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The number of individuals 85 and older—the majority of senior living residents—are expected to nearly triple to nearly 18 percent in 2050 and account for 4.5 percent of the total population.


decrease in non-Hispanic white residents. A look at trends in the number of residents who need assistance with activities of daily living (ADLs) show an increase in ADLs from 2012 to 2014. More residents need assistance with bathing, dressing, toileting, and eating. The number of people using long-term


care settings such as senior living, nursing homes, or home care services is expected to jump from 15 million in 2000 to 27 million in 2050, according to the U.S. Department of Health and Human Services. This is largely due to the expanding population of older adults, many of whom will need long-term care as they age. The number of individuals 85 and older—the majority of senior living residents—are expected to nearly triple to nearly 18 percent in 2050 and account for 4.5 percent of the total population.


State Highlights It’s clear that these older adults will turn to senior living as a viable option and a solu- tion. This data helps shine a light on the sometimes subtle and often clear differences throughout the country’s senior living popu- lations. While clear regional trends weren’t evident, some states scored high or low in several categories. Iowa boasts one of the healthiest senior living populations, scoring “lowest state”


in six categories of residents experiencing: Alzheimer’s disease, hospital or emergency room visit, overnight hospital stay, and it has the fewest residents needing assistance with walking, toileting, transferring to and from a bed, and eating. Maine shows a senior living population


that ranks highest of all the states in experi- encing Alzheimer’s disease or other demen- tias, cardiovascular disease, and diabetes. Connecticut scored lowest in two cat-


egories of all states—falls and needing assistance with dressing. Its neighbor Rhode Island scored highest in percent of senior living residents checking into a hospital or visiting the ER, with 19 percent compared to the national average of 12 percent. The East Coast’s Maryland scored highest


in percentage of residents with Alzheimer’s disease at 53 percent while Delaware residents experienced the most falls at 34 percent. The West’s Montana, Wyoming, and Utah


were low states in several categories. Montana and Utah had the lowest percent of residents spending the night in a hospital—it was a four-way tie with South Carolina and Iowa. Wyoming was the lowest of the 50 states, ty- ing with Washington, D.C., for having senior living residents diagnosed with diabetes. Washington, D.C. was unusual for receiv-


ing the highest ranking in assistance with dressing, but lowest in diabetes diagnoses.


Michiganders in senior living needed the


most help transferring to and from a bed, while its neighbor to the south, Ohio tied with Massachusetts in highest states with residents spending a night in the hospital. Outside the continental United States,


Hawaii scored lowest in cardiovascular disease and depression. While Alaska scored the highest of all states in residents needing assistance with walking, toileting, and eating. Of the Southern states, Louisiana scored


lowest in bathing need with 36 percent, com- pared to the national average of 62 percent. For an overview of the national profile and a state comparison, please see pgs. 24-25.


*The NCHS data identifies senior living communities as “residential care communities.” To be eligible for their study, an RCC must be state-licensed to provide: room and board with at least two meals a day and 24-hour, onsite supervision; help with personal care; have four or more licensed beds; have at least one resident; and serve a predominantly adult population. The study excluded RCCs licensed to exclusively serve individuals with severe mental illness, intellectual or developmental disability, and nursing homes.


Sources


Sengupta M, Valverde R, Lendon JP, Rome V, Caffrey C, Harris-Kojetin L. Long-Term Care Providers and Services Users in the United States—State Estimates Supplement: National Study of Long-Term Care Providers, 2013-2014. Hyattsville, MD: National Center for Health Statistics. 2016.


Sengupta, M, Harris-Kojetin L, and Caffrey C. Variation in Residential Care Community Resident Characteristics, by Size of Community: United States, 2014. NCHS data brief no 223. Hyattsville, MD: National Center for Health Statistics. 2015.


Annual Estimates of the Resident Population for Selected Age Groups by Sex for the United States, States, Counties and Puerto Rico Commonwealth and Municipios: April 2010 to July 1, 2016. U.S. Census Bureau, Population Division. 2017.


ACCESS ARGENTUM QUARTERLY FOR MORE DATA


Detailed data for each state and Washington, D.C. is available to Argentum members in Argentum Quarterly Issue 4 2017 available for download at argentum.org/aq.


JANUARY/FEBRUARY 2018 ARGENTUM.ORG 23


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