A nursing home is commonly referred to as a skilled nursing facility, long term care (LTC) facility, or rest home, and may have a different standardized name throughout the United States, but is most commonly referred to as a nursing home. A nursing home traditionally offers 24-hour (skilled) nursing to the elderly or to disabled patients having a variety of medical conditions who require personal care services above that of an assisted living but do not require hospitalization. The personal care services provided may or may not include, but are not limited to: skilled nursing, long term inpatient care, room and board, meals, laundry, and assistance with: dressing, grooming, getting in and out of bed, medications, bathing, and toileting.
For purposes of this dataset, an assisted living facility is defined as a facility where the elderly, who are not related to the operator, reside and receive care, treatment, or services. Although not at the level of a nursing home, the services are above the level of an independent living community. They may include several hours per week of supportive care, personal care, or nursing care per resident. Generally, an assisted living facility offers help in daily living (laundry, cooking, cleaning, etc.) and personal assistance (bathing, eating, clothing, etc.). Many assisted living facilities offer assistance with medication and a lesser level of nursing care than what is offered at a nursing home.
Assisted living facilities may be regulated by size restrictions depending on which type of assisted living facility it is considered to be in the state in which it exists. For example, Adult Family Homes in Wisconsin have between 3-4 elderly residents while Community Based Residential Facilities have 5 or more. Almost every state has different terminology to describe their version of the assisted living facility system.
The structures in which assisted living facilities exist are varied as well. Depending on the type, an assisted living facility may operate out of a personal residence or a nursing home style structure, and it may be set up as apartment style living or as a campus setting in a continuing care retirement community. Multiple assisted living facilities may exist at one location or may be co-located with nursing homes and/or other similar health care facilities.
If a facility is licensed by a state and holds multiple licenses, it is represented once in this dataset for each license, even if the licenses are for the same location.
This dataset does not include retirement communities, adult daycare facilities, or rehabilitation facilities. Nursing Homes that are operated by and co-located with a hospital are also excluded because the locations are included in the hospital dataset.
Records with "-DOD" appended to the end of the [NAME] value are located on a military base, as defined by the Defense Installation Spatial Data Infrastructure (DISDI) military installations and military range boundaries.
"#" and "*" characters were automatically removed from standard fields populated by TechniGraphics. Double spaces were replaced by single spaces in these same fields.
Text fields in this dataset have been set to all upper case to facilitate consistent database engine search results.
All diacritics (e.g., the German umlaut or the Spanish tilde) have been replaced with their closest equivalent English character to facilitate use with database systems that may not support diacritics.
The currentness of this dataset is indicated by the [CONTDATE] field. Based on this field, the oldest record dates from 09/29/2009 and the newest record dates from 01/08/2010.
Use Cases: Use cases describe how the data may be used and help to define and clarify requirements.
1. A resource for evacuation planning and emergency management in the event of an emergency.
2. A threat against nursing homes has been identified and measures must be taken to protect these types of facilities.
3. A disaster has occurred, or is in the process of occurring, and facilities in the vicinity with people needing evacuation assistance must be identified.
ID Check: The [ID] field is not blank and each of its values is unique.
Coordinate Check: Coordinates are not null or zero and the [X] and [Y] fields match the shape.
Basic Address Check: Physical addresses were verified to be non blank and to not be a "PO Box", "General Delivery", "Highway Contract", or "Rural Route" address.
Highway Address without Type Check: Physical addresses containing the word "Highway" or "Route" were verified to also contain a type designator such as "State", "US", or "County", if one actually exists for the highway or route. These type designators are often missing from addresses, leading to confusion if more than one "Highway" of the given number exists in an area.
Basic Name Check: Entity name is not blank, is not the same as entity city, and has a minimum of two (2) characters. Name does not contain punctuation characters that can interfere with database operations, such as " (quote) and * (asterisk).
City Check: Entity's [CITY] field is not blank, and entity is located within 25 miles of its tabular city as found in the NAVTEQ Named Places reference file.
State Check: The entity is located within its tabular state.
County Check: The entity is located within its tabular county.
FIPS Check: The tabular FIPS Code matches the entity's tabular county and tabular state.
County in Name vs. Geographic Location Check: If an entity's [NAME] field contains the word "county" or "co", the same county value should also be in the entity's [COUNTY] field.
Basic Phone Check: All phone numbers (including the area code) are ten (10) numeric digits. Alphabetic characters have been converted to the corresponding numeric digit.
NPA_NXX Check: Area codes (sometimes called "Number Planning Areas", or NPA's) and central office codes (sometimes known as exchanges, or NXX's) were validated against data from the North American Number Planning Administration (NANPA). In some cases, NPA-NXX combinations did not show up in the NANPA data but were verified to work.
Area Code Distance Check: The entity's area code (NPA) is valid, and the entity is not more than 25 miles from its area code boundary, as defined by data from the North American Number Planning Administration (NANPA), unless TechniGraphics has previously verified that the phone number rings to a headquarters location or otherwise does not ring to the entity's location.
Zip Code Check: The entity's zip code is five (5) or nine (9) numeric digits, is listed in the postal database, is in the same state as indicated by the entity's [STATE] value, and is not a PO Box only zip code.
Zip City Check: The entity's zip code and its city were verified to match according to the USPS Address Information System (AIS).
Zip Code Distance Check: The entity is located within 25 miles of its zip code boundary, as defined by the U.S. Census Bureau's 1999 Zip Code file.
NAICS Code Check: The NAICS field is not blank, the NAICS Code is one of the accepted codes for this layer, the NAICS Description is an acceptable Index Entry for the NAICS Code, and certain key words in the entity name do not conflict with the NAICS Code.
Collocation Check: Entities with different addresses must not share the exact same geospatial location.
Geographic Spell Check: Words that appear in the entity name were checked against a standard English word list (and Spanish word list for entities in Puerto Rico). Words not appearing in these standard word lists were then checked against names appearing in the Geographic Names Information System (GNIS) of geographic features that are located within 25 miles of the entity. Proper names were manually reviewed for correct spelling.
Supplied Coordinates Distance Check: Entity is located within 3 miles of coordinates supplied by the original source.
This dataset does not include retirement communities, adult daycare facilities, or rehabilitation facilities. Nursing Homes that are operated by and co-located with a hospital are also excluded because the locations are included in the hospital dataset.
TechniGraphics was not tasked with ensuring the completeness of this layer.
Records with "-DOD" appended to the end of the [NAME] value are located on a military base, as defined by the Defense Installation Spatial Data Infrastructure (DISDI) military installations and military range boundaries.
2) On 10/23/09, TechniGraphics ceased making phone calls to the entity. Entities were verified through alternate resources, such as maps and ortho imagery, or phone calls to alternative resources, such as city halls and county assessors.
3) All text fields were set to all upper case.
4) Leading and trailing spaces were trimmed from all text fields.
5) Non printable and diacritic characters were removed from all text fields.
For purposes of this dataset, an assisted living facility is defined as a facility where the elderly, who are not related to the operator, reside and receive care, treatment, or services. Although not at the level of a nursing home, the services are above the level of an independent living community. They may include several hours per week of supportive care, personal care, or nursing care per resident. Generally, an assisted living facility offers help in daily living (laundry, cooking, cleaning, etc.) and personal assistance (bathing, eating, clothing, etc.). Many assisted living facilities offer assistance with medication and a lesser level of nursing care than what is offered at a nursing home.
Assisted living facilities may be regulated by size restrictions depending on which type of assisted living facility it is considered to be in the state in which it exists. For example, Adult Family Homes in Wisconsin have between 3-4 elderly residents while Community Based Residential Facilities have 5 or more. Almost every state has different terminology to describe their version of the assisted living facility system.
The structures in which assisted living facilities exist are varied as well. Depending on the type, an assisted living facility may operate out of a personal residence or a nursing home style structure, and it may be set up as apartment style living or as a campus setting in a continuing care retirement community. Multiple assisted living facilities may exist at one location or may be co-located with nursing homes and/or other similar health care facilities.
Sometimes an entity may report a city that is not accepted by the USPS, and although TechniGraphics has tried to replace those cities with an acceptable alternative, some of them may remain in this dataset.
Entities that operate as an Assisted Living Facility are classified under this description.
Entities that operate as a Nursing Home are classified under this description.
Entities that operate as both a Nursing Home and an Assisted Living Facility are classified under this description.
A permanent, unique number assigned to a geographic feature for the sole purpose of uniquely identifying that feature as a record in any information system database, dataset, file, or document and for distinguishing it from all other feature records so identified. The number is assigned sequentially (highest existing number plus one) to new records as they are created in the Geographic Names Information System. The number, by design, carries no information or association to the content of the feature record and therefore is not subject to change as attribute values change. Once assigned to a feature, the number is never changed or withdrawn, and never reassigned. The Feature ID can be applied in conjunction with system-unique record identifiers in any database or system, thus providing a national standard common reference identifier across multiple datasets. The Feature ID is stored in the GNIS database as an integer with a maximum of ten digits.
Total number of staff at the nursing home or assisted living facility.
The values in this field were taken from source data and have not been verified by TechniGraphics.
Total number of residents at the nursing home or assisted living facility.
The values in this field were taken from source data and have not been verified by TechniGraphics.
Number of beds at the nursing home or assisted living facility.
The values in this field were taken from source data and have not been verified by TechniGraphics.
Number of excess beds at the nursing home or assisted living facility.
The values in this field were taken from source data and have not been verified by TechniGraphics.
Indicates the type of ownership for the nursing home or assisted living facility.
The Medicaid ID for the facility.
The values in this field were taken from source data and have not been verified by TechniGraphics.
The Medicare ID for the facility.
The values in this field were taken from source data and have not been verified by TechniGraphics.
The state license ID for the facility.
The values in this field were taken from source data and have not been verified by TechniGraphics.
The supplied type of facility.
The values in this field were taken from source data and have not been verified by TechniGraphics.