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1900 North 11th Street, Bismarck, ND 58501 (701) 222-0660 • www.NDLTCA.org North Dakota Long Term Care FACTS & FIGURES 2017
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Page 1: 2017 - NDLTCA

1900 North 11th Street, Bismarck, ND 58501(701) 222-0660 • www.NDLTCA.org

North Dakota Long Term Care

FACTS & FIGURES

2017

Page 2: 2017 - NDLTCA

Greetings to AllThe North Dakota Long Term Care Association (NDLTCA) is pleased to bring to you the 2017 Facts & Figures booklet. This publication provides information about the long term care profession, the challenge of caring for aging North Dakotans, and issues facing long term care. This publication is designed to give legislators, association members, and the public an overview of long term care in North Dakota. The biggest challenge continues to be staffing, with finances the second area of concern.

North Dakota’s population continues to grow despite an economy that has slowed. North Dakota today has over 14,000 open positions, and recruiting to long term care continues to be a significant challenge. 81% of North Dakotas 53 counties are designated as health professional shortage areas. North Dakota will have 4,430 RN openings through 2020, according to a national report from the Georgetown University Center on Education and the Workforce.

We hope you find the publication helpful. North Dakota is a great place to grow old. Over 16,000 individuals each year receive care in a basic care, assisted living or skilled nursing facility. We are proud of the outstanding care provided by long term care facilities in our state.

Sincerely yours,

Shelly PetersonPresident

Craig ChristiansonChair

Introduction

Table of ContentsLong Term Care Facts . . . . . . . . . . . . . . . . . . . 2-3Assisted Living Facts . . . . . . . . . . . . . . . . . . . 4-8NDLTCA Members – Assisted Living . . . . . . . . . 9Basic Care Facts . . . . . . . . . . . . . . . . . . . . . 10-13NDLTCA Members – Basic Care . . . . . . . . . . . 14

Nursing Facility Facts . . . . . . . . . . . . . . . . . 15-18NDLTCA Members – Nursing Facilities . . . . . . 19About NDLTCA . . . . . . . . . . . . . . . . . . . . . . . . 20NDLTCA Staff and Board Members . . . . . . . . . 20

Page 3: 2017 - NDLTCA

3NDLTCA | Facts and Figures 2017

Long Term Care Facts

Risk of requiring long term care at sometime in life is 50%. If you have a spouse, overall risk that one of you would need long term care is 65%

1 out of 2 North Dakotanswill need long term care sometime during their lives

Aging In AmericaThe aging of America, together with extended life expectancy, will result in unprecedented demand for long term care.

Long term care services are provided in a variety of settings, including nursing facilities, basic care, assisted living, swing beds, and home and community based settings.

The nation as a whole grew as the oldest Baby Boomers became seniors. In 2015, the nation’s 65+ populations surged to 47.8 million, up to 3.2%.

32% projected growth in North Dakota’s population of individuals

age 65+ by 2025

107,6292015

142,1952025

North Dakota ranks in the nation in highest

proportion of individuals age 85+

7th

14.2% of North Dakota’s population is made up of individuals 65+

Page 4: 2017 - NDLTCA

4 NDLTCA | Facts and Figures 2017

Caregivers of North Dakota

• Sufficient staffing is the number one concern facing long term care facilities.

• CNA turnover in nursing facilities is 62%.

• The oldest employee in long term care is 90 years old.

• Almost three out of every four nursing facilities (73%) rely upon contract nursing staff to provide daily resident care.

• Over $20 million was spent on contract nursing in 2016, compared to $4.7 million in 2010.

• One-third of caregivers in long term care are age 50 or older.

• 14% of the long term care workforce is at or over the age of 60.

Who Needs Care?Long term care facilities provide care for over 16,000 North Dakotans annually.

The need for personal assistance with everyday activities increases with age.

The three top factors impacting the need for nursing home care are being a woman, being 80 or older, and living alone.

The most common reasons given for nursing home placement are the need for assistance with daily care, the need for continuous supervision, and complications due to dementia and falls.

North Dakota has the oldest nursing home residents with 47% age 85-95 years (highest in the nation) and 9.2% over age 95 (second highest in nation).

nursing facilities reported

48669 open positions

in November 2016.

Long Term Care Facts

Page 5: 2017 - NDLTCA

5NDLTCA | Facts and Figures 2017

Non-Profit66%

Profit34%

Home85%

NursingFacility7%

Hospital/SwingBed4%

OtherAssistedLivingFacility2%

BasicCareFacility1%

Other<1%

Non-Profit66%

Profit34%

Home85%

NursingFacility7%

Hospital/SwingBed4%

OtherAssistedLivingFacility2%

BasicCareFacility1%

Other<1%

Assisted Living Facts

n=65

Ownership of Assisted Living Facilities

Assisted Living Facts• An assisted living facility is a congregate residential setting with private apartments and contracted services.

• A la carte services are contracted based upon an agreed upon service plan.

• A basic rental package includes snacks, housekeeping, activities, transportation, and laundry.

• Facilities provide a full range of services from bathing to medication management to hospice care.

• Assistance with daily care, isolation and the need for supervision are the top issues precipitating the desire to move into an assisted living facility.

• Current tenants range in age from 53 to 104 with the average age being 85.

75 licensed assisted living facilities

2,924 licensed units

2016 average occupancy was 95%

ASSISTED LIVING AT A

GLANCE

Female Tenants Male Tenants

of tenants in North Dakota ASSISTED LIVING are female72%

n=1,544

Gender of Assisted

Living Residents

Page 6: 2017 - NDLTCA

6 NDLTCA | Facts and Figures 2017

NursingFacility51%

Death17%

Home9%

BasicCareFacility8%

OtherAssistedLivingFacility7%

Hospital/SwingBed6%

Family2%

Other1%

14.20%

Non-Profit66%

Profit34%

Home85%

NursingFacility7%

Hospital/SwingBed4%

OtherAssistedLivingFacility2%

BasicCareFacility1%

Other<1%

Tenants - Moving In and Out

When individuals move into an assisted living facility, where do they come from?

Most individuals were living in their own home prior to moving into an assisted living facility. The top four reasons for assisted living move-in:1) Assistance with daily care

2) Social Isolation

3) Limited community services

4) Need for supervision

When individuals move out of an assisted living facility, where do they go?

Over half of tenants moving out of assisted living facilities are admitted to a skilled nursing facility. Advancing medical needs and growing cognition issues necessitate the move to a higher level of care.

Moving Out

Moving In

NursingFacility51%

Death17%

Home9%

BasicCareFacility8%

OtherAssistedLivingFacility7%

Hospital/SwingBed6%

Family2%

Other1%

14.20%

Non-Profit66%

Profit34%

Home85%

NursingFacility7%

Hospital/SwingBed4%

OtherAssistedLivingFacility2%

BasicCareFacility1%

Other<1%

Page 7: 2017 - NDLTCA

7NDLTCA | Facts and Figures 2017

Assisted Living Facts

of tenants are fully independent in eating, 93% independent with transferring, 92% withtoileting, and 72% with dressing.

of tenants have impaired mental status ranging from mild confusing or forgetfulness to a mental health diagnosis.

Care needs of assisted living tenants42%

of tenants need full assistance with medication administration. These tenants on average take 10.4 over-the-counter and prescription medications daily.47%

98%

59% of tenants periodically use the assistance of a walker or cane.

71% of tenants are ambulatory (may use aids but not human assistance).

Assisted LivingWORKFORCE

• Top issues impacting assisted living facilities are staffing and occupancy.

• 1,139 individuals are employed in 42 assisted living facilities.

• As of November 1, 2016, of the 36 assisted living facilities reporting nursing hours the average was eight hours per day.

• Seven of 43 reporting assisted living facilities used contract nursing staff in 2016. Those seven reported spending $221,400 annually.

• Over one-third (35%) of the workforce is age 50 and older, the oldest employee is 93.

AG

E

10% 24% 16% 15% 20% 15%≤19 20-29 30-39 40-49 50-59 60≥

Age of Assisted Living Workforce

n=1127

Page 8: 2017 - NDLTCA

8 NDLTCA | Facts and Figures 2017

Private Pay 98%*

Other 2%

Assisted Living FactsAssisted LivingCOST

WHO PAYS?

Who Pays the Bill in Assisted Living Facilities?

*of this amount 23% of tenants have LTC insurance that helps pay for their care.

n=1661

In 2016, the average charge for rent in a one bedroom assisted living facility was $2,341 per month, with a range of $923 to $4,380 per month.

The cost for services in an assisted living facility varies dramatically, with an average service package of $1,017, with a range of $13 to $4,000 per month.

The cost of assisted living is highly dependent on the size of the living space, the location in North Dakota, and the amenities in the rental package.

Most tenants pay for services from their own private funds, with long term care insurance assisting in 23% of the cases.

Satisfaction1-Poor 2-Average 3-Good 4-Very Good 5-Excellent

Overall Satisfaction (n=966) <1% 4% 13% 35% 47%

Quality of Staff (n=981) <1% 3% 12% 34% 51%

Quality of Care (n=974) <1% 3% 14% 36% 46%

Quality of Food (n=940) 4% 16% 28% 31% 21%

40 Assisted Living Facilities representing 1392 units participated in the survey October 2016

Assisted Living

Satisfaction Survey Results

Page 9: 2017 - NDLTCA

9NDLTCA | Facts and Figures 2017

Assisted Living Facts NDLTCA Members Assisted Living

City

Bismarck

Bismarck

Bismarck

Bismarck

Bismarck

Bismarck

Bowman

Carrington

Cooperstown

Crosby

Devils Lake

Devils Lake

Dickinson

Dickinson

Dickinson

Dickinson

Ellendale

Fargo

Fargo

Fargo

Fargo

Fargo

Fargo

Fargo

Fargo

Forman

Garrison

Grafton

Grand Forks

Grand Forks

Hatton

Hettinger

Hillsboro

Facility Name

Augusta Place – a Prospera Community

Edgewood Vista - Dominion

Edgewood Vista at Edgewood Village

Primrose Retirement Community

Touchmark on West Century

Valley View Heights

Sunrise Village

Golden Acres Estate

Park Place

Northern Lights Villa

Good Samaritan Society - Lake Country Manor

Eventide Heartland Courts

Benedict Court

Evergreen

Hawks Point

Park Avenue Villa

Evergreen Place and Assisted Living

Bethany Gables

Bethany Towers

Edgewood Vista in Fargo

Eventide Fargo

Good Samaritan Society - Fargo

Pioneer House Assisted Living for Seniors

CHI Riverview

Touchmark at Harwood Groves

Four Seasons Healthcare Center, Inc.

The Meadows

Leisure Estates

Edgewood Parkwood Place

Wheatland Terrace

Hatton Prairie Village

Western Horizons Assisted Living

Sanford Health Comstock CC

City

Jamestown

Jamestown

Killdeer

Lakota

LaMoure

Larimore

Lisbon

Mandan

Mandan

Mayville

McVille

Minot

Minot

Minot

Minot

Minot

Napoleon

New Rockford

New Salem

New Town

Northwood

Oakes

Rugby

Valley City

Velva

Wahpeton

Walhalla

Watford City

West Fargo

West Fargo

Williston

Wishek

Facility Name

Edgewood Senior Living

Heritage Center of Jamestown, Inc.

Legacy Lodge

Good Samaritan Society - Prairie Rose

Rosewood Court Assisted Living

Good Samaritan Society - Larimore

Beverly Anne Assisted Living Center

Edgewood Vista Mandan

Lakewood Landing

Sun Centers

Nelson County Health System Assisted Living

Brookdale Brentmoor Minot

Edgewood Vista Minot Senior Living Care

ProHealth Home Care

The View on Elk Drive

The Wellington

Napoleon Congregate/Assisted Living Apartments

Heritage House

Elm Crest Assisted Living

Lakeside Community Living Center

Northwood Deaconess Health Center

Good Samaritan Society - Oakes

Haaland Estates - Assisted Living

The Legacy Place

Valley View Manor

Siena Court

North Border Estates

Horizon

Eventide at Sheyenne Crossings

Kinder Care

Arbor House

Prairie Hills Assisted Living

Page 10: 2017 - NDLTCA

10 NDLTCA | Facts and Figures 2017

Non-Profit64%

Profit36%

Home54%

NursingFacility12%

AssistedLivingFacility10%

Hospital/Swing9%

AnotherBasicCareFacility7%

StateHospital3%

Family3%

Other2%

Basic Care Facts

Basic Care Facts• A basic care facility is a congregate residential setting with private and semi-private rooms, providing 24-hour

supervision and staffing.

• Basic Care provides an all-inclusive rate providing room, meals, personal care services, supervision, activities, transportation, medication administration, nursing assessment, and care planning.

• Current residents range in age from 40 to 105 years old, with the average age being 79.

Ownership of Basic Care Facilities

n=58

BASIC CARE AT A

GLANCE62 licensed basic care facilities

1,818 licensed units

2016 average occupancy was 82%

Non-Profit64%

Profit36%

Home54%

NursingFacility12%

AssistedLivingFacility10%

Hospital/Swing9%

AnotherBasicCareFacility7%

StateHospital3%

Family3%

Other2%

Female Tenants Male Tenants

of tenants in North DakotaBASIC CARE are female71%

n=1,031

Gender of Basic Care Residents

Page 11: 2017 - NDLTCA

11NDLTCA | Facts and Figures 2017

Non-Profit64%

Profit36%

Home54%

NursingFacility12%

AssistedLivingFacility10%

Hospital/Swing9%

AnotherBasicCareFacility7%

StateHospital3%

Family3%

Other2%

Non-Profit64%

Profit36%

Home54%

NursingFacility12%

AssistedLivingFacility10%

Hospital/Swing9%

AnotherBasicCareFacility7%

StateHospital3%

Family3%

Other2%

Moving In

NursingFacility60%

Home13%

Hospital/SwingBed10%

Death8%

OtherBasicCareFacility5%

AdultChildren1%

Other3%

n=1030

NursingFacility60%

Home13%

Hospital/SwingBed10%

Death8%

OtherBasicCareFacility5%

AdultChildren1%

Other3%

Basic Care Facts

When individuals move into a basic care facility,where do they come from?

Top three reasons for basic care admission:1) Needs assistance2) Needs supervision3) Confusion

When individuals move out of a basic care facility, where do they go?

Well over half of residents discharged from a basic care facility are admitted to a skilled nursing facility. Medical needs, physical limitations, and growing cognitive issues necessitate the admission. The average length of stay is 1.48 years.

Moving Out

Page 12: 2017 - NDLTCA

12 NDLTCA | Facts and Figures 2017

80% of residents have impaired mental status, ranging from early stage dementia to disorientation.

of residents have a mental health diagnosis.

of residents need full assistance with medication administration.

of residents receiving psychoactive drugs.

Basic Care Facts

53%

95%

19%

Care needs of basic care tenants

the number of medications the average basic care resident takes.

of residents are independent in dressing, with 6% requiring extensive assistance.

of residents are ambulatory and do not need any staff assistance, 55% use a walker or cane and very few use a wheelchair (7%).

of residents are independent in transferring and eating and 82% with toileting.

of residents need assistance bathing.71%

96%

60%

59%

12

n=1480

Basic CareWORKFORCE

• The top issue facing basic care facilities is staffing and financial viability.

• 1,610 individuals are employed in 36 basic care facilities.

• In 2016 the average wage increase provided was 3%, while most tried to maintain health insurance with premiums increasing just under 7%.

• Nine of the reporting basic care facilities used contract nursing staff in their facilities in 2016, with six facilities reporting they spent $132,500 on contract staffing.

AG

E

10% 25% 17% 16% 18% 15%≤19 20-29 30-39 40-49 50-59 60≥

Age of Basic Care Workforce

Page 13: 2017 - NDLTCA

13NDLTCA | Facts and Figures 2017

Basic Care Assistance 57%

Other 2%

Private Pay 41%*

Basic Care FactsBasic CareCOST

WHO PAYS?

Who Pays the Bill in Basic Care Facilities?

*10% of residents have LTC insurance that helps

pay for their care

n=948

More than half (57%) of the residents living in basic care need assistance to pay for their care. The average monthly cost of basic care was reported at $3,668. The cost ranged from $2,300 to $5,100 per month.

Cost of a Private Room: One-third of reporting basic care facilities charge extra for a private room. The average daily cost for a private room is $8.53 per day, with a range of $1.18 to $25.00 per day.

Rate Equalization in Basic Care: It is allowable to charge private pay residents more than basic care assistance rates. Only a little over half (56%) of the reporting Basic Care Facilities charge the private pay more. Of those charging more, the range was 1 cent per day to $82.00 per day.

Satisfaction1-Poor 2-Average 3-Good 4-Very Good 5-Excellent

Overall Satisfaction (n=966) <1% 4% 13% 31% 51%

Quality of Staff (n=981) <1% 3% 13% 42% 41%

Quality of Care (n=974) <1% 3% 12% 40% 45%

Quality of Food (n=940) 4% 11% 27% 33% 26%

29 Basic Care Facilities and representing 834 beds participated in the survey October 2016

Basic Care Satisfaction Survey Results

Page 14: 2017 - NDLTCA

14 NDLTCA | Facts and Figures 2017

City

Arthur

Bismarck

Bismarck

Bismarck

Bismarck

Bismarck

Bismarck

Cando

Crosby

Devils Lake

Devils Lake

Devils Lake

Dickinson

Dickinson

Edgeley

Edmore

Elgin

Ellendale

Fargo

Fargo

Fargo

Fargo

Fargo

Fargo

Gackle

Grand Forks

Grand Forks

Grand Forks

Grand Forks

Hazen

Facility Name

Good Samaritan Society - Arthur

Augusta Place – a Prospera Community

Edgewood Vista at Dominion

Edgewood Vista at Edgewood Village

Maple View

The Terrace

Touchmark on West Century

St. Francis Residence

St. Luke’s Sunrise Center

Good Samaritan Society - Devils Lake

Good Samaritan Society - Lake Country Manor

Odd Fellows Home

Dickinson Country House LLC

Evergreen

Manor St. Joseph

Edmore Memorial Rest Home

Dakota Hill Housing

Evergreen Place

Bethany Towers

Ecumen Evergreens of Fargo

Edgewood Vista at Edgewood Village

Good Samaritan Society - Fargo

Maple View Memory Care - Fargo

Touchmark at Harwood Groves

Gackle Care Center

Maple View Memory Care

Edgewood Parkwood Place

St. Anne’s Guest Home

Tufte Manor

Senior Suites at Sakakawea

City

Jamestown

Jamestown

Jamestown

Larimore

Lisbon

Lisbon

Maddock

Mandan

Mandan

Mandan

McClusky

Minot

Minot

Minot

Minot

Mountain

New Rockford

New Town

Northwood

Osnabrock

Park River

Rugby

Steele

Valley City

Wahpeton

Wahpeton

Watford City

West Fargo

Williston

Wilton

Facility Name

Edgewood Senior Living

Rock of Ages

Rosedale

Good Samaritan Society - Larimore

North Dakota Veterans Home

Parkside Lutheran Home

Maddock Memorial Home

Dakota Pointe

Edgewood

Lakewood Landing

Sheridan Memorial Home

Edgewood Vista Minot Senior Living Care

Edgewood Vista Memory Care

Emerald Court

Maple View Memory Care - Minot

Borg Pioneer Memorial Home

Lutheran Home of the Good Shepherd

Lakeside Community Living Center

Northwood Deaconess Health Center

Osnabrock Comunity Living Center

Good Samaritan Society - Park River

Haaland Estates - Basic Care

Golden Manor Inc.

Hi Soaring Eagle Ranch

St. Catherine’s Living Center

The Leach Home

McKenzie County Healthcare Systems

Eventide at Sheyenne Crossings

Bethel Lutheran Nursing & Rehabilitation Center

Redwood Village

NDLTCA Members Basic Care Facilities

Page 15: 2017 - NDLTCA

15NDLTCA | Facts and Figures 2017

Nursing Facilities AT A

GLANCE

Nursing Facility Facts

• Resident needs are complex and they are in need of 24-hour nursing care.

• Most residents are admitted after a hospital stay or directly from their home.

• The most significant issue necessitating admission to a nursing facility is the need for care throughout the day. Residents are unable to meet their own needs for dressing, toileting, eating, an remaining safe. Most often their medical needs are complex, requiring continuous supervision.

• Current residents range in age from 33 to 109 years old, with the average age being 84.

• The average length of stay is less than a year.

• According to CMS data, in 2016 ND nursing facilities had the second highest percentage of residents age 95 and older, 9.24% of all residents compared to the US average in this age category of 5.18%. ND nursing facilities hold the highest record for the 85-94 age group at 47.2%, compared to the US average of 33%.

Nursing Facility Facts

Ownership of Nursing Facility

n=80

80 licensed nursing facilities

6,141 licensed beds

2016 average daily rate is $258.78

2016 average occupancy was 93.6%

Female Tenants Male Tenants

of tenants in North DakotaNURSING FACILITIES are female68%

n=3,502

Gender of Nursing Facility

Residents

Page 16: 2017 - NDLTCA

16 NDLTCA | Facts and Figures 2017

7% 27% 18% 15% 19% 14%

Nursing Facility Facts

The top five reasons for nursing facility admission:1) Assistance with daily care2) Needs continuous supervision3) Falls4) Dementia5) Complex Medical needs

When residents are discharged from a

skilled nursing facility, where do they go?

According to CMS data,

49% of ND nursing home residents are discharged back home.

n=7,557

Why do individuals move into a nursing facility?

• The top issue facing nursing facilities is staffing; as of November 1, 2016, 48 nursing facilities reported 669 vacant positions.

• 7,639 individuals are employed in 50 nursing facilities.

• 12% (n=50) of reporting nursing facilities stopped admissions in 2016 because of lack of staff.

• 73% of nursing facilities used contract agency staff in 2016.

• In 2016 the most frequent salary increase reported was 3%. Health insurance cost has been unpredictable, ranging from zero to a 24% increase.

• Turnover and workforce age will create an unprecedented demand for employees in the next five years.

• One-third of the workforce is age 50 or older, with the oldest employee being 90.

• 81% of North Dakota’s 53 counties are designated as health professional shortage areas.

AG

E ≤19 20-29 30-39 40-49 50-59 60≥

Age of Nursing Facility Workforce

Nursing FacilityWORKFORCE

Page 17: 2017 - NDLTCA

17NDLTCA | Facts and Figures 2017

North Dakota Nursing Facility Days by Payer

Nursing Facility Facts

62% 58% 35%

CNAs DietaryStaff

36%

House-keeping

42%

LPNs RNs

Nursing FacilityCOST

2016 Nursing Facility Staff Turnover

Cost of a Private RoomNursing facilities are allowed to charge extra for a private room. The average daily private room charge in 2016 was $13.31. The extra private room charge varies based upon size and location of the room. Private rooms are growing in number to meet the increased demand.

In 2016, the average cost for

ONE DAY of nursing facility care is

$258.78

Page 18: 2017 - NDLTCA

18 NDLTCA | Facts and Figures 2017

When facilities face staffing shortages, one option is to use contract staff to provide daily resident care. In 2016, 57 of 78 nursing facilities or 73% used contract nursing agencies.

Nursing Facilities Salaries as of November 2016

Position

CNAs

LPNs

RNs

Dietary

Housekeeping

201062%

33%

40%

57%

34%

201258%

36%

32%

45%

33%

201456%

36%

33%

51%

42%

201662%

42%

35%

58%

36%

$4.7$6.1

$12.3 $12.9$15.5

$19.5 $20.4

0

5

10

15

20

25

Jun-10 Jun-11 Jun-12 Jun-13 Jun-14 Jun-15 Jun-16

DollarsinM

illions

Contract Nursing - Dollars Spent (Millions)

3944

48 47

5661

57

06

121824303642485460667278

Jun-10 Jun-11 Jun-12 Jun-13 Jun-14 Jun-15 Jun-16

Num

bero

fNursingFacili4e

s

Year

Number of Nursing Facilites Using Contract Nurses

156,503 175,633

352,000 339,911406,514

519,172 542,474

0

100,000

200,000

300,000

400,000

500,000

600,000

Jun-10 Jun-11 Jun-12 Jun-13 Jun-14 Jun-15 Jun-16

Hours

Use of Contract Nursing - Hours

$4.7$6.1

$12.3 $12.9$15.5

$19.5 $20.4

0

5

10

15

20

25

Jun-10 Jun-11 Jun-12 Jun-13 Jun-14 Jun-15 Jun-16

DollarsinM

illions

Contract Nursing - Dollars Spent (Millions)

3944

48 47

5661

57

06

121824303642485460667278

Jun-10 Jun-11 Jun-12 Jun-13 Jun-14 Jun-15 Jun-16

Num

bero

fNursingFacili4e

s

Year

Number of Nursing Facilites Using Contract Nurses

156,503 175,633

352,000 339,911406,514

519,172 542,474

0

100,000

200,000

300,000

400,000

500,000

600,000

Jun-10 Jun-11 Jun-12 Jun-13 Jun-14 Jun-15 Jun-16

Hours

Use of Contract Nursing - Hours

$4.7$6.1

$12.3 $12.9$15.5

$19.5 $20.4

0

5

10

15

20

25

Jun-10 Jun-11 Jun-12 Jun-13 Jun-14 Jun-15 Jun-16

DollarsinM

illions

Contract Nursing - Dollars Spent (Millions)

3944

48 47

5661

57

06

121824303642485460667278

Jun-10 Jun-11 Jun-12 Jun-13 Jun-14 Jun-15 Jun-16

Num

bero

fNursingFacili4e

s

Year

Number of Nursing Facilites Using Contract Nurses

156,503 175,633

352,000 339,911406,514

519,172 542,474

0

100,000

200,000

300,000

400,000

500,000

600,000

Jun-10 Jun-11 Jun-12 Jun-13 Jun-14 Jun-15 Jun-16

Hours

Use of Contract Nursing - Hours

CNA Entry WageCook Entry Wage

House Keeping Entry WageDietary Aide Entry Wage

$14.27 Avg$13.20 Avg

$11.77 Avg$11.68 Avg

History of Nursing FacilitySTAFF TURNOVER2010-2016

Nursing Facility Staffing

IN NURSING FACILITESContract Nursing

Page 19: 2017 - NDLTCA

19NDLTCA | Facts and Figures 2017

City

Aneta

Ashley

Beulah

Bismarck

Bismarck

Bismarck

Bismarck

Bismarck

Bismarck

Bottineau

Bowman

Cando

Carrington

Cavalier

Cooperstown

Crosby

Devils Lake

Devils Lake

Dickinson

Dickinson

Dunseith

Ellendale

Enderlin

Fargo

Fargo

Fargo

Fargo

Fargo

Fargo

Fargo

Forman

Garrison

Garrison

Glen Ullin

Grafton

Grand Forks

Grand Forks

Hankinson

Harvey

Hatton

Facility Name

Aneta Parkview Health Center

Ashley Medical Center and Nursing Home

Knife River Care Center

Augusta Place – a Prospera Community

Baptist Home, Inc

Missouri Slope Lutheran Care

St. Vincent’s – a Prospera Community

CHI St. Alexius Medical Center - TCU

St. Gabriel’s Community

Good Samaritan Society - Bottineau

Southwest Healthcare Services

Towner County Living Center

Golden Acres Manor

Wedgewood Manor

Griggs County Care Center

St. Luke’s Sunrise Care Center

Good Samaritan Society - Devils Lake

Eventide Heartland Care Center

St. Benedict’s Health Center

St. Luke’s Home

Dunseith Community Nursing Home

Prince of Peace Care Center

Maryhill Manor

Bethany on 42nd Skilled Care

Bethany on University Skilled Care

Elim Care - A Caring Community

Eventide Fargo

Manor Care of Fargo ND, LLC

Rosewood on Broadway

Villa Maria

Four Seasons Healthcare Center, Inc

Benedictine Living Center of Garrison

CHI St. Alexius - Garrison

Marian Manor Healthcare Center

Lutheran Sunset Home

Valley Eldercare Center

Woodside Village

St. Gerard’s Community of Care

St. Aloisius Medical Center

Hatton Prairie Village

City

Hettinger

Hillsboro

Jamestown

Jamestown

Killdeer

Lakota

LaMoure

Langdon

Larimore

Lisbon

Lisbon

Mandan

Mandan

Mandan

Mayville

McVille

Minot

Minot

Mohall

Mott

Napoleon

New Rockford

New Salem

Northwood

Oakes

Park River

Richardton

Rolette

Rugby

Stanley

Strasburg

Tioga

Valley City

Velva

Wahpeton

Walhalla

Watford City

West Fargo

Williston

Wishek

Facility Name

Western Horizons Care Center

Sanford Health Hillsboro Care Center

Ave Maria Village

Eventide

Hill Top Home of Comfort

Good Samaritan Society - Lakota

St. Rose Care Center

Maple Manor Care Center

Good Samaritan Society - Larimore

North Dakota Veterans Home

Parkside Lutheran Home

Dakota Alpha

Miller Pointe – a Prospera Community

Sunset Drive – a Prospera Community

Luther Memorial Home

Nelson County Health Systems Care Center

Minot Health and Rehab

Trinity Homes

Good Samaritan Society - Mohall

Good Samaritan Society - Mott

Napoleon Care Center

Lutheran Home of the Good Shepherd

Elm Crest Manor

Northwood Deaconess Health Center

Good Samaritan Society - Oakes

Good Samaritan Society - Park River

Richardton Health Center

Rolette Community Care Center

Heart of America Medical Center

Mountrail Bethel Home

Strasburg Care Center

Tioga Medical Center Long Term Care

Sheyenne Care Center

Souris Valley Care Center

Benedictine Living Community

Pembilier Nursing Center

McKenzie County Healthcare Systems

Sheyenne Crossings Care Center/TCU

Bethel Lutheran Nursing & Rehabilitation Center

Wishek Living Center

NDLTCA Members Nursing Facilities

Page 20: 2017 - NDLTCA

About NDLTCA

The North Dakota long Term Care Association is a professional association of long term care and community service providers who enhance the lives of people we serve thorough collaboration, education and advocacy.

The North Dakota Long Term Care Association is recognized as an innovative leader and pioneer in the continuum of care, which has a positive impact on the quality of life of those we serve.

• Competence • Honesty • Integrity • Responsiveness • Trust

Resources Most of the information provided in this publication was gathered from a comprehensive survey of assisted living, basic care and nursing facility members, completed in the Fall of 2016. Additional information was gathered from the US Census Bureau - July 2015, NDSU.edu/november2015, ND State Department Business Data, Nursing Facility cost reports and the North Dakota Center for Nursing.

About the North Dakota Long Term

Care Association

Mission Statement

Vision Statement

Core Values

ND

LTC

A S

taff

ND

LTC

A B

oard

Mem

bers

Shelly Peterson President

Peggy Krikava Education Director

Erin Keen Education Assistant

Carol Ternes Executive Assistant

Vanessa Raile Director of

Emergency Planning

Shawn Surface Account Tech

Craig Christianson, Chair Sheyenne Care Center, Valley City | (701) 845-8222

Greg Salwei, Past Chair Wishek Living Center, Wishek | (701) 452-2333

Cynthia Tredwell, Vice Chair Hatton Prairie Village, Hatton | (701) 543-3102

Cathy Eckmann, Secretary/Treasurer Valley View Heights, Bismarck | (701) 221-3018

Kari Dick, Assisted Living Director-At-Large Touchmark at Harwood Groves, Fargo | (701) 476-1200

Mary Jo Fries, Basic Care Director-At-Large Golden Manor Inc., Steele | (701) 475-2251

Tony Keelin, Nursing Facility Director-At-Large Rosewood on Broadway, Fargo | (701) 277-7999

The North Dakota Long Term Care Association (NDLTCA) is a non profit trade association representing long term care facilities in North Dakota. Membership includes nursing facilities, basic care facilities, and assisted living facilities. NDLTCA began operating in 1977 and currently represents 210 nursing, basic care, and assisted living facilities. NDLTCA works closely with State and Federal government agencies along with other profession associations in its efforts to advocate on behalf of long term care and promote sound legislative and regulatory policies. NDLTCA is an affiliate of the American Health Care Association (AHCA) and the National Centers for Assisted Living (NCAL). AHCA and NCAL, located in Washington, D.C., are the largest organizations of long term care facilities in the nation. NDLTCA is governed by a 14 member BOARD elected by the membership. Overall policy of the NDLTCA is the responsibility of the Board. NDLTCA is dedicated to serving our members who strive to maintain the highest quality of care for the elderly and disabled.

Jac McTaggart, Hospital Attached Director-At-Large Hillsboro Medical Center, Hillboro | (701)636-3200

Daniel Kelly, Region I Director Mckenzie County Health Care System, Watford City | (701) 842-3000

Pete Antonson, Region II Director Northwood Deaconess Health Center, Northwood | (701) 587-6060

Becky Hansen, Region III Director Southwest Healthcare Services, Bowman | (701) 523-3214

Tony Elsperger, Region IV Director Sunset Drive - a Prospera Community, Mandan | (701) 323-1411

Timothy Burchill, Region V Director Ave Maria Village, Jamestown | (701) 252-5660

Tim Kennedy, Region VI Director Parkside Lutheran Home, Lisbon | (701) 683-5239


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