As federal and state policymakers consider their most
cost-effective options for strengthening rural long-term
services and supports (LTSS), more information is needed
about the current system of care. Using data from the
2010 National Survey of Residential Care Facilities, this
chartbook presents information on a slice of the rural
LTSS continuum—the rural residential care facility (RCF).
Survey results identify important national and regional
differences between rural and urban RCFs, focusing on the
facility, resident and service characteristics of RCFs
and their ability to meet the LTSS needs of residents.
Rural RCFs are more likely to have private pay patients
compared to urban facilities and their residents have
fewer disabilities as measured by their functional
assistance needs. Compared to urban facilities, the
policies of rural RCFs appear less likely to support