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How Many Older Adults Will Wind Up in Skilled Nursing Homes?

How Many Older Adults Will Wind Up in Skilled Nursing Homes?
Medicaid Planning
Jason Neufeld
January 14, 2017

First, it is important to distinguish between the different types of elder care facilities. Some people think that their mother or grandmother either lives at home independently or in a nursing home – with nothing in between. Read about the different levels of elder care here: Long Term Care Fundamentals Page. That being said, after a stroke, significant car accident, effects of dementia,Alzheimer’s or Parkinson’s and any number of other maladies that can cause older adults to lose their ability to care for themselves. Inevitable, caring for your loved one at home or even in an ALF may become impossible – which is when nursing home care becomes necessary.

Nursing Home and Long Term Care Demographics

According to the National Institute on Aging (as of 2015)there are about 4.7 Million senior citizens utilizing home-health care; 730K in assisted living facilities; and 1.4 Million in skilled nursing facilities(nursing homes). There are about 16K nursing homes nationwide with 1.8 Million beds.

In Florida, there are approximately 700 nursing homes with 84K beds. Florida nursing homes house an about 73K resident, which means there is an approximate 87% occupancy rate.

10,000 Americans turn 65 everyday! 5% of older adults (aged 65+) live in a nursing home. Of these, about 50%of nursing home residents are 85 years old or older, 35% are between the ages of 75 and 84, and 15% are between 65 and 74 years of age.

Most nursing home residents are admitted with more than one condition, most with three or more conditions. The most common afflictions resulting in being admitted to a nursing home are (in no particular order): effects after a stroke; cognitive disorders;cardiovascular diseases and hypertension; functional decline (e.g.incontinence) and endocrine disorders such as diabetes.

While only 5% of older adults are in nursing homes at any given point in time, about 25% of older adults will require nursing-home care at some point in time. Nursing home residents are discharged for the following reasons: Approximately 30% of nursing home residents will recuperate and move back into their communities; 36% leave nursing homes because they are being transferred to another nursing home or to a hospital; unfortunately, approximately 25% will exit a nursing home only when they have passed away; and roughly 10% will leave for other reasons.

Future of Nursing Homes

In 2030, almost 70 million people will be 65 or older and 8.4 Million will be 85 years old or older. There are estimated to be approximately 77 million baby boomers, of these 3.85 million(statistically) will need nursing home care at some point in time in their lives. However, the elder care industry is booming and there are likely to be more options than those available currently. So we may see fewer older adults enter nursing home (except in the most serious of cases) and more senior citizens receiving care at home and in assisted living facilities which are becoming more sophisticated with Alzheimer’s and Memory Care Units.

Because of medical advances,people are living longer than ever. We can infer that there may be more short-term stays due to requiring nursing home care for rehabilitation after falls. However, this means that we can also expect more people to require assisted living or nursing home care due to decline in ability to conduct activities of daily living (ADLs – walking, bathing, toileting, transferring,or dressing) without help.

Nursing home care is undeniable expensive, without long-term care insurance,Medicaid planning has become essential to all but the wealthiest people in Florida. Contact your medicaid lawyer today to help you preserve your assets and apply for Medicaid.

Should I meet with a medicaid lawyer now? Yes - call to schedule a consultation.

Jason Neufeld

Jason Neufeld is the Founder and Managing Partner of Elder Needs Law, a Florida estate planning and elder law firm he created in 2017. With more than 15 years of experience practicing law, he represents clients in a wide range of legal matters, including Medicaid planning, estate planning, elder law, probate, Medicare, and life insurance.

Jason received his Juris Doctor from the University of Miami — School of Law and is a member of the Florida Bar and the Broward County Bar Association. He has received numerous accolades for his work, including being named a Rising Star and Super Lawyer by Super Lawyers and among the Florida Legal Elite by Florida Trend in 2024.

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