The unnamed patient, who has a "serious mental health condition", learning disability and physical health problems, has been in a hospital bed for more than 1,338 days.
The patient is expected to leave hospital in "around six months", after arrangements were made for their care.
The hospital is part of the Hywel Dda University Health Board in west Wales.
Conservative AM Darren Millar said the delay was "truly scandalous".
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