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Rural Long-Term Care Facilities Resources

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

Medicare Payment Basics: Long-term Care Hospitals Payment System
Provides an overview of Medicare payments for long-term care services. Discusses rate setting, payment updates, the 25 percent rule, and more.
Date: 10/2018
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Nursing Home Infection Control Program Characteristics, CMS Citations, and Implementation of Antibiotic Stewardship Policies: A National Study
Results of a study of 2,514 nursing homes to assess infection preventionist training and certification, staff turnover, and infection control program characteristics. Features statistics on facility characteristics, with breakdowns by locations in metro, large urban, small urban, or rural areas.
Author(s): Patricia W. Stone, Carolyn T.A. Herzig, Mansi Agarwal, Monika Pogorzelska-Maziarz, Andrew W. Dick
Citation: Inquiry, 55:1-7
Date: 05/2018
Type: Document
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Skilled Nursing Facilities - Dually Certified Outside of Urbanized Areas
Printable map that shows the location of skilled nursing facilities and nursing facilities that are dually certified and located outside of urbanized areas by state. Data source: data.HRSA.gov, U.S. Department of Health and Human Services, April 2018.
Date: 04/2018
Type: Map/Mapping System
Sponsoring organization: Rural Health Information Hub
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Tribal Nursing Home Directory
Directory lists all the tribally operated nursing homes across the country. Lists the tribal affiliation, number of beds, and contact information for each facility.
Date: 03/2018
Type: Directory
Sponsoring organization: Centers for Medicare and Medicaid Services
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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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Electronic Health Record Adoption and Interoperability among U.S. Skilled Nursing Facilities in 2016
Presents the results of a 2016 survey of skilled nursing facilities related to the adoption and interoperability of electronic health records (EHRs). Analyzes data by facility size, profit status, and rural versus urban geography.
Author(s): Carla S. Alvarado, Kathleen Zook, JaWanna Henry
Date: 09/2017
Type: Document
Sponsoring organization: Office of the National Coordinator for Health Information Technology
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The Economic Impact of Rural Nursing Homes
Discusses the projected national total health expenditures and national nursing home expenditures that are affected by the aging population of the U.S. and increased life expectancies. Identifies how nursing homes contribute economically to the community through wages, salaries and benefits.
Author(s): Cheryl F. St. Clair, Gerald A. Doeksen, Fred C. Eilrich
Date: 07/2017
Type: Document
Sponsoring organization: National Center for Rural Health Works
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Medical Barriers to Nursing Home Care for Rural Residents
Explores challenges faced by rural people seeking placement in nursing homes, especially those with behavioral or psychiatric conditions, complex care needs, dementia, or obesity, and identifies possible solutions through policy changes. Uses data from telephone interviews with 23 discharge planners from rural hospitals in Georgia, Idaho, Minnesota, Pennsylvania, and Wisconsin.
Author(s): Carrie Henning-Smith, Michelle Casey, Shailendra Prasad, Katy Kozhimannil
Date: 05/2017
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Animals Help People Heal in Rural Areas
Discusses the role of service and therapy animals in rural communities. Features service dogs of Hawaii, therapeutic riding horses of Wyoming, and a Florida skilled nursing facility with a therapy pig and tortoise.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 12/2016
Type: Document
Sponsoring organization: Rural Health Information Hub
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Are Rural Older Adults Benefiting from Increased State Spending on Medicaid Home and Community-Based Services?
Discusses the availability and use of home and community-based services (HCBS) by rural and urban elderly receiving Medicaid funding for long term services and supports (LTSS) using national Medicaid Analytical Extract claims data.
Author(s): Andrew F. Coburn, Eileen Griffin, Deborah Thayer, Zachariah T. Croll, Erika C. Ziller
Date: 06/2016
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Older Americans Act
Official compilation of the Older Americans Act of 1965, as amended through P.L. 114-144, enacted April 19, 2016. Provides federal funding for programs that support services for older adults. Includes provisions to strengthen the Long-Term Care Ombudsman program and elder abuse screening and prevention efforts. Supports evidence-based programs, such as falls prevention and chronic disease self-management programs. Includes discussion of services to help rural older adults.
Date: 04/2016
Type: Document
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Long-Term Care Providers and Services Users in the United States: Data From the National Study of Long-Term Care Providers, 2013-2014
Presents the most current results from the National Study of Long-Term Care Providers (NSLTCP). Features information on the supply, staffing, and services offered by paid, regulated providers of long-term care services, and demographics on the users of these services. Includes statistics showing the distribution of providers among metropolitan, micropolitan, and non-metropolitan areas by type of service: adult day services, home health, hospice, nursing home, and residential care community.
Author(s): Lauren Harris-Kojetin, Manisha Sengupta, Eunice Park-Lee, et al.
Date: 02/2016
Type: Document
Sponsoring organization: National Center for Health Statistics
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The Need to Reform Medicare’s Payments to Skilled Nursing Facilities Is as Strong as Ever
Compares payments made to skilled nursing facilities (SNFs) and costs over time to see if changes made by the Centers for Medicare and Medicaid Services (CMS) to the payment system have improved payment accuracy. Table 3 and Table 4 compare healthcare facility characteristics, including rural.
Author(s): Carol Carter, Bowen Garrett, Doug Wissoker
Date: 01/2015
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Nurse Staffing Levels and Quality of Care in Rural Nursing Homes
Examines the relationship between nurse staffing levels (registered nurse, licensed practical nurse, and certified nurse aide hours per resident per day) and the quality of care in rural nursing homes. Includes data for hospital-based facilities and freestanding nursing homes.
Author(s): Peiyin Hung, Michelle Casey, Ira Moscovice
Date: 01/2015
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Housing an Aging Rural America: Rural Seniors and Their Homes
Discusses housing options to help rural seniors age in place. Topics covered include assisted living, home modification, transportation and other supportive services. Also addresses housing quality and affordability.
Date: 10/2014
Type: Document
Sponsoring organization: Housing Assistance Council
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Profile of Rural Residential Care Facilities: A Chartbook
Reports on rural/urban differences in residential care facilities, focusing the facilities themselves, their residents, and the services they offer. Addresses how facility policies affect aging-in-place options.
Author(s): Jennifer D. Lenardson, Eileen Griffin, Zach Croll, Erika C. Ziller, Andrew F. Coburn
Date: 05/2014
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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2014 Quality Report
Provides an overview of latest trends in quality for skilled nursing facilities and highlights efforts to improve quality care through specific programs and initiatives. Includes statistics on urban or rural location, improvement in rehospitalization rate from 2011-2014 by state, and reduction in off-label use of antipsychotics by state.
Date: 2014
Type: Document
Sponsoring organization: American Health Care Association
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Long-Term Care Services in the United States: 2013 Overview
Presents descriptive results from the first findings of the National Study of Long-Term Care Providers (NSLTCP). Provides information on the supply, staffing, and services offered by providers of long-term care services; and the demographic, health, and users of these services. Figure 2 shows the distribution of providers among metropolitan, micropolitan, and non-metro areas by type of service: adult day services, home health, hospice, nursing home, and residential care community.
Author(s): Lauren Harris-Kojetin, Manisha Sengupta, Eunice Park-Lee, Roberto Valverde
Date: 12/2013
Type: Document
Sponsoring organization: National Center for Health Statistics
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Mental Health Services in Rural Long-Term Care: Challenges and Opportunities for Improvement
This research and policy brief examines promising practices for enhancing mental health services to the elderly living in rural long-term care facilities or in their own homes.
Author(s): Jean A. Talbot, Andrew F. Coburn
Date: 06/2013
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Challenges and Opportunities for Improving Mental Health Services in Rural Long-Term Care
Explores practices for increasing the quality, quantity, and accessibility of mental health services in rural long-term care.
Author(s): Jean A. Talbot, Andrew F. Coburn
Date: 06/2013
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Design and Operation of the 2010 National Survey of Residential Care Facilities
An overview of the NSRCF that was conducted between March and November 2010. Includes residential care facilities consisting of assisted living residences, board and care homes, congregate care, enriched housing programs, homes for the aged, personal care homes, and shared housing establishments. National data was collected on 2,302 facilities and 8,094 current residents.
Date: 11/2011
Type: Document
Sponsoring organization: National Center for Health Statistics
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The State Long-Term Health Care Sector: Characteristics, Utilization, and Government Funding: 2011 Update
Examines long-term care by state. Presents statistics on Medicare and Medicaid expenditures, and characteristics of nursing facilities. Includes factors such as number of residents, beds, staff, nurses, nurses aides, economic impact, and demographics for rural, urban, freestanding, and hospital-based facilities.
Date: 09/2011
Type: Document
Sponsoring organization: American Health Care Association
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Home and Community-Based Services: Meeting the Long-Term Care Needs of Rural Seniors
Describes health care needs that seniors face when long-term care and health care services are not available. Issues include provider shortages, travel distances, migration and rural population, Medicaid, and home and community-based services.
Author(s): Joshua Ewing
Date: 08/2011
Type: Document
Sponsoring organization: National Conference of State Legislatures
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Report to Congress: Evaluation of the Rural PACE Provider Grant Program
Evaluates rural Program of All-inclusive Care for the Elderly (PACE) pilot sites. Discusses characteristics of PACE participants, enrollment, successes and failures, and future expansion of PACE in rural communities.
Author(s): Karyn Kai Anderson
Date: 2011
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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The Patient Protection and Affordable Care Act of 2010: Impacts on Rural People, Places, and Providers: A First Look
Summarizes six issue areas of the Affordable Care Act (ACA) and discusses implications for access to services and improving the health status of rural residents. These issue areas are: health insurance coverage; Medicare and Medicaid payment; quality, financing, and delivery system reform; public health; healthcare workforce; and long-term care.
Author(s): Andrew F. Coburn, Jennifer P. Lundblad, A. Clinton MacKinney, Timothy D. McBride, Keith J. Mueller
Date: 09/2010
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Systems of Care: Environmental Scan of Medicaid-Funded Long-Term Supports and Services
Assists state and federal policymakers with identifying strategies to address clinical and long-term support and service needs of Medicaid beneficiaries. Provides an overview of the current state of the publicly funded long-term care delivery system and discusses rural versus urban infrastructure. Part of the Innovations in the Medicaid Continuum of Care series.
Author(s): Gretchen Engquist, Cyndy Johnson, William Courtland Johnson
Date: 05/2010
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Medicaid-Funded Long-Term Supports and Services: Snapshots of Innovation
Identifies high-quality and cost-effective strategies for urban and rural areas to address clinical and long-term support and service needs of Medicaid beneficiaries. Discusses reimbursement issues for telehealth services in rural areas.
Author(s): Gretchen Engquist, Cyndy Johnson, William Courtland Johnson
Date: 05/2010
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Medicaid-Funded Long-Term Care: Toward More Home- and Community-Based Options
Discusses initial federal policy suggestions for reforming Medicaid funded long-term care supports and services (LTSS) system in the U.S. Outlines reform issues and policy recommendations.
Author(s): Gretchen Engquist, Cyndy Johnson, Alice Lind, Lindsay Palmer Barnette
Date: 05/2010
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Expanding Rural Elder Care Options: Models That Work
Proceedings from the 2008 Rural Long Term Care Access and Options Workshop, which discussed model options for home, community, and facility-based care by care coordination systems that enhance autonomy and quality of life for rural elders.
Author(s): Peter Fitzgerald, Andy Coburn, Sharon K. Dwyer
Date: 06/2009
Type: Document
Sponsoring organization: National PACE Association
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Long-Term Care: Consumers, Providers, Payers, and Programs
Discusses selected characteristics of long-term care consumers and providers and describes payers and selected programs that finance long-term care services.
Author(s): Carol O'Shaughnessy, Julie Stone, Thomas Gabe, Laura B. Shrestha
Date: 03/2007
Type: Document
Sponsoring organization: Congressional Research Service
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List of Skilled Nursing Facility (SNF) Federal Regulations
Lists federal regulations and notices related to the Prospective Payment System (PPS) for Skilled Nursing Facilities (SNFs), including information on annual payment rate updates. Contains copies of proposed and final rules, along with any relevant corrections, as published in the Federal Register.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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Swing Bed Reimbursement in Critical Access Hospitals
March 2015 webinar discussion in response to the release of a report from the Office of the Inspector General (OIG) on the value of swing bed programs vs. skilled nursing facilities (SNF) in Critical Access Hospitals. Covers the major components of the swing bed program, reviews the report, and provides an example of a successful program in Kentucky. Presented by Brock Slabach, National Rural Health Association; Kristin L. Reiter, Associate Professor in the Department of Health Policy and Management at the University of North Carolina at Chapel Hill and Research Fellow at the Cecil G. Sheps Center for Health Services Research; and Susan Starling, CEO/President at Marcum and Wallace Memorial Hospital. 60 minutes.
Additional links: Audio Recording, PowerPoint Handout, Transcript
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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National Study of Long-Term Care Providers (NSLTCP)
Monitors trends in the major sectors of paid, regulated, long-term care services providers. Includes data and reports related to residential care communities, adult day services centers, home health agencies, nursing homes, and hospices.
Type: Website
Sponsoring organization: National Center for Health Statistics
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PubMed Search: Rural Long-Term Care Facilities
Searches PubMed's collection of journal article citations on topics related to rural long-term care.
Type: Literature Search
Sponsoring organization: U.S. National Library of Medicine
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Caring for the Ages
Published monthly. Contains information for long-term care practitioners including clinical, policy, research, risk management, infection control, quality of care, and systems management. Includes some articles specific to rural long-term care.
Type: Journal/Newsletter
Sponsoring organization: AMDA – The Society for Post-Acute and Long-Term Care Medicine
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Provider Magazine
Published monthly. Contains information for long-term care professionals including upcoming legislation, regulations, quality care, and improving operating efficiencies. Includes some articles specific to rural long-term care.
Type: Journal/Newsletter
Sponsoring organization: American Health Care Association
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Nursing Home Compare
Provides detailed information on every Medicare- and Medicaid-certified nursing home in the United States. Includes facility-level information on health inspections, fire inspections, staffing, quality of care, and any penalties.
Type: Database
Sponsoring organization: Centers for Medicare and Medicaid Services
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Last Updated: 11/16/2018