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Analysis: The Upheaval at America’s Disappearing Nursing Homes

Submitted by jhartgen@abi.org on

The U.S. has at least 600 fewer nursing homes than it did six years ago, according to a Wall Street Journal analysis of federal data. More senior care is happening at home, and the Covid-19 pandemic caused many families to shun nursing homes while draining workers from an already short-staffed industry. The result? Elderly patients are stuck in hospitals, a dangerous place for seniors, waiting for somewhere to go—sometimes for months. Beds are disappearing while the need for senior care is growing. The American population 65 and older is expected to swell from 56 million in 2020 to 81 million by 2040. Even before the industry started to shrink noticeably, it was effectively contracting. Though fewer people tend to live in counties without nursing homes, those counties tend to have more elderly residents than average. For people who need comprehensive care, closures can mean disruptive moves or ending up far from loved ones. Data show capacity in the nursing-home industry has lagged behind growth in the ranks of older Americans for many years. By 2018, the decline accelerated as nursing-home beds steadily disappeared. The shrinkage was decades in the making. Most older people would prefer to stay in their homes and more Medicaid spending on long-term care has gone to home- and community-based services rather than institutions such as nursing homes since 2013. Those forces contributed to a net loss in nursing-home beds that has hit almost every state. Read more.(Subscription required.)

The financially troubled senior living facilities will be one of the session topics at the ABI Healthcare Program, September 18-19, 2023, in Nashville, Tenn. For more information and to register, click here.