biostudies-literatureTemkin-Greener Hagency for healthcare research and qualityAHRQ HHS500-510https://www.ebi.ac.uk/biostudies/studies/S-EPMC8989767biostudies-literatureUnknown79(4)Assisted Living (AL) has become an important residential long-term care option in the United States, yet very little is known about the nature and quality of care received in this setting by racial/ethnic minorities or residents dually eligible for Medicare and Medicaid. Using calendar year 2018 Medicare data, we identified 255,564 fee-for-service Medicare beneficiaries age 55+ who resided in 24,108 ALs across the United States. We fit several logistic regression models with individual-level covariates and AL-level fixed effects, to examine the association between race/ethnicity and dual status with inpatient hospital admission, 30-day readmission, emergency room use, and nursing home placement. Significant variations in these measures were found both within and across ALs for racial/ethniMedical care research and review : MCRRHealth Care Use and Outcomes in Assisted Living Communities: Race, Ethnicity, and Dual Eligibility.PMC8989767R01HS026893R01 HS026893Li YZimmerman STemkin-Greener HMcGarry BMao YfalseHealth Care Use and Outcomes in Assisted Living Communities: Race, Ethnicity, and Dual Eligibility.Assisted Living (AL) has become an important residential long-term care option in the United States, yet very little is known about the nature and quality of care received in this setting by racial/ethnic minorities or residents dually eligible for Medicare and Medicaid. Using calendar year 2018 Medicare data, we identified 255,564 fee-for-service Medicare beneficiaries age 55+ who resided in 24,108 ALs across the United States. We fit several logistic regression models with individual-level covariates and AL-level fixed effects, to examine the association between race/ethnicity and dual status with inpatient hospital admission, 30-day readmission, emergency room use, and nursing home placement. Significant variations in these measures were found both within and across ALs for racial/ethni2022-01-01T00:00:00Z2022 Aug2025-04-05T14:59:23.312Z2025-02-19T01:30:34.62ZS-EPMC89897673462321010.1177/10775587211050189