Rural Long-Term Care Facilities – Resources
Selected recent or important resources focusing on Rural Long-Term Care Facilities.
Nurse Staffing Estimates in US Nursing Homes, May 2024
Provides an overview of the Centers for Medicare & Medicaid Services (CMS) April 2024 final rule that established minimum nurse staffing requirements for nursing homes. Analyzes May 2024 data from Nursing Home Care Compare to examine current staffing levels in U.S. nursing homes relative to specific minimum staffing requirements in the final rule. Includes an illustrative example of a 100-bed facility to explore how many nurse staff would need to be added per shift during the final rule's implementation phase to meet or exceed the final rule's minimum requirements. Presents data by facility characteristics, including ownership type, rural or urban location, and bed size.
Author(s): Martin Blanco, Iara Oliveira, Marie Squillace, Damian Da Costa
Date: 06/2024
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Provides an overview of the Centers for Medicare & Medicaid Services (CMS) April 2024 final rule that established minimum nurse staffing requirements for nursing homes. Analyzes May 2024 data from Nursing Home Care Compare to examine current staffing levels in U.S. nursing homes relative to specific minimum staffing requirements in the final rule. Includes an illustrative example of a 100-bed facility to explore how many nurse staff would need to be added per shift during the final rule's implementation phase to meet or exceed the final rule's minimum requirements. Presents data by facility characteristics, including ownership type, rural or urban location, and bed size.
Author(s): Martin Blanco, Iara Oliveira, Marie Squillace, Damian Da Costa
Date: 06/2024
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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A Closer Look at the Final Nursing Facility Rule and Which Facilities Might Meet New Staffing Requirements
Summarizes new Centers for Medicare & Medicaid Services's (CMS) nurse staffing requirements for nursing facilities outlined in the April 22, 2024, final rule. Analyzes Nursing Home Compare data from April 2024, which reflects nursing home staffing levels from December 2023, to explore the percentage of facilities that meet each of the new nurse staffing requirements. Presents data by nursing ownership status, rural and urban location, special focus facility status, and state.
Author(s): Priya Chidambaram, Alice Burns, Tricia Neuman, Robin Rudowitz
Date: 05/2024
Type: Document
Sponsoring organization: KFF
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Summarizes new Centers for Medicare & Medicaid Services's (CMS) nurse staffing requirements for nursing facilities outlined in the April 22, 2024, final rule. Analyzes Nursing Home Compare data from April 2024, which reflects nursing home staffing levels from December 2023, to explore the percentage of facilities that meet each of the new nurse staffing requirements. Presents data by nursing ownership status, rural and urban location, special focus facility status, and state.
Author(s): Priya Chidambaram, Alice Burns, Tricia Neuman, Robin Rudowitz
Date: 05/2024
Type: Document
Sponsoring organization: KFF
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Medicare and Medicaid Programs: Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting Final Rule (CMS 3442-F)
Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) final rule for minimum staffing standards for long-term care facilities. Details three core staffing proposals: 1) minimum nurse staffing standards; 2) a requirement to have an RN onsite 24 hours a day, seven days a week; and 3) enhanced facility assessment requirements. Outlines a staggered implementation approach, including a later implementation date for rural facilities, and hardship exemption qualification requirements. Also describes Medicaid payment transparency reporting provisions for nursing and intermediate care facilities related to the percentage of Medicaid funds spent on compensation to direct care workers and support staff.
Additional links: External FAQs
Date: 04/2024
Type: Document
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) final rule for minimum staffing standards for long-term care facilities. Details three core staffing proposals: 1) minimum nurse staffing standards; 2) a requirement to have an RN onsite 24 hours a day, seven days a week; and 3) enhanced facility assessment requirements. Outlines a staggered implementation approach, including a later implementation date for rural facilities, and hardship exemption qualification requirements. Also describes Medicaid payment transparency reporting provisions for nursing and intermediate care facilities related to the percentage of Medicaid funds spent on compensation to direct care workers and support staff.
Additional links: External FAQs
Date: 04/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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With Current Staffing Levels, About 1 in 5 Nursing Facilities Would Meet Fully-Implemented Minimum Staffing Standards in the Final Rule
Describes a proposed federal standard for nursing home nurse staffing levels and analyzes current nursing home staffing levels, noting the percentage of facilities that will meet the proposed staffing level requirements when fully implemented.
Author(s): Priya Chidambaram, Alice Burns, Tricia Neuman, Robin Rudowitz
Date: 04/2024
Type: Document
Sponsoring organization: KFF
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Describes a proposed federal standard for nursing home nurse staffing levels and analyzes current nursing home staffing levels, noting the percentage of facilities that will meet the proposed staffing level requirements when fully implemented.
Author(s): Priya Chidambaram, Alice Burns, Tricia Neuman, Robin Rudowitz
Date: 04/2024
Type: Document
Sponsoring organization: KFF
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Rural Health Research Recap: Quality Star Ratings: Hospitals, Skilled Nursing Facilities, and Home Health Agencies
Examines the Centers for Medicare & Medicaid Services Overall Hospital Quality Star Rating system among hospitals, skilled nursing facilities, and home health agencies in 2021 and 2022. Features statistics including number of rural hospitals without a star rating with breakdowns by census region, and percentage of hospitals without star rating, with breakdowns by urban or rural location.
Author(s): Per Ostmo
Date: 03/2024
Type: Document
Sponsoring organization: Rural Health Research Gateway
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Examines the Centers for Medicare & Medicaid Services Overall Hospital Quality Star Rating system among hospitals, skilled nursing facilities, and home health agencies in 2021 and 2022. Features statistics including number of rural hospitals without a star rating with breakdowns by census region, and percentage of hospitals without star rating, with breakdowns by urban or rural location.
Author(s): Per Ostmo
Date: 03/2024
Type: Document
Sponsoring organization: Rural Health Research Gateway
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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 and rural freestanding SNFs in 2022.
Date: 03/2024
Type: Document
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 and rural freestanding SNFs in 2022.
Date: 03/2024
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Rural Health Research Recap: Post-Acute Care in Rural Areas: The Role of Swing Beds and Nursing Homes
Offers statistics on availability of post-acute care in rural areas through skilled nursing facilities, home health agencies, hospice, inpatient rehabilitation facilities, and swing beds. Includes sections on prospective payment system and cost-based reimbursement, and provides statistics on the proportion of nursing home closures in metropolitan and nonmetropolitan areas from 2008-2018.
Author(s): Per Ostmo
Date: 03/2024
Type: Document
Sponsoring organization: Rural Health Research Gateway
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Offers statistics on availability of post-acute care in rural areas through skilled nursing facilities, home health agencies, hospice, inpatient rehabilitation facilities, and swing beds. Includes sections on prospective payment system and cost-based reimbursement, and provides statistics on the proportion of nursing home closures in metropolitan and nonmetropolitan areas from 2008-2018.
Author(s): Per Ostmo
Date: 03/2024
Type: Document
Sponsoring organization: Rural Health Research Gateway
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The Rural Nursing Home Landscape
White paper describing the current rural nursing home landscape. Cover the importance of nursing homes in rural communities, the characteristics of these facilities, and the importance of future research to understand and prevent future nursing home closures.
Author(s): Nicole Galler, Casey P. Balio, Qian Huang, Kate Beatty
Date: 02/2024
Type: Document
Sponsoring organization: National Rural Health Association
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White paper describing the current rural nursing home landscape. Cover the importance of nursing homes in rural communities, the characteristics of these facilities, and the importance of future research to understand and prevent future nursing home closures.
Author(s): Nicole Galler, Casey P. Balio, Qian Huang, Kate Beatty
Date: 02/2024
Type: Document
Sponsoring organization: National Rural Health Association
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Infection Control Policies and Practices in Residential Care Communities by Selected Organizational and Geographic Characteristics: United States, 2020
Presents nationally representative data on the percentage of residential care communities with emergency operations plans that are specific to or include pandemic response, approaches to implement these plans, and infection control policies and practices. Compares infection control policies and practices by metropolitan status, community bed size, ownership status, chain affiliation, and whether the community has a designated space for dementia care.
Author(s): Amanuel Melekin, Manisha Sengupta
Date: 02/2024
Type: Document
Sponsoring organization: National Center for Health Statistics
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Presents nationally representative data on the percentage of residential care communities with emergency operations plans that are specific to or include pandemic response, approaches to implement these plans, and infection control policies and practices. Compares infection control policies and practices by metropolitan status, community bed size, ownership status, chain affiliation, and whether the community has a designated space for dementia care.
Author(s): Amanuel Melekin, Manisha Sengupta
Date: 02/2024
Type: Document
Sponsoring organization: National Center for Health Statistics
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Nursing Home Workforce Issues and Inequities
Offers an overview of issues related to the direct care workforce in nursing homes including staffing shortages, recruitment and retention, low wages, job training, interdisciplinary care, and more. Discusses proposed policies offering workforce-related reforms. Discusses rural throughout.
Author(s): Jasmine L. Travers, Rita Choula, Edem Hado
Date: 02/2024
Type: Document
Sponsoring organization: AARP Public Policy Institute
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Offers an overview of issues related to the direct care workforce in nursing homes including staffing shortages, recruitment and retention, low wages, job training, interdisciplinary care, and more. Discusses proposed policies offering workforce-related reforms. Discusses rural throughout.
Author(s): Jasmine L. Travers, Rita Choula, Edem Hado
Date: 02/2024
Type: Document
Sponsoring organization: AARP Public Policy Institute
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Last Updated: 6/28/2024