Factors that are influencing the decrease in nursing home beds in the United States include: (Se-lect all that apply.)
a. an increase in the use of residential care facilities.
b. a shortage of certified nursing assistants (CNAs).
c. increased Medicaid reimbursement for community-based care alternatives.
d. a shortage of Registered Nurses who are certified in gerontology.
e. the high cost of care in a nursing home.
ANS: A, C
The number of nursing home beds is decreasing in the United States as a result of the increased use of residential care facilities and more reimbursement by Medicaid programs for communi-ty-based care alternatives. However, in most areas of the country, the supply and use of nursing homes is still greater than those of other long-term care services options. While there is a shortage of certified nursing assistants as well as RNs who are certified in gerontology, this does not ac-count for the decrease in nursing home beds in the United States. The cost of care in a nursing home is high; however, that is not the driving factor in the decrease in the number of nursing home beds in the United States.
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