Rural Long-Term Care Facilities – Resources
Selected recent or important resources focusing on Rural Long-Term Care Facilities.
Nursing Home Staffing Study: Comprehensive Report
Examines the level and type of staffing needed to promote acceptable nursing home quality and safety. Explores the potential implications and feasibility of increased staffing and costs to nursing homes. Presents four options for minimum staffing requirements and their cost, quality, and safety impacts. Includes rural references and considerations throughout.
Additional links: Literature Review Results Table, State Minimum Staffing Requirement
Date: 06/2023
Type: Document
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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Examines the level and type of staffing needed to promote acceptable nursing home quality and safety. Explores the potential implications and feasibility of increased staffing and costs to nursing homes. Presents four options for minimum staffing requirements and their cost, quality, and safety impacts. Includes rural references and considerations throughout.
Additional links: Literature Review Results Table, State Minimum Staffing Requirement
Date: 06/2023
Type: Document
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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Tribal Nursing Home & Assisted Living Facility Directory
Directory lists all the tribally operated nursing home and assisted living facilities across the country. Provides the tribal affiliation, facility name, address, certification, and number of beds for each facility.
Date: 03/2023
Type: Directory
Sponsoring organization: Centers for Medicare and Medicaid Services
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Directory lists all the tribally operated nursing home and assisted living facilities across the country. Provides the tribal affiliation, facility name, address, certification, and number of beds for each facility.
Date: 03/2023
Type: Directory
Sponsoring organization: Centers for Medicare and Medicaid Services
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Trends in Supply of Nursing Home Beds, 2011-2019
Examines the change in the supply of nursing home beds between 2011 and 2019 while adjusting for the change in the number of older adults in the population. Presents data on the characteristics of counties where the supply of nursing home beds has changed, including rurality and census region. Describes the characteristics of the nursing home beds in counties where the supply has changed, including the percent change in 4- and 5-star beds, for-profit beds, and chain-affiliated beds.
Author(s): Katherine E. M. Miller, Paula Chatterjee, Rachel M. Werner
Citation: JAMA Network Open, 6(3), e230640
Date: 01/2023
Type: Document
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Examines the change in the supply of nursing home beds between 2011 and 2019 while adjusting for the change in the number of older adults in the population. Presents data on the characteristics of counties where the supply of nursing home beds has changed, including rurality and census region. Describes the characteristics of the nursing home beds in counties where the supply has changed, including the percent change in 4- and 5-star beds, for-profit beds, and chain-affiliated beds.
Author(s): Katherine E. M. Miller, Paula Chatterjee, Rachel M. Werner
Citation: JAMA Network Open, 6(3), e230640
Date: 01/2023
Type: Document
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COVID-19 Mortality Rates across Noncore, Micropolitan, and Metropolitan Counties by Community Characteristics, December 2020-January 2021
Explores differences in COVID-19 mortality rates across rural-urban designations and stratifications by geography, county-level sociodemographic factors, and county-level healthcare factors. Features statistics on mortality rates by rurality and U.S. census region, racial/ethnic composition, and ICU and nursing home bed density, as well as state-level maps showing mortality rates per 100,000 with breakdowns by metropolitan, micropolitan, and noncore areas.
Author(s): Whitney E. Zahnd, Khyathi Gadag, Fred Ullrich, Keith J. Mueller
Date: 01/2023
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Explores differences in COVID-19 mortality rates across rural-urban designations and stratifications by geography, county-level sociodemographic factors, and county-level healthcare factors. Features statistics on mortality rates by rurality and U.S. census region, racial/ethnic composition, and ICU and nursing home bed density, as well as state-level maps showing mortality rates per 100,000 with breakdowns by metropolitan, micropolitan, and noncore areas.
Author(s): Whitney E. Zahnd, Khyathi Gadag, Fred Ullrich, Keith J. Mueller
Date: 01/2023
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Supporting and Sustaining the Current and Future Workforce to Care for People with Serious Illness: Proceedings of a Workshop (2023)
Summarizes discussions from an April 2023 public workshop exploring strategies and approaches to address major workforce challenges, including health professional well-being, workforce shortages, workforce training and retention, and advancing the diversity, equity, and inclusion of the workforce. Includes a section on well-being of the clinical workforce in rural areas.
Author(s): Roundtable on Quality Care for People with Serious Illness
Date: 2023
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Summarizes discussions from an April 2023 public workshop exploring strategies and approaches to address major workforce challenges, including health professional well-being, workforce shortages, workforce training and retention, and advancing the diversity, equity, and inclusion of the workforce. Includes a section on well-being of the clinical workforce in rural areas.
Author(s): Roundtable on Quality Care for People with Serious Illness
Date: 2023
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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COVID-19 in Nursing Homes: Outbreak Duration Averaged 4 Weeks and Was Strongly Associated with Community Spread
Examines how COVID-19 outbreaks affected nursing homes. Explores factors that were associated with the duration of COVID-19 outbreaks, including community-level transmission, staffing levels, nursing home size, and type of nursing home ownership. Includes rural references throughout.
Additional links: Full Report
Date: 12/2022
Type: Document
Sponsoring organization: Government Accountability Office
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Examines how COVID-19 outbreaks affected nursing homes. Explores factors that were associated with the duration of COVID-19 outbreaks, including community-level transmission, staffing levels, nursing home size, and type of nursing home ownership. Includes rural references throughout.
Additional links: Full Report
Date: 12/2022
Type: Document
Sponsoring organization: Government Accountability Office
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Variation in Residential Care Community Resident Characteristics, by Size of Community: United States, 2020
Examines residential care communities in 2020 by community size, which is calculated by the number of residential care beds in their community: 4-25 beds, 26-50 beds, or over 50 beds. Includes data further broken down by resident age, race/ethnicity, Medicaid beneficiary status, prevalence of chronic conditions, and assistance needs for walking, bathing, eating, and other life skills.
Author(s): Christine Caffrey, Amanuel Melekin, Zhaohui Lu, Manisha Sengupta
Date: 12/2022
Type: Document
Sponsoring organization: National Center for Health Statistics
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Examines residential care communities in 2020 by community size, which is calculated by the number of residential care beds in their community: 4-25 beds, 26-50 beds, or over 50 beds. Includes data further broken down by resident age, race/ethnicity, Medicaid beneficiary status, prevalence of chronic conditions, and assistance needs for walking, bathing, eating, and other life skills.
Author(s): Christine Caffrey, Amanuel Melekin, Zhaohui Lu, Manisha Sengupta
Date: 12/2022
Type: Document
Sponsoring organization: National Center for Health Statistics
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Factors Predicting Swing Bed Versus Skilled Nursing Facility Use
Examines differences between patients discharged to swing beds versus skilled nursing facilities (SNFs). Features statistics on discharge disposition of people from rural Critical Access Hospital (CAH) and Prospective Payment System (PPS) hospitals, characteristics of people discharged to swing beds or SNFs, with breakdowns by rural CAH discharges and rural PPS discharges, and hospitalization type for discharges to swing beds or SNFs. Includes the 10 most common diagnostic categories for discharges to swing beds or SNFs.
Author(s): Tyler Malone, Mark Holmes
Date: 10/2022
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Examines differences between patients discharged to swing beds versus skilled nursing facilities (SNFs). Features statistics on discharge disposition of people from rural Critical Access Hospital (CAH) and Prospective Payment System (PPS) hospitals, characteristics of people discharged to swing beds or SNFs, with breakdowns by rural CAH discharges and rural PPS discharges, and hospitalization type for discharges to swing beds or SNFs. Includes the 10 most common diagnostic categories for discharges to swing beds or SNFs.
Author(s): Tyler Malone, Mark Holmes
Date: 10/2022
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Rural Health Research Recap: Aging in Place
Summarizes recent research from Rural Health Research Centers examining aging in place as it relates to social engagement, living alone, long-term care preferences, and nursing home availability. Features statistics from 2013-2017 on share of population ages 65+ and 85+ and share of this population living alone, with breakdowns by urban or rural county type, and percent of counties with nursing homes in 2019, with breakdowns by rural, micropolitan, and metropolitan location.
Author(s): Per Ostmo, Jessica Rosencrans
Date: 10/2022
Type: Document
Sponsoring organization: Rural Health Research Gateway
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Summarizes recent research from Rural Health Research Centers examining aging in place as it relates to social engagement, living alone, long-term care preferences, and nursing home availability. Features statistics from 2013-2017 on share of population ages 65+ and 85+ and share of this population living alone, with breakdowns by urban or rural county type, and percent of counties with nursing homes in 2019, with breakdowns by rural, micropolitan, and metropolitan location.
Author(s): Per Ostmo, Jessica Rosencrans
Date: 10/2022
Type: Document
Sponsoring organization: Rural Health Research Gateway
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Availability of Nursing Homes in Minoritized Racial/Ethnic Group Areas
Examines the availability of nursing homes nationwide across ZIP Code Tabulation Areas (ZCTAs) categorized by rurality and racial and ethnic composition. Provides data on the median distance to the nearest nursing home by rurality in minoritized and non-minoritized ZCTA.
Author(s): Otis L. Owens, Gabriel Benavidez, Melinda Merrill, et al.
Date: 09/2022
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Examines the availability of nursing homes nationwide across ZIP Code Tabulation Areas (ZCTAs) categorized by rurality and racial and ethnic composition. Provides data on the median distance to the nearest nursing home by rurality in minoritized and non-minoritized ZCTA.
Author(s): Otis L. Owens, Gabriel Benavidez, Melinda Merrill, et al.
Date: 09/2022
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Last Updated: 3/5/2024