Data from the

NATIONAL HEALTH SURVEY

Series 12

Number 19 a

Characteristics of

Residentsin Nursing

andPersonalCareHomes

United States - June- August 1969

Statistics on residents in nursing and personal care homes

during June-August 1969 by age, color, sex, and marital

status. Based on data collected in a national survey of

institutional establishments such as nursing homes, homes

for the aged, and similar facilities.

DHEW Publication No. (HSM) 73-1704

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

Public Health Service

Health Services and Mental Health Administration

National Center for Health Statistics

Rockvilie, Md. February 1973
Vital and Health Statistics-Series 12-No. 19

For sale by tbe Superintendent of Documents, U.S. Government Printing Office, Washington, D.C. 20402

Price 75 cents domestic postpaid or 50 cents GPO Bookstore
NATIONAL CENTER FOR HEALTH STATISTICS

THEODORE D. WOOLSEY, Director

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

PHILIP S. LAWRENCE, SC.D.,AssociateDirector

OSWALD K. SAGEN, Ph.D.,AssistantDirector for Health Statistics Development

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

JOHN J. HANLON, M.D.,MedicalAdvisor

JAMES E. KELLY, D.D.S.,DentalAdvisor

EDWARD E. MINTY, Executive Officer

ALICE HAYWOOD, Information Officer

DIVISION OF HEALTH RESOURCES STATISTICS

SIEGFRIED A. HOERMANN, Director

PETER L. HURLEY, Deputy Director

HENRY S, MOUNT, Chief, Health Manpower Statistics Branch

G. GLORIA HOLLIS, Chief Health Facilities Statistics Branch

WILLIAM F. STEWART, Chiej Family Planning Statistics Branch

GRACE K. WHITE, chief Hospital Discharge Suruey 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. 19

DHEW Publication No. (HSM) 73-1704

Library of Congress Catalog Cm-d Number 72-600216
CONTENTS

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

Sources and Qualtiications of Data --------------------------------------

Age, Sex, and Color of Residents ----------------------------------------

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

T~e of Care -------------------------------------------------------

Type of ~ership --------------------------------------------------

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

Marital Status of Residents ---------------------------------------------

T~e of Care -------------------------------------------------------

T~Teof Wnership --------------------------------------------------

Le.lgth of Stay ------------------------------------------------------

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

List of Detailed Tables ------------------------------------------------

Appendix I. Technical Notes on Methtis -------------------------------

Survey Design ------------------------------------------------------

General Qualtiications ----------------------------------------------

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

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

Terms Relating to Homes -------------------------------------------

Ownership Classification of Homes -----------------------------------

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

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

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

Introductory btter---------------------:---------------------------

Facility Questionnaire ----------------------------------------------

Administrator Questionnaire -----------------------------------------

Stafi Questionnair5-------------------------------------------------

Staff Information and Control Record ---------------------------------

Current Patient Questionnaire ---------------------------------------

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

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Quantity zero --------------------------- -

Quantity more than Obutless than O.05---- 0.0

Figure doesnot meet standards of

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

*

iv
CHARACTERISTICSOF RESIDENTSIN NURSING

AND PERSONALCAREHOMES

13velyn ~.Mathis, Division of Health Resowces Statistics

INTRODUCTION

The data presented in this report are based

on the third Resident Places Survey conducted

by the Division of Health Resources Statistics

(DHRS). The survey was conducted in cooperation

with the U.S. Bureau of the Census during JuneAugust of 1969. The first two Resident Places

Surveys were conducted in 1963 and 1964 and

designated Resident Places Survey-1 and -2,

respectively; likewise the survey upon which this

report is based was designated Resident Places

Survey-3. Hereafter these surveys will be referred to as RPS-1, RPS-2, and RPS-3 for convenience. Another survey of the institutional

population not in the Resident Places Survey

series was conducted by DHRS in 1968. Data

from that survey are available in several reports in Series 14 of Vital and Health s~fistim

This report presents statistics on the demographic characteristics of residents or patients

in nursing and personal care homes and is one of

several reporting the findings of RPS-3. The

words “residents” and “patients” will be used

interchangeably throughout the report.

SOURCES AND QUALIFICATIONS

OF DATA

Institutional establishments such as nursing

homes, homes for the aged, and similar types of

places were included in RPS-3. Two basic criteria

for including an establishment in the survey were

(1) it must routinely provide some level of

nursing or personal care, and (2) it must maintain

three beds or more for residents or patients.

Thus, homes providing only room and board or

domiciliary care to aged people were not within

the scope of the survey.

RPS-3 was a multiple-purpose survey collecting statistical information about establishments, patients domiciled in the establishments,

and the employees of the establishments.

A description of the survey, the sampling

frame used, the sample design, and the survey

procedures are presented in appendix I. Also

in appendix I are imputation procedures, estimation techniques, and estimates of sampling

variation. Since the data in this report are

national estimates based on a sample and are

therefore subject to sampling errors, tables of

standard errors are provided in appendix I.

Definitions of the terms and the procedure for

classifying establishments can be found in appendix II. Facsimiles of questionnaires and forms

used in the survey are shown in appendix III.

Reference to the definitions in appendix II is

essential to the interpretation of data in this report. Special attention is called to the procedure

for classifying institutions. The classification of

establishments, i.e., nursing homes, personal

care homes with nursing, and personal care

homes, is based on the type of service provided

in the home rather than on what the home might

be called or how it may be licensed by the State.

The principal variables in this report are

based on questions 1-4a of the patient questionnaire (Form HRS-4f- 1). The information came

either from knowledgeable proxy respondents or

the patients’ medical records.

1
Table A. Percent distribution of patients in nursing and personal care homes by sex

and color, according to age: United States, June-August 1969

Age Total Male Female White All

other

All ages ---------------- -------- --- 100*O 30.9 69.1 95.5 4.5

Under 65 years ------. ------- ------- ------ 100.0 48.2 51.8 89.9 10.1

65-74 years --------------------------- ..- 100.0 37.7 62.3 93.5 6.5

75 years and over ------------------------ 100.0 26.5 73.5 96.9 3.1

.AGE, SEX, AND COLOR

OF RESIDENTS

During June-August of 1969, an estimated

815,000 persons were residents of about 18,000

nursing and personal care homes. Most of the

residents (95.5 percent) were white, the balance

being in the “all other” category (table A).

(The ’’all other’’ group includes Negro, American

Indian, Chinese, Japanese, and any other race,

Negro being the largest single component, 92.9

percent, ofthe category.)

When the composition of residents is examined by color and age group, onlyforresidents

under age 65 was the ’’all other’’ group as much

as 10 percent of the total residents in an age

group. Only 3 percent of the residents age 75

and over were ofraces other than white.

The populationof thehomeswasan agedone—

about 89 percent were age 65andover;32 percent

were age85 and over (tablel).Also, 12 percentof

th”e residents were age 90 and over. The median

age for all residents was 81.1years; however, it

was 81.3 years for white persons and75.0 years

for other races. Themedianwashigher forwomen

than for men regardless ofrace,butitwas higher

for white women than for women ofother races.

The disp.~rity between the median ages amongsex

and race groups of the residents issimilartoobservations in other studiesofvariouspopulations.

Namely, that “there are significant differences in

the average expectation of life by sex and by color,

older women have a longer life expectancy than do

older men, and, in general, white people will live

longer than all other people.”1

More than two-thirds (69.1 percent) of the

residents in nursing and personal care homes

were females. For total residents, there were

more females than males in every age group;

the same is true for white persons but not for

other races. For the other races there were more

males than females up to age 75; then the

opposite was true. Since the population in nursing

and personal care homes is an aged one, the

relatively large proportion of females would be

expected because of the high survival rate of

women. The differences between the proportions

of males and females are greatest in the older

age groups.

The 815,000 residents in nursing and personal

care homes in 1969 represent an increase of 47

percent over the number of residents in 1964.

Table B shows a comparison of the number and

percent distribution of residents in nursing and

personal care homes during the 1964 and the

1969 surveys by age and sex. In 1964 about 28

percent of the residents were 85 years and over,

whereas in 1969, 32 percent of the residents were

in this age group. There was relatively no

difference between the proportions under age

65 in 1964 and 1969—11.9 and 11.4 percents,

respectively. Of the 554,000 residents in nursing

and personal care homes in 1964, 65 percent were

females. In 1969, however, 69 percent of the

residents were females. While the total increase

was 47 percent, there was an increase of 30

percent in the number of males and of 56 percent

in the number of females.

There was a slight increase in median age of

residents after 1964. The median age for all

2
residents was 79.8 and 81.1 years in 1964 and

1969, respectively. Although the difference

between the median for the 2 years was relatively

small, it was larger for females than for males.

The medians were 78.3 and 78.7 for males in

1964 and 1969, 80.5 and 81.9 for females for the

2 years. 2

Geographic Region

In June-August 1969 the largest proportion of

the residents (35 percent) were in the North

Central Region; this was followed by 27, 22,

and 16 percents, respectively, for the South,

Northeast, and West Regions (table C). The

majority (48 percent) of the residents of races

other than white were in the South Region. This

proportion merely reflects the distribution of

other races in the population. According to the

Advance Report of the 1970 Census of Population,

53 percent of the population of races other than

white were in the South.

Figure 1 shows the percent distribution of

nursing and personal care home residents by

Table B. Number and percent distribution

homes in 1964 and 1969 by age and sex,

Age and sex

Total . . . . . . . . . . . . . . . . . . . . . . . . . . . -

Age

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

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

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

85 years and over ----------------------

Male -------- -------- -------- -------- ---

Female ------------------------- .. -------

geographic region for 1964 and 1969. Not only

did the North Central Region have the largest

proportion of residents in 1969; this region also

had the largest proportion in 1964. There was

little difference between 1964 and 1969 for the

North Central and West Regions, but the proportion of residents in the South Region increased

markedly.

Figure 2 shows a comparison between the

percent distributions by geographic region of

residents in nursing and personal care homes and

that of the general population. While the largest

proportion of residents was in the North Central

Region, the largest proportion of the population

resided in the South Region.

A smaller proportion of residents in the

Northeast Region were under age 65 than of those

in the North Central, South, and West Regions

(table 2). There was practically no difference in

the proportion of residents who were 85 years

and over in the various regions.

Not only did the North Central Region have

the largest proportion of residents; it also had

the highest number of residents per 1,000 populaOf residents in nursing and personal care

and percent of increase: United States

1969

Number

815,100

92,900

138,500

321,800

261,900

251,900

563> 300

Percent

100.0

11.4

17.0

39.5

32.1

30.9

69.1

1964 I Percent

Number

554,000

66,200

104,500

203,900

152,400

193,800

360,200

100.0 47.1

11.9 40.7

18.9 32.5

41.7 57.8

27.5 71.8

35.0 30.0
Table C. Percent distribution of residents in nursing and personal care homes by geographic region, according to age, sex, and color: United States, June-August 1969

Age, sex, and color

Under

65-69

70-74

75-79

Total---------..................--*---

Age

65 years--.----.,.---------------------

years---------------------------------

years---------------------------------

80-84 ~years-------------------------.-------

85 years and over---------------------------

Sex

Male----------------------------------------

Female---------------------------------------

Color

White -------- -------- -----.-- -------- -------

All other-------- -------- -------- -------- ---

50

[

m 1’”

1969

40

30 -

1-

Z

kY

K

k’

20 -

10 -

o—

Northoast North Central South West

All

regions

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0”

100.0

~ortheast

22.4

18.6

22.9

21.9

23.4

23.8

22.4

20.3

23.4

22.5

20.4

North

Oentral

34.9

39.4

33.6

35.3

33.0

33.4

35.5

36.9

34.0

35.5

23.0

South

27.1

26.3

27.8

27.8

28.0

27.5

26.3

26.2

27.5

26.1

48.2

West

15.5

15.7

15.7

15.0

15.6

15.2

15.8

16.6

15.1

15.9

8.4

U.S. pa@tlOn

Ezl Residontiof nursing

“’..$% ~om,,

and p%rwnalcare

30.9

Northeast North Central South V/at

Figure1. PercWt distribut ion of residents in nurs. Fiaure 2. Percent distribut ion of residents in nursing and personal care homes in 1964 and 1969 by geographic region.

~ng and personal care homes in 1969 and Un ited Sta~es

popu lation in 1970 by geographic region.
tion (table D). The rates shown in table D are

based upon the Advance Report of the 1970

Census of Population. Since the time periods are

different forthe population counts and the survey

estimates, the rates are not precise. They are

shown, however, because there was relatively

little change in the population between the date of

the survey and the date of the 1970 census, and

these rates should serve as reasonably accurate

estimates of the true rates.

While less than 3 out of every 1,000 males

were residents in nursing and personal care

homes, more than 5 out of every 1,000 females

were residents. The age specific rates varied

considerably by sex and region, the range being

from less than 1 out of every l, OOOpersons under

age 65 to more than 104 per 1,000 females age75

and over in the North Central Region.

Type of Care

The majority of the patients (78 percent) were

in homes where the primary service was nursing

care (table E). (Most of the homes in the study

were classified as nursing care homes; see

appendix II.) Less than 5 percent of all residents

were in homes where the primary service was

personal care only.

Of the total number of residents in homes

which offered primarily personal care, 23 percent

were under age 65 compared to 10 to 13 percents,

respectively, of the residents in nursing care

homes and personal care homes with nursing

(table 3). At the other end of the age spectrum,

about 22 percent of the residents in persQnal

care homes were age 85 and over, while in the

other two types of homes the percents were 32.6

and 32.9 for this age group. Further, the median

age of residents in nursing care homes and personal care homes with nursing was 81 years for

each. The fact that the residents in personal care

homes were younger than those in the other two

types of homes is greatly influenced by the

greater morbidity among persons in the older age

groups and their consequent need for nursing

service: The extent of illnesses and disabilities of

‘Iable D. Rate of residents in nursing and personal care homes per 1,000 population by

age, sex, and region: United States, June-August 1969

Age and sex

Both sexes- ----.-- ------- -.----- ------

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

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

75 years and over ---.---- -------- -------- ---

Male -------- -------- -------- -------- ----

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

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

75 years and over ---------------------------

Female -------- -------- -------- -------- --

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

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

75 yeara and over -------- -------- -------- ---

All North- Nor th

regions east Centra 1

South West

4.0

1:::

76.6

2.5

0.5

5;::

5.4

Rate per 1,000 population

L!::

92.3

3.7

0.4

6;:;

2*2

0.4

4:::

5.2

1!::

83.7

5.0

0.7

13.9

87.8

3.4

1!::

62.5

6.6

0.7

15.0

104.2

3.5

0.4

10.0

72.2

2.2

0.4

4%;

4.8

0.4

11.2

89.0

3.6

1::;

75.8

2.4

1:::

54.1

4.8

0.4

11.9

90.0

5
Table E. Percent distribution of residents i.n nursing and personal care homes

of service movided by the home, according to age, sex, and color: United

June-August”1969 -

Age, sex, and color

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

Male-------------------------------------------

Female -----------------------------------------

White -------” ---------------- -------- -------- --

All other -------- -------- -------- -------- -.----

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

Male-------------------------------------------

Female-----------------------------------------

White------------------------------------------

All other .“------ -------- -------- ------.- -.-.--

65 years and over ---------------- ----------

Male-------------------------------------------

Female------.----------------------------------

White---”---------------------------------------

All other --------------”- +-------- -------- ------

residents in nursing and personal care homes is

covered in another report.

Type of Ownership

Table4 shows the distribution ofresidentsin

nursing and personal carehomesaccording totype

ofownership. The government-ownedhomeshada

much larger proportion ofpatients under age65

than homes with other types of ownership. About

22 percent of the residents in the governmentowned homes compared to 6percentin the nonprofit homes and about 12 percent intheproprietary homes were tinder age 65. The nonprofit

All

homes

A100.0

100.0

100.0

100.0

100.0

--i

100.0

100.0

100.0

100.0

100.0

-i

100.O

100.0

100.0

100.0

100.0

by type

States,

Type of servl.ceprovided

Nursing

care

78.4

77.5

78.8

78.3

80.2

71.6

72.4

70.9

71.0

77,1

79.2

78.6

79.5

79.2

81.2

by home

Personal

care with

nursing

17.1

17.4

17.0

17.3

13.4

19.2

20.1

18.4

19.6

16.3

16.8

16.8

16.9

17.0

12.4

Persona1

care

4.5

N

4.4

6.4

9.1

homes had the larger proportion ofresidents age

85andover. The percent distribution oftheresidents by type of ownership parallels that by type

of service.

Table F shows the percent distribution of

homes by type of service and ownership. Of the

homes where the primary service was nursing

care, 7’9 percentwere proprietaryand only6

percent were government owned; of the homesin

which the primary service was personal care, 79

percent were proprietary and 13 percent were

government-owned homes. Thus it becomes apparent that there is a direct relationship between

type of service and type of ownership.

b
Table F. Percent distribution of nursing and personal care homes by ownership of home,

according to type of service: United States, June-August 1969

Ownership of home

Type of service Total

Govern- Non- Propriment profit etary

All homes --”--------------------- ---- 100.0 7.5 15.5 77.0

Nursing care----------------------.-------- 100.O 5.8 15.1 79.1

Personal care with nursing----------------- 100.0 8.7 22.1 69.2

Personal care------------------------------ 100.0 12.5 8.8 78.7

In additionto therelationshipbetweentype

of serviceandownership,thesizeofhomes was

alsoinvolved.A smallerproportionofthegovernmerit-ownedhomes had lessthanlOObedsthanthe

othertwotypesofownership(tableG).Of homes

thathad 200 beds or more, 27 per$ent were

government owned. Of homes that had less than

50 beds,only7percentwere governmentowned.

Thus the percentdistributionsof residentsin

tables5 and H show that bed size can be related

to and interpretedas being afactor of the typeof

careofferedby thehomes andthetypeofowntxshipofthehomes.

Length of Stay

Table 6shows the distribution ofresidentsby

length of stay according to sex and age and

according tocolor and age. Lengthofstayas used

in this report is thetimeinterval betweenthe date

of last admission to the home and the date of the

survey in that home. At the time of the survey

Table G. Percent distribution of nursing and personal care homes by ownership of home,

according to bed size of home: United States, June-August 1969

Ownership of home

Bed size of home Total

Govern- Non- Propriment profit etary

All homes---------------------------- 100●o 7.5 15.5 77.0

Less than 50 beds-------------------------- 100.0 7.4 11.8 80.8

50-99 beds----------.--------------------.- 100.0 5.6 19.3 75.1

100-199 beds ------------------------------- 100.0 9.4 25.1 65.5

200 beds or more -------- ---------------- --- 100.O 27.0 41.7 31.3

7
Table H. Percent distribution of residents in nursing and personal care homes by bed

size of home, according to age and sex: United States, June-August 1969

Age and sex

All Less nomes than

b%

Both sexes ---- . . . . . . . . . . . . . . . . . . . .

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

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

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

85 years and over -----------------------

Male . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

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

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

85 years and over -----------------------

Female --------------------------- . . .

Under 65 years . . . . . . . . . . . . . . . . . . . . . . . . . .

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

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

85 years and over -----------------------

alxmt 15 percent ofthe residents had been in the

home 5 years or longer. During the1964 survey

it was found that closeto 18 percent oftheresidents had been inthehome5 years or longer and

that the length of stay of residents in nursing and

personal care homes varied according to the

number and kind of conditions and impairments.

The average length of time spent in nursing

and personal care homes at the time of the

survey is shown in table J. The average length

of stay for all residents was just under 3years

and the average for females slightly higher than

that for males . This disparity islargelydueto the

longevity ofthe female; this is especially noticeable for residents age 85 and over, where the

average length of stay for males was 2.7 years

and for females 3.2 years.

Evidence from unpublished data indicates

that the length ofstaybasedon patientsdischarged

-11-

100.0 17.5

100.0 14.3

100.0 12.8

100.0 12.9

11

100.0 12.9

100.0 13.2

100.0 14.4

100.0 12.0

100.0 12.6

100.0 14.0

100.0 21.6

100.0 14.2

100.0 13.1

100.0 13.0

Bed size of home I

30-49 ;:5:9

beds

:$: 30.1

33.2

14:7 35.7

16.7 36.3

-=-l-=

15.8 30.9

16.0 33.8

14.8 35.9

17.4 36.6

--P

16.9 29.4

16.1 32.8

14.6 35.6

16.5 36.2

100-199 200 beds

beds or more

24.9 :;.;

25.8

26.9 9:9

24.7 4.4

---F

25.7 14.4

24.6 11.3

26.5 10.7

23.7 9.7

26.0 9.5

24.1

26.6 1::;

27.1 9.6

25.1 9.3

Table J. Average length of stay of residents innursirm and personal care homes

and se~: United States, Junei;g%; 1969

}

Sex

All

Age residents

Male ~ie

All ages------ 2,8 2.7 2.9

Under 65 years ------ 3.3 3.0 3.5

65-69 years --------- 2,5 2.6

70-74 years --------- ;:! 2.7 2.6

75-79 years --------- 2.5

80-84 years --------- ;:: ;:;

85 years and over--- ::: 2.7 3.2

8
Table K. Percent distribution of residents in nursing and personal care homes by ~rital status, according to age and sex: United States, June-August 1969

Age and sex

Both sexes..........................

Under

65-69

70-74

75-79

65 years........................--years .......-----------------------

years-------------------------------

years--------------.-----------.----

80-84 kears -------- -------- -------- -------

85 years and over-------------------------

Male----------------------------------

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

65-69 years . . . . . . . . . . . . . . . . . . . . . . . . . . . ----

70-74 years -------- -------- -----.-- -------

75-79 years -------- -------- . --------------

80-84 years -------- -------- -----.-- -------

85 years and over-------------------------

Female--------------------------------

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

65-69 years-------------------------------

70-74 years...........................----

75-79 years-------------------------------

80-84 years-------------------------------

85 years and over . . . . . . . . . . . . . . . . . . . . . . . . .

All

residents

100.0

100.O

100.0

100.0

100.0

100.0

100.0

100.0

100 ● o

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

Married

13.5

14.8

17.7

16.7

17.7

13.8

8.7

22,6

14.9

20.7

24.4

28.4

25.4

21.9

9.4

14.7

15.5

12.6

13.2

:::

Marital status

Widowed

Divorced

or

separated

‘61.9 4.2

17.5

42.4

54.4

62.6

70e8

77.2

14.2

9.5

6.6

;.;

1:0

41.8 7.7

2;::

34.9

41.6

54.3

63.1

16.3

13.0

11.8

::2

2.2

Never

married

20.5

53.5

30.4

22.3

16.6

13.6

13.1

27.9

59.0

40.5

28.9

24.6

16.0

12.7

17.2

48.4

22.6

18.9

13.3

12.7

13.2

from nursing and personal care homes is considerably shorter than the length ofstay basedon

current patientsas shown intableJ.

MARITAL STATUS OF RESIDENTS

Maritalstatusas used in this report is the

marital status of the resident at the time of

admission to the home. Of the total number of

residents in nursing and personal care homes,62

percent were widowed (table K). Of these, 21

percent were males and 79 percentwere females.

When examining the percent distributions for

males and females, itis found that 42 percentof

the males and 71 percent of the females were

widowed. This would be expected since the majority of the widowed residents were in the older

age groups; only 3 percent ofthewidowedresidents hereunder age65, while40 percentof them

were age85 and over (table 7).

In both 1964 and 1969 the majority of the

residents were widowed, 63 percent in1964 and

62 percent in1969 (figure 3). There wasnot much

difference in the percent distributions oftheresi-
dentsby maritalstatus

themarriedresidents.

forthe2 yearsexceptfor

Type of Care

Regardlessofmaritalstatus,themajorityof

theresidentswere innursingcarehomes (table

L).About85percentofthemarriedresidentsand

80 percentof thewidowed were innursingcare

homes, as were 74 and71 percent,respectively,

ofthedivorcedor separatedandofnevermarried

residents.Itcan be seen,however,thata larger

proportionofmarriedandwidowedresidentdwere

innursingcarehomes thanwere residentsinthe

othertwo groups.Less than5 percentofallresidentswere inhomes whichofferedonlypersonal

care,butthe proportionswere higherforresidentswho were divorcedor separatedandnever

married,9 and7percerit,respectively,andlowest

(2 percent)forresidentswho were married.It

100

80I

13.5

9.9

m 19”

19&a

Married Widowed Divorwd or NwIr

f.maratcd mc.rrbd

Fiwre 3. Percent distribut ion of residents in nursing and personal care homes in 1964 and 1969 by marital status.

Table L. Percent distribution of,residents in nursing and personal care homes by type

of service provided by thh home

June-August 1969

, according to marital s’tatusand sex: United States,

Marital etatus and sex

Both sexes-------------------------------

Married----------------------------------------

Widowed----------------------------------------

Divorced or separated--------------------------

Never married----------------------------------

Male . . . . . . . . . . . . . . . . . . . . . . . . . --------------

~rried ----------------------------------------

Widowed------------------------.-------.-------

Divorced or separated------------------------..

Never married----------------------------------

Female-------------------------------------

Married----------------------------------------

Widowed----------.-----------------------------

Divorced or separated--------------------------

Never married--------------------------------..

All

homes

100.0

100.O

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.O

100.0

100.0

100.0

100.0

Type of service provided

by home

I I

Nursing

care

78.4 I 17.1 I 4.5

, 1

84.8

79.8

74.4

70.5

13.2

16.3

16.5

22.4

2.0

H

7.1

77.5 17.4 5.2

84.6 13.7 1.7

78.7 16.3

75.0 15.4 ;:;

70.6 22.4 7.0

78.8 I 17.0 I 4.2

10
PERCENT

o 20 40 64 80 10

I I I 1 I

Total

Married

Widowad

Divorcador

qarat.d

fhvor

mwri9d

Malt

Totnl

Marrlad

W dovmd

Dlvorad or

wparati

Nowr

married

Fnmale

Total

Marrkl

Wldow8d

Divorad or

qaratd

Nw,r

marrhd

m mNOn”Of’ m’”~~~’

Pr0pr18taw

Figure % Percent distribution of residentsin nursing and personal care homes in 1969 by ownership of

home and marital status.

can be speculated that illness and disability

among married persons played a very important

role in causing these people to seek admission to

nursing and personal care homes, whereas persons who were not married were less likely to

have someone to care for them when they got old

and thus were fore ed to enter a home even

though not seriously ill.

Type of ownership

Figure 4 shows the percent distributions of

residents by marital status and type of ownership;

69 percent of the residents were in proprietary

homes and 9 percent were in government-owned or

operated homes. About 72 percent of the married

residents, 71 percent of the widowed, and 71 percent of those divorced or separated were in

proprietary homes, but only 61 percent of the

residents in the “never married” category were

in proprietary homes.

Twenty-five percent of the married residents

who were in nonprofit homes were age 85 and

older compared to 20 percent of the married

residents in proprietary homes and 14 percent of

those in government-owned homes (table 8).

Among the widowed residents, 44 percent of those

in nonprofit homes were age 85 and older compared

to 39 and 37 percents, respectively, of those

in proprietary and government-owned homes.

Length of Stay

The length of time spent in nursing and personal care homes varied by marital status

(table 9). Approximately 30 percent of all residents in nursing and personal care homes were

there 12 months or less; about 15 percent had

been there 5 years or longer. Forty percent of the

married residents, 30 percent of the widowed, 29
percentof the divorcedor separated,and 22 being from 8 percentfor married males to 26

percentofthosenevermarriedhadbeeninnursing percentfornevermarriedfemales.Itcanbeseen

andpersonalcarehomes 12months orless(table thatresidentswho were married at thetimeof

M). The proportionsalsovaryby maritalstatus admissionspentlesstime in nursingand perforresidentswho had been in nursingandper- sonal care homes than residentsin the other

sonalcare homes 5 years or longer.The range maritalstatuses.

Table M. Percent distributionof residents in nursing and personal care homes by length

of stay, according to marital status and sex: United States, June-August 1969

Marital status and sex

Both sexes-------------------------

Married----------------------------------

Widowed----------------------------------

Divorced or separated--------------------

Never married----------------------------

Male---------------------------------

Married----------------------------------

Widowed-----------------------.--.-------

Divorced or separated--------------------

Never married----------------------------

Female -------------------------------

Married----------------------------------

Widowed--------..-------------------------

Divorced or separated--------------------

Never married----------------------------

All

residents

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

100.0

100.0

12

months

1::s

29.9

40.0

30.3

29.3

22.0

33.8

43.7

34.7

33.6

24.4

28.1

35.9

29.2

23.4

20.2

Length of stay

1-2

years

23.5

25.4

23.9

23.5

21.2

24.2

26.3

25.2

22.4

21.4

23.2

24.4

23.5

25.1

21.1

2-3

years

14.6

12.8

15.1

16.0

14.2

13.5

11.0

14.4

15.0

13.7

15.2

14.6

15.3

17.2

14.5

3-5

years

16.7 -

13.2

17.1

15.9

17.9

14.7

11.4

14.9

14.2

17.1

17.6

15.1

17.6

18,2

18.4

5

years

or

more

15.3

1::/5

15.4

24.8

13.9

1::;

14.9

23.4

15.9

1:::

16.1

25.8

12
As mentionedearlier,theaveragelengthof residentswhowere nevermarried(tableN).The

stayforallresidentswas 2.8years.The average averagelengthofstayvariedby age groups,and

was shortest(asone would expect)formarried it was relativelyhighforresidentsin the age

residents,2.1years,.,andlongest,3.9years,for group under 65 forthenevermarriedresidents.

Table N. Average length of stay in years of residents in nursing and personal care

homes by age and marital status: United States, June-AUgUSt 196$)

Age

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

Under

65-69

70-74

75-79

80-84

65 years----.-----------------------

years-------------------------------

years-------------------------------

years-----------------.-------------

years-------------------------------

85 years and over-------------------------

All

residents

2.8

3.3

2.6

2.7

2.5

2.6

3.1

Married

2.1

2.2

1.8

2.2

1.9

2.1

2.4

Marital status

Widowed

2.6

2.4

2.2

2.2

2.4

2.5

3.0

Divorced

or

separated

2.8

2.7

2.5

3.1

2.6

3.0

3.2

Never

married

3.9

4.0

3.7

4.1

3.6

3.9

4.2

REFERENCES

1National Center for Health stati~ti~~ Health in the later 4National Center for He~th Statistics: Design and Method.

yearsoflife.DHEW Pub.No.(HSM)72-1207.Washington. ologyofthe1967MasterFacility Invefitory Survey.Vital and

U.S.GovernmentPrinting Office, Oct.1971. Health Statistics. PHS Pub.No.1000-Series l-No.9.Public

2National centerfor Health Stati5tic5: Mwital Status and Health Service. Washington. U.S. Government Pr-inting Office,

Living Arrangements Before Admission to Nursing and Personal Jan. 1971.

Care Homes,Vital and Heak/z StatrNics. PHSPub. No, 1000- 5National Center for Hea]th Statistics: Design and Method.

Series 12-No, 12. PubIic Health SeMce. Washington. U.S. Gov- ology for a National Survey of Nursing Homes. Vital and

ernment Printing Office, May 1969. Health Statistics. PHS Pub. No. 1000-Series l-No. 7. Public

3National Center for Health Statistics: Chronic Condition5 Health Service. Washington. U.S. Government Printing Office,

and Impairments United States, May-June 1964. Vital and Sept. 1968.

Health Statistics. PEN Pub. No. 1000-Series 12-No. 8. Public

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

hly 1967,

000

13
LIST OF DETAILED TABLES

Table 1.

2.

3.

4.

5.

6.

7.

8.

9.

Number and percent distribution of residents in nursing and personal care homes

~~6;ge and sex, according to color, and median age: United States, June-August

----------------.-------------------.--.----.-----------------.---------.----

Number and percent distribution of residents in nursing and personal care homes

and color, according to geographic region: United States,

::g:%'l9:?:-----------------------------------------------------------------

Number and percent distribution of residents in nursing and personal care homes

by age, sex, and color, according to type of service provided by the home, and

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

Number and percent distribution of residents in nursing and personal care homes

and color, according to ownership of home: United States,

::g:z'l9:F:---------------------------------------------------------------::~-

Number and percent distribution of residents in nursing and personal care homes

by age, sex, and color, according to bed size of home: United States, June-August

l969-----------------------------------------------------------------------------

Number and percent distribution of residents in nursing and personal care homes

;~6ength of stay, according to age, sex, and color: United States, June-AuguSt

--.---------------~-------------.---------------------------“--------------.-

Number and percent distribution of residents in nursing and personal care homes

by marital status ’and age, according to type of setvice provided by the home, and

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

Number and percent distribution of residents in nursing and personal care homes

by marital status and age, according to ownership of home, and median age: United

States, June-August l969---------------------------------------------------------

Number and percent distribution of residents in nursing and personal care homes

by length of stay, according to marital status and age: United States, JuneAugust l969----------------------------------------------------------------------

Page

15

16

17

18

19

20

22

23

24
Table 1. Number and percent distribution of residents in nursing and personal care homes by age

and sex, according to color, and median age: United States, June-August 1969

Age and sex

Under

65-69

70-74

75-79

80-84

Both sexes-------------------------------

65 years------------------........-......

years------------------------------------

years------------------------------------

years------------------.......-----------

years------------------.........---------

85 years and over---------................-----

Median age in years----------------------------

Male---------------------------------------

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

65-69 years-.---=---......---------------------

70-74 years------------------------------------

75-79 years------------------------------------

80-84 years------------------------------------

85 years and over------------------------------

Median age in years----------------------------

Female---------.-----------.-----------.---

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

65-69 years------------------------------------

70-74 yeara------------------------------------

75-79 years------------------------------------

80-84 years------------------------------------

85 years and over------------------------------

Median age in years----------------------------

Total White All

other

II 1

Number of residents

815,100

92,900

53,100

85,400

133,900

187,900

261,900

81.1

251,900

44,800

23,000

29,200

39,300

51,500

64,100

78.7

563,300

48,100

30,100

56,200

94,600

136,500

197,800

81.9

778.500

83,500

48,500

81,000

128,600

182,300

254,500

81.3

235,800

39,400

20,500

26,900

37,200

49,400

62,300

79.2

542,700

44,100

28,000

54,100

91,300

132,900

192,300

82.0

36.600

9,300

4,600

4,400

5,300

5,600

7,400

75.0

16,100

5,300

2,500

2,300

2,000

2,100

1,800

70.4

20,500

4,000

2,000

2,100

3,300

3,500

5,600

78.3

rotal IWhite o&r

Percent distribution

100.0

11.4

6.5

10.5

16.4

23.1

32.1

...

LOO .0

17.8

9.2

11.6

15.6

20.4

25.5

...

.00.0

8.5

5.3

10.0

16.8

24.2

35.1

...

100.0

10.7

6.2

10.4

16.5

23.4

32.7

...

100.0

16.7

8.7

11.4

15.8

21.0

26.4

● ..

100.0

8.1

5.2

10.0

16.8

24.5

35.4

...

100.0

25.5

12.5

11.9

14.6

15.3

20.2

...

100.0

33.1

15.8

14.4

12.6

12.7

11.4

...

100.0

19.6

10.0

10.0

16.1

17.3

27.1

...

15
Table 2. Number and percent distribution of residents in nursing and personal care homes by age, sex, and color,

according to ~eomauhic region: United States. June-Aumst 1969

Age, sex, and color

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

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

65-69 years------------------

70-74 years------------------

75-79 years------------------

80-84 years------------------

85 years and wer------------

Male---------------------

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

65-69 years ------------------

70-74 years ------------------

75-79 years------------------

80-84 years------------------

85 years and ever ------------

Female-------------------

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

65-69 years------------------

70-74 years------------------

75-79 yeara------------------

80-84 years------------------

85 yeara and over------------

White--------------------

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

65-69 years------------------

70-74 years------------------

75-79 years------------------

80-84 years------------------

85 yeara and over------------

All other----------------

under 65 years---------------

65-69 years------------------

70-74 years------------------

75-79 years------------------

80-84 years------------------

85 yeara and over------------

-

All

regions

915,100

92,900

53,100

85,400

133,900

187,900

261,900

251,900

44,800

23,000

29,200

39,300

51,500

64,100

563,300

48,100

30,100

56,200

94,600

136,500

197,800

778,500

83,500

48,500

81,000

128,600

182,300

254,500

36,600

9,300

4,600

4,400

5,300

5,600

7,400

-

Ncmtheast 7North South

Number of residents

183>000

17,300

12,200

18,700

31,300

44,700

58,700

51,100

7,900

4>800

5,500

8,600

11,300

13,000

131,900

9,400

7,400

13,200

22,700

33,400

45,800

175,500

15,800

11,300

17,800

30,100

43,600

57,000

7,500

1,500

900

900

1,200

1,100

1,800

;84,700

]

36,600

17,900

30,200

44;200

62,800

93,000

93,000

18,000

7,900

11,300

13,100

19,100

23,700,

L91,700

18,700

10,000

18/900

31,100

43,700

69,300

276,200

33,900

16,900

29,500

43,100

61,600

91,200

8,400

2,700

900

700

1,000

1,200

1,800

221,000

22,400

14,800

23,700

37,500

51,700

68,900

66,100

11,400

6,200

8>000

10,100

13,700

16,700

154,900

13,000

8,500

15,800

27,400

38,100

52,100

203,300

20,200

12,500

21,300

34,900

48,900

65,500

17,700

4,200

2,200

2,400

2,600

2,900

3,400

-

lies t

.26,600

14,600

8,300

12,800

20,900

28,600

41,300

41,700

7,500

4,100

4,500

7,500

7,400

10,700

84,900

7,100

4,200

8,200

13,500

21,200

30,600

L23,500

13,700

7,800

12,400

20,400

28,300

40,900

3,100

900

500

300

500

400

400

100.0

11.4

6.5

10.5

16.4

23.1

32.1

100.0

17.8

9.2

11.6

15.6

20.4

25.4

100.0

8.5

5.3

10.0

16.8

24.2

35.1

100.0

10.7

6.2

10.4

16.5

23.4

32.7

100.0

25.5

12.5

11.9

14,6

15.3

20.2

Percent distribution

+

9.4

6.7

10.2

17.1

24.4

32.1

i

100.0

15.4

9.5:

10.8

16.9

22.1

25.4

100.0

7.1

5.6

10.0

17.2

25.4

34.7

100.0

9.0

6.4

10.2

17.2

24.8

32.5

100.0

20.3

12.3

12.3

15.9

15.4

23.9

100.0

12.9

6.3

10,6

15.5

22.1

32.7

100.0

19.3

8.5

12.1

14.1

20.5

25.5

100.0

9.7

5.2

9.9

16.2

22.8

36.2

100.0

12.3

6.1

10.7

15.6

22.3

33.0

100.0

32.1

11.2

8.3

12.4

14.4

21.6

100.0

11.0

6.7

10,7

17.0

23.4

31.2

100.0

17.3

9.4

12.0

15.3

20.7

25.3

100.0

8.4

5.5

10.2

17.7

24.6

33.7

100.0

9.9

6.2

10.5

17.2

24.0

32.2

100.0

23.8

12.6

13.7

14.6

16.1

19.1

~

11.5

6.6

10.1

16.5

22.6

32,7

100.0

18.1

9.8

10,8

17.9

17.7

25.7

100.0

8.3

5.0

9.7

15.9

25.0

36.1

100.0

11.1

6.3

10.1

16.5

22.9

33.?.

100.0

29.9

16.1

10.9

17.3

12.5

13.3

16
Table 3. Numberand percentdistributionof residentsin nursingand personalcare homes by age, SeX,

and color, according ‘totype of service provided by the home, and median age: United States, J@aeAugust 1969

Age, sex, and color

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

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

65-69years --------------------------

70-74years---------------------------

75-79yeara ----------- “... ------- ----

80-84years--------------------------

85 yeara and over --------------------

Median oge in years ------------------

Male-----------------------------

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

65-69years-----------------------

70-74years --------------------------

75-79yeara --------------------------

80-84 yeara -------------------- ------

85 yearsand over--------------------

Median age in years------------------

Female---------------------------

Under 65 yeara-----------------------

65-69years--------------------------

70-74years------------------------

75-79yeara--------------------------

80-84yeara--------.-----------------

85 yearsand over--------------------

Median age in yeara------------------

White ----------------------------

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

65-69 years ---------- -----------------

70-74 years--------------------------

75-79 years --------------------------

80-84 years--------------------------

Median age in years------------------

All other------------------------

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

65-69yeara....--..-------------------

70-74years--------------------------

75-79yeara--------------------------

80-84 years--------------------------

85 yearaand over------------------~-

Median age in years------------------

__L All Nursing

types care

815, 10C

92,900

53,100

85,400

133,900

187,900

261,900

81.1

251,900

‘4;,:;;

29:200

39,300

51,500

64,100

78.7

563,300

48,100

30,100

56,200

94,600

L36,500

L97,800

81.9

778,500

83,500

48,500

81,000

128,600

254,500

81.3

36,600

9,300

4,600

4,400

5,300

5,600

7,400

75.0

Persona1

care

with

nursing

Number of residents

638,800

66,500

41,000

673800

106,400

149,000

208,100

81.3

195,100

32,400

17,400

22,800

30,300

41,200

51,000

79.1

443,700

34,100

23,600

44,900

76,200

107,700

157,100

82.0

609,400

59,300

37,300

64,400

101,900

201,900

81.4

29,400

7,200

3,700

3,300

4,500

4,400

6,200

75.5

139,500

17>900

8,600

13,400

22,000

31,700

45,900

81.2

43,700

9,000

4,000

4,900

7,200

8,100

10,500

77.8

95.800

8,900

:,7$

14;800

23,600

35,300

82.3

134,600

16,300

8,100

12,900

21,400

451,000

81.4

4,900

1,500

600

600

600

800

800

73.1

Persona1

care

36,900

8,500

3,500

:,;;;

7;300

7,900

77.1

13,000

3,400

1,700

1,500

1>800

2,200

2,600

75.0

23.900

5,100

1,800

2,700

3,700

5,100

5,400

78.1

34,500

7,900

3,200

3,700

5,200

7,600

77.4

2,400

600

300

500

300

300

400

72.9

III Personal ~er- Nurs- care All -

types ‘g with sonal

care

nurscare

ing

Percentdistribution

100.(

~

11.4

1:::

16,L

23.1

32.1

...

100.0

17.8

1?::

15.6

20.4

25.5

.0.

LOO.O

!2;

10.0

16.8

24.2

35.1

,..

LOO.O

10.7

1%:

16.5

32.7

...

100.0

25.5 12.5

11.9

14.6

15.3

20.2

...

100.(

10.4

1:::

16.i

23.Z

32.&

...

100.0

16.6

1::;

15.5

21.1

26.2

...

100.0

z:;

10.1

17.2

24.3

35.4

...

100.0

9.7

1:::

16.7

33.1

...

100.0

24.:

12.6

11.4

15.:

15.1

21.1

.*.

100.C

12.8

6.2

1%!

22.7

32.9

...

100.0

20.6

1::;

16.5

18.5

24.1

. . .

100.0

::;

8.9

;;.:

36:9

● **

100.0

12.1

6.0

1%$

33.5

...

100.0

31.1

12.0

11.3

11..9

17.0

16.7

...

100.0

23.0

1:::

14.9

19.8

21.5

...

100.0

25.8

12.9

11.4

13.7

16.6

19.6

...

100.0

21.5

J::

15.6

21.5

22,6

,..

100.0

22.8

1;:;

15.1

21.9

...

100.0

26.1

12.1

20.4

11.6

13.6

16.2

..*

17
Table 4. Numberand percentdistributionof residentsin nursingand personalcare homes by age, sex,

and color,accordingto ownershipof home:UnitedStates,June-August1969

Profit Profit All IIGovern- Nontypes ment profit

Nonprofit Age, sex, and color

Numberof residents Percentdistribution

815,100

92,900

53,100

85,400

133,900

187,900

261,900

251,900

73,90C

16,1OC

5,70C

9,30C

11,60C

13,50C

17,60C

32,20C

178,100

11,000

7,800

15,200

29,700

46,400

68,100

41,800

563,100

65,800

39,500

60,900

92,600

128,000

176,300

177,900

100.0 100.0 100.C 100.0

11.7

7.0

10.8

16.4

22.7

31.3

100.0

17.3

9.7

11.8

15.6

20.6

25.0

100.0

9.1

5.8

10.4

16.8

23.7

34.2

100.0

11.0

6.7

10.s

16.5

23.1

32.0

100.0

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

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

65-69years---------------------

70-74years---------------------

75-79years---------------------

80-84years---------------------

85 yearsand over---------------

Male------------------------

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

65-69years---------------------

70-74years---------------------

75-79years---------------------

80-84years---------------------

85 yearsand over---------------

Female----------------------

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

65-69years---------------------

70-74years---------------------

75-79years---------------------

80-84years---------------------

85 yearsand over---------------

White-----------------------

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

65-69years---------------------

70-74years---------------------

75-79years---------------------

80-84years---------------------

85 yearsand over---------------

All other-------------------

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

65-69years---------------------

70-74years---------------------

75-79years---------------------

80-84years---------------------

85 yearsand over---------------

11.4

6.5

10.5

16.4

23.1

32.1

100.0

21.8

7.8

12.6

15.8

18.3

23.8

100.0

6.2

4.4

8.5

16.7

26.C

38.2

100.0

10.9

6.9

9.2

14.6

23.6

34.8

100.0

4.7

3.6

8.4

17.3

26.8

39.3

100.0

5.7

4.2

8.4

16.8

26.4

38.5

100.0

44,800

23,000

29,200

39,300

51,500

64,100

563,300

48,100

30,100

56,200

94,600

136,500

197,800

778.500

9,40C

2,900

4,500

5,400

5,000

5,100

41.700

4,500

2,900

3,800

6,100

9,900

14,500

136,400

6,400

4,900

11,400

23,600

36,500

53,600

171,700

9,800

7,200

14,400

28,900

45,300

66,100

6,500

1,100

600

800

800

1,100

2,100

30,800

17,300

20,900

27,800

36,600

44,400

385,200

35,000

22,300

40,000

64,700

91,400

131,800

537,800

59,100

36,100

57,800

88,900

124,100

171,800

25,300

17.8

9.2

11.6

15.6

20.4

25.5

100.0

8.5

5.3

10.0

16.8

24.2

35.1

Loo.0

10.7

6.2

10.4

16.5

23.4

32.7

LOO.O

29.3

8.9

13.9

16.7

15.4

15.9

100.0

16.0

6.9

11.6

15.1

20.6

29.9

100.0

21.2

7.6

12.7

15.6

18.8

24.2

100.0

6,700

2,900

4,800

6,300

8,600

12,500

69,000

14,600

5,200

8,700

10,800

13,000

16,700

4.900

83,500

48,500

Sl,ooo

128,600

182,300

254,500

36,600

9,300

4,600

4,400

5,300

5,600

7,400

1,500

500

500

900

600

900

6,700

3,500

3,100

3,700

3,900

4,400

25.5

12.5

11.9

14.6

15.3

20.2

30.6

IQ.4

10.9

17.9

11.9

18.3

17.5

9.1

12.0

12.7

17.1

31.7

26.6

13.8

12.1

14.5

15.5

17.6

18
Table 5. Number and percent dis:;ibutio? :f ~esid:n:s in nursing and personal.care homes by age, sax, and color, ac- .. . .-. —... ----

corm.rw co Dea s~ze or nome: umzea scaes, June -iwws E Lmy

Age, sex,

and color

Number of residents Percent distributions

All ages------ 815,100

92,900

53,100

85,400

133,900

187,900

261,900

251,900

44,800

23,000

29,200

39,300

51,500

64,100

j63,300

111,100

16,300

8,200

11,600

17,000

24,100

33,800

32>400

5,900

3,700

3,800

4,400

6,500

8,100

78,600

128,400

15,200

8,600

13,600

19,900

27,400

43,800

40,000

7,100

3,800

4,600

6,600

6,800

11,200

88,400

283,800

28,000

17,400

28,600

45,500

69,400

95,000

87,500

13,000

7,800

9,900

12,200

20,400

23,500

196,300

210,300

23,100

13,300

22,500

37,400

49,200

64,800

63,600

11,500

4,900

7,900

11,300

12,800

15,200

146,700

31,600

10,300

5,700

9,100

L4,1oO

L7,800

?4,600

18,300

6,500

2,900

3,000

4,800

5,000

6,200

;3,300

LOO.O

11.4

6.5

10.5

16.4

23.1

32.1

LOO.0

17.8

9.2

11.6

15.6

20.4

25.5

LOO.0

100.0 100.0

14.7 11.9

7.3 6.7

10.5 10.6

15.3 15.5

21.7 21.3

30.4 34.1

100.0 100.0

18.2 17.7

11.4 9.4

11.8 11.4

13.7 16.5

20.0 17.1

24.9 27.9

100.0 100.0

13.2 9.2

5.7 5.5

9.9 10.2

16.0 15.0

22.5 23.2

32.7 36.9

100.0 100.0

14.2 10.7

7.1 6.6

10.1 10.5

15.4 15.8

21.9 21.7

31.3 34.7

100.0 100.0

100.0

9.9

6.1

10.1

16.0

24.4

33.5

100.0

LOO.O

11.0

6.3

10.7

17.8

23.4

30.8

Loo.o

100.0

12.6

6.9

11.2

17.3

21.8

30.1

100.0

Under 65 years ------

65-69 years---------

70-74 years---------

75-79 years---------

80-84 years---------

85 years and over---

MaLe------------

Under 65 years------

65.69 years---------

70-74 years---------

75-79 years---------

80-84 years---------

85 years and over---

15.8

8.9

11.3

13.9

23.3

26.8

100.0

18.1

7.7

12.5

17.7

20.1

23.9

100.0

22.8

10.2

10.6

16.9

17.5

22.0

Female---------- 100.0

3,800

2,800

6,100

9,300

.2,800

.8,300

16,900

9,200

4,900

8,700

.3,300

.7,300

!3,400

4,600

7.2

4.9

9.5

17.0

24.9

36.5

100.0

9.5

5.9

10.1

16.0

24.7

33.9

100.0

Under 65 years------

65-69 years---------

7’0-74years---------

75-79 years ---------

80-84 years---------

85 years and wer ---

48,100

30,100

56,200

94,600

136,500

L97,800

778,500

10,400

4,500

7,800

12,600

17,700

25,700

105,300

8,100

4,900

9,000

13,300

20,500

32,600

122,200

14,100

9,600

18,700

33,300

49,000

71,600

Z73,900

11,600

8,400

14,600

26,100

36,500

49,600

200,100

8.5

5.3

10.0

16.8

24.2

35.1

LOO.O

10.7

6.2

10.4

16.5

23.4

32.7

LOO.O

7.9

5.7

9.9

17.8

24.9

33.8

100.0

10.2

6.0

10.6

17.9

23.9

31.5

!00.0

7.2

5.2

11.5

17.6

24.1

34.4

100.0

12.0

6.4

11.3

17.3

22.5

30.4

100.0

White-----------

Under 65 years------

65-69 years---------

70-74 years---------

75.79 yeare---------

80-84 years---------

8S years and wer ---

83,500

48,500

81,000

L28,600

182,300

254,500

36,600

15,000

1,500

10,600

16,300

23,000

33,000

57,000

13,100

8,000

12,800

19,300

26,500

42,400

6,2oo

25,900

16,000

27,700

43,900

67,700

92,800

9,900

20,400

12,000

21,200

35,800

47,800

63,000

All other------- 10,200

Under 65 yeara------

65-69 years---------

70-74 years---------

75.79 years---------

80-84 yeara---------

85 years and cwer---

9,300

4,600

4,400

5,300

5,600

7,400

1,300

700

1,000

800

1,100

800

2,100

600

700

500

800

1,400

2,100

1,300

900

1,600

1,700

2,300

2,700

1,200

1,300

1,600

1,500

1,800

1,100

700

400

800

500

1,100

25.5

12.5

11.9

14.6

15.3

20.2 1

23.6 34.1

12.3 9.5

17.1 11.9

13.5 8.7

19.6 13.4

13.9 22.4

21.1

13.5

9.1

16.3

17.1

23.0

26.9

12.2

13.0

16.0

14.3

17.6

22.9

15.4

9.4

17.1

10.7

24.6

19
Table 6. Number and percent distributionofresidentsin nursing and personalcare homes by length

of stay, according to age, sex, and color: United States, June-August 1969

Ii 1 I I I I

All Less

lengths than 6

6-12 1-2 2-3 3-5 5 years

of stay months months years years years or more

Age, sex, and color

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

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

65-69 years---------------------

70-74 years---------------------

75-79 years---------------------

80-84 years---------------------

85 years and over---------------

Male------------------------

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

65-69 years---------------------

70-74 years---------------------

75-79 years---------------------

80-84 years---------------------

85 years and over---------------

FeMle ----------------------

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

65-69 years---------------------

70-74 years---------------------

75-79 years---------------------

80-84 years---------------------

85 years and over---------------

White-----------------------

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

65-69 years---------------------

70F74 years---------------------

75-79 years---------------------

80-84 years---------------------

85 years and over---------------

All other-------------------

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

65-69 years---------------------

70-74 years---------------------

75-79 years---------------------

80-84 years---------------------

85 years and over---------------

II I I I I I

Number of residents

142,200

16,400

11,200

16,400

26,900

33,300

38,000

50,500

191,800

20,800

11,800

20,900

32,100

47,000

59,200

60,800

119,300

12,800

8,300

11,400

18,400

28,300

40,200

33,900

815,100

92,900

53,100

85,400

133,900

187,900

261,900

251,900

124,700

17,600

6,800

11,600

16,900

23,700

48,000

35,000

7,900

3,000

4,400

4,800

5,300

9,600

89,700

101,300

11,000

7,800

13,100

18,800

23,900

26,600

34,600

135,800

14,200

7,200

12,000

20,900

31,600

50,000

37,000

44,800

23,000

29,200

39,300

51,500

64,100

563,300

5,800

2,900

4,500

6,200

7,500

7,700

66,700

8,800

5,500

5,900

8,800

10,600

10,900

91,700

9,900

5,500

7,300

9,000

13,000

16,200

130,900

5,200

3,600

3,500

4,700

7,300

9,600

85,400

7,100

2,500

3,700

5,800

7,800

10,100

98;800

48,100

30,100

56,200

94,600

136,500

197,800

778,500

5,200

4,900

8,600

12,700

16,400

19,000

95,700

7,600

5,700

10,500

18,100

22,700

27,100

133,200

11,000

6,300

13,600

23,100

34,000

42,900

183,900

7,500

4,700

7,900

13,600

21,100

30,600

115,000

7,200

4,600

8,300

15,000

23,800

39,900

130,600

9,700

3,800

7,200

12,100

18,400

38,400

120,200

83,500

48,500

81,000

128,600

182,300

254,500

36,600

9,300

4,600

4,400

5,300

5,600

7,400

9,300

6,800

12,600

18,000

23,100

25,900

5,600

1,700

1,000

500

800

800

700

14,300

9,600

15,400

25,600

32,300

36,000

9,000

2,100

1,600

900

1,300

1,000

2,000

18,800

11,100

19,600

30,900

45,800

57,700

7,900

2,000

700

1,300

1,200

1,200

1,500

11,500

7,900

11,000

17,700

27,700

39,100

4,400

1,200

400

500

700

600

1,000

13,000

6,700

11,300

20,100

30,600

48,900

5,300

1,200

500

700

700

1,100

1,100

16,500

6,400

11,200

16,300

22,900

47,000

4,500

1,100

400

400

600

900

1,100

20
Table 6. Number and percent distributionofresidentsin nursing and personal care homes by length

of stay, accordingto age, sex, and color: United States,June-August1969—Con.

All Less

Age, sex, and color lengths than 6

6-12 1-2 2-3 3-5 5 years

of stay months years years years months or more

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

t

100.0

Under 65 years------------------ 100.0

65-69 years--------------------- 100.0

70-74 years--------------------- 100.0

75-79 years---.-----.h-=-.--.--m 100.0

80-84 years--------------------- 100.0

85 years and over--------------- 100.0

Percent distribution

17.4

17.6

21.1

19.2

20.1

17.7

14.5

20.1

23.5

22.4

22.3

24.5

23.9

25.0

22.6

24.2

14.6

13.7

15.7

13.4

13.7

15.1

15.3

13.5

11.7

15.8

11.9

12.0

14.1

15.0

15.2

16.7 15.3

19.0

12.7

13.6

12.6

12.6

18.3

13.9

12.4

11.9

14.7

15.4

14.0

12.7

10.2

13.7

15.3

13.5

14.0

15.6

16.8

19.1

14.7

15.8

11.0

12.5

14.9

15.2

15.8

17.6

14.9

15.4

14.8

15.9

17.5

20.2

16.8

Male------------------------ 100.0

Under 65 years------------------ 100.0

65-69 years--------------------- 100.0

70-74 years--------------------- 100.0

75-79 years--------------------- 100.0

80-84 years--------------------- 100.0

85 years and over---------------- 100.0

13.1

12.7

15.4

15.7

14.6

12.0

11.9

19.7

24.0

20.1

22.4

20.6

17.0

16.3

22.1

23.8

25.0

22.9

25.2

25.3

23.2

17.7

12.8

15.1

12.1

10.4

15.0

Female---------------------- 15.9

1-

100.0

Under 65 years------------------ 100.0

65-69 years--------------------- 100.0

70-74 years--------------------- reg.;

75-79 years--------------------

80-84 years--------------------- 100;o

85 years and over--------------- 100.0

10.8

16.3

15.3

13.4

12.1

9.6

12.3

15.7

19.0

18.7

19.1

16.6

13.7

17.1

;;.;

19:0

19.9

17.7

14.1

24.6

22.8

21.1

24.2

24.4

24.9

21.7

23.6

15.6

15.6

14.1

14.4

15.4

15.5

14.8

20.2

12.7

12.9

12.8

13.5

19.4

15.4

19.8

13.1

13.8

12.7

12.5

18.5

12.3

White-----------------------

+

100.0

15.6

13.7

14.0

15.7

16.8

19.2

14.4

under 65 years ------------------ 100.0

65-69 years--------------------- 100.0

70-74 years--------------------- 100.0

75-79 years--------------------- 100.0

80-84 years--------------------- 100.0

85 years and over--------------- 100.0

::.;

15:5

14.0

12.7

10.2

15.3

22.5

22.9

24.2

24.0

25.1

22.7

21.5

21.6

15.1

29.8

22.2

21.8

19.9

13.8

16.3

13.5

13.8

15.2

15.4

All other-------------------j 100.0 11.9

Under 65 years------------------ 100.0

65-69 years--------------------- 100.0

70-74 years--------------------- 100.0

75-79 years--------------------- 100.0

80-84 years--------------------- 100,0

85 years and over--------------- 100.0

11.8

1::!

11.3

15.7

14.7

18.0

22.3

12.6

15.7

14.2

9.7

22.6

34.6

21.7

24.3

18.8

27.1

13.2

1;:;

12.5

10.7

13.9

13.0

10.7

15.3

14.0

18.8

14.8

21
Table 7. Number and percent distribution of residents in nursing and personal care homes by marita~

status and age. accordin~ to tyve of service provided by the home, and median age: United States,

June-August i969

.-

11 I 1

a13i

Percent distribution

Personal

care

with

nursing

Personal

care

All

types

Nursing

care Harital status and age

Number of residents

815.100 638.800 139,500

17,900

8,600

13,400

22,000

31,700

45,900

81.2

14,400

100.0

1;. ;

10:5

16.4

23.1

32.1

...

100.0

100.0

10.4

1:::

16.7

23.3

32.6

...

10000

100.0

12.8

;::

15.8

22.7

32.9

...

100.0

10.6

1!:;

24.0

;:.;

.

...

100.0

:::

1%;

27.2

41.4

...

100.0

100.0

23.0

$!

19:8

21.5

...

100.0

24,4

10.2

2:::

24.6

11.3

...

100.0

5.2

1%;

17.8

28.2

31.7

...

100.0

42.6

15.5

19.3

1$:

.

...

100.0

47.3

12.3

11.4

1:.;

11:8

...

36,900

8,500

3,500

4,200

;,XI:

7;900

77..1

2,200

All statuses-------------------

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

65-69 years--------------------------

70-74 years--------------------------

75-79 years --------------------------

80-84 years --------------------------

86 years and over--------------------

Median age in years------------------

92,900

53,100

85,400

133,900

187,900

261,900

81.1

109,800

66,500

41,000

67,800

106,400

149,000

208,100

81.3

Married-------------------------- 93,100

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

65-69 years--------------------------

70-74 years --------------------------

75-79 years --------------------------

80-84 years--------------------------

85 years and over--------------------

Median age in years------------------

13,700

9,400

14,200

23,700

25,900

22,800

78.7

504,400

lyl:

12;500

19,700

22,400

18,900

78.7

402,600

1,500

1,300

1,600

3,500

3,000

3,600

79.0

82,100

500

200

200

500

500

300

76.9

19,700

12.5

1;::

21.6

23.6

20.7

...

100.0

;::

1:::

26.4

40.1

...

100.0

12.5

1;::

21.2

24.1

20.3

...

100.0

::;

1::;

26.1

40.3

...

100.0

;;.:

16:3

12.4

1.O.7

8.6

...

100.0

28.0

1?:;

13.2

16.0

21.2

...

Widowed--------------------------

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

65-69 years--------------------------

70-74 years--------------------------

75-79 years--------------------------

80-84 years--------------------------

85 years end over--------------------

Median age in years------------------

16,300

22,500

46,500

83,900

133,000

202,300

83.1

33.900

12,400

17,900

37,100

68,000

105,100

162,100

83.1

25,200

;,$();

4;100

3,100

2,700

2,200

69.3

117,800

33,000

11,400

14,100

15,600

18,800

24,900

75.1

2,900

3,300

7,200

12,400

22,400

34,000

83.4

5.600

1,000

1,300

2,100

3,500

5,600

6,200

81.8

Divorced or separated------------ 3.100

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

65-69 years--------------------------

70-74 years--------------------------

75-79 years--------------------------

80-84 years--------------------------

85 years and over--------------------

Median age in years ------------------

13,200

5,100

5,600

4,100

3,400

2,500

68.8

167,100

49,700

161,100

19,100

22,200

25,600

34,400

74.6

2,400

800

900

700

300

300

67.1

37,400

11,000

3,200

3,700

5,400

6,000

8,000

75.7

1,300

500

600

300

400

67.4

11,900

5,600

1,500

1,400

1,200

800

1,400

66.1

::.;

16’.5

12.2

10.1

7.5

...

Loo.o

29.7

1?::

13.3

15.3

20.6

...

43.7

15.1

15.9

13.3

6.1

6.0

...

LOO.O

29.5

;::

14.5

16.0

21.5

...

Never married--------------------

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

65-69 years--------------------------

60-74 years--------------------------

75-79 years--------------------------

80-84 years--------------------------

85 years and over--------------------

Median age in years------------------

22
Table 8. Number and percent distribution of residents in nursing and personal care homes by marital

status and age, according to ownership of home, and median age: United States, June-August 1969

Marital status and age

All Govem- Non- Propritypes ment profit etary

Number of residents

EEEIEEE

Percent distribution

100.0

11.7

1;:;

16.4

22.7

31.3

...

100.0

12.8

1;:;

20.8

23.8

20.4

...

100.0

N

1::;

25.7

39.1

...

100.0

39.5

16.2

15.0

10.7

10.3

8.3

...

100.0

32.3

10.8

11.8

12.8

14.5

17.9

...

115,100

92,900

53,100

85,400

L33,900

L,87,900

~61,9(31)

81.1

109,800

73,900

16,100

5,700

9,300

11,600

13,500

17,600

77.5

9,800

178,100 j63,100 .00.0

11.4

1%2

16.4

23.1

32.1

...

LOO.0

12.5

1%:

21.6

23.6

20.7

...

LOO.O

:::

1:::

26.4

40.1

...

LOO.O

38.8

14.9

16.5

12.2

10.1

7.5

...

,00.0

2;.;

11:4

13.3

15.3

20.6

...

100.0

21.8

1;:;

15.8

18.3

23.8

...

100.0

All statuses-------------- 100.0

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

65-69 years---------------------

70-74 years---------------------

75-79 years---------------------

80-84 years---------------------

85 years and over---------------

Median age in years-------------

Married---------------------

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

65-69 years---------------------

70-74 years---------------------

75-79 years---------------------

80-84 years---------------------

85 years and over---------------

Median age in years-------------

Widowed-------------------

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

65-69 years---------------------

70-74 years---------------------

75-79 years---------------------

80-84 years---------------------

85 years and over---------------

Median age in years-------------

Divorced or separated-------

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

65-69 years---------------------

70-74 years---------------------

75-79 years-.-.................

80-84 years---------------------

85 years and over---------------

Median age in years-------------

Never married---------------

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

65-69 years---------------------

70-74 years---------------------

75-79 years---------------------

80-84 years---------------------

85 years and over---------------

Median age in years-------------

10,000

7,800

15,200

29,700

46,400

68,100

82.7

21,200

1,700

1,100

2,500

5,200

5,400

5,300

80.1

110,800

65,800

39,500

60,900

92,600

128,000

176,300

80.9

78,700

10,100

7,100

10,400

16,400

18,800

16,100

78.6

357,900

;;,;:;

34;800

60,500

92,000

L39,900

82.9

24,000

::;

12;

26.0

38.2

...

100.0

19.6

12.2

14.1

21.7

18.4

14.1

...

100.0

13,700

9,400

14,200

23,700

25,900

22,800

7a. 7

504,400

16,300

22,500

46,500

83,900

L33 ,000

202,300

83.1

33,900

1,900

1,200

1,400

2,100

1,800

1,400

75.9

35,600

8.2

1::2

24.4

25.3

25.0

...

100.0

4.8

1?:;

16.1

25.6

37.1

...

100.0

47.4

11.4

19.1

11.1

7.3

3.8

...

100.0

42.8

1;:;

13.9

9.8

12.3

...

1.2

2.9

12::

28.7

44.3

...

100.0

1,700

1,800

4,000

5,700

9,100

13,200

82.5

6,200

1,400

3,200

7,600

17,700

31,900

49,100

84.0

3,600

18.9

12.7

22.4

24.0

13.8

8.3

...

100.0

16.9

7.2

10.1

14.1

20.3

31.5

...

13,200

5,100

5,600

4,100

3,400

2,500

68.8

.67,100

3,000

700

1,200

700

500

200

66.1

22,200

700

500

800

900

500

300

74.1

42,400

9>500

3,900

3,600

2,600

2,500

2,000

68.2

.02,400

33,000

11,000

12,100

13,200

14,800

18,300

72.9

49,700

16,100

19,100

22,200

25,600

34,400

74.6

9,500

2,000

2,700

3,100

2,200

2,700

69.0

7,200

3,000

4>300

6,000

8,600

13,300

80.4

23
Table 9. Number and percent distributionof residentsin nursing and personal carehomesby length

of stay, accordingto marital status and age: United States,June-August1969

Marital status and age

All statuses-------------

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

65-69 years--------------------

70-74 years--------------------

75-79 years--------------------

80-84 years--------------------

85 years and over--------------

Married--------------------

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

65-69 years--------------------

70-74 years--------------------

75-79 years--------------------

80-84 years--------------------

85 years and over--------------

Widowed--------------------

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

65-69 years--------------------

70-74 years--------------------

75-79 years--------------------

80-84 years--------------------

85 years and over--------------

Divorced or separated------

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

65-69 years--------------------

70-74 years--------------------

75-79 years--------------------

80-84 years--------------------

85 years and over--------------

Never married--------------

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

65-69 years--------------------

70-74 years--------------------

75-79 years--------------------

80-84 years--------------------

85 years and over--------------

II I I I I I

All

lengths

of stay

Less

than 6

months

6-12

months

1-2 2-3

years years

3-5

years

5 yeara

or more

Number of residents

L42,200

16,300

11,200

16,400

26,900

33,300

38,000

22,900

3,200

2,400

2,900

5,200

5,200

4,000

90.700

191,800

20,800

11,800

20,900

32,100

47,000

59,200

27,900

2,700

2,600

3,700

5,800

6,900

6,200

102,500

L19,300

12,800

8,300

11,400

18,400

28,300

40,200

14,000

1,700

1,100

1,600

3>100

3,300

3,200

76,300

815,100

92>900

53,100

85,400

133,900

187,900

261,900

109,800

101,300

l;,%

13;100

18,800

2#;w:

>

21,000

2,800

1,900

3,400

4,400

4,900

3,500

62,300

2,000

3,800

7,400

11,800

17,200

20,200

4,100

2,100

800

400

300

300

200

13,900

4,200

1,200

1,900

2,300

1,600

2,700

135,800

14,200

7,200

12,000

20,900

31,600

50,000

14,500

L24.700

1;, :5:

11;600

16,900

23,700

48,000

9,600

1;,;::

14;200

23,700

25,900

22,800

504,400

2,100

700

1,300

3,500

3,500

3,400

86,100

1,400

700

1,400

1,600

2,100

2,400

68,500

2,000

2,200

4,600

9,800

15,000

35,000

5,200

16,300

22,500

46,500

83,900

133,000

202,300

33,900

1;,::;

5:600

4,100

3,400

2,500

167,LO0

4,1OC

5,20C

9,50C

17,20G

24,500

30,200

5,800

3,600

4,800

12,300

20,600

33,200

45,800

8,000

3,200

1,000

1,;::

900

700

33,500

2,70C

3,40C

6,10C

1L,1OO

20,700

32,200

5,400

1,800

900

900

1,000

600

200

23,700

1,900

3,100

6,500

:$:3;

39:000

5,400

1,700

800

1,;:;

(55:

29,900

;,;:;

3;200

3,300

5,200

7,100

2,400

900

1,200

600

400

300

22,800

1,900

610

1,000

500

700

600

41,400

12,400

3,200

4,700

5,000

6,000

10,000

49,700

16,100

19,100

22,200

25,600

34,400

6,700

2,800

2,800

3,800

3,200

3,500

11,300

3,400

3,700

4,700

5,900

6,400

6,600

2,900

2,800

3,100

3,700

4,600
Table 9. Number and percent distributionofresidentsin nursing and personalcare homes by length

of stay, accordingto marital status and age: United States, June-August 1969—Con.

All Less

lengths than 6

6-12 1-2 2-3 3-5 5 years

of stay months months years years years or more

Marital status and age

Percentdistribution

17.~

17.6

21.1

19.2

20.1

17.7

14.:

20.9

23.3

25.1

20.3

22.1

20.1

17.7

18.0

23.5

22.4

22.3

24.5

23,9

25.0

22.6

25.4

19.4

27.4

25.7

24.7

26.7

27.2

23.9

14.6

13.7

15.7

13.4

13.7

15.1

15.3

12.8

All statuses------------- 100.0

100.0

100.0

100.0

100.0

100.0

100.0

100,0

16.7 15.3

19.0

12.7

13.6

12.6

12.6

18.3

8.7

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

65-69 years--------------------

70-74 years--------------------

75-79 years--------------------

80-84 years--------------------

85 years and over--------------

11.<

14.:

15./

14.(

12.;

1o.:

19.1

15.3

13.5

14.0

15.6

16.8

19.1

Married-------------------- 13.2

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

65-69 years--------------------

70-74 years--------------------

75-79 years--------------------

80-84 years--------------------

85 years and over--------------

100.0

100.0

100.0

100.0

100.0

100.0

100.0

20.L

20,5

23.;

18,L

18.5

15.:

12.4

12.1

12.1

11.4

13.3

12.7

13.8

15.1

14.9

:::

15.0

13.5

14.8

17.1

9.9

::2

6.6

1;:;

Widowed-------------------- 13.6

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

65-69 years--------------------

70-74 years--------------------

75-79 years--------------------

80-84 years--------------------

85 years and over--------------

100.0

10000

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

100.0

100.0

100.0

100.0

100.0

12.1

17.0

15.9

14.1

12.9

10.0

12.2

15.6

16.4

:::

::;

8.3

25.0

23.0

20.5

20.5

18.4

14.9

17.0

18.5

17.6

20.6

15.2

10.8

12.6

13.6

22.4

21.3

26.6

24.6

25.0

22..7

23.5

24.3

20.7

21.6

21.3

27.0

28.6

21.2

22.8

21.1

19.2

21.2

;;.;

●

16.4

15.1

13.2

13.3

15.6

15.9

16.0

12.0

13.7

14.0

15.8

16.8

19.3

15.9

12.1

9.9

1;:;

11.3

17.3

Divorced or separated------ 15.4

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

65-69 years--------------------

70-74 years--------------------

75-79 years--------------------

80-84 years--------------------

85 years and over--------------

14.0

17.6

15.8

24.6

17.1

7.3

14.2

13.3

15.7

17.3

18.4

18.0

19.8

17.9

14.4

12.0

17.3

12.2

19.5

23.0

Never married-------------- 24.8

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

65-69 years--------------------

70-74 years--------------------

75-79 years--------------------

80-84 years--------------------

85 years and over--------------

8.5

1;;:

10.2

6.3

7.9

13.4

17.3

14.8

17.2

12.6

10.2

13.3

18.0

14.5

13.9

14.5

13.4

17.1

16.3

16.6

14.9

20.1

20.8

;;.;

24;9

22.6

23.4

29.1

25
APPENDIX I

TECHNICAL NOTES ON METHODS

Survey Design

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, about the health of a

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

employees.

Resident Places Survey-3 is the third of a series

of institutional population surveys conducted as part of

the National Health Survey program. The previous

surveys have been designated as Resident Places

Survey- 1 and -2, or RPS- 1.and RPS- 2. Several reports

in Vital and Health Statistics, Series 12 and 13, describe the results of RPS-1 and RPS-2.

.%rnplin~ jkame.- 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,” which were

possibly within scope of RPS-3 but were not confirmed

in the 1967 MFI Survey. The “births” had been 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.) 4

It should be noted that estimates from RPS- 3 will

not correspond precisely to figures from the 1969 MFI

Survey. This is because the two surveys used different

data collection mechanisms; the RPS-3 data are subject

to sampling variability and the RPS- 3 universe did not

include all MFI facilities. In general, however, the

data from the two sources are compatible.

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 desigm.-The sample was a stratified twostage probability desig~ 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

first-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 strata. In addition COshowing the

28 primary strata, table I shows the distribution of

establishments in the sampling frame and the final

disposition of the sample with regard to response and

in- scope status.

The second-stage sample selection of residents

and employees was carried out by Bureau of Census

interviewers at the time of their visit 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 111)

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 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

26
Table I. Distributionof homes in the ResidentPlaces Survey-3universe and dispositionof sample

homes accordingto primary strata (type of serviceand bed size of home): United States

Type of serviceand bed size of home

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

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

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

15-24 beds------------------..........----------

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

100-199beds------------------------------------

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

300 beds or more--------------------------------

Personalcare with nursing------------------

Less than 15 beds-.....-.----------.-.,-..-------

15-24 beds------------”-------------------------

25-49 bedi+-------------------------------------

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

100-199beds------------------------------------

200-299beds------------------.......-----------

300 beds or more--------------------------------

Personalcare-------------------------------

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

15-24 beds---.”--------------................----

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

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

100-199beds------------------------------------

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

300 beds or more--------------------------------

“Births”2.------------------------------------

Unknownbed size3-------------------------------

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

15-24 beds--------------------------------------

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

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

100-199beds------------------------------------

200-299beds---------------------------“--------

300 beds or more--------------------------------

Universel

($:aa;ng

21.301

10,480

858

1,756

3,448

3,166

1,062

126

64

3,608

;;;

828

612

332

;2

4,725

2,937

988

561

183

48

2

2,488

473

304

255

492

681

241

30

12

Number of homes in sample

rotal

homes

2,088

1,289

21

2%

477

316

%

402

24

37

62

1%

41

46

183

:;

;i

17

;

214

)utof

scope

m out

of

businesa

153

48

In scope and in

business

Nonres~mdIlg

81

66

ReSpm:ng

1,854

1.175

15

2::

449

283

61

61

360

138

44

29

30

20

10

181

lThe universe for the RPS-3 sample consistedof the nursing and personalcare homes included

in the Master Facility Inventoryand the Agency ReportingSystem.

~“Births”consistof homes which were assumed to be in scope of RPS-3 but for which current

data were not available.

311Births11of unknown bed size were inadvertently excluded from frame.

27
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

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

to 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 the patient!s medical record and/or from the

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-4e, appendix HI).

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 processing included assignment of weights, ratio adjustments, and other related

procedures necessary to produce national estimates

from the sample data.

General Qualifications

Nonresponae and im@@tion of missing dai!a.-&atistics 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.

R~unding of numbws.— Estimates of residents

have been rounded to the nearest hundred. 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 precisely with percents, which might be calculated from rounded data.

Estimation ~rocedure.—The statistics presented

in this report are essentially the result of ratio estimation techniques. These techniques are described M

an earlier publication. 5

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 survey

procedures.

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

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?4 times as large.

28
Relative standard errors of aggregates shown in

this report are presented in 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.

Table 11, Approximate relative standard errors

of estimated numbers shown in this report

Estimate

2,500 --------- --------------------

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

20,000 --------- --------- . . . . . . . ..-

60,000 m--------- ------------------

90,000 --------------------------- -

200,000 -------------------- -------

500,000 -------- -------- -------- ---

800,000 ---------------------------

Relative

standard

error (in

percentage

points)

14.4

10.2

5.3

3.3

2.9

2.3

1.9

1.8

Standard errors of estimated percentages are shownin

table III.

Rules for determining the standard error of a

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

between two statistics may be found in appendix I of

Series 12, N0. 12.3

Table III. Approximate standard errors of percentages shown in this report

Base of

percentage

2,000------

5,000------

20,000-----

50,000-----

80,000-----

2oo,ooo----

5oo,ooo----

800,000----

Estimated percent

2 5 10

or or

98 95 ;$

2.2 3.5 4.8

1.4 2.2 3.0

0.7 1.1 1.5

0.4 0.7 1.0

0.4 0.6 0.8

0.2 0.3 0.5

0.1 0.2 0.3

0.1 0.2 0.2

20

or

80

6.4

4.0

2.0

1.3

1.0

0.6

0.4

0.3

:

30 40

or or

70 60

7.3 7.8

4.6 4.9

2.3 2.5

1.5 1.6

1.2 1.2

0.7 0.8

0.5 0.5

0.4 0.4

50

8.0

5.0

2.5

1.6

1.3

0.8

0.5

0.4

000

29
DEFINITIONS

Demographic Terms

APPENDIX II

OF CERTAIN TERMS USED IN THIS REPORT

Age. —Age is defined as age at last birthday.

Colos’. —The population is divided into two color

groups, “white” and “all other.” The “all other” group

includes Negro, American Indian, Chinese, and Japanese and any other race. Mexican persons are included

with “white” unless definitely known to be Indian or of

snother race.

Maritul Stutvs. —The marital status is that of a

person at the time of admission to a home.

Terms Relating to Homes

Resident (or pztient). —A resident is defined as a

person who has been formally admitted but not discharged from an establishment. All such persons were

included in the survey whether or not they were physically present at the time of the survey.

Length of stay--- Length of stay refers to the current stay of a patient in an institution. It means the

period of stay starting from the date of last admission

to the institution to the date of the survey.

Bed.—A bed is defined as one set up and regularly

maintained for patients or residents. Beds maintained

for staff and beds used exclusively for emergency

services are excluded.

Nwsingcave. —Nursing care is defined as a service

that provides one or more of the following treatments:

hypodermic injectio~ intravenous injection; intramuscular injection; taking of temperature, pulse, respiration, or blood pressure; application of dressings or

bandages; bowel and bladder retraining nasal feeding

catheterizatiotv irrigatio~ oxygen therapy; full bed

bath: and enema,

Ownership Classification of Homes

Wo$?+etavy home.—A home operated under private

commercial ownership.

Nonprofit home.— A home operated under voluntary or nonprofit alwpices, inch.lding both church-related

and non- church-related homes,

Government home. —Homes operated under Federal, State, or local government auspices.

Classification of Homes by Type of Service

For purposes of stratification of the universe prior

to selection of the sample, the homes on the MFI were

classified as nursing care homes, personal care homes

with nursing, and personal care homes. Details of the

classification procedure have been published.

Due to the 2-year interval after the 1!367 MFI

Survey (used as the basic sampling universe), it was

felt that for prcducing statistics by type of service

from the RPS-3 the homes should be reclassified on

the basis of the current data collected in the survey.

This classification procedure is essentially the same

as the MFI scheme. The three types of service

classes delineated for RPS-3 are defined as follows:

Nursing care home.-An establishment is a nursing

care home if nursing care is the primary and predominant function of the facility. Those meeting the

following criteria are classified as nursing care

homes in this report: one or more registered nurses

or licensed practical nurses were employed, and 50

percent or more of the residents received nursing

care during the week prior to the survey.

Personal care home with nursing.-An establishment is a personal care home with nursing if personal

care is the primary and predominant function of the

facility but some nursing care is also provided. If an

establishment met either of the following criteria, it

was classified as a personal care home with nursing:

Some but less than 50 percent of the residents

received nursing care during the week prior to

the survey and there was one or more registered

professional or licensed practical nurses on the

staff.

Some of the residents received nursing care

during the week prior to the survey, no registered nurses or licensed practical nurses were

on the staff, but one or more of the following

conditions were met:

1. Medications and treatments were administered in accordance with physicians orders.

2. Supervision over self-administered medications was provided.

30
3. Three or more personal services were rou- regions correspond to those used by che U.S. Bureau

tinely provided. of the Census and are as follows:

Personal cave home.—An establishment is a per- Rep”on

sonal care home if the primary and predominant Northeast -------

function of the facility is personal care and no residents received nursing care during the week prior to

the survey. Places in which one or more of the following criteria were met are classified as personal care North Central --

homes in this report whether or not they employed

registered nurses or licensed practical nurses.

Medications and treatments were administered

in accordance with physician’s orders, or super- South -----------

vision over self-administered medications was

provided.

Three or more of the criterion personal services were routinely

Geographic Region

provided.

Classification of homes by

provided by grouping the States

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

geographic area is

into regions. These

~o~

Sfates Included

Maine, New Hampshire, Vermotit,

Massachusetts, Rhode Island,

Connecticut, New York,

New Jersey, and Pemsylvania

Michigan, Ohio, Illinois, Indiana,

Wisconsinz Minnesota, Iowa,

Missouri, North Dakota,

South Dakota, Nebraska, and

Kansas

Delaware, Maryland, District of

Columbia, Virginia, West Virginia,

North Carolina, South Carolina,

Georgia, Florida, Kentucky,

Tennessee, Alabama, Mississippi,

Arkansas, Louisiana, Oklahoma,

and Texas

Montana, Idaho, Wyoming, Colorado,

New Mexico, Arizona, Utah,

Nevada, Washington, Oregon,

California, Hawaii, and Alaska

31
APPENDIX Ill

RESIDENT PLACES SURVEY-3: FORMS AND QUESTIONNAIRES

Introductory Letter

OFFICE OF THE DIRECTOR

r

U.S. DEPARTMENT OF COMMERCE

BUREAU OF THE CENSUS

WASH lNGTON, D.C. 20233

HRS-4g-3 (4-69)

1

1- -1

Dear Sir:

The Bureauof the Census,actingfor the UnitedStatesPnblioHealth

Service,is conductinga surveyof hospitals,nursinghomes,homes for

the aged,and otherestablishmentswhich providenursingcare,personal

care,or domiciliarycare’for the aged or infirm. The purposeof this

surveyis to collectmuch neededinformationaboutboth the facilities

and the employeesand putients. This activityis part of the National

HealthSurveyprogramauthorizedby Congressbecauseof the urgentneed

for more comprehensiveand up-to-datehealthstatistics.

This letteris to requestyour cooperationand to informyou thata

representativeof the Bureauof the Censuswill visityour hospital

withinthe next week or so to obtainthe neededinformation.Priorto

this visit,the Censusrepresentativewill callyou to arrangefor a

convenientappointmenttime. Meanwhile,to savetime,I shouldappreciateyour completingthe enclosedquestionnairewhich requestssome

informationabout the long-termunit indicatedin the address. OW

Censusrepresentativewill pick up this questionnairewhen she visits

you to ob-tiinthe otherinf&’mationdesired.

All the informationprovidedon the questionnaire

representativewill be kept strictlyconfidential

Serviceand the Bureauof the Census,and will be

purposesonly.

Your cooperation

Sincerely,

G. Rert3-a

in this importantsurveywill be

and givento the Census

by the PublicHealth

used for statistical

very much appreciated.

A. Ross Eckler

Director

Enclosure

32
Facility Questionnaire

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

NOTICE - All Information which would perr

by persons engaged In and for the purposes

ORM HR$4a

i.s..60)

U.S. DEPARTMENT OF COMMERCE

BuREAU OF THE CENSUS

ACTING AS CO LtECTING AGENT FOR THE

U.S. PUBLIC HEALTH SERVICE

FACILITY QUESTIONNAIRE

identification of the facility will be hold in strict confidence, will be used only

the survey, and wil I not be disclosed or released to others for any purposes.

(Please correct any error m name and address including ZIP code)

1, What was the number of inpatients in this facility on December 31, 1968?

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

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

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

Nasal feeding Catheterization Irrigation

Oxygen therapy Full bed-bath Enema

Hypodermic injection Intravenous injection Temperature-pul se-respiration

Blood pressure Application of dressing Bowel and bladder retraining

or bandage

3. [n 1968, what was the total inpatient days of care provided? (The sum of the number of

days of care g iven ta each patient from I/I /68 through 12/3 1/68)

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

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

6a. In 1968, how many discharges, excluding deaths, did this facility have?

b. How many patients were discharged to the following places -

(1) general or short-stay haspital? . . . . . . . . . . . . . .. . . . . . . .

(2) Iang-term specialty hospital (except mental)?. . . . . . . . . . . . .

(3)mentoI hospital? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

(5) personal care or domiciliary home? . . . . . . . . . . . . . . . . . . .

(6)patient’s homeor family ?........ . . . . . . . . . . . . . ...’..

(7) other places? (.spec;fy place)

7. In 1968, how many persons died while potients of this facility?

8. What is the total number of patient beds regularly maintained

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

9. Whet is the tatol NUMBER OF INPATIENTS (patients or residents)

who stayed in your focility last night? (Do NOT INCLUDE EMPLOYEES OR OWNERS)

10. During the past 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 feeding Catheterization Irrigation

Oxygen the rapy Full bed-bath Enema

Hypodermic injection Intravenous injection Temperature-pul se-respiration

Blood pressure Application of dressing Bowel and bladder retraining

or bandage

Number

No. of

persons

Days

Number

Number

Number

Tatal How many were

No. Medicore patients

a None

a None

m None

m None

m None

I_j None

m None

a None

Beds

Number

No. of

persons

33
11. Which of the following services are ROUTINELY provided?

a. Supervision over medications which may be self -administered. . . . . . . . . . . . . . . .

b. Medications and treatments administered in accordance with physician.’ orders . . . . .

w

c. Rub and massage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

H

lm Yes 2UN0

d. HelPwith dressing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

la Yes 2DN0

.a. Help with correspondence or shopping . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

ln Yes 20N0

f. Help with walking or getting about ln Yes 20N0. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g.~;lp with eating . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

In Yes 20N0

h. None of theabcrve services ROUTINELY provided, room and board provided only . . . . m

lD Yes ZDNO

12. lsfhis FACILITY participating inthe Medicare program? (;.1 p to

13. Howmany beds are certified for Medicare? Number

140. Forhow many patients is this facility nowreceiving Medicare payments?

Number

b. Howmany of fhese Medicare patients lived (had their home)

Number

in this State when admitted ta this facility?

15. in addition totwo physicians, does the Utilization Review Committee includea.the nursing director?.. . . . . . . . . . . . . . . . .

H

ln Yes 2~No

b. a social worker?, . . . . . . . . . . . . . . . . . . . . ‘nyes2n N0

c. the nursing home administrator? . . . . . . . . . . .

lm Yes 2nNa

d.aphysica[ therapist? . . . . . . . . . . . . . . . . . . ll_Jyes2UN0

e. any other members? (Spec; fy occuPot/c.n) la Yes 20N0

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

(Include members of religious organizations and orders

who movfde their services.1

17. Last month, were the following services provided on o regular How mnny persans Last month, how mnny

basis through cantracts or ather 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)

j. Food service (meal preparation)

k. Housekeeping

1. None of above

I No.of Dersons I Hours I

34
Administrator Questionnaire

Budget Bureau No. 68-369022; Approval Expires August 31, 1969

NOTICE - All information which would permit identification of the individual will be held 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 o~ers for any purposes.

~ORM HRS.4b

4.4.09) U.S. DEPARTMENT OF COMMERCE A. Name of administrator

S.UREAU OF THE CENSUS

ACTING As COLLECTING AGENT FOR THE

U.S. PUBLIC HEALTH SERVICE

B. Establishment No,

ADMINISTRATOR 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 steti~.

establishments. The purpose of the survey is to tical purposes only, and wi II 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.

. Wh*n were you ‘born? Month Year

In whet Stete (or foreign country) were you born? State or foreign country

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

a. in this facility? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

No. of years No. of months

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

orsimilar fztcilities ?.... . . . . . . . . . . . . . . . . . . . . . . . . No. of years No. of monshs

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

a. Are yau the administrator for more than one NURSING HOME? 1 D Yes (4b)

2 a No (Skrp tO (?.5)

b, For how many other NURSING HOMES? Number

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

a. How many hours did you work LAST WEEK IN THIS FACILITY ONLY? Hours

I

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

of the fallowing services IN THIS FACILITY ONLY -

(l)administ,ation of the facility? . . . . . . . . . . . . . . . . . . . . . .

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

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

(4)physical themPY? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(5)0ccupati0nol thempy? . . . . . . . . . . . . . . . . . . . . . . . . . . .

(6)recreatianal therapy ? . . . . . . . . . . . . . . . . . . . . . . . . . . .

(7)speech andheoring thempy? . . . . . . . . . . . . . . . . . . . . . . .

(8) social work? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(9) clerical work? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(lO)kitchen/dietarY work, grocery shopping? . . . . . . . . . . . . . .

(Il)housekeepi”g services? . . . . . . . . . . . . . . . . . . . . . . . . . .

u N.me

a None

n None

n None

m None

m Nme

n None

m None

D None

n No”,

n No”,

(12)other? (Specify service) a None

Besides the hours worked IN THIS FACILiTY, how many additional

“ haurs did you wark in your profession LAST WEEK?

a No”,

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

2 n Employee 3 n Both

Please continue on reverse side

35
C;rcle highest grade completed

8. What is the highest grade you completed

in school?

a. Elementary school . . . . . . . . I 234567’8

}

Skip f,

b. High school . . . . . . . . . . ..l2 34 Q, 10

c. Junior cOllege . . . . . . . . . . ] 2

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

e. College . . . . . . . . . . . . . ,.123q50r more

Mark all that app/y

Major field of study

9. Which of the following degrees do you have?

D Associa:e degree

orcertlflcate . . . . . . . . . . . . . . .

n Bachelor’s degree . . . . . . . . . . . .

mMaster’s degree . . . . . . . . . . . . . -

n Doctorate (M. D., D. O.,

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

0 None of these

10. Which of the following professional degrees,

Iicen:es, or association regi sjrations do

Mark all that apply

yOU have? I_J Physician (M. D.)

I_J Physician (D.O.)

D Registered Nurse (R. N.)

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

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

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

n Other professional degree, license, or

association registration (Speclfy)x

D None of the above

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

1 Dyes Olb) 2 a Na (Skip to Q. 720

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

c. What were the TOTAL hours of CIOSS 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? 1 ayes (12b) 2 n No (.Sk/p to Q. 13)

b. How long did this training last? Manths

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

3. Hove you had any other education or training in 1 n YeS - ::~Oc;/ be 2DN0

nursing home administration?

,. ... . . ....

FORM HRS-4D {4.4-691 w. .””,.

36
Staff Questionnaire

“J–. .,–. –., . . . . . . . . . . –––IF–.––. . —...,,,,.< Ou”get Dure.u ,,0. W5-COY””; ,’ippmva, Lxp, res Jiugus[ a,, ,>0>

40TICE - All Information which would Permit identification Of the individual will be held in srr,ct confidence, will be used only

IY PersOns cnmed in and for the purposes Of the survey, and will not be disclosed or released to others for any purposes.

;D,RYJ RS.4 c

U.S. DEPARTMENT OF COMMERCE A. Establishment No. B. Line No.

BUREAU OF THE CENSUS

ACTING AS COLLECTING 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 wi II 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 wi II be used for statistical

establishments. The purpose of the survey is to purposes only, and wi I I 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.

Month Year

1. When were you born?

!. How mony years have you worked as a

No. of years No. of months

?

a.in this facility? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

No. of years No. of months

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

. . . . .

orslmll arfacllltles? . . . . . . . . . . . . . . . . . . . . . . . . . . .

No. of years

c. in hospitals? (NOTE TO NURSES: Do not include

No. of months

special duty or privote duty “urs; rig.) . . . . . . . . . . . . . . . .

Hours

la, How many hours did you work LAST WEEK IN THIS FACILITY ONLY?

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

EACH of the fallowing services IN THIS FACILITY ONLY-

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

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

(3)medicsd and dental care? . . . . . . . . . . . . . . . . . . . . . . . . I_J None

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

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

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

(7)speech andherrring therapy? . . . . . . . . . . . . . . . . . . . . . n None

(8) social work? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D None

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

(10) kitchen/dietary work, grocery shopping ? . . . . . . . . . . . . . m Nane

(Ii) housekeeping services? . . . . . . . . . . . . . . . . . . . . . . . . m None

(12) other services? (SPec/fY service) . . . . . . . . . . . . . . . . . . m None

L Besides the hours worked IN THIS FACILITY, how many additional

hours did you work in your professian LAST WEEK? . . . . . . . . . . . . . . . . . . . u None

-.

Vle.ase continue o“ reverse side

37
Cir. Ie highest grade completed

What is the highest gtade you completed a. Elementary school . . . . . .

}

..12345678 Sk,Pt0

in school? b. High school . . . . . . . . . . ..l2 34 Q.7

c. Junior college . . . . . . . ...12

d. Nursing school (diploka) . . .123

e. College . . . . . . . . . . . . . . .123450r more

Mark all that apply Major field of study

Which of the fallowing degrees de you have?

n Associa~e degree

orcertlfm,te . . . . . . . . . . . . .

m Bachelor’s degree . . . . . . . . . .

aMaster’s degree . . . . . . . . . . .

n :f~:t$~.D., D.O.,

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

n None of these

Mark all that apply

which of th~ following professional degrees, n Physician (M. D.)

Iicmrses, or association mgistratians da YOUhave? n Physician (D.O.)

a Registered Nurse (R. N.)

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

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

u Registered Occupational Therapist (O:T.R.)

D Other professional degree, license, or

association registration (Specify)

-7

D None of the above

FIII COIS. (2J-(4) for each “Yes” answer In GI. (I j

How many

who? wero ths TOTAL

Havr au ●ver tokerr any of HOURS of CIUSS

*8 knowing caurses:

COURSES were

TOTAL NUMBER taken vdri Ie instrucNOn?

7

of COUrSeS taken work ing for a Number of hours per week

degree or tlrnes nuder of weeks

diploma? attended per course

(1) (2) (3) (4)

a. “Nursing care af the aged li-JYes-+

or chraniaally ill? 2 D No (8b)

b. Medical ar dental care of 1DYes~

th* aged or chronically ill? 20 No (8c)

c. Mental ar sacial problems af In Yes+

the aged or chranicrrlly ill? 2 H No (8dJ

lDYes+

d. Physical therapy or rehabi litation? z D NO (8e)

lDYes --

●. Occupational tlmmpy? 2 ~ No (8f)

la Yes+

f. Nutrition ar food services? 2 ❑ No (8g)

1❑ Yes+

g. Nursing home administration? 2i__JN0

RM HRS-4C [4.3-69) USCOMM-DC
Staff Information and Cantral Record

y#6 :,RS .4. U.S. DEPARTMENT OF COMMERCE

c!uREAU OF THE CENSUS

STAFF INFORMATION ANO CONTROL RECORO

STAFF

List below tha names of all persons who work

III this faclllty.

~i lnc[ud. members of religious Wzanizations and

orders who provide their services.

N.t.I 0. SW. to Ilstadministrator and asskta”t

adm[nl swator.

8

9

10

II

12

13

❑udget Bu,eau No.

IOTICE - All information %Ich would Permit $d=ntifi.aclcm of tie ~~~~~

Establishment No.

ndividual will be held in strict confidence, will be used only by

ersons engaged in and for the $wrrmses of the surve~, and wi II Approval Ex$ires

ot be disclosed or released to others for any purpos e.. Auzust 3 I , 1969

SEX RACE

- Male W–Wh ice

- Female N-Nezr.a

O-Other

#T? (b) (.)

2123

IFWNO

I 1 I I

EE

I

OCCUPATIONS

from Card A

1-11

Professional

Ci#e

w...$

(d)

!nter number

12

Professional

SW_

TE —

Circle

sample

persons

(.)

13-20

Semi.

Professional

SW

TE _

Circle

sample

pers.a”s

(f)

21-24

Nonprofessional

Do “ot fill

staff q“estie””.afre

(a

DISPOSITION OF

STAFF

QUESTIONNAIRE

III(h) Line

No.

Date

~ rece Ived

in R.O.

8

g~

1

Remarks
Current Pat’ent Questionnaire

,—

lame of sample person I Line No. I

I

Month \ Day I Yesr Age

. What is -- date of birth?

OR

1 1

. Sex I rg Male z u Female

. Race In White z u Negro 3 m Ofher nonwhite

a. What waa his marital

statoa at admiasion? . . .

~❑ Married z u Widowed s ❑ Dworced Q❑ Separated 5 u Never married

b. What is his marital

sfatus now? . . . . . . .

I u Married z u Widowed 3 u Dworced 4 fq Separated 50 Never married

Month o Oaj (Year

. What was the date of his LAST AOMISSION 10 this place? 1

2 r How long has fw had tbf~ condfti~?

No Yes :ymp 23 to 5 36 to 11 ’12 mos.

mos. mos. or more

. Which of these conditfwrs or impairments doas be have?

a. ADVANCED senility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

b. Servility, notpyschofic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

c. Other mental disorders (such as mental i IIness or retardation) , . . . . . . . . . ., . . . . ,

d. Speech defector paralysis (palsy) due to a stroke.. . . . . . . . . . . . . . . . . . . . . . .

e. Other dleffects ofa stroke . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f. Heart trouble . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g. Harderrmg of the arteries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h. Paralysis orpafsy notdueto a stroke . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i. Arthritis or rheumatism . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j. Diabetes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

k. Any Chronic trouble with backer spine.. . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1, PERMANENT shffness or any deformity of the foot, leg, fingers,

arm,or back, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

m. Chronic conditions of digestive system (excluding stomach ulcer,

hernia of abdominal cavity, Iwer, or gallbladder trouble). . . . . . . . . . . . . . . . . . . .

n. Any other conditions or impairments - S&C,&

I. At his last ohvsical examination. Primarv diamosis?

what was Iris:

L Drrfing the past 7 days,

which of these services

did tbia patient receive?

Check as mcw a~ OPPIY

. .

Secondary diagnosis?

Any other dia.v,nosis?

I u Help with dressing, e o Temperature - pulse - 16a b)tra’(eflous h]ecfiofl

shaving, or care of hair respiration 17n htramudar injection

S.O Help with tub bath 9 u Full bed-bath

or shower

IS o Sobcutaoeous injection

100 Enema

30 Help with eating

ie o Irrtradermal injection

I I ❑ Catheterization

40 Rub or massage

zoo Nasal feeding

12 ❑ Bowel or bladder OR

so Administration of medica- retraining

tions or treatment

21❑ None of the ebove

13 u Blood pressure services received

6 Ospecial diet 14 U Irrigation

70 Application of sterile

dressings or bandages

15 m Oxygen therapy

la. Ooes he USE eyeglas=s? 1❑ Yes 2uN0

b. DCBSSbe USE a hearing aid? I nYes 21_JNo

O. Does fwuseany of the following aids- For what 12011ditiffl(S)?

a. walker? 2uN0 lnYes —

b, crutches? 2uN0 lf_g Yes _

c, braces? 2uN0 lnYes _

d, wheelchair? 2uN0 In Yes —

e, any other aids? 2nNo lDYea _

Spdx

Footnotes

40
How long has he been this way? If 1.ss thm

Does this rmths, 0S1

%

require extra Less 3t05 6 to 11 12 mos. HMVwas h(

~

11, Whlchof these categories bestdescribes his nursing time? than mos. mos. or more before that?

ability to move about? 3 mosi > ~

.j Enter Ietfe!

a. Capable ofgonrgoff thepremises wilhorwiihout

assistance

b. Cdhredtot hepremises,but doesnol useawh eelchair

c. f!~u~dawheelchair butrequires minimal help ingetthrg

toy 2uN

d. Generally confined to bed butupin wheelchair for at

least a few hours a day lUY ZUN

e. Restricted tototal bed rest lDY 2~N

[2. Howwellcan he hear?

a. Canhearalefe hone conversation on an ordinary

telephone (ate rephone without an amplifler)

b. Canhear most oflhethings apersonseys

c, Canhear afewwords a person says JO’f ZUN

d. Canhear only loud noises 1 f_f Y 2rJN

e. Can’thear wrything lUY 2uN

13. Howwellcan he see?

a. Canread ordinary newspaper prmtwith or without

glasses

b. Canwatch television across theroom(8to12feeV

c. Canrecogrrize the features ofpeople heknows if they

are within 2 to 3 feet

d. Is bhnd (I fhl,.dash .,m.rk her.) 10Y 2f-JN

[4. Howmuch controf doosheusually have over his bowels

and bfadder -- normally dws he -

a. Control bladder and bowels?

b. Control bladder butnotbowels? toy ZUN

c. Control bowels butnotbladder? lt-JY ZUN

d. Notcontrol bowefsorbladder? !f-JY 2uN

e. Iscatheterlzed? lf-JY 2uN

15, Doesthls patlent’s behavior require more thanthe usual

nursing time because he is forgetful, uncooperative or

disturbing?

a. Nomore than usual

b. Slightly more

c. Moderately more

d. h!trch more

TEMA-lf patient wasnothere for full month, check here ❑ andgoto nextperson.

I

,6a, Lastmonth, whatwas thecharge fortislodging, meafs, andnursing care? D~..r,..l.de W,~t, d.v."rs,.~, IS

b. What was the TOTAL charge for fis care fast month? ]s

17a. Wfratwere thesources ofpayrsent fwhiacare Last mordh? ch~.k.lfth~t~PPfY

mOwn income or family support

(private plans, retirement funds,

DOther publ[c assistance Dkrltial payment - life care

or welfare

social security, etc.)

nOther - S%C,&

❑ Church support

UMedicare (Title XVIII)

❑ Medicaid (Title XIX)

❑ VA contract

b, Whatwas fke PRlfL4RY source of ~ymantfor fdscare last month? hk,k~~..f~

I ❑ Own income or family support aaOther publlc assistance”

(private plans, retirement funds,

e ~Other - s~,&.

or welfare

social security, etc.) s f_JChurch support

zUMedicare (Title XVIII) 6 rg VA contract

3 ❑ Medicaid (Title XIX) T (_JInltial payment - Ilfe care 9 ❑ None

Patient was not here in Oecember 1968 fNM ~t,~.t]

ere all of his sources of payment fw December 1968?

a Sameas 17a-b f_JMedicaid (Title XIX) D VA contract

nOwn income or family support

(private plans, retirement funds,

mOther public assistance D Irutial payment - life care

or welfare

social security, etc.) nOther - SPC,fY

❑ Medicare (Title XVlfl)

u Church support

* U. S. GOVERNMENT PRSNTING OFFZCE: 197a 515-211/41

41
. —

I

I

VITAL AND HEALTH STATISTICS PUBLICATION SERIES

Originally Public Health Service f%blication 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.

SeYies 2. Data evaluation and methods yesea~ch. — 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. Analytical studies. —Reports presenting analytical or interpretive studies based on vital and health

statistics, carrying the analysis further than the expository types of reports in the other s cries.

Series 4. Documents and committee repo9ts. — 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 j70m the Health Interview Sm’vev. —Statistics on illness, accidental injuries, disability, use

of hospital, medical, dental, and other services, and other health-related topics, based on data

collected in a continuing national household interview survey.

Series 11. Data ~om the Health Examination SuYvey.—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 Ins titutional Population Surveys — Statistics relating to the health characteristics of

persons in institutions, and their medical, nursing, and personal care received, based on national

samples of establishments providing these services and samples of the residents or patients.

Series 13. Data from the Hospital Discharge Survey. —Statistics relating to discharged patients in short-stay

hospitals, based on a sample of patient records in a national samPle of hospitals.

Series 14. Data on health ”~esouyces: 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. Dati on mortility. —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, alsc

geographic and time series analyses.

Series 21. Data on nakzlity, mawiage, and divorce. —Various statistics on natality, 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 f%om the National Natolity and Mo~tality Surveys. — Statistics on characteristics of birtk

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
U.S. DEPARTMENT OF

HEALTH, EDUCATION, AND WELFARE

Public Health Service POmAQE AND F- PAID

U.6. D=ARTMENT OF HW

o

*

HEALTH SERVICES AND MENTAL H~ALTH ADMINISTRATION US.MAIL

HEW 396

5600 F!shers Lane

Rockvi I Ie, Maryland 20852

OFFICIAL B(JSINESS THIRD CLASS

Penalty for Private Use, $300 BLK. RT.