NURSING HOME STATISTICAL YEARBOOK, 2015

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1 NURSING HOME STATISTICAL YEARBOOK, 2015 C. MCKEEN COWLES COWLES RESEARCH GROUP

2 Acknowledgments We extend our appreciation to Craig Dickstein of Tamarack Professional Services, LLC for optimizing the SAS software routines that generated these tables and graphs and auto formatting the output. Any errors or omissions are those of the author. Copyright 2016 by Cowles Research Group All rights reserved. No part of this book may be reproduced or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the copyright holder. For information, contact: Cowles Research Group 1004 Commercial Ave., #522 Anacortes, WA Phone: (360) Fax: (509) com www. LongTermCareInfo. com Notice of Liability: The information in this book is distributed on an As Is basis, without warranty. While every precaution has been taken in the preparation of this book, neither the contributors nor Cowles Research Group shall have any liability to any person or entity with respect to liability, loss, or damage caused or alleged to be caused directly or indirectly by the information contained in this book. ISBN: Produced in the United States of America SAS and all other SAS Institute Inc. product or service names are registered trademarks or trademarks of SAS Institute Inc. in the USA and other countries. indicates USA registration. Acknowledgments Page 1 of 165

3 CONTENTS How the Tables Were Constructed... 5 About the Author SECTION I RESIDENT ACUITY Table I-1: Four Measures of Resident Acuity by State, Table I-2: ACUINDEX by Class of Ownership, United States, Figure I-A: ACUINDEX by Class of Ownership, United States, Table I-3: ACUINDEX by Urban/Rural, United States, Figure I-B: ACUINDEX by Urban/Rural, United States, Table I-4: ACUINDEX by Bedsize, United States, Figure I-C: ACUINDEX by Bedsize, United States, Table I-5: Two MDS-based Measures of Resident Acuity by State, SECTION II RESIDENT ADL CHARACTERISTICS Table II-1: Resident ADL Limitations by ADL and State, Figure II-A: Resident ADL Limitations by ADL, United States, Table II-2: Resident Dependence Level by State Bathing, Figure II-B: Resident Dependence Level Bathing, United States, Table II-3: Resident Dependence Level by State Dressing, Figure II-C: Resident Dependence Level Dressing, United States, Table II-4: Resident Dependence Level by State Toileting, Figure II-D: Resident Dependence Level Toileting, United States, Table II-5: Resident Dependence Level by State Transferring, Figure II-E: Resident Dependence Level Transferring, United States, Table II-6: Resident Dependence Level by State Eating, Figure II-F: Resident Dependence Level Eating, United States, Table II-7: Residents with Multiple Dependencies by State, Figure II-G: Residents with Multiple Dependencies, United States, Table II-8: Resident Continence Characteristics by State, Table II-9: Resident Mobility Characteristics by State, Figure II-H: Independently Ambulatory Residents, United States, Page 2 of 165

4 Table II-10: Incidence of Contractures and Use of Restraints by State, Figure II-I: Nursing Home Residents in Restraints, United States, SECTION III OTHER RESIDENT CHARACTERISTICS Table III-1: Use of Psychoactive Medication by State, Table III-2: Other Medication Characteristics by State, Table III-3: Resident Skin Care Characteristics by State, Table III-4: Resident Special Treatments by State, Table III-5: Communication and Advance Directives by State, Figure III-A: Nursing Home Residents with Advance Directives, Table III-6: Mental Status by State, Table III-7: Payor Mix and Census by State, Figure III-B: Payor Mix, Percent Medicare, SECTION IV SURVEY DEFICIENCIES Table IV-1: Total and Nursing Deficiencies by State, Table IV-2: Total Deficiencies by Class of Ownership and State, Figure IV-A: Total Deficiencies by Class of Ownership, United States, Table IV-3: Survey Deficiency Categories by State, Table IV-4: Top 40 Deficiencies: United States, Table IV-5: Most Frequently Cited Deficiencies, 2015 Alabama Alaska...78 Arizona...79 Arkansas...80 California...81 Colorado...82 Connecticut...83 Delaware...84 District of Columbia...85 Florida Georgia Hawaii Idaho Illinois...90 Indiana...91 Iowa...92 Kansas...93 Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Table of Contents Page 3 of 165

5 Table IV-6: Scope and Severity Code Utilization by State, Figure IV-B: Scope and Severity Code Utilization, United States, SECTION V FACILITY CHARACTERISTICS Table V-1: Facilities by Type of Certification and State, Figure V-A: Total Certified Facilities, United States, Table V-2: Facilities by Class of Ownership and State, Figure V-B: Facilities by Class of Ownership, United States, Table V-3: Facilities by Size Category and State, Figure V-C: Facilities by Size Category, United States, Table V-4: Beds by Type of Certification and State, Figure V-D: Total Beds vs. Certified Beds, United States, Table V-5: Dedicated Special Care Units and Beds by State, Table V-6: Occupancy Rate as a Percent by State, Figure V-E: Occupancy Rate as a Percent, United States, SECTION VI STAFFING INFORMATION Table VI-1: Physical Therapist Staffing by State, Figure VI-A: Physical Therapist Staffing, United States, Table VI-2: Occupational Therapist Staffing by State, Figure VI-B: Occupational Therapist Staffing, United States, Table VI-3: Speech and Language Pathologist Staffing by State, Figure VI-C: Speech and Language Pathologist Staffing, United States, Table VI-4: Contract Labor Usage for Nursing Services by State, Table VI-5: Nurse Staffing Hours per Patient Day, Table VI-6: Nurse Aide Staffing Hours per Patient Day, Table VI-7: Occupational Therapist Hours per Patient Day, Table VI-8: Physical and Speech Therapist Hours per Patient Day, Table VI-9: Staffing Hours per Patient Day by Class of Ownership Total U. S., How to Buy this Book Page 4 of 165

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