Thirty-Year Trends in Nursing Home Composition and Quality Since the Passage of the Omnibus Reconciliation Act shows dramatic changes in nursing home over the past 30 years: a loss of 400 nursing homes, significant growth in post-hospital admissions and dementia care, a growing number of residents who are racial or ethnic minorities residents, and a dramatic drop in the use of restraints and inappropriate antipsychotic use. The report confirms that providers are performing admirably in a complex clinical landscape and are seeing quality gains while serving an increasingly vulnerable and higher-need population. The study showed a 15% increase in post-acute care, more providers becoming Medicare and Medicare-certified, and more providers embracing not-for-profit care models.The number of residents who are physically restrained dropped from 19% to 1% and the inappropriate use of antipsychotics decreased from 16% in 2000 to 12% in 2015. However, there has been little change in the area of medication errors.
