The Relationship Between Quality of Care, Physical Therapy, and Occupational Therapy Staffing Levels in Nursing Homes in 4 Years' Follow-up

2019 ◽  
Vol 20 (4) ◽  
pp. 462-469 ◽  
Author(s):  
Ian Livingstone ◽  
Jennifer Hefele ◽  
Pamela Nadash ◽  
Dan Barch ◽  
Natalie Leland
Keyword(s):  
Quality Of Care ◽  
Physical Therapy ◽  
Nursing Homes ◽  
Occupational Therapy ◽  
Staffing Levels ◽  
The Relationship

scholarly journals Analyzing Nursing Home Complaints: From Substantiated Allegation to Deficiency Citations

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 82-83
Author(s):  
Kallol Kumar Bhattacharyya ◽  
Lindsay Peterson ◽  
John Bowblis ◽  
Kathryn Hyer
Keyword(s):  
Nursing Home ◽  
Quality Of Care ◽  
Nursing Homes ◽  
Staff Training ◽  
Policy And Practice ◽  
Abuse And Neglect ◽  
The Relationship ◽  
Investigation Process

Abstract Complaints provide important information to consumers about nursing homes (NHs). Complaints that are substantiated often lead to an investigation and potentially a deficiency citation. The purpose of this study is to understand the relationship between substantiated complaints and deficiency citations. Because a complaint may contain multiple allegations, and the data do not identify which allegation(s) lead to a complaint’s substantiation, we identified all substantiated single allegation complaints for NHs in 2017. Our data were drawn from federally collected NH complaint and inspection records. Among the 369 substantiated single-allegation complaints, we found most were categorized as quality of care (31.7%), resident abuse (17.3%), or resident neglect (14.1%). Of the deficiency citations resulting from complaints in our sample, 27.9% were categorized as quality of care and 19.5% were in the category of resident behavior and facility practices, which includes abuse and neglect. While two-thirds (N=239) of the substantiated complaints generated from 1 to 19 deficiency citations, nearly one third had no citations. Surprisingly, 28% of substantiated abuse and neglect allegations resulted in no deficiency citations. More surprisingly, a fifth of complaints that were categorized as “immediate jeopardy” at intake did not result in any deficiency citations. We also found a number of asymmetries in the allegation categories suggesting different processes by Centers for Medicare and Medicaid Services (CMS) region. These results suggest that the compliant investigation process warrants further investigation. Other policy and practice implications, including the need for better and more uniform investigation processes and staff training, will be discussed.

The Relationship of Ownership and Size to Quality of Care in Wisconsin Nursing Homes

1982 ◽  
Vol 22 (4) ◽  
pp. 429-434 ◽  
Author(s):  
R. Riportella-Muller ◽  
D. P. Slesinger
Keyword(s):  
Quality Of Care ◽  
Nursing Homes ◽  
Relationship Of ◽  
The Relationship

Dietary Service Staffing Impact Nutritional Quality in Nursing Homes

2017 ◽  
Vol 38 (5) ◽  
pp. 639-655 ◽  
Author(s):  
Kelly M. Smith ◽  
Kali S. Thomas ◽  
Shanthi Johnson ◽  
Hongdao Meng ◽  
Kathryn Hyer
Keyword(s):  
Nursing Homes ◽  
Online Survey ◽  
Certified Nursing Assistants ◽  
Staffing Levels ◽  
Nutrition Services ◽  
Service Staff ◽  
Food And Nutrition ◽  
The Impact ◽  
The Relationship

Objective: To examine the relationship between dietary service staff and dietary deficiency citations in nursing homes (NHs). Method: 2007-2011 Online Survey and Certification and Reporting data for 14,881 freestanding NHs were used to examine the relationship between dietary service staff and the probability of receiving a dietary service–related deficiency citation. An unconditional logit model with random effects was employed. Results: Findings suggest that higher staffing levels for dietitians (odds ratio [OR] = .955; p < .01), dietary service personnel (OR = .996; p < .01), and certified nursing assistants (CNAs; OR = .981; p < .05) decrease the likelihood of receiving a dietary service deficiency citation. Conclusion: Higher levels of dietary service and CNA staffing levels have the potential to improve the quality of nutritional care in NHs. Findings help substantiate the Centers for Medicare and Medicaid Services’ proposed rules for more stringent Food and Nutrition Services in the NH setting and signify the need for further research relative to the impact of dietary service staff on nutritional and clinical outcomes.

scholarly journals The Influence of Nurse Staffing Levels on Quality of Care in Nursing Homes

2011 ◽  
Vol 51 (5) ◽  
pp. 610-616 ◽  
Author(s):  
K. Hyer ◽  
K. S. Thomas ◽  
L. G. Branch ◽  
J. S. Harman ◽  
C. E. Johnson ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Nursing Homes ◽  
Nurse Staffing ◽  
Staffing Levels
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