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Journal of Aging and Health
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Length of Stay in VA Nursing Homes

Comparative Characteristics of Brief-, Medium-, and Long-Stay Residents

Brent C. Williams, MD

Geriatrics Research Education and Clinical Center Ann Arbor VA Medical Center

Brant E. Fries, PhD

Geriatrics Research Education and Clinical Center Ann Arbor VA Medical Center

David R. Mehr, MD

University of Missouri Health Sciences Center

To examine the patterns and determinants of length of stay among residents of nursing homes of the Department of Veterans Affairs (VA), the authors conducted a retrospective follow-up study of all persons (n = 4,918) admitted to VA nursing homes between October 1986, and April 1987, using computerized records of the VA. Brief-stay (< 1 month; n = 1,139) residents had most often had previous admissions to VA nursing homes and were usually discharged alive from the nursing home. Medium-stay (1-6 months; n = 1,947) residents were the least functionally impaired and most likely to receive rehabilitative services. Long-stay residents (> 6 months; n = 1,832) were older and more functionally impaired than other residents. Medium- and long-stay residents of VA nursing homes most resembled "short-" and "long-stay" residents among non-VA nursing home residents, respectively. Brief-stay residents may be persons admitted for "respite" services or may be serial users of both VA and non-VA health services. Further study of this population may identify opportunities to decrease "revolving-door" use of nursing home services.

Journal of Aging and Health, Vol. 5, No. 2, 208-228 (1993)
DOI: 10.1177/089826439300500204
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