Background: Transitioning from home to long-term care (LTC) is challenging for people with dementia and their caregivers. We aimed to elucidate factors predicting long-term care admission within two years of presentation to the Rural and Remote Memory Clinic (RRMC) in Western Canada. Methods: A total of 679 community-dwelling patients were seen at the RRMC in Saskatchewan between its establishment in March 2004 through June 2019. Data analysis included 635 patients (admitted to LTC within two years = 222, not admitted to LTC = 413). Each patient was assessed neuropsychologically and completed self-report questionnaires measuring several domains. Both groups were compared using logistic regression analyses. Results: Univariate logistic regressions showed that age (OR = 1.052, CI = 1.035-1.069), male sex (OR = 1.794, CI = 1.279-2.517), Functional Activities Questionnaire (OR = 1.085, CI = 1.057-1.114), MMSE (OR = 0.861, CI = 0.827-0.897), and Clinical Dementia Rating score (OR = 1.132, CI = 1.062-1.206) remained significant (p < .001). Preserved cognition, as measured by the MMSE, was protective. Conclusions: We found that being older, male, more dependent in activities of daily living, and having increased severity of dementia predicted LTC admission. This information may help in planning care for individuals with dementia.