Rural Long-Term Care Facilities – Resources
Selected recent or important resources focusing on Rural Long-Term Care Facilities.
Nursing Home Closures and Access to Post-Acute Care and Long-Term Care Services in Rural Areas
Examines distance to care for residents needing post-acute care (PAC) and long-term care (LTC) services. Analyzes nursing home closures from 2008 to 2018 and identifies closest PAC and LTC services in rural versus urban areas, with data broken down by population demographics, nursing home characteristics, and distance to providers.
Author(s): Hari Sharma, Redwan Bin Abdul Baten, Fred Ullrich, A. Clint MacKinney, Keith J. Mueller
Citation: Journal of Rural Health, 40(3), 557-564
Date: 01/2024
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Examines distance to care for residents needing post-acute care (PAC) and long-term care (LTC) services. Analyzes nursing home closures from 2008 to 2018 and identifies closest PAC and LTC services in rural versus urban areas, with data broken down by population demographics, nursing home characteristics, and distance to providers.
Author(s): Hari Sharma, Redwan Bin Abdul Baten, Fred Ullrich, A. Clint MacKinney, Keith J. Mueller
Citation: Journal of Rural Health, 40(3), 557-564
Date: 01/2024
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Rural Long-Term Care Services and Supports
Policy position paper regarding challenges related to providing high-quality long-term care for older adults in rural areas. Describes how workforce shortages, long-term care financing, and administrative burden impact rural providers. Outlines policy recommendations for policy reforms to address these challenges and improve access to quality long-term care services.
Author(s): Shakeerah McCoy, Jeff Dunbar, Lex Pierre
Date: 12/2023
Sponsoring organization: National Rural Health Association
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Policy position paper regarding challenges related to providing high-quality long-term care for older adults in rural areas. Describes how workforce shortages, long-term care financing, and administrative burden impact rural providers. Outlines policy recommendations for policy reforms to address these challenges and improve access to quality long-term care services.
Author(s): Shakeerah McCoy, Jeff Dunbar, Lex Pierre
Date: 12/2023
Sponsoring organization: National Rural Health Association
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Addressing the Direct Care Workforce Shortage: A Bipartisan Call to Action
Report discusses direct care worker shortages throughout the country. Details shortages of home health aids, certified nursing assistants, and residential care aids, among other direct care workers, and makes recommendations for decreasing shortages. Highlights some of the added barriers faced by rural communities.
Author(s): Lisa Harootunian, Kamryn Perry, Allison Buffett, et al.
Date: 12/2023
Sponsoring organization: Bipartisan Policy Center
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Report discusses direct care worker shortages throughout the country. Details shortages of home health aids, certified nursing assistants, and residential care aids, among other direct care workers, and makes recommendations for decreasing shortages. Highlights some of the added barriers faced by rural communities.
Author(s): Lisa Harootunian, Kamryn Perry, Allison Buffett, et al.
Date: 12/2023
Sponsoring organization: Bipartisan Policy Center
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Oral Health Among Medicare Beneficiaries in Nursing Homes
Evaluated oral health among 2,355,366 Medicare beneficiaries living in nursing homes. Highlights characteristics associated with specific types of dental issues including age, sex, rurality, and more.
Author(s): Steffany Chamut, Carla Shoff, Kristiana Yao, Lee A. Fleisher, Natalia I. Chalmers
Citation: JAMA Network Open, 6(9)
Date: 09/2023
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Evaluated oral health among 2,355,366 Medicare beneficiaries living in nursing homes. Highlights characteristics associated with specific types of dental issues including age, sex, rurality, and more.
Author(s): Steffany Chamut, Carla Shoff, Kristiana Yao, Lee A. Fleisher, Natalia I. Chalmers
Citation: JAMA Network Open, 6(9)
Date: 09/2023
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Rates of Nursing Home Closures Were Relatively Stable Over the Past Decade, but Warrant Continuous Monitoring
Evaluates nursing home closures between 2011 and 2021 to identify trends and characteristics associated with closure. Considers location, Medicaid and Medicare, resident race, and more.
Author(s): Kelly Hughes, Zhanlian Feng, Qinghua Li, et al.
Citation: Health Affairs Scholar, 1(2)
Date: 08/2023
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Evaluates nursing home closures between 2011 and 2021 to identify trends and characteristics associated with closure. Considers location, Medicaid and Medicare, resident race, and more.
Author(s): Kelly Hughes, Zhanlian Feng, Qinghua Li, et al.
Citation: Health Affairs Scholar, 1(2)
Date: 08/2023
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Telemedicine Visits in US Skilled Nursing Facilities
Results of a study of telemedicine use in skilled nursing facilities (SNFs), using data from over 4.4 million residents at 15,434 SNFs. Features statistics including characteristics of SNFs in the top quartile by telemedicine use in 2020 to 2021, with breakdowns by metropolitan, micropolitan, small urban, and rural areas, and state-level maps with shadings showing rates of telemedicine use in SNFs from 2019-2022.
Author(s): Agne Ulyte, Ateev Mehrotra, Andrew D. Wilcock, et al.
Citation: JAMA Network Open, 6(8)
Date: 08/2023
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Results of a study of telemedicine use in skilled nursing facilities (SNFs), using data from over 4.4 million residents at 15,434 SNFs. Features statistics including characteristics of SNFs in the top quartile by telemedicine use in 2020 to 2021, with breakdowns by metropolitan, micropolitan, small urban, and rural areas, and state-level maps with shadings showing rates of telemedicine use in SNFs from 2019-2022.
Author(s): Agne Ulyte, Ateev Mehrotra, Andrew D. Wilcock, et al.
Citation: JAMA Network Open, 6(8)
Date: 08/2023
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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
Sponsoring organizations: Abt Associates, Centers for Medicare & 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
Sponsoring organizations: Abt Associates, Centers for Medicare & 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
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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
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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
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
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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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 selected resident characteristics, including age; Medicaid beneficiary status; prevalence of chronic conditions; and assistance needs for walking, bathing, eating.
Author(s): Christine Caffrey, Amanuel Melekin, Zhaohui Lu, Manisha Sengupta
Date: 12/2022
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 selected resident characteristics, including age; Medicaid beneficiary status; prevalence of chronic conditions; and assistance needs for walking, bathing, eating.
Author(s): Christine Caffrey, Amanuel Melekin, Zhaohui Lu, Manisha Sengupta
Date: 12/2022
Sponsoring organization: National Center for Health Statistics
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