| Central nervous system drugs (58.7 %) were the most prescribed class of inappropriate medications in Korean long-term care facilities. |
| Inappropriate medication use was associated with the number of co-medications and long-term care insurance grade 3, which means less dependence and a requirement of low-level care. |
| Effective management of nursing home residents belonging to long-term care grade 3 via reducing potentially inappropriate medications is considered. |
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