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Center for Excellence in Assisted Living

Center for Excellence in Assisted Living CEAL@UNC

Advancing the well-being of the people who live and work in assisted living through research, practice, and policy.

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JAMA Network Open

Trends in Private Equity Acquisitions of Assisted Living Facilities

Nov 1, 2025
No abstract available

Trends in Private Equity Acquisitions of Assisted Living Facilities

November 1, 2025 by Lea Efird-Green

No abstract available

Emergency Department Care Coordination Program for Assisted Living Residents with Dementia: A Qualitative Study

Aug 1, 2025
Importance: Care transitions to the emergency department (ED) from assisted living centers (ALCs) for residents may include incomplete or inaccurate information during transfer. These transitions can be especially difficult for vulnerable populations, including persons living with dementia (PLWD). Objective: To assess perceptions of complex care managers (CCMs) implementing a care coordination program designed to improve […]

Emergency Department Care Coordination Program for Assisted Living Residents with Dementia: A Qualitative Study

August 1, 2025 by Lea Efird-Green

Importance: Care transitions to the emergency department (ED) from assisted living centers (ALCs) for residents may include incomplete or inaccurate information during transfer. These transitions can be especially difficult for vulnerable populations, including persons living with dementia (PLWD). Objective: To assess perceptions of complex care managers (CCMs) implementing a care coordination program designed to improve […]

Estimated Prevalence of Resident-to-Resident Aggression in Assisted Living

May 1, 2024
WHAT THIS MEANS FOR YOU: Observational data from 930 participants in a cross-sectional study over a 1-month period assessed resident-to-resident aggression in 14 New York AL communities. Approximately 15% of residents were found to have engaged in resident-to-resident aggression, with the two most common types being verbal and physical aggression. Intervention research on the prevention of resident-to-resident aggression is recommended to address its prevalence and negative impacts on residents’ physical and psychological health.

Estimated Prevalence of Resident-to-Resident Aggression in Assisted Living

May 1, 2024 by Lea Efird-Green

WHAT THIS MEANS FOR YOU: Observational data from 930 participants in a cross-sectional study over a 1-month period assessed resident-to-resident aggression in 14 New York AL communities. Approximately 15% of residents were found to have engaged in resident-to-resident aggression, with the two most common types being verbal and physical aggression. Intervention research on the prevention of resident-to-resident aggression is recommended to address its prevalence and negative impacts on residents’ physical and psychological health.

Evacuation and Health Care Outcomes Among Assisted Living Residents After Hurricane Irma

Apr 1, 2024
WHAT THIS MEANS FOR YOU: Using 2017 Medicare data, researchers compared health outcomes from over 25,000 Florida AL residents who resided in an AL on the day of Hurricane Irma’s landfall and either sheltered in place (86% of residents) or evacuated (14% of residents). Evacuation was statistically significantly associated with a 16% higher risk of emergency department visits and with a 51% higher risk of nursing home admissions within 30 days of the hurricane, while hospitalization and mortality rates were similar between the two groups.

Evacuation and Health Care Outcomes Among Assisted Living Residents After Hurricane Irma

April 1, 2024 by Lea Efird-Green

WHAT THIS MEANS FOR YOU: Using 2017 Medicare data, researchers compared health outcomes from over 25,000 Florida AL residents who resided in an AL on the day of Hurricane Irma’s landfall and either sheltered in place (86% of residents) or evacuated (14% of residents). Evacuation was statistically significantly associated with a 16% higher risk of emergency department visits and with a 51% higher risk of nursing home admissions within 30 days of the hurricane, while hospitalization and mortality rates were similar between the two groups.

Recommendations for Medical and Mental Health Care in Assisted Living Based on an Expert Delphi Consensus Panel

Sep 1, 2022
Importance: Assisted living (AL) is the largest provider of residential long-term care in the US, and the morbidity of AL residents has been rising. However, AL is not a health care setting, and concern has been growing about residents’ medical and mental health needs. No guidance exists to inform this care. Objective: To identify consensus […]

Recommendations for Medical and Mental Health Care in Assisted Living Based on an Expert Delphi Consensus Panel

September 1, 2022 by Lea Efird-Green

Importance: Assisted living (AL) is the largest provider of residential long-term care in the US, and the morbidity of AL residents has been rising. However, AL is not a health care setting, and concern has been growing about residents’ medical and mental health needs. No guidance exists to inform this care. Objective: To identify consensus […]

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325 Pittsboro Street
Chapel Hill, NC 27599-3550
Email: CEAL@office.unc.edu
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