Nursing Homes Have Become Last-Resort Housing

As an occupational therapist working in medical respite care, Caitlin Synovec saw people in their 50s or 60s at a moment when their lives had forever shifted. Perhaps a stroke or other serious medical event sent them to the hospital. But too often, during their extended treatment, they lost their jobs and then their housing. Newly homeless, they might manage to snag a spot in a respite care program designed for people without stable housing who need a place to continue their recovery. But then, a question would loom over their future: Where would they go next?Many patients in that situation wind up living on the streets or in shelters, despite efforts to find them permanent housing. A surprising number of older adults, however, find themselves in a nursing home—even if they don’t need or want that level of care. According to research from the United Health Foundation, one in 11 people in nursing homes have “low-care needs,” meaning they do not require physical assistance for bed mobility, transferring, using the toilet, or eating. The ratios vary by state, from a low of 2.5% in Hawaii to nearly 23% in Oklahoma.It’s an expensive housing solution: One year in a nursing home costs $11...