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Nursing home staffing and its relationship to deficiencies
Author(s)Charlene Harrington, David Zimmerman, Sarita L Karon
Journal titleJournals of Gerontology: Series B, Psychological Sciences and Social Sciences, vol 55B, no 5, September 2000
Pagespp S278-S288
KeywordsCare home staff ; Nursing homes ; Residents [care homes] ; Management [care] ; Quality ; Quality of life ; Evaluation ; United States of America.
AnnotationThe hypothesis was tested that fewer staff hours would be associated with higher numbers of nursing home (NH) deficiencies, for which data from the US On-Line Survey, Certification and Reporting System for all certified NHs in the US was used. Regression models examined total deficiencies, quality of care, quality of life, and other deficiencies. Fewer registered nurse hours and nursing assistant hours were associated with total deficiencies and quality of care deficiencies, when other variables were controlled. Fewer nursing assistant staff and other care staff hours were associated with quality of life deficiencies. Fewer administrative staff hours were associated with other deficiencies. NHs that had more depressed and demented residents, that were smaller, and that were non-profit or government-owned had fewer deficiencies. NHs with more residents with urinary incontinence and pressure sores and with higher percentages of Medicaid residents had more deficiencies, when staffing and resident characteristics were controlled. Only a small proportion of the total variance in deficiencies could be explained; in time, this may become more clearly understood. (RH).
Accession NumberCPA-001123213 A
ClassmarkQRM: LHB: KX: QA: 59: F:59: 4C: 7T

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