Data from the

NATIONAL HEALTH SURVEY

Series 12

Number21

Chargesfor Care

andSourcesof Payment

for Residentsin NursingHomes

UnitedStates=June=August 1969

Data on charges for care and sources of payment for nursing home

residents in relation to service, ownership, geographic region of the

nursing home and age, sex, and health status of the resident. Health

status is measured by the level of patient care received, primary

diagnosis, number of chronic conditions, and number of limitations

requiring extra nursing time. Data on charges and sources of payment for 1969 are compared with that for 1964 to examine changes

during the 5-year period.

DHEW Publication No. (HRA) 74-1706

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

Public Health Service

Health ResourcesAdministration

National Center for Health Statistics

Rockville, Md. July 1973
Vital and Health Statistics-Series 12-No. 21

For sale by the Superintendent of Documents, U.S. Government Printing Ot?iee,Washington, D .C. 20402- Price 95 cents
NATIONAL CENTER FOR HEALTH STATISTICS

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

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

GAIL F. FISHER, Acting Assistant Director for Health Statktics Development

WALT R. SIMMONS, M.A., Assistant Director for Research and Scientific Deve~opment

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

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

EDWARD E. MINTY, Executive Officer

ALICE HAYWOOD, Information Officer

DIVISIONOF HEALTHRESOURCESSTATISTICS

SIEGFRIED A. HOERMANN, Director

PETER L. HURLEY, Depz.@ Director

G. GLORIA HOLLIS, Chief Health Facilities Statistics Branch

HENRY S. MOUNT, Chiej Health Manpower Statistics Branch

PETER L. HURLEY, Acting Chiej Family P,?zmningStatistics Branch

WILLIAM F. STEWART, Acting Chiej Hospital Discharge Survey Branch

COOPERATION OF THE BUREAU OF THE CENSUS

Under the legislation establishing the National Health Survey, the Public

Health Service is authorized to use, irsofar as possible, the services or

facilities of other Federal, State, or private agencies.

In accordance with specifications established by the National Center for

Health Statistics, the Bureau of the Census, under a contractual arrangement, participated in planning the survey and collecting the data.

Vital and Health Statistics-Series 12-No. 21

DHEW-Publication No. (HRA) 74-1706

Library of Congress Catalog Card Number 73-600043
CONTENTS

Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

ScopeofReport . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Background Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Sources andQualifications ofData . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Charges for Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Facility Characteristics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Patient Characteristics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

AgeandSex . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

LeveIofPatientCare . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Primary Diagnosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Number ofChronicConditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

ExtraNursingTime Required. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Monthly Charges forCarein1964and 1969 . . . . . . . . . . . . . . . . . . . . . .

Sources ofPayment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Primary SourceofPayment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Total Sources ofPayment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Primary Sourc&ofPayment in1964 and1969 . . . . . . . . . . . . . . . . . . . .

References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

List ofDetailedTables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Appendix I. TechnicalNotes onMethods . . . . . . . .. . . . . . . . . . . . . . . . .

Survey Design . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . .

General Qualifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Appendix II. Definitions ofCertainTermsUsed inThisReport . . . . . . . . . .

Terms Relating to Residents and Facility . . . . . . . . . . . . . . . . . . . . . . . .

Terms Relating toLeveIofPatient Care . . . . . . . . . . . . . . . . . . . . . . . . .

Terms Relating totheFacility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Terms Relating toPrimarySource ofPayment. . . . . . . . . . . . . . . . . . . . ,

Geographic Terms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Appendix III. Classification ofHomesbyTypeof Service Provided . . . . . . . .

.

1

1

1

2

2

2

2

3

3

3

5

7

8

10

10

12

15

17

18

20

49

49

51

54

54

54

55

55

55

56
Appendix IV. Forms Usedin the Survey . . . . . . . . . . . . . . . . . . . . . . . . . . 58

Facility Questionnaire . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...59

Administrator Questionnaire . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...61

Staff Questionnaire . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...63

Staff Information and Control Record . . . . . . . . . . . . . . . .. . . . . . . . . . 65

Current Patient Questionnaire . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...67

List of Selected Job Categories.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69

SYMBOLS

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

I

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

I

I

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

I

Quantity more than O but less than 0.05 ----- 0.0 I

Figure does not meet standards of

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

iv
CHARGES FOR CARE AND SOURCES OF PAYMENT

FOR RESIDENTS IN NURSING HOMES

Joan FedeII Van Nostrand and Jearmine Fox Sutton, Division of Health Resources Statistics

INTRODUCTION

SCOPE OF REPORT

This report discusses charges for care and

sources of payment for residents in nursing

homes in the United States from June to August

1969. Charges and payment sources were analyzed in relation to certain characteristics of the

n u rsin,g home—service, ownership, and geographic region–and certain characteristics of the

resident—age, sex, and health status.

Emphasis was placed on charges and payment

sources in relation to the health status of the

resident. The health status of the resident was

measured by level of patient care received, pnnmry diagnosis, number of chronic conditions,

and number of limitations requiring extra nursing time.

In addition, 1969 data were compared with

1964 data to examine any changes which occurred during the 5-year period. The text presents highlights of the data, while tables 1-18

present the data in depth.

BACKGROUND INFORMATION

Data presented in this report are based on the

third Resident Places Survey (RPS-3) conducted

by the Division of Health Resources Statistics.

The, survey was conducted in cooperation with

the U.S. Bureau of the Census during JuneAugust 1969.

The RPS-3 is the fourth in a series of ad hoc

surveys of institutional health facilities which

are part of the National Health Survey program

to provide current health statistics on the

Nation.l Resident Places Survey-1, the first of

these surveys, was conducted during April-June

1963 and collected sample data on nursing

homes, chronic disease and geriatric hospitak,

and nursing home units and chronic disease

wards of general and mental hospitals. Further

information on the Resident Places Survey-1

(RPS-1), including a description of its design and

methodology, may be found in several previously published reports.2’6 Resident Places

Survey-2 (RPS-2), the second of these ad hoc

surveys, was conducted during May-June 1964

and concentrated mainly on a sample of nursing

homes and geriatric hospitals. The second survey

coIlected more detailed information about each

institution, its residents, and its empIoyees.7- 15

The 1968 Nursing Home Survey, conducted

during April-September 1968, was the third survey. It was a census of aII nursing homes in the

United States, and it collected detailed information on the characteristics of the facilities.1 6‘21

The fourth survey (RPS-3) was multipurpose,

collecting information about the nursing home,

its residents, and its employees. This report is

1
one of several based on the data collected in

~s.!3.22-24

Although each ad hoc survey collected data

on charges, there were basic differences between

the charge data collected in the 1968 survey and

that collected in RPS-2 and RPS-3. The 1968

datal G were collected on the facility’s most

frequent monthly charge, and the RPS-2 and

RPS-3 data were collected on the resident 3

actual monthly charge.

SOURCES AND QUALIFICATIONS OF DATA

Institutional facilities such as nursing homes

and homes for the aged were included in RPS-3.

Two basic criteria for including a facility in the

survey were (1) it must routinely provide some

level of nursing or personal care and (2) it must

maintain three beds or more for residents. Thus,

homes providing only room and board or

domiciliary care to aged people were not within

the scope of the survey.

A description of RPS-3, the sampling frame

used, the sample design, and the survey procedures are presented in appendix 1. Appendix I

also includes imputation procedures, estimation

techniques, and estimates of sampling variation.

Since the data in this report are national estimates based on a sample and are therefore subject to sampling errors, tables of standard errors

and illustrations of their use are provided in

appendix I. Appendix II presents definitions of

terms, and appendix III presents the procedure

for classifying establishments. Facsimiles of the

questionnaires and forms used in the survey are

shown in appendix IV.

Reference to the definitions in appendix II is

essential to the interpretation of data in this

report. Special attention is called to the procedure for classifying institutions by level of

nursing service (appendix III). The classification

of establishments into nursing homes, personal

care homes with nursing, and personal care

homes is based on the services provided in the

home rather than on what the home might be

called or how it may be licensed by the State.

CHARGES FOR CARE

OVERVIEW

Data on charges for care were based on the

answer to the question, “What was the TOTAL

charge for his (the resident’s) care last month?”

Since the question asked for charges for last

month, data were not collected for the 51,000

residents living in nursing homes for less than a

full month. The average monthly charge data included those residents with life-care plans and

those with no-charge plans. (Exclusion of these

14,000 residents resulted in a $3 increase in the

average mcmthly charge.) (See question 16b of

the Current Patient Questionnaire in appendix

IV.)

Since methods of operating nursing homes

vary widely, the services included in the

monthly charge are difficult to determine. Some

establishments provide all services required by

the resident as part of the basic charge. Others

make an additional charge for the services of

physicians or other professional personnel or for

special services, drugs, or diets. Still others have

no formal connection with a physician, and the

resident is seen by a private physician who bills

the patient directly.

In 1969 monthly charges for care of the

764,100 residents in nursing homes for at least a

month ranged from no charge to over $800.

These extreme charges were the exception, however, since only 0.4 percent of residents paid no

charge and 1.2 percent paid over $800. Generally, the residents paid an average of $328 per

month, with 45 percent of the residents paying

less than $300 (table 1).

FACILITY CHARACTERISTICS

Charges for care varied according to certain

characteristics of the facility. As level of service

provided by the home decreased, charges for

care decreased. (See appendix III for classification of level of service.) Residents in homes

providing nursing care (highest level of nursing

service) paid significantly more per month

($356) than residents paid ($178) in homes pro2
tiding personaI care (lowest level of service)

(tables A and 1). Other studies reported similar

findings.16 ~Zs Because 78 percent of all residents lived in homes providing nursing care, the

higher charges they paid appreciably affected

the distribution of charges.

When standard errors of charges were examined by the various ownership classes, charges

paid by residents in proprietary homes ($343)

were not significantly different from those paid

by residents in nonprofit hoines ($305) or

Government homes ($268). One reason charges

in proprietary homes may have seemed higher is

that the majority of their residents (84 percent)

Table A. Avarage monthly charge for care and parcant distribution of nursing home residents, by type of service provided

by tha home, type of ownership, and geographic ragion:

United States, June-August 1969

[See appendixI for informationon samplingerrorsof these

estimates] —

Type of service provided by

the home, type of ownership,

and geographic ragion

Type of service

Alltypas . . . . . . . . . . . . . . .

Nursing care . . . . . . . . . . . . . . . . .

Personal cara with nursing . . . . . . .

Parsonal care . . . . . . . . . . . . . . . .

Type of ownership

All types . . . . . . . . . . . . . . .

Proprietary . . . . . . . . . . . . . . . . .

Nonprofit, ., . . . . . . . . . . . . . . .

Government . . . . . . . . . . . . . . . . .

Region

All regions . . . . . . . . . . . . .

Northeast . . . . . . . . . . . . . . . . . .

North Central,....,,.,....,..

South . . . . . . . . . . . . . . . . . . . . .

West, . . . . . . . . . . . . . . . . . . . . .

Percent

Average distribution

monthly of chargei residents2

%%

178 4.7

328 100.0

343 68.3

305 22.4

268 9.3

T

328 100.0

386 22.3

298 35.5

307 26.8

350 15.4

i Includes life-care residents and no-charge residents.

2 Includes only those residents who have lived in the nursing

home for et least a month. Figures on number of rasidents can be

found in table 1.

were in homes providing the highest level of

nursing service. As with charges by ownership,

charges by region had observable, though not

significant, differences (table A). Thirty-eight

percent of zdl no-charge residents lived in the

North Central Region, whiIe only 9 percent lived

in the West Region (calculated from table 1).

PATIENT CHARACTERISTICS

Age and Sex

Residents in nursing homes for at least a

month were an aged population. Seventy-two

percent were 75 years and over, and the median

age was 80.5 years. More females lived in nursing

homes than did males. Generally, there were 226

females per 100 males, with the ratio increasing

significantly as age increased (table B).

Charges paid by residents under 65 years of

age were $276 per month, while those paid by

residents 65 years and over. were closer to the

national average of $328 (table B). When standard errors of charges were examined by resident

age groups, charges did not differ significantly.

Although charges paid by residents under age 65

were not significantly less, this age group :had a

significantly smaller portion .living in nursing

care homes and receiving intensive nursing care.

These residents were healthier. They had a significantly smaller portion with limitations requiring extra nursing time and with five chronic

conditions or more (tables B and 2).

No significant difference existed between

charges paid by males ($315) and those paid by

females ($333) when the standard errors for

charges were considered.

Level of Patient Care

In addition to the question on the type of

service provided by the home, a similar question

was asked about the care actually received b~

each resident during the preceding week. (See

question 8 of Current Patient Questionn&e in

appendix IV.) The responses to the list of services were classified into the following four levels

of patient care (see appendix II for complete list

of services).

3
Table B. Selected characteristics of residents in nursing homes, by age: United States, June-August 1969

[Seeappendix1for informationon samplingerrorsof theseestimates]

Selected characteristics

Average monthly chargei . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Percentdistribution ofresidents2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Percentof residents innursingcare homes . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Percent of residents receiving intensive nursing care . . . . . . . . . . . . . . . . . . . . .

Percent of residents with limitations requiring extra nursing time . . . . . . . . . . . .

Percent of residents with 5chronic conditions or more . . . . . . . . . . . . . . . . . . .

Average number ofchronic conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Number of females per 100 males. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

All

ages

$328

100.0

77.6

32.2

48.0

28.1

3.5

226

Under

55 years

$276

11.4

70.6

23.8

37.1

22.1

3.2

109

65-74

years

$324

16.7

77,3

29.5

44.1

27.5

3.5

162

75-84

years

$337

39.3

78,6

32.0

47.2

27.7

3,5

259

15 years

md over

$337

32,7

79.0

36.8

54.8

30.9

3,7

313

llnciudes Iife-care residents end no-charge residents.

‘Includes only those residents who have lived in the nursing home for at leasta month. Figureson number of residents can be found

in table 2.

Intensive nursing care (includes intravenous

injection, catheterization, nasal feeding)

Limited nursing care (includes hypodermic or

intramuscular injection, taking temperature-pulse-respiration)

Personal care (includes administration of

medications and help with dressing and

eating)

No nursing or personal care (excludes all services listed)

When charges were compared according to the

care residents actually received, those receiving

intensive nursing care paid significant y more

($373) than those receiving no nursing or personal care ($219) (tables C, 3, 4, 6, and 9). The

following variables were analyzed to determine

if they contributed to this difference in charges.

Percent of residents in nursing care homes

Percent of residents with limitations requiring

extra nursing time

Percent of residents with five chronic conditions or more

The analysis yielded the following results.

Of the residents who received intensive nursing care, nearly all (9 O percent) were in nursing

care homes. In contrast, of those who received

no nursing or personal care, only 31 percent

were in nursing care homes (tables C and 4).

Since residents in nursing care homes paid more,

the high percent of “intensive care” residents

living in nursing care homes contributed to the

higher charges of the “intensive care” group.

Residents receiving intensive nursing care had

a majority (84 percent) with limitations requiring extra nursing time. By comparison, residents

receiving no nursing or personal care had very

few limitations (8 percent) requiring extra nursing time (table C). Several studiesl6~26 have

noted that charges are related to increases in the

number of employees and their salaries. Because

more skilled employees are needed to care for

residents requiring extra nursing time, charges

paid by these residents would be higher. Thus,

the high percent of “intensive care” residents

requiring extra nursing care contributed to the

higher charges paid by that group (table 9). Residents receiving intensive nursing care had a

larger portion (34 percent) with five chronic

conditions or more than did residents receiving

no nursing or personal care ( 11 percent). Similarly, the average number of conditions was

higher for residents receiving intensive nursing

care.

In summary, residents receiving intensive

nursing care paid higher charges than did residents receiving no nursing or personal care.

4
Table C. Selected characteristics of residents in nursing homes, by level of patient care: United States, June-August 1969

[See appendix I for information on sampling errors of these estimates]

Selected characteristics

Average monthly charge2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Percent distribution ofresidents3 . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Parcent of residents in nursing care homes . . . . . . . . . . . . . . . . . , . . . .

Percent of residents with limitations requiring extra

nursing time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Percent of residents with 6 chronic conditions or more . . . . . . . . . . . . . .

Average number ofchronic conditions . . . . . . . . . . . . . . . . . . . . . . . . .

Number of females per 100 males. . . . . . . . . . . . . . . . . . . . . . . . . . . .

Median age . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

All

levels

$328

100.0

77.6

48.0

28.1

3.5

226

80.5

Level of patient care’

Intensive

nursing

care

$373

32.2

90.4

84.0

34.2

3.9

273

81.7

Limited

nursing

care

$335

41.2

86.6

38.1

29.5

3.6

221

80.5

Personal

care

$276

20.2

53.6

23.2

20.8

3.1

191

79.5

No nursing

or personal

care

$219

6.3

30.8

8.4

11.2

2.2

189

78.3

‘See appendix II for definitions.

llncludes life-care residents and no-charge residents.

g Includes only those residents who have lived in the nursing home for at least a month. Figures on number of residents can be found

in table 3.

There were several variables which contributed

to this difference. Residents receiving intensive

nursingcare had the following:

Higher percentin nursing care homes

Higher percent witli limitations requiring

extra nursing time

Higher percent with five chronic conditions or

more

Primary Diagnosis

The average monthly charge varied according

to the primary diagnosis of the resident. (Data

on the primary diagnosis were classified accordin g to the International Classification of

Diseases.z T) For known diagnoses, charges

ranged from $265 for congenital anomalies (paid

by 0.3 percent of the residents) to $408 for accidents, poisonings, and violence (paid by 4.8 percent of the residents) (table D). The most

frequent primary diagnosis was diseases of the

circulatory system ($345); this was the primary

diagnosis for about 39 percent of the residents.

The next most frequent diagnoses were mental

disorders (for about 11 percent of the residents)

and ill-defined conditions (for about 10 percent

of the residents). Residents with these diagnoses

paid less than $300 per month.

The following analysis confines itself to the

most frequent primary diagnoses-those that

affected at least 7 percent of the residents. The

four diagnoses meeting this criterion affected 68

percent of all residents. (Data on all diagnoses

are presented in tables 5-7 and 10.) Since 39

percent of the residents were diagnosed as having diseases of the circulatory system, this classification was subdivided as follows.

Ischemic heart disease (the diagnosis commonly termed “heart attack” is in this

class)

Cerebrovascular disease (the diagnosis commonly termed “stroke” is in this class)

Diseases of arteries, arterioles, capillaries (the

dia~osis commonly termed “hardening of

the arteries” is in this class)

Differences in charges were observable for

5
Table D. Average monthly charge for care and percent distribution of residents in nursing homes, by primary

diagnosis: United States, June-August 1969

[Seeappendix I for information on sampling errors of these estimates]

Primary diagnosis

All diagnoses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Accidents, poisonings, andviolence . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Neoplasm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Diseasesofthegenitourinary system ., . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Diseasesofthe circulatorysystem . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Diseasesofthedigestive system. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Diseasesofthemusculoskeletal system and connective tissues . . . . . . . . . . . . . . . . . . . .

Endocrine, nutritional, and metabolicdiseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Diseasesofthe nervoussystem andsenseorgans . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Diseasesof the blood and blood-forming organs . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Diseasesof the respiratory system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Infective and parasitic diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Diseasesof theskin and subcutaneous tissue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Symptoms andill-defined conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Certain causesof perinatal morbidity and mortality . . . . . . . . . . . . . . . . . . . . . . . . . . .

Mental disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Congenital anomalies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Unknown diagnoses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Average

monthly

chargel

$328

408

363

349

345

343

332

332

328

315

312

309

304

296

*

281

265

233

Percent

Distribution

of

residents2

100.0

4.8

2.2

1.2

39,1

2.4

6.5

5,2

7.6

0.5

2.0

3,8

0.4

10.1

*

11.1

0.3

3.2

1 Includes life-care residents and no-charge residents.

2 Includes onlv those residents who have-lived in the nursing home for at least a month. Figures on number of residents can be found

in table 5.

each primary diagnosis (table E). The largest ob-

.-

servable difference was between charges for residents with ischemic heart disease ($371) and

those with mental disorders ($28 1). Since the

standard errors for these charges were fairly

large, the difference was not significant. However, the observable difference in resident

charges may be a reflection of the differences

between the two diagnoses in the percent of residents in nursing care homes and in the percent

receiving intensive care (tables E,@6, and 7). The

percent of residents in nursing care homes was

significantly higher for residents with ischemic

heart disease (84 percent) than for those with

mental disorders (72 percent).

Similarly, the percent of residents receiving

intensive nursing care was significantly higher

for those with ischemic heart disease (35 percent) than for those with mental disorders (20

percent). As was noted in previous sections, residents receiving intensive nursing care and those

residing in nursing care homes paid significantly

more per month. Thus, the observably higher

charge paid by residents with ischemic heart

disease may reflect the larger percent residing in

nursing care homes and receiving intensive nursing care.

In addition to the differences noted between

the two diagnoses, residents with ischemic heart

disease had a significantly larger percent with

limitations requiring extra nursing time and with

five chronic conditions or more (tables 5 and

10). The ratio of females per 100 males was

significantly larger for those with ischemic heart

disease (249) and diseases of the arteries,

arterioles, and capillaries (258) than for those

6
Table E. Selected characteristics of residenta in nursing homas, by selected primary diagnoses: United States, June-August 1969

[See appendix I for information on sampling errors of these estimates]

Selected characteristiee

Average monthly charge4 . . . . . . . . . . .

Percent distribution of rasidentss . . . . . .

Percent of residents in nursing

care homes . . . . . . . . . . . . . . . . . . .

Percent of residents receiving

intensive nursing care . . . . . . . . . . . .

Percent of residents with limitations

requiring extra nursing time . . . . . . . .

Percent of residents 65 years

And over . . . . . . . . . . . . . . . . . . . . .

Percent of residents with 6 chronic

conditions or more, . . . . . . . . . . . . .

Average number of chronic conditions ., .

Numbar of femalea per 100 males . . . . . .

Medlanaga . . . . . . . . . . . . . . . . . . . . .

All

diagnoses

$326

100.0

77.6

32.2

48.0

88.6

28.1

3.5

226

80.5

Selected primary diagnoses

Total

$345

39.1

83.1

36.4

52.8

95.8

31.5

3.8

240

82.1

Diseasesof the circulatory system

Ischemic

heart

.$371

9.5

83.8

34.8

49.9

97.2

30.9

3.8

249

63.0

1The dlaonosia commonlv termed “heart attack” is in this class.

aThedlagnosis commonlv termed “stroke’’i sint hisc lass.

‘Thediagnosis commonly termed “hardeningof thearteries’’ isin this class.

4 Includes Iifa-cara rasidents and no-charge residants.

Cerabrovascuiar

diseasaz

$368

10.7

89.1

48.0

67.9

93.1

34.6

3.9

2e6

79.7

Diseasesof

arterias,

arterioles,

:apillaries3

$326

10.6

81.9

33.6

49.1

97.0

30.3

3.7

258

83.4

All

other

$311

6.3

76.2

26.9

41.3

96.3

29.4

3.6

257

82.6

Diseasasof

the nervous

system and

senseorgans

$328

7.6

79.1

37.6

58.9

71.4

26.3

3.5

171

74.9

Illdefirred

symptoms

$296

10.1

71.5

31.4

48.8

95.7

25.9

3.3

250

84.0

Mental

iisorders

$281

11.1

71.5

19.8

32.4

62.7

23.1

3.2

155

70.6

s Includas only residents who have lived in the nursing homa for at least a month. Figures on number of rasidents can be found in table 5.

with mental disorders (155) and diseases of the monthlv cha.me as the number of conditions innervous system (17 1).

Number of Chronic Conditions

The average monthly charge paid for care in

1969 also seemed to be affected by the patient’s

number of chronic conditions. The number of

these conditions was determined by the number

of “yes” responses given to each of the conditions and impairments (e.g., advanced senility,

heart trouble, and diabetes) listed in question 6.

(See Current Patient Questionnaire in appendix

IV.)

For patients having one to four conditions, it

appeared that the greater the number of chronic

conditions, the greater the resident’s monthly

charge for care (tables F, 3, 5, and 8). One possible explanation for this apparent increased

,

creased concerns the percent of residents in

nursing care homes. (As stated earlier, residents

in nursing care homes paid significantly higher

charges than did residents in other kinds of

homes.) As the number of conditions increased

(up to four chronic conditions), the percent of

residents in nursing care homes increased significantly and, correspondingly, so did the average

monthly charge for care.

As shown in table F, the peak chmge for care

($359) was for patients with four chronic conditions. An observable, although not significant,

decrease in the monthly charge for care occurred

for patients with more than four such conditions. When standard errors of charges were

considered in regard to the increased monthly

charge and the increased number of chronic conditions, however, no significant increase in

charge was found.

7
Table F. Percent distribution of residents in nursing homes, percent in nursing care homes, and percent receiving intensive nursing

care, by number of chronic conditions; and average monthly charge for care, by level of patient care and number of chronic

conditions: United States, June-August 1969

[See appendix I for information on sampling errors of these estimates]

I Percent

Number of chronic conditions

distribution

of

I

residents

Total, . . . . . . . . . .

O conditions . . . . . . . . . . . .

I condition . . . . . . . . . . . .

2 conditions . . . . . . . . . . . .

3 conditions . . . . . . . . . . . .

4 conditions . . . . . . . . . . . .

5 conditions or more . . . . . .

100.0

1.8

12.5

19.5

21.8

16.4

28.0

Percent of

Percent of

residents

residents

receiving

in nursing

intensive

care homes

nursing cara

77.6 I 32.2

-L36.6 11.2

55.9 20.2

73.9 27.7

79.3 31.5

85.0 38.1

86.4 39.3

Level of patient carez

It 1 1 I

All

Intensive

levels

nursing

care

Limited

Personal

nursing

care

care

No nursing

or personal

care

II I I I

Average monthly charge3

I

$328 $373

287 397

292 388

313 360

331 368

359 394

336 365 I

$335 $276

412 241

315 233

326 272

334 283

351 322

337 279

$219

245

208

203

238

238

218

i Includes onlv those residents who have lived in the nursina home for at least a month.

tion in their mobility, hearing, sight, or bowel

‘See appendix II for definitions.

s Includes life-care residents and no-charge residents.

According to level of patient care, the percent

of residents receiving intensive nursing care increased significantly as the number of conditions

increased from zero to four.

Residents with one or two conditions who

received intensive nursing care paid significantly

more than did residents with one or two conditions who received no nursing or personal care.

(Similar results occurred when data for all residents were analyzed. See discussion of level of

patient care in section “Patient Characteristics.”) When the standard errors of charges

were considered for those with three conditions

or more, charges between the highest and lowest

levels of patient care were not significantly different. A possible explanation for this is that the

standard errors of charges were large because the

number of residents receiving the lowest level of

care was quite small (ranging from 1,800 to

7,300) (tabje 3).

Extra Nursing Time

---

Required

Residents who required extra nursing time

(refers to questions 11-14 in Current Patient

Questionnaire, appendix IV) because of a limita8

and/or bladder cont;ol paid ;pp&ently higher

monthly charges ($349-$ 370) than did patients

with none of these limitations ($299) (tables G

and 8). When only residents with limitations

were considered, it appeared that the monthly

charge increased only as the number of limitations increased from one to two. In general,

charges for three limitations or more seemed to

be slightly lower than those for two limitations.

When standard errors of charges were considered, charges were the same for all residents

regardless of the number of specific limitations

requiring extra nursing time. Thus, the slight decrease in charges as the number of limitations

rose from two to three or more was not significant.

Over 90 percent of the residents with limited

mobility or limited bowel and/or bladder control required extra nursing time (table H). Residents with hearing limitations had the fewest

people (70 percent) requiring extra nursing time.

When the four specific limitations were

examined as to the differences in charges if extra

nursing time were required, it appeared that residents with each limitation except mobility paid

higher average charges if extra nursing time were
Table G. Percent distribution of residents in nursing homes and percent requiring extra nursing time, by number of chronic conditions;

and average monthly charge for care, by number of specific limitations requiring extra nursing time and numbar of chronic

conditions: United Statesr June-August 1969

[See appendix I for information on sampling errors of these estimates]

Number of chronic conditions

Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Oconditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

I condition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2conditions . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . .

3conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

5conditions ormora . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Percent

~istribution

of

residents

100.0

1.8

12.5

19.5

21.8

16.4

28.0

Percent of

residents

requiring

extra

nursing time

48.0

18.9

34.3

43.9

47.8

52.0

56.6

dumber of specific Iimitationsz

requiring extra nursing time

Average monthly charge3

$299

268

256

284

305

339

312

$349

371

358

335

352

367

342

$370

*

372

364

368

384

367

$365

*

347

361

350

395

362

1 Includes only those residents who have lived in the nursing home for at least a month.

2 Includes limitations in mobility, hearing, sight, or bowel and/or bladder control.

3 Includes life-care residents and no-charge residents.

Table H. Average monthly charge for care and percent of residants, by whether extra nursing time is required and specific limitation:

Unitad States, June-August 1969

[See appendix I for information on sampling errors of these estimates]

Extra nursing Extra nursing Extra nursing Extra nursing

Limitation time tima not time time not

required required required req uired

I

Average monthly charge] I

Percent of residents

Mobility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $371 $389

Hearing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 345 337

Sight . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 333 323

Boweland/orbladdercontrol.. . . . . . . . . . . . . . . . . . . . . . . . 362 359

‘ Includes life-care residents and no-charge residents.

2 Includes only those residents who have lived in the nursing home for at least a month.

L

90.3 9.7

70.1 29.9

77.6 22.4

96.7 3.3

required. Considering standard errors, however, nursing or personal care. This appeared to be

there were no significant differences in the true regardless of the resident’s number of

charges whether or not this extra nursing time specific limitations (tables J and 9). Further

was required. examination of all the charges, considering

Residents receiving intensive nursing care paid standard errors, shows that the difference in

higher monthly charges than those receiving no charges paid by residents receiving intensive

9
Table J. Average monthly charge for care, by number of specific limitations requiring extra nursing time and the level I

of patient care: United States, June-August 1969 I

[See appendix I for information on sampling errors of these estimates]

I Level of patient care2

Number of specific limitations

intensive Limited requiring extra nursing time All Personal

No nursing

levels

nursing nursing or personal

care

care care care

Average monthly charge3

O limitations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $299 $366 $325 $266 $212

I limitation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 349 368 351 298 287

21imitations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 370 380 351 331 288

31imitations or more . . . . . . . . . . . . . . . . . . . . . . . . . 365 370 347 329 *

‘ Includes limitations in mobility, hearing, sight, or bowel and/or bladder control.

‘See appendix I I for definitions.

3 Includes life-care residants and no-charge residents.

NOTE: Includes only those rasidents who have lived in tha nursing home for at least a month.

nursing care and those receiving no nursing or

personal care was significant only for patients

with no limitations.

Data on charges by number of specific limitations requiring nursing time and selected

mary diagnoses are presented in table 10.

MONTHLY CHARGES FOR CARE IN

1964 AND 1969

priIn addition to the 1969 data, charges and corresponding percents of residents according to

selected resident and facility characteristics are

also available for 1964 (table K). Data for 1964

were collected in the Resident Places Survey-2

(see Introduction). When standard errors of

charges are applied to the figures in table K and

data for 1964 and 1969 are compared, average

monthly charges paid in 1969 ($328) were significantly higher than those paid in 1964

($186). The increase in charges during the 5-year

span was 76 percent. When monthly charges for

the 2 years were examined according to geographic region and type of ownership of the

facility and level of patient care, sex, and age of

the resident, the 1969 charges were found to be

significantly higher. The charges paid by residents in homes providing nursing care and personal care with nursing were higher in 1969 than

100 —

0

———1964 /

90 — _ 1969 /

/

80 —

z

o

//

F 70 —

3

g /’

a

~ 60 —

E /’

+

z

50 —

Lu

o

a /’ & 40

w

>

F 3’J /’

~

I

s 20 —

3

0 /’

10 — /

/

/

o $loil $200 $300 Over$300

MONTHLY CHARGE

Figure 1. Cumulative percent distributions of nursing home residents (excluding life-care residents) for 1964 and 1969, by

the average monthly charge for care.

10
Tabla K, Avaraga monthly charge for care and percent distribution of residents in nursing homes, by selected facility and resident

characteristics: United States, 1964 and 1969

[For sampling errors of 1969 estimates, see appendix I; for sampling errors of 1964 estimates, see reference 11]

Selected characteristics

FACILITY CHARACTERISTICS

All facilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Type of service provided by the home

Nursingcare . . . . . . . . . . . . . . . . . . . . . . . . .

Personal carewithnursing . . . . . . . . . . . . . . . .

Personal care . . . . . . . . . . . . . . . . . . . . . . . . .

Typeofownership

Proprietary . . . . . . . . . . . . . . . . . . . . . . . . . .

Nonprofit . . . . . . . . . . . . . . . . . . . .. . . . . . . .

Government . . . . . . . . . . . . . . . . . . . . . . . . .

Region

Northeast . . . . . . . . . . . . . . . . . . . . . . . . . . .

North Central . . . . . . . . . . . . . . . . . . . . . . . .

South . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

West . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

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

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

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

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

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

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

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

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

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

RESIDENTCHARACTERISTICS

All residents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Level of patient carez

Intensive nursingcare . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Limitad nursingcare . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Personal cara . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

No nursing orpersonalcare . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Sex —

Male ,, ,,, ..,., . . . . . . . . . ..!.... . . . . . . . . . . . . . . . . . . . . . . . .

Female . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

A&e

Under65years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

65.74years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

85yearsand over . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

‘Excludes Iife-care residents.

2See appendix II for definitions.

Average

monthly

charge]

$186

$212

129

121

205

154

157

213

171

161

204

$186

224

199

164

109

171

194

155

164

191

194

1964

Percent

distribution

of

residents]

100.0

67.4

26.3

6.4

60.2

24.0

15.8

28.6

36.6

18.1

16.7

100.0

31.0

28.7

26.9

13.5

35.0

65.0

12.0

18.9

41.7

27.5

1969

Average

monthly

charge’

$328

$357

242

178

343

306

268

388

298

307

350

$328

374

334

276

216

315

334

276

324

338

338

Percent

~istribution

of

residents’

100.0

78.2

17.1

4.7

69.3

21.3

9.4

22.2

35.6

26.8

15.4

100.0

32.5

41.4

20.2

5.9

30.9

69.1

11.5

16.8

39.2

32.5

NOTE: includes only those residents whohave lived inthenursing home foratleast a month.

11
they were in 1964. The difference between the

charges paid in 1964 and 1969 by residents in

personal care homes, however, is not significant.

Since these homes offered fewer nursing services

than the other types of homes, it appears reasonable that their charges would not have increased

as much as the charges did for homes offering

nursing care and personal care with nursing.

A comparison of the cumulative percent distribution of the average monthly charges for

1964 and 1969 identified the overall changes in

charges during this period. As shown in figure 1,

most of the residents (87.4 percent) were

charged $300 or less in 1964. In 1969, however,

less than half of the residents paid charges in the

$0-$300 range.

SOURCES OF PAYMENT

Data in this section are presented on the patients’ means of paying for care and the variation in the average monthly charges according

to the source of payment. The data were based

on responses to questions 17a and 17b of the

Current Patient Questionnaire in appendix IV.

These questions dealt with both the patients’

primary (question 17b) and total (question 17a)

sources of payment. The following possible

sources were listed: own income or family support, Medicare (Title XVIII), Medicaid (Title

XIX), other public assistance or welfare, church

support, VA contract, initial payment—life care,

other, and none (i.e., no charge is made for

care).

PRIMARY SOURCE OF PAYMENT

Since the patient’s own income or family support, Medicare or Medicaid, and other public

assistance or welfare programs were listed as the

primary sources of payment for 93 percent of

the residents, this discussion will concentrate on

these three groups. The data for the remaining 7

percent were too meager to be analyzed separately, so they have been grouped into one

“other” category (table 12).

Table L and table 11 give certain background

Table L. Selectad characteristics of residents in nursing homes, by primary source of payment: United States, June-August 1969

[See appendixI for informationon samplingerrorsof theseestimates]

Selectad characteristics

Averaga monthly chargal . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Percent distribution ofresidents2. . . . . . . . . . . . . . . . . . . . . . . .

Percent of rasidents in nursing cara homes . . . . . . . . . . . . . . . . . .

Percent of residents receiving intensive nursing care . . . . . . . . . . . .

Percent of residents with limitations requiring extra

nursing time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Percent of residents with 5 chronic conditions or more . . . . . . . . .

Average number of chronic conditions . . . . . . . . . . . . . . . . . . . .

Number of females perlOO males . . . . . . . . . . . . . . . . . . . . . . .

Median age . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1 Includes life-care residents and no-charge residents,

All

sources

$328

100.0

77.6

32.2

48.0

28.1

3.5

226

80.5

Primary source of payment

Own income

or family

support

\

$342

39.7

73.4

32.9

47.2

26.4

3.4

237

81.3

Public assistance

Medicare

or

Medicaid

$422

16.1

93.2

39.3

56.8

31.9

3.8

254

81.0

Other public

assistance

or walfare

$280

37.2

77.2

29.6

46.8

29.3

3.6

218

79.5

All

other

;OUrces

$283

7.0

68.0

26.5

38.7

22.2

3.1

167

79.0

2 Includes only those residents who have lived in the nursing home for at Iaast a month. Figures on number of residents can be found

in table 11.

12
information on the residents when classified by

their primary source of payment. For example,

over three-fourths of the residents used their

own or family income or public assistance other

than Medicare or Medicaid as the primary source

of payment.

The average monthly charge for residents receiving Medicare or Medicaid ($422) was apparently higher than charges for residents using any

other primary source of payment. When standard errors of charges were considered, the

charges were the same regardless of the primary

source of payment. Over 90 percent of the residents using Medicare or Medicaid as their primary source of payment were in nursing care

homes; 39 percent of these residents were receiving intensive nursing care, and 57 percent

had limitations requiring extra nursing time,

Therefore, the apparently increased charge for

these residents might reflect the significantly increased care given them rather than their source

of payment.

An examination of the primary source of payment according to type of service offered by the

facility showed that about 93 percent of the

residents using Medicare or Medicaid as the primary source of payment were in homes offering

nursing care and less than 1 percent were in

homes offering personal care (tables M and 13).

For the other primary sources of payment, however, less than 80 percent of the residents were

in nursing care homes. The stringent requirements for Medicare and Medicaid certification

probably accounted for nursing care homes having a significantly larger percent of Medicare or

Medicaid residents in 1969.

Table M. Percent distribution of residents in nursing homes by primary source of payment, eccording to type of service provided by

the home, type of ownership, and geographic region: United States, Juna-August 1969

[See appendixI for informationon samplingerrorsof theseestimates]

Type of service provided by the home,

type of ownership, and geographic region

All residentsi . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Type of service

Nursing care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Personal carewith nursing . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Personal cere . . . . . . . . .. m... . . . . . . . . . . . . . . . . . . . . . . .

Type of ownership

Proprietary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Nonprofit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Government , .,.,.,.,, ,, .,,,,,.! . . . . . . . . . . . . . . . . . .

Region

Northeast . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

North Central . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

South . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

West . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Primary source of payment

Public assistance

AH

Own income All

or family Medicere Other public

sources

other

support or assistance sources

Medicaid or welfare

Percent distribution

100.0

77.6

17.8

4.7

68.3

22.4

9.3

22.3

35.5

26.8

15.4

100.0

73.4

21.8

4.9

64.9

28.6

6.6

20.5

40.5

24.3

14.8

100.0

93.2

6.2

0.6

79.1

12.4

8.6

25.2

26.7

31.7

16.5

100.0

77.2

16.3

6.6

73.5

15.8

10.7

21.1

34.3

28.5

16.2

100.0

68.0

29.4

2.6

36.0

45.1

19.0

32.5

34.2

20.7

12.7

‘ Includes only those residents who have lived in the nursing home for at least a month,

13
Most residents receiving Medicare or Medicaid

(79.1 percent) resided in homes having a proprietary type of ownership. Further examination

of the distribution of residents according to the

type of ownership revealed that about threefourths of the residents receiving other public

assistance or welfare were also in proprietary

homes. About 29 percent of the residents using

their own or family income were in nonprofit

homes, as compared with less than 16 percent of

those using one of the forms ofpublic assistance

(Medicare, Medicaid, or other public assistance

or welfare).

When the level of patient care was considered,

residents using Medicare or Medicaid as the primary source of payment (16.1 percent of all

residents) received intensive nursing care more

often than did persons using the other sources of

payment (tables N and 14). Also, for those Medicare or Medicaid residents receiving intensive

nursing care, the average monthly charge for

care appears to have been higher ($440) than for

re si dents using other sources of payment

($307-$399). When standard errors of charges

were considered, however, Medicare or Medicaid

residents receiving intensive nursing care did not

pay significantly higher monthly charges than

did persons using their own or family income as

the primary source of payment.

Residents receiving intensive nursing care

whose primary source of payment was either

their own income or other public assistance paid

Table N. Average monthly charge for care and percent distribution of residents in nursing homes by level of patient

care, according to primary source of payment: United States, June-August 1969

[Seeappendix I for information on sampling errors of these estimates]

Primary source of payment

All sources . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Ownincome or family support . . . . . . . . . . . . . . . . . . .

Medicare or Medicaid . . . . . . . . . . . . . . . . . . . . . . . . . .

Other public assistance or welfare . . . . . . . . . . . . . . . . . .

All other sources . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

All sources . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Ownincome or family support . . . . . . . . . . . . . . . . . . .

Medicare or Medicaid . . . . . . . . . . . . . . . . . . . . . . . . . .

Other public assistance or welfare . . . . . . . . . . . . . . . . . .

All other sources . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

‘See appendix II for definitions.

2 includes life-care residents and no-charge residents.

Level of patient care’

11 1 1 1

All

Intensive Limited persona, No nursing

levels

nursing nursing or personal

care

care care care

Average monthly charge2

$328 II $373 I $335 I $276 I $219

II 1 i I

342 399 351 281 224

422 440 409 424 366

280 315 287 239 186

283 307 318 251 223

Percent distribution of residents3

100.01] 32.2 I 41.2 ! 20.2 I 6.3

100.0 32.9 38.3 21.4 7.5

100.0 39.3 46.6 12.3 1.8

100.0 29.6 43.!5 22.0 5.0

100.0 26.5 33.5 22.2 17.7

3 Includes only those residents who have lived in the nursing home for at least a month.

14
significantly higher charges than those receiving

no nursing or personal care with the same primary sources of payment. The difference in

charges for intensive and “no-care” residents was

not significant for Medicare/Medicaid and

“other” primary sources of payment. In these

instances, standard errors were high because the

number of residents was small when compared

with the number of residents with other primary

sources of payment.

Residents who made an initial payment for

life care and those who had some sort of nocharge arrangement were included in the

“other” category for the primary sources of payment. Examination of these two types of payment showed that 91 percent of the residents

with a no-charge arrangement resided in nursing

care homes as compared with 36 percent with a

life-care arrangement. When the charges for lifecare residents were averaged according to a

monthly charge, these persons (1.4 percent of all

residents) paid an average monthly charge of

$293. (When averaging this charge, both life-care

patients who paid an initial charge and no

monthly charges and life-care patients who paid

monthly charges were included. If those life-care

residents makkg no monthly payments were

excluded, the average monthly charge would be

$300.) For residents with life-care arrangements,

the number of females per 100 males (756) was

much higher than it was for no-charge arrangements (243). Although this ratio for life-care residents was significantly higher than for other

sources, it must be noted that the ratio represented a small portion (1.4 percent) of all the

residents. Since the ratio generally increased

with age, the fact that 44 percent of all life-care

residents were 85 years and over may explain

the high ratio. Table O gives further selected

characteristics for these two specific arrangements.

TOTAL SOURCES OF PAYMENT

When the patients’ total sources of payment

(question 17a of Current Patient Questionnaire,

appendix IV) were examined, it appears that the

larger the number of sources of payment, the

higher the average monthly charge (tables P and

15). This is deceptive, however, for when standard errors were considered, there was no significant difference among the monthly charges according to the number of sources of payment.

Over 60 percent of the nursing home residents

in 1969 used only one source of payment, and

about half of these “one-source” residents used

their own or family income for their primary

source of payment (tables Q and 15). Over

Table O. Selected characteristics of residents in nursing homes with life-care arrangements and those with no-charge

arrangements: United States, June-August 1969

[SeeappendixI for informationon samplingerrorsof theseestimates]

Selected characteristics

Average monthly charge . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Percent ofresidentsl . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Percent ofresidents innursing carehomes . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Percent of residents receiving intensive nursing care . . . . . . . . . . . . . . . . . . . . . . .

Percent of residents with limitations requiring extra nursing time . . . . . . . . . . . . . .

Percant of residents with 5 chronic conditions or more . . . . . . . . . . . . . . . . . . . . .

Number of females per 100 males... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Median age . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

[nitial paymentIife care

$293

1.4

36.0

14.2

24.9

13.0

756

83.6

1Includesonly those residents who have lived in the nursing home for at least a month. Data calculated from table 1.

No charge

$0

0.4

90.6

40.2

62.0

15.9

243

77.4

15
Table P. Selected characteristics of residents in nursing homes, by total number of sources of payment: United States,

June-August 1969

[Seeappendix I for information on sampling errors of these estimates]

Selected characteristics

Average monthly chargel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Percent distribution ofresidents2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Percent of residents in nursing care homes . . . . . . . . . . . . . . . . . . . . . . .

Percent of residents receiving intensive nursing care . . . . . . . . . . . . . . . . .

Percent of residents with limitations requiring extra nursing time . . . . . . . .

Percent of residents with 5 chronic conditions or more . . . . . . . . . . . . . . .

Average number ofchronic conditions . . . . . . . . . . . . . . . . . . . . . . . . . .

Number of femaIes per 100 males.. . . . . . . . . . . . . . . . . . . . . . . . . . . .

Median age . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1Includes life-care residents and no-charge residents.

All

residents

$328

100.0

77.6

32.2

48.0

28.1

3.5

226

80.5

Total number of

sources of payment

1

$322

61.4

74.2

31.3

46.4

27.1

3.4

227

80.2

2

$336

36.9

83.3

33.7

50.7

30.1

3.7

224

81.1

3 or more

$361

1.7

74.9

32,2

46,3

14.8

3.4

254

80.5

2Includes only those residents who have lived in the nursing home for at least a month. Figuras on number of residents can ba found

in table 15.

Table Q, Percent distribution of residents in nursing homes, by total number of sources of payment and primary

source of payment: United States, June-August 1969

[Seeappendix I for information on the sampling errors of these estimates]

Primary source of payment

All primary sources . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Ownincome or family support . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Medicare or Medicaid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Other public assistance or welfare . . . . . . . . . . . . . . . . . . . . . . . . . . . .

All other sources . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

*

Percent distribution of residents

100.0

39.7

16.1

37.2

7.0

61.4

33.1

5.5

17.8

5.1

36.9

I

1.7

6.3 0.3

10.1 0.5

18.8 0.6

1.6 0.3

llncludes only those residents who have lived in the nursing home for at least a month. Figures on number of residents can be found

in table 15.

16
three-fourths of the residents who used -two

sources of payment relied on some form of public assistance as their primary source. Only 1.7

percent of the residents utilized three or more

sources of payment. Data on total sources of

payment are presented by selected characteristics of the nursing home in table 17 and by

selected characteristics of the resident in tables

P, 16, and 18.

For persons using two sources of payment

(36.9 percent of all residents), 83.3 percent resided in nursing care homes and 50.7 percent

had limitations requiring extra nursing time. The

percents of residents in nursing care homes and

having limitations requiring extra nursing time

were significantly higher for “two-source” residents than for residents using only one source of

payment. These larger percents, therefore, may

be the reason for the apparently higher monthly

charge for the “two-source” residents.

PRIMARY SOURCES OF PAYMENT IN

1964 AND 1969

of residents according to the primary source of

payment are also available for 1964.11 When

stan”dard errors of charges were applied to the

monthly charges for the 2 years, the monthly

charges for 1969 were significantly higher than

those for 1964, regardless of the primary source

of payment (table R).

Since Medicare and Medicaid did not come

into existence until after 1964, there are no data

for this source of payment for 1964. For 1969,

the higher portion of residents (54 percent) receiving public assistance-Medicare or Medicaid

and other public assistance or welfare—and the

lower portion (40 percent) using their own or

family income as the primary source of payment

was probably due to the enactment of the Medicare and Medicaid legislation. In contrast, for

1964 the portion of residents receiving public

assistance (47 percent) was nearly the same as

the portion using their own or family income

(46 percent). In 1969, over 16 percent of the

residents utilized Medicare and Medicaid funds

as their primary source of payment.

In addition to the 1969 data, the average

monthly charges and the corresponding percents

Table R. Average monthly charge for care and percent distribution of residents in nursing homes, by primary source

of payment: United States, 1964 and 1969

[Forsamplingerrorsof 1969 estimates,seeappendixI; for samplingerrorsof 1964 estimates,seereference11]

1964 1969

Percent Percent

Primary source of payment Average

distribution

Average

distribution

monthly monthly

of of

chargel chargel

residents residents

All sources . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $186 100.0 $328 100.0

Ownincome or family support . . . . . . . . . . . . . . . . . . . . . . . $202 45.9 $342 40.2

Public assistance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 179 46.9 323 54.1

Medicare or Medicaid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . 422 16.3

Other public assistance or welfare . . . . . . . . . . . . . . . . . . . 179 46.9 280 37.7

All other sources . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93 7.2 281 5.7

1Excludes life-care residents.

NOTE: Includ” L>fIi)f those rc:id?nts who have lived in the nursing home for at least a month.

17
I

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1965.

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3Nationsd Center for Health Statistics: Institutions for the

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1963. Vital and Health Statistics. PHS Pub. No. 1000-Series

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9NationaI Center for Health Statistics: Chronic illness among

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homes, United States, May-June 1964. Vital and Health Statistics. PHS Pub. No. 1000-Series 12-No. 10. Public Health Service.

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1‘National Center for Health Statistics: Use of special aids in

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1964. Vital and Health Statistics. PHS Pub. No. 1000 -Seties

12-No. 11. Public Health Service. Washington. U.S. Government

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14National Center for Health Statistics: Marital status and

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15National Center for Health Statistics: Arrangement for

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homes, United States, May-June 1964. Vital and Health Statistics. PHS Pub. No. 1000-Series 12-No. 13. Public Health Service.

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21National Center for Health Statistics: Nursing homesTheir years in business and changes of ownership, United States,

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22 National Center for Health Statistics: Administrators of

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18
~3Naticmal Center for Health Statistics: Characteristics of

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25Study shows variations in costs of care according to level

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26Department of Housing and Urban Development: Survey

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27NationaI Center for Hedtb Statistics: E1ghtfr Revision,

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28National Center for Health Statistics: Development and

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19
LIST OF DETAILED TABLES

Table 1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

Average monthly charge for care and number and percent distribution of residents by monthly charge for care

intervals, according to region, typa of ownership, and type of service provided by the home: United States,

June-August 1969 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Average monthly charge for care and number and percent distribution of rasidents by monthly charge for care

intewals, according towxand ageofresidents: United States, June-August l969 . . . . . . . . . . . . . . . . . .

Average monthly charge for care and number and percant distribution of residents by monthly charga for care

intewals, according tolevel ofpatient care andnumber of chronic conditions: United States, June-August 1969 . .

Average monthly charge for care and number and percent distribution of residents by monthly charge for care

intervals, according to level of patient care and type of eewice provided by the home: United States, June-August

1969 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Average monthly charge for care and number and percent distribution of residents by monthly charge for care

intewals, according toprima~diagnosis andnumber ofchronic conditions: United States, June-August 1969 . . .

Average monthly charge for care and number and parcent distribution of residents by monthly charge for care

intewals, according toprima~diagnosis andlevel of patient care: United States, June-August 1969 . . . . . . . .

Average monthly charge for care and number and percent distribution of residents by monthly charge for care

intewals, according to primary diagnosis and type of service provided by the home: United States, June-August

1969 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Average monthly charge for care and number and percent distribution of residents by monthly charge for care

intewals, according to extra nursing time required for selected limitations and number of chronic conditions:UnitedStates,June-August 1969 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Average monthly charge for care and number and percent distribution of residents by monthly charge for care

intewalsr according to extra nursing time required for selected limitations and level of patient care: United Statas,

June-August1969 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Avarage monthly charge for care and number and percent distribution of residents by monthly chargp for care

intewals, according to extra nursing time required for selected Iimitations and selected primary diagnoses: United

States,June-August 1969 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Average monthly charge for cara and number and percent distribution of residents by monthly charge for care

intewalsr according toprimary source of payment: United States, June-August 1969 . . . . , . . . . . . . . . . .

Average monthly charge for care, by primary source of payment, sex, and age of residents: United States,

June-August1969 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Average monthly charge for care, by primary source of payment, region, type of ownership, and type of sewice

providedbythehome: UnitedStates,June-August1969 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Paga

22

24

25

26

27

30

33

36

37

38

39

40

41

20
Table 14.

15.

16.

17,

18.

LIST OF DETAILED TABLES–Con.

Page

Average monthly charge for care, by primary source of payment, level of patient care, and number of chronic

conditions: United States, June-August 1969 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Average monthly charge for care and numbar of residents, by primary source of payment and number of sources of

payment: United States, June-August 1969 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Average monthly cherge for care, by number of sourcas of payment, sex, and age of residents: United States,

Juna-August 1969 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Average monthly charge for care, by number of sources of payment, region, type of ownership, and type of service

provided by the home: United States, June-August 1969 . . . . . . . . . . . . . . . . . . .. . . . . . . . . . .

Average monthly charge for care, by number of sources of payment, level of patiant care, and numbar of chronic

conditions: United States, June-August 1969 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

43

44

45

46

48

21
Table 1. Average monthly charge for care and number and percent distribution of residents by mmnthly charge fm’ care intervals, according to region, type Of mwnership, and type of service provided by tha home: United Statesr June-August 1969

[See appendix I for information on the sampling errors of these estimates]

Monthly charge for cam

Initial

No

payment- $1- $100- $200- $300- $400- $500-

Iife care

char~ 89 199 299 399 499 599

Average

Region, typs of ownership, type of

service provided by the home

of

esidentsz

Total

$600

or mora

charge~

Percent distribution

5.7

=

6,9

1.7

.1

6.2

7.2

1.9

5.1

7.2

1.9

3.2

4.3

●

11.4

United States . . . . . . . . . . . . . 5.0

Nursing care . . . . . . . . . . . . . . . . . . .

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

Personal care . . . . . . . . . . . . . . . . . . .

Proprietary, . . . . . . . . . . . . . . .

Nursing care . . . . . . . . . . . . . . . . . . .

Paraonal carewith nursing . . . . . . . . . .

Personal care . . . . . . . . . . . . . . . . . . .

Nonprofh . . . . . . . . . . . . . . . .

Nursing care . . . . . . . . . . . . . . . . . . .

Personal carewith nursing . . . . . . . . . .

Personal care . . . . . . . . . . . . . . . . . . .

Government . . . . . . . . . . . . . . .

Nursing care . . . . . . . . . . . . . . . . . . .

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

Personal care . . . . . . . . . . . . . . . . . . .

Northeast . . . . . . . . . . . . . .

Proprietary . . . . . . . . . . . . . . . .

Nursing mre . . . . . . . . . . . . . . . . . . .

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

Personal care . . . . . . . . . . . . . . . . . . .

Nonprofit . . . . . . . . . . . . . . . .

Nursing care . . . . . . . . . . . . . . . . . . .

Parsonal care with nursing . . . . . . . . . .

Personal care . . . . . . . . . . . . . . . . . . .

Government . . . . . . . . . . . . . . .

Nursing cara . . . . . . . . . . . . . . . . . . .

Perscmal carewith nursing . . . . . . . . . .

Personal care . . . . . . . . . . . . . . . . . . .

North Central . . . . . . . . . . . .

Proprietary . . . . . . . . . . . . . . . .

Nursing are . . . . . . . . . . . . . . . . . . .

Personal cere with nursing . . . . . . . . .

Personal cere . . . . . . . . . . . . . . . . . . .

Nonprofit . . . . . . . . . . . . . . . .

Nursing care . . . . . . . . . . . . . . . . . . .

Parsonal care with nursing . . . . . . . . . t

Personal care, . . . . . . . . . . . . . . . . .

See footnotes at end of table.

22

$326

—

356

242

178

343

366

245

149

305

342

253

158

268

303

186

142

386

414

440

302

152

352

417

254

●

328

340

255

●

298

764,100

—

592,800

135,700

100.0

=

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100,0

1.4 .4 1.7 13.0

-

5.3

31.9

68.4

10.2

3.1

36.8

67.8

17.1

9.1

27.9

53.7

23.3

16.3

29.4

88.1

10.3

30.3

=

28.3

38.4

22.6

29.5

28.6

3s.4

25.1

31.2

29.8

33.9

26.2

33.6

34.7

38.4

●

19.5

15.9

13.9

24.2

X3.4

23.3

19.2

30.4

.

28.2

24.9

57.9

.

40.3

2S.7

=

33.6

13.7

4.3

31.6

35.6

18.1

4,9

22.8

28.6

14.2

●

20.2

27.1

2.6

28.6

31.3

34.3

18.9

●

23.3

29.5

13,6

●

27.5

31.4

●

21.4

13.9

.6

5.0

.1

6.1

3.4

11.0

1.9

.5

.2

.3

.3

.5

●

.5

,.

1.5

1.9

●

.6

.8

4.6

4,3

.5

.4

.2

1.6

2.6

1.4

3.8

15.7

8.0

2.8

24.4

9.4

2.0

16.7

4.9

.3

15.7

18.1

4.6

11.4

15.5

5.3

6,4

7.6

4.1

14.6

17.0

18.9

9.3

11.6

16.3

4.2

9.7

9.3

14.6

●

12.1

6.1

1.6

6.7

6.6

1.6

3.5

4.5

1.9

3,9

5.3

●

11,2

522,100

436,700

58,400

27,000

170,900

104,800

61,700

4,500

71,100

51,300

15,600

4,100

170,600

102,400

88,20C

8,000

6,1 OC

45,500

27,90C

17,20C

500

22,60C

19,90C

2,5oc

*

271 ,20C

1.3

1.1

6.1

3,2

1.9

3.8

50.8

2,8

●

17.9

●

2,1

7.5

1.8

33.1

56.2

13.8

2.1

32.3

30.5

15.9

15.6

*

●

15.5

13,5

14,5

12.4

10.0

14.8

2.6

4.6

5.2

●

4.2

13,6

16,5

●

7.6

10.4

3,3

7,6

6,6

●

2,8

7.1

5.5

9.9

.

1.2

.2

,3

3.8

4.4

●

.5

316

340

230

182

284

314

242

203

163,80C

130,20C

27,80C

5,80C

76,60C

45,90C

27,80C

1,90C

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

.5

.4

1.0

.4

,7

.3

.3

.3

2.6

1.4

4.7

12.4

5.2

33.1

74.9

17.2

10.8

25.7

45.5

41.2

40.1

49.9

22.7

39.8

36.5

44.8

46.5

23.0

28.3

12.0

●

20.6

27.9

9.4

●

14.1

17.1

3.1

10.4

14.6

4.3

5.0

6.2

,2

3.1

3.9

2.1

3.5

4.3

.4

1.7

2.4

.6

4.3

1.9

8.5
Table 1. Average monthly charge for care and number and percent distribution of res)dents by monthly charge for care intervals, according to region, wpe of ownership, and type of service provided by the home: United States, June-August 1969—Con.

[See appendix I for information on tbe sampling errors of these estimates]

II Monthly charge for care

Average

monthly

chargej

$238

276

176

95

307

Number

of

residents

31,800

20,500

10,100

1,200

204,500

159,100

142,600

13,400

3,100

34,800

22,500

10,400

1,900

10,600

8,000

1,900

700

117,800

Region, type of ownership, type of

service provided by the home

‘otal Initial

NO $1- $100- $200- $30Qpayment.

life care

charge 99 199 299 399

Percent distribution

10.8

2.7

24.7

31.7

1.6

15.1

21.9

3.1

42.3

Government . . . . . . . . . . . . . . . 100.0

100.0

100.0

100.0

100.0

100.0

100.0

100,0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

.4

●

.

.4

5.4

7.0

2.8

7.7

8.3

8.9

3.9

6.1

6.8

5.6

3.5

4.6

●

27.7

2.8

4.0

●

3.0

1.6

2.2

●

2.9

27.0

19.0

38.2

88.3

10.7

8.1

2.4

53.6

70.5

19.8

15.3

21.4

64.3

20.9

12.5

26.2

●

15.2

36.9

42.7

29.6

30.2

30.6

31.3

23.8

27.9

27.6

33.3

18.1

11.9

33.2

38.2

24.7

●

22.8

1.2

Nursing care . . . . . . . . . . . . . . . . . . .

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

Personal care . . . . . . . . . . . . . . . . . . .

South ...,..........,..

Proprietary . . . . . . . . . . . . . . . . 318

330

220

166

276

292

269

118

242

275

135

*

350

45.7

49.3

18.7

32.5

33.7

36.0

23.0

29.9

.

.

22.0

3.3

3.7

2.2

2.9

●

●

●

.

5.5

3.2

3.5

1.6

1.8

●

3.5

4.6

●

5.0

.1

.1

6,7

4.5

12.7

●

1.4

.4

.4

.3

.

●

.

.

.3

.4

.4

●

3.3

●

4.0

23.8

14.7

8.5

46.5

●

.1

Nursing cam. . . . . . . . . . . . . . . . . . .

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

Personal care . . . . . . . . . . . . . . . . . . .

Nonprofit . . . . . . . . . . . . . . . .

Nursing care . . . . . . . . . . . . . . . . . . .

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

Personal care . . . . . . . . . . . . . . . . . . .

Government .,..,..,...,,..

Nursing care . . . . . . . . . . . . . . . . . . .

Personal care with nursing . . . . . , . . . .

Pnrsonal care . . . . . . . . . . . . . . . . . . .

Waft . . . . . . . . . . . . . . . . . .

Proprietary . . . . . . . . . . . . . . . . 357

392

278

198

338

385

278

*

253

323

212

171

96,800

75,700

9,200

11,900

14,900

8,500

6,300

●

6,000

3,000

1,200

1.900

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

.3

.4

●

●

*

.1

.1

●

●

●

●

.

—

13.0

2.4

27.2

69.8

20.5

6.9

36.9

●

36.6

13.3

●

.

22.3

20.7

37.3

21.2

20.0

19.4

21.2

*

37.5

35.6

.

*

24.4

27.3

22.5

7.7

9.5

16.1

*

●

14.6

28.0

●

.

29.1

36.3

5.8

●

28.3

40.1

12.8

●

●

*

●

●

5.4

6.7

●

●

6.7

11.4

●

●

●

●

●

*

5.3

5.9

6.4

4.6

4.0

5.4

●

●

●

●

*

.1

.1

10.6

.

22.6

●

●

.

Nursing care . . . . . . . . . . . . . . . . . . .

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

Personal care . . . . . . . . . . . . . . . . . . .

Nonprofit . . . . . . . . . . . . . . . .

Nursing care . . . . . . . . . . . . . . . . . . .

Personal care with nursing , ., ., . . . . .

Personal care,,...,,......,,. . . .

Government . . . . . . . . . . . . . . .

Nursing care . . . . . . . . . . . . . . . . . . .

Personal carewlth nursing . . . . . . . . . .

Personal care . . . . . . . . . . . . . . . . . . .

1 Includes life-care residents and no-charge residents.

alncludes only those raaidents who have lived in thenursing home for at Ieasta month.

23
Table2. Average monthly charge forcare andnumber andpercent distribution of reaidenK bimonthly charge forcare intewals, according tosex and age

ofresidenta: United States, June-August 1969

[See appendix I for information on the sampling errors of these estimates]

—

Average

—

Number

of

residents

_

Total

Monthly charge for care

Initial No

payment- ;; $1oo- $200- $300- $400- $500. $600

life care

charge 199 299 399 499 599 or more

Sex and age

chargex

Both sexes

All agea . . . . . . . . . . . .

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

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

75-64 yeara . . . . . . . . . . . . .

85 yeara and over . . . . . . . . .

—Male

Alleges . . . . . . . . . . . .

Under65yeara . . . . . . . . . . .

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

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

65years and over . . . . . . . . .

Female

All eges . . . . . . . . . . . .

Under66years . . . . . . . . . . .

66-74years . . . . . . . . . . . . .

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

65yearsandover . . . . . . . . .

$328 764,100 100.0 1.4 .4 1.7 13.0 30.3 13.9 6.0

_

24.3

14.4

11.2

10.4

15.3

22.1

16.9

13.7

11.3

12.0

28.7 .5.7

.

276

324

337

337

315

273

312

327

330

333

278

331

340

340

87,100

127,300

300,000

249,700

234,200

41,800

48,500

83,500

60,400

629,900

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

.1

.7

1.7

1.9

.5

.1

.3

,5

1.0

1,8

1.0

.4

.4

.3

.4

1.1

.4

,3

.2

.4

3.9

2.0

1.5

.9

2.3

5.4

2.7

1.7

.8

1.4

36.6

32.8

28.7

28.0

32.5

37.3

33.4

29.7

32.1

29.3

19.3

26.5

30.6

30.8

26.7

18.6

25.0

29.4

29.7

29.6

10.1

12.0

14.1

15.9

12.9

10.5

11.5

13,8

14.5

14.3

2.7

5.8

6.3

5,9

5.0

3.0

5.6

6.6

4.9

4.5

2.8

4.9

5.1

4.4

6.3

2.1

4.8

5.8

5,9

6.0

45,400

78,700

216,600

189,300

100.0

100.0

100.0

100.0

.2

.9

2.1

2.1

.9

.5

.4

.4

2.5

1,5

1.4

.9

26.4

12.9

10.3

10.1

34.1

32.5

28.2

28.0

19.9

27.4

31.1

31.2

9.8

12.2

14.2

16,3

3.3

6.4

6.6

5.9

3.1

5,8

6.7

5.0

1Includes Iifa-cara rasidents and nmchame residents.

~lncludas only those residents who have lived inthenursing home for at Ieasta month.

24
Table3. Average monthly charge for care and number andpercent distribution ofresidents bimonthly charge forcare intervals, according tolevel ofpatientcare

andnumber ofchronic conditions: United Stetes, June-August 1969

[See appendix I for information on tbe sampling errors of these estimates]

Monthly charge for care

Averege

monthly

chargel

Number

of

residents’

Total Initial

No

payment- $19- $100- $xm- $300- 5400- $500- $600

life care

charge 199 299 399 499 599 or more

Level of patient care and

number of chronic conditions

Percent distribution

All conditions, all levels of

patient care . . . . . . . . . . . . . $328 764,100 100.0 1.4 .4 1.7 13.0 30.3 28.7

_

18.8

22.0

27.2

26.8

30.6

32.3

34.8

33.7

13.9 5.7 5.0

Oconditicms . . . . . . . . . . . . . . . . . . .

I condition . . . . . . . . . . . . . . . . . . . .

Zconditions . . . . . . . . . . . . . . . . . . .

3conditions . . . . . . . . . . . . . . . . . . .

4conditions, . . . . . . . . . . . . . . . . . .

6conditkms . . . . . . . . . . . . . . . . . . .

8condltionsormore . . . . . . . . . . . . .

287

292

313

331

359

321

34s

373

13,700

95,600

148,900

166,200

125,100

92,100

122,500

246,300

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

10.3

3.4

1.5

.3

1.5

1.0

.4

.6

2.3

.1

.1

.5

1.1

.5

.1

.5

7.0

2.8

2.3

2.1

.7

1.0

.3

.5

21.5

25.6

15.2

11.9

7.0

12.7

7.3

3.9

24.2

28.1

31.8

34.1

26.0

30.3

27.6

26.6

●

20.9

28.6

30.6

25.3

26.5

25.1

34.3

13.0

33.9

38.8

36.8

31.9

34.4

28.5

29.5

29.6

26.7

26.7

35.2

26.9

28.8

33.2

25.0

29.6

26.3

23.0

25.7

14.3

20.6

40.7

7.3

9.1

14.5

12.3

15.2

13.0

18.9

18.6

3.1

3.4

4.2

5.8

8.8

5.1

6.7

8.0

5.5

5.3

33

6.1

7.1

4.2

3.8

Intensive nursing care . . . . . . . . . 7.5

Oconditions . . . . . . . . . . . . . . . . . . .

l condition . . . . . . . . . . . . . . . . . . . .

2 conditions . . . . . . . . . . . . . . . . . . .

3conditions . . . . . . . . . . . . . . . . . . .

4conditicms . . . . . . . . . . . . . . . . . . .

6conditions . . . . . . . . . . . . . . . . . . .

6conditlons or more . . . . . . . . . . . . .

397

398

360

368

394

351

373

335

412

315

326

334

351

326

348

276

241

233

272

283

322

273

285

219

1,500

19,300

41,200

52,300

47,600

30,900

53,400

315,000

2,200

34,200

60,600

74,700

50,500

41,700

51,100

154,300

3,900

28,500

34,400

31,800

23,600

15,800

16,300

48,400

6,100

13,500

12,700

7,300

3,400

3,700

1,800

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

f~o.o

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

●

1.7

1.0

.2

.5

.5

.2

1.0

●

.1

.9

.8

.7

.4

●

.

.1

7.3

.5

.2

.4

●

5.5

5.3

5.1

1.8

4.9

2.5

8.3

8.9

14.1

6.8

9.7

5.6

8.6

6.3

28.6

30.0

45.1

28.9

22.5

17.8

31.9

23.4

39.7

23.6

43.6

50.0

36.4

26.0

40.5

30.1

24.4

36.6

31.5

31.0

32.5

38.5

35.7

30.5

21.1

27.9

29.0

28.0

31.0

32.2

36.3

22.3

13.6

13.4

25.1

20.0

27.5

23.6

29.8

11.8

19.9

4.1

10.4

15.2

20.7

16.6

12.4

14.8

14.0

20.3

16.3

17.3

15.9

24.2

14.2

●

6.3

7.8

7.3

10.8

7.6

7.3

5.8

9.9

4.5

3.9

5.6

8.1

4.4

7.7

3.4

1.7

1.9

4.6

7.5

3.3

1.6

.6

*

.

●

*

.

16.3

14.7

5.0

7.7

10.6

4.8

5.0

4.9

●

.4

.9

.5

.6

.8

—

.

.6

1.2

1.1

.5

.6

3.1

—

.

4.3

4.3

4.7

.6

●

.

8.8

—

10.4

9.0

8.2

9.9

●

9.2

●

—

Limited nursing care , . . . . . . . .

Ocondltions . . . . . . . . . . . . . . . . . . .

1 condition . . . . . . . . . . . . . . . . . . . .

2conditlons, . . . . . . . . . . . . . . . . . .

3conditions . . . . . . . . . . . . . . . . . . .

4condltlons, . . . . . . . . . . . . . . . . . .

6conditkms . . . . . . . . . . . . . . . . . . .

ticcmditionsormore . . . . . . . . . . . . .

13.4

3.3

1.0

.2

1.0

.4

.4

1.5

10.7

11.4

16.2

11.8

14.8

13.3

17.4

8.4

9.6

3.2

9.1

8.o

13.7

9.1

8.1

5.3

●

9.0

2.0

8.2

●

.

●

14.2

4.0

3.1

6.7

5.7

5.4

3.3

Personal care . . . . . . . . . . . . . . 2.7

Ocondlticms . . . . . . . . . . . . . . . . . . .

1 condition . . . . . . . . . . . . . . . . . . . .

2condltions . . . . . . . . . . . . . . . . . . .

3 conditions . . . . . . . . . . . . . . . . . . .

4condltlons . . . . . . . . . . . . . . . . . . .

6condltlons . . . . . . . . . . . . . . . . . . .

6condltlcmsormm’e . . . . . . . . . . . . .

10.0

3.0

1.3

.4

.7

1.6

.

7.7

.

1.0

1.0

.2

●

*

2.7

2.8

3.5

4.1

●

1.9

.9

●

.

.

NO nursing or personal care . . . . .

Oconditions . . . . . . . . . . . . . . . . . . .

l condition . . . . . . . . . . . . . . . . . . . .

2condltions . . . . . . . . . . . . . . . . . . .

3condit[ons . . . . . . . . . . . . . . . . . . .

4conditlons .,, . ., ., ., .,,..,..,

6condltions . . . . . . . . . . . . . . . . . . .

6conditionsormore . . . . . . . . . . . . .

245

208

203

238

238

212

230

9.2

6.9

5.8

●

28.4

9.8

1 Includes life-care residents and no-charge residents.

1 Includes only those residents who have lived in the nursing home for at least a month.

25
Table 4. Average monthly charge for care and number and percent distribution of residents by monthly charge for care intervals, according m level of patient care

and type of service provided by the home: United States, June-August 1969

[See appendix I for information on the sampling errors of these estimates]

II Monthly charge for care

Average

monthly

chargal

Number

of

residents

Total Initial

NO $1-

paymentWoo- $200- $300- $400- $500- $600

life care

charge 99 199 299 399 499 599 or more

Level of patient care and type

of service provided by the home

All levels of patiant care

Allseivices . . . . . . . . . . . . . . . . $328 13.9

356

242

178

373

764,100

-

592,800

135,700

35,600

246,300

100.0

100.0

100.0

100.0

100.0

1.4

.6

5.0

.6

1.7

.

.8

4.6

4.3

.5

30.3 28.7

.

33.6

13.7

4.3

33.7

5.7 5.0

6.1

1.6

7.5

.4

_

.5

.2

.5

13.0

29.3

36.4

22.6

26.6

16.7

4.9

.3

18.6

6.9

1.7

.1

6.0

Nursing care . . . . . . . . . . . . . . . . . . .

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

Personal care . . . . . . . . . . . . . . . . . . .

5.3

31.9

68.4

3.9

Intansiva nursing cara

Allservicas . . . . . . . . . . . . . . . .

8.5

3.7

5.8

6.3

2.6

3.4

7.8

4.6

4.9

5.4

1.7

2.7

Nursing cara . . . . . . . . . . . . . . . . . . .

Parsonal care with nursing . . . . . . . . . .

Personal care . . . . . . . . . . . . . . . . . . .

381

304

184

335

222,500

22,900

900

315,000

100.0

100.0

100.0

100.0

.2

4.8

1.0

.5

●

.4

.4

●

.8

2.8

13.1

48.4

8.3

5.6

25.0

40.5

28.6

25.1

40.7

43.3

34.3

32.6

44.9

48.4

29.5

35.1

21.1

●

30.5

32.6

17.3

●

22.3

19,5

10.7

14.2

16.8

4.C

8,4

Limited nursing care

Allswvicas . . . . . . . . . . . . . . . .

Nursing care . . . . . . . . . . . . . . . . . . .

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

Parsonal care . . . . . . . . . . . . . . . . . . .

347

259

205

276

272,700

40,400

1,900

154,30C

100.0

100.0

100.0

100.0

.7

2.6

1.5

.5

.4

.6

1.7

●

3.1

Personal care

All services . . . . . . . . . . . . . . . .

Nursing care . . . . . . . . . . . . . . . . . . .

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

Personal care, . . . . . . . . . . . . . . . . . .

337

218

176

219

271

203

178

82,600

46,900

22,600

48,400

14,900

23,600

10,000

100.0

100.0

100.0

100.0

100.0

100.0

100.0

.8

3.5

7.7

.6

.2

.2

.9

6.3

4.5

8.8

8.8

41.7

72.7

39.7

30.4

32.5

19.7

25.0

34.9

10.0

3.1

11.8

12.9

4.8

5.3

5.8

.7

.6

4.9

.3

.9

No nursing or parsonal care

All services . . . . . . . . . . . . . . . .

5.6

12.3

●

●

10.1

9.9

4.4

18.8

41.9

65.9

26.0

25.4

22.5

22.0

8.0

5.6

14,8

1.0

●

●

●

●

●

1.0

Nursing care . . . . . . . . . . . . . . . . . . .

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

Personal care . . . . . . . . . . . . . . . . . . .

1 Includes life-care residents and no-charge residents.

2 Includes only thosa residants who hava lived in the nursing home for at Iaast a month

26
Table 5, Average monthly charge for care and number and percent distribution of raridents by monthly charge for care intervals, according to primary diagnosis

and number of chronic conditions: United States, June-August 1969

[See appendix I for information on the sampling errors of these estimates]

Primary dlagnosla and number of

chronic conditions

All diagnoses

AU conditions . . . . . . . . . . . . . .

0-3c0ndit10ns . . . . . . . . . . . . . . . . . .

4conditionsormore . . . . . . . . . . . . .

Infective and parasitic diseases

Allcondltlons . . . . . . . . . . . . . .

0-3condltions . . . . . . . . . . . . . . . . . .

4conditlons ormore . . . . . . . . . . . . .

Neoplasms

All conditions . . . . . . . . . . . . . .

0-3c0ndit10ns . . . . . . . . . . . . . . . . . .

4conditions or more . . . . . . . . . . . . .

Monthly charge for care

Total Initial

No

payment- $19- $100- $200- $300- $400- $500- $600

life care

charge 199 299 399 499 699 or more

Average

monthly

charge;

$328

Number

of

residents

764,100

Percent distribution

100.0 1.4 .4 1.7 13.0 30.3 28.7 13.9 6.7 5.0

314

345

309

294

327

363

355

372

332

424,300

339,700

28,700

15,800

12,900

16,900

9,400

7,500

39,400

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

1.7

1.0

3.2

——

4.7

●

●

.3

.6

.5

2.5

.6

3.3

.

4.0

2.4

.

.

●

1.3

16.5

8.6

17.5

17.3

17.7

8.9

10.5

6.8

10.7

31.6

26.5

27.5

31.1

23.0

24.1

25.1

22.8

30.9

26.6

32.6

30.0

12.2

16.0

7.3

5.6

9.4

20.2

13.6

26.5

14.1

4.6

7.0

5.5

5.1

6.0

7.0

8.2

5.4

5.9

4.9

5.1

5.3

.

2.7

4.4

.

.3

26.8

33.6

27.4

—

27.0

27.8

31.3

4.5

6.3

8.9

10.1

7.3

4.1

.

1.5

Endocrine, nutritional, and

metabolic diseases

Allcondltions . . . . . . . . . . . . . .

0-3conditlons . . . . . . . . . . . . . . . . . .

4condltionsormora . . . . . . . . . . . . .

Diseases of the blood and

blood-forming organs

All conditions . . . . . . . . . . . . . .

0.3conditions . . . . . . . . . . . . . . . . . .

4cmrditions ormore . . . . . . . . . . . . .

Mental disorders

Allconditlons . . . . . . . . . . . . . .

0.3condltions . . . . . . . . . . . . . . . . . .

4conditlons ormore . . . . . . . . . . . . .

Diseases of the nervous system and

same or$ana

Allconditlona . . . . . . . . . . . . . .

0.3conditions, . . . . . . . . . . . . . . . . .

4condltlons ormore . . . . . . . . . . . . .

Diseases of the circulatory system

All conditions . . . . . . . . . . . . . .

0-3conditiona . . . . . . . . . . . . . . . . . .

4conditionsormore . . . . . . . . . . . . .

See footnotes at end of table.

325

340

315

21,000

18,300

3,900

100.0

100.0

100.0

1.6

1.3

6.4

●

✎

2.4

●

12.4

8.7

14.7

31.6

30.1

37.5

39.6

34.6

37.0

35.9

39.2

31.5

29.4

33.4

16.1

13.2

15.0

16.6

4.3

7.8

●

4.7

3.5

●

290

352

281

268

306

328

2,300

1,600

84,600

56,400

29,200

57,700

100.0

100.0

100.0

100,0

100.0

100.0

.

.

.1

.2

1.3

●

✎

2.7

—

4.0

.2

1.6

23.7

●

23.4

27.5

15.5

12.0

14.5

18.3

21.2

18.1

27.1

28.0

10.0

26.0

9.5

8.2

10.0

13.8

●

●

2.9

2.7

3.1

5.1

.1

.1

.9

●

3.2

2.4

4.8

5.9

323

335

345

33,000

24,700

298,400

100.0

100.0

100.0

1.4

1.2

1.0

.3

1.7

.4

2.0

1.0

1.2

16.1

6.8

8.o

29.6

33.7

28.7

27.2

28.9

32.4

11.7

16.5

16.3

5.9

5.9

6.9

5,6

4.5

5.1

335

356

147,900

150,500

100.0

100.0

1.5

.6

.2

.6

1.8

.6

10.0

6.1

31,3

28.1

29.3

35.4

15.2

17.5

5.5

8.3

5.4

4.8

27
Table5. Average mcmthly charge far care and number and percent distributi.m of residents by mOnthly charge fOrcare intewals, accOrting toprimarytiagn0sis

and number of chrmriccmrditions: United States, June-August 1969—Con.

[See appendix I for information on the sampling errors of these estimates]

Primary diagnosis and number of

chronic conditions

Diseases of the respiratory system

All conditions . . . . . . . . . . . . . .

0-3cmrditi0ns . . . . . . . . . . . . . . . . . .

4conditions or more . . . . . . . . . . . . .

Diseases of the digestive system

All conditions . . . . . . . . . . . . . .

0-3c0nditi0ns . . . . . . . . . . . . . . . . . .

4conditions or more . . . . . . . . . . . . .

Diseases of the genitourinary system

Allcmrditions . . . . . . . . . . . . . .

0-3c0nditi0ns . . . . . . . . . . . . . . . . . .

4c0nditi0ns0rm0re . . . . . . . . . . . . .

Average

monthly

charge’

Monthly charge for care

Number

of Total Initial

NO

residents payment- $19- $1 @J- $’200- $300- $400- $500- $600

life care

charge 199 299 399 499 599 or more

14,900 100,0 1.7

8,000 100.0 ●

6,900 100.0 ●

18,100 100.0 ●

9,200 100.0 3.1

8,900 100.0

8,900 100.0 ●

4,100 100.0 ●

4,800 100.0 ●

2,800 100.0

1,700 100.0

1,100 100.0

49,500 100.0 1.6

27,900 100.0 2.2

21,600 100.0 ●

1,900 100.0 ●

1,200 100.0 ●

700 100.0

* 100.0 ●

● 100.0 *

● 100.0 .

Percent distribution

●

3.4

*

4.5

● ●

●

●

.5

*

. ●

. .

. .

- .

● .

. .

● -

.4 1.8

.2 2,7

● .

- *

- ●

.

● ●

● ●

● ●

$312 6.0 3.7

-

●

4.4

6.6

14.3 29.4 30.0 10.7

304

320

343

19.5

8.3

12.5

28.2

30.7

27.3

23.4

37.7

29.6

10.6

10.9

14.5

7.6

4.2

6.6

346

341

348

355

345

11.5

13.5

10.5

15.2

6.5

28.9

25.7

26.0

27.6

24.7

28.1

31.0

28.5

21.9

34.1

11.9

17.2

24.0

19.1

28.1

7.7

5.8

●

●

●

6.8

6,6

6.6

11.5

●

COmplicatirms of pregnancy, childbirth,

and the puerperium

All conditions . . . . . . . . . . . . . .

O-3 conditions . . . . . . . . . . . . . . . . . .

4c0nditicmswmme . . . . . . . . . . . . .

Diseases of the skin and subcutaneous

tissue

Allcmrditions . . . . . . . . . . . . . .

0-3c0nditi0ns . . . . . . . . . . . . . . . . . .

4c0nditi0ns0rm0re . . . . . . . . . . . . .

14.0

●

25.6

28.1

25.8

31.1

16.6

17.7

●

●

●

●

13.8

●

21.5

13.6

●

15.4

22.2

●

11.5

42.6

54.9

24.7

31.6

9.7

●

●

4.9

304

269

356

332

316

353

265

260

●

*

●

●

6.5

Diseases of the musculoskeletal system

and connective tissue

All conditions . . . . . . . . . . . . . .

0-3c0nditi0ns . . . . . . . . . . . . . . . . . .

4conditions or more . . . . . . . . . . . . .

Congenital anomalies

All conditions . . . . . . . . . . . . . .

0-3c0nditi0ns . . . . . . . . . . . . . . . . . .

4conditions ormore . . . . . . . . . . . . .

Certain causas of perinatal morbidity

and mortality

All conditions . . . . . . . . . . . . . .

0-3c0nditi0ns . . . . . . . . . . . . . . . . .

4conditimrs0rmma . . . . . . . . . . . . .

See footnotes at end of table.

13.7

8.8

36.0

37.6

32.9

●

●

*

34.2

28.1

22.6

16.7

33.3

●

●

●

12.5

15.0

14.0

●

●

●

●

.

4.4

5.6

#

●

4

4.3

9.3

●

*

●

28
Table 5. Average monthly charge for care and number and percent distribution of residents by monthly charge for care intervals, according to primary diagnosis

and number of chronic conditions: United States, June-August 1969–Con.

[See appendix I for information on the sampling errors of these estimates]

.

Monthly charge for cara

Initial

No

pavment- $19- $IOG $200- $300- $400- $500- $600

life cara

charge 199 299 399 499 599 or mora

Avarage Number

of

rasidentsa

Primary diagnosis and numbar of

chronic conditions

Total

charge:

Symptoms and 111-dafined conditions

All conditions . . . . . . . . . . . . . .

0-3conditions . . . . . . . . . . . . . . . . . .

4conditlonsormore . . . . . . . . . . . . .

Accidents, poisonings, and violence

All conditions . . . . . . . . . . . . . .

0-3c0nditi0ns . . . . . . . . . . . . . . . . . .

4conditions ormore . . . . . . . . . . . . .

Unknown diagnosas

Allconditlons . . . . . . . . . . . . . .

0-3c0tv3it10ns . . . . . . . . . . . . . . . . . .

4conditlons ormore . . . . . . . . . . . . .

$288 77,200 100.0 2.0 .4

t

1.7 18.4

2.5 22.0

.4 12.5

.5 4.4

●

6.2

●

2.6

4.6 38.1

4.s 39.2

.

31.3

34.7 26.4 9.s 3.6 3.0

281

320

408

47,700

29,500

36,700

100.0

100.0

2.4

1.4

.1

.9

.

36.0

32.7

22.5

21.7

23.4

26.5

23.4

31.4

S.4

12.2

2.7

4.9

8.8

6.8

10.8

1.6

2.6

3.8

13.4

16.0

10.6

.8

29.9

27.8

32.0

19.6

19.6

19.7

100.0 .6

421

396

233

18,S00

17,900

24,400

100.0

100.0

●

●

●

●

100.0 6.8 .6 16.8 4.3

232

237

21,000

3,400

100.0

100.0

4.4

21.4

●

25.9

29.8

18.o

9.3

4.8

●

1.4

●

●

✎

‘ Includes I Ife.care residents and no-chargeresidents,

‘ Includes only those residents who have lived in the nursinghome for at leasta month.

29
Table 6. Average monthly charge for care and number and percent distribution of residents by monthly charge for care intervals, according to primary diagnosis

and Ieval of patient care: United States, June-August 1969

[See appendi.. I for information on the sampling errors of these estimates]

Monthly charga for care

Average

monthly

chargal

Number

of

widentsz

Total Initial

NO

payment.

$1- $100 $200- $300- $400- $500- $600

life care

charge 99 199 299 399 499 599 or more

Primary diagnosis a“d

level of patient care

All diagnoses

All levels of patient care . . . . . . .

Percent distribution

$328 13.0 30.3 28.7

—

373

335

276

219

309

764,100

—

246,300

315,000

154,300

48,400

28,700

100.0 1.4 .4 1.7 13.9 5.7 I 6.0

Intensive nursing care . . . . . . . . . . . . .

Limited nursing care . . . . . . . . . . . . . .

Personal care . . . . . . . . . . . . . . . . . . .

No nursing or personal care . . . . . . . . .

Infective and parasitic diseases

All levels of patient care . . . . . . .

100.0

100.0

100.0

100.0

100.0

.6

1.0

1.5

7.7

3.2

.5

.4

.4

.2

.5

.5

.8

3.1

8.8

3.3

3,9

8.3

28.6

39.7

17,5

26.6

34.3

28.5

25.0

27.5

33.7

30.5

22.3

11.8

30.0

18.6

14.2

8.4

5,3

7.3

8.0 7,5

5.8 4.9

3.4 2.7

.6 .9

5.5 5.3

intensive nursing care . . . . . . . . . . . . .

Limited nursing care . . . . . . . . . . . . . .

Personal care . . . . . . . . . . . . . . . . . . .

No nursing or personal care . . . . . . . . .

346

320

310

209

363

7,000

10,600

7,200

3,800

16,900

100.0

100.0

100.0

100.0

100.0

*

●

3.3

11.9

●

.

●

●

16.5

●

6.0

14.4

23.1

36.3

8.9

28.6

34.2

20.5

20.2

24.1

37.9

30.4

32.6

9.5

27.4

10.6

9.3

3.8

●

20.2

7.7 5.9

4.5 5.6

7.9 5.7

●

7.0 6.9

8.1 10.1

6.1 8.6

● ●

5.9 4.1

8.6 6.4

5.3 2.8

4.1 ●

● ●

● ●

● ●

* ●

● ●

3.2 2.9

8.3 5.0

3.1 341

,8 1.9

5.9 5.1

●

●

2.7

Neoplasms

All levels of patient care . . . . . . .

Intensive nursing care . . . . . . . . . . . . .

Limited nursing care . . . . . . . . . . . . . .

Persona[ care . . . . . . . . . . . . . . . . . . .

No nursing m personal care . . . . . . . .

387

359

317

239

332

8,100

6,200

1,800

600

39,400

11,100

20,200

6,900

1,200

3,900

100.0

100,0

100.0

100.0

100.0

100.0

100.0

10Q.O

100.0

100.0

100.0

100.0

100.0

100.0

100.0

●

1.5

4.2

●

*

.3

●

☛

1.3

●

8.2

24.7

54.7

10,7

2.6

7.5

29.8

26.4

14.7

*

9.4

29.7

●

23.4

23.5

28.0

16.1

●

30.9

25.7

30.9

25.9

21.4

31.3

37.2

32.6

20.4

●

16.1

●

27.6

●

●

21.2

31.9

22.3

15.9

7.5

28.0

24.6

16.6

15.4

●

14.1

Endocrine, nutritional, and

metabolic diseases

All levels of patient care . . . . . . .

Intensive nursing care . . . . . . . . . . . . .

Limited nursing care . . . . . . . . . . . . . .

Personal care . . . . . . . . . . . . . . . . . . .

NO nursing m personal care . . . . . . . . .

Diseases of the blood and blocdforming organs

All levels of patient care . . . . . . .

378

333

267

272

315

.8

,7

3.3

●

6.4

1.1 27.0

32.6

32.0

31.4

37.5

41.1

34.2

48.0

●

37.0

28.7

46.1

32.1

24.1

31.5

14.3

17.0

5.7

●

16.6

1.2

3.1

●

●

●

●

2.7

Intensive nursing care . . . . . . . . . . . . .

Limited nursing care . . . . . . . . . . . . . .

Personal care . . . . . . . . . . . . . . . . . . .

Nonursing orpersonal care ., . . . . . . .

Mental disorders

All levels of patient care . . . . . . .

394

330

237

●

281

900

1,800

1,000

*

84,600

●

●

●

●

.1

27.3

19.8

●

●

9.5

19.1

10,0

4.1

●

13.8

●

.1

Intensive nursing care . . . . . . . . . . . . .

Limited nursing care . . . . . . . . . . . . . .

Personal care . . . . . . . . . . . . . . . . . . .

Nonursing wpersonal care . . . . . . . . .

Diseases of the nervous system and

sense organs

356

296

234

183

328

16,800

36,400

24,800

6,500

57,700

100.0

100.0

100.0

100.0

100.0

5.6

14,6

39.5

56.4

12.0

●

.6

5.5

9.9

1.6

.2

1.3

.2

Alllevels ofpatientcare . . . . . . . .9

Intensive nursing care . . . . , . . . . . . . .

Limited nursing care . . . . . . . . . . . . . .

Personal care . . . . . . . . . . . . . . . . . . .

No nursing or personal care . . . . . . . . .

368

327

272

250

21,700

22,400

11,300

2,400

100.0

100,0

100.0

100.0

●

●

●

10.8

*

●

3.6

●

4.1

9.6

27.9

32.4

‘2$).7

34.1

30.9

25.8

32.8

28.8

20.8

●

19.9

12.3

5.4

10.3

5.6 7.0

6,6 5.1

5.4 2.8

●

1.4

●

See footnotes at end of table,

‘ 30
Table 6. Average monthly charge for care and number and percent distribution of residents by mrmthly charge for care intervals, according to primary diagnosis

and level of patient care: United States, June-August 1969—Con.

[See appendix I for inforwtion on the samp6ng errors Of these estimates]

—

Number

of

esidentsa

298,400

108,600

129,500

49,80C

10,50C

14,90C

Monthly charge for care

-iOtsl Initial

No

payment-

$1. $100 $200- $300- $400- $500- $600

life care

charge 99 199 299 399 499 599 or more

Average

monthly

charge 1

Primary diagnosis and

level of patient cere

Diseases of the circulatory system

All levels of patient care . . . . . . .

Percent distributicm

$345 100.0 1.2 8.0 28.7 32,4 16.3 6.9 5.1

G

100,0

100.0

100.0

100.0

1Oo,c

100.0

1Oo.c

100.C

1Oo.c

1.0

.5

.9

1.3

6.8

1.7

.4

.4

.4

.3

*

●

●

.

.4

.6

2.3

10.9

3.4

●

.

*

.

●

2.9

6.0

19.4

33.1

14.3

7.3

6.4

33.6

28.3

,2.5

25.2

31.6

26.9

27.1

29.4

36.2

32.4

27.7

14.6

30.0

18.4

17.0

12.4

5.8

10.7

9.0

6.5

4.8

*

6.0

7.0

4.6

*

.4

3.7

Intensive nursing care . . . . . . . . . . . . .

Limited nurslngcare . . . . . . . . . . . . . .

Personal care . . . . . . . . . . . . . . . . . . .

No nursing or parsonel ‘care . . . . . . . . .

376

344

306

226

312

Dlseeses of the respiratory system

All levels of patient care . . . .. . . .

Intanslve nursing care . . . . . . . . . . . .!

Llmltsd nursing care . . . . . . . . . . . . . .

Personal cara . . . . . . . . . . . . . . . . . .

NO msrslng or personal care . . . . . . . . .

19.8

37.8

29.6

20.3

27.3

19.2

32.4

29.2

18.8

26.0

34.3

32.2

22.1

24.3

29.6

31.7

32.9

24.7

●

26.5

16.1

11.4

●

.

14.5

11.5

.

●

6.6

7.1

●

*

6.6

369

316

245

237

343

400

346

285

229

349

4,50C

6,00C

3,40C

1,Ooc

18,10(

●

☛

☛

●

Diseases of the digestive system

All Ievela of patient care ... ...,

9.9

5.9

5.8

6.6

8.6

*

*

4,900

8,000

4,200

1,000

8,900

4,200

3,200

900

600

100.0

100.0

[00.0

I 00.0

100.0

—

100.0

I 00.0

I 00.0

I 00.0

*

●

●

●

*

6.6

26.9

42.2

10.5

24.4

13.2

6.9

●

24.0

10.4

6.6

●

●

lntansive nursing care . . . . . . . . . . . . .

Limited nur$ingcare, . . . . . . . . . . . . .

Personel cere . . . . . . . . . . . . . . . . . . .

No nursing or pwsonal care . . . . . . . . .

●

☛

●

●

●

✎

●

●

1.8

—

●

●

2.4

11.7

Diseases of the genitourinary system

All Iavels of patiant care . . . . . . .

Intenslva nursing care . . . . . . . . . . . . .

Limited nursing care . . . . . . . . . . . . . .

Personal care . . . . . . . . . . . . . . . . . . .

No nursing or parsonal care . . . . . . . . .

*

10.4

26.9

35.9

—

15.4

22.5

28.7

30.6

●

42.6

26.0

32.5

28.4

.

34.1

17.8

●

.

●

●

367

340

263

.

*

●

●

●

☛

●

✎

.4

●

●

●

Complications of pregnancy, childbirth,

and tha puarparium

All levels of patient care . . . . . . .

Intensive nursing care ., . . . . . . . . . . .

Limited nurslngcare . . . . . . . . . . . . . .

Personal cara ., . . . . . . . . . . . . . . . . .

NO nursing or personal care . . . . . . . . .

14.0 13.8 9,7 *

31M 2,80C 100.0

Diseases of the skin and subcutaneous

tissue —

All Isvels of patient cara . . . . . . .

19.6

.

●

.

28.1

●

19.3

●

●

13.6

●

☛

☛

●

4.9

●

●

☛

●

6.6

9.0

7.8

2.2

90C

1,40C

4

●

49,50[

100.0

100.0

100.0

100.0

100.C

●

●

●

☛

11.5

33.3

46.0

●

.

31.6

Intensive nursing cara . . . . . . . . . . . . .

Limited nursing care . . . . . . . . . . . . . .

Personal care, ,, . . . . . . .. i.......

No nursing or personal care . . . . . . . . .

331

320

*

●

332

●

●

1.6

Diseases of the musculoskeletal system

and connective tissue

All Ievals of patient cara . . . . . .

17.2

11.2

14.9

.

6.1

6.7

●

●

●

●

13.1

5.4

6.2

24.9

30.6

30.0

33.0

30.6

34.3

31.5

32.4

21.3

.

Intensive nursing cere . . . . . . . . . . . .

Limited nursing care . . . . . . . . . . . . .

Personal care . . . . . . . . . . . . . . . . . .

No nursing or personal care . . . . . . .

369

348

282

207

15,50C

19,90(

11 ,60(

2,50(

1Oo.c

1Oo.c

100.(

100.C

See footnotes at end of teble.

31
Table 6. Average monthly charge for care and number and percent distribution of residents by monthlv charge for care intervals. accordina to orlmarv dlaanrrsis .,, “

and level of patiant care: United States, June-August 1969–Con.

[See appendix I for information on the sampling errors of these estimates]

Average

Primary diagnosis and

Iavel of patient care

Monthly charge for care

Number

of

residents

1,900

Total Initial

No $1- $100

paymentlife care

charge 99 199

$200-

299

$300.

399

$400- $500. $600

499 599 or more

chargel

$265

I I I

Congenital anomalies Percent distribution

Alllevels ofpatiantcare . . . . . . .

Intensive nursing, care . . . . . . . . . . . . .

Limited nursing care . . . . . . . . . . . . . .

Personal care . . . . . . . . . . . . . . . . . . .

Nonursing orpersonal care . . . . . . . . .

Certain causes of perinatal morbidity

and mortality

Alllavals ofpatientcara . . . . . . .

intensive nursing care . . . . . . . . . . . . .

Limited nursing care . . . . . . . . . . . . . .

Personal care . . . . . . . . . . . . . . . . . . .

Nonursing orparsonal care . . . . . . . . .

Symptoms and ill-de finad conditions

Alllevels of patient care . . . . . .

Intensive nursing care . . . . , . . . . . . . .

Limited nursing care . . . . . . . . . . . . . .

Peraonal care . . . . . . . . . . . . . . . . . . .

Nonursing orparscmal care . . . ; . . . . .

Accidents, poisonings, and violence

Alllevels of patient care . . . . . . .

intensive nursing care . . . . . . . . . . . . .

Limited nursing cara . . . . . . . . . . . . . .

Persona[ care . . . . . . . . . . . . . . . . . . .

Nonursing orpersona[ care . . . . . . . . .

Unknown diagnosas

All levels of patient care . . . . . . .

Intensive nursing cara . . . . . . . . . . . . .

Limitad nursing care . . . . . . . . . . . . . .

Personal care, . . . . . . . . . . . . . . . . . .

Nonursing orpersonal care . . . . . . . . .

●

36.0

●

27.7

76.9

●

●

22.6

23.4

34.1

●

●

●

16.6

21.6

17.7

*

●

●

100.0 14<0

f9.2

20.5

●

●

●

●

●

●

● ●

336

282

●

●

●

●

●

●

296

700

700

500

●

●

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

●

●

●

●

●

●

●

●

●

●

●

●

2.0

●

●

●

.4

●

.4

●

●

●

☞

1.7

*

1.3

2.7

7,9

.5

●

●

●

18.4

7.7

10.6

37.6

48.0

4.4

,

,

●

34.7

●

●

☛

77,200

*

●

☛

26.4

●

●

●

9.8

●

●

●

3.5

●

●

●

3.0

352

297

246

200

408

411

424

365

*

233

24,200

29,800

19,000

4,200

36,700

15,500

16,000

4,600

600

24,400

1.4

1.9

1.7

7.7

.6

31.6

40.6

32.4

21.5

22.5

30.9

30.7

17.0

12.9

29.9

15.4

9.1

5.7

●

19.6

5.9

3.5

1.3

8.8

6.1

1.9

1.6

13.4

100.0

100.0

100.0

100.0

100.0

.

●

✎

☛

6.8

●

●

.6

●

●

1.5

3.3

13.7

39.1

38.1

●

21.1

50.7

39.0

23.1

22.8

20.4

●

26.5

29.6

29.7

31.7

●

16.8

23.6

17.3

15.6

●

4.3

7.8

11.3

4.2

1.6

13.2

14.9

10.5

.8

*

●

4.6

—

●

4.7

5.6

317

272

205

228

1,500

3,100

6,800

13,000

100.0

100,0

100.0

100.0

22.1

29.9

26.2

26.3

51,4

35.5

9.4

12.1

●

●

●

6.2

●

●

●

✎

●

●

●

4.4

8.9

1 Includes life-care residenta and no-charge residents.

‘ Includes only those residant~who have lived in the nursing home for at Iaast a month.

32
Table7. Average monthly charge forcere and number andpercent distribution of residents bimonthly chergefor care intervals, according toprimavalagnos1s

endtype ofservice provided by the home: United States, June-August 1969

[See appendix I for information on the sampling errors of these estimates]

II Monthly cherge for care

Average

monthly

charge’

Number

of

.esidents2

:al Initiel

NO

payment- $1- $1oo- $200- $300- $400- $500. $liOo

Iife care

charge 99 199 299 399 499 599 or more

Primary diegnosis and type of service

provided by the home

Tot~

11 1 1 I 1 1 1 [ I

All diagnoses Percent distribution

All services . . . . . . . . . . . . . . . . 30.: 28.7

=

33.6

13.;

4.:

30.(

5.7

=

6.9

1.7

.1

5.5

5.0

-

6.1

1.6

5.3

$328 764.100 100.( 1.4 .4 1.7

=

.8

4.6

4.3

3.3

—

2.6

5.4

●

.

●

●

●

1.3

—

.6

3.3

7.2

●

●

●

2.7

—

.6

7.9

7.8

1.6

—

1.1

2.6

3.7

13.0

-

29J

36.,

Zz.f

27.1

Nursing care . . . . . . . . . ,, ...!... ,

Perscmal carewlth nursing . . . . . . . . . .

Personal care . . . . . . . . . . . . . . . . . . .

356

242

176

309

592,800

136,700

35,600

28,700

100.(

100.(

100.1

100.I

.6

5.C

3.>

.5

.2

.5

5.3

31.9

68.4

17.5

Infective and parasitic diseases

Allswvices . . . . . . . . . . . . . . . .

Nursing care, . . . . . . . . . . . . . . . . . .

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

Personal cara . . . . . . . . . . . . . . . . . . .

342

258

172

363

19,000

8,100

1,600

16,900

100.(

100.(

100.(

100.1

●

9.6

.

●

✎

2.7

5.9

30.4

89.0

8.8

27.;

30.:

11.(

24.:

39.!

1Z.f

27.1

10.:

4

20.2

6.6

4.2

7.0

5.8

5.2

All services . . . . . . . . . . . . . . . . 8.9

Nursing care . . . . . . . . . . . . . . . . . . .

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

Personal care . . . . . . . . . . . . . . . . . . .

379

259

●

332

355

257

183

315

347

240

.

261

14,600

2,100

*

39,400

100.I

100.(

100.[

100.(

3.2

.

.3

3.9

38.4

.

10.7

24.1

25.:

30,$

26.C

24.[

31.:

22.2

.

●

14.1

8.0

.

5.9

10.0

●

*

4.1

Endocrine, nutritional, and

matabolic diseases

All services . . . . . . . . . . . . . . . .

Nursing care . . . . . . . . . . . . . . . . . . .

Personal care with nursing ., , . . . , . . .

Personal care . . . . . . . . . . . . . . . . . . .

31,100

6,900

1,400

3,900

2,800

1,100

●

84,600

100.(

100.(

100.(

100.(

1(JIM

100.(

100.(

100.(

.5

5.9

6.4

.3

●

4.3

30.2

55.2

14.7

30.:

33.[

34.f

37.!

35.:

19.!

16.1

16.E

4.7

16.E

7.1

*

.

5.0

●

●

Dkeases of the blood and blood.

forming organs

All services . . . . . . . . . . . . . . . .

Nursing cara . . . . . . . . . . . . . . . . . . .

Personal mrewithnursing . . . . . . . . . .

Personal care . . . . . . . . . . . . . . . . . . .

●

●

✎

.1

.

46.1

●

23.4

42.2

26.<

37.(

21 .C

,

21.:

21 .E

●

*

9.5

●

●

3.2

.

●

●

2.9

●

.1

Mental disorders

All services . . . . . . . . . . . . . . . .

Nursing care,.,..,,......,.. . . . .

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

Pwsonal care . . . . . . . . . . . . . . . . . . . .

318

197

164

328

60,500

17,700

6,500

57,700

100.0

100.0

100.0

100.0

10.6

46.3

75.1

12.0

39.6

35.8

16.5

31.6

28.2

4.8

●

28.0

12.6

2.1

13.8

16.0

6.4

4.4

●

5.9

7.0

2.5

3.8

.

5.1

6.2

.

.1

1,3

.1

.9

Diseases of the nervous system and

sense organs

All services . . . . . . . . . . . . . . . . .

Nursing care . . . . . . . . . . . . . . . . . . . .

Personal carewith nursing . . . . . . . . . .

ParsOnal c3re . . . . . . . . . . . . . . . . . . . .

353

250

174

45,600

9,800

2,300

100.0

100.0

100.0

.3

6.1

1.1 4.8

33.9

63.3

31.3

33.4

26.0

32.2

13.7

●

See footnotes at end of tabla.

33
Table7. Average monthly charge for care and number and percent distribution of residents bimonthly charge for cara intervals, according toprimary diagnosis

andtype ofservice provided by the home: United States, June-August 1969—Con.

[See appendi.. I for information on the sampliig errors of these estimates]

Monthly charge for care

Initial

No $1- $100. $200- $300- $400- $500- $600

paymentIifa care

charge 99 199 299 399 499 599 or more

Average

monthly

Number

of

esidentsa

298,400

Primary diagnosis and type of service

provided by the home Total

Diseases of the circulatory system Percent distribution

All services . . . . . . . . . . . . . . . . . 28.7 32.4

I

$345

364

264

190

312

100. 1.0 .4 1.2 8.0 16.3 6.9 5.1

Nursing care . . . . . . . . . . . . . . . . . . . .

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

Personal care . . . . . . . . . . . . . . . . . . . .

246,100

44,600

5,700

14,900

100.

100.

100.

100.

.5

4.1

1.7

.4

.3

*

.7

3.6

●

3.4

4.1

22,9

65.0

14.3

26.6

40.8

24.8

29.4

35.7

17.1

6.9

30.0

18.5

6.7

10.7

7.8

2.7

.7

6.0

6.6

1.8

3.7

Diseases of the respiratory system

Ail sewices . . . . . . . . . . . . . . . . .

Nursing care . . . . . . . . . . . . . . . . . . . .

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

Personal care . . . . . . . . . . . . . . . . . . . .

345

211

171

343

11,500

2,700

800

18,100

100.

100.

100.

100.

●

7.6

●

●

●

2.2

●

●

●

6.9

30.0

66.8

12.5

28.2

35.4

25.8

27.3

35.2

16.4

29.6

13.9

14.5

7.8

6.6

4.5

●

6.6

Diseases of the digastive system

Allservices . . . . . . . . . . . . . . . . .

Nursing care . . . . . . . . . . . . . . . . . . . .

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

Personal care . . . . . . . . . . . . . . . . . . . .

375

224

.

349

14,400

3,200

400

8,900

100.

100.

100.

100.

●

●

●

●

●

●

☞

5.7

36.5

57.9

10,5

25.1

38.0

●

26.0

33.5

14.7

●

28.5

17.9

●

24.0

8.4

*

8.4

6.6

Diseases of the ganitourinary system

All services . . . . . . . . . . . . . . . . .

●

●

●

4.9

27.8

●

24.9

36.3

●

31.1

16.5

●

28.1

●

●

●

●

8.0

●

Nursing care . . . . . . . . . . . . . . . . . . . .

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

Personal care . . . . . . . . . . . . . . . . . . . .

376

240

●

7,300

1,300

●

100.

100.

100.

●

● ●

Complications of pragnancy, childbirth,

and the puerperium

Allservicas . . . . . . . . . . . . . . . . .

Nursing care . . . . . . . . . . . . . . . . . . . .

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

Personal care . . . . . . . . . . . . . . . . . . . .

304 2,800

2,000

600

●

49,500

38,100

9,100

2,200

●

1.6

1.1

4.2

.

●

☛

.4

.5

—

+

1.6

—

.7

4.4

●

15.4

●

31,9

●

11.5

4.2

30.3

59.6

42.6 14.0

15.6

●

●

28.1

33.0

13.7

●

13.8

16.5

●

●

13.6

16.5

4.7

9.7

13,8

●

4.8

●

●

●

6.5

Diseases of the skin and subcutaneous

tissue —

Al[ services . . . . . . . . . . . . . . . . . 100,

—

100.

100.

100.

100<

.

100,

100,

100,

Nursing care . . . . . . . . . . . . . . . . . . . .

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

Personal care . . . . . . . . . . . . . . . . . . . .

338

●

●

332

44.0

44.6

●

31.6

Diseases of the musculoskeletal system

and connective tissue

All sewices . . . . . . . . . . . . . . . . .

Nursing care . . . . . . . . . . . . . . . . . . . .

Personal care with nursing ., , ., , . . . . .

Personal care . . . . . . . . . . . . . . . . . . . .

363

242

171

29.8

39.7

28.2

8.0

,

8.0

*

See footnotes at end of table.

34
Table 7. Average monthly charge for care and number and percent distribution of residents by month Iy charge for care intervals, according to primary diagnosis

and type of service provided by the home: United States, June-August 1969—Con.

[See appendix I for information on the sampling errors of these estimates]

t

Total Initial

payment1ife care

Monthly charge for care

No $1- $1oo- $200- $300- $400- $500- $600

charge 99 199 299 399 499 599 or more

Average

monthly

chargei

Number

of

residents

Primary diagnosis and type of sewice

provided by the home

Congenital anomalies Percent distribution

All services.,....,..,...,,. . $265 1,900 16.6 ● 100.0 ● ●

36.0

21.5

50.6

●

●

22.6 14.0 ●

●

●

Nursing care.,....,..,,,.,,., ,..

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

Personal care............,,,.. . . .

324

*

*

●

1,200

400

*

*

100.0

100.0

100.0

100.0

28.5

●

●

●

22.0

.

●

●

21.7

●

●

●

●

●

●

●

●

*

●

●

●

●

●

Cartain causes of perinatal morbidity

and mortality

All sewices . .,, , . . . . . . . . . . . .

Nursing . . . . . . . . . . . . . . . . . . . . . . .

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

Personal care......,.,.,..,,,,., ,

●

286

●

77,200

100.0

100.0

100.0

100.0

100.0

100.0

*

2.0

●

.4

.5

.

●

1.7

.

.9

4.7

●

.5

●

18.4

7.8

35.4

76.5

4.4

●

34.7

35.6

36.8

18.3

22.5

●

26.4

32.8

12.1

4.2

29.9

●

9.8

12.3

4.8

19.6

●

3.5

4.8

●

8.8

●

3.0

Symptoms and ill.defined conditions

All services.........,,...,,.

Nurslngcare . . . . . . . . . . . . . . . . . . . .

Personal care with nursing , , . . . , , . . . .

Personal cara, ., . . . . ...,,..., . . . .

328

226

182

406

55,200

17,000

5,000

36,700

1.3

5.1

.6

4.0

●

13.4

Accidents, poisonings, and violenca

Allservlces . . . . . . . . . . . . . . . . .

Nursing care . . . . . . . . . . . . . . . . . . . .

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

Personal care . . . . . . . . . . . . . . . . . . . .

426

274

.

233

33,000

2,900

700

24,400

100.0

100.0

100.0

100.0

●

✎

6.8

.

●

.6

.

.

●

4.6

1.8

18.6

66.0

38.1

20.9

40.9

●

26.5

31.6

18.4

16.8

20.9

10.9

4.3

9.4

●

1.6

14.9

.8

Unknown diagnoses

Allservlces, . . . . . . . . . . . . . . . .

Nurslngcare . . . . . . . . . . . . . . . . . . . .

Personal care with nursing ., . , , . . . . . .

Personal care,,.,.....,...,...,..

292

218

189

8,200

8,200

8,000

100.0

100.0

100.0

6.9

13.3

.

●

4.3

7.9

●

—

12.1

40.6

61.8

27.9

23.4

28.1

3.2

8.9

7.0

9.3

●

●

3.7

●

●

●

1 Includes life-care residents and no-charge residents.

1 Includes only those residents who have lived in the nursing home for at least a month.

35
Table 8. Average monthly charge for care and number and percent distribution of residents by monthly charge for care intervals, according to extra nursing time

required for selected Iimitations and number of chronic conditions: United States, June-August 1969

[See appendix I for information on the sampling errors of these estimates]

Monthly charge for care

Initial

NO

payment- $1- $100- $200- $300- $400- $500- $600

life care

charge 99 199 299 399 499 599 or more

Extra nursing time required for

selected limitations and number

of chronic conditions

Average

monthly

chargez

Number

of

residents

Total

Extra nursing time not required

All conditions . . . . . . . . . . . . . . . $299 397,400 1Oo.c

1Oo.c

1Oo.c

100.0

2.0 .3

.1

.6

.5

2.6

.

3.7

.9

.9

—

1.3

.4

.5

19.7 32.5 24.4 10.2

8.9

12.4

16.2

14.6

17.6

19.3

18.2

20.3

19.4

19.2

19,6

25.6

29,9

22,9

4.2 4.1

O-3 conditions . . . . . . . . . . . . . . . . . . .

4c0nditi0ns0rm0re . . . . . . . . . . . . . .

2s4

323

349

244,200

153,200

179,400

2.3

1.5

.7

23.2

14.1

7.4

9.2

6.5

4.5

33.3

31.1

30.4

31.1

29.6

25.3

21.7

26.7

31.1

3.1

6.1

7.2

3.7

4.6

5.6

Extra nursing time required for

1 limitation

All conditions . . . . . . . . . . . . . . .

0-3c0nditi0ns . . . . . . . . . . . . . . . . . . .

4ccmditions ormore . . . . . . . . . . . . . .

347

351

370

367

373

365

353

373

360

91,500

87,900

146,600

72,200

74,500

37,000

15,100

21,900

3,700

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

.9

.5

.9

.5

.5

.6

28.9

33.5

34.8

6.4

8.0

7.2

6.8

7.6

7.5

7.2

7.7

8.3

6.6

4.4

7.0

7.2

6.8

5.0

3,4

6.2

●

Extra nursing time required for

2 limitations

All conditions . . . . . . . . . . . . . . .

O-3 conditions . . . . . . . . . . . . . . . . . . .

4conditions ormore . . . . . . . . . . . . . .

1.2

.6

.2

.6

.7

.5

.5

.4

6.0

3.0

2.6

27.0

23.6

25.7

32.6

37.1

38.1

Extra nursing time required for

3 limitations

All conditions . . . . . . . . . . . . . . .

0-3c0nditi0ns . . . . . . . . . . . . . . . . . . .

4c0nditi0ns0rm0re . . . . . . . . . . . . . .

●

●

3.2

2.2

●

●

●

29.4

23.2

30.2

36.0

27.3

38.7

40.7

30.5

23.6

34.6

●

Extra nursing time required for

4 limitations

All conditions . . . . . . . . . . . . . . .

0-3conditions . . . . . . . . . . . . . . . . . . .

4 conditions or more . . . . . . . . . . . . . .

359

360

1,400

2,300

100.(

100.(

●

10.0

●

●

x Includes residents with Iimi~ed mobility, hearing, sight, or bowel andlor bladder control.

2 Includes life-care residents and no-charge residents.

3 Includes only those residents who hava lived in the nursing home for at least a mcmth.

36
Table 9, Average monthly charge for care and number and percent distribution of residents by monthly charge for care intervals, according to extre nursing time

required for selected limitations and level of patient care: United States, June-August 1969

[See appendix I for information on the sampling errors of these estimates]

Extra nursing time required for selected

Hmitationsl and level of patient care

Extra nursing time not required

All levels of patient care . . . . . . . .

Intensive nursing cara ., , . . . . . . . . . . .

Limited nursing care, . . . . . . . . . . . . . .

Personal care, , . . . . . . . . . . . . . . . . . .

No nursing or personal care , . . . . . . . . .

Extra nursing time requirad for

1 limitation

All levels of patient care , , . . . , . .

Intansive nurslngcare ., , , , , . . . , . . . .

Limited nursing care, . . . . . . . . . . . . . .

Parsonal care, , . . . . . . . . . . . . . . . . . ,

No nursing or personal care ., . . . . . . . .

Monthly charge for care

Average

monthly

chargea

$299

Number

of

residents

397,400

39,300

195,100

116,600

44,400

179,400

Total Initial

No ,$1- $1oo- $200- $300- $400- $500- $600

paymentIife care

charge 99 199 299 399 499 599 or more

100.0

100.0

100.0

100.0

100.0

100.0

2.0 .3 2.6 19.7 32.5 24.4 10.2 4.2 4.1

8.6

4.7

2.7

.9

5.6

366

325

266

212

349

.3

1.2

1.7

8.1

.7

.6

.4

.2

.1

.5

.7

.9

3.5

9.4

.9

6.9

9.8

32.3

41.0

7.4

29.7

36.6

28.9

25.9

30.4

27.6

29.1

20.7

10.6

31.1

18.2

12.0

7.3

3.2

16.2

7.6

5.3

2.7

.7

7.2

368

351

298

287

370

72,500

77,900

26,000

2,900

148,600

100.0

100.0

100.0

100.0

100.0

.6

.7

.9

.

.9

.5

.3

1.0

●

.8

.7

.5

2.2

.

.5

3.8

6.6

17.9

17.7

4.5

29.0

31.0

33.3

22.1

25.3

32.4

31.5

25.1

31.0

34.8

17.8

16.3

10.6

21.5

19.3

8.5

7.0

5.3

7.2

6.7

5,9

2.6

7.0

Extra nursing tima required for

2 limitations

All levels of patient care . . . . . . . .

Intensive nursing care . . . . . . . . . . . . . .

Limited nursing care . . . . . . . . . . . . . . .

Personal care, , . . . . . . . . . . . . . . . . . .

No nursing or personal care ., , , . . . . . .

Extra nursing time required for

3 limitations

All levels of patient care , . . . . . . .

Intensive nursing care , . . . . . . . . . . . . .

Limited nursing cara . . . . . . . . . . . . . . .

Personal care, . . . . . . . . . . . . . . . . . . .

No nursing or parsonal care . . . . . . . . . ,

380

351

331

288

365

371

345

334

*

360

103,000

34,400

8,200

1,100

37,000

100.0

100.0

100.0

100.0

100.0

.9

.5

●

●

.2

.6

.6

.

.5

3.3

4.5

13.0

49.6

2.6

24.3

28.6

26.5

25.7

35.2

35.7

28.9

●

39.1

19.2

19.8

15.8

32.1

19.4

7.9

5.6

6.4

7.5

8.2

4.1

4.8

5.0

.4

.6

●

28,500

7,000

1,300

●

3,700

100,0

100,0

100.0

100,0

100.0

.2

*

●

.4

●

*

2.4

●

●

●

●

24.6

32.1

16.5

*

30.2

40.0

33.3

54.4

●

30.5

18.7

21.5

14.8

●

25.5

7.8

7.2

*

●

6.3

5.9

*

●

*

●

Extra nursing time required for

4 limitations

All lavels of patient care ., ., , , . .

Intensiva nurslngcara . . . . . . . . . , , . . .

Llmlted nursing care . . . . . . . . . . . . . . .

PersOnal cara . . . . . . . . . . . . . . . . . . . .

No nursing or personal care , , , . . . . . . .

362

.

*

3,000

600

*

100.0

100.0

100.0

●

✎

27.9

35.7

●

34.5

.

*

21.2

48.0

*

10.2

●

*

*

● ● ●

1 Includes residents with limited mobility, hearing, sight, or bowel andlor bladder control.

2 Includes Ilfe.care residents and no-charge residents.

s Includes only those residents who have lived in the nursing home for at least a month.

37
Table 10. Average monthly charge for care and number and percent distribution of residents by monthly charge for care intervals, according to extra nursing time

required for selected limitations and selected primary diagnoses: United States, June-August 1969

[See appendi~ I for information on the sampling errors of these estimates]

Monthly charge for care

Extra nursing time required for

selected limitations’ and selected

primary diagnoses’

Werage Number

of

residents

Initial

No

payment- $1- $lo~ $200- $300- $400- $500- $600

life cara

charge 99 199 299 399 499 599 or more

nonthlv rOtal

:harge3

Extra nursing time not required Percent distribution

All diagnoses . . . . . . . . . . . . . . . $299 397,400 I00.0 2.0 .3 2.6 4.1

3.7

2.0

2.7

2.7

.9

—

.9

.5

●

●

.5

.4

●

—

—

●

—

19.7 32.5 24.4 10.2 4.2

.

1.8

5.7

3.3

2.1

7.2

29.8

12.9

17.9

25.8

7.4

38.1

31.4

33.8

35.6

30.4

17.4

28.7

23.4

22.1

31.1

6.7

13.1

10.6

6.6

16,2

2.3

4.4

6.8

1.9

5.6

Mental disorders . . . . . . . . . . . . . . . . .

Diseases of thecirculatory system . . . . . .

Diseases of the musculoskeletal system and

connective tissue . . . . . . . . . . . . . . .

Symptoms andill-defined conditions . . . .

257

322

302

266

349

313

355

374

315

370

57,200

140,900

26,200

39,600

179,400

15,000

71,600

13,800

18,100

146,600

I00.0

I 00.0

I 00.0

100.0

100.0

I 00.0

100.0

100.0

100.0

100.0

.1

1.5

2.1

2.8

.7

.1

.3

*

.3

.5

Extra nursing time required for

1 limitation

All diagnoses . . . . . . . . . . . . . . .

Mental disorders . . . . . . . . . . . . . . . . .

Diseases of thecirculatory systam . . . . . .

Diseases of the musculoskeletal system and

.

connectwetlssue . . . . . . . . . . . . . . .

Symptoms andill-defined conditions . . . .

13.6

5.1

5.2

14.1

4.5

41.5

28.9

25.0

35.7

26.3

22.0

33.2

34.7

28.5

34.8

11.6

18.4

16.2

11.0

19.3

6.1

8.2

7.9

6.4

7.2

6.4

7.9

5,9

5.2

7.5

11.4

7.2

●

8.2

6.3

4,6

7.9

3.4

7.0

2.3

7.1

6.8

6.0

5,0

.6

1.4

●

.9

.4

●

*

.6

Extra nursing time required for

2 limitations

All diagnoses . . . . . . . . . . . . . . .

344

378

353

342

365

9,300

66,300

7,300

14,600

37,000

100.0

100.0

100.0

100.0

100.0

●

.7

●

2.3

.2

7.0

2.5

3.7

7A

2.8

.

2.2

*

6.7

●

●

●

●

28.2

23.7

37.1

32.4

25.7

19.4

24.7

26.2

31.2

30.2

—

45.7

33.5

●

●

38.7

37.0

27.1

31.4

39.1

40.3

41.2

47.2

39.1

30.5

30.7

●

●

17.4

20.3

19.4

14.1

19.4

23.7

18.7

16.6

17.5

26.5

45.9

20.6

●

●

Mental disorders . . . . . . . . . . . . . . . . .

Diseases of thecirculatory system . . . . . .

Diseases of the musculoskeletal system and

connective tissue . . . . . . . . . . . . . . .

Symptoms andill-defined conditions . . . .

.4

●

●

.5

Extra nursing time required for

3 limitations

All diagnoses . . . . . . . . . . . . . . .

390

366

367

334

36C

2,700

18,300

1,600

4,500

3,700

1Oo.c

1Oo.c

Ioo.c

Ioo.c

1Oo.c

●

6.5

●

●

●

Mental disorders . . . . . . . . . . . . . . . . .

Diseases of thecirculatory system ., . . . .

Diseases of the musculoskeletal system and

connective tissue . . . . . . . . . . . . . . .

Symptoms andill-defined conditions . . . .

* ●

Extra nursing time required for

4 limitations

All diagnoses . . . . . . . . . . . . . . .

400

1,400

*

400

I00.0

100.0

I 00.0

I 00.0

.

9.7

●

●

Mental disorders.........,.. . . . . .

Diseases of thecirculatory system . . . . . .

Diseases of the musculoskeletal system and

connective tissue ., c....... . . . . .

Symptoms andill-defined conditions . . . .

*

344

●

*

●

●

●

] Includes residants with limited mobility, hearing, sight, or bowel andlor bladder control.

2Diagnoses selected were those which affected at least 7 percent of the residents.

‘Includes lifa-care residents and no-charge residents.

4 Includes only those residents who have Iivad in the nursing home for at least a month.

38
Table 11. Average monthly charge for care and number andpercent distribution ofresidents bimonthly charge forcare intewals, according toprimary source of

payment: United States, June-August 1969

[See appendm I for information on the sampling errors of these estimates]

Monthly charge for care

Average

monthly

charge’

Number

of

residentaz

Initial

No

payment-

$1- $1oo- $200- $300- $400- $500- .$600

Iifa care

charge 99 199 299 399 499 599 or more

Primary source of payment Total

Percent distribution

764,100 f 00.0 1.4

—

All sources of payment . . . . . . . . . $328 .4 1.7 13.0 13.8

_

16.3

28.0

26.5

7.8

●

25.2

7.0

5.0

6.6

32.8

5.2

1.1

.

●

4,9

30.2 28.7 5.7

Ownlncoma or family support . . . . . . . .

Medicare . . . . . . . . . . . . . . . . . . . . . .

Medicaid . . . . . . . . . . . . . . . . . . . . . .

Other public assistance . . . . . . . . . . . . .

Church . . . . . . . . . . . . . . . . . . . . . . .

Veterans’ Administration . . . . . . . . . . .

Initial payment-life care . . . . . . . . . . . .

Nocherge . . . . . . . . . . . . . . . . . . . . . .

Othar sourcas of payment . . . . . . . . . . .

342

532

394

280

328

319

293

299

303,200

25,300

97,700

284,300

1,900

8,000

10,600

3,300

29,800

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

.

2.2

1.6

1.3

5.2

5.2

—

12.7

2.1

.5

19.0

31.0

15.4

13.4

—

27.6

4.7

13.6

41.5

21.7

27.0

41.0

28.2

18.2

45.9

26.8

11.0

19.8

23.3

7.4

14.5

8.2

2.4

21.3

4.9

5.3

100.0

100.0

Ilncludes life-care residents and no-charge residents.

alncludes only those residents whohave lived inthenursing home foratleast a month.

39
Table 12. Average monthly charge for care, by primary source of payment, sex, and age of residents: United States, June-August

1969

[See appendix I for information on the sampling errors of these estimates]

Primary source of payment

Public assistance

Sex and age Own income

Medicare

Other All other

or

family support or

public sources

Medicaid

assistance

or welfare

Both sexes

Alleges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Under65years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

75-64years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

85yearsandover . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Male

All eges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Under65years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

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

85yearsandover . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Female

All agas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Under65years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

75-64years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

85yearsandover . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Average monthly chargel

E

$342

304

337

343

352

323

L

296

318

326

333

350

311

349

350

358

$422

392

434

430

414

424

394

432

428

425

422

390

435

431

411

$280

243

276

289

291

273

244

271

2&

290

283

241

279

291

292

$283

251

278

280

310

276

246

281

275

335

288

261

276

263

304

‘Includes life-care residents andno-charge residents who have lived in the nursing home for at leasta month,

40
Table 13. Average monthly charge forcare, byprimary source ofpayment, region, type ofownership, andtype ofservice provided by

the home: United States, June-August 1969

[See appendix I for information on the sampling errors of these estimates]

Region, type of ownership, and type of service

provided by the home

United States . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Nursing care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Personal care with nursing .,.... . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Personalcare . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Proprietary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Nursingcare . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Personal carewith nursing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Personalcare . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Nonprofit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Nursingcare . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Personal carewithnursing. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Personalcare . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..’...... .

Government . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Nursingcare . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Personal carewith nursing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Personalcare . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Northeast . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Proprietary . . . . . . . . . . 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Nursing care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Personal carewith nursing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Personalcare . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Nonprofit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Nursingcare . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Personal carewith nursing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Personalcare . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Government . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Nursingcare . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Personal carewithnursing. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Personalcare . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

North Central . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Proprietary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Nursingcere . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Personal carewith nursing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Personalcare . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Primary source of payment

Own income

or

family support

Public assistance

1

Medicare

or

Medicaid

Other

public

assistance

or welfare

Average monthly charge]

$342

380

248

196

374

402

268

209

293

337

244

148

250

279

178

*

409

482

507

352

212

317

384

252

●

289

293

*

●

310

340

364

245

195

422

427

380

●

419

420

432

●

434

457

349

*

437

459

332

494

467

467

526

●

618

669

328

549

602

382

428

442

444

429

●

280

305

206

167

284

305

209

173

282

310

224

166

250

295

155

141

332

323

356

235

174

341.

396

230

357

367

*

*

244

248

265

211

171

All other

sources

283

300

257

139

298

325

186

139

314

330

295

●

184

188

176

*

298

371

396

*

343

370

283

188

192

180

●

272

271

305

170

●

See footnote at end of table.

41
Table 13. Average monthly charge forcare, byprimary source ofpayment, region, type ofownership, andtype ofservica provided by

the home: United Statas, June-August 1969–Con.

[See appendix I for information on the sampling errors of these estimates]

Regionr type of ownership, and type of service

provided by the home

Nonprofit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Nursing care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Personal carewith nursing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Personalcare . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Government . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Nursing care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Personal carawith nursing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Personalcare . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

South . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Proprietary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Nursingcare . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Personal carewith nursing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Personalcare . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Nonprofit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Nursingcare . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Personal carewithnursing. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Personalcare . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Government . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Nursing care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Personal carewith nursing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Personalcare . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

West . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Proprietary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Nursing care . . . . . . . . . . . . . . . . . . . . . . . . ,. . . . . . . . . . . , . . . . , . .

Personal carewith nursing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Personalcare . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Nonprofit . . . . . . . . . . . . . . . . ,. . . . . . . . . . . . . . . . . . . . . . . .

Nursingcere . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Personal carewith nursing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Personalcare . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Government . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Nursingcare . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Personal carewith nursing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Personalcare . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Primary source of payment

Own income

or

family support

Public assistance I

Medicare

Other All other

or

public sources

Medicaid

assistance

or walfara

Average monthly charge’

$276

314

230

214

239

266

191

*

330

351

370

243

165

285

311

274

*

212

272

127

*

360

368

416

320

220

396

335

230

280

302

*

*

$415

420

388

377

400

293

355

358

359

*

327

336

316

*

386

386

432

433

436

*

*

420

420

*

431

431

$259

277

218

*

204

253

149

98

268

275

287

I&

179

240

266

217

*

222

242

●

●

308

317

353

202

172

360

306

234

●

190

●

*

168

$310

333

290

!+

165

178

*

263

277

298

*

*

253

256

255

*

*

+

*

.

310

310

324

●

●

*

354

358

212

*

207

Ilncludes life-care residents and no-charge residents who have Iivedin thenursing home foratleast a month.

42
Tabla 14. Average monthly charge forcere, by primary source of payment, level of patient care, andnumber ofchronic conditiorrs:

Unitad States, June-August 1969

[See appendix I for information on sampling errors of these estimates]

Level of patient care and number of chronic conditions

All levels of patient care

Allconditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Ck3conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4conditionsormore .,... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Intensive nursing care

Allconditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

0-3conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4conditions ormore . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Limited nursing care

Allconditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

0-3conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...’....

4conditionsormore . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Personal care

Allconditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

03conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4conditionsormore . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . .

No nursing or personal care

Allconditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

0-3conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4conditions ormore . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Primary source of payment

Public assistance

Own income

Medicare Other All other

or

family support or

public sources

Medicaid assistance

or welfare

Average monthly chargei

$342

318

365

399

391

407

351

338

364

281

266

301

224

203

212

$422

416

416

440

448

431

409

400

401

424

407

420

366

401

*

$280

260

294

315

320

314

287

278

295

239

219

258

186

177

209

$283

262

307

307

323

314

318

291

325

251

231

295

223

209

241

‘ Includes life-care residents and no-charge residents who have lived in the nursing home for at least a month.

43
Table 15. Average monthly charge forcare andnumberof residents, byprima~source ofpayment andnumber ofsources ofpeyment:

United States, June-August 1869

[See appendix I for information on sampling errors of these estimates]

Number of sources of payment

Allsourcas of payment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

One source . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Twosourcas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Threesources ormore . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

All sourcesofpayment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...1

Own income

or

amilysupport

Public assistance

Madicare

or

Medicaid

Othar

public

assistance

or welfare

Average monthly chargel

$342

7

$422

350 403

301 431

329 455

Numberofre

$280

260

298

303

clentsz

All other

sources

$283

271

306

355

303,2001 123,0001 2S4,300 [ 53,600

t

1

Onesource . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 253,000 41,900 135,800 38,700

Twosources . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48,200 77,500 144,000 12,200

Threesourcesormore . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,000 3,600 4,500 2,600

1Includes life-care residents and no-charge rasidenta.

21ncludes only those residents whohavelivad inthenursing home foratleast a month.

44
Table 16. Average monthly charge forcare, by number of sources of payment, sex, andage of resident: United States, June-August

1869

[See appendix I for information on sampling errors of these estimates]

Sex and age

Both sexes

All ages .,

Under 65 years ,

65-74 years . . , .

75+!4 years , , . .

85 years and over

All ages , .

Under 65 yaars .

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

,. .,,... . . . . . . . . . . . . . . . . . . . . . . . . .OOO.....OOOO,.,mm

.............................................4....

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

,,..,....................................OOO.,...0

Mala

,..,... . . . . . . . . . . . . . . . . . . . . . . . . . . . . .O+ . . . . . . . . . . . .

,,, .,.., ,. . . . . . . . . . . . . . . . . . . . . . . . . . . . ..O....OOOO..

65.74 years, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

76-84years, ,, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

85yearsand over . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. OOO. ..-O

Female

All eges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Under65years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..OOO..

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

75@lyears, . ., ., ., . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

85yearsand over . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. O. O. . ..O.OOO

Number of sources of payment

Average monthly charge’

$328

276

324

337

337

315

272

312

32;

33C

333

27E

331

340

340

$322

265

315

334

336

308

265

305

323

327

329

266

322

338

339

$336

302

333

341

339

325

291

320

332

332

340

311

341

344

341

$361

300

410

349

369

369

*

397

352

395

358

*

418

348

362

Ilncludes life-care residents and no-charge residents who have lived in the nursing home for at Ieast a month.

45
Table 17. Average monthly charge forcare, bynumber ofsources ofpayment, region, type ofownership, andtype ofsawiceprovidad

bythe home: United States, June-August 1969

[See appendix I for information on the sampling errors of these estimates]

Region, type of ownarship, and type of service

provided by the home

United Statas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Nursingcara . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Personal carewith nursing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Personal care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Proprietary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Nursingcare . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Personal carewith nursing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Parsonal care . . . . . . . . ..o. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Nonprofit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Nursingcare . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s.

Personal carewith nursing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Parsonal care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Government . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Nursingcare . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Personal care withnursing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Personal care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s . . . .

Northeast . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Proprietary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Nursingcare . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Personal carewith nursing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Personal care .. m. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Nonprofit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Nursing care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Parsonal carewith nursing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Personal care . . . . . . . . . . . . . . . . . . . . . . .. O. . . . . . . . . . . . . . . . . . . . . . . . . . . .

Government . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Nursingcare . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Personal carewith nursing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Personal cara . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . -.

North Central . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Proprietary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Nursing care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Personal carewith nursing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Personal care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Number of sources of payment

All

sources

One

source

Two

sources

Three

sources

or mora

II I I

Avarage monthly charge’

$328

356

242

178

343

366

245

187

305

342

253

158

268

303

186

142

386

414

440

302

182

352

417

264

*

328

340

255

*

298

316

340

230

182

322

357

237

176

345 ~

373

247

186

291

327

244

153

224

259

169

143

375

426

461

298

175

312

369

231

*

248

261

172

*

293

315

344

226

176

336

354

254

185

338

353

241

192

334

366

274

*

321

344

226

*

399

392

408

308

199

420

486

293

392

402

328

●

305

316

332

241

194

361

—

402

254

*

389

413

*

*

337

419

259

●

302

317

*

*

428

485

486

384

*

288

*

*

●

326

342

377

●

●

Sea footnote at end of table.

4(3
Table 17. Average monthly charge forcare, bynumber ofsources ofpayment, region, type ofownership, andtype ofsewice provided

bythe home: United States, June-August 1969–Con.

[See appendix I for information on the sampling errors of these estimates]

Region, type of ownership, and type of service

provided by the home

Nonprofit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Nursing care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Personal carewith nursing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Personal care m. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Government . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Nursingcare . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Personal carewith nursing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Personal care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

South, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Proprietary ., . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Nursingcare, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Personal carewith nursing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Personal care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Nonprofit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Nursingcare . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Personal care withnursing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Personal care, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Government, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Nursingcare . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Personal care withnursing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Personal care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

West . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Proprietary, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Nursingcare . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Personal carewith nursing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Personal care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .’.......

Nonprofit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Nursing care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

Personal care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Government . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Nursing care ,. .,.... .,, ,,... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Personal carewith nursing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Personal care .. m. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Number of sources of payment

*

Average monthly chargel

$284

314

242

203

238

276

176

95

307

318

330

220

166

276

292

269

118

242

275

135

*

350

357

392

278

198

338

385

278

*

253

323

212

171

$277

309

232

206

211

251

168

96

307

322

337

228

160

273

290

273

106

208

245

144

*

350

357

402

299

202

355

397

290

247

354

214

171

$297

315

268

*

276

305

195

*

304

310

319

204

●

282

296

256

*

281

301

*

*

350

358

380

213

185

321

363

268

267

294

*

*

$337

411

241

*

●

*

337

346

352

*

*

*

●

*

311

346

414

*

*

*

*

*

*

‘Includes Iife-care residents and no-charge residents whohave livedin the nursing home foratleast a month.

47
Table 18. Average monthly charge forcare, bynumber ofsources ofpayment, level ofpatient care, andnumber ofchronicconditions:

United States, June-August 1859

[See appendix I for information on sampling errors of these estimates]

Level of patient care and number of chronic conditions

All levels of oatient care

All conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

0-3conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4conditionsormore . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Intensive nursing care

All conditions . . . . . . . . . .

0-3conditions . . . . . . . . . . . . . .

4 conditions or more

Al I conditions

,.,..,. . .

. . . . . . . . .

0-3conditions . . . . . . . . . . . . . .

4conditions ormore . . . . . . . . .

All conditions . . . . . . . . . .

0-3conditions . . . . . . . . . . . . . .

4conditions ormore . . . . . . . . .

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

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

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

Limited nursing care

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

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

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

Personal care

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

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

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

No nursing or personal care

All conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

0-3conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4conditionsormore . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Number of sources of payment

Average monthly charge’

$328

305

345

373

372

375

335

322

342

276

264

297

219

208

226

$322

301

342

377

379

380

3~2

325

340

263

248

285

214

199

224

$336

312

348

367

359

369

335

319

343

300

269

319

234

228

232

$361

312

362

380

382

367

387

291

390

310

279

*

*

llncludes life-care residents and nozharge residenti whohave lived inthenursing home foratleast a month.
APPENDIX 1

TECHNICAL NOTES ON METHODS

Survey Design

General. –The Resident Places Survey-3

( RPS-3) was conducted during June-August

1969 by the Division of Health Resources Statistics in cooperation with the U.S. Bureau of the

Census. This was a sample survey of nursing and

personal care homes in the conterminous United

States which provide care to the aged and infirm. Collected in the survey were data about

the sample establishment itself, about the health

of a sample of the patients or residents, about

the administrator of the establishment, and

about a sample of the employees.

Sampling frame.-The universe for the RPS-3

consisted of all institutions classified as nursing

homes in the 1967 Survey of the Master Facility

Inventory (MFI). A detailed description of how

the MFI was developed, its content, maintenance plans, and a procedure for assessing the

completeness of its coverage has been pubIished.z 8 ~z9 The 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.

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 (ARS) has been developed to provide information on new institutions. This information is incorporated in the

MFI at regular intervals. A report on the origin

and development of the ARS has been

published.3 O

Although it was conducted in 1969, it should

be noted that estimates from RPS-3 will not correspond precisely to figures from the 1969 MFI

survey. This is because the two surveys used different data collection mechanisms; the RPS-3

data are subject to sampling variability and the

RPS-3 universe did not include all MFI facilities.

In general, however, the data from the two

sources are compatible.

Sample design. –The sample was a stratified

two-stage probability design: the first stage was

a selection of establishments and their administrators, and the second stage was a selection of

residents and employees of the sample establishments. In preparation for the first-stage sample

selection, establishments listed in the MFI were

sorted into three types of service strata: nursing

care homes, personal care homes with nursing,

and personal care homes. (The classification

scheme for homes is described in appendix III.)

The “births” category (newly opened homes

identified by the Agency Reporting System as

not on the MFI) was treated as a fourth type of

service stratum. Each of these four strata was

sorted into seven bed-size groups, producing 28

primary strata as shown in table I. MFI establishments were ordered by type of ownership, State,

and county. The sample of MFI establishments

and the “births” were then selected systematically after a random start within each primary

stratum. Table I shows the distribution of

establishments in the sampling frame and the

final disposition of the sample with regard to

response and in-scope status.

The second-stage selection of residents and

employees was carried out by the Bureau of the

Census interviewers at the time of their visit to

the establishments in accordance with specific

instructions given for each sample establishment.

The sampling frame for residents was the total

49
Table 1. Distribution of homes in the Resident Places Survey-3 (RPS-3) universe and disposition of sample homes according to primary

strata (type of sarvice and size of homa): Unitad Statas, 1969

[Excludes Alaska and Hawaii]

Number of homes in sampla

Universei

(sampling

frame)

21,301

out of In scope and in business

;cope or

out of

)usiness

Type of servica and size of homa

Total

homes Nonresponding

homes

Responding

homes

All types . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,088 153

48

81

66

1,854

Nursingcare . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10,480 1,289 1,175

Under 15bads . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

25-49beds, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

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

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

300bedsand over . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

858

1,756

3,448

3,166

1,062

126

64

3,608

21

88

260

477

316

64

63

402

2

3

10

24

24

2

1

7

15

72

234

449

283

61

61

360

18

28

54

86

92

40

42

138

4

13

16

4

9

1

1

Personal carewith nursing . . . . . . . . . . . . . . . . . . . . . . 35

Under 15beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

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

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

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

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

300badsand over . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

941

767

828

612

332

82

46

4,275

24

37

62

92

100

41

46

183

6

9

7

3

6

1

3

42

1

3

2

1

Personal care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

Undar15bads . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

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

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

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

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

300 bedsand over . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2,937

988

561

183

48

6

2

2,488

60

40

35

24

17

5

2

214

16

11

5

3

5

2

28

44

29

30

20

10

3

2

181

1

2

5

q3irth#J2

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

Unknownbeds3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Under15bads . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

2549beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

100-199bads . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

300bedsand over . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

473

304

255

492

681

241

30

12

6

11

31

83

58

13

12

2

3

3

4

7

3

6

1

3

1

4

8

27

76

50

10

6

‘The universe for tha RPS-3 sample consisted of the nursing and personal cara homes included in tha Master Facility Inventory

(MF 1) and the Agancy Raporting Svstem (ARS).

2'' Births' 'consist ofthose homes which were assumed to bein scope of RPS-3but forwhich current data were not available.

a~tBirths~~of unknown bedsize werainadvartently exci UdedfrOm frame.

50
number of residents on the register of the establishment on the day of the survey. The sampling

frame for employees was the Staff Information

and Control Record (HRS-4e, appendix IV) on

which the interviewer listed the names of all

employees of the establishment and sampled

only professional and semiprofessional employees by using predesignated sampling instructions that appeared at the head of each column

of this form.

Survey procedures. –The U.S. Bureau of the

Census collected the data according to specifications of the Division of Health Resources Statistics. The initial contact with an establishment

was a letter (HRS-4g-3, appendix IV) signed by

the Director of the Bureau of the Census and

mailed prior to a personal visit to each sample

facility. This letter was accompanied by the

Facility and Administrator Questionnaires

(HRS-4a and HRS-4b, appendix IV). The respondent for the Facility Questionnaire was

usually the administrator or another member of

the staff designated by the operator of the establishment. Information on the Administrator

Questionnaire was self-enumerative and was

completed by the person who was designated as

“administrator” by the owner or operator of the

sample facility. These two forms were later colIected by an interviewer during the personal visit

to the facility and were edited for completeness

and consistency at that time. The resident information was obtained during the personal interview to the sample establishment. The sample of

residents within an establishment was selected

system ati cally according to predetermined

sampling schemes. The interviewer was asked to

list on the back of the Current Patient Questionnaire (HRS-4f, appendix IV) all the residents or

patients in the sample and to complete the

health information for each of the sample patients from the patient’s medical record and/or

from the personal knowledge of a staff member

of the establishment who had close contact with

the resident and firsthand knowledge of the resident’s health condition.

Staff information was obtained by means of a

self-enumeration questionnaire (HRS-4e, appendix IV) which the interviewer left at the facility,

together with instructions for the return by

mail.

The usual checks and followups were performed during the course of the survey. The

completed questionnaires were edited and coded

by the NationaI Center for Health Statistics and

the data were processed on an electronic computer. This processing included assignments of

weights, ratio adjustments, and other related

procedures necessary to produce national estimates from the sample data.

General Qualifications

No nresp onse and imputation of missing

data. –Statistics presented in this report were

adjusted for failure of a home to respond. Data

were also adjusted for nonresponse which resulted from failure to complete one of the

questionnaires or from failure to compIete an

item on a questionnaire.

Rounding of numbers. –Estimates of residents

have been rounded to the nearest hundred. For

this reason detailed figures within tables do not

always add to totals. Percents were calculated on

the basis of original, unrounded figures and will

not necessarily agree precisely with percents

which might be calculated from rounded data.

Estimation procedure. –Statistics reported in

this publication are the result of two stages of

ratio adjustments, one at each stage of selection.

The purpose of ratio estimation is to take into

account all relevant information in the estimation process, thereby reducing the variability

of the estimate. The first-stage ratio adjustment

was included in the estimation of establishment

and resident data for all primary service-size

strata from which a sample of homes was drawn.

This factor was a ratio, calculated for each

stratum. The numerator was the total beds according to the Master Facility Inventory data for

all homes in the stratum. The denominator was

the estimate of the total beds obtained through

a simple inflation of the Master Facility Inventory data for the sample homes in the stratum.

The effect of the first-stage ratio adjustment was

to bring the sample in closer agreement with the

known universe of beds. The second-stage ratio

adjustment was included in the estimation of

resident data for all primary strata. For resident

data, the second-stage ratio adjustment is the

product of two fractions: the first is the ratio of

the total number of residents in the establishment to the number of residents for whom

51
questionnaires were completed within the home;

the second is the sampling fraction for residents

upon which the selection is based.

Reliability of estimates. –As in any survey,

the results are subject to reporting and processing errors and errors due to nonresponse. To

the extent possible, these types of errors were

kept to a minimum by methods built into survey

procedures.

Since statistics presented in this report are

based on a sample, they will differ somewhat

from figures that would have been obtained if a

complete census had been taken using the same

schedules, instructions, and procedures.

The standard error is primarily a measure of

the variability that occurs by chance because

only a sample, rather than the entire universe, is

surveyed. It is inversely proportional to the

square root of the number of observations in the

sample. Thus, as the sample size increases, the

standard error decreases.

As calculated for this report, the standard

error also reflects part of the measurement error,

but it does not measure any systematic biases in

the data. The chances are about 67 out of 100

that an estimate from the sample differs from

the value which wouId be obtained from a complete census by less than the standard error. The

chances are about 95 out of 100 that the difference is less than twice the standard error and

about 99 out of 100 that it is less than 2’/2 times

as large.

Relative standard errors of aggregates shown

in this report can be determined from figure I of

this appendix. The relative standard error of an

estimate is obtained by dividing the standard

error of the estimate by the estimate itself and is

expressed as a percent of the estimate. An

example of how to convert the relative error

into a standard error is given in figure 1.

Standard errors of estimated percentages are

shown in table II.

100

80

60

40

30

20

10

8.0

6.0

4.0

3.0

2.0

1.0

0.8

0.6

0.4

0.3

0,2

0.1

100 1,000 10,000 100,000 WnJ,wo

SIZE OF ESTIMATE

Figure 1. Approximate relative standard errors of estimated numbers of residents.

Example of use of figure I: An estimate of 100,000 total residents has a relativa standard error of 2.8 percent (read from scale at left

side of figure). The estimate has a standard error of 2,800 (2.8 percent of 100,000).

52
Table 11. Approximate standard errors of percentages of residents

Base of estimated percent

(number of residents)

1,000 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2,000 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

5,000 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

10,000. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

30,000. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

40,000. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

50,000. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

80,000. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

100,000. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

200,000, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

500,000. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

600,000. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

800,000. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Estimated number of residents

2,500 . . . . . . . . . . . . . . . . .

5,000 , . . . . . . . , . . . . . . . .

10,000. . . . . . . . . . . . . . . . .

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

30,000. . . . . . . . . . . . . . . . .

40,000. . . . . . . . . . . . . . . . .

50,000. . . . . . . . . . . . . . . . .

80,000. . . . . . . . . . . . . . . . .

100,000, . . . . . . . . . . . . . . .

200,000, ...,.!...,.,,..

300,000..,..,.......,.,

500,000, . . . . . . . . . . . . . . .

Estimated percent

2 or 98 5 or 95 10 or90 20 or 80 30 or 70 40 or 60 50

Standard error expressed in percentage points

3.2

2.2

1.4

1.0

0.7

0.6

0.5

0.4

0.4

0.3

0.2

0.1

0.1

0.1

4.9

3.5

2.2

1.6

1.1

0.9

0.8

0.7

0.6

0.5

0.3

0.2

0.2

0.2

6.8

4.8

3.0

2.1

1.5

1.2

1.1

1.0

0.8

0.7

0.5

0.3

0.3

0.2

9.0

6.4

4.0

2.9

2.0

1.6

1.4

1.3

1.0

0.9

0.6

0.4

0.4

0.3

Table I I 1. Approximate standard errors of average monthly charge

10.3

7.3

4.6

3.3

2.3

1.9

1.6

1.5

1.2

1.0

0.7

0.5

0.4

0.4

11.1

7,8

4.9

3.5

2.5

2.0

1.7

1.6

1.2

1.1

0.8

0.5

0.5

0.4

11.3

8.0

5.0

3.6

2.5

2.1

1.8

1.6

1.3

1.1

0.8

0.5

0.5

0.4

$150 $175 $200 $225 $250 $275 $300 $325 $350 $375 $400 $425

Standard error

$45

35

27

23

21

20

20

19

. . .

,,. I

. . .

I

-1

$51

39

30

26

25

23

23

22

. . .

. . .

. . .

. . .

$56

43

35

29

27

26

26

25

25

23

. . .

. . .

$61

47

38

33

29

29

29

28

27

27

27

. . .

$65

53

41

36

34

33

32

31

30

30

29

. . .

$72

52

44

39

37

36

35

34

33

33

32

. . .

$76

59

48

42

40

39

38

37

36

36

35

35

$81

62

52

45

43

41

41

40

39

38

36

36

$84

67

55

48

46

45

44

43

42

41

39

39

$90

68

56

52

49

48

47

46

45

44

41

41

$95

75

62

55

53

51

50

49

48

47

44

44

$102

77

64

58

56

54

53

52

51

50

47

47

Standard errorof the average monthly charge approximately the square root of thesum of the

per person.–The relative standard error of the squares of each standard error considered sepaaverage monthly charge per person can be ob- rately. This formula will represent the actual

tained from table III. standard error quite accurately for the difference between separate and uncorrelated characStandard error ofa difference between two teristics, although it is only a rough approxiestimates.—The standard error of a difference is mation inmost other cases.

53
APPENDIX II

DEFINITIONS OF CERTAIN TERMS USED IN THIS REPORT

Terms Relating to Resident and Facility

Age.–Age of resident at last birthday.

Resident.–A person who has been formally

admitted but not discharged from an establishm ent. All such persons were included in the

survey whether or not they were physically

present at the time of the survey.

Charge. –The charge made by the establishment itself. It does not include charges which

are not part of the bill rendered by the institution such as those for services of physicians.

Bed.–One setup and regularly maintained for

patients or residents. Beds maintained for staff

and beds used exclusively for emergency services

are excluded.

Nursing care. The provision

the following:

Hypodermic injection

Intravenous injection

Intramuscular iniection

of one or more of

Taking of temp&ature-pulse-respiration or

blood pressure

Application of dressings or bandages

Bowel and bladder retraining

Nasal feeding

Catheterization

Irrigation

Oxygen therapy

Full-bed bath

Enema

Terms Relating to Level of Patient Care

These levels are defined in terms of the

implied intensiveness of care or the condition of

the resident. Care is defined by the services performed not by who performed the service. Based

on these criteria, nursing and personal care services are grouped as follows, each succeeding level

being exclusive of the previous level(s).

Intensive care

Catheterization

Bowel and bladder retraining

Oxygen therapy

Intravenous injection

Nasal feedkg

FuI1-bed bath

Limited nursing care

Application of sterile dressings or bandages

Irrigation

Hypodermic injection

Intramuscular injection

Taking of temperature-pulse-respiration or

blood pressure

Enema

Personal care

Help with dressing, shaving, or care of hair

Help with tub bath or shower

Help with eating (feeding of resident)

Rub and massage

Administration of medications or

treatment

Special diet

Neither nursing nor personal care

None of the above

54
Terms Relating to the Facility

Type of ownership. –Hornes

type of ownership as follows:

Propn”etary home.–A home

are classified by

operated under

private commercial ownership.

Nonprofit home. –A home operated under

voluntary or nonprofit auspices, including

both church-related and other nonprofit

homes.

Government home. –A home operated under

Federal, State, or local government

auspices.

Terms Relating to Primary Source of Payment

By the terms of the questionnaire it was possible for a resident to have only one primary

source of payment although he could have one

or more additional sources. They are as follows:

Public assistance

Medical Assistance to the Aged

Aid to Disabled

Aid to Blind

Old Age Assistance

Medicare or Medicaid

Own income

Any private source or income from

investments

Social Security

Pension plans aswell as any method whereby payments were made directly to the

individual or his family and he or they

then paid the establishment

Other. –All other methods of payment or

support.

Residents who had made an initial payment

for lifetime care

Residents of church-supported homes for

whom no charge was made

Residents of homes supported by a fraternal organization for whom no charge was

made

Geographic Terms

Classification of homes by geographic area is

provided by grouping the States into regions.

These regions correspond to those used by the

U.S. Bureau of the Census and are as follows:

Region

Northeast . . . . .

North Central . .

South . . . . . . . .

West . . . . . . . .

States Included

Maine, New Hampshire,

Vermont, Massachusetts,

Rhode Island, Connecticut,

New York, New Jersey,

Pennsylvania

Michigan, Ohio, Illinois,

Indiana, Wisconsin, Minnesota, Iowa, Missouri,

North Dakota, South

Dakota, Nebraska, Kansas

Del aware, Maryland, District of Columbia, Virginia,

West Virginia, North Carolina, South Carolina,

Georgia, Florida, Kentucky,

Tennessee, Alabama, Mississippi, Arkansas, Louisiana,

Oklahoma, Texas

Montana, Idaho, Wyoming,

Colorado, New Mexico,

Arizona, Utah, Nevada,

Washington, Oregon, California, Hawaii, Alaska

55
APPENDIX Ill

CLASSIFICATION OF HOMES BY TYPE OF SERVICE PROVIDED

For purposes of stratification of the universe

prior to selection of a sample, the homes on the

MFI have been classified as nursing care homes,

personal care homes with nursing, and personal

care homes.

Due to the 2-year interval between the 1967

MFI survey (used as the basic sampling universe)

and RPS-3, the type of service provided by a

home may have changed. To produce reliable

statistics by type of service from RPS-3, the

homes were reclassified by type of service on the

basis of data collected in RPS-3. This classification procedure is essentially the same as the

MFI scheme.

Type of service. –The institutions in the

RPS-3 were classified by type of service (nursing

care, personaI care with nursing, and personal

care) on the basis of data collected in the 1967

MFI. The classification scheme for type of service was based on the following four criteria:

1. The number of persons receiving nursing

care during the “past 7 days.” Nursing care

is defined as the provision of one or more

of the following services:

Taking of temperature-pulse-respiration or

blood pressure

Full-bed bath

Application of dressings or bandages

Catheterization

Intravenous injection

htramuscular injection

Nasal feeding

Irrigation

Bowel and bladder retraining

Hypodermic injection

Oxygen therapy

Enema

2.

3.

4.

The presence or absence of nurses on the

staff.

Whether or not the institution provides

administration of medications or supervision over self-administered medications.

The number of activities for daily living

for which the institution offers ass~stance~

Thes e include provisions of rub and

massage; help with tub bath or shower;

help with dressing, correspondence, or

shopping; help with walking or getting

about; and help with feeding.

On the basis of these criteria the three classes

of nursing homes by type of service were defined as follows:

ilkrsing care home. –One in which 50 percent

or more ‘of the residents received nursi~g care

during the week before the survey, with a registered nurse (RN) or licensed practical nurse

(LPN) employed at least 35 hours or more per

week.

Personal care home with nursing. –One in

which (a) some but less than 50 percent of the

residents received nursing care during the week

before the survey, with at least one full-time RN

or LPN; or (b) some of the residents received

nursing care during the week before the survey,

no RN or LPN was employed, and at least one

of the following conditions was met:

1.

2.

The institution provided administration of

medicine or supervision over self-administered medicines.

The institution provided assistance with

three or more activities for daily living.

56
Table IV. Classification of institutions by type of service

Classification variables

Percent of total residents who received nursing

care during the weak before day of survey

Number of registered or licensed practical

nurses

Does the institution provide:

(a) Administration of medicine or treatments

according to doctor’s orders

or

(b) Supervision over self=administered

medicina?

Does the institution offer assistance with 3

activities or more for daily living?

Does the institution offer assistance with 1 or 2

activities for daily living?

Does the institution offer room and/or board

as its only servica?

Institution’

‘ Nc=Nursing care home

Pcn=Personai care with nursing homa

Pc=Personai care home

D= Domiciliary cara home (out of scope)

B=Boarding or rooming housa (out of scopa)

—

50 percent or more

1+

—

,..

—

...

—

...

—

...

—

Nc

—

—

Yes

—

. . .

. . .

—

. . .

Pcn

—

Nona

—

Yes

—

. . .

—

. . .

Pcn

—

Personal care home. –One in which one or

more of the following criteria were met are classified as personal care homes: (a) some of the

residents received nursing care during the week

before the survey, no full-time RN or LPN was

cmp 10yed, the institution did not provide

administration of medicine or supervision over

self-administered medicines, and the institution

provided assistance with one or two activities for

daily living or (b) none of the residents received

nursing care during the week before the survey,

at least one full-time RN or LPN was employed,

and at least one of the following conditions was

met:

No

No

1

Yes Nc

.Ye:

Pc D

1.

2.

Classification criteria

Some but less than

50 percant

I

None

1+ Nona

. . . Yes No Yes

. . . . . . Yes No . . .

. . . . . . . . . Yes No . . .

. . . . . . . . . . . . Yes . . .

Pcn Pcn Pcn Pc D Pc

o+

No

IiYes No

.Yes No

..Yes

PcDB

The institution provided

medicine or supervision

tered medicines.

administration of

over self-adminisThe institution r-movided assistance with .

three or more activities for daily living.

Institutions which provided assistance with

one or two activities for daily living or offered

room and board as the only service were classified as out of scope of the RPS-3. Table IV

shows in detail the scheme for classifying institutions according to type of service.

57
APPENDIX IV

FORMS USED IN THE SURVEY

Q

#?”’”&5%%

“+%* $!!BJ ,,d+i

OF FICE OF THE DIRECTOR

r

U.S. DEPARTMENT OF COMMERCE

BUREAU OF THE CENSUS

WASHINGTON, D.C. 20233

-1

HRS-4g-3 (4-69)

1- -1

Dear Sir:

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

Service, is conductinga survey of hospitals,nursing homes, homes for

the aged, and other establishmentswhich provide nursing care, personal

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

survey is to collect much needed informationabout both the facilities

and the employeesand patients. This activity is part of the National

Health Survey program authorized by Congressbecause of the urgent need

for more comprehensiveand up-to-date health stdistics.

This letter is to request your cooperationand to inform you that a

representativeof the Bureau of the Census will visit your hospital

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

this visit, the Census representativewill call you to arrange for a

convenientappointment time. Meanwhile, to save time, I should appreciate your completingthe enclosed questionnairewhich requests some

informationabout the long-termunit indicatedin the address. Our

Census representativewill pick up this questionnairewhen she visits

you to obtain the other informationdesired.

All the informationprovided on the questionnaireand given to the Census

representativewill be ke~t strictly confidentialbv the Public Health

Se&ice and the Bureau of-the Censu~, and will be u~ed

purposes only.

Your cooperationin this important survey will be very

Sincerely,

for statistical

much appreciated.

A. Ross Eckler

Director

Enclosure

58
FACILITY QUESTIONNAIRE

Budget Bureau No. 68.S6902!2; Approval Expires A“g”st 31, ]96!

NOTICE - All information which would permit identification of the facility will be hold in strict confidence, will be used only

by persons engaged in and for the purposes of the survey, and wil I not be disclosed or released to others for any purposes.

FORM HRS-4a

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

U.S. DEPARTMENT OF COMMERCE

BUREAU OF THE CENSUS

ACTING As CO LiECTING AGENT FOR THE

U.S. PuBLIc HEALTH SERVICE

FACILITY QUESTIONNAIRE I

I

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

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

question 1 received “Nursing care”? Caunt each person an Iy once. Consider that

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

Nasal feeding Catheterization Irrigation

Oxygen therapy

No. of

Full bed-bath Enema persons

Hypodermic injection Intravenous injection Temperature-pul se-respiration

Blood pressure Application of dressing Bawel and bladder retraining

or bandage

3. In 1968, what was the total inpatient days of care provided? (The sum of the number af Days

days of care given to each patient fram 1/1/68 through 12/3 1/68)

—

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

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

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

Total How many wero

b. How many potients were discharged ta the following places -

No. Medicare patients

(l)general orshort-stay hospital? . . . . . . . . . . . . . . . . . . . . . . . — a None

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

n None

(3) mental hospital? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . — a None

(4)another nursing home? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ m None

(5) personol care or domiciliary hame? . . . . . . . . . . . . . . . . . . . . _ n None

(6)patient’s hameorfomilY? . . . . . . . . . . . . . . . . . . . . . . . . . . . — n Nane

(7) ather places? (Specify p/oce) I’1 None

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

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

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

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

who stayed in your focility [stst night? (DO NOT INCLUDE EMPLOYEES OR OWNERS)

10,, During the past seven days, how many af the INPATIENTS in question 9 received

“’Nursing care”? Caunt each person only once. Consider that an inpatient received

nursing care if he received any of the following serwces:

Nasal feeding Catheterizatian Irrigation No. of

Oxygen therapy Full bed-bath Enema persons

Hypodermic injection Intravenous injection Temperature-pul se-respiration

Blood pressure Application of dressing Bowel and bladder retraining

or bandage

59
1. Which of the following services are ROUTINELY provided?

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

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

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

d. Help with dressing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e. Help with correspondence or shopping . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f. Help with walking or.getting about . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g. Fl:lp with eating . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

2. Is this FACILITY participating in the Medicare pragram?

3. Haw many beds are certified for Medicare?

4a. For how many patients is this facility now receiving Medicare payments?

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

in this State when admitted to this facility?

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

a.the nursing director?.. . . . . . . . . . . . . . . . .

b.asocial warker? . . . . . . . . . . . . . . . . . . . . .

c. the nursing home administrator? . . . . . . . . , . .

d.a physical therapist? . . . . . . . . . . . . . . . . . .

e. any other members? (specify occupation)

6. How many persons are employed in this facility?

(Include members of religious organizations and orders

who prov;de the;r services. )

basis through contracts or oth;r fee arrangements?

7. Last month. were the fo[lowina services Drovided on a regular How many persons

provided this

service?

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

b. Dental

c. Pharmaceutical

d. Physical therapy

e. Occupati anal therapy

f. Recreational therapy

g. Speech therapy

h. Social worker

i. Dietary (Dietitian)

j. Food service (meal preparation)

k. Housekeeping

1. None of above

+

lnyes ZEINO

In Yes 25N0

In Yes 20N0

lmyes 213N0 I

%=%-i

~

In Yes 2DN0

In Yes 20N0

Total employees

1

‘ORM HRS.4~ (4.3.69) U.5COMM.DC
ADMINISTRATOR QUESTIONNAIRE

Budget Bureau No. 68-S69022; Approval Expires August 31, 1969

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

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

j:~mJtRS.4b U.S. DEPARTMENT OF COMMERCE A. Name of administrator

aUREAU OF THE CENSUS

ACTING AS COLLECTING AGENT FOR THE

U.S. PuBLIc HEALTH SERVICE

B. Establishment No.

ADMINISTRATOR QUESTIONNAIRE

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

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

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

establishments. The purpose of the survey is to tical purposes only, and wil I be presented in such a

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

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

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

1. When were you born? Month Year

1 I

!, Irr what State (or foreign country) were you born? State or foreign country

I

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

a.in this facility ?..... . . . . . . . . . . . . . . . . . . . . . . . . . .

t==-+==

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

orsimilar facilities? . . . . . . . . . . . . . . . . . . . . . . . . . . . . No. of years No. of month

c.inhospito lo? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

k: Are you the administrator for more then one NURSING HOME?

I

1 m Yes (4b)

2 D No (Skip to Q.5)

b. For how many other NURSING HOMES? Number

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

ia. How many haurs did you work LAST WEEK IN THIS FACILITY ONLY? Hours

b. How mony of these haurs did you spend LAST WEEK performing EACH

of the following services IN THIS FACILITY ONLY -

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

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

0 None

(3)medical ond dental care? . . . . . . . . . . . . . . . . . . . . . . . . .

n Nane

(4) physical therapY? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

0 None

(5)occupatianal therapy ? . . . . . . . . . . . . . . . . . . . . . . . . . . .

m Nane

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

(7)speech ond hearing therapy ?..... . . . . . . . . . . . . . . . . . . D None

(8)sacial work? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

0 None

(9)clerical wark? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

D None

(lO)kitchen/dietary work, grocery shopping? . . . . . . . . . . . . . . D None

(Il)housekeeping services? . . . . . . . . . . . . . . . . . . . . . . . . . . D None

(12)ather? (Specify service) n Nane

;. Besides the hours workdd IN THIS FACILITY, how many additional

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

r

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

2 m Employee 3 n Both

61
Circle highest grade completed

8. What is the highest grade you completed a. E.lementary school . . . . . . . . I 2345678

in school?

}

:k/70fn

b. High school . . . . . . . . . . ..l 234 .

c. Junior callege . . . . . . . . . . I 2

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

e. College ..,..... . . . . . . . I 2 3 450r more

Major field of study

Mark all that apply

9. Which of the following degrees do you have?

m Associate degree

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

m Bachelor’s degree . . . . . . . . . . . .

mMaster’s degree . . . . . . . . . . . . .

m Doctorate (M. D., D. O.,

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

n None of these

10. Which of the following professional degrees,

licenses, or ossociotion registrations do

Mark all that apply

you hove? D Physician (M. D.)

a Physician (D.O.)

m Registered Nurse (R. N.)

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

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

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

n Other professional degree, license, or

association registration (Specify)=

~ None of the above

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

1 m Yes (~ Tb) 20 No (Skip tO Q. 12a)

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

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

number of hours per week times number of weeks attended)

12a. Did you ever receive any “an-the-iob” training to be

a nursing hame administrator? I l_J Yes (12b) 21_J No (Skip tO 0. 73)

b. How long did this training last? Months

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

3. Have you had any ather education or troining in 1 n Yes – Descr/be 2DN0

nursing home administration? be/ow

~ORM H Rs-4b (4.4.691 US COMM. D

62
STAFF QUESTIONNAIRE

Budget Bureau No. 68-S690!22; Approval Expires .August 31, 196(

IOTICE - All information which would permit identification of the individual will be held In strict confidence, WI II be used only

IY Persons engaged in and for the purposes of the survey, and will not be disclosed or released to others for any purposes.

:ORM lif?S-4C

4-3-6D) U.S. DEPARTMENT OF COMMERCE A. Establishment No. B. Line No.

BUREAU OF THE CENSUS

ACTING AS COLLECTING AGENT FOR THE

U.S. PUBLIC HEALTH SERVICE

C. Name of person completing form

STAFF QUESTIONNAIRE I

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

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

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

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

obtain certain information about the staff emp”loyed in that no individual person” or establishment can be

these establishments as wel I as about the health of identified.

patients or residents in the establishments,

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

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

in the postage-paid envelope pravided.

1. When were you born?

!. How many years have you warked as a

No. of years

?

a.in this facility ?...... . . . . . . . . . . . . . . . . . . . . . . . . .

b. in ather nursing homes, hames far the aged,

. . . . .

arsimtlar facilities? . . . . . . . . . . . . . . . . . . . . . . . . . . .

c. in hospitals? (NOTE TO NURSES: DO not inc/ude

specia/ duty or pr; vate duty nursing. ) . . . . . . . . . . . . . . . .

No. of years

No. of years

Hours

Year

No. of months

No. of months

No. of months

la, How many hours did yau wark LAST WEEK IN THIS FACILITY ONLY?

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

EACH af the following services IN THIS FACILITY ONLY-

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

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

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

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

(5) occupational therapy? . . . . . . . . . . . . . . . . . . . . . . . . . .

(6) recreational therapy? . . . . . . . . . . . . . . . . . . . . . . . . . .

(7)speech and hearing therapy? . . . . . . . . . . . . . . . . . . . . .

(8) social work? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(9) clerical work? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(10) kitchen/d ietory wark, grocery shapping ? . . . . . . . . . . . . .

(n) housekeeping services? . . . . . . . . . . . . . . . . . . . . . . . .

(12) ather services? (specify serv;ce) . . . . . . . . . . . . . . . . . .

D None

m None

I_J None

a None

a None

D None

I_J None

a None

D None

= None

m None

O None

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

hours did yau work in your rwafession LAST WEEK? . . . . . . . . . . . . . . . . . . . n None . .

Please continue on reverse side

63
CIrC Ie t<[ghest grade completed

What is the highest grade yau completed

}

a. Elementary school . . . . . . ..1 2 3 4 5 67 8

in schoal?

GI, L! 1

b. High school . . . . . . . . . . ..l2 34 fj.7

c. Junior callege . . ..r . . . ..l 2

d. Nursing school (diploka) . . .[ 2 3

e. College . . . . . . . . . . . . . ..123450 rmore

Mark all that apply Major f,eld of study

Which af the fallawing degrees do you have?

n Associate degree

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

a Bachelor’s degree . . . . . . . . . .

mMaster9s degree . . . . . . . . . . .

U El;ct:ra:t$~.D., D. O.,

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

m Nane of these

Mark all that CJPPIY

Which of the following professional degrees, m Physician (M. D.)

licenses, or association registrations do you have? = Physician (D. O.)

m Registered Nurse (R. N.)

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

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

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

m Other professional degree, license, or

association registration (Specify)

7

m None of the above

F(II Cols. (2)-(4) for each “Yes” answer in Col. (1)

How many

What were the TOTAL

Have you ever taken any of COURSES were

HOURS of CICISS

the following courses: TOTAL NUMBER taken whi Ie instruction?

7

of courses taken working for a Number of hours per wee!

degree ar times numther of wrcrel.

diploma? attended p:r raurse

(1) (2) (3) (4)

a. Nursing care of the aged lnYesor chronically ill? z D No (8b)

b. Medical or dental care of In Yes+

the aged ar chronically ill? 2 D No (8c)

c. Mental or social problems of

In Yes+

the aged ar chronically ill? 2 ❑ No (8d)

tmYe5-

d. Physical therapy or rehabi Iitation? 2 m No (8e)

lmYes+

e. Occupational therapy? 2 D No (8f)

laYes_

f. Nutritian or food services? z n NO (8g)

1 ❑ Yes+

g. Nursing home administration? 20N0

-.

RM HRS-4C (4-3.69) US COMM-UC
STAFF INFORMATION AND CONTROL RECORD

FORM HRS.4. U.S. DEPARTMENT OF COMMERCE

(3 .77+!.) !3UFICAU 0!= THE cENSU

STAFF INFORMATION AND CONTROLRECORO

1

LlnP

No.

2

3

4

STAFF

I.lstbclow thonamos of all persons who work

In this facility.

Include members of religious organizations and

.rdars who provlda their services.

Note: B. W. to Il$tadml. [strator.nd .ss Ist..t

adm[. !strmar.

(a)

Budcet Bureau No.

IOTICE -$11 lnf.rm.~ion whl* W..ld P.rmlt td.. ttf, c.t, on of the ~8.~69022 Estcblishme.t N..

ndlvi dual will be held in strict confidence, WIII be used only by

ersons engaged in and for the purposes of the survey, and WIII Aporo.al Expires

ot be disclosed .r released to others for any purposes. Au3us131, 1969

SEX I RACE

- Male W-Wh ,te

- Female

N-Negro

O-Other

(b) (c)

2 I 2 3

I F W N o

lLbl 1

1-11

mfessto”al

cir&

persons

(d)

——

OCCUPATIONS

nter number from Cord A

12 13-20 21-24

Professional SemO- Nonpro fessm”al pm fess,o”al

sw_ Sw

I I

I 1

1 1

I I

I

I

DISPOSITION OF

STAFF

QUESTIONNAIRE

(h) Line

No.

Date

J rece, ved

in R.O.

%

g $

u J

I

2

3

4

5

II I 26 —. I

17 27

28 28

29 29

30 30

3[ I ] !

I 31

, , I 1 I
OCCUF

STAFF SEX RACE Enter numbel

1-11 I

12

Llstbelow thenames of all persons who work II Professional Professional

In this facility. M-Male W-Whl te

-[”e Include members of reli’ilo.s organizations and No,

F-Female N-Negro sw_

orders who provide their services. O-Other

TE _

I

I t+.,.: ::;:~gt:~tadml”istrator and asslsta”t (b) (c) CIJe Circle

1 2 1 2 3

somple

persons persons

(a) M F w N o (d) (e)

51

52

53

I+ :-i-E: “’ —!

Pa~e 2

TIONS

ban Card A DISPOSITION OF

13-20 21-24 STAFF

Semi. Non- QUESTIONNAIRE

professional professional

jW._ (h) Line

No.

rE _ Date

Circle Do not fill j

received

m R.O.

sample staff q“es- -;

pers.a”s *

tionnatre

VI (b-) ~ f

51

52

S3

7s 75

76 76

77 77

78 78

79 79

80 80

El 81

82 82

83 83

84 84

85 85

86 86

87 87

88 88

89 89

90 90

91 91

92 92

93 93

94 94

95 95

96 96

97 97

98 98

99 99

100 - I00

Remarks

FORM HF15-4E (,.27.691 “,COMM. DC

66
CURRENT PATl ENT QUESTIONNAIRE

RESIDENT PLACES SURVEY–3

Name of sample perscm Ltne No.

Month ! Day I ‘tear OR Age

1. WSratls --date of birth? ! I

2. Sex !aMale 2 rg Female

3. Race I Dwhite z m Negm 3 f_J Other nonwhite

4a.Whatwas his marital

sfalrrs at admission? . . .

I ❑ Married 2 ❑ widowed 3 ❑ Divorced 4 ❑ Stparatsd 5 ❑ Never married

b. What Is his marital

status now? . . . . . . .

I ❑ Married z ❑ Widowed 3 ❑ Divorced 4 D Separated s R Never married

Month

5. Whatwas lhedate of fdsfASTAOMISSION to fhisplace?

o Eky ,Year

,

2 1 Hmv Icinghas k had this csardifim?

1 2 3 4

No Yes L~m:an 3t05 6 to 11 12mos.

6. Whlchof tkseccvdifims wimpirrrwnts dcestwhave?

mos. mos. or more

a. AOVANCEO senihf y . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

b.%nifify, notpy.vchofic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

c. Other mental disor&rs (such amental illness orretardat!on) . . . . . . . . . . . . . . . .

d, Speech defect orparalysls (paf~)due toastroke . . . . . . . . . . . . . . . . . . . . . . . .

e. Other dleffects ofa stroke . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f. Heart trouble . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g. Hardening of the arteries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h. Paralysis mpalsynot dueto a stroke . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

I. Arthr!fis orrheumaflsm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

I. Dlabeles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

k. My Chronic trouble wiWbwkor spine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1. PERMANENT stiffness oranydeformlV of the foot, leg, fingers,

arm,or back. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ,,, ,.,

m. Chronic contitlons ofdlgestive system (excluding stomach ufcer,

hernia efabdomlnal cavi~, liver, orgallbltider trouble). . . . . . . . . . . . . . . . . . . .

n. Arryother conditions orlmpairments-Sw,&

7. Athlsfast tiysical examirrafion, Primary diagnosis?

what was his -

Secnndarydiagnosis?

n

8. 0Laingtkpast7 days,

which of tkse services

did this wfient resslve?

Cht.h.z - ‘moppfy

Arry other diagnosis?_

I ❑ Help wifi dressing,

sbavin~, or care of hair

znHelp with tub bath

or shower

3 u Hefp with eating

e D Rub or massage

s ❑ Administration of medics.

lions or treatment

6 n special diet

70 AppMca~on Of sterile

dressings or bardages

8 ❑ Temperature - pulse - IS ❑ Intravenous irrjecbon

respiration 17 rg Intramuscular mjecfion

9 D Full bed.baffr IB o Subcutaneous irvectmrr

10 fg Enema !Sulrrfradermal mjectmn

I I m Cafheterlzaben 20 fg Nasal feeding

120 Bowel or bfadder OR

retraining

21 ❑ None of the hove

130 B[ood pressure services received

14 n Irrigation

IS o Osygen tberaw

I

9a.Dees ha USE eyeslasass? I n Yes 2f3No

b. Doss tvz uSE a karing aid? I m Yes 2uN0

10. D~skmany oftiefollewingai&- Fm What CC4UfitiM_@)?

a. walker? 2uN0 !DYes _

b. crutches? 2f3N0 ,nYes _

c. brases? 2f3N0 In Yes _

d. wheelchair? 20N0 ~fq Yes —

e. anyotber aids? 2f3No lDYes _

specify

Footnotes

67
How Icing has he been this way? 161.., *m{

ffOCSthis mn,h ,, o,h.

5

require exba $s 3t05 6 to 11 12 mos. How was ~

g

Il. tichoftiw categmieskst&w~s Ns nusing finw? mos. mos. a me ~f~ ~?

Sbifify 10 nmve abut?

3 mosi ~ ~

4 E.* le!ti

a. C~ableof gomgoff iheplem!sas wlfhorwlthoul

assrstace

b. Cnnfmad to fheprem!ses, tmtdoeanot useatieelchair

c. :;”:awtwelchair butrequires mmlmalhelpingethng

IOY 2f_JN

d. Generally con fmedtobed butupmwheelcbair for at

least a few bows a day 10Y ZUN

e. Reatricfed totota[ bed rest 10Y 2uN

12. Howwellcanhshear?

a. Can bear afelephone conversahono nanordmary

tele~eme (a felephone wltbout an amplifier)

b. Canhear mostofthe things apersonsws

c. Canhear afewwords a person says ~uy zON

d, Canhear only loudno!ses ! mY zDN

e. Can’theaimyfhmg IDY 2f_JN

13. Howwellcankesee?

a. Canread ordinary newspaper prmtwlthorwdbout

glasaes

b. Canwafch televtslon across theroom(8to12feev

c. Canrecogmzet befealmeso fpopleh eknowslf they

are within 2 to 3 feet

d. fabhnd (I fbf,.d.:h .,m,rih< r.] !f_f Y 2mN

[4. Howmushcontrol dcesheuswalfy haveoverhisbowels

and bladder -- nwmalfy dcea he -

a. Controf bladder and bowels?

b. Control bladder butnotbowels7 *UY 2uN

c. Contra! bowefsbut not bfaddelY IKIY ZUN

d. Notcontrol bowels or bladder? inY 2uN

e. fscafhelerlzed~ lDY 2nN

[5. D~sthia paffent’sbehavior rsquire morethanfheusuaf

nursing time because he is fcigetful, uncooperative m

dishnbing?

a. Nomore than usual

b. Shghtly more

c. Moderately more

d. Much more

TEfd A-l fpafient wasnothere for full month, check here ❑ andgoto next person.

6a. Last mfflfh, what was the charge fc+ his lodging, meals, and nursing care? DO “., ,~cIde ~,~te d.~ W,,,g. $

b. What was tha TOTAL charge for his care last month? s

17a. Wfntwefe fhesomces ofpaym?nt fcahfs care fast mcedh? Chek.lltim.ppfy

n Own income or family support

(private plans, retirement funds,

n:)he:~:uhc asslafance Dfnifial payment - hfe care

social secunfy, etc.) nOfher - s=,b

u Church support

aMedwme (Title XVIII)

nMedicaid (Tltfe XIX)

u VA contract

b. Wbatwas fhe PRlfAqRY source ofpaymnt for Mscarefestmonth? hbd.-..ly

I ❑ Owfl income or famdy support 4D Other pubhc asslsfance

(private plans, retirement funds,

a f_JOther - S=,$

or welfare

sociaf security, etc.) s ❑ Church support

zUMedimre (TiNe XVNl) 6 OVA Contract

3 DMedlcaid [Title XIX) T n Inrbal payment - fife cafe g u Ncae

Patient was not here in OecemfEr 1964 (N,., @,e.fl

ere alf of hfa sources of payment fct Oece&r 1968?

❑ Same as 17a-b ❑ Madlcaid (Tdle XIX) ❑ VA con fract

❑ Own income or family support

(p ffYdte plan:, refueme”t funds,

DOfher publlc assistance ❑ Inibal paymant - hfe ca[e

or welfare

social security, etc.) ❑ Ofher - s~,~

nMedicare (TNle XVlfl)

❑ Church support

68
LIST OF SELECTED JOB CATEGORIES

CARD A

Which of the following iobcategories best fits the iob

which this employee does in this facility?

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

Il.

I2.

I 3.

I 4,

I5.

16.

I 7.

18.

19.

200

21.

22.

23.

24.

Administrator

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

Dentist

Registered Occ.upationa4 Therapist

Qualified Physical Therapist

Recreation Therapist

Dietitian or Nutritionist

Registered Medical Record Librarian

Social Worker

Speech Therapist

Other professional occupations

Registered Nurse

Occupational Therapist Assistant

Physical Therapist Assistant

Other Medical Record Librarians and Techicians

Licensed Practical Nurse or Vocational Nurse

Practical nurse

Nurse’s aide

Orderly

Student nurse

Clerical, bookkeeping, or other staff

Food service personnel (cook, kitchen help, etc.)

Housekeeping personnel (maid, Iaundryman,

maintenance man, etc.)

Job other than those listed above (Please describe

employee’s duties)

;02:M6~)RS.4k U.S. DEPARTMENT OF COMMERCE

. .

JSCOMM-DC

BuREAU OF THE CENSUS

LIST OF SELECTED JOB CATEGORIES

69
VITAL AND HEALTH STATISTICS PUBLICATION SERIES

Originally Public Health Service Publication No. 1000

Series 1. tio.grams and collection @ocedures. - 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: experi --

mental tests of new survey methods, studies of vital statistics collection methods, new analytical

techniques, objective evaluations of reliability of collected data, contributions to statistical theory.

Series 3. Analytical studies .—Reports presenting analytical or interpretive studies based on vital and health

statisncs, carrying the analysis further than the expository types of reports in the other series.

Smies 4. Documents and committee repovts. — 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.

+

SeTies 10. Datu porn the Health Interview Stcmev.-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.

Sevies 11. 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 psycho.

logical characteristics; and (2) analysis of relationships among the various measurements without

reference to an explicit finite universe of persons.

Series 12. Dakz Jrom 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 Dischavge Survey. —Statistics relating to (!!A:,+?ged patients in short-stay

hospitals, based on a sample of patient records in a national sampie of hospitals.

Series 14. Data on health resources: manpowev and facilities. —Statistics on the numbers, geographic distribution, and characteristics of health resources including physicians, dentists, nurses, other health

occupations, hospitals, nursing homes, and outpatient facilities.

Swies 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 natility, mamiage, and divorce. —Various statistics on natality, marriage, and divorce

other than as included in regular annual or mont+dy reports+ p~ial 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, HRA

RockvilIe, Md. 20852