The aim of this review is to gain a better understanding of the health care disparity among dual eligible beneficiaries. This paper aims to gain insight into the healthcare disparity between low-quality skilled nursing facilities and high-quality skilled nursing facilities. The long-term care placement process, the star ratings from the Centers for Medicaid and Medicare and the relationship between socioeconomic status and quality of care are vital points that will be addressed. Computerized search was done using the databases CINAHL and ProQuest with the search terms 'dual eligible beneficiaries', AND 'skilled nursing facility'. There was an inclusion criteria of English language, full text version available, published within the past 5 years, and content relevant to low socioeconomic status and quality care in skilled nursing facilities. There were 16 studies included in the literature review. Dual-eligible beneficiaries are more likely to be placed in low quality skilled nursing facilities resulting in poor health outcomes.