sheet regarding staff was also 

enclosed. 

Time Interval Between Establishing the Universe 

and Conducting the Survey 

The time interval between the 1967 MFI Survey 

(April-October 1967), in which the universe of nursing 

homes was established, and the 1968 Nursing Home 

Survey (April-September 1968) was 1 year. Basic 

classification data collected in the 1967 MFI Survey 

were not collected in the 1968 Nursing Home Survey. 

Instead, the 1968 data were assumed to be the same as 

the 1967 data, and the 1967 data were used to classify 

the homes. Thus, the classification of institutions for 

the 1968 Nursing Home Survey was based on type of 

service and type of ownership information collected in 

the 1967 MFI Survey. 

During this l-year interval the type of ownership 

and type of service probably changed for some of the 

institutions. Because of the short time period, however, 

any changes which may have occurred should have only 

negligible effect on the distribution of institutions by 

either type of service or type of ownership. 

During the l-year interval between establishingthe 

universe and conducting the 1968 Survey, 399 nursing 

homes closed and 1,355 nursing homes opened for 

business. The nursing homes which openedfor business 

were not. included in the 1968 Survey because of a 

timelag in receiving the names and addresses of new 

homes from the Agency Reporting System, the mechanism which updates the MFI mailing list. Although 

these newly opened homes were not includedin the 1968 

Survey, the data from the 1968 Survey wereweighted to 

account for their existence. 

Weighting Procedure 

The 1968 data were weighted to account for the 

existence of 1,355 newly opened homes according to 

three basic- variables: type of service (nursing care, 

personal care with nursing, personal care), type of 

ownership (proprietary, church and other nonprofit, 

government owned), and number of beds (less than 25 

beds, 25 to 49 beds, 50 to 99 beds, 100 beds or more). 

In ail, there were 36 combinations of these variables 

or 36 .weighting classes. The number of homes which 

opened during the l-year interval between establishing 

the universe and conducting the 1968 Survey was tallied 

for each of the 36 weighting classes from data collected 

in the 1969 MFI Survey. Based on data from the 1969 

MFI Survey, percent distributions of these 1,355homes 

are presented according to type of ownershin and bed 

49 
size (table II) and type of service (table III). By type 

of ownership, the majority of new nursing homes.(79 

percent) were proprietary (table II). By typeof service, 

the majority of the homes (72 percent) were those 

providing nursing care, the highest level of nursing 

service (table III). By number of beds, the largest 

group (37 percent) was that with less than 25 beds 

(table II). 

The weight for each weighting class wascalculated 

according to the following formula W, = I+ & 

*c 

where W = weight 

c = weighting class 

x = number of newly opened homes 

y = number of in-scope homes in 

the 1968 Survey 

Weights were assigned to each nursing home according 

Table II. Percent distribution of nursing homes 

opened forbusiness between April-October 1967 

and April-September 1968 by type of ownership and bed size: United States 

Nursing homes 

opened for 

Type of ownership and business between 

bed size April-October

1967 and AprilSeptember 1968 

Number 

Total homes------------ 1,355 

Percent 

distribution 

All types of ownership- 100.0 

Proprietary-------------- 78.9 

Less than 25 beds------------ 31.4 25-49 beds--------------- ____ 12.3 so-99 beds------------------- 22.3

100 beds or more------------- 12.9 

Church and other non- profit------------------ 14.1 

Table III. Percent distributionofnursing homes 

opened forbusiness between April-October 1967 

and April-September 1968 by type of service: 

United States 

Nursing homes 

opened for 

Primary type of service business between 

April-October

1967 and April- September 1968 

Number 

Total homes------------ 1,355 

Percent 

distribution 

All types of service--- 100.0 

Nursing care----------------- 71.7 

Personal care with nursing--- 12.5 

personal care---------------- 15.8 

to the weighting class of that home. Then, the 1968 

Survey information was weighted by multiplying the 

weight times the data. Thus, data in this reportrepresent information for “all” nursing homes in existence 

in the United States in 1968. 

Rounding of Numbers 

All data were calculated to the nearest hundredth 

because the weights were carried to this level of accuracy. All calculations were performed, and then the 

data were rounded to the nearest whole number just 

before being presented in any table. Because of this 

rounding, figures in the tables may not add to the 

totals. 

Nonresponse and Imputation of Missing Data 

Of the 18,858 institutions constituting the universe 

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

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

100 beds or more------------- ?2 out of scope, or duplicates. Excluding the 673 homes, 

18,185 homes were in scope of the survey. A total of 

Government--------------- 6.9 2,375 nursing homes or 13 percent refused to respond 

to the survey after all followup procedures were comLess than 25 beds------------ pleted. Additional information on the response rate is 

Less than 25 beds------------ 32:; of nursing homes, 673 were found to beout of business, 

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

50-99 beds--------------- _-__ presented in table I of appendix I. 

100 beds or more------------- Statistics in this report were adjusted for nonresponse_ for an entire institution by using classifi50 
cation data collected in the 1967 MFI survey for that 

particular nursing home and imputing all items. 

For nursing homes which did not return a questionnaire or which returned a questionnaire with blank 

items, the items were imputed in one of four ways. A 

“no” response was assigned to blanks in the following 

items: minimum age for admission, admission physical, 

yearly physical, availability of recreation therapy, or 

outpatient therapy. 

If the missing data were collected in the 1967 MFI 

Survey for a particular home, those datawere used. The 

items imputed in this way were: number of full-time 

registered nurses, number of full-time licensed practical nurses, and total number of residents. 

For items in which data were not collected in the 

1967 MFI Survey, data were used from the preceding 

questionnaire with the same type of service (nursing 

care, personal care with nursing, and personal care) 

and bed-size group (under 25 beds, 25-49 beds, 50-99 

beds, 100 beds or more). These items were: number of 

employees in selected occupations (excluding full-time 

registered nurses and licensed practical nurses), 

charges for care, physician arrangements to visit 

patients, and level of skill of the supervisory nurse on 

each shift. In a similar type of imputation, data were 

used from the preceding questionnaire with the same 

type of service, bed-size group, and type of ownership. 

Items imputed in tbis way were: number of admissions, 

number of discharges, and number of deaths. 

For items related to patient census, special imputation tables were used which gave the ratio of the 

item to the patient census by type of service and bedsize group or by type of ownership. These items were: 

number of male and female patients, number of patients 

receiving rehabilitation services, and number of patients receiving medical assistance benefits. 

For all items appearing in this report, the percent 

of nursing homes with a particular item imputed for 

unknown responses ranged from 13.6 percent for the 

type of patient admitted to 37.6 percent for the number 

of discharges due to death (table IV). The percents in 

table IV were based on the 18,185 in-scope homes. 

The two components of the percents were the 2,375 

homes which did not respond to the survey plus the 

homes which did respond but left a particular item 

blank. 

Table IV. Percent of nursing homes with par­ ticular items imputed for unknown responses for 1968 Nursing Home Survey, according to 

type of item 

Percekt Type of item imputed 

Type of patient admitted----------- 13.6 

Number of admissions--------------- 25.3 

Number of discharges--------------- 33.4 

Number of discharges due to death-- 37.6 

The high percent of imputed answers required for 

the number of discharges due to death may be due to 

the respondents’ feeling that a response to this question would reflect poorly upon the home. 

51 
------- 

--- 

APPENDIX III 

DEFINITIONS OF CERTAIN TERMS USED IN THIS REPORT 

Definitions of terms are listed according to the 

following areas: homes or residents and demographic 

classification. 

Terms Relating to Homes or Residents 

Nursing home. -This term refers to allinstitutions 

that were within the scope of the 1968 Nursing Home 

Survey, This includes nursing homes, convalescent 

homes, homes for the aged, or related institutions 

which provide nursing care to the aged or chronically 

ill and maintain three beds or more. 

Type of service.-See appendix IV for theclassification of nursing institutions according to type of 

service. 

Type of ownership.-Institutions are classified by 

type of ownership according to the following criteria: 

Proprietary institution.-An institution operated under private commercial ownership. 

Nonprofit institution.-An institution operated 

under voluntary or nonprofit auspices. This 

classification includes both church-related 

and non-church-related institutions. 

Government-owned institution. - An institution 

operated under Federal, State, or local govemment auspices. 

Bed.-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 staff or any beds used for emergency services 

only. 

Reside&-A resident (or patient) is any person 

who has been formally admitted to the home and is 

currently on its register. This includes a resident 

temporarily away in a short-stay hospital, visiting with 

friends or relatives, etc., but whose bed is maintained 

for him in the home. 

Terms Relating to Demographic Classification 

Region. -Classification of homes by geographic 

area is accomplished by grouping the States into 

regions. These regions correspond to those used by the 

U.S. Bureau of the Census. They are as follows: 

Region. States Included 

Northeast Maine, New Hampshire, Vermont, 

Massachusetts, Rhode Island, 

Connecticut, New York, New Jersey, 

Pennsylvania 

North Central Michigan, Ohio, Indiana, Illinois, 

Wisconsin, Minnesota, Iowa, 

Missouri, North Dakota, 

South Dakota, Nebraska, Kansas 

South ___mm ______ Delaware, Maryland, District of 

Columbia, Virginia, West Virginia, 

North Carolina, South Carolina, 

Georgia, Florida, Kentucky, 

Tennessee, Alabama, Mississippi, 

Arkansas, Louisiana, Oklahoma, 

Texas 

Montana, Idaho, Wyoming, Colorado, 

New Mexico, Arizona, Utah,Nevada, 

Alaska, Washington, Oregon, 

California, Hawaii 

ooo52 
APPENDIX IV 

CLASSIFICATION OF NURSING HOMES BY TYPE OF SERVICE 

Institutions in the 1968 Nursing Home Survey are 

classified by type of service as nursing care, personal 

care with nursing, or personal care homes according 

to data collected in the 1967 Master Facility Inventory 

Survey (MFI). (A brief description of the MFl is given 

in appendix 1 and pertinent parts of the 1967 MFl Survey questionnaire are reproduced in appendix V.) The 

classification scheme for type of service is based on 

four criteria. 

1. The number of persons receiving nursing care 

during die week prior to survey. Nursing care 

is defined as the provision of one or more of 

the following services: 

Taking temperature-pulse-respiration or blood 

pressure 

Full bed bath 

Application of dressings or bandages 

Catheterization 

Intravenous injection 

Intramuscular injection 

Nasal feeding 

Irrigation 

Bowel and bladder retraining 

Hypodermic injection 

Oxygen therapy 

Enema 

2. The presence or absence of nurses on thestaff. 

3. Whether or not the institution provides administration of medications or supervision over selfadministered medications. 

4. Assistance in a certain number of activities for 

daily living. These include rub and massage; 

help with tub bath or shower; help with dressing, correspondence, or shopping; help with 

walking or getting about; and help with eating. 

The three classes of nursing homes by type of service 

were defined as follows: 

Nursing care home 

‘Fifty percent or more of the residents received 

nursing care during the week prior to the survey. 

a At least one full-time (35 or more hours per week) 

registered nurse (RN) or licensed practical nurse 

(LPN) was employed. 

Persoml care w’th nursing home 

a Some, but less than SO percent, of the residents 

received nursing care during the week prior to the 

survey. 

l At least one full-time RN or LPN was employed. 

or 

a Some of the residents received nursing care during the week prior to the survey. 

a No full-time RN or LPN was employed. 

l The institution either 

Provided adminstradon of medicines or supervision 

over self-administered medicines. 

or 

Provided assistance with three or more activities 

for daily living. 

Persoml care home 

l Some of the residents received nursing care during the week prior to the survey. 

a No full-time RN or LPN was employed. 

a The institution did not provide administration of 

medicines or supervision over self-administered 

medicines. 

a The institution provided assistance with one or two 

activities for daily living. 

or 

a None of the residents received nursing care during the week prior to the survey. 

a At least one full-time RN or LPN was employed. 

l The institudon either 
No 

Provided administration of medicines or super- Institutions which provided assistance with one or 

vision over self-administered medicines. two activities for daily living or offered room and 

board as the only service were classified as out of 

or scope of the 1968 Nursing Home Survey. 

Provided assistance with three or more activities Table V shows in detail the scheme for classifyfor daily living. ing institutions according to type of service. 

Table V. Classification of institutions by type of service: 1968 Nursing Home Survey 

Classification variables' I Classification criteria 

Percent of total residents who received nursing 50 percent or more care during the week prior to day of survey I 

Number of registered or licensed practical 1+ nurses f

Does the institution provide: (a) Administration of medicine or treatments 

according to doctor's orders Yes NO 

(b) Supervision over sE;f-administered medicine? 

Does the institution offer assistance with . . . Yes No three activities or more for daily living? 

-

Does the institution offer assistance with one or two activities for daily living? . . . 

Does the institution offer room and/or board as its only service? 

,Institution' NC PC" 

'NC-Nursing care home 

Pen-Personal care with nursing home 

PC-Personal care home 

D-Domiciliary care home (out of scope) B-Boarding or rooming house (out of scope) 

oooSome but less than None 50 percent 

1+ None 0-k 

. . . Yes No Yes No 

. . . . . . No . . . Yes 

. . . . . . . . . Yes No . . . . . . Yes No --L . . . . . . 

PC" PC" PC" PC D PC PC 
,APPENDIX V 

FORMS USED IN THE SURVEY 

1968 NURSING HOME QUESTIONNAIRE 

PUDGET BUREAU NO. 6E.SbsOI7 

WFROYAL EXPIRES 8.3168 

U.S. DEPARTMENT OF HEALTH, 

EDUCATION AN0 WELFARE 

PUBLIC HEALTH SERVICE 

NATIONAL CENTER FOR HEALTH 

STATISTICS 

WASHINGTON, O.C. 

20201 

NURSING AND PERSONAL CARE 

FACILITIES SURVEY 

March 1968 

Dear Sir: 

The National Center for Health Statistics (NCHS) of the U.S. 

Public Health Service is conducting a survey of all resident facilities providing nursing and personal care to obtain basic data on 

their policies, services and staff. This program is befng conducted 

as a part of the U. S. National Health Survey. This informatfon will 

be used to compile statistics on the number and kinds of such facilities in the United States. These statistics will be used to meet 

the needs of Congress, State legislatures, Federal, regfonal and local 

health planners, national health associations, and many others who 

plan and provide health services to the aged. We wish to assure you 

that any fnformation which permits the identfficatfon of your facility 

will be held strictly confidential, will be used solely by persons 

engaged in, and only for the purposes of the survey and will not be 

disclosed or released to other persons or for any other reason. 

Enclosed is a report from an earlier survey which we hope you 

will find informative. You can receive other publications by using 

the enclosed order blank and returning it, along with the completed 

questionnaire, in the postage-paid envelope. We would appreciate 

your cooperation in completing this questionnaire within one week. 

Thank you. 

Sincerely yours, 

--l-i=zwpd~ 

Theodore D. Woolsey 

Director, 

Natfonal Center for Health 

Statistics 

55 
GENERAL INSTRUCTIONS FOR COMPLETING QUESTIONNAIRE 

a. ANSWER ALL QUBSTIONS, please. Definitions and imhuaions are given with the questions when needed. 

b. INCLUDE IN THIS REPORT information for the facility named in the mailinglabelor for its SUEC~I~SO~ if the nameor ownerhaschanged.Includeinformationfor ONE FACILITY ONLY,but report for the ENTIREfacility, includingany sub-units. 

c. RETURN THE COMPLETED QUESTIONNAIRE in the postage-paid envelope provided, to: 

National Center for Health Statistics, P.O. Box 348, Bladensbmg, Mayland 20710. 

t. OWNERSHIP OF FACILITY 

1. When dicl this facility first begin its operation at 

TlllS AIJDRESS? ‘(Give the date it firot opened at 

this addrees ae a nursing home, convalescent home, 

etc., even though the ownership or control may have III since changed, and the specific service6 may now be Month Year 

different.) 

2. How many times has the ownership of this facility changed hands since it was first opened at this ElII address? No. of Times Never 

3. When did this facility first begin its operation under its PRBSENT OWNERSHIP? /IMonlh Y.3, 

I. ADMISSION POLICY 

4. As a general policy, do you accept the following types of persons?

(Mark (XI “Yea” OP ,rNorr for each item.) 

8. Bedfast patients . . . . . . . . . . . . . . . . . . . . . . . . . . b. Post surgical recovery patients . . . . . . . . . . . c. Patients triinsferred from psychiatric facilities (such as mental hospitat OF 

clinic, etc.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

d. Mentally retarded patients . . . . . . . . . . . . . . . . e. Persons with: 

(1) Heart disease . . . . . . . . . . . . . . . . . . . . . . . . (2) Ill effects of a stroke . . . . . . . . . . . . . . (3) Diabetes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (4) Fractured hips . . . . . . . . . . . . . . . . . . . . . . . (5) Crippling arthritis . . . . . . . . . . . . . . . . . . (6) Cancer . . . . . . . . . . . . . . . . . . . . . ..(.......

(7) Blindness . . . . . . . . . . . . . . .. . . . . . . . . . . . . . [ij Alcoholism . . . . . . . . . . . . . . . . . . . . . . . . . . . Mental illness (that is, diagnosed 

by a physician as mentaZZy iZZ, not 

senite OP mcntaZZy retarded) . . . . . . . . . 

5. What is the minimum age for admittance into this 

facility? I;;;;; ;g;o E 

6. What is your most frequent, your highest, and 

your lowest charge per month for lodging; meals, lIl?II pj 

nursing care, and other personal services? 

Chrge permonlh 

,n,t,a, Payme”t,Llfecareplan 

a. If you do not make monthly charges, 0 

please check the appropriate box. 

I Other (specify) 

0 

7. Arc all persons admitted 

the 

to this facility required to be examined 

by a physician within month prior r-’ to or after admission? 

1. c] Yes 2.,0 No (Skip to 8) L-d i 

7 Patlent’r pxsonal phYsIcian 

a. Which of the following types of physi­ cian usually performs the admitting Hospital staff physician 

examination for most patients? 

(Check ONE hoz only.1 (staff physlclan df this facility 

Consulting physIcian Of this faclllty 

Other (SPEClfY) 
C. SERVICES 

a. Does a physician give a routine physical examination YI No 

to all patients at least annually after admission? . ..i............ 

9. Which of the following recreational activities do you have 83 

for patients? (.\I& (S) ull that apply.) 

.Artr md crafu program . . . . . . . . . . . . . . . . 

Pl;mncd wciJ acutivities (such as birth&y partics. card gnmcs. etc.) . . 

Tripl 10 concerts.plryr. CfE. . . . . . . . . . . . . . . . 

Other (Specify) . . . . . . . . . . 

Sonc. . . . . . . . . . . . . . . . . . . . . . . El 

0. Does this facility provide professional rehabilitation services at this address? r-7 

1 

yes 07 No cl (Skip to 11) L- : 

r 

a. Which of the following do you b. LAST MONTH, what was the AVERAGE 

provide?(.tfurk (S) all that DAILY number of patients receiving 

apply. these services? 

Physical therapy . . . . . . . . . . 

occupliorvl therapy . . . . . . 1 . . 

Speech and hearinc thmp-y . . . . . . . 

1 Otha (Specify) . . . . El 

1. Do your patients use any services of out-patient care Clinics? 

c---# 

Yes 0 ' No q (Skip to 12) ’ I L--J 7. Physicaltherapy 

Diagnosticclinic a. Check the types of services your patients use..... Medical clinic 

Other (Spccifr) El 

D. PATIENT TURNOVER AND CHARACTERISTICS 

2. Hov many admissions did you have during 1967? 

I a. How many of the admissions during 1967 were from: Total 

(1) Mental hospitals..................... 

(2) General hospitals.................... 

(3) Other hospitals...................... 

(4) Patient’s home....................... 

(5) Another nursing home................. 

3. How many 

(6) Other 

discharges 

places 

did 

(Specify) 

you have during 1967, 

B

N”mtm Toul 

excluding deaths? 

a. How many of these patients discharged were NUllh? El admitted during 1967? 

4. How many persons died during 1967 while patients of 

this facility?(In&de n/l who died while on your rqikter.) ‘I Number 

Males 5. What was your patient census last night? (Include 

all patients, EULWthough they may have been temporarily FCmrlC8

away; exclude emptoyccs and proprietors.) 

I TOIal El 

6. Do you participate in any of the Federal or State public assistance 

or medical assistance programs? (This includes Old Age Assistance, Aid to the 

Blind. Aid to thr Permanently and Totally Disabled, Aid to Families with Dependent 

Children, Medicaid (XIX), or Medicare (Title X WIZJ.) r---l 

I I L---l 

1.0 Yes 2. n NO (Skip to 17)

7 a. Hw many patients are currently receiving Public Assistance 

or Medical Assistance? (Include aN programs EXCEPT Medicarc.)

b. For how many patients are you NOW RECEIVING Medicare 

(Part A) payments? ,I-­

c. For how many patients are you NOT NOW receiving Medicare (Part 

A) Payments because they have exhausted their benefit rights? H 

NUllIk 

57 
Yes 

E. STAFF 

17. Is there at least one Registered Nurse (RN) QN DUTY (that is, on the pra,,ks a,,d roucj,,ely hg the 

patients) for EVERY shift? 

18. Pleasc check the box thpt indicates the level of skill of the “charge nurse” who is ON DUTY (that k, on the 

premises and routinely serving the patients) for each shift. (If you do not have all of the shifts indicated below, 

please check the “No such shift” box next to the particular column.) 

19. Dots this facility employ a full-time staff physician for the NO (Skip to 194 care of the patients!. . . . . . . . . . . . . . . . . . . . . . . . . . . cl 

I 

How many are employed? 

Number 

a. Dots this facility have an At regular intervals 

arrangement with a physician When needed, but NOT at to come to this facility?

(Murk(x), oneonly.) . . . . . . . . . . . . . 

Neither of the above 

b. Dots this facility have an arrangement with a 

i

physician 

n HIS office 

to give 

. . 

medical 

. . . 

care 

. . . 

to 

. 

the 

. . 

patients 

. . . . , . . . . . . . . . . . . . . . . . No q 

20. Please enter the number of full-time and part-time employees in this facility. (I?&time menns35 or more 

hours a week.) Count each employee onlv once, in the occupation at which he spends most of his time. Also 

include all members of religious organ&ions who contribute their services. (F?ease consult the enclosed 

&,$&ion o-f Em&w~ to determine the appropriate ckzssificationof personnel.) 

Regirtercd Medical Record 

Name of person completing this form Date of Compktion 

I 
FAIL-EDIT QUESTIONNAIRE 

bUDGET8lJREAU NO. 68-S4&TI7 

WPROVAL EXPlRES8-31~ 

Dear Sir: 

U.S. DEPARTMENT OF HEALTH 

EOUCATION AN0 WELFARE 

PUBLIC HEALTH SERVICE 

NATIONAL CENTER FOR HEALTH 

STATISTICS 

WASHINGTON, O.C. 

20201 

NURSING AND PERSONAL CARE 

FACILITIES SURVEY 

June 1968 

1 

Thank you for your cooperation during our earlier telephone 

conversation regarding the National Center for Health Statistics’ 

survey of all resident facilities providing nursing and personal 

care. The abbreviated questionnaire to which we referred in our 

conversation is on the back of this letter. It deals with statistics 

on the numbers of patients admitted and discharged from your facility 

and the number of people you employ. also in cooperation with the 

Veterans Administration, we are conducting a census of all male 

veteran patients. Please complete both forms within one week and 

return them in the enclosed postage-paid envelope. 

We wish to assure you that any information which permits the 

identification of your facility will be held strictly confidential, 

will be used solely by persons engaged in, and only for the purposes 

of the survey and will not be disclosed or released to other persons or for any other reason. 

We greatly appreciate your cooperation in this survey. 

Sincerely yours, 

Theodore D. Woolsey” 

Director, 

National Center for Health 

Statist its 
1. How many admissions did you have during 1967? 

a. How many of the admissions during 1967 were from: TOtnl 

(1) Mental hospitals . . . . . . . . . . . . . . . . . . . . . . 

(2) General hospitals . . . . . . . . . . . . . . . . . . . . . 

(3) Other hospitals . . . . . . . . . . . . . . . . . . . . . . . 

(4) Patient’s home . . . . . . . . . . . . . . . . . . . . . . . . 

(5) Another nursing home . . . . . . . . . . . . . . . . . . 

(6) Other places I~pecify) w Number 

!. How many discharges did you have during 1967, Total excluding deaths? 

a. How many of these patients discharged were Number admitted during 1967? El 

I. How many persons died during 1967 while patients of 

this facility? (Include all who died while on your

register.) 

I. What was your patient census last night? (Include 

all patients, even though they may have been 

temporarity away; exclude employees and proprie­ tors.) 

;. Do you.participate or medical assistance 

in any of the Federal or State public assistance

programs? (This includea Old Age Aseiatance, 

Aid to the Blind, Aid to the Permanently and Totally Disabled, Aid 

Families with Dependent Children, 

Number 

r---l 

I 

L-J 

Number 

facility. 

once, in 

to 

(Title XVIII). ) 

1. u Yes.7 2. 

a. How many atients are or Medica P Assistance? 

b. For how many patients

(Part A) payments? 

C. For how many patients

A) because they 

Medicaid (XIX); OP Medicare 

q No(Skip to 6) 

currently receiving Public Assistance 

IInolude.all programs EXCEPT Medicare.) 

are you NOW RECEIVING Medicare 

are Medicare 

payments 

6. Please enter the number 

(Full-time means 35 0~ 

the occupation at which 

of religious organizations 

enc2osed De inition o f 

personnel.! 

you NOT NOW receiving (Part

have exhausted their benefit rights? 

of full-time and part-time employees in this 

mope hours a week.) Count each employee only

he spends most of his time. Also include all members 

who contribute their services. (Please consult the 

Employees to determine the-appropriate classification of 

Name of person completing this form Date of Completion 

60 Title Phone number of this facility 

1 
------------------------ 

1967 MFI NURSING HOME QUESTIONNAIRE 

FORM NHS-HRS-5(N) t6-1O.W, 

I MASTER FACILITY INVENTORY 

I I 

Dear Sir: 

‘The Sational Center for Health Statistics CXHS) of the U.S. Public Health Service is assembling an up-todate list of all facilities in the United States which provide some kind of medical, nursing, personal, domiciliary 

or custodial care. 

This rogram is bein conducted as a part ?f the U.S. Sational Health Surve authorized by Public Law 652,

84th e ongress. The% ureau of the Census has been requested to act as co1recting agent for the NCHS in 

compiling the list. 

The purpose of this survey, in which you are being asked to articipate, is to obtain current information, such 

as number of beds, staff size, and types of services from each facility on the list. The information 

will be used to compile statistics on the number and inds of such facilities in the United States. 

Sections A and B of this form request verification of the name and address of the facility, type of service, ty e 

of ownership, staff size and capacit Section C asks for additional information which is needed for detaile B 

statistics on other characteristics or the facility. All information provided in Section C will be accorded 

confidential treatment by the Bureau of the Census and the Public Health Service and the statistics will be 

presented in such a manner that no individual facility can be identified. 

For this purpose we are requesting that you complete thisquestionnaire for your facility and return it within 

five days in the enclosed postage-paid,envelope. ‘lb e questionnaire is very brief and should take only a few 

minutes to complete. 

Thank you for your cooperation. Sincerely yours, 

cd.- -

A. Ross Eckler 

Director 

Bureau of the Census 

Enclosure 

PENTIFICATION OF FACILITY 

Please refer to the mailing label above, then m kc all additions and corrections according to the questions

Detailed identification information is n leded to prevent duplicate listings and to assure that your 

facility is properly represented in our files. /I !ease type or print) 

Is the NAME shown in the label above Correct name of facility if different from above 

I 217 So-Please line through name in label 

and enter correct name -

IOI 

2 Is yourfacility known by any other NAMES(S): Other names of your facility 

1 n Yes--Please give other name(s)-

I OK3 so I 

0

3 Is the address shown in the label above the 

correct mailing address far your facility? 

1c-J Yes 

Number ; street

1 

City or town 

;

I 

P.O. Box, route, etc. 

2 Cl So-Please line through address on 

label and give gour entire 

correct mafhg address. 

County I 

, State. 

i 

.II ZIP Code I

I 

0

4 Is your mailing address also the ACTUAL 

LOCATION of your facility? 

Number 

8 

; Street 

I 

City or town 

2 n So--Please give complete address for I state ; ZIP Code 

acid IOC~O~ of hour lacilitv. t I 1 

Area code I

I 

I 

Number 2.:; 

I ,, :,. ‘. 1 
------------------ 

GENERAL INSTRUCTIONS FOR COMPLETING QUESTIONNAIRE 

a. Include in this report information for the facility named in the mailing label or for its successor if the 

name or owner has than ed. Include information for one facility only, but report for the entire facility 

including infirmaries an 9 other subunits. 

b. Due to name and address changes, duplicate listings in our file, or other reasons, you may have been 

sent more than one questionnaire under different names or addresses. If you receive more than one 

form for the same facility, complete one only and return all others with the notation “Completed and 

returned under . . . (give name of facility on completed form).” 

c. Answer all questions, please. Definitions and special instructions are given with the questions when 

needed: 

d. Return the completed questionnaire in the postage paid envelope provided, to: Jeffersonville Census 

Operations Office, 1201 East 10th Street, Jeffersonville, Indiana 47130. 

Section 8 - CLISSIFICATION INFORMATION 

3 

6 Please place on “X” ip only ONE box for the type Please read ALL of the following, then check 

of organization operating your facility. The type 0

7 

the ONE term which best describes your facility. 

of organization legally responsible for the opero- Check one only 

tion of the foci I ity. Check only one so 0 Nursing Home 

31n State r)l 0 Convalescent Home 

s* 0 Rest Home 

120 County ml-] Home for the Aged 

~4 0 Boarding Home for the Aged 

130 City State-Local JI 0 Home for Crippled Children 

Government 16 0 Home for Needy 

57 0 Home for Incurables 140 City - County 18 0 Home for the Mentally Retarded 

ID n Other - PZease describe 

7 

Does your facility serve: Check only one 

17 [I Armed Forces 1 [I Primarily children (under 21) 

2 0 Primarily adults (21 or over) 

18 0 Veterans Administration $0 Both children and adults 

40 Other age limitation - Specify 7 

20 13 Church related 

________-----_---. 

Does your facility serve: Check only one 

21 [I Nonprofit corporation 10 Males only 

z 0 Females only 

J 0 Both males and females 

230 Individual What is the TOTAL NUMBER OF BEDS regularly 

mointoined for patients or residents? 

In&de 011 beds set up and staffed for use whethe 

~4 n Partneisbip or not they ore in use at the present time. Do NO: 

include beds used by staff or owners and beds 

used exclusively for emergency services. 

Total beds 

Section C 7 INFORMATION FOR STATISTICAL USE ONLY 

What is the total NUMBER OF PERSONS (patients 13 Which of the following services ore ROUTINELY 

or residents), who stayed in your facility lostnight? 0 provided? Check all that apply. 

Do NOT include employees or owners. 

1 [] Supervision is provided over medications Number of pprsons which may be self-administered 

2 0 Medications and treatments are administered in accordance with physicians 

3 PERSONS q 

During the past seven days, how mony of the orders 

in vestion 11 received “Nursing Core”? Jq Rub and massage Consider thot a person received “Nursing Lore” 

if he received any of the following services: 40 Help with tub bath or shower 

s[J Help with dressing 

Nasal feeding 

Catheterization 

Irrigation 

Tt,nlperature-pulserespiration 

Blood pressure 

a 0 

7 0 

Help with correspondence or shopping 

Help with walking or getting about 

Ox gen therapy 

Foil bed bath 

Application of dressing 

or bandage 

0 q Help with eating 

Enema Bowel and bladder 

Hypodermic injection retraining OR 

Intravenous injection 

9 0 Not responsible for providing any service 

Number of persons except room and hoard - (If this box is 

checked no other box should be checked 

in question 13. I 

----.--
Section C - INFORMATION FOR STATISTICAL USE ONLY (Continued) 

3 payroll of this facility? Full-time personnel ore 0 related or similar facility providing inpatient service! 

those who usually work 35 hours or more per week. 

Include owners, managers, and members of religious 

which is NOT included in this report? 

For example, another facility of the type listed in 

orders who work full-time whether on the payroll or question 7 or o hospital, or other institution. 

not. Do not include volunteers, private duty nurses, 

and port-time employees. 1 Yes 20 No+Go to 17 

TOTAL full-time personnel 7 

14 What is the total number of full-time personnel on the 16 Doer the owner of this facility own or operate any 

Please provide the following information for all 

other facilities owned. Use the “Comments” section 

if additional space is needed or attach o separate 

Of the above personnel, how many arc: listing when available. 

Same of facility 

a. Licensed registered 

nurses. . . . . . . . . Type of facility 

b. Licensed racticalor Address -Number and street vocationa P nurses. . 

3 

What is the NAME of the person, corporation, 

ot h er organization which owns this facility? 

01 City 

Name State 

17 Name of person completing this form 

I

I Date 

3 i

I 

Me 

CO\l~EXQ’S - General comments are invited as well as comments on specific items. 

63 t U. S. GOVERNMENT PRWTING OFFICE : 1973 SlS-209/33 
VITAL AND HEALTH STATISTICS PUBLICATION SERIES 

Formerly kblic Health Service fiblication No. f 000 

Series I, Programs and collection procedures.- Reports which describe the general programs of the National 

Center for Health Statistics and its offices and divisions, data collection methods used, definitions, 

and other material necessary for understanding the data. 

Series 2. Data evaluation and methods veseavch .-Studies of new statistical methodology including: experimental tests of new survey methods, studies of vital statistics collection methods, new analytical 

techniques, objective evaluations of reliability of collected data, contributions to statistical theory. 

Series 3. Analvtical stiies.-Reports presenting analytical or interpretive studies basedon vital and health 

statistms, carrying the analysis further than the expository types of reports in the other series. 

Series 4. Documents and committee reports.- Final reports of major committees concerned with vital and 

health statistics, and documents such as recommended model vital registration laws and revised 

birth and death certificates. 

Series 10. Data from the Health Interview Survev.- Statistics on illness, accidental injuries, disability, use 

of hospital, medical, dental, and other services, and other health-related topics, based on data 

collected in a continuing national household interview survey. 

Series 11. Data from the Health Ewmination Survey. -Data from direct examination, testing, and measurement of national samples of the civilian, noninstitutional population provide the basis for two types 

of reports: (1) estimates of the medically defined prevalence of specific diseases in the United 

States and the distributions of the population with respect to physical, physiological, and psychological characteristics; and (2) analysis of relationships among the various measurements without 

reference to an explicit finite universe of persons. 

Series 12. Data from the Institutional Population Surveys -Statistics relating to the health characteristics of 

persons in institutions, and their medical, nursing, and personal care received, based on national 

samples of establishments providing these services and samples of the residents or patients. 

Series 13. Data from the Hospital Discharge Survey. -Statistics relating to discharged patients in short-stay 

hospitals, based on a sample of patient records in a national sample of hospitals. 

Series 14. Data on health resources: manpower and facilities .-Statistics on the numbers, geographic distribution, and characteristics of health resources including physicians, dentists, nurses, other health 

occupations, hospitals, nursing homes, and outpatient facilides. 

Series 20. Data on mortality.- Various statistics on mortality other than as included in regular annual or 

monttuy. reports -special analyses by cause of death, age, and other demographic variables, also 

geographic and time series analyses. 

Series 21. Data on natality, marriage, and divorce. -Various statistics on natal&y, marriage, and divorce 

other than as included in regular annual or monthly reportsdpecial analyses by demographic 

variables, also geographic and time series analyses, studies of fertility. 

Series 22. Data from the National Natality and Mortality Surveys.-Statistics on characterisdcs of births 

and deaths not available from the vital records, based on sample surveys stemming from these 

records, including such topics as mortality by socioeconomic class, hospital experience in the 

last year of life, medical care during pregnancy, health insurance coverage, etc. 

For a list of titles of reports published in these series, write to: Office of Information 

National Center for Health Statistics 

Public Health Service, HSMHA 

Rockville, Md. 20852