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Diminished nursing homes capacity may limit access to long-term care, slow hospital release

By CIDRAP / University of Minnesota  
   January 16, 2026

Likely due to staffing shortages, U.S. nursing home capacity has declined by 15% or more in some cases since the COVID-19 pandemic began, potentially narrowing access to long-term care and complicating hospital releases, according to research published in JAMA Internal Medicine. The researchers used the 2018-2024 CMS payroll-based journal to measure changes in SNF capacity since 2020, and found reductions of 15% or more at a quarter of facilities. The number of licensed SNF beds fell 2.5%, and operating capacity dropped 5%, from 2019 to 2024. In total, 25% of SNFs saw capacity reductions of 15.1% or more, with the largest declines tending to occur in rural counties. 

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