Fig. 1

Trends in availability of nursing home care and utilization of Medicaid/Medicare-certified beds from 1996 to 2016. Availability of nursing home care is defined as the number of Medicaid/Medicare-certified beds available for a given county per 100,000 population aged 65 years or older, regardless of nursing home star rating. Utilization of nursing home beds is defined as the rate of the occupied Medicaid/Medicare-certified beds among the total Medicaid/Medicare-certified beds