ANNAPOLIS, MD—The latest report from the National Investment Center for Senior Housing & Care indicates that skilled nursing care occupancy levels are improving in urban areas, while continuing to slide in facilities located in rural areas of the nation.

The NIC reports that overall occupancy at skilled nursing facilities held firm at 82.4% at the end of the fourth quarter of 2018, which was virtually unchanged from the third quarter of 2018 and down 35 basis points from 82.8% in the fourth quarter of 2017.