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Rural Health Information Hub

Rural Long-Term Care Facilities – Resources

Selected recent or important resources focusing on Rural Long-Term Care Facilities.

Trends in Nursing Home Closures in Nonmetropolitan and Metropolitan Counties in the United States, 2008-2018
Policy brief documenting closures of facilities dually certified by Medicare and Medicaid or facilities certified by Medicaid only. Identifies areas lacking nursing homes and summarizes characteristics of open and closed nursing homes. Features statistics with breakdowns by metropolitan and nonmetropolitan areas, and county-level maps showing areas with one or more nursing home closures from 2008-2018 and counties considered nursing home deserts.
Author(s): Hari Sharma, Redwan Bin Abdul Baten, Fred Ullrich, A. Clinton MacKinney, Keith J. Mueller
Date: 02/2021
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Infection Control Deficiencies Were Widespread and Persistent in Nursing Homes Prior to COVID-19 Pandemic
Explores the prevalence of infection prevention and control deficiencies in nursing homes prior to the COVID-19 pandemic. Examines the percentage of nursing homes that had deficiencies cited in multiple years. Provides charts noting the number of nursing homes with an infection prevention and control deficiency by state. Includes a chart that presents the data by urban and rural status.
Additional links: Full Report
Date: 05/2020
Type: Document
Sponsoring organization: Government Accountability Office
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Trends in Electronic Health Record Use Among Residential Care Communities: United States, 2012, 2014, and 2016
Examines electronic health record (EHR) use trends and health information exchange (HIE) capability among residential care communities. Includes data by metropolitan statistical area (MSA) status, comparing MSA and non-MSA areas.
Author(s): Christine Caffrey, Christopher Cairns, Vincent Rome
Date: 03/2020
Type: Document
Sponsoring organization: National Center for Health Statistics
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Nursing Home Closures and Trends: June 2015 - June 2019
Provides an overview of the causes and implications of 500 nursing home closures between June 2015 and June 2019. Examines the geographic distribution of these closures, including states in which closures are concentrated in rural areas. Explores nursing home closures in relation to occupancy rates, quality ratings, tax status, and the impact of Medicaid payment policies. Offers recommendations for policymakers and nursing homes.
Date: 02/2020
Type: Document
Sponsoring organization: LeadingAge
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Post-Acute Care Virtual Summit
Summarizes a May 2020 virtual summit of key stakeholders that examines the state of post-acute care (PAC) in rural America. Discusses issues, challenges, and strategies related to the integration of rural acute and post-acute care. Explores how state Flex Programs can help rural providers address PAC. Includes a collection of PAC best practices.
Date: 2020
Type: Document
Sponsoring organizations: National Rural Health Resource Center, Stroudwater Associates
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States' Medicaid Fee-for-Service Nursing Facility Payment Policies
Spreadsheet outlining each state's Medicaid fee-for-service (FFS) nursing facility payment policy. Lists how each state sets the payment rate and any adjustments and supplemental payments. Includes information on rural/urban aspects of setting or adjustment to the payment in each state.
Date: 10/2019
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Tribal Nursing Home Best Practices: Cultural Sensitivity
Details several models for culturally competent tribal nursing homes and the measures the facilities implemented to provide appropriate care for American Indian and Alaska Native elders. Discusses some initiatives implemented, such as hiring a cultural liaison to coordinate traditional activities and providing person-centered care.
Date: 03/2018
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Medicare Learning Network: Long-Term Care Hospital Prospective Payment System
Provides general information about the Medicare Long-term Care Hospitals Prospective Payment System (PPS). Includes information about payment rates and the Long-term Care Hospitals Quality Reporting Program.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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Medicare Learning Network: Skilled Nursing Facility Prospective Payment System
Provides general information about the Medicare Skilled Nursing Facility Prospective Payment System (PPS). Includes information about payment rates, the SNF Quality Reporting Program, and the SNF Value-based Purchasing Program.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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COVID-19 Vaccines for Long-term Care Residents
Resources and information to help long-term care facility administrators and clinical leadership build confidence in COVID-19 vaccination among healthcare staff and residents.
Type: Website
Sponsoring organization: Centers for Disease Control and Prevention
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Last Updated: 6/25/2024