In the early 1980s, it was not unusual for transfers to be motivated by both the need for a higher level of care and financial reasons.

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During this time, Medicare had two separate payment systems for nursing homes, and transferring to a higher level of care often resulted in a higher reimbursement rate for the facility. Additionally, financial concerns were often a factor as families struggled to afford the costs of long-term care.

In the Early 1980s, It Was Not Unusual for Transfers