scholarly journals Revisiting the Relationship between Nurse Staffing and Quality of Care in Nursing Homes: An Instrumental Variables Approach

2013 ◽  
Author(s):  
Haizhen Lin
Keyword(s):  
Quality Of Care ◽  
Nursing Homes ◽  
Instrumental Variables ◽  
Nurse Staffing ◽  
Instrumental Variables Approach ◽  
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.

Does Investor-Ownership of Nursing Homes Compromise the Quality of Care?

2002 ◽  
Vol 32 (2) ◽  
pp. 315-325 ◽  
Author(s):  
Charlene Harrington ◽  
Steffie Woolhandler ◽  
Joseph Mullan ◽  
Helen Carrillo ◽  
David U. Himmelstein
Keyword(s):  
Quality Of Care ◽  
Nursing Homes ◽  
Skilled Nursing Facility ◽  
Nurse Staffing ◽  
Care Quality ◽  
Nursing Facilities ◽  
Skilled Nursing ◽  
Staffing Ratios ◽  
The Impact

Quality problems have long plagued the nursing home industry. While two-thirds of U.S. nursing homes are investor-owned, few studies have examined the impact of investor-ownership on the quality of care. The authors analyzed 1998 data from inspections of 13,693 nursing facilities representing virtually all U.S. nursing homes. They grouped deficiency citations issued by inspectors into three categories (“quality of care,” “quality of life,” and “other”) and compared deficiency rates in investor-owned, nonprofit, and public nursing homes. A multivariate model was used to control for case mix, percentage of residents covered by Medicaid, whether the facility was hospital-based, whether it was a skilled nursing facility for Medicare only, chain ownership, and location by state. The study also assessed nurse staffing. The authors found that investor-owned nursing homes provide worse care and less nursing care than nonprofit or public homes. Investor-owned facilities averaged 5.89 deficiencies per home, 46.5 percent higher than nonprofit and 43.0 percent higher than public facilities, and also had more of each category of deficiency. In the multivariate analysis, investor-ownership predicted 0.679 additional deficiencies per home; chain-ownership predicted an additional 0.633 deficiencies per home. Nurse staffing ratios were markedly lower at investor-owned homes.

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

Nurse Staffing Impact on Quality of Care in Nursing Homes: A Systematic Review of Longitudinal Studies

2014 ◽  
Vol 15 (6) ◽  
pp. 383-393 ◽  
Author(s):  
Ramona Backhaus ◽  
Hilde Verbeek ◽  
Erik van Rossum ◽  
Elizabeth Capezuti ◽  
Jan P.H. Hamers
Keyword(s):  
Systematic Review ◽  
Quality Of Care ◽  
Nursing Homes ◽  
Longitudinal Studies ◽  
Nurse Staffing

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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