Post-acute and Long-term Care Providers and Services Users in the United States, 2017–2018
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Post-acute and Long-term Care Providers and Services Users in the United States, 2017–2018

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    • Description:
      Objective: This report presents the most current national results from the National Study of Long-Term Care Providers (NSLTCP), conducted by the National Center for Health Statistics (NCHS) to describe providers and services users in seven major sectors of paid, regulated postacute and long-term care services in the United States.

      Methods: In January 2020, NSLTCP was renamed National Postacute and Long-term Care Study (NPALS) to reflect the addition of new post-acute care sectors. Data sources include NCHS surveys of adult day services centers and residential care communities (covering the 2018 data year) and administrative records from the Centers for Medicare & Medicaid Services on home health agencies, hospices, nursing homes, inpatient rehabilitation facilities, and long-term care hospitals (covering the 2017 and 2018 data years). For the first time since the study’s inception in 2012, the 2018 NSLTCP surveys of adult day services centers and residential care communities included a user-level data collection component in addition to a provider-level component.

      Results: This report presents information on the supply, geographical and organizational characteristics, staffing, and services offered by providers, and the demographic, health, functional composition, and adverse events in users of these services. Services users include residents of nursing homes and residential care communities; patients of home health agencies, hospices, inpatient rehabilitation facilities, and long-term care hospitals; and participants of adult day services centers. This fourth edition updates “Long-Term Care Providers and Services Users in the United States, 2015–2016” (available from: sr_03/sr03_43-508.pdf). New content in this report includes information on two additional post-acute care sectors (inpatient rehabilitation facilities and long-term care hospitals).

      Conclusion: In 2018, about 69,000 paid, regulated post-acute and long-term care services providers among seven major sectors included in this report served more than 9.5 million people in the United States. Sectors differed by ownership and chain status, and supply varied by region. Post-acute and long-term care services users varied by sector in their demographic and health characteristics and functional status.

      Public use files from the 2018 NSLTCP adult day services center and residential care community surveys are available from: questionnaires.htm. NCHS plans to conduct NPALS every 2 years. NPALS results and publications are available from:

      Suggested citation: Sengupta M, Lendon JP, Caffrey C, Melekin A, Singh P. Post-acute and long-term care providers and services users in the United States, 2017–2018. National Center for Health Statistics. Vital Health Stat 3(47). 2022. DOI:



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