Data from the Series 12 

NATIONAL HEALTH SURVEY Number 14 

Chargesfor 

Carein NursingHomes 

UnitedStates - April 4eptember 1968 

Data on the lowest, most frequent (modal), and highest nursing 

home charges, hy type 

size, region, medical 

and Medicare recipients. 

and 1968. 

DHEW 

U.S. DEPARTMENT 

of nursing service, type of ownership,bed 

services available, number of employees, 

Comparison of charges for care in 1953 

Publication No. (HSM) 72-1037 

OF HEALTH, EDUCATION, AND WELFARE 

Public Health Service 

Health Services and Mental Health Administration 

National Center for Health Statistics 

Rockville, Md. May 1972 
Vital and Health Statistics-Series 12-No. 14 

For saleby the Superintendent of Documents, U.S. Government Printing 05ce, Washington, D.C., 20402- Price 60 cents 
NATIONAL CENTER FOR HEALTH STATISTICS 

THEODORE D. WOOLSEY, Director 

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

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

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

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 

G. GLORIA HOLLIS, Chief, Health Facilities Statistics Branch 

GRACE WHITE Chief, HospitaZ Discharge Suruey Branch 

HENRY MOUNT, Chief, Health ManpowerStatistics Branch 

WILLIAM STEWART, Chief, Family l??anning Statistics Branch 

Vital and Health Statistics-Series 1 ~-NO. 14 

DHEW Publication No. (HSM) 72-1037 

Library of Congress Catalog C&d Number 74-179934 
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CONTENTS 

Page 

1 

Selected Findings 

Charges for Care in 1968 ad 1963----------------------------------

Type of Nursing Service 

Type of Ownership 

Bed Size----------------------------------------------------------

Region -------------------_----------------------------------------

Medical Services 

Employees 

Homes With and Without Medicare Recipients-------------------------

Medical Assistance Benefits 

Homes Witi Noncharge Arrangements-------------------------------

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

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

General --_-------_-----_---____________________-------------------

Universe __---___-_-_-__-________________________------------------

Data Collection and Processing 

Appendix II. Qualifications of the Data 

General Qualifications 

Time Interval Between Establishing the Universe and Conducting the 

Survey-----------------------------------------------------------~ 

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

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

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

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

Terms Relating to Employees---------------------------------------

Terms Relating to Demographic Classifications---G-------------------

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

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

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

Definition Sheet----------------------------------------------------

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

1967 MFI Nursing Home Questionnaire ------------------------~------

2 

2 

3 

3 

3 

4 

4 

7 

8 

9 

11 

11 

13 

39 

39 

39 

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41 

41 

41 

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44 

44 

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45 

46 

48 

48 

52 

53 

55 

iii 
-- --- 

SYMBOLS 

Data not available ____ _____-___-_-_-_---

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

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

Quantity more than 0 but less than 0.0%---- 0.0 

Figure does not meet standards of 

reliability or precision -_-_--- --_-------- 8 

iv 
CHARGES FOR CARE IN 

‘) . NURSING HOMES

Joan Rende &dell, Division of Health Resources Statistics 

INTRODUCTION 

This report presents data on the lowest, 

most frequent, and highest monthly charges for 

care in nursing homes in the United States for 

1968. These charges are compared with charge 

data collected in 1963. In addition, the 1968 

charges are presented according to type of nursing service, ownership, bed size, and geographic 

location of the nursing home. Data on the most frequent monthly charge (the modal charge) are compared according to the medical services available and whether or not homes had Medicare 

recipients. The extent of the Medicare and public 

assistance programs in these homes is indicated 

by data on the percentage of residents who received such benefits. Data on homes which make 

no charge for care are also presented. 

Little information was available on charges 

in nursing homes for the last 5 years. Those statistics available in the past were limited because 

they were based on synthetic national estimates,r 

small area sample surveys,2 or surveys of particular types of nursing homes.3 Statistics presented in this report are not limited by these 

factors because they are based on data from “all” 

nursing homes in the United States regardless of 

type of home. (See appendix II for information on 

completeness of the universe.) 

Data presented in this report were collected 

in the 1968 Nursing Home Survey. This survey, 

conducted by mail during April-September 1968, 

was a census of “all” 18,185 nursing homes in 

the United States. (Nursing homes were defined 

as resident institutions which provided nursing 

care and maintained three beds or more.) The 

survey collected information on nursing homes and 

their residents, charges, employees, admissions, 

and services. This report is the first of a series 

on data collected in the 1968 Nursing Home Survey. Future reports will present data on employees, admissions and discharges, and services. 

In order to interpret the data in this report 

the reader should review the backgroundmaterial 

presented in the appendixes-information on survey design and procedure in appendix I; general 

qualifications of the data and imputation procedures in appendix II; definitions of terms, appendix III; classification of institution by type of 

nursing service, appendix IV; and forms used in 

the survey, appendix V. 

The 1968 Nursing Home Survey was the third 

in a series of ad hoc surveys of institutional 

health facilities. The first of these surveys, Resident Places Survey I, was conducted during AprilJune 1963. The survey collected data on nursing 

homes, chronic disease and geriatric hospitals, 

nursing home units and chronic disease wards of 

general hospitals, and mental hospitals. The findings of that survey, as well as its design and 

methodology, have been published in several reports.?The second ad hoc survey, Resident 

Places Survey II, was conducted a year later, 

during May-June 1964. This survey concentrated 

mainly on nursing homes and geriatric hospitals. 

More detailed information was collected about the 

institutions, their residents, and their employees.‘-r7 These three surveys of institutional health 

1 
facilities are part of the National Health Survey 

program to provide current health statistics on 

the Nation>8 

SELECTED FINDINGS 

The analysis which follows presents the highlights of the survey findings on charges for care 

and points out important relationships revealed 

by the data. Detailed information about charges 

for care is given in the detailed tables l-10. 

The data on charges for care are based on 

answers to the question “What is your most frequent, your highest, and your lowest charge per 

month for lodging, meals, nursing care, andother 

personal services?” Such answers do not provide 

precise facts about charges being made for the 

care of residents. However, by measuring the 

mode (most frequent charge) and the range of 

charges (i.e., lowest and highest charges), an 

accurate description of the distribution of charges 

can be made. 

Charges for Care in 1968 and 1963 

In 1968 the charges for care of 743,293nursing home residents ranged from no charge to 

over $500 per month. (See top of figure 1.) These 

extreme charges were the exception, however, 

since only 5 percent of the homes had no charge, 

initial payment-life care plans, or other noncharge arrangements and only 3 percent charged 

$500 or more. More typically a home charged 

about $253 per resident per month; this was the 

average most frequent charge (average modal 

charge) made by all homes. The average lowest 

charge was $220, and the average highest charge 

was $310 (table 1). 

A more detailed description of the distribution of charges can be obtained by studying the 

average and standard deviation of the charges 

(table A). In 68 percent of all homes (i.e., one 

standard deviation above and below the mean) the 

most frequent charge ranged from $139 to $367. 

The lowest charge, which ranged from $116 to 

$324,had the least variability. The highest charge, 

which ranged from $150 to $470, had the greatest 

variability. 

The universe, definitions, and questions for 

the 1968 Nursing Home Survey were similar to 

Table A. Average and standard deviation 

of lowest, most frequent (modal), and 

highest monthly charges per resident in 

nursing homes charging for care: United 

States, April-September 1968 

Monthly charge 

Lowest charge-------- $220 $104 

Most frequent charge-------------- (modal) 253 114 

Highest charge------- 310 160 

I I 

those for Resident Places Survey I, conducted in 

1963, as mentioned above. Because of the similarities in the surveys, data on charges can be 

compared in order to measure any changes that 

occurred in the S-year periodigGenerally charges 

for care in nursing homes increased from 1963 

to 1968, as did service charges in other areas of 

the economy. The most frequent monthly charge 

per resident increased, on the average, by 49 percent-from $170 in 1963 to $253 in 1968r5 

A comparison of the cumulative percent distributions of the lowest, most frequent, andhighest 

monthly charges for 1963 and 1968 identifies the 

overall changes in range and interrelationship of 

charges (figure 1). Although the percent of homes 

with no charge or other noncharge arrangements 

remained stable at 5 percent, the lowest, most 

frequent, and highest charges increased during 

this period. 

While 50 percent of all nursing homes had 

no charge higher than $211 in 1963, by 1968 this 

figure had increased to $287-an increase of 

$76. There were comparable increases in the 

lowest and most frequent charges during the 5-

year period. (See figure 1.) 

The interrelationship of the lowest, most 

frequent, and highest charges also changed from 

1963 to 1968. In 1963 the most frequent charge 

was closer to the lowest charge than to the 

highest charge. By 1968, however, the most frequent charge had moved away from the lowest 

2 
3 

100 -

1968 

5 

i= g 80-

g 

‘; 60 -

Y 

E 

40 -

; 

4 

2 20-

80 -

60 -

0 

0 $100 $200 $300 $400 $500 MmLn 

$500 

MONTHLY CHARGE 

Figure I. Cumulative percknt distributions of nursing 

homes by lowest, most frequent (modal), and highest 

monthly charges per resident: United States, 1963 

and 1968. 

charge until it was almost equidistant from the 

lowest and highest charges. 

Type of Nursing Service 

Charges for care were directly related to the 

level of nursing service. As the level of nursing 

service increased, the average most frequent 

charge increased. The average charge in personal 

care. homes (lowest level of nursing service) was 

$181 per month. In contrast, the average charge 

in nursing care homes (highest level of nursing 

service) was $114 higher-$295 per month (table 

B). Charges were highest in homes providing 

nursing care because such homes usually ma intain more equipment and a larger nursing staff. 

Generally this relationship between level of 

nursing service and average most frequent charge 

existed throughout the United States. Nursing care 

homes charged the highest amount in all States 

except West Virginia. In 43 States and the District 

of Columbia, personal care with nursing homes 

(intermediate level of. nursing service) charged 

more than personal care homes (lowest level of 

nursing service). The situation was reversed in 

seven States (Louisiana, Mississippi, Nevada, New 

Hampshire, Utah, WestVirginia, Wyoming), where 

personal care with nursing homes charged Eess 

than personal care homes (table 6). A possible 

explanation of this reversal is that the average 

charge for personal care homes in these seven 

States was based on a small number of homes and 

affected by several extremely high values. 

Type of Ownership 

Proprietary homes charged the highest 

amounts, nonprofit homes, the next highest, and 

government-owned homes, the lowest. This order 

was the same for lowest, most frequent, and highest charges (tables 1 and B). Charges were often 

less in nonprofit and government-owned homes 

because part of the cost was absorbed by the 

group operating the home and was not passed on 

to the resident. 

Bed Size 

As the,size of homes increased, the average 

most frequent charge increased. It rose from a 

low of $203 in homes with less than 25 beds to 

a high of $315 in homes with 100 beds or more 

(table 2). One explanation for this increase is 

that 79 percent of the large homes (50 beds or 

more) that charged for care were nursing care 

3 
Table B. Average most frequent (modal) monthly charge per resident in nursing homes 

charging for care, by type of service and type of ownership of nursing home: United 

States, April-September 1968 

Type of ownership 

Type of service 

All 

types 

All types of service------ $253 

Nursing care-------------------- 295 

Personal care with nursing------ 210 

personal care------------------- 181 

homes, which had the highest charges. Therefore, 

charges for large homes were highest because 

most of them were nursing care homes. 

Region 

Charges were highest in the Northeast and 

West Regions, lowest in the North Central and 

South Regions. The average most frequent charges 

were $274 in the Northeast, $257in the West, $243 

in the North Central, and $240 in the South, (See 

figure 2.) The main reason that average charges 

were highest in the Northeast and West Regions 

is that homes providing the highest level ofnursing service (nursing care homes) charged more 

there than in the North Central and SouthRegions. 

(See figure 3.) This regional difference and the 

effect of charges in nursing care homes on regional charges existed in 1963.5 The higher 

charges for nursing care homes affected the overall regional charges because they comprised 57 

percent of ail nursing institutions and provided 

care for 72 percent of all residents. Comparison 

of figures 2 and 3 shows the influence of higher 

charges in nursing care homes on overall regional 

charges. 

Medical Services 

Nursing homes in which medical services 

were available generally had most frequent 

Church 

Proprietary and other Government nonprofit 

$258 $248 $207 

298 286 259 

207 225 184 

183 185 171 

$500-

Highest~chorge 

Most frequent 

(modoIl charge 

Lowest charge $400 -

South 

Figure 2. Average iowest, most frequent (modal), and 

highest monthly charges per.resident in all nursing 

homes, by geographic region: United States, April3eptember 1968. 

4 
$5oc 

Hiqhsst charge 

Lowest charge 

$ $300 

% 

B 

3 

f 

x 

a $200 

-

Figure 3. Average lowest, most frequent (modal), and 

highest monthly chardes per reside'ntin nursing care 

homes (homes providing the highest level of nursing 

service),by geographic region:United States, AprilSeptember 1968. 

charges that were higher than the national average charge of $253. Medical services included 

any of the following: 

l Arrangements with physicians to provide 

care for the residents 

l Physical examination at admission and annually thereafter 

l Availability of physical, occupational, or 

speech and hearing therapy 

l Availability of physical therapy in the home 

or in an outpatient clinic 

Although the following discussion considers 

each service separately, this is not to suggest 

that each service affects charges independently. 

Rather, it is the combination of services available in the home plus other factors which influence charges for care. 

Charges were higher for homes with a fulltime staff physician ($263) or physician visits 

at regular intervals ($279) than they were for 

homes with physician visits when needed ($236) 

or medical care in the physician’s office ($196j. 

(See table C.) The higher charges in the first 

two arrangements may be related to the additional 

cost the homes pay to provide these arrangements 

for their patients. The most common arrangements were physician visits when needed(56percent of all homes) and physician visits at regular 

intervals (35 percent). Medicalcare in thephysician’s office was the least common arrangement 

(2 percent), possibly because of the difficulties 

involved in transporting nonambulatory patients. 

Charges were highest ($267) for homes in 

which physical examinations were provided at admission and annually thereafter. This was the 

most common arrangement, occurring in 75 percent of all nursing homes (table C). Charges were 

lowest ($194) .for homes in which examinations 

were not provided either at admission or annualiy. 

Fifteen percent of the homes followed this policy. 

This does not mean that examinations werenever 

provided in these homes. Rather, some may have 

followed a policy of examinations when needed 

depending on the health of the resident. Thus provision of examinations in these homes varied from 

resident to resident. This is further exemplified 

by the fact that the most common arrangement 

for physician services was visits when needed. 

Thirty-one percent of all nursing homes provided physical, occupational, or speech andhearing therapy inside the home. Charges were highest 

($385) in homes providing all three types of therapy 

and lowest ($219) in homes providingnoneof them. 

(See table D.) This difference suggests that the 

higher charges of homes providing all three types 

of therapy were related to the additional cost for 

specialized personnel, therapy equipment, and 

therapy facilities. For homes providing only one 

of the three types of therapy, charges were 

higher for physical therapy ($304) than for speech 

and hearing therapy ($254) or occupational therapy 

($247). Physical therapy was available inside 

more nursing homes (28 percent) than was oc-
Table C. Average most frequent (modal) monthly charge per resident and number and 

percent distribution of nursing homes by arrangement for physician services and pro- vision of physical examination: United States, April-September 1968 

[Due to rounding to nearest tenth, figures may not add to 100 percent] 

Arrangement for physician services Average most T Total homes' 

and provision of physical examination frequent (modal) monthly charge Number Percent 

Arrangement for physician services 

Physician visits by full-time staff doctor--

Physician visits at regular intervals-------

Physician visits when needed----------------

Medical care received in physician's office236 

196 

1,344

6,139

9,830 364 

3::;

55.6 

2.1 

Provision of physical examination 

At admission and annually------------------- At admission only---------------------------

Annually only-------------------------------

$267 

234 

210 

13,635

1,465 415 

75.0 

8.1 

Neither at admission nor annually----------- , 194 2,670 12:; 

'Includes homes with noncharge arrangements. 

Table D. Average most frequent (modal) monthly charge per resident in rank order and 

number and percent distribution of nursing homes by type of therapy available inside 

the home: United States, April-September 1968 

[Due to rounding to nearest tenth, figures may not add to 100 percent] 

Total homes1 

Average most Type of therapy available inside the home frequent (modal) monthly charge Number Percent 

Physical, occupational, and speech/hearing-- $385 i,2i3 6.7 

Physical and speech/hearing----------------- 360 442 2.4 

Physical and occupational------------------- 324 1,457 8.0 

Physical only -_----------------------------- 304 1,978 10.9 

Occupational and speech/hearing------------- 269 25 0.1 

Speech/hearing only------------------------- 254 45 0.2 

Occupational only--------------------------- 247 472 2.6 

None---------------------------------------- 219 12,553 69.0 

IIncludes homes with noncharge arrangements. 

6 
cupational therapy (17 percent) or speech and 

hearing therapy (9 percent). 

The 28 percent of homes providing physical 

therapy on the premises were further differentiated into those where patients received physical 

therapy ‘inside the home exclusively (nearly 24 

percent) and those where patients receivedphysical therapy both inside the home and in an outpatient clinic (nearly 5 percent). (See table E.) 

ln an additional 10 percent of the homes, patients 

received physical therapy in outpatient clinics 

exclusively. Altogether, physical therapy was 

received inside the home, in an outpatient clinic, 

or in both places in 38 percent of all nursing 

homes. Charges were higher ($339) for homes 

where physical therapy was received inside the 

home only than for homes where it was received 

both inside the home and in an outpatient clinic 

($307). This may be because use of an outpatient 

clinic to supplement services available inside 

the home decreases the expense of providing 

some therapy equipment and facilities inside the 

home. Charges were lowest ($215) in the 62 percent of homes where no physical therapy was received either inside the home or in an outpatient 

clinic. 

Employees 

As the number of full-time andpart-time employees per 100 residents increased, the average most frequent charge increased-from $188 

for less than 20 employees per 100 residents to 

$296 for 80 employees or more per 100 residents. (See table F.) Charges for homes withless 

than 20 employees per 100 residents were within a dollar of the charges for homes with 20-39 

employees ($189). It was not until homes employed at least 60 employees per 100 residents 

that the average most frequent charge of $275 

exceeded the national average of $253. Slightly 

over half (56 percent) of all nursing homes had 

at least 60 employees per 100 residents. 

The lowest and highest charges followed 

patterns similar to that of the average most frequent charge. Each charge increased as the employee-resident ratio increased, and each was 

nearly equal in the less than 20 and 20-39 ratio 

categories. 

According to a study conducted on 400 nursing homes assisted by the Federal Housing Administration, the number of employees had a 

marked effect on the increase in charges from 

Table E. Average most frequent (modal) monthly charge per resident and number and per- cent distribution of nursing homes by where physical therapy was received: United 

States, April-September 1968 

[Due to rounding to nearest tenth, figures may not add to 100 percent) 

Average most Total homes’ 

Where physical therapy was received frequent (modal) monthly charge Number Percent 

Inside the home and in an outpatient clinic- $307 816 4.5 

Inside the home only------------------------ 339 4,274 23.5 

In an outpatient clinic only---------------- 258 1,774 9.8 

No physical therapy received---------------- 215 11,321 62.3 

‘Includes homes with noncharge arrangements. 
Table F. Average lowest, most frequent (modal), and highest monthly charges per resident and number and percent distribution of nursing homes charging for care by number of employees per 100 residents: United States, April-September 1968 

[Due to rounding to nearest tenth, figures may not add to 100 percenq 

Average monthly charge Homes charging for care 

Number of full-time and 

part-time employees I 

per 100 residents Lowest Most frequent Highest Number Percent (modal) 

Less than 20 employees------ $162 

20-39 employees------------- 167 

40-59 employees------------- 198 

60-79 employees------------- 239 

80 employees or more-------- 260 

1967 to i969. When administrators of these homes 

were asked to choose the leading cause for monthly 

charge increases, 90 percent indicated that rising 

wages and salaries were the major reasons.3 

Homes With and Without Medicare 

Recipients 

Of the 17,276 homes charging for care, 16 

percent had patients who were Medicare recipients. Charges for services rendered in homes 

with Medicare recipients were $135 higher per 

month on the average than charges for services 

rendered in homes without Medicare recipients 

(table G). This difference probably reflects the 

kinds of services required for skilled nursing 

care covered under Medicare as well as the nature 

of the extended care facilities themselves. (See 

note to table G concerning the difference between 

counts of homes with Medicare recipients and of 

homes certified for Medicare as reported by the 

Social Security Administration.) 

By type of nursing service, more nursing care 

homes (26 percent) had Medicare recipients than 

did personal care with nursing homes (5 percent) 

or personal care homes (0.3 percent). Only 10 

of the 3,995 personal care homes had Medicare 

recipients. (Because the type of nursing service 

classification used by the National Center for 

$188 $228 849 5 

189 230 2,755 16 

230 280 4,103 24 

275 340 4,415 26 

296 366 5,154 30 

J J 

Health Statistics (NCHS) differs from that used 

by the Social Security Administration, homes 

certified for Medicare can fall in any of the NCHS 

service classifications. See appendix IV for classification details.) 

Within each type of service classification, 

charges in homes with Medicare recipients were 

higher than charges in homes without Medicare 

recipients. Of all homes without Medicare recipients , nursing care homes charged the highest 

amounts ($269); personal care withnursing homes, 

the next highest ($204); and personal care homes, 

the lowest ($181). (See table G.) For the 16 percent of all homes with Medicare recipients, 

charges in nursing care homes were higher ($369) 

than charges in personal care homes withnursing 

($317). Charges for personal care homes are not 

presented because the number of homes in this 

category (10) was too small to make the data 

reliable. 

The higher charges of homes with Medicare 

recipients is further illustrated by comparing the 

cumulative percent distributions of charges for 

homes with and without such recipients (figure 4). 

Twenty-two percent of the homes without Medicare 

recipients charged $300 or more. In contrast, 76, 

percent of homes wtih Medicare recipients 

charged $300 or more. Higher charges in homes 

8 
Table G. Number,and percent distribution of nursing homes charging for care and average most 

frequent (modal) monthly charge per resident for homes with and without Medicare recipients, according to type of service: United States, April-September 1968 

Hom;esr&;;ing Homes with Homes without 

Medicare recipients1 Medicare recipients 

Type of service Average most Average most 

Number Percent Percent frequent Percent frequent of (modal) of (modal) homes monthly homes monthly charge charge 

All types of service------- 17,276 100.0 16.0 $366 84.0 $231 

Nmsing care--------------------- 10,036 100.0 25.6 369 74.4 269

Personal care with nursing------- 3,245 100.0 317 94.6 204 persona1 care-------------------- 3,995 100.0 2:: * 99.7 181 

'According to the Social Security Administration (SSA), there were approximately 3,400 nursing homes certified for Medicare January 1: 1967, when the universe for this established. 

ee appendix II for details.) This 

i:ove table because : 

*121 homes certified 

0500 hospital-based 

@Homes certified for 

survey (see phrasing

the SSA figure. 

for Medicare 

extended care 

Medicare 

of question 

survey was 

figure is larger than that which can be calculated from the 

hut makingnocharge for care were excluded from the table. 

facilities were not included in the survey universe. 

but having no Medicare patients were not identified in this 

16 in appendix V). However, such homes were included in 

with Medicare recipients may be due to the increased costs of large nursing staff, specialized 

health personnel, special equipment, and special 

nursing and therapy services that homes must 

provide to be certified for Medicare. 

Medical Assistance Benefiti 

Seventy-nine percent of all nursing homes 

participated in at least one Federal or State 

public assistance or medical assistance program. 

These programs include Old Age Assistance, Aid 

to the Blind, Aid to the Permanently and Totally 

Disabled, Aid to Families with Dependent Children, Medicare, and Medicaid. 

Of the 743,293 residents in nursing homes, 

45 percent received benefits from public or medical assistance programs, including all those listed 

in the preceding paragraph except Medicare. Five 

percent of all residents were receiving Medicare 

nursing 

MONTHLY CHARGE 

Figure 9. Cumulative percent distribution of 

homes by most frequent (modal) monthly charge per benefits, and 7 percent had exhausted their Mediresident for homes with and without Medicare recip- care benefits (table H). Both residents who were 

ients: United States, April-September 1968. receiving Medicare benefits and residents who had 

9 
Personal 150,291 36.8 

33.6 

Table H. Number and percent of residents of nursing homes with public or medical 

assistance benefits, Medicare benefits, or exhausted Medicare benefits, by type of 

service: United States, April-September 1968 

I

I I

I 

Percent of residents 

Number 

Type of service of With public With With 

residents or medical Medicare exhausted 

assistance benefits' Medicare

benefits benefi=l 

I I I I 

I 

All types of service---- 743,293 44.9 5.3 7.3 

Nursing care------------------ 535,743 47.3 E 8.9 

Personal care----------------­ with nursing---- 57,259 44.5 0:2 5:; I I 

'Residents in this category may have been receiving public or inedical assistance 

benefits also. 

exhausted their Medicare benefits may have been them. Thus the categories in tables H and J are 

receiving benefits from other medical programs. not additive. 

If so, they were countedtwice-onceforreceiving For nursing care homes,whichprovidedcare 

medical assistance benefits andonce for receiv- for 72 percent of all residents innursinginstituing Medicare benefits or for having exhausted tions, the percent of residents receiving public 

Table J. Number and percent of residents of nursing homes with public or medical 

assistance benefits, Medicare benefits, or exhausted Medicare benefits, by type of 

ownership: United States, April-September 1968 

Percent of resider$s 

Number 

Type of ownership of 

residents ~ 

All types of ownership-- 743,293 44.9 5.3 7.3 

Proprietary------------------- 492,535 47.8 6.8 8.5

Church and other nonprofit---- 177,421 Government-------------------- 73,337 53.2 I2 2:: 

lResidents in this category may have been receiving public or medical assistance 

benefits also. 

10 
or medical assistance benefits (47 percent) was 

similar to the percent for all homes (45percent). 

Seven percent of residents in nursing care homes 

were receiving Medicare benefits and 9 percent 

had exhausted them (table H). 

Government-owned homes had the highest 

percentage of residents receiving public or medical assistance benefits (53 percent), the lowest 

percentage receiving Medicare benefits (2 percent), and the lowest percentage who had exhausted 

their Medicare benefits (4 percent). (See table 

J.) Proprietary homes, which provided care for 

66 percent of all residents, had the highest percentage. of residents receiving Medicare benefits 

(7 percent) and the highest percentage with exhausted Medicare benefits (almost 9 percent). 

These percentages are similar to those for nursing care homes (see table H) because 81 percent 

of the 492,535 residents in proprietary homes 

were in homes providing nursing care. 

Homes With Noncharge Arrangements 

Five percent of all nursing homes had either 

no charge, initial payment-life careplans, or other 

noncharge arrangements (table 3). These arrangements were more common in personal care with 

nursing homes (13 percent) than in personal care 

(4 percent) or nursing care homes (3 percent). 

By ownership, 15 percent of homes ownedbynonprofit groups had noncharge arrangements. In 

contrast, only 6 percent of government-owned 

homes and 3 percent of proprietary-ownedhomes 

had such arrangements. Possibly the percent of 

noncharging homes was highest for homes owned 

by nonprofit groups because they had sources of 

income other than from their residents. 

REFERENCES 

lRice, D. P., and Cooper, B. S.: Medical care outlays for 

aged and nonaged persons, 1966-68. Social Security Bulletin. 

32(9):3-11, Sept. 1969. 

2Study shows variations in costs of care according to level 

of service offered. Modem Nursing Home. 22(3):24-36, 

May-June 1968. 

3Department of Housing and Urban Development: Suruey 

of FHA-Assisted Nursing Homes. HUD-64-F. Washington. U.S. 

Government Printing Office, Dec. 1969. 

4Nationa.l Center for Health Statistics: Design and 

methodology for a national survey of nursing homes. Vital and 

Health Statistics. PHS Pub. No. lOOO-Series l-No. 7. Public 

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

Sept. 1968. 

5NationaI Center for Health Statistics: Institutions for the 

aged and chronically ill, United States, April-June 1963. Vital 

and Health Statistics. PHS Pub. No. lOOO-Series 12-No. 1. 

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

Office, JuIy 1965. 

6National Center for He&h Statistics: Characteristics of 

residents in institutions for the aged and chronically ill, United 

States, April-June 1963. Vital and Health Statistics. PHS Pub. 

No. lOOO-Series 12-No. 2. Public Health Service. Washington. 

U.S. Government Printing Office, Sept. 1965. 

7NationaI Center for Health Statistics: Characteristics of 

patients in mental hospitals, United States, April-June 1963. 

Vital and Health Statistics. PHS Pub. No. 1000~Series 12-No. 3. 

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

Office, Dec. 1965. 

*Nationa Center for Health Statistics: Utilization of 

institutions for the aged and chronically ill, United States, 

April-June 1963. Vita2 and Health Statisfics. PHS Pub. No. 

1000Series 12-No. 4. Public Health Service. Washington. U.S. 

Government Printing Office, Feb. 1966. 

9Nationd Center for Health Statistics: Employees in 

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

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

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

Printing Office, Sept. 1966. 

lONational Center for He&h Statistics: Employees in 

nursing and personal care homes: number, work experience, 

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

Vital and Health Statistics. PHS Pub. No. lOOO-Series 12-No. 6. 

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

Office, Jan. 1967. 

llNational Center for Health Statistics: Chronic illness 

among residents of nursing and personal care homes, United 

States, May-June 1964. Vita2 and HeaZth Statistics. PHS Pub. 

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

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

12National Center for Heath Statistics: Prevalence of 

chronic conditions and impairments among residents of nursing 

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

and Health Statistics. PHS Pub. No. lOOO-Series 12-No. 8. 

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

Office, Jmy 1967. 

71 
13Nationd Center for Health Statistics: Charges for care 

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

May-June 1964. E7ital and Health Statistics. PHS Pub. No. 

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

Government Printing Office, Aug. 1967. 

l4NationaJ Center for Health Statistics: Nursing and 

personal care services received by residents of nursing and 

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

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

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

Sept. 1968. 

l5National Center for Health Statistics: Use of special 

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

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

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

Government Printing Office, Dec. 1968. 

16National Center for Health Statistics: Marital status and 

living arrangements before admission to nursing and personal 

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

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

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

1969. 

17National Center for Health Statistics: Arrangements for 

physician services to residents in nursing and personal care 

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

Statistics. PHS Pub. No. 1000Series 12-No. 13. Public He&h 

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

1970. 

IsNational Center for He&h Statistics: Origin, program, 

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

Health Statistics. PHS Pub. No. 1000~Series l-No. 1. Public 

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

Aug. 1963. 

19National Center for Health Statistics: Comparison of 

selected characteristics of institutions for the aged, United 

States, 1963 and 1968. .Monthly Vital Statistics Report. Vol. 

20, No. 1, Supplement. Public Health Service. Rockville, Md., 

Apr. 1971. 

20Nationai Center for Health Statistics: Development and 

maintenance of a national inventory of hospitals and 

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

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

Government Printing Office, Feb. 1965. 

2lNational Center for Health Statistics: Design and 

methodology of the 1967 Master Facility Inventory Survey. 

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

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

Office, Jan. 1971. 

z2Nationd Center for Health Statistics: The Agency 

Reporting System for maintaining the national inventory of 

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

No. 1000Series l-No. 6. Public Heath Service. Washington. 

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

000 

12 
-- 

LIST OF DETAILED TABLES 

0 Page 

Table 1. Number of nursing homes charging for care and average and standard deviation of 

lowest, most frequent (modal), and highest monthly charges per resident, according to region, type of ownership, and bed size: United States, April-Sep- 14 tember 1968 ---------___-_-___---------------------------------------------------

2. Average and standard deviation of most frequent (modal) monthly charge per residentinnursing homes and numberof homes by most frequent (modal) monthly charge, by type of service, type of ownership, and bed size: United States, April-Sep­ tember 1968--------------------------------------------------------------------- 18 

3. Average and standard deviation of most frequent (modal) monthly charge per resident xn nursing homes, number and percent distribution of homes by most frequent 

size: monthly charge, according type of service, type of ownership, and bed 20 (modal)Unit-d States, April-September to 1968---------------------------------------

4. Average and standard deviation of most frequent (modal) monthly charge per resident in nursing homes, and number of homes by most frequent (modal) monthly charge, according to region, type of ownership, and bed size: United States, April-September 1968 -__________-__-_---_____________________-------------------- 22 

5. Average and standard deviation of most frequent (modal) monthly charge per resident in nursing homes, number and percent distribution of homes by most frequent 

United States, April-Sept&er (modal) monthly charge, according to region, type of ownership, and bed size: 1968--------------------------------------------- 24 

6. .4;4;ge most frequent (modal) monthly charge per resident, number of nursing and percent dlstrlbutionofhomes by most frequent (modal) monthly char e, acco&ng to typeofservice and each State: United States,April-September 196 i 27 

7. Average most frequent (modal) monthly charge per resident, number of nursing homes, and percent distributionofhomes by most frequent (modal) monthly charge, according to medical services available inside and outside the home: United 

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

8. Number of nursing homes charging for care and average lowest, most frequent and highest monthly charges per resident,by number of employees per 100 k%%S 2 type of ownership, and bed size: United States, April-September 1968- 33 

9. Number of nursing homes charging for care and average most frequent (modal) monthly charge per resident for homes with and without Medicare recipients, by type of service and bed size: United States, April-September 1968-------s------- 36 

10. Number and percent of nursing home residents with public or medical assistance 

benefits, Medicare benefits, and exhausted Medicare benefits, by type of ownership, type of service, and bed size of nursing home: United States, April-Sep­ tember 1968--------------------------------------------------------------------- 37 
Table 1. Number of nursing homes charging for care and average and standard deviation of lowest most frequent .(modal),and highest monthly charges per resident,according to region, type of ownership, and

bed size: United States, April-September 1968 -

Average monthly charge 

Region, type of Number of Most frequent Highest ownership, homes 

and bed size charging i 

Lowest -r (modal) 

for care 

Standard Standard 4verage Standard Average deviation Average deviation deviation 

United States 

All types of owner- ship--------------- 17,276 $220 $104 $253 $114 $310 $160 

Less than 25 beds--------- 7,537 181 74 203 83 240 107 

25-49 beds---------------- 4,351 232 103 265 108 326 150 

50-99 beds------------- 3,774 267 113 309 118 390 171 

100 beds or more---------- 1,614 265 134 315 144 414 206 

Propriqtary----------- 13,644 226 104 258 115 317 165 

Less than 25 beds--------- 6,437 183 74 206 83 244 107 

25-49 beds----------.----- 3,569 237 102 271 107 334 152 

50-99 beds---------------- 2,786 287 110 330 116 417 175 

100 beds or more---------- 852 304 136 352 150 473 228 

Church and other nonprofit------------ 2,335 207 104 248 112 313 143 

Less than 25 beds--------- 452 173 93 195 101 227 124 

25-49 beds---------------- 556 210 105 244 109 300 135 

50-99 beds-------------- 765 214 100 259 101 330 125 

100 beds or more---------- 562 222 112 280 119 370 155 

Govewent------------ 1,297 185 93 207 98 238 114 

Less than 25 beds--------- 648 163 52 180 60 210 84 

25-49 beds---------------- 226 200 112 224 114 257 129 

50-99 beds-------------- 223 200 104 224 109 258 129 

100 beds or more---------- 220 131 255 133 285 136 

Northeast 

All types of owner- ship--------------- 3,840 242 131 274 145 340 197 

Less than 25 beds--------- 1,702 194 97 218 110 258 139 

25-49 beds---------------- 1,041 257 120 290 132 360 165 

50-99 beds---------------- 681 297 147 341 161 442 226 

100 beds or more---------- 416 310 167 354 177 459 258 

14 
Table 1. Number of nursing homes charging for care and average and standard deviation of lowest most frequent (modal), and highest monthly charges per resident, according to region,type of ownership,and bed size: United States, April-September - 1968-Con. 

Average monthly charge- Region, type of Number of 

requent I Highest homes ownership charging F Lowest T 3al) and bed size for care 

Standard Standard iverage Standard kveragt deviation iverags deviation deviation 

Northeast-Con. 

Proprietary------------ 3,023 $245 $130 $281 $146 '$351 $202 

Less than 25 beds----y----- 1,470 191 96 223 ila 261 139 

25-49 beds----------------- 880 26r 117 297 131 36! 163 

50-99 beds----------------- 464 32E 141 374 159 49: 234 

100 beds or more----------- 209 37: 165 417 182 55i 284 

Church and other nonprofit------------- 593 21: 130 251 138 311 174 

Less than 25 beds---------- 154 174 111 194 112 22: 132 

25-49 beds----------------- 130 216 126 252 133 311 154 

50-99 beds----------------- 176 222 133 266 139 34( 166 

100 beds or more----------- 133 245 139 297 148 38: 192 

Government------------- 224 213 134 239 137 27( 150 

Less than 25 beds---------- 78 153 75 173 90 20r 129 

25-49 beds----------------- 31 208 127 238 134 265 153 

50-99 beds----------------- 41 264 147 286 146 3s 148 

100 beds or more----------- 74 250 151 283 146 31; 144 

North Central 

All types of owner- ship---------------- 5,621 209 88 243 100 29: 129 

Less than 25 beds---------- 2,194 179 66 203 74 234 90 

25-49 beds----------------- 1,567 212 84 245 90 298 106 

50-99 beds----------------- 1,268 244 95 287 105 356 141 

100 beds or more----------- 592 239 114 294 127 380 165 

Proprietary------------ 4,211 216 a7 248 99 299 130 

Less than 25 beds---------- 1,973 180 63 204 70 236 a4 

25-49 beds----------------- 1,222 220 81 253 86 309 101 

50-99 beds----------------- 777 275 91 320 102 395 143 

100 beds or more----------- 239 294 112 354 128 458 180 

15 
---- 

---- 

Table 1. Number of nursing homes charging for care and average and standard deviation of lowest, most 

frequent (modal),and highest monthly charges per resident, according to region,type of ownership, and 

bed size: United States, April-September 

-

-

1968-Con.--__. 

Average monthly charge- Region, type of lumber of Most frequent I homes Highest ownership, charging 1 Lowest T (modal) and bed size for care 

North Central-Con. 

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

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

25-49 beds------------ -m-___ 

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

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

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

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

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

50-99 beds ---___---_--------

100 beds or more-----------­

.South 

All types of owner- ship-------------

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

25-49 beds ---m-_--m -_-w----s 

50-99 beds---_-----_---- --we 

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

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

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

25-49 beds ____-' ----_----____ 

50-99 beds -_--mm -_---_--v--s 

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

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

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

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

SO-99 beds _--__-_____s - ---_-

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

Average Standard Standard jtandard eviation iverage ieviation Lverage leviation 

997 $196 $85 .$239 $94 $305 $122 

128 179 96 207 112 236 147 

243 188 82 222 85 274 105 

372 203 77 247 81 316 105 

254 203 92 260 101 353 122 

413 173 97 202 106 228 118 

93 153 68 173 74 196 89 

102 172 107 198 111 226 131 

119 171 85 196 96 228 112 

99 197 115 239 125 261 125 

3,972 206 a4 240 91 292 128 

1,394 167 61 187 67 214 80 

1,121 211 81 248 82 300 104 

1,086 239 82 283 79 349 120 

371 244 105 293 117 393 '182 

3,199 209 a2 243 89 297 129 

1,121 169 63 190 68 219 81 

925 209 76 248 75 300 101 

908 244 79 288 75 357 122 

245 257 105 301 12c 414 195 

488 206 95 247 103 302 128 

115 157 58 177 72 205 86 

130 224 102 256 105 312 125 

137 219 95 267 89 324 99 

106 218 98 286 108 365 143 

16 
----- 

Table 1. Number of nursing homes charging for care and average and standard deviation of lowest, must 

frequent (modal),and highest monthly charges per resident,according tu region, type of ownershrp, and 

bed size: United States, April-September 1968-Con. 

Average monthly charge 

Region, type of Number of T Most frequent T Highest ownership, homes (modal) and bed size charging

for care lStandard Standard Standard werage deviation Lverage deviation Bverage Ideviation 

South-Con. 

Government------------- 285 $182 $76 $197 $78 $226 $96 

Less than 25 beds---------- 158 157 47 168 49 188 61 

25-49 beds----------------- 66 217 95 238 90 281 101 

50-99 beds---------. _____m 41 205 82 223 86 258 101 

100 beds or more----------- 20 219 97 237 98 289 138 

West 

All types of owner- ship---------------- 3,843 230 110 257 118 322 184 

, 

Less than 25 beds---------- 2,247 182 66 203 73 246 106 

25~49 beds----------------- 622 276 127 305 129 386 236 

50-99 beds--- ----_--_----_- 739 319 117 358 117 460 187 

100 beds or more----------- 235 284 131 331 138 450 213 

Proprietary------------ 3,211 235 113 262 121 329 191 

Less than 25 beds---------- 1,873 184 68 205 76 250 110 

25-49 beds----------------- 542 279 127 307 129 393 245 

50-99 be& -------_--m------ 637 332 115 370 116 474 190 

100 beds or more----------- 159 300 131 342 143 472 221 

Church and other nonprofit------------- 257 235 114 280 115 358 162 

Less than 25 beds---------- 55 185 84 212 88 252 106 

2'j-49 beds --__- ..-..-mm- 53 256 125 295 129 354 168 

50-99 beds----------------- 80 241 108 290 97 385 127 

100 beds or more----------- 69 252 120 312 120 415 187 

Government------------- 375 182 61 201 66 238 92 

Less than 25 beds---------- 319 172 39 190 48 226 74 

25-49 beds----------------- 27 257 122 274 121 304 121 

50-39 beds----------------- 22 230 69 2.56 67 316 162 

100 beds or mure----------- 7 226 143 246 141 291 130 

17 
Table 2. Average and standard deviation of most frequent (modal)of monthly charge per resident in nursing homes and number of homes by most frequent (modal) monthly charge, by type Semite, type of ownership, and bed size: United States, April-September 1968 

Type of service, 

type of ownership, and bed size 

most of most frequent frequent (modal) (modal) monthly monthly charge charge 

Total 

homes Noncharge 

arrangementsl 

All types of service Number of homes 

All types of ownership---- $253 $114 18,185 677 5,719 5,466 3,429 ,416

Z 

569 909 

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

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

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

203 83 

265 108 

309 118 

315 144 

7,778 

";GZ

1:753 

279 6,271 745 

893

:iz 355 E97 

103 200 '468 

200 

'5;:

278 

68 %k

2; 161 

150 139 

Proprietary----------------- 258 115 14,048 457 ,,311 ,236 404 

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

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

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

206 83 

271 107 

330 116 

352 150 

6,549

3,773

2,845 881 

210 !,775 113 LA;; 

6": 159 

183 

339 

497 

217 

112 

204 

2'9' 

Church and other nonprofit-- 248 112 2,761 101 743 791 496 139 426 

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

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

100 be& c,r m,-e -------a--_-----

101 

El:, 109 

259 101 

280 119 

557 

698 

856 

650 

277 

2 178 g 1% 

161 170 :: 127 180 165 

:i 

2 

105 

142 

zi 

207 98 1,376 119 604 364 150 41 19 79 

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

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

100 beds or ,,,ore----------------

180 

224 1% 

224 109 

255 133 

672 

248 

234 

222 

119 z: 455z :: 2 

;: :z 76 2: 

: 

:2 

z 22; 

1; :: 

Nursina care 

All types of ownership---- 295 118 10,330 342 1.281 S-772 2,816 ,296 529 294 

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

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

100 beds or mo,-----------a------

253 102 

278 108 

330 113 

335 148 

2,497

3,397

3,177

1,259 

100 569 L,O31 522 

489 L,445 821 

'5; 998 L?;f; 87 ?58 298 

::t 

532 

252 

65 

1:;

222 H$ 

139 

p~~p~~~t~ry"""""""""-------- 298 119 8,613 292 L,O16 S,llO 2,387 ,163 461 184 

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

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

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

254 

280 1% 

339

357 i:i 

2,273

2,956

2,573 811 

491 971 482 

99: 422 !,249 717 

"Q; i:: iti XE 

146 

326 

% 

49

2 

208 2: 

110 27 

Church and other nonprofit-- 286 116 1,199 34 156 449 323 101 51 85 

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

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

100 beds or m,-e--------------e253 133 

275 

'iti 

SF-Z 131 

:t;

460 

281 

6" 44: 133: :67 

188 146 

1; ix 91 74 

9 

2 

6 

2% 

259 109 518 16 109 213 106 32 17 25 

Less tha,, 25 beds--------m---s- 25-49 beds----------------------

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

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

223 

257 '9: 

i;: 297 

1:: 

% 

1 92' 2 ;ij 62 

1: 9; 65 36 

i 

:t 

2 

i 

i 

9 1: 

Personal care with nursing 

All types of ownership---- 210 82 3,712 96 L,658 2 062 318 - 80 31 467 

Standard Average Most frequent (modal)monthly charge deviation 

Less than 25 heds--------------- 188 62 1,762 4; L’;;; 391 18 8 25-49 beds---------------------- 859 

22 

255 i! 2,:; 50-99 beds---------------------- ;:,6 a8f 633 155 56 21: 5 lo,, beds 0~ mj-e-------------a-- 260 111 458 108 ::z 113 24 11 75 

proprietary----------------- 207 76 2,292 37 L,158 683 42 171 

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

8": 1,;;; 23 993 338 25-49 beds---------------------- :z: 119 l67 1:: 50-99 beds---------------------- 262 100 beds ,,r mu,------------------ 307 1:; ":i 

"Z 

1 

38 

8 

2;;

16 

13 

6 9 

?Cncludes no charge, initial payment-life care plans, and other noncharge arrangements. 

18 
653 

Table 2. Average and standard deviation of most frequent (modal)of monthly charge per resident in nursing homes and number of homes by most frequent States, April-September 1968-Con. (modal) monthly charge, by type service, type of ownership,and bed size: United 

Standard Most frequent (modal) monthly charge 

Type of service, Average deviation 

type of ownership, 

most of most Total Nongx~y frequent and bed size 

monthly (modal), homes $1-99 I

%- more charge 

charge --IL or$500 arrange- charge monthly Imentsl 

Personal care with nursing-Con, Number of homes 

Church and other nonprofit-- $91 1,123 22 122 10 268 

Less than 2.5 beds--------------- 25-49 beds----------------------

53 

79 E3 I 

3 

122 

100 beds or more---------------- 1% 354 a 85 

;

7 66: 

184 86 297 37 14 2 28 

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

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

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

179 

195 

'1% 

51

104 

1;: 

131 

46 

6 

1; : 

z 

i 

i 

3 

i 

Personal care 

All types of ownership---- 181 70 4,143 239 2,7x 295 9 148 

50-99 beds---------------------- 354 2': 

Less than 25 beds--------------- 176 57 3,519 143 !,534 552 137 24 121 25-49 beds---------------------- 230 iiS 143 10 

4 

2 

'4 50-99 beds----------------------

100 beds 01 more---------------- iii 192: 

463 2: 

2 

2: 

17 

4: 

'E 4 1; 1

Proprietary----------------- 183 3,143 128 !,198 518 214 31 49 

Less than 25 beds--------------- 177 2,;;; 97 !,054 113 20 25-49 beds---------------------- 244 4i5 "2 50-99 beds----------------------

100 beds 01: more---------------- f3t 15: ii - % 

7 1" y:3 1 

3' 

Church and other nonprofit-- 185 97 439 45 4 73 

Less than 25 beds--------------- 170 25-49 beds---------------------- 225 fZ3 g 4 :t 

100 beds or more---------------- 266 1 

Government------------------ 171 68 561 66 358 76 5 26 

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

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

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

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

'1:: 

ET 

1% 

1:: 

463 

527. 

9 

330 70

2 15 5 

"2 2 i 

3 

II 

20 

9 

1 

kncludes no charge, initial payment-life care plans, and other noncharge arrangements. 

50-99 beds---------------------- 124 
--- 

---- 

Table 3. Average and standard deviation of most frequent (modal) monthly charge per resident in nursing homes, numoer and percent distribution of homes by most frequent (modal) monthly charge,according to type of service, type of own­ ership, and bed size: United States, April-September 1968 

[DUE!to roundingto =noaresttonth,= ligurcsmaynoladd to 100pnroent] 

Werage Xandard 

frequent of most lumberI

?II Most frequent (modal) monthly charge 

most ieviation 

Type of service, 

type of ownership, (modal) frequent of 

and bed size monthly (modal) mmes charge monthly

charge 

All types of service Percent distribution 

All types of owner- $253 $114 .8,185 LOO.0 3.7 31.4 30.1 18.9 

E 

7.8

E 

5.0 

Less than 25 beds---------- 25-49 be& --_-_-___-_-___- - SO-99 beds-----------------

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

203 

265 

z 

1:: 

118 

144 

7,778 

";G5 

11753 

LOO.0 

LOO.0 

LOO.0 

LOO.0 

3.6 

?: 

5:9 

:z. 33:3 1:::23.7

3 2x 

30:2 

26.7 

2; 

14:2 

15.9 

3.1 

4:; 

. 

Proprietary------------ 258 115 .4,048 100.0 3.3 30.7 19.8 8.8 2.9 

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

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

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

206 

i:; 

352 

1:: 

116 

150 

6,549 

xi: 

'881 

LOO.0 

LOO.0 

LOO.0 

L00.0 

3.2 

E 

715 

27.1 

39.6 

31.1 

18.0 

10.3 

22.8 

34.7 

29.5 

2.8 

19: 

2416 

$4 

3:3 

Church and other nonprofit------------- 248 112 100.0 3.7 26.9 28.6 18.0 5.0 15.4, 

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

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

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

195 

244 

;'8; 

101 

109 

101 

119 

LOO.0 

100.0 

LOO.0 

LOO.0 

3 

2: 

14.4 

E 27.2 

$5" 39.8 . 27.7 

;;:; 

2514 

$1 

712 

18.9 

20.3 

10.6 

13.5 

207 98 LOO.0 8.6 43.9 26.5 10.9 3.0 

Less than 25 beds---------- 25-49 be& __--___-__-_-_-_- 50-99 beds-~-~-_-mm-mm-----

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

180 

fi9 

255 

1:: 

% 

100.0 

100.0 

100.0 

100.0 

12.: 

13:7 

9.5 

2: :?: 

23:9 ;::g 16.2 . 

1::: 

:;*i . 

2 

2: 

Nursing cars 

All types of owner- ship __--_-m__-______ 295 118 10,330 100.0 3.3 12.4 36.5 27.3 12.5 

Less than 25 beds---------- 25-49 be& -_-__-- -m-----w-- 102 

108 

2,497 100.0 

100.0 

4.0 22.8 

14.4 1:*: 2x 1::2 

ship-_---_-------

50-99 beds-- __-- --m-w----- 330 

E 

113 x3: 100.0 :*i 31:4 35:5 

100 beds or more----------- 335 148 1:259 100.0 6:9 2;. 23.7 27.4 :8-i. 

Proprietary------------ 298 119 8,613 100.0 3.4 11.8 36.1 27.7 13.5 

Less than 25 beds---------- 254 2,273 100.0 21.6 21.2 25-49 beds -mm-m-w----- - 280 1:; 2,956 2::. 14.3 24.3 ;;:i 50-99 be& _--~~~~-~-~-~~~-- 339 114 23;;; :z*: 3.1 

100 beds or more----------- 357 152 1oo:o ki 2.7 9E . 25:9 

Church and other nonprofit------------- 286 116 1,199 100.0 2.8 13.0 26.9 8.4 7.1 

Less than 25 beds---------- 253 133 146 100.0 29.5 26.7 18.5 6.2 25-49 beds----------------- 275 111 312 100.0 E . 14.4 42.0 50-99 beds----------------- 294 100.0 40.9 24; 2: 

100 beds or more----------- 303 13: 4:: 100.0 2:: 1;:: 32.4 26:3 1o:a 

259 109 51E 100.0 3.1 21.0 41.1 6.2 4.8 

Less than 25 beds---------- 223 97 100.0 44.9 26.9

25-49 beds----------------- 1721 100.0 t: 50.4 ?I 2'67

50-99 beds----------------- z: ;69 2:1 2: 3:s 

100 beds or more----------- 275 127 $291 :%i . 6.0 12:6 2; . 2: 7.2 

Personal care with nursing 

All types of owner- ship----------- 210 82 3.711 100.0 2.6 44.7 28.6 8.6 2.2 12.6 

Less than 25 beds---------- 188 100.0 22.2 4.9 ff&L,g beds-; __-_ -mm-m-----m 216 29.7 50-99 beds----------------- 236 Ex 47.9 i*i 

:;:i 

100 beds or more----------- 260 1oo:o 24.7 24:7 16:4 

IIncludes no charge, initial payment-life care plans, and other noncharge arrangements. 

20 
,Table 3. Average and standard deviation of most frequent (modal) monthly charge per resident in nixsing homes, number 

and percent distribution of homes by most frequent (modal) monthly charge,according to type of service, type of own­ ership, and bed size: United States, April-September 1968-Con. 

[Duo to rounding to nearesttenth, figuresmsynot add to 100 percent 

-

Standard Most frequent (modal) monthly charge 1berage deviation 

type of ownership, and bed size 

j 

/pJ 

T 

charge 

frequent

(modal)

monthly

charge 

of 

tomes 

Total $1-99 m;- $f$- m;- $;;;- $500 

or more charge arrangementsl 

Percent distribution 

Proprietary------------ $207 2,292 100.0 1.6 50.5 29.8 7.9 0.8 7.5 

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

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

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

% 

262 

307 

1,;;; 

2:i 

100.0 

100.0 

ET: . 

t:; 

67.1 22.9 

% 

37.3 $2 

59.3 

2: 13:8 27.6 4:*:. 

29 

24. 

217:; 

i:: 

Type of service, most of most hmber Nonnonprofit------------- 225 1,123 100.0 2.0 32.3 27.1 10.9 3.0 0.9 23.9 

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

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

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

174 

196 

228

260 

2% 

2:: 

100.0 

E?: 

1oo:o 

4;*: . 

1':: 

55.3 

33.8 

%X. 

:2: 

4214 

24.6 

32:: 

6.8 

24.0 

2.;

2.8 

5.1 

0.; 

2 

21.7 

%*Z 

18:l 

184 297 100.0 12.5 46.1 25.3 4.7 1.3 0.7 9.4 

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

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

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

179 

:i: 

192 

131 

2: 

46 

100.0 

100.0 

ZE . 

$5 

19:6 

69.5 

33.3 

25.4 

23.9 

2:: 

3917

21.7 

'5.3. 

1% 

FE 

1:6 

1.; 

2.; 

2;:: 

196:: 

Personal care 

Church and other 

All types of owner- s,-,ip------------ 181 4,143 100.0 5.8 67.1 15.3 7.1 1.0 0.2 3.6 

Less than 25 beds---------- 3,519 Ei-: 72.0 15.7 

3::; : 0.2 25-49 beds----------------- 38.2 50-99 beds----------------- %: 

100 beds or more----------- ZfZ g:;. tz . 11:1 2% 

0.8 

36 

Proprietary------------ 183 3,143 100.0 69.9 16.5 6.8 0.2 

Less than 25 beds---------- 73.4 25-49 beds----------------- zz 2,;;; %"o~o" 42.4 2: 3% 2:. 0.1 

100 beds or more----------- 236 2 ;;g . 

: ; 2: . 8.3 2::; 2"; 

1.8 

Church and other nonprofit------------- 185 439 100.0 10.3 51.0 8.7 11.6 0.9 0.9 

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

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

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

tz 

124 

266 

259 

‘21 

15 

%*Ei 

1oo:o 

100.0 

293 

.35:7 

z-i 

57:1

40.0 

1% 

124 

2::: 

40.0 

1"::: 

6.; 

1.5 

Government------------- 171 561 100.0 11.8 63.8 13.5 5.3 0.9 

50-99 beds----------------- 171 14:3 

Less than 25 beds---------- 173 4;; 0.6 25-49 beds-----------------. f%i 50-99 beds----------------- E 1oo:o 

'2: . 22:; 31:: 

-

100 beds or more----------- 157 "9' 100.0 ii.; 12:7 

kncludes no charge, initial payment-life care plans,and other noncharge arrangements. 

21 
-- 

--------- 

Table 4. Average and standard deviation of most frequent (modal) monthly charge per resident %n nursing homes, and

number of homes by most frequent (modal) monthly charge, according to region, type of ownership,and bed size: United

States, April-September 1968 

Average Standard Most frequent (modal) monthly charge most deviation 

frequent of most Total Region, type of ownership, (modal) frequent No*­

and bed size monthly (modal) homes charge 

charge monthly or more arrange- charge ments1 

United States Number of homes 

All types of ownership---- $253 $114 18,185 677 5,719 j,466 3,429 1,416 569 909 

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

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

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

lo,, beds 01 more----------------

203 

265 

E 

7,778 

";G

1:753 

279 

165 

130 

103 

6,271 

"3% 

200 

200 

378 

z4: 

241 

368 

:%I 

Proprietary----------------- 258 115 14,048 457 i,311 2,783 1,236 485 404 

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

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

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

lo,, beds or more----------------

206 

271

330 

352 

83 

% 

150 

6,549 

xi: 

'881 

210 

113 

2: 

tG 

'884 

159 

675 

861 

987

260 

183 

339 

497

217 

56 

:;";

113 

112 

204 

:; 

Church and other nonprofit-- 248 112 2,761 101 743 791 496 139 426 

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

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

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

100 beds 0~ ,,,ore----------e---w195 

244 

259 

280 

101 

109 

101 

119 

z3 

856 

650 

34 

f h 

16 

::;:

161 

127 

;i; 

180 

1% 

170 

165 

:x 

2 

i&"e-e*t- __- -_-_-----_-- 207 98 1,376 119 604 364 150 41 79 

Less than 25 beds--------------- 180 456 119 24

25-49 ,,eds----------- -e-_--_-m 224 1:: 2; i: 2: : 50-99 beds---------------------- 224 109 234 ;i ;z :: 100 beds ,,r mope---------------- 255 133 222 4: 2: :2 22 

Northeast 

All types of ownership---- 274 145 4,172 328 1,023 908 876 430 275 

Less than 25 beds--------------- 218 25-49 beds----------------------

50-99 beds---------------------- 2: 100 beds or more -m-e --- 354 

110 

132 

161 

177 

151 754 422 260 

273 320 

2 YE! 134 200 

30 48 79 96 

75 

% 

85 

Proprietary----------------- 281 146 3,135 255 740 714 705 375 

Less than 25 beds--------------- 223 25-49 beds----------------------

50-99 beds -w-m-m-s ---m--m_ - _-w-m isz 100 beds or more------ -m---m -mm- 417 

110 

131 

159 

182 

1,514 921 

483 

217 

128 604 392 241 

108 239 

3'1" ZZt 

18 :z 7: 39 

127: 

114 

70 

Church and other nonprofit-- 251 138 790 42 28 

Less than 25 be&-------------- 194 25-49 beds __-_ -- __-__ -_-m--e-___ 252 50-99 beds---------------------- 266 l,,,, beds or more---------------- 297 

ifi 

:2: 

:ix 

216 

160 

1; 

:t 

3 

z 

12 

Government------------------ 239 137 247 80 44 49 13 13 

Less than 25 beds--------------- 25-49 beds---------------------- i:i 50-99 beds---------------------- 286 100 beds or more---------------- 283 

$ 

146 

t: 

46 

a5 

53 5 

i 

; 5;

10 267 

1 

1 

I 

: 

3 

7 

North Central 

All types of ownership---- 243 100 5,898 177 1,755 2,151 1,108 348 82 277 

Less than 25 beds--------------- 203

25-49 beds -mm_- ---w-m --m--w----- 245

50-99 beds---------------------- 287 100 beds or p,re------m--e------ 294 

ii: 

105 

127 

2,248

1,693

1,316 641 

2: :zi $52 

520 375 

;; 172 170 

7 

f :

27 

125: 

tti 

Proprietary----------------- 248 99 4,350 70 1,316 865 64 139 

Less than 25 beds--------------- 204 25-49 beds---------------------- 253 50-99 beds---------------------- 320

100 beds or more-----------L---- 354 

E 

102 

128 

2,006 

1,;;; 

249 

33 1,018 214 

13 

2:'i 

3 

fG 

1; 80 

ti 

:z 

33 

2 

10 

1Includes no charge, initial payment-life care plans, and other noncharge arrangements. 

22 
Table 4. Average and standard deviation of most frequent (modal) monthly charge per resident in nursing homes, and

'number of homes by most frequent (modal) monthly charge, according to region, type of ownership,and bed size: United 

States, April-September 1968-Con. 

Average Standard Most frequent (modal) monthly charge 

most deviation 

of most Total Non- Region, type of ownership, frequent frequent and bed size (modal)

monthly (modal) homes charge 

charge monthly or more arrange- charge mats1 

North Central-Con. Number of homes 

Church and other nonprofit- $239 $94 1,107 32 311 43 14 110 

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

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

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

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

207 

222 

% 

112 

:: 

101 

:x 

400 

287 

ii 

8 

7 

;i

83 

65 

zi 

15 

17 

: 

3 

5 

4;

28 

33 

Government------------------ 202 106 44-i 75 13 4 28 

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

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

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

173 

:;: 

74 

'E :g :: 

22 3 

i i 1: 

100 beds or more---------------- 239 125 105 13 7 ; 6 

South 

All types of ownership---- 240 91 4,141 1,287 1,538 845 44 169 

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

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

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

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

28’ 

283 

293 

iI 

79 

117 

i% 

102 

38 

334 

590 

497 

117 

2:;

386 

133 

2 

:: 

41 

4: 

15 

Proprietary----------------- 243 89 3,278 966 1,299 703 33 79 

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

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

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

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

190 

248 

3:: 

68 

557 

120 

1,;g 

913 

247 

700 

187 

63 

16 

302 

509 

"E 

;; 

95 

2 

1:: 

13 

;z 

2 

Church and other nonprofit-- 247 103 564 152 167 10 76 

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

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

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

177 

256 

267 

286 

72 

105 

1:: 

130 

163 

152 

119 

3': 

:96 

2: 

z; 

z 

i 

:3' 

:5 

Government------------------ 197 78 299 169 72 1 14 

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

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

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

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

168 

238 

223 

237 

49 

fz$ 

165 

i4 

20 

135 

ii 

3 

3": 

19 

9 

i <

2 

West 

All types of ownership---- 257 118 3,974 68 1,654 869 600 484 168 131 

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

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

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

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

203 

305 

358 

331 

127;

117 

138 

2,276 

;E

264 

1,464 131 

92 

497 

164 

161 

47 

169 

;4: 

69 52 

Proprietary----------------- 262 121 3,285 1,350 694 510 445 

Less than 25 beds--------------- 205 1,889 1,216 404 149 25-49 beds----------------------

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

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

307 

370 

342 

2: 

116

143 

572 

E 

110 

17

7 t9;30 

116 

'22 

$3 

40 

Church and other nonprofit-- 69 63 32 

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

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

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

:z 

27 

15 

1;

24 

22 

i 

12 

10 

201 389 227 

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

25-49 beds----------.----------- 190 

274 

324 218 

5 50-99 beds---------------------- s:: 100 beds or more---------------- tz 12 : 

1Includes no charge, initial payment-life care plans, and other noncharge arrangements. 

23 
Table 5. Average and standard deviation of most frequent (modal) monthly charge per resident in nursing homes, number 

and percent distribution of homes by most frequent (modal) monthly charge, according to region, type of ownership, and bed size: United States, April-September 1968 

[Due to rounding to nearest tenth, figuresmnynot addto 100 portent] 

monthly

charge monthly

charge 

11 

United States Percent distribution 

All types of owner- ship--------------- $253 $114 18,185 100.0 3.7 31.4 30.1 18.9 7.8 3.1 5.0 

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

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

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

203 

265 

309 

315 

7,778 1:: 4,719 118 3,935 144 1,753 100.0 54.9 25.4 

100.0 

100.0 ‘X 2-f; 2;:: 

100.0 11:4 2317 Ez . 

0.9 

i:i 

. 

Proprietary----------- 258 115 14,048 100.0 31.1 30.7 19.8 3.5 

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

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

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

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

206 

271 

% 

6,549 180: 3,773 116 2,845 150 881 

100.0 54.0 27.1 10.3 

100.0 17.5 22.8 

~?~ 

:EE 2:; 18:0 2:: 

$2 

1::: 

Church and other nonprofit------------ 248 112 2,761 100.0 3.7 26.9 28.6 18.0 2.4 15.4 

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

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

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

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

195 

244 

259 

280 

101 557 

109 698 

101 856 

119 650 

100.0 49.7 14.4 

100.0 $2 25.5 27.2 1:-L; 1oq.o 18.8 39.8 19:9

100.0 2: 19.5 27.7 25.4 

::: 

2:; 

18.9 

20.3 

10.6 

13.5 

Government------------ 207 98 1,376 100.0 8.6 43.9 26.5 10.9 1.4 5.7 

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

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

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

180 

224 

224 

255 

60 672 

114 248 

109 234 

133 222 

100.0 5.2 67.9 17.7 

100.0 12.5 22.6 33.1 184'53 

23.9 13:7

:EE . 'E . 16.2 E . 19.4 

0.3 

;:i 

. 

3.6 

1:; 

Northeast 

All types of owner- ship--------------- 274 145 4.172 100.0 7.9 24.5 21.8 21.0 10.3 6 :6 8.0 

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

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

100 beds or mora----------

218 

2: 

354 

110 

132 

161 

177 

41.5 23.2 :iE E! 13.9 23.8 i";'* ; 1% 

1oo:o 8.3 18.0 26:8 18:l 

LOO.0 67:; 10.4 17.1 20.8 18.4 

2.2 

1:.: 

16:9 

6.4 

2 

1o:o 

Proprietary----------- 281 146 3,135 100.0 8.1 23.6 22.8 22.5 12.0 7.5 3.6 

Average ;tandard Most frequent (modal)monthly charge eviation most of most Region, type of ownership frequent 'requent and bed size (modal) (modal) rota1 

Less than 25 beds--------- 223 1,514 100.0 39.9 25.9 15.9 4.6 .2.9 25-49 he&------------ 297 ::: 921 100.0 is: 11.7 26.0 30.2 13.1 2: 50-99 beds-------------- 374 483 100.0 6:4 3.5 14.7 30.4 23.6 17:4 29 

100 beds or mora---------- 417 :i; 217 100.0 8.3 5.1 5.5 18.0 32.3 27.2 317 

Church and other nonprofit------------ 251 138 790 100.0 6.1 25.7 19.0 ,15.4 5.3 24.9 

Less than 25 beds--------- 194 112 220 100.0 44.1 1.8 30.0

25-49 beds----------- 252 133 194 100.0 2:: 21.6 E 1E 50-99 beds----------- 266 139 216 100.0 17.1 26:4 19:4 2:: E 

100 beds or mora---------- 297 148 160 too. 0 t-43 16.9 25.0 22.5 6.9 16:9 

Government------------ 239 137 247 100.0 10.1 32.4 17.8 19.8 5.3 9.3 

mass 

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

100 beds or more---------- 286 

283 

146 

146 

46 

85 

100.0 

100.0 

13:o 

5.9 

17:4 

11.8 

13.0 

31.8 

23:9

24.7 

15:2

4.7 

10.9 

12.9 

North Central 

All types of owner- ship--------------- 243 100 5,898 100.0 3.0 29.8 36.5 18.8 4.7 

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

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

203 

245 2,248 50.8

21.7 

32.1

43.6 

10.5 

%Z 

2.4 

37':: . 

than 25 beds--------- 100.0 ;g.; %i 8:'; 3E :*f 

8.2 25-49 beds----------- ::z 1:: E 100.0 

100 beds or more---------- ;;a 

x2 

'641 E-d. 92-z 26:5 7:6 

lIncludes no charge, initial payment-life care plans, and other noncharge arrangements. 

24 
100.0 

1:3 

100.0 

100.0 

100.0 

100.0 

100.0 

100.0 

Table 5. Average and standard deviation of most frequent (modal) monthly charge per resident in nursing homes, number 

and percent distribution of homes by most frequent (modal) monthly charge, according to region, type of ownership, and bed size: United States, April-September 1968-Con. 

[Duetoroundingto nenaresttenth, figuresmnynot addto 100percent] 

Average itandard II Most frequent (modal) monthly charge 

most leviation 

of most Number Region, type of ownership, frequent frequent of Total Non- and bed size (modal) (modal) homes $1-99 ‘:II-!i::p-!‘:p-l.iBI-!.xre charge monthly

charge monthly arrange- charge I ment.31 

North Central-Con. Percent distribution 

Proprietary----------- $248 $99 4,350 100.0 1.6 30.3 36.9 19.9 6.7 1.5 3.2 

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

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

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

fl!f 

320 

354 

2,006 ii! 1,;;; 102 

128 249 

100.0 

100.0 

100.0 

100.0 

t-E 

1:1 

6.0 

50.7 33.7 

25 

'Z 2: 3716 

1:2 19:3 32.1 

1.4 

1:*: 

2917 

0.: 

;:i 

. 

kf 

2:: 

Church and other *o*profit------------ 239 1,107 100.0 2.9 28.1 36.6 17.3 3.9 1.3 9.9 

Less than 25 beds--------- 25-49 be,&---------- 207 

222 it:: 

100.0 

100.0 23 

50.7 16.0 10.4 

32.6 35.5 13.8 z-i E 1112': 

100 beds or more---------- 260 287 100.0 $2 22.6 30.0 25.8 5.9 i.3 172 

. 50-99 beds---------------- 247 400 100.0 20.8 49.5 16.3 318 

202 441 100.0 17.0 29.0 32.2 11.6 2.9 0.9 6.3 

Less than 25 beds--------- 173 100.0 15.3 51.0 21.4 1.0 5.1 

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

100 beds or more---------- :;z

239 

123 

105 

100.0 

100.0 

17.9 

12.4 

%E 

21:o ";:-i. 9:8

15.2 :-z 

6:7 2.9 z:; 

South 

All types of owner- ship--------------- 240 91 4,141 100.0 2.5 31.1 37.1 20.4 3.7 1.1 4.1 

Less than 25 beds--------- 25-49 ,,eds------am--m-- 2 100.0 100.0 2:: 19.4

63.6 

48.7

23.3 

2% 3:: f:Z 50-99 beds-------------

100 beds or more---------- 1:; 100.0 100.0 

1.6 

6.0 

9.2 

9.8 

44.9 

30.3 

34.8

34.5 116::: 2: 

25-49 beds------------- 1:; 100.0 21.7 28.7 lzi 0.9 11.3 

Proprietary----------- 89 100.0 2.3 29.5 39.6 21.4 3.8 2.4 

Less thari 25 beds--------- 68 61.4 26.5 1.7

25-49 beds---------- 100.0 f-f 19.1 52.0 18-i i-i 

100 beds or more---------- 120 :8% . 7.7 2;. 27.9 38.5 13.4 0:8 

Church and other nonprofit------------ 247 103 564 100.0 3.2 27.0 29.6 21.1 3.9 1.8 13.5 

Less than 25 beds--------- 25-,$9 beds------------

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

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

2 

'2:: 

1% 

1:: 

% 

152 

119 

100.0 

100.0 

X2 

12:: 

59.2

18.4 

17.1 

16.0 

15.4 

30.1 

38.8 

32.8 

2E 

;5*:. 

Y:fl 

E. 

;:i 

i:Z 

11.5 

20.2 

9.9 

10.9 

197 78 299 100.0 4.0 56.5 24.1 7.7 2.7 0.3 4.7 

Less than 25 beds--------- 25-49 beds------------168 

238 

49 

90 

165 100.0 3.6 81.8 

25.4 475.31 1;:"5 

1.2 

1.4 

4.2 

50-99 beds---------- :: 45.9 3716 612 24 

50-99 beds------------ 223 100.0 El 30.2 4412 93 Z:Y 

100 beds or more---------- 237 i: g 100.0 10:0 15.0 45.0 2;:; 5:o 

west 

All types of owner- ship--------------- 257 118 3,974 100.0 1.7 41.6 21.9 15.1 12.2 4.2 

Less than 25 beds--------- %S 100.0 ::i 

64.3 

25-49 beds------------- E-682;::: 22.: E

50-99 be&.------------- 358 100.0 'Z 21:o 28:2 10:6 

100 beds or more---------- 331 138 100.0 2; 9:1 17.8 2:: . 19.7 10.6 

Proprietary----------- 262 121 3,285 100.0 1.8 41.1 21.1 15.5 13.5 

Less than 25 beds--------- 205 

;g 

1,;;; 100.0 it'9 

64.4 21.4 25-49 beds------------- 307 24.1 2E 2% 50-99 beds-------------- 656 ?Z 30:3 

100 beds or more---------- z: 143 168 100.0 f:l 4:2 E-8. 27.4 9E. 

lIncludes no charge, initial payment-life care plans, and other noncharge arrangements. 

25 
:-I 

Table 5. Average and standard deviation of most frequent (modal) monthly charge per resident in nursing homes, number 

and percent distribution of homes by most frequent (modal) monthly charge, according to region, type of ownership, and bed size: United States, April-September 1968-&n. 

[Duelo mundingtonearesttonth,figuresmdynot addto 100porcen~ 

I II 

Average kandard 1 II Most frequent (modal) monthly charge 

most leviation 

Region, type of ownership: frequent of most Number 

Total Non- and bed size (modal) irequent of .charge

monthly (modal) homes arrangecharge monthly mentsl charge 

west-con. Percent distribution 

Church and other nonprofit------------ $280 $115( 300 25.7 23.0 21.0 10.7 4.3 14.3 

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

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

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

212 

295 

290 

312 

23.8 7.9 

12: 18.5 

17:o 30.7 '2?2 

19.0 17.9 26:2 

;;:i 

11:9 

1.6 

7:1 

12.7 

18.5 

9.1 

17.9 

201 58.4 27.2 6.9 1.8 0.3 3.6 

Less than 25 beds--------- 25-49 beds------------ 190 

274 

67.3 24.1 

16.1 12: YE 3.2 

1.5 . 12.9

50-99 beds-------------- 256 13.6 ";E 2217 12:; 100 beds air more---------- 246 8.3 16:7 8.3 

’- 41.; 

lIncludes no charge, initial payment-life care plans, and other noncharge arrangements. 

26 
Table 

homes

6. Average most frequent (modal) monthly charge per resident, number of nursing homes, and percent distribution

of by most frequent (modal) monthly charge, according to type of service and each State: United States, April- September 1968 

[Due LO rounding LO nearest tenth, ligures may not add to 100 percend 

-

Average II Most frequent (modal) monthly charge most 

(modal)

monthly

charge 

of 

homes arrangementsl 

Percent distribution 

Unit& States----------------- $253 L8,185 100.0 3.7 31.4 30.1 18.9 7.8 3.1 5.0 

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

Personal c-are with nursing---------- personal care-----------------------

295 

210 

181 

LO,330 

3,712 

4,143 

100.0 

100.0 

100.0 

E 

5:s 

12.4 36.5 

28.6 27 15.3 

27.3 12.5 

3-f . 9 :: ;-“8 2 : 0:2 3:6 

Alabama----------------------- 277 147 100.0 0.7 9.5 32.7 55.1 2.0 

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

286 

224 

163 

% 

4 

100.0 

100.0 

100.0 

0.8 33.1 

32-Z 37.5 

too:0 

62.2 

12.5 18.8 

Alaska------------------------ 255 4 100.0 75.0 25.0 

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

280 

180 

3 

i 

100.0 

100.0 

- 66.7 

LOO.6 

33.3 

Arizona----------------------- 292 76 100.0 3.9 10.5 31.6 31.6 10.5 1.3 

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

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

316 

241 

208 

z; 

100.0 

:l%z. 2;11:1 

30.8 

2.; 46.7 

4414 11.1 

40.4 15.4 

2E 

1.9 

Arkansas---------------------- 218 169 100.0 2.4 26.0 58.0 11.2 2.4 

State and type of service frequent Number Total Noncharge 

Nursing care------------------------ 219 159 100.0 1.9 26.4 59.7 11.9

Per&al care with nursing---------- 201 100.0 25.0 37.5 37.; Personal care----------------------- 75 ; 100.0 50.; 50.0 

California-------------------- 265 2,775 100.0 1.4 46.4 14.6 13.3 16.1 5.5 2.8 

Nursing care------------------------ Personal care with nursing---------- Personal care----------------------- 9:: 

197 

949 

433 

1,393 

100.0 

Ed . 8 

0:7 

:x 

6816 

$f . 

23.6 

9.7 

7.3 

42.3 

::t 

15.1 

1.8 

0.1 

Colorado---------------------- 243 161 100.0 1.9 18.0 57.1 17.4 1.9 0.6 

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

135 

18 

8 

100.0 

100.0 

100.0 

1.5 

12.3 

11.9 

38.9 

75.0 

63.0 

38.9 

19.3 

11.1 

2.2 0.7 l?I 

12:5 

Connecticut------------------- 304 341 100.0 7.0 23.8 13.8 23.8 18.8 9.1 3.8 

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

Personal care with nursing---------- personal care----------------------- E% 

188 

"2 

66 

E8 

1oo:o 

3-z 

9:1 

10.5 

33.9 

59.1 

11.4 

fE . 4x 

13:6 

28.3 

3.6 ?3. 1 ::;

. Delaware---------------------- 285 31 100.0 3.2 25.8 16.1 22.6 12.9 3.2 16.1 

Nursing care------------------------ 298 23 100.0 4.3 26.1 13.0 26.1 17.4 4.3 

Personal care with nursing---------- 278 100.0 40.0 20.0 Personal care----------------------- 163 3' 100.0 66.7 

District of Columbia---------- 208 80 100.0 1.3 42.5 31.3 7.5 1.3 1.3 15.0 

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

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

228 

207 

171 

33 

1"; 

100.0 

EC?:. 

3.0 

'?:: . 

-

3.0 3.0 

- 2:.: 

15:s 

287 305 100.0 3.9 17.0 29.5 29.2 12.1 5.6 2.6 

Nursmg care---------------,-,-------

Personal care with nursing---------- Personal care----.------------------ 92:: 

173 

"22 

32 

100.0 

100.0 

100.0 

30.2 

31.7 

21.9 

34.1 

22.0 

3.1 

?i . 6.9 

3.1 +-z 

6:3 

Georgia----------------------- 267 193 100.0 3.1 13.0 37.3 39.9 3.6 1.0 2.1 

Nursing care------------------------ Personal care with nursing---------- Personal care----------------------- 2; 

164 

l25Z 

17 

100.0 

100,o

100.0 

1.3 

23.; 

1X 

47:1 

36.7 

53.8 

17.6 

2; 

5:9 

4.7 1.3 95 

5:9 

IIncludes no charge, initial payment-life care plans, and other noncharge arrangements. 

27 
100.0 - 

100.0 46.7 

100.0 16.5 61.7 

100.0 23.6 25.5 

100.0 33.3 

100.0 

100.0 

Table 6. Average most frequent (modal) monthly charge par resident, number of nursing homes, and percent distribution 

of homes by most frequent (modal) monthly charge, according to type of service and each State: United States, April- September 1968-Con. 

[Dueto roundingto nenrosttenth,figuresmaynot addto 100pnrrentj 

Average Most frequent (modal) monthly charge most Number

State and type of service :zxy of Noncharge monthly homes arrange- charge mentsl 

Percent distribution 

$241 86 100.0 1.2 24.4 61.6 2.3 3.5 4.7 2.3 

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

Personal care with nursing---------- E:: 18 100.0 5.6 - 21.: %*S 11.1 16.7 16.7 

100.0 4.3 personal care----------------------- 205 235 100.0 - 33:3 6212 : 4.;; 

Idaho------------------------- 243 53 100.0 1.9 15.1 56.6 22.6 - 3.8 

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

Personal care with nursing---------- %E ""; 

100.0 2.3 6.8 22: 27.3 - 4.5 - PerSonal care----------------------- 170 6 100.0 - 2: . 33:3 : - -

248 887 100.0 2.0 25.9 38.7 18.5 6.0 1.8 7.1 

Nursing care------------------------ 281 516 4.5 Personal care with nursing---------- 228 194 100.0 2: 2E 40.7 ::*i ;:i 2; Personal care----------------------- 174 177 100.0 1:7 76:3 13.0 5:1 - 1?z. 

Indiana----------------------- 267 447 100.0 9.6 13.9 26.8 36.5 5.4 1.8 6.0 

Nursing care------------------------ 296 305 100.0 28.2 6.9 Personal care with nursing---------- 229 100.0 12.; ;I:: 27.6 ";z ::: 12:; personal care----------------------- 171 6'2 100.0 30:3 . 19.7 9:1 $2 6.1 

212 704 100.0 3.6 40.3 40.6 9.9 1.3 1.3 3.0 

Nursing care------------------------ 246

Personal care with nursing---------- 196 265: 100.0 i-i 53.0 33.3 % !:3 22 2.; personal care----------------------- 159 178 100.0 9:o 76.4 5.1 6:2 . 218 

Kansas------------------------ 207 453 100.0 1.5 42.4 46.4 6.0 0.4 3.3 

Personal care with nursing---------- personal care---------------------,- 199 

182 

210 

76 

100.0 

100.0 

23' 49.0 

68.4 

41.4 

19.7 

2.9 

5.3 

82 ::: 

1.3 

Kentucky---------------------- 214 282 100.0 1.4 54.3 14.9 14.9 5.0 9.6 

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

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

283 

173 

161 

:;Lt

52 

100.0 

100.0 

0.9 

5.8 

70.2 

78.8 

11.3 

1.9 

3E 

7:7 

12.3 

0.8 -

4.7 

Y-i. 

259 186 100.0 1.6 16.7 39.8 39.6 1.1 1.1 

Nursing care------------------------ 264 171 100.0 1.8 13.5 2f; 42.7 1.2 - 0.6 

Nursing care------------------------ 229 167 100.0 1.2 22.2 64.7 10.2 

Personal care with nursing---------- 189 12 100.0 - 58.3 . Pe*so*al care----------------------- 225 3 100.0 - 33.3 - 33.j - 33.3 

Maine------------------------- 217 268 100.0 6.7 39.6 30.2 10.8 5.6 0.7 6.3 

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

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

278 121 100.0 ;:p 11.6 46.3 21.5 12.4 1.7 0.8 - Personal care----------------------- :2 ;i 100.0 . ";Fi? 6.7 2:: - - . 'E

Maryland---------------------- 300 187 100.0 6.4 15.0 14.4 '36.9 13.9 4.8 8.6 

Nursing 

Personal care with nursing---------- Personal care----------------------- ii;

190 

2: 

13 

100.0 

100.0 

3:: - 10.6 

i:*: . 22 23:l 

E 

717 

5:: -

Massachusetts----------------- 282 914 100.0 6.8 21.0 26.5 24.6 6.5 6.7 

Nursing care------------------------ 318 100.0 6.2 3% 31.3 33.4 9.3 

Personal care------------ __w---mm--m 2: 149 100.0 12 55.7 9.4 ::2 . 2: 

Michigan-.----------------.---- 339 485 100.0 2.3 15.5 6.4 38.8 28.9 3.5 

Nursing care------------------------ 377 

3:; 

100.0 z $3 1% 45.8 33.: 4.8 13 

care------------------------

Personal care with nursing---------- % 100.0 23.5 i:$ 

Personal care with nursing---------- 255 . - Person*1 care----------------------- 187 50 100.0 8:0 . 16:O "i-f:. m 2.0 

IIncludes no charge, initial payment-life care plans, and other noncharge arrangements. 

28 
Table 6. Average most frequent (modal) monthly charge per resident, number of nursing homes, and percent distribution 

of homes by most frequent (modal) monthly charge, according to type of service and each State: United States, April- September 1968-Con. 

[Duo ta roundingto nemesttenth,figures my not nddto 100percent] -

7 

Average Most frequent (modal) monthly charge -~- most 

of 

monthly

charge arrangements 1 

Percent distribution 

Minnesota--------------------- $232 473 100.0 1.5 35.7 37.8 20.9 2.5 0.2 1.3 

Nursing caTe------------------------

Personal care with nursing---------- Personal caTe-----'-'-'-'-'-'---"'-

273

200 

153 

"Fi 

118 

:Ki 

1oo:o 

0.7 

4.2 

4.3 

E 3z 

5:9 1:7 

0.4 - 51.7 

0:8 

Mississippi------------------- 221 101 100.0 5.0 33.7 36.6 20.8 1.0 3.0 

pJuj-si*g CaTe------------------------

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

255 

164 

178 

2: 

22 

El:*: 

1oo:o 

1'0:: 

9.1 

13.6 32.2 1.7 

60.0 xl 

63.6 13:6 9.; 

'5.; 

415 

Missouri---------------------- 218 421 100.0 1.7 40.1 37.8 11.2 3.3 1.4 4.5 

Nursing ca=e------------------------

Personal care with nursing---------- Personal ca=e----------------------. 

233 

197 

171 

I% 

37 

100.0 

%i . zi 8:l 

32.4 5.3 

43.4 

83.8 

1.5 

1::: 

5.4 

Montana----------------------- 240 76 100.0 1.3 36.8 19.7 3.9 3.9 

Nursing care-----------------------. Personal care with nursing---------- personal caTe-----------------------

266 

2; 

% 

13 

100.0 

100.0 

100.0 

2.3 48.8 25.6 7.0

z?l 15.0 

76:9 E-i . 7.7 

1::; 

Nebraska---------------------. 193 265 100.0 2.6 57.0 29.8 4.5 1.1 0.4 4.5 

Nursing ca=e-----------------------. 

Personal care with nursing---------- Personal ca=e----------------------. 

226 

ii:: 1;: 

55 

100.0 

100.0 

100.0 

2.1 

9.; 

55.2 a.3 3.1 

"7:-i 

7812 % 4:: 

1.0 3.1 

::: 

Nevada-----------------------. 262 22 100.0 9.1 50.0 9.1 9.1 22.7 

Nursing caTe------------------------

Personal care with nursing---------- Personal ca=e--------.-------------. 4x2 

181 

I 

11 

:Ex 

1oo:o 

25.0 

9.1 

14.3 14.3 

75.0 

63.6 18.; 9.; 

71.4 

Ne., Hampshire----------------. 252 128 100.0 3.1 19.5 39.1 20.3 4.7 2.3 10.9 

Nursing caTe------------------------

Personal care with nursing---------- Personal ca=e----------------'------. 

261 

214 

253 

g Et 

1oo:o 

4.6 6.9

z-3 ~8"i 2:": 

41:7 16:7 16:7 

2.3 

$tj

8.; . 

New Jersey-------------------. 244 480 100.0 11.7 35.4 9.0 19.2 11.5 4.2 9.2 

Nursing caTe-----------------------. 

Personal care with nursing---------- personal care----------------------- 2% 

161 

235 

1% 

100.0 

100.0 

100.0 

?ii 

11:4 

6.4 29.8 21.7 

399.1 20.3 4.3 

6818 8.0 % . 0.6 

10.6 

2: 20.3 

2.8 

New Mexico-------------------- 227 54 100.0 18.5 24.1 24.1 22.2 7.4 3.7 

Nursing caTe-----------------------. 

Personal care with nursing---------- personal ca=e----------------------. 1% 

145 

28 

1; 

100.0 

%E . 

3.6 

47.4 

32.1 35.7 14.3 

5;.: 42.9 

3618 5.3 10.; 

7.1 

New York---------------------. 303 1,013 100.0 7.2 22.8 17.0 .19.0 11.8 ' .i.o 9.2 

Nursing caTe-----------------------. 

Personal care with nursing---------. p&so**1 caTe----------------------- 2:"; 

206 

541 

189 

283 

100.0 

100.0 

100.0 

2: 

10:6 

11.8 

309.; 23.8 :9-i 'x-t 

4214 22.3 15:5 218 

?3.1 

2.6 2% 

0.7 517 

Nor-h Carolina---------------. 192 634 100.0 1.4 71.3 15.1 6.9 0.9 0.6 3.6 

Nursing ca=e----------------'-------. 

Personal care with nursing---------. personal caTe----------------------. 

253 

182 

176 

108 

217 

309 

100.0 

100.0 

100.0 

2.8 

!:Z 

38.9 

2; 15.7 "X ;:I 

85:1 6.5 3:9 . 

3.' 

t"o , 213 

North Dakota-----------------. 203 88 100.0 2.3 58.0 21.6 14.8 2.3 I 1.1 

Nursing ca11e-----------------.-----. 

Personal care with nursing-------r-* person&J, ca=e-----.----.------------

303 

180 

140 

100.0 

100.0 

100.0 

-

5.6 

53.6 35.7 7.1 

735.; 16.7 -

as:9 i:: 

-i 

:I 2.; 

frequent I kxmber 

State and type of service Total (modal) Ilames Noncharge 

1Includes no charge, initial payment-life care plans, and other noncharge arrangements. 

29 
Table 6. Average most frequent (modal) monthly charge per resident, number of nursing homes, and percent distribution 

of homes by most frequent (modal) monthly charge, according to type of service and each State: United States, April- September 1968-0x. 

[Dueto roundingto nearestenth, figuresmaynot addLo100perceng 

Average Most frequent (modal) monthly charge most 

State and type of service frequent Number 

of Total (modal) homes monthly

charge 

Percent distribution 

Ohio-------------------------- $243 1,091 100.0 3.8 20.5 47.8 17.2 3.8 1.6 5.3 

Nu*si*g care------------------------ 261 759 54.7 2.2 2.6 Personal care with nursing---------- 230 :EF; zi :z 40.0 'i-i 1-i. personal care----------------------- 24 102 1oo:o 13:7 59:s 13.7 7:8 % . 

Oklahoma---------------------- 229 383 100.0 3.4 20.9 68.1 4.4 1.0 0.5 

Nursing 

Personal care with nursing---------- pe*s#Jna1 care----------------------- 209 

120 

"24 a 100.0 

100.0 540:: 

46.3 

50.0 

34.1 - ::9' 22 

Oregon------------------------ 219 264 100.0 1.5 40.2 35.2 17.8 1.5 

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

Personal care with nursing---------- Pe*so*al care-----------------i------

255 

180 

152 

% 

67 

100.0 

100.0 

100.0 

1.3 

3.0 

'5E 

a6:6 

50.0 

18.9 

9.0 

28.1 

5.4 

2.5 . 

-

Pennsylvania------------------ 267 753 100.0 9.2 17.9 26.4 23.0 11.8 2.9 8.8 

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

Personal care with n.ursing---------- persona1 care-----------------------

295 

213 

172 

499 

% 

100.0 

100.0 

100.0 

8.6 

1::: 

2% 

46:3 

27.9 

:z . 

28.9 

IS.6 

11.0 

% . t:; $2 . 

&ode Island------------------ 230 165 100.0 7.9 36.4 25.5 20.0 6.7 1.2 2.4 

care------------------------ 234 100.0 2.1 17.1 74.0 1.2 

Nursing care------------------------ 100.0 12.8 26.7 33.7 11.6 2.3

Personal care with nursing---------- :9'; xi 100.0 l-i a.3 4.2 2:; Pe*so*al care----------------------- 170 55 100.0 713 24 . 22:. 3.6 

South Carolina---------------- 278 90 100.0 2.2 13.3 48.9 23.3 10.0 2.2 

Nursing care------------------------ 296 100.0 6.9 51.4 27.8 12.5

Personal care with nursing---------- 220 7;

6 

lOO..O k:f 16.7 58.3 8.3 Personal care----------------------- 154 100.0 83.3 186:;

South Dakota------------------ 214 122 100.0 42.6 44.3 5.7 0.8 0.8 5.7 

Nursing 

Personal care with nursing---------- Personal care----------------------- 200 

162 ;; 100.0 21 100.0 '7:.9. 35.9 

9.5 

2.6 - 10.;

14.3 

Tennessee--------------------- 230 205 100.0 4.4 21.0 5i.2 15.6 1.5 5.4 

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

Personal care with nursing---------- pe*so*al care-----------------------

250 

228 

127 

144. 

:zzi 

33: 100: 0 

ii*: 

22:6 

12.5 

23.3 

58.1 

63.2 

46.7 

6.5 

20.1 

10.0 i:f - 2.1 

E-2. 

249 836 100.0 1.2 21.9 49.6 21.3 3.0 0.4 2.6 

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

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

263 

197 

183 

651 100.0 

100.0 

Y'i 100.0 

2: 

2:o 

11.4 

53.7 

72.5 

57.9 

2:*i. 

24.9 

15:: 

2;

2:o 

0.5 1E 

2:o 

206 126 100.0 54.8 31.7 7.9 0.8 0.8 4.0 

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

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

226 

183 

196 

100.0 

Ii 100.0 

100.0 

- 41.9 

K . 3288': 

16:7 

12.9 

11.1 

1.6 1.6 3.2 

6.5 

Vermont----------------------- 259 110 100.0 a.2 20.9 29.1 22.7 10.0 1.8 7.3 

care------------------------ 238 100.0 25.8 61.3 11.3 1.6 

Nursing care------------------------ 304 100.0

Personal care with nursing---------- 202 P$ 1?85 3::: 2: "E P42. 3.0 11::

Pe*so~l care----------------------- 175 27 %*Z. 14:a 44.4 18:5 11:1 11.1 

Virginia---------------------- 243 253 100.0 4.3 32.0 30.4 20.6 5.1 1.6 5.9 

Nursing care------------------------ 284 131 100.0 11.5 39.7 34.4 '1.5 

Personal care with nursing---------- 212 100.0 :+ 44.8 24.1 

pe*so*al care----------------------- 180 2 100.0 718 62.5 17.2 73184 1.6

i:: I 20.7 

lkcludes no charge, initial payment-life care plans, and other noncharge arrangements. 

30 
Table 6. Average most frequent (nodal) monthly charge per resident, number of nursing homes, and percent distribution 

of homes by most frequent (modal) monthly charge, according to type of service and each State: United States, April- September 1968-0x. 

[DUP to rounding to nem~st tenth, figures may not dd 0 100 percent] 

Average Most frequent (modal) monthly charge most 

State and type of service frequent Total $500 (modal) Noncharge monthly $1-99 0 r more arrange- charge t ments* 

I I I i

-

Percent distribution 

Washington-------------------- $26’3 251 100.0 2.0 23.5 32.3 31.1 4.0 0.8 6.4 

Nursing caTe------------------------

Personal care with nursing---------- persona1 ca=e----------------------- iii 

198 

"K 

13 

:KE 

1oo:o 

;*"o

15:4 

17.6 35.8 

39.2 25.5 

46.2 7.7 

5.3 

2% 

30:8 

;:: 1% 

@St Virginia----------------- 259 59 100.0 1.7 22.0 33.9 27.1 3.4 1.7 10.2 

Nursing caTe------------------------

Personal care with nursing---------- Personal ca=e----------------------- :z 

308 

41 

14 

4 

:Ex 

1oo:o 7.; -

14.6 43.9 

42.9 14.3 

25.0 

34.1 4.9 

50.0 

2.4 

35.;

25.0 

Wisconsin--------------------- 275 462 100.0 1.9 20.8 32.5 28.1 10.0 1.3 5.4 

Nursing caTe------------------------

Personal care with nursing---------- Personal caTe----------------------- E 

194 

288 

138 

36 

100.0 

100.0 

100.0 ;:i . 

33.7 

3E 34.1 

61:l 16.7 

38.9 14.6 

10.1 

11.1 2; 

2.1 

14-i 

218 

~yo~ng----------------------- 221 26 100.0 - 46.2 34.6 7.7 7.7 3.8 

Nursing cake------------------------

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

257 

187 

188 

12 

ii 

100.0 

100.0 

100.0 

-

-

-

25.0 58.3 

66.7 

62.5 25.0 

16.7 

16.7 

12.5 

16.7 1 

1Includes no charge, initial payment-life care plans, and other noncharge arrangements. 

31 
Table 7. Average most frequent (modal) monthly charge per residenr, number of nursing homes, and percent distribution 

of homes by most frequent (modal) monthly charge,accordingtomedical services available inside and outside the home: 

United States, April-September 1968 

[Due M rounding lo nenrrsl Lmth, l'ipurwmaynot add 10 100 porccn~ 

Medical services available inside most kmber 

and outside the home f’m:::Ty ,OUl of 

‘ZS nonthly

charge 

Arrangements for physician servvz2s Percent distribution 

Physician visits by full-time staff doctor----------------------- - - - - __ - $263 1,344 100.0 7.3 19.6 34.1 20.3 9.7 3.5 5.6 

Physician visits at regular inter- vals-------------------------------- 279 6,139 100.0 3.0 19.8 31.5 22.3 11.3 4.3 7.8 

Physician visits when needed--------- 236 9,830 100.0 3.5 39.7 29.2 17.0 5.3 2.2 3.3 

Medical care received in physician's office------------------------------ 196 364 100.0 5.5 56.9 24.5 6.9 3.0 0.8 2.5 

Provision of Dhvsical examination 

At admission and annually------------ 267 13,635 100.0 3.4 23.9 34.9 20.4 9.6 3.8 4.0 

At admission only-------------------- 234 1,465 100.0 4.5 34.6 29.8 14.0 6.1 2.5 8.5 

Annually only------------------------ 210 415 100.0 6.0 47.0 26.5 11.3 2.9 1.9 4.3 

Neither at admission nor annually---- 194 2,670 100.0 4.5 65.6 6.1 15.0 0.3 0.4 8.1 

Type of therapy available inside 

the home 

Physical, occupational, and speech/ hearing----------------------------- 385 1,213 100.0 4.6 4.1 12.7 25.4 29.9 17.8 5.4 

Physical and occupational------------ 324 1,457 100.0 2.7 8.6 28.7 29.1 19.6 6.7 4.7 

Physical and speech/hearing---------- 360 442 100.0 5.7 5.0 18.3 25.8 26.2 14.5 4.5 

Occupational and speech/hearing------ 269 25 ioo.0 24.0 36.0 20.0 12.0 8.0 

Physical only------------------------ 304 1,978 100.0 3.2 9.6 34.0 30.4 14.6 4.9 3.3 

&cupationaJ, only-------------------- 247 472 100.0 1.3 29.9 39.6 19.9 4.7 1.0 3.6 

Speech/hearing only------------------ 254 45 100.0 42.2 31.1 13.3 8.9 2.2 2.2 

None--------------------------------- 219 12,553 100.0 3.9 41.2 31.3 15.0 2.7 0.7 5.3 

Physical therapy 

Inside the home and in an out- patient clinic---------------------- 307 816 100.0 3.7 8.3 32.7 30.4 16.3 4.3 4.3 

Inside the home only----------------- 339 4,274 100.0 3.6 7.5 24.8 28.0 21.5 10.3 4.3 

In an outpatient clinic only--------- 258 1,774 100 .o 2.8 22.3 40.3 21.4 6.7 1.6 5.0 

None--------------------------------- 215 11,321 100.0 3.9 43.6 30.3 14.1 2.2 0.6 5.3 

'Includes no charge, initial payment-life care plans, and other noncharge arrangements. 

4verage Most frequent (modal) monthly charge 

32 
Table 8. Number of nursing homes charging for care and average lowest, most frequent (modal), and 

highest monthly charges per resident, by number of employees per 100 residents, type of ownership, and bed size: United States, April-September 1968 

Average monthly charge Number of 

Number of employees per 100 residents, homes 

type of ownership, and bed size ;;-gxgE Lowest frequent Highest 

Most 

(modal) 

Less than 20 employees 

All types of ownership--------------------- 849 $162 $188 $228 

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

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

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

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

602 

118 

:63 

154 

21i 

157 

155 

173 

238 

195 

235 

207 

292 

254 

291 

Proprietary---------------------------------- 626 162 184 225 

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

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

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

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

501 

:z 

16 

154 

212 

174 

156 

i74 

240 

210 

175 

208 

298 

287 

264 

Church and other nonprofit------------------- 93 191 246 297 

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

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

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

101) be& or more---------------------------------

27 

21: 

23 

142 

286 

182 

178 

163 

308 

%i 

199 

383 

284 

354 

Government----------------------------------- 130 143 166 196 

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

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

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

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

74 

24 

18 

14 

159 

149 

1’1: 

171 

175 

121 

181 

200 

202 

150 

216 

20-39 employees 

All types of ownership--------------------- 2,755 167 189 230 

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

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

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

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

1,779

483 

314 

179 

159 

184 

181 

180 

177 

205 

213 

219 

2io 

256 

268 

289 

Proprietary---------------------------------- 2,123 172 193 235 

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

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

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

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

1,505

362 

197 

59 

159 

192 

206 

245 

178 

215 

244 

280 

212 

270 

305 

377 

Church and other nonprofit------------------- 323 160 190 236 

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

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

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

100 be& or more---------------------------------

87 

75 

i% 

157 

177 

151 

157 

174 

195 

182 

208 

193 

241 

236 

276 

33 
Table 8. Number of nursing homes charging for care and average lowest, most frequent (modal), and 

highest monthly charges per resident, by number of employees per 100 residents, type of ownership, and bed size: United States, April-September 1968-Con. 

Number of T Average monthly charge 

Number of employees per 100 residents, 

type of ownership, and bed size 

homes 

charging

for care Lowest 

Most 

frequent

(modal) Highest 

Government----------------------------------- 309 $145 $159 $189 

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

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

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

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

187 

46 

3: 

158 

133 

111 

128 

172 

145 

120 

150 

203 

173 

145 

182 

40-59 employees 

All types of ownership--------------------- 4,103 198 230 280 

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

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

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

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

1,670

1,127

936 

370 

175 

204 

222 

228 

198 

236 

260 

274 

233 

289 

321 

364 

Proprietary-------------------------L-------- 3,299 204 235 285 

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

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

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

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

1,460

968 

678 

193 

177 

209 

239 

259 

201 

242 

277 

305 

237 

296 

340 

405 

Church and other nonprofit------------------- 540 172 208 272 

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

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

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

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

181;

205 

138 

147 

166 

176 

186 

165 

195 

215 

234 

191 

243 

280 

330 

Government----------------------------------- 264 180 205 235 

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

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

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

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

130 

42 

5; 

161 

195 

183 

220 

182 

220 

207 

262 

209 

256 

240 

288 

60-79 employees 

All types of ownership--------------------- 4,415 239 275 340 

Less thaii 25 beds--------------------------------

25-49 beds--------------------------------------- 1,320

1,274 

191 

233 

217 

268 

254 

329 50-99 beds---------------------------------------

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

1,312 278 321 405 

509 277 324 426 

Proprietary---------------------------------- ‘,592 247 283 350 

'Less than 25 beds-------------------------------- 1,152 194 221 259 25-49 beds--------------------------------------- 1,080 246 275 338

50-99 bed s--------------------------------------- 1,050 295 338 426 100 beds or more--------------------------------- 310 310 356 475 

34 
Table 8. Number of nursing homes charging for care and average lowest, most frequent (modal), and 

highest monthly charges per resident, by number of employees per 100 residents, type of ownership, and bed size: United States, April-September 1968-Con. 

Number of employees per 100 residents, 

type of ownership, and bed size 

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

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

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

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

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

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

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

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

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

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

80 employees or more 

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

~~~~ than 25 beds---------------------------------

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

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

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

Average monthly charge Number of 

homes 

charging Most 

for care Lowest frequent Highest (modal) 

556 $200 $244 $312 

162 184 210 

1:: 197 230 279 

202 203 329 

136 220 t5; 376 

267 206 231 264 

176 193 228 

zi 199 232 267 

225 250 287 

:03 236 267 296 

5,154 260 296 366 

2,166

1,349

1,136

503 

205 

272 

322 

322 

229 

310 

371 

377 

269 

382 

472 

494 

4,004 264 299 371 

1,819 209 234 274 

1,084

827 

277 

339 

314 

389 

389 

501 

274 350 406 550 

823 254 301 372 

184 200 228 269 

201 249 294 363 

255 275 327 405 

183 284 343 440 

327 226 250 282 

163 165 183 211 

272 296 332 

2 288 317 359 

46 306 343 374 

35 
Table 9. Number ofnursing homes charging recipients,by type of service and bed size: Unitedcharge per resident for homes with and without Medicare

for care and average most frequent (modal) monthly States, April- September 1968 

Homes with Medicare Homes without Medicare 

Number of recipients1 recipients 

Type of service homes 

and bed size charging Number 4verage most 

Number Iverage most

for care frequent charging for S~x~r' charging for (modal) 

All types of service---

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

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

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

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

Nursing care-------..----­

t 

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

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

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

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

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

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

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

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

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

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

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

25-49 beds------------------­

:~,9~e~~d~;-,,;,::::::::::::: 1 

IAccording to the Social Security tified for Medicare January 1, 1967, details.) This figure is larger than 

care monthly

charge 

care monthly

charge 

17,276 2,756 $366 14,520 $231 

7,537 75 332 7,462 202 

4,351 553 355 3,798 252 

3,774 1,329 376 2,445 273 

1,614 799 358 815 272 

10,036 2,571 369 7,465 269 

2,432 69 342 2,363 250 

3,323 533 356 2,790 263 

3,085 1,275 378 1,810 296 

1,196 694 364 502 294 

3,245 175 317 3,070 204 

1,707 3 160 1,704 188 

589 20 329 569 212 

566 49 320 517 228 

383 103 317 280 239 

3,995 10 * 3,985 181 

"ti; ; 1 ; 1 "i/i 1 ;; 

Administration

when the universe(SSA), there were approximately 3,400 nursing homes cerfor this survey was established. (See appendix II for 

that shown in the above table because: 

l 121 homes certified for Medicare but making no charge for care were excluded from the table. 

l 500 hospital-based extended care facilities were not included in the survey universe. 

*Homes certified for Medicare but having no Medicare patients were not identified in this survey (see phrasing of question 16 in appendix V). However, such homes were included in the SSA figure. 

36 
Table 10. Number and percent of nursing home residents with public or medical assistance benefits, Medicare benefits,

and exhausted Medicare benefits, by type of ownership, type of service, and bed size of nursing home: United States, April-September 1968 

Type of ownership L 

All types of ownership Proprietary 

Type of service 

and bed size I I 

Residents Residents

Number with Re;si;nts $~~d,'~~s Number with Re;$;;nts ~~~d~~~s

of of

residents p2~~~a~ Medicare hausted :esidents p;gao; Medicare hausted 

assist- benefitsi Medicare assist- benefits~ Medicare1 

ante benefits1 ante benefits 

Percent Percent 

All types of service--- 743,293 44.9 5.3 7.3 492,535 47.8 6.8 8.5 

Less than 25 beds------------ 93,069 49.0 0.3 3.3 79,285 50.4 0.2 3.2 

25-49 beds------------------- 156,474 49.6 2.6 5.3 124,695 52.2 2.7 5.2 

50-99 beds------------------- 248,903 43.3 7.0‘ 9.3 180,731 45.6 8.6 10.9 

100 beds or more------------- 244,847 42.1 7.3 8.0 107,824 44.3 13.2 12.1 

N-sing care--------m---w 7.0 8.9 399,792 47.1 8.1 9.6 

Less than 25 beds------------ 0.7 3.5 35,691 48.9 0.5 3.5 

25-49 beds------------------- 3.3 5.9 99,611 51.0 3.3 5.7 

50-99 beds------------------- 8.4 10.7 164,649 45.6 9.3 11.5 

100 beds or more------------- 9.3 10.1 99,841 45.0 13.8 12.7 

Personal care with nursing----------------- 1.3 2.7 54,109 51.5 1.5 3.5 

Less than 25 beds------------ 54.6 0.0 3.2 17,652 56.8 0.0 2.9 

25-49 beds------------------- 48.8 0.7 3.3 16,816 57.9 0.6 3.0 

50-99 beds------------------- 32.2 1.0 2.5 123978 44.1 1.9 3.8 

100 beds or more------------- 28.5 2.1 2.5 6,663 35.9 6.7 6.0 

Personal care------------' 44.5 0.2 3.5 38,634 49.9 0.2 3.6 

Less than 25 beds------------ 46.6 0.0 3.1 25,942 48.3 0.0 3.1 

25~49 beds------------------- 46.0 4.1 8,268 55.0 4.6 

50-99 beds------------------- 45.3 0.8 5.5 3,104 56.6 1.4 5.7 

100 beds or more------------- 21.2 1.3 0.6 1,320 35.5 2.4 1.8 

'Residents in this category may also have been receiving public or medical assistance benefits. 

37 
2.3 

2.6 

2,8 

2.4 

4.3 

Table 10. Number and percent of nursing home residents with public or medical assistance benefits, Medicare benefits, 

and exhausted Medicare benefits, by type of ownership, type of service, and bed size of nursing home: United States, 

April-September 1968-Con. 

T- Type of ownership-con. 

Church and other nonprofit I .Government 

Type of service I 1 

and bed size Residents Residents Residents with 

with with ex- Number 

N":i== pi;,';z,y Medicare hausted of

Medicare residents assist- residents ~e~e~i~~l Medicare assist- benefits' benefits~ benefits1 ante ance 

percent 

I 

Percent 

All types of service--- 177,421 33.6 2.9 5.1 73,337 53.2 1.6 4.4 

Less than 25 beds------------ 7,991 33.2 1.4 3.4 5,793 50.5 4.0 

25-49 beds------------------- 23,708 37.0 1.8 5.1 8,071 46.9 2.1 6.3 

50-99 beds------------------- 54,024 32.3 3.1 4.9 14,148 54.7 1.2 6.6 

100 beds or more------------- 91,698 33.6 3.L 5*3 45,325 54.2 1.8 3.4 

Nmsi,,g ,..re------------- 85,753 39.8. 4.7 8.0 50,198 61.8 2.1 5.1 

Less than 25 beds------------ 2,573 34.7 3.9 4.3 1,098 47.7 1.7 

25-49 beds------------------- 11,407 41.7 3.7 7.3 4,495 55.1 2.5 6.6 

50-99 beds------------------- 30,061 38.9 5.3 1.2 9,410 60.0 1.3 8.2 

100 beds or more------------- 41,712 40.2 4.7 9.0 35,195 63.5 2.3 4.1 

Personal care with nursing----------------- 80,584 27.4 1.2 2.3 15,598 34.0 0.7 2.2 

Less than 25 beds------------ 2,228 34.8 0.1 3.3 1,175 59.6 6.8 

25-49 beds------------------- 8,599 31.6 0.2 3.2 1,794 45.8 3.2 6.1 

50-99 beds------------------- 21,466) 22.31 1.81 3,516 48.3 1.0 2.1 

100 beds or more------------- 48,291 28.5 1.8 2.3 9,113 22.9 0.2 0.9 

Personal care------------ 11,084 31.3 0.3 2.6

- 7,541 36.0 0.2 4.3 

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

2549 beds-------------------

3,190 

3,702 

30.8 

34.8 

0.2 2,8 

2.4 

3,520 

1,782 

48.3 

27.6 

3.7 

5.6 

50-99 beds------------------- 2,497 37.9 4.3 1,222 31.8 1.0 7.6 

100 beds or more------------- 1,695 14.7 1.3 1,017 13.6 

'Residents in this category may also have been receiving public or medical assistance benefits. 

38 
APPENDIX I 

TECHNICAL NOTES ON THE SURVEY DESIGN AND PROCEDURES 

General 

The 1968 Nursing Home Survey included “all” 

(18,858) resident institutions in the United States which 

provide nursing or personal care to the aged, infirm, 

or chronically ill. Although it was directed toward the 

aged institutional population, all people who were residents of institutions within the scope of the survey were 

included regardless of age. The survey, conducted from 

April to September 1968, included nursing homes, convalescent homes, rest homes, homes for the aged, and 

other related facilities. Resident institutions which 

maintained at least three beds and provided some type 

of nursing service were included in the survey. (See 

appendix IV for the procedure used to classify these 

institutions by type of nursing service.) 

This appendix describes the survey design andprocedures for the 1968 Nursing Home Survey. Succeeding 

appendixes present the general qualifications of the 

data (appendix II), definitions of terms (appendix III), 

classification of institutions by type of nursing service 

(appendix IV), and forms used in the survey (appendix 

VI. 

Universe 

The universe for the 1968 Nursing Home Survey 

consisted of all institutions cl.assified as nursing homes 

in the 1967 Survey of the Master Facility Inventory 

(MFI). A detailed description of how the MFI was developed, its content, its maintenance plans, and a procedure for assessing the completeness of its coverage 

has been published?O-“lThe MFI includes the names, 

addresses, and certain descriptive information about 

“all” hospitals and resident institutions in the United 

States. It was originally developed by collating a large 

number of published and unpublished lists of establishments and surveying these establishments by mail 

to obtain information on their nature and status of 

business. 

NOTE: The list of refcrmws follows the 1eXL. 

Since the MFI serves as a sampling frame for 

institutions within the scope of the various health facilities surveys, it is imperative that it be kept as 

current as possible. To aid in accomplishing this purpose, a mechanism known as the Agency Reporting 

System has been developed to provide information on 

new institutions which is incorporated in the MFI at 

regular intervals. A report on the origin and development of the Agency Reporting System has been published.2a 

Data Collection and Processing 

Data for this survey were collected, primarily 

by mail, by the Wolf Research and Development Corporation, under contract to the National Center for 

Health Statistics. When the original mailing received 

no response, followup procedures consisted of three 

regular first-class mailings, each approximately 3 

weeks after the prior mailing, and a final certified 

mailing. Before the certified mailinginterviewersfrom 

the U.S. Bureau of the Census made personal visits 

to approximately 400 of the largest nursing homes 

which had not responded. (These 400 homes were 

not included in the certified followup.) Of those nonresponding homes left after the certified mailing, a 

sample of 2,000 homes, stratified by bed size and type 

of service, was selected for telephone followup. 

Approximately 22 percent of the 18,185 homes in 

scope of the survey responded to the original mailing. 

The three additional first-class mailings added 39 

percent, and the certified mailing plus Census personal interviews added another 19 percent. Telephone 

followup plus late mail returns brought the total response to 87 percent. Of the 2,375 nonresponding homes, 

the majority were those with less than 25 beds (table 

I). Nonresponse decreased as bed size increased. 

The Wolf Corporation hand-edited and coded the 

completed questionnaires in accordance with specifications established by the Center. If the returned ques39 
43 

26 

22 

10 

tionnaire did not contain data for certain key items, a 

further mail inquiry was made specifically for these 

items. Approximately 10 percent of the returned questionnaires did not pass editing criteria for one or 

more key items and required this “fail-edit” mailing. 

.After the edited and coded data were recorded 

on magnetic tape, the staff of the Health Facilities 

Table I. Number and percent distributions of 

Statistics 

Statistics 

computer. 

tion with 

1967 MFI 

Branch of the Division of Health Resources 

processed the data on the Center’s electronic 

Processing included matching each institubasic identifying information contained in the 

Survey as well as carrying out internal 

edits and consistency checks to eliminate “impossible” 

responses and errors in editing, coding, or processing. 

nursing homes by response status and bed 

size: United States, April-September 1968 

LDue to rounding to nearest tenth, figures may not add to 100 percend 

II I 

Questionnaires

1 

11 I 

mai’ !d 

Bed size Number 

Questionnaires Questionnaires

returned not returned 

of homes Tota 1 

Percent distribution 

All homes _____________ 18,185 100 87 

Less than 25 beds----------- 43 35 

25-49 beds------------------ 26 23 

50-99 beds------------------ 22 20 

100 beds or more------------ 10 9 

40 
APPENDIX II 

QUALIFICATIONS 

General Qualifications 

Certain qualifications should be kept in mind regarding the MFI, which was the universe for the 1968 

Nursing Home Survey. The data in this report can be 

no more representative of nursing homes in the United 

States than the universe on which the survey was based. 

The 1967 MFI Survey included approximately 89 percent of the nursing homes in the United States. Indications are that nursing homes not on the MFI.were 

relatively small, possibly no more than half as large 

on the average as those listed. 

Special attention is called to the procedure for 

classifying institutions described in appendix IV.Nursing homes, i.e., homes for the aged, rest homes, and 

related types of places, were classified according to the 

type of service provided in the home rather than on 

State licensure laws or on what the home may call itself. This criterion for classification was chosen in the 

absence of commonly accepted definitions of nursing 

homes or other institutions of this type. 

Since the 1968 Nursing Home Survey was a census 

of “all” nursing homes in the United States, the data 

presented in this report are not subject to sampling 

variability. The data are, however, subject toreporting 

and measurement errors. The accuracy of the data depends on the dependability of personnel and business 

records and, to some extent, on the accuracy of the 

respondent’s replies based on his memory andhiswillingness to report correct answers. 

In an attempt to keep measurement errors to a 

minimum, the questionnaire was made as self-explanatory as possible. Not only were definitions and explanations included as part of each question, but a 

separate Definition Sheet regarding staff was enclosed. 

Time Interval Between Establishing the Universe 

and Conducting the Survey 

The time interval between the 1967 MFI Survey 

(April-October 1967), in which the universe of nursing homes was established, and the 1968 Nursing Home 

Survey (April-September 1968) was 1 vear. Basic 

classification data collected in the 1967 MFI Survey 

were not collected in the 1968 Nursing Home Survey. 

OF THE DATA 

Instead, the 1968 data were assumed to be the same 

as the 1967 data, and the 1967 data were used to classify the homes. Thus the classification of institutions 

for the 1968 Nursing Home Survey was based on type 

of service and type of oWnership information collected 

in the 1967 MFI Survey. 

During this l-year interval the type of ownership 

and type of service probably changed for some of the 

institutions. Because of the short timeperiod, however, 

any changes &hich occurred should have only a negligible effect on the distribution of institutions by either 

type of service or type of ownership. 

During the l-year interval between establishing the 

universe and conducting the 1968 survey, 399 nursing 

homes closed and 1,355 nursing homes opened for 

business. Those which opened for business were not 

included in the 1968 survey because of a time lag in 

receiving the names and addresses of new homes from 

the Agency Reporting System, the mechanism which updates the MFI mailing list. They were, however, included in the 1969 MFI Survey. 

Percent distributions of these 1,355 new homes are 

presented according to 1969 MFI data on type of ownership and bed size (table II) and type of service and 

region (table III). The majority of new nursing homes 

(79 percent) were proprietary-owned (table II) andmost 

(72 percent) provided nursing care, the highest level 

of nursing service (table III). 

Care should be taken when interpreting the data 

in this report to remember that information about the 

1,355 nursing homes which opened during the l-year 

interval is not included in the detailed or text tables. 

Rounding of Numbers 

Data on charges for care were collected in dollars 

and cents but were rounded to the nearest dollar before 

any calculations were made. 

Nonresponse qnd Imputation of Missing Data 

Of the 18,858 institutions comprising the universe 

of nursing homes, 673 were found to be either out of 

business, out of scope, or duplicates, leaving 18,185 

41 
-- 

homes in scope of the survey. A total of 2,375 nursing 

homes, or 13 percent, refused to respond to the survey 

after all followup procedures were completed. Additional information on the response rate is presented 

in table I of appendix I. 

Statistics in this report were adjusted for aninstitution's nonresponse by using classification data 

collected in the 1967 MFI Survey for that particular 

nursing home and imputing all items. When nursing 

homes did not return questionnaires or left items 

blank, the items were imputed in one of four ways. 

A "no" response was assigned to blanksinthe following 

items: minimum age for admission, admission physical, 

yearly physical, availability of recreation therapy or 

outpatient therapy. If the missing data for a particular 

home had been collected in the 1967 MFI Survey, they 

Table II. Percent distribution of nursing homes 

opened for business between April-October 1967 

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

[Due to rounding to nearest tenth, figures may not add to 100 percent] 

Nursing homes 

opened for

Type of ownership and business between

bed size April-October

1967 and April- September 1968 

Number 

Total homes------------ 1,355 

Percent 

distribution 

All types of ownership- 100.0 

were used. The items imputed in this waywere number 

of full-time registered nurses, number of full-time 

licensed practical nurses, and number of patients. If 

the missing data had not been collected in the 1967 

MFI Survey, data were usedfromtheprecechng questionnaire from another nursing home having the same 

type of service (nursing care, personal care withnursing, or personal care) and the same bed size group 

(less than 25 beds, 25-49 beds, SO-99 beds, 100 beds 

or more). Items imputed this way were charges for 

care, number of admissions, number of employees in 

selected occupations, physician arrangements to visit 

patients, and level of the nurse in charge ofthe shift. 

For items related to patient census, specialimputation tables were used which gave the ratio of the 

item to the patient census by type of service andbed 

Table III. Percent

opened ti businessdistributionofnursing homesbetween April-October 1967 

and April-September 1968 by type of service

and region: United States 

[Due to rounding to nearest tenth, figures may not add to 100 percenti 

E

Nursing homes 

opened for 

Type of service and region business between 

April-October

.967 and AprilSSeptember 1968 1

1 

Type of service Number 

Tot-1 homes- _------ _--- 1,355 

Percent 

distribution 

All types of service--- L 100.0 

N-sing care----------------- 71.7 

Personal care with nursing--- 12.5 personal care---------------- 15.8 

Region Number 

Total homes------------ 1,355 

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

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

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

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

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

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

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

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

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

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

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

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

78.9 

31.4 

12.3 

22.3 

12.9 

14.1 

5.2 

32’; Percent 

distribution . 

6.9 

All regions------------- 100.0 

Northeast--------------------- 15.0 2:: North Central------ ----_ ---_ 28.3 South------------------------- 37.9 0’:: West-------------------------- 18.9 

42 
size group or by type of ownership. These items were 

number of discharges, number of deaths, number of 

male and female patients, number of patients receiving 

rehabilitation services, andnumber of patients receiving 

medical assistance benefits. 

The percent of nursing homes with a particular 

item imputed for unknown responses ranged from 13.6 

percent for patients receiving medical assistance payments to 26.7 percent for employees in selected occupations (table IV). The percentages in table IV are based 

on the 18,185 homes in scope. The two components of 

the percentages are the 2,375 homes which did not 

respond to the survey plus the homes which did respond 

but left a particular item blank. 

The high percentage of imputed answers dealing 

with rehabilitation services and employees may be due 

to respondents’ unwillingness to take the time togather 

information from business records in the detailed 

breakdowns requested. 

Table IV. Percent of nursing homes with various 

items imputed for unknown responses, by type of item: 1968 Nursing Home Survey 

Type of item Percent 

imputed 

Patient receiving medical assistance benefits---------------------------- 13.6 

aarges for care--------------------- 15.2 

Arrangement for physician services--- 15.4 

Patients receiving rehabilitation . services---------------------------- 24.7 

Number of employees in selected 

occupations------------------------- 26.7 

ooo-
APPENDIX III 

DEFINITIONS OF CERTAIN TERMS USED IN THIS REPORT 

Terms Relating to Homes or Residents 

Nursing home.-This term refers to all institutions 

that were within the scope of the 1968 Nursing Home 

Survey. It includes nursing homes, convalescent homes, 

homes for the aged, and related institutions which provide nursing care to the aged or chronically ill and 

maintain three beds or more. 

Type of service. -The classification of nursing 

institutions according to type of service is described 

in appendix IV. 

Type of ownership. -Institutions are classified by 

type of ownership into the following categories: 

PYopvietury institution-an institution operated 

under private commercial ownership. 

Church OY other nonprofit institution-an institution operated under voluntary or nonprofit auspices. This classification includes both churchrelated and other nonprofit institutions. 

Government institution -an institution operated 

under Federal, State, or local government auspices. 

Bed.-Any bed set up and regularly maintained for 

use by a resident or patient, whether or not the bed was 

in use at the time of the survey, is included. Beds used 

by staff or for emergency services only are excluded. 

MQS%frequent chavge. -This is the most frequent 

amount per month the home charges its residents for 

all services and is also referred to as the modal charge. 

It includes the resident’s total charges for the month 

for lodging, meals, nursing care, drugs, and any personal services. Charge data were collected in dollars 

and cents but were rounded to the nearest dollar before any calculations were made. 

Lowest chavge. -This is the lowest amount per 

month the home charges its residents forall services. 

It includes the resident’s total charges for the month 

for lodging, meals, nursing care, drugs, and any personal services, Charge data were collected in dollars 

and cents but were rounded to the nearest dollar before 

any calculations were made. 

Highest chdvge. -This is the highest amount per 

month the home charges its residents for all services. 

It includes the resident’s total charges for the month for 

lodging, meals, nursing care, drugs, and any personal 

services. Charge data were collected in dollars and cents 

but were rounded to the nearest dollar before any calculations were made. 

Resident.-A resident, or patient, is any person 

who has been formally admitted to the home and is 

currently on its register. Included are residents who 

are temporarily away, for instance in a short-stay 

hospital or visiting with friends or relatives, etc., 

but whose beds are maintained for them in the home. 

Public assistance. -This term includes Old Age 

Assistance, Aid to the Blind, Aid to the Permanently 

and Totally Disabled, Aid to ‘Families with Dependent 

Children, Medicaid, and Medicare. 

Medicaid. -This term refers to the medical assistance provided in Title XIX of the Social Security 

Act. Medicaid is a State-administered program for 

the medically indigent. 

Medicczve.-This term refers to the medical assistance provided in Title XVIII of the Social Security 

Act, Medicare is a health insurance program administered by the Social Security Administration 

for persons aged 65 and older who are eligible 

for benefits. 

Terms Relating to Employees 

Employee. -Any person who worked in the institution at the time of the survey is an employee. Included are paid workers, proprietors, and members 

of a religious order who contributed their services. 

Full- time employee. -Employees who worked 35 

hours or more in the week prior to the survey are 

desighated “full-time.” 

Part-@me employee. -Employees who worked 

less than 35 hours in the week prior to the survey 

are designated “part-time.” 

Job categories. -Job categories are listed in 

appendix V. 

44 
------- 

--- 

--- 

Terms Relating to Demographic Classifications 

Re@on.-States are grouped into regions for geographic classification. Theseregions, which correspond 

to those used by the U.S. Bureau of the Census, are: 

Region States Included 

Northeast Maine, New Hampshire, Vermont, 

Massachusetts, Rhode Island, 

Connecticut, New York, New Jersey, 

Pennsylvania 

North Central Michigan, Ohio, Indiana, Illinois, 

Wisconsin, Minnesota, Iowa, 

-oooSouth ___-__- e-m 

West ________ 

Missouri, North Dakota, South 

Dakota, Nebraska, Kansas 

Delaware, Maryland, District of 

Columbia, Virginia, West Virginia, 

North Carolina, South Carolina, 

Georgia, Florida, Kentucky, 

Tennessee, Alabama, Mississippi, 

Arkansas, Louisianna, Oklahoma, 

Texas 

Montana, Idaho, Wyoming, Colorado, 

New Mexico, Arizona, Utah,Nevada, 

Alaska, Washington, Oregon, California, Hawaii 

45 
APPENDIX IV 

CLASSIFICATION OF WRSING 

Institutions in the 1968 Nursing Home Survey are 

classified by type of service as nursing care, personal 

care with nursing, or personal care homes according 

to data collected in the 1967 Master Facility Inventory 

Survey (MFI). (A brief description of the MFI is given 

in appendix I and pertinent parts of the 1967 MFI Survey questionnaire are reproduced in appendix V.) The 

classification scheme for type of service is based on 

four criteria. 

1. The number of persons receiving nursing care 

during the week prior to survey. Nursing care 

is defined as the provision of one or more of 

the following services: 

Taking temperature-pulse-respiration or blood 

pressure 

Full bed bath 

Application of dressings or bandages 

Catheterization 

Intravenous injection 

Intramuscular injection 

Nasal feeding 

Irrigation 

Bowel and bladder retraining 

Hypodermic injection 

Oxygen therapy 

Enema 

2. The presence or absence of nurses on the staff. 

3. Whether or not the institution pravides administration of medications or supervisionover selfadministered medications. 

4. Assistance in a certain number of activities for 

daily living. These include rub and massage; 

help with tub bath or shower; help with dressing, correspondence, or shopping; help with 

walking or getting about; and help with eating. 

The three classes of nursing homes by type of service 

were defined as follows: 

Nursing care home 

l Fifty percent or more of the residents received 

nursing care during the week prior to the survey. 

HOMES BY TYPE OF SERVICE 

l At least one full-time (35 or more hours per week) 

registered nurse (RN) or licensed practical nurse 

(LPN) was employed. 

Persomal CWQ with nursing home 

l Some, but less than 50 percent, of the residents 

received nursing care during the week prior to the 

survey. 

l At least one full-time RN or LPN was employed. 

or 

l Some of the residents received nursing care during the week prior to the survey. 

l No full-time RN or LPN was employed. 

l The institution either 

Provided adminstration of medicines or supervision 

over self-administered medicines. 

or 

Provided assistance with three or more, activities 

for daily living. 

Personal cave home 

l Some of the residents received nursing care during the week prior to the survey, 

l No full-time RN or LPN was employed. 

l The institution did not provide administration of 

medicines or supervision over self-administered 

medicines. 

l The ‘institution provided assistance with one or two 

activities for daily living. 

or 

l None of the residents received nursing care during the week prior to the survey. 

l At least one full-time RN or LPN was employed. 

l The institution either 

46 
Provided administration of medicines or super- Institutions which provided assistance with one or 

vision over self-administered medicines. two activities for daily living or offered room and 

board as the only service were classified as out of 

or scope of the 1968 Nursing Home Survey. 

Provided assistance with three or more activities Table V shows in detail the scheme for classifyfor daily living. ing institutions according to type of service. 

Table V. Classification of institutions by type of service: 1968 Nursing Home Survey 

Classification variables Classification criteria 

Percent of total residents who received nursing 50 percent or more Some but less than care during the week prior to day of survey I T 50 percent 

Number of registered or licensed practical nurses I 1+ 

t 

None 1+ o+ 

Does the institution provide: (a) Administration of medicine or treatments 

according to doctor's orders . . . Yes No . . . Yes No Yes No 

(b) Supervision over szf-administered 

medicine? 

Does the institution offer assistance with 

three activities or more for daily living? . . . .** Yes NO . . . . . . ..* Yes No 

Does the institution offer assistance with one or two activities for daily living? I . . . .0. . . . Yes No . . . . . . . . . . . . Yes No 

Does the institution offer room and/or board as its only service? . . . . . . . . . . . . Yes . . . . . . . . . . . . . . . Yes 

Institution1 NC Pen Pen PC D Pen Pen PC PC D B 

lNc-Nursing care home 

Pcn=Personal care with nursing home 

PC-Personal care home 

D-Domiciliary care home (out of scope) B=Boarding or rooming house (out of scope) 

-06-o47 

I 
APPENDIX V 

FORMS USED IN THE SURVEY 

1968 NURSING HOME QUESTIONNAIRE 

U. S. DEPARTMENT OF HEALTH, 

EDUCATION AND WELFARE 

PUOLIC HEALTH SERVICE 

NATIONAL CENTER FOR HEALTH 

STATISTICS 

WASHINGTON, D.C. 

20201 

PURSING AND PERSONAL CARE 

FACILITIES SURVEY 

March 1968 

Dear Sir: 

The National Center for Health Statistics (NCHS) of the U.S. Pubiic Health 

Service is conducting a survey of all resjdent facilities providing nursing and 

oersonal care to obtain basic data on their aolicies. services and staff. This 

program is being conducted as a part of the b.S. National Health Survey. This 

information will be used to compile statistics on the number and kinds, of such 

facilities’in the United States. These statistics will be Used to meet the needs 

of Congress, State l@gislatureS, Federal, regiohal and local health planners, national health associations, and many others who plan and provide health ser­ vices to the aged. We wish to assur& you that any information which permits the 

identification of your facility will be held strictly confidential, will be used 

solely by persons engaged in, and only for the purposes of the survey and will 

not be disclosed or released to other persons or f4r any other reason. 

Enclosed is a report from an earlier survey which we hope you will find 

informative. You can receive other publications by using the enclosed order 

blank and returning it, along with thdcompleted questionnaire, in the postage. paid envelope. We would appreciate your cooperation in completing this ques­ tionnaire within one week. 

Thank you. 

Sinctrraiy yours, 

~~<o~~ 

Director, ’ 

National Center for Health 

Statistics 

40 
GENERAL INSTRUCTIONS FOR COMPLETING QUESTIONNAIRE 

a. ANSWER ALL QUESTJONS, please. Definitions and instructions arc giveh with the questions when needed. 

b. INCLUDE 1N THIS REPORT inlomation for the facility named in ulc mailing label ot for its succc.=.sor if the name orowtle~ has changed. Include i~~fonotion for ONE FACILITY ONLY, but report for tbc ENTfRE fncilily, including my subunits. 

c. RETURN TRE COMPLETED VUESTIONNNRE in tbc postage-paid envelope pmided, to: 

Nrdiaud Center for Health Statimtics. P.O. Box 348, Bladensburg, Maryland 20710 

A. OWNERSHlP OF FACILITY 

1. When did this facility first begin its operation at 

THIS ADDRESS7 (Give the d&e it first opened at 

this address as a nurein$ home, convaZescent home, 

etc., et)en though the ownersHip or control may hav.e since changed, and the specific service6 may now be 

different.) 

2. How many times has the ownership of this facility changed hands since it was first opened at this

address? 

l 3. When did this facility first 

under its PRESENTOWNEkSHIP?begin its operation 

M O”th Year 

a. ADMISSION POLICY 

As a general policy, do you accept the following types of persons? (Mark (XI "Yes" or "NO" for each item.) 

a. Bedfast patients . . . . . . . . . . . . . . . . . . . . . . . . . . b. Post surgical recovery patients . . . . . . . . . . . c. Patie?ts trinsferred from psychiatric

M.;;;xsal~h ae mentat hospital OF . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . d. Mentally retarded patients . . . . . . . . . ..I._.. e. Persons with: 

(1) Heart disease . . . . . . . . . . . . . . . . . . . . . . . . (2) Ill effects df a stroke . . . . . . . . . . . . . . (3) Diabetes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (4) Fractured hips . . . . . . . . . . . . . . . . . . . . . . . (5) Crippling arthritis . . . . . . . . . . . . . . . . . . (6) cancer . . . . . . . . . . . . . . . . . . . . . .._....... (7) Blindness ..a.............,............ (8) Alcoholism . ...G....................... 

(9) Mental illness (that is, diagnosed by a physician as mentatZy ill., not 

seniZe or mentally retarded) . . . . . . . . . 

5. What is the minimum age for admittance into this 

facility? 

6. What is your most frequent. your highest, and 

yaur lowest charge per month for lodging, meals, nursing care, and other personal services? 

InitillPsyment/Liffa~plPn 

a. If you do'not make monthly charges, 17 

please check the appropriate box. 

I Other IspedfyJ III 

7. Ate all persons admitted to this facility required to be examined r--1 

by a physician within the month prior to or after admission? I 

J.0 Y-1 2.0 No (Skip to 8) 

/ IPPtk&S person* physician r-l 

a. Which 6f the following types of physi- Hos&l rtpffphyticinn cian usually performs the admitting examination for most uatients? 

(Cheek ONE box only.)‘ 

49 
t. SL'l?VICC:. 

I 

8. llocs n physician give a routine physical examination 

to all patients at lcnst annually after sdmtiission? . . . . . . . . . . . . . . . . 

9. Which of the followjng rccrcational activities do you have 

for pilticnts? (Mark IX) aZ1 that apply.) ­ nr,s ““d CrvfU pmgrnm ............................... 

Planned social activities (such us fiirfhday potlies, cordgnmcs, etc.) . . a 

Trips to mnceltq @ays, tic ........................... 

Other (Specify) .................... 

None .......................................... 

Does this facility provide professional rehabilitation services at this address? 

Which of the fol1owin.g do.you 

DAILY numb& of patients receiving 

11. Do your patients use any services of out-patient care clinics? r--- I 

i 

I 

Yes No[7 (Skip to 12) :- J I 

Physical therapy 

/ 

a. Check the types of services your patients use...+..... Diagnosticclinic 

Medicalchic 

ofher (spe‘5fy)~ 

12. How many admissions did you have during 1967? 

a. How many of the admissions during 1967 were from: 

(1) Mental hospitals . . . . . . . . . . . . . . . . .._... 

(2) General hospitals . . . . . . . . . . . . . . . . . . . . . 

(3) Other hospitals . . . . . . . . . . . . . . . . . . . . . . . 

(4) Patient's home . . . . . . . . . . . . . . . . . . . . . . . . 

(5) Another nursing home . . . . . . . . . . . . . . . . . . 

(6) Other places (specify) El 

Numbs 

L3. How many discharges did you have during 1967,

excluding deaths? 

a. How many of these patients discharged were admitted during 19671 

14. How many persons died during 1967 while patients of 

this facility? (Include alt who died while on your I register. I Ntl&X 

15. What was your patient census last night? (Include all patienta, even though they may have been 

temporarily away; ezclude anployees and proprie­ tflT.SC., 

16.DO you fiarticipnte programs? (This or public assistance 

[.I or medical assistance 

in any of the Federal 

includes

State 

Old Age Assistance, 

Aid to the Blind. Aid to the Permanently,and Totally Disabled, Aid 

to Families with Dependent Children, Medicaid (XIX), OF Medicare b---l (Title XVIII). I 

L-i 

1.0 Yes7 2.0 No (Skip to 17) 

a. Now many aticnts are currently receiving Public Assistance or Medica P Assistance? IInctude.alZ programo EXCEPT Medicare.) 

b. For how many patients are you NOW RECEIVING Medicare 

(Part A) poymcnts? 

c.. For how many patients are you NOT NOW receiving Medicare (part A) ~)aymcnts bccnuse they have exhausted their benefit rights? a 

50 
7. Is there ot leost one Rcgistcrcd Nurse (RN) ON DUTY (that is, on the premises and routinely serving the poticnts) for ~sliiE? r-7 

Yeso (Skip to 19) No 0 (Answer 18) i-l 

8. Please check the box that indicates the level of skill of the "charge nurse" who is 

CI;XJ;;TY (that is, an the premises and rourincly serving the patients) for each 

(If you do not have all of the shifts zndlcated below, please cheek the 

"No s&h shift" box next to the particular colun~n.) 

shift I1 shift h’2 0 No such shift 1 Shift #3~Nasucbshift 1 

9. Does this facility employ a full-time staff NO 

III 

(skip to 1%) 

physician for the care of the patients? . . . . . . . . . . . ..e 

I yE3 l-l 

How many are employed? 

4z NWJLW 1

a. Does this facility have an arrangement with a physician 

to come to this facility? 

(Mark (XI, one only.) ..a . . . . s...... 

b. Does this facility have an arrangement with a /-

physician to give medical care to the patients %I HJS office? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . 

0. Please enter the number of full-time and part-time employees in this facility. .CPuZZ-time means 35 OF rno~e hours a week.) Count each employee only once, in 

the occupation at which he spends most of his time. Also include all members 

of religious organizations who contribute their services. (Ptease consutt the 

encZosed Definition of Emptoyees to determine the appropriate classification of 

pers0nneZ.I 

EMPLOYEE 

LPNorVocati~tialNunes I I I 

OtbcrMedicaI Rcmrds Libndans snd T~cbnitians 

Dietitian I I I 

Registered Occupational Tbsrqist I I I Speech Tbcnpist 

Other Occupational Therapists md Assi~tanl~ I I I AlI other pmfcssional and technical Pcrsmnel (include Administration) 

Quolificd Physics1 livxapists 

Physica: Tlterqiist Assistant 

TOTAL ,+, TOTAL 1 1 ] 

hnc of person complctlng thrs form Dote of Completion 

'c-F1 c Phone number of this inclllty 

51 
DEFINITION SHEET 

DEFINITION OF EMPLOYEES 

Professional and Technical, Nursing Personnel 

1. Registered nurse - a graduate of a 

urofessional nursing who is currently 

nurse (R.N.) or is Awaiting licensurk 

State; i.e., a recent graduate of a 

nursing, or a graduate nurse licensed 

recently moved to your State. 

2. Licensed practical/vocational nurse 

d h 1 f practical nursing ~~P~O%ze~~e~oor~ctical or vocational 

or awaiting litensure to practice, license by waiver the basis of experience 

State-approved school of 

licensed as a registered 

to practice in your school of professional

in another State who 

- a graduate of a Statewho is currently licensed 

nurse [L.P.N. or L.V.N.) 

or an individual granted a

on or endorsement 

rather than upon completion of a prescribed course of study. 

3. Nursing aide, orderly, and attendant - one who assists the 

nursing staff by performing routine duties in caring for 

patients, under the direct supervision of professional or 

practical nurses. 

Other Professional and Technical Personnel 

4. 

5. 

6. 

7. 

8. 

9. 

10. 

11. 

12. 

13. 

14. 

Dietitian - one who plans nutritionally adequate menus, including modified diets, and supervises the preparation and service of 

meals for patients and personnel. Report on1 those dietitians 

who meet the educational qualifications of -3t e American Dietetic 

Association. 

Occupational therapist - one who selects and directs physical,

educational social, and daily living activities designed to 

meet specific needs of mentally or physically disabled patients. 

Occupational therapy assistants - those who work under the super- vision of the occupational therapist. Duties may include 

instructing patients in manual and creative arts and making special orthopedic devices such as splints and braces. 

Physical therapist - (report only those registered by the 

American Physical Therapy Association.) 

Physical therapy assistants - (report all other persons engaged

in physical therapy service.) 

Recreation therapist - one who develops programs involving 

sports, crafts, trips, and music for rehabilitation and 

restoration of patients. 

Registered medical records librarian - (report only those 

registered by the American Association of Medical Records 

Librarians.) 

Other medical records librarians and technicians - (report all 

other persons engaged in medlcal records work.) 

Medical social worker - one who is professionally trained in a 

school of social work or who is "agency-trained" (as in public

welfare departments) or is qualified by related experience and 

who is capable of making a social evaluation of patients' situations and of identifying social problems requiring service. 

Speech therapist - one who applies skills to help handicapped 

persons speak in as normal a fashion as possible and understand 

the speech of others. 

All other professional and technical personnel - (include all 

other protessional an d technical personnel not reported in 

categories 1 to 13. Include also those individuals serving 

as Administrators.) 

52 
FAIL-EDIT QUESTIONNAIRE 

~~DGETEvRE.~vN~.~~-~~~oI~

WPROVALEXPIRESa-31-58 1 U.S. DEPARTMENT OF HEALTH, 

EDUCATION AND WELFARE 

PUBLIC HEALTH SERVICE 

NATIONAL CENTER FOR HEALTH 

STATISTICS 

WASHINGTON, D.C. 

20201 

NURSING AND PERSONAL CARE 

FACILITIES SURVEY 

June 1968 

Dear Sir: 

Thank you for your cooperation during our earlier telephone conversation 

regarding the National Center for Health Statistics' survey of all resident 

facilities providing nursing and personal care. The abbreviated question­ naire to which we referred in our conversation is on the back of this letter. 

It deals with statistics on the numbers of patients admitted and discharged from your facility and the number of people'you employ. Also in cooperation with the Veterans Administration, we are conducting a census of all male 

veteran patients. Please complete both forms within one week and return them

in the enclosed postage-paid envelope. 

We wish to assure you that any information which permits the identification of your facility will be held strictly confidential, will be used solely by persons engaged in, be disclosed or released 

and only fbr the purposes of the survey and will not 

to other persons or for any other reason. 

We greatly appreciate your cooperation in this survey. 

Sincerely yours, 

-7i.Lbf 3 d‘ 

3 Theodore D. Woolsey Director,

National Center for Health 

Statistics 

53 
Please enter the number of full-time and part-time employees in this facility. 

(Full-time means 35 or more houre a week.) Count each employee only once, in 

the occupation at which he spends most of his time. Also include all members 

of religious organizations who contribute their services. (Please consult the enclosed Definition of Employees to determine the appropriats ClassifiCatiOn 

1. How many admissions did you have during 1967? 

a.. How many of the admisgions during 1967 were from: I TOtal 

(1) Mental hospitals ,..................... 

(2) General hospitals . . . . . . . ..<........... 

(3) Other hospitals . . . . . . . . . . . . . . . . . . . . . . . 

(4) Patient's home . . . . . . . . . . . . . . . .._...... 

(5) Another nursing home . . . . . . . . . . . . . . . . . . 

(6) Other places (~peclfyl B 

NUdXC 

2. How many discharges did you have during 1967,

excluding deaths? 

a. How many of these patients discharged were admitted during 1967? 

3. How many persons died during 1967 while patients of 

this facility? (Include all who died whize OR your f register. ) Number 

I. What was your patient cen.sus last night? (Inctude Males all patients, even though they may have been 

temporarily away; erctude smployees and pop&e- F,ZlT&X3 t0rs.I 

TOtal 

I H i. DO you participate in any of the Federal or State public assistance or medical assistance programs? (This includes Old Age Assistance, Aid to the Blind, Aid to the Permanently and Totally Disabled, Aid 

to Families with Dependent Children, Medicaid (XIX), or Medicare r-1 (Title XVIII).) 

L-J 1. 0 Yes--( q--J No (Skip to 6) 

a. ~0" many patients are currently receiving Public Assistance or Medical Assistance? (Inolude. all programs EXCEPT Medicare.) 

b. For how many patients are you NOW RECEIVING Medicare 

(Part A) payments? 

c. For how many patients are you NOT NOW receiving Medicare (Part

A) payments because they have exhausted their benefit rights? El 

Number 

6. Please enter the number of full-time and part-time employees in this facility. 

(Full-time means 35 or more houre a week.) Count each employee only once, in 

the occupation at which he spends most of his time. Also include all members 

of religious organizations who contribute their services. 

onn,nonA -'.--.."'--tjon Of "aCinieinn nP z%nInli"o. in riotonminr tkn on,,~,7nl~-~- (Please consult the of 

personnel.! 

nber Number Number 

** EMPLOYEE Full II 

@ame of person completing this term Date of completion 

Title Phone number of this faclllty 

54 

1 
1967 MFI NURSING HOME QUESTIONNAIRE 

Dear Sir: 

The Sational Center for Health Statistics CWHS) of the U.S. Public Health Service is assembling en up-to- date list of all facilities in the United States which provide some kind of medical, nursing, personal, domiciliary or custodial care. 

This rogrem is hein conducted as a part ^.f the U.S. National Health Surve , authorized by Public Law 652, 

64th e ongress. The 73ureau of the Census has been requested to act ae co1r ecting agent for the NCHS in 

compiling the list. 

The purpose of tbis survey, in which you are being asked to participate, is to obtein current information, such 

es number of beds, staff size, and types of services rovided, from each facility on the list. The information 

will be used to compile statistics on the number and L lnds of such facilities in the United States. 

Sections A end B of this form request verification of the name and address of the facility, type of service, ty e of onnership, staff size and capaci Section C asks for additional information which is needed for detaile B 

statistics on othercbaracteristics 07 the faciliq. All information provided in Section C will be accorded 

confidential treatment by the Bureau of the Census and the Public Health Service and the statistics will be 

presented in such a manner tbat no individual facility can be identified. 

For this purpose we are requesting that jlau complete thisquestionnaire for your facility and return it within 

five days in the enclosed postage-paid envelope. The questionnaire is very brief and should take only 5 few 

minutes to complete. 

Thank you for your cooperation. 

Sincerely yours, 

A. Ross Eckler 

Director 

Bureau of the Census 

Section A - IDENTIFICATION OF FACILITY 

Please refer to the mailidg label above, then make all additions and corrections according to the questions

below. Detailed identification information is needed to prevent duplicate listings and to assure that your

facility is properly represented in our files. /~~ea.se bpe or print) 

Is the NAME shown in the label above Correct name of facility if different from above 

correct for your facility? 

10 Yes 

2l-J ?r’o~Please line through name’in label 

and enter correct name __c 

02 Is your facility known by any other NAMES(S)? Other names Of your faci1ity 

I 0 Yes--Please gioe other name(s)- --------_--__---_-------

0 

20 so 

0 

Is th* address shown in the label above the 

correct mailing address for your facility? 

Xumber i Street 

I 

; P.O. Box, TO”k, etc. I

I 

1n Yes City or town 

2l-J So-cPlease line through address on 

label and give vow entire 

correct mailing address. 

COllUty I 

, State 

I 

I

I ZIP Code I

I 

4 Is your mailing oddrars also the ACTUAL 

LOCATION of your facility? 

Number ; street 

I

I 

1r-J Yes City or mrm 

20 No-cPlease give complete address for County : State ; ZIP Code 

0~td l0cOth of YOW facilitv. 

I I I 

(5) What is the telephone number of your facility? Area ‘Ode : N”mber t 

55 
----------------- 

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

--- 

GENERAL INSTRUCTIONS FOR COMPLETING QUESTIONNAIRE 

o. Include in this report information for the facility named in the mailing label or for its successor if the 

name or owner has cheo ed. Include information for one foklity only, but report for the entire facility 

including infirmaries en f other subunits. 

b. Due to name end address changes, duplicate listings in our file, or other reasons, you may have been 

sent more than one questionnaire under different names or addressee. If you receive more than one 

form for the same facility, complete one only end return all others with the notation “Completed and 

returned under . . . (give name of facility on completed form).” 

c. Answer all questions, please. Defiqitions and special instructions are given with the questions when 

needed. 

d. Return the 

Operations 

6 Please place 

3 of organization 

of organization 

completed questionnaire in the postage paid envelope provided, to: Jeffersonville Census 

Office, 1201 East 10th Street, Jeffersonville, Indiana 47130. 

Section 8 - CLISSIFICATION INFORMATION 

on “X” in only ONE box for the type Please read ALL of the following, then check 

operating your facility. The type 0

7 the ONE term which best describes your foci@‘. 

legally responsible for the operation of the faci 1ity. Check only one 

110 state 

120 County 

730 City State-Local 

G Overnment 

3.30 City -County 

17 C-J Armed Forces 

Federal 

IB 0 Veterans Administration Government 

,QO Other Federal Agency 

Specity - - - - - _ -

POu Church related 

ZI [I Nonprofit corporation Nonprofit 

230 Individual 

240 Partnership For profit 

Section C - INFORMATION 

What is the total NUMBER OF PERSONS (patients 

or residents), who stoyedin yourfacility lostnight? 

Do NOT include employees or owners. 

Number of persons 

During the post seven days, how mony of the 

Check one only 

IO 0 Nursing Home 

610 Convalescent Home 

sz 0 Rest Home

SJq Home for the Aged 

~4 0 Boarding Home for the Aged 

0s 0 Home for Crippled Children 

16 0 Home for Needy 

w 0 Home for Incurables 

3s q Home for the Mentally Retarded 

w 0 Other - Please describe 7 

Does your facility serve: Check only one 

I C Primarily children (under 21) 

z 0 Primarily adults (21 or over) 

30 Both children and adults 

40 Other age limitation - Specify 7 

--._ 

Does your faclllty serve: Check only one 

10 Males only 

z q Females only 

a 0 Both males and females 

What is the TOTAL NUMBER OF BEDS regularly 

maintained for patients or residents? 

lncfvde all beds set up and staffedfor use whethe 

or not they are in use at the present time. Do NO’ 

include beds used by stoff or owners and beds 

used exclusively for emergency services. 

Total beds 

STATISTICAL USE ONLY 

Which of the following services orp ROUTINELY 

provided? Check all that apply. 

1 q Supervision is provided over medications 

which may be self-adminjstered 

2 0 Medications and treatments are administered in accordance with physicians 

orders 

9q Rub and massage 

do Help with tub bath or shower 

$0 Help with dressing 

6 0 Help with correspondence or shopping 

7 0 Help with walking or getting about 

8 q Help with eating 

OR 

9 0 Not responsible for providing any service 

except room and board - (If this box is 

checked no other box should be checked in question 13.) 

FOR 

3 PERSONS. un q uestion 11 received “Nursing Care”? 

Consider that o person received “Nursing Core” 

if he received any of the following services: 

Nasal feeding Temperature-pulseCatheterization respiration 

Irrigatipn Blood pressure 

Ox gen therapy Application of dressing 

Fu!l bed bath or bandage 

Enema Bowel and bladder 

Hypodermic injection retraining 

Intravenous injection 

Number of persons 

56 
Section C - INFORMATION FOR STATISTICAL USE ONLY (Continued) 

0

14 What is the total number of full-time personnel on th Does the owner of this facility own or operate any 

payroll of this facility? Full-time personnel ore related or similar facility pro;iding inpdticnt se&cl 

those who usually work 35 hours or more per week. which is NOT included iv this report?

Include owners, monogers, and members of religious For example, another facility of the type listed in 

orders who work full-time whether on the payroll or question 7 or o hospital, or other institution. 

not. Do not include volunteers, privateduty nurses, 

ond part-time employees. ,lq Yes 

7 t Please provide the following information for all 

I I other facilities owned. Use the “Comments ” sectic 

if additional space is needed or attach o seporote 

listing when available. 

Name of facility 

Type of facilily 

b. Licensed ractical or 

vocationa P nurses. . 

What is the NAME of the person, corporation, or Cily other organization which owns this facility?

I Name 

I017 Name of person completing this form 

Title 

COU%IENTS - Genera2 comments are invited as well as comments on specific item.

57 
VITAL AND HEALTH STATISTICS PUBLICATION SERIES 

Formerly public Health Service Publication NO. 1000 

Series 1. Programs and collection procedures. -Reports which describe the general programs of the National 

Center for Health Statistics and its offices and divisions, data collection methods used, definitions, 

and other material necessary for understanding the data. 

Series 2. Data evaluation and methods research. -Studies of new statistical methodology including: experimental tests of new survey methods, studies of vital statistics collection methods, new analytical 

techniques, objective evaluations of reliability of collecteddata, contributions to statistical theory. 

Series 3. Analvtical studies. -Reports presenting analytical or interpretive studies basedon vital and health 

statistics, carrying the analysis further than the expository types of reports in the other series. 

Series 4. Documents and committee reports.- Final reports of major committees concerned with vital and 

health statistics, and documents such as recommended model vital registration laws and revised 

birth and death certificates. 

Series 10. Data from the Health Interview Survev.- Statistics on illness, accidental injuries, disability, use 

of hospital, medical, dental, and other services, and other health-related topics, based on data 

collected in a continuing national household interview survey, 

Series Il. Data from the Health Examination Survey. -Data from direct examination, testing, and measurement of national samples of the civilian, noninstitutional population provide the basis for two types 

of reports: (1) estimates of the medically defined prevalence of specific diseases in the United 

States and the distributions of the population with respect to physical, physiological, and psychological characteristics; and (2) analysis of relationships among the various measurements without 

reference to an explicit finite universe of persons. 

Series 12. Data from the Institutional Population Surveys.- Statistics relating to the health characteristics of 

persons in institutions, and their medical, nursing, and personal care received, based on national 

samples of establishments providing these services and samples of the residents or patients. 

Series 13. Data from the Hospital Discharge Survey. -Statistics relating to discharged patients in short-stay 

hospitals, based on a sample of patient records in a national sample of hospitals. 

Series 14. Data on health resources: manpower and facilities .-Statistics on the numbers, geographic distribution, and characteristics of health xesources including physicians,dentists, nurses, other health 

occupations, hospitals, nursing homes, and outpatient facilities. 

Series 20. Data on mortality. -Various statistics on mortality other than as included in regular annual or 

monthly reports- special analyses by cause of death, age, and other demographic variables, also 

geographic and time series analyses. 

Series 21. Data on natulity, mawiage, and divorce. -Various statistics on natality, marriage, and divorce 

other than as included in regular annual or monthly reports-special analyses by demographic 

variables, also geographic and time series analyses, studies of fertility. 

Series 22. Data from the National Natality and Mortality Surveys.- Statistics on characteristics of births 

and deaths not available from the vital records, based on sample surveys stemming from these 

records, including such topics as mortality by socioeconomic class, hospital experience in the 

last year of life, medical care during pregnancy, health insurance coverage, etc. 

For a list of titles of reports published in these series, write to: Office of Information 

National Center for Health Statistics 

Public Health Service, HSMHA 

Rockville, Md. 20852