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Anticipating Changes in Regional Demand for Nursing Homes

By Laurel Beck, Landon Gibson

California’s nursing homes provide a major source of personal and medical care for the state’s most vulnerable residents—the elderly and the disabled. By 2030 the state’s 65-and-over population will grow by 87 percent. The number of people requiring skilled nursing care could increase by 32,000, far outstripping current capacities. We find that there will be significant disparities in regional growth rates across racial/ethnic groups and in regions’ abilities to absorb higher numbers of patients. Specifically:

  • The Bay Area and the Inland Empire have the largest discrepancies between existing nursing home capacity and projected demand in 2030; Los Angeles and Northern California (excluding the Bay Area) have the smallest.
  • Regional growth rates in the 65-and-over population vary widely within racial/ethnic groups. For example, rates among Latinos range from 159 percent on the state’s Southern Border (Imperial and San Diego Counties) to 193 percent in the Inland Empire; among Asians they range from 93 percent in the Central Coast to 212 percent in Northern California (excluding the Bay Area).

In order to meet the growing and changing demands for senior care at the statewide and regional levels, policymakers will need to address ways to increase nursing home capacity. These solutions must also include recruiting and training health workers who can provide effective, culturally competent care, whether in skilled nursing facilities or home- and community-based settings.

blog post

How a New Way of Counting Prisoners Has Changed Redistricting

By Jennifer Paluch, Eric McGhee, Heather Harris

For the purposes of drawing state legislative and congressional districts, California now counts state prisoners as residents of their last known address, rather than as residents of prisons. Though the effects are small, communities with large numbers of residents who have been sent to prison now do not lose representation to the few communities in which the prisons are located.

blog post

California’s Renters

By Eric McGhee, Marisol Cuellar Mejia, Hans Johnson

California's housing shortage puts particular financial pressure on renters, who account for more than four in ten of the state's households. What do we know about California's renters and how they are faring in the current housing market?

Fact Sheet

Race and Voting in California

By Mark Baldassare, Dean Bonner, Alyssa Dykman, Rachel Lawler

Latinos, Asian Americans, and African Americans are less likely to vote than whites.

blog post

How Changes in Immigration Affect California’s Workforce

By Sergio Sanchez, Hans Johnson

California’s immigrant population is changing—and now about half of recent immigrants have at least bachelor’s degrees. Explore changes in immigrants’ education levels over time with a new interactive feature.

Report

Income Inequality and the Safety Net in California

By Caroline Danielson, Sarah Bohn

Income inequality has been growing for decades, in California and the nation as a whole. In recent years, inequality—and the role of policy in addressing it—has become a major focus of public debate. This report documents the polarization of incomes across the state and shows how social safety net programs mitigate inequality.

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