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Rural Long-Term Care Facilities – Resources

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

Challenges to Admitting Residents: Perspectives from Rural Nursing Home Administrators and Staff
Study of nursing home admissions in rural areas that examines challenges nursing home workers encounter when admitting individuals with mental and behavioral health conditions, obesity, dementia, and complex medical conditions. Discusses capacity challenges facing rural nursing homes related to population density, workforce recruitment and retention, financial issues, and space and equipment needs to meet specific health conditions. Data taken from surveys of 209 rural nursing home administrators.
Author(s): Carrie Henning-Smith, Dori Cross, Adrita Rahman
Citation: Inquiry: The Journal of Health Care Organization, Provision, and Financing, 58, 1-8
Date: 03/2021
Type: Document
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Post-Acute Care Trajectories for Rural Medicare Beneficiaries: Planned versus Actual Hospital Discharges to Skilled Nursing Facilities and Home Health Agencies
Examines care transitions among rural fee-for-service Medicare beneficiaries following discharge from an acute care hospital. Compares planned and actual discharges to home health agencies and skilled nursing facilities. Discusses implications of these findings on rural healthcare policy and practice.
Author(s): Tracy M. Mroz, Lisa A. Garberson, C. Holly A. Andrilla, et al.
Date: 03/2021
Type: Document
Sponsoring organization: WWAMI Rural Health Research Center
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CMS Nursing Home Resource Center
Provides information for nursing home providers and CMS partners on regulations and guidance, training and resources, technical information, payment policy, and recent COVID-19 data and related policies. Includes resources and guidance for people in nursing home and their caregivers.
Date: 03/2021
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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Nursing Home Reopening Recommendations for State and Local Officials
Provides recommendations to help state and local officials determine the level of mitigation needed to prevent the transmission of COVID-19 in nursing homes. Discusses criteria to inform decisions for relaxing restrictions, considerations for allowing visitation, and recommendations for restarting survey activities. Includes a chart outlining the criteria for reopening nursing homes at each phase of the "Opening Up America Again" framework.
Additional links: Nursing Home Reopening Recommendations Frequently Asked Questions
Date: 03/2021
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Toolkit on State Actions to Mitigate COVID-19 Prevalence in Nursing Homes
A compilation of resources and strategies for quality improvement, management, and prevention of the spread of COVID-19 within nursing homes. Includes information on testing, workforce and staffing, infection control, personal protective equipment, patient transfers, telehealth services, vaccination, and more. Includes recommendations and examples from rural areas throughout.
Date: 03/2021
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Tribal Nursing Home & Assisted Living Facility Directory 2021
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: 02/2021
Type: Directory
Sponsoring organization: Centers for Medicare and Medicaid Services
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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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Long-Term Care Facility Toolkit: Preparing for COVID-19 Vaccination at Your Facility
Resources and information to help long-term care facility administrators and clinical leadership build confidence in COVID-19 vaccination among healthcare staff and residents.
Date: 02/2021
Type: Website
Sponsoring organization: Centers for Disease Control and Prevention
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Rural Healthcare Surge Readiness
Up-to-date and critical resources for rural healthcare systems preparing for and responding to a COVID-19 surge. Includes resources for emergency medical services, inpatient and hospital care, ambulatory care, and long-term care settings. Addresses a wide range of topics including healthcare operations, space, supplies, funding, and more.
Date: 02/2021
Type: Website
Sponsoring organization: COVID-19 Healthcare Resilience Working Group
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Medicare Severe Wound Care: Spending Declines May Reflect Site of Care Changes; Limited Information Is Available on Quality
Reports on an analysis of where Medicare beneficiaries received care for severe wounds in 2018 and Medicare payment for these services. Provides an overview of the implementation of a dual payment system for long-term care hospitals in 2016, and examines how the dual payment system affected the availability and quality of severe wound care for Medicare beneficiaries. Includes data on severe wound care by facility type in addition to Medicare spending by urban and rural location.
Additional links: Full Report
Date: 01/2021
Type: Document
Sponsoring organization: Government Accountability Office
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Last Updated: 4/14/2021