The provision of LTC is increasingly a public policy issue in all advanced industrialized countries of the world, driven by demographic changes as well as several societal transformations. The United States is no exception as it struggles with the challenges posed by an increased need for longterm services and supports (LTSS). Long-term care is defined as the services and supports needed when the ability to care for oneself has been reduced by chronic illness, disability, or aging (Miller, Ranji, Hisey, & Salganicoff, 2007). LTC …