Section I examines differences in rural and urban RCF characteristics. Section II explores differences in the characteristics and functional status of RCF residents. Section III profiles the services provided by rural and urban RCFs and Section IV examines rural-urban differences in admission and discharge policies and how these might reflect options for aging-in-place in rural and urban RCFs. The final section discusses policy implications for providing residential care in rural areas as part of a broader continuum of LTSS services