Rural Long-Term Care Facilities – Resources
Selected recent or important resources focusing on Rural Long-Term Care Facilities.
Home Healthcare Establishments Serving Rural Areas Increased about 36 Percent from 2010 to 2023
Author(s): Brandon Genetin
Date: 03/2025
Sponsoring organization: USDA Economic Research Service
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Chart showing the change for home healthcare services, assisted living facilities, and skilled nursing facilities in nonmetropolitan areas between 2010 and 2023.
Author(s): Brandon Genetin
Date: 03/2025
Sponsoring organization: USDA Economic Research Service
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As Older Rural Population Grew, Ratio of Rural U.S. Eldercare Establishments Fell
Author(s): Brandon Genetin
Date: 03/2025
Sponsoring organization: USDA Economic Research Service
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Bar chart comparing the number of eldercare establishments per 1,000 adults 65 or older in rural and urban areas between 2010 and 2023. Eldercare establishments include those that provide home health, long-term care, or assisted living services, as noted in the 2024 Rural America At a Glance report.
Author(s): Brandon Genetin
Date: 03/2025
Sponsoring organization: USDA Economic Research Service
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MedPAC Report to the Congress: Medicare Payment Policy: Skilled Nursing Facility Services: Chapter 6
Discusses payment adequacy for skilled nursing facility (SNF) services. Features statistics on SNF care provided by rural hospitals and Critical Access Hospitals (CAHs) via swing beds and Medicare margins for urban, rural, and frontier freestanding SNFs in 2023.
Date: 03/2025
Sponsoring organization: Medicare Payment Advisory Commission
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Discusses payment adequacy for skilled nursing facility (SNF) services. Features statistics on SNF care provided by rural hospitals and Critical Access Hospitals (CAHs) via swing beds and Medicare margins for urban, rural, and frontier freestanding SNFs in 2023.
Date: 03/2025
Sponsoring organization: Medicare Payment Advisory Commission
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Skilled Nursing Facilities - Dually Certified in Rural Areas
Printable map that shows the location of skilled nursing facilities and nursing facilities that are dually certified located in rural areas (outside U.S. Census Bureau Urban Areas with a population of 50,000 or more). Data source: data.HRSA.gov, U.S. Department of Health and Human Services
Date: 01/2025
Sponsoring organization: Rural Health Information Hub
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Printable map that shows the location of skilled nursing facilities and nursing facilities that are dually certified located in rural areas (outside U.S. Census Bureau Urban Areas with a population of 50,000 or more). Data source: data.HRSA.gov, U.S. Department of Health and Human Services
Date: 01/2025
Sponsoring organization: Rural Health Information Hub
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Medicare Payment Basics: Skilled Nursing Facility Services Payment System
Overview of Medicare payments for skilled nursing and rehabilitation services. Describes what constitutes a skilled nursing facility and how small, rural hospitals and Critical Access Hospitals (CAHs) may be used to provide these services with CMS approval. Compares Medicare daily base rates for urban and rural skilled nursing facilities.
Date: 10/2024
Sponsoring organization: Medicare Payment Advisory Commission
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Overview of Medicare payments for skilled nursing and rehabilitation services. Describes what constitutes a skilled nursing facility and how small, rural hospitals and Critical Access Hospitals (CAHs) may be used to provide these services with CMS approval. Compares Medicare daily base rates for urban and rural skilled nursing facilities.
Date: 10/2024
Sponsoring organization: Medicare Payment Advisory Commission
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Medicare Payment Basics: Long-term Care Hospitals Payment System
Overview of Medicare payments for long-term care hospitals (LTCH) and services. Discusses the LTCH prospective payment system (PPS) and payment rate settings for LTCH and site-neutral cases.
Date: 10/2024
Sponsoring organization: Medicare Payment Advisory Commission
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Overview of Medicare payments for long-term care hospitals (LTCH) and services. Discusses the LTCH prospective payment system (PPS) and payment rate settings for LTCH and site-neutral cases.
Date: 10/2024
Sponsoring organization: Medicare Payment Advisory Commission
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Differences in Staffing for Non-Nursing Occupations Across U.S. Skilled Nursing Facilities During 2018-2023
Examines staffing supply for non-nursing positions in skilled nursing facilities (SNFs), such as therapy, respiratory, pharmacy, social work, and more. Utilizes 2018-2023 data to analyze facility characteristics, community factors, staffing minutes per patient-day (MPPD), and percent contractor (PC) staffing. Provides MPPD and PC correlations with rural location, community social deprivation index, race/ethnicity of residents, and more.
Author(s): Rachel A Prusynski, Tracy M Mroz, Bianca K Frogner
Date: 09/2024
Sponsoring organization: Center for Health Workforce Studies
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Examines staffing supply for non-nursing positions in skilled nursing facilities (SNFs), such as therapy, respiratory, pharmacy, social work, and more. Utilizes 2018-2023 data to analyze facility characteristics, community factors, staffing minutes per patient-day (MPPD), and percent contractor (PC) staffing. Provides MPPD and PC correlations with rural location, community social deprivation index, race/ethnicity of residents, and more.
Author(s): Rachel A Prusynski, Tracy M Mroz, Bianca K Frogner
Date: 09/2024
Sponsoring organization: Center for Health Workforce Studies
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Nursing Home Certificate of Need Moratoria During the COVID-19 Pandemic Had Little Impact on Access
Analyzes certificate of need (CON) moratoria and healthcare supply of skilled nursing facility (SNF) beds during the COVID-19 pandemic. Utilizes 2015-2021 SNF cost report data to provide information on states that implemented CON moratoria, differences by rural versus urban counties, and impact on SNF bed supply.
Author(s): Anthony Yu, Christopher Whaley
Citation: INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 61
Date: 09/2024
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Analyzes certificate of need (CON) moratoria and healthcare supply of skilled nursing facility (SNF) beds during the COVID-19 pandemic. Utilizes 2015-2021 SNF cost report data to provide information on states that implemented CON moratoria, differences by rural versus urban counties, and impact on SNF bed supply.
Author(s): Anthony Yu, Christopher Whaley
Citation: INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 61
Date: 09/2024
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Access to Care Report
Infographic highlighting access challenges for nursing homes between 2020 and 2024. Includes data on facility downsizing and closures, supply, and rural nursing home deserts.
Date: 08/2024
Sponsoring organization: American Health Care Association
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Infographic highlighting access challenges for nursing homes between 2020 and 2024. Includes data on facility downsizing and closures, supply, and rural nursing home deserts.
Date: 08/2024
Sponsoring organization: American Health Care Association
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FY 2025 Hospital Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital Prospective Payment System (LTCH PPS) Final Rule – CMS-1808-F
Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) fiscal year 2025 hospital inpatient prospective payment system (IPPS) and long-term care hospital prospective payment system (LTCH PPS) final rule. Includes information about the extension of the low-wage index hospital policy, a separate IPPS payment for small and independent hospitals to establish and maintain a buffer stock of essential medicines, the distribution of graduate medical education (GME) residency slots, updates to quality reporting programs, and more.
Date: 08/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) fiscal year 2025 hospital inpatient prospective payment system (IPPS) and long-term care hospital prospective payment system (LTCH PPS) final rule. Includes information about the extension of the low-wage index hospital policy, a separate IPPS payment for small and independent hospitals to establish and maintain a buffer stock of essential medicines, the distribution of graduate medical education (GME) residency slots, updates to quality reporting programs, and more.
Date: 08/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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Last Updated: 4/3/2025