SNF patient 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 Patient Characteristics (LTC Focus) by ACO Participation Status
Table 1. SNF Patient Characteristics (LTC Focus) by ACO Participation Status
Characteristic Overall
N = 13,542
1
Never participated
N = 12,765
1
Exited before 2026
N = 285
1
Participating as of 2026
N = 492
1
p-value
Patient Demographics
Average age, years (LTC Focus) 77.9 (6.4) 77.7 (6.4) 79.8 (4.9) 81.0 (5.6) <0.001
Female, % (LTC Focus) 62.4 (11.8) 62.1 (11.9) 65.7 (10.0) 67.7 (9.2) <0.001
Under age 65, % (LTC Focus) 19.6 (14.8) 19.9 (14.8) 15.2 (11.4) 11.6 (12.9) <0.001
White, % (LTC Focus) 75.4 (22.7) 75.0 (22.9) 78.2 (20.3) 82.9 (19.4) <0.001
Black, % (LTC Focus) 16.8 (20.6) 17.1 (20.8) 13.9 (17.7) 12.1 (18.5) <0.001
Hispanic, % (LTC Focus) 4.6 (11.4) 4.7 (11.5) 4.8 (13.1) 1.9 (7.1) <0.001
Patient Clinical Conditions
Alzheimer's/dementia, % (LTC Focus) 42.7 (14.5) 42.6 (14.5) 43.5 (14.4) 44.1 (14.0) 0.074
Congestive heart failure, % (LTC Focus) 25.2 (8.3) 25.0 (8.2) 26.1 (7.8) 28.0 (9.2) <0.001
Hypertension, % (LTC Focus) 78.6 (9.2) 78.5 (9.3) 79.9 (8.4) 80.1 (8.9) <0.001
Schizophrenia or bipolar disorder, % (LTC Focus) 16.3 (13.9) 16.7 (14.0) 12.1 (10.2) 9.2 (11.3) <0.001
Obesity, % (LTC Focus) 29.4 (8.7) 29.5 (8.7) 28.1 (7.2) 29.1 (7.8) 0.090
Patient Functional & Cognitive Status
Average ADL score (LTC Focus) 16.5 (2.4) 16.5 (2.4) 16.8 (2.0) 17.0 (1.9) <0.001
Able to walk, % (LTC Focus) 4.8 (9.5) 5.0 (9.7) 2.8 (6.5) 3.0 (6.9) <0.001
Bed-fast, % (LTC Focus) 20.6 (12.2) 20.7 (12.3) 19.4 (10.1) 18.8 (11.2) 0.104
Bladder incontinence, % (LTC Focus) 82.6 (12.4) 82.5 (12.5) 84.4 (10.7) 84.3 (11.7) 0.002
Bowel incontinence, % (LTC Focus) 71.2 (14.7) 71.2 (14.7) 71.8 (14.3) 70.9 (14.7) 0.664
Indwelling catheter, % (LTC Focus) 7.7 (7.3) 7.7 (7.4) 9.0 (6.4) 8.5 (7.3) 0.056
Ventilator-dependent, % (LTC Focus) 0.5 (3.7) 0.5 (3.8) 0.3 (2.1) 0.1 (1.3) 0.058
Cognitive Function Scale: intact/mild, % (LTC Focus) 41.0 (13.0) 41.0 (13.0) 41.3 (13.2) 42.5 (13.0) 0.165
Cognitive Function Scale: moderate, % (LTC Focus) 52.9 (12.8) 52.9 (12.8) 53.4 (12.4) 52.0 (12.7) 0.416
Cognitive Function Scale: severe, % (LTC Focus) 9.8 (10.2) 9.9 (10.2) 8.6 (8.7) 8.4 (9.0) 0.071
Patient Care & Risk Indicators
Urinary tract infection, % (LTC Focus) 2.8 (5.8) 2.7 (5.7) 3.3 (5.7) 5.8 (8.1) <0.001
Fall in past 30 days, % (LTC Focus) 18.9 (8.5) 18.8 (8.5) 19.6 (8.2) 19.9 (9.2) 0.034
Influenza vaccination, in-facility offer % (LTC Focus) 57.2 (16.7) 57.4 (16.6) 54.7 (16.8) 55.1 (18.8) 0.042
Influenza vaccination, outside offer % (LTC Focus) 71.9 (15.5) 71.7 (15.5) 73.4 (15.0) 76.2 (14.6) <0.001
Patient Payer Mix
HMO enrollment, % (LTC Focus) 41.6 (21.0) 41.4 (21.0) 44.4 (19.7) 44.4 (20.0) 0.003
Medicaid-paid days, % (LTC Focus) 58.0 (24.4) 58.6 (24.2) 52.3 (23.0) 45.9 (25.1) <0.001
Medicare-paid days, % (LTC Focus) 14.8 (15.2) 14.6 (15.0) 18.0 (15.7) 19.2 (18.1) <0.001
1 Mean (SD)
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.