The length-of-stay pattern of nursing home admissions

The length of stay (LOS) pattern of nursing home admissions has not been directly measured because the long duration of stay of some patients (e.g., 25% of persons admitted reside in homes for longer than 1 year) makes it impractical to follow specific admission cohorts until the members have been discharged. By applying life-table methods to data on current and discharged residents from the 1977 National Nursing Home Survey, the authors were able to generate estimates of this distribution. They estimated that the typical nursing home admission initially has an expected LOS of 456 days, but, more interesting, the remaining LOS is expected to increase, in the intermediate term, with the amount of time spent in the facility. They also examined LOS distributions of subsets of the national nursing home population, and illustrated potential applications for this new information for policy formulation.