Design and Operation of the 2010 National Survey of Residential Care Facilities. Introduction


The National Survey of Residential Care Facilities (NSRCF) is a first-ever national data collection effort to gather information about the characteristics of residential care facilities, including assisted living residences, board and care homes, congregate care, enriched housing programs, homes for the aged, personal care homes, and shared housing establishments. To be eligible for this study, residential care facilities are places that are: licensed, registered, listed, certified, or otherwise regulated by the state; have four or more licensed, certified, or registered beds; provide room and board with at least two meals a day and around-the-clock on-site supervision; and help with personal care such as bathing and dressing or health-related services such as medication management. These facilities serve a predominantly adult population. Facilities licensed to serve the severely mentally ill or the developmentally disabled populations exclusively, and facilities that do not have any current residents, are excluded. Nursing homes are also excluded unless they have a unit or wing meeting the above definition and residents can be separately enumerated. Appendix I lists the acronyms used in this report.

NSRCF was conducted between March and November 2010 by the National Center for Health Statistics (NCHS). Partners in this NSRCF initiative include: Office of the Assistant Secretary for Planning and Evaluation (ASPE), U.S. Department of Health and Human Services (HHS); Agency for Healthcare Research and Quality (AHRQ), HHS; National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention (CDC), HHS; National Center for Immunization and Respiratory Diseases, CDC, HHS; and
U.S. Department of Veterans Affairs. RTI International (RTI) collected the data for the survey under a contract with NCHS. ASPE also contracted with RTI to assist with survey design and sampling frame development. NSRCF is legislated under the National Health Survey Act (P.L. 84–652) of 1956. Section 306 (42 U.S.C. 242k) of the Public Health Service Act authorizes NCHS to collect statistics on health resources and the utilization of health care, which includes ‘‘extended care facilities and other health institutions’’ (1).
This report describes both the rationale and design of NSRCF and the planning activities and methods used to collect and compile information on residential care facilities and their residents.

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