Do Services and Staffing in Residential Care Facilities Vary With Residential Needs?. 5.1.2. Comparisons of Residential Care Facility and Nursing Home Residents

07/22/2013

The resident populations of RCFs and nursing homes overlap. Figure 10 and Figure 11 present data on selected common chronic conditions and ADLs among residents in the two settings. Nursing facility residents have higher prevalence of all chronic conditions examined. On average, nursing home residents have much higher levels of ADL need.2 The average number of ADL limitations requiring assistance is twice as high for nursing home residents as for RCF residents.

FIGURE 10. Selected Chronic Conditions: Comparison of Residential Care Facility and Nursing Home Residents

FIGURE 10 shows selected chronic conditions, a comparison of RCF and nursing home residents. BAR CHART: Residential Care Facilities--Alzheimer's and other dementia (42.1); Congestive Heart Failure (13.3); COPD (10.8); Depression (27.6); Diabetes (17.2); Arthritis (27.2); Stroke (11.0). Nursing Homes--Alzheimer's and other dementia (56.9); Congestive Heart Failure (21.1); COPD (18.6); Depression (49.9); Diabetes (33.3); Arthritis (32.3); Stroke (20.1).

SOURCE: RTI International analysis of the NSRCF and CMS (2012).
NOTE: COPD: chronic obstructive pulmonary disease.

FIGURE 11. Need for Assistance With Activities of Daily Living, Residential Care Facility and Nursing Home Residents

FIGURE 11 shows need for ADL assistance, RCF and nursing home residents. BAR CHART: Residential Care Facilities--Transfer (12.9); Dressing (52.0); Eating (21.8); Toilet Use (35.4); Bathing (72.1); Mean ADL Score (1.9). Nursing Homes--Transfer (84.4); Dressing (92.4); Eating (62.5); Toilet Use (88.6); Bathing (97.6); Mean ADL Score (4.1).

SOURCE: RTI International analysis of the NSRCF and CMS (2012).

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