This article draws from the literature in long-term care, demography, and g
eography to develop an initial conceptual framework to explain variations i
n the patterns of nursing home moves. The conceptual framework is bolstered
by preliminary data from state censuses of nursing homes that asked about
the origins of current nursing home residents. The data suggest that a rela
tively high proportion of nursing home residents move to a different county
in the process of admission to a nursing home. The research and applied im
plications of the framework are discussed.