Counsell and colleagues,21 Covinsky and colleagues,20 and Covinsky and colleagues24 found that ACE patients were less likely to be discharged to a nursing home or other long-term care facility. Counsel and colleagues21 followed patients for 12 months after discharge and found that they were less likely to be discharged to a nursing home or to spend time in a nursing home in the 12 months following discharge. Covinsky and colleagues20 and 24 found that patients from the ACE unit were less likely to spend any time in a nursing home or long-term care facility in the first 90 days after discharge. This finding was statistically significant.