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
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.
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 1998 27 2,533 6 615 12 1,211 45 4,359 4 816 49 5,175 1999 26 2,425 6 615 11 1,213 44 4,259 4 816 47 5,069 2000 26 2,435 6 566 11 1,213 43 4,214 4 655 47 4,869 2001 26 2,421 6 544 10 1,199 42 4,164 4 655 47 4,869 2002 26 2,425 5 530 10 1,161 41 4,116 4 655 45 4,771 2003 26 2,427 5 530 10 1,144 41 4,101 4 655 45 4,756 2004 26 2,400 5 521 10 1,133 41 4,054 4 653 45 4,707 2005 27 2,516 5 521 10 1,133 42 4,170 4 652 46 4,822 2006 26 2,427 5 530 10 1,144 41 4,101 4 655 45 4,756 2007 27 2,523 6 642 10 1,143 43 4,308 4 626 47 4,934 2008 26 2,498 6 642 12 1,323 44 4,463 4 626 48 5,089 26 2,519 6 642 11 1,234 43 4,395 4 626 47 5,021 1999- % Change 3.9% 4.4% 1.7% 3.2% -23.3% -0.9%
Number of Patient Days Utilized By Facility Type, and County 2008-1,800,000 1,600,000 1,400,000 1,200,000 1,000,000 800,000 2008 600,000 400,000 200,000 0 NCC Kent Sussex All Private Public All Facilities 2008 833,344 208,235 387,715 1,429,294 143,640 1,572,934 824,262 219,019 404,234 1,447,515 137,584 1,585,099
Percent of Nursing Home Bed Occupancy 2008- 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. 100 90 80 70 60 50 40 2008 30 20 10 0 NCC Kent Sussex All Private Public All Facilities 2008 91.4 88.9 80.3 87.7 62.9 84.7 89.6 93.5 89.7 90.2 60.2 86.5
Total Number of Admissions and Facility Type and County 2008-12,000 10,000 8,000 6,000 2008 4,000 2,000 0 NCC Kent Sussex All Private Public All Facilities 2008 5,835 1066 3,242 10,143 126 10,269 5,928 1164 3,088 10,180 90 10,270
Percent of Admissions by Race and Age 35% 3 25% 15% White Black Total Admissions 1 5% Under 65 65-74 75-84 85+ White 11% 17% 37% 35% Black 27% 26% 27% 19% 32% 31% 24% 13% Total Admissions 14% 19% 35% 32%
Total Number of Discharges and Facility Type and County 2008-12,000 10,000 8,000 6,000 2008 4,000 2,000 0 NCC Kent Sussex All Private Public All Facilities 2008 5,706 934 3,152 9,792 127 9,919 5,659 1,114 3,129 9,902 104 10,006
Percent of Discharges by Race and Age 35% 3 25% 15% White Black Total Discharges 1 5% Under 65 65-74 75-84 85+ White 1 17% 35% 38% Black 25% 25% 29% 21% 29% 24% 34% 14% Total Discharges 13% 18% 34% 35%
Percent of Discharges by Destination 6 5 3 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%
Percent of Source of Payment by Facility Type 8 7 6 5 3 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%
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
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.
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 14,818 56 12 30.42 365 20,442 72.5% Cokesbury Village 13,931 49 12 30.42 365 17,887 77.9% Eden Rock 6,330 28 12 30.42 365 10,221 61.9% Forwood Manor 11,706 37 12 30.42 365 13,506 86.7% Foulk Manor North 13,222 44 12 30.42 365 16,062 82.3% Foulk Manor South 8,401 51 12 30.42 365 18,617 45.1% Ingleside Assisted Living 17,125 60 12 30.42 365 21,902 78.2% Luther Towers I 2,291 54 11 30.42 335 18,069 12.7% Luther Towers II 5,335 62 12 30.42 365 22,632 23.6% Methodist Country House 11,501 40 12 30.42 365 14,602 78.8% Millcroft 9,125 36 12 30.42 365 13,141 69.4% Rockland Place 27,895 93 12 30.42 365 33,949 82.2% Shipley Manor 4,974 15 12 30.42 365 5,476 90.8% Somerford House 20,407 72 12 30.42 365 26,283 77.6% Somerford Place 18,476 52 12 30.42 365 18,982 97.3% Sunrise of Wilmington 24,964 90 12 30.42 365 32,854 76. The Gardens at White Chapel 42,370 132 12 30.42 365 48,185 87.9% The Lorelton 21,723 86 12 30.42 365 31,393 69.2% Windsor Place 20,812 66 12 30.42 365 24,093 86.4% 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%
Kent County Delaware Veterans Home 236 30 5 30.42 152 4,563 5.2% Green Meadows at Dover 28,075 96 12 30.42 365 35,044 80.1% Heritage at Dover 27,102 80 12 30.42 365 29,203 92.8% State Street Assisted Living 31,794 98 12 30.42 365 35,774 88.9% Westminster Village 21,594 99 12 30.42 365 36,139 59.8% 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 32,294 105 12 30.42 365 38,329 84.3% Cadbury at Lewes 11,173 45 12 30.42 365 16,427 68. Heritage at Milford 25,157 80 12 30.42 365 29,203 86.1% Methodist Manor House 18,656 75 12 30.42 365 27,378 68.1% Peach Tree Acres 7,110 20 12 30.42 365 7,301 97.4% Seaford Center 4,774 19 12 30.42 365 6,936 68.8% Stockley Center 4,774 15 12 30.42 365 5,476 87.2% 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%
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 4,640 18 12 30.42 365 6,571 70.6% Jeanne Jugan Residence 9,172 26 12 30.42 365 9,491 96.6% Masonic Home of DE 9,445 52 12 30.42 365 18,982 49.8% 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%
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%
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%
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%
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%
Delaware Rest Residential Move-ins by Gender 10 8 Percent 6 Male Female Gender 23% 77%
Assisted Living Move ins by Gender, Age, and Race 10 8 Percent 6 White Black White Black White Black White Black Under Under Under 65-74 65-74 65-74 75-84 75-84 75-84 85+ 85+ 85+ Male 1% 6% 31% 2% 56% 2% Female 6% 1 1% 34% 47% 1%
Rest Residential Move-ins by Gender, Age, and Race 10 8 Percent 6 White Under 65 Black Under 65 Under 65 White 65-74 Black 65-74 65-74 White 75-84 Black 75-84 75-84 White 85+ Black 85+ 85+ Male 9% 91% Female 3% 14% 19% 3% 61%
Move outs by Gender 10 8 Percent 6 New Castle Kent Sussex Delaware Male 37% 28% 3 34% Female 63% 72% 7 66%
Move outs by County 10 8 Percent 6 Male Female Gender 35% 65%
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%
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%