Among Medicare beneficiaries >65 years old with a index hospitalization at the time of dialysis initiation, use of post-acute SNF care was common. Cohort selection and health outcomes for 40,615 patients on dialysis who received post-acute care in an SNF after an index hospitalization at the time of incident ESRD. ADL, activities of daily living; LTC, long-term care; SNF, skilled nursing facility.