Aiming for Star Performance: The Relationship Between Setting Targets and Improved Nursing Home Quality of Care

2008 ◽  
Vol 9 (8) ◽  
pp. 594-598 ◽  
Author(s):  
Rosa R. Baier ◽  
Kristen Butterfield ◽  
Yael Harris ◽  
Stefan Gravenstein
Keyword(s):  
Nursing Home ◽  
Quality Of Care ◽  
Nursing Home Quality ◽  
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.

scholarly journals IMPACT OF SURVEY READINESS TRAINING ON NURSING HOME QUALITY OF CARE

2018 ◽  
Vol 2 (suppl_1) ◽  
pp. 723-723
Author(s):  
L Phillips ◽  
C Oyewusi ◽  
N Martin ◽  
L Youse ◽  
M Rantz
Keyword(s):  
Nursing Home ◽  
Quality Of Care ◽  
Nursing Home Quality

Agents of Nursing Home Quality of Care: Ombudsmen and Staff Ratios Revisited

1991 ◽  
Vol 31 (3) ◽  
pp. 302-308 ◽  
Author(s):  
R. L. Cherry
Keyword(s):  
Nursing Home ◽  
Quality Of Care ◽  
Nursing Home Quality

Understanding Nursing Home Quality of Care

1999 ◽  
Vol 8 (1) ◽  
pp. 55-63 ◽  
Author(s):  
Victoria Schirm ◽  
Terry Albanese ◽  
Neal T. Garland
Keyword(s):  
Nursing Home ◽  
Quality Of Care ◽  
Nursing Home Quality

Nursing Home Quality of Care

2013 ◽  
Author(s):  
David C. Grabowski ◽  
Edward C. Norton
Keyword(s):  
Nursing Home ◽  
Quality Of Care ◽  
Nursing Home Quality

Changes in the relationship between nursing home financial performance and quality of care under public reporting

2011 ◽  
Vol 20 (7) ◽  
pp. 783-801 ◽  
Author(s):  
Jeongyoung Park ◽  
Rachel M. Werner
Keyword(s):  
Nursing Home ◽  
Quality Of Care ◽  
Financial Performance ◽  
Public Reporting ◽  
The Relationship

scholarly journals THE INFLUENCE OF STAFF RETENTION ON NURSING HOME QUALITY

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S701-S701 ◽  
Author(s):  
Nicholas Castle ◽  
Kathryn Hyer ◽  
John A Harris
Keyword(s):  
Nursing Home ◽  
Quality Of Care ◽  
Negative Binomial ◽  
Negative Binomial Regression ◽  
Staff Retention ◽  
Nursing Home Administrators ◽  
Logistic Regression Models ◽  
Nursing Home Quality ◽  
One Year

Abstract The association of retention of Nurse Aides (NAs) with nursing home quality of care is examined. Retention is defined as staff continuously employed in the same facility for a defined period of time. Deficiency citations were used as quality indicators. Data used came from a survey of nursing home administrators, the Certification and Survey Provider Enhanced Reporting (CASPER) data, and the Area Resource File. All of the data was from 2015, and included 3,550 facilities. Analyses included negative binomial regression and multivariate logistic regression models (using GEE). The analytic modeling included staffing variables (turnover, agency use, staffing levels), facility factors (size, ownership, occupancy rate), and market characteristics (competition, Medicaid rates). The average number of deficiency citations was significantly lower (p<.01) in facilities with the higher levels of NAs consistently employed for one year or more. The same was found for facilities with the higher levels of NAs consistently employed for two years or more. While the average number of deficiency citations, the quality of care grouping of deficiency citations, and J, K, L deficiency citations were all significantly lower (p<.01) in facilities with the higher levels of NAs consistently employed for three years or more. Staff retention has been promoted as potentially influential based on little empirical evidence. The findings provide some justification for the importance of NA retention.

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