Evidence map›Paper›PMID 36857055›Full record

ArticleJAMA network open2023

Trends in Supply of Nursing Home Beds, 2011-2019.

Katherine E M Miller, Paula Chatterjee, Rachel M Werner

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in JAMA network open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
7.4field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. Trends in Assisted Living and Memory Care Supply From 2019 to 2023.Journal of the American Medical Directors Association · 2025
    Article
  3. Article
  4. Home Health Care Use Among Medicare Beneficiaries From 2010 to 2020.Medical care research and review : MCRR · 2025
    Article
  5. Article
  6. Article
  7. Errors in Figure 2.JAMA network open · 2023
    Article
  8. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Katherine E M MillerDivision of Medical Ethics and Health Policy, Perelman School of Medicine at the University of Pennsylvania, Philadelphia.
Paula ChatterjeeLeonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia.
Rachel M WernerLeonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia.
University of Pennsylvania · USPhiladelphia VA Medical Center · US

Funding

Effects of Informal Care for persons with Alzheimer's Disease and related dementiasR01AG057501 · NIA · UNIVERSITY OF PENNSYLVANIA · PI COE, NORMA B · 2017 to 2020
$2.7M
Midcareer Mentoring Award for Patient-Oriented Research in AgingK24AG047908 · NIA · UNIVERSITY OF PENNSYLVANIA · PI WERNER, RACHEL M · 2014 to 2024
$2.0M
Improving Access to Care and Chronic Condition Management for Rural Older Adults in the USK23AG073512 · NIA · UNIVERSITY OF PENNSYLVANIA · PI CHATTERJEE, PAULA · 2021 to 2025
$818k
Training in Healthcare Financing, Organization and Delivery for Aging PopulationsT32AG051090 · NIA · UNIVERSITY OF PENNSYLVANIA · PI PAULY, MARK, WERNER, RACHEL M · 2015 to 2019
$652k
NIA NIH HHS K23 AG073512NIA NIH HHS K24 AG047908NIA NIH HHS R01 AG057501NIA NIH HHS T32 AG051090
6 · The paper itself

Abstract

Importance: Nursing homes play a vital role in providing postacute and long-term care for individuals whose needs cannot be met in the home or community. Whether the supply of nursing home beds and, specifically, the supply of high-quality beds has kept pace with the growth of the older adult population is unknown. Objective: To describe changes in the supply of population-adjusted nursing home beds from 2011 to 2019. Design, Setting, and Participants: This cross-sectional study examines changes in the population-adjusted supply of nursing home beds across all US counties from 2011 to 2019 and describes county and nursing home characteristics where the supply of nursing home beds has increased vs decreased. Main Outcomes and Measures: Number of nursing home beds adjusted per 10 000 adults aged 65 years and older. Results: The population-adjusted supply of nursing home beds declined from 2011 to 2019 for 86.4% of US counties, by a mean (SD) of 129.9 (123.8) beds per 10 000 adults aged 65 years or older per county from a baseline mean (SD) of 552.5 (274.4) beds per 10 000 adults aged 65 years or older per county in 2011. The share of beds that were high quality (4- or 5-star ratings) also declined, which was driven by a small number of counties where nursing home bed supply increased due to a proliferation of lower-quality beds. Simultaneously, metropolitan counties with declining numbers of nursing home beds also experienced declining number of senior housing residential beds (-11.3 [54.6] beds per 10 000 adults aged 65 years or older per county from a baseline mean [SD] of 354.8 [222.3]). Conclusions and Relevance: The findings of this cross-sectional study suggest that the supply of nursing home beds, specifically high-quality nursing home beds, and senior residential housing beds have not kept pace with the demographics of an aging population. Understanding the supply of high-quality nursing home beds and associated geographic variation can inform targeted policies to best support older adults requiring nursing home care.

Indexed as

Nursing HomesSkilled Nursing FacilitiesAgedCross-Sectional StudiesHomes for the AgedHumansLong-Term Care

Identifiers

PMID36857055
PMCPMC9978943
OpenAlexW4322719288

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.