Rural Long-Term Care Facilities – Resources
Selected recent or important resources focusing on Rural Long-Term Care Facilities.
Standing Technical Expert Panel for the Development, Evaluation, and Maintenance of Post-Acute Care (PAC) and Hospice Quality Reporting Program (QRP) Measurement Sets: Summary Report
Describes a December 15, 2023, Technical Expert Panel (TEP) regarding the development of additional cross-setting measures for the Post-Acute Care (PAC) and Hospice Quality Reporting Programs (QRPs), and filling measurement gaps with the Centers for Medicare & Medicaid Services (CMS) Universal Foundation measures. Summarizes TEP comments on adding measures to PAC and Hospice QRPs in four domains: 1) behavioral and mental health, 2) patient experience of care, 3) pain management, and 4) immunization. Covers panelists' discussions on the appropriateness of the existing measure set and potential new measures, setting-specific considerations, data sources, and other topics related to each domain. Includes rural references throughout.
Date: 07/2024
Sponsoring organizations: Abt Associates, Acumen, Centers for Medicare & Medicaid Services
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Describes a December 15, 2023, Technical Expert Panel (TEP) regarding the development of additional cross-setting measures for the Post-Acute Care (PAC) and Hospice Quality Reporting Programs (QRPs), and filling measurement gaps with the Centers for Medicare & Medicaid Services (CMS) Universal Foundation measures. Summarizes TEP comments on adding measures to PAC and Hospice QRPs in four domains: 1) behavioral and mental health, 2) patient experience of care, 3) pain management, and 4) immunization. Covers panelists' discussions on the appropriateness of the existing measure set and potential new measures, setting-specific considerations, data sources, and other topics related to each domain. Includes rural references throughout.
Date: 07/2024
Sponsoring organizations: Abt Associates, Acumen, Centers for Medicare & Medicaid Services
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Assessing Medicaid Payment Rates and Costs of Caring for the Medicaid Population Residing in Nursing Homes
Explores the relationship between Medicaid per diem payment rates to nursing homes and facilities' costs of providing care to Medicaid patients for facilities with a fiscal year ending on June 30, 2019. Examines the determinants of average cost and payment variations across each state. Presents data by facility-level characteristics, including ownership status, chain affiliation, rural or urban location, and more.
Date: 06/2024
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Miami University, RTI International, University of Massachusetts
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Explores the relationship between Medicaid per diem payment rates to nursing homes and facilities' costs of providing care to Medicaid patients for facilities with a fiscal year ending on June 30, 2019. Examines the determinants of average cost and payment variations across each state. Presents data by facility-level characteristics, including ownership status, chain affiliation, rural or urban location, and more.
Date: 06/2024
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Miami University, RTI International, University of Massachusetts
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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
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
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Nursing Home Closures Did Not Increase in 2020 and 2021, Despite Financial Challenges Caused by the COVID-19 Pandemic
Provides an overview of the financial challenges and closures experienced by nursing homes during the COVID-19 pandemic. Analyzes 2011-2021 data from 16,361 nursing homes, with breakdowns according to number of closures, staff shortages, COVID-19 infections, vaccination rates, closures by state and rural versus urban location, and more.
Author(s): Micah Segelman, Kristie A. Porter, Kelly Hughes, et al.
Date: 05/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Provides an overview of the financial challenges and closures experienced by nursing homes during the COVID-19 pandemic. Analyzes 2011-2021 data from 16,361 nursing homes, with breakdowns according to number of closures, staff shortages, COVID-19 infections, vaccination rates, closures by state and rural versus urban location, and more.
Author(s): Micah Segelman, Kristie A. Porter, Kelly Hughes, et al.
Date: 05/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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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
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
Sponsoring organization: Rural Health Research Gateway
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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
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
Sponsoring organization: Rural Health Research Gateway
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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: 03/2024
Sponsoring organization: Centers for Medicare & 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: 03/2024
Sponsoring organization: Centers for Medicare & Medicaid Services
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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
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
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 were specific to or include pandemic response, approaches to implement these plans, and infection control policies and practices in 2020. 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
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 were specific to or include pandemic response, approaches to implement these plans, and infection control policies and practices in 2020. 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
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
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
Sponsoring organization: AARP Public Policy Institute
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