Metlife Survey 2006

8/2/2019 Metlife Survey 2006

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The MetLife Market Survey ofNursing Home & Home Care CostsSeptember 2006

MetLife Mature Market Institute

in conjunction with

LifePlans, Inc.


2/20

The MetLife Mature Market InstituteThe MetLife Mature Market Institute is the companys information and policy resource center on

issues related to aging, retirement, long-term care and the mature market. The Institute, staffed by

gerontologists, provides research, training and education, consultation and information to support

Metropolitan Life Insurance Company, its corporate customers and business partners. MetLife, a

subsidiary of MetLife, Inc. (NYSE: MET), is a leading provider of insurance and other financial

services to individuals and institutional customers.

MetLife Mature Market Institute

57 Greens Farms RoadWestport, CT 06880

(203) 221-6580

[email protected]

www.maturemarketinstitute.com

LifePlans, Inc.LifePlans, Inc., a risk management and consulting firm, provides data analysis and information to

the long-term care insurance industry. The firm works with insurers, the Federal Government,industry groups and other organizations to conduct research that helps these groups monitor their

business, understand industry trends, perform effective advocacy, and modify their strategic

direction. For more information, contact:

LifePlans, Inc.

51 Sawyer Road

Suite 340

Waltham, MA 02453

(781) 810-2412

www.lifeplansinc.com


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Table of Contents

Executive Summary 4

Overview 5

N Nursing Home Overview 5

N Home Care Overview 8

Methodology 9

N Nursing Home Methodology 10

N Home Care Methodology 10

Results 11

Chart of Nursing Home Costs 12

Chart of Home Care Costs 15


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Executive Summary

Each year the MetLife Mature Market Institute con-ducts a market survey of nursing home and home

care costs in the United States. The 2006 survey

was conducted by telephone in 87 major markets in

all 50 states and the District of Columbia by

LifePlans, Inc., a risk management and consulting

services firm.

Daily private pay rates for long-term (custodial)

care were obtained for private and semi-private

rooms in licensed facilities. Hourly rates wereobtained for home health aides from licensed agen-

cies and for agency-provided homemaker/compan-

ion services.

*All cost averages in this survey are rounded to the nearest dollar.

Daily nursing home rates range considerably by

region. The Shreveport, LA area had the lowest

rates for a private room in a nursing home averaging

$111 per day and Alaska the highest averaging $578

daily. For a semi-private room, the Shreveport, LA

area was the lowest, with a mean daily rate of $104

and Alaska the highest averaging $570 per day.

Home health aide rates also varied; the Shreveport,

LA area had the lowest hourly rate of $12 and the

Rochester, MN area had the highest hourly rate

of $29.

Homemaker/companion rates also showed consider-able geographic variability. The Shreveport, LA area

had the lowest hourly rate of $12 and the Rochester,

MN area had the highest hourly rate of $23.

National Findings*

The national average daily rate for a private room in a nursing home

is $206, or $75,190 annually.

The national average daily rate for a semi-private room in a nursing

home is $183, or $66,795 annually.

The national average hourly rate for home health aides is $19.

The national average hourly rate for homemakers/companions is $17.


5/20

Overview

Home care and nursing home care each representopposite ends of the care continuum. Home care

covers a wide range of health and social services

provided in the home of the care recipient, and a

nursing home is a residence providing room,

meals, skilled nursing care, and medical services to

residents.

Home care services are usually first provided by

family members, and as the need for care increases,

are supplemented by paid outside help. Servicescan range from custodial or supportive care servic-

es to skilled care. Custodial care or supportive care

is typically provided to individuals who have ongo-

ing care needs related to a long-term care illness. It

is delivered by paraprofessionals, such as home

health aides who assist with activities such as

bathing, dressing and toileting, and homemakers or

companions who can provide companionship and

assist with activities such as shopping, transporta-

tion, light housekeeping or similar tasks. Skilled

home care is provided to individuals who are

recovering from an acute illness or event. It is typi-

cally delivered by nurses, therapists or specially

trained home health aides, sometimes called certi-

fied nursing assistants, who work under the direc-

tion of a physician and/or registered nurses.

Nursing homes provide care to residents with

chronic conditions requiring permanent care or to

those needing a recovery period after hospitaliza-

tion. Typically patients in long-term care facilities

require assistance with Activities of Daily Living

(ADLs) such as bathing, dressing, eating, toileting,

transferring in and out of chairs or beds and conti-

nence, and/or have cognitive limitations due to

Alzheimers disease or another form of dementia.

This market survey focuses on the hourly rates for

home care services, both for home health aides and

homemakers or companions, and daily rates for

nursing homes in 87 major markets across theUnited States. All rates are private pay rates.

Nursing Home OverviewAdmission to a nursing home could be for short-

term rehabilitation services, but for many

Americans, the move to a nursing home is a per-

manent one. The nursing home resident may have

a chronic condition or a cognitive impairment that

prevents him or her from living independently.

Nursing homes provide a secure environment andan array of services to meet the physical, medical

and social needs of its residents.

Services provided at nursing homes typically

include:

N Room and board

N Medication management

N Personal care (assistance with ADLs)

N Social and recreational activities


6/206

Number

of Beds 1973-74 1977 1985 1995 1997 1999

Fewer 40.8% 42.3% 33.2% 16.8% 12.09% 11.5%than 50

50-99 35.0% 30.7% 32.5% 35.6% 37.2% 38.7%

100-199 20.4% 22.2% 28.1% 40.1% 42.2% 41.8%

200 or 3.8% 4.8% 6.2% 7.5% 7.7% 8.0%more

Nursing Homes by Number of Beds

Source: CDC/NCHS, National Nursing Home Survey, selected years.

Nursing Home Residents by Age Group

Source: Decker FH. Nursing homes, 1977-99: What has changed, what has not?Hyattsville, Maryland: National Center for Health Statistics. 2005.

85+

75-84

65-74

1977 1985 1999

50.0%

40.0%

30.0%

20.0%

10.0%

0.0%

34.8% 36.0%

16.2%

40.9%

34.4%

13.8%

31.8%

12.0%

SizeAccording to data from various National

Nursing Home Surveys from CDCs National

Center for Health Statistics (the 1999 National

Nursing Home Survey is the most recent one

publicly available),1 the number of nursing

homes increased 14.6% during the period

1973-74 to 1999, growing from 15,700 to

18,000 facilities. The number of beds grew

59% from 1,177,300 to 1,879,600, suggesting a

greater number of beds per home. In 1999,

homes averaged 104.5 beds, but as the table to

the right shows the size of nursing homes has

changed over the years, with 80% in the 50-199 bed category.

Resident PopulationThe number of residents increased by 51%

during this same period from 1,075,800 to

1,628,300. The age distribution has also

changed as the chart below depicts.

46.5%


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Nursing Home Population CharacteristicsThe growth in the over age 85 population in nurs-

ing homes mirrors that of the U.S. population in

general, where this group accounted for 1% of the

total population in 1980 and 1.5% in 2000, a 50%

increase.2

With the availability of alternative long-term care

settings such as assisted living and increasing home

care options, residents in nursing homes tend to be

older and frailer. Of current nursing home resi-

dents, 72% are women, and only 9.7% of all resi-

dents are under the age of 65.3 As the chart to the

right shows, three-quarters of current residentsaged 65 years and older need help with 3 or

more ADLs.

Length of StayOver half of current nursing home residents have

been there for at least one year.

The discharge of residents with stays of 3 months

or less doubled between 1977 and 1999,4 reflecting

the increased role of nursing homes in rehabilita-tive or post-acute care.

Nursing Home Residents 65+ by ADL Dependency

None

1

2

3

4

5

Source: Characteristics of elderly nursing home current resi-dents and discharges: Data from the 1997 National NursingHome Survey. Hyattsville, MD: National Center for HealthStatistics. 2000.

Less than 3-6 6 months 1 year 3 years 5 years Average3 month months to less to less to less or more length

than 12 than 3 than 5 of timemonths years years since

admission

(in days)

17.8% 10.1% 14.9% 30.1% 13.3% 13.8% 892.4

Source: The National Nursing Home Survey: 1999 Summary

Average Length of Stay, Nursing Home Residents


8/208

Home Care OverviewPaid home care services may be necessary for

those who wish to remain at home but suffer from

chronic or disabling conditions, are recuperating

from acute illness, or are diagnosed with a termi-

nal illness and receiving end-of-life care. Care in

the home is typically defined as custodial or sup-

portive and skilled care.

Skilled care is usually provided by nurses, thera-

pists or specially trained home health aides under

the direction of a physician or nurse. Most often,

skilled care services are needed after an acute event

such as a heart attack, or the patient has been dis-

charged from a hospital and requires rehabilitation

services.

Custodial or supportive care is typically the care

provided to those that desire to remain at home

and age in place. This type of care is often appro-

priate for those individuals with Alzheimers dis-

ease or other form of dementia who may be physi-

cally healthy but need supervision. Care includes

companionship, transportation or similar tasksusually performed by homemakers or companions,

and hands-on care and assistance with activities of

daily living provided by home health aides.

Over 1.3 million patients received home health

care services (acute and long-term care) from

7,200 agencies during 2000; 70% of the patients

were 65 years of age or older. Most of the patients

received skilled care (75%), with 44% receiving

personal care and 37% receiving therapeutic serv-

ices. Fifty-one percent received help with at least

one activity of daily living, and the average length

of service was 312 days.5 Data on homemaker or

companion services nationally is not available.


9/20

Methodology

This survey of nursing home and home care agen-cies in all 50 states and the District of Columbia

was conducted by telephone during June and July

2006 by LifePlans, Inc. for the MetLife Mature

Market Institute.

As with any research, readers should exercise cau-

tion when generalizing results in this market sur-

vey. It should be used as a guide to assist individu-

als in making long-term care decisions. While we

are confident in the research, it is prudent to

understand that the results presented in this report

are only truly representative of the sample of nurs-

ing homes and home care agencies in the areas

surveyed.

The states were divided into three groups according

to populationunder 3 million, 3 to 10 million,

and over 10 million. These groupings were deter-

mined using data from the 2000 U.S. Census. The

cities/areas surveyed within the states were chosen

on the basis of population and the ability to obtain a

reasonably balanced sampling.

In the 2006 market survey, Baton Rouge replaced

New Orleans.

Nursing Home & Home Care State Criteria

Population Under Population Three Population Over

Three Million to Ten Million Ten Million

States Surveyed 22 States Surveyed 22 States Surveyed 7

Areas - 22 Areas 44 Areas 21

One city or areasurveyed: capital or

most populated city(District of Columbia

also surveyed)

Two cities or areassurveyed: most

populated citiesand/or areas from

representative locations

in the state

Three cities or areassurveyed: most

populated cities and/orareas from representative

locations in the state


10/2010

Nursing Home MethodologyCallers to the nursing homes asked for the

Director of Admissions or a comparable profes-

sional.

Nursing homes were called at random within each

area and had to meet the following criteria:

N Must be licensed

N Must provide skilled and

custodial care

N Most offer a private pay rate for long-term

care (custodial care), not the Medicare or

Medicaid reimbursed rate.

Of the nursing homes that met the criteria, private

pay rates were obtained for both private and semi-

private rooms. If the nursing home did not meet

the criteria, another would be called until a mini-

mum of 10 nursing homes or 15% (whichever was

greater) of the homes in that city/area were

obtained. Data from 1,116 nursing homes are

included in the tabulation.

Forty-four percent of the nursing homes respond-

ing provided separate Alzheimers or dementia

units, and only 11% charged any additional fee,

with most charging a nominal amount, such as $5

- $25 additional per day. Eighty-two percent were

freestanding facilities, and 17% were associated

with an assisted living unit or wing.

Home Care MethodologyCallers to home care agencies asked for the

Director or a comparable professional. Agencies

were called at random and had to meet the fol-

lowing criteria:

N Must be licensed, if required by the state

N Must provide the private pay rate, not the

Medicare or Medicaid reimbursed rate

Of those agencies that met the criteria, hourly

private pay rates were obtained for home health

aides. If the agency did not meet the criteria,

another agency would be called until a minimumof 15% of agencies, or 5 (whichever was greater)

in that city/area was obtained. Agencies were

also asked for hourly private pay rates for com-

panion/homemaker services. Some unlicensed

agencies were also surveyed for companion/

homemaker services to fulfill the criteria. Data

from 996 agencies are included in the tabulation.


11/20

RESULTS

The 2006 average daily rate for a privateroom in a nursing home is $206 ($75,190

annually), a $3 or 1.5% increase over the

2005 rate of $203. In 2004 the rate was

$192 daily.

The 2006 average daily rate for a semi-

private room in a nursing home is $183

($66,795 annually), $7 or 3.9% increase

over the 2005 rate of $176. In 2004 the

rate was $169 daily.

The 2006 average hourly rate for a home

health aide is $19, the same as in 2005. In

2004 the rate was $18 hourly.

The 2006 average hourly rate for a home-

maker/ companion is $17, or the same as

the 2005 rate. These rates were not

surveyed in 2004


12/2012

Nursing Home Costs 2006

First 3Numbers in Semiprivate Semiprivate Semiprivate Private Private Private

Area State Zip Code(s) High Low Average High Low Average

Statewide

Birmingham

Montgomery

Little Rock

Phoenix

Tucson

Los Angeles

San Diego

San Francisco

Denver

Colorado Springs

Hartford

Stamford Area

Washington

Wilmington

Jacksonville

Orlando

Miami

Marietta Area

Atlanta

Honolulu

Des Moines

Boise

Des Plaines Area

Chicago

Peoria

Indianapolis

Fort Wayne

Wichita

Louisville

Lexington

AK

AL

AL

AR

AZ

AZ

CA

CA

CA

CO

CO

CT

CT

DC

DE

FL

FL

FL

GA

GA

HI

IA

ID

IL

IL

IL

IN

IN

KS

KY

KY

All

352

361

722

850

857

900

921

941

800 & 802

809

061

068 & 069

200

198

322

328

331

300

303

968

503

837

600

606

616

462

468

672

402

405

$767

$150

$199

$135

$180

$180

$180

$300

$450

$206

$175

$366

$413

$330

$210

$193

$225

$195

$168

$165

$325

$177

$178

$232

$184

$193

$161

$217

$136

$182

$193

$310

$110

$134

$105

$130

$129

$125

$143

$180

$132

$148

$250

$190

$200

$168

$140

$171

$153

$125

$120

$190

$110

$130

$108

$107

$105

$98

$132

$102

$140

$141

$570

$136

$154

$125

$153

$155

$156

$188

$250

$166

$165

$301

$307

$247

$199

$169

$190

$171

$150

$145

$234

$142

$165

$182

$138

$140

$131

$160

$123

$160

$158

$767

$162

$202

$210

$265

$235

$360

$325

$450

$220

$252

$386

$440

$325

$236

$205

$240

$240

$200

$209

$355

$198

$196

$323

$194

$280

$240

$247

$163

$212

$212

$310

$115

$144

$115

$170

$150

$125

$169

$190

$132

$163

$294

$283

$207

$196

$165

$185

$165

$137

$130

$200

$120

$130

$135

$107

$130

$114

$155

$111

$147

$162

$578

$141

$163

$147

$197

$196

$199

$227

$311

$180

$185

$333

$344

$260

$218

$184

$210

$203

$167

$169

$271

$147

$179

$225

$143

$174

$178

$181

$141

$184

$181


13/20



Baton Rouge

Shreveport Area

Worcester

Boston

Silver Spring

Baltimore

Southern Maine

Detroit

Grand Rapids

Minneapolis/St. Paul

Rochester Area

St. Louis

Kansas City

Jackson

Billings Area

Raleigh/Durham

Charlotte

Fargo Area

Omaha

Manchester

Cherry Hill Area

Bridgewater

Albuquerque

Las Vegas

New York

Syracuse Area

Rochester

Columbus

Cleveland

Cincinnati

Oklahoma City

LA

LA

MA

MA

MD

MD

ME

MI

MI

MN

MN

MO

MO

MS

MT

NC

NC

ND

NE

NH

NJ

NJ

NM

NV

NY

NY

NY

OH

OH

OH

OK

708

711

016

021

209

212

040

482

495

551 & 554

559

631

641

392

590 & 591

275-277

282

580 & 581

681

031

080

088

871

891

100-114

130 & 132

146

432

441

452

731

$161

$107

$300

$345

$223

$233

$234

$227

$219

$272

$180

$153

$194

$165

$159

$193

$180

$227

$188

$260

$270

$277

$379

$190

$501

$299

$317

$199

$255

$202

$125

$92

$97

$230

$200

$116

$169

$175

$105

$160

$119

$119

$115

$105

$128

$19

$126

$141

$172

$100

$198

$190

$89

$143

$148

$210

$221

$230

$155

$155

$125

$103

$109

$104

$261

$254

$189

$192

$212

$166

$191

$191

$155

$127

$132

$150

$132

$156

$161

$202

$158

$228

$234

$235

$178

$173

$333

$251

$263

$174

$184

$165

$112

$195

$121

$310

$355

$286

$267

$298

$274

$234

$300

$196

$189

$227

$170

$180

$236

$200

$265

$214

$292

$300

$380

$412

$285

$621

$299

$327

$243

$241

$227

$212

$102

$102

$257

$210

$178

$179

$205

$105

$183

$160

$132

$125

$110

$131

$145

$150

$155

$200

$125

$185

$210

$140

$137

$170

$220

$225

$235

$175

$168

$135

$115

$121

$111

$274

$280

$220

$220

$253

$174

$212

$228

$169

$142

$152

$155

$164

$175

$173

$226

$183

$242

$256

$262

$208

$198

$346

$261

$276

$198

$196

$182

$157


14/2014

Nursing Home Costs 2006 (continued)



Tulsa

Portland

Eugene

Pittsburgh

Scranton Area

Philadelphia

Providence

Columbia Area

Charleston

Rapid City

Nashville

Memphis

Dallas/Ft. Worth

Houston

Austin

Salt Lake City

Northern Virginia

Richmond

Statewide

Seattle

Spokane

Milwaukee

Madison Area

Charleston Area

Statewide

National Average

OK

OR

OR

PA

PA

PA

RI

SC

SC

SD

TN

TN

TX

TX

TX

UT

VA

VA

VT

WA

WA

WI

WI

WV

WY

741

972

974

152

184 & 185

191

029

291 & 292

294

577

372

381

752 & 761

770

787

841

222 & 223

232

All

981

992

532

535 & 537

250 & 253

All

$125

$213

$195

$292

$220

$236

$280

$171

$173

$189

$290

$160

$157

$128

$137

$167

$227

$180

$225

$295

$223

$259

$366

$194

$168

$103

$165

$149

$177

$165

$175

$186

$131

$120

$137

$132

$132

$79

$98

$100

$116

$195

$135

$85

$170

$192

$199

$148

$150

$126

$114

$179

$170

$243

$185

$211

$217

$149

$145

$163

$164

$160

$122

$119

$120

$142

$208

$156

$189

$218

$203

$218

$213

$173

$149

$183

$170

$275

$200

$308

$220

$289

$360

$188

$198

$199

$290

$194

$214

$223

$220

$225

$325

$200

$245

$300

$251

$284

$391

$207

$185

$110

$165

$149

$189

$170

$190

$210

$136

$125

$150

$149

$140

$119

$120

$147

$125

$207

$165

$100

$180

$200

$206

$153

$155

$135

$136

$199

$173

$252

$190

$236

$251

$165

$155

$177

$179

$194

$162

$157

$176

$169

$251

$182

$202

$239

$219

$239

$235

$184

$162

$206


15/20

Home Care Costs 2006

First 3 Home Home Home Home- Home- Home-Numbers in Health Aide Health Aide Health Aide maker maker maker


Statewide

Birmingham

Montgomery

Little Rock

Phoenix

Tucson

Los Angeles

San Diego

San Francisco

Denver

Colorado Springs

Hartford

Stamford Area

Washington

Wilmington Area

Jacksonville

Orlando

Miami

Marietta Area

Atlanta

Honolulu

Des Moines Area

Boise

Des Plaines Area

Chicago

Peoria Area

Indianapolis

Fort Wayne Area

Wichita

Louisville

Lexington

AK

AL

AL

AR

AZ

AZ

CA

CA

CA

CO

CO

CT

CT

DC

DE

FL

FL

FL

GA

GA

HI

IA

ID

IL

IL

IL

IN

IN

KS

KY

KY

All

352

361

721 & 722

850

857

900

921

941

800 & 802

809

061

068 & 069

200

197 & 198

322

328

331

300

303

968

503 & 522

837

600

606

614-616

462

468-469

672

402

405

$30

$23

$18

$18

$25

$20

$21

$23

$25

$30

$35

$30

$25

$25

$28

$19

$20

$18

$19

$20

$24

$40

$20

$35

$22

$22

$25

$30

$30

$18

$57

$21

$10

$11

$9

$17

$10

$15

$18

$21

$15

$18

$12

$18

$15

$16

$16

$14

$12

$11

$15

$18

$18

$14

$12

$10

$15

$17

$14

$15

$13

$15

$25

$15

$13

$15

$21

$17

$18

$20

$23

$20

$25

$20

$21

$20

$22

$18

$16

$15

$16

$17

$21

$24

$17

$21

$18

$18

$21

$19

$19

$16

$23

$25

$15

$18

$27

$21

$18

$20

$20

$25

$30

$21

$24

$24

$25

$23

$19

$18

$18

$18

$20

$20

$23

$18

$22

$18

$25

$25

$22

$17

$18

$22

$20

$10

$10

$9

$16

$10

$15

$18

$12

$13

$12

$10

$16

$14

$13

$14

$14

$12

$9

$15

$16

$18

$14

$10

$9

$12

$15

$14

$13

$11

$14

$22

$13

$13

$16

$19

$16

$16

$18

$21

$19

$17

$17

$20

$18

$19

$16

$16

$14

$15

$16

$19

$19

$16

$19

$15

$16

$18

$17

$15

$15

$17


16/2016

Home Care Costs 2006 (continued)



Baton Rouge

Shreveport Area

Worcester Area

Boston Area

Silver Spring

Baltimore

Statewide

Detroit

Grand Rapids

Minneapolis/St. Paul

Rochester Area

St. Louis

Kansas City

Jackson

Billings

Raleigh/Durham

Charlotte

Fargo Area

Omaha

Statewide

Cherry Hill Area

Bridgewater Area

Albuquerque

Las Vegas

New York

Syracuse Area

Rochester

Columbus

Cleveland

Cincinnati

Oklahoma City

LA

LA

MA

MA

MD

MD

ME

MI

MI

MN

MN

MO

MO

MS

MT

NC

NC

ND

NE

NH

NJ

NJ

NM

NV

NY

NY

NY

OH

OH

OH

OK

708

710-712

015-016

015-017, 021

209

212

All

480 & 482

495

551 & 554

559

631

641

392

591

276 & 277

282

581

681

All

080-081

088-089

871

891

100-114

130-132

146

432

441

452

731

$20

$15

$35

$25

$29

$20

$22

$22

$22

$30

$38

$22

$25

$15

$20

$27

$20

$19

$25

$28

$22

$23

$23

$25

$19

$32

$23

$19

$23

$25

$28

$11

$10

$20

$18

$16

$13

$17

$14

$15

$11

$22

$14

$12

$10

$15

$16

$15

$16

$18

$21

$17

$18

$17

$16

$10

$17

$17

$12

$15

$16

$10

$13

$12

$24

$22

$19

$17

$19

$18

$18

$22

$29

$17

$18

$13

$17

$19

$17

$17

$21

$24

$20

$20

$19

$22

$16

$23

$21

$17

$18

$19

$17

$15

$15

$24

$23

$23

$20

$22

$22

$22

$28

$33

$22

$20

$15

$20

$18

$18

$17

$24

$22

$21

$20

$21

$20

$17

$29

$22

$19

$20

$20

$17

$11

$8

$12

$19

$12

$12

$16

$11

$13

$9

$17

$14

$12

$10

$14

$15

$14

$13

$15

$16

$17

$16

$16

$16

$10

$7

$15

$12

$15

$15

$10

$13

$12

$19

$21

$16

$16

$19

$16

$17

$19

$23

$17

$16

$13

$17

$16

$16

$15

$18

$19

$18

$18

$17

$18

$15

$17

$18

$16

$17

$18

$14


17/20



Tulsa

Portland

Eugene Area

Pittsburgh

Scranton Area

Philadelphia

Providence

Columbia

Charleston

Statewide

Nashville

Memphis

Dallas/Ft. Worth

Houston

Austin

Salt Lake City

Northern Virginia

Richmond

Statewide

Seattle

Spokane

Milwaukee

Madison Area

Charleston

Statewide

National Average

OK

OR

OR

PA

PA

PA

RI

SC

SC

SD

TN

TN

TX

TX

TX

UT

VA

VA

VT

WA

WA

WI

WI

WV

WY

740-741

972

973-974

152

184-187

191

029

292

294

All

372

381

752 & 761

770

787

841

220-222

232

All

981

992

532

535, 537, 539

253

All

$30

$22

$22

$24

$29

$30

$30

$25

$45

$22

$27

$26

$23

$20

$60

$35

$22

$24

$50

$18

$20

$32

$26

$20

$30

$13

$18

$16

$16

$15

$12

$20

$14

$18

$17

$16

$8

$15

$12

$16

$16

$16

$13

$20

$16

$16

$19

$12

$13

$16

$18

$20

$18

$20

$20

$19

$22

$17

$23

$19

$20

$16

$18

$16

$23

$19

$19

$17

$26

$16

$17

$23

$20

$16

$21

$19

$18

$20

$19

$24

$26

$19

$23

$18

$45

$20

$17

$19

$19

$20

$23

$20

$22

$22

$25

$19

$20

$19

$24

$20

$20

$12

$16

$16

$14

$11

$10

$16

$14

$15

$17

$17

$8

$15

$15

$14

$15

$15

$13

$16

$16

$14

$13

$12

$12

$13

$15

$18

$17

$18

$17

$16

$19

$16

$23

$18

$17

$14

$17

$17

$17

$17

$18

$16

$21

$17

$17

$16

$18

$16

$17

$17


18/2018

Endnotes

1

Jones A. The National Nursing Home Survey: 1999 sum-mary. National Center for Health Statistics. Vital HealthStat 13(152). 2002

2 U.S. Census Bureau. Statistical Abstract of the United

States. Resident population by age and sex: 1980 to 2002.Vol. 13, No. 11. Washington. 2003.

3 The National Nursing Home Survey: 1999 summary.4 Decker, FH. Nursing Homes, 1977-1999: What has

changed, what has not? Hyattsville, Maryland: National

Center for Health Statistics. 2005.5 Home Health Care Patients: Data from the 2000 National

Home and Hospice Care Survey, Centers for Disease con-

trol, National Center for Health Statistics, 2004.


19/20


20/20

Metropolitan Life Insurance Compan

New York, NY 10166MMI00068(0906)

Documents

Metlife Survey 2006