Data from the Series 12 

NATIONAL HEALTH SURVEY Number 15 

E m

n 

dovees -Ic - - _ in. ---_ Nu -_~~~ rsing __- - Homes:

UnitedStates - April-Septembe1968 r

Data on full-time, part-time, and full-time equivalent employees 

in nursing homes, by job category, service, ownership, size,. and 

region. Percent of health work force employed in nursing homes, 

ratio of full-time equivalent employees to residents, and skill of 

charge nurse for each shift. Comparison of number of employees 

and staffing pattern for 1964 and 1968 

DHEW Publication No. (HSM) 73 - 1700 

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

Public Health Service 

Health Services and Mental Health Administration 

National Center for Health Statistics 

Rockville, Md. October 1972 
Vital and Health Statistics-Series I2 - No. 15 
NATIONAL CENTER FOP HEALTH STATISTICS 

THEODORE D. WOOLSEY, Director 

EDWARD B. PERRIN, Ph.D., Deputy Director 

PHILIP S. LAWRENCE SC.?., Associate Director 

OSWALD K. SAGEN, Ph.D., Assistant Director for He&h Statistics Development 

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

JOHN J. HWLON, M.D., Medical 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. HUFUEY; Deputy Director 

G. GLORIA HOLLIS, Chief, HeaZth’FaciZities Statistics’Brunch 

GRACE K. WHITE, Chief, Hos&taz Discharge Survey Brunch 

HENRY S. MOUNT, Chief, He&h Manpower Statistics Brunch 

WILLIAM F. STEWART, Chief, &a;ainily Pknning Statistics Branch 

Vital and Health Statistics - Series 12 - No. 15 

, 

DHEW Publication No. (Hkvl) 73 - 1700 

Library of Congress Catalog +rd Number 72 - 600138 
-------------------------------------------- 

CONTENTS 

Page 

Introduction-----------------------------------------------------

Selected Fin~ngs------------------------------------------------

Overview -----------------------------------------------------

Job Categories-----------------------------------------------

Full-time and Part-time Employees ------_----------------------

Type of Service Provided by the Home --_----_---_---------------

Type of Ownership 

Bed Size----_--_-_--_----------------------------------------

Geographic Region--------------------------------------------

Full-time Equivalent Employees ---------------__---------------

Percent of Employees Working in Nursing Homes-----------------

Full-time Equivalent Employees Per 100 Residents---------------

Full-time Equivalent Nurses Per 100 Residents------------------

Number of Shifts and Level of Skill ofcharge Nurse---------------

Comparison of Employees in Nursing Homes for 1964 and 1968-----

References ------------------------------------------------------

List of Detailed Tables --L--------L--------_------------------------

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

Universe ---c----------------_______________c____-------------

Data Collection and Processing ------------------------------T--

Appendix II. Qualifications of .the DataC--------L--------_--------

Time Interval Between Establishing Universe and Conducting Survey --------_-----------__L_________________------------------

Weighting Procedure -----------c------------------------~-----

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

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

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

Terms Relating to Homes or Residents-------------------------

Terms Relating to Employees -----------r--------r-------------~ 

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

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

Appendix V. Forms Used in the Survey------c--_--------_-________ 

1968 Nursing HOme Questionnaire------------------------------

Definition Sheet-_-_------_-_----------------------------------

Fail-Edit Questionnaire ------------_------_-------------------

. 1967 MFI Nursing Home Questionnaire -----------_--------------

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SYMBOLS 

Data not available _____________________^__ ___ 

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

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

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

Figure does not meet standards of 

reliability 01 precision------------------ * 

Data suppressed to comply with 

confidentiality requirements------------- # 

iv 

0.0 
EMPLOYEESIN NURSING HOMES 

Joan Fedell Van Nostrand, Division of Health Resources Statistics 

INTRODUCTION 

This report presents data on the number of 

employees in nursing homes in the United States 

for 1968. Data on total employees in 12 job categories are presented according to service, ownership, size, and location of the nursing home. The 

percent of employees working full-time andparttime are also presented. In addition data on fulltime equivalent employees are examined by the 

type of service of the home. For certain health occupations full-time equivalent employees working 

in nursing homes are compared to total employees 

in the occupation to determine the percent of the 

“health work force” employed in nursing homes. 

Availability and quality of care in nursing homes 

are assessed by examination of three measures: 

the ratio of full-time equivalent employees per 100 

residents, the ratio of full-time equivalentnurses 

per 100 residents, and the level of skill of the 

charge nurse on duty for each shift. Finally, comparison of 1964 and 1968 employee dataidentifies 

any changes in staffing patterns and in the availability and quality of care that occurred during this 

4-y& period. 

Little information on employees in nursing 

homes is available by specific job categories. 

Available employee data are limited becausethey 

are basedon small area sample surveys ,I surveys 

of particular types of nursing homes or employees, 2 or surveys of very broad job categories. 

Employee data presented in this report are not 

limited by these factors becausethey were collected according to 16 specific job categories covering all types of employees working in “all” nursing 

homes in the United States regardless of the type 

of home. 

Data presented here were collectedin the 1968 

Nursing Home Survey. This survey, conducted by 

mail in April-September 1968, was a census of 

“all” nursing homes in the United States. (Nursing 

homes were defined as resident institutions which 

provided nursing care and maintained three beds 

or more,) 

The survey did not collect data on approximately 1,355 homes which opened during the lyear interval between establishing the universe 

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

ownership, and size) was collected in 1969. Using 

this information, 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 collected data 

on the nursing home andits residents, employees, 

monthly charges for care, admissions, discharges, and services offered. This report is the 

second on data collected in the 1968Nursing Home 

Survey. The first report presented data on monthly 

charges for care.3 (A brief comparison of 1968 

summary data and data collected in 1963 has also 

been published..*) Futurereports willpresentdata 

on admissions and discharges andon various services available in the homes. 
In order to properly interpret the data presentedin the report the reader should review the 

background material presented in the appendices. 

The background material includes information on 

survey design and procedure (appendixI); general 

qualifications of the data, weighting procedure, 

rounding of numbers, and imputation procedures 

(appendix II); definitions of terms (appendix III); 

classification of institutions by type of nursing 

service (appendix IV); and forms used in thesur­

’ vey (appendix V). 

The 1968 Nursing Home Survey was the third 

in a series of ad hoc surveys of institutional health 

facilities. The first of these surveys--the Resident 

Places Survey I-was conducted in April-June 

1963. The survey collected data onnursing homes, 

chronic disease and geriatric hospitals, nursing 

home units and chronic disease wards of general 

hospitals, and mental hopitals. The findings of the 

survey as well as its design and methodology have 

been published in several reports.5-g The second 

ad hoc survey-Resident Places Survey II-+vas 

conducted a year later, in May-June 1964. This 

survey concentrated mainly on nursing homes and 

geriatric hospitals. More detailedinformation was 

collected about the institutions, its residents, and 

its employees.lO-ls These three surveys of institutional health facilities are part of the National 

Health Survey programi to provide current health 

statistics on the Nation. 

SELECTED FINDINGS 

The analysis which follows presents thehighlights of the survey findings on employees innursing homes in 1968 and points outthemore important relationships revealed by the data. Detailed 

information about employees appears in tables 

l-9. 

The data on employees in nursing homes are 

based on answers given on the following form: 

Please enter the number of full-time and part-time employees in this facility. (Full-time means 35 or more 

hours a week.) Count each employee only once, in the occupation at which ‘he spendsmost of his time. Also 

include all members of religious organizations who contribute their services. (Please consult the enclosed 

Definition of Employees to determine the appropriate ciassification of personnel.) 

EMPLOYEE 

Registered Nurses 

LPN or Vocational Nurses 

Nurse’s Aides, Orderlies, Student 

Nurses, and Attendents 

Dietitian 

Other Occupational Therapists 

and Assistants 

Qualified Physical Therapists 

Physical Therapist Assistant 

2 
The “Definition of Employees” sheet is included in appendix V. Note that employees working 35 hours or more a week were classified as 

full time and that administrators were classified 

as other professional andtechnical personnel. Although the question specified 16 job categories, 

the following categories were combined because 

their duties were similar and their numbers were 

so few: 

l Registered occupational therapists and 

other occupational therapists and assistants 

l Qualified physical therapists and physical 

therapist assistants 

aRegistered medical record librarians and 

other medical record librarians and technicians 

l Kitchen workers, laundry, housekeepingand 

maintenance personnel, and all other personnel (chauffeur, file clerk, etc.). 

Overview 

In 1968, 553,879 persons were employed in 

nursing homes. Seventy-five percent worked full 

time (35 hours or more a week) and 25 percent 

worked part time (less than 35 hours a week). 

For every 10 nursing home employees, six were 

members of the nursing staff, three were members of the nonprofessional staff, and one was a 

member of the other professional and technical 

staff. An average of 68 employees provided 

services for every 100 residents. 

Before further discussion on employees is 

presented, the following data on homes and residents are provided as a framework for this discussion. Fifty-eight percent of all homes were 

nursing care homes. They provided care for 73 

percent of all residents and employed 80 percent 

of all staff (table A). The average bed size of nursing care homes (56 beds) was 7 beds larger than 

the size of personal care with nursing homes (49 

beds) and 40 bedslarger than personal care homes 

(16 beds). By type of ownership, 77 percent of all 

homes were proprietary. They provided care for 

67 percent of all residents and employed 68 percent of all staff (table A). More detailedinformation onhomes andresidents by service, ownership, 

size, and region appears in detailed tables 8 and 

9. 

Job Categories 

Examination of the siq@ing pattern in the 

19,533nursinghomes reveals that the nursing stalj 

compris&d the largest portion of employees-60 

Pwc~~ (table B and fable l).Thenonprofessional 

staff comprised the next largest portion-30 percent-and the other professional and technical 

staff the smallest portion-nearly 11 percent. 

As the level of education and tyai@z.g of the 

WYSiW Staff increased porn nwse’s aide to licensed practical-nuke.(LPN) to re,$stwed nurse 

(RN, the percent of each group employed decreased. Of the 330,901 nursing employees, 

nurse’s aides were the largest group (43 percent) and RN’s the smallest (8 percent). There 

were slightly more LPN’s (9 percent) than RN’s 

(8 percent). 

Of the nearly 11 percent of the other professional and technical staff, 2 percent were either 

physical, occupational, or speech therapists.The 

percent of ‘employees in each of these job categories was directly related to the percent of homes 

offering that particular therapy service. More 

physical therapists were employed (1.1 percent) 

than were occupational therapists (0.9percent) or 

speech therapists (0.2percent). (SeetableB.) Correspondingly, more homes offered physical therapy (28 percent) than offered occupational therapy (17 percent) or speech and hearing therapy 

(9 percent). 

Of the 6,368 physical therapists employed in 

nursing homes, more were therapists registered 

by the American Physical Therapy Association 

(62 percent) than werephysical therapy assistants 

(38 percent). In contrast, of the 5,098occupational 

therapists employed, more were assistants (60 

percent) than were supervisory occupational therapists (40 percent). 

Almost half of the other professional andtechnic& staff were classifiedin the subcategory titled 

“other staff.” This large portion may be because 

administrators were included in this subcategory. 

Nearly 2 percent of the other professional staff 

were dietitians Gho met the educational requirements of the American Dietetic Association. There 
------------------------------- 

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

Table A. Number of nursing homes, residents, and employees, by type of service, type

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

[Figures maynot add to totals due to rounding from weighting p&educe. See appendix II for d etaile] 

Type of service provided by the home,

of ownership, and bed size employees 

Type of service 

All types--------------------------------- 19,533 813,335 553,879 

Nursing care --------------------_____________c__ 11,299 593,622 441,242 

Personal care with nursing---------------------- 3,877 159,013 87,981 

Personal care----------------------------------- 4,357 60,699 24,656 

Type of ownership 

All types--------------------------------- 19,533 813,335 553.879 

Proprietary------------------------------------- 15,116 544,489 376,161 

Church and other nonprofit---------------------- 2,952 190,798 129,461 

Government-------------------------------------- 1,471 78,047 48,257 

Bed size 

All sizes -c------------------------------- 19,533 813,335 553,879 

Less than 25 beds 7,839 89,914 63,336 

25-49 beds 5,129 162,452 114,968 

50-99 beds-------------------------------------- 4,128 245,637 191,591 

100 beds or more-------------------------------- 2,438 315,332 183,985 

Full- and type Homes Residents part-time 

were few medical social workers (0.5 percent) and 

just as few medical record librarians (0.5 percent). (See table B.) Of the 2,570 medical record 

librarians employed, 34 percent were registered 

by the American Association of Medical Record 

Librarians. 

Of the 164,799 nonprofessional staff, most 

were kitchen, laundry, housekeeping, and maintenance personnel (91 percent). Personnel suchas 

chauffeurs and file clerks comprised the other 9 

percent. 

4 
Full-time and’ Pa.rt-time Employees 

Seventy-five, percent of all 553,879 employees worked full time (35 hours or more a week) 

and 25 percent worked part time (less than 35 

hoursa week). (See table C.) Most of the parttime employees were probably permanent as 

opposed to temporary. According to a study conducted by Modern Nztrsing Home, few nursing 

home administrators employed temporary help 

(help screened by an employment agency and 

hired on a short-term basis) because training 

cost and loss of continuity of patient care were 

major drawbacks.20 

Thenonprofessionalstaffhadthe same breakdown as the total staff-75 percentfull-timeemployees and 25 percent part-time.Forthenursing 

staff, the percentoffull-time employees (78percent) was'slightlyhigher. RWskadthelargestpercent of part-time employees (39 percent) and 

nwsefs aides the smallest (19 percent). 

Table B. Number and percent distributionofemployees in nursing homes by job category:

United States, April-September 1968 . 

[Figures may not add to totals due to rounding from weighting procedure. See appendix II for details! 

Full- and part-time employees 

Job category 

Number Percent 

All staff---------------------------------- 553,879 100.0 

Nursing staff-------------------------------- 330,901 59.7 

Registered nurses -------------------------------- 42,842 7.7 

Licensed practical nurses------------------------ 48,137 8.7 

N-se’s aides------------------------------------ 239,922 43.3 

Other professional and technical staff------- 58,178 10.3 

Occupational therapists ---__--------------------- 5,098 0.9 

physical therapists------------------------------ 6,368 1.1 

Speech therapists -__----------------------------- 1,156 0.2 

Recreation therapists --------------------________ 4,817 0.9 

Dietitians ------------_-------------------------- 8,189 1.3 

Medical social workers --------------------------- 2,780 0.3 

Medical record librarians------------------------ 2,570 0.5 

Other staff (including administrators)----------- 27,200 4.9 

Nonprofessional staff------------------------ 164,799 29.8 

5 
Table C. Number of employees and percent distribution of full-time employees and parttime employees in nursing homes by job category: United States, April-September 1968 

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

Job category 

All staff-----------------------------

Nursing staff---------------------------

Registered nurses---------------------------

Licensed practical nurses-------------------

Nurse’s aides-------------------------------

Other professional and technical staff-­

Occupational therapists---------------------

Physical therapists-------------------------

Speech therapists---------------------------

Recreation therapists-----------------------

Dietitians------------------i-----------------

Medic-1 social workers----------------------

Medical record librarians-------------------

Other staff (including administrators)------

Nonprofessional staff-------------------

In contrast to thenursing Adnonprofessional 

staffs,the other professionril and technical staff had 

a larger percent of part-time employees-43 percent. (See figure 1.) This may be because such employees as therapists, dietitians, social workers, 

and record librarians provided services that were 

not required on a full-time basis. In addition, employees in these specialized fields may have been 

so few and the demand for their servicesin other 

health institutions so great that they worked only 

part time in these nursing homes.Ninety-two perNumber 03 

employee: 

553,879 100.0 

330,901 100.0 22.5 

42,842 100.0 39.0 

48,137 100.0 23.1 

239,922 100.0 1994 

58,178 100.0 42.9 

5,098 100.0 34.7 65.3 

6,368 100.0 39.4 6O.Q 

1,156 100.0 7.9 92.1: 

4,817 100.0 36.8 63.2 

8,189 100.0 38.9 61.1 

,2,780 100.0 26.5 73.5 

2,570 100.0 47.0 53.0 

27,200 100 .o 80.7 19.3 

164,799 100.0 75.1 24.9 

cent of speech therapists employed in nursing 

homes worked part time as did 74 percent of medical social workers, 53 percent of the record Iibrarians, and 61 to 65 percent of the other therapists (table C). An exception to the large percent 

of part-time employees among other professional 

staff was the “other staff’ subcategory. It had only 

19 percent part-time employees. This exception 

may be because this subcategory included administrators, who usually worked full time in the 

homes. 

6 
PERCENT DISTRIEUTION OF ALL EMPLOYEES 

Full-time Part-time 

Figure I. Percent distribution of full-time and parttime employees in nursing homes according to job 

category: United States, April-September 1968. 

Type of Service Provided by Home 

Staffing patterns in nursing homes were related to type of service provided’by the homes,! (See 

appendix IV for details of service classification.) 

The relationship between service and staff differed 

according to the type of staff. As thelevel of swvice increased,, the perbnt of nursing staff inmeused. The nursing staff in personal care homes 

(lowest level of service) comprised 39 percent of 

their employees, in personal care with nursing 

homes (intermediate level of service) thenursing 

staff comprised 50 percent of their employees, and 

in nursing care homes (highest level of service) it 

comprised 63 percent. (See figure 2 and table D.) 

Nursing care homes had the largest percent of 

nursing staff because their residents, often nonambulatory tiith one or more chronic conditions or 

impairments, required more nursing services. 

Regardless of type of service, nurse’s aides comprised the largest portion of nursing staff and RN’s 

the smallest. These findings were similar to the 

national figures discussed previously (table B)., 

(See table D and detailed table 1.) 

The percent of professional and technical 

staff was the same for nursing care homes and 

personal care with nursing homes-10 percent. 

(See figure 2.) It increased to 13 percentfor personal care homes due ma inly to an increase of employees in the subcategory titled “other staff” 

(table D). 

AS the level of serviceincreased, thepercent 

of nonprofessional stqff decreased. The percent of 

nonprofessional staff was highest for personal 

care homes (48 percent) and lowest for nursing 

care homes (27 percent). (Seefigure 2.) A possible 

explanation for this may be that personal care 

homes do not require a large nursing staff since 

their residents usually are ambulatory and need 

less nursing service than do residents in nursing 

care homes. The services that personal care 

homes do provide (such as help with dressing, correspondence, shopping, walking) can oftenbeprovided by nonprofessional employees. 

Type of Ownership 

Staffing patterns were related to type, of 

ownership of the home, the relationship differing 

according to type of staff. The nursing staff in 

proprietary homes comprised 64 percent of their 

employees, in Government-owned homes it comprised 56 percent of their employees, and in 

church and other nonprofit homes it comprised 

50 percent. 

PERCENT DISTRISUTION OF AU EMPLOYEES 

TYPE OF o 20 40 60 80 100 SERVICE 

PROVIDED BY ’ I I I I I 

Personal care 

Other professional 

Figure 2. Percentdistribution ofallemployees in nursing homesbyjob category., according to type of. service: United States, AprII-September 1968. 

7 
----------------------------- 

Table D. Number and percent distributionof employees in nursing homes by job category, according to type of service: United States, April-September 1968 

Figures maynot add to totals due to roundingfrom weighting procedure.See appendixII for detail4 

Type of service provided by the home 

Job category 

Full- and part-time employees 

All staff 441,242 1 87,9811 24,656 

Percent distribution 

Total--------------------------------- 100.0 100.6 100.0 

Nursing staff --_---_-------------------- 62.8 50.3 39.1 

Registered nurses--------------------------- 8.3 6.3 3.4 

Licensed practical nurses------------------- 9.1 7.4 5.5 

Nurse's aides------------------------------- 45.4 36.6 30.2 

Other professional and technical staff-- 10.4 10.2 13.2 

Occupational therapists--------------------- 1.0 0.7 0.7 

physical therapists------------------------- 1.3 0.7 0.3 

Speech therapists--------------------------- 0.2 0.1 0.1 

Recreation therapists----------------------- 0.9 0.7 1.0 

Dietitians---------------------------------- 1.5 1.3 2.0 

Medical social workers---------------------- 0.5 0.3 0.5 

Medical record librarians------------------- 0.5 0.3 0.4 

Other staff (including administrators)------ 4.5 6.0 8.3 

Nonprofessional staff------------------- 26.8 39.5 47.7 
29.8 25.6 

8.7 9.3 

43.3 46.5 

10.5 10.6 

Thus the nursing staff comprised a larger table 8), the staffing pattern of proprietary homes 

portion of the total staff in proprietary h&es than was probably affected by the staffing pattern of the 

it did of the total staffin Govemzment-owned homes nursing care homes. (See table D and discussion 

OY in church and other nonprofit homes.(See table in section on “Type of Service Provided by the 

E and detailed tables 1 and 2.) 

For nonprofessional stafl the pattenz was yeversed. The nonprofessional staff in church and 

other nonprofit homes comprised 40 percent of 

their employees, in Government-owned homes it 

comprised 35 percent, and in proprietary homes 

it comprised 26 percent. (See table E.) 

The staffing pattern of proprietary homes 

(large percent of nursing staff and small percent 

of nonprofessional staff) was similar to that of 

nursing care homes. Since 62 percent of all proprietary homes provided nursing care (detailed 

Table E. Number and percent distributionofemployees according of ownership: United 

Home.“) 

Regardless of type of ownership of thehome, 

nurse’s aides comprised the largest portion of a 

home’s nursing staff. The portion of other professional staff in a home was nearly the same 

whether the home was proprietary (11 percent), 

church or other nonprofit (11 percent), or Government-owned (9 percent). (See table E.) 

The figures for each ownership class indicated that almost half of the other professional staff 

were in the subcategory titled “other staff ,‘I probably because administrators were included here. 

in nursing homes by job category, 

to type States, April-September 1968 

[Figures may not add to totals due to rounding from weighting procedure. See appendi; II for detaild 

-Type of ownership 

Job category AL1 Church 

types Proprietary and other Government 

nonprofit 

Full - and part-time employees 

All staff------------------------ 553,879 11 376,1611 129,461] 48,257 

Percent distribution 

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

Nursing staff----------------------

Registered nurses----------------------

Licensed practical nurses-------------- 8.7 9.3 

Nurse's aides-------------------------- 43.3 46.5 

Other professional and technical

staff----------------------------- 10.5 10.6 

Nonprofessional staff-------------- 29.8 25.6 

100.0 100.0 

49.5 55.7 

7.4 6.9 

7.1 7.9 

35.0 40.9 

10.8 9.2 

39.8 35.1 

9 
(See detailed tables 1 and 2.) This finding was the 

same when all homes were grouped together as 

noted in the section on “Job Categories.” Data for 

subcategories of the other professional staff are 

not presented here because thenumber of employees were so few. Such data are presented, however, 

in the detailed tables. 

Bed Size 

Bed size had little effect on the sta#ingpattern of nursing homes. For nursing staff, the 

largest difference among bed-size classes was a 

5-percent difference between homes with 25 to49 

beds (62 percent of their employees werenursing 

staff) and homes with 100 beds or more (57 percent of their employees were nursing staff). (See 

table F and detailed tables 1 and2.)0ther professional and technical staff comprised between 10 

and 11 percent of total staff regardless of the size 

of the home. For nonprofessional staff, the largest 

difference among the bed-size classes was a 6-

percent difference again between homes with 25 to 

49 beds (27 percent of their employees werenonprofessional staff) and homes with 100 beds or 

more (33 percent of their employees werenonprofessional staff). 

As notedintheprecedingparagraph,thenursing staff comprised the largest portion (62 percent) 

of total staff in homes with 25 to 49 beds and the 

smallest portion of total staff (57 percent) in homes 

with 100 beds or more. The reverse was true for 

nonprpfessional staff. It comprised the largest 

portion of total staff (33 percent) in hoines with 100 

Table F. Number and percent distribution of employees in nursing homes by jbb category, according to bed size: United States, April-September 1968 

[Figures may not add to totals due to roundingfrom weighting procedure.SeeappendixII for details] 

Job category All sizes Less than 25-49 50-99 100 beds 

25 beds beds beds or more 

Full - and part -time employees 

All staff---- -___ ----__----- 553,879 11 63,336 1 114,968 1 191,591 1 183,985 

Percent distribution 

Total--------- ____________ -_ 100.0 100.0 100.0 100.0 100.0 

Nursing staff----------------- 59.7 58.4 62.4 61.0 57.2 

Registered nurses----------------- 7.7 6.8 7.6 8.2 7.6 

Licensed practical nurses--------- 8.7 11.4 9.9 7.9 7.8 

Nurse's aides--------------------- 43.3 40.2 44.9 44.9 41.7 

Other professional and 

technical staff-------------- 10.5 10.7 10.4 10.9 10.1 

Nonprofessional staff--------- 29.8 30.9 27.1 28.1 32.7 

10 
beds or more andthe smallest portion of total staff 

(27 percent) in homes with 25 to 49 beds. 

A possible reason for this staffing pattern difference may be the percent of proprietary homes 

and nursing care homes in each bed-size class. 

Previous sections have noted that nursing staff 

comprised the largest portion andnonprofessional 

staff the smallest portion of total employees in 

proprietary homes and in nursing care homes. Of 

all proprietary homes, 28 percent had 25 to 49 

beds, while only 9 percent had 100 beds or more. 

Of all nursing care homes, 33 percent had 25 to 49 

beds, while only 17 percent had 100 bedsor more 

(see table 8). It may be that becauseof these percent differences, the nursing staff comprised $e 

largest portion of total staff in homes with 25 to 49 

beds and the smallest portion of total staff in 

homes with 100 beds or more. 

Geographic Region 

Comparison of staffing patterns among the 

four geographic regions showed that .the nursing’ 

staff comprised a larger portion of total staff in 

homes in the South (63 percent) than it did of total 

staff in homes in the West (60 percent), North 

Central (59 percent), or Northeast Regions (58 

percent). (See figure 3 and detailed table 2.) Conversely, the nonprofessional staff comprised a 

smaller portion of total staff in homes in the South 

(27 percent) than it did of total staff in homes in 

the West (28 percent), Northeast (31 percent), or 

North Central Regions (32 percent). 

These stafing patterns may be related to the 

rep’onal distribution of homes by type of service. 

When each region was considered separately, 

more homes in the South provided nursing care 

(66 percent) than did homes in the Northeast (60 

percent), North Central (60 percent) or West (44 

percent). (See detailed table 9.) This especially 

affected the staffing pattern in the South, since 

nursing care homes had the largest portion of 

nursing staff and the smallest. portion of nonprofessional staff. The fact that the majority of the 

proprietary homes provided nursing care affected 

their staffing patterns in the same way. (See 

section on “Type of Ownership.“) 

The other professional and technical staff 

comprised a larger portion of total staff in homes 

in the West (13 percent) thanit didof total staff in 

homes in the other regions (portions there ranged 

PERCENT DISTRIBUTION OF ALL EMPLOYEES 

0 20 40 60 80 IO0 

REGION t I I I I I 

All regions 

Northeast 

North 

Cantml 

South 

n Oiher profemsionol 

technical staff 

Figure 3. Percentdistribution ofallemployeesin nursing homes by job category, according t7j geographic 

region: llnited States, April-September 1968. 

between 9.5 to 11percent). (Seefigure 3.) This was 

due to the slightly higher percent of occupational 

and physical therapists, dietitians, social workers, and record librarians working in homes in the 

West Region. (Percents based on figures from detailed table 2.) . 

Data.on number of employees by job category 

in each State are presented in detailed table 3. 

Full-time Equivalent Employees 

In this section the distribution of the employees in nursing homes is analyzed in terms of the 

number of full-time equivalents. Two part-time 

employees are conventionally taken as equivalent 

to one full-time employee. By using the number of 

full-time equivalent employees rather than total 

employees, the variation between homes in the 

proportion of part-time staff is held constant. 

There were 483,726 full-time equivalent employees working innursing homes in 1968(detailed 

table 4). Generally, the staffing pattern of these 

Jic&time equivulents (table G) is simikw to thatfor 

total employees (tableB). For both the percent of 

11 
nonprofessional staff’ was the same. The differences for the nursing staff and for the other professional staff were only about 1 percent. The 

nursing staff comprised 60.7 percent of the fulltime equivalent employees and 59.7 percent ofthe 

total employees. The professional staff comprised 

9.4 percent of the full-time equivalent employees 

and 10.5 percent of the total employees. 

For LPN’s, nurse’s aids, and the subcategory 

of the professional staff titled “other staff,” the 

percent of full-time equivalents was high&than it 

Table G. Number and percent distribution 

homes by job category: United 

was for total employees, This reflects the fact that 

each of these job categories had a lower percent of 

part-time employees than those categories where 

the percent of total employees was higher than the 

percent of full-time equivalents. 

As the level of serviceincreased, the percent 

of full-time equivalent nwsing s&Qfincreasedand 

the percent offull-time equivalentnonprofessional 

stafJdecreased. These findings were similar to 

those for total employees. For each service class 

the staffing pattern of full-time equivalent employoffull-time equivalent employees in nursing States, April-September 1968 

LFiguresmay not add to totals due to roundingfromweighting procedure.SeeappendixII for details] 

r1?ull -time equivalent employees 

Job categ,ory 

Number Percent 

All staff------------------------------------,--

Nursing staff --------_---------------------------

Registered nurses ---------_-_--_---------------------

Licensed practical nurses----------------------------

Nurse’s aides -‘--_--__-_--_--__-_----------------- ---_ 

Other professional and technical staff-----------

Occupational therapists-------------------------L----­

physical therapists----------------------------------

Speech therapists------------------------------------

Recreation therapists--------------------------------

Dietitians -----_-_-----------------------------------

Medical social workers-------------------------------

Medical record librarians----------------------------

Other staff (including administrators)---------------

Nonprofessional staff----------------------------

483,726 100.0 

293,733 60.7 

34,494 7.1 

42,567 8.8 

216,672 44.8 

45,690 9.4 

3,434 0.7 

4,437 0.9 

624 0.1 

3,294 0.7 

5,686 1.2 

1,758 0.4 

1,889 0.4 

24,568 5.1 

144,303 29.8 

12 
PERCENT DlSTRlSLlTlON OF FULL-TIME EOUIVALENT EMPLOYEES 

TYPE OF 0 20 40 60 60 100 SERVICE 

‘ROVIDED BYI I I I I I 

Figure 9. Percent distribution of full-time equivalent employees i n nursing homesby job category, according

k3ype of service: United States, Apr i 1-September * 

ees (figure 4) was similar to that of total employees (figure 2). Comparison of figures 2 and4 illustrates this similarity. (gee page 7forfigure 2.) 

When staffing patterns for full-time equivalents and total employees were compared for each 

service class, the percent of nursing staff and 

nonprofessional staff increased slightly, while the 

percent of full-time equivalent professional staff 

decreased. This decrease occurred because 43 

percent of the professional staff were part time. 

In contrast, only 23 percent of the nursing staff 

and 25 percent of the nonprofessional staff were 

part time (figure 1). 

Percent of Employees Working in 

Nursing Homes 

The previous section presented information 

on the 483,726 full-time equivalent employees 

working in nursing homes. In this section, these 

full-time equivalents are compared with the total 

number of employees in each job category io examine the percent of employees working in nursing homes. (Full-time equivalents were used in 

this comparison because it converts part-time 

employees to full-time employees and thus provides a more accurate count of the number of nursing home employees.) 

For the nursing staff, as the level of education 

and training increased from nurse’s aide to LPN 

to RN, thepercentof eachgroup employed innursin+zhomes decreased from 27 percent for nurse’s 

aides, to 13 percent for LPN’s, to 5 peT?3=nt for 

RN’S (table H). The small percent of RN’S employed in nursing homes may be because the 

majority were employed in hospitals. 

The small percent of speech therapists employed in nursing homes (3.7 percent) reflects the 

fact that only 9 percent of all nursing homes 

provided speech and hearing therapy. The larger 

percents of occupational therapists (30 percent) 

and physical therapists (22 percent) employed in 

nursing homes reflect the fact that a greater percent of homes provided occupational therapy (17 

percent) or physical therapy (28 percent). Of all 

job categories, dietitians had the largest percent 

of total employees working in nursing homes (44 

percent). 

Full-time Equivalent Employees 

Per 100 Residents 

This analysis employs the ratio of the number 

of full-time equivalent employees per 100 residents by type of service and ownershipclasses. 

This ratio provides a crude measure of the 

workload as well as the availability of staff to 

provide care for residents. Overall there wwe 

59 full-time equivalent employees per 100 residents, or about six @l-time equiwrlent employees to provide care fm e,very 10 residents 

(table J and detailed table 5). As the level of 

service decreased, the mtio of full-time equivalent employees per 100 residents decreased 

markedly. 

Nursing care homes had 65 employees per 

100 residents, personal care with nursing homes 

had 48 employees per 100 residents, and personal care homes had 35 employees per 100 

residents (table J). The ratio for nursing care 

homes is of particular interest because 73 percent of all residents were in these homes. Thus, 

for nearly three-fourths of the nursing home 

population 6.5 employees were available to provide care for every 10 residents. Nursing care 

homes under church and other nonprofit ownership had the highest ratio of employees to residents, (70 employees per 100 residents). However, these homes were few (7 percent) and they 

13 
--- 

--- 

--- 

--- --- 

Table H. Number of employees workinginhealth occupations and percent of those employees working in nursing homes, by job category: United States, April-September 1968 

*. . 

Employees in 

health occupations Percent of full-time 

equivalent employees - Job category 5 working in nursing homes 

Number Percent P I 

All staff------------- ____ w_-s-m- m-m m-m 

. - . 

Nursing staff---------------------- 1,779,dqIl 7 100,0 1 16.5 

Registered nurses---------------------- f359,poo 

Licensed practical nurses-------------- 320,000 

Nurse's aides---------------------~---- 800,qOO 

Other professional and technical 

staff ---------_-------------------

Occupational therapists---------------­

physical therapists--------------------

Speech therapists----------------------

Recreation therap&ts--------------;--­

. . . Dletltlans-----------------------------

Medical social workers--------------y--

Medical record librarians-------------­

m-m 

Ill,432 100.0 30.0 

20,500 100,o 21.6 

"17,O~O 100.0 3.7 

M-m m-m . 

l13,qog 100.0 43.7 

322,7po 100.0 7.7 

38,500 100.0 4.9 

Other staff (including administrators)- mmNonprofessional staff-------------- m-s m-s 

lExcludes those not in practice. 2Includes speech pathologists and audiologists. 3Includes only those social workers in health and related programs. 

Sources: For figures on nursing staff: National Center for Health Statistics,Health

Resources Statistics,PHS Pub. No. .1509, 1968 ed%tion PublicHealth Service, Washington, U.S. Government Printing Office, 1968, pi 135. 

For figures on other professional and technical staff: National Center for Health 

Statistics, Health Resources Statistics, PHS Pub. No. 1509, 1969 editi0n;Publi.c Health 

Service, Washington, U.S. :

Government Prlntmg '1 pffice, 1970, pp. 77, 122, 159, 183, 203, 217. . > 

14 
Table J. Number of full-time equivalent employees per 100 residents in nursing homes,

by type of service and type of ownership: United States, April-September 1968 

Type of ownership 

Type of service provided by the home All Church 

types Proprietary and other Government 

nonprofit 

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

Nursing care ----_--_---------------------

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

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

provided care for few residents (12 percent). 

(See detailed table 8.) 

Differences in ratios of employees to residents by type of ownership were very slight 

,in comparison to differences by type of service. 

Nevertheless, the ratios did decrease as the 

ownership class changed from proprietary to 

church and other nonprofit to Government owned. 

Proprietary homes had 60 full-time equivalent 

employees per 100 residents, church and other 

nonprofit homes had 58 per 100 residents, and 

Government-owned homes had 57 per 100 residents (table J). When each service class was 

examined separately, proprietary homes did not 

always have the highest ratios, nor Governmentowned homes the lowest. For nursing care homes, 

the ratio was higher for church or other nonprofit homes (70 employees per 100 residents) 

than for proprietary or Government-owned homes 

(both types had ratios of 64 employees). For 

personal care homes, the ratios were nearly the 

same regardless ‘of the type’of ownership (34-35 

employees). 

Full-time Equivalent Nurses Per 100 Residents 

One measure of the amount of nursing care 

available to the resident is the ratio of full-time 

equivalent nurses (RN’s, LPN’s, and nurse’s 

aides) per 100 residents. Overall there were 36 

59 60 58 57 

65 64 70 64 

48 49 49 42 

35 35 34 34 

&ll-time equivalent nurses per 100 residents, or 

nearly four full- time equivalent nurses to provide 

nosing care for every 10 residents (table K and 

detailed table 5). As the level of service decreased, the ratio of full-time equivalent nurses 

per 100 residents decreased markedly. Nursing 

care homes had the highest ratio-42 nurses per 

100 residents-and personal care with nursing 

homes the next highest-24 nurses per 100 residents. This was a decrease of 18 nurses per 100 

residents between the ratios for these homes. 

Personal care homes had the lowest ratio-14 

nurses per 100 residents. (See table K.) The 

ratio for nursing care homes is of particular 

importance because 73 percent of all residents 

were in nursing care homes. Thus, for nearly 

three-foWths of the nursing home population, 

four full-time equivalent nurses were available 

to provide nursin.g care for every 10 residents. 

The decrease in the number of fill-time 

equivalent nurses per 100 residents as service 

decreased reflects the stu&%g pattern in each 

service class. Nursing staff in nursing care 

homes comprised a larger portion of their employees (63 percent) than did the nursing staff 

for personal care with nursing homes (50percent 

of their employees) or personal care homes (39 

percent of their employees). (See table D and 

section on "TypeofServiceProvidedbytheHome?' 

for further discussion.) 

15 
By ownership, proprietary homes had the 

highest ratio (39 full-time equivalent nurses per 

100 residents), Government-owned homes the 

next highest (32 nurses), and church and other 

nonprofit the lowest (29 nurses). This ranking 

reflects the staffing pattern of. each ownership 

class. The nursing staff in proprietary homes 

comprised 64 percent of their employees, in 

Government-owned homes it comprised 56 percent of their employees, and in church and other 

nonprofit homes 50 percent. (See table E and 

section on “Type of Ownership” for further discussion.) Regardless of the type of ownership of 

the home, nursing care homes had the highest 

ratio of full-time equivalent nurses per 100 residents, personal care with nursing the next highest 

ratio, and personal care the lowest (table K). 

If only ‘full-time equivalent RN’s and LPN’s 

are considered as nursing staff (i.e., nurse’s 

aides are excluded), the resulting ratios of Pyofessional nuvses per 100 residents are much 

lower than the ratios including allnurses. However, the relationships by service and ownership 

remain the same. As service decreased the ratio 

of professional nurses per 100 Vesidents decreased. Nursing care homes had 11 professional 

nurses per 100 residents, while personal care 

with nursing homes had 6 professional nurses 

per 100 residents, and personal care homes had 

only 3 (table L). The diflerence among these 

ratios may be because the majority of Pyofessionut nurses worked in nursing cave homes. 

Eighty-four percent of RN’s and LPN’s worked 

in nur$ng care homes, 13 percent worked in 

personal care with nursing homes, and 2 percent 

in personal. care homes (from detailed table 4). 

Regardless of type of ownership, these ratios 

varied very little within each service class 

(table L). 

Proprietary homes had 10 professional 

nurses per 100 residents, while church and other 

nonprofit and Government-owned homes had 8 

professional nurses per 100 residents (table L). 

In summary, the ratio of full-time equivalent nurses (RN’s, LPN’s, and %UrSe’s aides) 

per 100 residents varied markedly by type of 

service (table K)as did the ratio of total full-time 

equivalent employees pev 100 residents (table J). 

This may be because the number of employees 

per ,100 residents and the number of total nurses 

per 100 residents were directly related to the 

services provided in the home and to the general 

health and mobility of its residents. 

Number of Shifts and Level of Skill 

of Charge Nurse 

One measure of the quality of care available in nursing homes is the number of shifts 

in the home and the level of skill of the charge 

Table K. Number of full-time equivalent nurses1 per 100 residents in nursing homes,.

by type of service and type of ownership: United States, April-September 1968 

Type of ownership 

Type of service provided by the home 

All Church 

types Proprietary and other Government 

nonprofit 

All types-------------------------- 36 39 29 32 

Nursing care----------------------------- 42 43 39 38 

Personal care with nursing--------------- 24 30 21 21 

personal care----------------------- ____ - 14 15 10 12 

‘Includes RN’s, LPN’s, and nurse’s aides. 

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

Table L. Numberof full-time equivalent professional nurses! 

ing homes, by type of service and type of ownership: Unitedper 100 residents in nursStates, April-September’ 

1968 

Type of ownership 

Type of service provided by the home 

All 

types Proprietary liii+zl 

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

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

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

Personal care 

‘Includes RN's and LPN’s. 

nurse on duty (that is, on the. premises and 

routinely serving the patients) for each of the 

shifts. (These data were collected in the 1968 

Nursing Home Survey by question 18 of form 

in appendix V.) The majority (86 pe%en~) of 

all ~ursi~ homes had three shifts. In other 

words, 86 percent of all homes had the services 

of one or more members of the nursing staff 

available to their residents around the clock. 

Homes with one shift (10 percent of all homes) 

and those with two shifts (4 percent of all homes) 

were less common. (See table M.) 

As the level of service decreased the percent of homes with three shifts decreased. 

Almost all (97 percent) nursing care, homes 

had the services of the nursing staff available 

for their residents around the clock. Eightyeight percent of personal care with nursing homes 

had around the clock nursing service, while 

slightly over half (53 percent) of personal care 

homes had such service. In contrast to the few 

(8 percent) nursing care and personal care with 

nursing homes having only one shift, 37 percent 

of personal care homes had one shift (table M). 

Personal care homes with one shift were subdivided into those with an RN, LPN, or nurse’s 

aide in charge (8 percent) and those with a 

%urse” other than an RN, LPN, or nurse’s 

aide in charge (29 percent). (See detailedtable 7.) 

9 

11 11 

6 7 6 5 

3 3 3 3 

A possible reason for employing a less skilled 

charge nurse may be that residents in personal 

care homes usually are ambulatory and needless 

skilled nursing service than do residents in nursing care and personal care with nursing homes. 

Since the majority of homes had three shifts, 

the following analysis on the level of skill of the 

charge nurse will concentrate on these homes. 

In 55 percent of all homes RN’s and LPWs 

were most often the type of charge nurse on 

duty around the clock. The 55 percent C&Y be 

subdivided into those homes with mainly RN’s 

in charge and those with mainly LPN’s incharge. 

Twenty-nine percent of all homes had either RN’s 

in charge for all 3 shifts (15 percent) or for 2 

of 3 shifts (14 percent). Twenty-six percent of 

the homes had LPN’s in charge for all 3 shifts 

(8 percent) or for 2 of 3 shifts (18 percent). 

(See table N.) 

As the level of service decreased, the level 

of skill of the charge mrse ojl duty around the 

clock decreased. Nursing care homes generally 

had more RN’s and LPN’s in charge around the 

clock, while personal care with nursing and 

,Personal care homes had more nurse’s aides 

and other nursing staff in charge. This was 

probably because nursing care homes provided 

more nursing service to residents. Their res17 
--------- 

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

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

idents were usually nonambulatory with one or 

more chronic conditions. 

Forty-three percent of the nursing care 

homes had RN’s in charge for all 3 shifts or 

for 2 of 3 shifts. Such arrangements were less 

frequent in personal care with nursing homes 

(20 percent) and personal care homes (2 percent). Thirty-five percent of the nursing care 

homes had LPN’s in charge for all 3 shifts or 

for 2 of 3 shifts. Here again, such arrangements were less frequent in personal care with 

nursing homes (22 percent) and personal care 

homes (7 percent). (See table N.) 

Personal care with nursing homes and personal care homes had more nurse’s aides and 

other nursing staff in charge around the clock 

than did nursing care homes. Thirty-one percent of personal care with nursing homes and 

22 percent of personal care homes had nurse’s 

aides in charge for all 3 shifts or for 2 of 3 

shifts. Only 13 percent of nursing care homes 

had such nurses in charge. Twenty percent of 

personal care homes and 8 percent of personal 

care with nursing homes had other nursing staff 

in charge for all 3 shifts. Only 0.4 percent of 

nursing care homes had such nurses in charge 

(table N.) 

Data on number of shifts and level of skill of 

charge nurse by ownership, service, and geographic region are presented in detailed tables 

6 and 7. 

Comparison of Employees in Nursing Homes 

for 1964 and 1968 

The universe, definitions, and questions for 

the 1968 Nursing Home Survey were similar to 

those of Resident Places Survey II conducted in 

1964. (See Introduction for further information 

on the 1964 survey.) Because of the similarities 

Table M. Number and percent distribution of nursing homes by number of shifts per day, according to type of service: United States, April-September 1968 

$igures may not add to totals due to rounding from weighting procedure. See appendixII for detail4 

Type of service provided by the home 

Number of shifts per day II I I 

Number 

All shifts ________ ----T-mae ____ 19,533 II 11,299/ 3,877 1 4,357 

Percent distribution 

Total 100.0’ 100.0 100.0 

One shift 0.9 7.0 36.8 

Two shifts ------_--------_------------- --a--m- 2.0 4.7 10.0 

Three shifts -----------------_---------------- 97.1 88.3 53.2 

18 
Table N. Number and percent distribution of nursing homes with three shifts per day by level of skill of charge nurse,according to type of service: United States,April- September 1968 

[Figuresmay not add to totals due to rounding from weighting procedure. See appendix II for details] 

Type of service provided by the home 

Level of skill 

homes with 

of charge nurse 

for three shifts 

Number 

All homes__--__-________-_______________ 19,533 II 11,2991 ?,877 1 4,357 

Percent distribution 

Total----------------------------------- 100.0 100.0 100.0 100.0 

Homes with three shifts------------------- 85.5 97.1 88.3 53.2 

Level of skill bf charge nurse 

All registered nurses------------------------- 15.2 22.6 9.7 1.0 

All licensed practical nurses-----------~----- 8.3 9,6 8.9 4.5 

All nurse's aides -__--_----_-_--_-__---------- 7.8 1.8 16.5 15.5 

All other nursing staff----------------------- 6.2 0.4 8.0 19.9 

Registered nurses for 2 of 3 shifts----------- 14.0 20.3 10.1 1.4 

Licensed practical nurses for 2 of 3 shifts--- 17.6 25.i 13.1 2.5 

Nurse's aides for 2 of 3 shifts--------------- 10.7 11.1 14.7 6.1 

All other combinations------------------------ 5.7 6.4 7.4 2.3 

of the surveys, data on employees can be com- In other words, the 1964 data are estimates 

pared to measure any changes that occurred in subject to sampling variability as measured by 

the 4-year period. sampling errol;. The sampling error of these 

Since data for the 1964 survey are based 1964 estimate#. &as usedtodetermine if any 

on a sample of nursing homes rather than on significant diffqence existed between the 1964 

all such institutions, they may differ from what and 1468 data.‘ 

would have been obtained by a complete census. 

19 
From 1964 to 1968 the number of homes 

increased by 12 percent, the number of residents increased by 47 percent, and the number, 

of total employees increased by 97 percent.22 

Although the total number of employees almost 

doubled during this period, the staffing pattern 

changed very little (table 0). 

There was a slight increase in the percent 

of nursing staff between 1964 and 1968 due to 

increases in the percent of RN’s and LPN’s. 

Because of the sampling variability of the 1964 

estimate, no statistically significant difference 

existed between the percent of nurse’s aides 

in 1964 and in 1968. For the percent of other 

professional and technical staff there was a 

slight increase over the 4-year period. In contrast, the percent of nonprofessional staff decreased during this time (table 0). S&ce 

the percent of nursing stuff and professional 

staff increased, however slightly, during I964 

to 1968, an increase in the quality of cave awilable to the nursing home resident may be indica ted. 

One measure of the amount of care available to the resident is the ratio of full-time 

equivalent employees per 100 residents. (Fulltime equivalent employees were used to control 

for the variability in the number of part-time 

employees.) In 1964 there were 47 full-time 

equivalents per 100 residents, and in 1968 there 

were 59 full-time equivalents per 100 residentsan increase of 12 full-time equivalents per 100 

Table 0. Number and percent distribution of employees in nursing homes for 1964 and 

1968 by job category: United States 

[Due to rounding, subtotals may not add to 1Od’ 

Job category 

All staff-----------------------------

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

Nursing staff---------------------------

Registered nurses---------------------------

1968 1964r 

Full - and part &me employees 

553,879 1 281,000 

Percent distribution 

100.0 100.0 

59.7 56.4 

Licensed practical nurses-------------------

Nurse’s aides-------------------------------

Other professional and technical staff-­

Nonprofessional staff-------------------

7.7 6.2 

8.7 7.3 

43.3 42.9 

10.5 8.6 

29.8 35.0 

lSource : National Center for Health Statistics, Employees in Nursing and Personal 

Care Homes, United States, May-June 1964, Vital and Health Statistics, PHS Publication 

No. lOOO-Series 12-No. 5, Public Health Service, Washington,, U.S. Government Printing Office, Sept, 1966, p.3. 

20 
Table P. Number of full-time equivalent employees per 100 residents in nursing homes 

for 1964 and 1968, by type of service and type of ownership: United = States 

Type of ownership 

Type of service provided by the home 

; I

Government 

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

Nursing care ------------_-_-------------

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

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

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

Nursing care --_-___-_-------_-----------

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

Personal care ---_--__--_-------__-------

ISource: See reference 10, pp. 17, 19. 

residents (table P). This increase over the 

&year period probably represents an increase in 

the amount of care received by the residents. 

For each ownership class the number of 

full-time equivalents per 100 residents increased 

during the 4-year period.Thelsrgestincreases 

were for proprietary homes (an increase of 13 

full-time equivalents) and nonprofit homes (an 

increase of 14 full-time equivalents). (See table 

P.) By type of service, nursing care and personal care with nursing homes had increases in 

their ratios of full-time equivalent employees per 

100 residents. Ratios for nursing care homes 

Pull-time equivalents1968per 100 residents, 

60 58 57 

64 70 64 

49 49 42 

35 34 34 

Pull-time equivale;l;EqTer 100 residents, 

47 47' 44 49 

52 50 53 58 

37 39 38 28 

33 35 33 25 

increased by 13 full-time equivalents, and those 

for personal care with nursing homes by 11 

full-time equivalents. Personal care homes had 

no difference in their 1964 and 1968 ratios 

when the sampling errors of the 1964 estimates 

were examined. 

Because of the increases in the mtio of 

employees to residents and in the percent of 

nursing and professional stiff, residents in nursing homes in 1968 generally received more care 

of a higher quality than did residents in nosing 

homes in 1964. 

21 
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1964. Vital and Health Statistics. PHS Pub. No. lOOO-Series 

12-No. 5. Public He&h Service. Washington. U.S. Government 

Printing Office, Sept. 1966, pp. 25-26. 

22 
22National Center for Health Statistics: Employees in 

nursing and personal care homes, United States, May-June 

1964. Vital and Health Statistics. PHS Pub. No. 1000~Series 

12-No. 5. Public Health Service. Washington. U.S. Government 

Printing Office, Sept. 1966, pp. 3,13-19. 

23National Center for Health Statistics: Development and 

maintenance of, a national inventory of hospitals and 

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

1000~Series l-No. 3. Public Health Service. Washington. U.S. 

Government Printing Office, Feb. 1965. 

24National Center for Health Statistics: Design and 

methodology of the 1967 Master Facility Inventory Survey. 

Vital and Health Statistics. PHS Pub. No. lOOO-Series l-No. 9. 

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

Office, Jan. 1971. 

25National Center for Health Statistics: The Agency 

Reporting System for maintaining the national inv,entory of 

hospitals and institutions. Vital and Health Statistics. PHS Pub. 

No. lOOO-Series I-No. 6. Public Health Service. Washington. 

U.S. Government Printing Office, Apr. 1968. 

000 

23 
LIST OF DETAILED TABLES 

Page 

Table 1. Number of employees in nursing homes, by job category, type of service, type of 

ownership, and bed size: United States, April-September 1968-------------------- 25 

2. Number of employees in nursing homes, by job category, geographic region, type of ownership, and bed size: United States, April-September 1968----------------- 27 

3. Number of employees in nursing homes, by job category and State: United States, April-September 1968------------------------------------------------------------ 30 

4. Number of employees and number of full-time equivalent employees in nursing homes, by job cate ory, April-September 196 8 type of service, and type of ownership: United States, --------_----_---------------------------------------------- 31 

5. Total number and number per 100 residents of full-time equivalent employees and 

full-time equivalent nurses, by type of service and type of ownership: United 

States, April-September 1968 _--___---__-_-___-__-------------------------------- 32 

6. Number of nursing homes, by type of charge nurse on duty for each shift, type of 

service, and type of ownership: United States, April-September 1968------------- 33 

7. Number of nursing homes, by type of charge nurse on duty for each shift, geo- graphic region, and type of service: United States, April-September 1968-------- 35 

8. Number of nursing homes and number of residents, by type of service,

ownership, and bed size: United States, April-September 1968-------------4):-E: 37 

9. Number of nursing homes and number of residents,

of service: United States, April-September 1968 by geographic region and type ---_----------------------------- 39 

24 
Table 1. Number of employees in nursing homes, by job category, type of service, type of ownership, and bed size: United States, April-September 1968 

me of service 

provided by the 

home, type of NOW 

ownership, md profesbed size simal 

All types of Full- and part-time Service 

All types of 

omership----- 553.879 48,137 8,189 5,098 6.368 4,817 2,570 / 2,780 1,156 27,200 239,922 164,79$ - - - -

Less than 25 beds- 63,336 7,198 1,556 449 404 485 249 295 3,299 25,463 19,566

25-49 beds-------- 11,418 2,102 940 1,101 595 1:: 5,582 51,571 31,192

50-99 beds-------- :w; 15,099 2,877 2% 1,938 2:: 1,047 513 9,003 53,847

100 beds or more-- m3:9s5 14,422 1,654 z55: % 2:431 1,294 912 843 380 9,315 % %, 60,194

50-99 

Proprietary----- 376,161 35,093 6,236 3,527 4,668 3,564 1,834 2,042 978 16,957 174,887 96,397 

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

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

100 beds or more--

53,285

91,362 

12,;;;

1 

3,58(

6,984 

1;,g , 

x2: 

'::,"g , 

:%

2:;;; 

390 

771 

1,;:; 

341 

846 

2,029

1,452 

::% 

764 

570 

240 

2 

466 

165: 

$2 

2,589 

2262: 

3:781 

22,312 

%% 

43:124 

15,625 

%%i 

22:773 

Church and other 

nonprofit------ L29,461 9,542 9,209 1,518 1,205 1,251 948 542 536 133 7,801 45,302 5‘L;474 

Less than 25 beds- 2+$9 beds------- 6,354

18,019 

662 

1,448 

148 

284 1% 126' 1% 

49 32 3 264 

~%~ 2,493

6,774 beds&--- 2,717 543 416 381 324 1% g,: g x632 14:913 

100 beds OP more-- :x44: 4,382 542 617 673 447 244 4:142 22,127 :x: 2 I

4‘8,257 3,835 436 367 450 306 195 201 45 2,441 19,734 16,929 

Less than 25 beds- 175 246 1,447

25-49 beds-------- xi 38i 295 90 i”r 23 5 

381 2% 1,786

50-99 beds-------- 9:866 668 2% -85 20' :i 422 4:506 3,093

100 beds or more-- 29,107 2,09c 2,424 225 306 18 1,392 11,533 10,602 

All types of 

ownership----- &41,242 36,416 4,306 5,669 3,926 2,248 2,356 1,087 19,834 200,3iJ3 118,250 

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

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

100 beds or more--

34,595

93,337

166,758

L46,552 

:% 

14:067 

11,512 

231 

851 

EfI 

315 

950 

2,367

2,038 

245 

936 

1,755

991 

162 

i% 

784 

150 

22 

705 

1% 

499 

351 

1,345

4,273

7,582

6,634 

15,160 

";Z~~

651291 

7,821

23,088 

2%, 

Proprietary----- 126,906 27,521 3,184 4,412 3,153 1,703 1,828 938 14,095 l54,176 79,205 

i 

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

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

LOO beds or more--

30,448

78,322 

t;;,g;2 

206 

704 

1,392

882 

260 

780 

1,979

1,393 

217 

822 

w 

111 

295 

745 

552 

123 

426 

EZ 

1% 

4258; 

:ei 

6:002 

3,532 

3% 

62:709 

41,111 

6,659

18,599

32,625

21,322 

Church and other 

nonprofit------ 76,815 6,054 819 912 557 372 109 4,126 30,153 26,631 

Less than 25 beds- 2,986 369 21 2 168 985 888 

50-99 beds-------- 2% 

100 beds or more-- 3&52 2,325

2,341 

305 

372 

320 

410 

230 

216 

1:;

164 

z;

47 12%; > 

10,627

14,089 

9,129

13,250 

37,521 2,841 303 345 216 155 39 1,6i3 15,974 12,414 

Less than 25 beds- 1,161 25-49 beds--------

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

100 beds or more-- 24:804 

6 

:2 

199 

8

:8’ 

508 

6 

:t 

96 

12 

: 

17 

2% 

279 

1,026 

506 

1,804

3,573

10,091 

274 

1,123

2,221

8,795 

1 Includes administrators. 

25-49 beds-------- 1,019 602 12: i% 581 4,453 3,365 

25 
Table 1. Nmber of

-

employees in nursing homes, by job category, type of service, type of ownership, end bed size: United States, April-September 1968-Con. 

,&urrs mnynoladd lo l~tals due 0 roundingfromwcightingproceduro.Seanppondix II lor dntails] 

Job category 

Type of service 

provided by the Total 

!mploy- Li- OCCU- home, Phys- Recre- M&cd Other Nonbed size nurse tical 

nurse 

tian tiona1 

therapist 

therapist 

thera- brar- pist ian worker pist all al. 

Personal care with nursing Full- and part-time 

All types of 

ownership---- 87,981 5,582 6,483 1,168 628 624 635 232 51 5,308 32,174 34,790 

713 5,689 4,087 

type of IE E::z- ~~~~~' Dieti- Ps- ical ation record Medical Speech ownership, and ees P;$F- ";;;Y$ P;$;­ li- social theraLess than 25 beds25-49 beds--------

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

100 beds or more--

12,953

16,452

22,292

36,284 

643 

932 

1,578

2,430 

1,184

1,465

1,566

2,268 

310 

241 

301 

316 

a7 

16765 

300 

53 

1:: 

389 

1:: 

156 

289 

:‘7 

1:: 

a73 

1,175

2,547 

6,749

8,498

11,238 

lx5 

16:217 

Proprietary----- 32,408 1,905 2,792 566 213 200 221 80 124 24 1,574 15,068 9.640 

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

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

100 beds or more--

10,574 

97% 

4:335 

521 

535 

500 

349 

'SE 

575 

386 

260 

153 

104 

50 

47 

;a 

6': 

22 

27 

:"8 

18 

48 

33 

:9' 

$2 

314 

207 

4,838 

";G

1:926 

Church and other 

nonprofit------ 47,915 3,305 3,164 522 369 333 354 136 151 3,200 14,210 22,150 

Less than 25 beds- 1,603 188 

25-49 beds-------- 5,554 :6”: 496 :z 1,638 2,581

4 4 

a a 6 7 

5 132 515 605 

50-99 beds-------- 986 882 171 1:: 2 :2 %A 4,126 5,685

100 beds or more-- :::9822 1,857 1,597 238 243 2:: 231 10": 101 1,987 7,932 13,279 

7,658 373 527 80 45 91 60 16 32 534 2.895 3,000 

Less than 25 beds- 777 5 41 336 289 

25-49 beds-------- 998 3262 2: ‘T 1: 6’ 2 ; 405 389 

50-99 beds-------- 1,782 109 6 2: 1:: 774 631 

100 beds or more-- 4,103 2% 285 2: 72 20 6’ 1: : 354 1,381 1,691 

All types of 

ownership---- 24,656 844 1,346 482 164 75 256 90 117 19 2,058 7,446 11,758 

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

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

100 beds or more--

15,788

5,178

2,540

1,149 

:"2: 

102 

56 

"2% 

132 

53 

349 

7; 

131 

:t 

5 

2 

11 

5 

151 

64 

:: 

E 

20 

2 

a6 

23 

6 

2 

12 

z 

1 

1,241

436 

246 

134 

7,658

2,253

1,237

610 

Proprietary----- 16,847 554 920 360 130 56 190 51 90 15 1,288 5,643 7,551 

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

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

100 teds or more--

"2 

39 

24 

"1% 

57 

16 

280 

:: 

2 

109 

11 

9 

1 

7: 

182 

“9” 

1 

68 

15 

1 

'2:: 

105 

43 

:% 

'377 

87 

5,774

1,151 

t;: '-1. 

Church and &he: 

nonprofit------ 4,731 185 277 76 17 36 12 14 475 939 2,692 

Less than 25 beds- 1,765 116 

25-49 beds-------. 1,481 ti 95 :i i 828

9 165 338 1,000 

50-99 beds-------- 934 '9'9' 2: 

100 beds or more-- 551 :i 22 

18 

a 2 :i 

80 106 :8'; 

Government------ 3,078 105 148 46 14 30 294 864 1,515 

Less than 25 beds. 1,76C 54 89 3 19 

25-49 beds-------. 559 'Z ';:: 82% 

50-99 beds-------- 559 if 2; 2 9

3 

4 

1 4- 169 

159 241 

100 beds or more-. 2oc 2 61 117 

1 Includes administrators. 

26 
Table 2. Number of employees in nursing homes, by job category, geographic April-September 1968 region, type of ownership, and bed size: United States, 

Region, type of Total Li­ ownership, and mploy- Regis- tensed DLeti- pa- ical ation 

Medical Other Non- OCCU- Phys- Recre- record Medical Speech profes- Nun&% profes­ bed size ees tered prac- rien tional li- social thera- sion- Slal

nu?zse tical thera- then- thera- brar- worker pist al1 al nurse pist pist pist ian 

United States Full- and part-time 

All types of 

153,879 5,098 6.368 4,817 2,570 2.780 1,156 27,200 239,922 1164,799 ownership-- ­ - -

404 485 3,259 25,463 19,566 Less than 25 beds- 63,336 1,043 1,101 51,571 31,192 25-49 beds--------

100 beds or more-- .S3:985 2,431 1,294 9:315 76,784 60,194 

Proprietary--- 176,161 4,668 3,564 1,834 2,042 978 16,957 174,887 96,397 

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

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

100 beds or more--

53,285 

91,362 

.;; I ;;; 

xi 

2:224 

936 

41;

932 

1,499

717 

179 

322 

764 

570 

240 

475 

861 

466 

2,589

4,167

6,421

3,781 

22,312 

X~ 

43:124 

15,625

22,632

35,366

22,773 

Church and 

other non- pr&J,t---..--- .29,461 9,543 9,209 1,518 1,205 1,251 948 542 7,801 45,302 51,474 

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

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

6,354 

18,019 

552 

1,421

3,342 

662 

zt; 

148 

::1 

1% 

381 

1% 

324 

,S

165 

2 

147 

3 

it 

464 

1,035

2,160 

1,837

6,424

14,913 

2,493

6,774

15,388 

50-99 beds-------- :x69:: 2,490 1,938 380 

tm 86,105 53,847 

100 beds or more-- %%;, 4,229 4:382 542 673 447 244 265 64 4,142 22,127 26,818 

t 

48,257 3,319) 3,835 436 367 306 2,441 19,734 16,929 

Less than 25 beds25-49 beds------:- 256E 

175 295 

425 zt: 

1,314

2,380 

1,447

1,786

422 4,506 3,093 50-99 beds-------- 9:866 2 690 1,392 11,533 10,602 100 beds or more-- 29,107 2,090 2,424 

Northeast, 

All types of 

ownership-- 52,190 1,996 1,920 602 838 7,697 57,055 46,915 -

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

=,0 beds-- -e----v 

100 beds or more--

18,382

30,703

41,423 

61,682 

:%! 

4:676 

5,400 

2,845

3,892 

m, 

:;

176 

292 

1:;

266 

313 

949 

1,425 

:+z; 8 

6,121 

:E 

23:326 

5,545

8,647

12,258

20,465 

Proprietary--- 97,107 548 4,272 39,733 24,874 

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

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

100 beds or mote--

15,494 

222%:: 

2?:653 

360 

477 

;59;1 

145 

251 

;2: 

132 

319 

:;: 

131 

329 

2 

2;

i31 

166 

65 

g 

687 

1,061

1,185

1,339 

5,370

10,074

12,393

11,897 

233:19 

7:124 

7,019 

Church and 

other non- profit------- 36,716 391 379 373 290 158 206 2,493 10,443 15,396 

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

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

100 beds or more--

;$'2; 

10:311 

19,233 

44 

1:t 

138 

1:: 

212 

12 

1% 

2oc 

4i 

9 

82 

15: 

8 

p 

8 

;; 

112 

203 

339 

586 

1,364 

549 

:azz 

51898 

941 

2,094 

4,375

7,987 

Government---- 18,366 ii4 124 17: 7i 42 85 932 6,878 6,645 

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

50-99 be&-------- 2:: 

2,275 

11 

23 

i 2 ! 

2c 

:5' 

202 

E 

225 

203 

759 

100 beds or more-- 14,793 76 :i 3; 55 ::: 5,532 5,459 

See footnote at end of table. 

27 
Table 2. Number of employees in nursing homes, by job category, geographic region, type of ownership, and bed size: United States,

April-September 1968-Cm. 

-

Region, type of 1'atal Other Non­ own;mz;h;~;eand en Iploy- Regis- ReCre- z%l 

li- Ez;;' ;[z;$ profes- "I.&S pm~ ees tered ation 

nurse thera- brar- worker pist SiMl1111288 pist ian all *l 

L 

North Central Full- and part-tiDs 

All types of 

16,455 .3,039 2,517 2,373 1,744 1.939 1,577 642 672 253 8,534 84,465 58,700 ownership-­ - -

Under 25 beds----- !1,344 1,285 L,954 101 104 138 1,043 10,068 6,005 

25-49 beds-------- 18,158 2,402 2,837 % 220 1:: 1,617 18,878 10,831 

50-99 beds-------- i2,340 801 2: 775 25'"; 197 2,870 28,352 

100 beds or more-- i4,613 zi:f i:z 526 693 840 474 271 253 3,004 27,167 xc , 

Proprietary--- L1,691 7,827 8,681 1,633 980 1,209 L,OO7 372 450 4.718 55,264 29,355 -

879 9,156 5,086 Under 25 beds----- 18,819 1,081 1,761 122 54 E 1,156 7,308 25-49 beds-------- !8,795 1,769 2,358 1:: 261 

1:: 168 1,699 :%;I 10,248 50-99 beds-------- 18,946 3,025 2,775 416 

100 beds or more-- !5,131 1,952 1,788 289 4;; 137 118 984 12:265 6,713 

Church and other 

non-profit----- j6.667 4,033 2.833 570 576 i 535 407 196 160 3,031 21,268 23.015 

Under 25 beds----. 1,660 160 145 35 9 9 104 539 632 

25-49 beds-------. 7,118 491 363 104 

SO-99 beds-------- 1,507 929 226 2:; 1% ?I:; :% ?j%i 

100 beds or more-. tx: , 1,876 1,396 205 290 320 1,640 lo:422 12:426 

Government--- 18,096 1,179 1,002 171 189 195 163 62 784 7,933 6.330 -

373 287 Utlder 25 beds----. 865 

12: 1";: 

3 12 

1;: 994 799 25-49 beds-------. 2,245 SO-99 beds-------. 4,485 236 199 :'; 3: 219 2,086 1,497 

100 beds or more-. 10,502 75; 635 114 138 68 380 4,480 3,747 

All types o: ownership-. 23,435 7,04: .2,43! 2,112 69: 1,175 825 645 560 6,326 57,912 33,558 

Under 25 beds----, 25-49 beds-------

50-59 beds-------. 

100 beds or more10,959

28,875 

zx; , 

53t 

1,571 

2,91! 

2,01( 

1,24(

2,;;; 

3127: 

3OL 

541 

iz 

67 

21c 

392 

16C 

71 

:2 

184 

69

170 

200 

122 

584

1,601 

::56302 

4,632 

xi: 

X:189 

Proprietary-- 92,453 5,241 9,731 L,65: 53( 90: 66L 46: I 431 4,455 45,531 22,717 

Under 25 beds----

25-49 beds-------

8,440 40! 23: 

701 201 

6: 419 

1,157 

3,826 

11,023 

23307 

50-99 beds-------

100 beds or more- % %: 

1,19( 

21:686 :,;',i 

2,E 

y;; 

, 

451 

25: 

1% 

171 

16! 

;;i 

1% 

::I :$ 

84 2,;;; :;::22 

xi? 

5:254 

Church and othe 

non-profit---- 23,836 1.42: 1.97: 371 131 13f I 9f 1,453 9.281 8,613 

Under 25 beds----

25-49 beds-------

50-99 beds-------

100 beds or more1,634 91 

4,375

6,901 2% 

10,92f 60. 

16: 

ii' 

861 

4: 

1:;

14: 

1: 

; 

1t 

3;

l! 

22 

:i: 

395 

705 

608 

:ai56z 

4:189 

Government--- 7,14! 72, 21 21 31 41E 3,101 2.229 

Under 25 beds----

25-49 beds-------

50-99 beds-------

100 beds or more88i 

;,;4' 

2:zsf 

9’ 

:: 

24 

;

2 

1 

1: 

2: .2: 

, 

1: 

( 

1 

12 

6: 

103 

ii;

986 

1,OOE 

See footnote st end of table. 

23 
365 

Table 2. Number of employees in nursing homes, by job category, geographic re ion, type of ownership, and bed size: United States, April-September 1968 -i%*. , 

pigums maynOt@.ddLotOW8 due tomundin~fromwoightingpmcoduro.Saasppendi.xUfordolails] 

Job category 

Total I

Li- Medical employ- Regis- censed Dietioccu- Phys- Recre- record Medical Speech p;$g­ ees tr&l iCS1 atiml li- SOCiSl thera- sion­ tered prac- I

tian thera- thera- thera- ml?3 e brar- worker pist ,lI tical 

nurse pist pist pist ian 

LL 

west t Full- and part-time 

All types of 

ownership--. 6,690 318 25,625 - - -

Less than 25 beds-. 1,153 8 4,723 25-f&, be&------. 1,472 50-99 beds------. iii x2' 

100 beds or more--. :G, 6:634 

5,523 614 295 19,451 

Mder 25 beds-----. 979 7 3,853 

25-49 beds--------. 1,292 1:: 

50-99 be&-------. 2,;g 323 15: 2% 

100 be& or more--. 119 74 3:78? 

876 75 20 4,450 

Under 25 beds-----. 811 104 80 4 312 

25-49 be&.------. 1,604 171 122 ; 494

50-99 beds-----. 290 2'; 1,427 

100 beds or more--. %l> II 447 384 31 8' 2,216 

Government----. 4,649 291 20 3 1,724 -

Under 25 beds-----. 1 

25-49 be&------. 2 

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

100 beds or more--. z ; 

'Includes administrators. 

W 
-------- 

Table 3. 

state 

United StatesNumberQLill"?Be tical 

nurse 

tian 

OCCUical ation trona1 li- thera- thera- thera- brar- pist pist ia* pist 

social 

worker pist 

Other 

"i?- aide 

NonSiOnal 

Full- and part-time 

53,879 4.2,842 ,137 8,189 5,098 6,368 4,817 2,780 27,200 .39,922 164.799 

6,568 923 18 40 19 36 278 3,156 19; 

of employees in nursing homes, by job category and State: United States, April-September 1968 

-

Job category c

rota1 Medical mploy- E@ii- izz:" Dieti- paPhys- Recre- record Medical ;pe;zh _ profes- Nurse's profes­ ees 

13Z 2,5E 1532 720 182 :: 2: 3; IZ :; 328 3,219 1,566 5,994 441 

53,434 ,658 1,106 7% 8:; 552 505 2,035 23,177 15,138 

7,753 697 888 107 231 

xi 

1,816

2,998 Cc,lorado----- ____ -. 

1,331

14,124 1,297: 

168;

,363 

:;

216 

:';

250 :: 6% 

413 

6,059 

484 

3,889 

7,757 

:% ‘ii;

173 

147 

% :c 3,;;; 

1,095 

1,;;:: 

524 

13,063 910 167 101 3,997 

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

~nsas------------

p&*t”&y---------

Louisiana---------

line-------------

16,727

9,810

6,181

6,735

4,038 

792 

289 

";21

272 

235 

119 

1;:

58 

121 

'5;

40 

51 

700 

425 

283 

282 

200 

;:g 

1:745 

connecticut------- 12,576 2,023 ,187 216 187: 2:: 

4 “E '383 252 908 106 

31:628 2,142 376 4:: 1;,;;; 10,222 

~ryland------- 8,221 608 429 166 462 3,834 

Massachusetts----- 30,725 2,917 ;g 3;: 3% 231 1,319 

Mi&igan---------- 1,298 :2;2 188 226 156 

. Minnesota--------- xi 

2:416 

1,549 ,005 200 284 251 239 

7 

z: 

Mississippi------- 134 227 46 9 10 157 

Missouri---------- 13,690 827 ,004 160 111 117 116 24 

5 6,;;; 

Montana-m-w----m-w 1,827 194 110 34 

Ne,,ra&a------- 6,432 329 260 77 2: :i :i : 3,194 

Ne"ada--------- 412 35 174 

New Hampshire----- 3,033 4:: 200 2: 1: 1; 2: 2 1,210 

New Jersey-------- 16,851 2,054 228 111 6,636 5,175 

New Mexico-------- 1,474 590 496 

New yor,‘ 46,339 4,;; 6;:

54 

3390 1;) ;g; 14,;;; 

North Carolina---- 7,430 25 

North Dakota------ 3,100 265 18 7 1:230 1:222 

,&i,,------------- 2,201 ,14ec 238 203 123 1,4ot 

,,kl&-,-------mm 102 218 69: 

Oregon----------- xi;

7:695 %i % 61 5; 44: 

Pennsylvania------ 33,052 2,865 ,692 3:: 

15 

244 166 q Rhode Island------ 3,480 271 321 13 10 

South Carolina---- 30( 356 

South Dakota------ % 31s 121 ;; 

Tl?lUleSSee--------- 5'498 241 546 li Teas------------- 281684 1,04( ,88L 121 Utah -_-- _- -_-___-_ 2,344 10: 191 3c 

564 “ermont----------- 2,095 231 21 1:r 1,684 Virgj,*ia---------- 6,046 51: :z 5i 

Washington-------- 10,427 1,031 141 137 ;; 2,;:~ 

WestVirginia----- 1,437 1OI 

Wisconsin--------- 17,;;; 1,49(3I 

24; i 

13: 

i 

'$4 

'Includes administrators. 

30 
-- 

Table 4. Number of employees and number of full-time equivalent employees in nursing homes, by job category, type of service, and 

type of ownership: United States, April-September 1968 

T Job cate&xy 

Type of service 

provided by the TOtal Li- OCCU- Recre- Medical Other NfJll­ home and type of employ- Regis- tensed Dieti- pa- 'g;; ation record :$;'a;1 ;g:;;: prefes- N;fw~'s pi-of%­ ownership ees tered prac- tional li­ nurse tica tian thera- thera- thera- brar- worker pist ",'9- sronnurs I? pist pist pist ian a1 

Full- and part-time employees 

All homes--- i53,879

- 8,189 5,098 6,368 - - 4,817 2,570 2,780 - 1,156 27,200 239,922 164,799 

proprietary------- 176,161 6,236 3,527 4,668 3,564 1,834 2,042 978 16,957 174,887 96,397 

Church and other

nonprofit-------- I .29,461 9,543 9,209 1,518 1,205 1,251 948 542 536 133 7,801 45,302 51,474 

Government-------- 48,257 3,319 3,835 436 367 450 306 195 201 45 2,441 19,734 16,929 

Nursing care-- 1,41,242 36,416 40,308 6,540 4,306 5,669 3,926 2,248 2,356 1,087 19,834 200,303 118,250 

proprietary------- : 126,906 27,521 31,380 5,310 3,184 4,412 3,153 1,703 1,828 938 14,095 154,176 79,205 

Church and other

nonprofit-------- 76,815 6,054 5,768 921 819 912 557 394 372 109 4,126 30,153 26,631 

Government-------- 37,521 2,841 3,159 310 303 345 216 151 155 39 1,613 15,974 12,414 

Personal csre with nursing- 87,981 5,582 6,483 1,168 628 624 635 232 307 51 5,308 32,174 34,790 

Proprietary------- 32,408 1,905 2,792 566 213 200 221 80 124 24 1,574 15,068 9,640 

Church and other 

nonprofit-------- 47,915 3,305 3,164 522 369 333 354 136 151 21 3,200 14,210 22,150 

Government-------- 7,658 373 527 80 45 91 60 16 32 5 534 2,895 3,000 

Personal care- 24,656 844 1,346 482 164 75 256 90 117 19 2,058 7,446 11,758 

Proprietary-----;- 16,847 554 920 360 130 56 190 51 90 15 1,288 5,643 7,551 

Church and other 

nonprofit-------- 4,731 185 277 76 17 5 36 12 14 3 475 939 2,692 

Government-------- 3,078 105 148 46 18 14 30 28 14 1 294 864 1,515 

Full-time equivillent employees 

All homes--- 183,726 34,494 42,567 4,437 3,294 1,889 1,758 624 24,568 216,672 144,303 - - - - -

128,192 =I=== 24,118 30,823 3,174 2,399 1,318 1,222 525 15,429 158,535 84,100 

Church and other

nonprofit-------- .11,432 7,5%5 8,190 912 672 407 382 73 6,922 39,824 44,500 

Governm.ent-------- 44,102 2,790 3,553 351 223 163 155 26 2,217 18,313 15,703 

Nursing care-- 186,074 29,422 35,592 3,950 2,686 1,645 1,471 584 17.896 181,441 104.138 -~-

proprietary------- !85,585 22,186 27,524 2,995 2,115 1,226 1,086 503 12,816 140,025 69,546 

Church and other 

nonprofit-------- 66,132 4,855 5,124 685 408 295 266 60 3,627 26,587 22,988 

Government-------- 34,357 i 2,381 2,943 270 163 124 118 21 1,453 14,829 11,604 

Personal care with nursing- 76,573 4,406) 5,774 g12 / 439 429 440 169 214 4,821 28,644 30,296 

Propietary-------- 28,219 1,506 2,471 445 149 135 158 53 80 1,463 13,492 8,252 

Church and other 

nonprofit-------- 41,293 2,579 2,820 399 252 224 240 104 106 2,864 12,429 19,265 

Government-------- 7,061 321 483 67 38 69 42 12 28 494 2,723 2,780 

Personal care- 21.078 415 103 58 169 75 74 1.852 6,587 9.869 

Proprietary------- 14,388 310 80 43 126 40 55 1,150 5,018 6,303 

Church and other 

nonprofit-------- 4,008 67 12 3 24 8 10 432 807 2,247 

Government-------- 2,683 38 11 12 18 27 9 270 762 1,319 

'Includes administrators. 

3.1 
Table 5. Total number and number per 100 residents of full-time equivalent employees and fulltime equivalent nurses,by type of service and type of ownership: United States, April-September 

1968 

[Figures msy not add to totals due to rounding from weighting procedure. See appendix II for detaild 

Total employees 

Type of service Type of ownership 

provyxIeby the 

Full-time equivalent employees 

All types--- 483,726 328,192 

Nursing care------ 386,074 285,585 

Personal care 

with nursing----- 76,573 28,219 

Personal care----- 21,078 14,388 

Full-time equivalent employees 

per 100 residents 

Nursing1 employees 

Type of ownership 

II I I 

Full-time equivalent nurses 

293,733 213,476 

246,455 189,735 36,566 20,153 

38,824 17,469 17,828 3,527 

8,454 6,273 1,204 

Full-time equivalent nurses 

per 100 residents 

All types--­ -

Nursing care------

Personal care 

with nursing-----

Personal care----­

59 II 60 I 58 1 57 36 

Ii 

65 64 70 64 42 

48 49 49 42 24 

35 35 34 34 14 

lIncludes RN’s, LPN’s, and nurse’s aides. 

32 

977 
Table 6. Number of nursing homes, by type of charge nurse on duty for each shift, type of service, and type of ownership: United States, April-September 1968 

[Figures msytiotsdd to totalsdue to roundingfrom weighting procedure. SeeappendixII for detnils] -

Type of charge nurse on each shift 

Homes with one shift T Homes with two shifts 

Type of service pro- Total vided by the home Both and type of ownershiI homes Li- Both li- Both Both All Regis- zensed Wrse's Other regis- :ensed nurse's other other tered 3rac - :/ nurse kical aide nursing tered )rac - aides nursing combina­ staff nurses rical staff tions mrs e Iurses 

All types of service------- 19,533 132 195 243 1,411 114 136 166 242 184 

Proprietary---------- 15,110 9i 142 172 1,047 87 114 128 170 138 

Church and other non- p*ofit-------------- 2,952 32 36 18 123 23 16 13 21 30 

Gove-ent----------- 1,471 8 17 54 240 4 7 24 51 16 

Nursing care--- 11,299 . 44 40 13 74 59 12 B 76 

Proprietary---------- 9,404 40 39 12 63 54 12 # 63 

Church and other non- profit--------------

Gove-e*t-----------

1,326 

568 

3 

11 

I/ 

I/ 

B 

I/ 

10 

I/ 

I 

$1 # 

10 

If 

Personal care with nursing-- 3,877 d 36 44 49 142 29 34 46 40 33 

Proprietary---------- 2,392 11 28 38 100 15 21 32 27 20 

Church and other non- profit-------------- 1,169 22 11 Ii 17 13 10 5 # # 

Gove-ent----------- 316 I/ 4 9 26 11 3 9 8 5 

Personal care-- 4,357 52 111 186 1,256 11 43 108 200 75 

Proprietary---------- 3,314 41 75 126 935 8 39 84 142 55 

Church and other non- profit-------------- 457 7 25 16 106 B I/ 8 17 11 

Gove-ent----------- 586 3 12 44 215 B # 16 42 8 

See note at end of table. 
- ----- --- 

--- 

Table 6. Number of nursing homes, by type of charge nurse on duty for each shift, type of service, and type

of ownership: United States, April-September 1968-Con. 

FiKuws maynot add to totals due to roundingFromxrighting procedure.SeeappendixI1 for detail4 

Type of charge nurse on each shift-Con. 

t- Homes with three shifts 

Type of service pro- I I I I vided by the home 

and type of ownership All All All Regis- icensed) I 

regis - licensed All other tered 

tered prac- nurse's nurses 

nurses staff 3 shifts 

I I I I 

All types of 

service------- 2,969 1,631 1,515 1,214 2,740 3,445 .2,084 1,111 

Proprietary---------- 2,050 1,373 1,248 961 2,057 2,822 1,661 850 

Church and other non- profit-------------- 702 167 137 IdO 560 474 297 204 

nurses tical aides nursing for 2 of 

Government _- 218 91 131 153 123 150 127 57 

Nursing care--- 2,548 1,089 198 40 2,289 2,832 1,249 723 

Proprietary---------- 1,911 988 177 33 .,854 2,459 1,079 610 

Church and other non- profit------ --,--- 457 54 11 d 328 261 103 a2 

Gove-ent----------- 180 47 10 # 107 112 68 31 

Personal care with nursing-- 378 345 641 309 390 506 568 286 

Proprietary---------- 110 231 523 252 162 283 370 170 

Church and other non- profit----------....-- 233 89 67 20 218 195 157 98 

Gove-e*t----------- 35 25 51 38 11 

Personal care-- 43 196 676 865 61 

I 

Proprietary---------- 42 

Church and other non- profit-------------- 14 

Gove~me*t----------- 5 

-

#Data suppressed to comply with confidentiality requirements. 

34 
Table 7. Number of nursing homes, by type of charge nurse on duty for each shift, geographic region, and 

type of service: United States, April-September 1968 

[

Fiyres maynot nddto totnls due to roundinr fromaei@tina procedure. SeeappendixII for details) -

Tr Type of charge nurse on each shift 

Geographic region Homes with one shift T Homes with two shifts 

and type of service Total provided by the homr homes Both Ii- Both li- Both Both All Regis- tensed Nurse’s Other regis. censed nurses's other other tered prac - aide nursing tered prac- aides WXCllg combina­ nurse tical 

nurse staff nurses tical staff tions nurses 

United States-- 19,533 132 195 243 1,411 114 136 166 242 184 

Nursing care-------- 11,299 44 40 # 13 74 59 12 I 76 

Personal care with nursing--L--------- 3,877 36 44 49 142 29 34 46 40 33 

Personal care------- 4,357 52 111 186 1,256 11 43 108 200 75 

Northeast------- 4,479 37 49 27 286 27 16 27 43 39 

Nursing care-------- 2,696 4 5 % B 14 4 il 7 

Personal care with nursing------------ 795 15 9 6 25 7 3 3 4 12 

Personal care------- 989 18 34 19 260 5 8 23 39 19 

North Central--- 6,333 38 45 54 244 44 63 53 51 52 -

Nursing care-------- 3,800 18 14 # # 37 37 8 33 

Personal care with' nursing------------ 1,532 11 11 16 29 6 16 19 11 11 

Personal care------- 1,001 I 20 38 212 :I 11 26 40 8 

South __a-_ mm m-m_ 4,468 28 33 53 274 24 35 31 37 40 

Nursing care-------- 2,938 17 13 4 4 14 13 t # 23 

Personal care with nursing------------ 857 6 11 11 40 8 12 11 8 3 

Personal care------- 673 # 9 37 230 # 11 18 26 14 

4,253 30 67 109 607 19 22 55 111 53 

Nursing care-------- 1,865 6 8 B # 9 4 # 12 

Personal care with nursing------------ 693 4 13 16 49 7 4 13 16 7 

Personal care------- 1,695 20 47 92 554 3 14 41 96 34 

#Data suppressed to comply with confidentiality requirements. 

35 
------------- 

type of service: 

Table 7. Number of nursing homes, by type of charge nurse on duty for each shift, United States, April-September 1968-Con.geographic region, and 

F~gurrsmnynotaddLOtotalsdueto roundingfromweightingprocedure.SeeappendixII for d&nils] C, 

-

Type of charge nurse on each shift-Con. 

Geographic region F Homes with three shifts 

and t e of service 

prove*Ped by the home 

All All All prac- Regis- Licensed Nurse's

regis- licensed All other tered tical aides All &her 

nurses staff zh:fot: 3 shifts 

I I I I 

United States-- 2,969 1,631 1,515 1,214 2,740 3,445 2,084 1,111 

Nursing care--------- 2,548 1,089 198 40 2,289 2,832 1,249 723 

Personal care with

nursing------------- 378 345 641 309 396 506 568 286 

Personal care-------- 43 196 676 865 61 107 267 101 

Northeast-------- 1,106 410 193 249 806 748 211 207 

Nursing care--------- 958 238 20 14 665 579 83 100 

Personal care with

nursing------------- 132 101 52 30 124 131 71 69 

Personal care-:------ 16 70 121 205 17 38 57 38 

North Central---- 811 537 620 285 903 975 1,057, 500 

Nursing care--------- 658 393 86 5 724 770 667 346 

Personal care with

nursing------------- 144 104 294 77' 164 181 311 127 

Personal care-------- 8 40 240 203 15 25 79 27 

I I 

South-------- mm_.. 476 471 346 199 523 1,132 498 268 

Nursing care--------- 430 359 59 6 456 993 344 199 

Personal care with

nursing------------- 42 87 184 73 61 126 117 56 

Personal care-------- 3 25 102 121 7 13 37 13 

tered prac- nurse's nursing nurses nurses for 2 of combinations 

nurses tical aides for 2 of 3 shifts 

p&t 577 212 357 481 508 590 318 136 

Nursing care--------- 490 155 79 

Personal.care with

nursing--.---------- 68 69 34 

Personal care-------- 32 94 23 

36 
Table 8. Number of nursing homes and number of residents, by type of service, type of ownership, and bed size: United States, April-September 1968 

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

Type of service provided by the home, type of ownership, and bed size 

All types of service 

All types of ownership -----_-_-__-_-__---_-----------

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

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

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

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

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

50-99 beds -----------_------------------------------------- 100 beds or more ------------_----_-------------------------

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

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

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

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

Gove-ent--------------------------------------------­

&SS than 25 beds------------------------------------------

25-49 beds --_---------------------------------------------- 50-99 beds---------------L---------------------------------

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

Nursing care 

All types of ownership _-----_----_---_-_-_-----------

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

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

100 beas or more-------------------------------------------

Proprietary --------_-_--------_------------------------

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

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

50-99 beds ------------_----_------------------------------- 100 be& 01: more-------------------------------------------

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

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

25-49 beds ---------_--------------------------------------- 50-99 beds-------.------------------------------------------

100 be& or more-------------------------------------------

Gove-ent---------------------------------------------

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

25-49 beds -------------_----------------------------------- SO-99 beds-------------------------------------------------

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

HOTlbSS Residents 

I 

19,533 813.335 

I=== 

89,914 

%%

315;332 

15,110 544,489 

6,577 76,167

131,943 2z 176,671 11397 159,709 

2,952 190,798 

8,045

22,340,

54,270

106,144 

1 1,471 78,047 

5,703

8,170

14,696

49,479 

11,299 593,622 

2,366 34,736 

?;z EE 

1:868 2381871 

9,404 445,425 

31,341

105,951 

3% , 

94,841 

53,356 

952 

4,325

9,980

38,098 
------------------------------------------ 

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

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

Table 8. Number of nursing homes and number of residents, by type of service, type of ownership, and bed size: United States, April-September 1968-Con. 

[Figures may not add to totals due to rounding from weighting procedure. See appendix II for detail4 

Type of service provided by the home, Homes Residents type of ownership, and bed size 

Personal care with nursing 

All types of ownership _------_----_------------------

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

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

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

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

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

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

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

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

1,;;; 21;670

27,415 657

527 ;x , 

2,392 57,938 

1,523 18,182

550/ 17,005

13,279 ‘2 9,473 

Church and other nonprofit----------------------------- l 1,169 84,204 

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

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

SO-99 beds-------------------------------------------------

100 be& or more------------------------------------~------

GoverNne*t------------r----------------------------------

Less thsn 25 beds

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

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

100 be& or more---------------------------------------~---

Personal care 

All types of ownership --_-----------_----------------

Less than 25 beds

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

SO-99 beds ----------_-------------------------------------- 100 be& or more-------------------------------------------

Proprietary 

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

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

SO-99 beds-------------------------------------------------

100 beds or more --_-------_c-------------------------------

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

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

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

SO-99 beds-------------------------------------------------

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

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

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

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

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

100 beds or more -_---------"_-------_________________L__---

158 2,317 

263 8,483 361 21,+75 387 51,929 

316 1 16.871 

1,172

1,927

3,469

10,303 

4,357 60,699 

I 

3,654 Es655058 ‘lt3 7:780

43 4,756 

3,286

3,752

2,636

2,080 

586 1 7,820 

481 3,578 68 :%z

fi 1:078 

38 
-------------------------------- 

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

Table 9. Number of nursing homes and number of residents,by geographic region and type of service: United States, April-September 1968 

@igures may not add to totals due to rounding from weighting procedure. See appendix II for details] 

Geographic region and type of service provided by thehome Homes Residents 

United States ----_------_--------___________________ 813,335 

I==== 

Nursing care -_--_------------_--____________________------ 11,299 593,622 

Personal care with nursing _------_------------------------ 3,877 159,013 

Personal care ----------------_---------------------------- 4,357 60,699 

Northeast ----L---------------------------------------- 4,479 195,709 

Nursing care ------------------_--------------------------- 2,696 146,105 

Personal care with nursing 795 ,34,238 

personal care--------------------------------------------- 989 15,367 

North Central --_-----_-------------------------------- 6,333 287,572 

Nursing care --------------_-_----------------------------- 3,800 197,778 

Personal care with nursing ----------------_--_------------ 1,532 70,808 

Personal care -------------_------____________________----- 1,001 18,9,86 

south ----------_-_------------------------------------ 4.468 190.508 

Nursing care---------------------------------------------- 2,938 149,887 

Personal care with nursing 857 31,834 

Personal care ----_-----------__--____________________----- 673 8,787 

4,253 139,546 

Nursing care --_-_--__---------_--------------------------- 1,865 99,852 

Personal care with nursing --------------_----------------- 693 22,134 

Personal care ----_-_----------_--------------------------- 1,695 17,560 

39 
APPENDIX I 

TECHNICAL NOTES ON THE SURVEY DESIGN AND PROCEDURES 

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. Although it was directed toward the 

aged institutional population, 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 II) 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 III), 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.2”>24 The MFI includes the names, 

NOTE: The list of references follows the text. 

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. 

Since the MFJ serves as a sampling frame for 

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 information on new institutions. This information is incorporated in the MFI at regular intervalsL A report on 

the origin and development of the AR.5 has been published.a5 

Data Collection and Processing 

Data for this survey were collected primarily by 

mail by the Wolf Research and Development Corporation, under conpact to the National Center for Health 

Statistics. When the original mailing received no response, followup procedures consisted of three regular 

first-class mailings, each approximately 3 weeks after 

the prior mailing, and a final certified mailing. Before 

the certified mailing, interviewers from the U.S. Bureau of the Census made personal visits to 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, were selected for 

telephone followup. 

Approximately 22 percent of the 18,185 homes 

in scope of the survey responded to the original mailing. The three additional first-class mailings added 

39 percent, and the certified mailing plus the Census 

40 
personal interviews 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 certain key 

items, a further mail inquiry was made specifically 

for these items. Approximately 10 percent of the rdturned questionnaires did not pass editing criteria for 

one or more key items and required this “fail-edit” 

mailing. (See appendix V for the fail-edit form.) 

After the edited and coded data were recorded on 

magnetic tape, the staff of the Health Facilities Sta: 

tistics Branch processed the data on the Center’s 

electronic computer. Processing includedmatching each 

institution with basic identifying information contained 

in the 1967 MFI Survey as well as carrying out 

internal edits and consistency checks to eliminate 

%npossible” responses and errorsin editing,coding, 

or processing. 

-00 

Table 1. Number and percent distribution of 

nursing homes by response status and size of 

home: United States, April-September 1968 

[Due to rounding to nearest percent, subtotals may nqt add to 1Od 

pestionnaires ercent Percent 

mailed ques- quesSize. of home tion- tionxaires laires 

lumber Per- re- lot re- cent iurned turnedAll 

homes-- -8,185 100 87 

Less than 25, be,&--------- 7,778 43 35 

25-49 beds---- 4,719 26 23 

50-99 beds---- 3,935 22 20 

100 beds or 

more--------- 1,753 10 9 

. 

41 

13 
APPENDIX II 

QUALIFICATIONS OF THE DATA 

Certain qualifications should be kept in mind regarding the MFI, which was the universe for the 1968 

Nursing Home Survey. The data in this report can be 

no more representative of nursing homes in the United 

States than the universe upon which the survey was 

based. The 1967 MFI Survey included approximately 

89 percent of the nursing homes in the United States. 

Indications are that nursing homes 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. Nursing homes, i.e,, homes for the aged, rest homes, and 

related types of places, were classified according to 

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 ofnursing 

home or other institutions of this type. 

Since the 1968 Nursing Home Survey was a census 

of “all” nursing homes in the United States, the data 

presented in this report are not subject to sampling 

variability. The data are, however, subject to reporting 

errors and measurement errors. The accuracy of the 

data depends on the dependability of personnel and 

business records and, to some extent, on the accuracy 

of the respondent’s replies based on his memory and 

his 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 enclosed. (See appendix V for this sheet.) 

Time Interval Between. Establishing Universe and 

Conducting 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 1’968 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 timeperiod, 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 establishing the 

universe and conducting the 1968 survey, 399 nursing 

homes closed and 1,355 nursing homes opened for 

business. ‘Those which opened for business were not 

included in the 1968 survey because of a time lag 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 included in the 1968 survey, 

the data from the 1968 survey were weighted 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 all, 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 1,355 homes 

42 
are presented according to type of ownership and bed 

size, (table II) and type of service (table III). By type 

of ownership, the majoriq of new nursing homes (79 

percent) were proprietary (table II). By type of service, 

the majority (72 percent) were those providing nursing 

care, the highest level of nursing service (table III). 

Table II. Percent distribution of nursing homes 

opened for business between April-October

1967 and April-September’ 1968 by type of ownership and bed size: United States 

[Due to rounding, subtotals may not add to 100 percenq 

Nursing homes opened

Type ofbzn=;;Fp and for business betweefi 

April-October 1967 and 

April-September 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 

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 or more-------

By number of beds, the largest group (37 percent) were 

those with less than 25 beds (table II). 

The weight for each weighting clas$ was calculated 

according to the following formula: W,=l+g -% 

c 

where W = weight 

c = weighting class 

X = number of newly opened homes 

Y = number of in-scope homes in the 

1968 survey 

Table III. Percent distributionofnursing homes 

opened for business between April-October 1967 and April-September 1968% type of service: United States 

hue to rounding,subtatals may not add to 100 percend 

Type of service Nursing homes opened for business between provipdeeby the 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 

Weights were assigned to each nursing home according to the weighting class of that home. The 1968 

survey information was then weighted by multiplying 

the weight times the data. Thus data in this report 

represent 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 ilistitutions comprisingthe universe 

of nursing homes, 673 were found to be either out of 

business, out of scope, or duplicates leaving 18,185 

homes in scope of the survey. A total of 2,375 nursing 

homes, or 13 percent, refused to respond to the survey 

after all followup procedures were completed. Additional 

information on the response rate is presented in table I 

of appendix I. 

Statistics in this rbport were adjusted for aninstitution’s nonresponse by using classification data collected in the 1967 MFI Survey for that particular nursing home and imputing all items. When nursing homes 

did not return questionnaires or left items blank, the 

items were imputed in one of four ways. A “no” re43 
sponse 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 for a particular home had 

been collected in the 1967 MFI Survey, they were used. 

The items imputed in this way werenumber of full-time 

registered nurses, number of full-time licensed practical nurses, and total ‘number of residents. If the 

missing data had not been collected in the 1967 MFI 

Survey, data wereusedfrom the preceding questionnaire 

from another nursing home having the same type of 

service (nursing care, personal care with nursing, and 

personal care) and bed-size group (less than 25 beds, 

25-49 beds, SO-99 beds, 100 beds or more). Items 

imputed this way 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 charge 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 this 

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, andnumber of patients 

receiving medical assistance benefits. 

For all items appearing’in this report, the percent 

of nursing homes with a particular item imputed for 

.-000 

unknown responses ranged from 23.0 percent for number of residents to 26.7 percent for employees in selected occupations (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. 

The higher percent of homes with employees imputed as compared to the other items may be due to 

the unwillingness of the respondent to take the time to 

gather information from business records in the detailed 

breakdowns requested. 

Table IV. Percent of nursing homes with partic­ ular items imputed for unknown responses for 

1968 Nursing Home Survey by type of item 

Type of item Percent 

I imputed 

Number of residents------------- 23.0 

Level of skill of the charge 

nurse on each shift------------ 24.6 

Number of employees in selected occupations-,-------r------L,-, 26.7 

44 
--- 

APPENDIX Ill 

DEFINITIONS OF CERTAIN TERMS USED IN THIS REPORT 

Definitions of terms are listed according to the 

following areas: homes or residents, employees, and 

demographic classification. 

Terms Relating to Homes or Residents, 

Nursiw home.-This term refers to all institutions 

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 the classification of nursing institutions according to type of 

service provided by the home. 

Type of ownership.-Institutions are classified by 

type of ownership according to the following criteria: 

$%prietary institition. -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-churchrelated institutions. 

Government-owned in&it&on.-An institution operated under Federal, State, or local government 

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 Employees 

Employee.--This term refers to any person who 

worked in the institution at the time of the survey. It 

includes any paid worker, proprietor, or member of a 

religious order who contributes his service. 

Full-time ,-Employees who worked 35 hours or 

more in the week prior to the survey are designated 

“full-time.” 

Fwt-time.- Employees who worked less than 35 

hours in the week prior to the survey are designated 

7’part-time.f’ 

Full-time equivalent.-For the purposes of the 

report, two “part-time” employees are counted as 

equivalent to one “full-time” employee. 

Job categories.-Refer to the ‘Definition Sheet” 

in appendix V. 

Chwge nurse.-The person who is actually in 

charge of the nursing acdvities,(that is, on the premises and routinely serving the patients) for that shift 

in the home. It does not mean the person who employs 

the nursing staff, such as the owner or administrator, 

unless this person also supervises the nursing activities. 

Terms Relating to Demographic Classification 

Geoflaphic 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: 

Regkxz 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 ---------- L Delaware, Maryland, District of 

Columbia, Virginia, West Virginia, 

North Carolina, South Carolina, 

Georgia, Florida, Kentucky, 

Tennessee, Alabama, Mississippi, 

Arkansas, Louisiana, Oklahoma, 

Texas 

West _-__- _____ Montana, Idaho, Wyoming, Colorado, 

New Mexico, Arizona, Utah, Nevada, ~. 

Alaska, Washington, _Oregon, 

California, Hawaii 

45 
APPENDIX IV 

CLASilFlCATlON 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 Jn the 1967 Master Facility Inventory 

Survey (MFI). (A brief description of the MFI is given 

in appendix 1 and pertinent parts of the 1967 MFI 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 the 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 the staff. 

3. Whether or not the institution provides administration of medications or supervision over selfadministered medications. 

4. Assistance in a certain number of activitiesfor 

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 

l Fifty percent or more of the residents received 

nursing care during the week prior to the survey. 

s At least one full-time (35 or more hours per week) 

registered nurse (RN) or licensed practical nurse 

(LPN) was employed. 

Personal care with nursing home 

a Some, but less than 50 percent, of the residents 

received nursing care during the week prior to the 

survey. 

s At least one full-time RN or LPN was employed. 

or 

l Some of the residents received nursing care during the week prior to the survey. 

l No full-time RN or LPN was employed, 

s The institution either 

Provided adminstration of medicines or supervision 

over self-administered medicines. 

or 

Provided assistance with three or more activities 

for daily living. 

Pevsonal care home 

l Some of the residents received nursing care during the week prior to the survey. 

l No full-time RN or LPN was empIoyed. 

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 

l None of the residents received nursing care during the week prior to the survey. 

l At least one full-time RN or LPN was employed. 

l The institution either 

46 
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 Classification criteria 

Percent of total residents who received nursing 50 percent or more Some but less than None care during the week prior to day of survey I I 50 percent I 

Number of registered or licensed practical nurses I If None None I o+ 

Does the institution provide: (a) Administration of medicine or treatments 

according to doctor's orders . . . No 

(b) Supervision over ssf-administered 

medicine? 

Does the institution offer assistance with 

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 

T 

T 

Pen Pen PC D Pen Pen Pen PC D PC 

'NC-Nursing care home 

Pen-Personal csre with nursing home 

PC-Personal care home 

D-Domiciliary care home (out of scope) B-Boarding or rooming house (out of scope) 

ooo47 
APPENDIX V 

FORMS USED IN THE SURVEY 

1968 NURSING HOME QUESTIONNAIRE 

BUDGET BUREAU NO. SSS-69017 FORM PHSdLIYO 

APPROVAL EXPIRES S-3168 116sl 

U.S. DEPARTMENT OF HEALTH, 

EDUCATION AND WELFARE 

PUBLIC HEALTH SERVICE 

NATIONAL CENTER FOR HEALTH 

STATISTICS 

WASHINGTON, D.C. 

20201 

NURSING AND PERSONAL CARE 

FACILITIES SURVEY 

I 

March 1968 

I Dear Sir: 

The National Center for Health Statistics (NCHS) of the U.S. 

Public Health Service is conductihg a survey of all resident facilities providing nursing and personal care to obtain basic data on 

their policies, services and staff. This program is being conducted 

as a part of the U. S. National Health Survey. This information 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 bf Congress, State legislatures, Federal, regional 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 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. 

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, 

Theodore D. Woolsey 

Director, 

National Center for Health 

Statistics 

48 

I 
GENiRAL INSTRUCTIONSFOR COMPLETINGQUESTIONNAIRE 

a. ANSWERALL QvEsnoNS, plcuc. Definitions and instructions.ue givenwith the questionswhen needed. 

b. INCLUDE IN THIS REPORT information for the facility named in the miling label or for its ~~ccessor if the 

name or owner has changed. Include ieferumtion for ONE FACULTY ONLY, but report for the ENTIRE fad­

&J, inchn3ng any sub-units. 

L RETURN TIiB COMPLETEDQUESTIOhWAIREin the postappaid envelopeprovided, to: 

National Centerfor lie&h Stltitia, P.O. Box 348. Bkadcnsburg,Maryland 20710. 

4. OWNERSHIPOF FACILITY 

1. When did this facility first begin its operation at 

Tll1.S AUDRBSS? .(C(VE the date it firot opened at 

this addrees as a nuroing home, convnZasccnt home, 

etc., e”cn though the ooncrship OF controZ may have 

since changed, and the cpccific services may now be 

differcnt.J 

2. How many times has the ownership of this facility

changed hands since it was first opened at this 

address? 

3. h’hcn did this facility first begin its operation

under its PRESENT OWNERSHIP? 

I. ADMISSIONPOLICY 

4. As a general policy, do you accept the following types of persons? 

(Mark (XI “Yes” or ‘rNor’ for each item. J 

a. Bedfast patients . . . . . . . . . . . . . . . . . . . . . . . . . . b. Post surgical recovery patients . . . . . . . . . . . c. Patients transferred from psychiatric facilities fsuch a8 mental hospital or 

clinic, etc.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

d. Mentally retarded patients . . . . . . . . . . . . ..d. e. Persons with: 

(1) Ucart disease . . . . . ..I................ 

(2) 111 effects of a stroke . . . . . . . . . . . . . . (3) Diabetes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (4) Fractured hips . . . . . . . . . . . . . . . . . . . . . . . (5) Crippling arthritis . . . . . . . . . . . . . . . . . . (6) Cancer . . . . . . . . . . . . . . . . . . . . . ..%....... 

17) Blindne<< . . . . . . . . . . . . . . .. . . . . . . . . . . . . . (8) Alcoholism . . . . . . . . . . . . . . . . . . . . . .._... (9) Mental illness (that is, diagnosed 

by a physician as mentalty iZZ, not 

senite OP mcntatly rctapdedJ . . . . . . . . . 

5. What is the minimum age for admittance into this 

facility? 

6. What is your most frequent, your highest, and 

your lowest charge per month for lodging, meals. IlfT’ pi 

nursing care. and other personal services? 

Qlargc per month 

l”kM Payme”t,u‘e care plan 

a. If you do not make monthly charges, El 

please check the appropriate box. 

I Other (.s!xci‘y) q 

7. Arc all pa-sons admitted to this facility required to 11~ examined r-1 

by a physician within the month prior to or after admission? I 

L-A

1.0 Yes 2-0 No (Skip to 8) 7 Patle”t5 personalPhYSlclan 

a. Which of the following. types of physi- cian usually performs the admittxng HoIpltal Shff PhY5lclan

cxnmination for most patients? 

(Check ONE hot only.1 , Staff physlda” Of tie facllltY 

Consulting phwcu” Of thlr faclw 

mile, ISPecifY) 

49 
C. SERVICES 

8. Does a physician give a routine physical examination 

to all patients at least annually after admission? . . . . . . . . . . . . . . . . 

9. Which of the following recreational activities do you have 

for par ients? (.\lork (S) ull thut upply.) 

.irt, md craft, prognm . 

Planned so&l xtivilics (such 01 birth&y porrirr, cardgamrs. rtc.) 

‘Trip, to c”nccrtI. play,. CIC. . . 

Other (Sprci/rl 

Sonc. . . . . . I . . 

D. Does this facility provide professional rehabilitation services at this address? 

1. Do your patients use any services of out-patient care clinics? 

:--’ Yes 0 No 17 (Skip to 12) I

.---A ’

7 Phykal therapy 

Diagnostic clinic a- Check the toes of services your patients use..... Medical clinic 

Other (Spccifr) 

D. PATIENT TURNOVER AND CHARACTERISTICS 

t 

2. How many admissions did you have during 19671 

a. how many qf the admissions during 1967 were from: Total 

(1) Mental hospitals..................... 

(2) General hospitals.................... 

(3) Other hospitals...................... 

(4) Patient’s home....................... 

(5) Another nursing home................. 

(6) Other places (Specify) 

3. How many discharges did you have during 1967, NW”LWJ Total 

excluding deaths? 

a. How many of these patients discharged were Number 

admitted during 1967? 

4. How many persons died during 1967 while patients of 

this facility? (Include all who died while on your qijter.) 

5. What was your patient census last night? (Include 

all patients, even though they may have been temporarily 

away; exclude employees and proprietors.) 

6. Do you participate in any of the Federal or State public assistance 

or medical assistance programs? (This includes Old Agr .4ssistnncr. Aid to thr 

Blind, Aid to the Pc*rmanently and Totally Disabled. .4id to Families with Dcpctldcltt 

Children. Mcdicoid (XIX), or Medicare (Title XVIII).) l----l

I , I

L---l , 

1.0 Yes 2. 0 No (Skip to 17)

7 a. How many patients are currently receiving Public Assistance 

or Medical Assistance? (Include all programs EXCWf hlcdicarc.) 

b. For how many patients ate you NOW RECEIVING Medicare 

(Part A) payments? 

C. For how many patients are you NOT NOW receivi.ng Medicare (Part 

A) payments because they have exhausted their benefit rights? Number 

50 

I 
Yes 

E. STAFF 

17. Is thcrc at least one Regirtercd Nurse (RN) QN DUTY (that is, on the premises and routinely serving the 

patients) for EVERY shift? l---l 

YCSU (Skip to 19) cl (Answer 18) LA 

18. Please check the box that indicates the level of skill of the “charge nurse” who is ON DUTY (that is, 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.) 

I Shift No. 1 1 Shift No. 2 0 No such shift 1 Shift No. 3 q No such shift 

&J--J RN a. 0 RN a. 0 RN 

b. U LPN b. a LPN b. 0 LPN 

c. 0 Nurse’s Aide c. u Nurse’s Aide c. 0 Nurse’s Aide 

d. 0 Other (Specify)- d. 0 other (Specify)- d. U Other (Specifr)w.­

19. Does this facility employ P full-time staff physician for the NO (Skip to 194 

care of the paricnts?. . . . . . . . . . . . . . _ . _ . . . . . . . . . . cl 

I YCS 

P 

How many are employed? 

Erl 

Numbs 

a. Doer this facility have an At rcgdar intervals (Skip to 20) 

arrangement with a physician 

to come to this facility? When needed, but NOT at (Skip to 20) 

(AJurk (X), one only.) . . . . . . . . . . . . 

.Vcithcr of the above 

b. Does this facility have an arrangement with ai

physician 

n HIS office 

to give 

. . 

medical 

. . . 

arc 

. . . 

TO 

. 

the 

. . 

patients 

. . . . . _ . . . . . , . . . . . . . . . . No’ q 20. Please cnrcr the number of full-time and part-time employees in this facility. (Full-time means 35 or more 

hours a uwk.) Count each cmployec only once, in the occupation at which he spends most of his time. Also 

include all members of religious organizations who contribute their services. (Please consult the encbsed 

of Eq&yws to determine the appropriate ckmifcation of personnel.) 

Name of person camplctinp this form Date of Completion 

Tick Phone number of this facility 

-51. 
nrartqre --- 

DEFINITION SHEET 

DEFINITIONS OF EMPLOYEES 

Professional and Technical Nursing Personnel 

1. Registered nurse - a graduate of a State-approved school of professional nursing who is 

currently licensed as a registered nurse (R.N.) or is awaiting licensure to.- IF------- in 

your State; i.e., a recent-graduate of a schooi of professional nursing, or a graduate 

nurse licensed in another State who recently moved to your State. 

2. Licensed practical/vocational nurse - a graduate of a State-approved school of practical nursing who is currently licensed as a licensed practical or vocational nurse (L.P.N. or 

L.V.N.) or awaiting licensure to practice, or an individual granted a license by waiver 

on the basis of experience or endorsement rather than upon completion of a prescribed course of study. 

3. Nursing aide, orderly, and attendant - one who assists the nursing staff by performing routine duties in caring for patients, under the direct supervision of professional or 

practical nurses. 

Other Professional and Technical Personnel 

4. Dietitian - one who plans nutritionally adequate menus, including modified diets, and 

supervises the preparation and service of meals for patients and personnel. Report only those dietitians who meet the educational qualifications of the American Dietetic 

Association. 

5. Occupational therapist - one who selects and directs physical, educational, social, and 

dally Living activities designed to meet specific needs of mentally or physically disabled patients. 

6. Occupational therapy assistants - those who work under the supervision of the occupa­ tional therapist. Duties may include instructing patients in manual and creative arts 

and making special orthopedic devices such as spltnts and braces. 

7. Physical therapist - (report only those registered by the American Physical Therapy Association.) 

a. Physical therapy assistants - (report all other persons.engaged in physical therapy service.) 

9. Recreation therapist - one who develops programs involving sports, crafts, trips, and 

music for rehabilitation and restoration of patients. 

10. Registered medical records librarian - (report only those registered by the American 

?%ssociation of Medical Records Librarians.) 

11. Other medical records librarians and technicians - (report all other persons engaged in 

medical records work.) 

12. Medical social worker - one who is professionally trained in a school of social work or 

who is "agency-trained" (as in public welfare departments) or is qualifted by related 

experience and who is capable of making a social evaluation of patients situations and 

of identifying social problems requiring service. 

13. Speech therapist - one who applies skills to help handicapped persons speak in as normal 

a tashion as possible and understand the speech of others. 

14. All other professional and technical personnel - (include all other professional and 

technical personnel not reported in categories 1 to 13. Include also those individuals 

serving as Administrators.) 

52 
FAIL-EDIT QUESTIONNAIRE 

MJOGET8llREAU NO. WGWOl? 

PPROVAL EX?lI)ES8.3W# 

Dear Sir: 

U.S. DEPARTMENT OF HEALTH 

EDUCATION AND WELFARE 

PUBLIC HEALTH SERVICE 

NATIONAL CENTER FOR HEALTH 

STATISTICS 

WASHINGTON, OX. 

20201 

NURSING AND PERSONAL CARE 

FACILITIES SURVEY 

June 1968 

1 

Thank you for your cooperation during our earlier telephone 

conversation regarding the Natfonal Center for Health Statistfcs’ 

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 thfs 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 patfents. 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 confidentfal, 

will be used solely by persons engaged in, and only for the purposes 

of the survey and will not be disclosed or releaaed to other tiersons or for any other reason. 

We greatly appreciate your cooperation in this survey. 

Sincerely yours, 

Theodore D. WoolseyDirector, 

National Center for Health 

Statistics 

53 
HOW many admissions did you have during 1967? 

I I a. How many of the admisgions during 1967 were from: TOtd 

(1) Mbntal hospitals .*.................... 

(2) General hospitals . . . . . . . . . . . . . . . . . . . . . 

(3) Other hospitals . . . . . . . . . . . . . . . . . . . . . . . 

(4) Patient’s home . . . . . . . . . . . . . . . . . . . . ...* 

(5) Another nursing home . . . . . . . . . . . . . . . . . . 

(6) Other places (Specify) B Number 

How many discharges did you have during 1967, Total excluding deaths? 

a. How many of these patients discharged were admitted during 1967? Number 

How many persons died during 1967 while patients of 

this facility? (Include al.1 who died whiZe on your I register.) Number 

What was your patient census last night? fIncZude 

a21 patients, even though they may have been 

temporarity away; eocZude employees and proprie­ tors.) 

L 1 Do you.participate in any of the Federal or State public assistance or medxal assistance programs? (This includes OZd Age Assistance, Aid to the Btind, Aid to the PermanentZy and Totally Disabled, Aid 

to Famities with 

) 

Dependent Ckildren, Medicaid (XIX), o? Medicaw k---l (T’itze XVIII). I I 

1.0 Yes 

7 

2.0 NO (Skip to 6) 

a. How many atients are currently receiving Public Assistance or Medica P Assistance? (Include.all DPO~FQRW EXCEPT Medicare.l . I 

b. For how many patients

(Part A) payments? 

c. For how many patients

A) payments because 

Please enter the number 

(FUZZ-time means 35 OF 

the occupation at which 

of religious organizations

enclosed Definitior! of 

personneZ. I 

EMPLOYEE 

LPN or Vocation.,1 Nurses 

Registered Occupational Tnherapist 11 

QnMied Physical Therapists d\ 

TOTAL 

are you NOW RECEIVING Medicare 

are you NOT NOW receiving

they have exhausted their 

of full-time and part-time mow hours a week.) Count 

he spends most of his time. 

who contribute their services. 

Medicare (Part

benefit rights? 

NUVAbeC 

employees in this facility. 

each employee only once, in 

Also include all members 

(Please consult the 

Employees to determine the appropriate ctasaification of 

Number Number Full PLWt 

Time Time 

Registered Medical Record Librarian 

OtherMedical Recxxds Librarians and Technicians 

Speech Therapist 

All other professional and technical Personnel (include Administration) 

All other personnel (such as chauf­ few. file clerk, etc.) 

) ) j TOTAL 

hame of person completing this rorm Date of Completion 

Title Phone number of this faclllty 

5A 
1967 MFI NURSING HOME QUESTIONNAIRE 

MASTER FACILITY INVENTOR’! 

I 

Dear Sir: 

The Sational Center for Health Statistics (SCHS) of the U.S. Public Health Service is assembling an up-to- ’ 

date list of all facilities in the United States which provide some kind of medical, nursing, personal, domiciliary 

or custodial care. 

This rogrem is bein conducted as a part sf the U.S. Sational Health Suave authorized by Public Law 652, 

84th e ongress. TbBe urea” of the Census has been requested to act as co1 Tecting ’ agent for the NCHS in

compiling the list. 

The purpose of this survey, in which you are being asked to 

as number of beds, staff size, and types of services 

will be used to compile statistics on tbe number and 

Sections A and B of this form request verification of the name and address of the facility, type of service, ty e of wnersbip, staff size and capaci Section C asks for additional information which is needed for detaile B 

statistics on otbercbaracteristics o‘r the * facility. All information provided in Section C will be accorded 

confidential treatment by the Bureau of the Census and the Public Healtb 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 jwu complete thisquestionnaire for your facility and retorn it within 

five days in the enclosed postage-paid envelope. The questionnaire is very brief and should take only a few 

minutes to complete. 

Thank you for your cooperation. 

Sincerely yours, 

A. Ross Eckler 

Director 

Bureau of the Census 

Enclosure 

Section A - IDENTIFICATION OF FACILITY 3 

Please refer to the mailirig label above. then make all additions and corrections according to tbe questions 

below. Detailed identification information is needed to prevent duplicate listings and to assure that your

facility is properly represented in our files. (Please tgpe or print) 

Is the NAME shown in the I&l above Correct name of facility if different from above 

3

1 corr*ct for your facility? 

1 CJ Yes 

.za Xo-rPlease line tkroagk name in label 

and enter correct name -

2 

3 Is your facility known by any other NAMES(S)? Other nameS Of your faci’iry 

I [J Yes--Please give other namelsl- -_----------------------

2n so 

3 

3 

Is the address shown in thr label abovo the 

correct mailing address for your facility? 

Number ,’ Sveet 0 I 

; 

I 

P.O. Box, route, etc. 

1 C-J Yes City or town 

2 C J So-rPlease line through address MI 

label and give your entire 

correct maihg address. 

County , 

I State 

I 

I

, ZIP Code I

I 

Is your mailing oddtess also the ACTUAL Kumber ; Street 

9 LOCATION of your facility? I

1 

ri-J Yes City or to* 

2 [II ?;o+Please give complete address for County I State 1 ZIP Code 

octd locatfon of UMV mwu. I I 

55 
---------- 

-- 

GENERAL INSTRUCTIONS FOR COMPLETING QUESTIONNAIRE 

a. include in this report information for the facility named in the mailing label or for its successcw if rhe 

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 orher 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 rhe notation “Completed and 

returned under . . . (give name of facility on completed form).” 

C. Answer all questions, please. Definitions and special instruclions 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 - CLASSIFICATION INFORMATION 

Please place on “X” in only ONE box for the type Please read ALL of the following. then check 

of organirotion operating your facility. The type 0

7 

rho ONE term which best describes your focifity. 

of organization legally responsible for the opero- Check one only 

tion of the facility. Check only one 50 0 Nursing Home 

I1r-J state OI 0 Convalescent Home 

I* 0 Rest Home 

12r-J County 33 n Home for rbe Aged 

5.0 Boarding Home for the Aged 

130 City IS 0 Home for Crippled Children 

se 0 Home for Needy 

?.r-J city -County w 0 Home for Incurables 

JBq Home for the Mentally Retarded 

10 0 Other - Please describe 7 

_-___-_----------

Dbcs your facility serve: Check only one 

47[J Armed Forces 1 C Primarily children (under 21) 

2 13 Primar’lI y adults (21 or over)

180 Veterans Administration an Both children and adults 

van Other Federal Agency 4 q Other age limitation - S?xcilu 

7 

20Cl Church related --._--_-

Does your facility serve: Check only one’ 

PI [I Nonprofit corporation 1 u ‘Males only 

~10 

2 0 Females only 

J 0 Both males and females 

z,n Individual What is the TOTAL NUMBER OF BEDS rquld~ 

maintained for patients or residents? 

fnclude o/I beds set up and staffedfor use whethe 

include beds used by staff or owners and beds 

used exclusively for emergency services. 

Partnership or not they ore in use at the present time. Do NO 

Total beds 

Section C - INFORMATION FOR STATISTICAL USE ONLY 

What is the total NUMBER OF PERSONS (patients 13 Which of the following services are ROUTINELY 

or residents), who stayed in your facility last night? 0 provided? Check a2l that apply. 

Do NOT include employees or owners. 

1 [J Supervision is provided over medications Number 01 persons which may be self-administered 

* q Gdications and treatments are administered in accordance with physicians 

3 PERSONS q 

During the past seven days, how mony of the orders 

on uestion 11 received “Nursing Care”? 3 0 Rub and massage Consider that o person received “Nursing Core” 

if he received any of the following services: 40 Help with rub bath or shower 

50 Help with dressing

Nasal feeding Trlllperature-pulse- 6 0 Help with correspondence or shopping Catheterization respiration 

Irrigatiqn Blood pressure 7 0 Help with walking or getting about 

Ox gen therapy Application of dressing 8 0 Help wirb eating Fui; bed bath or bandage 

Enema Bowel and bladder 

Hypodermic injection retraining OR 

Intravenous injection 

9 0 Not responsible for providing any service 

Number of persons except room and board - fli this box is 

checked no other box should be checked 

in question 13. I 

~.-.---

3 

6 
Section C - INFORMATION FOR STATISTICAL USE ONLY (Continued) 

9” W at is the total number of full-time personnel on tha 016Does the owner of this facility own or operate any 

payroll of this facility? Full-time personnel ore related or ,similar facility providing inpatient service 

those who usually work 35 hours or more per week. which is NOT included in this report? 

Include owners, monogers, and members of religious For example, another facility of the type listed in 

orders who work full-time whether on the payroll or question 7 or a hospital, or other institution. 

not. Do not include volunteers, privateduty nurses, 

and port-time employees. 

( 

PIaxe 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 p.rsc.nn~l, how many a~.: listing when ovoilable. 

Name ol facility 

a. Licensed registered I 

nurses. . . . . . . . . Type of facility 

b. Licensed racticalor 

vocationa P nurses. . I- Address -Number and ztreet 

@ h 

What is the NAME of the person, corporation, or 

ot cr organization which awns this Ccility? 

Name 

ip ame of person completing this form 

1 City 

State i ZIP code 

i 

i Date 

i 

COBLMENTS - General comments are invited as well as comments on specific items. 
VITAL AND HEALTH STATISTICS PUBLICATION SERIES 

Formerly Public IIecllth Service Publication No. 1000 

Series 1. Prog-rams and collection procedures. -Reports which describe the general programs of the National 

Center for Health Statistics and its officesanddivisions, data collection methods used, definitions, 

and other material necessary for understanding the data. 

Series 2. Data evaluation and methods research. -Studies of new statistical methodology including: experimental tests of new survey methods, studies of vital statistics collection methods, new analytical 

techniques, objective evaluations of reliability of collecteddata,contributions to statistical theory. 

Series 3. Analvtical studies.-Reports presenting analytical or interpretive studies hzsedon vital and health 

statistrcs, 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 law\ 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 Examination Survey.-Data from direct examinicion, trbti!l<, .lnJ measurement of national samples of the civilian, noninstitutional population provide the h.isis for two types 

of reports: (1) estimates of the medically defined prevalence of specific diseases in the LJnited 

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 dis<h<lrged patients in short-stay 

hospitals, based on a sample of patient records in a national sample oi iiospitals. 

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 facilities. 

Series 20. Data on mortality.- Various statistics on mortality other than as included in regular annual or 

montnty reports-special analyses by cause of death, age, and other demographic variables, also 

geographic and time series analyses. 

Series 21. Data on nutality, marriage, and divorce.-Various statistics on natality, marriage, and divorce 

other than as included in regular annual or monthly reports+pecial 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 characteristics of births 

and deaths not available from the vital records, based on sample surveys stemming from these 

records, including such topics as mortalirj 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: (Iffice of Infornratton 

National Center for flealth Statistrcs 

Public fjealth Service, HSMHA 

Rockville, Md. 20852