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National Nursing Home Survey, 1999

Resource Type
Dataset : survey data
  • United States Department of Health and Human Services. National Center for Health Statistics
Other Title
  • Version 1 (Subtitle)
Collective Title
  • National Nursing Home Survey Series
Publication Date
Free Keywords
administrative costs; assisted living; assisted living facilities; health care costs; health care facilities; health services utilization; health status; institutional care; labor costs; long term care; mortality rates; nursing homes; older adults; patient care; payment sources
  • Abstract

    The National Nursing Home Survey (NNHS) is a survey of nursing homes and related care facilities in the United States. Between July and December 1999, information regarding facility and financial characteristics was gathered from 1,423 facilities, along with current resident information for 8,215 residents. For Part 1, Facility Questionnaire Data, personal interviews with facility administrators provided information on topics such as certification, availability of beds, and kinds of services provided, including dental, hospice, and nutrition. Part 2, Current Resident Questionnaire Data, provides information on age, race, marital status, level of care, and use of aids such as walkers, hearing aids, and crutches. Part 3, Discharged Resident Questionnaire Data, includes date of admission, reason for discharge, admission diagnosis, discharge diagnosis, assistive devices used, help needed with daily activities, services provided (health, mental health, transportation, social, educational), and payment sources.
  • Table of Contents


    • DS0: Study-Level Files
    • DS1: Facility Questionnaire Data
    • DS2: Current Resident Questionnaire Data
    • DS3: Discharged Resident Questionnaire Data
Temporal Coverage
  • 1999-07 / 1999-12
    Time period: 1999-07--1999-12
  • 1999-07 / 1999-12
    Collection date: 1999-07--1999-12
Geographic Coverage
  • United States
Sampled Universe
Approximately 18,400 nursing and related care homes in the United States that were identified in the 1997 National Nursing Home Survey and current files of nursing homes. These updated lists of facilities were obtained from the Health Care Finance Administration and other national organizations.
Stratified two-stage probability design of 1,496 nursing or related care homes. Responses were given for 8,215 current residents from 1,423 nursing homes. Out of 1,496 institutions, 50 refused to participate and 23 did not meet the survey criteria.
Collection Mode
  • Per agreement with NCHS, ICPSR distributes the data files and text of the technical documentation for this collection as prepared by NCHS.

2006-01-18 File CB3268.ALL.PDF was removed from any previous datasets and flagged as a study-level file, so that it will accompany all downloads.
This study is freely available to the general public via web download.
Alternative Identifiers
  • 3268 (Type: ICPSR Study Number)
  • Decker, F.H.. Dying in a nursing home: The role of local bed supply in nursing home discharges. Journal of Aging and Health.20, (1), 66-88.2008.
    • ID: 10.1177/0898264307309935 (DOI)
  • Han, B., Tiggle, R.B., Remsburg, R.E.. Characteristics of patients receiving hospice care at home versus in nursing homes: results from the National Home and Hospice Care Survey and the National Nursing Home Survey. American Journal of Hospice and Palliative Medicine.24, (6), 479-486.2008.
    • ID: 10.1177/1049909107305654 (DOI)
  • Marsteller, Jill A., Tiggle, Ronald B., Remsburg, Robin E., Bardenheier, Barbara, Shefer, Abigail, Han, Beth. Pneumococcal vaccination in nursing homes: Does race make a difference?. Journal of the American Medical Directors Association.9, (9), 641-647.2008.
    • ID: 10.1016/j.jamda.2008.03.016 (DOI)
  • Shoffner, Joanna. An Analysis of Nursing Home Length of Stay among Working-aged Individuals Aged 18 to 64 Years and the Implications for the Medicaid Program. Dissertation, University of Maryland, Baltimore. 2008.
  • Bernstein, A.B., Remsburg, R.E.. Estimated prevalence of people with cognitive impairment: results from nationally representative community and institutional surveys. Gerontologist.47, (3), 350-354.2007.
    • ID: 10.1093/geront/47.3.350 (DOI)
  • McNabney, M.K., Wolff, J.L., Semanick, L.M., Kasper, J.D., Boult, C.. Care needs of higher-functioning nursing home residents. Journal of the American Medical Directors Association.8, (6), 409-412.2007.
    • ID: 10.1016/j.jamda.2007.03.001 (DOI)
  • Mjelde-Mossey, Lee Ann. Alcoholism treatment in a nursing home: Meeting the needs of a special population. Alcoholism Treatment Quarterly.25, (3), 87-98.2007.
    • ID: 10.1300/J020v25n03_07 (DOI)
  • National Center for Health Statistics. Health, United States, 2007. With Chartbook on Trends in the Health of Americans. Hyattsville, MD: United States Department of Health and Human Services, Centers for Disease Control and Prevention. 2007.
    • ID: (URL)
  • Alecxih, Lisa. Nursing Home Use by 'Oldest Old' Sharply Declines. Falls Church, VA: The Lewin Group. 2006.
  • Angera, Jennifer T., Saigala, Christopher S., Pace, Jennifer, Rodrigueza, Larissa V., Litwin, Mark S., Urologic Diseases of America Project. True prevalence of urinary incontinence among female nursing home residents. Urology.67, (2), 281-287.2006.
    • ID: 10.1016/j.urology.2005.08.062 (DOI)
  • Decker, Frederic H.. Nursing staff and the outcomes of nursing home stays. Medical Care.44, (9), 812-821.2006.
    • ID: 10.1097/01.mlr.0000218832.24637.2e (DOI)
  • Donoghue, C.. The percentage of beds designated for medicaid in American nursing homes and nurse staffing ratios. Journal of Health and Social Policy.22, (1), 19-28.2006.
    • ID: 10.1300/J045v22n01_02 (DOI)
  • Marsteller, Jill A., Tiggle, Ronald, Remsburg, Robin, Shefer, Abigail, Bardenheier, Barbara. Influenza immunization in nursing homes: who does not get immunized and whose status is unknown?. Infection Control and Hospital Epidemiology.27, (4), 388-396.2006.
    • ID: 10.1086/502686 (DOI)
  • Bardenheier, B., Shefer, A., Tiggle, R., Marsteller, J., Remsburg, R.E.. Nursing home resident and facility characteristics associated with pneumococcal vaccination: National nursing home survey, 1995-1999. Journal of the American Geriatrics Society.53, (9), 1543-1551.2005.
    • ID: 10.1111/j.1532-5415.2005.53483.x (DOI)
  • Davis, Jullet A.. Differences in the health care needs and service utilization of women in nursing homes: comparison by race/ethnicity. Journal of Women and Aging.17, (3), 57-71.2005.
    • ID: 10.1300/J074v17n03_05 (DOI)
  • Decker, Frederic H.. Nursing Homes, 1977--99: What Has Changed, What Has Not? Facts from the National Nursing Home Surveys. Hyattsville, MD: National Center for Health Statistics. 2005.
    • ID: (URL)
  • Moss, Abigail J., Remsburg, Robin E.. Changes in Use of Voluntary Workers in Nursing Homes: United States, 1985 and 1999. Advance Data: from Vital and Health Statistics.Hyattsville, MD: United States Department of Health and Human Services, National Center for Health Statistics. 2005.
    • ID: (URL)
  • Davis, J.A., Lapane, K.L.. Do characteristics associated with nursing home residents vary by race/ethnicity?. Journal of Health Care for the Poor and Underserved.15, (2), 251-266.2004.
    • ID: 10.1353/hpu.2004.0022 (DOI)
  • Donoghue, Christopher. Inequality in Nursing Home Care: The Direct and Indirect Effects of Payment Type. Dissertation, Fordham University. 2004.
  • Pearson, W.S., Hueston, W.J.. Treatment of HIV/AIDS in the nursing home: Variations in rural and urban long-term care settings. Southern Medical Journal.97, (4), 338-341.2004.
    • ID: 10.1097/01.SMJ.0000118901.22061.EE (DOI)
  • Rakovski, Carter Cleveland. An Organizational Perspective on Quality of Care in Nursing homes. Dissertation, University of Massachusetts Amherst. 2004.
  • Alasag, Wael S.. Comparison of the Program of All-Inclusive Care for the Elderly (PACE) Participants to Nursing Home Participants at Program Entry. Dissertation, Temple University. 2003.
  • Jones A.. The National Nursing Home Survey: 1999 Summary. Vital and Health Statistics, Series 13.Number 152, Hyattsville, MD: United States Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics. 2002.
    • ID: (URL)
  • Substance Abuse and Mental Health Services Administration. Behavioral Health, United States, 2012. Substance Abuse and Mental Health Services Administration.(SMA) 13-4797, Rockville, MD: Substance Abuse and Mental Health Services Administration. .
    • ID: (URL)

Update Metadata: 2015-08-05 | Issue Number: 6 | Registration Date: 2015-06-15

United States Department of Health and Human Services. National Center for Health Statistics (2001): National Nursing Home Survey, 1999. Version 1. National Nursing Home Survey Series. Version: v1. ICPSR - Interuniversity Consortium for Political and Social Research. Dataset.