Citation

Collier, E., & Harrington, C. (2007, November 17). Cross-sectional Analysis of Total deficiencies and Validated Complaints in Free-standing California Nursing Homes. Poster. Presented at the 60th Annual Scientific Meeting of The Gerontological Society of America hosted by The Gerontological Society of America.

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Summary

Objective: The aim of this study is to evaluate relationship between organizational, market, resident and staffing characteristics and two measures of quality in 1031 free-standing California nursing facilities: total deficiencies (state + federal) and validated complaints.

Design: Cross-sectional data, from state and federal sources, for 2004 and 2005 were evaluated with negative binomial regression models. In our sample, the average number of deficiencies was 30.0 (SD 18.2) and the number of complaints was 2.3 (SD of 3.9).

Results: For deficiencies, and at the organizational level, the number of beds, for-profit status and the percent of Medical resident days were positively associated with more deficiencies, while net income was negatively associated with deficiencies. At the market level, the percent of African American and Hispanic citizens in each county was negatively associated with deficiencies. At the resident and staffing levels, the percent of Asian American residents and higher rates of staff turnover were both predictive of more deficiencies. For complaints, more Medical resident days and the number of facility beds were positive predictors of complaints. Increasing ADL dependency and the percent of Asian and Hispanic residents in each facility were all negatively associated with the number of complaints, while higher rates of staff turnover were positively associated with more complaints.

Implications: As expected, the number of deficiencies and complaints were related to various organizational and staffing characteristics. However, the relationship of these outcomes to racial and ethnic characteristic at the market and resident levels was an unexpected finding that warrants further investigation.

Benefits and Learning Objectives: To evaluate relationships between organizational, market, resident and staffing characteristics and two proxy measures of quality in nursing homes: total deficiencies (state + federal) and validated complaints.