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Nursing Facilities, Staffing, Residents and Facility Deficiencies, 2009 Through 2015

Nursing facilities are one part of the long-term care delivery system that also includes home and community based services, but their relatively high cost has led them to be the focus of much attention from policymakers. Medicaid plays a major role in financing nursing facility care in the United States, and recent policy proposals to limit federal financing for Medicaid may lead to cuts in eligibility or scope of coverage for long-term care services. In addition, new regulations, effective November 2016, aim to address longstanding challenges in quality and safety in nursing facilities. As the demand for long term care continues to increase and new policy proposals and regulations unfold, the characteristics, capacity, and care quality of facilities remain subjects of concern among consumers and policy makers.

These tables provide information on recent trends in nursing facilities in the United States, drawing on data from the federal On-line Survey, Certification, and Reporting system (OSCAR) and Certification and Survey Provider Enhanced Reports (CASPER), to provide information on nursing facility characteristics, resident characteristics, facility staffing, and deficiencies by state from 2009 through 2015. The accompanying report, Nursing Facilities, Staffing, Residents and Facility Deficiencies, 2009 Through 2015, analyzes recent trends and discusses findings in light of recent policy debates and developments. These tables provide additional detail on the information presented in the report. For more information on the surveys and methods underlying the data in this report, see the Appendix at the end of the main report.

Supplemental Tables (.pdf)

List of Tables

Facility Characteristics

Table 1: Total Number of Certified Nursing Facilities by State and Calendar Year

Table 2:  Total Number of Certified Nursing Facility Beds by State and Calendar Year

Table 3: Average Number of Certified Beds Per Facility by State and Calendar Year

Table 4: Total Number of Residents and Facility Occupancy Rates for Certified Nursing Facilities by State and Calendar Year

Table 5: Percent of Nursing Facility Beds by Certification Category, by State and Calendar Year

Table 6: Percent of Certified Nursing Facility Residents by Primary Payer Source, by State and Calendar Year

Table 7: Percent Distribution of Certified Nursing Facilities by Ownership Type, by State and Calendar Year

Table 8: Percent Distribution of Certified Nursing Facilities by Affiliation, by State and Calendar Year

Table 9: Percent of Certified Nursing Facilities with Resident Groups and Family Groups by State and Calendar Year

Resident Characteristics

Table 10: Average Facility Scores for Activities of Daily Living in Certified Nursing Facilities by State and Calendar Year

Table 11: Percent of Residents in Certified Nursing Facilities who are Bedfast or Chairbound by State and Calendar Year

Table 12: Percent of Residents in Certified Nursing Facilities with Contractures or Physical Restraints by State and Calendar Year

Table 13: Percent of Residents in Certified Nursing Facilities Receiving Psychoactive Medication or Having Mental Retardation by State and Calendar Year

Table 14: Percent of Residents in Certified Nursing Facilities with Dementia or Other Psychological Diagnoses by State and Calendar Year

Table 15: Percent of Residents in Certified Nursing Facilities with Pressure Sores or Receiving Special Skin Care by State and Calendar Year

Table 16: Percent of Residents in Certified Nursing Facilities Receiving Rehabilitation or Ostomy Care by State and Calendar Year

Table 17: Percent of Residents in Certified Nursing Facilities Receiving Injections or Intravenous Therapy by State and Calendar Year

Table 18: Percent of Residents in Certified Nursing Facilities Receiving Tube Feeding or Respiratory Treatment by State and Calendar Year

Table 19: Percent of Residents in Certified Nursing Facilities with Bladder Incontinence or in Bladder Training Program by State and Calendar Year

Table 20: Percent of Residents in Certified Nursing Facilities with Bowel Incontinence or in Bowel Training Program by State and Calendar Year

Table 21: Percent of Residents in Certified Nursing Facilities with Indwelling Catheters by State and Calendar Year

Facility Staffing

Table 22: Average RN, LPN/LVN, & Assistant Hours Per Resident Day in Certified Nursing Facilities by State and Calendar Year

Table 23: Average Licensed and Total Nurse Hours Per Resident Day in Certified Nursing Facilities by State and Calendar Year

Deficiencies

Table 24: Average Number of Deficiencies Per Certified Nursing Facility and Percent of Facilities with No Deficiencies by State and Calendar Year

Table 25: Percent of Certified Nursing Facilities Receiving a Deficiency for Actual Harm or Jeopardy of Residents by State and Calendar Year

Table 26: Top Ten Deficiencies Nationwide for Certified Nursing Facilities by State in Calendar Year 2014

Table 27: Deficiency Group Mistreatment: Physical Restraints (F221) by State and Calendar Year

Table 28: Deficiency Group Resident Rights: Dignity (F241) by State and Calendar Year

Table 29: Deficiency Group Quality of Care: Activities Program (F248) by State and Calendar Year

Table 30: Deficiency Group Environment: Housekeeping (F263) by State and Calendar Year

Table 31: Deficiency Group Quality of Care: Activities of Daily Living Services (F312) by State and Calendar Year

Table 32: Deficiency Group Quality of Care: Pressure Sores (F221) by State and Calendar Year

Table 33: Deficiency Group Quality of Care: Urinary/Incontinence Care (F315) by State and Calendar Year

Table 34: Deficiency Group Quality of Care: Limited Range of Motion Services (F318) by State and Calendar Year

Table 35: Deficiency Group Environment: Accident Environment (F323) by State and Calendar Year

Table 36: Deficiency Group Quality of Care: Nutrition (F325) by State and Calendar Year

Table 37: Deficiency Group Quality of Care: Sufficient Nursing Staff (F353) by State and Calendar Year

Table 38: Deficiency Group Nutrition: Food Sanitation (F371) by State and Calendar Year

Table 39: Percent of Certified Nursing Facilities in the U.S. with Deficiencies for Quality of Care by Calendar Year

Table 40: Percent of Certified Nursing Facilities in the U.S. with Deficiencies for Mistreatment and Resident Assessment by Calendar Year

Table 41: Percent of Certified Nursing Facilities in the U.S. with Deficiencies for Resident Rights by Calendar Year

Table 42: Percent of Certified Nursing Facilities in the U.S. with Deficiencies for Environment by Calendar Year

Table 43: Percent of Certified Nursing Facilities in the U.S. with Deficiencies for Nutrition and Pharmacy by Calendar Year

Table 44: Percent of Certified Nursing Facilities in the U.S. with Deficiencies for Administration by Calendar Year

Appendix

The Henry J. Kaiser Family Foundation Headquarters: 2400 Sand Hill Road, Menlo Park, CA 94025 | Phone 650-854-9400
Washington Offices and Barbara Jordan Conference Center: 1330 G Street, NW, Washington, DC 20005 | Phone 202-347-5270

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Filling the need for trusted information on national health issues, the Kaiser Family Foundation is a nonprofit organization based in Menlo Park, California.