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Dataset: National Survey of Residential Care Facilities (NSRCF)

Basic Information
Dataset Full Name National Survey of Residential Care Facilities
Dataset Acronym NSRCF

The NSRCF is a relatively new survey (2010) designed to produce national estimates of residential care facilities and the people who live there. It collects information regarding facility characteristics, resident demographics, health, functional status and activities as well as resident services and charges.

The types of facilities include: assisted living residences; board and care homes; congregate care; enriched housing programs; homes for the aged; personal care homes; and shared housing establishments that are licensed, registered, listed, certified, or otherwise regulated by a state. Facilities that provide care exclusively for individuals with developmental disabilities and/or mental illness are not included in this survey.

The NSRCF is now part of the National Study of Long-Term Care Providers (NSLTCP), which is a biennial study that originated in 2012 of adult day services centers, residential care communities, nursing homes, home health agencies, and hospice agencies.  For more information, see  https://www.cdc.gov/nchs/nsltcp/index.htm

Key Terms CDC, Aging, Assisted Living, Residential care, Survey, Statistics
Study Design Cross-Sectional
Data Type(s) Survey
Sponsoring Agency/Entity Centers for Disease Control and Prevention (CDC): National Center for Health Statistics (NCHS), partners include the Office of the Assistant Secretary for Planning and Evaluation (ASPE), the National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP), the National Center for Immunization and Respiratory Diseases (NCIRD), and the Agency for Healthcare Research and Quality (AHRQ) in the Department of Health and Human Services, and the Department of Veterans Affairs (VA). 
Health Conditions/Disability Measures
Health Condition(s)

Alzheimer's/dementia, Arthritis, Autism spectrum disorders, Blood disorder, Cancer, Cerebral palsy, Depression, Diabetes, Down syndrome, Epilepsy or seizure disorder, Eye diseases, Heart attack, Infectious diseases, Kidney/renal condition, Multiple sclerosis, Muscular dystrophy, Neurological conditions, Orthopedic conditions, Osteoporosis, Parkinson's disease, Partial or total paralysis, Pulmonary disorders, Schizophrenia, Spinal cord injury (SCI), Stroke, Traumatic brain injury (TBI)

Disability Measures

Ambulatory disability, Cognitive disability, Communication impairment, Developmental disabilities, Functional limitations (ADLs and/or IADLs), Hearing disability, Independent living disability, Intellectual disability, Mental health disability, Self-care disability, Special equipment use/assistive technology, Visual disability

Measures/Outcomes of Interest

Facility characteristics including: physical structure and environment, types of services offered, types of staff employed, policies on admission, retention, and discharge

Resident characteristics including: demographics, involvement in inside and outside activities, use of services, charges for care, health status, and cognitive and physical functioning.

Sample Population Regulated residential facilities with four or more beds serving an adult population which provide housing services such as room and board with at least two meals a day, 24 hour/7 day a week supervision, and help with personal care (e.g., bathing, dressing, or eating) or health-related services (e.g., medication management). Includes facilities that are licensed, registered, listed, certified, or otherwise regulated by the state ( e.g., Assisted Living Establishment, Facility, Program, Residence, Board and Care Home, Congregate Care, Family Care Home, Personal Care Home, Residential Care Home, Shared Housing Establishment)
Sample Size/Notes Participating Facilities: 2,302
Residents: 8,284
Unit of Observation Facility & Individual (Resident)
Continent(s) North America

United States

Geographic Coverage National
Geographic Specificity National
Data Collection
Data Collection Mode

Facility Data: In-person interviews with residential care administrators and caregivers and staffs.

Resident characteristics data: Survey of 3-6 randomly selected residents per facility (number based on facility size). Residents were not interviewed, resident data was collected through interviews with facility director or other caretaker.

Years Collected 2010
Data Collection Frequency 2010 only
Strengths and Limitations
Strengths The sample is designed and weighted to produce national estimates of both the characteristics of residential care facilities and their residents. High response rate for both the facility interview (79%) and resident survey (98%).
Limitations All resident survey data is based on proxy responses provided by facility staff. Facilities licensed to serve the mentally ill or the developmentally disabled populations exclusively are excluded from the survey.
Data Details
Primary Website http://www.cdc.gov/nchs/nsrcf.htm
Data Access http://www.cdc.gov/nchs/nsrcf/nsrcf_questionnaires.htm
Data Access Requirements Public Use Dataset
Summary Tables/Reports http://www.cdc.gov/nchs/data/databriefs/db91.htm
Data Components Public Use Files (PUF): Facility file Resident file Restricted data files for facilities and residents that contain additional information beyond the PUF file content.
Selected Papers
Other Papers

CDC's NSRCF publication list: http://www.cdc.gov/nchs/nsrcf/nsrcf_products.htm

Eunice Park-Lee, Christine Caffrey, Manisha Sengupta, Abigail J. Moss, Emily Rosenoff, Lauren D. Harris-Kojetin. Residential Care Facilities: A Key Sector in the Spectrum of Long-term Care Providers in the United States. NCHS Data Brief No. 78, December 2011

Moss AJ, Harris-Kojetin LD, Sengupta M, et al. Design and operation of the 2010 National Survey of Residential Care Facilities. National Center for Health Statistics. Vital Health Stat 1(54). 2011.

Technical Survey documentation and methodology:
Related Repositories

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Acknowledgements: This tool was developed through the efforts of William Erickson and Arun Karpur, and web designers Jason Criss and Jeff Trondsen at Cornell University. Many thanks to graduate students Kyoung Jo Oh and Yeong Joon Yoon who developed much of the content used in this tool.

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