Today, providing "Long-term care" (LTC) encompasses primary, acute, rehabilitation, home-care and the most commonly known traditional skilled nursing services. Instead of concentrating on acute care in in-patient hospital settings as before, our health care system is increasingly providing LTC or chronic care by various suppliers and in various settings including services at home. Further, complicating the needs of LTC providers is the wide spectrum of residents and settings that patients utilize to access healthcare services. The paradigms of taking care of acute care patients in the LTC environment has resulted in a number of risk exposures.