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Nursing Homes

Journal Article

Nursing Home Responses to Performance-based Accountability: Results of a National Survey

We describe quality improvement changes that skilled nursing facilities reported making in response to CMS performance measurements and whether reported QI changes were associated with better performance on CMS performance measures.

Apr 9, 2021
Journal Article

The Role of Regional and State Initiatives in Nursing Home Advance Care Planning Policies

We examined whether state and regional advance care planning initiatives play a role in the presence of "do not administer antibiotics" orders for nursing home residents at the end of life.

Apr 7, 2021
Journal Article

Priority-Setting to Address the Geriatric Pharmacoparadox for Pain Management: A Nursing Home Stakeholder Delphi Study

Our objective was to explore the extent of consensus among expert stakeholders regarding what analgesic issues should be prioritized for comparative-effectiveness studies of beneficial and adverse effects of analgesic regimens in nursing home residents.

Feb 25, 2021
Journal Article

Trends in Antibiotics Use Among Long-Term US Nursing-Home Residents

The increased proportion of assessments recording antibiotics but no infection may not be clinically appropriate.

Feb 10, 2021
Journal Article

Disparities in 30-Day Rehospitalization Rates Among Medicare Skilled Nursing Facility Residents by Race and Site of Care

This article examines racial and site-of-care disparities in all-cause and potentially avoidable 30-day rehospitalization rates among a national cohort of Medicare skilled nursing facility residents.

Dec 30, 2020
Journal Article

Does Mandating Nursing Home Participation in Quality Reporting Make a Difference? Evidence From Massachusetts

In this study, we investigate one of the mechanisms that may detract from the effectiveness of health care quality report cards: voluntary versus mandatory participation of nursing homes in public quality reporting.

Dec 30, 2020
Journal Article

Trends in Family Ratings of Experience With Care and Racial Disparities Among Maryland Nursing Homes

We analyzed trends of consumer ratings publicly reported for Maryland nursing homes during 2007-2010, and determined whether racial/ethnic disparities in experiences with care changed.

Dec 29, 2020
Journal Article

Satisfaction With Massachusetts Nursing Home Care Was Generally High During 2005–09, With Some Variability Across Facilities

Satisfaction with care in Massachusetts nursing homes is high, but family members are less satisfied with the physical and social activities available to residents.

Dec 17, 2020
Journal Article

State "Technical Assistance Programs" for Nursing Home Quality Improvement: Variations and Potential Implications

We conducted a national survey on state technical assistance programs for nursing homes to collect data on program design, operations, financing, and perceived effectiveness.

Dec 4, 2020
Journal Article

COVID-19 Preparedness in Nursing Homes in the Midst of the Pandemic

We describe the COVID-19 preparedness of nursing homes across the nation.

May 21, 2020
Commentary

Should You Consider Taking a Loved One Out of a Long-Term Care Facility?

As modern living is changing during this pandemic, so is assisted living. Already, many of us are facing difficult decisions about whether someone we know should stay in an assisted living facility or be taken out due to the coronavirus crisis. If you're in the position to bring someone to hunker down with you, is it even a good idea?

Mar 30, 2020
Journal Article

Palliative Care and Infection Management at End of Life in Nursing Homes: A Descriptive Survey

The aim of this study was to describe the current status of how nursing homes integrates palliative care and infection management at end of life across the nation.

Mar 19, 2020
Journal Article

Support of Nursing Homes in Infection Management Varies by US State Departments of Health

In many countries, healthcare associated infections (HAI) are problematic in long-term aged care living facilities. In the US, HAI occur frequently in nursing homes (NH). We systematically examined the variations in state intentions and activities related to HAI prevention in NHs.

Mar 19, 2020
Journal Article

The Expansion of National Healthcare Safety Network Enrollment and Reporting in Nursing Homes: Lessons Learned from a National Qualitative Study

We explored nursing home (NH) personnel perceptions of the National Healthcare Safety Network (NHSN), interviewing NH personnel about their facility's decision-making and infection prevention program. We identified barriers and facilitators to NHSN enrollment and reporting in NHs.

Mar 19, 2020
Journal Article

Quality Innovation Networks Share Varied Resources for Nursing Homes on Mostly User-Friendly Websites

Centralized resources with tailored or specialized links to unique local resources such as in-person trainings and state-specific contact information could be more beneficial for NH.

Feb 19, 2020
Journal Article

Nursing Home Infection Control Program Characteristics, CMS Citations, and Implementation of Antibiotic Stewardship Policies: A National Study

National baseline data on nursing home infection control programs will aid evaluations of a Centers for Medicare & Medicaid Services rule requiring facilities to include an antibiotic stewardship and employ an infection preventionist.

Jul 6, 2018
Journal Article

Racial/Ethnic Differences in Receipt of Influenza and Pneumococcal Vaccination Among Long-Stay Nursing Home Residents

Despite a 2005 CMS mandate that all nursing home residents be offered the influenza and pneumococcal vaccinations, racial/ethnic disparities persist.

Sep 15, 2017
Journal Article

Average American's Risk of Needing Nursing Home Care Is Higher Than Previously Estimated

The average American's likelihood of using a nursing home is much greater than previous research has suggested. Among people age 57 to 61, 56 percent will stay in a nursing home at least one night in their lifetime.

Aug 29, 2017
News Release

Average American's Risk of Needing Nursing Home Care Is Higher Than Previously Estimated

The average American's lifetime risk of using a nursing home is substantially greater than previous research has suggested. Among persons age 57 to 61, 56 percent will stay in a nursing home at least one night during their lifetime.

Aug 28, 2017
Journal Article

Infection Trends in US Nursing Homes, 2006–2013

The Minimum Data Set can help to identify trends in nursing home infections but nursing homes vary in how they define and track infections.

Jul 13, 2017

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RAND Topic:
Nursing Homes

Topic Synonyms:
Convalescent Home

Research conducted by

RAND Health Care