National Study of Long-Term Care Providers


Data Collection for the 2016 National Study of Long-Term Care Providers

Data collection for the 2016 National Study of Long-Term Care Providers (NSLTCP) Adult Day Services Center (ADSC) survey, conducted by the Centers for Disease Control and Prevention’s National Center for Health Statistics (NCHS), closed in February 2017. NCHS would like to extend its sincerest gratitude to NADSA and other provider associations for the tremendous assistance during survey collection. About 63% of all ADSCs surveyed in 2016 participated in the study. NCHS sincerely appreciates all the ADSC directors and staff who took the time to complete this important questionnaire.

NSLTCP plans to be conducted every other year—the next wave of survey fielding is scheduled to begin later this year.

2016 NSLTCP ADSC Survey Data and Documentation

Restricted Data File and Readme Documentation

The 2016 ADSC restricted data files were released in December, 2017. In order to access the restricted data files researchers must submit a proposal, which will be reviewed by NCHS staff. Fees are charged for accessing the data. More information is available at the RDC website ( The 2016 ADSC restricted data file readme document describes the data and some of the processes involved in creating the restricted data files. Link to the restricted data file readme:

Survey Methodology Documentation

This document describes the survey methodology, including sample design, frame information, and data collection protocol for both the ADSC and residential care community components of the 2016 NSLTCP. Link to the survey methodology documentation:

Data Dictionary

The blank data dictionary provides a description of all variables on the ADSC restricted data file. Link to the data dictionary:

2012-2016 NSLTCP Survey Content Crosswalk

This document lists all topic areas covered by the adult day services and residential care components of the NSLTCP, spanning the years 2012 to 2016. Link to the crosswalk:

Published Reports and Products Using Data from the 2016 ADSC Survey

Weighted National Estimates and Standard Errors Tables

This document provides the weighted estimates and associated standard errors for selected variables. Weighted estimates are provided for original variables based directly on the survey response categories as well as derived or new variables that are adaptations of the survey responses. While most of the estimates are at the ADSC level, in order to make the data more useful, we have converted ADSC level variables to participant-level measures wherever applicable. The tables may be accessed at no cost from NSLTCP’s “Study Results and Publications” website:

National Data Brief and Supplementary State Tables

Data Brief #296: Variation in Adult Day Services Center Participant Characteristics by Center Ownership: United States, 2016. Link to document:

This data brief is an update to the 2014 version, which examines a variety of participant characteristics between nonprofit and for-profit centers nationally. These characteristics include race and ethnicity, age, gender, Medicaid use, activities of daily living, health conditions, falls, and hospital services use. Included with the data briefs is a set of complementary web tables that provide state estimates for each of the characteristics included in the data brief. The state web tables may be accessed here:


This is a figure that shows the percentage distribution of ADSC participants by place of residence. Link to QuickStat:

Future Reports and Products Using Data from the 2016 ADSC Survey

NCHS is preparing to release a long-term care overview report that will feature important findings on ADSCs from the 2016 NSLTCP, together with the other four major long-term care providers: nursing homes, home health care agencies, hospices, and residential care communities. This report will include national and state-level estimates where possible, on a range of characteristics about centers and participants.

NCHS plans to release additional reports and products using data from the 2016 ADSC survey throughout 2018. Please join the Long-Term Care Listserv to stay informed about report and product releases from the 2016 ADSC survey and to track updates about the 2018 NSLTCP ADSC survey that will be fielded later this year:

Upcoming Changes to the Design of the 2018 NSLTCP ADSC Survey

Beginning in 2018, NSLTCP will begin alternating between the 2012-2016 NSLTCP study design that collects aggregate information about centers and participants to a design that collects individual participant information. In addition to collecting the individual participant information about users, the 2018 survey will continue obtaining information about the operating and organizational characteristics of the center. The benefit of collecting individual participant information in terms of the type of information we can produce from the survey results is that we will be able to obtain a more in-depth understanding of the characteristics of participants than we would using center-aggregated participant information. The new survey design will also enable NCHS to release a Public Use File (PUF) for researchers, policymakers, and others interested in the adult day services sector to access NSLTCP data and run their own analyses free of charge from our website.

Importance of participating in the National Study of Long-Term Care Providers

Each study participant that submits a completed NSLTCP questionnaire contributes an enormously valuable piece of the adult day services sector’s state and national profile. Policymakers, long-term care providers, health care planners, and researchers will look to these data to monitor changes in adult day services, which is an important and growing sector of long-term care services and supports for the elderly and disabled populations. Again, NCHS values the overwhelming support that NADSA and its members gave to this federal initiative, and looks forward to even more ADSCs participating in the 2018 NSLTCP. Thanks for your continued support of NSLTCP!

Contacting the Long-Term Care Statistics Branch at NCHS

Please contact the Long-Term Care Statistics Branch (LTCSB) at 301-458-4747 or at if you have any questions about NSLTCP or about the survey documentation, reports, and products listed above.





NADSA will provide to user the contents of this Directory only if you accept all of the terms and conditions contained in this non-exclusive, non-transferable, limited agreement. You must read this agreement before opening the Directory.

By opening this Directory, you hereby accept and agree to be bound by the following terms and conditions: This Directory shall be used for individual and confidential reference purposes only, and may be used only pursuant to the terms of this agreement. This directory is property of NADSA. Its contents may not, in whole or in part, be reproduced; copied; disseminated; entered into a computer database; used as part of or in connection with the preparation, revision or confirmation of a mailing, telephone, fax, email, or other marketing list; or otherwise utilized, in any form or manner or by any means reference. Contained herein are the names, addresses, telephone numbers, fax numbers, email addresses, and contact persons of ADS Centers. Their presence in this Directory represents only that these companies, organizations, institutions, or individuals are ADS Centers. It does not represent their consent to receive any related communications. NADSA does not endorse these Centers and makes no representations, warranties or guarantees as to, and assumes no responsibility for, the products or services provided by those Centers/individuals contained in this directory. NADSA expressly disclaims all liability for damages of any kind arising out of the use or performance of the products or services provided by these Centers/individuals.