An increasing number of rural nursing homes in states including Iowa, Wisconsin and Montana are closing their doors because they have chronically low occupancy levels and can't compete for scarce workers as wages rise.

The wave of closures of half-occupied skilled nursing facilities is creating a crisis in nursing home access for residents who, in a state like Iowa, are given two months to relocate when a facility closes.

The shutdowns—and the relocations that are caused by them—are exacerbating financial and operational pressures on the facilities that must absorb these high-acuity patients, according to a report in Skilled Nursing News (SNN).

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