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Centre for Policy on Ageing | |
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Nursing home deficiency resolution
— are the States following Federal guidelines? | | Author(s) | Christopher M Kelly, Phoebe S Liebig, Lloyd J Edwards |
| Journal title | Hallym International Journal of Aging, vol 10, no 1, 2008 |
| Pages | pp 1-22 |
| Source | http://baywood.com |
| Keywords | Nursing homes ; Complaints [services] ; Law ; Standards of provision ; Longitudinal surveys ; United States of America. |
| Annotation | This study examines the effectiveness of nursing home regulation in the United States. An assessment was made as to whether the 50 states were meeting national guidelines for correcting nursing home problems in a timely manner. Also identified were state-level factors that may predict faster deficiency resolution. Nursing home deficiency citation data over a 5-year period (2000-2004) was obtained from the Centers for Medicare and Medicaid Services (CMS). Under a 1998 CMS initiative, the states are required to resolve deficiencies causing harm to residents within 30 days and deficiencies not causing actual harm within 60 days. The authors explored whether the states met these federal guidelines and identified predictors of deficiency resolution (demographics, elected officials, industry characteristics etc), using the linear mixed model. While nearly all the states resolved non-actual harm deficiencies within the 60-day grace period, only one state (Tennessee) resolved actual harm deficiencies within 30 days. State-level factors that predicted faster deficiency resolution were chain ownership of facilities and greater influence from the nursing home industry. In contrast, a higher ratio of registered nurses to nursing home residents in a state was associated with slower deficiency resolution. Therefore, the federal requirement for states to correct their most serious nursing home problems within 30 days is problematic. In addition, quicker turnaround is found in states where for-profit nursing homes are strongest. (KJ/RH). |
| Accession Number | CPA-090903208 A |
| Classmark | LHB: QLV: VR: 583: 3J: 7T |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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