This study uses merged facility and resident data from the 2010 National Survey of Residential Care Facilities (NSRCF), which was sponsored by the U.S. Department of Health and Human Services (the National Center for Health Statistics, the Office of the Assistant Secretary for Planning and Evaluation, the Agency for Healthcare Research and Quality), the U.S. Department of Veterans Affairs, and other federal agencies (Moss, Harris-Kojetin, & Sengupta, 2011). The NSRCF, the first nationally representative survey of United States residential care providers, collected a broad array of data on facilities and residents. To be eligible for the survey, facilities had to be licensed, registered, listed, certified, or otherwise regulated by a state; have four or more beds and at least one resident currently living in the facility; and provide room and board (at least two meals a day), round-the-clock onsite care supervision, and help with ADLs (e.g., bathing, eating, or dressing) or health-related services (e.g., medication management).
Facilities also had to serve primarily an adult population and not exclusively serve people with severe mental illness or people with intellectual and developmental disabilities. Because states vary in how they regulate RCFs, sampled facilities were regulated under many names, including assisted living residences, board and care homes, congregate care facilities, enriched housing programs, homes for the aged, personal care homes, adult care homes, and housing with services establishments.
The NSRCF was conducted between March and November 2010 using a two-stage probability sampling design in which RCFs were sampled first, and then, depending on facility size, 3-6 current residents from each facility were sampled. In-person interviews were conducted with facility directors and designated staff. Information on individual residents was collected from staff knowledgeable about the individual residents; no interviews were conducted with residents. Data were collected on 2,302 facilities and 8,094 current residents. The facility weighted response rate was 81 percent and the resident weighted response rate was 99 percent. We also merged a set of state identifiers based on an RTI-developed typology that identified states based on the type of Medicaid residential care coverage (e.g., state plan personal care, HCBS waiver, both state plan and waiver services, or none) with the survey data. The data merge and analyses were conducted at the Research Data Center of the National Center for Health Statistics, with the help of Research Data Center staff. The Research Data Center has special provisions to protect the confidentiality of respondent facilities and residents.