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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.

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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Skilled Nursing Data Initiative
Provides statistics on occupancy, patient day mix, revenue per patient day, and revenue mix including Medicare and Medicaid reimbursement, with breakdowns by rural location, urban cluster, urban area, and national total. Uses data beginning from January 2012. Requires free registration for download.
Date: 2019
Type: Document
Sponsoring organization: National Investment Center for Seniors Housing & Care
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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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Care Compare
Provides information on the quality of care, cost, volume of services, and other data for Medicare-certified providers. Includes data on doctors and clinicians, hospitals, nursing homes, home health services, hospice care, inpatient rehabilitation facilities, long-term care hospitals, and dialysis facilities.
Type: Database
Sponsoring organization: Centers for Medicare and Medicaid Services
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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.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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Additional resources are available related to this guide. See the full list of resources by topic for:


Last Updated: 3/14/2024