AHLA. L. Assisted Living Legislative and Regulatory Trends. David A. Kyllo Executive Director National Center for Assisted Living Washington, DC

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1 AHLA L. Assisted Living Legislative and Regulatory Trends David A. Kyllo Executive Director National Center for Assisted Living Washington, DC Kristen B. Sumner Vice President, Legal Operations Brookdale Senior Living, Inc. Chicago, IL Long Term Care and the Law February 23-25, 2015

2 National Study of Long-Term Care Providers Conducted by the National Center for Health Statistics (CDC) Includes: Adult Day Centers, Nursing Homes, Residential Care Communities, Hospice, & Home Health Agencies Report available at: cdc.gov/nchs/nsltcp.htm Geographic Distribution of Providers 1

3 Percent Distribution of Providers by Provider Type and Number of People Nursing FTEs by Provider Type and Position 2

4 Average Hours Per Resident by Provider Type and Staff Type Percentage of LTC Providers that Provide Mental Health Counseling 3

5 Percentage of LTC Providers that Provide Therapeutic Services Percentage of Providers that Provide Skilled Nursing or Nursing Services 4

6 Hospice Services Long-term Care Users: By Age & Provider 5

7 LTC Users: Daily Use of Residential Care Age of Long-Term Care Users Harris-Kojetin L, Sengupta M, Park-Lee E, Valverde R. Long-term care services in the United States: 2013 overview. Hyattsville, MD: National Center for Health Statistics

8 LTC Service Users by Sex Harris-Kojetin L, Sengupta M, Park-Lee E, Valverde R. Long-term care services in the United States: 2013 overview. Hyattsville, MD: National Center for Health Statistics LTC Service Users by Race & Ethnicity Harris-Kojetin L, Sengupta M, Park-Lee E, Valverde R. Long-term care services in the United States: 2013 overview. Hyattsville, MD: National Center for Health Statistics

9 Depression & Dementia Harris-Kojetin L, Sengupta M, Park-Lee E, Valverde R. Long-term care services in the United States: 2013 overview. Hyattsville, MD: National Center for Health Statistics Assistance with ADLs in LTC Harris-Kojetin L, Sengupta M, Park-Lee E, Valverde R. Long-term care services in the United States: 2013 overview. Hyattsville, MD: National Center for Health Statistics

10 National Survey of Residential Care Facilities (NSRCF), 2010 Includes Assisted living Board and care homes Congregate care Enriched housing programs Homes for the aged Personal care homes Shared housing Source: U.S. Dept. of HHS 2010 National Survey of Residential Care Facilities Common Chronic Conditions in RCFs Caffrey, C. Sengupta M., Park-Lee E, et al. Residents living in residential care facilities: United States, NCHS data brief, no 91. Hyattsville, MD: National Center for Health Statistics

11 Activities of Daily Living Caffrey, C. Sengupta M., Park-Lee E, et al. Residents living in residential care facilities: United States, NCHS data brief, no 91. Hyattsville, MD: National Center for Health Statistics Breakdown by Bed Size of Residential Care Communities 10

12 Residential Care Communities & Residents by Community Bed Size, 2012 Source: Caffrey C, Harris-Kojetin L, Rome V, Sengupta M. Operating characteristics of residential care communities, by community bed size: United States, NCHS data brief, no 170. Hyattsville, MD: National Center for Health Statistics Selected Characteristics among Residential Care Communities by Community Bed Size, 2012 Source: Caffrey C, Harris-Kojetin L, Rome V, Sengupta M. Operating characteristics of residential care communities, by community bed size: United States, NCHS data brief, no 170. Hyattsville, MD: National Center for Health Statistics

13 Screening & Disease-Specific Programs Offered, by Community Bed Size, 2012 Source: Caffrey C, Harris-Kojetin L, Rome V, Sengupta M. Characteristics of residents living in residential care communities, by community bed size: United States, NCHS data brief, no 170. Hyattsville, MD: National Center for Health Statistics Selected Services Offered, by Community Bed Size, 2012 Source: Caffrey C, Harris-Kojetin L, Rome V, Sengupta M. Characteristics of residents living in residential care communities, by community bed size: United States, NCHS data brief, no 170. Hyattsville, MD: National Center for Health Statistics

14 Age Distribution Among Residential Care Residents by Bed Size, 2012 Source: Caffrey C, Harris-Kojetin L, Rome V, Sengupta M. Characteristics of residents living in residential care communities, by community bed size: United States, NCHS data brief, no 171. Hyattsville, MD: National Center for Health Statistics Characteristics Among Residents by Community Bed Size 2012 Source: Caffrey C, Harris-Kojetin L, Rome V, Sengupta M. Characteristics of residents living in residential care communities, by community bed size: United States, NCHS data brief, no 171. Hyattsville, MD: National Center for Health Statistics

15 ED Use, Discharges, & Readmissions by Community Bed size 2012 Source: Caffrey C, Harris-Kojetin L, Rome V, Sengupta M. Characteristics of residents living in residential care communities, by community bed size: United States, NCHS data brief, no 171. Hyattsville, MD: National Center for Health Statistics ED Use, Discharges, & Readmissions by Community Bed size 2012 Source: Caffrey C, Harris-Kojetin L, Rome V, Sengupta M. Characteristics of residents living in residential care communities, by community bed size: United States, NCHS data brief, no 171. Hyattsville, MD: National Center for Health Statistics

16 Need for Assistance with ADLS by Community Bed Size, 2012 Source: Caffrey C, Harris-Kojetin L, Rome V, Sengupta M. Characteristics of residents living in residential care communities, by community bed size: United States, NCHS data brief, no 171. Hyattsville, MD: National Center for Health Statistics Dementia and Depression by Community Bed Size, 2012 Source: Caffrey C, Harris-Kojetin L, Rome V, Sengupta M. Characteristics of residents living in residential care communities, by community bed size: United States, NCHS data brief, no 171. Hyattsville, MD: National Center for Health Statistics