Data from the

NATIONAL HEALTH SURVEY

Series 12

Number 18

Administrators of Nursingand

Personal Care Homes:

Education and Training

United States - June - August 1969

Statistics on the number of nursing and personal

care home administrators by educational levels

attained, degrees and nurses’ licenses held, and

formal and informal training in nursing home

administration. Based on data collected during

June-August 1969.

DHEW Publication No. (HS1’vT) 73-1703

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

Public Health Service

Health Services and Mental Health Administration

National Center for Health Statistics

Rockville, Md. February 1973

A
Vital and Health Statistics-Series 12-No. 18

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

Price 95 cents domestic postpaid or 70 cents GPO Bookstore
NATIONAL CENTER FOR HEALTH STATISTICS

THEODORE D. WOOLSEY, Director

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

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

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

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

JOHN J, HANLON, M.D., Medical Advisor

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

EDWARD E. MINTY, Executive Officer

ALICE HAYWOOD, Information Officer

DIVISION OF HEALTH RESOURCES STATISTICS

SIEGFRIED A. HOERMANN, Director

PETER L. HURLEY, Deputy Director

GRACE K. WHITE, Chief Hospital Discharge Survey Branch

G. GLORIA HOLLIS, Chiej Health Facilities Statistics Brunch

HENRY S. MOUNT, Chiej Health Manpower Statistics Branch

WILLIAM F. STEWART, ChieJ Family Pkznning Statistics Branch

COOPERATION OF THE BUREAU OF THE CENSUS

Under the legislation establishing the National Health Survey, the Public Health Service is authorized to use, insofar as

possible, the services or facilities of other Federal, State, or

private agencies.

In accordance with specifications established by the National Center for Health Statistics, the Bureau of the Census,

under a contractual arrangement, participated in planning the

survey and collecting the data.

Vital and Health Statistics-Series 12-No. 18

DHEW Publication No. (HSM) 73-1703

Library of Congress Catalog Card Number 72-600215
CONTENTS

Page

Introduction .. ”------ . ------ ”---------- -“” ------ --------- --------- ---.-

Highlights ---------------------------------------------------------

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

General Survey Information -----------------------------------------

Education and Trainingas Related to Characteristics of Administrators -----

Age---------------------------------------------------------------

Employment Status -------------------------------------------------

Length of Total Employment as an Admitismator ----------------------

Services Performed ------------------------------------------------

Education and Training of Administrators as Related to Characteristicsof

the Homes in Which They Work -------- ------- -------- -------- --------

Bed Size of Home -------- -------- -------- -------- -------------- -----

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

Type of Service Provided by Home -------- ------- ---” ---------- ------

Type of Owership --------------------------------------------------

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

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

Appendix I. Technical Notes on Methods ------------------------------

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

General Qualifications ----------------------------------------------

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

Terms Relating to Administrators -----------------------------------

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

Classificationof Homes by Type of Service -------- -------------- ------

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

Introductory Letter -------- -.------ ------- -------- -------- -------- --

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

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

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

Staff Questionnaire -------- -------- -------- -------------- -----.- ----

List of Selected JobCategories ---------------------------------------

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

1

1

1

2

8

8

8

13

15

20

20

23

25

28

32

33

55

55

57

59

59

59

59

61

61

62

64

66

67

69

70

...

Ill
SYMBOLS

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

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

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

Quantity more than Obutless than 0.05----- 0.0

Figure doesnot meet standards of

reliabilityor precision ------------------

*

NOTE: Numbers and percents in tables may not

add to totals due to rounding.

Iv

.
ADMINISTRATORS OF NURSING AND PERSONAL

CARE HOMES: EDUCATION AND TRAINING

Bernice Gibson Brown, Division of Health Resources Statistics

INTRODUCTION

In today’s nursing home, the nursing home

administrator sets the tone, establishes a prohgt-am of quality care, and bears final responsibility for operation of the facility. It is very

important, therefore, that his orientation and

training prepare him to direct and administer a

program which provides both the “nursing” and

the “home” aspects of patient care.1

Highlights

The median number of years of education for

the estimated 18,390 nursing and personal care

home administrators in the conterminous United

States, June-August 1969, was 13.1 years. Nearly

80 percent of the administrators had completed

at least 12th grade. For 51 percent the highest

attained educational level was 1 year or more of

junior college, nursing school, or college.

Slightly more than 71 percent of nursing and

personal care home administrators held no undergraduate or graduate degree. The associate’s and

bachelor’s degrees were the most commonly held

degrees; 28 percent of the administrators held

one or both of these degrees. The master’s

and/or doctor’s degree was held by 4 percent of

the administrators.

A course in nursing home administration had

been taken by 35 percent of nursing and personal

care home administrators. The modal number of

courses taken was one. About 88 percent of those

who took a course in nursing home administration

had completed at least 12th grade. Furthermore,

47 percent of those who had attended a course in

nursing home administration had some college

background.

Other than formal training, some administrators (39 percent) had received on-the-job training and 23 percent had received other training

or education in nursing home administration. A

good proportion of those who had received onthe- job training or other training or education

in nursing home administration had a college

background.

Problem

The 1967 amendments to title XIX (Medicaid)

of the Social Security Act required all States and

other jurisdictions (participating in Medicaid) to

establish programs to license by waiver or fully

license all nursing home administrators by July 1,

1970.

Federal guidelines proposed, among other

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

full licensure possess a high school diploma or

the equivalent. (Applicants for licensure on or

after January 1, 1975, must have successfully

completed 2 years of college-level study in an

accredited institution; on or after January 1, 1980,

they must hold a bachelor’s degree; and on or

after January 1, 1985, they must hold a master’s

degree.)

In addition, applicants for full licensure on or

after July 1, 1970, who had not completed, in an

accredited institution of higher learning, adequate

1
academic preparation for nursing home administration must submit evidence of participation in

an approved course of study in nursing home administration. In future years a candidate for examination for licensure can submit evidence of 4

years of practical experience in nursing home

administration or in a related ‘health administration area for each year of required post-highschool education. 2

Table A presents the distribution of nursing

and personal care home administrators by combinations of the following levels of knowledge and

skill: 12th grade education and above, course in

nursing home administration, and 4 years or more

of experience as an administrator. It must be

recognized that positive responses to the survey

questions upon which this table is based do not

necessarily mean that an administrator met the

education, training, or experience requirement as

defined in the proposed legislation. Nevertheless

the available measurements of knowledge and skill

most comparable to those proposed in the legislation have been used to provide information on

how administrators fared, knowledge and skillwise, prior to enactment of the legislation. Only

about 31 percent of the administrators had fulfilled the two proposed requirements (i.e., 12th

grade education or the equivalent and completion

of a course in nursing home administration)

necessary’ for full licensure on or after July 1,

1970. Detailed tables 1 and 2 present additional

data on administrators by proposed criteria for

licensure.

General Survey Information

During June-August 1969, the Division of

Health Resources Statistics conducted Resident

Places Survey-3 (RPS-3) to update the statistics

from the 1964 Resident Places Survey-2 ‘II and

to show changes which had occurred in the 5-

year period since 1964 and since the beginning

of Medicare. Resident Places Survey-3 was a

sample survey of nursing and personal care homes

in the conterminous United States. Collected in

this 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. (For further discussion of RPS-3, see

appendix I.)

This report, the first of a series basedon the

findings of RPS-3, describes the education and

training of nursing and personal care home adTable A. Percent distribution of nursimz and personal care home administrators by proposed criteria for licensure as an administrator, according towhether or not he ❑eets

each proposed criterion: United States, June-August 1969

[Excludes .41askri and Fhtwaifl

Proposed criteria for licensure as an administrator

12th grade

education

and a hove

Yes -

‘“Yes

Yes

No

Yes

No

No

No

Course in nursing

home

administration

Yes

No

Yes

Yes

No

No

Yes

No

4 years or ❑ore

of experience as

an administrator

Yes

Yes

No

Yes

No

Yes

No

No

Percent distribution

Of 18,390

administrators

22.5

31.1

8.5

3.7

17.1

13.4

;Y

3.4

2
ministrators on the basis of information obtained

by questionnaire from the person who was designated as administrator by the owner or operator

of an establishment. The survey was designed so

that one and only one administrator was designated for each establishment. Assistant administrators were requested to complete a different

questionnaire and are not included in this report.

Since the estimates for RPS-3 are based on a

sample of administrators in nursing and personal

care homes rather than all such administrators,

they are subject to sampling variability. Tables

of approximate sampling errors are given in appendix I. Definitions of certain terms used in this

report may be found in appendix II. Also a review

of the questionnaires and related materials shown

in appendix III should be helpful in understanding

the data. “

In this report administrators of nursing and

personal care homes are described in terms of

their highest grade completed, undergraduate and

graduate degrees held, Iicensure status as registered nurses and practical or vocational nurses,

courses completed in nursing home administration, on-the- job training in nursing home administration, and other education or training received

in nursing home administration. These data provide a general picture of the levels of knowledge

and skill attained by administrators.

The- data on education and training are

arrayed by characteristics of administrators

(age, employment status, length of employment

as an administrator, and services performed by

the administrator). The interplay between these

characteristics and education and training is discussed. In addition, the relationship between

characteristics of nursing and personal care

homes and the training and education of their

administrators is analyzed. More detailed information about administrators is given in tables

1-20, which follow the text of this report.

Establishment infomzation.-To place the statistics on administrators in perspective, table B

presents selected characteristics of nursing and

personal care homes. Nursing care homes constituted the majority of the three types of homes

and on the average maintained 61 beds as opposed

to 40 beds for personal-care-with-nursing homes

and 14 beds for personal care homes. The estimated average size for all types of homes was

about 49 beds. Approximately 88 percent of nursing and personal care homes had less than 100

beds, and the remaining 12 percent had 100 beds

or more.

About seven of every nine homes were operated under proprietary auspices. However, both

nonprofit and government homes were on the

average larger in size than proprietary homes.

The largest proportion of homes were located in

the North Central Region (34 percent) followed by

the South Region (26 percent), Northeast Region

(21 percent), and West Region (20 percent).

Education and tvakkg.- The level ‘of education attained by nursing home administrators is

slightly above that of the general population. Based

on 1970 Bureau of the Census data: the median

number of school years completed by all persons

21 years and older in the United States was 12.2

years?2 Based on RPS-3, the median number of

school years completed by nursing and personal

care home administrators was 13.1 years.

Table C summarizes the data collected on

highest attained educational level for the estimated 18,390 administrators in the United States,

June-August 1969. Slightly more than 20 percent

had less than a 12th grade education, and 29 percent had only a 12th grade education. The highest

attained educational level for the remaining 51

percent was 1 year or more of nursing school,

junior college, or college.

Of the 2,380 administrators who attended

nursing school, 1,590 attended for 3 years. However, some administrators attended junior college or college or by other means prepared themselves for licensure as registered nurses (RN’s),

which brought the total number of administrators

who were licensed RN’s to 2,020. Licensed registered nurses represented 49 percent of the 4,140

administrators who were licensed nurses. The

other 51 percent were licensed practical nurses

(LPN’s) or licensed vocational nurses (LVN’S).

The majority of administrators (72 percent) did not hold an undergraduate or a graduate degree. However, of the 5,200 administrators

who held a degree, the associate’s degree was the

highest degree held by 50 percent, the bachelor’s

was the highest degree held by 36 percent, and

the master’s or doctor’s was the highest degree

held by 15 percent.

3
Table B. Number of nursing snd. personal

care homes and ❑ean beds, by type of

service, ty e

- --{

of o_nership, bed-size,

and geograp ic region: United States,

June-August 1969

~xcludes Alaska and Hawai~

Characteristic

All homes -------

Type of service

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

Personal care with

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

Personal care ---------

Type of ownership

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

Nonproff.t -------------

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

Bed size

Less than 30 beds -----

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

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

300 beds or ❑ ore-.----

Geographic region

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

~~or~; Central ---------

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

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

Homes

18,390

11,580

3,770

3,040

14,160

2,850

1,380

8,100

8,140

2,050

100

3,830

6,160

4,750

3,650

Mean

beds

49

61

40

14

;;

60

15

1%

434

52

g

Theassociate’s degreewasthehighest degree

held byagood proportion ofthose administrators

who were licensed nurses (RN’s, LPN’s, or

LVN’S). In fact the associate’s degree was the

highest degree held by46percentof the4,140 administrators who were licensed nurses, and the

bachelor’s degree was the highest degree for5

percent of this group. About 48 percent of the

administrators who were licensed nurses held

no degree. Only a relatively few administrators

in this group held the master’s ordoctor’s degree.

Approximately 3,000 administrators had attended college4 years or more, and 89 percent

of these administrators held abachelor’s, master’s, ordoctor’s degree. About llOadministratorsheldthe M.D. or D.O. degree.

Although administrators were requested to

indicate their major fields of study in pursuit

of undergraduate and graduate degrees, most did

not. However; for those administrators who indicated amajor field ofst.udyon theundergraduate level, awide cross-section ofdisciplineswas

represented, dominated to some extent by the

social sciences, accounting, business administration, and nursing. On the graduate level a

master’s degree ‘in hospital administration was

tiequently indicated. For doctorates, the major

fields of study frequently included, but were not

Iimited to,theology, law,andmedicine.

Table C. Number and percent distribution

of nursing and personal care home administrators byhighest grade completed:

United States, June-August 1969

, @xeIudes Alaska and Hawai~

Highest grade

completed

All grades -------

Below 12th grade -------

8th grade and below--

9th to llth grades---

12th grade -------------

Nursing school ---------

1 year ---------------

2 years --------------

3 years-” -------------

Junior college ---------

1 year ---------------

2 years --------------

College ----------------

1 year ---------------

2 years --------------

3 years --------------

4 years --------------

5 years or more ------

\dmini.strators

Number

18,390

3,840

1,780

2,060

5,240

2,380

550

240

1,590

680

210

470

6,250

1,040

1,480

720

1,470

1,540

Percent

100.0

20.9

1?:$

28.5

12.9

3.0

;::

3.7

;:;

34.0

5.6

8.1

i?::

8.4

4
Attained educational status is related to

completion of a course in nursing home administration and acquisition of on-the-job training or

other training or education in nursing home administration. As shown in table D, administrators

who had received formal or informal training

in nursing home administration were more likely

to have completed at least 12th grade than were

administrators who had not received this training. The median number of months for on-thejob training for all administrators was 12.0

months. The duration of this training may have

included time spent in a probationary or careerconditional period.

Administrators indicated that other training

or education in nursing home administration included, but was not limited to, seminars, institutes, workshops, reading, conventions, and

home-study courses.

If an administrator-held a degree, the chances

were greater that he had received training in

nursing home administration than if he did not

hold a degree (table E).

The relationship between licensure as an

FUN,LPN, or LVN and training in nursing home

administration is not as marked as the relationship between degree status and training. However,

administrators who received on-the-job training

Table D. Number and Percent distribution of administrators by highest grade completed,

according to type- of training or education in nursing home administration: United

States, June-August 1969

@wl.des Alaska and Ekw.ifl

Type of training or education in

nursing home administration

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

Course

No-------- -------- -------- -------- ------

Yes -------- -----.-- -------- -------- -----

On-the- job training

Yes -------------------------------------

Other training or education

No------------------ . . . . . . . . . . . ---------

Yes . . . . . . ..- . . . . . . . . . . . . . . . . . -----------

Administrators

Number

18,390

11,950

6,440

11,310

7,080

14,260

4,130

Percent

100.0

100. O

100.0

100.0

100.0

100. O

100.0

Highest grade

completed

Below

12th

grade

20.9

25.9

11.6

25.3

13.8

22.3

16.0

79.1

74.2

88.4

74.7

86.2

77.7

84.0
Table E. Number and percent of administrators by training in nursing home administrathn, by degree or li.censure status: United States, June-August 1969

[Excludes Alaska and Hawaifl

Degree or kicensure staiius

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

Degree status2

Did not hold a degree -------------------

Held a degree -------- -------------------

Licensure status3

Not licensed as a nurse -----------------

Licensed as a nurse ---------------------

Number

of

administrators

18,390

13,190

5,200

14,250

4,140

Training in nursing home “

admf.nistrationl

-

Percent of administrators

35.0

31.5

44.1

34.3

37.5

38.5

35.6

45.9

38.2

39.4

22.5

20.3

28.0

22,9

21.0

1~ administrator may have received one> ‘o> or three types of trainin .

z~e or more among associates degree or cer~i.ficate,bachelorfs, master Fs,or doctor$

degree.

SAS an RN, LVN, or LPN.

innursing home administration were more likely

to have taken acourse innursing home administration than those who hadnotreceived thistraining (table F). Detailed tables 3 and 4 present

additional data on the relationship between attained educational level and training in nursing

home administration.

Information onthe Medicare participation by

the sample facilities was obtained in RPS-3.

Table G summarizes the educational status of the

administrators of Medicare-certified and noncertified homes, June-August 1969. This table

shows that the median years of education were

14.8 years for administrators in Medicare-certifiedhomes and 12.8 years for administratorsin

noncertified homes. In fact, 91 percent of the

administrators in Medicare-certified facilities

had completed at least 12th grade compared with

75 percent in noncertified facilities.Futhermore,

’46 percent of the administrators in Medicarecertified homes held a degree, 46 percent had

taken a course in nursing home administration,

50 percent had received on-the-job training in

nursing home administration, and 30 percent

had received other training or education in

nursing home administration. The comparable

percentages for training or education of administrators in noncertified homes are less.

Table 5 presents further information on administrators in Medicare-certified and noncertified homes. Also table 1 presents the distribution of these two groups by the proposed criteria for licensing administrators.

6
Table F. Number and percent distributionof nursing home administratorsby completion

of a course in nursing home administration,according to type of training in nursing

home administration:United States, June-August 1969

[&cl.desAlaekaandHawaii

Type of training in nursing

home administration

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

on-the-job trainin&

No-------- -------- -------- -------. -------- ----

Yes -------- -------- -------- -------- -------- --

Other training or education

No-------- -------- -----.-- -------- -------- ---

Yes -------- -.------ -------- -------- -------- --

Administrators

Number

18.390

11,310

7,080

14,260

4,130

Percent

100.0

100.0

100.0

100.0

100.0

Took a course

No

65.0

70.4

56,3

69.3

49.8

Yes

35.0

29.7

43.7

30.7

50.2

Table G. Number and percent of nursing and personal care home administrators,by education or training of administrators and Medicare status of sample homes: United

States.. June-Auwst 1969

[ExcludesAlaekaand%waig

Education or training

of administrators

All administrators--------” --------------

Median years of education---------------------

Percent completed below 12th grade------------

Percent completed 12th grade and above--------

pl~rcentheld a degreel-------------------------

Percent RN, LPN, or LEN-----------------------

Percent took a course~--:-----------;---------

Percent received on-the-gob training ---- -- -.--

Percent received other training or education2-

All

administrators

I Administrators

In In

Medicare- noncertified certified

homes homes

Number

===4 4,770I 13,620

I

13.1 I 14.8 12.8

Percent

20.9 25.3

9!:: 74.7

46.1 21.9

I

10neormore among associate’sdegreeor certificate,bachelor’s,❑aster’s,or doctor’s

deg~ee.

-In nursing home administration.

7
EDUCATION AND TRAINING AS

RELATED TO CHARACTERISTICS OF

ADMINISTRATORS

Age

The majority of nursing and personal care

home administrators were between the ages of

45 and 65 (figure 1). Generally, administrators

under 45 years of age had attained a slightly

higher educational level than administrators 45

years and over; table H shows that the median

years of education for these groups were 14.1

and 12.9 years, respectively.

Table H also shows that 91 percent of the

administrators under 45 years of age had completed at least 12th grade, 11 percent had attended nursing school, and 53 percent had attended college. At the other, extreme, only 75

percent of the administrators 45 years and over

had completed at least 12th grade, about 14 percent had attended nursing school, and 33 percent

had attended college. Table 5 provides additional

data to examine the relationship between age and

education.

“The completion of 2 or 3 years of nursing

school occurred often among administrators 45

years and over. In addition, 24 percent of the

administrators 45 years and over were licensed

as an RN, LPN, or LVN compared with 20 percent under 45 years of age (table J). Further

examination of the data reveals t~at 4 years or

more of college were completed more often by

administrators under 45 years of age and also

that undergraduate and graduate degrees were

more common for administrators of this age

group.

Administrators under 45 years of age were

likely to have attended a course in nursing home

administration and to have pursued two or more

such courses. Furthermore, administrators in

this age group were about equally divided as to

on-the-job training experience; about 51 percent

had received dn-the-job training in nursing home

administration, while 49 percent had not. Administrators 45 years of age and over ra&ed

higher in median months of this training. However, positive responses to “other training or

education in nursing home administration” were

PERCENT DISTRIBUTION

AGE

‘~:

21-34 years

35-44 years

45-54 years

55-64 years

65 years and over

Iz!i

11.4

Fiaure 1. Percent distribution of nursina and oersonal care home administrators hy a~e. “

given as often by administrators under 45 years

of age (table K).

Employment Status

Educational level varies markedly with employment status. Namely, employed nursing and

personal care home administrators working for

other employers generally showed a higher educational level than the self -employed adminis -

trators. For example, 86 percent of employed

administrators had completed at least 12th grade

compared with 70 percent of the self-employed

administrators. Only 26 percent of the self-employed administrators had attended college, and

only 9 percent had completed 4 years or more.

In comparison, 45 percent of the employed administrators had attended college and 22 percent

had completed 4 years or more. On the other

hand, about the same percent of self-employed

administrator~ had attended nursing school as

had their salaried counterparts (table L).

This relationship between employment status

and education is not altered when an additional

variable, age, is introduced. Table 6 shows mat
Table H. Number and percent distributionof nursing and personal care home administrators by highest grade completed and median yearsof education,accordtigto age:United

States, June-August 1969

&xoludes Alaska and Hwaifl

Highest grade completed

Administrators Median

y:ys

education

Below 12th

grade College

Age

1

year

3.0

3.9

8.3

*

2.7

3.9

*

*

2 or

3

years

12th

grade

28.5

27.7

8th

grade

and

below

9.7

*

Less

than

4

years?

4

years

or

more

9thllth

grade

11.2

7.3

Percent

100.0

Number

18,39Q

All

agesUnder 45

years--

Under 35

years------

35-44 years4~n~ars

over---

45-54 years55-64 years65 years and

over-------

9.9

7.2

*

8.2

10.8

13.4

8.5

11.1

21.3

26.1

27.4

25.5

19.7

22.6

17.6

18.6

16.3

26.5

29.1

25.2

12.9

14.7

12.9

8.0

13.1

4,680 14.1

1,550

3,130

13,710

5,500

6,110

2,100

100.0

100.0

100.0

100.0

7.2

7.3

12.6

22.8

30.1

28.8

34.3

24.7

26.3

14.3

14.1

12.9

13.5

12.6

12.6

*

12.5

100.0

100.0

100.0

4.5

17.7

18.3

6.7

17.1

14.8

.

‘Includesjunior college.,

9
Table J. Number and percent distributions ofnursing and personal care home administrators by degrees and licenses held , according to age: United States, June-August 1969

[Excl.desAlaskaandh”aij

I

Administrators

I

‘1== All ages------- 18,390 100.0

Under 45 years--- 4,680 100.0

Under 35 years-------

/

1,550 100.0

35-44 years---------- 3,130 100.0

45 years and

over------------

45-54 years----------

55-64 years----------

65 years and over----H- 13,710 100.0

5,500 100.0

6,110 100.0

2,100 100.0

I I

Highest degree held

~

Licenses held

I I k I I w

71.7 14.1 10.1 4.2 77.5 11.0 11,6

61.9 13.1 18.8. 6.2 80.5 10,1 9.5

59.2 13.0 20.3 7.6 83.4 6.5

63.2 13.2

10.1

18.1 5.5 79.1 11.9 9.2

75.1 14.4 7.1 3.5, 76.5 11.3 12.3

1 1 ,

68.8 18.7 7.7 I

;.;-&.; 13.5

78.4 11.5

15.1

7.6

81.9 11.5

10.3

* “* 77:0 1::: 10.7

Table K. Number and percent distributions of nursing and personal care home administratorsby trainingin nursinghome administration

June-August1969

s accordingto age: United States,

@xcl.desAlaskandHmvaij

Age

All ageaUnder 45

years-------

Under 35 years35-44 years----

45 years and

over--------

45-54 years----

55-64 years----

65 years and

over------

Administrators

Ihmber

,8,390

4,680

-

1,550

3,130

w

6,110

2,100

Percent

100.0

100.0

-

100.0

100.0

100.0

~

.

100.0

Trainingin nursinghome administration

Course in nursing On-the-job

home administration training

Yea Median

number

No of

Two ‘0 Yes

One months

COUrae courses

or more

65.0 12.9 22.2 61.5 38.5 12.0

58.7 16.5 24.8 49.1 50.9 9.6

63.4 19.1 17.5 48.2 51.8

56.4 15.2 28.4 49.5 50.5 1::;

67.1 11.6 21.3 65,8 34.2 14.2

71:0 9:8 19:2 71:4 28:6 18:0

76.9 6.3 16.8 77.1 22,9 11.9‘

Other

training

or

education

No Yes

73.61 26.4

74.9 25.1

73.0 27.0

T.78 9 21 1

78;5 21:;

B5.1 14.9

10
Table L. Number and percent distribution of nursing and Personal care home administrators by highest grade completed and median years–of education, according to employment status: United States, Uune-August 1969

(&ludrx Alaska and Hawij

Administrators

Employment

status

Self-

“’atuses--l==k=

employed---- 8,090 100.0

Employed---- - 8,640 100.0

Both --------- I 1,66OI1OOO.

I I

lIncludes junior college.

Below 12th

grade

8th

gra~e 9thllth

below grades

T

9.7 11.2

15,1 15,1

5.8 8.5

* 6.6

Highest grade completed

I I

12th

grade 2 or Less 4

1

3

than years

or year years Ye:rsl more

28.5 3.0 9.9 21.3 16.3

29.3 3.7 10.6 17.8 8,5

29.2 2.2 9.3 22.9 22.2

21.5 * 9.5 30.9 24.0

Median

years

of

educa -

tion

13.1

12.7

13.7

14.5

sometimes the employed administrators hadgenerally attained a higher educational level than

had self-employed administrators within the same

age group. (Other variables—i.e., bedsize,etc.—

which affect the relationship betweenemployment

status and educational level are discussed in

subsequent sections of this report.)

As expected, employed administrators had

obtained ahigher educational level snd therefore

held more formal degrees. This is especially

true of the bachelor’s degree, for this degree

was the highest degree heldby 14percent of the

—

not only totraining received intheadministrator’s

employed administrators comparedwith5percent

of the self-employed administrators (table M).

It was of interest that 16 percent of selfemployed administrators were LPN’s or LVN’S

compared with 8 percent of the employed administrators. However, 13 percent of the employed administrators were licensed as RN’s

as were 10 percent of the self-employed administrators.

Data collected in Resident Places Survey-2

(May-June 1964) revealed the presence of these

nurse-administrators. 4 As shown above, 26 percent of the self-employed administrators were

nurses (RN~s, LPN’s, or LVN’S) and 21 percent

of the employed were nurses.

Employed administrators were as likely as

the self -employed administrators to have taken a

course in nursing home administration.

On-the-job training and other training or

education in nursing home administration refers

current position but also to training in any

nursing and personal care home, hospital, or

related facility. Employed administrators were

more likely to have received on-the-job training. In fact, 48 percent of employed administrators had received this training compared with

26 percent of self-employed administrators. However, this training was of a longer duration for

self- employed administrators. Other training or

11
Table M. Number and percent distributionsof nursing and personal care home administrators by degrees and licenses held, according to employment status: United States,

June-August 1969

[ExcludesAlaskaand Hawai~

Employment status

All statuses---

Self-employed--------

Employed-------------

Both-----------------

Administrators

Number

18.390

8,090

8,640

1,660

Per -

cent

100.0

100.0

100.0

100.0

Highest degree held Licenses held

None

71.7

79.2

65.8

66.5

Associate’s

14.1

14.3

14.5

10.8

Mas - No

Bach- ter’s RN, LVN

LVN, RN

‘lor’s d: - L?N

tor’s L~N

10.1 4.2 77.5 11.0 11.6

4.7 1.9 74.8 9,8 15.5

14.4 5.4 79.3 12.7 8.1

14.0 8.7 81.4 7.8 10.8

Table N. Number and percent distributions of nursing and personal

trators by training in nursing home administration, according to

United States, June-August1969

care home adminisemployment status:

@xcl.desAlaskaand Hawaifl

Training in nursing home administration

Administrators Other

Course in nursing On-the-job training

home administration training or

Employment education

status

Yes

Median

Number ::; No No Yes number No

One Two of Yes

course courses months

or more

All

statuses- 18,390 100,0 65,0 12.9 22.2 61,5 38.5 12.0 77.5 22.5

Selfemployed ----- 8,090 100.0 69.6 10.4 20.0 74.1 26,0 21.0 82.6 17.4

Employed------ 8,640 100,0 63,0 15.2 21.9 52.4 47.6 10.8 75.4 24.6

Both ---------- 1,660 100.0 52,5 13.3 34.3 47.7 52.3 12.2 63.8 36.2

12
education in nursing home administration had

been received by 17 percent of self-employed

and 25 percent of employed administrators (table

N).

Length of Total Employment as an

Administrator

Less experienced nursing and personal care

home administrators tended to have attained a

higher educational level than did the more experienced administrators. Table O shows the

median years of education to be 13.8 years for

administrators with less than 4 years of experience and 12.9 years for administrators with 4

years or more of experience. Only about 29

percent of the administrators had less than 4

years of experience (figure 2). Table O also

shows that 87 percent of the administrators with

less than 4 years of total employment as an administrator completed at least 12th grade, over

9 percent attended nursing school, and nearly

47 percent attended college. In comparison, of

administrators with 4 years or more of experience as an administrator, 76 percent completed

at least 12th grade, about 14 percent attended

nursing school, and 34 percent attended college.

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

highest grade completed and median years of education, according to length of total employment: United States, June-August 1969

[ExcludesAlaska and Hawaii]

1-1- Adminis -

trators

Length of total

employment I

Per- Number cent

All lengths--

Less than 4

years ---------

Less than 1 year---

L-3 years ----------

4 years or

❑ore----------

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

10-19 years --------

20 years or more---

18,390 100.0

5,400 100.0

1,580 100.0

3,820 100.0

12,990 100.0

5,630 100.0

4,900 100.0

2,46o 100.0

Highest grade completed I

Below 12th I

grade I

11 12th

8th 9th- grade

grade

and llth

below grades

*

I

10.5 24.4

-L-l- 3.6 8.8 32.3

12.1 12.0 27.9

l_L12.9 10.7 29.2

10.1 16.2 27.6

14.3 6.7 25.6

Nursing

school

1

2 or

3

year years

3.01 9.9

*

I

13.8

+

* 7.6

3.8 10.1

3.8 8.7

4.3 9.3

3.0 15.1

A

College Median

years

of

eduLess

than

4

years2

21.3

24.1

20.7

25.5

20.2

19.3

19.6

23.5

lIncludes only experience aa an administrator in hospitals, nursing homes,

aged. and similar facilities.

+

4 cation

years

or

more

16.3 13.1

T

22.4 13.8

24.8 14.3

21.5 13.6

T

13.8 12.9

15.5 12.9

12.9 13.4

11.7 13.8

homes for the

- 2includes junior college.

13
PERCENT DISTRIBUTION

.ENGTH OF TOTAL ‘~ ‘0

WORK EXPERIENCE

Less thonlyear

I-3 years

4-9 years

10-19 years

20 years or more

Figure 2. Percent distribution of nursing and personal care home administrators by length of total

work experience as an administrator.

The less experienced administrators not only

were more likely to have attended college but

also were more likely to have completed 4 years

or more. Comparative percentages for the more

experienced administrators show that they were

not as likely to have completed 4 years or more

of college as their less experienced counterparts. The relationship between length of total

employment and completion of 2 or 3 years of

nursing school is not clear. Table O shows

that 15 percent of the administrators with 20

years or more of experience attended nursing

school 2 or 3 years and about the same percent

(14 percent) of administrators with less than 1

year of experience attended nursing school 2 or

3 years.

The relationship between educational level

and length of total employment as an administrator was probably influenced by age; for. as

expected, the more experienced administrators

tended to be older than their less experienced

counterparts (figure 3).

As table P shows, 16 percent of the administrators with less than 1 year of experience were

RN’s and about 19 percent of the administrators

with 20 years or more of experience were also

RN’s. However, licensure as an LPN or LVN

seems more common for administrators with 4

years or more of experience. Furthermore,

table P shows that the associate’s degree was

the highest degree held by about 15 percent of

the administrators with less than 4 years of experience and was the highest degree held by about

14 percent of the administrators with 4 years or

more of experience. However, administrators

with less than 4 years of experience were more

likely to hold the bachelor’s degree. The master’s

or doctor’s degrees were held about as often by

administrators with less than 4 years of experience as by administrators with 4 years or more

of experience.

There appeared to be no significant relationship between length of employment prior to the

administrator’s current position and the educational level attained by the administrator. In

fact about 71 percent of nursing qnd personal

care home administrators had no prior experience as an administrator of a nursing or perPERCENT DISTRIBUTION

o 20 40 60 80 I 00

Less than

~ I year

c)

z

g

a

& I-3

fi years

x

IL

0 10-19

z

1- years

0

z

w

-1

20 years

or more

_Under.5 years ~ 45 years and war

AGE

Figure 3. Percent distribution of nursing and personal care home adm”in istrators by age, according to

1ength of total work experience as an administrator,

.

14
sonal care home, home for the aged, or similar

facility, and 90 percent had no experience as an

administrator of a hospital (table 7).

About 37 percent of nursing and personal

care home administrators with 4 years or more

of experience as administrators had taken a

course in nursing home administration, and 31

percent of the administrators with less than 4

years of total experience had taken such a course.

In addition, administrators with 4 years or more

of experience were more likely to have taken more

than one course. However, a higher proportion of

administrators with less than 4 years of experience had received on-the-job training. The median

months of this training were 10.6 for adminis -

trators with less than 4 years of experience and

12.7 for administrators with 4 years or more of

experience. Other training or education in nursing

and personal care home adm@istration had been

pursued about as often by the less experienced

administrators as by their more experienced

counterparts (table Q).

Services Performed

As defined in the tables, professional services included administration of the facility, nursing care, medical and dental care, physical therapy, occupational therapy, recreational therapy,

speech and hearing therapy, and social work;

Table P. Number and percent distributions of nursing and personal care home administrators by degrees and licenses held, according to length of total employment as an

admf.nistrator: United States, June-August 1969

[ExcludesAlaskaandHawaii]

Length of total

employment 1

All lengths----

Less than 4

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

Less than 1 year -----

1“3

4-9

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

4 years or more--

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

10-19 years ----------

20 y~ars or ❑ ore-----

Administrators

18,390 100.0

5,400 100.0

1,580 100.0

3,820 100.O

12,990 100.0

5,630 100.0

4,900 100.0

2,460 100.0

Highest degree held

None Associate’s

64.8 15.0

58.0 18.5

67.6 13.5

74.6 13.7

73.8 12.6

77.5 11.5

70.8 20.4

-1-MasBach- ter’s

elor’s d~ctor’s

10.1 I 4.2

16.5 7.0

14.8 4.1

9.5 4.1

7.6 3.4

4.7 4.1

Licenses held

$

LVN,

L$

77.5

83.7

74.4

87.5

74.9

81,3

72.8

64.6

~Includes only experience as an administrator in

for the aged, and similar facilities.

hospitals, nursing

RN

11.0

11.5

16.2

9.6

10.8

7.8

10.1

18.9

11.6

4.9

9.4

3.0

14.4

11.1

17.1

16.5

homes,homes

15
Table Q. Number and percent distributions of nursing and personal care home administrators by training in nursing home administration, accordin to length of total employment as an administrator: United States, June-August 19~9

[ExcludesAlaskaandHaweiil

Administrators

Training in nursing home administration

Course in nursing

home administration

Other

training

or

education

On-the-job

training

Length of

total

employment

Yes

Median

number

of

months

Percent

No No Yes No Yea Two

coursei

or mor~

One

course

All

lengthsLess than

4 years----

Less than 1

year----------

1-3 years------

4 years or

❑ ore------

4-9 years-7----

10-19 years----

20 years or

more----------

.8,390

5,400

100.O

100.0

65.0

69.8

12.9 22.2 61.5 38.5 12.0 77.5 22.5

17.2 13.1 52.5 47*5 10.6 81.1 19.0

1,580

3,820

.2,990

100.0

100.0

100.0

77.5

66.6

63.0

14.9

18.1

11.1

7.6

15.3

26.0

46.9

54.8

65.3

59.7

68.7

71.3

53.2

45.2

34.7

40.3

31.3

28.7

11.1

10.4

,12.7

85.6

79.1

76.1

14.4

20.9

23.9

5,630

4,900

2,460

14.6

9.9

5.5

100.0

100.O

100.0

60.7

62.2

69.7

24.8

27.9

24.8

10.6

17.4

44.1

74.2

78.7

75,3

25.9

21.3

24.7

lIncludes only experience as an administrator in hospitals, nursing homes, homes for

the aged, and similar facilitf.es.

subprofessional services included clerical work, categories (i.e., professional, subprofessional,

kitchen/dietary work, grocery shopping, and and other) and could have performed one ormore

housekeeping services. Other services specified of the services.

ilequently included, but were not limited to, Table R shows that the median number of

laundry, yard and maintenance work, meetings, years of education for admi&trators who spent

and conferences. Obviously, adminis~atorscould some time the week prior to the survey perbe included in one or more of the major service forming professional services isabout the same

16
as that. for administrators who performed subprofessional services. Apparent in this table is

that 17 percent of the administrators who performed professional services had4 years or more

of college education and that almut the same proportion (20 percent) had less than a 12th grade

education. However, 9 percent of the administrators who performed subprofessional services

had 4 years or more of college education as

opposed to 26 percent in this group who had less

than a 12th grade education.

Administrators who held the bachelor’s,

master’s, or doctor’s degrees were more likely

to have spent time the week prior to the survey

performing professional services. However, this

is not true of administrators who were licensed

nurses (table S). Furthermore, there was little

difference in the distributions of administrators

by the major service categories (professional,

subprofessional, and other) and acquisition of

formal or informal training in nursing home administration (table T).

Administrators with a Izth grade education

or above spent 76 percent of the total hours they

worked the week prior to the survey performing

professional services and 21 percent of their

time performing subprofessional services. Likewise, the respective proportions for administrators with less than a 12th grade education were

57 and 39 percent. Table U shows, not only in

relative terms (i.e., percent of time) but also

in absolute terms (i.e., average hours), that administrators with a 12th grade education or above

spent time performing the subprofessional services as did their less educated counterparts.

Table R. Number and percent distribution OE nursing and personal care home administrators by highest grade completed and median years of educatio~ according to services performed United States,

June-August 1969

[Excludes Alaska and Hawai~

Highest grade completed

I Adminis- 1~

I

trators II Below 12th

grade

Services performed

Number

One service or

more ----------- 218,390

Professional services-----------------

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

Other services--------

18,010

10,970

3,210

8th

Per- grade 9thcent and llth

below grades

100.0 9.7 11.2

100.0 9.9 10.5

100.0 10.5 15.3

100.0 11.8 11.7

I

:h:~g I

Co1lege

28.5 3.0 9.9 21.3 16.3

28.5 3.1 10.0 21.5 16.6

29.6 2.8 11.0 21.6 9.3

29.2 4.5 7.8 20.5 14.5

Median

years

of

education

13.1

13.1

12.8

12.9

~Includes junior college.

-Service categories do not add to total since categories are not mutually exclusive.

17
Table S. Number and percent distributions of nursing and personal care home administrators by degrees and licenses hel~ according to services performed: UnLted States,

June-August 1969 [ExcludesAlaskaandHaw~]

I

Administrators

Services performed

m

1 1

‘ore----------l==k=’ One service or

Professional

services------------ 18,010 100.0

Subprofessional

services------------ 10,970

Other services------- 3,210 100.0

I

Highest degree held I

Licenses held

None

71.7

71.3

77.2

73.8

-1- Asso- Bachciate’s elor’s

14.1 10.1

14.2 10.3

15.2 6.1

14.0 8,7

TIT Maater’s %, RN LVN

LVN,

d%- L%

tor’s L~N

l-n4.2 77,5 11.1 11.5

1.5 76.0 11.0 13.0

3.5 84.4 6.8 8.8

lService categories do not add to total,since categoriesare notmutually exclusive.

Table T. Number and percent distributions of nursing and personal care home administrators by training in nursing home administration

United States, June-August 1969

, according to services performed:

[ExcludesAlaskaandHawaiij

Services

performed

One service

or more----

Professional

services-----

Subprofessional services---------

Other services

Administrators

T

18,390 100.0

18,010 100.0

Training in nursing home administration

1

Course in nursing On-the-job Other

home administration training training or

education

Yes

Median

No No number

One Two Yes of No Yes

course courses months

or more

65.0 12.9 22.2 61.5 38.5 12.0 77.5 22.5

64.6 13.1 22.3 61.0 39.0 11.9 77.2 22.8

68.6 12.8 18.6 64.5 35.5 12.4 78.7 21.4

66.9 .11.5 21.6 61.4 38.6 14.1 72.6 27.4

Iservice categories do not add to total,since categories are not mutually exchlsi.ve.

18
Table U.’ Number of nursing and personal care home administrators,percent of time,and

average.hoursspent performing specific services by highest grade completed, according to services performed: United Statea, June-August 1969

_ [Excludes Alaska and Hawtii]

All administrators

Highest grade completed

Below 12th

grade

12th grade or

above

Services performed

Percent

of

time

Percent

of

time

100.0

Percent

of

time

100.0

76.2

20.7

3.1

Average

hours

57

42

24

11

Average

hours

67

40

36

13

Average

hours

Number

118,390

18,010

10,970

3,210

55

42

20

10

One service or ❑ore--

Professional aervices------

Subprofessionalservices---

Other services-------------

100.C

71.:

25.:

3.:

56.9

39.4

3.8

Sservice cate~oriea do”~ot add tototal,since categOri.eSarenOt mut~lly exclusiveTable V. Number of nursing and personal care home administrators,percent of time,and

average houra spent performing specific servicesbydegrees and licenses held,according to services performed: United States, June-August 1969

rExcludes Alaska and Hawaii]

Numn

administrators

Degrees held Licenses held

One degree

or ❑orel No degree No RN or LPN RN or LPN

services performed

Percent

of

time

100.0

80.2

16.6

3.3

Plwcent

of

time

100.0

70.3

26.1

3.6

Percent

of

time

Percent

of

time

Average

hours

52

42

18

10

Average

hours

Average

hours

Average

hours

One service or

more--------- 218,390 57

41

26

11

100.0

75.5

22.6

1.9

58

45

21

9

100.0 59

42

26

1:1.

Pr;o;eaional serv-

--------------- 68.5

28.3

3.3

18,010

10,970

3,210

Subprofeasional

aervLces-----------

Other services------

brie de~ee or ❑ore amongassociate’s degree orcertificate,bachelor’s, master’s,or

doctor’s d;gree.

~ServLce categories do not add tototal,since categoriesare not mutllallyexclusile.

19
Table W. Number of nursing and personal care home administrators, percent of time, and

average hours spent performing specific services by training innursing home administration, according to services performed: United States, June-August 1969

@xcludesAlaskaandHawaifl

Services performed

One service

or more -----

Professional

services----------

Subprofessional

services----------

Other services-----

Training in nursing home administration

Course in nursing home On-the-job-training or other

administrateion training or education in

Number ~nursing home administration

of

t1

administra- No I Yes I No

tors

Percent Aver- =; Aver- ~n; AverOf age age age

time hours ~::e hours to;e hours

118,390 100.0 59 100.0 55 100.0 58

18,010 68.2 41 78.2 43 67.9 41

10,970 28.3 26 19.3 20 29.4

1-

27

3,210 3.6 12 2.3 9 2.8 9

%ervice categories donot addto total,

(The average hours’worked tended to behigher

than expected, since many self-employed aswell

as employed administrators indicated that they

were on callor on dutymuch ofthe time sndin

some instances reported this time as working

time.)

It follows, therefore, that administrators

who held degrees and/or nurses’ licenses spent

the better part of their time performing professionaltasks (tableV). A similar situation

existedfor thoseadministratorswho had formal

or informal training in nursing home administration(table W).

Detailed tables 8, 9,and10provide additional

information on the relationship between services

performed and educational level attained.

Yes

Percent

of

time

100.0

75.1

21.3

3.7

Average

hours

57

43

21

12

since categories are not mutually exclusive.

EDUCATION AND TRAINING OF

ADMINISTRATORS AS RELATED TO

CHARACTERISTICS OF THE HOMES

IN WHICH THEY WORK

Bed Size Of Home

The distribution of administrators by size

of home and educational level appears to be

positively correlate~ namely, administratorsin

the large homes tended to report a higher level

of education. Of the8,100administrators inhomes

with less than 30 beds, about 35percent had not

completed at least 12th grade and only about 22

percent had attended college. The educational

level is higher for administrators in homes of

20
larger bed size. For example, in the homes of

300 beds or more, 97 percent of the administrators had completed at least high school and

86 percent reported training beyond high school.

Furthermore, in homes with 30 beds or more

the percent of administrators with less than

12th grade education drops from 12 percent

for homes with 30-99 beds to 3 percent for homes

with 300 beds or more. Similarly, the percent

of administrators with 4 years or more of college

rises sharply from 5 percent for homes with

less than 30 beds to 62 percent for homes with 300

beds or more. The converse finding” appears

among administrators who had attended nursing

school, for administrators in the small homes

attended nursing school more often than did

administrators in the large homes (table X).

Undergraduate and graduate degrees were

most frequently held by administrators in the

large homes. Table Y shows that, although most

administrators did not hold an undergraduate or

graduate degree, 67 percent of administrators

in homes with 300 beds or more held at least

one degree.

RN administrators were just as likely to be

found in small homes as in large homes. However,

administrators who were LPN’s or LVN’s were

usually working in homes with less than 100

beds. According to a previously cited source,

alxmt one-fifth of the administrators and assistant administrators surveyed in Resident Places

Survey-2 (May-June 1964) reported that they also

worked as RN’s, LPN’s, or LVN’S. Most of these

nurse-administrators were employed in small

homes and thus were more likely to be working

as a nurse much of the time.4

The relationship between size of home and

educational level attained by the administrator

Table X. Number and percent distribution of nursing and personal care home administrators by highest grade completed and median years of education, according to bed size

of home: United States, June-August 1969

Bed size of

home

All bed

sizesL;~~sthan 30

--------

30-99 bedb---

100-299 beds300 beds or

more --------

Admhd.s -

trat ors

+

.8,390 100.0

8,100 100.0

8,140 100,0

2,050 100.0

100 I 100.0

[Excludes Alaska and Hawaij

Highest grade completed

Below 12th

grade

9.7 11.2

16.2 18.3

5.4 6.4

1.2, *

1.1 2.2

12th

grade

28.5

28.6

30.1

22.9

10.9

NUT

Scl

1

year

3.0

3.9

2.6.

1.3

i:g

‘o

2 or

3

years

‘9.9

11.5

9.4

6.1

1.3

College

Less

than

4

yearsl

21.3

16.4

24.1

30.1

22.2

4

years

or

xnore

16.3

5.2

22.1

35.5

62.3

Median

years

of

edu -

cat ion

13.1

12.5

13.8

14.8

16.6

lIncludes junior college.

21
Table Y. Number and percent distributions of nursing and personal care home administrators by degrees and licenses held, according to bed size of home: United States,

June-August 1969

“~xcl.des Alaska and Hawaiil’

Bed size of home

All bed sizes--

Less than 30 beds----

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

1OO-299 beds-;-------

300 beds or more -----

Administrators

Number

18,390

8,100

8,140

2,050

100

Percent

100.0

100.0

ioo. o

100.0

100.0

Highest degree held

7107 14.1 10.1

82.2 13.8 3.1

66.6 14.0 14.5

52.6 15.1 19.3

32.8 11.5 26.4

appeared to be influenced by other factors. One

of these was employment status (table 11). In

general, self-employed administrators workedin

the small homes and employed administrators

worked in the large homes (figure 4). As discussed above, administrators who were self-employedwerenotas likely tohave attained ashigh

an educational level as the employed administrators. Hence, this rnayhave contributedto the

tendency ofthe less educatedadministratorstobe

located in the small homes. A second factor may

have been age. It seems that greater responsebility is involved in the administrationof alarge

nursing home and thus necessitates a more experienced, better trained, andpossibly older administrator. However, the relationship between

size of home and age of administrators was not

consistent (figure S). ”Table 12 shows that when

administrators were distributed by age and bed

size of home, those with less education were

still more likely to be found in smaller homes.

About 26 percent of the administrators in

homes with less than 30 beds had takena course

Master’s

d~-

tor’s

4.2

*

4.9

13.0

29.3

Licenses held

N,

LVN ,

L~

77.5

73.2

79.5

86.0

91.7

I

10.8 16.1

11.5 9.2

10.0 *

8.3 -

PERCENT DISTRIBUTION

o 20 40 60 so 100

Less then

30 beds

30-99

beds

100-299

beds

EMPLOYMENT STATUS

Figure k Percent distribution of nursing ad personal

care hcsme administrators by employment status, according to bed size of home.

22
in nursing home administration compared with

51 percent of administrators in homes with 100.

299 beds and 45 percent in homes with 300 beds

or more. Administrators in homes with 100 beds

or more were more likely to have taken two

courses or more. Furthermore, on-the-job training had more often been received by administrators in homes with 30 beds or more. The median

months of on-the-job training were about the same

for administrators regardless of the size of the

home in which they worked. In addition; between

17 and 37 percent of administrators had received

other training or education in nursing home administration (table Z).

PERCENT DISTRIBUTION

o ZO 40 60 80 Poo

BEo SIZE I I I I I

OF HOME

Less Ihon

30 beds

30-99

beds

[00-299

beds

300 beds

or more

mmmmm Under 35 35-44 45-54 55-64 65 vears

Geographic Region

Median years of education by region ranged

from 14.3 years for the Northeast to about 13.0

years for the North Central, South, and West.

About 86 percent of nursing and personal care

home administrators in the Northeast had comyeors years years years A over

AGE

Figure 5- Percent distribution of nursing and personal

care home admin istraters by age, according to bed

size of home.

Table Z. Number and Dercent distributions of nurs imz and Dersonal care home adminis -

trators by training” in

.

nursing home administration, according to 3ed size of home:

United States, June-August 1969

Training in nursing home administrate ion

Adminis -

tratoqs On-the -job Other

training training or

education

Bed size of

home

Per -

sent

Yes

Median

number No

of

nonths

Number No No Yes

38.5

26.8

47.0

50.4

43.2

Yes

22.5

17.3

25.3

30.7

37.3

Two

:ourses

m more

22.2

One

course

61.5

I

‘“Allbed

si~es--

L:::sthan 30

-------- -

30-99 beds----

100-299 beds--

300 beds or

more ---------

18,390

8,100

8,140

2,050

100

LOO. O 65.0 12.9 ==4=

100.0 12.8 82.7

10000

100.0

100.0

74.4

59.7

49.3

54.7

10.0

14.5

17.5

17.0

15.7

25.8

33.2

28.2

73.2

53.0

49.7

11.8 74.7

10.7 69.3

56.9 12.9 I62.7

-

23
Table AA. Number and percent distribution of nursing and personal care home administratorsby

highest grade completed and median years of education,according to geographic regioz United

States, June-August 1969

[Exciude. Alaska and Hi=nwiiil

Geographic

region

All regions--

Northeast----------

North Central------

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

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

Administrators

18,3901 100.0

3,830 100.0

6,160 100.0

4,750 100.0

3,650 100.0

%ncludes junior college.

Below 12th

grade

Highest grade completed

8th

gr:~e

below

9.7

6.9

11.4

7.7

12.1

9thllth

grades

11.2

6.9

11.8

11.6

14.2

pleted at least 12th grade compared with 77percent in the North Central, 81 percent in the

South, and74 percent in the West.

Not only had administrators in the Northeast

completed at least 12th grade about as often as

other administrators but also large proportions

of them had formal training beyond high school.

About 60 percent of the administrators in this

region had attended college or’ nursing school,

as had less than 50 percent of the administrators

in any of the other regions. A relatively large

proportion (17 percent) of administrators inthe

Northeast had attended nursing sclioolfor20r 3

years. The Northeast also had alarge. percentof

administrators attending college 4years ormore

(table AA).

The administrators in the West were relatively low on the educational scale. This may

indirectly reflect the fact that generally homesin

the West were smaller in size than homes in the

other regions (table B). In addition, a large proportion of the homes in the West had self-employed administrators (figure 6). As discussed

ahove, distributions of administrators by age and

12th

grade

28.5

26.1

28.6

31.7

26.9

Nursing

school I

College

lT2 or

Less

1

3

than

‘ear years ye~rsl

IT3.0 9.9 21.3

* 17.2 20.3

4.9 9.4 20.5

7.1 23.4

1.6 6.8 21.2

4

years

or

more

16.3

20.1

13.5

16.4

17.2

Median

y:~s

education

13.1

14.3

12.9

13.0

12.9

PERCENT DISTRIBUTION

‘~

GEOGRAPHIC

REGION

Northeast

North

Centrol

South

West

Izz selfm

...........

“:’:”:”’”’”’’’”’”’~’~ Employed

employed %%%%%:

Both

EMPLOYMENT STATUS

Figure 6. Percent distribut ionof nursing and personal

care home adm in istraters by employment status, according to geographic region.

24
employment status are definitely related to educational level. Detailed tables 13 and 14 show

the relationship between bed size of home and

employment status of administrator by highest

grade completed and geographic region. When

bed size, employment status, and highest grade

completed are considered, administrators in the

Northeast tend to have attained educational levels

similar to administrators in the West and other

regions.

About 41 percent of the administrators in the

Northeast Region held a degree. This is considerably higher than the percent in any other

region. The associate’s degree was the degree

most commonly held by administrators in the

Northeast. me Northeast administrators also

excelled in licenses held. About 33 percent of

the administrators in the Northeast were either

licensed as an RN or LPN, licensure as an RN

being about as common as licensure as an LPN

(table BB).

Since administrators in the Northeast had

generally attained a higher educational level than

had administrators in other regions, it would

be expected that they also had received training

in nursing home administration more often than

had administrators in other regions. However,

table CC shows that about 42 percent of the administrators in the North Central had taken a

course in nursing home administration; the percentages for the other regions are as follows:

Northeast (35 percent), South (32 percent), and

West (28 percent). On-the-job training had been

received at about the same frequency and was of

about the same duration regardless of region.

Furthermore, other training or education in

nursing home administration had been received

by 18 percent of the administrators in the

Northeast and by between .23 and 25 percent of

the administrators in the other regions.

Type of Service Provided by Home

Examination of the distribution of administrators by type of home and by highest educational level attained shows that personal carehomes andpersonal-care-with-nursinghomes had

greater proportions of administrators with less

than 12th grade education than did nursing care

homes. However, similar proportions of administrators in nursing care homes had only a 12th

grade education as had administrators in personal

Tab le BB. Number and percent distributions of nursing and personal care home adminis -

trators by degrees and licenses held

June-August 1969

, according to geographic region: United States,

~x.1.desAlaskamd Hwvai~

Geographic

region

All regions ----

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

North Central ---------

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

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

Adminis -

trators

L

3,830 100.0

6,160 100.0

4,750 100.0

3>650 100.0

Highest degree held Licenses held

None

71.7

.

58.7

76.2

74.5

74.2

Associate’s

Bachelor’s

I

-L23.0 12.5

12.0 8.6

11.1 10.9

12.0 9.0

I

1

Mas - No

ter’s RN,

LVN, RN

d~~-

tor’s L%

3.3 74.8 9.8

3.6 85.3 7.0

4.8 82.5 9.4

LVN

L%

11.6

13.4

15.6

7.7

8.1

25
Table CC. Number and percent distributionsof nursing and personal care home administrators by training in nursing home administration, according to geographic region:

United States, June-August 1969

Excludes Alaska and Hwsi~

Training in nursing home administration

Course in nursing

home administration

Yes

Administrators Other

training or

education

On-the-job

training

Geographic

region T

Median

number No

of Yes

months

No

r

One

course

Percent Number No Yes ‘TWO

courses

or more

22.2 12.0 77.5 22.5

12.5 82.2 17.8

11.3 75.4 24.6

11.7 76.6 23.4

13.8 77.5 22.5

61.5

All

regions-- 18,390

3,830

6,160

4,750

3,650

100.0

100.0

100.0

100,0

100.0

38.5

Northeast-----

North CentralSouth---------

64.9 14.6

58.5 14.1

20.5

27.4

20.1

17.8

59.0

60.9

64.’5

61.3

41.0

39.1

35.5

38.7

68.2 11.7

West----------

Table DD. Number and percent distribution of nursinz and personal care home administrators by

highest grade compl;ted and median years of educa~ion,a;cordingto type of service provide~

by home: United States, June-August 1969

[Exol.des Alaska and Hawiil

Highestgradecompleted

——. -.

Administrators Below 12th

grade

I

Nur&g I

College Median

Type of service years

provided by home - of

edu2 or Less 4

1 3

cation

than years

ye= years ye:r51more ‘r

3.0 9.9 21.3 16.3 13.1

2.2 11.3 24.5 21.6 14.0

6.3 9.2 16.8 11.6 12.7

12th

8th grade

g:;? 9thllth

below grades

Per- Wmber cent

I

All servicesNursing care-------

Personal care with

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

Personal care ------

, T

L8,390 100.0

L1,580 100.0

3,770 100.0

3,040 100.0

9.7 11.2

4.1 7.0

28.5

29.4

13.6 19.3

26.1 17.0

23.2

31.7 * 5.7 15.2 * 12.2

‘Includesjuniorcollege.

26
care homes. Likewise, about the same proportions

of administrators in nursing care homes and

personal-care-with-nursing homes had attended

nursing school. However, the percent of administrators who had attended college is higher for

nursing care homes than for any other’ type of

home.

Furthermore, administrators in nursing care

homes were more likely to have attended college

for 4 years or more or nursing school for 2 or 3

years (table DD). It is predictable that the welleducated administrator will tend to be found in the

nursing care home, since generally in this type

of home more intensive nursing care is provided

or available to relatively greater proportions of

residents than in the other types of homes.

About 35 percent of the administrators in

nursing care homes held an undergraduate or

graduate degree compared with 22 percent of the

administrators in personal-care-with-nursing

homes and 11 percent in personal care homes. In

addition, administrators in nursing care homes

were licensed RN’s about as often as administrators in other types of homes. In personalcare-with-nursing homes on the other hand, the

percent of administrators who were LPN’s or

LVN’S was close to ihe percent of administrators who held these licenses in nursing care

homes or in personal care homes (table EE).

Tables 15 to 19 present data to aid in

analyzing the effect of other factors on the distribution of administrators by type of home

and educational level. In many instances, when

administrators were distributed by type of home

and another variable (i.e., age, employment

status, bed size, region, or ownership), administrators in nursing care homes had generally

attained a Mgher educational level than had administrators in homes providing personal care

with nursing or only personal care. This may be

attributable in part to the fact that nursing care

homes were on the average largest in size.

Moreover, administrators in nursing care homes

were generally younger than administrators in

other types of homes (figure 7). Furthermore,

about 54 percent of the administrators in nursing

care homes were employed (figure 8). As discussed above, younger administrators had generally attained higher educational levels than

had their older counterparts and, likewise, employed administrators generally had attained

Table Ell. Number and percent di.stribut ions of nursing and personal care home adminis -

trators by degrees and licenses held, according to type of service provided by home:

United Stated, June-August 1969

@xcl.dw AlaskaandHrwai~

Adminis -

trators Highest degree held Licenses held

Type of service

provided by Mashome ter’s R, LVN

Number En; None Asso- Bach- LVN, RN ciate’s elor,’s d= - L~

tor’s L~

All services--- 18,390 100.0 71.7 14.1 ‘ 10.1 4.2 77.5 11.0 11.6

Nursing care --------- 11,580 100.0 64.9 15.7 13.8 5.7 76.8 13.0 10.3

perSOnal care with

nursing--- ---------- 3,770 100.0 78.5 13.5 5.6 * 73.0 10.4 16.6

Personal care -------- 3,040 100.0 89.3 8.6 * * 85.8 3.9 10.3

27
PERCENT DISTRIBUTION

o 20 40 60 60 100

TYPE OF

HOME

Nursing

care

personal

care w!!h

nursing

Personal

core

mmmm~ Under 35 35-44” 45-54 55-64 65 years

years years years years and over

AGE

Figure 7. Percent di stri butionof nursing and personal

care home admi n i st raters by age, ,accord i ng to type

of service provided by hcme.

higher levels of education than had self-employed administrators.

Nursing care home administrators had not

only attained a higher. educational level but were

more likely to have taken one course or more in

nursing home administration. In addition, administrators in nursing care homes were more

likely to have received on-the-job training in

nursing home administration (45 percent) compared with administrators in personal-care-withnursing homes (30 percent) and administrators

in personal care homes (23 percent). The median

months for this training were highest for administrators in personal care homes. About the

same percent of administrators in nursing care

homes had received other training or education

in nursing home administration as the percent in

personal-care-with-nursing homes. A considerably smaller proportion of administrators in

personal care homes had received this training

(table FF).

Type of Ownership

Only about 13 percent of the administrators

in nonprofit homes had less than a 12th grade

education, and 63 percent had formal education

beyond high school. In comparison, about 37 percent of the administrators in government nursing

PERCENT DISTRIBUTION

WPE

HOME

OF ‘~

Nursing

care

Personal

care with

nursing

Personal

core

EMPLOYMENT STATUS

Figure 8. Percent distri bution of nursi ng end personal

care home administrators by employment status, according to type of service provided by home.

and personal care homes had less than 12th grade

education and only 31 percent had formal education beyond high school.

As shown in table GG the median educational

level for administrators in nonprofit homes is

14.4 years, in proprietary homes 12.4 years, and

in government homes 13.0 years. Although administrators in nonprofit homes generally had

formal education beyond high school, administrators in proprietary homes were more likely

to have attended nursing school and to be licensed as an RN, LPN, or LVN (table H’H).

The percent of administrators who held an

undergraduate or graduate degree ranges from

16 percent of the administrators in government

homes to 41 percent of the administrators in

nonprofit homes. The bachelor’s degree was the

highest degree held by about 22 percent of the

administrators in nonprofit homes compared with

8 percent of the administrators in proprietary

homes and 6 percent of the administrators in

government homes. However, administrators in

nonprofit homes were not more likely to hold the

master’s or doctor’s degrees.

As discussed above, nonprofit and government

nursing and personal care homes were, on the

average, larger in size than proprietary nursing

and personal care homes. This may be part of

the reason that administrators in nonprofit homes

28
Table FF. Number and percent distributionsof nursing and personal care home administrators by training in nursing home administration, according to type of service

provided by home: United States, June-August 1969

[Excludes Alaska and Hawaii]

Administrators

Training in nursing home administration

Other

training or

education

Course in nursing

home administration

On-the-job

training

Type of service provided

by home

a

Yes

No

One Two

course

courses

or more

.

No Yes

Median

number

of

months

Percent Number

18,390

11,580

3,770

3,040

No Yes

22.5

I I

All serviae5-------

Nursing care--

Personal care

with nursingPersonal care100.0 65.0 12.9 22.2

57.8 16.4 25.8

77.5

100.0

100.0

100.0

54.6 45.4 11.8 75.4

76.7

86.6

24.6

23.4

13.4

72.9 9.3 17.8

82.3 4.1 13.7

Table GG. Number and percent distributionof nursing-and perso?al care home administratorsby

highest grade completed and median years of educat~on,accordzngto type of ownership:United

States, June-August 1969

@xcl.des Alaska and Hawaii

Highest grade completed

trators Below 12th Nursing

grade school

Median

y~frs

education

College

Type of

ownership 12th

8t’n 9th- grade

Number ~;;

grade llth 1

and grades year

below

18.390 100.0 9.7 11.2 28.5 3.0

Less

than

4

yearsl

4

years

or

more

16.3

13.3

34.5

10.1

2 or

3

years

All ownerships------- -,-- —- ,, 9.9

11.1

6.5

-k

21.3

22.1

20.7

14.6

13.1

Proprietary-------- 14,160 100.0 9.8 11.1 29.1 3.5

Nonprofit---------- 2,859 100.0 7.0 5.5 24.2 *

Government--------- 1,380 100.0 13.4 23.9 31.8 *

lIncludes junior college.

12.4

14.4

13.0

29
Table HH. Number and percent distributions of nursing and personal care home administrators bv dezrees and licenses held, according to type of ownership: United States,

June-Augu~t 1569

Type of

ownership

All ownershipsProprietary ----------

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

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

Excludes Alaska and Hwaij

Administrators Highest degree held Licenses held

Master’s E,

Number &; Asso- Bach.; LVN

None ciate’s LVN, RN

‘l’or s d%- L%

tor’s L%i

18,390 100.0 71.7 14.1 10.1 4.2 77.5 11.0 11.6

14,160 100.0 73.1 15,4 8.2 3.4 75.1 11.8 13.2

2,850 100.0 59.3 10.6 21.5 8.6 86.3 9.5 4.3

1,380 100.0 83.7 7.7 5.9 2.7 83.9 5.8 10.4

had generally attained a higher educational level,

since administrators in large homes were more

likely to have attained a higher educational level

than administrators in small homes. In addition,

administrators in nonprofit homeswerepredominantly employed administrators (figure 9).Again

employed administrators had generally attained

j-dgher educational levels than self-employed administrators.

Since administrators who had attained high

educational levels usually had taken acoursein

nursing home administration, it was not surprising that 39 percent of the administratorsin

nonprofit homes had taken such acourse ashad

36 percent of the administrators in proprietary

homes and 17 percent in government homes. In

addition, administrators in nonprofit homes were

just as likely to have taken two courses or more

as were administrators in proprietary homes.

On-the-job training had been received by

about 38 percent of the administrators in proPERCENT DISTRIBUTION

o 20 40 60 80 100

I I I I I I

OWNERSHIP

Proprietcfy

Nonprofit

Government

~se,f.l ,ed m

empo ~#@@~ Employed

-E’””

EMPLOYMENT STATUS

Figure 9. Percent of nursing and personal care hcine

admin i st raters by employment status, according to

ownership.

30
Table JJ. Number and percent distributionsof nursing and personal care home administrators by training in nursing’homeadministration, according to type of ownership:

United States, June-August 1969

Type of

ownership

All

ownerships--

Proprietary---

Nonprofit-----

Government----

Administrators

Number

18,390

14,160

2,850

1,380

Percent

100.0

100.0

100.0

100.0

~xcl.des Alaska and Hawai]

Training in nursing home administration

Course in nursing

home administration

No

65.0

64.1

60.6

82.8

Yes

One I

Two

course

courses

or more

I

&

12.8 23.2

14.9 24.5

10.0 7.3

On-the-job Other

training training or

education

No

61.5

62.1

52.7

73.6

Median

Yes number No

of Yes

months

38,5 12.0 77.5 22.5

37.9 11.7 77.4 22.6

47.3 11.8 75.2 24.5

26.4 21.3 83.9 16.1

prktary homes. The median months for this homes and 16 percentin governmenthomes

trainingwere aboutthesame foradministrators (tableJJ).

of proprietaryand nonprofithomes.Inaddition, Detailedtable20 presentsthepercentdisother trainingor educationhad been received tributionof nursingandpersonalcarehomeadby 25 percentof theadministratorsinnonprofit ministratorsbyregionandownersbip.

homes compared with23 percentinproprietary

31
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D.C., 1971.

2Medical Services Administration: Ruies and Regulations

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4National Center for Health Statistics: Employees in

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

Vital and Health Statistics. PHS pub. No, 1000-Series 12-No. 6.

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

No. 1000-Series 12-No. 7. Public Health Service. Washington.

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

6National Center for Health Statistics: Prevalence of.

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

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

1000-Series 12-No. 9. public He&h Service. Washington. U.S.

Government Printing Office, Aug. 1967.

8Nationfl Center for Health Statistics: Nursing and

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

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

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

1000-Series 12-No. 11. public Health Service. Washington. U.S.

Government Printing Office, Dec. 1968.

locational Center for Health Statistics: Marital status and

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11National Center for Health Statistics: Arrangements for

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1970.

12U.S. Bureau of the Census: “Education Attainment,

March 1970,” Current Popukztiorr Reports, Series P-20, No,

207. Washington. U.S. Government Printing Office, Mar, 1970.

13National Center for Health Statistics: Design and

methodology of the 1967 Master Facility Inventory Survey.

Vital and Heakh Statistics. PHS pub. No. 1000-Series l-No. 9,

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

Office, Jan. 1971.

000

32
LIST OF DETAILED TABLES

Table 1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

Number and percent distribution of nursing and personal care home administrators

by proposed criteria for licensure, according to selected characteristics: United

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

Number and percent distribution of nursing and personal care-home administrators

by proposed criteria for licensure, according to degrees, lxc?nses (RN, LpN, or

LVN), and training: United States, June-August 1969------------------------------

Number and percent distribution of nursing and personal care home administrators

by highest grade completed and median years of education, according to type of

training in nursing home administration: United States, June-August 1969---------

Number and percent distributions of nursing and perso~al care home administrators

by degrees and licenses held, according to training in nursing home administration: United States, June-August 1969--------------------------------------------

Number and percent distribution of nursing and personal care home administrators

by highest grade completed, according to selected characteristics: United States,

June-August l969-----------------------------------------------------------------

Number and percent distribution of nursing and personal care home administrators

by highest grade completed,according to age and employment status: United States,

June-August l969-----------------------------------------------------------------

Number and percent distributionof nursing and personal care home administrator

by highest grade completed, according to length of employment as an administrator:

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

Number and percent distribution of nursing and personal care home administrators

by highest grade completed, according to services performed: United States, JuneAugust l969----------------------------------------------------------------------

Number of nursing and personal care home administrators and percent of time spent

performing specific services the week prior to the survey by highest grade

completed, according to services performeckUnited States, June-August 1969-------

Number of nursing and personal care home administrators and average hours worked

the week prior to the survey, by highest grade completed and services performed:

United States, June-August l969------------:-------------------------------------

Number and percent_distribution of nursing and personal care home administrators

by highest grade completed, according to bed size of home and employment atatua

of administrator: United States, June-August 1969--------------------------------

Number and pe~cent distribution of nursing and personal care home administrators

by highest grade completed, according to age of admZZnistrator and bed size of

home: United States, June-August 1969--------------------------------------------

Number and percent distribution of nursing_and Personal care home administrators

by highest grade completed, according to geographic region and bed size of home:

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

Number and percent distribution of nursing and personal care home administrators

by highest grade completed, according to geographic region and employment status:

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

Page

35

36

37

38

39

40

41

42

43

44

45

46

47

48

33
LIST OF DETAILED TAELES-Con.

Table 15. Number and percent distribution of nursing and personalcare home administrators

16.

17.

18.

19.

20.

by highest grade completed, according t; typ; of serviceprovidedby home and

age of administrator:United States, June-August1969--------------------------- -

Number and percentdistributionof nursing and personalcare home administrators

by highest grade complete_d,_according _to type.of service providedby home and

employmentstatus of administrator:“UnitedStates,June-August1969--------------

Number and percent distributionof nursing and personal care home administrators

by highest grade completed, accordingto type of serviceand bed size of home:

United States,June-Augustl969--------------------------------------------------

Number and percent distributionof nursing and personalcare home administrators

by highest grade completed,accordingto type of serviceprovidedby home and geographicregion: United States,June-August1969----------------------------------

Number and percent distributionof nursing and personalcare home administrators

by highest grade completed,accordingto type of service and ownershipof home:

United States,June-August1969---.-----------------------------------.----------

Number and percent distributionof nursing and personalcare home administrators

by highest grade completed,accordingto geographicregion and type of ownership:

United States,June-Augustl969--------------------------------------------------

Page

49

50

51

52

53

54

NOTE : Numbers and percents in tablesmay not add to totala due to rounding.

34
Table 1, Number and percent distributionof nursing and personal care home administratorsby pro-

~;;d criteriafor licensure, accordingto selectedcharacteristics:United States,June-August

,~xcludes Alaska. and %vai~

Administrators

‘Proposedcriteriafor licensureas an

administratorI

Selectedcharacteristicsof

administratorsand the homes

in which they work

c

*

*

*

*

*

*

*

*

*

*

*

.

*

*

*

*

Not

A,B,

or C

Percent Number ABC AB AC BC A B

All characteristics-----------

Aze

18,39C

1,55C

3,130

5,500

6,llc

2,100

8,090

8,640

1,660

11,580

3,770

3,040

L4,160

2,850

1,380

8,100

8,140

2,050

100

3,830

6,160

4,750

3,650

4,770

13,620

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

100.0

100.0

100.0

100,0

100.0

100.0

100.0

22.5

11.3

29.1

29.9

17.8

15.4

21.4

20.7

37.0

28.2

14.9

10.1

23.5

24.3

8.2

16.1

25.6

34.9

39.8

26.0

26.1

17.3

19.5

28.9

20.2

31.1

17.6

23.8

32.8

33.6

40.2

35.5

27.3

29.5

30.6

34.7

28.6

30.3

33.6

34.0

34.0

29.6

24.9

40.8

36.2

29.9

31.8

26.7

26.9

32.6

8.5

24..8

11.1

:::

*

1::;

9.0

11.5

6.0

1;:?

*

1;:;

14.3

4.3

8.3

1;:;

4.8

14.2

6.4

3.7

——

*

1.;

5.6

6.1

6.0

1.9

*

2.3

6.1

5.9

3.9

*

*

;:;

1.:

k

6.7

3.3

*

2.4

4.1

17.1

39.2

26.8

17.0

R

10.7

23.5

14.5

18.7

11.4

18.2

17.3

17.0

15.0

12.0

21.0

21.8

11.8

15.7

L2.1

20.4

22.7

21.4

L5.5

13.4

$.;

23;8

24.0

1:.:

8:5

6.2

22.2

29.6

L3.5

2;::

23.3

6.4

2.;

L2.5

L3.4

L1.8

L6.4

5.1

L6.3

3.4

*

*

;:2

*

4.0

3.6

::2

5.9

3.0

8.;

?;

*

*

::;

5.8

4.;

35 years----------------------

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

Under

35-44

45-54

55-64

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

Gears -------------------------

Employmentstatus

Self-employed-----------------------

Employed...........................-

Both---------.........--------------

,Typeof serviceprovidedby home

Nursingcare------------------------

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

Personalcare-......-.--------------

Ownershipof home

Proprietary---.-.----------=--------

Nonprofit-:.........................

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

Bed size of home

Less than 30 beds-------------------

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

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

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

Geographicregion of home

Northeast--------................---

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

South........-..................----

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

Medicare status of home

Medicare participant----------------

Nonparticipant----------------------

I

1A - At least a 12th grade education.

B = 4 years or more of experienceas an administratorin hospitals,nursinghomes,homes for the

aged, or similarfacilities.

C = Took a course in nursing home administration.
Table 2. Number and percent distribution of nursing and personal care home administrators by proposed criteria for Mcensure, according to degrees, licenses (RN, LPN, or LVN), and training:

United States, June-August 1969

[Excludes Alaska aid Hwsij

Degrees, licenses,

and training

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

Degrees2

No degree---------------------------

Degree------------------------------

Licenses (RN, LPN, or LVN)

No license--------------------------

License--------------------.b-b--..-

On-the-job training3

No ----------------------------------

Yes ---------------------------------

Other training or education3

No --------------------------------.-

Administrators

Number

18,390

13,190

5,200

14,250

.4,140

11,310

7,080

14,260

4,130

Percent

100.0

100,0

100.0

100.O

100.0

100.0

100,0

LOO.O

l_OO.O

Proposed criteria for licensure as an

ABc

22.5

19.4

30.4

20.6

29.0

20.7

25.3

19.1

34.3

AB

31.1

~

30,4

32.9

28.0

41.6

33.1

27.9

32.8

25.3

administrator1

AC

8.5

6.4

13.7

9.0

6.6

4.8

14.3

8.0

10.1

BC

3.7

5*1

4.2

*

3.6

3.8

3.2

5.4

A

17.1

14.8

22.9

17.8

14.7

16.1

18,7

17.9

14.3

B

13.4

18.6

*

15.5

6.3

17.6

6.7

14,3

10.2

—

c

—

*

=

*

.

*

*

*

*

*

—

Not

A,B,

or C

3.4

4.8

-

4.4

3.6

3,1

.

home for

1A = At least a 12th grade education.

B = 4 years or more of experience as an administrator in hospitals, nursing homes,

the aged, and similar facilities.

C = Took a course in nursin home administration.

? %ne or more among associate s degree or certificate,bachelorts,master*s, or doctorts degree. 31n nur.ing home administration.

36
Table 3. Number and percent distribution of nursing and personal care home administrators by highest grade cog.

pleted andmedian years of educatio~ according to type of training in nursing home administratiozu United States,

June-August 1969

Type of training

nursing home

administration

in

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

Course

No ------------------------

Yes -----------------------

On-the-job training

No ------------------------

Yes -----------------------

Other training

9~

No ------------------------

Yes-----------------------

Admin -

istrators

Number

18,390

11,950

6,440

11,310

7,080

14,260

4,130

Percent

100.0

100,0

100.0

100.0

100.0

100.0

100.0

@xcludes Alaskaand :lawa,fl

Highest grade completed

Below 12th grade

8th

g:::e

below

9.7

11,9

5.5

12,3

5.4

9.8

9.1

lth-llth

grades

11.2

13.9

6.2

13.0

8.4

12.4

6.9

12th

grade

28.5

28.3

28.9

30.5

25.3

29.7

24.6

Nursing

school

1

yea

3.C

3,5

2.0

2.6

3.6

3,5

*

20r3

years

9.9

9.5

10.7

10.1

9.6

10.4

8.4

College

Less than

4

yearsl

21.3

19.8

24.2

17.5

27.5

19,6

27.4

4 years

or more

16.3

13.0

22.6

14.0

20.1

14.6

22.4

Median

years of

education

13.1

12.9

13.9

12.8

13.8

12.9

13.9

~~nclu,j~sjUIIiOr dlege-

. 37
Table 4. Number and percent distributions of nursing and personalcare home administratorsby

degrees and licensesheld, accordingto trainingin nursing home administration:United States,

June-August1969

[Excludes Alaska and Havmij

Type of trainingin

nursing home administration

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

Course

No ------------------ ““”””’””’’”””’’””’’””’”---------

Yes--------------------------

On-the-jobtraining

No------------------------ ---

Yes --------- -----------------

Other trainingor education

No -------- -------- -------- ---

Yes -------- -------- -------- --

Administrators

Number

18,390

11,950

6,440

11,310

7,080

14,260

4,130

Percent

100.0

100.0

100.0

100.0

100.0

100.0

Loo.0

None

71,7

75.7

64.4

75.2

66.3

73.7

64.8

Highest degree held

Associate’s

14.1

12.8

16.3

12.8

G. 1

13.8

14.9

Bach1:;‘s

10.1

7.9

14.1

7.8

13.6

8.7

14.8

Master’s

dot%’s

4.2

3.6

5.2

4.2

401

3.8

5.5

Licensesheld

No RN,

LVN,

L~

77.5

78.3

75.9

77.8

77.0

77.0

79.0

R1’J

11.C

~

10.4

12.1

9.9

12.8

10.9

11.3

LVN

L%

11.6

11.4

12.0

12.4

10.3

12.1

9.8

38
Table 5. Number and percent distribution of nursing and personal care home administrators by highest grade completed,according to selected characteristics :United States,

June-August 1969

[ExcludesAlaskaandHawaifl

Selected characteristics

of administrators and the

homes in which they work

All characteristics --------

$d;~

45:54

55-64

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

Age

35 years-------------------

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

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

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

Employment status

Self-employed --------------------

Employed -------------------------

Both --------------------------- --

Bed size of home

Less than 30 beds----------------

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

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

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

Geographic region of home

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

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

South...........................-

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

Type of service provided by home

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

Personal care with nursing -------

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

Ownership of home

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

Nonprofit~-----------------------

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

Medicare status of home

Medicare participant -------------

Nonparticipant -------------------

Administrators

Number

18,390

1,550

3,130

5,500

6,110

2,100

8>090

8,640

1,660

8,100

8,140

2,050

100

3,830

6,160

4,750

3,650

11,580

3,770

3,040

14,160

2,850

1,380

4,770

13,620

‘ercent

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

100.0

100.0

100.0

100.0

100.0

100.0

100.0

Highest grade completed

Below

12th

grade

20.9

H

11.2

34.8

33.0

30.2

14.2

10.0

34.4

11.8

4.2

3.3

13.8

23.2

19.3

26.3

11.1

33.0

43.1

20.9

12.5

37.3

2;::

lIncludes 1 to 3 years of nursing school.

‘Includes 1 year or more of junior college or college.

12th

grade

28.5

22.8

30.1

34.3

24.7

26.3

29.3

29.2

21.5

28.6

30.1

22.9

10.9

26.1

28.6

31.7

26.9

29.4

23.2

31.7

29.1

24.2

31.8

24.7

29.9

Nursing

schooll

12.9

13.7

10.0

17.2

10.0

14.1

14.3

11.6

13.6

15.4

12.0

7.4

1.3

19.7

14.3

9.1

8.5

13.4

15.5

7.9

14.6

8.1

*

9.9

14.0

College2

37.7

56.4

50.6

37.3

30.4

26.6

26.3

45.0

54.9

21.5

46.2

65.6

84.5

40.1

33.9

39.9

38.4

46.1

28.3

17.3

35.4

55.2

24.7

56.7

30.8
Table 6. Number and percent distributionof nursing and personal care home administrators by highest grade completed,accordingtoage and employment statu% United States,

June-August 1969

[Excludes AlaskaandHawai~

Age and employment

status

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

Under 35 years---------------

Self-employed--------------------

Employed-------------------------

Both------------..4-..-.-........

35-44 years------------------

Self-employed--------------------

Employed-------------------------

Both”.........................----

45-54 years------------------

Self-employed--------------------

Employed-------------------------

Both---..........................

55-64 years------------------

Self-employed--------------------

Employed----------...............

Both-----------------.-.=----.q.-

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

Self-employed--------------------

Employed-------.----.---...:....-

Both.........................----

Administrators

Number Percent

18,390 100.0

1,550 100.0

340 100.0

1,070 100.0

140 100.0

3,130 100.0

980 100.0

1,760 100.0

390 100.0

5,500 100.0

2,610 100.0

2,190 100.0

700 100.0

6,110 100.0

3,000 100.0

2,780 100.0

330 100.0

2,100 100.0

1,160 100.0

840 100● o

100 100.0

Highest grade completed

!&$ 12th Nursing

grade grade schooll

20.9 28.5 12.9

7.2 22.8 13.6

* 30.8 29.4

* 21.4 10.5

* -

9.3 30.1 10.0

19.6

*

*

11.2

14.8

7.6

*

34.8

3d.8

32.7

*

34.3

37.6

31.3

31.2

24.7

10.2

9.2

*

17.2

19.1

16.1

14.3

10.0

45.2

26.2

*

33.0

41.7

21.8

*

23.9

26.7

*

26.3

22.8

34.1

7.6

11.7

*

14.1

20.0

*

*

CollegeQ

37.7

56.4

33.5

59.8

86.0

50.6

39.5

54.5

61.3

37.3

28.5

45.1

45.7

30.4

23.4

35.5

52.8

26.6

15.5

38.2

*

l~ncludes 1 to 3 pa3X of nursing ‘chool*

21ncludes 1 year or more of junior college or college.
Table 7. Number and percent distributionof nursing and personal care home administrators by highest grade completed,according to length of employmentas an administrator: United States, June-August 1969

@h4.des Alaska and Hawai~

Length of employment

administrator1

as an

All lengths----------------

Total employment

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

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

M ;::::------------------------

10-19 years----------------------

20 years or more-----------------

Current employment

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

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

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

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

Employment in other homes

None-----------------------------

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

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

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

10 years or more--.<-------------

Employment in hospitals

None-.....-.--------........-----

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

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

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

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

Administrators

Number

18.390

1,580

3,820

5,630

;,;::

9

2,330

5,240

6,070

4,750

13,010

310

1,770

2,000

1,300

16,560

57:

420

770

‘ercent

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

100.0

100.0

Highest grade completed

Below

12th

grade

20.9

14.7

12.4

23.6

26.3

21.1

15.2

12.0

27.1

25.5

20.9

24.:

21.7

18.2

21.5

25.;

>’r

12th

grade

28.5

24.4

32.3

29.2

27.6

25.6

23.7

30.2

26.3

31.8

30.0

22.;

27.5

23.3

30.5

*

*

*

*

Nursing

schoolg

12.9

15.5

1;::

13.7

18.1

15.8

1;:;

15.7

12.8

10.;

15.0

14.0

11.3

29.;

29.;

College3

37.7

45.5

::.:

32:4

35.3

45.2

48.6

33.7

27.0

36.3

50.0

42.9

35.8

44.6

36.7

46.:

52,1

46.9

lIncludes only experienceas an administratorin hospitals,nursinghomes, homes for

the,,aged,and similar facilities.

-Includes 1 to 3 vears of nursing school.

:]Includes 1 year ~r more Of @&r Colk?ge or cO1lege.

41
Table 8. Number and percent distribution of nursing and personal care home administrators by highest grade completed,according to services performed: United Stateq JuneAugust 1969

~xcludesAlaskawd Hawaifl

Services performed

One service or more--------

Professional services--------

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

Nursing care-.-..................

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

Physical therapy-----------------

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

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

Speech and hearing therapy-------

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

Subprofessional services-----

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

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

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

Other services---------------

Administrators

Number

‘318,390

318,010

17,630

5,080

980

1,110

1,250

2,810

590

3,460

310,970

7,590

9,010

5,690

3,210

ercent

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

Highest grade completed

Below

12th

grade

20.9

20.4

20.2

24.6

22.4

10.9

*

13.9

*

10.8

25.,7

21.1

28.8

29.6

23.5

12th

grade

28.5

28.5

28.8

27.0

25.3

22.8

21.1

26.2

26.0

25.7

29.6

30.1

29.1

27.7

29.2

12.6

26.2

18.9

36.2

30.3

19.2

27.8

16.1

13.8

14.9

15.1

12.9

12.3

College”

37.7

38.1

38.4

22.2

33.4

30.1

40.7

40.7

34.0

47.4

30.9

33.1

27.1

29.9

34.9

lIncludes 1 to 3 years of nursing school.

21ncludes 1 year or more of junior college or college.

3Service categories do not add to total since categories are not mutually exclusive.

42
Table 9. Number of nursing and personal care home administrators and percent of time

spent performing specific services the week prior to the survey by highest grade

completed, according to services performed: United States, June-August 1969

@xcludesAlaskaandHawai~

Services performed

One service or more --------

Professional services--------

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

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

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

Physical therapy-----------------

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

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

Speech and hearing therapy-------

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

Subprofessional services-----

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

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

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

Other services---------------

All

administrators

318,390

318,010

17,630

5,080

980

1,110

1,250

2,810

590

3,460

310,970

7,590

9,010

5,690

3,210

Highest grade completed

All

grades ?&w 12th :yo~f C011ege2

grade grade

Percent of time

T

100.0 100.0

71.5 56.9

58.8 46.1

7.5 8.0

0.5 0.4

0.4 0.2

0.6 0.1

1.5 0.9

0.3” 0.1

2.0 1.2

25.3 39:4

6.5 4.0

12.5 22.7

6.3 12.7

3.3 3.8

100.0

72.7

60.4

7.9

0.3

0.4

0.4

1.4

0.2

1.7

24.5

7.4

11.9

5.1

3.0

100.0

77.5

53.9

15.4

0.7

1.3

1.4

2.1

0.7

2.1

20.3

7.0

10.0

3.4

2.2

100.0

78.8

68.4

3.8

0.6

0.3

0.9

1.8

0.2

2.8

17.8

7.2

6.7

3.8

3.5

lIncludes 1 to 3 years of nursing school.

21ncludes 1 year or more of junior college or college. ?Service categories do not add to tota~ since categories are not ~tually exclusive.

43
Table 10. Number of nursing and personal care home administrators and average hours

worked the week prior to the.survey, by highest grade completed and services performed: United States, June-August 1969

~xcludes Alaska and Hwvaij

Services performed

One service or more--------

Professional services--------

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

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

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

Physical therapy-----------------

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

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

Speech and hearing therapy -...-..

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

Subprofessional services-----

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

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

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

Other services---------------

All

~dminisLrators

318,390

318,010

17,630

5,080

980

1,110

1,250

2,810

590

3,460

310,970

7,590

9,010

5,690

3,210

All

grades

57

42

35

16

5

4

5

6

5

6

24

9

15

12

11

Highest grade completed

I I I

?&phw12th ~:~ Collegeq

grade grade

Average hours

67

40

33

16

4

4

2

6

4

8

36

6

23

20

13

58

43

36

18

4

5

4

6

4

6

23

10

14

10

lC

56

44

33

16

5

4

5

5

6

5

18

8

10

6

7

52

41

36

12

6

4

7

6

4

6

19

10

10

8

11

lIncludes 1 to 3 years of nursing school.

21ncludes 1 year or more of junior college or college.

3Service categories do not add to total, since categories are not mutually exclusive.

44
Table 11. Number and percent distributionof nursing and personal care home administrators by highest grade completed,according to bed size of home and employment status

of administrator:United States, June-August 1$)69

[ExcludesAlaskaimdHawaiil

Bed size of home and

employment status

of administrator

— . .

Administrators Highest grade completed

Below

12th

grade

12th

grade

Nursing

schooll Number College2

18,390

8.100

?ercent

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

Less than 30 beds------------

Self-employed--------------------

Employed-------------------------

Both----------------------------

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

Self-employed--------------------

Employed-------------------------

Both........---------------------

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

Self-employed--------------------

Employed-------------------------

Both------------------.........--

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

Self-employed--------------------

Employed-------------------------

Both-----------------------------

.100.0 20.9 28.5

28.6

12.9

15.4

37.7

21.5

19.7

22.0

53.3

46.2

34.4

37.4

29.7

*

11.8

100.0

5,570

2,230

300

8,140

.—

2,270

4,760

1;110

2,050

100.0

100.0

100.0

100.0

26.1

37.4

*

30.1

16.8

10.9

*

12.0

100.0

100.0

100.0

100.0

14.5

10.7

11.0

4.2

37.6

27.5

25.6

22.9

9.4

13.3

11.7

7.4

38.5

48.5

51.8

65.6

240

1,570

240

100

100.0

100.0

100.0

100.0

63.3

65.1

70.9

84.5

*

*

*

3.3

*

23.5

*

10.9

*

7.9

*

1.3

10

80

10

100.0

100.0

100.0

100.0

83.2

100.0

3.6 11.8 1.4

lIncludes 1 to 3 years of nursing school.

21ncludes 1 year or more of junior college or college.

45
Table 12. Number and percent distribution of nursing and personal care home administrators by highest grade completed, according to age of administrator and bed size

of home: United States, June-August 1969

[ExcludesAlaskaandH.wai~

Age of administrator and

bed size of home

Administrators Highest grade completed

Nursing

schooll

Below

12th

grade

12th

grade Number ercent College2

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

Under 35 years ---------------

Less than 30 beds ----------------

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

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

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

35-44 years------------------

Less than 30 beds ----------------

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

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

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

45-54 years ------------------

Less than 30 beds ----------------

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

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

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

55-64 years ------------------

Less than 30 beds ----------------

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

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

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

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

Less than 30 beds----------------

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

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

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

18,390

1,550

100.0

100.0

20.9

7.2

28.5 12.9

13.7

37.7

22.8 56.4

380

950

210

10

3,130

780

1,860

470

20

5,500

100.0

100.0

100.0

100.0

100.0

*

*

9.3

18.4

7.5

*

11.2

28.9

23.0

*

30.1

32.1

32.0

5.;

34.3

12.;

>’r

10.0

37.4

58.4

83.0

100.0

50.6

100.0

100.0

100.0

100.0

100.0

11.;

*

17.2

41.0

$;.:

94:8

37.3

23.4

42.3

65.7

76.2

30.4

2,370

2,400

690

40

6,110

3,240

2,300

540

30

2,100

100.0

100.0

100.0

100.0

100.0

15.7

9.2

3.;

34.8

37.7

34.2

23.9

20.7

24.7

23.3

14.5

*

10.0

100.0

100.0

100.0

100.0

100.0

51.6

18.2

3.:

33.0

22.0

28.3

27.1

3.1

26.3

26.4

25.9

>k

1::;

3.:

14.1

16.8

42.6

56.9

89.6

26.6

1,330

630

140

100.0

100.0

100.0

41.2

19.9

*

18.7

*

*

13.7

47.2

*

llncludes 1 to 3 years of nursing school.

21ncludes 1 year or more of junior college or college.

46
Table 13. Number and percent distribution of nursing and personal care home administrators by highest grade completed, according to geographic region and bed size of

home: United States, June-August 1969

@xcludes Alaska and Hawaifl

Administrators Highest grade completed

Colleges

37.7

Geographic region and bed size

of home Below

12th

grade

12th

grade

28.5

Nursing

schooll Number ercent

All regions---------------- 18,390 100.0

100.0

20.9

13.8

12.9

Northeast-------------------- 3,830 26.1 19.7 40.1

Less than 30 beds----------------

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

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

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

1,780

1,540

470

40

6,160

100.0

100.0

100.0

100.0

100.0

21.2

8.2

U

23.2

36.4

15.2

*

19.3

26.7

26.9

22.5

8.8

28.6

25.8

32.3

26.1

9.6

31.7

35.5

32.1

19.9

19.6

26.9

28.4

13.3

*

14.3

;;.:

62:9

82.5

North Central---------------- 33.9

Less than 30 beds----------------

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

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

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

2,700

2,690

730

40

4,750

1,540

2,620

580

10

3,650

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

15.7

14.8

2.:

9.1

11.1

9.3

*

8.5

22.0 ,

37.6

60.9

87.6

South------------------------ 39.9

36.1

13.0

*

26.3

Less than 30 beds----------------

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

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

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

17.3

45.7

72.9

80.5

West ------------------------- 38.4

28.8

24.9

19.;

Less than 30 beds----------------

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

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

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

2,080

1,290

270

10

100.0

100.0

100.0

100.0

41.9

*

22.1

58.5

67.3

80.1

lIncludes 1 to 3 years of nursing school.

21ncludes 1 year or more of junior college or college.

47
Table 14. Number and percent distribution of nursing and personal care home administrators by highest grade completed, according to geographic region and employment

status: United States, June-August 1969

@xcludes Alaska and Hawaifl

Administrators Highest grade completed

Geographic region and

employment status

1

Number ‘ercent

I

Below

12th

grade

12th

grade

Nurs in

school?

College2

I

All regions ---------------- 18,390 37.7

3,830

1,550

1,970

310

6,160

2,800

2,770

590

4,750

1,680

2,580

490

3,650

100.0 20.9

100.0

100.0

100.0

100.0

100.0

Northeast -------------------- 13.8 26.11 19.7 40.1

Self-employed --------------------

Emp~oyed -------------------------

Both--------------------------.--

20.1

9.6

*

23.2

29.1 25.9

26.7 14.7

24.9

49.1

62.2

33.9

* *

North Central ---------------- 28.6 14.3

Self-employed --------------------

Employed -------------------------

100.0

100.0

100.0

100.0

35.2

15.3

*

19.3

28.1

28.9

29.5

15.0

13.2

*

21.7

42.7

50.6

South------------------------ 31.7 9.1 39.9

Self-employed --------------------

Employed -------------------------

Both ......------------ -----------

100.0

100.0

100.0

100.0

27.1

14.0

20.7

26.3

29.6

35.4

*

10.8

8.2

*

32.4

42.4

52.0

West ------------------------- 26.9 8.5 38.4

Self-employed --------------------

Employed -------------------------

Both ------------------ -----------

2,060

1,330

260

100.0

100.0

100.0

33.5

19.4

*

30.6

21.4

*

7.3

10.2

*

28.5

49.1

61.6

lIncludes 1 to 3 years of nursing school.

21ncludes 1 year or more of junior college or college.

48
Table 15. Number and percent distribution of nursing and personal care home administrators by highest grade completed,accordingto type of service provided by home and

age of administrator:United States, June-August 1969

~xchdes Alaska and Hawai~

Type of service provided

by home and age of administrator

Administrators

T

Number Percent

18,390 100.O

Highest grade completed

Below

12th

grade

12th

grade

Nursing

schooll

12.9

Colleges

All services---------------

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

20.11 28.5 37.7

11,580 100.0 11.1 29.4 13.4 46.1

63.2

55.0

43.5

40.3

31.9

28.3

42.0

44.2

35.4

23.5

20.6

17.3

Under

35-44

45-54

55-64

35 years-------------------

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

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

years--.=---.-.--.=--------

1,160

2,490

3,760

3,200

970

*

7.6

8.3

18.0

15.8

24.6

26.6

32.1

27.9

37.0

100.0

100.0

100.0

100.0

100.0

*

10.8

16.1

13.8

15.3

15.5

50.1

*

21.6

7.0

21.2

7.9

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

Personal care with nursing---

Under 35 years-------------------

35-44 years----------------------

45-54 years----------------------

55-64 years----------------------

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

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

Under 35 years-------------------

35-44 years----------------------

45-54 years----------------------

55-64 years----------------------

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

3.770 100.0 33.0 23.2

240

300

810

1,720

700

100.0

100.0

100.0

100.0

100.0

*

43.5

31.2

20.8

16.6

*

*

48.9

41.5

3,040 100.0 43.11 31.7

150

340

930

1,190

430

100.0

100.0

100.0

100.0

100.0

* * *

*

13.9

14.0

24.1

*

18.3

*

44.4

45.6

22.0

17.9

*

22.3

59.8

58.0

l~ncludes1 to 3 years of nursing school.

‘Includes1 year or more of junior college or college.

49
Table 16. Number and percent distribution of nursin=and personal care hgme administrators by highest

employmen. status o%%$~$%*?%&~?%~&~p;;~-Au~st S9s

service prov_idedby home and

[ExcludesAlaskaandHawaifl

Type of service provided

~-_home and>loyment

status of administrator

All services---------------

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

Self-employed --------------------

Employed -------------------------

Both -.-.....---------------------

Personal care with nursing---

Self-employed --------------------

Employed -------------------------

Both-----------------------------

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

Self-employed --------------------

Employed -------------------------

Both ...........---...............

Administrators

18,390 100.0

11,580 100.0

3,890 100.0

6,300 100.0

1,390 100.0

2,010 100.0

1,590 100.0

170 100.0

2,190 100.0

750 100.0

100 100.0

Highest grade completed

r I I

20.9 28.5 12.9 37.7

11.1 29.4 13.4 46.1

14.5 34.0 16.9 34.6

9.7 28.5 11.0 50.8

7..8 20.8 14.7 56.7

33.0 23.2 15.5 28.3

42.3 19.9 16.6 21.2

22.5 25.6 14.4 37.5

* * * *

43.1 31.7 7.9 17.3

-vi--I!

lIncludes 1 to 3 years of nursing school.

‘Includes 1 year or more of junior college or college.

50
Table 17. Number and percent distribution of nursing and personal care home administrators by highest grade completed,accordingtotype Zf seivice and bed size of home:

United States, June-Au~ust 1969

~xcl.des Alaska and Hawai~

Type of service and bed

size of home

All services---------------

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

Less than 30 beds----------------

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

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

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

Personal care with nursing---

Less than 30 beds----------------

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

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

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

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

Less than 30 beds----------------

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

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

300 beds or more-.---------------l

Administrators

I

Highest grade completed

Number

18,390

11,580

2,980

6,810

1,730

60

3,770

2,340

1,090

310

30

3,040

2,780

240

*

10

Belot

?ercent 12th

grade

100.0 20.9

100.0 11.1

100.0 19.2

100.0 9.5

100.0 *

100.0 3.4

100.0 33.0

100.0 41.3

100.0 23.9

100.0 *

100.0 3.4

100.0 43.1

100.0 45.1

100.0 *

100.0 *

100.0 -

12th

grade

28.5

29.4

33.2

29.9

21.7

11.6

23.2

20.4

28.4

27.5

10.1

31.7

30.6

42.9

“*

Nursing

schooll

12.9

13.4

18.3

12.7

8.3

1.9

15.5

19.8

10.2

*

7.9

8.7

College2

37.7

46.1

29.3

48.0

66.3

83.1

28.3

18.6

37.6

64.3

86.5

17.3

15.7

*

*

100.0

lIncludes 1 to 3 years of nursing school.

21ncludes 1 year or more of junior college or college,

51
,Table 18. Number and percent distribution of nursing and personal care home administrators by highest grade completed, according to type of service provided by home ~

and geographic region: United States, June-August 1969

[ExcludesAlaskaandHawaii]

Type of service provided

by home and geographic

region

AU services ---------------

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

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

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

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

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

Personal care with nursing---

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

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

South--------......--------------

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

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

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

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

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

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

Administrators

l=

Number Percent

=$= 18,390 100.0

11,580 100.0

2,660

3,910

3,350

1,660

3,770

620

1,750

740

660

3,040

550

500

660

1,330

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

—

Highest grade completed

[

;;:;w12th

grade grade

*

-1- 11.1 29.4

7.2 27.7

15.1 29.3

12.6 33.0

* 25.2

+

22.7 27.4

34.4 23.1

31.9 28.6

39.8 *

43.11 31.7

35.7 *

47.4 42.1

39.4 28.6

46.5 35.5

Nursing

schooll

12.9

13.4

18.3

15.2

9.0

10.4

15.5

*

16.4

14.6

*

7.9

30.5

*

*

College2

37.7

46.1

46.8

40.4

45.4

59.7

28.3

33.8

26.1

24.9

33.0

17.3

*

*

28.3

14.5

lIncludes 1 to 3 years of nursing school.

21ncludes 1 year or more of junior college or college.

52
Table 19. Number and percent,distributionof nursing and personal care home administrators by highest grade completed, according to type of service and ownership of

home: United States, June-August 1969

[Excludes Alaska andHawai]

—

Type of service and

ownership of home

All services---------------

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

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

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

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

Personal care with nursing---

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

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

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

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

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

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

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

Administrators

Wmber

18.390

11,580

9,150

1,750

680

3,770

2,610

830

330

3,040

2,400

270

370

?ercent

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.O

100.0

100.0

100.0

Highest grade completed

Below

12th

grade

20*S

11.1

10.:

8.:

20.1

33.C

36.7

16.0

46.2

43.1

42.1

60.3

*

*Includes 1 to 3 years of nursing school.

‘Includes 1 year or more of junior college or college.

I

12th I

grade

l??;:~g

--P

30.4 14.9

23.9 ‘7.9

31.1 *

-1--- 23.2 15.5

23.0 18.8

23.0 8.1

* *

30.7 9.0

38.7 -

* *

college

37.7

46.1

43.9

59.7

40.3

28.3

21.5

52.8

*

17.3

18.2

*

*

53
Table 20. Number and percent distribution of nursing and personal care home administrators by highest grade completed,according to geographicregion and type of ownership: United States, June-August 1969

f$mludesAlaskaandHawaifl

Geographic region and type

of ownership

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Administrators

Number

18,390

3,830

2,890

740

200

6,160

4,670

1,050

440

4,750

3,620

760

370

3,650

2,980

300

370

?ercent

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

Highest grade completed

I

;;;~ 12th

grade grade

1

1

=4== 20.9 28.5

13.81 26.1

15.7 24.5

* 28.6

* *

23.2 28.6

T

25.5 29.9

10.4 20.2

29.4 34.4

19.31 31.7

17.9 32.7

15.7 27.6

41.1 30.0

26.31 26.9

22.6 27.8

* *

57.0 *

Nursing

school1

12.9

19.7

23.3

-k

8.2

14.3

15.8

*

10.1

9.1

9.4

9.1

*

8.5

10.4

College2

37.7

40.1

36.5

55.3

40.7

33.9

28.8

60.3

26.2

39.9

40.0

47.6

*

38.4

39.3

56.6

*

lIncludes 1 to 3 years of nursing school.

21ncludes 1 year or more of junior college or college.

54
APPENDIX 1

TECHNICAL NOTES ON METHODS

Survey Design

.

Genmal.–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

the infirm patients. 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 (RPS-3) is the third of

a series of institutional population sample surveys. The

institutional population surveys are a part of the National Health Survey program. The previous sample

surveys have been designated, as Resident Places Surveys 1 and 2, or RPS- 1 and RPS - 2. Several reports on

the results of RPS- 1 and RPS- 2 have been published. 3-11

Sam@ingframe.-The list of nursing and personal

care homes inciuded 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. )18

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 were a home for the aged. The classification scheme

for homes is described in appendix II.

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

of establishments and their administrators, and the

second stage was a selection of residents and employees of the sample establishments. In preparation for

NOTE: The list of references follows the text.

the first- stage sample selection, establishments listed

in the MFI were sorted into three types of service

strata: nursing care homes, personal-care-with-nursing homes, and personal care homes. The Births from

the Agency Reporting System were treated as a fourth

type of service stratum. Each of these four strata was

sorted into seven bed- size groups, producing 28 primary strata as shown in table I. MFI establishments

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

The sample of MFI establishments and the Births

were then selected systematically after a random start

within each primary stratum. Table I shows the 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 the 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 III) on

which the interviewer listed the names of all employees

of the establishment and sampled only professional and

semiprofessional employees by using predesignated

sampling instructions that appeared at the head of each

column of this form.

Survey pvoceduves. —The U.S. Bureau of the Census

collected the data according to specifications of the .

Division of Health Resources Statistics. The initial

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

appendix HI) signed by the Director of the Bureau of

the Census mailed prior to a personal visit to each

sample facility. This letter was accompanied by the

facility and administrator questionnaires (HRS-4a and

HRS-4b, appendix HI). 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

55
Table I. Distributionof homes in the ResidentPlaces Survey-3 (RPS-3) universeand disposition

of sample homes accordingto primary strata (typeof serviceand size of home): United States,

June-A&yst 1969

-.

[Excludes AlaskaandIkwifl

Type of serviceand

size of home

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

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

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

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

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

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

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

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

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

Personalcare with nursing---

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

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

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

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

Births2----------------------

Unknown bed sizes----------------

kss than 15 beds---------------”

15-24 beds----------------------”

25-49 beds----------------------”

50-99 beds----------------------”

100-199beds--------------------’

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

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

niversel

sampling

frame)

21,301

10,480

858

1,756

3,448

3,166

1,062

126

64

3,608

941

767

828

612

332

%

4,725

,2,;!Z&

561

183

48

;

2,488

47?

304

25:

492

681

241

3(

1:

otal

omes

*

*

21

88

260

477

316

64

63

402

24

37

62

1%

41

46

183

::

35

24

17

;

214

.

1;

33

8:

5[

1:

1:

Number.ofhomes in sample

In scope and in business

m of scope or

Nutof business

1

1:

16

4

9

1

1

35

42

28

I

81

66

2

1

7

1

3

2

1

3

1

2

5

7

3

6

1

.

I

1,854

1,175

15

72

234

449

2;:

61

360

18‘

28

54

86

%

42

138

44

29

30

20

10

3

2

181

lThe universe for the RpS-3 sa~le consistedof the nursing and personalcare homes includedin

the Mestbr Facility Inventoryand the Agency ReportingSystem. 2Birthsconsistof those hmes which were assumed to be in scope of RPS-3 but fOr which CUrrent

data were not available. 3Birthsof U*- bed size were inadvertentlyexcludedfrom frame.

56
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

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 selfenumeration questionnaire (HRS-4c,_appendix 111).

The usual checks and followups were performed

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

for Health Statistics, and the data were processed on

an electronic computer. ‘I’his processing included

assignment of weights, ratio adjustments, and other

related procedures necessary to produce national estimates from the sample data.

General Qualifications

Nonresponse and imputation of missing dati.-Statistics presented in this report were adjusted for failure

of a home to respond. Data were also adjusted for nonresponse which resulted from failure to complete one

of the questionnaires or the failure to complete an item

on a questionnaire.

Rounding of numbers. -Estimates relating to residents and employees have been rounded to the nearest

hundred and homes or administrators to the nearest 10.

For this reason detailed figures within tables do not

always add to totals. Percents were calculated on the

basis of original, unrounded figures and will not necessarily agree with percents which might be calculated

from rounded data.

Estimation proceduve. —The statistics presented in

this report are essentially the result of ratio estimation

techniques. These techniques have been described in the

appendixes of earlier publications.3-11

Reliability of estimates. —Since statistic 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. Ae in

any survey, the results are also subject to reporting

and processing errors and errors due to nonresponse,

NOTE:The list of referencesfollowsthe text.

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 univ&se, is surveyed. As calculated for this report, the standard error als? reflects

part of the measurement error, but it does not measure

any systematic biases in the data. The chances are about

two out of three that an estimate from the sample differs

from the value which would be obtained from a complete

census by less than the standard error. The chances

are about 95 out of 100 that the difference is less than

twice the standard error and about 99 out of \OOmat it

i: less than 2%times as large.

Relative standard errors of aggregates shown in

this report can be determined from table II. The relative

standard error of an estimate is obtained by dividing

the standard error of the estimate by the estimate itself

and is expressed as a percent of the estimate. Standard

errors of estimated percentages are shown “intable III.

Rules for determining the standard error of a mean

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

two statistics have been published.5

Table II. Approximate relative standard

errors, expressed in percentage points,

of estimated number of administrators

for nursing and personal care homes:

United States, June-August 1969

Size of estimate

(number of administrators)

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

2(J3---------------

300-----------------

400-----------------

500-----------------

600-----------------

700-----------------

800-----------------

900-----------------

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

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

3>000---------------

4,000 ---------------

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

6,000 ---------------

7,000 ---------------

8,000 ---------------

9,000 ---------------

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

18,000 --------------

Relative

standard

error

Percent

44.6

31.5

25.6

22.1

19.8

18.0

16.6

15.5

14.6

13.8

9.5

::;

::;

;.;

3:5

3.2

0.3

57
Table III. Approximatestandarderrors, expressedin percentagepoints,ofpercentages

for estimatednumber of administratorsfor nursing and uersonalcare homes: United

States,June-August1969

Base of estimatedpercent

(numberof administrators)

1001 ------------------ -----------------

200--------------------------- ---------

300----------------------------------

~l);----------------------- ..-------------

--,-------------------------------

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

2,000-.”--------------------------- ----

6;000------------------------ ----------

8,000--------------------------- -------

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

18,000----------------------.-------.,

Estimatedpercent

1 or 5 or 10 or 20 or 30 or 40 or so

99 95 90 80 70 60

4.5

.;:;

M

1.4

1.0

0.7

0.6

0.5

0.4

0.3

Standarderror in pe

9.8

H

:::

3.1

2.2

1.5

1.3

1.1

1.0

0.7

13.4

9.5

7.-7

::;

4.2

3.0

2.1

1.7

1.5

1.3

0.9

17.9

12.7

10.3

8.9

8.0

:::

2:3

2.0

1.8

1.3

entag(

20.5

14.5

11.8

10.3

9.2

N

M

2.3

2.1

1.4

points

21.9

15.5

12.7

11.0

9.8

N

;:2

2.5

::2

22.4

15.8

12.9

11.2

10.0

7.3-

5.0

H

2.5

2.2

1.6

1

Does not applytobed-size group 300 bedsormore which was sampled100.0 percent.

000

58
DEFINITIONS OF CERTAIN TERMS USED IN THIS REPORT

Terms Relating to Administrators

Administmtor.-The person who was designated as

administrator by the owner or manager of each sample

home.

Length of work expen”ence. —Data on length of work

experience refer to length of employment as an administrator in the positfon currently held and any previous

employment as an administrator of other nursing homes,

homes for the aged, or similar facilities or hospitals.

Length of current emfiloyment. —The time between

the date the survey was conducted in the sample home

and the date the administrator began working as an administrator in that home.

Terms Relating to Homes or Residents

Beds.—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.

Resident.—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.

Nursing cave. —Nursing care is defined as the provision of one or more of the following:

Hypodermic injection

Intravenous injection

Intramuscular injection

Taking of temperature, pulse, respiration, or blood pressure

Application of dressings or bandages

Bowel and bladder retraining

Nasal feeding

Catheterization

Irrigation

Oxygen therapy

Full bed bath

Enema

Frofn-ietavy home .—A home operated under private

commercial ownership.

Nonprofit home.-A home operated under voluntary

or nonprofit auspices, including both church-related institutions and institutions that are not church related.

Government home. —A home operated under Federal,

State, or local government auepices.

Geographic re&”on.—The regions of the United States

(excluding Alaska and Hawaii) which correspond to U.S.

Bureau of the Census regions.

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, personal care with nursing,

and personal care. Details of the classification procedure in the MFI have been published.

Due to the 2-year interval between the MFI survey

and the RPS-3 survey, it was felt that, for producing

statistics by type of service from the RPS-3 survey,

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:

1. A nursing cave home is defined as one in which

50 percent or more of the residents received

nursing care during the week prior to the survey in the home, with an RN or LPN employed.

2. A personal-care-with-nwsing home is defined

as one in which either (a) over 50 percent of the

residents received nursing care during the week

prior to the survey, but there were no RN’s or

LPN’s on the staff, or (b) some, but less than 50

percent, of the residents received nursing care

during the week prior to the survey regardless of

the presence of RN’s or LPN’s on the staff, but

one or more of.the foQowing conditions were mefi

(~) Medications and treatments were administered in accordance with physicians’ orders.

(2) Supervision over self-administered medications was provided.

(3) Three or more personal services were.

routinely provided.

59
3. A @wsond awe home is defined as one in which

residents routinely received personal care, but

no residents received nursing care during the

week prior to the survey and one or both of the

following criteria were mefi

(a) Medications and treatments were administered in accordance with physician’s orders,

or supervision over medications which may

be self-administered was provided.

(b) Three or more of the criterion personal

services were routinely provided.

000
APPENDIX Ill

RESIDENT PLACES SURVEY-3: FORMS AND QUESTIONNAIRES

Introductory Letter

OF FICE OF THE DIRECTOR

U.S. DEPARTMENT OF COMMERCE

BURSAU OF THE CENSUS

WASH1 NGTON, D.C. 20233

HRS-49-1(4-69)

r 1

I_

Dear Sir:

The Bureauof the Census,actingfor the UnitedStateePublicHealth

Service,is conductinga surveyof nursinghomes,homesfor the aged,

and otherestablishmentswhiohprovidenursingcare,personalcare,or

domiciliarycare for the aged or infirm. The purposeof this surveyis

to collectmuch neededinformationaboutboth the facilitiesand the

employeesand patients. Thisactivityis part of the NationalHealth

Surveyprogramauthorizedby Congreksbecauseof the urgentneed for

more comprehensiveand up-to-datehealthstatistics.

This letteris to requestyour cooperationan~ to informyou thata

representative?of the Bureauof the Censuswill visityour establishment

withinthe nextweek or so to obtainthe neededinformation.Priorto

thisvisit,the Censqsrepresentativewill callyou to arrangefor a

convenientappointmenttime. Meanwhile,to savetime,I shouldappreciateyour completingthe two enclosedquestionnaireswhich requestsome

informationaboutyou and your estsblisbment.Our Censusrepresentative

will pickup thesequestionnaireswhen she visitsyou to obtainthe

additionaldesiredinformation.

All the informationprovidedon the questionnaireand givento the

Censusrepresentativewill be kept strictlyconfidentialby the Public

HealthServiceand the Bureauof the Census,and will be ueed for statisticalpurposesonly.

Your cooperationin this importantsurveywill be very much appreciated.

A. RossEckler

Director

2 Enclosure

61
Facility Questionnaire

Budget Bureau No. 68-S69022: Approval Expires AugtIst 31, 1969

I

NOTICE - All information which would permit identification of the facility will be hold in strict confidence, will be used only

by persons engaged in and for the purposes of the survey, and will not be disclosed or released to ockrs for anY Purposes.

FORM HRS-4.

[4.9.69) (Please correct any error in name and address inchding ZIP code)

U.S. DEPARTMENT OF cOMMERCE

❑UREAU OF THE CENSUS

ACTING AS COLLECTING AGENT FoR THE

U.S. PUBLIC HEALTH SERVICE

I

FACILITY QUESTIONNAIRE I I

I

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

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

question 1 received “Nursing care”? Caunt each persan on Iy ante. Consider that

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

Nasal feeding Catheterization Irrigation

Oxygen therapy Full bed-bath Enema

Hypodermic injection Intravenous injection Temperature-pu I se-resp iratian

Blood pressure Application of dressing Bawel and bladder retrainingar bandage

Na. of

persons

I

3, In 1968, what was the tatal inpatient days af care provided? (The sum of the number of Days

days of care given to each patient from l/1/68 through 12/3 1/68) I

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

5. [n 1968, how many of the admissions were Medicare patients?

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

b. Haw many patients were discharged ta the following places -

(l)general orshort-stay hospital? . . . . . . . . . . . . . . . . . . . . . . .

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

(3)mentaI hospital? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(4)anather nursing home? . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(5) persanal care or domiciliary hame? . . . . . . . . . . . . . . . . . . . .

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

(7)ather places? (~pecifyploce)

7. In 1968, howmmsy Persons died while patients of this facility?

8. What isthetotal number of patient beds regularly maintained

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

9. What isthetotal NUMBER OFINPATl ENTS(patients or residents)

who stayed in yaur facility [ast 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 therapy Full bed-bath Enema

Hypodermic injection Intravenous injection Temperature-pulse-respiration

Blood pressure Application of dressing Bowel and bladder retraining

or bandage

Please continue on reverse side

Number

Number

L

Toral How many were

No. edicare patients

z

n None

u None

n None

None

n None

m None

n None

n None

Beds

Number

No. of

persons

62
1, Which of the following services are ROUTINELY provided?

a, %pervisian over medications which may be self -administered. . . . . . . . . . . . . . . .

ta’fes 2DN0

b. Me&cations andtreatients administered inaccordonce with physicians" orders . . . . . .’UY=’ ‘UN”

lD Yes 2UN0

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

d. Help with dressing

la Yes 20N0

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

●.Hdpwith corresponderrce ar shopping . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

lDYes 20N0

f. Help with walking or.gettingabout . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

lmYes 20N0

g. ~;lp with eating . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

laYes ZONO

h. Nan@ of theabove services Routinely provided, room and board provided only . . . . a

!aYes ZDNO

2. ls this FACILITY participating inthe Medicare program?

(;}ip t,

3. Howmany beds arecertified for Medicare?

Number

4a. Farhowmany patients isthisfacili~ nawreceiving Me&care payments?

Number

b. Howmany of these Medicare patiants lived (had their home)

Number

in tfris Stote when admitted to’this facility?.

5. Irradditiorr totwophysiciarrs, does thelltilization Review Committee includea. the nursing director? . . . . . . . . . . . . . . . . . .

In Yes 2~N0

b. a social worker? . . . . . . . . . . . . . . . . . . . . . ‘Uyes 2nN0

c. the nursing home administrator? . . . . . . . . . . .

la Yes 20N0

d.a physical therapist? . . . . . . . . . . . . . . . . . .

l~Yes zi_JNO

e. any other members? (Specify occupation) tD Yes ‘2m No

6. Howmcrny persorrs areemployed intfrisfocility? Totsl employees

(Irrclude members ofreltglous organ/zatlons and orders

who provfde thefr services.j

7, Last month, were Aekllowing services provided on a regular How many persons

basis thraugh contracts orother fee arrangements?

Lost month, how many

provided this hours didtheyspe.d

service? providing this s?rvice?

No. of persons Hours

a. Physician (M.D. or D.O.) 20N0 t DYes+

b. Dental 2DN0 t n Yes+

c. Pharmaceutical zmNa lmYes+

d, Physical therapy zmNa In Yes+

e. Occupational therapy 2nNa tn Yes+

f. Recreational therapy 2DN0 In Yes+

g. Speech therapy 2mNa laYes-+

h. Social worker 20N0 ta Yes+

i. Dietary (Dietitian) 2mNo In Yes+

j. Food service (meal preparation) 20N0 In Yes+

k. Housekeeping 20N0 lm Yes+

1. None afabave n

FORM HRS.4. (4.S-S9) US COMM-L

63
Administrator Questionnaire

n..,-.. n..-._.. x,. coC.nr, ””. . . . . . ... . 0..-: --- A.. ---- ,1 10. ”

DILage, Dureau ,, “. “0-o” .”zzi -II pl”va, U,ap,, =z. ‘=Us.a. 0., ..”.

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 others for any purposes.

ORM HRS.4b

1.4.69) U.S. DEPARTMENT OF COMMERCE A. Name of administrator

BUREAU 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 tie Census. The information wi II be used for statisestablishments. The purpose of the survey is to tical purposes only, and wi I I be presented in such a

obtain certsin 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.

. Whwr were you ‘born? Month Year

!, In whet State (or for,eign country) were you born? State or forei m country

1. How long have yau beetr the administrator - No. of years No. of months

a.inthis facility ?...... . . . . . . . . . . . . . . ...”.. . . . . . .

No. of years No. of monrhs

b. in ather nursing homes, hames for the aged,

. . . . .

orslmllar focllltles? . . . . . . . . . . . . . . . . . . . . . . . . . . . . No. of years No. of months

. .

c.lnhospltal s?....... . . . . . . . . . . . . . . . . . . . . . . . . . .

la. Are yau the administrator for more than one NURSING HOME? I a Yes (4b)

2 n No (Skip to Q.5)

b. Far haw many ather NURSING HOMES? Number

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

ia. How many hours did YOU work LAST WEEK IN THIS FACILITY ONLY? Hours

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

of the following services IN THIS FACILITY ONLY -

(l)administration of the facility? . . . . . . . . . . . . . . . . . . . . . . m None

(2)nursing core? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

a None

(3)medical smddental care? . . . . . . . . . . . . . . . . . . . . . . . . .

n None

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

D No..

(5)occupational therapy? . . . . . . . . . . . . . . . . . . . . . . . . . . .

D None

(6) recreational theropy? . . . . . . . . . . . . . . . . . . . . . . . . . . .

n None

(7)spe=ch andhearing therapy? . . . . . . . . . . . . . . . . . . . . . . .

n Non.

(8) social work? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

n None

(9) clerical work? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

n No”.

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

(ll)hmrsekeeping services? . . . . . . . . . . . . . . . . . . . . . . . . . . D None

(12)other? (Speclfyserv;ce) m None

6. Besides thehoursworkedlN THIS FACILITYr how many additional

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

7. Asanadministrator, areyouself-employ edara salaried employee? t m Self-employed

20 Employee 31-J Bra~h

—.

Please continue on reverse side

64
.

\

I

Circle highest grade completed

8. What isthehighest grade you completed

in school?

a. Elementary school . . . . . . . . I 2345678

}

;k ifOto

b. High school . . . . . . . . . . ..l2 34

c. Junior college . . . . . . . . . . 12

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

e. College . . . . . . . . . . . . . ..123450r more

Mark all that apply

Major field of study

9. Which of the following degrees do you have?

n Associa:e degree

orcertiflcate . . . . . . . . . . . . . . .

m Bachelor’s degree . . . . . . . . . . . .

nMaster’s degree . . . . . . . . . . . . . .

a Doctorate (M. D., D. O.,

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

m None of these

O. Which of the following professimal degrees,

licenses, or association registrations do

Mark 0// that ‘3pp/y

you have? I_J Physician (M. D.)

m Physician (D.O.)

m Registered Nurse (R. N.)

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

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

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

D Other professional degree, license, or

association registration (.Spec/fy)~

Q None of the above

O, Havo you ●ver taken any courses in nursing home administmtion?

1 n Yes (1 Jb) 2 m No (Skip tO Q. 12cIj

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

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

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

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

a nursing home administrator? t n Yes (12b) z n No (Skip to Q. 13)

b. Haw Iang did this training last? Manths

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

1. Have you had any other .education or training in 1 m Yes - Describe 21_JNa

nursing hame administration? below

FORM HRs-4b (4.4-69) US COMM-08

65
Staff Information and Control Record

\o#4J)RS40 U.S. DEPARTMENT OF cOMMERCE Budget Bureau No. B“I?I%U OF ‘THE CENSUS NOTICE -All In fomnatlonwhlch would permit !dentlficatlm of tie ~B.~90z Esfobllahmcnt No,

[ndlvldual will beheld In strict confidence, WIII be used only by

persons en;a;ed in and for the purposes of the survey, and will Approval Expires

STAFF INFORIMTION ANO CONTROL RECORD not be disclosed or released to others for any purposes. Au~ust 31, 1969

—

.he

No.

—

I —

—2

~

~

A

&

7 —

8 —

9

-

10

T—12 —

13 —

14

-G—

—16

—

—19

20

.

STAFF I

SEX I RACE b List below the names of all persons ho work

In this facility. M

-Male W-Whit. Professional

F - FuMI.

Include members ofrellgious orzanlzatlons and N-Nezro

orders who pfovlde their services. O-Other

Note: Be sure m Itstadmlnistrator and assistant

administrator. (b) (c) Cf#e

1 2 1 2 3 persons

(a) n F w N o (d)

;nter numbe

12

Professional

sw_

TE —

Circle

sample

persons

(e)

I

TIONS

‘rem Card A

13-20

Semiprofessional

SW_

rE _

Circle

sample

persons

(f)

21-24

NonProfess lo”al

Do not fill

Stoff qLlestfonnmlre

(z)

DISPOSITION OF

STAFF

QUESTIONNAIRE

(h) Line

No.

z

Oate

received

1“ R.o.

%

g %j

I

2

3

4

5

6

7

8

9

10

II

12

13

14

Is

16

17

[8

19

20

66
Staff Questionnaire

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

Uuaget Bureau No. 6tl-XYy U; Approval Expires August 31, 19(

NOTICE - All information which would permit identification of the individual wltl be held in str, ct confidence, will be used only

)Y Persons engaged In and for tie PurPOses of the survey, and will not be d!sclosed or released to others for any purposes.

\oRiJl RS-4c

U.S. DEPARTMENT OF COMMERCE A. Establishment No. B. Line No.

!3LIREALI OF THE CENSUS

ACTING A. 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 [1 be used for stati~tical

establishments. The purpose of the survey is to purposes only, and wi II 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 wel I 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 envalope provided,

r-tonth Year

1. When were you born?

L How many years have you worked as a

No. of years No. of months

?

. . . .

tr. !nthlsfacl llty? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

No. of years No. of months

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

orsimilor facilities? . . . . . . . . . . . . . . . . . . . . . . . . . . .

No. of years

c. in hospitals? (NOTE TO NURSES: DO .ot I.cl. de

No. of months

speclol duty orpriwte duty “urs/rIg. ) . . . . . . . . . . . . . . . .

Hovrs

la. How many hours did you work LAST WEEK IN THIS FACILITY ONLY?

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

EACH of the following services IN THIS FACILITY ONLY-

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

(2)nttmi”g ctrrs.? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . n None

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

(4)physicrrl therapy? . . . . . . . . . . . . . . . . . . . . . . . . . . . . n None

(5) occupational therapy? . . . . . . . . . . . . . . . . . . . . . . . . . . m None

(6)recreotionol therapy? . . . . . . . . . . . . . . . . . . . . . . . . . . a None

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

(S) social work? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . n None

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

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

(n) housekeeping services? . . . . . . . . . . . . . . . . . . . . . . . . a None

(12) other services? (Specjfy service) . . . . . . . . . . . . . . . . . . I_J None

L Besides the hours worked IN THIS FACILITY, how many additional

hours did you work in your profession LAST WEEK? . . . . . . . . . . . . . . . . . . . n None

-.Ylease continue 0“ reverse side

67
5.

6.

7.

8.

FORM

Circ/e highest grade completed

What is the highest grade you completed a. Elementary school . . . . . .

}

..1234567851,P,0

in school? b. High school . . . . . . . . . . ..l 234 (j.7

c.]unior college . . . . . . . ...1 2

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

e. College . . . . . . . . . . . . . ..123450 rmore

Mark all that apply Major field of study

Which of the following degrees do you have?

m Associate degree

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

m Bachelor’s degree . . . . . . . . . .

nMaster’s degree . . . . . . . . . . .

D ~;c&at:t:~.D., D. O.,

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

m None of these

Mark all that OPPIY

Which of the following professional degrees, m Physician (M. D.)

licenses, or association registrations do you have? m Physician (D. O.)

m 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 (0.T.R.)

m Other professional degree, license, or

association registration (Specify)

7

,D None of the above

Fill Cols. (2)-(4) for each ‘W’es]’ answer fn Co/. (1)

How many

What were the TOTAL

Have you ever taken any of COURSES were

HOURS of ctaSS

instruction?

the following courses:

TOTAL NUMBER

7

taken whi Ie

of courses token working for o Number of hours pcr weeh

degree or times nwnber of weeks

diploma? attended per co”rze

(1) (2) (3) (4)

a. Nursing care af the aged In Yes+

or chronically ill? 2 n No (8b)

b. Medical or dental care of In Yes+

the aged or chronically ill? 2 a No (8c)

c. Mental or social problems of ll_JYes+

the aged ar chronically ill? 2 n No (8d)

lmYes*

d. Physical therapy or rehabilitation? z ❑ No (8e)

ll_J Yes+

e. Occupational therapy? 2 a NO (80

lUYes+

f. Nutrition or food services? 2 ❑ No (8g)

1❑ Yas+

g. Nursing hame administration? 20N0

. . . --

68

HRS-4C (4-3-691
List of Selected Job Categories

CARD A

Which of the following job categories best fits the job

which this employee does in this facility?

1. Administrator

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

3. Dentist

4. Registered Occupational Therapist

5. Qualified Physical Therapist

6. Recreation Therapist

7. Dietitian or Nutritionist

8. Registered Medical Record Librarian

9. Social Worker

10. Speech Therapist

II. Other professional occupations

12. Registered Nurse

13. Occupational Therapist Assistant

14. Physical Therapist Assistant

[5. Other Medical Record Librarians and Technicians

16. Licensed Practical Nurse or Vocational Nurse

[7. Practical nurse

18. Nurse’s aide

19. Orderly

20. Student nurse

2[. Clerical, bookkeeping, or other staff

22. Food service personnel (cook, kitchen help, etc.)

23. Housekeeping personnel (maid, Iaundryman,

maintenance man, etc.)

24. Job other than those listed above (Please describe

employee’s duties)

.ORM HRS-4k U.S. DEPARTMENT OF COMMERCE

3.27-691 BuREAu OF THE CENSUS

Is COMM. DC

LIST OF SELECTED JOB CATEGORIES

69
HRS4f Current Patient Que>+;onno; re

70

m of sample persc4 tine No:

Month ~Day I Year OR Age

Whatis -- date of birth? I 1

lex I ❑ Male 20 Female

Race !nWhite 2 m Negro 3 n Ofher nonwhite

Whatwas his marital

status at admissiam? . . .

I n Married z ❑ Widowed s u Divorced 4 n %paratti s u Never married

What is bia marital

Status rrow? . . . . . . .

I o Married 2 ❑ Widowed 3 u Divorced 4 u Separated s ❑ Never married I

Month (Day, ,Year

Whatwas the date of his fdST ADMISSIONto this pface? I

2 1 How Iwrg has ke had thf~ conditicm?

No Yes +:an 23 to 5 36 to 11 :2 Irms.

Ores. mos. nrmore

Which of these conditions or impainwds dressk have?

a. ADVANCEO senility .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

b.smrility,n otpyschnhc .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

c. Other mental disorders (such as mental i Ilneas or retardation) . . . . . . . . . . . . . . . .

d. Speechdefector paralysis (palsy) due to a stroke.. . . . . . . . . . . . . . . . . . . . . . .

e. Other illeffecta ofa stroke . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f. Heart trouble. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g. Hardening of thearterles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h. Paralysis wpalaynnt duetn a stroke . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i. Arthritis orrheumatiam . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j. Diabetes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

k. ~yCHRONIC tioubla witiback orspine . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

.

1. PERMANENT stiffness or any defo!mity of the foot, leg, fingers,

arm,nr back . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

m. Chronic conditions of digestive system (excluding stomach ulcer,

hernia of abdominal cavity, Iwer, or gallbladder trouble). . . . . . . . . . . . . . . . . . . .

n. Any other cnndifions or impairments - S=;&

At his last @rysical examination, Primary diagnosis?

what was his -

Doring the past 7 days,

which of Uwse services

did this patient receive?

Check os mony .s apply

Secondarydiagnosia?

Any other diagnosis?

I u Help with dressing, e fq Temperature - pulse - la n lntravennus injechon

shaving, or care of hair respiration 17 n Intranrr!dar injection

20 Help with tub bath 90 FIJI bed+ath

or shower

N u Subcutaneousinjection

In ❑ Enema 19 n Intradermal injectinn

3❑ Help with eating 1I u Catheterization 20 ❑ Nasal feading

4 a Rub or massage ! z u Bowel or bladder OR

s u Administration of medica- retraining

lions or treatment

ZI UNon: of the above

13 u Blood Wessure serwces received

6 U Speciat diet 14 ❑ Irrigation

7 ❑ Application of steri Ie

dressings or bwrdages

15 u Oxygen therapy

. Does fw USE eyeglasses? I ❑ Yes 2uN0

. Dces he USE a fwariog aid? I n Yes 2DN0

Does he use any of the following aids -

a. walker? 2uN0 ,nYea _

b. crutches? 2uN0 ,DYes —

c. braces? ZUNO In Yes —

d. wheelchair? 2uN0 luYes —

e. any other aids? 2uN0 laYea —

Spcr$.

Fca WhetCOildifiCSl(S)?

notrrotes

I

Page 2
How long has he bean this way? If /.s. *m 6

Daes this moths, ask:

%al require extra ;;;; 3t05 6 to 11 12mos. ff~wwas he

11. Which of these categories best describes fds 6 rrrrraing time? mos. mos. or more before that?

ability to move about? 3 mosj ~ ~ ~ Enter letter

a. Capable of going off tbe premises with or without

asststwce

b. Confined to the nremises, but does not use a vdreelchair

c. Needs a wbeelchalr but requires mmimal help in getting

around 11-JY 2uN

d. Generally confnred to bed but up in wheelchair for at

Ieaat a few hours a day toy ZON

e. Resbicted to total hed rest 10Y ZON

12. How well cao he hear?

a, Can hear a telephone conversation on an ordinary

telephone (a telephone wtthorr! an amplifier)

b, Can hear most of the thnrgs a person says

c. Can hear a few wordsa person says 10Y ZUN

d, Can hear only loud noises In Y 2c3N

e. Can’t haar arylhing lnY ZUN

13. How well can be see?

a. Can read ordinary newspaper prnrt with or without

glasses

b. Can watch television across the room(8 to 12 feet)

c. Can recogmze the features of pople he knows if they

are wltbirr 2 to 3 feat

d. !S blind (If bknd mk C, ~.,k hers) l~Y 2~N

14. How much control does he usually have over bia bowels

and bladder -- normally does he -

a. Control bladder and bowels?

b. Control bladder but not bowels? lay 20N

c. Control bowels but not bladder? lUY 2uN

d. Not corrbof bowels or bladder? lay 2UN

e. IS catheterized? lDY ZUN

15. Does this patient’s behavior require more than the usual

nursing tima because he Is forgetful, uncooperative or

disturbing?

a. No more than usual

b. Slightly more

c. h!oderately more

d. Muchmore

ITEM A - If patfent was not here for frrl I month, check here ❑ and go to next person.

16a, Last month, what was tbe charge for his lodging, meals, and nursing care? Do m ,“CICA w,..te d.tv .WS,W $

b. Whatwas the TOTAL charge for MS care last month? $

17a. Whetwere the Smace$ of peyrrwrrt fw his care fast mdfr? ch~k di th.t.PPIY

❑ Own nrcomeor family support

(private plans, retirement funds,

UOlher publlc assistance f_Jintlal payment- Ilfe care

or welfare

social security, etc.) fgother - s~c,+

fg Church support

❑ Medicare (Title XVIII)

a Medicaid (Title XIX)

❑ VA contract

b. Whatwas the PRIMARY source of @ynrent for fda care last month? ,$k,k WE ..Iy

I ❑ Owrr income or famdy support 4❑ Other pubhc assistance

(private plans, retirement funds,

e ❑ Other - SW,ti

or welfare

social security, etc.) s u Church support

zUMedicara (Tltie XVIII) 6 fg VA contract

s ❑ Medicaid (Title XIX) 7 Ulnlhal payment - life care s m None

Patient was not here in December 1968 (Ne>t M,MI

ere all of fds sources of payawnt far Decemter 1968?

❑ Sameas 17a-b ❑ Medicaid (Title XIX) ❑ VA contract

❑ Own income or family support

(private plans, ratirament funds,

DOther public assistance Ohribal payment - life care

or walfare

social security, etc.) f_JOther - swc,fY

mChurch support

❑ Medicara (Title XVIII)

m.-. .

71

* U. S. GOVERNMENT PRINTJNG OFFICE : 1973 5 15-210/38
Series 1.

SeVies 2,

Series 3.

Se?-ies 4,

Series 10.

Series 11.

SeVies 12.

Series 13.

Series 14.

Series 20.

Series 21.

Series 22,

VITAL AND HEALTH STATISTICS

Originally Public Health Service

PUBLICATION

publication JVO.

SERIES

1000

Pvo~ams 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.

Data evaluation and methods ~eseavch. — 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.

Analytical stwdies. -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 series.

Documents and committee Yepoyts. — 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. *

Data from the Health Interview SuYvev. —Statistics on illness, accidental injufies, 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.

Data from the Health Examination Survey. —Data from direct examination, testing, and measurement of national samples of the civilian, noninstitutional population provide the basis for LWOtypes

of reports: (1) estimates of the medically defined prevalence of specitic 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.

Data f%om the Institutional Population Surveys. —Statistics relating to the health characteristics of

persons in institutions, and their medical, nursing, and personal care received, based on national

samples of establishments providing these services and samples of the residents or patients.

Data from the Hospital Discharge Survey. —Statistics relating to discll~ rged patients in short--stay

hospitals, based on a sample of patient records in a national sample of hospitals.

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.

Data on mortality. —Various statistics on mortality other than as included in regular anmal or

montnly reports— special analyses by cause of death, age, and other demographic variables, also

geographic and time series analyses.

Data on natality, mawiage, and divorce. —Various statistics on natality, marriage, and divorce

other than as included in regular annual or monthly reports +pecial analyses by demographic

variables, also geographic and time series analyses, studies of fertility.

Data j%om the National Natality and Mortality Surveys. — Statistics on cbai-acterisijcs of births

and deaths not available from the vital records, based on sample surveys stemming from these

records, including such topics as mortality by socioeconomic class, hospital experience in the

last year of life, medical car

For a list of titles of reports published

during pregnancy, health insurance coverage, etc.

n these series, write to: Office of Information

National Center for Health Statistics

Public Health Service, HSMHA

Rockville, Md. 20852