NATIONAL CENTER Series 12 

For HEALTH STATISTICS I Number 9 

VITAL and HEALTH STATISTICS 

DATA FROM THE NATIONAL HEALTH SURVEY 

Charges for Care in 

Institutions 

for the aged 

and chronically ill 

United States - May - June 1964 

Statistics on the average monthly charge for care 

and the distribution of residents by charge for care 

intervals according to primary type of service, level 

of nursing supervision, and type of ownership of the 

institution; according to age, sex, level of patient 

care, and primary source of payment for the resident; 

and according to the geographic region of the United 

States. Based on data collected during the period 

May-June 1964. 

Washington, D.C. August 1967 

U.S. DEPARTMENT OF 

HEALTH, EDUCATION, AND WELFARE Public Health Service 

John W. Gardner William H. Stewart 

Secretary Surgeon General 
Fublic Health Service Publication No. lOOO-Series 12-X0. 9 

For sale by the Superintendent of Documents. U.S. Government Printing Office Washington, D.C. 20402 - Price 35 cents 
NATIONALCENTERFOR HEALTHSTATISTICS 

FORREST E. LINDER, PH.D., U~P~C~OT 

THEODORE D. WOOLSEY, D@uty DITC~~OT 

OSWALD K. SAGEN, PH.D., Assfsfant Dzrctor /or State Relatrons 

WALT Ii. SIMMONS, M.A., Statrstlcal Adzvsor 

PHILIP S. LAWRENCE 

ALICE M. WATER.HOUSE, 

JAMES E. KELLY, 

LOUIS R.. STOLCIS, 

DONALD GREEN, 

Sc.D., P~annrng O//icer 

M.D., klcd~ccrl Consultant 

D.D.S., ncntnl Aduzsor 

M.A., Executrzv Officer 

/n/or777ut7on O//zcer 

DIVISION OF HEALTH RECORDS STATISTICS 

MONROEG. SIRKEN, PH.D., Director 

JOHN MONROE,M.S., Assistant Dmctor 

ARNE B. NELSON, M.A., Chic/, Vital Records Surveys Branch 

PETER L. HURLEY, Chiej, Institutir*nal Population Survey Rranch 

COOPERATION OF THE BUREAU OF THE CENSUS 

Under the legislation establishing the National Health 

Survey, the PublicHealth Service is authorized to use, insofar 

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

or private agencies. 

In accordance with specifications established by the 

National Center for Health Statistics, the Bureau of the Ccnsus, under a contractual arrangement, participated in planning 

the survey and collecting the data. 

Public Health Service Publication MO. lOOO-Series 12440. 9 

Library of Congress Catalog Card Number 67-60077 
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CONTENTS 

Introduction __-_--___________-____r______c__________------------------

Selected Findings-----------------------------------------------------

Source and Qualifications of Data ____-_______-__ __-- --_-- _ -___- -_---_-

Characteristics of Residents and Institutions-----------------------------

Age and Sex--------------------------------------------------------

primary Type of Service prov&d _____________________________ 

Level of Patient Care -----------------_-----------------------------

Type of Nursing Supervision Provided _________________________ 

Type of Ownership--------------------------------------------------

Geographic Regions---------------------------------------------------

primary Sour-e of payment----- _________________________ - -_-__- -----_-

primary Type of Service provided _____________c____________________ -

Type of Ownership--------------------------------------------------

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

References ---_----------------_________________L__-------------------

Detailed Tables-------------------------------------------------------

Appendix I. 

A. Tech&al Notes on Survey Design__-__ -_- -___-__c---___--------

Be General Qualifications-------------------------------------------

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

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

Type ofOwnership--------------------------------------------------

Primary Type of Service __c---___-----------------------------------

Level of Nursing Supervision -____ --___ ___- _____-_-_-_ - --_-_--_ -__ -_-

Level of Patient Care -----------------------------------------------

primary Source of payment _________________________________________-

Terms Relating to Resident--- -____-___ __L________ _____- _____- --_-

Appendix III. Resident PatientQuestionnaire-----------------------------

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IN THIS REPORT data atyepresented on the charges for caye in residential institutions. During the survey period May- June 1964 there weye 

an estimated 554,000 residents in 17,400 homes providing nursing OY 

personal cave. The median age of the residents was 80 while 88 percent 

weye 65 years of age OY older. 

Approximately 3 percent of the residents had made an initial payment 

for lifetime care. For the remaining 538,000 residents, the average 

monthly charge was $186. 

The average monthly charge varied by characteristics of the resident, 

the institution, and the geographic region. The average monthly charge 

was $194for females and $171for males. For both sexes the average 

charge increased with age. Charges weye higher in proprietary homes 

than in nonprofit OY other homes. The average charge was $212per month 

in nursing caYe homes, $129 per month in personal care homes which 

also provided nursing cave, and $121 per monthin personal caye homes 

which did not provide any nursing caye. Charges weye higher in homes 

having a registered nurse (RN) as the ficll-time supervisor of nursing 

than they were when the supervisor either worked part-time OY was not 

an RN. 

The charges increased with the amount of caye provided the individual 

resident. For residents who weye receiving neither personal nay nursing 

caye theaverage monthly charge was $109; for residents receiving only 

personal cave the charge was $164; for residents receiving limited 

nursing care it was $199; and for residents receiving intensive nursing 

cave it was $224. 

Charges foragiven type of institution OYlevel of service weye generally 

highest in the Northeast and the West, lower in the North Central Region, 

and lowest in the South. 

Approximately 47 percent of the residents listed public assistance as 

their primary source ofpayment. The average monthly charge for these 

:vesidents was $179. Another 46 percent used their own income as their 

primary source of payment. Their average monthly charge was $202. 

The remaining 7 percent of the residents had either made an initial payment forfull-time caye OYwere supported by a variety of governmental, 

church, OY other programs. 

SYMBOLS 

Data not available _______________________ 

Category notapplicable------------------ . . . 

Quantity zero _____________________ -

Quantity more than 0 but less thanO.OS---- 0.0 

Figure does not meet standards of * reliability orprecision-----------------
CHARGES FOR CARE IN INSTITUTIONS 

FOR THE AGED AND CHRONICALLY ILL 

Mary Grace Kovar, Division of Health Records Statistics 

INTRODUCTION 

The Resident Places Survey-2 (RPS-2) was 

designed to provide information about the aged 

institutionalized population of the United States 

and so included only nursing and personal care 

homes and geriatric hospitals. It did not include 

homes which provided only room and board. The 

554,000 residents who comprise the population 

of the survey had certain characteristics which 

distinguished them from the general population. 

Their median age was 80 years and 88 percent 

of them were 65 years and older. Therewere 186 

females for every 100 males. The median age of 

the females was 81 years and 92 percent were 65 

or over while the median age of themales was 78 

years with 81 percent being 65 years or over. 

Approximately 30 percent of the males and 18 percent of the females had never been married while 

in the 1960 United States population aged65 years 

and over only 8 percent of the males and 9 percent of the females had never been married. Only 

4 percent of the residents had no chronic conditions and the average was 3.1 chronic conditions 

per resident. 

The average monthly charge is the average 

amount charged to residents in the designatedcategory during the month prior to the survey. 

In computing the average, the residents who had 

made an initial payment were excluded from the 

calculations since they were not billed by the 

month. 

However, residents for whom no charge was 

made were included along with all residents for 

whom any charge was made. In the discussion 

and the detailed tables the percentage distributions 

of residents are based on the population given in 

the detailed tables; the average charge is based on 

that population less the number of residents in 

the category who had made an initial payment. 

SELECTED FINDINGS 

The average monthly charge for care for 

all residents excluding those who had made an 

initial payment for life care was $186. Almost 

one-half of the residents (46 percent) were 

charged $lOO-$199 per month while another 27 

percent were charged $200-$299 per month. 

In general, charges were higher for the older 

residents and charges for females were higher 

than those for males. Although the age distribution 

of females was different from the age distribution 

of males-the median age for females was 81 

years and the median age for males was 78 

years-this does not account for the difference in 

charges. Charges for females were higher in 

each age group. 

Charges also varied with the amount of 

nursing service provided by the institution. In 
nursing care homes the average monthly charge 

was $212. In personal care homes whichalsoprovided some nursing care it was $129 while in 

homes which provided only personal care it was 

$121. When residents were classified according 

to the care they actually received, rather than 

according to the type of service provided by the 

establishment where they were receiving care, the 

difference in the charges was even greater. The 

average monthly charge for residents receiving 

intensive nursing care was $224; fir residents 

receiving other nursing care it was $199; for 

residents receiving personal care only it was $164; 

and for residents who were receiving neither 

nursing nor personal care it was $109. 

Homes included in RPS-2 were also classified according to type of ownership. Charges 

were higher in proprietary homes ($205 per month) 

than in nonprofit homes ($154) or other homes 

($157). Part of the difference in charges is due to 

the fact that a higher percentage of the residents 

of proprietary homes were also in nursing care 

homes than residents of nonprofit or other homes. 

The United States was divided into four geographic regions and the data tabulated separately 

for each region. The average monthly charge for 

all residents was highest in the Northeast at$213 

per month. The next highest charges were in the 

West with an average of $204. The North Central 

Region which had the largest institutional population had an average charge of $171. In the South 

the average monthly charge was $16 1. Differences 

in the regional charges could not be attributed 

to differences in the age distribution of residents, 

to the ratio of females to males, or to differences 

in the proportion of residents in nursing care 

homes. 

Residents were classified into three groups 

according to their primary source of payment for 

care. Almost half of the residents (47 percent) 

listed public assistance as their primary source 

of payment. An additional 46 percent listed their 

own income. The remaining 7 percent received 

their primary support from other sources such 

as veterans’ benefits or church support or had 

made an initial payment, for lifetime care. For 

those residents on public assistance the average 

monthly charge was $179. For the residents supported by their own income it was $202. 

SOURCE AND QUALIFICATIONS 

OF DATA 

The data included in this report are basedon 

a sample survey of institutions in the United States 

which provide nursing and personal care to the 

aged and chronically ill. The survey, generally 

referred to as Resident Places Survey-2, was 

conducted during May and June 1964 by the Division 

of Health Records Statistics in cooperation with the 

U.S. Bureau of the Census. 

.The scope of the RPS-2 included such establishments as nursing homes, homes for the 

aged, similar places under various names, and 

geriatric hospitals. Two basic criteria for including an establishment 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 were not within the scope of the survey. 

RPS-2 was a multiple-purpose survey collecting statistics about the establishments themselves, the employees, and the residents or 

patients living in the establishments. Reports 

have already been published on the number and 

kinds of employees, their work experience, and 

their special training and wagesiT Reports have 

also been published on health characteristics of 

the residents as measured by the number of 

chronic conditions, limitation of mobility, and the 

health services provided for them?TP 

In order to interpret the statistics presented 

in this report properly, it is important to comprehend the material presented in the appendixes. 

Appendix I consists of a general description of 

the survey-the sampling frame, sample design, 

and survey procedures. Also discussed are levels 

of nonresponse and imputation procedures, estimation technique, and sampling variation. Tables 

and charts of standard errors are provided with 

illustrations of their use. 

Definitions of terms are given in Appendix 

II. Special attention is called to the procedure 

for classifying establishments by the type of 

service. The classification is based on the primary type of service provided by the home and 

the availability of a nursing staff rather than on 

2 
what the home called itself or how it was licensed 

by the Stare. 

Proper interpretation of the data also requires a clear understanding of the definition of 

charge for care. The charge for care discussed 

in this report is the charge made by the institution itself and is based on the response to the 

question”Wh.at was the total charge for this resident’s (patient’s) care last month?” It may or may 

not include charges made by private physicians, 

charges for drugs or equipment not purchased 

through the home, or any other services for 

which the resident contracted privately. It is known 

that the methods of operating nursing and personal 

care homes vary widely. Some establishments 

provide as part of the basic charge, all of the services required by the resident. Others make an 

additional charge for the services of a physician 

or other professional personnel or for special 

services, drugs, or diets. Still others have no 

formal connection with a physician and the resident requiring medical service is seen by his 

private physician who bills his patient directly. 

Reproductions of the residents’ questionnaire 

and other forms used in thesurvey whichare relevant to this report are shown in Appendix III. 

CHARACTERISTICS OF RESIDENTS 

AND INSTITUTIONS 

Age and Sex 

The residents of the institutions included in 

RPS-2 were an aged population. Some 88 percent 

of them were 65 years of age or older and the 

median age was 80. Approximately 70 percent 

were 75 years or older. 

The average monthly charge for all ages was 

$186. Charges rose with eachagegroup from$155 

per month for those under 65 to $194 per month 

for those 85 or older (table I). One reason for 

the low monthly average charge for those under 

- 65 was that 11 percent of them were charged nothing as compared with only 2 percent of those 

85 years or older. 

A second factor in the increased charge is 

the greater ratio of females to males in the older 

age groups. At all ages the charges for females 

were higher than the charges for males and the 

ratio of females per 100 males increased from 

8j. for residents under 65 years to 254 for residents 85 and over (table A). However, when the 

data for each sex are examined separately as in 

figure 1, it is obvious that there is a real increase 

in charges which is independent of the sex ratio. 

Primary Type of Service Provided 

The homes included in the survey were classified into three groups according to whether or not 

they provided the nursing services listed on Card 

A (see Appendix III), the percentage of residents 

receiving nursing care, and the presence of qualified nurses on the staff. The criteria for the 

classification are detailed in Appendix II. This 

method of classifying establishments was developed by the Division of Health Records Statistics and is independent of the name or license 

of the home. 

Under 65 65-74 75-84 

years yeorr years 

AGE OF RESIDENTS 

Figure I. tverape monthly charge for care, by 

sex and age. 

3 
Table A. Selected characteristics of residents, by age: United States, May-June 1964 

Percent of 

residents in 

Percent Number 

Average age group who Per 

in 

cent 

of distribution 

Age females monthly nursing of 

residents per 100 charge care 

males homes 

All ages------------ 100 

Under 65 years------------ 65-74 years--------------- i; 75-84 years--------------- 42 

85 years and over--------- 28 

Over two-thirds of the residents, or 68 percent, were in homes classified as nursing care 

homes. Another 26 percent were in homes classified as personal care homes but which also provided some nursing care. Only 6 percent of the 

residents were in homes whichgenerallyprovided 

only personal care. Table B gives some characteristics of the residents which may be helpful in 

evaluating the differences in charges according 

to the primary type of service. 

Charges were highest in nursing care homes. 

The average monthly charge was $212 and 52 

percent of the residents were charged $200 or 

more per month. In personal-care-with-nursing 

homes the average charge was $129 and 13 per186 $186 

83 155 

158 

212 2: 

254 194 

cent of the residents were charged$200 or more. 

In personal care homes the average monthly 

charge was $121 and 10 percent of the residents 

were charged $200 or more (table 2). 

In nursing care homes the percentage of residents who had made an initial payment for lifetime care was less than one-half of 1 percent. 

Approximately 2 percent of the residents were 

charged nothing. In personal-care-with-nursing 

homes 9 percent of the residents had made an 

initial payment and there was no charge for 

percent. In homes providing only personal care 

4 percent had made an initial payment and 6 percent had no charge. 

Table B. Selected characteristics of residents in homes, by primary type of service: 

United States, May-June 1964 

Average Percent of Number number of residents of 

Primary type of service in each females Median chronic 

type of per 100 age conditions 

per service males resident 

All types---------------------. 100 186 80 3.1 

Nursing care------------------------ 68 193 

Personal care with nursing---------- 26 182 i: 

personal care----------------------- 6 142 78 

Average

monthly

charge 

$186 

212 

129 

121 

4 

8 
Table C. Primary type of senrice,by level of patient care: United States, May-June 1964 

Type of service 

Level of patient care 

All levels------------------------------

Intensive care--------------------------------

Other nursing care---------------------------­

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

Neither nursing nor personal care-------------

All levels------------------------------

Intensive care--------------------------------

Other nursing care---------------------------­

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

Neither nursing nor personal care-------------

Within each type of service, charges were 

higher for the older age groups (table 2). Also, 

within each type of service the charges for females were higher than the charges for males 

(table 3). Although the age distribution was similar 

for all homes, the ratio of females to males was 

highest in nursing care homes and decreased as 

the amount of nursing care provided decreased 

(table B). This difference in the sex ratio should be 

remembered when comparing the charges for the 

three types of service which are computed for 

both sexes. 

level of Patient Care 

In addition to the question concerning the 

type of service provided by the home, the multipurpose design of the survey permitted a similar 

question to be asked about the individual resident. 

The respondent was shown Card F (see Appendix 

III) and questioned about the care received by this 

particular resident during the preceding week. The 

responses to the list of services were grouped into 

four levels of care (Appendix II); intensive care 

which includes for example intravenous injection 

or a full bed bath, other nursing care which inz 

Average monthly charge 

$186 11 $212 1 $129 1 $121 

I I I 

224 232 167 195 

199 210 140 139 

164 E 125 139. 

109 106 100 

Percent distribution 

cludes other services usually performed by a 

nurse, personal care which includes such things 

as help with dressing and eating, and a negative 

response to all services listed. 

Table C which is taken from table 4 shows 

the difference in charges when the residents were 

classified according to the care they were actually 

receiving. If it can be assumed that those residents 

who were receiving neither nursing nor personal 

care were paying a basic charge in a specific type 

of home, then the difference between the average 

monthly charge for those persons and the charge 

for the residents who were receiving special services is a measure of the charge #or the services. 

For example, the residents of nursing care homes 

who were receiving none of the services on the list 

were charged an average of $126 per month. The 

residents of the same homes who were receiving 

intensive care had an average charge of $232 per 

month. The difference of $106 would be thecharge 

for the intensive care. The same subtraction can 

be done for each level of care within homes providing any type of service because in each case 

the charges increased as the level of service became more specialized. 
Table C also suggests another reason why 

charges were higher in nursing care than in personal care homes. In nursing care homes 76percent of the residents were receiving some form 

of nursing care as compared with 32 percent of 

the residents in personal-care-with-nursing 

homes and only 7 percent in homes which generally 

furnished only personal care. Since charges increased with the level of care provided, charges 

in nursing care homes would naturally be higher. 

That is not, however, a complete explanation of 

the difference in charges. Within the level of service provided, charges were higher in nursing care 

than in personal care homes. There was apparently 

a charge for having the services available even if 

they were not being utilized by the residentat the 

moment. 

Type of Nursing Supervision Provided 

One measure of the services available is the 

level of nursing supervision. When the person supervising the residents’ care was a registered 

nurse who worked full time the average monthly 

charge was $204. When the supervisor was either 

a registered nurse working part time or a licensed 

practical nurse the average monthly charge was 

$163. When the supervisor was not a nurse the 

charge was $138 (table 5). In personal care homes, 

where only 46 percent of the residents lived in 

homes with a full-time registered nurse as the supervisor, the level of supervision made littledifference in the charges. However, in nursing care 

homes, where 73 percent of the residents werein 

homes with a full-time registered nurse as the 

supervisor, the $224 per month charged for their 

care was significantly higher than the charge of 

$178 when the supervisor was either a registered 

nurse who worked part time or a licensedpractical nurse or the $203 charged when the supervisor 

was not a nurse. 

Type of Ownership 

In addition to the classification by type of 

service provided, the homes included in RPS-2 

were classified by type of ownership. The classes 

used in this report are: proprietary, nonprofit 

(including homes operated by churches), and other 

homes (mostly operatedby local, State, or Federal 

Government). Some characteristics of the residents according to type of ownership of their resident institutions are shown in table D. 

Charges were highest in proprietary homes 

(table 6). The mean monthly charge in such homes 

was $205 and about half of the residents (48 percent) were charged $200 or more per month. In 

proprietary homes providing nursing care-and 78 

percent of the residents of proprietary homes were 

provided with nursing care-the average monthly 

charge was $222 and 58 percent of the residents 

were charged $200 or more. 

In nonprofit homes the average monthly 

charge was $154 and 23 percent of the residents 

were charged $200 or more per month. However, 

only 40 percent of the residents were in homes 

providing nursing care. For residents of nonprofit 

Table D. Selected characteristics of residents in homes,by type of ownership:

United States, May-June 1964 

Percent Percent 

of of 

residents of

Number 

Median residents Average 

owner ship males care 

homes 

charge 

All types----------------------- 100 186 80 68 $186 

Proprietary---------------------------. 60 195 205 

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

Other--------------------------------- 24 

16 

280 

91 

iii01 

76 

it 

70 

154 

157 

Type of ownership in each females in 

type of per 100 age nursing monthly 

6 
homes providing nursing care the average monthly 

charge was $190. The percentage of the residents 

-in each cost for care interval is lowered because 

-11 percent of the residents of nonprofit homes had 

made an initial payment for lifecare. This represents 90 percent of all such residents. Most of 

these residents of nonprofit homes who had made 

an initial payment were in homes providing personal care with nursing. 

In the other homes the average monthly charge 

was $157 and 28 percent of the residents were 

charged $200 or more. For 13 percent ofthe residents of other homes there had been no charge 

for the preceding month; for another 22 percent 

the charge had been less than $100. 

Although part of the difference in charges in 

the three types of ownership is a reflectionof the 

percentage of residents in homes providing nursing care, charges in proprietary homes were 

higher than in the other two for each type of service. In establishments providing nursing care for 

example, the average monthly charge for proprietary homes was $222; for nonprofit homes it was 

$190 and for other homes it was $191. In establishments providing personal care the average 

charge in proprietary homes was again higher 

but in those homes the large percentage of residents in nonprofit and other homes who had either 

made an initial payment or who were charged 

nothing is more important than the average. 

Although charges in nonprofit and other homes 

followed the general pattern of charges being 

higher for the older residents, charges in proprietary homes did not. In proprietary homes the 

average monthly charge for residents under 65 

was $187, but for all residents 6.5 or over the 

average charge was $208 (table 7). Beyond the 

age of 65 the charge did not increase. 

Proprietary homes did follow the general 

pattern of higher charges for females than for 

males although the absolute difference was not as 

great as in the other two types of ownership. In 

proprietary homes males were charged $195 per 

month and females $2 11. In nonprofit homes males 

were charged $137 and females $161. In other 

homes males were charged $139 and females were 

charged $175 per month (table 8). 

Charges were highest in proprietary homes 

for each level of nursing supervision. For any 

given level of supervision, charges in proprietary 

homes were $50-$60 per month higher than in 

nonprofit homes (table 9). Charges in nonprofit 

homes were higher than charges in other homes 

when the supervisor worked part time or was not 

a registered nurse. When the supervisor was a 

nurse who worked full time, charges in other 

homes seemed to be somewhat higher than in nonprofit homes, although the difference was not 

statistically significant. 

Within each type of ownership charges increased as the level of care provided the individual 

resident increased (table 10). When the resident 

was receiving nursing care there was little difference in the charges made by proprietary and 

other homes although charges in nonprofit homes 

were lower for these residents. For residents who 

were not receiving nursing care, charges were 

highest in proprietary homes and lowest in other 

homes. 

GEOGRAPHIC REGIONS 

The regions as defined in RPS-2 are the same 

as those used by the Bureau of thecensus. These 

States included in each region are listed in Appendix II. Selected characteristics of the residents 

in each region are shown in table E. 

The average monthly charge was highest in 

the Northeast at $213 per month (table 11 and fig. 

2). The West ranked second with an average of 

$204. In the North Central Region the average 

monthly charge was $171 and in the South it was 

$161. In all regions the trend was toward higher 

charges for the older residents. Differences in 

the age distributions did not account for the differences in charges, however, as the median age 

was almost the same in all four regions. Nor did 

a difference in the ratio of males to females account for the differing charges even thoughcharges 

for females were higher than charges for males 

in each region (table 12). The South, which 

had the highest ratio of female to male residents, 

had the lowest average charge at $161 per month. 

The region with the lowest ratio of female to male 

residents was the West and the average monthly 

charge was $204 (table E). 

The third factor which might be expected to 

explain the regional difference is the percentage 

of residents in homes providing nursing care. In’ 

the Northeast 74 percent of the residents were in 

7 
213 

161 

Table E. Selected characteristics of residents, by geographic region: United States,

May-June 1964 

Percent Percent 

I Residents Number of Of 

in 

per Of 

Geographic region in monthly residents 100 ,oc IO females Median residents Average 

each PoPu- per 100 age nursing charge 

region latior ;1 males care 

homes

I I 

All regions---------- 100 289 186 80 68 $186 

Northeast------------------ 336 209 

North Central-------------- 379 170 ii"0 2 171 

South---------------------- 18 170 214 

West----------------------- 17 293 160 7": 2 204 

'Based on Current Population Reports, Series P-25, No. 317, Aug. 27, 1965. 

250 

REGIONS 

Northeast 

North Central 

South 

West 

132 

Nursing oore Personal care with nursing Personal care 

Figure 2. Average monthly charge for care, by geographic region and primary type of service. 

8 
Central---------------------------- 203 195 

nursing care homes and the average monthly 

charge for all residents was $213. In thesouth 73 

percent were in nursing care homes and the average monthly charge for all residents was only $16 1 

(table E). Both the North Central and the West 

Regions had a lower percentage of residents in 

nursing care homes and a higher average charge 

than the South. 

The Northeast was the only region where over 

half of the residents (57 percent) were charged 

$200 or more per month (table 13). The West was 

second with 44 percent and in the North Central 

Region and the South 29 percent and 28 percent 

respectively were charged $200 or more per 

month. There was no significant difference among 

the regions in the percentage of residents for 

whom no charge was made. The practice of making 

an initial payment for life care seemed to be somewhat more common in the Northeast and the West 

than in the North Central Region and almost nonexistent in the South. 

Although the average monthly charge for all 

residents was highest in the Northeast, the average 

for any given type of service seemed to be highest 

in the .West. Since only 17 percent of the residents 

were in the West, the base numbers are low, sampling error is relatively high, and thedifferences 

are small enough to require caution in interpretation. 

In all four regions the charges for nursing 

care homes were significantly higher than for perTable F. Percent of residents and their 

average charge in homes supervised by a 

full-time registered nurse,by geograph­ ic region: United States, May-June 1964 

Percent Average Geographic region of all monthly residents charge 

All regions---- 64 $204 

Northeast------------ 220 

No::; Central-------- 2 193 ----.--“--B--w--m 173 West----------------- 220 

sonal care homes. In the Northeast 27 percent of 

the residents of nursing care homes were charged 

$300 or more per month and 70 percent were 

charged $200 or more. Only 19 percent of the residents of personal-care-with-nursing homes and 

14 percent of personal care homes were charged 

$200 or more. In the big NorthCentral Region the 

percentages of the residents charged $200 or 

more in the three primary types of service were 

40, 11, and 2 percent respectively (table 15). 

It is possible that differences in the charges 

are partly due to differences in care. Level of 

nursing supervision is one measure of care. Table 

F summarizes some of the data from table 14. 

Column 1 of table F shows that the percentage 

Table G. Average monthly charge, by level of patient care and geographic region:

United States, May-June 1964 

Level of patient care 

Geographic region Neither 

All Inten- Other 

levels s ive nursing Per sona 1 nT$ng 

personal 

Average charge per month 

All regions------------------------ $186 $224 $199 $164 $109 

Northeast-------------------------------- 213 254 223 $3 122 

North Suth------------------------------------ 2; 188 165 145 99: 

West------------------------------------- 204 264 216 185 128 

9 
of residents -in homes where the care was supervised by a festered nurse working full time 

was highest in the Northeast, second in the West, 

and lower in the North Central andSouthRegions. 

However, as can be seen in column 2, the same 

regional pattern of charges still holds even when 

only these residents are being considered. If the 

level of supervision is a measure of quality of 

care, the care was better in the Northeast and the 

West but it also cost more than in the other two 

regions. As can be seen in table 14 it also 

cost more for each of the other kVelS of SUpervision. 

The other measure is the level of care provided the individual resident. Table G is an extract 

of the average charge by level of patients’ care 

from table 15. Within each region charges increased with the level of care provided. Among 

regions charges were generally highest in the 

Northeast and the West for a given level of care, 

lower in the North Central, and lowest in the 

South although there were some shifts in the 

rankings for certain levels. In all four regions 

the residents who had made an initial payment and 

the residents for whom no charge was made were 

concentrated in the group receiving neither nursing nor personal care. 

Table 16 presents data on type of ownership 

for each region. The pattern of the charges is 

consistent with the national data which have already been discussed. The percentage distributions of residents by monthly charges for care 

intervals present some interesting variations. In 

the Northeast 14 percent and in the West 16 percent of the residents of nonprofit homes hadmade 

an initial payment for lifetime care. In the North 

Central Region 9 percent and in the South only 3 

percent of the residents of nonprofit homes had 

paid for lifetime care. 

In the Northeast, where charges were generally high, 29 percent of the residents of proprietary homes, 12 percent of the residents of 

nonprofit homes, and 8 percent of the residents 

of other homes were charged $300 or more per 

month. In the North Central Region only 8 percent 

of the residents of proprietary homes and 3 percent of the residents of nonprofit homes were 

charged $300 or more per month, but 13 percent 

of the residents of other homes werecharged that 

much. In the West the comparable figures were 

16, 7, and 24 percent; in the Souththey were 7, 3, 

and 0 percent. 

PRIMARY SOURCE OF PAYMENT 

In this section data are presented on the 

means of paying for care and the variation in cost 

according to the source of payment. The data are 

based on response to the question “What is the 

primary source of payment for his care?” The 

question was self-coding, that is, boxes were provided so that the decision as to which one was 

most appropriate could be made by the respondent. 

There were six possible responses: own income 

or family support, church support, veterans’ 

benefits, public assistance or welfare, initialpayment (life care), and other. Only one answer was 

permitted for each resident. 

Since public assistance or welfare was listed 

as the primary source for 47 percent of the residents and own income or family support for 46 

percent, the discussion is concentrated on these 

two groups. The data for the remaining 7 percent 

were too meager to be analyzed separately so they 

have been grouped into-one category. It should be 

noted that 40 percent of this remaining group had 

made an initial payment for life care and 28 percent had no charge for the month, so the percent 

distributions in the detailed tables are markedly 

different from the distributions of the residents 

on public assistance or those who reported their 

own income or family support as their primary 

source of payment. Table H shows the percent 

distribution of the residents in all sixcategories. 

Table H also gives certain backgroundinformation on the residents when classified by primary 

source of payment. For example, 24 percent of 

the residents on public assistance had five or more 

chronic conditions and 30 percent were receiving 

intensive care. Only 17 percent of the residents 

using their own income had five or more chronic 

conditions but 34 percent were receiving intensive 

care. Also, the ratio of females to males was 

markedly different for the two groups. Among 

those on public assistance there were 1.7 females 

for each male in the institutional population. Among those using their own income or family support there were more than twice as many females 

as males. There was no significant difference in 

the median age. Among residents on public assist10 
--- 

--- 

--- 

--- 

--- 

--- --- 

--- --- 

--- 

Table H. Selected characteristics of residents, by primary source of payment: United States, May-June 1964 -

T Primary source of payment 

Other 

Characteristic Public Town 

T 

Initial 

ance come Total ment , life 

care 

support 

erans ’ 

benefits 

Other 

Percent distribution of residents-------------- 100 47 46 7 3 1 2 1 

Nw&e~;efsfemales per ---------_---- 186 170 217 128 733 349 18 67 

Percent with 5 or more 

chronic conditions----- 20 24 17 12 

Percent receiving intensive care----------- 31 30 34 14 -mm B-m m-w w-w 

Percent listing one or 

more secondary sources

of payment------------- Median age-------------- 8”: ;9’ ii: 

-mm 

-me 

Total assist- in- pay- Church VetAverage monthly charge-- $186 $179 $202 . . . $119 $107 $57 

ante 37 percent had one or more secondary 

sources of payment. Among residents using their 

own income, 18 percent listed additional sources. 

In the United States the estimated average 

monthly charge for residents on public assistance was $179. For males theaveragecharge was 

$170; for females it was $184. The average monthly charge increased from a low of $154 for those 

under 65 to more than $180for those 75 years and 

over. Approximately 35 percent of the residents 

on public assistance were charged $200 or more 

for the month (tables 17 and 18). 

For residents whose charges were paid out 

of their own income or by the family, the average 

monthly charge was $202. For males it was $190 

and for females $208. Charges for eachagegroup 

were higher than the charges for thecorresponding age group on public assistance. Approximately 

48 percent of these residents using their own income were charged $200 or more per month. 

Primary Type of Service Provided 

Almost 73 percent of the residents on public 

assistance were in nursing care homes (table J). 

For these residents the average monttiy charge 

for care was $200 although the median was somewhat lower since only 45 percent of the residents 

were charged $200 or more (table 19). The average monthly charge for those residents on public 

assistance who were in personal-care-with-nursing homes was $128 and for those in personal 

care homes it was $105. The average monthly 

charges for residents using their own resources 

were higher. The average charge in nursing care 

homes was $231, in personal-care-with-nursing 

homes $144, and in personal care homes $147. 

In nursing care homes 62 percent of those residents using their own income as their primary 

source of payment were charged $200 or more 

per month. 

If the level of nursing supervision and the level 

ofpatients’care are accepted as measures of the 

quantity of care provided, then residents using 

their own income were receiving slightly more 

care than residents on public assistance. Table J 

(based on tables 20 and 21) shows the proportion 

of residents classified by primary source of payment in each level. 

However, the residents using their own income paid more for the care they received. When 

the supervisor was a registered nurse working 

full time, they paid on the average $221 per month 

as compared with the $199 paid by those on public 

11 
Table J. Percent distribution of residents,by selected characteristics: United States,

May-June 1964 

Characteristic 

Primary type of service 

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

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

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

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

Level of nursing supervision 

All levels------------------------------------

Full-time nurse-------------------------------------

Other nose--------------------------------------

Not a nose--------------------------------------

Level of patient care 

All levels------------------------------------

Intensive care--------------------------------------

Other nursing care----------------------------------

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

Neither nursing nor personal care------------------­

assistance. When the supervisor either worked 

part time or was a licensed practical nurse the 

average charge for those on their own income was 

$173 and for those on public assistance $156. 

When the supervisor was not a nurse the charges 

were $157 and $126 (table 20). 

The same comparisons can be made for each 

level of patients’ care (table 21). In eachcase the 

average charges were higher for those using their 

own income or family support to pay for their 

care than for those on public assistance. Also, 

for each level of care there was a shift in the percent distribution to the higher charge for care intervals for those on their own income. 

Primary source of payment 

; 

Percent distribution 

100 100 100 100 

67 73 67 

26 21 6': 

6 6 267 7 

100 100 100 100 

64 62 

23 i62 E 

12 :5 12 10 

100 100 100 100 

31 30 34 14 

29 26 

27 2; 25 El 

13 8 14 47 

Type of Ownership 

When homes were classified by type of ownership the distribution of residents on public assistance was markedly different from the distribution 

of residents using their own income (table 22). 

Somewhat over 60 percent of both groups were in 

proprietary homes; however, 29 percent of those 

using their own income were in nonprofit homes 

and only 14 percent of those on public assistance, 

while 9 percent of those using their own income 

were in “other” homes which cared for 21 percent 

of the residents on public assistance (table K). In 

nonprofit homes about twice as many residents 

12 
Table K. Percent distribution of residents and average monthly charge, by type of o-mership according to primary source of payment: Uaited States, May-June 1964 

Type of ownership 

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

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

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

Other----------------------------------------------­

were using their own income as were on public 

assistance; in “other” homes about twice as many 

residents were on public assistance as were using 

their own income. 

In nonprofit homes there was very little difference in charges for those using their own income and those on public assistance. In proprietary homes the charges for those using their own 

income were significantly higher-$234 per month 

as compared with $180 per month. In “other” 

homes charges for those on public assistance 

were higher--$190 for those on public assistance 

and $123 for those using their own income. This 

is the only case where charges were highest for 

residents on public assistance. 

Geographic Region 

Within each region the average monthly 

charge for those residents using their own income 

was higher than the charge for those on public 

assistance. The greatest absolute difference was 

in the South where charges were $189 and $143, 

Primary source of payment 

All Public 

sources assist- izm Other 

ante 

Percent distribution 

41 loo I loo I loo 

Average monthly charge 

$186 11 $1791 $202 ! $93 

I I 

respectively. An examination of the distribution 

of residents by charge for care intervals in table 

23 reveals that the differences in average charges 

are heavily weighted by the percentage paying $300 

or more per month. Among residents on public 

assistance there is a sharper drop at that point 

than for residents using their own income. It was 

particularly noticeable in the South where less 

than 1 percent of those on public assistance were 

charged $300 or more per month as compared 

with almost 12 percent of those using their own 

income. 

In three of the regions the size of the two 

groups was almost equal. In the West, however, 

the number of residents on public assistance was 

a third again as large as the number using their 

own income. Although the average charge for those 

on public assistance was almost equal in the Northeast and the West, as was the charge for those 

using their own income, the greater proportionof 

public assistance in the West is one reason the 

overall charge there was lower than intheNortheast. 

13 
REFERENCES 

‘National Center for Health Statistics: Employees in nursing and personal care homes, United States, May-June 1964. 

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

5. Public Health Service. Washington. U.S. Government Printing Office, Sept. 1966. 

2National Center for Health Statistics: Employees in nursing and personal care homes: number, work experience, special 

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

He&h Statistics. PHS Pub. No. lOOO-Series 12-No. 6. Public 

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

Jan. 1967. 

‘National Center for Health Statistics: Chronic illness 

among residents of nursing and personal care homes, United 

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

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

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

‘National Center for Health Statistics: Prevalenceof chronic conditians and impairments among residents of nursing and 

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

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

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

July 1967. 

5National Center for Health Statistics: Development and 

maintenance of a national inventory of hospitals and institutions. Vital and Health Statistics. PHS Pub. No. 1000~Series 

I-No. 3. Public Health Service. Washington. U.S. Government 

Printing Gffice, Feb. 1965. 

000 

14 
DETAILED TABLES 

Page 

Table 1. Average monthly charge for care, number of residents, and percent distribution of 

residents, by monthly charge for care intervals according to sex and age: United 

States, May-June 1964------------------------------------------------------------- 17 

2. Average monthly charge for care, number of residents, and percent distribution of 

residents, by monthly charge for care intervals according to primary type of service and age: United States, my-June 1964----------------------------------------- 18 

3. Average monthly charge for care, number of residents, and percent distribution of 

residents, by monthly charge for care intervals according to primary type of service and sex: United Stat-s, May-June 1964----------------------------------------- 19 

4. Average monthly charge for care, number of residents, and percent distribution of 

residents, by monthly charge for care intervals according to primary type of service and level of patients' care: United States, May-June 1964--------------------- 20 

5. Average monthly charge for care, number of residents, and percent distribution of 

residents, by monthly charge for care intervals according to primary type of service and level of nursing supervision: United States, May-June 1964---------------- 21 

6. Average monthly charge for care, number of residents, and percent distribution of 

residents, by monthly charge for care intervals according to primary type of service and type of ownership: United States, May-June 1964--------------------------- 22 

7. Average monthly charge for care, number of residents, and percent distribution of 

residents, by monthly charge for care intervals according to type of ownership and 

age: United States, my-June 1964------------------------------------------------- 23 

8. Average monthly charge for care, number of residents, and percent distribution of 

residents, by monthly charge for care intervals according to sex and type of ownership: United States, My-June 1964---------------------------------------------- 24 

9. Average monthly charge for care, number of residents, and percent distribution of 

residents, by monthly charge for care intervals according to type of ownership and 

level of nursing supervision: United States, May-June 1964------------------------ 25 

10. Average monthly charge for care, number of residents, and percent distribution of 

residents, by monthly charge for care intervals according to type of ownership and 

level of patients' care: United St-tea, &&y-June 1964----------------------------- 26 

11. Average monthly charge for care, number of residents, and percent distribution of

residents, by monthly charge for care intervals according to geographic region and 

age: United States, my-June 1964------------------------------------------------- 27 

12. Average monthly charge for care, number of residents, and percent distribution of 

residents, by monthly charge for care intervals according to geographic region and sex: United States, -y-June 1964------------------------------------------------- 28 

13. Average monthly charge for care, number of residents, and percent distribution of

residents, by monthly charge for care intervals according to geographic region and 

primary type of service: United States, May-June 1964----------------------------- 29 

15 
Detailed Tables-Con. 

Page 

Table 14. Average monthly charge for care, number of residents, and percent distribution of 

residents, by monthly charge for care intervals according to geographic region and 

level of nursing supervision: United States, May-June 1964------------------------ 30 

15. Average monthly charge for care, number of residents, and percent distribution of 

residents, by monthly charge for care intervals according to geographic region and 

level of patients' care: United States, May-June 1964----------------------------- 31 

16. Average monthly charge for care, number of residents, and percent distribution of 

residents, by monthly charge for care intervals according to geographic region and 

type of ownership: United States, May-June 1964----------------------------------- 32 

17. Average monthly charge for care, number of residents, and percent distribution of 

residents, by monthly charge for care intervals according to primary source of 

payment and age: United States, May-June 1964------------------------------------- 33 

18. Average monthly charge for care, number of residents, and percent distribution of 

residents, by monthly charge for care intervals according to primary source of 

payment and sex: United States, May-June 1964------------------------------------- 34 

19. Average monthly charge for care, number of residents, and percent distribution of 

residents, by monthly charge for care intervals, according to primary source of 

payment and primary type of service: United States, May-June 1964----------------- 35 

20. Average monthly charge for care, number of residents, and percent distribution of 

residents, by monthly charge for care intervals accordingto primary source of payment and level of nursing supervision: United States, May-June 1964--------------- 36 

21. Average monthly charge for care, number of residents, and percent distribution of 

residents, by monthly charge for care intervals according to primary source of payment and level of patients' care: United States, May-June 1964-------------------- 37 

22. Average monthly charge for care, number of residents, and percent distribution of 

reaidents, by monthly charge for care intervals according to primary source of 

payment and type of ownership: United States, May-June 1964----------------------- 38 

23. Average monthly charge for care, number of residents, and percent distribution of 

residents, by monthly charge for care intervals, according to primary source of 

payment and geographic region: United States, May-June 1964----------------------- 39 

16 
--------- 

--------- 

Table 1. Average monthly charge for care, number of residents, and percent distribution of residents, by monthly charge for care intervals according to sex and age: United States, MayJune 1964 -

T Al!. residents Monthly charge for care 

Bverage 

Sex and age monthly

charge Number 

Both sexes Percent distribution 

All ages---- $186 554,000 100.0 2.9 3.7 8.7 21.3 24.2 27.0 12.2 

Under 65 years---- 155 66,200 100.0 0.5 10.9 16.8 25.1 18.7 18.4 9.7 

65-74 years------- 184 104,500 100.0 1.6 4.0 9.6 22.6 22.9 26.3 13.1 

75-84 years------- 191 230,900 100.0 3.6 2.4 7.4 20.4 25.3 28.6 12.2 

85+ years--------- 194 152,400 100.0 3.8 2.4 6.5 20.2 25.8 28.8 12.6 

M& 

All ages----- $171 193,800 100.0 1.0 6.5 11.2 23.7 23.5 24.1 10.1 

Under 65 years----- 143 36,200 100.0 0.3 15.5 18.6 26.2 15.0 15.8 8.7 

65-74 years-------- 167 40,400 100.0 0.0 7.5 10.9 24.1 24.0 23.2 10.3 

75-84 years-------- 184 74,100 100.0 1.5 3.4 9.2 22.6 24.6 28.0 10.7 

85+ years- 178 43,100 100.0 1.7 3.4 8.6 23.2 28.4 25.0 9.9 

Female 

All ages----- $194 360,200 100.0 3.9 2.2 7.4 20.0 24.6 28.6 13.3 

Under 65 years----- 170 30,000 100.0 0.7 5.3 14.6 23.8 23.2 21.6 10.9 

65-74 years-------- 195 64,000 100.0 2.6 1.8 8.8 21.7 22.2 28.2 14.8 

75-84 years-------- 195 156,800 100.0 4.6 2.0 6.6 19.4 25.6 28.9 12.9 

85+ years- 200 109,300 100.0 G.7 2.0 5.7 19.0 24.8 30.2 13.7 

17 
Table 2. Average monthly charge for care, number of residents, and percent distribution of residents,bymonthly charge for care intervals according to primary type of service and age: United 

States, May-June 1964 

All residents Monthly charge for care 

Primary type of Average 

service and age monthly

charge Number 

of 

All types 

servrce Parcent distribution 

All ages---- $186 554,000 100.0 2.9 3.7 8.7 21.3 24.2 27.0 12.2 

t 

Under 65 years----

65-74 years-------

75-84 years------- 85+ years---------

155 

184 

191 

194 

66,200 

104,500 

230,900 

152,400 

100.0 

100.0 

100.0 

100.0 

0.5 

:2 

318 

10.9 16.8 

4.0 9.6 

5:: 67:; 

25.1 

22.6 

20.4 

20.2 

18.7 

22.9 

25.3 

25.8 

18.4 

26.3 

28.6 

28.8 

9.7 

13.1 

1.2.2 

12.6 

Nursing care 

All ages---- $212 373,300 100.0 0.4 2.0 4.3 15.4 25.9 34.9 17.1 

Under 65 years---- 194 40,600 100.0 0.2 6.5 20.6 23.6 27.0 14.8 

65-74 years------- 71,700 100.0 57::16.9 24.5 18.1

75-84 years------- 2: 154,900 100.0 i-2 i*z E 14.3 26.5 E 17.0 85+ years--------- 216 106,100 100.0 0:7 1:2 14.1 26.7 36:5 17.4 

Personal care 

with nursing 

All ages---- $129 145,400 100.0 9.1 7.6 14.9 33.6 21.4 11.8 1.6 

Under 65 years---- 18,400 100.0 18.8 32.6 

65-74 years------- 1% 26,100 100.0 5”*: 2:.f 35.2 2x 1Z ia: 

75-84 years------- 137 61,900 100.0 11:4 t*: 12:3 32.7 23.5 13:5 1:5

85+ years--------- 139 38,900 100.0 11.7 5:4 10.7 34.5 24.2 12.0 1.5 

Personal care * 

All ages---- $121 35,300 100.0 3.6 6.2 29.6 33.1 18.0 5.6 3.9 

Under 65 years---- 7,200 100.0 0.0 is.1 36.5 31.2 14.3 1.5 

65-74 years------- 1% 6,600 100.0 31.4 34.5 15.6 

75-84 years------- 134 14,000 100.0 2.4 1:; 25.7 34.4 19.5 67'62 

$2 

85+ years--------- 129 7,400 100.0 712 2.7 28.7 31.0 21.0 6:4 5:: 

18 
-------------- 

Table 3. Avera 

is 

e monthly charge for care, number of residents, and percent distribution of residents,by mont ly charge for care intervals according to primary type of service and sex: United 

States, May-June 1964 

- - Average r All residents /I Monthly charge for care 

Primary type of nmonthly

service and sex C:harge 

Number 1 

Percent distribution 

Both sexes--

E 

$186 554,000 : 100.0 2.9 3.7 8.i 21.3 24.2 27.0 12.2 

Male-------------- 171 193,800 100.0 1.0 6.5 11.2 23.7 23.5 24.1 10.1 

Female------- _--_ - 194 360,200 100.0 3.9 2.2 7.4 20.0 24.6 28.6 13.3 

Nursing care 

Both sexes-- $212 373,300 100.0 0.4 2.0 4.3 15.4 34.9 17.1 

Male-- ---_- - _-_-_ 202 127,600 100.0 0.2 3.2 5.7 17.8 26.0 32.4 14.6 

218 245,700 100.0 0.5 1.4 3.6 14.2 25.8 36.2 18.3 

Personal care 

with nursrng 

Both sexes-- $129 145,400 100.0 9.1 7.6 14.9 33.6 21.4 11.8 1.6 

Male------------- 112 51,600 100.0 3.1 13.2 18.5 36.2 19.3 8.7 1.0 

140 93,800 100.0 12.4 4.5 12.9 32.2 22.6 13.6 1.9 

Personal care 

Both sexes-- $121 35,300 100.0 3.6 6.2 29.6 33.1 18.0 5.6 3.9 

Male 107 14,600 100.0 0.4 11.8 33.1 30.8 16.5 5.1 2.3 

132 20,700 100.0 5.9 2.2 27.1 34.6 19.1 6.0 5.1 

19 
Table 4. Average monthly charge for care, number of residents, and percent distribution of residents,

by monthly charge for care intervals according to primary type of service and level of patients' care: 

United States, May-June 1964 -

r All residents Monthly charge for care 

Primary type of service krerage and level of patient monthly 

care :harge Number 

Initial $l- y;- y;- g;;- 300+ Pzs" chizge $99 

All types of service Percent distribution 

All ,-are---------- $186 554,000 100.0 2.9 3.7 8.7 21.3 24.2 27.0 12.2 

Intensive care---------- 224 171,800 100.0 1.0 1.3 2.2 12.3 26.4 37.9 19.0 

Other nursing care------ 199 158,800 100.0 1.1 1.5 5.6 21.1 26.4 30.4 13.8 

Personal care----------- 164 148,800 100 .o 3.0 3.8 12.5 29.3 23.0 20.4 8.0 

Neither nursing nor 

personal care---------- 109 74,600 100.0 11.1 14.0 22.6 26.6 16.9 7.7 1.2 

Nursing care 

All care---------- $212 373,300 100.0 0.4 2.0 4.3 15.4 25.9 34.9 17.1 

Intensive care---------- 232 148,400 100.0 0.4 0.8 1.6 10.0 26.3 39.8 21.1 

Other nursing care------ 210 132,800 100.0 0.2 1.3 3.8 17.9 27.1 33.6 16.1 

Personal care----------- 195 77,500 100.0 0.6 2.2 8.1 19.8 24.2 31.9 13.3 

Neither nursing nor 

personal care---------- 126 14,600 100 .o 2.1 18.6 16.7 25.5 19.3 12.8 4.9 

Personal care 

with nursing 

All car----------- $129 145,400 100.0 9.1 7.6 14.9 33.6 21.4 11.8 1.6 

Intensive care---------- 167 22,500 100.0 4.6 4.1 6.2 26.8 27.3 26.0 5.0 

Other nursing care------ 140 24,500 100.0 6.1 2.8 15.4 35.1 23.2 15.4 2.1 

Personal care----------- 125 55,200 100.0 6.0 5.5 16.7 40.8 22.0 7.9 1.1 

Neither nursing nor 

personal care---------- 106 43,200 100.0 17.0 14.8 16.9 27.2 16.4 7.5 0.2 

Personal care 

All care---------- $121 35,300 100.0 3.6 6.2 29.6 33.1 18.0 5.6 3.9 

Intensive care---------- * * 1oo.c * * A t * Jr * 

Other nursing care------ * * 100.0 * * 9, * * * ?c 

Personal care----------- 139 16,100 100.0 4.0 5.4 19.7 36.1 20.6 7.7 6.6 

Neither nursing nor 

personal care---------- 100 16,800 100.0 3.5 7.8 42.3 26.3 15.8 3.9 0.3 

20 
Table 5. Average monthly charge for care, number of residents, and percent distribution of residents, by monthly charge for care intervals according to primary type of service and level of 

nursing supervision: United States, May-June 1964 

Primary type of 

service and level 

of nursing super- vision 

All types of 

service 

All super- vision-----

Full-time 

registered nurseOther nurse-------

Not a nurse-------

Nursing care 

All super- vision-----

Full-time 

registered nurseOther nurse-------

Not a nurse-------

Personal care 

with nursing 

All super- vision-----

Full-time 

registered nurseOther nurse-------

Not a nurse-------

Personal care 

All supervision-----

Full-time 

registered nurseOther nurse-------

Not a nurse-------

All residents Monthly charge for care 

kverage

nonthly Initial No $l­ charge Number Percent 'Eryn' charge $99 

Percent distribution 

$186 8.i 21.3 24.2 27.C 

204 357,lOC 1OO.C 2.9 4.4 7.c 15.2 22.8 30.7 16.9 

163 128,2OC 1OO.C 3.2 1.7 8.C 29.3 29.4 24.6 3.9 

138 68,600 1OO.C 2.4 3.S 18.5 38.0 22.0 12.c 2.9 

1oo.c 0.4 2.0 4.: 

224 273,600 1oo.c 0.4 2.5 4' .‘ 12.4 23.6 21.3 

178 89,100 1oo.c 0.7 0.5 4.6 24.1 33.2 5.1 

203 10,600 1oo.c 0.0 0.0 4.7 21.1 23.2 7.7 

145,400 1oo.c 7.6 14.9 33.6 21.4 11.8 1.6 

131 71,600 1oo.c 10.9 14.7 23.2 21.0 16.2 

127 33,200 100.0 5.2 11.4 44.8 20.1 8.5 

128 40,700 100.0 3.6 18.2 42.9 23.1 6.8 

$121 100.0 3.6 6.2 29.6 18.0 5.6 

123 100.0 5.8 8.9 24.2 33.6 14.5 6.5 6.6 

123 100.0 7.2 0.0 41.3 21.1 23.2 5.4 1.8 

120 100.0 0.9 6.3 29.3 36.8 18.6 5.1 2.8 

21 
Table 6. Average monthly charge for care, number of residents, and percent distribution of resi­

- - All residents Monthly charge for care 

Primary

service type of and type 

! Werage 

nnonthly Initial $lOO- $150- 200-

dents, by monthly charge for care intervals according to primary type of service and type of 

ownership: United States, May-June 1964 

r 

of ownership C:harge Number Percent pawent chi:ge $919 $149 $199 299 $300+ only 

All types of 

service Percent distribution 

All homes--- $186 554,000 100.0 2.9 3.7 8.7 21.3 24.2 27.0 12.2 

Proprietary------- 205 333,300 100.0 0.5 0.3 3.6 20.3 26.6 33.7 14.8 

Nonprofit--------- 154 132,800 100.0 10.9 6.1 12.7 26.6 20.4 16.8 6.4 

Other ----_ _ -----__ 157 87,800 100.0 0.1 12.9 22.1 17.1 2o.c 16.9 11.0 

Nursing care 

All homes--- $212 373,300 100.0 0.4 2.0 4.3 15.4 25.9 34.9 17.1 

Proprietary------- 222 258,700 100.0 0.3 0.3 1.4 13.6 26.6 39.7 18.1 

Nonprofit--------- 190 53,300 100.0 1.6 1.7 8.7 23.6 24.7 26.2 13.4 

Other------------- 191 61,300 100 .o 0.1 9.3 12.7 16.1 23.9 22.1 15.7 

Personal care 

with nursing 

All homes--- $129 145,400 100.0 9.1 7.6 14.9 33.6 21.4 11.8 1.6 

Proprietary------- 148 53,600 100.0 1.6 0.7 7.6 44.6 29.5 14.3 1.7 

Nonprofit--------- 131 71,700 100.0 17.3 7.8 12.8 30.0 18.6 11.5 1.9 

Other------------- 75 20,000 100.0 0.0 25.2 41.8 17.3 9.4 6.3 0.0 

Personal care 

All homes--- $121 35,300 100.0 3.6 6.2 29.6 33.1 18.0 5.6 3.9 -

Proprietary------- 147 21,000 100.0 0.0 0.0 20.1 41.6 22.8 8.9 6.6 

Nonprofit--------- 74 7,800 100.0 16.4 20.9 38.3 15.9 7.1 1.4 0,o 

Other------------- 85 6,500 100.0 0.0 8.4 49.9 26.1 15.7 0.0 0.0 -

22 
Table 7. Average monthly charge for care, number of residents, and percent distribution of residents, by monthly charge for care intervals according to type of ownership and age: United 

States, May-June 1964 

- - T All residents T Monthly charge for care 

Type of ownership Average 

and age monthly

charge Number Percent n 300+ 

Percent distribution 

All ages---- $186 554,000 100.0 2.5 3.7 8.7 21.3 24.2 27.0 12.2 

Under 65 years---- 155 66,200 100.0 0.5 10.9 16.8 25.1 18.7 18.4 9.7 

65-74 years------- 184 104,500 100.0 1.6 4.0 9.6 22.6 22.9 26.3 13.1 

75-84 years------- 191 230,900 100.0 3.6 2.4 7.4 20.4 25.3 28.6 12.2 

85+ years--------- 194 152,400 100.0 3.S 2.4 6.5 20.2 25.8 28.8 12.6 

Proprietary 

All ages---- $205 333,300 100.0 0.5 0.3 3.6 20.3 26.8 33.7 14.8 

Under 65 years---- 187 35,000 100.0 0.0 0.0 7.8 30.7 24.1 26.5 10.9 

65-74 years------- 208 65,200 100.0 0.2 0.3 3.3 22.1 25.4 31.9 16.8 

75-84 years------- 208 138,700 100.0 0.6 0.4 2.8 19.0 27.2 35.1 14.9 

85+ years--------- 208 94,400 100.0 0.6 0.5 3.4 17.1 28.2 35.6 14.6 

Nonprofit 

All ages---- $154 132,800 100.0 10.9 6.1 12.7 26.6 20.4 16.8 6.4 

Under 65 years---- 118 8,500 100.0 2.9 20.1 16.8 31.4 11.1 13.1 4.6 

65-74 years------- 148 20,800 100.0 7.2 6.2 14.5 28.7 20.4 17.4 5.6 

75-84 years------- 158 62,000 100 .o 12.0 4.6 12.8 24.9 21.2 18.2 6.2 

85+ years--------- 160 41,500 100.0 12.8 5.5 10.7 27.1 21.1 15.2 7.6 

Other 

All ages---- $157 87.800 100.0 0.1 12.9 22.1 17.1 20.0 16.9 11.0 

Under 65 years---- 120 22,600 100.0 0.2 24.3 30.8 14.0 13.2 7.8 9.6 

65-74 years------- 139 18,500 100.0 0.0 14.5 26.2 17.6 16.8 16.5 8.4 

75-84 years------- 177 30,200 100.0 0.0 7.6 17.8 17.7 24.8 20.1 12.0 

85+ years--------- 189 16,500 100.0 0.0 5.2 13.6 20.0 23.9 23.7 13.7 

23 
Table 8. Average monthly charge for care, number of residents, and percent distribution of residents, by monthly charge for care intervals according to sex and type of ownership: United 

States, May-June 1964 -

T All residents Monthly charge for care 

Sex and type of weragc 

ownership lonthl) Initial :harge $l- $lOO- $150- ;;X&- $300+ Number Percent payment ch!zge $99 $149 $199 only -

Both sexes Parcent distribution 

All homes--- $186 554,000 100.0 2.9 3.7 8.7 21.3 24.2 27.0 12.2 

Proprietary------- 205 333,300 100.0 0.5 0.3 3.6 20.3 26.8 33.7 14.8 

Nonprofit--------- 154 132,800 100.0 10.9 6.1 12.7 26.6 20.4 16.8 6.4 

Other------------- 157 87,800 100.0 0.1 12.9 22.1 17.1 20.0 16.9 11.0 

Male 

All homes--- $171 193,800 100.0 1.0 6.5 11.2 23.7 23.5 24.1 10.1 

Proprietary------- 195 113,000 100.0 0.3 0.6 3.9 23.9 28.6 31.0 11.8 

Nonprofit--------- 137 35,000 100.0 ~~ 4.5 10.3 16.4 33.5 16.1 12.8 6.3 

Other------------- 139 45,800 18.2 25.1 15.8 16.6 15.5 8.7 

Female 

All homes--- $194 360,200 2.2 7.4 20.0 24.6 28.6 13.3 

Proprietary------- 211 220,400 0.2 3.4 18.5 25.9 35.1 16.3 

Nonprofit--------- 161 97,900 4.6 11.3 24.2 21.9 18.3 6.5 

Other------------- 175 41,900 7.1 18.9 18.6 23.7 18.3 13.5 

24 
Table 9. Average monthly charge for care, number of residents, and percent distribution of residents,

by monthly charge for care intervals according to type of ownership and level of nursing supervision: United States, May-June 1964 -

T All residents II Monthly charge for care 

Type of ownership and iverage level of nursing super- nonthly Initial vision charge Number Percent payment ch!Ege fig g:zi- $:%- gg- $300+ 

only 

Percent distribution 

All supervision--- $186 554,000 100.0 2.9 3.7 8.7 21.3 24.2 27 .O 12.2 

Full-time registered nurse------------------ 204 357,100 100.0 2.9 4.4 7.0 15.2 22.E 30.7 16.9 

Other nurse------------- 163 128,200 100.0 3.2 1.7 8.0 29.3 29.4 24.6 3.9 

Not a nurse------------- 138 68,600 100.0 2.4 3.E 18.9 38.0 22.0 12.0 2.9 

Proprietary 

All supervision--- $205 333,300 100.0 0.5 0.2 3.6 20.3 26-f 33.7 14.8 

Full-time registered nurse------------------ 232 190,100 100.0 0.5 0.4 2.2 11.3 23.4 39.8 22.4 

Other nurse------------- 178 95,400 100 .o 0.6 0.3 3.4 27.1 33.2 30.3 5.1 

Not a nurse------------- 157 47,900 100.0 0.1 0.3 9.6 42.4 27.6 16.4 3.6 

Nonprofit 

All supervision--- $154 132,800 100.0 10.9 6.1 12.7 26.6 20.4 16.8 6.4 

Full-time registered nurse------------------ 167 95,900 100.0 9.8 5.9 10.5 23.1 21.1 21.0 8.5 

Other nurse------------- 126 24,400 100.0 14.1 5.0 11.4 38.2 23.3 7.5 0.4 

Not a nurse------------- 103 12,500 100.0 12.9 9.7 31.5 31.3 9.3 3.2 2.0 

Other 

All supervision--- $157 87,800 100 .o 0.1 12.9 22.1 17.1 20.0 16.9 11.0 

Full-time registered nurse------------------ 173 71,100 100.0 0.1 13.2 15.0 15.3 23.2 19.7 13.5 

Other nurse------------- 92 8,400 100.0 0.0 8.3 51.0 28.2 3.6 9.0 0.0 

Not a nurse------------- 75 8,200 100.0 0.0 15.0 54.3 22.2 8.5 0.0 0.0 

25 
Table 10. Average monthly charge for care, number of residents, and percent distribution of residents, by monthly charge for care intervals according to type of ownership and level of patients' care: 

United States, May-June 1964 

Type of ownership and 

level of patient care 

Average

nonthly

charge Number 

II 

Initial

Percent payment chizge only 

All types of 

ownership Percent distribution 

All car----------- $186 554,000) 100.0 2.9 3.7 8.7 21.3 24.2 27.0 12.2 

Intensive care---------- 224 171,800 100.0 1.0 1.3 2.2 12.3 26.4 37.9 19.0 

Other nursing care------ 199 158,800 100.0 1.1 1.5 5.6 21.1 26.4 30.4 13.8 

Personal care----------- 164 148,800 100.0 3.0 3.8 12.5 29.3 23.0 20.4 8.0 

Neither nursing nor 

All residents Monthly charge for care 

personal care---------- 109 74,600 100.0 11.1 14.0 22.6 26.6 16.9 7.7 1.2 

Proprietary 

All care---------- $205 333,300 100.0 0.5 0.3 3.6 20.3 26.8 33.7 14.8 

Intensive care---------- 228 0.2 0.4 1.1 11.4 27.2 40.1 19.7 

Other nursing care------ 205 0.3 0.1 2.1 20.9 28.1 34.4 14.2 

Personal care----------- 185 0.7 0.5 5.1 30.9 25.1 27.4 10.3 

Neither nursing nor 

personal care---------- 130 16,900 100.0 3.1 1.3 24.6 35.2 25.1 9.5 1.2 

Nonprofit 

All care---------- $154 132,800 100.0 10.9 6.1 12.7 26.6 20.4 16.8 6.4 

Intensive care---------- 198 20,100 100.0 7.4 5.0 5.0 16.8 20.9 30.6 14.3 

Other nursing care------ 177 30,900 100.0 4.8 2.2 11.6 25.5 22.5 24.2 9.2 

Personal care----------- 144 40,000 100.0 9.5 6.1 13.0 32.8 20.5 12.4 5.7 

Neither nursing nor 

personal care---------- 121 41,700 100.0 18.5 9.6 16.9 26.3 18.4 9.0 1.2 

Other t 

All care---------- $157 0.1 12.9 22.1 17.1 20.0 16.9 11.0 

Intensive care---------- 218 0.0 3.5 6.6 14.0 26.8 30.1 19.0 

Other nursing care------ 202 0.0 6.5 12.3 16.5 24.3 22.5 17.9 

Personal care----------- 124 0.2 10.5 35.2 19.2 20.3 10.4 4.2 

Neither nursing nor 

personal care---------- 62 0.0 38.8 35.3 18.5 4.1 2.3 1.0 

26 
--------- 

Taii;til. Average monthly charge for care, number of residents, and percent distribution of resiby monthly charge for care intervals according to geographic region and age: United

State;, May-June 1964 -

T All residents II Monthly charge for care 

Averag Region and age month1 Initial charge Number 'ercent payment &zzge g9'; ,$:;;- $;;;- $$$;- $300+ only 

All regions Percent distribution 

All ages---- $186 2.5 8.5 21.3 24.2 27.C 12.2 

Under 65 years---- 155 66,2OC 100.0 0.5 10.5 16.8 25.1 18.7

65-74 years------- 184 104,soc 100.0 4.t 9.6 22.6 22.9 1?7

75-84 years------- 191 230,900 100.0 31-E 20.4 25.3 12:2 8% years--------- 194 152,400 100.0 318 f :: 67:: 20.2 25.8 12.6 

Northeast 

All ages---- $213 158,300 100.0 4.4 3.i 12.5 13.1 35.8 20.7 

Under 65 years---- 65-74 years------- 75-84 years------- 85+ years---------

172 

217

218 

218 

18,200

29,400

65,000

45,700 

100.0 

100.0 

100.0

100.0 

0.: 

9: 

5:9 

10.5 

4.c 

1.8 

3.' 

12.9 

13.4 

12.1

12.4 

14.6 

12.7 

12.8 

13.3 

28.2 

33.5 

38.1 

37.1 

14.3 

24.5

20.8 

20.6 

North Central 

All ages---- $171 203,000 100.0 2.4 3.5 10.7 24.5 30.0 21.2 7.6 

Under 65 years---- 142 100.0 0.9 12.1 22.7 24.3 19.6 12.9

65-74 years------- 161 Z%i 100.0 14.3 25.8 28.0 20.0 67165 75-84 years------- 179 85:900 100 .o 31-z z*': 24.1 31.8 23.2 8% years 178 54,400 100.0 217 1:2 2; 24.4 33.7 23.0 28’ 

South 

All ages---- $161 100,400 100.0 0.5 4.5 8.7 28.5 30.0 21.8 6.0 

Under 65 years---- 146 11,700 100.0 0.0 8.0 11.2 35.9 22.9 16.4 5.5 65-74 years------- 159 19,100 100.0 1.3 30.6 28.3 21.0 75-84 years------- 162 41,300 100.0 2.: is: 26.4 32.4 23.0 z 85+ years--------- 167 28,400 100.0 2: 317 717 27.2 30.5 22.9 7:s 

West 

All ages---- $204 92,300 100.0 4.2 3.4 2.4 21.6 24.1 30.1 14.3 

Under 65 years---- 174 9,300 100.0 0.0 10.9 37.5 18.9 18.0 12.1 65-74 years------- 203 20,400 100.0 4.5 22.8 23.6 31.7 15.2 75-84 years------- 206 38,700 100.0 ~~~ 2.3 20.0 24.4 30.5 14.5 8% years--------- 216 24,000 100.0 6:4 -

1.3 16.9 I25.8 32.7 14.2 

27 
------- 

----- ---- 

Table 12. Average monthly charge for care, number of residents, and percent distribution of residents, by monthly charge for care intervals according to geographic region and sex: United 

States, May-June 1964 

- -

r All residents Monthly charge for care 

iverage Region and sex monthly Initial :harge $150- $200- $SOC+ Number Percent payment chzzge 8;; $:ii- $199 $299 only 

All regions Percent distribution 

Both sexes-- $186 554,000 100.0 2.9 3.7 8.71 21.3 24.2 27.0 12.2 

ale-------------- 171 193,800 100.0 1.0 6.5 11.2 23.7 23.5 24..1 10.1 

Female------------ 194 360,200 100.0 3.9 2.2 7.4 20.0 24.6 28.6 13.3 

Northeast 

Both sexes-- $213 158,300 100.0 4.4 3.7 9.8 12.5 13.1 35.8 20.7 

Male-------------- 197 51,200 100.0 1.6 6.3 13.1 13.9 11.6 36.1 17.4 

Female ---_- 220 107,100 100.0 5.7 2.5 8.2 11.9 13.8 35.7 22.3 

North Central 

Both sexes-- $171 203,000 100.0 2.4 3.5 10.7 24.5 30.0 21.2 7.6 

Male-------------- 157 75,200 100.0 0.6 6.8 14.2 25.7 28.8 17.2 6.6 

Female------------ 179 127,800 100.0 3.4 1.6 8.7 23.8 30.7 23.6 8.2 

South 

Both sexes-- $161 100,400 100.0 0.5 4.5 8.7 28.5 30.0 21.8 6.0 

Male-------------- 152 32,000 100 .o 0.0 6.9 9.9 30.4 27.1 21.0 4.8 

Female------------ 165 68,400 100.0 0.8 3.3 8.2 27.7 31.3 22.2 6.5 

West 

Both sexes-- $204 92,300 100 .o 4.2 3.4 2.4 21.6 24.1 30.1 14.3 

Male------------ 183 35,500 100.0 2.0 5.7 3.0 27.5 26.2 24.1 11.5 

Female- - - 218 56,800 100 .o 5.6 1.9 2.0 17.9 22.7 33.8 16.1 

28 
Table 13. Average monthly charge for care, number of residents, and percent distribution of residents, by monthly charge for care intervals according to geographic region and primary type of 

service: United States, May-June 1964

-

l- All residents II Monthly charge for care 

Region and Average primary type of monthly service charge Number 

All regions Percent distribution 

All types--- $186 554,000 100.0 2.9 3.7 8.7 21.3 24.2 27.0 12.2 

Nursing care------ 212 373,300 100.0 0.4 2.0 4.3 15.4 25.5 34.9 17.1 

Personal care 

with nursing----- 129 145,400 100.0 9.1 7.6 14.9 33.6 21.4 11.8 1.6 

Personal care----- 121 35,300 100.0 3.6 6.2 29.6 33.1 18.0 5.6 309 

Northeast 

All types--- $213 158,300 100.0 4.4 3.7 9.8 12.5 13.1 35.8 20.7 

Nursing care------ 237 117,600 100.0 1.2 2.0 6.1 8.4 12.4 43.2 26.6 

Personal care 

with nursing----- 132 29,700 100.0 14.9 7.1 22.8 21.2 14.5 17.3 2.1 

Personal care----- 132 11,000 100.0 9.2 13.0 13.5 33.4 16.7 7.1 7.1 

North Central 

All types--- $171 203,000 100.0 2.4 3.5 10.7 24.5 30.0 21.2 7.6 

Nursing care------ 198 127,800 100.0 0.0 1.7 4.2 18.0 35.6 29.0 11.3 

Personal care 

with nursing----- 127 61,500 100.0 7.3 6.8 15.4 36.5 22.9 9.5 1.6 

Personal care----- 94 13,700 100.0 1.9 5.4 50.9 30.9 9.4 1.5 0.0 

South 

All types--- $161 100,400 100.0 0.5 4.5 8.7 28.5 30.0 21.8 6.0 

Nursing care------ 178 73,200 100.0 0.0 1.8 4.0 24.7 34.9 2702 7.4 

Personal care 

with nursing----- 115 23,600 100.0 2.2 13.4 17.2 38.3 18.8 8.2 1.9 

Personal care----- 103 3,600 100.0 0.0 0.0 49.5 41.6 4.4 1.5 3.0 

West 

All types--- $204 92,300 100.0 4.2 3.4 2.4 21.6 24.1 30.1 14.3 

Nursing care------ 239 54,800 100.0 0.3 2.7 1.2 12.1 19.8 41.1 22.8 

Personal care 

with nursing----- 144 30,500 100.0 12.3 5.3 4.4 36.2 27.0 14.0 0.8 

Personal care----- 169 7,000 100.0 0.0 0.0 2.9 32.2 44.2 13.6 7.1 

29 
Table 14. Average monthly charge for care, number of residents, and percent distribution of residents, by monthly charge for care intervals according to geographic region and level of nursing

supervision: United States, May-June 1964 

-

T All residents Monthly charge for care 

Region and level keraga of nursing nonthlg Initial supervision charge Number Percent payment ch!gge $919 $%- y;- $200- 300+ 

only $299 

All regions Percent distribution 

All super- vision----- $186 554,000 100.0 2.9 3.7 8.7 21.3 24.2 27.0 12.2 

Full-time 

registered nurse- 204 357,100 100 .o 2.9 4.4 15.2 22.8 30.7 

Other nurse------- 163 128,200 100.0 3.2 29.3 29.4 24.6 ?Z 

Not a nurse------- 138 68,600 100 .o 2.4 G 38.0 22.0 12.0 2:9 

Northeast 

All super­ . . vision----- $213 158,300 100.0 4.4 3.7 9.8 12.5 13.1 35.8 20.7 

Full-time 

registered nurse- 220 124,300 100.0 10.5 10.2 13.0 33.7 24.6 

Other nurse------- 200 25,800 100.0 2: i-02 4.2 13.3 15.1 53.7 

Not a nurse------- 137 8,200 LOO.0 2:5 Lo:5 16.4 44.8 9.4 11.7 2:: 

North Central 

All super- vision----- $171 203,000 100.0 2.4 3.5 10.7 24.5 30.0 21.2 

Full-timp

registered nurse- 193 115,100 100.0 1.3 3.8 19.5 31.1 26.0 12.2 

Other nurse------- 147 54,100 100.0 LX 28.3 35.0 

Not a nurse------- 130 33,800 100.0 2:; t :o' 24:4 35.5 18.2 z*'L. E . 

South 

All super- vision----- $161 100,400 100.0 0.5 4.5 8.7 28.5 30.0 21.8 6.0 

Full-time 

registered nurse- 173 55,500 100.0 1.0 6.2 20.0 31.3 27.0 

Other nurse------- 157 32,300 100.0 2.; 36.1 34.2 17.2 7; Not a nurse------- 120 12,600 LOO.0 2: 28' 2612 46.7 13.4 LO.8 0:o 

West 

All super- vision----- $204 92,300 100.0 4.2 3.4 2.4 21.6 24.1 30.1 14.3 

Full-time 

registered nurse- 220 62,100 100.0 4.9 13.2 19.1 36.9 17.6 

Other nurse------- 172 16,100 100.0 :*: Z-8 44.8 23.6 16.5 LO.1 

Not a nurse------- 173 14,000 100.0 0:3 2; 0:8 32.0 46.3 15.5 4.8 

30 

7.6 
-------- 

2:: 

Table 15. Average monthly charge for care, number of residents, and percent distribution of residents, by monthly charge for care intervals according to geographic region and level of patients' care:

United States, May-June 1964 - -

T All residents Monthly charge for care 

Region and level of Average I I I month2 patient care charge Percent 

Personal 

All regions Percent distribution 

All care- $186 554,000 100.0 2.91 3.7 8.7 21.3 24.2 27.0 12.2 3-

Intensive care---------

Other nursing care-----

224 

199 

171,800

158,800 

100.0 

100.0 i::: 12.3 i-z E -i 21.1 

26.4 

26.4 

37.9 

30.4 

19.0 

13.8 

care---------- 164 148,800 100.0 3.0 318 12:5 29.3 23.0 20.4 8.0

Neither nursing 

nor personal care----- 109 74,600 100.0 11.1 14.0 22.6 26.6 16.9 7.7 1.2 

Northeast 

All care--------- $213 158,300 100.0 4.4 3.7 9.8 12.5 13.1 35.8 20.7 

Intensive care---------

Other nursing care-----

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

Neither nursing 

nor personal care-----

254 

223 

187 

122 

53,200

41,000

44,100 

19,900 

100.0 

100.0 

100.0 

100.0 

;:i. 

16.6 

1.3 

11.6 

s"t 

14:4 

21.1 

1E 

16:7 

23.6 

14.8 

10.9 

13.3 

12.8 

42.6 

42.5 

32.0 

12.5 

32.2 

21.8 

14.3 

1.8 

North Central 

All care--------- $171 203,000 100.0 2.4 3.5 10.7 24.5 30.0 21.2 7.6 

Intensive care--------- 203 62,100 100.0 1.4 16.7 36.3 30.9 11.5

Other nursing care----- 195 58,300 100.0 ::: 2”; 23.0 32.4 27.0 11.4

Personal care---------- 143 55,000 100.0 2.5 t:: L6:O 31.9 29.2 14.1 2.4

Neither nursing 

nor personal care----- 94 27,600 100.0 10.1 13.4 30.7 30.5 12.4 1.5 1.3 

South 

All care--------- $161 100,400 100.0 0.5 4.5 8.7 28.5 30.0 21.8 6.0 

Intensive care--------- 188 33,600 100.0 22.5 32.0 

Other nursing care----- 165 34,400 100.0 ::; z 61-f28.5 37.3 i?z z 

Personal care---------- 145 21,800 , 100.0 0.7 6:0 13:6 38.8 20.6 15:2 5:1 

Neither nursing 

nor personal care----- 94 10,500 100.0 3.2 29.3 26.8 18.8 3.9 

West 

All care -_---m-m- $204 92,300 100.0 4.21 3.4 2.4 21.6 24.1 

Intensive care--------- 100.0 17.9 52.8 23.5 Other nursing care----- E 100.0 i-63 

0.4 1.3 

2E 22.6 32.6 18.2 Personal care---------- 185 100.0 3:1 

17.6 I2L:Z 3619 28.1 18.4 11.5 0':;

Neither nursing 

nor personal care----- 128 16,600 L

I 

100.0 A11.1 

-

15.4 L6.6 14.6 0.6 
Table 16. Average monthly charge for care, number of residents, and percent distribution of residents, by monthly charge for care intervals according to geographic region and type of ownership: United States, May-June 1964 -

r All residents Monthly charge for care 

Region and type Average 

of ownership monthly Initial charge $l- $lOO- $150- $200- Number 'ercent payment chizge $99 $149 $199 $299 S300+ only 

All regions Percent distribution 

Al.1 homes--- $186 554,000 100.0 2.9 3.7 8.7 21.3 24.2 27.0 12.2 

Proprietary------- 205 333,300 100.0 0.5 0.3 3.6 20.3 26.8 33.7 14.8 

Nonprofit--------- 154 132,800 100.0 10.9 6.1 12.7 26.6 20.4 16.8 6.4 

Other------------- 157 87,800 100.0 0.1 12.9 22.1 17.1 20.0 16.9 11.0 

Northeast 

All homes--- $213 158,300 100.0 4.4 3.7 9.8 12.5 13.1 35.8 20.7 

Proprietary------- 247 88,800 100.0 1.5 0.3 2.8 8.6 12.1 45.9 29.0 

Nonprofit--------- 172 40,400 100.0 13.8 7.7 15.4 17.4 13.2 20.7 11.9 

Other------------- 157 29,100 100.0 0.0 8.8 23.2 17.9 16.3 26.3 7.5 

North Central 

All homes--- $171 203,000 100.0 2.4 3.5 10.7 24.5 30.0 21.2 7.6 

Proprietary------- 184 107,800 100.o 0.0 0.5 4.6 24.8 35.6 27.0 7.5 

Nonprofit--------- 145 53,400 100.0 8.9 4.1 12.0 32.8 23.5 15.5 3.2 

Other------------- 166 41,800 100.0 0.1 10.6 25.1 13.3 23.8 13.6 13.4 

South 

All homes--- $161 100,400 100.0 0.5 4.5 8.7 28.5 30.0 21.8 6.0 

Proprietary------- 176 74,900 100.0 0.0 0.6 5.0 30.0 30.9 26.2 7.3 

Nonprofit--------- 124 16,500 100.0 3.2 14.3 18.5 23.2 27.6 9.8 3.4 

Other------------- 102 9,000 100.0 0.0 18.8 21.7 26.0 26.5 7.1 0.0 

West 

All homes--- $204 92,300 100.0 4.2 3.4 2.4 21.6 24.1 30.1 14.3 

Proprietary------- 220 61,900 100.0 0.4 0.0 1.3 17.7 27.6 36.8 16.0 

Nonprofit--------- 168 22,600 100.0 16.1 2.2 5.2 31.1 20.6 18.3 6.5 

Other------------- 169 7,800 100.0 0.0 33.3 2.7 24.4 5.6 10.4 23.6 

32 
Table 17. Average monthly charge for care, number of residents, and percent distribution of residents, by monthly charge for care intervals according to primary source of payment and age: 

- -

T All residents II Monthly charge for care 

Primary source of Average 

payment and age monthly 

United States, May-June 1964 

charge Number 1?ercent 

Initial $lOO- $150- $200- $300+ 

panes' ch%ge g& $149 $199 $299 

All sources Parcent distribution 

All ages---- $186 554,000 

T 

1oo.c 2.9 3.7 8.i 21.: 24.2 27.0 12.2 

Under 65 years---- 155 66,200 1oo.c 0.5 10.9 16.8 25.1 18.7 18.4 9.7 

65-74 years------- 184 104,500 1oo.c 1.6 4.0 9.6 22.t 22.9 26.3 13.1 

75-84 years------- 191 230,900 1oo.c 3.6 2.4 7.4 2O.L 25.3 28.6 12.2 

85+ years--------- 194 152,400 1oo.c 3.8 2.4 6.5 20.2 25.8 28.8 12.6 

Public assistance 

All ages---- $179 259,600 100.0 0.0 2.6 8.4 25.5 28.6 26.4 8.3 

Under 65 years---- 154 38,500 100.0 0.0 6.0 19.2 30.4 21.2 15.4 7.9 

65-74 years------- 178 48,100 100.0 0.0 2.1 9.1 27.1 27.4 24.7 9.7 

75-84 years------- 187 99,300 100 .o 0.0 1.7 5.5 24.7 29.8 29.7 8.6 

854. years _________ 181 73,800 100.0 0.0 2.2 6.1 24.2 31.6 28.8 7.0 

Own income 

All ages---- $202 254,400 100.0 0.0 1.1 9.6 19.0 22.3 30.5 17.5 

Under 65 years---- 191 20,000 100.0 0.0 2.5 15.3 21.2 18.0 27.2 15.8 

65-74 years------- 202 48,400 100.0 0.0 1.0 10.5 20.2 20.7 29.7 18.0 

75-84 years------- 200 116,600 100.0 0.0 0.9 9.7 18.6 23.8 30.6 16.4 

85+ years--------- 210 69,400 100 .o 0.0 1.2 7.4 18.0 22.0 31.7 19.6 

Other 

All ages---- $93 39,900 100.0 40.4 27.7 5.0 6.9 7.8 8.5 3.6 

Under 65 years---- 67 7,700 100.0 3.8 56.6 9.0 8.7 8.5 10.7 2.7 

65-74 years------- 95 7,900 100.0 21.0 34.3 7.4 10.3 8.9 15.0 3.2 

75-84 years------- 99 15,000 100.0 55.7 18.9 3.3 6.2 7.2 5.6 3.1 

85+ years--------- 134 9,300 100.0 62.8 12.0 2.3 3.8 7.5 6.1 5.5 

33 
Table 18. Average monthly charge for care, number of residents, and percent distribution of residents, by monthly charge for care intervals according to primary source of payment and sex: 

United States, May-June 1964 1 T All residents Monthly charge for care 

kveragl Primary source of Inonthl payment and sex Initial charge Number Percent payment chfgge $k ~!%- only 

Male-------------- I 171 193,800 1.0 6.5 11.2 23.7 23.5 24.1 10.1 

Female------------ 194 360,200 3.9 2.2 7.4 20.0 24.6 28.6 13.3 

Public assistance 

Both sexes-- $179 259,600 0.0 2.6 8.4 25.9 28.6 26.4 8.3 

Male-------------- 170 96,100 0.0 3.3 10.9 28.5 27.7 22.2 7.4 

Fe~le------------ 184 163,600 0.0 2.1 6.8 24.3 29.1 28.9 8.7 

Own income 

Both sexes-- $202 254,400 0.0 1.1 9.6 19.0 22.3 30.5 17.5 

Male---- ________ __ 190 80,200 100.0 0.0 1.6 12.6 21.3 21.8 28.0 14.8 

Female------------ 208 174,200 100.0 0.0 0.9 8.3 17.9 22.5 31.6 18.8 

Other 

Both sexes-- $ 93 39,900 100.0 40.4 27.7 5.0 6.9 7.8 805 3.6 

All sources Percent distribution 

Both sexes-- $186 554,000 100.01 2.9 3.7 8.7 21.3 24.2 27.0 12.2 

Male-------------- 84 17,500 

100.0 

100.0 

100.0 

100.0 

100.0 

100 .o

4100.0 11.1 46.5 6.1 8.5 8.7 16.3 2.9 

Female------------ 111 22,400 100.0 63.3 I 13.0 4.2 5.7 7.2 2.5 4.1 

34 

i 
Table 19. Average monthly charge for care, number of residents, and percent distribution of residents, by monthly charge for care intervals according to primary source of payment and primary 

type of service: United States, May-June 1964 

TAll residents Monthly charge for care 

Primary source of Average 

payment and type monthly Initial of service charge $I- Number Percent pznTFt ch%ge $99 

All sources Percent distribution 

All types--- $186 554,000 100.0 2.9 3.7 8.7 21.3 24.2 27.0 12.2 

Nursing care------ 212 373,300 100.0 0.4 2.0 4.3 15.4 25.9 34.9 17.1 

Personal care 

with nursing----- 129 145,400 100.0 9.1 7.6 14.9 33.6 21.4 11.8 1.6 

Personal care----- 121 35,300 100.0 3.6 6.2 29.6 33.1 18.0 5.6 3.9 

Public assistance 

All types--- $179 259,600 100.0 0.0 2.6 8.4 25.9 28.6 26.4 8.3 

Nursing care------ 200 189,200 100.0 0.0 1.7 3.9 18.5 31.4 33.4 11.1 

Personal care 

with nursing----- 128 53,800 100.0 0.0 4.2 16.6 46.6 22.3 9.5 0.8 

Personal care----- 105 16,600 100.0 0.0 7.0 32.0 42.2 17.3 1.6 0.0 

Own income 

All types--- $202 254,400 100.0 0.0 1.1 9.6 19.0 22.3 30.5 17.5 

Nursing care------ 231 170,800 100.0 0.0 0.6 4.9 12.1 20.8 37.5 24.2 

Parsonal care 

with nursing----- 144 67,600 100.0 0.0 2.9 16.7 34.2 26.0 17.5 2.8 

Personal care----- 147 15,900 100.0 0.0 0.0 30.9 27.6 21.9 10.8 8.7 

Other 

All types--- $93 39,900 100.0 40.4 27.7 5.0 6.9 7.8 8.5 3.6 

Nursing care------ 146 13,300 100.0 12.4 24.1 2.7 13.7 12.6 23.7 10.8 

Personal care 

with nursing----- 44 23,900 100.0 55.3 28.6 6.0 2.8 6.1 1.1 0.0 

Personal care----- 33 2,800 100.0 45.9 36.6 7.7 9.8 0.0 0.0 0.0 

35 
---- 

.Table 20. Average monthly charge for care, number of residents, and percent distribution of residents,

by monthly charge for care intervals according to primary source of payment and level of nursing supervision: United States, May-June 1964 

- -

T All residents 

I 

Monthly charge for care 

Primary source of pay- Averagf 

nursing supervision (charge Number 1?ercent 

Initial $lpayment chEge $99 only 

$lOO-

$149 $150-$199 $200-$299 S30c+ 

All sources Percent distribution 

All supervision-- $186 554,000 100.0 21.3 24.2 27.0 

Full-time 

registered nurse------- 204 357,100 100.0 2.9 4.4 7.0 15.2 22.8 30.7 16.9 

Other nuj-se------------- 163 128,200 100.0 3.2 1.7 8.0 29.3 29.4 24.6 3.9 

Not a nurse------------- L38 68,600 100.0 2.4 3.8 18.9 38.0 22.0 12.0 2.9 

Public assistance 

ment and level of Inonthl; 

All supervision-- $179 259,600 100.0 0.0 2.6 8.4 28.6 26.4 8.3 

Full-time 

registered nurse------ 199 160,300 100.0 0.0 2.7 5.7 17.9 28.7 32.4 12.6 

Other n-se------------ 156 65,400 100.0 0.0 1.3 8.8 35.7 31.0 21.2 1.9 

Not a n~-e------------ 126 34,000 100.0 0.0 4.3 19.8 44.2 23.6 8.1 0.0 

Own income 

All supervision-- $202 254,400 100.0 0.0 9.6 22.3 

Full-time 

registered nurse------ 221 167,400 100.0 0.0 1.2 8.7 14.5 19.7 32.8 23.2 

other nurse------------ 173 56,500 100.0 0.0 1.6 7.8 23.9 29.7 30.6 6.5 

Not a nurse _------- 157 30,500 100.0 0.0 0.2 18.3 34.6 22.8 17.7 6.5 

Other 

All supervision-- $93 39,900 100.0 40.4 27.7 6.9 7.8 8.5 3.6 

Full-time 

registered nurse------ 92 29,500 100.0 35.4 32.5 4.0 8.1 10.0 

Other nurse------------ 135 6,300 100.0 63.9 6.4 2.4 9.4 5.6 

Not a nurse------------ 63 4,100 100.0 40.1 25.8 16.4 3.6 2.4 

36 
Table 21. Average monthly charge for care, number of residents, and percent distribution of residents 

by monthly charge for care intervals according to primary source of payment and level of patients' 

care: United States, May-June 1964

-

T All residents Monthly charge for care 

Primary source of pay- lverage 

ment and level of nonthl) patient care charge Number 

All sources Percent distribution 

All care---------- $186 554,000 100.0 2.9 3.7 8.7 21.3 24.2 27.0 12.2 

Intensive care----------

Other nursing care------

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

Neither nursing nor

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

224 

199 

164 

109 

171,800

158,800

148,800 

74,600 

100.0 

100.0 

100.0 

100.0 

t:: i-5’E 

3.0 318 12:s 

11.1 14.0 22.6 

12.3 

21.1 

29.3 

26.6 

26.4 

26.4 

23.0 

16.9 

37.9 

30.4 

20.4 

7.7 

19.0 

13.8 

8.0 

1.2 

Public assistance 

All care---------- $179 259,600 100.0 0.0 2.6 8.4 25.9 28.6 26.4 8.3 

Intensive care----------

Other nursing care------

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

Neither nursing nor 

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

203 

194 

156 

111 

78,800 

xi: > 

21,100 

100.0 

100.0 

100.0 

100.0 

i-z t-0’

5.: 0:o 4:1 13:o 0.0 8.3 35.1 

16.0 

25.7 

34.4 

32.9 

34.3 

30.5 

24.0 

16.2 

37.2

28.2 

18.7 

6.3 

1X 

5:8 

1.2 

Own income 

All care---------- $202 254,400 100.0 0.0 1.1 9.6 19.0 22.3 30.5 17.5 

Intensive care---------- 87,600 100.0 20.0 28.0 

Other nursing care------ % 67,100 100.0 Pi ::6' 8"; E 22.3 E 18.5

Personal care----------- 177 64,800 100.0 0:o 1.6 12:8 26:3 23.9 24:0 11.4

Neither nursing nor 

personal care---------- 129 34,800 100.0 0.0 2.4 24.4 35.2 24.8 12.3 0.7 

Other 

All car----------- $93 39,900 100.0 40.4 27.7 5.0 6.9 7.8 8.5 3.6 

Intensive care---------- 166 5,400 100.0 31.5 10.2 4.6 12.3 14.8 18.0 8.6 

Other nursing care------ 143 7,000 100.0 24.8 17.9 10.0 15.7 22.1 

Personal care----------- 110 8,900 100.0 49.8 16.0 63:: 8.5 8.0 8.7 5:; Neither nursing nor 

personal care---------- 34 18,600 100.0 44.4 42.0 4.9 3.4 2.8 0.6 2.0 

37 
Ta;iztf2. Average monthly charge for care, number of residents, and percent distribution of resiby monthly charge for care intervals according to primary source of payment and type of 

ownerihip: United States, May-June 1964 

All residents II Monthly charge for care 

Primary source of A,verage 

payment and type IIlonthl) Initial of ownership c:harge Percent payment chEge $9'9 ti%- ,$;;g- gg- $3Oc+ 

only 

All sources Percent distribution 

All homes--- 554,000 100.0 2.9 3.7 a.7 21.3 24.2 27.0 12.2 

Proprietary------- 333,300 100.0 0.5 0.3 3.6 20.3 26.8 33.7 14.8 

Nonprofit--------- 132,800 100.0 10.9 6.1 12.7 26.6 20.4 16.8 6.4 

Other------------- 87,800 100.0 0.1 12.9 22.1 17.1 20.0 16.9 11.0 

Public assistance 

All homes--- 259,600 100.0 0.0 2.6 8.4 25.9 28.6 26.4 8.3 

Proprietary------- 180 169,600 100.0 0.0 0.4 4.1 26.9 33.3 29.6 5.8 

Nonprofit--------- 157 35,400 100.0 0.0 5.9 11.8 34.6 20.1 21.3 6.2 

Other------------- 190 54,700 100.0 0.0 7.2 19.3 17.0 19.6 19.8 17.2 

Own income 

All homes--- $202 254,400 100.0 0.0 1.1 9.6 19.0 22.3 30.5 17.5 

Proprietary------- 234 156,700 100.0 0.0 0.3 3.0 13.2 20.3 38.4 24.9 

Nonprofit--------- 16L 74,600 100.0 0.0 2.3 16.0 29.9 24.9 19.6 7.3 

Of-her------------- 123 23,000 100.0 0.0 3.2 34.7 22.8 26.8 12.0 0.5 

Other 

All homes--- 100.0 40.4 27.7 5.0 6.9 7.8 8.5 3.6 

Proprietary------- 186 7,100 100.0 22.2 0.8 5.1 21.0 16.2 28.1 6.5 

Nonprofit--------- 83 22,800 100.0 63.6 18.9 3.3 3.4 6.0 0.9 3.8 

Other------------- 51 10,000 100.0 0.5 66.5 8.7 5.1 6.2 12.0 1.0 

38 
Table 23. Average monthly charge for care, number of residents, and percent distribution of residents, by monthly charge for care intervals according to primary source of payment and geo­ graphic region: United States, May-June 1964 -

T All residents Monthly charge for care 

Primary source of Average payment and monthly Initial region charge Number Percent payment chfzge $9'9 only 

All sources Percent distribution 

All regions- $186 554,000 100.0 2.9 3.7 8.7 21.3 24.2 27.0 12.2 

Northeast--------- 213 158,300 100.0 4.4 3.7 9.8 12.5 13.1 35.8 20.7 

North Central----- 171 203,000 100.0 2.4 3.5 10.7 24.5 30.0 21.2 7.6 

South _____________ 161 100,400 100.0 0.5 4.5 8.7 28.5 30.0 21.8 6.0 

west-------------- 204 92,300 100.0 4.2 3.4 2.4 21.6 24.1 30.1 14.3 

Public assistance 

All regions- $179 259,600 100.0 0.0 2.6 8.4 25.9 28.6 26.4 8.3 

Northeast--------- 204 69,500 100.0 0.0 4.4 6.0 12.5 16.4 46.7 14.0 

North Central----- 167 95,000 100.0 0.0 2.4 12.2 29.5 32.8 16.2 7.0 

South _______ ______ 143 47,500 100.0 0.0 2.6 10.5 38.0 36.8 11.3 0.7 

West-------------- 201 47,600 100 .o 0.0 0.1 2.0 25.9 29.9 32.1 9.9 

Own income 

All regions- $202 254,400 100.0 0.0 1.1 9.6 19.0 22.3 30.5 17.5 

Northeast--------- 227 75,100 100.0 0.0 1.3 14.6 13.7 11.2 29.3 29.9 

North Central----- 181 95,300 100.0 0.0 1.4 9.6 21.8 30.1 28.6 8.6 

South----------- 189 47,800 100.0 0.0 1.3 6.9 20.9 24.9 34.3 11.7 

West-------------- 226 36,100 100.0 0.0 0.0 3.2 19.9 21.2 32.7 22.9 

Other 

All regions- $ 93 39,900 100.0 40.4 27.7 5.0 6.9 7.8 8.5 3.6 

Northeast--------- 140 13,700 100.0 50.4 13.5 2.6 6.0 7.4 16.3 3.8 

North Central----- 85 12,600 100.0 38.2 28.0 8.8 7.7 9.2 3.4 4.9 

South _____________ 59 5,000 100.0 10.5 51.5 9.1 12.3 12.9 2.0 1.8 

West-------------- 72 8,600 100.0 45.4 35.8 0.9 4.2 3.6 7.6 2.5 

39 
APPENDIX I 

A. TECHNICAL NOTES ON SURVEY DESIGN 

General .-The Resident Places Survey-2 (RPS-2) 

was conducted during May and June 1964 by the Division 

of Health Records Statistics in cooperation with the U.S. 

Bureau of the Census. It was a survey of resident 

institutions in the United States which provide nursing 

or personal care to the aged and chronically ill, of 

their patients or residents, and of their employees. The 

institutions within the scope of the survey included 

such places as nursing homes, convalescent homes, 

rest homes, homes for the aged, other related facilities, 

and geriatric hospitals. To be eligible for the survey 

an establishment must have maintained three or more 

beds and must have provided some level of nursing or 

personal care. The procedure for classifying establishments for the RPS-2 universe is described in 

Appendix 11. 

This appendix presents a brief description of the 

survey design, general qualifications of the data, and 

the reliability of estimates presented in this report. 

Succeeding appendixes are concerned with classification 

procedures, definitions, and questionnaires used in the 

survey for collecting information about employees. 

Sampling frame. -A “multiframe” technique was 

used in establishing the sampling universe for RPS-2. 

The principal frame was the Master Facility Inventory 

WV, which contained the names, addresses, and 

descriptive information for about 90-95 percent of the 

nursing and personal care homes in the United States. 

Establishments not listed in the MFI were, theoretically, 

on another list referr 

i’

d to as the Complement Survey 

list. A description of the MFI and the Complement 

Survey has been published.’ 

The Complement Survey is based on an area 

probability design, using the sample design of the Health 

Interview Survey.” In the Health Interview Survey, 

interviewers make visits each week to households 

located in probability samples of small segments of the 

United States. In addition to collecting information about 

the health of the household members, the interviewers 

are instructed to record the names and addresses of 

hospitals and institutions located wholly or partially 

within the specified areas. The Complement Survey 

list is composed of the establishments identified in these 

sample areas between January 1959 and July 1963 which 

were not listed in the MFI and which were in business 

40 

as of July 1, 1962. The Complement Survey sample for 

RPS-2 included four establishments representing an 

estimated total of about 800 such facilities in the United 

States. 

Sample design.-The sample design was a stratified, two-stage probability design. The first stage was a 

selection of establishments from the MFI and the 

Complement Survey; the second stage, a selection of 

employees and residents from registers of the sample 

establishments. In preparation for the first-stage 

sample selection, the MFI was divided into two groups 

on the basis of whether current information was available about the establishment. Group I was composed 

of establishments which had returned a questionnaire 

in a previous MFI survey. Group II contained places 

which were possibly within the scope of RPS-2 but were 

not confirmed in the MFI survey, e.g., nonresponses and 

questionnaires not delivered by the post office because 

of insufficient addresses. Group I was then sorted into 

three type-of-service strata: nursing care homes, including geriatric hospitals; personal-care-with-nursing 

homes; and personal care homes. Group II was treated 

as a fourth type-of-service stratum. Each of these four 

strata was further sorted into four bed-size groups, 

producing 16 primary strata, as shown in table I. 

Within each primary stratum the listing of establishments was’ ordered by type of ownership, State, and 

county. The sample of establishments was then selected systematically after a random start within each 

of the primary strata. 

Table I shows the distribution by primary strata of 

establishments in the MFI and in the sample and shows 

the final disposition of the sample places with regard 

to their response and in-scope status. Of the 1,201 

homes originally selected, 1,085 were found to be in 

business and within the scope of the survey. 

The second-stage sample selectionof residents was 

carried out by Bureau of the Census interviewers in 

accordance with specific instructions given for each 

sample establishment as contained in the Resident 

Questionnaire (HRS-SC, Appendix III). All the residents on the register of the establishment on the day of 

the survey were listed on the Establishment Questionnaire (HRS-3a). The interviewers were furnished with 

the numbers of predetermined sample lines for each 
Table I. Distribution of institutions for the aged in the Master Facility Inventory and in the 

RPS-2 sample by primary strata (type of service and size of institution) and by response status 

to the RPS-2: United States 

Number of homes in the sample 

In-scope and 

Type of service and size Number 

in 

of 

out of in business 

of institution homes 

the MFI' Total scope or

homes1 out of Nonre­ business sponding Re,sEsting 

homes 

All types------------------------------ 19.520 1,201 116 12 1,073 -

N-sing care3-------------------------- 8,155 634 37 8 589 

Under 30 beds-------------------------------- 4,400 179 21 5 153 

30-99 beds----------------------------------- 3,247 260 11 3 246 

100-299 beds--------------------------------- 448 135 3 132 

300 beds or more----------------------------- 60 60 2 58 

Personal care with nursing------------- 4,972 381 12 2 367 

Under 30 beds-------------------------------- 3,168 128 10 1 117 

30-99 beds----------------------------------- 1,423 114 1 1 112 

100-299 beds--------------------------------- 345 103 1 102 

300 beds or more----------------------------- 36 36 36 

personal care-------------------------- 3,621 L13 13 2 98 

Under 30 beds-------------------------------- 3,187 64 11 53 

30-99 beds----------------------------------- 402 32 1 31 

100-299 beds--------------------------------- 29 14 2 1 11 

300 beds or more----------------------------- 3 3 3 

Group II"------------------------------ 2,772 73 54 19 

Under 25 beds-------------------------------- 2,578 52 37 15 

25-99 beds----------------------------------- 185 15 12 3 

100-299 beds--------------------------------- 6 3 3 

300 beds or more----------------------------- 3 3 2 1 

'The universe for the RPS-2 sample consisted of the MPI and the Complement Survey. Included

in the RPS-2 sample were 4 homes from the Complement Survey. 

'Includes geriatric hospitals. n 

'Group II consists of those institutions assumed to be in scope of the RPS-2 survey but for

wh,ich current data were not available. 

41 
home (e.g., every seventh line). The first three sample 

designations were entered on the questionnaire worksheet, and the interviewer entered the remaining 

predetermined numbers until the last selected number 

exceeded the total number now on the register. The name 

of the sample resident (patient) was entered opposite 

the sample designation number. For each sample 

resident a questionnaire was completed by the interviewer from information furnished by the respondent. 

The total sample selected from establishments cooperating in the survey consisted of 10,560 residents. 

Survey procedure.-The Bureau of the Census 

employed about 140 of their regular interviewers for the 

survey. All were experienced in the continuing surveys 

conducted by the Bureau of the Census; about half were 

employed in the Health Interview Survey, one of the 

major programs of the National Center for Health 

Statistics, and about half in other surveys. Since the 

interviewers were well trained in general survey 

methodology, it was relatively easy to train them in the 

specific methods used in RPS-2. Briefly, their training 

consisted of home study materials and observation by the 

Census Regional Supervisor on the first interview 

assignment. 

The initial contact with an establishment was a letter 

signed by the Director of the Bureauofthe Census. The 

letter (HRS-3f, Appendix III) notified each administrator 

about the survey, requested his cooperation, and stated 

that a representative would contact him for an appointment. The interviewer’s telephone call usually followed 

within 3 or 4 days. 

During the course of the interview, the interviewer 

collected data on the establishment, the resident, and the 

employees. The establishment and resident information 

B. GENERAL 

Nonresponse and imputation of missing data.-The 

survey was conducted in 1,073 homes, or about 89 

percent of the original sample. About 7 percent of the 

sample places were found to be out of business, and an 

additional 3 percent were found to be out of scope of the 

survey, that is, they either did not provide nursing or 

personal care to their residents or maintained fewer 

than three beds. Only 12 homes, or about 1 percent of 

the sample, refused to cooperate in the survey (table 1). 

The response rate for the in-scope sample was 98.9 

percent. 

Statistics in this report were adjusted for’the failure 

of a home to respond by use of a separate nonresponse 

adjustment factor for each service-size stratum further 

stratified by three major ownership groups. This factor 

was the ratio of all in-scope sample homes in a stratum 

to the responding in-scope sample homes in the stratum. 

Data were also adjusted for nonresponse of sample 

residents within an establishment by a procedure which 

imputed to residents for whom data were not obtained 

was obtained by personal interview, and the staff information was collected by personal interview and by 

means of a self-enumeration questionnaire. The respondent for the Resident (Patient) Questionnaire (HRS-. 

3c) was a member of the staff who had close contact with 

the resident, thus having firsthand knowledge of the 

resident’s health condition. This was usually a nurse 

who was responsible for the individual sample resident. One nurse might have completed questionnaires 

for all residents in a small home, or shared the 

responsibility in a large home. The interviewer was 

instructed to encourage maximum use of records by the 

respondent. For data on chronic conditions andimpairments, medical records, if available, were routinely 

used to supplement the information provided by the 

respondent. 

The Census regional offices also performed certain 

checks during the course of the survey to insure that 

the interviewers were conducting the survey according 

to specified procedures. They reviewed all questionnaires for completeness prior to transmittal to the 

Washington office and made inquiries as necessary to 

obtain the missing information. 

The completed questionnaires were edited and coded 

by the National Center for Health Statistics, and the data 

were processed on an electronic computer. This processing included assignment of weights, ratio adjustments, and other related procedures necessary to 

produce national estimates from the sampledata. It also 

included matching with basic identifying information 

contained in the Master Facility Inventory, as well as 

carrying out internal edits and consistency checks to 

eliminate “impossible” response and errors in editing, 

coding, or processing. 

QUALIFICATIONS 

the characteristics of residents of the same age and in 

the same type of home. For item nonresponse on age 

the adjustment was restricted to characteristics of 

residents in the same type of home. Adjustment for 

nonresponse in resident data for responding homes 

ranged from 0.7 percent for age to 3.5 percent for date 

last saw doctor. 

Roundingof numbers. -Estimates relating to residents have been rounded to the nearest hundred, and 

homes to the nearest ten. For this reason detailed 

figures within the tables do not always add to totals. 

Percents were calculated using the original unrounded 

figures and will not necessarily agree 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. Ihe 

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 

42 
Table II. Approximate standard errorsof percentages shown in this report for residents (patients) 

Estimated percent 

Base of percent (number of residents) 

ratio adjustment was included in the estimation of 

establishment and resident data for all primary servicesize strata from which a sample of homes was drawn. 

This factor was a ratio, calculated for each stratum. The 

numerator was the total heds according to the Master 

Facility Inventory 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 questionnaires were 

completed within the home; the second is the sampling 

fraction for residents upon which the selection is based. 

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

differ somewhat from figures that would have been 

obtained if a complete census had been taken using the 

same schedules, instructions, and procedures. 

As in any survey, the results are also subject to 

reporting and processing errors and errors due to 

nonresponse. To the extent possible, these types of 

errors were kept to a minimum by methods built into 

survey procedures. 

qqqq-T 

Standard error expressed in percentage points 

13.6 15.8 ::t 205 10.0 

4:2 :*t 23 3.0 4:3 20’ 

1.1 f -‘L 

1.0 1:6 2’2 

1.8 

i:; 20’ 

?“L 

E E 017 

::2 3.0 ‘2-2. 

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

number of observations in the sample. Thus. as the 

sample size increases, the standard error decreases. 

The standard error is primarily a measure of the 

variability that occurs by chance because only a sample 

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

part of the measurement error but it does not measure 

any systematic biases in the data. The chances are 

about two out of three that an estimate from the sample 

differs from the value which would be obtained from a 

complete census by less than the standard error. The 

chances are about 95 out of 100 that the difference is 

less than twice the standard error and about 99 out of 

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. 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 with figure I. Standard errors 

of estimated percentages are shoti in table II. 

Standard ewoy of the average monthly charge per 

person.-The relative standard error of the average 

monthly charge per person can be obtained from table 

III. 

43 
Figure I. Approximate relative standard errors of estimated numbers of residents shown in 

this report. 

Size of Estimate 

Example of use of fimre I: An estimate of 100,000 total residents has a relative standard error 

from scale at left side of figure). The estimate has a standard error of 

To determine the standard error of a median 

value, or of the difference between two statistics, the 

following rules may be used. 

Standard ewov of a median.-The medians shown 

in this report were calculated from grouped data. Approximate confidence intervals for these estimated 

medians can be computed as follows: 

(a) Determine the standard error of a 50-percent 

characteristic whose denominator is equal to 

the estimated number of persons in the frequency distribution on which the median is 

based. For example, the median age of males 

is 77.7 years. The estimated number of males 

is 193,784 (table 2). The standard error of 

a 50-percent characteristic whose base is 

193,784 is shown in table II, by interpolation, 

to be 1.13 percentage points. 

(b) Apply this standard error to the cumulative 

frequency distribution to obtain a confidence 

interval around the median. The steps are as 

follows: For the above example, using the 

9%percent level of confidence, determine the 

points on the cumulative frequency distribution 

corresponding to the 47.74 percent (50 percent 

minus two standard errors) and 52.26 percent 

(50 percent plus two standard errors). The 

points are 92,512 (47.74 x 193,784) and 101,272 

(52.26 x 193,784). From table 2, determine the 

ages that correspond to these points. They are 

77.1 and 78.3 years, respectively. Therefore, 

the confidence limit for the estimated median 

age of 77.7 years is 77.1-78.3 year6 at the 

95-percent level of confidence. 

It is possible to investigate whether the observed 

differences between two estimated medians can be attributed to sampling error alone by obtaining the upper 

68-percent confidence limit, Uiof the smaller median, 

MI, and the lower 68-percent confidence limit, I;:, of 

the larger median, Mi. These limits may be found by 

.using the method outlined above, but using one standard 

44 
Table III. Approximate standard errors of average monthly charges shown in this report 

Average monthly charge 

Estimated number of residents 

$75 $100 $125 $150 $175 $200 $225 $250 $275 

Standard errors 

$72 2; sg8 505 44 1: $l?i$116 i72 

5: % 2: ‘2’; 27 :: 

17 21 

15 18 of: ::: ::: 

0.. .0* . . . ..o .0.

6 . . . IL! .o. . . . . . . . . .

error instead of two. The square root of the sum of the Stuudal-d ~~'PoI- of a d@fereme betueen txo estisquared differences between M; and Ui and M; and mates.-The standard error of a difference is apL: is the standard error of the difference between MI, prosimately the square root of the sum of the squares 

and Mi ; that is, of each standard error considered separately. This 

formula will represent the actual standard error quite s 04+q= d(M;- U,‘)‘+ CM; -L;)’ accurately for the difference between separate and 

uncorrelated characteristics. although it is only a For the purpose of this report, any difference between rough approximation in most other cases. 

MI and Md greater than 2S’M,-M, )has been considered a significant difference. 1 ’ 

45 
APPENDIX II 

DEFINITIONS OF CERTAIN TERMS USED IN THIS REPORT 

Demographic Terms 

Age: 

Age is defined as age at last birthday. 

Geographic region: 

Classification of establishments by geographic area 

is provided by grouping the States into regions. 

These regions correspond to those used by the 

Bureau of the Census and are as follows: 

Region 

Northeast-------

North Central---

South-- ____ _ __ _ 

States Included 

Maine, New Hampshire, Vermont, 

Massachusetts, Rhode Island, 

Connecticut, New York, New Jersey, 

and Pennsylvania 

Michigan, Ohio, Illinois, Indiana, 

Wisconsin, Minnesota, Iowa, 

Missouri, North Dakota, South 

Dakota, Nebraska, and Kansas 

Delaware, Maryland, District of 

Columbia, Virginia, West Virginia, 

North Carolina, South Carolina, 

Georgia, Florida, Kentucky, 

Tennessee, Alabama, Mississippi, 

Arkansas, Louisiana, Oklahoma, 

and Texas 

Montana, Idaho, Wyoming, Colorado, 

New Mexico, Arizona, Utah, Nevada, 

Washington, Oregon, California, 

Hawaii, and Alaska 

Type of Ownership 

Proprietary home: 

A home operated under private commercial ownership. 

Nonprofit home: 

A home operated under voluntary or nonprofit 

auspices, including both church-related and nonchurch-related homes. 

Other home: 

Any home not included above. For the most part 

these are homes operated under Federal, State, or 

local government auspices. 

Primary Type of Service 

For purposes of stratification of the universe prior 

to the selection of the sample, the homes in the MFI 

were classified as either nursing care, personal-carewith-nursing, personal care, or domiciliary care homes. 

The latter two classes were combined and designated 

as personal care homes. Nursing care is defined as 

provision of any one of the services listed on Card A 

in Appendix III. Details of the classification procedure 

in the MFI have been published.” 

Due to the 2-year interval between the MFI survey 

and the RPS-2 survey it was felt that for producing 

statistics by type of service for the RPS-2 survey, the 

homes should be reclassified on the basis of the current 

data collected in the survey. This classification procedure is essentially the same as the MFIscheme. The 

three types of service classes delineated by RPS-2 are 

defined as follows: 

1. A nursing caye ho?n.e is defined as one in which 

50 percent or more of the residents received 

nursing care during the week prior to the survey 

in the home, with an RN or LPN employed 15 

hours or more per week. In this report, geriatric hospitals are included with nursing care 

homes. 

2. A personal-cave-Gth-musing home is defined 

as one in which either (a) over 50 percent of the 

residents received nursing care during the week 

prior to the survey, but there were no RN’s or 

LPN’s on the staff; or (b) some, but less than 

50 percent, of the residents received nursing 

care during the week prior to the survey regardless of the presence of RN’s or LPN’s on the 

staff. 

46 
3. B personal care honle is definedas one in which 

residents routinely received personal care, but 

no residents received nursing care during the 

week prior to the survey. 

Level of Nursing Supervision 

Is defined as the person who is actually in charge 

of the daily nursing activities provided in the home. 

It does not mean the person who employs the 

nursing staff, such as the owner or administrator, 

unless this person also supervises the daily activities. 

Is defined as including registered professional and 

graduate nurses who usually work 35 hours or more 

a week. 

Is defined as including registered professional and 

graduate nurses who usually work less than 35 

hours a week as well as licensed practical nurses 

and licensed vocational nurses regardless of how 

many hours they usually work. 

Not a nwse: 

Is defined as including all persons who supervise 

the daily activities but who do not fit into the above 

two categories. 

Level of Patient Care 

These levels are defined in terms of the implied 

intensiveness of care or the condition of the resident. 

The 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). 

Infensive caYe 

Catheterization 

Bowel and bladder retraining 

Oxygen therapy 

Intravenous injection 

Nasal feeding 

Full bed bath 

OtAer nwsing care 

Application of sterile dressing or bandages 

Irrigation 

Hypodermic injection 

Intramuscular injection 

Taking of temperature-pulse-respiration or blood 

pressure 

Enema 

Help with dressing, shaving, or care of hair 

Help with tub bath or shower 

Help with eating (feeding of resident) 

Rub and massage 

,idministration of medications or treatment 

Special diet 

NeitJler musing nor personal care 

None of the above 

Primary Source of Payment 

Is defined for this report as the 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. 

Public assistance 

Is defined as including: 

Medical Assistance to the Aged 

Aid to Disabled 

,\id to Blind 

Old Age Assistance 

Is defined as including: 

Any private source of income from investments 

Social Security 

Pension plans as well as any method whereby 

payments were made directly to the individual 

or his family a@ he or they then paid the 

establishment 

Ofhe) 

Is defined as including all other methods of payment 

or support: 

Residents who had made an initial payment for 

life-time 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 

Terms Relating to Residents 

Resident: 

Is defined as a person who has been formally 

admitted but not discharged from an establishment. 

All such persons were included in the survey 

whether or not they were physically present at the 

time. 

Charge: 

Is defined as the charge made by the establishment 

itself. It does not include charges for the services 

of physicians, etc., which are not part of the bill 

rendered by the institution. 

ooo47 
APPENDIX III 

RESIDENT PATIENT QUESTIONNAIRE 

FORM HRS-31 U.S. DEPARTMENT OF COMMERCE (4.1.84, BUREAU OF THE CENSUS 

WASHINGTON. DC. 20233 

r 1 

l- J 

Dear Administrator: 

The Bureau of the Census, acting as the collecting agent for the 

United States Public Health Service, is conducting a nationwide survey 

of nursing homes, homes for the aged, and other establishments providing 

nursing, personal, and domiciliary care to the aged and infirm. The 

purpose of this survey is to collect much needed statistical information 

on the health of residents and on the types of employees in these homes. 

This survey is part of the National Health Survey program authorized by 

Congress because of the urgent need for up-to-date statistics on the 

health of our people. 

The purpose 

you that a 

establishment 

to his visit, 

convenient 

of this letter is to request your cooperation and to inform 

representative of the Bureau of the Census will visit your 

within the next week or so, to conduct the survey. Prior 

the Census representative will call you

appointment time. 

All the information given to the Census representative 

strictly confidential by the Public Health Service and 

the Census, and will be used for statistical purposes 

Your cooperation in this important survey will be very 

Sincerely yours, 

G%Q-fto arrange for a 

will be.kept 

the Bureau of 

only. 

much appreciated. 

Richard M. Scammon 

Director 

Bureau of the Census 
I Budgcr Bureau No. 6&RGZO.R2; Approval Expires December 31. 1964 

li%tahlixhmcnr number Resident’s (patienr’s) line No. 

I 

Month ; Year 

L 1. What is the month and yeor of this resident’s (ootient’sl birth? 

2 Scr I 0 Unlc [Ask questrcm 3) 2 17 Female (Go lo question 4) 

3,. Her hs rewed in 13~. NOTE To INTERVIEWER: 

the Armed Forces of Scurce of ve*e,an stetus 

the United States? I 0 Yes (Ask Q. 3b) z n No (Go to Q 4) 3 r- Unknown information -

b. Did ho serve in 10 Record 2 0 Sample perx I” 

World War I? 10 Yes ZUNO 3 n ZJnknown 3 0 Respondent 

4. Is this resident (patient) married, T 0 Married 3 0 Divorced 5 0 Never married widowed, divorced, seporoted, or never married? 2 0 Widowed 4 0 Sepnrared

Month ; Year 

5. In what month and yeor was he (lost) odmittcd to this home? I 

6. With whom did he live at I r-J Spouse only 7 0 In anorher nursing home or the time of his admission? 2 C] Children only related facility 

(Check 

that 

the%IRST J n Spouse and children B c] In menral hospiral box applies) 

a r_l Relatives orher than spouse or g 0 In a long-rum specialry hospital 

children (ercepr mental) 

5 0 Lived in aparunenr or own home - 10 0 In a general or shorr-stay hospiral 

alone or wirh unrelared persons I I 0 Orher place (Specify) 

6 u In boarding home 

7. How often do friends or I l-1 At least once a week 3 0 Less than once a month relatives visit him? (Check the FIRST z n Less often than once a week bur at 4 0 Never box lhel applies) least once a month 

&a. Does he stay in bed all or most of the doy? I 0 Yes (Go fo quesfion 9) L?0 No (Ask question 8b) 

b. Does he ‘toy in his own room all or most of the day? t u Yes 2 0 No 1Ask question SC) 

C. Does he go off the premises just to walk, shop, or 

visit with friends or relatives and so forth? 10 Yes 2 n No 

9. Which of these special aids (Check a21 fhst apply) does this resident (patient) 

use? (Show card C, I C] Hearing aid 4 0 Braces 7 n Eye &sses 

2 C] Walker 5 0 Wheel chair OR 

3 c- Crutches 6 0 Artificial limb(r) (I n None of these aids used 

IO. During his stay here when did he lost see o 

doctor for traotment, medication, or for on 

exominotion by the doctor? 

10. During his stay here, 

has he seen o dentist? I u Yes (Ask questron IIb) 2 0 No (Go lo queabon 12J 

Month lYea 

b. When was the lost time ho sow a dentist? I 

12o. Hot he lost ALL of his teeth? 1 r-1 Ye- f&k Qusafim I2b) 2 0 No (Co to qrcation I?, 

b. Does he weor full upper ond lower dentures? 3UYCS 4l-JNO 

13. Does this resident (patient) hove any of mess conditions? 

(Show card D, Record in Table 1 each condition which the patient has) 11-3 Yes Zl--JNO 

14 Doas he hove any of these conditions? 

(Show card E. Record in Table 1 each condition which the patient has) I f--J Yes 20NO 

150. Does he hove ony other CHRONIC conditions listed in his record that you hove no+ told me &out? 10 Yes 20NO 

If “Yes,” ask: 

b. Mot are they? 

49 
Enter condirions from questions 13, 14 or IS 

Enter rhe words used by the respondenr fo 

describe rhe condition. 

I. 

2. 

4. 

5. 

5. 

7. 

5. 

Table 1 

For rhe following condirions ask rhese quesrions , 

ILL EFFECTS OF STROKE.. . . . What ore ha present ill effects? I 

SPEECH DEFECT . . . . . . . . . . . Whot caused the speech defect? 1 Do 

I

I 

PARALYSIS, PERMANENT not 

STIFFNESS . . . . . . . . . . . . . . . What port of the body is affected? write 

TUMOR, CYST, OR GROWTH.. . . #hot port of the body is affected? in 

Is it malignant or benign? I this 

DEAFNESS, HEARING TROUBLE, column 

OR ANY EYE CONDITION. . . . . . Is one or both eon (eyes)

(In&da glaucoma and cataracts) effected? I 

5. If any eye conditions have been recorded in Table 1, ask: 0 No eye condition reporred (Go to question 17) 

You told me about this resident’s (poticnt’s) eye condition. 

Cm he see well enough to read ordinary newspaper print with glasses? t 0 Yes z 0 No 

7. 7During the days which postof I 0 

these services 

did this resident 2 0 

(patient) receive? 

3 0 

(Show card F and 

check each one 4 0 

mentioned) 5 0 

6 0 

7 0 

Help wirh dressing, shaving, or care of hair 

Help wirh cub barh 

or Snower 

Help w: Irn’ eatmg 

(feedin/ g rhe residenr(parienr))

d Rub an< massage 

medxarions AdFjni srrarion of

or rrearmenr Special diet 

Applicarion of srerile 

dressinns or bandanes 

). At the time this resident (patient) was admitted to 

this home, what kind of core did he receive-primarily 

nursing core, primarily personal core, or room ond 

board only? (Check one box only) 

8 0 Temperaare-pulserespxarion 17 0 Inrravcnous injection 

18 0 Intramuscular injecrion 

9 0 10 nFull-bed barh Enema 19 0 Nasal feeding 

11 0 Carhercrizacion OR 

12 0 Bowel and bladder 

I 3 Blood rerraining 20 0 None of the above 0 pressure services received 14 0 Irrigarion 

I 5 0 Oxygen rherapy 

16 0 Hypodermic injecrion 

I 0 Primarily 2 D Primarily 3 0 Room and nursina !xrsonal board onlv care - ;are 

Amounr 

1. What was the TOTAL charge for this resident’s (potien?‘s) core last month? t 

)a. What is the PRIMARY source of poymcnt for his care? I ZOb. Are there any additional sources of payment? 

(Check ONE box only) I (Check ALL boxes that apply) 

! 0 Own income or family support (Include private plans, i I 0 Own income or family support (Include private plms, retirement foods, social security, etc.) I retirement funds, social security, etc.) 

2 17 Church support II 2 0 Church support 

3 0 Vererans benefits I a 0 Vereraos benefits 

4 0 Public assistance or welfare I 4 0 Public assistance or welfare 

6 0 Orher [Please describe) I 

I 6 0 Ocher (PZease describe) 

I 

I 

I OR 

I 7 0 No additional sources I 

5 0 Initial payment - life care I 5 0 Initial paymenr - life care 

50 
Card il

LIST OF NURSING SERVICES 

1. Temperature-pulse-respiration 

2. Full bed bath 

3. Application of sterile dressings or 

bandages 

4. Catheterization 

5. Bowel and bladder retraining 

6. Blood pressure 

7. Hypodermic injection 

8. Intravenous injection 

9. Intramuscular injection 

LO. Nasal feeding 

11. Irrigation 

12. Oxygen therapy 

L3. Enema 

Card F 

LIST OF SERVICES 

1. Fl!k&p, with dressing, shaving, or care of 

2. Help with tub bath or shower 

3. Help with eating (feeding the patient) 

4. Rub and massage 

5. Administration of medications or treatment 

6. Special diet 

7. Application of sterile dressings or 

bandages 

8. Temperature-pulse-respiration 

9. Full bed bath 

10. Enema 

11. Catheterization 

12. Bowel and bladder retraining 

13. Blood pressure 

14. Irrigation 

15. Oxygen therapy 

16. Hypodermic injection 

17. Intravenous injection 

18. Intramuscular injection 

19. Nasal feeding 

QQQ-
Series 1. 

Series 2. 

Series 3. 

Series 4. 

Series 10. 

Series 11. 

Series 12. 

Series 13. 

Series 20. 

Series 21. 

Series 22. 

OUTLINE OF REPORT SERIES FOR VITAL AND HEALTH STATISTICS 

Public Health Service Publication No. 1000 

Programs and collection procedures.- Reports which describe the general programs of the National 

Center for Health Statistics and its offices and divisions, data collection methods used, definitions, 

and other material necessary for understanding the data. 

Data evaluation and methods research. -Studies of new statistical methodology including: experimental tests of new survey methods, studies of vital statistics collection methods, new analytical 

techniques, objective evaluations of reliability of collected data, contributions to statistical theory. 

Analytical studies.-Reports presenting analytical or interpretive studies based on vital and health 

statistics, carrying the analysis further than the expository types of reports in the other series. 

Documents and committee reports.- Final reports of major committees concerned with vital and 

health statistics, and documents such as recommended model vital registration laws and revised birth 

and death certificates. 

Data from the Health Interview Survey.- Statistics on illness, accidental injuries, disability, use of 

hospital, medical, dental, and other services, andotherhealth-related topics, based on data collected 

in a continuing national household interview survey. 

Data from the Health Examination Survey.- Data from direct examination, testing, and measurement of national samples of the population provide the basis for two types of reports: (1) estimates 

of the medically defined prevalence of specific diseases in the United States and the distributions of 

the population with respect to physical, physiological, and psychological characteristics; and (2) 

analysis of relationships among the various measurements without reference to an explicit finite 

universe of persons. 

Data from the Institutional Population Surveys.- Statistics relating to the health characteristics of 

persons in institutions, and on medical, nursing, and personal care received, based on national 

samples of establishments providing these services and samples of the residents or patients. 

Data from the Hospital Discharge Survey.- Statistics relating to discharged patients in short-stay 

hospitals, based on a sample of patient records in a national sample of hospitals. 

Data on mortality.- Various statistics on mortality other than as included in annual or monthly 

reports- special analyses by cause of death, age, andother demographic variables, also geographic 

and time series analyses. 

Data on natality, marriage, anddivorce. - Various statistics on natality, marriage, and divorce other 

than as included in annual or monthly reports- special analyses by demographic variables, also 

geographic and time series analyses, studies of fertility. 

Data from the National Natality and Mortality Surveys. - Statistics on characteristics of births and 

deaths not available from the vital records, basedon sample surveys stemming from these records, 

including such topics as mortality by socioeconomic class, medical experience in the last year of 

life, characteristics of pregnancy, etc. 

. 

For a list of titles of reports published in these series, write to: Office of Information 

National Center for Health Statistics 

U.S. Public Health Service 

Washington, D.C. 20201