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The CDC recently published The National Nursing Home Survey: 2004. The report was based on a sample of 1,500 nursing homes, out of the 17,000 nationwide. The CDC's previous report was for 1999. A new survey of CNA's was added.

Some items:

Nursing homes:

* In 2004 there were 1.5 million nursing home residents, 136,000 fewer than in 1999.
* Overall, nursing homes occupancy rates were 86%.
* 62% of the homes were for-profit, 30% non-profit, and the rest government/other.
* 88% of homes were certified for Medicare and Medicaid, up from 82% in 1999.
* 55% of the homes were owned by chains.
* Nursing homes employed 939,000 in care jobs, of which 600,000 were CNA's.


* 45% of residents were age 85 or older.
* The Midwest had the most nursing home residents, as a percent of population, followed by the Northeast, then South. The West had by far the fewest.
* 71% of Nursing home residents were female.
* Most residents had more than one payment source. At admittance 42% paid some or all of their care privately, but as of the survey 66% were then paying some or all of their costs.
* 23% were originally admitted for circulatory problems, 16% for mental disorders, and 165 for nervous system disorders.
* 11% of residents had pressure ulcers, 76% of those were stage 2 (open sore) or worse.
* 42% of patients with stage 3 or 4 sores had been in acute care hospitals prior to admittance.
* 56% of residents had DNR directives


* Nursing home CNA's were paid about $10 per hour
* Non-profit homes paid $0.70 per hour more than for-profits, and government-run homes paid $1 per hour more, on average.
* 54% were enrolled in employer health plans (46% at for-profits, and 63% at non-profits).
* 16% did not have any health care insurance.
* 36% had family incomes below $20,000 per year
* 92% were female, half were married
* 54% had 6 or more years experience
* 43% said that they did not have enough time to adequately assist residents (51% in the Northeast)
* 40% reported being dissatisfied with pay.
* 20% were dissatisfied with workplace morale
* More felt they were respected by residents than by resident family or supervisors
* 32% said supervisors did not discipline or remove poor performers
* 30% had problems with co-workers
* 45% said they may leave facility within a year, poor pay being biggest factor

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