CDC’S National Center for Health Statistics (NCHS) today released the first in a series of reports from the National Study of Long-Term Care Providers (NSLTCP).  Long-Term Care Services in the United States: 2013 Overview includes general, descriptive information on the supply, organizational characteristics, staffing, and services offered by providers of long-term care services; and the demographic, health, and functional characteristics of users of these services.  You can access the report here:

  • The report shows that in 2012, about 58,000 paid, regulated long-term care services providers served about 8 million people in the U.S.
  • Each day in 2012 there were 273,200 participants enrolled in adult day services centers, 1,383,700 residents in nursing homes, and 713,300 residents in residential care communities.
  • In 2011, about 4,742,500 patients received services from home health agencies, and 1,244,500 patients received services from hospices.

Selected summary highlights from the report include:

  • Provider sectors differed in ownership, and average size and supply varied by region.  In all sectors except adult day services centers, the majority of long-term care services providers were for profit.  The largest share of adult day services centers, home health agencies, hospices, and nursing homes was in the South, while the largest share of residential care communities was in the West.
  • Provider sectors differed in their nursing staffing levels, use of social workers, and the types of services offered.  The majority of nursing employee full-time equivalents (FTE) in residential care communities, adult day services centers, and nursing homes were aides, while the majority of nursing FTEs in hospices and home health agencies were registered nurses (RN).
  • Rates of use of long-term care services varied by sector and state.  Users of long-term care services varied by sector in their demographic characteristics and functional status.  Hospices, nursing homes, and residential care communities served more persons aged 85 and over, and adult day services centers served more persons under age 65.  Adult day services centers were the most racially and ethnically diverse among the five sectors.

If you have any questions or comments about the report, please contact Lauren Harris-Kojetin at or Manisha Sengupta at

The NSLTCP is a new initiative to monitor the diverse spectrum of paid, regulated providers of long-term care services and inform long-term care planning and policymaking to meet the needs of an aging population.  The NSLTCP uses data from the five major sectors of the long-term care services industry—adult day services centers, assisted living and similar residential care communities, home health agencies, hospices, and nursing homes—to produce representative national and state estimates.   NCHS plans to release state-level estimates on the topics in this report in spring 2014. To monitor trends, NCHS plans to conduct NSLTCP every two years.   The National Adult Day Services Association is one of many partners supporting NSLTCP.

To learn more about NSLTCP, please visit: