Purpose
- Find past editions of the National Post-acute and Long-term Care Study (NPALS) newsletter.
- Learn about the latest NPALS data and product releases.
- Subscribe to the NPALS listserv.
December 2024
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Stats of the Month
In recognition of National Influenza Vaccination Week (December 2-6, 2024), we present estimates from the 2022 National Post-acute and Long-term Care Study (NPALS).
- In 2022, 37.3% of adult day services centers (ADSCs) offered influenza vaccination to participants, and 45.9% of ADSCs offered influenza vaccination to all employees or contract staff. (Estimates from the 2022 National Post-acute and Long-term Care Study Data Dictionary for Adult Day Services Center Provider Public Use File).
- In 2022, 85.5% of residential care communities (RCCs) offered influenza vaccination to residents, and 73.7% of RCCs offered influenza vaccination to all employees or contract staff. (Estimates from the 2022 National Post-acute and Long-term Care Study Data Dictionary for Residential Care Community Provider Public Use File).
Updates
- Data collection for the ADSCs and RCCs of the 2024 NPALS was launched in the first week of November 2024.
- The 2022 NPALS ADSC and RCC provider and services user public use files are now available at https://www.cdc.gov/nchs/npals/questionnaires/index.html. Restricted data files for the ADSCs and RCCs of the 2022 NPALS are now available through the NCHS Research Data Center (RDC).
- The National Health Statistics Report, Overview of Post-acute and Long-term Care Providers and Services Users in the United States, 2020, was recently updated. This report was revised on October 16, 2024, to correct errors in the text and in Figure 3 regarding the number of people served by residential care communities. The notes for Figure 3 were also updated with more accurate language. You may download the revised report here: https://www.cdc.gov/nchs/data/nhsr/nhsr208.pdf.
- The interactive dashboard, Data from the 2020 National Post-acute and Long-term Care Study was also corrected in Table 1 for the number of people served daily average and categories for residential care communities national and state-level estimates. You can view the dashboard here: https://www.cdc.gov/nchs/npals/webtables/overview.htm.
- Final COVID-19 data from the 2020 NPALS ADSCs and RCCs are available from the NCHS COVID-19 dashboard.
New Products from NPALS
- Lendon JP, Caffrey C, Melekin A, Singh P, Lu Z, Sengupta M. Overview of post-acute and long-term care providers and services users in the United States, 2020. National Health Statistics Reports; no 208. Hyattsville, MD: National Center for Health Statistics. 2024. DOI: https://dx.doi.org/10.15620/cdc/158328.
- Melekin A, Sengupta M, Caffrey C. Residential care community resident characteristics: United States, 2022. NCHS Data Brief, no 506. Hyattsville, MD: National Center for Health Statistics. 2024. DOI: https://dx.doi.org/10.15620/cdc/158327.
- QuickStats: Percentage of Adult Day Services Centers That Use Any Telehealth, by U.S. Census Bureau Region — United States, 2022. MMWR Morb Mortal Wkly Rep 2024;73:675. DOI: http://dx.doi.org/10.15585/mmwr.mm7330a4.
- Lendon JP, Singh P, Lu Z. Adult day services center participant characteristics: United States, 2022. NCHS Data Brief, no 502. Hyattsville, MD: National Center for Health Statistics. 2024. DOI: https://dx.doi.org/10.15620/cdc/157498.
- QuickStats: Percentage of Residential Care Communities That Use Electronic Health Records, by Community Bed Size — United States, 2018, 2020, and 2022. MMWR Morb Mortal Wkly Rep 2024;73:409. DOI: http://dx.doi.org/10.15585/mmwr.mm7317a6.
- Singh P, Lendon JP, Sengupta M. Alzheimer disease or other dementias in adult day services centers, 2020. National Health Statistics Report; no 198. Hyattsville, MD: National Center for Health Statistics. 2024. DOI: https://doi.org/10.15620/cdc:135024.
- Melekin A, Sengupta M. Infection control policies and practices in residential care communities, by selected organizational and geographic characteristics: United States, 2020. National Health Statistics Reports; no 200. Hyattsville, MD: National Center for Health Statistics. 2024. DOI: https://dx.doi.org/10.15620/cdc:137392.
New Products from Other DHCS Data Systems
Data tell stories. Tell us yours!
- Smith B, Tung J, Chen A, Mohr C, Nowakowska M, Wehner M, Ferris L. Total body skin examination visits by dermatology providers in the 2011–2016 National Ambulatory Medical Care Survey. Melanoma Research 34(6):p 549-550, 2024. DOI: https://doi.org/10.1097/cmr.0000000000000995.
- Spaulding SL, Wride AM, Slade MD, Damsky W, Cohen JM, Cutaneous fungal infections in the United States: A cross-sectional analysis of the National Ambulatory Medical Care Survey (NAMCS) and National Hospital Ambulatory Medical Care Survey (NHAMCS), 2005–2016, Journal of the American Academy of Dermatology (2024), DOI: https://doi.org/10.1016/j.jaad.2024.10.035.
November 2024
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Stats of the Month
In recognition of National Diabetes Month (November 2024),, we present estimates from the 2022 National Post-acute and Long-term Care Study (NPALS).
- In 2022, 27.8% of participants in adult day services centers (ADSCs) had a diagnosis1 of diabetes.
- In 2022, 15.9% of residents in assisted living and other residential care communities (RCCs) had a diagnosis1 of diabetes.
1Using a show card listing 28 “Conditions,” respondents were asked if the sampled user was ever diagnosed with any of the listed conditions by a doctor or other health professional.
Sources: Estimates from the 2022 NPALS restricted survey files available through the NCHS Research Data Center (RDC).
Updates
- Data collection for the ADSCs and RCCs of the 2024 NPALS will launch in mid-November 2024.
- The 2022 NPALS ADSC and RCC provider and services user public use files are now available at https://www.cdc.gov/nchs/npals/questionnaires/index.html. Restricted data files for the ADSCs and RCCs of the 2022 NPALS are now available through the NCHS Research Data Center (RDC).
- Sponsored by the U.S. Department of Health and Human Services, NCHS is conducting a Direct Care Worker (DCW) Pilot Study in ADSCs, RCCs, and nursing homes to determine the feasibility of conducting a national survey in the future. DCWs such as certified nursing assistants, nursing assistants, home health aides, home care aides, personal care aides, personal care assistants, and medication technicians or medication aides are included.
- The National Health Statistics Report, Overview of Post-acute and Long-term Care Providers and Services Users in the United States, 2020, was recently updated. This report was revised on October 16, 2024, to correct errors in the text and in Figure 3 regarding the number of people served by residential care communities. The notes for Figure 3 were also updated with more accurate language. You may download the revised report here: https://www.cdc.gov/nchs/data/nhsr/nhsr208.pdf.
- *The interactive dashboard, Data from the 2020 National Post-acute and Long-term Care Study was also corrected in Table 1 for the number of people served daily average and categories for residential care communities national and state-level estimates. You can view the dashboard here: https://www.cdc.gov/nchs/npals/webtables/overview.htm.
- The 2020 NPALS ADSCs and RCCs data briefs and web tables of state estimates are available at https://www.cdc.gov/nchs/npals/study-cycles/index.html.
- Final COVID-19 data from the 2020 NPALS ADSCs and RCCs are available from the NCHS COVID-19 dashboard.
New Products
- Lendon JP, Caffrey C, Melekin A, Singh P, Lu Z, Sengupta M. Overview of post-acute and long-term care providers and services users in the United States, 2020. National Health Statistics Reports; no 208. Hyattsville, MD: National Center for Health Statistics. 2024. DOI: https://dx.doi.org/10.15620/cdc/158328.
- Melekin A, Sengupta M, Caffrey C. Residential care community resident characteristics: United States, 2022. NCHS Data Brief, no 506. Hyattsville, MD: National Center for Health Statistics. 2024. DOI: https://dx.doi.org/10.15620/cdc/158327.
- QuickStats: Percentage of Adult Day Services Centers That Use Any Telehealth, by U.S. Census Bureau Region — United States, 2022. MMWR Morb Mortal Wkly Rep 2024;73:675. DOI: http://dx.doi.org/10.15585/mmwr.mm7330a4.
- Lendon JP, Singh P, Lu Z. Adult day services center participant characteristics: United States, 2022. NCHS Data Brief, no 502. Hyattsville, MD: National Center for Health Statistics. 2024. DOI: https://dx.doi.org/10.15620/cdc/157498.
- QuickStats: Percentage of Residential Care Communities That Use Electronic Health Records, by Community Bed Size — United States, 2018, 2020, and 2022. MMWR Morb Mortal Wkly Rep 2024;73:409. DOI: http://dx.doi.org/10.15585/mmwr.mm7317a6.
- Singh P, Lendon JP, Sengupta M. Alzheimer disease or other dementias in adult day services centers, 2020. National Health Statistics Report; no 198. Hyattsville, MD: National Center for Health Statistics. 2024. DOI: https://doi.org/10.15620/cdc:135024.
- Melekin A, Sengupta M. Infection control policies and practices in residential care communities, by selected organizational and geographic characteristics: United States, 2020. National Health Statistics Reports; no 200. Hyattsville, MD: National Center for Health Statistics. 2024. DOI: https://dx.doi.org/10.15620/cdc:137392.
Data tell stories. Tell us yours!
October 2024
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Stats of the Month
In recognition of World Osteoporosis Day (October 20, 2024), we present estimates from the 2022 National Post-acute and Long-term Care Study (NPALS).
- In 2022, 19.0% of participants in adult day services centers (ADSCs) had a diagnosis1 of osteoporosis.
- In 2022, 11.9% of residents in assisted living and other residential care communities (RCCs) had a diagnosis1 of osteoporosis.
1Using a show card listing 28 “Conditions,” respondents were asked if the sampled user had a diagnosis by a doctor or other health professional for any of the listed conditions.
Sources: Estimates from the 2022 NPALS restricted survey files available through the NCHS Research Data Center (RDC).
Updates
- Data collection for the ADSCs and RCCs of the 2024 NPALS will launch in Fall 2024.
- The 2022 NPALS ADSC and RCC provider and services user public use files are now available at https://www.cdc.gov/nchs/npals/questionnaires/index.html. Restricted data files for the ADSCs and RCCs of the 2022 NPALS are now available through the NCHS Research Data Center (RDC).
- Sponsored by the U.S. Department of Health and Human Services, NCHS is conducting a Direct Care Worker (DCW) Pilot Study in ADSCs, RCCs, and nursing homes to determine the feasibility of conducting a national survey in the future. DCWs such as certified nursing assistants, nursing assistants, home health aides, home care aides, personal care aides, personal care assistants, and medication technicians or medication aides are included.
The Biennial Overview of Post-acute and Long-term Care in the United States dashboard was initially released in June 2023 and is focused on national data for adult day and residential care sectors from the 2020 NPALS. The second update included data on home health, hospice, nursing home, inpatient rehabilitation facility, and long-term care hospital sectors. A recent third update included recent state-level estimates for the adult day services center and residential care community settings. Subsequent releases will provide state-level data on home health, hospice, nursing home, inpatient rehabilitation facility, and long-term care hospital sectors.
- The 2020 NPALS ADSCs and RCCs data briefs and web tables of state estimates are available at https://www.cdc.gov/nchs/npals/study-cycles/index.html.
- Final COVID-19 data from the 2020 NPALS ADSCs and RCCs are available from the NCHS COVID-19 dashboard.
New Products
- Lendon JP, Caffrey C, Melekin A, Singh P, Lu Z, Sengupta M. Overview of post-acute and long-term care providers and services users in the United States, 2020. National Health Statistics Reports; no 208. Hyattsville, MD: National Center for Health Statistics. 2024. DOI: https://dx.doi.org/10.15620/cdc/158328.
- Melekin A, Sengupta M, Caffrey C. Residential care community resident characteristics: United States, 2022. NCHS Data Brief, no 506. Hyattsville, MD: National Center for Health Statistics. 2024. DOI: https://dx.doi.org/10.15620/cdc/158327.
- QuickStats: Percentage of Adult Day Services Centers That Use Any Telehealth, by U.S. Census Bureau Region — United States, 2022. MMWR Morb Mortal Wkly Rep 2024;73:675. DOI: http://dx.doi.org/10.15585/mmwr.mm7330a4.
- Lendon JP, Singh P, Lu Z. Adult day services center participant characteristics: United States, 2022. NCHS Data Brief, no 502. Hyattsville, MD: National Center for Health Statistics. 2024. DOI: https://dx.doi.org/10.15620/cdc/157498.
- QuickStats: Percentage of Residential Care Communities That Use Electronic Health Records, by Community Bed Size — United States, 2018, 2020, and 2022. MMWR Morb Mortal Wkly Rep 2024;73:409. DOI: http://dx.doi.org/10.15585/mmwr.mm7317a6.
- Singh P, Lendon JP, Sengupta M. Alzheimer disease or other dementias in adult day services centers, 2020. National Health Statistics Report; no 198. Hyattsville, MD: National Center for Health Statistics. 2024. DOI: https://doi.org/10.15620/cdc:135024.
- Melekin A, Sengupta M. Infection control policies and practices in residential care communities, by selected organizational and geographic characteristics: United States, 2020. National Health Statistics Reports; no 200. Hyattsville, MD: National Center for Health Statistics. 2024. DOI: https://dx.doi.org/10.15620/cdc:137392.
Data tell stories. Tell us yours!
September 2024
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Stats of the Month
In recognition of Pain Awareness Month (September 2024), we present estimates from the 2022 National Post-acute and Long-term Care Study (NPALS).
- In 2022, 12.4% of participants in adult day services centers (ADSCs) used1 pain management services (medication or non-pharmacological approaches).
- In 2022, 26.9% of residents in assisted living and other residential care communities (RCCs) used1 pain management services (medication or non-pharmacological approaches).
1Using a show card listing 20 "Services" that may be offered by ADSC/RCC staff or provided at the location by non-ADSC/RCC staff, respondents were asked which of the services did the sampled service user currently use
Sources: Estimates from the 2022 NPALS restricted survey files available through the NCHS Research Data Center (RDC).
Updates
- Data collection for the ADSCs and RCCs of the 2024 NPALS will launch in September 2024.
- Restricted data files for the ADSCs and RCCs of the 2022 NPALS are now available through the NCHS Research Data Center (RDC).
- Sponsored by the U.S. Department of Health and Human Services, NCHS is conducting a Direct Care Worker (DCW) Pilot Study in ADSCs, RCCs, and nursing homes to determine the feasibility of conducting a national survey in the future. DCWs such as certified nursing assistants, nursing assistants, home health aides, home care aides, personal care aides, personal care assistants, and medication technicians or medication aides are included.
- Updated long-term care dashboard "Biennial Overview of Post-acute and Long-term Care in the United States" is available at https://www.cdc.gov/nchs/npals/webtables/overview.htm.
The Biennial Overview of Post-acute and Long-term Care in the United States dashboard was initially released in June 2023 and is focused on national data for adult day and residential care sectors from the 2020 NPALS. The second update included data on home health, hospice, nursing home, inpatient rehabilitation facility, and long-term care hospital sectors. A recent third update included recent state-level estimates for the adult day services center and residential care community settings. Subsequent releases will provide state-level data on home health, hospice, nursing home, inpatient rehabilitation facility, and long-term care hospital sectors.
- The 2020 NPALS ADSCs and RCCs data briefs and web tables of state estimates are available at https://www.cdc.gov/nchs/npals/study-cycles/index.html.
- Final COVID-19 data from the 2020 NPALS ADSCs and RCCs are available from the NCHS COVID-19 dashboard.
New Products
- Lendon JP, Caffrey C, Melekin A, Singh P, Lu Z, Sengupta M. Overview of post-acute and long-term care providers and services users in the United States, 2020. National Health Statistics Reports; no 208. Hyattsville, MD: National Center for Health Statistics. 2024. DOI: https://dx.doi.org/10.15620/cdc/158328.
- Melekin A, Sengupta M, Caffrey C. Residential care community resident characteristics: United States, 2022. NCHS Data Brief, no 506. Hyattsville, MD: National Center for Health Statistics. 2024. DOI: https://dx.doi.org/10.15620/cdc/158327.
- QuickStats: Percentage of Adult Day Services Centers That Use Any Telehealth, by U.S. Census Bureau Region — United States, 2022. MMWR Morb Mortal Wkly Rep 2024;73:675. DOI: http://dx.doi.org/10.15585/mmwr.mm7330a4.
- Lendon JP, Singh P, Lu Z. Adult day services center participant characteristics: United States, 2022. NCHS Data Brief, no 502. Hyattsville, MD: National Center for Health Statistics. 2024. DOI: https://dx.doi.org/10.15620/cdc/157498.
- QuickStats: Percentage of Residential Care Communities That Use Electronic Health Records, by Community Bed Size — United States, 2018, 2020, and 2022. MMWR Morb Mortal Wkly Rep 2024;73:409. DOI: http://dx.doi.org/10.15585/mmwr.mm7317a6.
- Singh P, Lendon JP, Sengupta M. Alzheimer disease or other dementias in adult day services centers, 2020. National Health Statistics Report; no 198. Hyattsville, MD: National Center for Health Statistics. 2024. DOI: https://doi.org/10.15620/cdc:135024.
- Melekin A, Sengupta M. Infection control policies and practices in residential care communities, by selected organizational and geographic characteristics: United States, 2020. National Health Statistics Reports; no 205. Hyattsville, MD: National Center for Health Statistics. 2024. DOI: https://dx.doi.org/10.15620/cdc:137392.
Data tell stories. Tell us yours!
August 2024
Data tell stories. Tell us yours!
Stats of the Month
- In 2022, 35.2% of adult day services centers (ADSCs) offered COVID-19 vaccination to participants.
- In 2022, 44.3% of ADSCs offered COVID-19 vaccination to all employees or contract staff.
- In 2022, 85.9% of residential care communities (RCCs) offered COVID-19 vaccination to residents.
- In 2022, 83.2% of RCCs offered COVID-19 vaccination to all employees or contract staff.
Sources: Estimates from the 2022 National Post-acute and Long-term Care Study (NPALS) restricted survey files available through the NCHS Research Data Center (https://www.cdc.gov/rdc/index.htm).
Updates
- Restricted data files for the adult day services center and residential care components of 2022 NPALS are now available through the NCHS Research Data Center (RDC).
- Sponsored by the U.S. Department of Health and Human Services, NCHS is conducting a Direct Care Worker (DCW) Pilot Study in adult day services centers, residential care communities, and nursing homes to determine the feasibility of conducting a national survey in the future. DCWs such as certified nursing assistants, nursing assistants, home health aides, home care aides, personal care aides, personal care assistants, and medication technicians or medication aides are included.
- Updated long-term care dashboard "Biennial Overview of Post-acute and Long-term Care" is available at https://www.cdc.gov/nchs/npals/webtables/overview.htm.
The Biennial Overview of Post-acute and Long-term Care in the United States dashboard was initially released in June and focused on national data for adult day and residential care sectors from the 2020 National Post-acute and Long-term Care Study. The updated dashboard includes data on home health, hospice, nursing home, inpatient rehabilitation facility, and long-term care hospital sectors. Subsequent releases will provide state-level data.
- The 2020 adult day services centers and residential care communities data briefs and web tables of state estimates are available at https://www.cdc.gov/nchs/npals/reports.htm.
- Final COVID data from the adult day and residential care components of the 2020 National Post-acute and Long-term Care Study (NPALS) are available from the NCHS COVID dashboard
New Products
- QuickStats: Percentage of Adult Day Services Centers That Use Any Telehealth, by U.S. Census Bureau Region — United States, 2022. MMWR Morb Mortal Wkly Rep 2024;73:675. DOI: http://dx.doi.org/10.15585/mmwr.mm7330a4.
- Lendon JP, Singh P, Lu Z. Adult day services center participant characteristics: United States, 2022. NCHS Data Brief, no 502. Hyattsville, MD: National Center for Health Statistics. 2024. DOI: https://dx.doi.org/10.15620/cdc/157498.
- Singh P, Lendon JP, Sengupta M. Alzheimer disease or other dementias in adult day services centers, 2020. National Health Statistics Report; no 198. Hyattsville, MD: National Center for Health Statistics. 2024. DOI: https://doi.org/10.15620/cdc:135024.
- Melekin A, Sengupta M. Infection control policies and practices in residential care communities, by selected organizational and geographic characteristics: United States, 2020. National Health Statistics Reports; no 205. Hyattsville, MD: National Center for Health Statistics. 2024. DOI: https://dx.doi.org/10.15620/cdc:137392.
Data tell stories. Tell us yours!
July 2024
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Stats of the Month
In recognition of the importance of pharmaceutical services in the long-term care system, we present data from the 2022 National Post-acute and Long-term Care Study (NPALS):
- In 2022, 14.1% of adult day services centers (ADSCs) offered pharmacy services including filling of or delivery of prescriptions. ADSCs provide the service through paid center employees or arrange for the service to be provided by outside service providers. Referrals only to outside service providers are not considered as providing this service.
- In 2022, 62.3% of residential care communities (RCCs) offered pharmacy services including filling of or delivery of prescriptions. RCCs provide the service through paid center employees or arrange for the service to be provided by outside service providers. Referrals only to outside service providers are not considered as providing this service.
Sources: Estimates from the 2022 National Post-acute and Long-term Care Study (NPALS) restricted survey files available through the NCHS Research Data Center (https://www.cdc.gov/rdc/index.htm).
Updates
- Restricted data files for the adult day services center and residential care components of 2022 NPALS are now available through the NCHS Research Data Center (RDC).
- Sponsored by the U.S. Department of Health and Human Services, NCHS is conducting a Direct Care Worker (DCW) Pilot Study in adult day services centers, residential care communities, and nursing homes to determine the feasibility of conducting a national survey in the future. DCWs such as certified nursing assistants, nursing assistants, home health aides, home care aides, personal care aides, personal care assistants, and medication technicians or medication aides are included.
- Updated long-term care dashboard “Biennial Overview of Post-acute and Long-term Care” is available at https://www.cdc.gov/nchs/npals/webtables/overview.htm.
- The Biennial Overview of Post-acute and Long-term Care in the United States dashboard was initially released in June and focused on national data for adult day and residential care sectors from the 2020 National Post-acute and Long-term Care Study. The updated dashboard includes data on home health, hospice, nursing home, inpatient rehabilitation hospital, and long-term care hospital sectors. Subsequent releases will provide state-level data.
- The 2020 adult day services centers and residential care communities data briefs and web tables of state estimates are available at https://www.cdc.gov/nchs/npals/study-cycles/2020.html.
- Final COVID data from the adult day and residential care components of the 2020 National Post-acute and Long-term Care Study (NPALS) are available from the NCHS COVID dashboard -
New Products
- QuickStats: Percentage of Residential Care Communities That Use Electronic Health Records, by Community Bed Size — United States, 2018, 2020, and 2022. MMWR Morb Mortal Wkly Rep 2024;73:409. DOI: http://dx.doi.org/10.15585/mmwr.mm7317a6.
- Singh P, Lendon JP, Sengupta M. Alzheimer disease or other dementias in adult day services centers, 2020. National Health Statistics Report; no 198. Hyattsville, MD: National Center for Health Statistics. 2024. DOI: https://doi.org/10.15620/cdc:135024.
- Melekin A, Sengupta M. Infection control policies and practices in residential care communities, by selected organizational and geographic characteristics: United States, 2020. National Health Statistics Reports; no 205. Hyattsville, MD: National Center for Health Statistics. 2024. DOI: https://dx.doi.org/10.15620/cdc:137392.
Data tell stories. Tell us yours!
June 2024
Stats of the Month
In recognition of Alzheimer’s and Brain Awareness Month (June 2024), we present estimates from the 2022 National Post-acute and Long-term Care Study (NPALS).
- In 2022, 34.1% of participants in adult day services centers (ADSCs) had a diagnosis of Alzheimer’s disease or other dementias (ADOD).
- In 2022, 43.8% of residents in assisted living and other residential care communities (RCCs) had a diagnosis of ADOD.
Sources: Estimates from the 2022 National Post-acute and Long-term Care Study (NPALS) restricted survey files available through the NCHS Research Data Center (https://www.cdc.gov/rdc/index.htm).
Updates
- Restricted data files for the adult day services center and residential care components of 2022 NPALS are now available through the NCHS Research Data Center (RDC).
- Sponsored by the U.S. Department of Health and Human Services, NCHS is conducting a Direct Care Worker (DCW) Pilot Study in adult day services centers, residential care communities, and nursing homes to determine the feasibility of conducting a national survey in the future. DCWs such as certified nursing assistants, nursing assistants, home health aides, home care aides, personal care aides, personal care assistants, and medication technicians or medication aides are included.
- Updated long-term care dashboard "Biennial Overview of Post-acute and Long-term Care" is available at https://www.cdc.gov/nchs/npals/webtables/overview.htm.
- The Biennial Overview of Post-acute and Long-term Care in the United States dashboard was initially released in June and focused on national data for adult day and residential care sectors from the 2020 National Post-acute and Long-term Care Study. The updated dashboard includes data on home health, hospice, nursing home, inpatient rehabilitation hospital, and long-term care hospital sectors. Subsequent releases will provide state-level data.
- The 2020 adult day services centers and residential care communities data briefs and web tables of state estimates are available at https://www.cdc.gov/nchs/npals/reports.htm.
- Final COVID data from the adult day and residential care components of the 2020 National Post-acute and Long-term Care Study (NPALS) are available from the NCHS COVID dashboard –
New Products
- QuickStats: Percentage of Residential Care Communities That Use Electronic Health Records, by Community Bed Size — United States, 2018, 2020, and 2022. MMWR Morb Mortal Wkly Rep 2024;73:409. DOI: http://dx.doi.org/10.15585/mmwr.mm7317a6.
- Singh P, Lendon JP, Sengupta M. Alzheimer disease or other dementias in adult day services centers, 2020. National Health Statistics Report; no 198. Hyattsville, MD: National Center for Health Statistics. 2024. DOI: https://doi.org/10.15620/cdc:135024.
- Melekin A, Sengupta M. Infection control policies and practices in residential care communities, by selected organizational and geographic characteristics: United States, 2020. National Health Statistics Reports; no 205. Hyattsville, MD: National Center for Health Statistics. 2024. DOI: https://dx.doi.org/10.15620/cdc:137392.
May 2024
Stats of the Month
In recognition of National Osteoporosis Month (May 2024), we present estimates from the 2022 National Post-acute and Long-term Care Study (NPALS).
- In 2022, 19.0% of participants in adult day services centers (ADSCs) had a diagnosis of osteoporosis.
- In 2022, 11.9% of residents in residential care communities (RCCs) had a diagnosis of osteoporosis.
Sources: Estimates from the 2022 National Post-acute and Long-term Care Study (NPALS) restricted survey files available through the NCHS Research Data Center (https://www.cdc.gov/rdc/index.htm).
Updates
- Restricted data files for the adult day services center and residential care components of 2022 NPALS are now available through the NCHS Research Data Center (RDC).
- Sponsored by the U.S. Department of Health and Human Services, NCHS is conducting a Direct Care Worker (DCW) Pilot Study in adult day services centers, residential care communities, and nursing homes to determine the feasibility of conducting a national survey in the future. DCWs such as certified nursing assistants, nursing assistants, home health aides, home care aides, personal care aides, personal care assistants, and medication technicians or medication aides are included.
- Updated long-term care dashboard "Biennial Overview of Post-acute and Long-term Care" is available at https://www.cdc.gov/nchs/npals/webtables/overview.htm.
- The Biennial Overview of Post-acute and Long-term Care in the United States dashboard was initially released in June and focused on national data for adult day and residential care sectors from the 2020 National Post-acute and Long-term Care Study. The updated dashboard includes data on home health, hospice, nursing home, inpatient rehabilitation hospital, and long-term care hospital sectors. Subsequent releases will provide state-level data.
- The 2020 adult day services centers and residential care communities data briefs and web tables of state estimates are available at https://www.cdc.gov/nchs/npals/reports.htm.
- Final COVID data from the adult day and residential care components of the 2020 National Post-acute and Long-term Care Study (NPALS) are available from the NCHS COVID dashboard –
New Products
- QuickStats: Percentage of Residential Care Communities That Use Electronic Health Records, by Community Bed Size — United States, 2018, 2020, and 2022. MMWR Morb Mortal Wkly Rep 2024;73:409. DOI: http://dx.doi.org/10.15585/mmwr.mm7317a6.
- Singh P, Lendon JP, Sengupta M. Alzheimer disease or other dementias in adult day services centers, 2020. National Health Statistics Report; no 198. Hyattsville, MD: National Center for Health Statistics. 2024. DOI: https://doi.org/10.15620/cdc:135024.
- Melekin A, Sengupta M. Infection control policies and practices in residential care communities, by selected organizational and geographic characteristics: United States, 2020. National Health Statistics Reports; no 205. Hyattsville, MD: National Center for Health Statistics. 2024. DOI: https://dx.doi.org/10.15620/cdc:137392.
April 2024
Stats of the Month
In recognition of National Public Health Week (April 1–7, 2023), we present estimates from the 2022 National Post-acute and Long-term Care Study (NPALS).
- In 2022, 54.1% of adult day services centers (ADSCs) had full- and part-time employee and contract registered nurses and 39.4% of ADSCs had full- and part-time employee and contract licensed practical or vocational nurses.
- In 2022, 41.1% of assisted living and similar other residential care communities (RCCs) had full- and part-time employee and contract registered nurses and 37.2% of RCCs had full- and part- time employee and contract licensed practical or vocational nurses.
Sources: Estimates from 2022 Restricted survey files available through the NCHS Research Data Center (https://www.cdc.gov/rdc/index.htm).
Updates
- Restricted data files for the adult day services center and residential care components of 2022 NPALS are now available through the NCHS Research Data Center (RDC).
- Sponsored by the U.S. Department of Health and Human Services, NCHS is conducting a Direct Care Worker (DCW) Pilot Study in adult day services centers, residential care communities, and nursing homes to determine the feasibility of conducting a national survey in the future. DCWs such as certified nursing assistants, nursing assistants, home health aides, home care aides, personal care aides, personal care assistants, and medication technicians or medication aides are included.
- Updated long-term care dashboard "Biennial Overview of Post-acute and Long-term Care" is available at https://www.cdc.gov/nchs/npals/webtables/overview.htm.
- The Biennial Overview of Post-acute and Long-term Care in the United States dashboard was initially released in June and focused on national data for adult day and residential care sectors from the 2020 National Post-acute and Long-term Care Study. The updated dashboard includes data on home health, hospice, nursing home, inpatient rehabilitation hospital, and long-term care hospital sectors. Subsequent releases will provide state-level data.
- The 2020 adult day services centers and residential care communities data briefs and web tables of state estimates are available at https://www.cdc.gov/nchs/npals/reports.htm.
- Final COVID data from the adult day and residential care components of the 2020 National Post-acute and Long-term Care Study (NPALS) are available from the NCHS COVID dashboard –
New Products
- Singh P, Lendon JP, Sengupta M. Alzheimer disease or other dementias in adult day services centers, 2020. National Health Statistics Report; no 198. Hyattsville, MD: National Center for Health Statistics. 2024. DOI: https://doi.org/10.15620/cdc:135024.
- Melekin A, Sengupta M. Infection control policies and practices in residential care communities, by selected organizational and geographic characteristics: United States, 2020. National Health Statistics Reports; no 205. Hyattsville, MD: National Center for Health Statistics. 2024. DOI: https://dx.doi.org/10.15620/cdc:137392.
March 2024
Stats of the Month
In recognition of National Kidney Month (March 2024), we present estimates from the 2022 National Post-acute and Long-term Care Study (NPALS).
- In 2022, 8.5% of participants in adult day services centers (ADSCs) had a diagnosis of chronic kidney disease.
- In 2022, 10.2% of residents in assisted living and similar residential care communities (RCCs) had a diagnosis of chronic kidney disease.
Sources: Estimates from 2022 Restricted survey files available through the NCHS Research Data Center (https://www.cdc.gov/rdc/index.htm).
Updates
- Restricted data files for the adult day services center and residential care components of 2022 NPALS are now available through the NCHS Research Data Center (RDC).
- Sponsored by the U.S. Department of Health and Human Services, NCHS is conducting a Direct Care Worker (DCW) Pilot Study in adult day services centers, residential care communities, and nursing homes to determine the feasibility of conducting a national survey in the future. DCWs such as certified nursing assistants, nursing assistants, home health aides, home care aides, personal care aides, personal care assistants, and medication technicians or medication aides are included.
- Updated long-term care dashboard "Biennial Overview of Post-acute and Long-term Care" is available at https://www.cdc.gov/nchs/npals/webtables/overview.htm.
- The Biennial Overview of Post-acute and Long-term Care in the United States dashboard was initially released in June and focused on national data for adult day and residential care sectors from the 2020 National Post-acute and Long-term Care Study. The updated dashboard includes data on home health, hospice, nursing home, inpatient rehabilitation hospital, and long-term care hospital sectors. Subsequent releases will provide state-level data.
- The 2020 adult day services centers and residential care communities data briefs and web tables of state estimates are available at https://www.cdc.gov/nchs/npals/reports.htm.
- Final COVID data from the adult day and residential care components of the 2020 National Post-acute and Long-term Care Study (NPALS) are available from the NCHS COVID dashboard –
New Products
- Singh P, Lendon JP, Sengupta M. Alzheimer disease or other dementias in adult day services centers, 2020. National Health Statistics Report; no 198. Hyattsville, MD: National Center for Health Statistics. 2024. DOI: https://doi.org/10.15620/cdc:135024.
- Melekin A, Sengupta M. Infection control policies and practices in residential care communities, by selected organizational and geographic characteristics: United States, 2020. National Health Statistics Reports; no 205. Hyattsville, MD: National Center for Health Statistics. 2024. DOI: https://dx.doi.org/10.15620/cdc:137392.
February 2024
Stats of the Month
In recognition of American Heart Month (February 2024), we present estimates from the 2022 National Post-acute and Long-term Care Study (NPALS).
- In 2022, 33.1% of residents in assisted living and similar residential care communities (RCCs) had a diagnosis of heart disease.
- In 2022, 18.5% of participants in adult day services centers (ADSCs) had a diagnosis of heart disease.
Sources: Estimates from 2022 Restricted survey files available through the NCHS Research Data Center (https://www.cdc.gov/rdc/index.htm).
Updates
- Restricted data files for the adult day services center and residential care components of 2022 NPALS are now available through the NCHS Research Data Center (RDC).
- Sponsored by the U.S. Department of Health and Human Services, NCHS is conducting a Direct Care Worker (DCW) Pilot Study in adult day services centers, residential care communities, and nursing homes to determine the feasibility of conducting a national survey in the future. DCWs such as certified nursing assistants, nursing assistants, home health aides, home care aides, personal care aides, personal care assistants, and medication technicians or medication aides are included.
- Updated long-term care dashboard "Biennial Overview of Post-acute and Long-term Care" is available at https://www.cdc.gov/nchs/npals/webtables/overview.htm.
- The Biennial Overview of Post-acute and Long-term Care in the United States dashboard was initially released in June and focused on national data for adult day and residential care sectors from the 2020 National Post-acute and Long-term Care Study. The updated dashboard includes data on home health, hospice, nursing home, inpatient rehabilitation hospital, and long-term care hospital sectors. Subsequent releases will provide state-level data.
- The 2020 adult day services centers and residential care communities data briefs and web tables of state estimates are available at https://www.cdc.gov/nchs/npals/reports.htm.
- Final COVID data from the adult day and residential care components of the 2020 National Post-acute and Long-term Care Study (NPALS) are available from the NCHS COVID dashboard –
New Products
- Singh P, Lendon JP, Sengupta M. Alzheimer disease or other dementias in adult day services centers, 2020. National Health Statistics Report; no 198. Hyattsville, MD: National Center for Health Statistics. 2024. DOI: https://doi.org/10.15620/cdc:135024.
- Melekin A, Sengupta M. Infection control policies and practices in residential care communities, by selected organizational and geographic characteristics: United States, 2020. National Health Statistics Reports; no 205. Hyattsville, MD: National Center for Health Statistics. 2024. DOI: https://dx.doi.org/10.15620/cdc:137392 (Will be available on February 27, 2024)
January 2024
2023 Year in Review
In 2023, the Long-Term Care Statistics Branch (LTCSB) at the National Center for Health Statistics (NCHS) had a productive year. We provided timely data to the public in a peer-reviewed article, data dashboards, and presentations at conferences and meetings. We also launched a pilot study of direct care workers to assess the feasibility of an innovative national study to investigate this increasingly important workforce for long-term care services. LTCSB has been preparing the 2022 NPALS data files for release in 2024 and planning the 2024 NPALS survey.
Peer-reviewed Article
Lendon JP, Caffrey C, Lau DT. End-Of-Life Care Planning and Bereavement Practices Among Adult Day Services Centers, 2018. American Journal of Hospice and Palliative Medicine®. 2023;0(0). doi:10.1177/10499091231163269
2020 NPALS data dashboard
The 2020 Biennial Overview of Post-acute and Long-term Care in the United States dashboards were released in June and focused on national data for ADSCs and RCCs using data from 2020 NPALS. The newly updated dashboards include data on home health, hospice, nursing home, inpatient rehabilitation hospital, and long-term care hospital settings. Future releases will provide state-level data for all of the settings. The 2020 Biennial Overview of Post-acute and Long-term Care is available at https://www.cdc.gov/nchs/npals/webtables/overview.htm.
Presentations
LTCSB staff presented at various conferences and meetings in 2023. These include the National Center for Assisted Living State Affiliate Meeting, US Senate Special Committee on Aging Staff, multi-HHS agency Home and Community Based Care Forward group, 2023 Federal Committee on Statistical Methodology Research and Policy Conference, NIH Webinar Series: Data from National Center for Health Statistics, at the Gerontological Society of America Annual Research Meeting, and at the Administration for Community Living (ACL) meeting.
Direct Care Worker (DCW) Pilot Study
Sponsored by the U.S. Department of Health and Human Services, NCHS is conducting a Direct Care Worker (DCW) Pilot Study in ADSCs, RCCs, and nursing homes to determine the feasibility of conducting a national survey in the future. The pilot includes a comprehensive survey of DCWs, such as certified nursing assistants, nursing assistants, home health aides, home care aides, personal care aides, personal care assistants, and medication technicians or medication aides.
Future Data Release
NCHS is preparing restricted data files for the 2022 NPALS ADSC and RCC surveys. Data collection for the ADSC and RCC components of 2022 NPALS ended in March 2023. LTCSB anticipates the restricted data files will be available by the end of January 2024.
About NPALS
LTCSB would like to thank you for following our listserv and for your continued use and support of NPALS. In 2024, LTCSB will continue to publish NPALS products using the 2020 and 2022 data. Please stay tuned. From all of us here at NCHS, we wish you a wonderful new year!
In January 2020, National Study of Long-Term Care Providers (NSLTCP) was renamed National Post-acute and Long-term Care Study (NPALS) to better reflect the scope of NCHS' study of long-term and post-acute care. This new name reflects the addition of more post-acute sectors (inpatient rehabilitation facilities and long-term care hospitals), while keeping the sectors (adult day services centers, assisted living and similar residential care communities, home health agencies, hospices, and nursing homes) that have been in the study since it launched in 2012. The information NCHS collects about ADSCs and participants and RCCs and residents remains the same.
December 2023
Stats of the Month
In recognition of National Influenza Vaccination Week (December 4-8, 2023), we present data from the 2020 National Post-acute and Long-term Care Study (NPALS).
- In 2020, 34.9% of adult day services centers (ADSCs) offered annual influenza vaccination to participants (From Long-Term Care Providers and Services Users in the United States, Adult Day Services Center Component: National Post-acute and Long-term Care Study, 2020: Weighted National Estimates and Standard Errors).
- In 2020, 86.1% of residential care communities (RCCs) offered annual influenza vaccination to residents (From Long-Term Care Providers and Services Users in the United States, Residential Care Component: National Post-acute and Long-term Care Study, 2020: Weighted National Estimates and Standard Errors).
Updates
- Sponsored by the U.S. Department of Health and Human Services, NCHS is conducting a Direct Care Worker (DCW) Pilot Study in adult day services centers, residential care communities, and nursing homes to determine the feasibility of conducting a national survey in the future. DCWs such as certified nursing assistants, nursing assistants, home health aides, home care aides, personal care aides, personal care assistants, and medication technicians or medication aides are included.
- Updated long-term care dashboard "Biennial Overview of Post-acute and Long-term Care" is available at https://www.cdc.gov/nchs/npals/webtables/overview.htm.
- The Biennial Overview of Post-acute and Long-term Care in the United States dashboard was initially released in June and focused on national data for adult day and residential care sectors from the 2020 National Post-acute and Long-term Care Study. The updated dashboard includes data on home health, hospice, nursing home, inpatient rehabilitation hospital, and long-term care hospital sectors. Subsequent releases will provide state-level data.
- The 2020 adult day services centers and residential care communities data briefs and web tables of state estimates are available at https://www.cdc.gov/nchs/npals/reports.htm.
- Data collection for the residential care community and adult day components of the 2022 NPALS ended in March 2023.
- Final COVID data from the adult day and residential care components of the 2020 National Post-acute and Long-term Care Study (NPALS) are available from the NCHS COVID dashboard –
- Restricted data files for the adult day services center and residential care components of 2020 NPALS are now available through the NCHS Research Data Center (RDC).
November 2023
Stats of the Month
In recognition of National Hospice and Palliative Care Month (November 2023), we present data from the 2020 National Post-acute and Long-term Care Study (NPALS).
- In 2020, 24.4% of adult day services centers (ADSCs) provided hospice services (From Long-Term Care Providers and Services Users in the United States, Adult Day Services Center Component: National Post-acute and Long-term Care Study, 2020: Weighted National Estimates and Standard Errors).
- In 2020, 73.7% of assisted living and similar residential care communities (RCCs) provided hospice services (From Long-Term Care Providers and Services Users in the United States, Residential Care Component: National Post-acute and Long-term Care Study, 2020: Weighted National Estimates and Standard Errors).
Updates
- Sponsored by the U.S. Department of Health and Human Services, NCHS is conducting a Direct Care Worker (DCW) Pilot Study in adult day services centers, residential care communities, and nursing homes to determine the feasibility of conducting a national survey in the future. DCWs such as certified nursing assistants, nursing assistants, home health aides, home care aides, personal care aides, personal care assistants, and medication technicians or medication aides are included.
- Updated long-term care dashboard "Biennial Overview of Post-acute and Long-term Care" available at https://www.cdc.gov/nchs/npals/webtables/overview.htm
- The Biennial Overview of Post-acute and Long-term Care in the United States dashboard was initially released in June and focused on national data for adult day and residential care sectors from the 2020 National Post-acute and Long-term Care Study. The updated dashboard includes data on home health, hospice, nursing home, inpatient rehabilitation hospital, and long-term care hospital sectors. Subsequent releases will provide state-level data.
- The 2020 adult day services centers and residential care communities data briefs and web tables of state estimates are available at https://www.cdc.gov/nchs/npals/reports.htm.
- Data collection for the residential care community and adult day components of the 2022 NPALS ended in March 2023.
- Final COVID data from the adult day and residential care components of the 2020 National Post-acute and Long-term Care Study (NPALS) are available from the NCHS COVID dashboard –
- Restricted data files for the adult day services center and residential care components of 2020 NPALS are now available through the NCHS Research Data Center (RDC).
October 2023
Stats of the Month
In recognition of National Depression Screening Day (October 5), we present data from the 2020 National Post-acute and Long-term Care Study (NPALS).
- In 2020, 25.3% of participants in adult day services centers (ADSCs) had a diagnosis of depression (From Long-Term Care Providers and Services Users in the United States, Adult Day Services Center Component: National Post-acute and Long-term Care Study, 2020: Weighted National Estimates and Standard Errors).
- In 2020, 28.6% of residents in assisted living and similar residential care communities (RCCs) had a diagnosis of depression (From Long-Term Care Providers and Services Users in the United States, Residential Care Component: National Post-acute and Long-term Care Study, 2020: Weighted National Estimates and Standard Errors).
Updates
- Sponsored by the U.S. Department of Health and Human Services, NCHS is conducting a Direct Care Worker (DCW) Pilot Study in adult day services centers, residential care communities, and nursing homes to determine the feasibility of conducting a national survey in the future. DCWs such as certified nursing assistants, nursing assistants, home health aides, home care aides, personal care aides, personal care assistants, and medication technicians or medication aides are included.
- Data from the 2020 NPALS are now available in a new long-term care dashboard "Biennial Overview of Post-acute and Long-term Care" at https://www.cdc.gov/nchs/npals/webtables/overview.htm.
- The 2020 adult day services centers and residential care communities data briefs and web tables of state estimates are available at https://www.cdc.gov/nchs/npals/reports.htm.
- Data collection for the residential care community and adult day components of the 2022 NPALS ended in March 2023.
- Final COVID data from the adult day and residential care components of the 2020 National Post-acute and Long-term Care Study (NPALS) are available from the NCHS COVID dashboard –
- Restricted data files for the adult day services center and residential care components of 2020 NPALS are now available through the NCHS Research Data Center (RDC).
September 2023
Stats of the Month
In recognition of National Assisted Living Week (September 10–16) we present estimates from the 2020 National Post-acute and Long-term Care Study (NPALS).
- In 2020, there were about 30,600 assisted living and similar residential care communities (RCCs) serving around 818,800 residents (estimates are rounded to the nearest hundred).
In recognition of National Adult Day Services Week (September 17–23) we present estimates from the 2020 National Post-acute and Long-term Care Study (NPALS).
- In 2020, there were about 4,100 adult day services centers (ADSCs) serving around 237,400 participants (estimates are rounded to the nearest hundred).
Source: Estimates from the 2020 National Post-acute and Long-term Care Study Survey Methodology for the Adult Day Services Center and Residential Care Community Components
Updates
- Restricted data files for the adult day services center and residential care components of 2020 NPALS are now available through the NCHS Research Data Center (RDC).
- Data from the 2018 study are processed and public use files are now available for download from the National Post-acute and Long-term Care Study (NPALS) website.
- Restricted use files that include variables not included in the 2018 public use files are available through Research Data Center (RDC) website.
- Beginning January 2020, NSLTCP has been renamed the National Post-acute and Long-term Care Study (NPALS).
August 2023
Stats of the Month
In recognition of National Seniors Day (August 21), we present estimates from the 2020 National Post-acute and Long-term Care Study (NPALS).
- In 2020, 23.7% of participants in adult day services centers (ADSCs) were 65-74 years old, 24.9% were 75-84 years old, and 14.6% were 85 and over (From Long-Term Care Providers and Services Users in the United States, Adult Day Services Center Component: National Post-acute and Long-term Care Study, 2020: Weighted National Estimates and Standard Errors).
- In 2020, 13.4% of residents in assisted living and similar residential care communities (RCCs) were 65-74 years old, 30.9% were 75-84 years old, and 49.9% were 85 and over (From Long-Term Care Providers and Services Users in the United States, Residential Care Component: National Post-acute and Long-term Care Study, 2020: Weighted National Estimates and Standard Errors).
Updates
- The 2020 national data for adult day and residential care are available from the Post-acute and Long-term Care dashboard – https://www.cdc.gov/nchs/npals/webtables/overview.htm.
- The 2020 adult day services centers and residential care communities weighted national estimates and standard errors tables are available at https://www.cdc.gov/nchs/npals/webtables.htm.
- The 2020 adult day services centers and residential care communities data briefs and web tables of state estimates are available at https://www.cdc.gov/nchs/npals/reports.htm.
- Data collection for the residential care community and adult day components of the 2022 NPALS ended in March 2023.
- Final COVID data from the adult day and residential care components of the 2020 National Post-acute and Long-term Care Study (NPALS) are available from the NCHS COVID dashboard –
- Restricted data files for the adult day services center and residential care components of 2020 NPALS are available through the NCHS Research Data Center (RDC).
July 2023
Stats of the Month
In recognition of National Minority Mental Health Awareness Month (July 1–31), we present data from the 2020 National Post-acute and Long-term Care Study (NPALS).
- In 2020, 28% of participants in adult day services centers (ADSCs) predominantly serving racial/ethnic minorities1 had a diagnosis of depression compared with 24% of participants in ADSCs predominantly serving non-Hispanic White2 participants.
- In 2020, 23% of residents in assisted living and other residential care communities (RCCs) predominantly serving racial/ethnic minorities1 had a diagnosis of depression compared with 29% of residents in RCCs predominantly serving non-Hispanic White2 residents.
1ADSCs/RCCs were categorized as predominantly serving racial/ethnic minorities if more than 80% of enrolled participants/residents were Hispanic, non-Hispanic Black, Asian, American Indian or Alaska Native, two or more races, Native Hawaiian or Other Pacific Islander or other race/ethnicity category.
2ADSCs/RCCs were categorized as predominantly serving non-Hispanic White participants/residents if more than 80% of enrolled participants/residents were non-Hispanic White.
Source
- Estimates from 2020 Restricted survey files available through the NCHS Research Data Center (https://www.cdc.gov/rdc/index.htm).
Updates
- The 2020 national data for adult day and residential care dashboard are available at https://www.cdc.gov/nchs/npals/webtables/overview.htm.
- The 2020 adult day services centers and residential care communities weighted national estimates and standard errors tables are available at https://www.cdc.gov/nchs/npals/webtables.htm.
- The 2020 adult day services centers and residential care communities data briefs and web tables of state estimates are available at https://www.cdc.gov/nchs/npals/reports.htm.
- Data collection for the residential care community and adult day components of the 2022 NPALS ended in March 2023.
- Final COVID data from the adult day and residential care components of the 2020 National Post-acute and Long-term Care Study (NPALS) are available from the NCHS COVID dashboard –
- Restricted data files for the adult day services center and residential care components of 2020 NPALS are available through the NCHS Research Data Center (RDC).
June 2023
Stats of the Month
In recognition of Alzheimer’s and Brain Awareness Month (June 2023), we present estimates from the 2020 National Post-acute and Long-term Care Study (NPALS).
- In 2020, 24.7% of participants in adult day services centers (ADSCs) had a diagnosis of Alzheimer’s disease or other dementias (ADOD) (From Long-Term Care Providers and Services Users in the United States, Adult Day Services Center Component: National Post-acute and Long-term Care Study, 2020: Weighted National Estimates and Standard Errors).
- In 2020, 42.1% of residents in assisted living and other residential care communities (RCCs) had a diagnosis of ADOD (From Long-Term Care Providers and Services Users in the United States, Residential Care Component: National Post-acute and Long-term Care Study, 2020: Weighted National Estimates and Standard Errors).
Updates
- The 2020 adult day services centers and residential care communities weighted national estimates and standard errors tables are available at https://www.cdc.gov/nchs/npals/webtables.htm .
- The 2020 adult day services centers and residential care communities data briefs and web tables of state estimates are available at https://www.cdc.gov/nchs/npals/reports.htm.
- Data collection for the residential care community and adult day components of the 2022 NPALS ended in March 2023.
- Final COVID data from the adult day and residential care components of the 2020 National Post-acute and Long-term Care Study (NPALS) are available from the NCHS COVID dashboard –
- Restricted data files for the adult day services center and residential care components of 2020 NPALS are available through the NCHS Research Data Center (RDC).
May 2023
Stats of the Month
In recognition of National Osteoporosis Month (May 2023), we present estimates from the 2020 National Post-acute and Long-term Care Study (NPALS).
- In 2020, 17.6% of participants in adult day services centers (ADSCs) had a diagnosis of osteoporosis (From Long-Term Care Providers and Services Users in the United States, Adult Day Services Center Component: National Post-acute and Long-term Care Study, 2020: Weighted National Estimates and Standard Errors).
- In 2020, 19.0% of residents in residential care communities (RCCs) had a diagnosis of osteoporosis (From Long-Term Care Providers and Services Users in the United States, Residential Care Component: National Post-acute and Long-term Care Study, 2020: Weighted National Estimates and Standard Errors).
Updates
- The 2020 adult day services centers and residential care communities weighted national estimates and standard errors tables are available at https://www.cdc.gov/nchs/npals/webtables.htm .
- The 2020 adult day services centers and residential care communities data briefs and web tables of state estimates are available at https://www.cdc.gov/nchs/npals/reports.htm.
- Data collection for the residential care community and adult day components of the 2022 NPALS ended in March 2023.
- Final COVID data from the adult day and residential care components of the 2020 National Post-acute and Long-term Care Study (NPALS) are available from the NCHS COVID dashboard –
- Restricted data files for the adult day services center and residential care components of 2020 NPALS are available through the NCHS Research Data Center (RDC).
April 2023
Stats of the Month
In recognition of National Public Health Week (April 3-9, 2023), we present estimates from the 2020 National Post-acute and Long-term Care Study (NPALS).
- In 2020, 52.3% of adult day services centers (ADSCs) employed one or more full-time registered nurses and 33.8% of ADSCs employed one or more full-time licensed practical or vocational nurses (From Long-Term Care Providers and Services Users in the United States, Adult Day Services Center Component: National Post-acute and Long-term Care Study, 2020: Weighted National Estimates and Standard Errors).
- In 2020, 40.3% of assisted living and similar other residential care communities (RCCs) employed one or more full-time registered nurses and 37.9% of RCCs employed one or more full-time licensed practical or vocational nurses (From Long-Term Care Providers and Services Users in the United States, Residential Care Component: National Post-acute and Long-term Care Study, 2020: Weighted National Estimates and Standard Errors).
Updates
- The 2020 adult day services centers and residential care communities weighted national estimates and standard errors tables are available at https://www.cdc.gov/nchs/npals/webtables.htm.
- The 2020 adult day services centers and residential care communities data briefs and web tables of state estimates are available at https://www.cdc.gov/nchs/npals/reports.htm.
- Data collection for the residential care community and adult day components of the 2022 NPALS ended in March 2023. * Final COVID data from the adult day and residential care components of the 2020 National Post-acute and Long-term Care Study (NPALS) are available from the NCHS COVID dashboard –
- Restricted data files for the adult day services center and residential care components of 2020 NPALS are available through the NCHS Research Data Center (RDC) .
New Products
Lendon JP, Caffrey C, Lau DT. End-Of-Life Care Planning and Bereavement Practices Among Adult Day Services Centers, 2018. American Journal of Hospice and Palliative Medicine®. 2023;0(0). doi:10.1177/10499091231163269
March 2023
Stats of the Month
In recognition of National Kidney Month (March 2023), we present estimates from the 2020 National Post-acute and Long-term Care Study (NPALS).
- In 2020, 10.0% of current residents in assisted living and similar adult day services centers (ADSCs) had a diagnosis of chronic kidney disease (From Long-Term Care Providers and Services Users in the United States, Adult Day Services Center Component: National Post-acute and Long-term Care Study, 2020: Weighted National Estimates and Standard Errors).
- In 2020, 31.1% of residents in assisted living and similar residential care communities (RCCs) had a diagnosis of chronic kidney disease (From Long-Term Care Providers and Services Users in the United States, Residential Care Component: National Post-acute and Long-term Care Study, 2020: Weighted National Estimates and Standard Errors).
Updates
- The 2020 adult day services centers and residential care communities weighted national estimates and standard errors tables are available at https://www.cdc.gov/nchs/npals/webtables.htm.
- The 2020 adult day services centers and residential care communities data briefs and web tables of state estimates are available at https://www.cdc.gov/nchs/npals/reports.htm.
- Data collection for the residential care community and adult day components of the 2022 NPALS was launched in September 2022.
- Final COVID data from the adult day and residential care components of the 2020 National Post-acute and Long-term Care Study (NPALS) are available from the NCHS COVID dashboard –
- Restricted data files for the adult day services center and residential care components of 2020 NPALS are available through the NCHS Research Data Center (RDC).
February 2023
Stats of the Month
In recognition of American Heart Month (February 2023), we present estimates from the 2020 National Post-acute and Long-term Care Study (NPALS).
- In 2020, 31.1% of residents in assisted living and similar residential care communities (RCCs) had a diagnosis of heart disease (From Long-Term Care Providers and Services Users in the United States, Residential Care Component: National Post-acute and Long-term Care Study, 2020: Weighted National Estimates and Standard Errors).
- In 2020, 22.1% of participants in adult day services centers (ADSCs) had a diagnosis of heart disease (From Long-Term Care Providers and Services Users in the United States, Adult Day Services Center Component: National Post-acute and Long-term Care Study, 2020: Weighted National Estimates and Standard Errors).
Updates
- The 2020 adult day services centers and residential care communities weighted national estimates and standard errors tables are now available at https://www.cdc.gov/nchs/npals/webtables.htm.
- The 2020 adult day services centers and residential care communities data briefs and web tables of state estimates are now available at https://www.cdc.gov/nchs/npals/reports.htm.
- Data collection for the residential care community and adult day components of the 2022 NPALS was launched in September 2022.
- Final COVID data from the adult day and residential care components of the 2020 National Post-acute and Long-term Care Study (NPALS) are now available from the NCHS COVID dashboard –
- Restricted data files for the adult day services center and residential care components of 2020 NPALS are now available through the NCHS Research Data Center (RDC).
- Beginning January 2020, NSLTCP has been renamed the National Post-acute and Long-term Care Study (NPALS).
New Products
- Caffrey C, Melekin A, Lu Z, Sengupta M. Variation in residential care community resident characteristics, by size of community: United States, 2020. NCHS Data Brief, no 454. Hyattsville, MD: National Center for Health Statistics. 2022. DOI: https://dx.doi.org/10.15620/cdc:121910.
- Caffrey C, Melekin A, Lu Z, Sengupta M. 2020 National Post-acute and Long-term Care Study Web Tables of State Estimates about Residential Care Community Residents. Hyattsville, MD: National Center for Health Statistics. 2022. Available at: https://www.cdc.gov/nchs/data/npals/2020-RCC-DB454-state-tables-508.pdf.
- Caffrey C, Melekin A, Lu Z, Sengupta M. 2020 National Post-acute and Long-term Care Study Web Tables of State Estimates about Residential Care Community Residents. Hyattsville, MD: National Center for Health Statistics. 2022. Available at: https://www.cdc.gov/nchs/data/npals/2020-RCC-DB454-state-tables-508.pdf.
- Singh P, Lu Z, Sengupta M. Variation in adult day services center participant characteristics by center ownership: United States, 2020. NCHS Data Brief, no 453. Hyattsville, MD: National Center for Health Statistics. 2022. DOI: https://dx.doi.org/10.15620/cdc:122046.
- Singh, P., Lu, Z., Sengupta, M. 2020 National Post-acute and Long-term Care Study Web Tables of State Estimates on Adult Day Services Center Participants. Hyattsville, MD: National Center for Health Statistics. 2022. Available at: https://www.cdc.gov/nchs/data/npals/2020-ADSC-DB453-state-tables-508.pdf.
- Singh, P., Lu, Z., Sengupta, M. 2020 National Post-acute and Long-term Care Study Web Tables of State Estimates on Adult Day Services Center Participants. Hyattsville, MD: National Center for Health Statistics. 2022. Available at: https://www.cdc.gov/nchs/data/npals/2020-ADSC-DB453-state-tables-508.pdf.
January 2023
2022 Year in Review
In 2022, the Long-Term Care Statistics Branch (LTCSB) at the National Center for Health Statistics (NCHS) had a productive year, providing timely data to the public in a variety of ways, publishing reports and making presentations of findings in conferences and meetings. LTCSB released several data files and publications using data from the National Post-acute and Long-term Care Study (NPALS) surveys of adult day services centers (ADSCs) and residential care communities (RCCs). You can find these publications and data releases at the links in the sections below.
NCHS Reports
- Melekin A, Lu Z, Singh P, Lendon JP, Caffrey C, Sengupta M. Long-term care providers and services users in the United States—Residential care component: National Post-acute and Long-term Care Study, 2020: Weighted national estimates and standard errors. Hyattsville, MD: National Center for Health Statistics. 2022. Available at: https://www.cdc.gov/nchs/data/npals/2020-NPALS-RCC-Weighted-Estimates-508.pdf.
- Melekin A, Singh P, Lu Z, Lendon JP, Caffrey C, Sengupta M. Long-term care providers and services users in the United States—Adult day services center component: National Post-acute and Long-term Care Study, 2020: Weighted national estimates and standard errors. Hyattsville, MD: National Center for Health Statistics. 2022. Available at: https://www.cdc.gov/nchs/data/npals/2020-NPALS-ADSC-Weighted-Estimates-508.pdf.
- Caffrey C, Melekin A, Lu Z, Sengupta M. Variation in residential care community resident characteristics, by size of community: United States, 2020. NCHS Data Brief, no 454. Hyattsville, MD: National Center for Health Statistics. 2022. DOI: https://dx.doi.org/10.15620/cdc:121910.
- Caffrey C, Melekin A, Lu Z, Sengupta M. 2020 National Post-acute and Long-term Care Study Web Tables of State Estimates about Residential Care Community Residents. Hyattsville, MD: National Center for Health Statistics. 2022. Available at: https://www.cdc.gov/nchs/data/npals/2020-RCC-DB454-state-tables-508.pdf.
- Caffrey C, Melekin A, Lu Z, Sengupta M. 2020 National Post-acute and Long-term Care Study Web Tables of State Estimates about Residential Care Community Residents. Hyattsville, MD: National Center for Health Statistics. 2022. Available at: https://www.cdc.gov/nchs/data/npals/2020-RCC-DB454-state-tables-508.pdf.
- Singh P, Lu Z, Sengupta M. Variation in adult day services center participant characteristics by center ownership: United States, 2020. NCHS Data Brief, no 453. Hyattsville, MD: National Center for Health Statistics. 2022. DOI: https://dx.doi.org/10.15620/cdc:122046.
- Singh, P., Lu, Z., Sengupta, M. 2020 National Post-acute and Long-term Care Study Web Tables of State Estimates on Adult Day Services Center Participants. Hyattsville, MD: National Center for Health Statistics. 2022. Available at: https://www.cdc.gov/nchs/data/npals/2020-ADSC-DB453-state-tables-508.pdf.
- Singh, P., Lu, Z., Sengupta, M. 2020 National Post-acute and Long-term Care Study Web Tables of State Estimates on Adult Day Services Center Participants. Hyattsville, MD: National Center for Health Statistics. 2022. Available at: https://www.cdc.gov/nchs/data/npals/2020-ADSC-DB453-state-tables-508.pdf.
- Melekin, A. and Sengupta, M. QuickStats: Percentage of Residential Care Communities that Offer Annual Influenza Vaccination to Residents and to Employees and Contract Staff Members, by Community Bed Size – United States, 2020. MMWR Morb Mortal Wkly Rep. DOI: http://dx.doi.org/10.15585/mmwr.mm7140a6.
- Caffrey, C. and Sengupta, M. QuickStats: Percentage of Residential Care Communities That Use Electronic Health Records, by Community Bed Size — United States, 2016 and 2020. MMWR Morb Mortal Wkly Rep. DOI: http://dx.doi.org/10.15585/mmwr.mm7139a7.
- Sengupta M, Lendon JP, Caffrey C, Melekin A, Singh P. Post-acute and long-term care providers and services users in the United States, 2017–2018. National Center for Health Statistics. Vital Health Stat 3(47). 2022. DOI: https://dx.doi.org/10.15620/cdc:115346.
- Sengupta M, Lendon JP, Caffrey C, Melekin A, Singh P. Figures from Post-acute and Long-term Care Providers and Services Users in the United States, 2017–2018. National Center for Health Statistics. Vital Health Stat 3(47). 2022.
- Sengupta M, Lendon JP, Caffrey C, Melekin A, Singh P. Figures from Post-acute and Long-term Care Providers and Services Users in the United States, 2017–2018. National Center for Health Statistics. Vital Health Stat 3(47). 2022.
- Sengupta M, Singh P, Melekin A. Eligibility rate differences among residential care communities: 2010 National Survey of Residential Care Facilities and 2012–2018 National Study of Long-Term Care Providers. National Center for Health Statistics. Vital Health Stat 2(192). 2022. DOI: https://dx.doi.org/10.15620/cdc:115807
Long-term Care and COVID-19 data
LTCSB updated the preliminary COVID-19 data dashboard with final 2020 NPALS estimates. Information about the experiences of COVID-19 among ADSCs and RCCs, including the number of COVID-19 cases, hospitalizations, and deaths among users and staff, practices taken to reduce COVID-19 exposure and transmission, and personal protective equipment (PPE) shortages, can be found here: https://www.cdc.gov/nchs/covid19/npals.htm.
2020 Data Release
Restricted use files for the residential care community and adult day components of NPALS are available through the NCHS Research Data Center (RDC).
Documentation is available under the 2020 tab here: https://www.cdc.gov/nchs/npals/questionnaires.htm.
Presentations
LTCSB staff has presented at various conferences and meetings in 2022. These include the NIH Webinar Series: Data from National Center for Health Statistics, DHQP-DAV TF (CDC) PointClickCare collaborative call, and the Annual Meetings of the Gerontological Society of America 2022.
About NPALS
In January 2020, National Study of Long-Term Care Providers (NSLTCP) was renamed National Post-acute and Long-term Care Study (NPALS) to better reflect the scope of NCHS' study of long-term and post-acute care. This new name reflects the addition of more post-acute sectors (inpatient rehabilitation facilities and long-term care hospitals), while keeping the sectors (adult day services centers, assisted living and similar residential care communities, home health agencies, hospices, and nursing homes) that have been in the study since it launched in 2012. The information NCHS collects about ADSCs and participants and RCCs and residents remains the same.
LTCSB would like to thank you for following our listserv and for your continued use and support of NPALS. In 2023, LTCSB will publish NPALS products using the 2020 data. Please stay tuned. From all of us here at NCHS, we wish you a wonderful new year!
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Feedback
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