This report focuses on two basic dimensions of nursing
homes; Federally-certified nursing homes and the
residents in those homes, and homes operating in settings
that differ in their degree of rurality and their
The study found that there are higher percentages of
elderly population in rural areas, and also that the
utilization rates of nursing homes is higher in rural
areas. Homes in rural areas are more likely to have fewer
beds than urban homes and are also more likely to be
government-funded and owned than urban nursing homes.
Rural nursing homes are more likely to be below the
nursing staff and aides' threshold than homes in urban
areas. Overall, these problems put rural nursing homes at
higher risk for poor outcomes in nursing homes, but it is
most apparent in extremely isolated rural areas.