document resume title a survey of nursing … resume ed 065 798 cg 007 330 title a survey of nursing...

DOCUMENT RESUME

ED 065 798 CG 007 330

TITLE A Survey of Nursing Home Staffing Patterns andGeneral Needs in the State of Maine.

INSTITUTION Maine's Regional Medical Program Research andEvaluation Service, Augusta.

PUB DATE Oct 70NOTE 256p.

EDRS PRICE MF-$0.65 HC-$9.87DESCRIPTORS *Health Facilities; Health Personnel; *Health

Services; *Medical Services; Medical Treatment;Nurses; *Nursing; *Nursing Homes; Personal CareHomes

ABSTRACTA study of nursing homes in Maine was conducted by

student researchers during the summer, 1970, under Maine's RegionalMedical Program (MRMP). The survey, focusing on staffing patterns andgeneral needs in nursing homes in Maine, was conducted in order todetermine ways in which MRMP might assist the nursing homes and theMaine Department of Health and Welfare in their efforts to providethe best possible patient care. The tabulation of the data which wascollected forms the basis of the report. It was found that for themost part nursing homes are understaffed, particularly in regard totrained nurses. Recommendations are made such as: the standardizationof state and federal requirements; a revision of medicare towardgreater responsiveness to patient's needs; and a greater availabilityof occupation, physical, speech, and psychological therapists tonursing homes. {Author/WS)

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A SURVEY OF NURSING HOME

LIJSTAFFING PATTERNS AND GENERAL

NEEDS IN THE STATE OF MAINE

LI.S. DEPABIMENTOF HEALTH.

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COMPILED BY:

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295 WATER STREET

AUGUSTA, MAINE

OCTOBER 1970

TABLE OF CONTENTS

CHAPTER PAGE

I. INTRODUCTION 1

II. DEFINITION 1

III. PROCEDURE AND SAMPLE 1

IV. QUESTIONAIRE 2

V. DATA PRESENTATION 2

General Findings 2

Education 4

Emergency Transportation 6

Home Health Services 6

Physician Relationship with Nursing Homes 6

Hospital-Nursing Home Relationship 7

VI. RESPONSE TO QUESTION, "DO YOU HAVE ANY ADDITIONAL

PROBLEMS IN OPERATING THIS NURSING HOME WHICH WE

MIGHT B&ABLE TO HELP YOU WITH'?" 7

VII. MAJOR CHANGES ANTICIPATED BY NURSING HOMES 8

VIZI. CONCLUSIONS OF INTERVIEWERS 9

IX. TABLES 11

X. CROSS TABULATIONS 97

XI. OUTLINE OF SURVEY QUESTIONS USED 252

This survey and the contents of this document are in no way the

responsibility of the Public Health Service.

I. INTRODUCTION

A study of the nursing homes of Maine was conducted by Maine's

Regional Medical Program during the summer of 1970 in order to determine

ways in which MRMP might assist the nursing homes and the Maine Department

of Health and Welfare in their efforts to provide the best possible patient

care. The tabulation of the data collected will form the basis for this

report.

II. DEFINITION

The State of Maine Department of Health and Welfare defines a

nursing home as "an establishment in which treatment or nursing service

is given to persons ill with chronic disease, who are crippled or infirm,

or may be convalescing from an illness or from surgery."

III. PROCEDURE AND SAMPLE

The administrators or head nurses of 131 nursing homes of Maine

were interviewed via questionnaire between June 15 and August 10, 1970.

This study was part of the Summer Research Program of Maine's Regional

Medical Program,and five Maine college students conducted the fieldwork

under the supervision of MRMP staff. Those interviewed were assured that

their responses would be kept confidential. The nursing homes had been

apprised of the study and their cooperation was solicited by letter,

early in June. The interviewers contacted the homes by phone to arrange

appointments when practical. The majority of the home owners were most

cooperative; only six refused to be interviewed, and one gave incomplete

information.

A sixth college student developed the computer program and supervised

the coding and computer processing of the data. The final tables were

produced by the end of August.

We wish to express our thanks to M. James Gerrie, Jr., Kurt Gregory,

Chris Hastedt, Jane Kinder, David LaVallee and Ann Nagel for their

assistance in the collection of the data, and to the nursing homes for

their cooperation.

IV. QUESTIONNAIRE

The questionnaire was developed by MRMP staff with the suggestions

of other interested parties.

The purpose of the questionnaire was to obtain the following

information; ways in which nursing home personnel are trained and the

resources available for continuing education; the transportation

services available to and needed by nursing homes; the connections and

interactions of the nursing homes with the hospitals and physicians of

their areas; and the availability of community home health services in

the respective areas. Finally, two general, open-end questions were

asked: "Do you have any additional problems in operating this nursing

home which we might be able to help you with?", and %That do you antici-

pate in the way of major changes in our methods of caring for elderly

people in this country in the next twenty years?"

In addition to the 46 formal questions, the interviewers were asked

to record their subjective evaluations based on their impressions after

a guided tour of each home.

V. DATA PRESENTATION

General Findings

The majority of those people interviewed were administrators OM

4

21% were the owners of the homes, were head nurses and four per cent

were "other" personnel.

Over one-half of the nursing homes in the state have between 11 and

30 beds (53%), 11% have ten or fewer, 18% have 31 to 50, 17% have 51 to

100, and 2% (two nursing homes) have more than 100 beds.

Tables 3 through 58 have to do with nursing home personnel: the

number of RN's, LPN's, aides, physical therapists, recreation and social

directors, dieticians, in-service educators, phychiatrists arid physicians

employed.

28% have no full-time RN's; 40% have one; 11% have two;. 10% have

three; 2, 3, and 4% have four; five and six RN's respectively; and 2%

(two nursing homes) have seven. The cross tabulations (Crosstab 101ble

1) show that all of those with no full-time RN have less than 50 beds,

and most of them (34 homes out of 37) have fewer than 30 beds. The two

homes with seven RN's each have between 51 and 100 beds.

38% of those queried have no full-time LPN's, 76% have no part-time

LPN's, and 98% have no LPN ccnsultants.

Ten of the 131 homes have full-time physical therapists, 14 have

part-time PT's, and 30 have PT consultants as needed.

Eight have full-time occupational therapists, ten have part-time OT's,

and four have OT consultants as needed.

Twenty-four have full-time recreation and social directors, 56

out of 131 have part-time recreation and social directors, and two have

recreation and social director consultants.

Seventeen homes have full-time dieticians, nineteen have part-time

dieticians, and 38 have dietician consultants.

One home has two full-time psychiatrists, one has one part-time

and five have psychiatric consultants.

Ten homes have full-time physicians, nine have part-time physicians,

and sixty of the 131 homes have physician consultants.

Fifty-six per cent answered "yes" when asked if they have any trouble

hiring personnel because of shortage. RN's seem to be scarcest with 42

homes having trouble finding them.

Only 6% and 8% have trouble hiring physical therapists and occupa-

tional therapists because of shortage. In other words, if they haven't

hired them, it is not because there is a shortage. The same applies to

the hiring of dieticians, psychiatrists and physicians.

Education

Nine of the 131 homes have full-time directors of in-service education

on their staffs, 54 have part-time directors, and one has an education

consultant one day per month. Of the nine homes with full-time directors

of education, four have between 11 and 30 beds, four have between 31 and

50 beds and one has 51-100 beds. The homes with part-time directors of

education have between 11 and 100+ beds. Only two said they have trouble

hiring directors of in-service education because of shortage.

Sixty-three per cent of the homes have in-service education programs.

Of the 83 homes which have programs, 81 include their aides in their

programs, 63 include their LPN's and 61 include their RN's. Physical

therapists and occupational therapists are included in 15 and 7 homes

respectively.

Sixty-six homes (50%) said "yes" when asked if they would like a

representative from MRMP to visit and assist in developing an in-service

education program.

One hundred and eleven homes said members of their staff attend the

educational programs conducted by the State Department of Health and

Welfare. Twelve of the 20 who said "no", said they cannot spare the

6

time or personnel.

Thirty-eight per cent (fifty homes) would attend out-of-state

meetings to learn new practices in caring for nursing home patients.

Sixty-two of the 81 who said "no" listed "cannot spare time or personnel"

as the reason.

Ninety-six homes said that patient treatment order plans are developed

and reviewed as part of educational sesaions for the staff.

Fifty-seven homes said they have utilization review procedures, and

thirty-five of these use the results of these reviews for educational

purposes with the entire staff.

Eighty-four homes have procedure manuals for each category of personnel

on their staffs; one hundred and four homes feel that procedure manuals

can be helpful in orienting the new employee to the standard practices

of the nursing homes.

Tables 95 through 106 give information regarding fonmal training of

nursing home personnel.

Sixty-four percent of the homes reported that they would send one

of their nurses to a training course to become a geriatric care specialist

if such a course were available at the nearest regional medical center.

Seventy per cent said they would employ a person trained as an occupational

or physical therapy aide, or would send a staff member to a special

training course to become such an aide if the course were available at

little cost.

Only six per cent reported that the hospital maintains contact with

the patients they refer to the nursing homes in order to assure continuity

of care.

Twenty-seven nursing homes said that hospitals have offered to share

personnel, they accepted, and the arrangement was successful.

Emergency Transportation

Only two of 131 have diffiaulty arranging transportation for patients

from the nursing home to the hospital in emergencies; seigh have

difficulty in non-emergencies.

Ninety-seven percent think that the local hospital and its staff

are well equipped to handle medical emergencies which occur at the

nursing home.

Home Health Services

Eighty of the homes say there is a home health service agency in

their area.

Most of the homes do not notify the community home health service

agency when a patient leaves the nursing home.

Ninety-five homes answered "yes" when asked if they would utilize

consultant services if they were provided by a local non-profit community

health service.

Twenty-eight said they do feel that some of their patients might be

able to live at home and be cared for by a home health care service.

PhysicianRelationship with Nursing Homes

Most nursing home patients are tended by private physicians. Only

six of the 131 homes are cared for by staff physicians.

Seventeen per cent of the homes reported that they have had difficulty

securing the services of a physician in an emergency.

Forty-eight of the homes reported that their patients are examined

by a physician monthly, thirty-one, every two months.

Twenty-one per cent feel that the physicians and dentists in the

area could be more cooperative in helping with the care of the patients.

Fifty-nine per cent reported that the physician never participates

in nuraing home staff conferences. 12% always do, 28% sometimes do.

Thirty-three per cent answered "yes" when asked if they felt that a

physician's assistant, specially trained and licensed by the State to

provide most of the non-emergency care for nursing home patients, would

be able to provide better care for their patients than they presently get.

Hospital-Nursing Home Relationship

Tables 119 through 129 deal with the interactions between the nursing

homes and their local hospitals. All but two of the 131 homes reported

that they get patient referrals from nearby ho spitals . Seventy- four

per cent said they are never Invited to participate in the discharge

planning of these patients at the hospital.

Seventy-two per cent said they receive patient record abstracts

from the hospitals that refer the patients.

All but two have a nearby hospital which provides laboratory

diagnostic or therapeutic services. Eighty-five percent of these hospitals

are within ten miles.

VI. RESPONSES TO THE QUESTION, "DO YOU HAVE ANY ADDITIONAL PROBLEMS

IN OPERATING THIS WRSING HOME WHICH WE MIGHT BE ABLE TO HELP YOU WITH?"

The most frequently mentioned problems were the need for trained

personnel, for therapists of all kinds, and for assistance in in-service

education. Geriatric training for all personnel is needed. Several

specifically requested regional education courses. Others requested

that educational materials for staff be distributed. Nutritional

information for diet planning is needed. One home suggested that

surplus foods be distributed to nursing homes. Another suggested that

more male LPN's be trained because of the need for much lifting.

Another recommended that therapists be trained to work in small teams.

The lack of transportation to doctors' offices and clinics was a

9

8

frequently mentioned problem. One administrator suggested that a

minibus be operated by community health agencies. Transportation is

also needed once the patient goes home, for grocery shopping, doctors'

visits, etc.

Several mentioned financial problems. Low-cost loans for con-

struction to comply with state and federal requirements would be most

welcome.

The lack of cooperation among nursing homes, hospitals, physicians,

and the community was cited. Nursing homes should be included in

community health planning for total patient care. One administrator

recommended that a coordinating nurse develop cooperation between

facilities.

Nursing home patients badly need recreational activities. Vol-

unteers might be organized to answer this need. One interviewee sug-

gested that patient visits to their own homes be arranged.

Other problems mentioned were lack of information on state pro-

grams available to state-assisted patients, problems with Medicare

regulations (too much paperwork) and lack of physical examinations

for personnel.

VII. MAJOR CHANGES ANTICIPATED BY NURSING HOMES

1. More nursing homes will be needed -- more boarding homes

for the elderly and larger, one-story modern facilities with better

concentration of personnel.

2. More emphasis will be placed on rehabilitation, occupational

therapy and physical therapy.

3. Smaller homes will not be able to compete with the larger,

newer homes.

9

14. There will be a transition from "homey" atmosphere to a more

institutionalized atmosphere.

VIII. CONCLUSI9NS OF INTERVIEWERS

1. There seem to be two opposing philosophies of caring for

geriatric patients: one being that the patient should be kept as active

as possible, and the other being that, if the patient is happiest lying

in bed then he should be allowed to do so. The latter seem to feel that

only food and clean bedding are necessary for the maintenance of proper

health. Perhaps updated educational programs on geriatric care would

help.

2. The spirit of any nursing home seems to be directly related

to the philosophy of the administrator and is not necessarily related

to the appearance and physical plant of the home.

3. There seems to be a lack of communication and cooperation

amo n g nursing homes.

Lt. Nursing homes have trouble hiring trained personnel.

5. There is a need for refresher courses to be made available

to personnel, perhaps on a regional basis. Also initial professional

training for aides would be helpful.

6. Overcrowding seems to occur more frequently in the older

homes than in the newer homes.

7. Most homes felt that their relationships with nearby hospitals

were satisfactory, but were enthusiastic about the idea of increased

interaction.

8. When asked whether homes would participate in new programs

such as regional in-service education and home health care, cost seemed

to be the most important consideration.

9. Most of the homes seemed to consider themselves to be terminal

units. Therefore, they had little knowledge of home health care services

and felt that they had little need for occupational and physical therapists.

10. Nursing home owners do not seem to have sufficient input into

decisions and actions of the Department of Health and Welfare. Some

feel that they have little recourse with the Department.

11. Low interest loans would be of great help to those homes

trying to meet Department of Health and Welfare regulations.

12. Eye, ear and foot care for nursing home patients is a problem.

13. The homes need help in diet planning.

14. The cost of ambulance service is prohibitive.

15. Small homes will soon be unable to compete financially with

larger homes.

16. Occupational, physical, speech and psychological therapists

should be made available to nursing homes..

17. Medicare should be revised so it will be more responsive to

the needs of the patients.

18. State and federal requirements should be standardized.

TABLE 1

PERSON INTERVIEWED

N = 131

11

Person Interviewed Frequency Percent

Administrator 75 57.25

Owner 28 21.37

Head Nurse 23 17.55

Other 5 3.81

TOTALS 131 100 . 00

TABLE 2

NUMBER OF BEDS

N = 131

Number of Beds Frequency Percent

10 or less 14. 10 . 68

11 to 30 69 52 . 67

31 to 50 24 18 .3 2

51 to 100 22 16.79

More than 100 2 1.52

TOTALS 131 100 . 00

TABLE 3

NUMBER OF FULL-TIME RN' s

N = 131

12

# of Full-Time RN' s Frequency Percent

None 37 28.24

1 53 40.45

2 14 10.68

3 .13 9.92

4 3 2.29

5 4- 3.05

6 5 3.81

7 2 1.52TOTALS 131 100.00

TABLE 14

NUMBER OF PART-TIME RN' S

N = 131

TFOT Part..time RN' s Frequency Percent

None 83 63.35

1 24 18.32

2 10 7.63

3 7 5.34

4 3 2.29

5 0 0.00

6 3 2.29

7-TOTALS

1 .76131 100.00

4

TABLE 5

NUMBER OF RN CONSULTANTS

N = 131

13

# of RNConsultants Frequency Percent

None 127 96.94

1 4 3.05

TOTALS 131 100.00

TABLE 6

RN CONSULTANTS, DAYS PER MONTH

N = 131

Days Per Month Frequency Percent

None 127 96.94

1 1 .76

2 1 .76

As Needed 2 1.52

TOTALS 131 100.00

TABLE 7

NUMBER OF FULL- TIME LPN/ s

N = 13 1

# Full- Time

LPN' s Frequency Percent

None 50 38. 1 6

1 38 29. 0 0

2 13 9. 92

3 16 12.21

4 7 5.34

5 El- 3.05

6 0 O. 00

7 0 O. 00

8 0 0.00

9 3 2.29

TOTALS 1 131 100. 0 0

TABLE 8

NUMBER OF PART- TIME LPN' s

N = 13 1

# of Part-time LPN' s Frequency Percent

None3

100 76.3 3

1 19 14. 50

2 7 5.34

3 3 2.2 9

It 2 1. 52

TOTALS 131 100. 0 0

TABLE 9

NUMBER OF LPN CONSULTANTS

N = 131

15

# of LPNConsultants Frequency 'Percent

None 129 98.47

1 1 .76

2 0 0.00

3 1 .76

TOTALS 131 100.00

TABLE 10

LPN CONSULTANTS, DAYS PER MONTH

N = 130*

Days Per Month Frequency N Percent *N Percent

None 128 98.46 97.70

1 0 0.00 0.00

2 0 0.00 0.00

3 0 0.00 0.00

4 0 0.00 0.00

5 1 .76 .76

Other 1 0.00 .76

As Needed 1 .76 .76

TOTALS 131 100.00 100.00

*N = Total N plus Blank and Other = 131

16

TABLE n

NUMBER OF FULL-T1ME AIDES

N = 130*

if of Full-Time Aids Frequency N Percent *N Percent

None 5 3.814 3.81

1-2 6 4.61 14.58

3-5 22 16.92 16.79

6-8 29 22.30 22.13

9-11 211 18.146 18.32

12-15 19 111.61 114.50

16-20 10 7.69 7.63

21-3 0 llt 8.46 8.39

31-140 3 2.3 0 2.29

41-50 0 0.00 0.00

51-60 0 0.00 0.00

61-80 0 0.00 0.00

81-99 0 0.00 0.00

Over 100 1 .7 6 .76

Other 1 0.00 .76

TOTALS 131 100.00 100.00

*N (Total N plus Blank and Other) = 131

17TABLE 12

NUMBER OF PART-TIME AIDES

N = 129*

# of Part-Time Aids Frequency N Percent *N Percent

None 30 23.25 22 . 90

1-2 38 29.45 29.00

3-5 42 32.55 32.06

6-8 11 8.52 8.39

9-11 4 3.10 3.05

12-15 2 1.55 1.52

16-20 1 .77 .76

21-30 0 0.00 0.00

31-40 0 0.00 0.00

41-50 0 0.00 0.00

51-60 0 0.00 0.00

61-80 0 0.00 O. 00

81-99 1 .77 .76

Other 2 0.00 1.52

TOTALS 131 100.00 100.00

*N (Total N Plus Blank and Other) 131

18TABLE 13

NUMBER OF ALE CONSULTANTS

N = 131

# of AidConsultants Fr equency Percent

None 12 9 98 . 47

1 1 .76

2 0 0.00

3 0 0.00

4 1 .76

TOTALS 131 100.00

TABLE 14

AIDE CONSULTANTS, DAYS PER MONTH

N = 131

Days per Month Frequency Percent

None

As Needed

129 98.47

2 1.52

TOTALS 131 100.00

F-cir Full-Time

19TABLE 15

NUMBER OF FULL-TIME PHYSICAL THERAPISTS

N = 131

Physical Therapists

None

1

2

Frevency Percent

121

8

2

92.36

6.10

1.52

TOTALS 131 100.00

TABLE 16

NUMBER OF PART-TL1E PHYSICAL THERAPISTS

N = 3.31

of Part-timePhysical Therapists Frequency Percent

None

1

2

3

117

13

0

89.31

9.92

0.00

1 .76

TOTALS 131 100.00

TABLE 17

NUMBER OF PHYSICAL THERAPIST CONSULTANTS

N = 131

# of P.T.Consultants

None

1TOTALS

Frequency

101

30131

Percent

77.09

22.90100.00

94

20TABLE 18

PHYSICAL THERAPIST CONSULTANTS, DAYS PER MONTH

N = 128*

Days Per Month Frequency N Percent *N Percent .

None 101 78.90 77 . 09

3 2.34 2.29

2 4 3.12 3.05

3 0 0.00 O. 00

4 4 3.12 3.05

5 0 0.00 O. 00

6 0 0.00 O. 00

7 0 0.00 0.00

8 3 2.34 2.29

As Needed 13 10.15 9. 92

Other 3 0.00 2.29

TOTALS 131 100.00 100.00

*N (Total N Plus Blank and Other) = 131

TABLE 19

NUMBER OF FULL-TIME OCCUPATIONAL THERAPISTS

N = 131

# of RM. 7-TimeOccupational Therapists Freguemy

None 123

1 8

21

Percent

93.89

6.10

TOTALS 131 100.00

TABLE 20

NUMBER OF PART-TIME OCCUPATIONAL THERAPISTS

N = 131

# of Part-TimeOccupational Therapi st s FreQuency Percent

None 121 92.36

1 9 6.87

2 1 .76

TOTALS 131 100.00

TABLE 21

NUMBER OF OCCUPATIONAL THERAPIST CONSULTANTS

N = 131

# of 0.T.Consultants Fre uenc

127

131

None

1

TOTALS

Percent

96.94

3.05

100.00

22TABLE 22

OCCUPATIONAL THERAPIST CONSULTANTS , DAYS PER MONTH

N = 131

Days Per Month Frequency Percent

None 127 96 .

1 1 .7 6

2 0 0.00

3 0 0.00

As Needed

1 . 7 6

2 1. 52

TOTALS 131 100. 00

TABLE 23

NUMBER OF FULL-TIME RECREATION & SOCIAL DIRECTORS

N = 131

41: of Full-TimeRea. & Soc. Directors Frequency Percent

None

1

2

107 81. 67

23 17.55

1 . 7 6

TOTALS 131 100 . 00

23TABLE 21-I-

NUMBER OF PART-TIME RECREATION & SOCIAL DIRECTORS

N = 131

if Part-TimeRec. & Soc, Directors Frequency Percent

None

1

2

75

52

3

57.25

39.69

2.29

3 1 .76

TOTALS 131 100.00

TABLE 25

NUMBER OF RECREATION & SOCIAL DIRECTOR CONSULTANTS

N = 131

of Rec. & Soc.Director Consultants Frequency Percent

None 129 98.11.7

1 2 1.52

TnTAL3 131 100.00

-X Z)

a., $.117 >, 011.71.,.-

24

TABLE 26

RECREATION & SOCIAL DIRECTOR CONSULTANTS , DAYS PER MONTH

N = 130*

Days Per Month Frequency N Percent *N Pere ent

None

As Needed

Other

129

1

1

99.23

.76

98 . 47

.76

.76

TO n 131 100. 00 100. 00

*N ;Total N Plus Blank and Other) = 131

TABLE 27

NUMBER OF FULL- TIME DIETICIANS

N = 131

.4ns Fr eauency Percent

None 114 87 . 02

1 17 12. 97

TO7'J'JJf 131 100. 00

25

TABLE 28

NUMBER OF PART-TIME DIETICIANS

N = 131

4 of Part-TimeDieticians Frequency

None

1

TOTALS

112

19

131

Percent

85.49

14.50

100.00

TABLE 29

NUMBER OF DIETICIAN CONSULTANTS

N = 131

# of DieticianConsultants

None

1

Frequency Percent

93 70.99

38 29.00

TOTALS 131 100.00

OA. wit

26

TABLE 30

DIETICIAN CONSULTANTS, DAYS PER MONTH

N = 130*


None 93 71.53 70.99

Daily 1 .76 .76

One 10 7.69 7.63

Two 6 4.61 4.58

Three 0 0.00 0.00

Four 2 1.53 1.52

Five 0 0.00 0.00

Six 0 0.00 0.00

Seven 0 0.00 0.00

Eight 1 .76 .76

As Needed 17 13.07 12.97

Other 1 0.00 .76

TOTALS 131 100.00 100.00


,rk.E3

27

TABLE 31

NUMBER OF FULL-TINM IN-SERVICE EDUCATORS

N = 131

# of Full-TimeIn-Service Educators Frequency Percent

None 122 93.12

One 9 6.87

TOTALS 131 100.00

TABLE 32

NUMBER OF PART-TIME IN-SERVICE EDUCATORS

N = 131

of Part-TimeIn-Service Educators Frequency Percent

None

1

2

77

52

2

58.77

39.69

1.52

TOTALS 131 100.00

28

TABLE 33

NUMBER OF IN-SERVICE EDUCATOR CONSULTANTS

N = 131

# of In-Service EducatorConsultants Frequency Percent

None

1

TOTALS

130 99.23

1 .76

131 100.00

TABLE 34

IN-SERVICE EDUCATOR CONSULTANTS, DAYS PER MONTH

N = 131

Days per month Frequency Percent

None 130 99.23

1 1 .76

TOTALS 131 100.00

29

TABLE 35

NUMBER OF FULL-TIME PSYCHIATRISTS

N = 131

# of Full-TimePsychiatrists Frequency Percent

None

1

2

13 0

0

1

99.23

0.00

.76

TOTALS 131 100.00

TABLE 36

NUMBER OF PART-TINE PSYCHIATRISTS

N = 131

# of Part-timePsychiatrists Frequency Percent

None

1

TOTALS

130 99.23

1 .76

131 100.00

ef

TABLE 37

NUMBER OF PSYCHIATRIC CONSULTANTS

N = 131

30

# of PsychiatricConsultants Frequency Percent

None

1

2

126

1

96.18

3.05

.76

TOTALS 131 100.00

TABLE 38

PSYCHIATRIC CONSULTANTS, DAYS PER MONTH

N = 131

Days per month Frequency Percent

None

1

As Needed

126

1

4

96.18

.76

3.05

TOTALS 131 100.00

TABLE 39

NUMBER OF FULL-TIME PHYSICIANS

N - 131

# of Full-timePhysicians Frequency

None

1

TOTALS

121

10

131

Percent

92.36

7.63

100.00

TABLE 40

NUMBER OF PART-TIME PHYSICLANS

N = 131

31

# of Part-TimePhysicians Frequency Percent

None

1

2

122

6

3

93.12

4.58

2.29

TOTALS 131 100.00

TABLE 41

NUMBER OF PHYSICIAN CONSULTANTS

N = 131

# of Physician Consultants Frequency Percent

None 71 54.19

1 46 35.11

2 7 5.34

3 2 1.52

L. 3 2.29

5 1 .76

6 1 .76

TOTALS 131 100.00

32

TABLE 42

PHYSICIAN CONSULTANTS, DAYS PER MONTH

N = 90*

Days per Month Frequency N Percent *N Percent

None 71 78.88 54.19

Daily 1 1.11 .76

1 2 2.22 1.52

2 7 7.77 5.34

3 2 2.22 1.52

4 3 3.33 2.29

5 0 0.00 0.00

6 0 0.00 0.00

7 0 0.00 0.00

8 2 2.22 1.52

9 2 2.22 1.52

Other 41 0.00 31.29

TOTALS 131 100.00 100.00

*N (lotal N Plus Blank and Other) = 131

.34

33TABLE 43

OTHER FULL-TIME PERSONNEL

N = 131

# of Other Pull-TimePersonnel. Frequency Percent

None 111 84.73

1 12 9.16

2 3 2.29

3 3 2.29

4 1 .76

5 0 0.00

0 0.00

7 0 0.00

8 0 0.00

9 1 .76

TOTALS 131 100.00

.3 5

TABLE 44

OTHER PART-TIME PERSONNEL

N = 131

34,

# of Other Part-Time Personnel Frequency Percent

None 125 95.41

1 3 2.29

2 0 0.00

3 1 .76

4 0 0.00

5 1 .76

6 1 .76

TOTALS 131 100.00

TABLE 45

NUMBER or OTHER CONSULTANTS

N = 131

# of Other Consultants Frequency Percent

None 113 86.25

1 7 5.34

2 U. 3.05

3 3 2.29

4 3 2.29

5 1 .76

TOTALS 131 100.00

TABLE 46

OTHER CONSULTANTS, DAYS PER MONTH

N = 118*

35


None 113 95.76 86.25

1 2 1.69 1.52

2 0 0.00 0.00

3 0 0.00 0.00

4 3 2.54 2.29

Other 13 0.00 9.92

TOTALS 131 100.00 100.00


TABLE 47

TROUBLE HIRING PERSONNEL BECAUSE OF SHORTAGE

N = 131

Frequency Percent

Yes 74 56.48

No 57 43.51

TOTALS 131 100.00

TABLE 148

TROUBLE HIRING R .N. S BECAUSE OF SHORTAGE

N = 131

36

Frequency Percent

Yes 42 32 . 06

No 32 24 . 42

Not Applicable 57 43 .51

TOTALS 131 100 . 00

TABLE 49

TROUBLE HIRING L. P. N. S BECAUSE OF SHORTAGE

N = 131

Yes

No

Not Applicable

Frequency Percent

33 25 .19

41 31. 29

TOTALS

57 43 . 51

131 100 . 00

TABLE 50

TROUBLE HIRING AIDES BECAUSE OF SHORTAGE

N = 131

Frequency Percent

Yes

No

Not Applicable

40

34

57

30.53

25 . 95

43 .51

TOTALS 131 100 .00

TABLE 5137

TROUBLE HIRING PHYSICAL THERAPISTS BECAUSE OF SHORTAGE

N = 131

Frequency Percent

Yes 8 6 .10

No 66 50.3 8

Not Applicable 57 43 . 51

TOTALS 131 100 . 00

TABLE 52

TROUBLE HIRING OCCUPATIONAL THERAPISTS BECAUSE OF SHORTAGE

N = 131

Frequency Percent

Yes 10 7.63

No 64 48 . 85


TOTALS 133. 100 . 00

TABLE 53

TROUBLE HIRING RECREATION & SOCIAL DIRECTORS BECAUSE OF SHORTAGE

N = 131

Frequency Percent

Yes Li- 3 . 05

No 7 0 53 . 43

Not Applicable 57 43. 51

TOTALS 131 100 . 00

TABLE 5438

TROUBLE HIRING DIETICIANS BECAUSE OF SHORTAGE

N = 131

Frequency Percent

Yes 7 5.34

No 67 51.14

Not Applicable 57 43.51

TOTALS 131 le0.00

TABLE 55

TROUBLE HIRING IN-SERVICE EDUCATORS BECAUSE OF SHORTAGE

N = 131

Frequency Percent

Yes 2 1.52

No . 72 54.96


TABLE 56

TROUBLE HIRING PSYCHIATRISTS BECAUSE OF SHORTAGE

N = 131

Frequency Percent

Yes 3 2.29

No 71 54.19


twelrawill3

TOTALS 131 100.00

TABLE 57

TROUBLE HIRING PHYSICIANS BECAUSE OF SHORTAGE

N = 131

39

Frequency Percent

Yes 3 2.29

No 71. 54.19


TOTALS 131 100.00

TABLE 58

TROUBLE HIRING OTHERS BECAUSE OF SHORTNGE

N = 131

Frequency Percent

Yes 8 6.10

' No 66 50.38


TOTALS 131 100.00

;

TABLE 59

HAVE IN-SERVICE EDUCATION PROGRAM

N = 131

Frequency Percent

Yes 83 63.35

No 48 36.6 4

TOTALS 131 100.00

LS. _

."

TABLE 60

R. N. IS INCLUDED IN IN- SERVICE EDUCATION PROGRAM

N = 131

tb

Frequency Percent

Yes 61 46 . 56

No 22 16 . 7 9


TOTALS 131 100 . 00

TABLE 61

L. P. N . S INCLUDED IN IN-SERVICE EDUCATION PROGRAM

N = 131

Frequency Percent

Yes 63 48 . 09

, No 19 14. 50


TOTALS 131 100 . 00

TABLE 62

AIDES INCLUDED IN IN- SERVICE EDUCATION PROGRAM

N = 131

Frequency Pere ent

Yes 81 61 . 83

No 2 1. 52

Not Applicable 48 3 6.611

TOTALS 131 100 . 00

TABLE 63 41

PHYSICAL THERAPISTS INCLUDED IN IN- SERVICE EDUCATION PROGRAM

N = 131

Frequency Percent

Yes 15 11. 45

No 66 50 . 38

Not Applicable 50 38 .16

TOTALS 131 100 . 00

TABLE 64.

OCCUPATIONAL THERAPISTS INCLUDED IN IN- SERVICE EDUCATION PROGRAM

N = 131

Frequency Percent

Yes 7 5.34

No 74 56.48


TOTALS 131 100. 00

TABLE 65

OTHERS INCLUDED IN IN- SERVICE EDUCATION PROGRAM

N = 131

Frequency Percent

Yes 31 23 . 66

No 52 39- 69


TOTALS 131 100.00

43_

TABLE 66

ONE EMPLOYEE RESPONSIBLE FOR STAFF EDUCATIONAL ACTIVITIES

N = 130*

Re sponse Frequency N Percent *N Percent

Ye s

No

Other

No Informat ion

106

23

1.

81.53

17.69

O. 00

.76

80. 91

17. 55

. 76

. 76

TOTALS 131 100.00 100. 00


TABLE 67

FULL TIME EMPLOYEE RESPONSIBLE FOR STAFF EDUCATIONAL

N = 131

ACTIVITIES

Response Frequency Per cent

Yes 17 12 . 97

No 91 69 .146


TOTALS 131 100 . 00

43TABLE 68

RESPONSE TO QUESTION: WOULD YOU LIKE A REPRESENTATIVE FROM MRMP TO

VISIT YOUR FACILITY TO ASSIST IN DEVELOPING AN IN-SERVICE EDUCATION

PROGRAM?

Response

N = 131

Frequency Percent

Yes

No

Don't Know

No Information

66

60

1

50.38

45.80

.76

3 .05

TOTALS 131 100.00

TABLE 69

RESPONSE TO QUESTION: DO YOU OR MEMBERS OF YOUR STAFF ATTEND THE

EDUCATIONAL PROGRAMS CONDUCTED BY THE STATE DEPARTMENT OF HEALTH

AND WELFARE?

Response

N = 131

Frequency Percent

Yes

No

TOTALS

111 84.73

20 15.26

131 100.00

44TABLE 70

REASON FOR NOT ATTENDING

N = 131

Reason Fr equency Percent

Programs not relevantto needs

Too Far Away

Cannot spare the timeor Personnel

Other

First two reasons

First and third

First and fourth

Second and third

Second and fourth

Third and fourth

Not Applicable

2

3

2

0

2

0

2

0

0

112

TOTALS 131

1.52

2.29

6.10

1.52

0.00

1.52

0.00

1.52

0.00

0.00

85.149

100.00

r.:

14-5

TABLE 71

RESPONSE TO QUESTION : WOULD YOU SEND MEMBERS OF YOUR STAFF TO FORMAL

EDUCATIONAL PROGRAMS IN THEIR SPECIALTIES AT PORTLAND?

N = 131

Response Frequency Percent

Yes 46 35.11

No 70 53 . 43


No Information 1 .76

TOTALS 131 100. 00

TABLE 72

RESPONSE TO QUESTION: WOULD YOU SEND MEMBERS OF YOUR STAFF TO FORMAL

EDUCATIONAL PROGRAMS IN THEIR SPECIALTIES AT LEWISTON-AUBURN?

N = 131

Response Fr equency Percent

Yes 63 48 . 09

No 53 40. 45


No Information 1 . 76

TOTALS 131 100. 00

46TA BLE 73


EDUCATIONAL PROGRAMS IN THEIR SPECIALTIES AT WATERVILLE-AUGUSTA?

N = 131


Yes 60 145.80

No 56 42 .74



TOTALS 131 100 .00

TABLE 74


EDUCATIONAL PROGRAMS IN THEIR SPECIALTIES AT BANGOR?

N = 131


Yes

No

Not Applicable

No Information

48

68

14-

1

TOTALS 131

36.64

51.90

10.68

.76

100.00

47TABLE 75


EDUCATIONAL PROGRAMS IN THEIR SPECIALTIES AT CARIBOU-PRESQUE ISLE?

N = 131

Response Frequency PercentVINEwm..,

Yes 13 9.92

No 103 7 8 . 62



TOTALS 131 100 . 00

TABLE 7 6


EDUCATIONAL PROGRAMS IN THEIR SPECIALTIES AT ANY OTHER LOCATION?

N = 131


Ye s

No

Not Applicable

No Information

10 7.63

106 80.91

14 10.68

1 .76

TOTALS 131 100.00

119

48

TABLE 77

WOULD NOT SEND PERSONNEL TO EDUCATIONAL PROGRAMS IN THEIR SPECIALTIES

N = 131

Re sponse Fr equency Percent

Yes 17 12. 97

No 112 85. LI-9

Not Applicable 1 . 7 6

No Information 1 .7 6

TOTALS 131 100. 00

TABLE 78

RESPONSE TO QUESTION: ARE YOU OR MEMBERS OF YOUR STAFF ABLE TO ATTEND

MEETINGS, WHICH ARE HELD OUT OF STATE, TO LEARN OF NEW PRACTICES IN

CARING FOR NURSING HOME PATIENTS?

N = 131


Yes

No

TOTALS

50

81

38.16

61 . 83

131 100.00

49TABLE 79

REASONS WHY NOT ABLE TO ATTEND MEETINGS WHICH ARE HELD OUT OF STATE

TO LEARN OF NEW PRACTICES IN CARING FOR NURSING HOME PATIENTS.

N = 130*

Reasons Frequenoy N Percent *N Percent

Too Expensive 2 1 . 53 1.52

Too Far 1 .76 .76

Caret Spare Time orPersonnel 38 29.23 29.00

No Such ProgramsAvailable 5 3.84 3.81

First & Second Reasons 4 3.07 3.05

First & Third 15 11.53 11.45

First & Fourth 1 .76 .76

Second & Third 8 6.15 6.10

Second & Fourth 1 .76 .76

Third & Fourth 1 .76 .76

Not Applicable 52 140.00 39.69

Three or More gc 1.53 1.52

Other %I. 1 0.00 .76

TOTALS 131 100.00 100.00


50

TABLE 80

RESPONSE TO QUESTION: IS A TREATMENT ORDER HAN DEVELOPED FOR

EACH PATIENT IN THIS NURSING HOME?

N = 131


Yes

No

TOTALS

127 96 . 911

3 .05

133. 100.00

TABLE 83.

RESPONSE TO QUESTION: IF YES ARE THESE PIANS REVIEWED AS PART OF

EDUCATIONAL SESSIONS FOR THE STAFF?

N = 131


Yes 96 7 3.28

No 31 23 .66


TOTALS 131 100 . 00

51

RESPONSE TO QUESTION:

THIS HOME?

TABLE 82

DO YOU HAVE A UTILIZATION REVIEW PROCEDURE IN

N = 130*

Response Frequency N Percent *N Percent

Yes

No

Other

57

73

1

43.84

56.15

0.00

43.51

55.72

.76

TOTALS 131 100. 00 100.00


TABLE 83

IF YES, DOES THE ADMINISTRATOR PARTICIPATE IN THE REVIEW?

N = 131


Yes 42 32 . 06

No 14. 10. 68

Not Applicable 75 57-25

TOTALS 131 100. 00

52TABLE 84

IF YES, DOES THE HEAD NURSE PARTICIPATE IN THE REVIEW?

N = 131


Yes 48

Ho 8

Not Applicable 75

36.64

6.10

57.25

TOTALS 131 100.00

TABLE 85

IF YES, DO R.N.'S AND L.P.N.'S PARTICIPATE IN THE REVIEW?

N = 131


Yes

No

Not Applicable

22 16.79

34 25.95

75 57.25

TOTALS 131 100.00

TABLE 86

IF YES, DO THE AIDES PARTICIPATE IN THE REVIEW?

N = 131

53


Yes 13 9.92

No 43 32.82


TOTALS 131 100.00

TABLE 87

IF YES, DO PHYSICAL THERAPISTS AND OCCUPATIONAL THERAPISTS PARTICIPATE IN

THE REVIEW?N = 131


Yes 4 3.05

No 52 39.69


TOTALS 131 100.00

TABLE 88

IF YES, DOES THE SOCIAL WORKER PARTICIPATE IN THE REVIEW?

N = 131


Yes

No

Not Applicable

5

51

75

3.81

38.93

57.25

TOTALS 131 100.00

TABLE 89

IF YES, DOES THE PHYSICIAN(S) PARTICIPATE IN THE REVIEW?

N = 131

5 4


Yes 21 16.03

No 35 26.71


TOTALS 131 100.00

TABLE 90

IF YES, DOES THE DIETICIAN PARTICIPATE IN THE REVIEW?

N = 131


Yes 1 .76

No 55 41.98


TOTALS 131 100.00

TABLE 91

IF YES, DP OTHER PERSONS PARTICIPATE IN THE REVIEW?

N = 131


Yes 8 6.10

No 48 36.64


TOTALS 131 100.00

TABLE 92 55

RESPONSE TO QUESTION: ARE THE RESULTS OF THE REVIEW USED FOR

EDUCATIONAL PURPOSES WITH THE ENTIRE STAFF?

N = 131


Yes

No

Not Applicable

No Information

35

33

60

3

26.71

25.19

45.80

2.29

TOTALS 131 100.00

TABLE 93

RESPONSE TO QUESTION: DO YOU HAVE PROCEDURE MANUALS FOR EACH CATEGORY

OF PERSONNEL ON YOUR STAFF?

N=131


Yes 84 64.12

No 47 35.87

TOTALS 131 100.00

TABLE 94 56

RESPONSE TO QUESTION: DO YOU FEEL THAT PROCEDURE MANUALS CAN (COULD) BE

VERY HELPFUL IN ORIENTING THE NEW EMPLOYEE TO THE STANDARD

PRACTICES IN YOUR NURSING HOME?

N = 131


Yes 104 79.38

No 26 19.84


TOTALS 131 100.00

TABLE 95

R.N. TRAINING

N = 131

Where Trained Frequency Percent

A. No Information 28

B. Hospital 87

C. Vocational School 0

D. Other Homes 0

E. This Home 0

F. Manpower 0

G. Professional School 4

H. College 1

K. B. & E. 0

Q. Other 0

R. Combination of two above 10

Z. B. & D. & E. 1

21.37

66.41

0.00

0.00

0.00

0.00

3.05

.76

0.00

0.00

7.63

.76

TOTALS 100.00

TABLE 96

L.P.N. TRAINING

N = 131

57


A. No Information 38 29.00

B. Hospital 35 26.71

C. Vocational School 16 12.21

D. Other Homes 0 0.00

E. This Home 5 3.81

F. Manpower 0 0.00

G. Professional School 8 6.10

H. College 1 .76

K. B. & E. 8 6.10

Q. Other 5 3.81

R. Combination of two above 12 9.16

Z. B. & D. & E. 3 2.29

TOTALS 131 100.00

TABLE 97

NURSES AIDES TRAINING

N = 131

58


A. No Information

B. Hospital 16

3.05

12.21

C. Vocational School 1 .76


E. This Home 40 30.53

F. Manpower 0 0.00

G. Professional School 1 .76

H. College 0 0.00

K. B. & E. 16 12.21

Q. Other L. 3.05


Z. B. & D. & E. 22 16.79

TOTALS 131 100.00

Where Trained

TABLE 98

PHYSICAL THERAPISTS AIDES TRAINING

N = 131

59

Frequency Percent


B. Hospital 2 1.52


D. Other Homes 1 .76

E. This Home 7 5.34

F. Manpower 1 .76


H. College 0 0.00

K. B. & E. 2 1.52

Q. Other 1 .76


Z. B. & D. & E. 0 0.00

TOTALS 131 100.00

60

TABLE 99

OCCUPATIONAL THERAPISTS AIDES TRAINING

N = 131


A. No Information 1.21 92.36

B. Hospital 0 0.00



E. This Home 5 3.81

F. Mhnpower 0 0.00


H. College 3 2.29

K. B. & E. 0 0.00

Q. Other 0 0.00


Z. B. & D. & E. 0 0.00

TOTALS 131 100.00

61

TABLE 100

PHYSICAL THERAPISTS TRAINING

N = 131


A. No Ini:omation 106 80.91

B. Hostal 7 5.34

C. Voational School 1 .76


E. This Home 0 0.00

F. Marnower 0 0.00

G. PmEz..2oiona1 School 4. 3.05

H. College 9 6.87

K. IL & E. 0 0.00

Q. Other 0 0.00

R. Combination of two above 4. 3.05

Z. B. & D. & E. 0 0.00

TOTALS 131 100.00

63

62

TABLE 101

OCCUPATIONAL THERAPISTS TRAINING

N = 131


A. No Inforwation 116 88.54

B. Hospital 7 5.34



E. This Home 1 .76

F. Manpower 0 0.00


H. College 2 1.52

K. B. & E. 0 0.00

Q. Other 0 0.00

R. Combination of two above 1 .76

Z. B. & D. & E. 0 0.00

TOTALS 131 100.00

63

TABLE 102

DIETICIAN TRAINING

N = 131


A. No Information 93 7 0 . 99

B. Hospital 8 6.10



E. This Home 0 0. 00

F. Manpower 0 0.00

G . Professional School 5 3 . 81

H. College 15 11..115

K. B. & E. 0 0.00

Q. Other 5 3 . 81

R. Combination of two above 1+ 3 . 05

Z. B. & D. & E. 0 0. 00

TOTALS 131 100 . 00

64TABLE 103

NUTRITIONIST TRAINING

N = 131


A . No Information

B . Hospital

C. Vocational School

D. Other Homes

E. This Home

F. Manpower

G . Professional School

H. College

K. B. & E.

Q . Other

R. Combination of two above

Z. B. & D. & E.

127

0

0

0

1

0

1

2

0

0

0

0

96 . 94

0.00

0. 00

0.00

.76

0.00

.76

I. 52

0.00

0.00

0.00

0.00

TOTALS 131 100 . 00

66

65

TABLE 104

DIETARY AIDE TRAINING

N = 131



B. Hospital 1 .76



E. This Home 8 6.10

F. Manpower 0 0.00


H. College 1 .76

K. B. & E. 0 0.00

Q. Other 0 0.00


Z. B. & D. & E. 0 0.00

TOTALS 131 100.00

66TABLE 105

RECREATION DIRECTOR TRAINING

N = 131



B. Hospital 7 5.34

C. Vocational School 3 2. 29

D. Other Homes 2 1. 52

E. This Home 5 3.81

F. Manpower 3 2.29

G. Pro fessional School 3 2. 29

H. College 5 3. 81

K. B. & E. 1 .76

Q. Other 6

R. Combination of two above 2 1. 52

Z. B. & D. & E. 0 O. 00

TOTAL 131 100. 00

67

TABLE 106

EDUCATOR TRAINING

N = 131


A. No Information 96 73 . 28

B. Hospital 25 19 . 08



E. This Home 3 2.29

F. Manpower 0 0.00


H. College L. 3.05

K. B. & E. 0 0.00

Q. Other 1 . 76


Z. B. & D. & E. 0 0.00

TOTALS 133. 100. 00

68TABLE 107

RESPONSE TO QUESTION: IS EACH PATIENT IN THIS HOME UNDER THE CARE OF A

PRIVATE PHYSICIAN?N = 131


Yes 126 96.18

No 5 3.81

TOTALS 131 100.00

TABLE 108

IF NO, DOES THE HOME HAVE A STAFF PHYSICIAN WHO CARES FOR THE PATIENTS

WITHOUT A PRIVATE PHYSICIAN?N = 131


Yes 6 4.58

No 0 0.00


TOTALS 131 100. 00

69TABLE 109

RESPONSE TO QUESTION: APPROXIMATELY HOW MANY TIMES IN THE PAST YEAR HAVE

YOU HAD DIFFICULTY SECURING THE SERVICES OF A PHYSICIAN FOR AN EMERGENCY

SITUATION?

N = 131

# of Times Frequency Percent

None 109 83.20

1..5 20 15.26

6.10 2 1.52

TOTALS 131 100.00

TABLE 110

RESPONSE TO QUESTION: HOW OFTEN, ON THE AVERAGE, ARE THE PATIENTS EXAMINED

BY A PHYSICIAN?N = 131

How Oft en Frequency Percent

Monthly

Every 2 months

Every 4 months

Every 6 months

Yearly

Never

Other

48

31

15

2

2

1

32

36.64

23.66

11.45

1.52

1.52

.76

24.42

TOTALS 131 100.00

7 0TABLE 111

RESPONSE TO QUESTION : WHAT PERCENTAGE OF YOUR PATIENTS ARE PRIVATE

SELF-PAY?N = 131

Percentage Frequency Percent

None 10 7.63

Le ss than 10% 33 25.19

11-30 43 32.82

31 50 19 14.50

51 80 17 12.97

81-100 8 6.10


TOTALS 131 100.00

TABLE 112

DENTAL CARE ARRANGEMENTS

N = 131

Arrangement s Frequency Percent

Patient visited byown Dentist

Dentist on Staff

Emergency Basis

Other

2E1

3

26

78

18.32

2.29

59.54

TOTALS 131 100.00

71TABLE 113

RESPONSE TO QUESTION: DO YOU FEEL THAT THE PHYSICIANS AND DENTISTS IN THE

AREA COULD BE MORE COOPERATIVE IN HELPING WITH THE CARE OF YOUR PATIENTS?

N = 131


Yes

No

No Opini.on

27 20 . 61

102 77.86

2 1.52

TOTALS 131 100. 00

TABLE 114

RESPONSE TO QUESTION: DOES A PHYSICIAN PARTICIPATE IN YOUR STAFF CONFERENCES?

N = 130*

Re sponse Frequency N Percent *N Percent

Always 16 12.30 12.21

Sometimes 37 28 . 46 28 . 211

Never 77 59.23 58.77

Other 1 0.00 .76

TOTALS 131 100. 00 100 . 00


72

TABLE 115

RESPONSE TO QUESTION: DO YOU FEEL THAT A PHYSICIAN'S ASSISTANT, WHO WAS

SPECIALLY TRAINED TO CARE FOR ELDERLY PEOPLE AND WHO WAS LICENSED BY THE

STATE TO PROVIDE MOST OF THE NONEMERGENCY CARE FOR NURSING HOME PATIENTS,

WOULD BE ABLE TO PROVIDE BETTER CARE FOR YOUR PATIENTS THAN THEY PRESENTLY

GET? SUCH A PERSON MIGHT BE SHARED BY SEVERAL NURSING HOMES.

N = 131


Yes 43 3 2 .82

No 7 6 5 8 .01

Don't Know 12 9.16

TOTALS 13 1 100.00

TABLE 116

RESPONSE TO QUESTION: WOULD YOU SEND ONE OF YOUR NURSES TO A TRAINING

COURSE TO BECOME A GERIATRIC CARE SPECIALIST IF SUCH A COURSE WERE AVAIL-

ABLE AT THE NEAREST REGIONAL MEDICAL, CENTER?

N = 131


Yes

No

Don't know

84. 611.12

3 3 2 5.19

14 10.68

TOTALS 131 100.00

73TABLE 117

IF NOT, REASONS

N = 130*

Reasons Frequency N Percent *N Percent

A. Cannot Spare 11 8.46 8.39

B. No ane present,Capable 2 1.53 1.52

C. No Need 11 8.46 8.39

D. Other 9 6. 92 6.87

E. A & B 0 0.00 0.00

F. A & C 0 0.00 0.00

G. A & D 1 .76 .76

H. B & C 0 0.00 0.00

I. B & D 0 0.00 0.00

J. C & D 0 0.00 0.00

K. Not Applicable 96 73.84 73.28

Other 1 0.00 .76

TOTALS 131 100.00 100.00


714-

TABLE 118

RESPONSE TO QUESTION: WOULD YOU EMPLOY A PERSON TRAINED AS AN OCCUPATIONAL

OR PHYSICAL THERAPY AIIE, OR WOULD YOU SEND A MEMBER OF YOUR PRESENT STAFF

TO A SPECIAL TRAINING COURSE TO BECOME SUCH AN ADE IF THE COURSE WERE

AVAILABLE AT LITTLE COST?

N = 131


Yes 92 70 . 22

No 25 19. 08

Don't know 11-I. 10 . 68

TOTALS 131 100 . 00

TABLE 119

RESPONSE TO QUESTION: DO YOU HAVE PATIENTS WHO ARE REFERRED TO YOUR NURSING

HOME FROM A NEARBY HOSPITAL?N = 131


Yes 129 98.47

No 2 1.52

TOTALS 131 100 . 00

75

TABLE 12 0

IF YES, IS A MEMBER OF YOUR STAFF INVITED TO PARTICIPATE IN THE DISCHARGE

PLANNING FOR THOSE PATIENTS AT THE HOSPITAL?

N = 130*

Re sponse frequency N Percent *N Percent

Always 11 8.146 8.39

Sometimes 23 17. 69 17. 5 5

Ne ver 96 73.84 73 . 2 8

Not Applicable 0 0. 00 0.00

Other 1 0. 00 . 7 6

TOTALS 131 100. 00 100 . 00


TABLE 121

RESPONSE TO QUESTION: DO THE HOSPITALS WHO ICFER PATIENTS TO YOUR NURSING

HOME FORWARD THE PATIENTIS RECORD ABSTRACTS?

N = 13 0*

Response Frequency N Percent *N Per cent

Always 93 71 . 53 70. 99

Sometimes 3 3 25.38 25.19

Never 4 3.07 3.05

Other 1 0.00 .7 6

TOTALS 131 100 . 00 100 . 00

*N (Total N Plus Blank and Other) = 133.

76

TABLE 122

RESPONSE TO QUESTION: WHAT LABORATORY AND DIAGNOSTIC PROCEDURES ARE YOU

EQUIPPED TO PERFORM IN YOUR NURSING HOME?

= 131

Laboratory andDiagnostic Procedures Frequency Percent

A. ECG Only 1 .76

B. CBC only 0 0.00

C. Urinalysis only 7 5.34

D. Other 1 .76

E. A & B 0 0.00

F. A & C 0 0.00

G. A & D 0 0.00

H. B & C 0 0.00

I. B & D 0 0.00

J. C & D 20 15.26

K. More than 2 3 2.29

L. No information 1 .76

M. None 98 714.80

TOTALS 131 100.00

8

77TABLE 123

RESPONSE TO QUESTION: IS THERE A NEARBY HOSPITAL WHICH PROVIDES LABORATORY,

DIAGNOSTIC OR THERAPEUTIC SERVICES FOR YOUR PATIENTS?

N 131


Yes 129 98.117

No 2 1.52

TOTALS 131 100 . 00

TABLE 124

IF YES, HOW FAR AWAY IS THIS HOSPITAL FROM THIS NURSING HOME?

N = 131

Distance Frequency Percent

0-10 miles

11-20 miles

21-S0 miles

Over SO miles

112

13

6

0

85.149

9.92

14. 58

0.00

TOTALS 131 100.00

78

TABLE 125

RESPONSE TO QUESTION: DO THE HOSPITALS FROM WHICH PATIENTS ARE REFERRED

TO YOUR NURSING HOME MAINTAIN CONTACT WITH THE PATIENTS WHEN THU ARE IN

YOUR HOME TO ASSURE CONTINUITY OF CARE?

N = 131


Ye s

No

Sometimes

8 6.10

113 86.25

20 7.63

TOTALS 131 100.00

TABLE 12 6

RESPONSE TO QUESTION: HAS ANY HOSPITAL OFFERED TO SHARE PERSONNEL WITH

YOU, SUCH AS AIDES OR THERAPISTS OR PHYSICIAN ASSISTANTS?

N = 131


Yes 27 20.61

No 104 79.38

TOTALS 131 100.00

79TABLE 127

IF YES , DID YOU ACCEPT?

N = 131

Response Fr equency Percent

Yes 27 20. 61

No 1 .76


TOTALS 131 100.00

TABLE 128

IF NO, WOULD YOU ACCEPT IF THEY DID?

N = 129*


Yes 811 65 .11 614.12

No 18 13 . 95 13 .714

Not Applicable 27 20 . 93 20 . 61

Other 2 0.00 1. 52

TOTALS 131 100 . 00 100. 00


80TABLE 129

IF YES, HAS THE ARRANGEMENT BEEN SUCCESSFUL?

N = 129*


Yes 27 20.93 20.61

No 3 2.32 2.29

Not Applicable 99 76.74 75.57

Other 2 0.00 1.52

TOTALS 131 100.00 100.00


TABLE 130

RESPONSE TO QUESTION: WHAT ARE THE MAIN REASONS THAT CONSULTANTS IN

OCCUPATIONAL THERAPY, REHABILITATION, PHYSICAL THERAPY, DIETETICS, ETC.,

ARE NOT USED MORE IN PLANNING THE SPECIAL CARE OF YOUR PATIENTS AND PROVIDING

SUCH CARE?N = 128*

Reason Frequency N Percent *N Percent

Not Availqble 41 32.03 31.29

Available, but couldnot improve care 17 13.28 12.97

Patients and statewon't pay extras 39 30.46 29.77

Other Reasons 31 24.21 23.66

Other 3 0.00 .2.29

TOTALS 131 100.00 100.00

*N ("fatal N Plus Blank and Other) = 131

110&. imA ..Ar

81

TABLE 131

RESPONSE TO QUESTION: DO YOU HAVE A LARGE (5074 OR OVER) PERSONNEL TURNOVER

EACH YEAR IN R.N.'S?N = 130*


Yes 6 4.61 4.58

No 124 95.38 94.65

Other 1 0.00 .76

TOTALS 131 100.00 100.00

*N (Mal N Plus Blank and Other) = 131

TABLE 132

RESPONSE TO QUESTION: DO YOU HAVE A LARGE (M OR OVER) PERSONNEL TURNOVER

EACH YEAR IN L.P.N.'S?N = 130*


Yes

No

Other

3

127

1

2.30

97.69

0.00

2.29

96.94

.76

TOTALS 131 100.00 100.00

*N (ratal N Plus Blank and Other) = 131

82

TABLE 133

RESPONSE TO QUESTION: DO YOU HAVE A LARGE (50% or over) PERSONNEL

TURNOVER EACH YEAR IN AIDES?

N = 130*


Yes

No

Other

47

83

1

36.15

63.84

0.00

35.87

63.35

.76

TOTALS 131 100.00 100.00


TABLE 134

RESPONSE TO QUESTION: DO YOU HAVE A LARGE (50% OR OVER) PERSONNEL

TURNOVER EACH YEAR IN PHYSICAL THERAPISTS?

N = 130*


Yes

No

Other

2

128

1

1.53

98.46

0.00

1.52

97.70

.76

TOTALS 131 100.00 100.00


83

TABLE 135


TURNOVER EACH YEAR IN OCCUPATIONAL THERAPISTS?

N = 130*


Yes

No

Other

0

130

1

0.00

100.00

0.00

0.00

99.23

.76

TOTALS 131 100.00 100.00

,*N (Tctal N Plus Blank and Other) = 131

TABLE 136

RESPONSE TO QUESTION; DO YDU HAVE A LARGE (50% OR OVER) PERSONNEL

TURNOVER EACH YEAR IN RECREATION & SOCIAL DIRECTORS?

N = 130*


Yes

No

Other

0

130

1

0.00

100.00

0.00

0.00

99.23

.76

TOTALS 131 100.00 100.00


ES

84TABLE 137

RESPONSE TO QUESTION: DO YOU HAVE A LARGE (SM OR OVER) PERSUNNEL

TURNOVER EACH YEAR IN DIETETICS?

N = 130*


Yes

No

Other

2

128

1

1.53

98.46

0.00

1.52

97.70

.76

TOTALS 131 100.00 100.00


TABLE 138


TURNOVER EACH YEAR IN IN-SERVICE EDUCATION?

N = 130*


Yes

No

Other

0

130

1

0.00

100.00

0.00

0.00

99.23

.76

TOTALS 131 100.00 100.00

*N (Total N Plus Blank and Other) - 131

85

TABLE 139


TURNOVER EACH YEAR IN PHYSICIAN CARE?

N = 130*

Response Frequency N Pement *N Percent

Yes

No

Other

0

130

1

0.00

100.00

0.00

0.00

99.23

.76

TOTALS 131 100.00 100.00


TABLE 140

RESPONSE TO QUESTION: DO YOU HAVE A LARGE (50310 OR OVER) PERSONNEL:

TURNOVER EACH YEAR IN OTHER STAFF?

N = 130*


Yes

No

Other

6

124

1

4.61

95.3 8

0.00

,

4.58

94.65

.7 6

TOTALS 131 100.00 100.00

*N (Dotal N Plus Blank and Other) = 131

E7

86

TABLE 141

RESPONSE TO QUESTION: DOES THE COST OF TRAINING NEW PERSONNEL

SUBSTANTIALLY INFLUENCE THE COST OF OPERATING YOUR NURSING HOME?

N = 131


Yes 37 28.24

No 91 69.46

Don't Know 3 2.29

TOTALS 131 100.00

TABLE 142

RESPONSE TO QUESTION: DO YOU USE VOLUNTEER HELP IN THIS NURSING

HOME?

N = 131


Yes 41 31.29

No 90 68.70

TOTALS 131 100.00

TABLE 143 87

RESPONSE TO QUESTION: IF TRAINED VOLUNTEERS WERE AVAILABLE, HOW MANY

COULD YOU USE?

N=131

Amount

1

2-3

Frequency Percent

4-5

5-10

More than 10

None

No Information

11

48

27

13

4

21

7

8.39

36.64

20.61

9.91

3.05

16.03

5.34

TOTALS 131 100.00

TABLE 144

RESPONSE TO QUESTION: ARE THERE TRAINED, BUT INACTIVE RN's, LPN's, OR

AIDES IN THIS COMMUNITY WHO MIGHT WORK ON A PART-TIME BASIS AFTER THEY HAD

ATTENDED A REFRESHER COURSE IN THEIR SPECIALTY?

N = 131


Yes

No

Don't Know

40 30.53

36 27.48

55 41.98

TOTALS 131 100.00

88

TABLE 145

IF THERE ARE, HOW MANY R.N.'s WOULD YOU BE ABLE TO HIRE?

N = 131

Amount Frequency Percent

A. 1-2 29 22.13

B. 3-4 2 1.52

C. 5-6 1 .76

D. 7-8 0 0.00

E. None 17 12.97

F. Checked but didn'tindicate number 8 6.10

G. Not Applicable 29 22.13

H. No Information 44 33.58

K. Other 1 .76

TOTALS 131 100.00

5..0

89

TABLE 146

IF THERE ARE, HOW MANY L.P.N.TS WOULD YOU BE ABLE TO HIRE?

N = 131


A. 1-2 37 28.24

B. 3-4 1 .76

C. 5-6 2 1.52

D. 7-8 0 0.00

E. None 13 9.92

F. Checked but didn'tindicate number 8 6.10

G. Not Applicable 26 19.84

H. No Information 43 32.82

K. Other 1 .76

TOTALS 131 100.00

90

TABLE 147

IF THERE ARE, HOW MANY AIDES WOULD YOU BE ABLE TO HIRE?

N :: 131


A. 1-2 9 6. 87

13. 3-4 6 4. 58

C. 5-6 1 .76

D. 7-8 2 1. 52

E. None 26 19.84

F. Checked but didn' tindicate number 7 5.314-

G. Not Applicable 27 20. 61

H. No Information 52 39. 69

K. Other 1 .76

TOTALS 131 100. 00

92,

TABLE 1148

RESPONSE TO QUESTION: DO YOU HAVE DIFFICULTY ARRANGING TRANSPORTATION FOR

PATIENTS FROM YOUR NURSING HOME TO THE HOSPITAL (IN EMERGENCIES)?

N = 131


Yes 2 1.52

No 129 98.47

TOTALS 131 100 . 00

TABLE 149

RESPONSE TO QUESTION: DO YOU HAVE DIFFICULTY ARRANGING TRANSPORTATION FOR

PATIENTS FROM YOUR NURSING HOME TO THE HOSPITAL (NON EMERGENCIES) ?

N = 131


Yes 8 6.10

No 123 93 .89

TOTALS 131 100.00

93

92TABLE 150

RESPONSE TO QUESTION: DO YOU THINK THAT THE HOSPITAL AND ITS STAFF ARE

WELL EQUIPPED TO HANDLE MEDICAL EMERGENCIES WHICH OCCUR AT YOUR NURSING

HOME?

N = 130*


Yes

No

No Information

Other

126

3

1

1

96 . 92

2.30

.76

0.00

96.18

2.29

.76

.76

TOTALS 131 100 . 00 100.00


TABLE 151

RESPONSE TO QUESTION: IS THERE A HOME HEALTH SERVICE AGENCY IN THIS AREA?

N = 131


Yes 80 61.06

No 32 24.42

Don't Know 19 14.50

TOTALS 131 100 .00

Ez4

93

TABLE 152

IS THERE A. VISITING NURSE PROVIDED FOR PATIENTS IN THEIR HOMES IN YOUR

AREA?

N = 131


Yes

No

Don't Know

82 62.59

19 14. 50

30 22. 90

TOTALS 131 100. 00

TABLE 153

RESPONSE TO QUESTION: IS THERE PHYSICAL THERAPY PROVIDED FOR PATIENTS IN

THEIR HOMES IN YOUR AREA?

Response

N = 131

Frequency Percent

Yes 24 18.32

56. 48

25.19

No 74

Don't Know 33

TOTALS 131 100. 00

94

TABLE 154

RESPONSE TO QUESTION: IS THERE OCCUPATIONAL THERAPY PROVIDED FOR

PATIENTS IN THEIR HOMES IN YOUR AREA?

N = 131


Yes 11 8.39

No 84 64.12

Don't Know 36 27.48

TOTALS 131 100.00

TABLE 155

RESPONSE TO QUESTION: IS SOCIAL WORK SERVICE PROVIDED FOR PATIENTS

IN THEIR HOMES IN YOUR AREA?

N = 131


Yes 56 42.74

No 41 31.29

Don't Know 34 25.95

TOTALS 131 100.00

95

TABLE 156

RESPONSE TO QUESTION: ARE THERE ANY OTHER SERVICES PROVIDED FOR PATIENTS

IN THEIR HOMES IN YOUR AREA?

N = 131


Yes 15 11.45

No 82 62.59

Don't Know 34 25.95

TOTALS 131 100.00

TABLE 157

RESPONSE TO QUESTION: WHEN A PATIENT LEAVES YOUR NURSING HOME TO RETURN

TO HIS FAMILY, DO YOU INVITE HIS COMMUNITY's HOME HEALTH SERVICE AGENCY TO

PARTICIPATE IN THE DISCHARGE PROCEDURES?

N = 130*


Always 10 7.69 7.63

Sometimes 16 12.30 12.21

Never 66 50.76 50.38

No Such Patient 36 27.69 27.48

No Information 2 1.53 1.52

Other 1 0.00 .76

TOTALS 131 100.00 100.00

*N (rotal N Plus Blank and Other) = 131

96

TABLE 158

RESPONSE TO QUESTION: IF A LOCAL NON PROFIT COMMUNITY HEALTH SERVICE

AGENCY COULD PROVIDE CONSULTANT HELP IN THE AREAS OF PATIENT ChRE

LISTED IN QUESTION 4I:41, WOULD YOU UTILIZE THESE SERVICES?

N = 131


Yes 95 72.51

No 17 12.97

Need Mbre Information 19 14.50

TOTALS 131 100.00

TABLE 159

RESPONSE TO QUESTION: DO YOU FEEL THAT ANY OF YDUR PATIENTS MIGHT BE ABLE

TO LIVE AT HOME AND BE CARED FOR SAXISFACTORILY BY A HOME HEALTH CARE

SERVICE?

N = 129*


Yes 28 21.70 21.37

No 100 77.51 76.33

No Information 1 .77 .76

Other 1 0.00 .76

Blank 1 0.00 .76

TOTALS 131 100.00 100.00

(Tota1 N Plus Blank and Other) = 131

£8

CROSSTAB TABLE 1

NUMBER OF FULL-TIME RNIS

BY NUMBER OF BEDS

N = 131

Number

of Beds

01

34

Number of Full-Time RN's

56

78

9Total

10 or less

11

21

14

78.6%

14.3%

7.1%

11-39

23

34

74

169

33.3%

49.3%

10.1%

5.8%

1.4%

31-50

312

53

124

re)

12.5%

50.0%

20.8%

12.5%

4.2%

C.:

51-100

51

53

24

222

22.7%

4.9%

22.7%

13.6%

9.1%

18.2%

9.1%

100+

11

250.0%

50.0%

Totals

37

53

14

13

34

52

131

28.2%

40.5%

10.7%

9.9%

2.3%

3.1%

3.8%

1.5%

100.0%

CROSSTAB TABLE 2

NUMBER OF PART-TIME RN'S

BY NUMBER. OF BEDS

N = 131

Number of

Beds

01

23

45

Number of Part-Time RN's

67

89

10 or less

13

192.9%

7.1%

11-30

SO

14

21

2

72.5%

20.3%

2.3%

1.4%

2.9%

31-50

12

54

21

(-)

50.0%

20.6%

16.7%

8.3%

4.2%

(;)

51-100

84

43

12

36.4%

18.2%

18.2%

13.6%

4.5%

9.1%

100+

11

50.0%

50.0%

Totals

83

24

10

73

31

63.4%

18.3%

7.6%

5.3%

2.3%

2.3%

0.8%

Total

14

69

24

22 2

CROSSTAB TABLE 3

NUMBER OF RN CONSULTANTS

BY NUMBER OF BEDS

N = 131

Number of RN Consultants

Number of

Beds

01

23

45

67

89

Total

10 or less

14

14

100.0%

11-30

65

L.

69

94.2%

5.83/0

31-50

24

24

100.0%

PA °51-100

22

22

14-1

100.03/0

100+

22

100.0%

Totals

127

4131

96.9%

3.1%

CROSSTAB TABLE 4

RN CONSULTANT DAYS PER MONTH

BY NUMBER OF BEDS

N = 131

Number

of Beds

As Needed

01

RN Consultant Days Per Month

23

45

67

89

Total

10 or less

14

14

100.0%

11-30

265

11

69

2.9%

94.2%

1.44

1.4%

31-50

24

24

100.0%

51-100

22

22

100.0%

100+

22

100.0%

Totals

212

71

113

1

1.5%

96.9%

0.8%

0.0%

100.0%

CROSSTAB TABLE S

NUMBER OF FULL-TIME LPN'S

BY NUMBER OF BEDS

N = 131

Number of Full-Time LPN's

Number of

Beds

01

23

45

67

89

Total

10 or less

10

414

71.4%

28.6%

11-30

30

25

65

21

69

43.5%

36.2%

8.7%

7.2%

2.9%

1.4%

31-50

6S

47

224

r ' ,

25.0%

20.8%

16.7%

29.2%

8.3%

C.,

51-100

44

34

41

222

18.2%

18.2%

13.6%

18.2%

18.2%

4.5%

9.1%

100+

11

250.0%

50-0%

Totals

SO

38

13

16

74

3131

38.2%

29.0%

9.9%

12.2%

5.3%

3.1%

2.3%

100.0%

CROSSTAB TABLE 6

NU

MB

ER

OF

PAR

T-T

IME

LPN

' SB

YNUMBER OF BEDS

N=

131

Number of

Bed

s0

12

3

Number of Part-Time LPNIs

45

67

89

Tot

al

10 or less

13

114

92 .

9%7

.1%

11-3

053

131

11

6976.8%

18.8%

1.4%

1.4%

1.4%

31-5

019

22

124

i- r-79

.2%

8.3%

8.3%

4 .2

%

k"1°51-100

14

33

11

22

63 .

6%13

. 6%

13 .6

%4.

5%

4.53

/4

100+

11

250.0%

50.0%

Totals

100

197

32

131

76.3%

14.5%

5.3%

7.3%

1.5%

100.0%

CROSSTAB TABLE 7

NUMBER OF LPN CONSULTANTS

BY NUMBER OF BEDS

N=

131

Number of

Beds

12

3

Number of LPN Consultants

45

67

89

Total

10 or less

11-30

31-50

1392.9%

68 98-%

24

1 7.1%

1 1.4%

14 69

211

100.0%

Col 51-100

22

22

1c0.0%

100+

22

100.0%

Totals

129

11

131

98.ri°4

0.8%

0,g%

100.0%

CROSSTAB TABLE 8

LPN CONSULTANT DAYS PER MONTH

BY NUMBER OF BEDS

N = 131

LPN Consultant Days Per Month

Number

As

of Beds

Needed

02

34

56

78

9Other

Total

10 or less

112

114

7.1%

85.756

7.1%

11-30

68

198.6%

1.4%

31-50

24

100.0%

51-100

22

100.0%

100+

2

100.0%

69

24

22 2

Totals

1128

11

131

0.8%

97.7%

0.8%

0.8% 100.0%

CROSSTAB TABLE 9

NUMBER OF FULL-TIME AIEES

BY NUMBER OF BEDS

N = 131

Number of Full-Time Aids

Number

over

of Beds

01-2

3-5

6-8

9-11

12-15

16-20

21-30

31-40

41-99

100

Other

Total

10 or less

46

31

28.0% 42.9%

21.4%

7.1%

11-3

01

1925

166

11.434

27.5%

36.2ro

23.2%

8.7%

1.43/0

31-50

37

83

21

12 .

5%29

- 2

%33

-3%

12 -

5%

8 -3

%4

- 2%

51-100

15

68

2

4.5% 22.7% 27.3% 36.4%

9.1%

100+

14

69

1.4%

24

'22

11

250.0%

50.0%

Tot

als

56

2229

2419

1011

31

133

1

3.8%

4.6% 16.8%

22.1% 18.3% 14.5%

7.6%

8.4%

2.3%

0.8%

0.8% 100.0%

.77

CROSSTAB TABLE 10

NUMBER OF PART-TIME AIDES

BY NUMBER OF BEDS

N = 131

Number

of Beds

01-2

3-5

6-8

Number of Part-Time Aides

over

9-11

12-15

16-20

21-99

100

Other

Total

10 or less

85

114

57.1%

35.7%

7.1%

11-30

16

21

26

32

169

23.2%

30.4%

37.7%

4.3%

2.9%

1.4%

31-50

49

74

24

16.7%

37.5%

29.2%

16.7%

C GC51-100

23

84

41

22

9.1%

13.6%

36.4%

18.2%

18.2%

4.5%

100+

11

250.0%

50.0%

Totals

30

38

42

11

42

11

2131

22.9%

29.0%

32.1%

8.4%

3.1%

1.5%

0.8%

0.8%

1.5%

100.0%

! P

CROSSTAB TABLE 11

NUMBER OF AIDECONSULTANTS

BY NUMBER OF BEDS

N = 131

Number of

Beds

01

Number of Alde Consultants

23

45

67

89

Total

10 or less

13

114

92.9%

7.1%

11-30

68

169

98.6%

31-50

24

211

tt51-

100

100+

100.0%

22

100.0%

2

100.0%

22 2

Totals

129

98.5%

1 0. 8%

1 0.8%

131

100.0%

CROSSTAB TABLE 12

AIDE CONSULTANT DAYS PER MONTH

BY NUMBER OF BEDS

N = 131

Number

of Beds

As

Needed

01

2

Aide Consultant Days Per Month

34

56

78

9Total

10 or less

113

14

7.1%

92.9%

11-30

168

69

1.4%

98.6%

31-50

24

24

100.0%

51-100

22

22

100.0%

100+

22

100.0%

Totals

2129

131

1.5%

98.5

%10

0.0%

CROSSTAB TABLE 13

NUMBER OF FULL-TIME PHYSICAL THERAPISTS

BY NUMBER OF BEDS

N = 131

Number of Full-Time Physical

Therapists

Number of

Beds

01

23

45

67

89

Total

10 or Less

14

100.%

11-30

67

297.1%

2.9%

i...01-50

24

100.0%

51-100

16

51

72.7%

22.7%

4.5%

100+

11

50.0%

50.0

Totals

121

82

92.4%

6.1%

1.5%

14

69

24

22 2

131

le0.0%

CROSSTAB TABLE 14

NUMBER OF PART-TIME PHYSICAL THERAPISTS

BY NUMBER OF BEDS

N = 131

Number of

Beds

01

23

4

Number of Part-Time Physical Therapists

56

78

9Total

10 or less

14

14

100.0%

11-30

62

769

89.9%

10.1%

31-50

24

24

100.0%

51-100

16

51

22

72.7%

22.7%

4.5%

100+

11

250.0%

50.0%

Totals

13.7

13

1131

89.3%

9.9%

0.8%

100.0°4

CROSSTAB TABLE 15

NUMBER OF PHYSICAL THERAPIST CONSULTANTS

BY NUMBER OF BEDS

N =

131

Number of Physical Therapist Consultants

Number of

Bed

s0

12

35

.67

89

Tot

al

10 or less

14

14

100.0%

11-30

55

14

69

79.7%

20.3%

31-

5013

1121

451

4.2%

45.8%

251-100

17

52

ci77.3%

22.7%

100+

22

100.0%

131

Tot

als

101

30

77.3%

22.9%

100.0%

CROSSTAB TABLE 16

PHYSICAL THERAPIST CONSULTANT DAYS PER MONTH

BY NUMBER OF BEDS

N=131

Number

of Beds

11-30

51-100

100+

Totals

Physical Therapist Consultant Days Per Month

As

Needed

01

23

45

67

89

Other Total

6

14

100.0%

55

23

12

14

69

8.7%

79.7%

2.9%

4.3%

1.4%

2.9%

513

11

31

24

20.8%

54.2%

4.2%

4.2%

12.9%

4.2%

217

12

22

9.1%

77.3%

4.5%

9.1%

22

100.0%

13

101

34

4.

33

131

9.9%

77.1%

2.3%

3.1%

3.1%

2.3%

2.3%

100.0%

CROSSTAB TABLE 17

NUMBER OF FULL-TIME OCCUPATIONAL THERAPISTS

BY NUMBER OF BEDS

N = 131

Number of

Beds

01

23

Number of Full-Time Occwational Therapists

45

67

89

10 or less

14

100.0%

11-30

68

198.6%

1.4%

31-50

22

2

91.7%

8-3%

.trA 51-100

19

386.4%

13.6%

100+

2

100.0%

Totals

123

8

93.9%

6.3%

Total

14

69

24

22 2

131

100.0%

Lu

Number of

Beds

CROSSTAB TABLE 18

NUMBER OF PART-TIME OCCUPATIONAL THERAPISTS

BY NUMBER OF BEDS

N = 131

Tumber of Part-time Occupational Therapists

12

34

56

78

9Total

10 or less

14

100.0%

14

69

11-30

66

3

95.7%

4.3%

24

31-50

22

2

91-7%

8-3%

22

51-100

18

31

81.8%

13.6%

4-5%

2100+

11

50.0%

50.0%

131

Totals

121

91

100.0%

92.4%

6.9%

0.8%

CROSSTAB TABLE 19

NUMBER OF OCCUPATIONAL THERAPIST CONSULTANTS

BY NUMBER OF BEDS

N = 131

Number of

Beds

01

23

Number of Occupational Therapist Consultants

L.

56

78

9

10 or less

11-30

14

100.0%

68

1

98.6%

1.4%

31-50

23

195.8%

4.2%

'N.1 51-100

20

290.9%

9.1%

2

100.0%

Totals

127

4

96.9%

3-1%

Total

14

69

24

22 2

131

100.0%

-r-1

1.11

CROSSTAB TABLE 20

OCCUPATIONAL THERAPIST CONSULTANT DAYS PER MONTH

BY NUMBER OF BEDS

N = 131

Occupational Therapist Consultant Days Per Month

Number

As

of Beds

Needed

01

22

45

67

89

Total

10 or less

14

14

100.0%

11-30

68

169

31-50

23

124

95.8%

4.2%

51-100

220

22

9.1%

90.9%

100+

22

100.0'4

Totals

2127

11

131

1.5%

96.9%

0.8%

0.8%

100.0%

CROSSTAB TABLE 21

NUMBER OF FULL-TIME RECREATION & SOCIAL DIRECTORS

BY NUMBER OF BEDS

N = 131

NuMber of

Beds

01

2

Number of Full-Time Recreation & Social Directors

34

56

78

9Total

10 or less

13

114

92.9%

7 .1%

11-30

58

11

69

84.1%

15.9%

31-50

18

624

75.0%

25.0%

51-100

18

422

81.8%

18.2%

100+

11

2

50.0%

50.0%

Totals

107

23

1131

81.7%

17.6%

0.8%

loo.o%

Nuoiber of

Beds

0

CROSSTAB TABLE 22

NUMBER OY PART-TIME RECREATION & SOCIAL DIRECTORS

BY NUMBER OF BEDS

N = 131

12

34

10 or less

14

100.0%

11-30

39

28

11

56.5%

40.6%

1.4%

1.4%

31-50

10

14

41.7%

58.3%

51-100

11

92

50.0%

40.9%

9.1%

100+

11

50.0%

50.0%

Totals

75

52

31

57 .3%

39.7%

2.3%

0.8%

Number of Part-Time Recreation & Social Directors

56

78

9Total

14

69

24

22 2

131

100.0%

CROSSTAB TABLE 23

NUMBER OF RECREATION & SOCIAL DIRECTOR CONSULTANTS

BY NUMBER OF BEDS

N = 131

Number of

Beds

01

Number of Recreation & Social Director Consultants

23

45

67

8

or less

14

100.0%

11-30

69

100.0%

31-50

23

1

95.8%

4.2%

51-1

0021

195.5%

4.5%

isa4"

100+

2

100.0%

Totals

129

2

98.5

%1.

5%

9Total

14

69

24 22 2

131

100.0%

CROSSTAB TABLE 24

RECREATION & SOCIAL DIRECTOR CONSULTANT DAYS PER MONTH

BY NUMBER OF BEDS

N = 131

Recreation & Social Director Consultant Days Per Month

Number

As

of Beds

Needed

01

23

45

67

89

Other

Total

10 or less

14

100.0%

11-30

69

100.0%

31-50

23 95.0%

.*.st

51-100

121

4-9%

95.9%

100+

2

100.0%

69

124

2%6

22 2

PTotals

1129

0.8%

99-936

1131

0.0% 100.0%

CROSSTAB TABLE 25

NUMBER OF FULL-TIME DIETICIANS

BY NUMBER OF BEDS

N=131

Number of

Beds

0

Number of Full-Time Dieticians

12

34

56

78

9

10 or less

12

2

85.7%

14.3%

11-30

61

8

88.4%

11.e%

31-50

21

3

87.5%

12.5%

51-100

18

481.8%

18.2%

100+

2

100.0%

Totals

114

17

87.0%

13.0%

Total

14

69

24

22 2

131

loo.ag

CROSSTAB TABLE 26

NUMBER OF PART-TIME DIETICIANS

BY NUMBER OF BEDS

N = 131

Number of

Beds

Number of Part-Time Dieticians

o1

23

45

67

89

Total

114

7.1%

12

69

17.4%

224

8.3%

19

322

11

2

10 or less

13 92.9%

11-30

57 82.e%

31-50

22 91.7%

51-100

100+

86.4

%

50.0%

13.6

%

50.0%

Totals

112

19

85.5%

14.5%

131

100.0%

CROSSTAB TABLE 27

NUMBER OF DIETICIAN CONSULTANTS

BY NUMBER OF BEDS

N = 131

Number of

Beds

12

Number of Dietician Consultants

34

56

78

9Total

10 or less

14

14

100.0%

11-30

53

16

69

76.8%

23.2%

31-50

16

824

66.7%

33-3%

1.15I-100

913

22

.'.:%. )

40.9%

59.1%

; Cif100+

11

2

!

50.0%

50.0%

Totals

93

38

131

71.0%

29.0%

En-

0%

F-1

Lc)

CROSSTAB TABLE 28

DIETICIAN'CONSULTANT DAYS PER MONTH

BY NUMBER OF BEDS

N = 131

Number

As

of Beds

Daily Needed

0

10

or less

14

loo.a%

11-30

12

53

17.4%

76.8%

31-50

316

12.5%

66.7%

51-100

29

9.1%

40.9%

100+

11

50.0

%50

.0%

Totals

117

93

0.8%

18.0%

71.0%

Dietician Consultant Days Per Mbnth

12

34

56

78

9Other

Total

14

31

69

4.3%

1.4%

32

24

12.5%

8.3%

44

11

122

18.2%

18-2%

4.5%

4.5%

2

10

6.

21

1131

7.6%

4.6%

1.5%

0.8%

0.2%

10(1).0%

CROSSTAB TABLE 29

NUMBER OF FULL-TIME

IN-SERVICE EDUCATORS

BY NUMBER OF BEDS

N = 131

Number of

Beds

1

Number of Full-Time

In-Service Educators

23

45

67

89

Total

10 or less

14

100.0°A

14

11-30

65

469

94.2%

5 .8%

31-50

20

424

83 .3%

16.7%

sl-100

21

122

95.5%

Li. 5

%

100+

2

2100.0%

Totals

122

9131

6.9%

rr4

, A 6 P

CROSSTAB TABLE 30

NUMBER OF PhRT-TIME IN-SERVICE EDUCATORS

BY NUMBER OF BEDS

N =

131

Number of

Beds

01

Number of Part-Time In-Service Educators

23

45

67

89

Total

10 or less

14

14

100.0%

/1-30

43

26

69

62.3%

37.7

%

31-50

914

137.9%

58.3

%4.2%

51-100

10

111

4.5.5%

50.0%

4.8%

100+

11

250

.0%

50.0%

Tot

als

7752

213

1

58.8%

39.7%

1.5%

100.0%

;

- -

7

CROSSTAB TABLE 31

NUMBER OF 1N-SERVICE EDUCATOR CONSULTANTS

BY NUMBER OF BEDS

N = 131

Nuthber of In-Service Educator Consultants

Number of

Beds

01

23

45

67

89

Total

10 or less

14

100.0%

13-30

68

31-50

24

100.0%

51-100

22

100.0%

198.6%

1.4%

A100+

2100.0%

69

24

22 2

Totals

130

1

99.2%

0.8%

131

100.0%

.

CROSSTAB TABLE 32

IN-SERVICE EDUCATOR CONSULTANT DAYS PER MONTH

BY NUMBER OF BEDS

N = 331

Number

of Beds

01

2

In-Service Educator Consultant Days Per Month

34

56

78

9Total

10 or less

14

14

100.0%

11-30

68

169

98.6%

1.4%

31-50

24

24

100.0%

51-100

22

22

100.0%

100+

22

100.0%

Totals

130

1131

99.2%

0.8%

100.0%

CROSSTAB TABLE 33

NUMBER OF FULL-TIME PSYCHIATRISTS

BY NUMBER OF BEDS

N = 131

Number of Full-Time Psychiatrists

Number of

Beds

01

23

45

67

89

Total

r10 or. less

14

14

100.0%

11-30

69

69

100.0%

31-50

23

124

95.8%

4.2%

22

22

100.0%

2100.0%

2

Totals

130

1131

99 .2%

0.8%

100.0%..

CROSSTAB TABLE 34

NUMBER OF PART-TIME PSYCHIATRISTS

BY NUMBER OF BEDS

N = 131

Number of Part-Time Psychiatrists

Number of

Beds

01

23

45

67

89

Total

14

169

10 or less

14

100.0%

11-30

6898.5%

31-50

24

100.0%

22

100.0%

1004-

2

100.0%

1.4%

211

22 2

Totals

130

1131

99.2%

0.8%

100.0%

CROSSTAB TABLE 35

NU/4HBR OF PSYCHIATRIST CONSULTANTS

BY NUMBER OF BEDS

N = 131

Number of Psychiatrist Consultants

Number

of Beds

01

23

45

67

89

Total

10 or less

14

100.0%

11-30

31-50

51-100

r100+

Totals

66

21

95.7%

2.9%

1.4Y0

23

195. 8%

69

24

21

122

95.5%

4.5%

22

100.0%

126

41

131

96.2%

3.1%

0.8%

100.0%

CROSSTAB TABLE 36

PSYCHIATRIST CONSULTANT DAYS PER MONTH

BY NUMBER OF BEDS

N = 131

Number

of Beds

As

Needed

01

2

Psychiatrist Consultant Days Per Muth

34

56

78

9Total

10 or less

14

14

100.%

11-30

266

169

2.9%

95.7%

1.14%

31-50

123

24

4.2%

95-8

0%

51-100

121

22

4.5%

95.5%

100+

22

100.0%

Tot

als

412

61

131

3.1%

96.2%

0.8%

100.0%

CROSSTAB TABLE 37

VUMBER OF FULL-TIME PHYSICIANS

BY NUMBER OF BEDS

N = 131

Number

of Beds

01

23

5

Number of Pull-Time Physicians

67

'

10 or less

,11-30

31-50

14

100.0%

64

5

92.0

7.2%

22

291-7%

8.3%

19

3

86.436

13.6%

2

100.0%

Totals

121

10

92.4%

7.6%

89

Total

24

22 2

131

100.0%

CROSSTAB TABLE 38

UUMBER OF PART-TIME PHYSICIANS

BY NUMBER OF BEDS

N = 131

Number

of Beds

Number of Part-Time Physicians

12

34

56

78

9Total

10 or less

14

100.0%

11-30

64

41

92.8%

5.8%

1.4%

31-50

24

100.0%

51-100

19

12

86.4%

4.5%

9.1%

100+

150.0%

51).0%

Totals

122

63

P93.1%

4.6%

2.3%

14

69

24

22 2

131

100.

0%

CROSSTAB TABLE 39

NUMBER OF PHYSICIAN CONSULTANTS

BY NUMBER OF BEDS

N = 131

".A !\.! )1 t hr

Number

of Beds

01

23

Number of Physician Consultants

45

67

89

Total

10 or less

11-30

31-50

51-100

100+

964.3%

4159.4%

1145.8%

940.9%

150.0%

428.01,

2130.4%

11

45.8%

10 45.5%

1 7.1%

2 2.9%

2 8.3%

1 4.5%

150.

W.

1 1.4%

1 4.9%

3 4.3%

1 4.5%

1 1.4%

14

69

24

22 2

Totals

1 54.2%

46

35.1%

7 5.3%

2 1.5%

3 2.3%

1 0.8%

1 0.8%

131

100.0%

CR

OSS

TA

B T

AB

LE

40

PHYSICIAN CONSULTANTS DAYS PER MONTH

BY

NU

MB

ER

OP

BE

DS

N = 131

Number

of Beds

Daily

01

23

Physician Consultant Days Per MOnth

45

67

89

Other

Total

10 or less

91

11

2114

64.3%

7.1%

7.3%

7.3%

11-30

41

L.

11

121

69

59.4%

5.8%

1.4%

1.4%

1.4%

30.4%

31-50

11

21

19

24

45.8

%8.

3%4.

2%4.

2%37

.5%

-. x51_1130

1 4.5%

940.9%

1 4-5%

1 4.5%

1 4.5%

922

! I10

0+150.0%

1 sox%

2

Totals

171

27

23

22

41

131

9-8%

54.2%

1.5%

5.3%

1.5%

2.3%

1.5%

1.5%

31.3%

100- 0%

C71

'

CROSSTAB TABLE 41

NUMBER OF FULL-TIME OTHER EMPLOYEES

HY NUMBER OF BEDS

N = 131

Number of Other Fdll-Time Employees

Number

of Beds

01

23

45

67

89

Total

10 or less

11-30

14

100.0%

57

82.6%

9

13.0%

1 1.4y0

2 2.9%

14-

69

31-50

21

21

24

Tawli

87.5%

8.3%

4.2%

A C451-100

18

11

11

22

81.8%

4.5%

4.5%

4.5%

4.5%

100+

11

250.0%

50. 0%

Totals

111

12

33

11

131

84.7%

9.2%

2.3%

2.3%

0.8%

0.8%

100.0%

_

CROSSTAB TABLE 42

NIMBI R OF :PTHER..PART- TIME EMPLOYEES

BY NUMBER OF BEDS

N = 131

Number of Other Part-Time Employees

Ntmber

of Beds

01

23

45

67

89

Total

10 or less

14

14

100.0%

11-30

67

269

97.1%

2.9%

-31-50

24

24

100.0%

t" 151-

100

20

11

22

90.9%

4.5%

4.5%

F100+

11

50.

50.0%

20%

Totals

125

31

11

131

95.4%

2.3%

0.8%

0.8%

0.8%

100.0%

LU

CO

'

CROSSTAB TABLE 43

NUMBER OF OTHER CONSULTANTS

BY NUMBER OF BEDS

N = 131

Number

Number of Other Consultants

of Beds

01

23

45

67

89

Total

10 or less

14

14

100.096

11-30

63

23

169

91.3%

2.9%

4.3%

1.4%

31-50

21

21

24

87.5%

8.3%

4.2%

F.4.51-100

14

21

31

122

63.6%

9.14

4.5%

13.6%

4.5%

4.5%

r

100+

11

2

50.0%

50.0%

Totals

113

74

33

1131

hr

86.3%

5.3%

3.1%

2.3%

2.3%

0.8%

CROSSTAB TABLE 44

OTHER CONSULTANT DAYS PER MONTH

BY NUMBER OF BEDS

N = 131

Number

of Beds

01

23

Other

Days Per Month

56

78

9Other

Total

10 or less

14

100.0%

11-30

63

191.3%

1.4%

31-50

21 87.%

51-100

14

163 . 6%

4.5%

100+

150.0%

1 4.2%

14

469

5.8%

224

8.3%

722

31.8%

2

Totals

113

2

86 .3%

1.5%

3 2.3%.

13

131

9.9% 100.0%

CROSSTAB TABLE 45

TROUBLE HIRING PERSONNEL BECAUSE OF SHORTAGE

BY NUMBER OF BEDS

N = 131

Number

of Beds

Yes

No

Total

10 or less

311

1421.4%

78.6%

11-30

43

26

69

62.3%

37.7%

31-50

12

12

24

SO.%

50.0

%

51-100

148

22

63.6%

36.4

%

100+

22

100.0%

Totals

74

57

131

56.5%

43.9%

100.0%

7

CROSSTAB TABLE 46

TROUBLE HIRING R.N.'s BECAUSE OF SHORTAGE

BY NUMBER OF BEDS

N = 131

Number

of Beds

Yes

No

Not Applicable

Total

10 or less

311

14

21.4

%78.6%

11-30

24

19

26

69

34.6%

27.5%

37.7%

31-50

48

12

24

16.7%

33.3%

50.0%

51-100

1359.1%

1 4.9%

3:.4%

22

twel 100+

W.N

11

S2

50.0%

0.0%

Totals

42

32

57

131

32.1%

24.4g

143.5%

100.0%

CROSSTAB TABLE 47

TROUBIE HIRING L.P.N.Is BECAUSE OF

SHORTAGE

BY NUMBER OF BEDS

N = 131

Number

of Beds

Yes

No

Not Applicable

Total

10 or less

1 7.1%

2

14.3%

11 78.6%

14

11-30

20

23

26

69

29.0%

33.3

%37

.7%

31-50

39

12

24

12.5%

37-5%

50.0A

51-100

86

822

000+

Total

36.4%

27.3%

36.4

%1

12

50.0%

50.0%

33

41

57

131

25.2

%31

.3%

43.5

%100.0%

CROSSTAB TABLE 48

TROUELE HIRING AIDES BECAUSE OF SHORTAGE

BY NUMBER OF BEDS

N = 131

Number

of Beds

10 or less

11-30

31-50

Yes 1 7.1%

2434,8%

6

25.0%

940.9%

Totals

No

Not Applicable

Total

211

14.3%

78.6%

19

26

27.5%

37.7%

612

25.0%

sox%

58

22.7

%36

. 49

6

14

69

24 22

2

100.0%

2

40

30.5%

34

26.0%

57 43.5%

131

CROSSTAB TABLE 49

TROUBLE HIRING PHYSICAL THERAPISTS BECAUSE OF SHORTAGE

BY NUMBER OF BEDS

N = 131

Number

of Beds

Yes

No

Not Applicable

Total

10 or less

311

14

21.4%

78.6%

11-30

439

26

69

5.8%

56.5%

37.7%

31-50

111

12

24

4.2%

45.8%

50.0%

51-100

311

822

134%

50.0%

100+

22

100.0%

Totals

866

57

131

6.1%

50.4%

43.9%

100.0%

CROSSTAB TABLE 50

TROUBLE HIRING OCCUPATIONAL THERAPISTS BECAUSE OF SHORTAGE

BY NUMBER OF BEDS

N = 131

Number

of Beds

Yes

No

Not Applicable

Total

10 or less

311

14

21.4%

78.6%

11-30

439

26

69

5.8%

56.5%

37.7%

31-50

39

12

24

12.9%

37.9%

50.0%

51-100

311

822

H.

13.6%

50.0%

36.4%

00

100+

22

100.0%

Totals

10

64

57

131

7.6%

48.9%

43.5%

100.0%

CROSSTAB TABLE 51

TROUBLE HIRING RECREATION & SOCIAL DIRECTORS BECAUSE OF SHORTAGE

BY NUMBER OF BEDS

N = 131

Number

of Beds

Yes

No

Not Applicable

Total

10 or less

311

14

21.4%

78.6%

11-30

142

26

69

1.4%

60.9%

37.7%

31-50

210

12

24

8.3%

41.7%

50.0%

51-100

113

822

59.1%

36.4%

100+

2

100.0%

2

Totals

4 3.1%

70 53.Wo

57 43.5%

131

100.0%

CROSSTAB TABLE 52

TROUBLE HIRING DIETICIANS BECAUSE OF SHORTAGE

BY NUMBER OF BEDS

N = 131

Number

of Beds

Yes

No

Not Applicable

Total

10 or less

11-30

3

3

21.4%

40

11

78.6%

26

14

69

4.3%

58.0%

37.7%

31-50

111

12

24

45.8%

so.og

.._

Ul o

51-100

3

13.6%

11 50.0%

8

36.4%

22

100+

22

100.0%

Totals

767

57

131

5.3%

51.1%

43.9%

100.0%

CROSSTAB TABLE 53

TROUBLE FIRING IN-SERVICE EDUCATORS BECAUSE OFSHORTAGE

BY NUMBER OF BEDS

N=

131

Number

of Beds

Yes

No

Not Applicable

Total

10 or less

3

21.4%

1178.6%

14

11-30

142

26

69

1.4%

60.9%

37.7%

31-50

12

12

24

50.0%

50.0%

51-100

113

822

Cfr

,..*

4.5%

59.1%

36.4%

100+

22

100.0%

Totals

272

57

131

1.5%

55.0%

43.5%

100.0%

Cf:

CROSSTAB TABLE 54

TROUBLE HIRING PSYCHIATRISTS BECAUSE OF

SHORTAGE

BY NUMBER OF BEDS

N = 131

Nuthber

of Beds

Yes

No

Not Applicable

Total

10 or less

311

14

21.'4%

78.6%

11-30

142

26

69

1.4%

60.9%

37.7%

31-50

12

12

24

50.0%

50.0%

51-100

212

822

36. 4%

100+

22

100.0%

Totals

371

57

131

2.3%

54.2%

43.5%

100.0%

cr;

CROSSTAB TABLE 55

TROUBLE HIRING PHYSICIANS BECAUSE OF SHORTAGE

BY NUMBER OF BEDS

N = 131

Number

of Beds

Yes

Not Applicable

Total

10 or less

311

14

21.4%

78.6%

11-30

241

26

69

2.9%

59.4%

37.7%

31-50

12

12

24

50.0%

50.0%

51-100

113

822

59.1%

36.4%

100+

22

100.0%

Totals

371

57

131

2.3%

54.2%

43.5%

100.0%

CROSSTAB TABLE 56

TROUBLE HILING OTHER PERSONNEL

BECAUSE OF SHORTAGE

BY NUMBER OF BEDS

N = 131

Number

of Beds

Yes

No

Not Applicable

Total

10 or less

12

11

14

7.1%

14.3%

78.6%

11-30

340

2 6

6 9

1.3%

58.0%

37.7%

31-50

210

12

24

8.3%

41.7%

50.0%

51-100

113

822

4.5%

59.1%

36.4%

100+

11

2

50.0%

50.0%

Totals

866

57

131

6.1%

50.4%

43.5%

100.0%

CROSSTAB TABLE 57

IN-SERVICE EDUCATION PROGRAM

BY NUMBER OF BEDS

N = 131

Number of

Beds

Yes

No

Total

10 or less

113

7.1%

92.9%

11-30

43

26

62.3%

37.7%

31-50

19

5

79.2%

20.8%

i--'

51-100

18

4Cri

81.8%

18.2%

100+

2

100.0%

14

69

24

22 2

Totals

83

48

131

63.4%

36.6%

100.0%

CROSSTAB TABLE 58

IN-SERVICE EDUCATION PROGRAM INCLUDING RN's

BY NUMBER OF BEDS

N = 131

Number

of Beds

Yes

No

Not Applicable

Total

10 or less

113

14

7 .1%

92.9%

11-30

as

17

26

69

37.7%

24.6%

37.7%

31-50

16

35

24

66.7%

12.5%

20.6%

t..,

!,

51-100

17

14

22

CI

77.3%

4.5%

18.2%

C;

100+

22

100.0%

Totals

61

22

48

131

46.6%

16.8%

36.6%

100.0%

CROSSTAB TABLE 59

IN-SERVICE.EDUCATION PROGRAM INCLUDING LPN's

BY NUMBER OF BEDS

N = 131

Number of

Beds

Yes

No

Not Applicable

Total

10 or less

113

14

7.1%

92.9%

11-30

29

13

27

69

42.0%

18.8%

39.1%

31-50

15

45

24

62.5g

16.7%

20.8%

51-100

16

24

22

72.7%

9.1%

18.2%

100+

22

100.0%

Totals

63

19

49

131

48.1%

14.5%

37.4%

100.0%

CROSSTAB TABLE 60

IN-SERVICE EDUCATION PROGRAM INCLUDING AIDES

BY NUMBER OF BEDS

N = 131

Number

of Beds

Yes

No

Not Applicable

Total

10 or less

113

14

7.1%

92.9%

11-30

42

126

69

60.9%

1.4%

37.7%

31-50

19

524

79.2%

20.8%

51-100

17

1I.

22

77.3%

4.5%

18.2%

100+

22

100.0%

Totals

81

248

131

61.8%

1.5%

36.5%

100.0%

;,,7

CROSSTAB TABLE 61

IN-SERVICE EDUC/TION PROGRAM INCLUDING PHYSICAL THERAPISTS

BY NUMBER OF BEDS

N = 131

Number

of Beds

Yes

No:

Not Applicable

Total

10 or less

1 7.1%

13 92.9%

14

11-30

537

27

69

7.2%

53.6%

39.1%

31-50

118

524

4.0%

75.0%

20.e%

51-100

710

522

31.8X

45.9%

22.7%

100+

22

100.0%

Totals

15

66

50

131

11.9%

50.4%

38.2%

100.0%

CROSSTAB TABLE 62

IN-SERVICE EDUCATION PROGRAM INCLUDING OCCUPATIONAL THERAPISTS

BY NUMBER OF BEDS

N = 131

Number

of Beds

Yes

No

Not Applicable

Total

10 or less

113

14

7.1%

11-30

240

27

69

2.9%

58.0%

39.1%

31-5

019

524

79.2%

20.8%

51-100

413

522

18.2%

59.1

%22

.7%

100+

11

2

50.0%

50.0%

Totals

774

50

131

5.3%

56.5%

38.2%

100.0%

CROSSTAB TABLE 63

IN-SERVICE EDUCATION PROGRAM INCLUDING OTHERS

BY NUMBER OF BEDS

N =

131

Number

of Beds

Yes

No

Not Applicable

Total

10 or less

113

14

7.1%

92.9%

11-30

16

27

26

69

23.2%

39.1%

37.7%

31-50

514

524

20.8%

58.3%

20.8%

I\

Y51-100

99

422

100+

40.9%

40.9%

18.2%

11

2so.0g

50.0%

Totals

31

52

48

131

23.7%

39.7%

36.6%

100.0%

CROSSTAB TABLE 64

ONE EMPLOYEE RESPONSIBLE FOR STAFF EDUCATIONAL ACTIVITIES

IN THIS HOME

BY NUMBER OF BEDS

N =

131

Nuthber

of Beds

Yes

No

Other

No Information

Total

10 or less

11-30

642 58

84.1%

857.1%

9

13.o%

1 1.14%

1 1.11%

14

69

31-50

51-100

100+

22 91.7%

1986.4%

1

50.0%

2 8.3%

3 13.6

%

150.0%

24

22 2

Totals

106

80.9%

23

11

131

17.6%

0 .8%

0 . 8%

100 0%

CROSSTAB TABLE 65

ONE FULL-TIME EMPLOYEE RESPONSIBLEFOR STAFF EDUCATIONAL ACTIVITIES IN THIS HOME

BY NUMBER OF BEDS

N = 131

Number

of Beds

Yes

No

Not Applicable

Total

10 or less

42

814

28. e%

14.3%

57.1%

11-30

654

969

8.7%

78.3%

13.0%

31-50

418

224

16.7%

75.0%

8.3%

51-100

316

322

13.6%

72.7%

13.6%

100+

11

2

50.0%

50.0%

Totals

17

91

23

131

13.0%

69.5%

17.6%

100.0%

CROSSTAB TABLE 66

WOULD YOU LIKE A REPRESENTATIVE FROM MRMP TO VISIT YOUR FACILITY TO ASSIST IN DEVELOPING

AN IN-SERVICE EDUCATION PROGRAM?

BY NUMBER OF BEDS

N = 131

Number

of Beds

Yes

No

Don't Know

No Information

Total

10 or less

212

14

14.3%

85.7%

11-30

38

28

12

69

55.1%

40.6%

1.4%

2.9%

31-50

14

91

24

58.3%

37.5%

4.2%

51-100

10

11

122

45.9g

50.0%

4.5%

1004-

22

100.0%

Totals

66

60

14

131

50.4%

45.ES

0.8%

3.1%

100.0%

CROSSTAB TABLE 67

DO YOU OR MEMBERS OF YOURSTAFF ITTEND THE EDUCATIONAL PROGRAMS

CONDUCTED BY THE

STATE DEPARTMENT OF HEALTHAND WELFARE? BY NUMBER OF BEDS

N = 131

Number

of Beds

Yes

No

Total

10 or less

11-30

857.1V

59

85.5,

6 42.9

%

10

14 69

31-50

23

124

95.8%

4.2%

51-100

19

322

1004

.

86.4%

13.6%

2

100.0%

2

Totals

111

20

131

84.7%

15.3%

100.0%

CROSSTAB TABLE 68

REASON FOR NOT ATTENDING

BY NUMBER OF BEDS

N= 131

ANumber

Prog.not

of Beds relevant

to needs

Too

Far

Away

Time/

Person-

nel

Other

A&B

A&C

A&D

B&C

B&D

Not

Appli-

C&D

cable

Total

10 or less

21

11

914

14.34

7.1%

7.1%

7.1%

64.3%

11-30

23

51

58

69

2.9%

4.3%

7.2'4

1.4%

84.1%

31-50

24

24

100.0%

51-100

11

119

22

4.5%

4.5%

4.5%

86.4%

100+

2100.0%

2

Totals

2 1.5%

3 2.3%

8 6-1%

2 1.5%

2 1.5%

2 1.5%

112 85.5%

131

100.0%

CROSSTAB TABLE 69

WOULD YOU SEND MEMBERS OF YOUR STAFF TO FORMAL

EDUCATIONAL PROGRAMS IN THEIR SPECIALTIES

AT PORTLAND?

BY NUMBER OF BEDS

N = 131

Number

of Beds

Yes

No

Not Applicable

No Information

Total

10 or less

428.6%

5

35.7%

5

35.7%

14

11-30

22

39

869

31.9%

56.5%

11.0%

31-50

716

124

29-2%

66-7%

4.2%

51-100

11

10

122

50.0%

45.5%

4.g%

100+

22

Total

46

70

14

1131

35.1%

53.4%

10.7%

0.8%

100.0%

CROSSTAB TABLE 70

WOULD YOU SEND MEMBERS OF YOUR TAFF TO FORMAL EDUCATIONAL PROGRAMS IN THEIR SPECIALTIES

AT LEWISTON-AUBURN?

BY NUMBER OF BEDS

N = 131

Number

of Beds

Yes

No

Not Applicable

No Information

Total

10 or less

45

514

28.6%

35.7%

35.7%

11-30

29

32

869

42.0%

46.4%

11.6%

6-

31-50

15

81

24

CP

62.5%

33.3%

4.2%

51-100

13

81

22

59.1%

36.4%

4.504

100+

22

100.0%

Totals

63

53

14

1131

48.1%

40.5%

10.7%

0.8%

100.0%

CROSSTAB TABLE 71

WOULD YOU SEND MEMBERS OF YOUR STAFF TO FORMAL EDUCATIONAL PROGRAMS IN THEIR SPECIALTIES

AT WATERVILLE-AUGUSTA?

BY NUMBER OF BEDS

N = 131

Number

of Beds

Yes

No

Not Applicable

No Information

Total

10 o

r le

ss2 14.3

%7

50 . 0%

5

35.7

%14

11-30

29

32

869

42.0%

46.4%

11.8%

31-50

13

10

124

54.2%

41 .7%

4.2%

.1, 5

1-10

015

61

2268.2%

27.3

%4.9%

.1.:

c.4

100+

11

250.0%

50.0%

Totals

60

56

14

1131

45.8

%42

.7%

10.7

%0.

8%10

0.0%

CROSSTAB TABLE 72

WOULD YOU SEND MEMBERS OF YOUR STAFF TO FORMAL EDUCATIONALPROGRAMS IN THEIR SPECIALTIES

AT BANGOR?

BY NUMBER OF BEDS

N =

131

Number

of Beds

Yes

No

Not Applicable

No Information

Total

10 or less

9S

14

614.3%

357%

11-30

25

36

869

36.2%

52.2%

11.6%

,,--z

31-50

10

13

124

P141.7%

54.2%

4.2%

51-100

12

91

22

54.5%

40.9%

4.5%

100+

11

250.0%

50.0%

Totals

48

68

14

1131

36.0%

51.9%

10.7%

0.8%

100.0%

CROSSTAB TABLE 73

WOULD YOU SEND MEMBERS OF YOUR STAFF TO FORMAL EDUCATIONAL PROGRAMS IN THEIR SPECIALTIES

AT CARIBOU-PRESQUE ISLE?

BY NUMBER OF BEDS

N131

Number

of Beds

Yes

No

Not Applicable

No Information

Total

10 or less

36

514

21. 4%

42.9%

35.7%

11-30

556

869

7 .2%

81 .2%

11.6%

31-50

221

124

8.3%

87 . S%

4.2%

51-100

-;

V-I

3

13.6%

18 81.8%

1 4.5%

22

100+

22

100.0%

Totals

13

103

14

1131

9.9%

78.6%

10.7%

0.8%

100.0%

CROSSIAB TABLE 74

WOULD YOU SEND MEMBERS OF YOUR STAFF TO FORMAL EDUCATIONAL PROGRAMS IN THEIRSPECIALTIES

AT ANY OTHER LOCATION?

BY NUMBER OF BEDS

N = 131

Number

of Beds

Yes

No

Not Applicable

No Information

Total

10 or less

11-30

4 5.8%

9

64.3%

57 82.e%

5

35.7%

811.6%

14

69

31-50

51-100

100+

2 8.3%

418.24

21

87.5%

17

77.3%

2100.0%

1 4.2%

1 4.5K7

24

22 2

Totals

10 7.6%

106 80.9%

14

10.7%

1 0.8%

131

100.0%

CROSSTAB TABLE 75

WOULD NOT SEND PERSONNEL TO SUCH A MEETING

BY NUMBER OF BEDS

N = 131

Number

of Beds

Yes

No

Not Applicable

No Information

Total

10 or less

68

14

42.9%

57.1%

11-30

10

58

169

14.5

84.1%

1.4%

31-50

123

24

4.2%

95.1%

51-100

21

122

100+

22

100.0%

Totals

17

112

11

131

13.0%

85.5%

0.8%

0.8%

100.0%

CROSSTAB TABLE 76

ARE YOU OR MEMBERS OF YOUR STAFF ABLE TO ATTEND MEETINGS, WHICH ARE HELD OUT OF STATE, TO

LEARN OF NEW PRACTICES IN CARING FOR NURSING HOME PATIENTS?

BY NUMBER OF BEDS

N = 131

NuMber

of Beds

Yes

No

Total

10 or less

311

21.4%

78.6%

14-

11-30

23 33.3%

46 66.7%

69

31-50

915

24

37.5%

62.5%

51-100

13

922

59.1%

40.9%

100+

22

100.0%

Totals

50

38.2%

61.8%

10

0 C

rA

CROSSTAB TABLE 77

REASONS WHY NOT ABLE TO ATTEND MEETINGS WHICH ARE HELD OUT OF STATE, TO LEkRN OF NEW PRACTICES

IN CARING FOR NURSING HOME PATIENTS.

BY NUMBER OF BEDS

N = 131

AB

CD

EF

GH

IJ

KL

/lumber

Too Ex- Too

Time/

No Prog.

Not

3 or

of Beds

pensive Far

Personnel Avail. Al:B

A&C

ASe0

BeeC

B&D

C&D

Applio. More

Other

Total

10 or less

1 7 .1%

642 . 9'%

214.3%

214.3%

321 . 4%

14

11-30

11

21

23

10

15

123

169

1. WA

1. 4%

30. 4g

2 . 9g

4.3%

14.5%

1. 4%

7 .2%

1 . kg

33 .3%

1 . 4%

31-50

61

13

111

124

25.0%

4.2%

4.2%

12.5%

4.2%

45.8%

4.2%

51-100

52

113

122

22.7%

9.1%

59.1%

4.9%

100+

22

1100. 0%

Totals

21

38

54

15

18

11

52

21

131

1.5%

0.8%

29.0%

3.8%

3.1%

11.5%

0.8%

6.1%

0.8%

0.8%

39.7%

1.9%

0.8%100.0%

CROSSTAB TABLE 78

IS A TREATMENT ORDER PLAN DEVELOPED FOR EACH PATIENT IN THIS NURSING HOME?

BY NUMBER OF BEDS

N =

131

Number of

Beds

Yes

No

Total

10 or less

12

214

85-7

%14

-3%

11-30

68

169

38.6%

1.4g

31-50

24

24

130.0%

51-100

21

122

95.5%

4.5'4

100+

22

...1

100.U%

,

(.1')

?Totals

127

4131

96.9%

3.1%

100.0%

CROSSTAB TABLE 79

IF YES, ARE THESE PLANS REVIEWED AS PART OF EDUCATIONAL SESSIONS FOR THE STAFF?

BY NUMBER OF BEDS

N = 131

Number

of Beds

Yes

No

Not'Applicable

Total

10 or less

66

214

42.9%

14.3%

11-30

51

17

169

73.9%

24.6%

1.4%

31-50

19

524

79.2

20.9%

51-100

18 81.8%

3

13.6%

1 4.5%

22

100+

22

100.0%

Totals

96

31

4131

73.3%

23.7%

3'.1%

100.0%0

CROSSTAB TABLE 80

DO YOU HAVE A UTILIZATION REVIEW PROCEDURE IN THIS HOME?

BY NUMBER OF BEDS

N = 131

Number

of Beds

Yes

No

Other

Total

10 or less

11-30

1 7.1%

31

12

185.7%

7.1%

38

14

69

44.9%

55.1%

31-50

11

13

24

45.8%

51-100

13

922

59.1%

100+

11

2!

50-n%

50.0%

QO

FTotals

57

73

1131

i' k

43.5%

55.7%

0.8%

100.0%

! 111-

CROSSTAB TABLE

DOES THE ADMINISTRATOR PARTICIPATE IN THE REVIEW?

BY NUMBER OF BEDS

N =

131

Namber

of Beds

Yes

No

Not Applicable

Total

10 or less

1 7.1%

13 92.9%

14

11-30

25

638

69

36.2%

8.7%

55.1%

31-50

74

13

24

29.2%

16.7%

54.2%

51-100

84

10

22

36.4%

18.2%

45.9%

100+

11

2

h'

50.0%

50.0%

Totals

42

14

75

131

32.13

10.7%

57.3%

100.0%

CROSSTAB TABLE 82

DOES THE HEAD NURSE PARTICIPATE IN THE REVIEW?

BY NUMBER OF BEDS

N = 131

Number

of Beds

Yes

No

Not Applicable

Total

10 or less

113

14

7.1%

92.9%

11-30

26

538

69

37.7%

7.2%

55.1%

31-50

10

113

24

54.2°4

F,151-100

CYs

10 45.9%

2 9.1%

10

22

cw100+

11

250.0%

50.0%

Totals

48

875

131

36.6%

6.1%

57.3%

100.0%

F-1

CO

CROSSTAB TABLE 83

DO THE RN's AND LPN's PARTICIPATE IN THE REVIEW?

BY NUMBER OF BEDS

N = 131

Number

of Beds

Yes

No

Not Applicable

Total

10 or less

113

14

7.1%

92.9%

11-30

11

20

38

69

15.9%

29.0%

55.1%

31-50

65

13

24

25.0%

20.8%

54.2%

51-100

39

10

22

13.6%

40.9%

45.9%

100+

150.0%

.500%

2

Totals

22

34

75

131

16.8%

26.0%

57.3%

100.0%

CROSSTAB TABLE 84

LJ THE AIDES PARTICIPATE IN THEREVIEW?

BY NUMBER OF BEDS

N = 131

Number

of Beds

Yes

No

Not Applicable

Total

10 or less

11-30

31-50

51-100

F .-

i.100+

1 7.1%

11

15.95

1 4.25

20 29.0%

104-1.7%

1254.5%

150.0%

13 92.9%

3855.1%

13 54.2%

10 150.0%

14

69

24

22 2

Totals

13

43

75

131

9.9%

32.8%

57.3%

100.0%

CROSSTAB TABLE 85

DO THE PHYSICAL THERAPISTS AND OCCUPATIONAL THERAPISTS PARTICIPATE IN THE REVIEW?

BY NUMBER OF BEDS

N = 131

frA

Number

of Beds

Yes

No

Not Applicable

Total

10 or less

113

14

7.1%

92.9%

11-30

31

38

69

44.9%

55.1%

31-50

11

13

2L

i

45.8%

54.2%

51-100

39

10

22

13.6%

40.9%

45.5%

-

11

2

50.0%

50.0%

Totals

452

75

131

3.1%

39.7%

57.3%

100.0%

CORSSTAB TABLE 86

DOES THE SCCIAL WORKER PARTICIPATE IN THE REVIEW?

BY NUMBER OF BEDS

N = 131

Number

of Beds

Yes

No

Not Applicable

Total

10 or less

113

14

7.1%

92.9%

11-30

328

38

69

4.3$

40.6%

55.1%

31-50

110

13

24

41.7%

54.2%

51-100

111

10

22

4.9%

50.0%

45.9%

100+

11

2

50.0%

50.0%

Totals

551

75

131

3.8%

38.9%

57.3%

100.0%

CROSSTAB TABLE 87

DOES THE PHYSICIAN(S) PARTICIPATE IN THE REVIEW?

BY NUMBER OF BEDS

N = 131

Number

of Beds

Yes

No

Not Applicable

Total

10 or less

113

14

7.1%

92.9%

11-30

922

38

69

13.0)

31.9%

55.1g,

31-50

38

13

24

12.59

33.3%

54.2%

51-100

100+

84

10

22

36.4%

18.2%

11

2

50.0%

50.0%

Totals

21'

35

75

131

16.0%

26.7%

57.3%

100.0%

CROSSTAB TABLE 88

DOES THE DIETICIAN PARTICIPATE IN

THE REVIEW?

BY NUMBER OF BEDS

N = 131

Number

of Beds

Yes

No

Not Applicable

Total

10 or less

113

14

7 .1

%92.9%

11-30

31

38

69

44.9%

55.1%

31-50

11

13

24

45.8%

54.2%

51-100

111

10

22

..'A

4.5%

50.0%

45.5%

zA

100+

11

250.0%

Totals

155

75

131

0.8%

42.

CPA

57.3%

100.0%

CROSSTAB TABLE 89

DO OTHER EMPLOYEES PARTICIPATE IN THE REVIEW?

BY NUMBER OF BEDS

N = 131

Number

of Beds

Yes

No

Not Applicable

Total

10 or less

1314

7:1%

92.9

%

11-30

229

3869

2.9'

342

.0%

55.1

%

31-50

110

1324

4.29

41.7%

54.2

%

51-100

710

22

22.7%

31.8%

45.5

%

100+

1 50.0

%1 50

.0%

2

Totals

848

75

131

6.1%

36.6%

57.3%

100.0X

CROSSTAB TABLE 90

ARE THE RESULTS OF THE REVIEW USED FOR EDUCATIONAL PURPOSES WITH THE ENTIRE STAFF?

BY NUMBER OF BEDS

N = 131

Number

of Beds

Yes

No

Not Applicable

No Information

Total

10 or less

13

-9

114

7.1%

21.4%

64.3%

7.1%

11-30

19

16

32

269

27.5%

23.2%

46.4%

2.9%

31-50

96

924

37.5%

25.0%

37.5%

51-100

67

922

27.3%

31.8%

-a.

-.a

-

11

250.0%

50.0%

Totals

35

33

60

3131

26.7%

25.2%

45.0%

2.3%

100.0%

4..1

;

CROSSTAB TABLE 91

DO YOU HAVE PROCEDURE MANUALS FOR EACH CATEGORY OF PERSONNEL

ON YOUR STAFF?

BY NUMBER OF BEDS

N=

131

Number

of Beds

Yes

No

Tote/

10 or less

11-30

535.7%

143

62.3%

964-.3%

26

37.7%

14 69

31-S0

15

924

62.5%

37.3%

51-100

19

322

86.11%

13.6

Yo

22

100.0%

Totals

84

47

131

64.1%

35.9%

100.0%

CROSSTAB TABLE 92

DO YOU FEEL THAT PROCEDURE MANUALS CAN (COULD) BE VERY HELPFUL IN ORIENTING THE NEW

EMPLOYEE TO THE STANDARD PRACTICES IN YOUR NURSING.HOME?

BY NUMBER OF BEDS

N= 131

Number

of Beds

Yes

Np

No Information

Total

10 or less

11-30

31-50

ae

51-100

100+

857.1%

54

78.3%

2187.5%

19 86.4%

2

100.0%

642.9%

14

20.3%

3

12.5%

3 13-6

%

14

169

24

22 2

Totals

104

26

1131

79.4%

19.8%

0.8%

100.0%

CROSSTAB TABLE 93

IS EACH PATIENT IN THIS HOME UNDER THE CARE OF A PRIVATE

PHYSICIAN?

BY

NU

MB

EROr BEDS

N = 131

NuLaber

of Beds

Yes

No

Total

10 or less

14

100.0%

14

11-30

68

169

98.6%

1.4%

31-50

23

124

95.0%

4.2g

.A51-100

103

2286.14%

13.6

%VA100-1-

2

Totals

126

96.2%

5131

3.8%

100.0%

CROSSTAB TABLE 94

IF NO, DOES THE

HOME HAVE A STAFF

PHYSICIAN WHO CARES FOR

TffE PATIENTS WITHOUTA PRIVATE PHYSICIAN?

BY NUMBER OF BEDS

N = 131

Number

of Beds

Yes

No

Not Applicable

Total

10 or less

14

100.0%

14

11-30

267

69

2.9%

97.1%

31-50

123

24

4.2%

95.8%

51-100

319

22

13.6%

86.4%

100+

22

100.0%

Totals

6125

131

4.6%

95.4%

100.0%

CROSSTAB TABLE 95

APPROXIMATELY HOW MANY TIMES IN THE PAST YEAR HAVE YOU HAD DIFFICULTY SECURING THE SERVICES

OF A PHYSICIAN FOR AN EMERGENCY SITUATION?

BY NUMBER OF BEDS

N = 131

Number

of Beds

01-5

Number of Times

6-10

11-20

More than 20

No Info

Total

10 or less

11-30

31-50

1285-7%

5884.1%

20

83.3%

2

14.3,)

10

14.59

4

18.7%

1

14 69

24

51-100

18

422

81.0

18.2%

1004-

11

250.0%

50.0%

Totals

109

20

2131

83.2%

15.3%

1.5%

100.ag

CROSSTAB TABLE 96

HOW OFTEN, ON THE AVERAGE, ARE THE PATIENTS EXAMINED BY A PHYSICIAN?

BY NUMBER OF BEDS

N = 131

Number

of Beds

Monthly

Ev. 2 Mo.

Ev. 4 Mo.

Number of Times

Ev. 6 Mb.

Yearly

Never

Other

No

Info. Total

10 or less

11-30

7

50.0%

1927.5%

1 7.1%

21

30.4X

;'

14.3%

11 1.9%

1 1.14P4

1 1.4%

1 1.4,4

U.

28.6%

15

21.7%

14

69

31-50

9

37.5%

6

25.0%

2 0.3%

1 4.2%

6

25.0%

2 4

51-100

13

36

22

-.

59.1%

13.0%

27.3%

)'-

'

loo+

11

2

1

50.0%

50.0%

Totals

48

31

15

22

132

131

36.6%

23.7%

11.5%

1.5%

0.8%

24.4%

100.0%

CROSSTAB TABLE 97

WHAT PERCENTAGE OF YOUR PATIENTS ARE PRIVATE SELF-PAY?

BY NUMBER OF BEDS

N = 131

Number

of Beds

0%

Less than 10%

11-30%

Percentage of Patients

31-50%

51-80%

81-100%

No Info.

Total

10 or less

11-30

642.9%

4 5.8%

2130.4%

428.e%

2130.9%

1 7.1%

811.6%

1115.9%

321.9%

3 4.3%

1 1.4%

14

69

31-50

51-100

100F.

5

20.8%

7

31.8%

10 41.7%

7

31.8%

150.0%

416.7%

6

27.3%

312.5%

2 9.1%

I50.0%

2 8.3%

24

22 2

Totals

10 7.6%

33 25.2%

43

32.8%

19

14.5%

17

13.0%

8 6.1%

1 0.8%

131

100.0%

CROSSTAB TABLE 98

WHAT ARRANGEMENTS DO YOU HAVE FOR DENTAL CARE IN THIS HOME?

BY NUMBER Or BEDS

N = 131

Number

Type of Arrangement

of Beds

Visited by Own

Dentist on Staff

Emergency Basis

Other

Total

10 or less

41

914

28.6%

7.1%

64.3%

11-30

10

1U.

47

69

14.5%

1.4%

15.9%

68.1%

31-50

56

13

24

20.8%

25.0%

54.2%

51-100

51

97

22

22.7%

4.5%

40.9%

31.8%

100J,

2100.0%

2

Totals

24

326

78

131

18.3%

2.3%

19.8%

59.5%

100.0%

CROSSTAB TABLE 99

DO YOU FEEL THAT THE PHYSICIANS PND

DENTISTS IN THE AREA COULD BE MORE COOPERATIVE

IN HELPING WITH THE CARE OF YOUR PATIENTS?

BY NUMBER OF BEDS

N = 131

Number

of Beds

Yes

No

No Opinion

Total

10 or less

311

14

21.4%

78.e%

11-30

13

54

269

18.9%

78.3%

2.9%

31-50

321

24

12.9%

87.9%

51-100

715

22

31.8%

68.2%

100+

11

2

50.0%

50.0%

Totals

27

102

2131

20.6%

77.9%

1.9%

100.0%

r It

CROSSTAB TABLE 100

DOES A PHYSICIAN PARTICIPATE IN YOUR STAFF CONFERENCES?

BY NUMBER OF BEDS

N = 131

Number

of Beds

Always

Sometimes

Never

Other

Total

10 or less

1 7.1%

13 92.9%

14

11-30

618

44

169

8.7%

26.1%

63.8%

1.4%

31-50

48

12

24

16.7%

33.3%

50.0%

..),51-100

6

27.3%

s

36.4%

8

36.4%

22

C100-1-

22

100.0%

Totals

16

37

77

1131

f I12.2%

28.2%

58.8%

0.8%

100.0%

I hr

CROSSTAB TABLE 101

DO YOU FEEL THAT A PHYSICIAN'S ASSISTANT, WHO WAS SPECIALLY TRAINED TO CNRE FOR ELDERLY

PEOPLE AND WHO WAS LICENSED BY THE STATE TO PROVIDE MOST OF THE NON-EMERGENCY CARE FOR

NURSING HOME PATIENTS, WOULD BE ABLE TO

PROVIDE BETTER CARE FOR YOUR PATIENTS THAN THEY

PRESENTLY

GE

T?

(SU

CH

A P

ER

SON

MIG

HT

BE

SH

AR

ED

BY

SE

VE

RA

L N

UR

SIN

G H

OM

ES)

HY NUMBER OF BEDS

N =

131

Num

ber

of Beds

Yes

No

Don't Know

Total

10 or less

2

14 .3%

9

64.3%

3

21 . 4%

14

11-3

026

39L

.69

37.7%

56.5%

5.8%

31-5

010

10

L.

2441.7%

41.7%

16.7%

51-100

516

122

1°4

22.7

%72

.7%

4.50

4,

>loo+

22

100.0%

Totals

43

76

12

131

poo

5800

9.2%

lochoyo

CROSSTAB TABLE 102

WOULD YOU SEND ONE OF YOURNURSES TO A TRAINING COURSE TO BECOME

A GERIATRIC CARE SPECIALIST

IF SUCH A COURSE WEREAVAILABLE ET THE NEAREST REGIONAL MEDICALCENTER?

5Y NUMBER OF BEDS

N = 131

Number

of Beds

Yes

No

Don't Know

Total

10 or less

11-30

28.6%

47 68.1%

9

64.3%

16 23.2%

1 7.1%

6 8.7%

14

69

31-50

1770.8%

416.7%

312.5%

24

51-100

14L.

422

63.6%

18.2%

18.2%

22

100.0%

Totals

8 4

33

14

131

64.1%

25.2%

10.7%

100.0%

CROSSTAB TABLE 103

IF NO, WHY NOT?

BY NUMBER OF BEDS

N=1.31

Number

of Beds

A Can't

None

Spare Capable

No

Need

Other A&B

A&C

A&D

Not

B&C

B&D

C&D

Applic.

Other

Total

10 or less

53

15

14

35.75'.

21.4%

7.1%

35.7%

11-30

71

44

52

169

10.1%

1.4%

5.85

5.8%

754%

1.4%

31-50

31

119

24

12.5%

4.2%

4.2%

79.2%

51-100

1 4.5%

1 4.5%

1 4.5%

1 4.5%

1881.9%

22

100+

2

Totals

11

211

9

8.4%

1.5%,

8.4%

6.9%

196

1131

0.8%

73.3%

0.8%

100.0%

CROSSTAB TABLE 104

WOULD YOU EMPLOY A PERSON TRAINED AS AN OCCUPATIONAL OR PHYSICAL THERAPYAIDE, OR WOULD YOU

SEND A MEMBER OF YOUR PRESENT STAFF TO A SPECIAL TRAINING COURSE TO BECOME SUCH AN AIDE IF

THE COURSE WERE AVAILABLE AT LITTLE COST?

BY NUMBER OF BEDS

N =

131

Number

of Beds

Yes

No

Don't Xnow

Total

10 or less

56

314

35.7

%42.9%

21.1.%

11-30

48

16

569

69.6%

23.2%

7.2%

31-50

18

33

24

75.0%

12.9%

12.5%

51-100

19

322

86.4%

13.6%

100+

2

100.0%

2

Totals

92

70.2%

25

19.1%

14

10.7%

131

100.0%

CROSSTAB TABLE 105

DO YOU HAVE PATIENTS WHO ARE REFERRED TO YOUR NURSING

HOME FROM A NEARBY HOSPITAL?

BY NUMBER OF BEDS

N = 133.

NuM

ber

of Beds

Ye s

No

Total

10 or less

11-30

31-50

1285.7%

59

100.M

24

214.3%

14

69

24

51-100

,Nt

100+

.-.).1

1

100.0%

22

100 . 0%

2

100.0%

22 2

Total

129

2131

98.5%

1.9%

tir

CROSSTAB TABLE 106

IF YES, IS A MEMBER OF YOUR

STAFF INVITED TO PARTICIPATE IN THE DISCHARGE PLANNINGFOR

THOSE PATIENTS AT THE HOSPITAL?

BY NUMBER OF BEDS

N = 131

Number

of Beds

Always

Sometimes

Never

Other

Total

10 or less

311

14

21.4X

78.6%

11-30

31-50

4 5.8%

16 23

.2%

1 4.2%

48 69.6%

23

1 1.4%

69

24

51-100

46

12

22

18 .2%

27 .3%

100:-

22

100.o%

Totals

11

23

96

1131

8.0

17.6%

73.3

%0.

8%10

0.0%

CROSSTAB TABLE 107

DO THE HOSPITALS WHO REFER PATIEDTS TO YOUR NURSING HOME

FORWARD THE PATIENT'S RECORD ABSTRACTS?

BY NUMBER OF BEDS

N = 131

Number

of Beds

Always

Sometimes

Never

Other

Total

10 or less

11

12

14

78.6%

7.1%

14.3%

11- 30

45

21

21

69

65.2%

30.4

2.9%

1.4%

31-50

18

624

75. 0%

25.0%

51-100

17

22

77.3%

22.7%

N 100+

22

100.0%

Totals

9333

41

131

71.0%

25.2%

3.1%

0.8%

100.0%'

CROSSTAB TABLE 108

WHAT LNBORATORY AND DIAGNOSTIC FROCEDURES ARE YOU EQUIPPED TO PERFORM IN YOUR NURSING HOME?

BY NUMBER OF BEDS

N = 331

AB

CD

EF

Gif

IJ

KL

MTotal

Number

ECG

CBC

Urin-

More

No

of Beds

only

only

alysis

Other

A&B

A&C

A&D

B&C

B&D

C&D

Than 2

Info.

None

10 or less

15

814

7 .3.0/6

35.7%

57.1%

11-30

41

81

154

69

5.8%

1.45'!

11.6%

1.4%

1.4%

78.3%

31-50

14

19

24

4.2%

16.7%

79.2%

51-100

11

317

22

4.5%

4.5%

13.6%

77.3%

100J-

22

100.0%

Totals

17

120

31

98

131

0 .8%

5.3%

0.8%

15.3%

2.3%

0.8%

74.8%

100.0%

CROSSTAB TABLE 109

IS THERE A NEARBY HOSPITAL WHICH PROVIDES LABORATORY, DIAGNOSTIC OR THERAPEUTIC SERVICES

FOR YOUR PATIENTS?

BY NUMBER OF BEDS

N = 131

Number

of Beds

Yes

No

Total

10 or less

14

14

100.M

11-30

68

169

98.6%

1-4%

31-50

23

124

95.8%

4.2%

51-100

22

22

100.0%

22

100.0%

Totals

129

2131

98.5%

1.5%

100.0%

CROSSTAB TABLE 110

IF YES HOW FAR AWAY IS THIS

HOSPITAL FROM THIS NURSING HOME?

BY NUMBER OF BEDS

N = 131

Number

of Beds

0-10 miles

11-20 miles

Distance fi-um Nursing Home

Not

21-50 'Idles

over 50 mi.

Applicable

Total

10 or less

12

11

14

85.7%

7.1%

7.1%

11-30

55

10

469

79.7%

14.5%

5.8%

31-50

23

124

95.8%

4.2%

!*,4) 51-100

20

222

,..-) _

90.9%

9.1%

100+

2

100.0%

Totals

112

13

6131

85.5%

9.9%

4.6%

100.0%

CROSSTAB TABLE 111

DO THE HOSPITALS FROMWHICH PATIENTS ARE REFERREDTO YOUR NURSING HOME MAINTAIN CONTACT

WITH THE PATIENTS WHENTHEY ARE IN YOUR HOME TOASSURE CONTINUITY OF CARE?

BY NUMBER OF BEDS

N = 131

Number

of Beds

Yes

No

Sometimes

Total

10 or less

14

14

100.0%

11-30

658

569

8.7%

84.1%

7.2%

31-50

24

24

100.0%

51-100

116

522

72.7%

22.7%

100+

11

2

50.0%

50.0%

Totals

8113

10

131

6.1%

86.3%

7.0%

100.0%

CROSSTAB TABLE 112

HA

S A

NY

HO

SPIT

AL

OFF

ER

ED

TO

SH

AR

E P

ER

SON

NE

LW

ITH

YO

U, S

UC

H A

SA

IDE

S O

R T

HE

RA

PIST

SO

RPH

YSI

CIA

N A

SSIS

TA

NT

S?

BY

NU

MB

ER

OF

BE

DS

N =

131

Number

of B

eds

Yes

No

Tot

al11

11.

10 o

r le

ss7.

1%92

. 9°

A14

11-3

010

5969

85.5

%3/

-50

518

2425.0%

75.0

%51

-100

814

2236.4%

63 .6

%10

0+2

2100.0%

Tot

als

2710

413

120

.6%

79. 4

%10

0. 0

°/0

CROSSTAB TABLE 113

IF YES, DID YOU ACCEPT?

BY NUMBER OF BEDS

N = 131

NuMber

of Beds

Yes

No

Not Applicable

Total

10 or less

113

14

7 .1%

92.9%

11-30

10

59

69

14.5%

85.9%

31-50

51

18

24

20.8%

4.2%

75.0%

51-100

913

22

40.9%

59.1%

100+

2100.0%

2

Totals

27

1103

131

20.6%

0.8%

78.6%

100.0%

,

CROSSTAB TABLE 114

IF NO, WOULD YOU ACCEPT IF THEY

DID?

BY NUMBER OF BEDS

N = 131

Number

of Beds

Yes

No

Not Applicable

Other

Total

10 or less

77

14

50.0%

11-30

52

510

269

75.4%

7.2%

14.5%

2.9%

31-50

15

27

24

62.9%

8.3%

29.2%

51-100

10

39

22

45.9%

13.6%

100+

11

2

50.0%

Totals

84

18

27

2131

64.1

%13.7%

20.6%

1.5%

100.0%

CROSSTAB TABLE 115

IF YES, FAS THE ARRANGEMENT

BEEN SUCCESFUL?

BY NUMBER OF BEDS

N = 131

Number

of Beds

Yes

Vo

Not Applicable

Other

Total

10 or less

112

114

7.1%

85.7%

7.1%

11-30

10

356

69

14.5%

4.3%

81.2%

31-50

617

124

25.0%

70.8%

4.2%

4t1-100

814

22

.C.,:

36.4%

63.6%

100+

22

100.0%

Totals

27

399

2131

20.6%

2.3%

75.6%

1.5%

100.0%

NI

CROSSTAB TABLE 116

WHAT ARE THE MAIN REASONS THAT CONSULTANTS IN OCCUPATIONAL TMERAPY,

REHABILITATION, PHYSICAL

THERAPY, DIETETICS, ETC., ARE NOT USED MORE IN PLANNING THE SPECIAL CARE OF YOUR PATIENTS

AND PROVIDING SUCH CARE?

BY NUMBER OF BEDS

N131

Number

of Beds

Not

Available

Couldn't

Improve Care

Main Reasons

Won't

Pay Extra

Others

(Other)

Total

10 or less

11-30

31-50

51-100

100+

1 7.1%

2637.7%

8

33.3%

6

27.3%

3

21.4%

6 8.7%

3

12.5%

5

22.7%

3

21.4%

2231.9%

9

37.5%

5

22.7%

6

42.9%

14

20.3%

12.5%

6

27 .3%

2

100.0%

1 7.1%

1 1.4%

1 4.2%

14

69

24

22 2

Totals

41

31.3%

17

13 .0%

39

29. a%

31

23.7%

3 2.3%

131

100.0%

CROSSTAB TABLE 117

DO YOU HAVE A LARGE (50% OR OVER)

PERSONNEL TURNOVER EACH YEAR IN RN'S?

BY NUMBER OF BEDS

N =

Number

of Beds

Yes

No

Other

Total

10 or less

13

114

92 . 9%

7 .1%

11-30

LI

65

69

5.8%

94. 2%

31-50

123

24

4.2%

95.8%

N51-100

121

22

-..

4.5%

95.5%

Ul

100+

22

100.0%

Totals

6124

1131

4.0%

94.7%

0.8%

100.0%

CROSSTAB TABLE 118

DO YOU HAVE A LARGE (50% OR OVER) PERSONNEL TURNOVER EACH

YEAR IN LPN'S?

BY NUMBER OF BEDS

N = 131

Number

of Beds

Yes

No

Other

Total

10 or less

13

114

92.9%

7.1%

11-30

366

69

95.7%

31-50

24

24

100.0%

51-100

22

22

100.0%

100+

22

100.0%

Totals

3127

1131

2.3%

96.9%

0.8%

100.0%

CROSSTAB TABLE 119

DO YOU HAVE A LNRGE (50% OR OVER)

PERSONNEL TURNOVER EACH YEAR IN AIDES?

BY NUMBER OF BEDS

N = 131

Number

of Beds

Yes

No

Other

Total

10 or less

211

114

14.3%

78.6%

7.1%

11-30

23

46

69

33.3%

66.7%

31-50

11

13

24

45.8%

54.2%

51-100

10

12

22

'100+

11

2

50.0%

50.0%

Totals

47

83

1131

35.9%

63.4%

0.8%

100.0%

GC

CROSSTAB TABLE 120

DO YOU HAVE A LARGE (50:4 OR OVEN') PERSONNEL TURNOVER

EACH YEAR IN PHYSICAL THERAPISTS?

BY NUMBER OF BEDS

N = 133.

Number

of Beds

Yes

No

Other

Total

10 or less

11 -30

31-50

51-100

100+

1 1.4%

1 4.2%

13 92.9%

911.09

2395.8%

22

100.0g

2

100.0%

1 7.1g

14

69

24

22 2

Totals

2128

1131

1.5%

97.7%

0.8%

100.0%

CROSSTAB TABLE 121

DO YOU HAVE A LARGE (50% OR OVER) PERSONNEL TURNOVER EACH YEAR IN OCCUPATIONAL THERAPISTS?

BY NUMBER OF BEDS

N = 131

Number

of Beds

Yes

No

Other

Tota/

10 or less

13

114

92.9%

7.1%

11-30

69

69

100.o%

31-50

24

24

100.0%

51-100

22

100.0%

22

100+

22

100.0%

Totals

130

113

1

99.2

%0.

8%100-0%

CROSSTAB TABLE 122

DO YOU HAVE A LARGE (5( % OR OVER) PERSONNEL TURNOVER EACH YEAR IN RECREATION & SOCIAL DIRECTORS?

BY NUMBER OF BEDS

N=131

Number

of Beds

Yes

No

Other

Total

10 or less

13

114

92.9%

7.1%

11-30

69

69

100.0%

31-50

24

24

100.0X

N7

A51-100

22

22

oe

-100.0%

0L'" 100+

22

100.00/0

Totals

130

1131

99.2%

0.9%

100.0%

CROSSTAB TABLE 123

DO YOU HAVE A LARGE CM OR OVER) PERSONNEL TURNOVER EACH

YEAR IN DIETETICS?

BY NUMBER OF BEDS

N =

Ul

Number

of Beds

Yes

No

Other

Total

10 or less

11-30

31-50

13

92.9%

69

100.0%

24

100.0%

1 7.1%

14

69

24

til-100

121

22

4.9%

95.9%

100+

11

2

50.0

%50

.0%

Totals

212

81

131

1.5%

97.7

%o

. 8%

100.0%

CROSSTAB TABLE 124

DO YOU HAVE A LARGE (51X4OR OVE:) PERSONNEL TURNOVER EACH YEAR IN

IN-SERVICE EDUCATION?

BY NUMBER OF BEDS

N = 131

Nuniber

of Beds

Yes

No

Other

Total

10 or less

11-30

31-50

13 92.9%

69

100.0%

24

1 7.1%

14

69

24

100.0%

51-100

22

22

100.0%

N.100+

22

tJ

100.0%

Totals

130

1131

99.2%

0.8%

100.0%

CROSSTAB TABLE 125

DO YOU HAVE A LARGE (SO% OR

OVER) PERSONNEL TURNOVER EACH YEAR IN

PHYSICIAN CARE

BY NUMBER OF BEDS

N =

131

Number

of Beds

Yes

No

Other

Total

10 or less

11-30

31-50

131

1492

.9%

7.1%

69

100.0%

24

100.0%

22

100.0%

2

100.

0%

69 24 22 2

Tot

als

130 99

.2%

0 .8

%10

0.0%

i0

CROSSTAB TABLE 126

DO YOU HAVE A LARGE (50% OR OVER)

PERSONNEL TURNOVER EACH YEAR IN OTHER EMPLOYEES?

BY NUMBER OF BEDS

N = 131

'timber

of Beds

Yes

No

Other

Total

10 or less

11-30

31-50

51-100

100+

4 5.8%

1 4.2%

1

13 92.9%

65

94.2%

23 95.8%

21 95.5%

2100.0%

1 7.1%

14

69 24

22 2

Totals

6124

94.7%

1 0.8%

131

100.0%

4.6%

CROSSTAB TABLE 127

DOES THE COST OF TRAINING NEW PERSONNEL SUBSTANTIALLY

INFLUENCE THE COST OF OPERATING

YOUR NURSING HOME?

BY NUMBER OF BEDS

N = 131

Number

of Beds

Yes

No

Don't Know

Total

10 or less

113

14

7.1%

92.9%

11-30

24

42

369

34.8%

60.9%

4.3%

31-50

717

24

29.2%

70.8%

51-100

418

22

18.2%

81.8%

100+

12

50.0%

50.0%

Totals

37

91

3131

28.2%

69.5%

2.3%

100.0%

CROSSTAB TABLE 128

DO

YO

U U

SE V

OL

UN

TE

ER

HE

LP

IN T

HIS

. DU

I1SI

NG

HO

ME

?BY NUMBER OF BEDS

N =

131

Number

Of Beds

Yes

No

Tot

al

10 or less

113

14

7.1%

92.9%

11-30

16

53

69

23.2%

76.8%

31-5

013

1124

54.2

%45

.8%

51-1

0010

1222

45.5

%54

.5%

1400

+1

12

50.0%

50.0%

Totals

41

90

131

31.3

%68

.7%

100.

0%

CROSSTAB TABLE 129

IF TRAINED VOLUNTEERS WERE AVAILABLE,

MANY COULD YOU USE?

BY NUMBER OF BEDS

N = 131

Number

of Beds

12-3

4-5

Number of Volunteers

5-10

More than 10

None

No Info.

Total

10 or less

34

61

14

21.4%

28.6%

42.9%

7.1%

11-30

532

17

57

369

7.2%

46.4%

24.6%

7.2%

10.1%

4.3%

31-50

29

43

14

124

8.3%

37.5%

16.7%

12.5%

4.2%

16.7%

4.2%

51-100

13

65

24

122

13.6%

27.3%

22.7%

9.1%

18.2%

4.9%

100+

11

250.0%

50.0%

Totals

11

48

27

13

421

7131

8.14%

36.6%

20.6%

9.9%

3.1%

16.0%

5.3%

100.0%

Co

CROSSTAB TABLE 130

ARE THERE TRAINED, BUT INACTIVE RN'S, LPN'S, OR. AIDES IN THIS COMMUNITY WHO MIGHT WORK

ON A PART-TIME BASIS AFTER THEY HAD ATTENDED A REFRESHER COURSE IN THEIR SPECIALTY?

BY NUMBER OF BEDS

N = 131

Number

of Beds

Yes

No

Don't Know

Tot

al

10or less

82

414

57.1%

14.3%

28.6%

11-30

18

18

33

69

26.1%

26.1%

47.8%

31-50

67

11

24-

25.0%

29.2%

45.8%

51-100

79

622

31.8%

40.9%

27.3%

100+

11

250 .

0 %

so.ug

Totals

36

5513

1

30.5

%27

.5%

42.0%

100.0%

CROSSTAB TABLE 131

IF THERE ARE, HOW MANY RN'S WOULD YOU BE ABLE TO HIRE?

BY NUMBER OF BEDS

N = 131

Number of RN's

Number

Didn't

Not

No

of Beds

1-2

3-4

5-6

7-8

None

Indicate 4

Applic.

Info.

Other

Total

10 or less

11-30

1 7.1%

19

1

535.7%

5

321.4%

3

321.4%

16

2114.3%

24

1

14

69

27.5

%1-4%

7.2%

4.3%

23.2

%34

.8%

1.4%

31-50

45

411

24

16.7%

20.8%

16.7%

ir

51-1

00)

5

22.7%

1 4.5%

1 4.5%

1 4.5%

2 9.1%

6

27.3%

6

27.3%

22

100+

11

250

.0%

50.0

%

Totals

29

21

17

829

44

1131

22.1%

1 . 5

%0

.13.0%

6.1%

22.1%

33.6%

0.8%

100.0%

CROS3TAB TABLE 13:

IF THERE ARE, HOW MANY

LPN/S WOULD YOU BE ABLE TO HIRE?

BY NUMBER OF BEDS

N = 131

Number of LPN's

Number

Didn't

Not

No

of Beds

1-2

3-4

5-6

7-8

None

Indicate # Applic.

Info.

Other

Total

10 or less

11-30

31-50

51-100

15

32

7.1%

35.7%

21.4%

14.3%

23

33.3%

1 1.4%

3 4.3%

3 4.3%

16

23 .2%

84

2

33.3%

16.7%

8.3%

51

12

6

22.7%

4.55

4.5%

9.1%

27.3%

1

Totals

314

21.4%

22

169

31.9%

1.4%

10

24

41.7%

722

31.8%

12

50.0

50.0

%

37

12

13

826

43

1131

28.2%

0 8%

1 .5%

6-1%

19.8%

32.8%

0.8%

100.0% a)

=-1

CROSSTAB TABLE 133

IF THERE ARE, HOW MANY AIDES WOULD YOU BE ABLE TO HIRE?

BY NUMBER OF BEDS

N = 131

Number of Aides

Number

of Beds

3-4

5-6

7-8

None

DidnIt

Indicate #

Not

Applic.

No

Info.

Other

Total

10 or less

25

22

314

14.3%

35 .7%

14.3%

14.3%

21.4%

11-30

3L.

112

316

29

169

5.8%

17.4%

4.3%

23.2%

42.0%

1.4%

31-50

21

63

12

24

8.3%

4.2%

25.0%

12.5%

50.0%

51-100

21

13

26

722

9.1%

4.5%

4.55

13.6%

9.1%

27.3%

31.8%

100+

150.0%

150.0%

2

Totals

96

12

26

727

52

1131

6.9%

4.6%

0.8r

1.9%

19.8%

5.3%

20.6%

39.7%

0.8%

100.0%

CROSSTAB TABLE 134

DO YOU HAVE DIFFICULTY ARRANGING TRANSPORTATION FOR

PATIENTS FROM YOUR NURSING HOME TO THE

HOSPITAL?

(rly EMERGENCY SITUATIONS)

BY NUMBER OF BEDS

N = 131

Number

of Beds

Yes

No

Total

10 or less

11-30

31-50

51-100

2 2.9%

100.%

67 97.1%

24

loo.u%

22

69

24

22

100.0%

/00+

22

100.0g

Totals

2129

131

1.5%

93.9%

100.0%

CROSSTAB TABLE 135

DO YOU HAVE DIFFICULTY. ARRANGING TRANSPORTATION FOR PATIENTS FROM YOUR NURSING HOME TO THE

HOSPITAL?

(IN NON-EMERGENCY SITUATIONS) BY NUMBER OF BEDS

N = 131

Number

of Beds

Yes

No

Total

10 or less

14

14

100.0%

11-30

663

69

8.7%

91.3%

31-50

123

24

95. e%

51-100

121 95.5%

22

100+

22

100.0%

Totals

123

131

6.1%

93.9%

100.0%

N

CROSSTAB TABLE 136

DO YOU THINK THAT THE HOSPITAL AND ITS STAFF ARE WELL EQUIPPED TO HANDLE MEDICAL

EMERGENCIES

WHICH OCCUR AT YOUR NURSING HOME?

BY NUMBER OF BEDS

N = 131

Number

of Beds

Yes

No

No Information

Total

10 or less

14

14

100.0%

11-30

66

369

957%

4.3%

31-50

24

24

100.0%

51-100

20

11

22

90.9%

41.5%

4.5%

100+

22

100.0%

Totals

126

31

1131

96.2%

2.3%

0.8%

0.8%

100.0%

,a=

111.

maO

ilWA

Lt,

CROSSTAB TABLE 137

IS THERE A HOMff HEALTH SERVICE AGENCY IN THIS AREA?

BY NUMBER OF BEDS

N = 131

Nnmber

of Beds

Yes

No

Don't Know

Total

10 or less

84

214

57.1%

28.6%

14.3%

11-30

43

17

969

62.3%

24.0%

13.0%

31-50

12

48

24

50.0%

16.7%

33.3%

51-100

15

722

68.2%

31.8%

100+

22

100.0%

Totals

80

32

19

131

61.1%

24.4%

14.9%

100.0%

CROSSTAB TABLE 138

IS A VISITING NURSE SERVICE PROVIDED FOR PATIENTS IN THEIR HOMES IN YOUR AREA?

BY NUMBER OF BEDS

N = 131

Number

of Beds

Yes

No

Don't Know

10 or less

750.0%

2

14.3%

535.7%

11-30

48

912

69.6%

13.0g

17.4g

31-50

12

48

50.0%

16.7%

33.3%

51-100

13

45

59.1%

18.2%

22.7%

Total

14

69

24

22

tsD 100+

22

100.0%

r

Totals

82

19

30

131

F 1

62 . 6%

14.5%

22.9%

100-V#

CROSSTAB TABLE 139

IS PHYSICAL THERAPY SERVICE PROVIDED

FOR PATIENTS IN THEIR HOMES IN YOUR AREA?

BY NUMBER OF BEDS

N =

131

Number

of Beds

Yes

No

Don't Know

Total

10 or less

45

514

28.6%

35.7%

35.7%

11-30

12

43

14

69

17.4%

62.3%

20.3%

31-50

214

824

8.3%

58.3

%33

.3%

51-100

412

622

18.2%

54.5

%27.3%

C.2

100+

22

100.0%

Total

24

74

33

131

18.3

%56.5%

25.2%

100.0%

CROSSTAB TABLE 140

IS OCCUPATIONAL THERAPY SERVICE PROVIDED FOR

PATIENTS IN THEIR HOMES IN YOUR AREA?

BY NUMBER OF BEDS

N = 131

Number

of Beds

Yes

No

Donit Know

Total

10 or less

L.

55

14

me%

35.7%

35.7%

11-30

351

15

69

73.9%

21.7%

31-50

114

924

58.3%

37.5%

51-100

313

622

13.6%

59.1%

27.3%

1004-

11

2

50.0%

50.0%

Totals

11

84

36

131

8.4%

64.1%

27.5%

100.0%

CROSSTAB TABLE 141

IS SOCIAL WORK SERVICE PROVIDED FOR PATIENTS IN THEIR HOMES IN YOUR AREA?

BY NUMBER OF BEDS

N = 131

Number

of Beds

Yes

No

Don' t Know

Total

10 or less

72

514

50.0%

14.3%

35.7%

11-30

26

28

15

69

37.7%

40. 6%

21.7%

31-50

10

59

24

41.7%

20.8%

37.5%

51-100

13

54

22

59.1%

22 .7%

18.2%

100+

11

2

50. 0%

50. 0%

Totals

56

41

3 4

131

42.7%

31.3%

26. 0%

100.0%

CROSSTAB TABLE 142

ARE OTHER SERVICES PROVIDED FOR FATIENTS IN THEIR HOMES IN YOUR AREA?

BY NUMBER OF BEDS

N =

131

Number

of Beds

Yes

No

Don't Know

Total

10 or less

95

14

64.3%

35.7%

11-3 0

10

44

15

69

1 4. 5%

63.8%

21.7%

31- 50

114

924

58.3%

37 .5%

51-100

1114

422

IN

k..-

5

18.2%

63.6%

18.2%

0100+

11

2

50.0%

50.0%

Total

15

82

34

131

11.5%

62.6%

26.0%

100.0%

CROSSTAB TABLE 143

WHEN A PATIENT LEAVES YOUR NURSING HOME TO RETURN TO THEIR FAMILY, DO YOU INVITE THEIR

COMMUNITY'S HOME HEALTH SERVICE AGENCY TO PARTICIPATE IN THE DIEUEARGE PROCEDURES?

BY NUMBER OF BEDS

N = 131

Number

No

of Beds

Always

Sometines

Never

No Such Patient

Info.

Other

Total

10 or less

59

14

35.7%

64.3%

11-30

38

39

18

169

11.6%

56.5%

26.1%

1.4%

31-50

21

14

61

24

8.3%

4.2%

58.3%

25.0%

4.2%

51-100

46

83

122

18.2%

27.3%

36.4%

13.6%

4.9%

100+

11

2

50.0%

50.0%

Totals

10

16

66

36

21

131

7.6%

12.2%

50.4%

27.5%

1.5%

0.0

100.0%

CROSSTAB TABLE 144

IF A LOCAL NON PROFIT

COMMUNITY HEALTH SERVICEAGENCY COULD PROVIDE

CONSULTANT HELP IN

THE

AREAS OF PATIENT CARELISTED IN QUESTION#41, WOULD YOU UTILIZE

THESE SERVICES?

BY NUMBER OF BEDS

N = 131

Number

of Beds

Yes

No

Need Mbre

Information

Total

10 or less

10

31

14

71.4%

21.4%

7.1%

11-30

54

78

69

78.3%

10.1%

11.6%

31-50

18

624

75.0%

25.0%

51-100

13

54

22

59.1%

22.7%

18.2%

100+

22

100.0%

Totals

95

17

19

131

72.5%

13.0%

14.5%

100.0%

CROSSTAB TABLE 145

DO YOU FEEL THAT ANY OF YOUR PATIENTS

MIGHT BE ABLE TO LIVE AT HOME AND BE CARED FOR

SATISFACTORILY BY A HOME HEALTH CARE SERVICE?

BY NUMBER OF BEDS

N = 131

Number

of Beds

Yes

No

Information

Blank

Other

Total

No

10 or less

212

14

14.3%

85.7%

11-30

14

52

11

169

20.3%

75.4%

1.4,4

1.4%

1.4%

31-50

519

24

20.8%

79.2%

51-100

616

22

27.3%

72.7%

N100+

11

2

Ci

50.0%

50.0%

Totals

28

100

11

1131

21.4%

76.3%

0.8%

0.8%

0.8%

100.0%

--"

"-7

1b.

A-

-,-

-711

1.

CROSSTAB TABLE 146

TROUBLE HIRING LPN'S BECAUSE THERE IS A SHORTAGE

BY DIFFICULTY IN HIRING RN'S BECAUSE OF SHORTAGE

N = 131

Difficulty

Hiring RN's

Yes

Difficulty Hiring LPN's

No

Not Applicable

Total

Yes

24

18

42

57.1%

42.9%

No

923

32

28.1%

71.9%

Not Applicable

57

57

100.0%

tO

Totals

33

41

57

131

25 . 2%

31.3%

43 . 5%

100 . 0%

A

Difficulty

Hiring RNIs

Yes

No

Not Applicable

Totals

cri

7.-

7

CROSSTAB TABLE 147

TROUBLE HIRING AIDES BECAUSE THERE IS A SHORTAGE

BY DIFFICULTY IN HIRING RNts BECAUSE OF SHORTAGE

N = 131

Difficulty Hiring Aides

Yes

No

Not Applicable

Total

21

21

42

50.0%

50.0%

19

13

32

59.4g

Lio.e%

57

57

100.0%

4034

57

131

30.5%

26.0%

43.5%

100.0%

CROSSTAB TABLE 148

TROUBLE HIRING PHYSICAL THERAPISTS BECAUSE

THERE IS A SHORTAGE


N = 131

Difficulty

Hiring RN's

Difficulty Hiring Physical Therapists

Yes

No

Not Applicable

Total

Yes

537

42

11.9%

88.1%

No

329

32

9.416

90.6%

Not Applicable

57

57

100.0%

Totals

866

57

131

6.1%

50.4g

43.5%

100.0%

CROSSTAB TABLE 149

TROUBLE HIRING OCCUPATIONAL THERAPISTS

THERE IS A SHORTAGE


N=131

Difficulty

Hiring RN's

Yes

Difficulty Hiring Occupational Therapists

No

Not Applicable

Total

Yes

6

14.3%

36

85.7%

42

No

428

32

12.5%

87.5%

Not Applicable

57

57

100.0%

"..1Totals

10

64

57

131

7.6%

48.9%

43.5

%10

0.0%

CROSSTAB TABLE 150

TROUBLE HIRING RECREATION & SOCIAL DIRECTORS

BECAUSE THERE IS A SHORTAGE

BY DIFFICULTY IN HYRING RN'S BECAUSEOF SHORTAGE

N=

131

Difficulty

Hiring RN's

Difficulty Hiring Recreation & Social Directors

Yes

No

Not Applicable

Total

Yes

240

42

95.2%

No

230

32

6.3%

93.8%

Not Applicable

57

100 . 0%

57

Totals

4 3 .1%

70 S3.4%

57

43.5%

131

100.0%

CROSSTAB TABLE 151

TROUBLE HIRING DIETICIANS BECAUSE

THERE IS A SHORTAGE

BY DIFFICULTY IN HIRING RN'S BECAUSEOF SHORTAGE

N = 131

Difficulty Hiring Dieticians

Difficulty

Hiring RN's

Yes

No

Not Applicable

Total

Yes

537

42

11.9X

88.1%

No

230

32

6 -3%

93 -8%

Not Applicable

.

57

57

Totals

767

57

131

5 .3%

51 .1%

43.5%

100.0%

CROSSTAB TABLE 152

TROUBLE HIRING IN-SERVICE EDUCATORS BECAUSE THERE IS A SHORTAGE


N =

131

Difficulty

Hiring RN's

Yes

Difficulty Hiring In-Service Educators

No

Not Applicable

Total

42 32

Yes

240

4.8g

95.2%

No

32

100.0%

Not Applicable

CJ1

57

100.0%

57

Totals

2 1.5%

72 SSA%

57

43.5%

131

100.0%

CROSSTAB TABLE 153

TROUBLE HIRING PSYCHIATRISTS BECAUSE THERE IS A SHORTAGE


N = 133.

Difficulty

Hiring RN's

Yes

Difficulty Hiring Psychiatrists

No

Not Applicable

Total

Yes

3 7.1%

39 92.9%

42

No

32

32

100.0,f)

Not Applicable

57

57

100.0%

Totals

371

57

131

2.3%

54.2%

43.5%

ioo.tr/0

CROSSTAB TABLE 154

TROUBLE HIRING PHYSICIANS BECAUSE THERE IS A SHORTAGE


N =

131

Difficulty

Hiring RN's

Yes

Difficulty Hiring Physicians

No

Not Applicable

Total

Yes

2 4.8g

40

95.2%

42

Eo

131

32

3.1X

96.9%

NNot Applicable

57

57

C.,

ik a

100.0%

C I

d

Total

371

57

131

2.3%

54.2%

43.5%

100.0%

CROSSTAB TABLE 155

TROUBLE HIRING OTHERS BECAUSE THERE IS A SHORTAGE

BY

DIF

FIC

UL

TY

IN

HIR

ING

RN

' S B

EC

AU

SE O

F SH

OR

TA

GE

N131

Difficulty

Hiring RNIs

Yes

Difficulty Hiring Others

No

Not Applicable

Total

Yes

2 4.8

ito42

No

626

32

18.8

%81

.3%

Not Applicable

57

57

100.0%

0Totals

866

57

131

6.1%

50.4%

100.0%

252

OUTLINE OF SURVEY QUESTIONS USED

1. What is your position in this nursing home?

2. How many beds does this nursing home have?

3. How many full-time and part-time employees and consultants do youemploy?

4. Do you have trouble hiring any tYpes of personnel because there isa shortage? If yes, which types?

S. Do you have an In-Service Education Program? If yes, who is regularlyincluded in the activities of this program?

6. Is one employee responsible for staff educational activities in thishome? If yes, is this a full-time duty?

7. Would you like a representative from MRMP to visit your facility toassist in developing an in-service education program?

8. Do you or members of your staff attend the educational programsconducted by the State Department of Health and Welfare? If no,what is the reason for not attending?

9. Would you send members of your staff to formal educational programsin their specialties at the nearest regional location?

10. Are you or members of your staff able to attend meetings, which areheld out of state, to learn of new practices in caring for nursinghome patients? If no, why are you not able?

11. Is a treatment order plan developed for each patient in this nursinghome? If yes, are these plans reviewed as part of educationalsessions for the staff?

12. Do you have a utilization review procedure in this home? If yes,who participates in the review? Are the results of the review usedfor educational purposes with the entire staff?

13. Do you have procedure manuals for each categoWof personnel on yourstaff?

14. Do you feel that procedure manuals can (could) be very helpful inorienting the new employee to the standard practices in your nursinghome?

15. Where have the majority of your personnel been trained?

16. Is each patient in this home under the care of a private physician?If no, does the home have a staff physician who cares for the patientswithout a private physician?

17. Approximately how many times in the past year have you had difficultysecuring the services of a physician for an emergency situation?

251

253

18. How often, on the average, are the patients examined by a physician?

19. What percentage of your pateints are private self-pay?

20. What arrangements do you have for dental care in this home?

21. Do you feel that the physicians and dentists in the area could bemore cooperative in helping with the care of your patients?

22. Does a physician participate in your staff conferences?

23. Do you feel that a physician's assistant, who was specially trainedto care for elderly people and who was licensed by the state toprovide most of the non-emergency care for nursing home patients,would be able to provide better care for your patients than theypresently get? Such a person might be shared by several nursinghomes.

214. Would you send one of your nurses to a training course to become ageriatric care specialist if such a course were available at thenearest regional medical center? If no, why not?

25. Would you employ a person trained as an occupational or physicaltherapy aide, or would you send a member of your present staff to aspecial training course to become such an aide if the course wereavailable at little cost?

26. Do you have patients who are referred to your nursing home from anearby hospital? If yes, is a member of your staff invited toparticipate in the discharge planning for those patients at thehospital?

27. Do the hospitals who refer patients to your nursing home forwardthe patient' s record abstracts?

28. What laboratory and diagnostic procedures are you equipped to performin your nursing home?

29. Is there a nearby hospital which provides laboratory, diagnosticor therapeutic services for your patients? If yes, how far awayis this hospital from this nwslog home?

30. Do the hospitals from which patients are referred to your nursing homemaintain contact with the patients when they are in your home toassure continuity of care?

31. Has any hospital offered to share personnel with you, such as aidesor therapists or physician assistants? If yes, did you accept?If no, would you accept if they did? If yes, has the arrangementbeen successful?

32. What are the main reasons that consultants in occupational therapy,rehabilitation, physical therapy, dietetics, etc., are not used morein planning the special care of your patients and providing suchcare?

2

254

33. In which personnel c??..tegories do Srou have a large (50% or over)personnel turnover each year?

34. Does the cost of training new personnel substantially influence thecost of operating your nursing home?

35. Do you use volunteer help in this nursing home?

36. If trained volunteers were available, how many could you use?

37 . Are there trained, but inactive R. N. s, L. P.N. s or aides in thiscommunity who might work on a part-time basis after they had attendeda refresher course in their specialty? If there are, how many ofeach would you be able to hire?

38. Do you have difficulty arranging transportation for patients fromyour nursing home to the hospital (1) in emergency situations? (2)In non- emergency situations ?

39. Do you think that the hospital and its staff are laell equipped tohandle medical emergencies which occur at your nursing home?

140. Is there a home health service agency in this area?

14l. What services are provided for patients in their homes in your area?

42. When a patient leaves your nursing home to return to their family,do you invite their community' s home health service agency to participattin the discharge procedures?

43. If a local non-profit community health service agency could provideconsultant help in the areas of patient care listed in Question 041 .

would you utilize these services?

1414. Do you feel that any of your patients might be able to live at homeand be eared for satisfactorily by a home health care service?

45. Do you have any additional problems in operating this nursing homewhich we might be able to help you with?

46. What do you anticipate in the way of major changes in our methodsof caring for elderly people in this country in the next twenty years?

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