Quality of Skilled Nursing Facilities Serving Rural Medicare Beneficiaries


  • Abstract

    Rural Medicare beneficiaries receive care from skilled nursing facilities (SNFs) located in both rural and urban communities. Over one-fifth of urban SNFs have patient populations consisting of 10% or more rural beneficiaries and can be considered rural-serving along with rural SNFs. In this policy brief, we examine variation in Medicare star ratings for SNFs by rural-serving status. While overall star ratings and staffing star ratings were not significantly associated with rural-serving status, rural SNFs and rural-serving urban SNFs were significantly less likely to have high quality star ratings compared to non-rural-serving urban SNFs. However, SNFs in isolated small rural communities were more likely to have high survey star ratings compared to non-rural-serving urban SNFs. The relationship between SNF quality and rural-serving status is not consistent across the different types of star ratings.


  • Authors:

    Mroz TM, Garberson LA, Andrilla CHA, Patterson DG

  • Journal/Publisher:

    WWAMI Rural Health Research Center, University of Washington

  • Edition:

    Feb 2022.

  • Documents:

    Policy Brief

  • Citation:

    Mroz TM, Garberson LA, Andrilla CHA, Patterson DG. Quality of Skilled Nursing Facilities Serving Rural Medicare Beneficiaries. Policy Brief. WWAMI Rural Health Research Center, University of Washington; February 2022.

  • Related Studies:

    Post-acute Care Quality for Rural Medicare Beneficiaries