Study of Residential Care Facility Residents in 2010

The Division of Health Care Statistics and the Long-Term Care Statistics Branch recently released Data Brief #91, Residents Living in Residential Care Facilities in the United States: 2010.  The report presents national estimates of RCF residents based on various characteristics, including demographics, Medicaid participation and charges, limitations in activities of daily living, and common chronic conditions.  The estimates are derived from the first nationally representative survey of RCFs with four or more beds.

According to the report, in 2010 a vast majority (91%) of the 733,300 residents of RCFs were non-Hispanic white, and 70% were female.  Residents aged 85 and over made up 54% of the resident population.  Of the remaining residents, 27% were aged 75-84, 9% were aged 65-74, and 11% were under age 65.

At the time the data for the report was collected, residents had lived at their RCFs for an average of 671 days.  Out of all the residents, 19% had at least some of their RCF services paid for by Medicaid.  Medicaid coverage varied by age group, with 56% of residents under age 65 having Medicaid, compared to 39% of residents aged 65-74, 16% of residents aged 75-84, and just 10% of residents 85 or older.

With respect to services rendered, 38% of residents were assisted with three or more activities of daily living (ADLs), 36% were assisted with one or two ADLs, and 26% did not receive any assistance with ADLs.  The most common ADL that RCFs provided assistance with was bathing (72%), followed by dressing (52%), toileting (36%), transferring (25%), and finally eating (22%).

Ninety-four percent of RCF residents had been diagnosed with one or more of the ten most common chronic conditions in the facilities, which included: high blood pressure (57%), Alzheimer’s disease or other forms of dementia (42%), heart disease (34%), depression (28%), arthritis (27%), osteoporosis (21%), diabetes (17%), chronic obstructive pulmonary disease and allied conditions (15%), cancer (11%), and stroke (11%).  Nearly 75% of the residents had been diagnosed with two or more of these chronic conditions.

Based on the statistics gathered, the report concluded that the RCFs housed a vulnerable population that has a high burden of both functional and cognitive impairment.

More information about the RCF residents data brief, including the brief itself, is available online at http://www.cdc.gov/nchs/nsrcf.htm.

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