Delaware Nursing Home and Assisted Living/Rest Residential Utilization Statistics January - December 2009

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1 Author s Note: This information is from a Draft report by the Division of Public Health, Bureau of Health Planning and should be considered a draft. Delaware Nursing Home and Assisted Living/Rest Residential Utilization Statistics January - December Presented to the Delaware Health Resources Board April 22, 2010 Tibor Toth and Rebecca Bedford Center for Applied Demography and Survey Research University of Delaware

2 The Nursing Home Utilization Statistics Report presents the collected data in two sections. The Facility Characteristics section focuses on data collected from 1998 through. Most of the summary presented in this section focuses on aggregated data for all nursing homes in Delaware, specifically: (1) Facility characteristics (the number of homes and beds by ownership) (2) Utilization data (patient days, occupancy, admissions and discharges) (3) Patient characteristics (age, gender and source of payment) The second section entitled Tables presents summary characteristics such as total patient days, occupancy rates, and patients by source of payment, along with the number of admissions and discharges for each facility.

3 Total Number of Nursing Home Beds by County and Facility Type and the Percent of Change Year New Castle County Private Facilities Kent Sussex County County Total Private Public Facilities All Facilities #of # of # of # of # of # of Homes Beds Homes Beds Homes Beds Homes Beds Homes Beds Homes Beds , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , % Change 3.9% 4.4% 1.7% 3.2% -23.3% -0.9%

4 Number of Patient Days Utilized By Facility Type, and County ,800,000 1,600,000 1,400,000 1,200,000 1,000, , , , ,000 0 NCC Kent Sussex All Private Public All Facilities , , ,715 1,429, ,640 1,572, , , ,234 1,447, ,584 1,585,099

5 Percent of Nursing Home Bed Occupancy Occupancy rates are calculated as: (Number of Patient days/(number of beds*365))*100. This calculation assumes that all facilities were open 365 days and that the number of licensed beds did not vary throughout the year. In the report you will find average occupancy rates and overall (weighted) occupancy rates based on the actual number of days facilities were open. Please note that a couple of facilities had changes in the number of licensed beds which can influence the occupancy rates NCC Kent Sussex All Private Public All Facilities

6 Total Number of Admissions and Facility Type and County ,000 10,000 8,000 6, ,000 2,000 0 NCC Kent Sussex All Private Public All Facilities , ,242 10, ,269 5, ,088 10, ,270

7 Percent of Admissions by Race and Age 35% 3 25% 15% White Black Total Admissions 1 5% Under White 11% 17% 37% 35% Black 27% 26% 27% 19% 32% 31% 24% 13% Total Admissions 14% 19% 35% 32%

8 Total Number of Discharges and Facility Type and County ,000 10,000 8,000 6, ,000 2,000 0 NCC Kent Sussex All Private Public All Facilities , ,152 9, ,919 5,659 1,114 3,129 9, ,006

9 Percent of Discharges by Race and Age 35% 3 25% 15% White Black Total Discharges 1 5% Under White 1 17% 35% 38% Black 25% 25% 29% 21% 29% 24% 34% 14% Total Discharges 13% 18% 34% 35%

10 Percent of Discharges by Destination Public Private All facilities 1 Home Hospital Asst Living Private LTCF State LTCF Death Public 8% 15% 5% 15% 55% 2% Private 51% 28% 4% 3% 13% 1% All facilities 5 28% 4% 3% 13% 1%

11 Percent of Source of Payment by Facility Type Private Public All facilities 1 Medicaid Medicare Self pay Private 53% 17% 24% 6% Public 74% 4% 17% 5% All facilities 55% 16% 23% 6%

12 Assisted Living/Rest Residential Utilization Report The same methods were used to collect the data for the assisted living/rest residential facilities as the nursing home facilities. The report presents the collected data in five sections. A Definitions section which summarizes terminology used throughout the report, a Facility Characteristics section which summarizes the licensed capacity of Delaware s assisted living/rest residential facilities by Facility and County and the last three sections reflect the aggregated data for all facilities, specifically: (1) Utilization (2) Move-Ins (3) Move-outs

13 Calculating Occupancy Rates for Assisted Living/Rest Residential facilities Occupancy rates for individual facilities are calculated as the ratio of Resident Billable days (reported by facility on a monthly basis) and Licensed bed days. Licensed bed days are calculated as Licensed beds (reported by facility in December) multiplied by the Total (actual) days facility was open during the year (based on months facility was open). The Occupancy rates (overall) at County, State level is calculated as the ratio of Resident Billable Days (sum for each facility in the geography) and Licensed Bed days (sum for each facility in the geography). The Occupancy rate (average) at County, State level is calculated as the mean (average) of Occupancy rates for individual facilities in the given geography.

14 Facility Name Resident Licensed Months Average Total Licensed Occupancy billable beds facility days/ days bed days rate days open in month facility in open New Castle County Arden Courts 14, , % Cokesbury Village 13, , % Eden Rock 6, , % Forwood Manor 11, , % Foulk Manor North 13, , % Foulk Manor South 8, , % Ingleside Assisted Living 17, , % Luther Towers I 2, , % Luther Towers II 5, , % Methodist Country House 11, , % Millcroft 9, , % Rockland Place 27, , % Shipley Manor 4, , % Somerford House 20, , % Somerford Place 18, , % Sunrise of Wilmington 24, , The Gardens at White Chapel 42, , % The Lorelton 21, , % Windsor Place 20, , % New Castle County Total 295,406 n/a n/a n/a n/a 408,297 n/a NCC Occupancy rate (overall) 72.4% NCC Occupancy rate (average) 71.4%

15 Kent County Delaware Veterans Home , % Green Meadows at Dover 28, , % Heritage at Dover 27, , % State Street Assisted Living 31, , % Westminster Village 21, , % Kent County Total 108,801 n/a n/a n/a n/a 140,723 Kent Occupancy rate (overall) 77.3% Kent Occupancy rate (average) 65.3% Facility Name Resident Licensed Months Average Total Licensed Occupancy billable days beds facility open in days/ month days facility open bed days in rate Sussex County Brandywine Assisted Living 32, , % Cadbury at Lewes 11, , Heritage at Milford 25, , % Methodist Manor House 18, , % Peach Tree Acres 7, , % Seaford Center 4, , % Stockley Center 4, , % Sussex County Total 103,938 n/a n/a n/a n/a 131,049 n/a Sussex Occupancy rate (overall) 79.3% Sussex Occupancy rate (average) 80. Total Statewide 508,145 n/a n/a n/a n/a 680,070 n/a DE Occupancy rate (overall) 74.7% DE Occupancy rate (average) 72.4%

16 Facility Name Resident Licensed Months Average Total Licensed Occupancy billable beds facility days/ days bed days rate days open in month facility in open New Castle County Gilpin Hall 4, , % Jeanne Jugan Residence 9, , % Masonic Home of DE 9, , % New Castle County Total 23,257 n/a n/a n/a n/a 35,044 n/a NCC O ccupancy rate (overall) 66.4% NCC Occupancy rate (average) 72.3% Kent County Kent County Total n/a n/a n/a n/a n/a n/a n/a Kent Occupancy rate (overall) n/a Kent Occupancy rate (average) n/a Sussex County Sussex County Total n/a n/a n/a n/a n/a n/a n/a Sussex Occupancy rate (overall) n/a Sussex Occupancy rate (average) n/a Total Statewide 23,257 n/a n/a n/a n/a 35,044 n/a DE Occupancy rate (overall) 66.4% DE Occupancy rate (average) 72.3%

17 Assisted Living Residents by Source of payment and County 10 8 Percent 6 NCC Kent Sussex Statewide Medicaid 8% 13% Self Pay 92% 79% 78% 86% 2% 1%

18 Delaware Assisted Living Move-ins by Prior Residency Type 10 8 Percent 6 Private Home Acute Care Hospital Nursing Home AL facility New Castle 51% 5% 25% 13% 6% Kent 65% 1% 24% 9% 2% Sussex 69% 5% 18% 4% 4% Statewide 57% 4% 23% 1 5%

19 Delaware Rest Residential Move-ins by Prior Residency Type 10 8 Percent 6 Private Home Acute Care Hospital Nursing Home AL facility Move-ins 55% 19% 21% 4%

20 Delaware Assisted Living Move-ins by Gender 10 8 Percent 6 New Castle Kent Sussex Delaware Male 36% 24% 32% 33% Female 64% 76% 68% 67%

21 Delaware Rest Residential Move-ins by Gender 10 8 Percent 6 Male Female Gender 23% 77%

22 Assisted Living Move ins by Gender, Age, and Race 10 8 Percent 6 White Black White Black White Black White Black Under Under Under Male 1% 6% 31% 2% 56% 2% Female 6% 1 1% 34% 47% 1%

23 Rest Residential Move-ins by Gender, Age, and Race 10 8 Percent 6 White Under 65 Black Under 65 Under 65 White Black White Black White 85+ Black Male 9% 91% Female 3% 14% 19% 3% 61%

24 Move outs by Gender 10 8 Percent 6 New Castle Kent Sussex Delaware Male 37% 28% 3 34% Female 63% 72% 7 66%

25 Move outs by County 10 8 Percent 6 Male Female Gender 35% 65%

26 Assisted Living Resident Move-outs 10 8 Percent 6 Private Home Acute Care Hospital Nursing Home AL Facility Death New Castle 18% 2% 31% 12% 31% 7% Kent 21% 3% 48% 6% 22% 1% Sussex 26% 4% 31% 8% 28% 3% Delaware 3% 34% 1 29% 5%

27 Delaware Rest Residential Move-outs by Destination 10 8 Percent 6 Private Home Acute Care Hospital Nursing Home Assisted Living Death Destination 14% 29% 45% 2% 6% 4%