Residential Care Facilities: A Key Sector in the Spectrum of Long-term Care Providers in the United States. Definitions


Facility size: Categorized by four sizes, based on the number of licensed, registered, or certified residential care beds (both occupied and unoccupied) in a facility: small (4-10 beds), medium (11-25 beds), large (26-100 beds), and extra large (more than 100 beds).

Ownership type: Categorized by two types: 1) private, for profit, and 2) other, which includes private nonprofit and state, county, or local government ownership. The private, for-profit category includes publicly traded facilities.

Chain affiliation: Describes facilities owned by a chain, group, or multifacility system. A chain is more than one facility under common ownership or management, and may include facilities within state or across multiple states.

Metropolitan statistical area (MSA): Designates a county or group of contiguous counties that contains at least one urbanized area of 50,000 or more population. An MSA may contain other counties that are economically and socially integrated with the central county, as measured by commuting.

Region: Created by grouping conterminous states into geographic areas corresponding to groups used by the U.S. Census Bureau. A listing of states included in each of the four U.S. Census regions is available from:

Residential care bed: Refers to licensed, registered, or certified residential care beds. The number of residential care beds used to calculate beds per 1,000 persons aged 85 and over include both occupied and unoccupied beds.

Residents whose long-term care (LTC) services were paid by Medicaid: Residents who had some or all of their LTC services paid by Medicaid during the last 30 days. If facilities reported not being certified or registered to participate in Medicaid, the facility is coded as having no residents receiving LTC services paid by Medicaid.

Skilled nursing services: Services essential to the maintenance or restoration of health that are provided to sick or disabled persons by a registered nurse or licensed practical nurse.

Basic health monitoring: Monitoring for a health condition or status like blood pressure, blood sugar, and weight.

Social services counseling: Counseling related to obtaining and keeping benefits provided by programs such as Supplemental Security Income, Social Security, and Medicaid.

Case management: A process of assessing, planning, and facilitating options and services for a person.

View full report


"RCFkey.pdf" (pdf, 2.13Mb)

Note: Documents in PDF format require the Adobe Acrobat Reader®. If you experience problems with PDF documents, please download the latest version of the Reader®