Data from the Series 12 

NATIONAL HEALTH SURVEY Number 20 

Administratorsof Nursingand 

PersonalCare Homes: ” 

Work Experience 

United States - June-August 1969 

Statistics on the number of nursing and personal care home 

administrators by length,of employment as an administrator, 

hours worked, and services performed, Based on data collected during June-August 1969. 

DHEW Publication No. (HSM) 73-1705 

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

Public Health Service 

Health Services and Mental Health Administration 

National Center for Health Statistics 

Rockville, Md. March 1973 

NATIONAL CENTER FOR HEALTH STATISTICS 

THEODORE D. WOOLSEY, Director 

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

PHILIP S. LAWRENCE, Sc.D., AssociateDirector 

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

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

JOHN J. HANLON, M.D., 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. HURLEY, Deputy Director 

GRACE K. WHITE, Chief, Hospital Discharge Survey Brunch 

G. GLORIA NOLLIS, Chief, Health Facilities Statistics Branch 

HENRY S. MOUNT, Chief, Health Manpower Statistics Brunch 

WILLIAM F. STEWART, Chief, Family Phznning Statistics Branch 

COOPERATION OF THE BUREAU OF THE CENSUS 

Under the legislation establishing the National Health Survey, 

the public Health Service is authorized to use, insofar as possible, 

the services or facilities of other Federal, State, or private agencies. 

In accordance with specifications established by the National 

Center for Health Statistics, the Bureau of the Census, under a 

contractual arrangement, participated in planning the survey and 

collecting the data. 

Vital and Health Statistics-Series 12-No. 20 

DHEW Publication No. (HSM) 73-1705 

Library of Congress Catalog Card Number 72-600216 
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CONTENTS 

Page 

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

Problem-----------------------------------------------------------

Highlights of This &port ________________________________________----

Establishment Information--------- ______ - - -____ ----___-- _____ -_____ 

Length of Employment as an Administrator------------------------------

Total Employment _______ __ _ ---____ ______________ ______ _______ -_ 

Current Employment-----------------------------------------------

Q-her Employment-------------------------------------------------

Hours Worked (Last.Week)--------------------------------------------- 8 

Services Performed--------------------------------------------------- 9 

11 

List of Detailed Tables ________________________________________-------- 12 

Appendix 1. Tech&al Notes on M&-&s _______________________________ 30 

Survey Design----------------------------------------------------- 3Q General Qualifications---------------------------------------------- 32 

Appendix Il. Definitions of Certain Terms Used in This Report----------- 34 

Terms Relating to Administrators- ___-_- _______--____--__- ________ 34 

Terms Relating to Homes or Resident- _____ __________- --__________ 34 

Classification of Homes by Type of Service---------------------------- 34 

Ownership Classification ____ -_-___ ___________ --------__-_ 35 

Geographic Region------------------------------------------------- 35 

Appendix III. Resident Places Survey-3: Forms and Questionnaires-------- 36 

Introductory Letter------------------------------------------------- 36 

Facility Questionnaire-- ____--_----- _____-----_- _______- ____________ 37 

A&ninist--tor Questionnaire------ _______ _______________________ 39 

Staff Questionnaire------------------------------------------------- 41 

Staff Information and Control Record- _____- - - - - - ________ ___________ 43 

Current patient Questionnaire-- ________-__----- _____-___-_ ______-___ _ 44 

iii 
--- 

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 

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

NOTE: Numbers and percents in tables may not 

add to totals due to rounding. 

iv 

0.0 
ADMINISTRATORS OF NURSING AND PERSONAL 

CARE HOMES: WORK EXPERIENCE 

Bernice Gibson Brown, Division 

INTRODUCTION 

During June-August 1969 the Division of 

Health Resources Statistics conducted Resident 

Places Survey-3 (RPS-3) in order to update the 

statistics from the 1964Resident Places Survey-2 

(RPS-2) 1-g and to show changes which have occurred in the 5-year period since 1964 and since 

the beginning of Medicare. Resident Places Survey-3 was a sample survey of nursing and personal care homes in the conterminous United 

States. In this survey data were collected about 

the sample establishment itself, the health of a 

sample of the patients or residents, the administrator of the establishment, and a sampleof 

the employees. (For further discussion of RPS-3, 

see appendix I). 

This report, one in a series based on the 

findings of RPS-3, describes the work experience 

of nursing and personal care home administrators 

based on information obtained by questionnaire 

from the person who was designated as “administrator” by the owner or operator of an 

establishment. The survey was designed so that 

one and only one administrator was designated 

for each establishment. Assistant administrators 

were requested to complete a different questionnaire and are not included in this report. 

Since the estimates for RPS-3 are basedona 

sample of administrators in nursing andpersonal 

care homes rather than all such administrators, 

they are subject to sampling variability. Tables 

of approximate sampling errors and illustrations 

of their use are given in appendix I. Definitions 

of certain terms used in this report may be 

of Health Resources Statistics 

found in appendix II. A review of these and of the 

questionnaires and related materials shown in 

appendix III should be helpful in understanding 

the data. 

To provide a general picture of the work 

experience and activity of administrators, this 

report describes administrators of nursing and 

personal care homes in terms of length of 

employment in nursing and personal care homes, 

homes for the aged, and similar facilities; hours 

worked in the facility the week prior to the survey; and services performed in the facility. The 

data presented herein are arrayed by personal 

characteristics of administrators and the inter: 

relationship between these personalcharacter­ .. istics and characteristics of the nursing or personal care homes in which administrators were 

employed is analyzed. More detailed information 

about administrators is given in tables 1-17 ,which 

follow the text of this report. 

Problem 

The 1967 amendments to Title XIX (Medicaid) 

of the Social Security Act required all States and 

other jurisdictions participating in Medicaid to 

establish programs to license by waiver or fully 

license all nursing home administrators by July 

1, 1970. 

Federal guidelines proposed, among other 

things, that by July 1, 1970, each applicant for 

full licensure must (a) possess a high school 

diploma or the equivalent and (b) submit evidence of participation in an approved course of 

study innursing home administration. The Federal 

1 
and 

guidelines further proposed as follows: applicants 

for licensure on or after January 1, 1975, must 

have successfully completed 2 years of college 

level study in an accredited institution, on or 

after January 1, 1980, must hold a bachelor’s 

degree, and on or after January 1, 1985, must 

hold a master’s degree.l’ In future years applicants could submit evidence of 4 years of 

practical experience in nursing home administration or in a related health administration area for 

each year of required post-high school education. 

A major part of this report deals with length 

of experience as an administrator. The data 

presented will help to identify the characteristics 

and locations of administrators who would be most 

likely to substitute experience for education. 

Table A summarizes the education and experience of the estimated 18,390 administrators. 

Slightly less than 80 percent had completed at least 

12th grade. Only 35 percent had taken acourse in 

nursing home administration. About 71 percent 

had 4 years or more experience as an administrator of a nursing or personal care home, hospital, 

or similar facility. A previous report on nursing 

and personal care home administrators based on 

dat,a collected in Resident Places Survey-3 presented an indepth analysis of the administrators’ 

education and training. An important surveyfinding cited was that at the time of the survey only 31 

percent had both attained at least 12th grade and 

taken a course in nursing home administration, 

proposed licensure requirements which would 

affect applicants on or after July 1, 1970. I1 

Highlights of This Report 

The median years of total employment as an 

administrator for the estimated 18,390nursing and 

personal care home administrators in the conterminous United States, June-August 1969, were 

8.0 years. About 71 percent of administrators had 

worked 4 years or more as an administrator in 

a nursing or personal care home, home for the 

aged, hospital, or similar facility. The median 

years of experience as an administrator in the 

current nursing or personal care home were 5.3 

years. About 59 percent had workedinthecurrent 

nursing or personal care home 4 years or more. 

Table A. Number and percent distribution 

of nursing and personal care home administrators by education and experience: United States, June-August 1969 

[Excludes Alaska Hawaid = 

IAdministrators 

Education and 

experience 

Number Percent 

Tot-l-----,.------ 18,390 100.0 

Highest grade

completed 

Less than 12th grade--- 3,840 12th grade or above---- 14,550 

Course in nursing home 

administration 

Took a course---------- 6,440 Did not take a course-- 11,950 

Length of total 

employment as an 

administrator 

Less than 4 years------ 5,400 4 years or more-------- 12,990 

About 35 percent of the administrators had been 

previously employed as an administrator (table B). 

The median years of previous employment were 

7.1 years. 

Administrators generally worked long hours, 

the mean hours worked being 57 during the week 

prior to the survey. Only 11 percent worked less 

than 40 hours; 31 percent, 40-49 hours; and the 

remainder, 50 hours or more. 

About 98 percent of the administrators spent 

some time the week prior to the survey performing professional services in the facilities; 

whereas only 60 percent spent time performing 

subprofessional services. Administrators were 

involved, most frequently in administration, clerical work, kitchen or dietary work, housekeeping, 

and nursing care, The greatest proportion (59 

percent) of their time was spent in administration 

of the facility. 

2 
Table B. Number and percent distribution August 1969, which provided nursing or personal of nursing and personal 

of 

care home ad- care to 815,130 aged or chronically ill residents ministrators by length employment as 

or patients. About 63 percent of the facilities were an administrator: United States, JuneAugust 1969 nursing care homes, the highest level of nursing 

service. Nursing care homes maintained 78

[Escludes Alaska and 

-Hawaii) percent of the beds and provided care to 78 

percent of the residents. In contrast, personal 

care homes, the lowest level of nursing service, Length of employment rAdministrators 

comprised 17 percent of. the facilities, main- as an administrator 

Number Percent tained about 5 percent of the beds, and provided 

care to about 5 percent of the residents. In 

between these extremes were personal care with 

All lengths of 

employment------ 18,390 100.0 

nursing homes, the intermediate level of nursing 

service, which comprised 21 percent of the facilities, maintained 17 percent of the beds, and 

Total employment1 provided care to 17 percent of the residents. 

The overall occupancy was about 91 percent. Less than 1 year------- 1,580 2i.g (See appendix II for explanation of the classi- 1-3 years-------------- 3,820 4-9 years-------------- 5,630 30:6 fication of homes.) 

10-19 years------------ 26.7 Information on Medicare participation was 

20 years or more------- %, 13.3 obtained in RPS-3. An estimated 26 percent of the 

Current employment” facilities at the time of survey reported they were 

certified by Medicare, whereas 74 percent reLess than 1 year------- 2,330 12.7 ported they were not certified. 1-3 years _------------- 5,240 28.5

4-g years-------------- 6,070 33.0 

10 years or more------- 4,750 25.8 LENGTH OF EMPLOYMENT AS AN 

Other employment” ADMINISTRATOR 

0 years---------------- 12,010 65.3 

o+ _ 1 year------------ 290 Total Employment 1-3 years-------------- 1,770 E

4-9 years-------------- 2,210 12:o Data on length of total work experience refer 

10 years or more------- 2,110 11.5 only to experience of the respondent as an administrator in nursing homes, homes for the 

lIncludes only experience as an admin- aged, hospitals, and similar facilities. On this 

is trator in hospitals, nursing homes, homes basis the median total experience for all nursing for the aged, and similar facilities. 

%ncludes experience in the current and personal care home administrators was 8.0 

nursing or personal care homes. years. About 9 percent had worked less than 1 

31ncludes experience in other nursing year as an administrator, while 71 percent had 

hospitals, and similar facilities. The median years of total work experience 

ranged from 2.7 years for administrators under 

35 years of age to 13.9 years for those 65 years 

Establishment Information and over. These median values and others presented in table D for total experience by age 

or personal care homes, homes for the aged, worked 4 years or more. 

To place the statistics on administrators in group indicate that considerable proportions of 

perspective, table C presents the number and administrators may have been engaged in other 

percent distribution of nursing and personal care related or unrelated careers prior to becoming 

homes, beds, and residents by type of home. administrators. Additional information is proThere were an estimated 18,390 nursing and vided in table 1 which supports the hypothesis 

personal care homes in the United States, June- that increased experience accompaniedincreased 

3 
Table C. Number and percent distribution of nursing and personal care homes, beds,and ' 

residents by type of home: United States, June-August 1969 

[Excludes Alaska and fIawaid 

Type of home Homes Beds Residents 

Number 

Total------------------------------------ 18,390 1 897,180 1 815,130 

Percent distribution 

All,types of homes--------------------- 100 100 100 

Nursing care--------------------------------- 63 78 78 

Personal care with nursing------------------- 21 17 17 

personal care ________________________________ 17 5 5 

Table D. Number and percentofnursirig and personal care home administrators and median 

years of employment by age of administrator: United States, June-August 1969 

bxcludes Alaska and Hawaii] 

- -

T Administrators TMedian years of employment 

Age of administrator 

Number Percent 

Total 

employment 

Current 

employment 

home 

employment 

All ages----------------------- 18,390 100.0 8.0 5.3 7.1 

21-44 years-------------------------- 4,680 25.4 5.6 2.9 4.4 

21-34 years------------------------ 1,550 8.4 2.7 2.0 3.3 

35-44 years------------------------ 3,130 17.0 5.6 3.5 5.3 

45 years and over-------------------- 13,710 74.6 9.5 6.9 7.8 

45-54 years------------------------ 5,500 29.9 7.8 5.4 7.8 

55-64 years------------ ____-_-___-_ 6,110 33.2 11.1 7.2 8.0 

65 years and over------------------ 2,100 11.4 13.9 10.4 7.8 

Other 

4 
Table E. Number and percentofnursing and personal care home administrators and median 

years of employment by type of home: United States, June-August 1969 

[Excluded Alaska and Hawaii] 

Administrators Median years of employment 

Type of home Other Total Current home Number Percent employ- employ- employ­ ment ment ment 

All types of homes------------- 18,390 100.0 8.0 5.3 7.1 

Nursing care--------------------,------ 11,580 62.9 7.5 4.6 6.9 

Personal care with nursing----------- 3,770 20.5 9.8 6.9 8.6 

personal care--------------,---------- 3,040 16.6 8.0 6.9 5.7 

age; about 70 percent of administrators under 35 

years of age had less than 4 years’ experience, 

whereas at the other extreme about 67 percent of 

administrators 65 years of age or over had 10 

years’ experience or more. Another fact to be 

noted is that the median ages for administrators 

with experience of less than 1 year and of 20 

years or more were respectively, 46.1 and 58.7. 

The median age for all a.dministrators was 53.2 

years. 

There was little variation in median length of 

total experience by type of home (table E). 

However, as might be expected, the median length 

of employment for self-employed administrators 

was longer than that for the employed (table F) 

with this tendency prevailing regardless of the 

type of service provided by the home (table 2). In 

fact, about 18 percent of the self-employed had 

less than 4 years’ experience as compared to 42 

percent of the employed. At the other extreme, 

53 percent of the self-employed compared to 28 

percent of the employed had 10 years’ experience 

or more as administrators (table 3). Those administrators who considered themselves ‘both,” 

that is self-employed yet employees of the facility, generally had the second longest length 

of total experience. Although ownership . and 

employment status are closely related, a significant relationship did not exist between type of 

ownership and length of employment (table 4) as 

it did between employment status and length of 

employment. For all ages the self-employed were 

more experienced than the employed (table 5). 

However, by size of home there existed the tendency for self-employed administrators to be more 

experienced than the employed, but the disparity in 

median length of experience between the employed 

and self-employed tended to be more pronounced 

in homes with 30-99 beds (table 7). Furthermore, 

homes with less than 30 beds, many of which were 

owner operated, had a greater proportion (49 

percent) of administrators with 10 years’ experience or more (table 6). 

Figure 1 presents the percent distribution of 

administrators by length of total experience and 

geographic region. This figure shows that administrators of the South and West generally 

had less total experience than administrators of 

the Northeast or North Central Regions. Specifically, about 75 percent of the administrators 

in the Northeast and 76 percent of administrators 

in the North Central Region had 4 years or more 

of experience compared to about 64 percent in 

the South and 65 percent in the West. 

5 
Table F. Number and percentofnursing and personal care home administrators and median 

years of employment by employment status: United States, June-August l.969 

[Excludes Alaska and Hawaid 

I I 

Administrators Median years of employmect 

Employment status 

Number, Percent 

Total 

employment 

Current 

employment 

Other 

home 

employment 

All employment statuses--------- 18,390 100.0 8.0 5.3 7.1 

Self-employed------------------------- 8,090 44.0 10.8 8.1 7.5 

Employed------------------------------ 8,640 47.0 5.6 3.5 6,2 

Both--- __ __ _ _ _ __ __ __ _ __ _ -_ __ __ _ ___ _ _ __ 1,660 9.0 8.3 5.4 7.6 

Current Employment 

One indication of the problem of turnover is 

the length of current employment. Length of 

current employment in this analysis is the 

interval between the date the administrator began 

working in the home as an administrator and the 

date of the survey in that home. About 13 percent 

of the administrators had been in their current 

job less than 1 year, 29 percent for 1 to 3 years, 

while over half (59 percent) had worked in their 

present position 4 years or more. The median 

length of current employment was 5.3 years. 

Survey 

rate of 

nursing 

turnover 

included 

results from RPSr2 showed that a high 

turnover occurred among employees of 

and personal care homes, with lowerrates for professional personnel, which 

administrators. This was attributed to 

the large proportion of administrators who were 

Figure I. Percent distribution of nursing and personal owners as well as administrators of the homes.2 

care home administrators by length of total employ- Likewise, RPS-3 data show 44 percent of adment, according to geographic region ministrators to be self-employed and 47 percent 

6 
employed (table F), with 74 percent of the selfemployed as compared to 44 percent of the 

employed having been in their current position 

4 years or more (table 3). The median years of 

current employment as an administrator for 

employed and self-employed were 3.5 and 8.1 

years, respectively (table F). 

Table D indicates the mature age at which 

many administrators began working in their 

current job. The median years of current experience for administrators under 45 years of 

age were 2.9 and for those 45 years and over 

6.9. Furthermore, the median age for administrators with less than 1 year of experience in 

their current job was 46.8 (table 1). 

Self-employed administrators of nursing and 

personal care homes with nursing had generally 

been in their current job longer than their employed counterparts; however, this was not the 

situation for the self-employed and their employed counterparts in personal care homes 

(without nursing)-namely, the median lengths 

of current employment were approximately the 

same (table 2). Age did not alter the trend 

between employment status and length of current 

employment, which was longer for the selfemployed at all ages (table 5). Since selfemployed administrators worked predominantly 

in small homes, it was not surprising that about 

73 percent of administrators in homes with less 

than 30 beds had 4 years or more current 

experience compared to about 49 percent and 43 

percent, respectively, in homes with 30-99 beds 

and 100 beds or more (table 6). 

The tendency, as discussed above, for administrators in the South and West Regions to 

be less experienced prevailed as regards length 

of current employment. Figure 2 shows 55, 53, 

62, and 64percent of administrators, respectively, 

in the West, South, North Central, and Northeast 

had 4 years or more experience in their current 

job. 

Other Employment 

Other employment refers to previous experience of the respondent as an administrator of 

other nursing or personal care homes, homes for 

the aged, hospitals, and similar facilities. Survey 

results show that about 65 percent of adminisFigure 2. Percent distribution of nursing and personal 

care home administrators by length of correnternployment, according to geographic region 

trators had no employment as an administrator 

prior to their current job. In fact, about 71 

percent of administrators had no prior experience 

as an administrator of other nursing or personal 

care homes and 90 percent had no prior experience as an administrator of a hospital. This 

further supports the hypothesis that many administrators, in all probability, had been engaged 

in other careers before entering administration. 

Many of the relationships which held in the 

analysis of total and current employment generally 

hold in the analysis of other employment. One 

exception is the relationship between age and 

length of employment, in which case administrators in all the designated age groups 45 years 

and over tended to have been employed in other 

facilities about the same length of time (table D). 

So in the case of other employment increasedage 

is not necessarily accompanied by increased 

experience. Another exception appeared in the 

relationship between employment status, size of 

home, and length of employment. It has previously been pointed out that administrators 

employed in large homes tended to have been in 

their current positions a shorter period than 

their counterparts employed in small homes. 

The reverse is true for other employment--the 

7 
employed administrators in large homes tended 

to have more previous experience than those 

employed in smaller facilities (table 7). Detailed 

tables 1, 3, 4, 6, and 8 present the number and 

percent distribution of administrators by length 

of employment in other homes and by length of 

employment in hospitals according to selected 

characteristics. Administrators, if they had previous experience in a home or in a hospital, 

tended to have 4 years or more of this experience. 

In other words, the modal experience class for 

other homes employment or hospital employment, 

excluding administrators who had not been previously employed in either type of facility, was 

4 years or more. This tendency generally existed 

by age or employment status of the administrator 

and by characteristics of the current facility in 

which he worked. This tendency was not as 

pronounced, however, for employed administrators, administrators under 45 years of age, and 

administrators in homes maintaining less than 

30 beds as it was for administrators with other 

characteristics. 

tiouRs WORKED (LAST WEEK) 

As used in this report, hours worked last 

week mean the number of hours an administrator 

worked in the facility during the week prior to the 

survey. The hours worked tended to be high since 

many administrators indicated that they were 

“on-call” or “on-duty” much of the time and in 

some instances the data indicate they may have 

reported “on-call” time as working time. Therefore the data will not provide precise estimates 

of hours worked. Despite this, the data do give 

a rough estimate of the workweek and for this 

reason they are presented. The workweek was 

of fewer than 40 hours for about one-tenth of 

the administrators, yet 90 hours or more for 

almost the same proportion of administrators. 

About 58 percent of administrators worked less 

than 60 hours, while the remainder worked 60 

hours or more. Probably, a 6- or 7-day week 

was common. The mean hours worked for all 

administrators were 57 hours. 

Survey data can be analyzed in terms of mean 

hours worked by services performed. The mean 

hours spent in administration were 35 hours, in 

nursing care 16 hours, in kitchen or dietary 

work 15 hours, and in housekeeping services 12 

hours (table G). More discussion about services 

performed will follow this section. 

As might be expected, self-employed administrators generally had a longer workweek 

than the employed. However, employed administrators tended to work as long a week as their 

self-employed counterparts in homes of similar 

bed size. Furthermore, employed administrators 

in homes with less than 30 beds worked a longer 

week than those employed in homes with 30-99 

beds. The same is true for the self-employed-29 

percent in homes with less than 30 beds worked 

less than 50 hours compared to 43 percent in 

homes with 30-99 beds (table 9). Apparently, 

length of workweek depended as much on size 

of home as on the employment status of the 

administrator, a strong relationship existing 

between these two factors. (Data on hours worked 

by administrators who considered themselves 

both self-employed and employees of the facility 

are not sufficient to draw any reliable conclusions.) Moreover, administrators of personal 

care homes (91 percent of which had less than 

30 beds) generally worked more hours per week 

than administrators working in either of the 

other two types ‘of homes (table 10). About 27 

percent of self-employed administrators worked 

in personal care homes but only 9 percent of 

employed administrators. It follows therefore 

that a relationship similar to that between employment status and size of home would exist 

between employment status and type of service 

provided by the home (table 11). Furthermore, 

administrators employed in government-operated 

nursing and personal care homes tended to work 

more hours per week than other administrators 

(table 12). A possible explanation for this could 

stem from the fact that 51 percent of government 

homes had under 30 beds; as alluded to above, 

administrators of small homes tended to work 

more hours per week. As thenext sectionreveals, 

administrators in the small homes frequently were 

more involved than other administrators in performing duties other than those’dealing with administration. Size of home, neveytheless,emerged 

as an important factor in length of administrators’ workweek. 

8 
Table G. Number and percent of nursing and personal care home administrators, percent

of time spent performing specific services, and mean hours, by service performed:

United States, June-August 1969 

@xcludes Alaska and Hawaig - Service performed by administrator T Administrators 

Percent Mean 

of time hours 

Number Percent 

18,390 100.0 1oo:o .57 

professional servicesl------------------- 18,010 97.9 71.5 42 

Administration-- - _ -_ _ __ _ __- ___ __ -__ ____ 17,630 95.9 58.8 35 

Nursing care--------------------------- 5,080 27.6 7.5 16 

Medical and dental care---------------- 980 5.3 0.4 5 

physical therapy----------------------- 1,110 6.0 0.4 4 

Occupational therapy------------------- 1,250 6.8 0.6 5 

Recreational therapy------------------- 2,810 15.3 1.5 6 

Speech and hearing therapy------------- 590 3.2 0.3 5 

Social work---------------------------- 3,460 18.8 2.0 6 

Subprofessional servicesl---------------- 10,970 59.6 25.3 24 

Clerical work -------I--------_--------- 7,590 41.3 6.4 9 

Kitchen or dietary work---------------- 9,010 49.0 12.5 15 

Housekeeping services------------------ 5,690 30.9 6.3 12 

Other services--------------------------- 3,210 17.5 3.2 11 -

IService categories do not addtototal since categories are not mutually exclusive. 

SERVICES PERFORMED 

Administrators surveyed were asked how 

many hours they spent the week prior to the 

survey performing certain services in the facility. These services included administration, 

nursing care, medical and dental care, physical 

therapy, occupational therapy, recreational therapy, speech and hearing therapy, social work, 

clerical work, kitchen or dietary work, housekeeping services, and other services not specified. In the text and tables of this report, ‘the 

first 11 services have been collasped into two 

categories-professional and subprofessional 

services. The “other services” category became 

a catchall for such services as laundry, yard 

and maintenancework, meetings, andconferences. 

Obviously administrators could be included in 

one or more of the major categories and could 

have performed one or more of services. The 

services as listed on the questionnaire lent, 

themselves to a wide range of interpretation by 

9 
the respondents and there is no way to determine the degree of sophistication or complexity 

of the services rendered. Nevertheless, this data 

can be used as a rough means of evaluating the 

activity of nursing home administrators. 

Almost all administrators (96 percent) spent 

some time in administration. Nursing care, 

social work, and recreational therapy also were 

among the tasks reportedly performed by relatively large proportions of administrators as 

were clerical work, kitchen and dietary work, and 

housekeeping services. Administration of the facility generally took up the majority of the time 

worked in the facilities. Kitchen or dietary work 

took up the second highest proportion of administrators’ time (table G). 

It was not surprising to find in 1969 a 

relatively large proportion of administrators 

engaging in nursing care, for at the time of RPS-2 

(1964) about 34 percent of administrators and 

assistant administrators were performing additional duties as registered nurses, licensed 

practicalnurses, or nurse’s aides.2 Furthermore, 

table 13 indicates that the self-employed administrator generally spent more time than 

other administrators in providing nursing care 

but also spent more time than other administrators doing kitchen or dietary work. On the 

other hand, employed administrators spent agood proportion of their time in ‘administration 

of the facility. Those administrators who considered themselves both self-employed yet employees of the facility were more like employed 

administrators than self-employed in the amount 

of time they spent in administration of the 

facility. 

By ownership, administrators of nonprofit 

homes spent 72 percent of their time in administration of the facility compared to about 

57 and 53 percent, respectively, for administrators of proprietary and government-operated 

homes. Furthermore, administrators of nonprofit homes spent the least time the week 

prior to the survey performing kitchen or dietary 

work (table 14). Among the many factors which 

may have had a bearing on this relationship 

between allotment of time and ownership was 

education of the administrator and size of the 

home. Namely, administrators of nonprofit homes 

were generally among the better formally trained. 

In addition, nonprofit homes maintained on the 

average 69 beds, compared to 60 and 44, respectively, for government-operated and proprietary homes.11 

Administrator activity in personal care 

homes (without nursing) was directed about as 

often towards professional as subprofessional 

services. However, the majority of administrator activity in personal care homes withnursing and nursing care homes was concentrated on 

professional services (table 15). Since type of 

home and size of home are interrelated, these 

observations tie in with the fact that a direct 

relationship tended to exist between the amount 

of time spent performing professional services 

and the size of the home, that is, administrators 

of the larger homes tended to have been more 

involved in professional services. For example, 

administrators of homes with 100 beds or more 

spent 91 percent of their time in providing 

professional services and 7 percent providing 

subprofessional services (table 16). 

Age, a significant factor in that facet of 

experience pertaining to length of employment 

as an administrator, deserves attention in this 

analysis of services performed. There was a 

slight tendency for the older administrators to 

be involved more frequently in subprofessional 

services although they spent a significant amount 

of time providing nursing care. The younger 

administrators were more involved in administration than their older colleagues (table 17). 

The first report on administrators of nursing 

and personal care homes based on the findings of 

RPS-3. revealed that 2 or 3 years of nursing 

school occurred more often among administrators 

45 years and over than among younger administrators. In addition, 24 percent of administrators 

45 years and’over were licensed as a registered 

nurse, licensed practical nurse, or licensed 

vocational nurse compared to 20 percent under 

45 years of age.11 

10 
REFERENCES 

1NationaI Center for Health Statistics: Employees in 

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

1964. Vita2 &d Health Statistics. PHS Pub. No. lOOO-Series 

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

Printing Of&e, Sept.‘1966. 

ZNationaI Center for Health Statistics: Employees in 

nursing and person4 care homes: number, work experience, 

special training, and wages, United States, May-June 1964. 

Vital and Health Statistics. PHS Pub. No. 1000Series 12-No. 

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

Printing Office, Jan. 1967. 

3NationaI Center for Health Statistics: Chronic illness 

among residents of nursing and personal care homes, United 

States, May-June 1964. Vital and Health Statistics. PHS Pub. 

No, lOOO-Series 12-No. 7. Public Health Service. Washington. 

U.S. Government Printing Office, Mar. 1967. 

4NationaI Center for Health Statistics: Prevalence of 

chronic conditions and impairments among residents of nursing 

and personal care homes, United States, MayJune 1964. Vital 

and Health Statistics. PHS Pub. No. 1000~Series 12-No. 8. 

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

Office, July 1967. 

5Nationd Center for Health Statistics: Charges for care in 

institutions for the aged and chronically ill, United States, 

May-June 1964. Vital and Health Statistics. PHS Pub. No. 

1000Series 12-No. 9. Public Health Service. Washington. U.S. 

Government Printing Office, Aug. 1967. 

6NationaI Center for Health Statistics: Nursing and 

personal care services received by residents of nursing and 

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

Health Statistics. PHS Pub. No. 1000Series 12-No. 10. Public 

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

Sept. 1968. 

-000 

7Nationd Center for Health Statistics: Use of special aids 

in homes for the aged and chronically ill, United States, 

May-June 1964. Vital and Health Statistics. PHS Pub. No. 

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

Government Printing Office, Dec. 1968. 

8National Center for Health Statistics: Marital status and 

living arrangements before admission to nursing and personal 

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

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

Service. Washington. U.S. Government Printing Office, May 

1969. . 

9NationaI Center for Health Statistics: Arrangements for 

physician services to residents in nursing and personal care 

homes, United States, May-June 1964. Vita2 and Health 

Statistics. PHS Pub. No. 1000Series 12-No. 13. Public Health 

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

1970. 

10Medical Services Administration: Rules and Regulations 

(with Guidelines) for State Licensing Boards of Nursing Home 

Administration. Recommended by the National Advisory 

Council on Nursing Home Administration. S0cia.I and Rehabilitation Service. Washington, D.C., Nov. 1969. 

1lNational Center for Health Statistics: Administrators of 

nursing and personal care homes: Education and training, 

United States, June-August 1969. Vita2 and HeaZth Statistics. 

PHS Pub. No. lOOO-Series 12-No. 18. Public Health Service. 

Washington. U.S. Government Printing Office. 

1ZNational Center for Health Statistics: Design and 

methodology of the 1967 Master Facility Inventory Survey. 

Vital and Health Statistics. PHS Pub. No. 1000Series l-No. 9. 

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

Office, Jan. 1971. 

11 
LIST OF DETAILED TABLES 

Page 

Table 1. Number and percent distribution of nursing and personal care home administrators 

by length of employment as an administrator, according to age: United.States, June-August 1969----------------------------------------------------------------- 13 

2. Number and percent of nursing and personal care home administrators and median 

years of employment, by employment status and type of home: United States, June­

&gust 1969---------------------------------------------------------------------- 14 

3. Number and percent distribution of nursing and personal care home administrators 

by length of employment as an administrator; according to employment status: 

United States, June-August 1969-------------------------------------------------- 15 

4. Number and percent distribution of nursing and personal care home administrators 

by length of employment as an administrator,according to ownership of home: United 

States, June-August 1969--------------------------------------------------------- 16 

5. Number and percent or nursing and personal care home administrators and median 

p;;;s of employment, by employment status and age: United States, June-August ----------_------------------------------------------------------------------ 17 

6. Number and percent distribution of nursing and personal care home administrators 

by length ofemployment as an administrator,according to bed size of home: United 

States, June-August 1969--------------------------------------------------------- , 18 

7. Number and percent of nursing and personal care home administrators and median 

years of employment, by employment status and bed size of home: United States,

June-August 1969----------------------------------------------------------------- 19 

8. Number and percent distribution of nursing and personal care home administrators 

by length of'employment as an administrator, according to type of home: United 

States, June-August 1969--------------------------------------------------------- 20 

9. Number and percent distribution of nursing and personal care home administrators 

by hours worked last week, according to bed size of home and employment status: 

United States, June-August 1969-------------------------------------------------- 21 

10. Number and percent distribution of nursing and personal care home administrators 

by hours worked last week, according to type of home and bed size: United States,

June-August 1969----------------------------------------,------------------------- 22 

11. Number and percent distribution of nursing and personal care administrators by hours worked last week, according to employment status and type of home: United 

States, June-August 1969--------------------------------------------------------- 23 

12. Number and percent distribution. of nursing and personal care home administrators 

by hours worked last week, according to bed size and ownership of home: United 

Stat-s, June-August 1969--------------------------------------------------------- 24 

13. Percent distribution of time administrators spent performing specific services by employment status: United States, June-August 1969------------------------------- 25 

14. Percent distribution of time administrators spent performing specific services by ownership of home: United States, June-August 1969------------------------------- 26 

15. Percent distribution of time administrators spent performing specific services by 

type of home: United States, June-August 1969------------------------------------ 27 

16. Percent distribution of time administrators spent performing specific services by bed size of home: United States, June-August 1969-------------------------------- 28 

17. Percent distribution of time administrators spent performing specific services by 

age: United States, June-August 1969--------------------------------------------- 29 

12 
Table 1. Number and percent distributionofnursing and personal care home administratorsbylength of employment as an administrator, according to age: United States, June-August 1969 

bxcl;des Alaska and Hawaii 

Length of .employment as an 

administrator 

Number 

All administrators---------- 18,390 118,39011 1,550 13,130 15,500 16,110 1 2,100 1 53.2 

Percent distribution 

All lengths of employment--- 100.0 100.0 100.0 100.0 100.0 100.0 ... - - - - - - - Total employment 

Less than 1 year------------------ 1,580 25.5 11.0 4.4 5.9 1-3 years------------------------- 3,820 2:*: 29.1 2x 14;9 :;*5 

lo-19 years----------- -_-__ a -_____ 20 years or more------------------ xi , 

26.7 

13.3 * 

1x 

'* 26.1 

12.4 

32.2 

17.8 

39:6 

26.2 

56.7 

58.7 

Current emnlovment 

Less than 1 year------------------

1-3 years---------.---------------- 4-9 years-------------------------

10 years or more------------------

2,330

5,240

6,070

4,750 

12.7 

28.5 

33.0 

25.8 

32.4 

52.0 

12.6

* 

17.1 

39.6 

35.0 

8.3 

12.2 

30.0 

33.8 

24.0 

227-i 

37:4 

33.1 

E 

30:2 

52.1 

46.8 

48.4 

54.3 

58.6 

Other home employment 

0 years---------------I----,,,,,,, 

0+ to less than 1 year------------

4 

13 yearyears-------------------------

13,010

310 

1,770 

70.8 

.;-i 

73.1 

10.;: 

71.2 

12.; 

68.2

-k 72.6* 

1;:: 

69.7* 

10.3 

53.3 

51.; 

4-9 years---------------- ____ - ____ 5,630 30:6 ::*: 

'* 32:6 30.6 1E 52:0 

or more------------------- 3,300 17:9 11.6 14.1 2::: 17.2 54.1 

Hospital employment 

0 years---------------------------

O+ to less than 1 year------------

16,560 90.0 94.8* 88.9 88.9 89.8 92.0

* 53.2 

4 

1-3 years years------------------------- 57: 3.: * 4.; 2.: 3.;: 51.: or more------------------- 1,190 6.5 * 6.8 7.4 7.1 5.: 53.9 

13 
Table 2. Number and percentofnursing and personal care home administrators and median 

years of employment,by employment status and type of home:United States, June-August 1969 

[Excludes Alaska and Hawaii) 

Administrators Median years of 

employment 

Employment status and type of home 

Total Other

w Current home. Number Percent p;:y- employ- employ­ ment ment ment 

All types of homes------------------- 18,390 100.0 8.0 5.3 7.1 

Self-employed 

Nursing care------------------------------- 3,890 21.1 12.0 8.4 8.4 

Personal care with nursing----------------- 2,010 11.0 12.4 8.9 7.9 

Personal care------------------------------ 2,190 11.9 8.1 6.9 6.0 

Employed 

Nursing care------------------------------- 6,300 34.3 5.0 3.2 6;l 

Personal care with nursing--------------A-- 1,590 8.6 7.2 4.1 9.7 

personal care------------------------------ 750 4.1 7.4 7.2 * 

Both 

Nursing care I------------------------------ 1,390 7.6 8.0 5.7 6.8 

Personal care with nursing----------------- 170 0.9 8.9 3.7 * 

Personal care------------------------------ 100 0.6 12.1 3.4 * 

14 
-------------------------------------- ---------------------------- 

Table 3. Number and percent distribution of nursing and personal care home administrators by length of employment as an administrator, according to employment status: 

United States, June-August 1969 

[Excludes Alaska and Hawaid 

Employment status 

Length of'employment as an 

administrator 

Number 

All administrators----------------------- 18,390 11 8,090 1 8,640( 1,660 

Percent distribution 

All lengths of employment---------------- 100.0 100.0 100.0 100.0

I===-

20 years or more ----1----------_----I__________ 

Current employment 

Less than 1 year-------------------------------

1-3 years--------------------------------------

4-9 years----------------------------------------

10 years or more ---1----------------____I______ 

Other home employment 

0 years---------------------------------------­

o+ to less than 1 year-------------------------

1-3 years--------------------------------------

4 years or more -c------------------------------

Hospital employment 

0 years --------------------------------------"-

o+ to less than 1 year-------------------------

1-3 years 

4 years or more----

Total employment 

Less than 1 year-------------------------------

1-3 years -III-I-"-"--I----__"_-----I---"---I- 2E If;*: 4-9 years --"-_""1"-1_"--111_-11---11--11111---"""""---" 30:6 29:s lo-19 years------------------------------------ 26.7 34.6 

13.3 18.3 

12.7 

28.5 1X 

33.0 35:2 

25.8 39.1 

70.8 69.7

1.7 *

197:; 281:; 

90.0 I

93.1 

* * 

63:; 41:: 

. 

13.3 

28.2 18.; 

30.4 37.1 

25.0 

"98':' . 14.4

19.2 

36.6 391': 

29.8 38:7 

14.4 20.6 

59.7 

7?: *

10:8 

12.8 2% 

87.4 

* 

89.0 

$2 6.: 

15 
Table 4. Number and percent distribution of nursing and personal care home administrators by length of employment as an administrator, according to ownership of home: 

United States, June-August 1969 

bxcludes Alaska and ij[awaii] 

All 

types 

18,390 

Ownership of home 

T,ength of employment as an 

administrators Propri- Non- Governetary profit ment 

Number 

All Administrators------------------- 11 14,160 1 2,850 1 1,380 

Percent distribution 

All lengths of employment------------ 100.0 100.0 100.0 100.0 

Total employment 

Less than 1 year--------------------------- 1-3 years-------------------.--------------- 4-9 years---------------------------------- 10-19 years-------------------------------- 20 years or more---------------------------

2FE i80’6L 

30:6 30:7 

26.7 26.6 

13.3 13.9 

1E 

35:5 

22.8 

12.8 

Current employment 

Less than 1 year--------------------------- 1-3 years---------------------------------- 4-9 years---------------------------------- 10 years or more---------------------------

12.7 12.9 12.1 

28.5 27.8 34.6 

33.0 32.9 31.0 

25.8 26.4 22.3 

11.6 

23.4 

37.8 

27.2 

Other home employment 

0 years------------------------------------

o+ to less than 1 year---------------------

1-3 years---------------------------------- 4 years 01: more----------------------------

70.8 69.0 71.2 

1.7 

9'2 li'31 

1E 19:9 14:3 

88.1Jc 

* 

* 

Hospital employment 

0 years------------------------------------ 90.0* 90.0* 87.3 87.4 

O+ to less than 1 year---------------------

1-3 years---------------------------------- 4.; 4 years or more---------------------------- 63:; 52:: 8.3 8.; 

16 
Table 5. Number and percentofnursing and personal care home administrators and median 

years of employment, by employment status and age: United States, June-August 1969 

bxcludes Alaska and Hawaid 

Administrators Median,years' of 

employment 

Employment status and age 

Total Current Other 

home Number Percent pzy- employ- employment mevt ment 

All ages----------------------------- 18,390 100.0 8.0 5.3 7.1 

Self-employed 

21-44 years-------------------------------- 1,320 7.2 6.5 4.5 5.9 

45 years and over-------------------------- 6,770 36.8 12.2 9.0 7.8 

Employed 

21-44 years ----_--------------------------- 2,830 15.4 3.2 2.3 3.9 

45 years and over-------------------------- 5,810 31.6 7.4 4.8 7.7 

Both 

21-44 years-------------------------------- 530 2.9 6.7 4.1 4.5 

45 years and over-------------------------- 1,130 6.1 8.9 5.9 8.4 

17 
------------------------------------ 

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

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

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

Table 6. Number and percent distribution of nursing and personal care home administrators by length of employment as an administrator, according to bed size of home: 

United States, June-August 1969 

[Excludes Alaska and Hawaifl 

Bed size of home 

Length of employment as an 

administrator 

Number 

All administrators----------------------- 18,390 11 8,lOOl 8,1401 2,150 

Percent distribution 

All lengths of employment---------------- 1oo.c 100.0 1oo.c 100.0 

Total employment 

Legs than 1 year------------------------------- 6.1 10.7 1-3 years-------------------------------------- 2E 15.1 24.8 4-9 years-------------------------------------- 3ok 29.7 31.6

10-19 years 26.7 32.1 22.2

20 years or more------------------------------- 13.3 17.0 10.7 

Current employment 

Less than l.year----- 12.7 20.0 l-3 years -------------------i------------------ 28.5 1:*; 365': 37.5

4-9 years 33.0 36:5 30:o 31.0

10 years or more------------------------------- 25.8 36.4 19.0 11.5 

Other home employment 

0 years---------------------------------------- 72.2 70.6 65.8 

O+ to legs than 1 year------------------------- 'E . 1-3 years 10.: 22 10.: 4 years or more-------------------------------- 197:; 15.8 18:9 22.1 

Hospital employment 

0 years---------------------------------------- 90.0 90.5

* 

91.0 84.8 

O+ to legs than 1 year------------------------- * * 

1-3 years -----_-__-----------------------------

4 years or more-------------------------------- 63:: 62:: E 10.; 

18 
Table 7. Number and percentofnursing and personal care home administrators and median 

years of employment, by employment status and bed size of home: United States, JuneAugust 1969 

[Excludes Alaska and Hawaii] 

Administrators Median years of 

employment 

Employment status and bed 

size of home Other 

Number Percent 

Total Current home 

pg- employ- employ­ sent ment ment 

All bed sizes------------------------ 18,390 100.0 8.0 5.3 7.1 

Self-employed 

Less than 30 beds -------------------------- 5,570 30.3 10.6 8.4 7.4 

30-99 beds ----r--r--r--r-r--r----r-r- =i=2,270 12.3 11.3 7.6 8.1 

100 beds or more ------------_-------------- 250 1.3 8.9 5.1 Jr 

Employed 

Less than 30 beds -------------------------- 2,230 12.1 8.2 6.2 3.9 

30-99 beds -----------------3--------------- 4,760 25.9 4.4 3.1 6.0 

100 beds or more ----------_--_------------- 1,650 9.0 6.3 3.0 7.5 

Both 

Less than 30 beds ---------_--I_------______ 300 1.6 9.1 5.9 * 

30-99 beds --------_------------------------ 1,110 6.1 8.3 5.4 7.2 

100 beds or more ---------_----_------------ 250 1.3 7.0 4.8 7.9 

19 
Table 8. Number and percent distribution of nursing and personal care home administrators by length,of employment as an administrator, according to type of home: United 

States, June-August 1969 

@Excludes Alaska and Hawaig 

Type of home 

Length of employment as an 

administrator 

T,E 

Number 

All administrators----------------- 18,390 II 11,580 1 3,770 

Percent distribution 

All lengths of employment---------- 100.0 100.0 100.0 

Total employment 

Less than 1 year-------------------------

1-3 years--------------------------------

4-9 years-------------------------------- 10-19 years------------------------------ 20 years or more-------------------------

Current employment 

Less than 1 year-------------------------

1-3 years--------------------------------

4-9 years-------------------------------- 10 years or more-------------------------

Other home employment 

0 years----------------------------------

O+ to less than 1 year-------------------

1-3 years--------------------------------

4 years or more--------------------------

Hospital employment 

0 years----------------------------------

O+ to less than 1 year-------------------

1-3 years~-------------------------------

4 years or more--------------------------

280': 

30:6 

26.7 23' 

13.3 13:2 

12.7 14.4 

28.5 32.2 2E 

30.8 35:o 

280. 22.6 32.3 

70.8 69.7 70.4 

2.3 * 

2;

17:9 1x 1;:: 

90.0Jr 88.7 88.4 

3.; 3.; 2:; 7.3 7.6 

I 3,040 

100.0 

244 

36:l 

30.7 

7.4 

11.2 

19.8 

75.1 

195:! 

97.2

3k 

J( 

20 

I 
Table 9. Number and percent distributionofnursing and personal care home administrators by hours 

worked last week, according to bed size of home and employment status:, United States, JuneAugust 1969 

[Excludes Alaska and Hawaii] 

Hours worked (last week) 

Number 

Bed size of home of 

and employment status adminis- Less 90 

40 i%:: hours hours hours hours or 

hours more 

Percent distribution 

All bed sizes-------- 18,390 100.0 10.9 30.5 17.0 12.1 11.9 9.2 8.5 

Self-employed------------- 8,090 100.0 11.3 21.9 13.2 12.8 15.6 12.4 12.9 

Employed------------------- 8,640 100.0 9.6 37.1 20.2 11.4 9.4 7.1 5.3 

Both----------------------- 1,660 100.0 15.4 38.6 19.5 12.0 5.9 * * 

Less than 30 beds------ 8,100 100.0 11.5 19.7 12.5 10.6 17.4 14.0 14.3 

Self-employed-------------- 5,570 100.0 11.7 16.9 11.4 12.0 18.5 14.2 15.3 

Employed------------------- 2,230 109.0 8.9 25.7 14.7 6.7 17.1 14.4 12.5 

Both----------------------- 300 100.0 * * * * * * 

30-99 beds------------- 8,140 100.0 11.3 39.7' 19.3 12.6 7.8 5.7 3.8 

Self-employed-------------- 2,270 100.0 10.8 32.3 16.3 14.9 9.8 8.8 7.1 

Employed------------------- 4,760 100.0 10.8 42.0 20.6 12.4 7.2 4.7 2.4 

Both----------------------- 1,110 100.0 14.4 44.9 19.5 * * * * 

100 beds or more-------- 2,150 100.0 6.9 36.8 25.8 15.7 6.3 * 

Self-employed-------------- 250 100.0 * * * * * * 

Employed------------------- 1,650 100.0 7.2 38.4 26.2 15.0 * * 

Both----------------------- 250 100.0 * * * * * * 

trators Total than 50-59 60-69 70-79 80-89 hours 

21 
Table 10. Number and percent distribution of nursing and personal care home administrators by hours worked last week, according to type of-home and bed size: United States, June-August I.969 

[Excludes Alaska and Hawaii] 

-

Number

Type of home and of

bed size administrators 

All homes------------ 18,390 

Less than 30 beds---------- 8,100 

30-99 beds----------------- 8,140 

100 beds or more----------- 2,150 

Nursing care----------- 11,580 

Less than 30 beds---------- 2,980 

30-99 beds----------------- 6,810 

100 beds or more----------- 1,790 

Personal care with

nursing--------------- 3,770 

Less than 30 beds---------- 2,340 

30-99 beds----------------- 1,090 

100 beds or more----------- 340 

Personal care---------- 3,040 

Less than 30 beds---------- 2,780 

30-99 beds----------------- 240 

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

22 

Hours worked (last week) 

Less 90 

Total than 40-49 50-59 60-69 70-79 80-89 hours 4. hours hours hours hours hours or 

hours more 

Percent distributFon 

100.0 - 10.9 30.5 _L17.0 12.1 11.5 9.2 8.5 -

100.0 

100.0 

100.0 

100.0 

100.0 

100.0 

100.0 

100.0 

100.0 

100.0 

100.0 

100.0 

100.0 

LOO.0 

LOO.0 

11.5 19.7 12.5 10.6 17.4 14.0 14.3 

11.3 39.7 19.3 12.6 7.E 5.7 3.8 

6:9 36.8 25.8 15.7 6 .r * * 

11.5 35.8 19.6 12.0 9.2 6.7 5.0 

14.0 24.4 14.5 9.7 16.8 10.2 10.3 

11.4 40.6 20.1 12.3 6.9 5.8 3.0 

7.9 36.9 26.7 14.8 * * * 

8.0 28.6 15.6 14.1 13.9 12.5 7.3 

8.0 22.5 15.0 13.0 17.3 16.5 7.7 

9.8 38.5 16.2 14.7 * * * 

* 39.4 * * * * * 

11.8 12.7 8.8 9.8 19.2 14.6 23.1 

11.6 12.2 8.1 9.6 18.2 16.0 24.2 

* * * * * * 

* * * 

, 
Table 11. Number and percent distribution of nursing and personal care home administrators by hours worked last week, according to employment status and type of home: United States, JuneAugust 1969 

bxcludes Alaska and Hawaii] 

Number 

Employment status and of 

type of home administrators 

All employment statuses------------ 18.390 

Nursing care--------------- 11,580 

Personal care with 

nursing------------------- 3,770 

personal care-------------- 3,040 

Self-employed---------- 8,090 

Nursing care--------------- 3,890 

Personal care with 

nursing------------------- 2,010 

personal care-------------- 2,190 

Employed--------------- 8,640 

Nursing care--------------- 6,300 

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

nursing------------------- 1,590 

Hours worked (last week) 

Less 90 

Total than 40-49 50-59 60-69 70-79 80-89 hours 4. hours hours hours hours hours or 

hours more 

Percent distribution 

10.9 30.5 17.0 12.1 11.9 9.2 8.5 

11.5 35.8 19.6 12.0 9.2 6.7 5.0 

8.0 28.6 15.6 14.1 13.9 12.4 7.3 

11.8 12.7 8.8 9.8 19.2 14.6 23.1 

11.3 21.9 13.2 12.8 15.6 12.4 12.9 

11.7 28.5 15.7 12.7 11.1 11.0 9.2 

9.3 23.4 15.3 13.6 18.3 13.6 6.5 

12.2 8.8 6.7 12.2 21.2 13.6 25.3 

9.6 37.1 20.2 11.4 9.4 7.1 5.3 

11.1 39.5 21.9 11.8 8.6 4.5' 2.6 

6.3 33.9 15.1 14.7 9.6 11.3 9.0 

* 23.7 15.9 * 16.1 19.6 19.8 

15.4 38.6 19.5 12.0 5.9 

13.0 39.8 20.3 10.9 * 

* * * * * 

* * * 

100.0 

100.0 

100.0 

100.0 

100.0 

100.0 

100.0 

100.0 

100.0 

100.0 

100.0 

personal care-------------- 750 100.0 

Both------------------- 1,660 100.0 

Nursing care--------------- 1,390 100.0 

Personal care with 

nursing------------------- 170 100.0 

personal care-------------- 100 100.0 

23 
Table 12. Number and percent distribution of nursing and personal care home administrators by :;XIF worked last week, according to bed size and ownership of home: United States, June-August 

Excludes Alaska and Hawaii 

Hours worked (last week) 

Number 

Bed size and of Less 90 ownership of home idminis- Total than 40-49 50-59 60-69 70-79 80-89 hours xators 4. hours hours hours hours hours or 

hours more 

percent distribution 

All bed sizes-------- 18,390 100.0 10.9 30.5 17.0 12.1 11.9 9.2 8.5 -

Proprietary---------------- 14,160 100.0 11.0 31.1 16.9 12.3 11.7 9.2 7.8 

Nonprofit------------------ 2,850 100.0 10.4 29.8 22.6 15.1 9.5 5.7 6.9 

Government----------------- 1,380 100.0 10.0 26.1 * * 18.2 16.7 18.3 

Less than 30 beds------- 8,100 100.0 11.5 19.7 12.5 10.6 17.4 14.0 14.3 

Proprietary---------------- 6,670 100.0 12.3 20.9 11.6 11.8 17.0 13.4 13.1 

Nonprofit------------------ 720 100.0 * * 33.0 * 16.9 * 18.0 

Government----------------- 710 100.0 * 17.9 22.1 25.9 22.1 

30-99 beds------------- 8,140 100.0 11.3 39.7 19.3 12.6 7.8 5.7 3.8 

Proprietary---------------- 6,190 100.0 10.7 41.2 20.3 11.7 7.5 5.6 3.1 

Nonprofit------------------ 1,540 100.0 15.8 34.4 16.8 17.3 7.4 * * 

Government----------------- 410 100.0 * 35.6 * * * * * 

100 beds or more------- 2,150 100.0 6.9 36.8 25.8 15.7 6.3 * 

Proprietary---------------- 1,300 100.0 * 35.2 28.3 * * * 

Nonprofit------------------ 590 100.0 * 41.5 25.0 * * * 

Government----------------- 260 100.0 * * * * * * 

24 
---------------------------------- 

- Table 13. Percent distribution of time administrators spent performing specific services by employment status: .-. United States, June-August 1969 

. [Excludes Alaska and

I

Hawaig 

Employment status 

Service performed by administrator 

All Selfstatuses employed Employed Both 

Percent distribution of time 

All services ---__------------------------ ‘100.0 100.0 100.0 100.0 

professional services-------------------------- 71.5 61.6 79.8 84.3 

Administration --_-_-_--_----_-----___________ 58.8 46.3 69.5 73.5 

Nursing care--------------------------------- 7.5 10.2 5.2 3.8 

Medical and dental care---------------------- 0.5 0.4 0.5 0.4 

physical therapy----------------------------- 0.4 0.5 0.3 0.4 

Occupational therapy------------------------- 0.6 0.6 0.5 1.3 

Recreational therapy------------------------- 1.5 1.7 1.2 1.4 

Speech and hearing therapy------------------- 0.3 0.2 0.3 0.2 

Social work 2.0 1.6 2.2 3.3 

Subprofessional services----------------------- 25.3 34.7 17.5 12.6 

Clerical work ----------_---------____________ 6.5 6.3 6.7 6.0 

Kitchen or dietary work---------------------- 12.5 19.1 7.0 4.6 

Housekeeping services------------------------ 6.3 9.3 3.9 2.1 

Other services--------------------------------- 3.3 3.8 2.7 3.0 

25 
Table 14. Percent distribution of time 

ices by ownership of home: 

~[Excludes 

Service performed by administrator 

All services------------------------­

professional se&ices _-_--_-_-_--_-_-------

Administration---------------------------

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

Medical and dental care---------------i-­

physical therapy-------------------------

Occupational therapy---------------------

Recreational therapy---------------------

Speech and hearing therapy---------------

Social work -_----_--_-----_-_------------

Suj-$~~f&.<~#<& services-------------------

Clerical work----------------------------

Kitchen or dietary work------------------

Housekeeping services--------------------

Other services------- _______________ - ____ 

26 

administrators spent performing specific servUnited States, June-August 1969 

Alaska and Hawaii] 

Ownership of home' 

All Propri- Non- Governtypes etary profit ment 

Percent distribution of time 

100.0 lOOI 100.0 100.0 

75.1 70.4 81.5 63.8 

58.8 56.8 72.1 53.4 

7.5 8.2 4.5 6.2. 

0.5 0.4 0.4 0.6 

0.4 0.5 0.3 * 

0.6 0.7 0.6 0.3 

1.5 1.5 1.5 1.3 

0.3 0.2 0.2 0.5 

2.0 2.1 1.9 1.5 

25.3 26.8 14.6 30.8 

6.5 6.7 6.4 4.2 

12.5 13.4 6.7 15.0 

6.3 6.6 1.7 11.5 

-_ 3.3 2.9 3.8 5.4 
Table 15. Percent distribution of time administrators spent performing specific services by type of home: United States, June-August 1969 

Type of home 

I 

Service performed by administrator Personal care 

All Nursing types 

care 2L, 

Percent distribution of time 

All services------------------------ 100.0 100.0 100.0 100.0 

Professional services--------------------- 71.5 81.3 68.1 46.4 

Administration-------------------------- 58.8 67.9 52.2 39.0 

Nursing care---------------------------- 7.5 7.0 11.3 4.7 

Medical and dental care----------------- 0.5 0.5 0.7 0.2 

Physical therapy------------------------ 0.4 0.5 0.6 

Occupational therapy-------------------- 0.6 0.9 0.4 0.4 

Recreational therapy-------------------- 1.5 1.6 1.4 1.4 

Speech and hearing therapy-------------- 0.3 0.3 0.2 0.2 

Social work----------------------------- 2.0 2.6 1.5 1.5 

Subprofessional services----------------- 25.3 16.6 27.2 48.9 

Clerical work--------------------------- 6.5 7.9 5.9 2.9 

Kitchen or dietary work----------------- 12.5 5.8 14.8 29.9 

Housekeeping services------------------- 6.3 2.9 6.5 16.2 ._ 

Other services---------------------------- 3.3 2.2 4.9 4.7 

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

Table 16. Percent distribution of time administrators spent performing specific services by bed size of home: United States, June-August 1969 

[Excludes Alaska and Hawaii 

Service performed by administrator 

All services -------------------_---------

Professional services ---_-------------__-------

Administration -_-----3_----------------------

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

Medical and dental care-------------~--------

Physical therapy ---,---,,,-,,,,,,,,,,,,,,,,, 

Occupational therap’y-------------------------

Recreational therapy--------------------------

Speech and hearing therapy-------------------

Social work----------------------------------

Subprofessional services-----------------------

Clerical work --------------------------------

Kitchen or dietary work----------------------

Housekeeping services------------------------

Other services 

Bed size of home 

qji-+$g 

Percent distribution of time 

100.0 100.0 100.0 100.0 

71.5 58.0 82.9 90.5 

58.8 42.2 72.6 82.5 

7.5 11.1 4.6 

0.5 0.4 0.5 

0.4 0.5 0.4 

0.6 0.6 0.7 

1.5 1.7 1.3 

0.3 0.3 0;3 

2.0 1.2 2.5 

25.3 38.2 14.6 

6.5 5.7 8.0 

12.5 21.5 4.5 

6.3 10.9 2.1 

3.3 4.0 2.6 

1.8 r0.6 

0.4 

0.6 

1.1 

0.2 

3.4 

7.1 

3.9 

2.0 

1.2 

2.5 

28 
Table 17. Percent distribution of time administrators spent performing specific services by age: United States, June-August 1969 

[Fzcludes Alaska and Hawaii] 

Age 

Service performed by administrator lg@q+p 

Percent distribution of time 

All services------------------------- 100.0 LOO.0 100.0 LOO.0 100.0 100.0 

professional services---------------------- 71.5 76.3 79.0 71.4 69.6 64.5 

Administration --_--__-_--_--_-___-_______ 58.8 65.1 68.8 56.6 57.2 51.9 

Nursing care ---__--__-___----__---------- 7.5 6.1 5.2 9.0 7.5 7.4 

Medical and dental care------------------ 0.5 0.3 0.3 0.3 0.6 0.6 

physical therapy------------------------- 0.4 0.3 0.3 0.5 0.4 0.7 

Occupational therapy--------------------- 0.6 -k 0.6 0.5 0.8 0.8 

Recreational therapy--------------------- 1.5 1.0 1.1 1.6 1.6 1.5 

Speech and hearing therapy--------------- 0.3 0.5 0.1 0.4 0.2 0.3 

Social work -_-----_-_----_--___---------- 2.0 3.0 2.5 2.5 1.4 1.3 

Subprofessional services------------------- 25.3 22.1 17.3 25.1 27.0 33.3 

Clerical work ---__------------_---------- 6.5 8.1 6.8 7.3 4.9 7.7 

kitchen or dietary work------------------ 12.5 7.4 6.4 11.7 15.3 17.5 

Housekeeping services-------------------- 6.3 6.6 4.0 6.2 6.8 8.1 

Other services --__-__--_----_-__-_--------- 1.6 3.8 3.5 3.4 2.4 

29 
APPENDIX I 

TECHNICAL NOTES ON METHODS 

Survey Design 

General. -The Resident Places Survey- 3 (RPS- 3) 

was conducted during June-August 1969 by the Division 

of Health Resources Statistics in cooperation with the 

U.S. Bureau of the Census. This was a sample survey 

of nursing and personal care homes in the conterminous 

United States which provide care to the aged and infirm. 

Collected in the survey were data about the sample 

establishment itself, the health of a sample of the patients or residents, the administrator of the establishment, and a sample of the employees. 

Resident Places Survey-3 is the third of a series 

of institutional population surveys. The institutional 

population surveys are a part of the National Health 

Survey program. The previous surveys have been 

designated as Resident Places Surveys 1 and 2, or 

RPS-1 and RPS-2. Several reports on the results of 

RPS-1 and RPS-2 have been published.“li 

ScampZingframe.-The list of nursing and personal 

care homes included in the 1967 Master Facility Inventory (MFI) was the primary sampling frame (universe) for Resident Places Survey-3. The MFI was supplemented by a list of new homes, “births ‘I which were 

possibly within scope of RPS-3 but were iot confirmed 

in the 1967 MFI survey. The “births” hadbeen reported 

in the Agency Reporting System (ARS)as being in operation at the time of the survey. A description of the MFI 

and ARS has been published.r2 

To be eligible for the survey, establishments must 

have maintained at least three beds and routinely provided some level of nursing or personal care. Thus a 

home providing only room and board or domiciliary care 

to its residents was not eligible for RPS-3 even if it was 

a home for the aged. The classification scheme for 

homes is described in appendix II. 

Sample design.-The sample was a stratified twostage probability design; the first stage was a selection 

of establishments and their administrators and the second stage a selection of residents and employees of the 

sample establishments. In preparation for the firstNOTE:ThL:list of references followsthe text. 

stage sample selection, establishments listed in the 

MFI were sorted into three type of service strata: 

nursing care homes, personal care homes with nursing, 

and personal care homes. The “births” from the 

Agency Reporting System were treated as a fourth type 

of service stratum. Each of these four strata was sorted 

into seven bed-size groups, producing 28 primary 

strata, as shown in table I. MFI establishments were 

ordered by type of ownership, State, and county. The 

sample of MFI establishments and the “births” were 

then selected systematically after a random start within 

each primary stratum. Table I shows the distributionof 

establishments in the sampling frame and the finaldisposition of the sample with regard to response and inscope status. 

The second-stage sample selection of residents and 

employees was carried out by Bureau of thecensus interviewers at the time of their visits to the establishments in accordance with specific instructions given for 

each sample establishment. The sampling frame for 

residents was the total number of residents on the 

register of the establishment on the day of the survey. The sampling frame for employees was the Staff 

Information and Control Record (HRS-4e, appendix III), 

on which the interviewer listed the names of all employees of the establishment and sampled only professional and semiprofessional employees by using predesignated sampling instructions that appeared at the 

head of each column of this form. 

Survey procedures.-The Bureau’ of the Census 

collected the data according to specifications of the 

Division of Health Resources Statistics. The initial 

contact with an establishment was a letter (HRS-4g-1, 

appendix III) signed by the Director of the Bureau of 

the Census mailed prior to a personal visit to each 

sample facility. This letter was accompanied by the 

facility and administrator questionnaires (HRS-4a and 

HRS-4b, appendix III). The respondent for the facility 

questionnaire was usually the administrator or another 

member of the staff designated by the operator of,the 

establishment. Information on the administrator questionnaire was self-enumerative and was completed by 

the person who was designated as “administrator” by 

30 
Table I. Distribution of homes in the Resldent Places Survey-3 universe and disposition of sample homes according to primary strata (type of home and bed size): United States 

@xcludes Alaska and Hawaii] 

-

T Number of homes in sample 

Uni- In scope and 

verse1 out of in business 

Type of home and bed size *(Sam- scope or 

pling Total out of 

frame) homes business Nonrespondw3 

All types of homes---------------------- 21,301 2,088 153 81 1,854 

Nursfng care _--__------------_------------ 10,480 1,289 48 66 1,175 

~~~~ than 15 beds----------------------------- 858 15

15-24 beds _--------__---__-------------------- 1,756 i?3: 3

260 10 23:

50-99 beds ----_------------------------------- m 477 449

loo-199 beds ---------------_--_-_____________I 1:062 316 2 283

200-299 beds -------_-___--_-_----------------- 126 61

300 beds or more -------_--_-----__-___________ 64 2 f 

Personal care with nursFng---------------- 3,608 402 7 

Less than 15 beds-----------------------------

15-24 beds --------_---_-_--___________________ 

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

100-199 beds --__-__--_-_-----_---------------- 200-299 beds----------------------------------

300 beds or more -_-_--_-_-_--_----_-__________ 

personal care----------------------------- 4,725 183 42 

Less than 15 beds _-----_-----__---_-_--------- 16 15-24 beds------------------------------------

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

loo-199 beds --_---------_-----_--------------- i

2 200-299 beds----------------------------------

300 beds or more -_---_-------_--__-___________ 

"Births"P --_-----------_--_--_____________ 2,488 214 28 

Unknown beds3 -__-----_-----_-_-__------------- Less than 15 beds-----------------------------

15-24 beds ----__--_-_----_-_------------------ 25-49 beds --_--------_------------------------ 50-99 beds --_-----_--_--_--_--________________ loo-199 beds _---------------------------------

200-299 beds _--_-----_--------__--------------

300 beds or more --_--__--_-_------_-__________ 

473

304 ;; 255 

287

2% 76 

2:k % 

12 6 

IThe universe for the RPS-3 sample consisted of the nursing and personal care homes included

in the Master Facility Inventory and the Agency Reporting System. 2"Births" consist of those homes which were assumed to be in scope of RPS-3 but for which current data were not available.

S"Births" of unknown bed size were inadvertently excluded from frame. 

31 
the owner or operator of the sample facility. These 

two forms were collected by an interviewer during the 

personal visit to the facility and were edited for completeness and consistency at that time. The resident 

information was obtained during the personal interview at the sample establishment. The sample of 

residents within an establishment was selected systematically according to predetermined sampling schemes. 

The interviewer was asked to list on the back of the 

Current Patient Questionnaire (HRS-4f, appendix III) 

all the residents or patients in the sample and to complete the health information for each of the sample patients from personal knowledge of a staff member of 

the establishment who had close contact with the resident and firsthand knowledge of the resident’s health 

condition. 

The staff information was obtained by means of a 

self-enumeration questionnaire (HRS-4c, appendix III). 

The usual checks and followups were performed 

during the course of the survey. The completed questionnaires were edited and coded by the National 

Center for Health Statistics, and the data were processed on an electronic computer. ‘This processing 

included assignment of weights, ratio adjustments, 

and other related procedures necessary to produce 

national estimates from the sample data. 

General Qualifications 

Nonresponse and imputation of missing data.-Statistics presented in this report were adjusted for failure of a home to respond. Data were also adjusted for 

nonresponse which resulted from failure to complete 

one of the questionnaires or the failure to complete an 

item on a questionnaire. 

NOTE: The list of references follows the text. 

Round&g of numbers.-Estimates relating to residents and employees have been rounded to the nearest 

hundred and homes or administrators to the nearest’ 

ten. For this reason detailed figures within tables do 

not always add to totals. Percents were calculated on 

the basis of original, unrounded figures and will not 

necessarily agree with percents which may be calculated from rounded data. 

Estima@z procedure.-The statistics presented in 

this report are essentially the result of ratio estimation 

techniques. These techniques have been described in the 

appendixes of earlier publications.3-11 

Reliability of estimates. -Since statistics presented in this report are based on a sample, they will 

differ somewhat from figures that would have been 

obtained if a complete census had been taken using the 

same schedules, instructions, and procedures. As in 

any survey, the results are also subject to reporting 

and processing errors and errors due to nonresponse. 

To the extent possible, these types of errors were kept 

to a minimum by methods built into surveyprocedures. 

The sampling error (or standard error) of a statistic is inversely proportional to the square root of the 

number of observations in the sample. Thus as the 

sample size increases, the standard error decreases. 

The standard error is primarily a measure of the variability that occurs by chance because only a sample 

rather than the entire universe is surveyed. As calculated for this report, the standard error also reflects 

part of the measurement error, but it does not measure 

any systematic biases in the data. The chances are 

about 2 out of 3 that an estimate from the sample differs 

from the value which would be obtained from a complete 

census by less than the standard error. The chances are 

about 95 out of 100 that the difference is less than 

twice the standard error and about 99 out of 100 that it 

is less than 2% times as large. 

32 
Relative 

standard 

error in 

percent 

Size of 

estknate 

-- 

------- 

Relative standard errors of aggregates shown in 

this report can be determined from table II. The 

relative standard error of an estimate is obtained by 

dividing the standard error of the estimate by the 

estimate itself and is expressed as a percent of the 

estimate. Standard errors of estimate! percentages 

are shown in tabie III. 

‘Lable II. Approximate relative standard errors 

of esttited numbers of administrators 

Relative Relative 

Size of standard Size of standard 

estimate error in estknate error in 

Rules for determining the standard error of a 

mean value, of a median value, ‘or of. the difference 

between two statistics are published. 

Table III. Approximate standard errors of percentages for administrators 

Estimated percent 

Base of 

estimated 

percent m 

percent 

loo----- 3,000--- 200..--- 22 4,000--- 300------ 25:6 5,000---

22.1 6 ,OOO---

%------ ---m-- 19.8 7,000---

18.0 8,000--- : “,;,“::I::: 16.6 9,000--- 800-----m 15.5 ;;,;;;-­ goI)----- -14.6 

l,OOO---- 18: OOO--

2,000---- 758. 

percent: 

200-----.---

500~--------------

1,000----L----

2,000----------

3,000------------­

4,000~--------w---

5,000-------------

7,000---w-“ 

f3,1-3)0--------­

g,ooo----------

10,000----------

18,0()&--------

L 

Standard error expressed in percentage points 

4.4 6.9 

E 2: 

114 212 

1.1 1.8 

1.0 1.5 

E 5 

017 1:1 

0.7 1.0 

0.6 1.0 

0.4 0.7 

33 
APPENDIX II 

DEFINITIONS OF CERTAIN TERMS USED IN THIS REPORT 

Terms Relating to Administrators Due to the P-year interval between the MFI survey and the RPS-3 survey, it was felt that for proAdminisCmtor.--An administrator is the person ducing statistics by type of service from the RPS-3 

designated as “administrator” by the owner or man- survey the homes should be reclassified on the basis 

ager of each sample home. of the current data collected in the survey. This 

Length of work e@evdence.- Data on length of work classification procedure is essentially the same as the 

experience refer to length of employment as an admin- MFI scheme. The three types of service classes deistrator in the position currently held and any previous lineated for RPS-3 are defined as follows: 

employment as an administrator of other nursing homes, 1. A nursing care home is defined as one in which homes for the aged, or similar facilities or hospitals. 

Length of current employment.--length of current 50 percent or more of the residents received 

employment is the time between the date the survey was nursing care (see definition of nursing care) 

conducted in the sample home and the date the admin- during the week prior to the survey in the 

istrator began working as anadministrator in that home. home and a registered nurse (RN) or a licensed practical nurse (LPN) was employed. 

Terms Relating to Homes or Residents 2. A personal care home with nursing is defined 

as one in which either (a) over SOpercent of the 

Bed.-A bed is defined as one set up and regularly residents received nursing care during the week 

maintained for patients or residents. Beds maintained prior to the survey, but there were no RN’s or 

for staff and beds used exclusively for emergency, LPN’s on the staff or (b) some, but less than 50 

services are excluded. percent, of the residents received nursing care 

Resident.-A resident is defined as a person who during the week prior to the survey regardless 

has been formally admitted but not discharged from an of the presence of RN’s or LPN’s on the staff 

establishment. All such persons were included in the but in which one or more of the following consurvey whether or not they were physically present at ditions were met: 

the time. l Medications and treatments were adminNursing care. -Nursing care isdefined as a service istered in accordance with physicians’ orders. 

that provides one or more of the following treatments: l Supervision over self-administered medicahypodermic injection; intravenous injection; intramus- tions was provided. 

cular injection; taking of temperature, pulse, respi- 0 Three or more personal services were rouration, or blood pressure; application of dressings or tinely provided. 

bandages; bowel and bladder retraining; nasal feeding; 3. A personal care home is defined as one in which 

catheterization; irrigation; oxygen therapy; full bed residents routinely received personal care 

bath; and enema. but no residents received nursing care during 

the week prior to the survey and one or more 

Classification of Homes by Type of Service of the following criteria were met: 

l Medications and treatments were adminFor purposes of stratification of the universe istered in accordance with physicians’ orders, 

prior to selection of the sample, the homes on the or supervision over medications which may 

MFI were classified as nursing care, personal care be self-administered was provided. 

with nursing, and personal care. Details of the clas- l Three or more of the criterion personal 

sification procedure in the MFI have been published. services were routinely provided. 

34 
------- 

-- 

-- 

Ownership Classification 

proprietary home. -A propretary home is one operated under private commercial ownership. 

Nonprofit home. -A nonprofit home is one operated 

under voluntary or nonprofit auspices, including both 

church-related institutions and institutions that are not 

church-related. 

Government home .-A government home is one operated under Federal, State, or local government auspices. 

Geographic Region 

The regions of the United States (excluding Alaska 

and Hawaii), which correspond to U.S. Bureau of the 

Census regions are: 

Region States Included 

Northeast Maine, New Hampshire, Vermont, 

Massachusetts, Rhode Island, 

oooNorth Central 

South___________ 

West ___-----_ 

Connecticut, New York, New 

Jersey, Pennsylvania 

Michigan, Ohio, Indiana, IllinOiS, 

Wisconsin, Minnesota, Iowa, 

Missouri, North Dakota, South 

Dakota, Nebraska, Kansas 

Delaware, Maryland, District of 

Columbia, Virginia, West 

Virginia, North Carolina, South 

Carolina, Georgia, Florida, 

Kentucky, Tennessee, Alabama, 

Mississippi, Arkansas, Louisiana, 

Oklahoma, Texas 

Montana, Idaho, Wyoming, Colorado, 

New Mexico, Arizona, Utah, Nevada, 

Alaska, Washington, Oregon, 

California, Hawaii 

35 
APPENDIX III 

RESIDENT PLACES SURVEY-3: FORMS AND QUESTIONNAIRES 

Introductory Letter 

U.S. DEPARTMENT OF COMMERCE 

BUREAU OF THE CENSUS 

WASHINGTON. D.C. 20233 

HRS-49-l (4-69) 

OFFICE OF THE DIRECTOR. 

r 1 

L -I 

Dear Sir: 

The Bureau of the Census, acting for the United States Public Health 

Service, is conducting a survey of nursing homes, homes for the aged,

and other establishments which provide nursing care, personal care, or 

domiciliary care for the aged or infirm. The purpose of this survey is 

to collect much needed information about both the facilities and the 

employees and patients. This activity is part of the National Health 

Survey program authorized by Congress because of the urgent need for 

more comprehensive and up-to-date health statistics. 

This letter is to request your cooperation and to inform you that a 

representative of the Bureau of the Census will visit your establishment 

within the next week or so to obtain the needed information. Prior to 

this visit, the Census representative will call you to arrange for a 

convenient appointment time. Meanwhile, to save time, I should appreciate your completing the two enclosed questionnaires which request some 

information about you and your establishment. Our Census representative 

will pick up these questionnaires when she visits. you to obtain the 

additional desired information. 

All the information provided on the questionnaires and given to the 

Census representative will be.kept strictly confidential by the Public 

Health Service and the Bureau of the Census, and will be used for statistical purposes only. 

Your cooperation in this important survey will be very much appreciated. 

Sincerely, 

A. Ross Eckler 

Director 

2 Enclosures 

36 
Facility Questionnaire 

rruoger Dureau L”0. DO-mY”Zz; npprovar JLxpres August 31, 1965 

NOTICE - All information which would permit identification of the facility will be hold in strict confidence, will be used only by persons engaged in and for the purposes of the survey, and will not be disclosed or released to others for any purposes. 

ORM HRS.40 (PIease correct &y error in name and address including ZIP code) L.?,.c.D) 

U.S. DEPARTMENT OF COMMERCE 

BtJRE*U OF THE CENSUS 

*C~NG AS cot-iEcstb40 *Cimcr FOR THE 

U.S. PUBLIC HEALTH SERVICE 

FACILITY QUESTIONNAIRE 

1. What was the riumber of inpatients in this facility on December 31, 1968? Number 

2, During the seven days prior to December 31, 1968, how many of the PERSONS in 

question 1 received “Nursing care”? Count each person only once. Consider that 

an inpatient received nursing care if he received any of the following services: 

Nasal feeding Catheterization Irrigation , No. of 

Oxygen therapy Fu I I bed-bath Enema perSO”* 

Hypodermic injection Intravenous injection Temperature-pulse-respiration 

Blood pressure Application of dressing Bowel and bladder retraining 

or bandage 

3. In 1968, what was the total inpatient doys of core provided? (The sum of the number of DWS 

days of caregiven to each patient from l/l/68 through 12/31/68) 

4. In 1968, how many admissions did this facility have? Number 

5. In 1968, how many of the admissions were Medicare patients? Number 

60. In 1968, how many discharges, excluding deaths, did this facility have? Number 

Total How many were No. Msdicorepotisnts b. How many patients were discharged to the following places -

(1) general or short-stay hospital? . . . . . . . . . . . . . . . . . . . . . . . - nw= 

(2) long-term specialty hospital (except mental)?. , . . . . . . . . . . . . - 0 No”e 

(3) mental hospital? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - aNone 

(4) another nursing home?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . - nNone 

(5) personal care or domiciliary home? . . . . . . . . . . . . . . . . . . . . n None 

(6) patient’s home or family?. . . . . . . . . . . . . . . . . . . . . . . . . . - n None 

(7) other places? (specify plocel n None 

7. In 1968, how many persons died while patients of this facility? n None 

8. What is the tot.1 number of patient beds regularly maintained Beds 

(set up and staffed for use) in this facility? 

9. What is the total NUMBER OF INPATIENTS (patients or residents) Number 

who stayed in your facility lost night. ? (DO NOT 1NCLUDE EMPLOYEES OR OWkERS) 

IO. Euring the post seven days, how many of the INPATIENTS in question 9 received 

Nursing care”? Count each person only once. Consider that an inpatient received 

nursing care if he received any of the following services: 

Nasal 

Oxygen therapy Full bed-bath Enema perSO”* 

Hypodermic injection intravenous injection Temperature-pulse-respiration 

Blood pressure Application of dressing Bowel and bladder retraining 

or bandage 

Please continue on reverse side 

feeding Catheterization Irrigation No. of 

37 
. Which of the following services are ROUTINELY provided? 

a. Supervision over medications which may be self -administered. . . . . . . . . . . . . . . . rnyes 2nNo 

lOYes 2nNo b. Medications and treatments administered in accordance with physicians’ orders . . . . . 

lOYes 2nNo 

c.Rubandmassage . . . . . . . . . . . . . . . . ...’ . . . . . . . . . . . . . . . . . . . . . . . . . . 

lOYes 2nNo d. Help with dressing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

lOYes 20No e. Help with correspondence or shopping . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ;.. 

lOYes 2C3No f. Help with walking or.getting about . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ 

ll-JYes 2nN-a g. &lp with eating.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

h. None of the above services ROUTINELY provided, room and board provided only . . . . 0 

I aYes 20No 

2. Is this FACILITY participating in the Medicare program? ‘I%’ fo 

Number 5. How many beds are certified for Medicare? 

Number 

la. For how many patients is this facility now receiving Medicare payments? 

Number 

b. How many of these Medicare patients lived (had their home) 

in this State when admitted to this facility? 

5. In addition to two physicians, does the Utilization Review Committee include ­

loYes 2aN.z a. the nursing director? . . . . . . . . . . . . . . . . . . 

lOYes 20No b. a social worker? . . . . . . . . . . . . . . . . . . . . . 

lOYes 20No c. the nursing home administrator? . . . . . . . . . . . 

d. a physical therapist? . . . . . . . . . . . . . . . . . . lOYes 2dN0 

e. any other members? (Specify occupations lOYes 20No 

5. How many persons are employed in this facility? Total employees 

(Include members of religious organizations and orders 

who provide their services.) 

7. Last month, were the following services provided on a regular How many persons Last month, how many 

basis through contracts or other fee arrangements? provided this hours did they spend 

service? providing this service? 

a. Physician (M.D. or D.O.) 

b. Dental 

c. Pharmaceutical 

d. Physical therapy 

e. Occupational therapy 

f. Recreational therapy 

g. Speech therapy 

h. Social worker 

i. Dietary (Dietitian) 

i. Food service (meal preparation) 

k. Housekeeping 

I. None of above 0 

am.4 HRS48 W-3-89, 

No. of persons Hours 

10 Yes1 D Yes--+ 

1 aYes-+ 

1~Yes-w 

1 DYes + 

10 Yes -+ 

1 OYes +. 

1 0 Yes -w 

1 0 Yes + 

i DYes + 

1 0 Yes --c 

“SCOt”W38 
Administrator Questionnaire 

Budget Bureau No. 68-.%9022; Approval Expires August 31. 1969 

NOTICE - All information which would permit identification of the indi+idual will be held in strict confidenke. will be used only 

by persons engaged in and for the purposes of the survey. and will “or be disclosed or released to others foy.any purposes. 

;o~~~~RS-~~ U.S. DEPARTMENT OF COMMERCE A. Name of administrator - . . B”RE*” OF THE CENSU5 

ACTlNG AS COLLECTING *GENT FOR THE U.S. PUBLK HEALTH SERVICE B. Establishment No. 

ADMlNlSTRATOR QUESTIONNAIRE 

The U.S. National Health Survey of the Public Health Your answers will be given confidential treatment by’ 

Service is conducting a nationwide survey in nursing the U.S. National Health Survey and the Bureau of 

homes, homes for the aged, and other related types of the Census. The information will be used for statisestablishments. The purpose of the survey is to tical purposes only, and will be presented in such a 

obtain certain information about the staff employed in manner that no individual person or establishment 

these establishments as well as about the health of can be identified. 

patients or residents in the establishments. Thank you for your cooperation. 

I. When were you born? Month Yea, 

!. In what State (or foreign country) were you born? State OF foreign country 

How long have you been the administrator - No. of years No. of months 

a. in this faciliiy? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

No. of years No. of months 

b. in other nursing homes, homes for the aged, 

or similar facilities? . . . . . . . . . . . . . . . . . . . . . . . . . . . . NO. of years No. of months 

c. in hospitals? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

la. Are you the administrator for more than one NURSING HOME? I 0 Yes (461 . 

2n No (Skip to C’S] 

b. For how many other NURSING HOMES? Number 

c. What is the number of patient beds in EACH of the other NURSING HOMES? I

I I

I I

I

ia. How many hours did you work LAST WEEK IN THIS FACILITY ONLY? HClU,S 

b. How many of these hours did you spend LAST WEEK performing EACH 

of the following services IN THIS FACILITY ONLY -

(1) administration of the facility?. . . . . . . . . . . . . . . . . . . . . . 0 None 

(2) nursing care?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 None 

(3) medical and dental care? . . . . . . . . . . . . . . . . . . . . . . . . . 0 None 

(4) physical therapy?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 None 

(5) occupational thempy? . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 None 

(6) recreational therapy? . . . . . . . . . . . . . . . . . . . . . . . . . . . u None 

(7) speech and hearing therapy?. . . . . . . . . . . . . . . . . . . . . . . 0 None 

(8) social work? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . /-J None 

(9) clerical work? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 None 

(10) kitchen/dietary work, grocery shopping? . . . . . . . . . . . . . . 0 None 

(11) housekeeping services?. . . . . . . . . . . . . . . . . . . . . . . . . . i-J None 

(12)ottter? [Specify service) 0 None 

5. Besides the hours worked IN THIS FACILITY, how many additional 

hours did you work in your profession LAST WEEK? 0 None 

7. As an administrator, are you self-employed or a salaried employee? 1 0 Self-employed 

2 0 Employee 3 0 Both 

Please continue on reverse ride 

39 

L 
Circle highest grade completed 

8. What is the highest grade you completed 

in school? 

9. Which of the following degrees do you have? 

IO. Which of the following professional degrees, 

licenses, or association registrations do 

you have? 

a. Elementary school. . . . . . . . I 2 3 4 5 6 7 8 ;k ‘7~0 

b. High school . . . . . . . . . . . . I 2 3 4 1 * 

c. Junior college . . . . . . . . . . I 2 

d. Nursing school (diploma). . . . I 2 3 

e. College. . . . . . . . . . . . . . . I 2 3 4 5 or more 

Major field of study 

Mark all that apply 

0 Associate degree 

or certificate . . . . . . . . . . . . . . . 

0 Bachelor’s degree. . . . . . . . . . . . 

0 Master’s degree . . . . . . . . . . . . . _ 

0 Doctorate (M.D., D.O., 

or Ph.D., etc.) . . . . . . . . . . . . . . 

n None of these 

Mark all hot apply 

0 Physician (M.D.) 

0 Physician (D.O.) 

0 Registered Nurse (R.N.) 

0 Licensed Practical or Vocational Nurse (L.P.N. or L.V.N.) 

0 Registered Physical Therapist (R.P.T.) 

0 Registered Occupational Therapist (O.T.R.) 

n Other professional degree, license, or 

association registration (SpeclfyJp 

0 None of the above 

la. Have you ever taken any courses in nursing home administration? 

1 0 Yes (1 lb) 2 0 No (Skip to Q. 7.20) 

b. How many of these courses have you taken? Number 

C. What were the TOTAL hours of class instruction? (For each course, Hours 

number of hours per week,times number of weeks attended) 

2a. Did you ever receive any “on-the-iob” training to be 

a nursing home administrator? I c] Yes (12b) 2 0 No (Skip to Q. 131 

b. How long did this training last? Months 

c. Where did you receive this training? Name of place 

3. Have you had any other education or training in I 0 Yes - Descrtbe 2 0 No 

nursing home administration? . below 

40 

I, 
Staff Questionnaire 

Budget Bureau No. 68469022; Approval @xpires Aufiust 31, 1969 

IOTlCE - All information which would permit identification of the individual will be held in strict confidence. will be used only 

y persons engaged in and for the purposes of the survey. and will not be disclosed or released to others for any purposes. 

DRM HRS-ilc U.S.. DEPARTMENT OF COMMERCE A. Establishment No. B. Line No. 1-3-68) BUREAU or= THE CENSUS 

/+CTING AS COLLECTlNG AGENT FOR THE 

U.S. PUBLIC HEALTH SERVICE C. Name of person completing form 

STAFF QUESTIONNAIRE 

The U.S. National Health Survey of the Public Health Your answers will be given confidential treatment by 

Service is conducting a nationwide survey in nursing the U.S. National Health Survey and the Bureau of the 

homes, homes for the aged, and other related types of Census. The information will be used for statistical 

establishments. The purpose of the survey is to purposes only, and will be presented in such a manner 

obtain certain information about the staff employed in that no individual person or establishment can be 

these establishments as well as about the health of identified. 

patients or residents in the establishments. 

Please complete the form and return it within 5 days Thank you for your cooperation. 

to the Bureau of the Census, Washington, D.C 20233, 

in the postage-paid envelope provided. 

. When were you born? 

I. How many years hove you worked OS o 

a. in this facility?. . . . . 

b. in other nursing homes, 

or similar facilities? . 

c. in hospitals? (NOTE 

special duty or private 

10. How many hours did you work LAST WEEK 

MOflth Year 

No. of years No. of months. 

? 

. . . . . . . . . . . . . . . . . . . . . . . . . . No. of years No. of months 

homes for the aged, 

. . . . . . . . . . . . . . . . . . . . . . . . . . 

No. of years No. of months 

TO NURSES: Do not include 

duty nursing.) . . . . . . . . . . . . . . . . 

HOUIS 

IN THIS FACILITY ONLY? 

b. How many of these hours did you spend LAST WEEK performing 

EACH of the following services IN THIS FACILITY ONLY­

(1) administration of the facility?. . . . , . . . . . . . . . . . . . . . . 

(2) nursing care?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

(3) medical and dental care? . . , . . . . . . . . . . . . . . . . . . . . . 

(4) physical therapy? . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

(5) occupational therapy? . . . . . . . . . . . . . . . . . . . . . . . . . . 

(6) recreational therapy? . . . . . . . . . . . . . . . . . . . . . . . . . . 

(7) speech and hearing therapy? . . . . . . . . . . . . . . . . . . . . . 

(8) social work? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

(9) clerical work? . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . 

(10) kitchen/dietary work, grocery shopping? . . . . . . . . . . . . . 

(11) housekeeping services? . . . . . . .,. . . . . . . . . . . . . . . . . 

(12) other services? (Specify service) . . . . . . . . . . . . . . . . . . 

1. Besides the hours worked IN THIS FACILITY, how many additional 

hours did you work in your profession LAST WEEK? . . . . . . . . . . . . . . . . . . . 

Please continue on reverse side 

0 None 

n None 

0 None 

0 None 

0 None 

0 None 

0 None 

0 None 

0 None 

0 None 

0 None 

0 None 

0 None 

41 
Cirr ie highest grade completed 

What is the highest grade you completed a. Elementary school. . . . . . . .I 2 3 4 5 6 7 8 

in school? b. High school . . . . . . . . . . . .I 2 3 4 > sp to 

c. Junior college . . . . . . . . . .I 2 

d. Nursing school (diploka) . . .123’ 

e. College. . . . . . . . . . . . . . .I 2 3 4 5 or more 

Mark al/ that apply Major field of study 

Which of the following degrees do you hove? 

0 Associate degree 

or certificate . . . . . . . . . . . . . 

n Bachelor’s degree . . . . . . . . . . 

n Master’s degree. . . . . . . . . . . 

u Doctorate (M.D., D.O., 

Ph. D., etc.) . . . . . . . . . . . . . 

0 None of these 

Mark oli that apply 

Which of the following professional degrees, 0 Physician 

licenses, or association registrations do you have? 0 Physician 

n Registered 

0 Licensed 

n Registered 

0 Registered 

(M.D.) 

(D.0.) 

Nurse (R.N.) 

Practical or Vocational Nurse (L.P.N. or L.V.N. 

Physical Therapist (R.P.T.) 

Occupational Therapist (O.T.R.) 

0 Other professional degree, license, or 

association registration (Specify) 7 

,n None of the above 

Fill Cols. (2)-(4) for each ‘Yes” answer in Co/. (I) 

How many What were the TOTAL 

Have you ever taken any of COURSES were HOURS of class 

TOTALNUMBER taken while instruction? 

the following courses: 7 of courses taken working for a Number of hours per week 

degree or times number of weeks diploma? attended per course 

(1) (2) (3) (4) 

a. Nursing core of the aged I OYesor chroni&lly ill? 2 0 No (86) 

b. Medical or dental core of I l-JYes-+ 

the aged of chronically ill? 2 0 No (8~) 

lOYes C. Mental or social problems of 

the aged or chronically ill? 2 0 No (8d) 

1nyes-h 

d. Physical therapy or.rehabilitotion? 2 0 No (Be) 

1q Yes-+ 

e. Occupational therapy? zONo(Bf) 

1q Yes-w f. Nutrition or food services? 2 0 No W 

10 Yes4 

g. Nursing home administration? 2nNo 

ORM HRS4C (4-3.891 “SCOMM-DC 

42 
Staff Information and Control Record 

STAFFlNFORMATlONANDCONTROLRECORD -

OCCUPATIONS 

STAFF SEX RACE 

I 

W-White 

.I& N-New3 NO. O-Other 

Note: Be sure to list admlnlstraror and assistant adminia*rawr. (W 

l-rI 2 

T­

-

6 -

7 -

8 -

9 -

IO 

n 

-

12

-

13 -

14 

ii16 

0 

IsiF 

-

20 

43 
Current Patient Questionnaire 

3meof sampleperson Line No. 

I 

Month I

f Day 1 Year OR *@

Whatis - - date of birth? I I 

Sex I 0 Male a 0 Female 

Whichof these conditionsor impairmentsdoeshe have? 

a. AOVANCEOsenility........................................... 

b. Senility,not pyschotic.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

c. Othermentaldisorders(such as mentalillness or retardation). . . . . . . . . . . . . . . . 

d. Speechdefect or paralysis (palsy) due to a stroke. . . . . . . . . . . . . . . . . 

e. Otherill effects of a stroke . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

f. Hearttrouble.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

g. Hardeningof the arteries. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

h. Paralysis or palsy not due to a stroke. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

i. Arthritis or rheumatism. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

j. Diabetes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

k. Any CHRONICtroublewith back or spine. . . . . . . . . . . . . . . . . . . . . . . . . . 

I. PERMANENTstiffness or any deformityof the foot, leg, fingers, 

arm,orback.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

m. Chronicconditionsof digestive system(excludingstomachulcer, 

herniaof abdominalcavity, liver, or gallbladdertrouble). . . . . . . . . . . . . . . . . . 

n. Any otherconditionsor impairments- &crry 

‘. At his last physicalexamination, Primarydiagnosis?

whatwas his -

I. Owing the past7 days, I 0 

which of theseservices 

did this patientreceive? 2 o 

Check OS many as opph a q 

4 0 

s 0 

e 0 

7 0 

)a. Oceshe USEeyeglasses? 

b. Ooeshe USEa hearingaid7 

Secondarydiagnosis? 

Any otherdiagnosis? 

Help with dressing,

shaving,or care of hair 

Help with tub bath 

or shower 

Help with eating 

Rubor massage 

Administrationof medications or treatment 

Specialdiet 

Applicationof sterile 

dressingsor bandages 

e ~Temperabue - pulse - 160 Intravenousinjection 

respiration 17t-~lntramuscularinjection 

e 0 Full bedbath 180 Subcutaneousinjection 

100 Enema re q lntradermalinjection 

13q Catheterization zoq Nasalfeeding 

~a0 Bowelor bladder OR 

retraining ~$0 Noneof the above 

13q Blood pressure services received 

14nlrrigation 

IS 0 Oxygentherapy 

I q Yes z=No 

lOYes ZI-JNO 

Fw whatcondition(s)? 

lOYes ­

,OYes ­

tOYes -

InYes ­

lOYes -

0. Doeshe use any of the folIowine.aids -

a. walker? ZI-JNO 

b. crutches? zONo 

c. braces? ZI-JNO 

d. wheelchair? amNo 

e. any other aids? ZI-JNO 

Speclb 

Footnotes 

44 
Il. Whichof thesecategoriesbest describeshis 

Mity to moveabout7 

a. No morethan usual 

b. Slightly more 

c. Moderatelymore 

d. Muchmore 

fEfAA: If patientwas not here for full month,check here 0 andgo to next Parson. 

ti.bst month,what was the chargefor his lodging,meals,and nursingcare?DJ not rn~rvdewlwte dti MS~. S 

b. Whatwas the TOTAL chargefor his care last month? s’ . 

k. Wht WKt ffE SOKCCS Of WYSBOtfK hfs Cal.2 bst mdh? Check 011 rhotopply 

q Own incomeor family support

(private plans, retirementfunds, 

DOther public assistance 

0 

nlnitial payment- life care or welfare 

social security, etc.) q Churchsupport 

Other- spe~iF/ 

nhtedicart (Tftle XVIII) OVA contract 

DMedicaid (Title XIX) 

b. Whatwas thePRMARYsourceof paymentfor his care last month?,v,,& Oneon,y 

I q Own incomeor family support 4OOther public assistance a mother - Speci+ (private plans, retirementfunds, or welfare 

social security, etc.) sOChurch support aUh!edicare (Title XVIII) s OVA contract a aMedicaid (Title XIX) v 0 Initial payment- life care 

q Saintas 17a-b OhMicaid (Title XIX) OVA contract 

q own incomeor family support 

(private plans, retirementfunds, 

mother public assistance Olnitial payment- lift care or welfare 

social security, etc.) OChurch support 

nOther -Speciry 

OMedicart (Title XVIII) 

*U. S. GOVE-NT PFWTING OFFICE:1975 5l5-211/43 45 
VITAL AND HEALTH STATISTICS PUBLICATION SERIES 

Originally Public Health Service Publication No. 1000 

Series 1. Programs and collection procedures.- Reports which describe the general programs of the National 

Center for Health Statistics and its offices and divisions, data collection methods used, definitions, 

and other material necessary for understanding the data. 

Series 2. Data evaluation and methods 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 collected data, contributions to statistical theory. 

Series 3. Analvtical studies--Reports presenting analytical or interpretive studies basedon vital and health 

statistics, carrying the analysis further than the expository types of reports in the other series. 

Series 4. Documents and committee reports .-Final reports of major committees concerned with vital and 

health statistics, and documents such as recommended model vital registration laws and revised 

birth and death certificates. 

Series 10. Data from the Health Interview Survev.- Statistics on illness, accidental injuries, disability, use 

of hospital, medical, dental, and other services, and other health-related topics, based on data 

collected in a continuing national household interview survey. 

Series II. Data from the Health Examination Survey. -Data from direct examination, testing, and measurement of national samples of the civilian, noninstitutional population provide the basis for two types 

of reports: (1) estimates of the medically defined prevalence of specific diseases in the United 

States and the distributions of the population with respect to physical, physiological, and psychological characteristics; and (2) analysis of relationships among the various measurements without 

reference to an explicit finite universe of persons. 

Series 12. Data from the Institutional Population Surveys -Statistics relating to the health characteristics of 

persons in institutions, and their medical, nursing, and personal care received, based on national 

samples of establishments providing these services and samples of the residents or patients. 

‘\ Series 13. Data from the Hospital Discharge Survey. -Statistics relating to disch‘lrged patients in short-stay 

hospitals, based on a sample of patient records in a national sample of hospitals. 

Series 14. Data on health resources: manpower and facilities. -Statistics on the numbers, geographic distribution, and characteristics of health resources including physicians,dentists, nurses, other health 

occupations, hospitals, nursing homes, and outpatient facilities. 

Series 20. Data on mortality.-Various statistics on mortality other than as included in regular annual or 

monthly 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 natal&y, marriage, and divorce 

other than as included in regular annual or monthly reports--special 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 mortality by socioeconomic class, hospital experience in the 

last year of life, medical care during pregnancy, health insurance coverage, etc. 

For a list of titles of reports published in these series, write to: Office of Information 

National Center for Health Statistics 

Public Health Service, HSMHA 

Rockville, Md. 20852