SNF facility characteristics by ACO participation status

Generated 2026-10-28 10:40. Cost report rules: 360-370 day reports; FY-to-CY attribution OFF; gov't/territory exclusion ON; other income NA-to-zero ON; G-3 winsorized by year ON.

Table. SNF Facility Characteristics by ACO Participation Status
Table 1. SNF Facility Characteristics by ACO Participation Status
Characteristic Overall
N = 13,5421		 Never participated
N = 12,7651		 Exited before 2026
N = 2851		 Participating as of 2026
N = 4921		 p-value
Facility Characteristics
Certified beds 108.4 (55.9) 108.4 (56.0) 116.0 (58.0) 104.4 (53.3) 0.015
Occupancy rate, % (LTC Focus) 77.1 (16.4) 76.8 (16.5) 81.0 (13.3) 79.6 (14.6) <0.001
Urban location



<0.001
    Rural 3,296 (25.3%) 3,170 (25.8%) 40 (14.0%) 86 (17.5%)
    Urban 9,749 (74.7%) 9,098 (74.2%) 245 (86.0%) 406 (82.5%)
Hospital-based SNF 77 (0.6%) 76 (0.6%) 0 (0.0%) 1 (0.2%) 0.239
Continuing care retirement community 1,518 (11.6%) 1,361 (11.1%) 36 (12.6%) 121 (24.6%) <0.001
Facilities in chain 57.7 (76.0) 58.7 (77.2) 38.1 (50.2) 36.8 (40.4) <0.001
1 Mean (SD); n (%)
Source: CMS Nursing Home Compare (April 2026); HCRIS multi-year mean 2021-2026 (nhcr_2021_2024_07). Continuous: mean (SD). Categorical: n (%). Star ratings: mean (SD), scale 1-5. Financial variables in dollars. p-values: Kruskal-Wallis (continuous), chi-square with simulation (categorical). Bold p < 0.05.