LAUSR

Key Points Question Are hospitalized older adults with Alzheimer disease and related dementias (ADRD) more likely to be discharged to lower-quality skilled nursing facilities (SNFs)? Findings In this cross-sectional analysis of more than 2 million Medicare beneficiaries hospitalized between 2017 and 2019, persons with ADRD were more likely to be discharged to lower-quality SNFs after accounting for discharging hospital, residential neighborhood, and other characteristics (eg, postacute care specialization) of all SNFs available at discharge. Results were consistent in analyses stratified by race and ethnicity, payer source, and primary diagnosis. Meaning Improving incentives for providing postacute care to persons with ADRD may be necessary to increase access to better SNF care for persons with ADRD.