Table 4. Five Service Clusters.

Cluster and % of RC/AL Settings by Type of Staff (own staff, contract, or service not available)	Services in Cluster
Basic Services
89 % own staff 7 % contract 4 % service not available	Vital Signs - radial pulse, oral temperature, blood pressure, weight Assessment - listening for rales, post fall assessment Blood Sugar Fingersticks Mid-stream urine specimens Stool specimens Eye and nose drops Oxygen/respiratory treatments -nebulizers, oxygen by nasal cannula Exercise program Transportation to medical appointments
Technically Complex Services
64 % own staff 18 % contract 18 % service not available	Rectal medications, suppositories Rectal temperature Intramuscular injections Suctioning mouth with bulb syringes Orthopedic care—cast care and applying support devices Bladder training Teaching and coaching breathing exercises
Assessments, Wound Care, and Therapies
43 % own staff 37 % contract 19 % service not available	Assessments – depression and mental status exam Wound care - staging pressure ulcers, dressing changes, and culturing Therapies - pet, relaxation/yoga, aromatherapy Flu shots Catheterization for urine specimen Testing stool cards
Gastrostomy and IV Medications
18 % own staff 27 % contract 55 % service not available	Intravenous medications Gastrostomy care – g-tube care and administering g-tube feedings
Testing and Specialty Services	Drawing blood for lab samples X-rays Mental health services Physical therapy Massage therapy Hospice
12 % own staff 73 % contract 15 % not available