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Nursing Homes

Journal Article
Annual Expenditures for Nursing Home Care: Private and Public Payer Price Growth, 1977 to 2004
Evaluates changes in private and public prices for annual nursing home care from 1977 to 2004, and compares nursing home price growth to overall price growth and growth in the price of medical care.
Jan 1, 2009
Journal Article
Why Not Just Ask the Resident? Refinement of a Preference Assessment Tool for Nursing Homes
Evaluates a draft preference assessment tool designed to replace the current Customary Routine section of the Minimum Data Set (MDS) for nursing homes.
Jan 1, 2009
Journal Article
Measuring the Quality of Care Provided to Dually Enrolled Medicare and Medicaid Beneficiaries Living in Nursing Homes
To adapt the Assessing Care of Vulnerable Elders project nursing home (NH) specific quality indicators (QIs), for use with routinely collected data, and to evaluate which clinical conditions and types of care were inadequately measured using these data sources.
Jan 1, 2009
Journal Article
Factors Associated with Increasing Nursing Home Closures
The authors determine the rate of nursing home closures for 7 years (1999-2005) and examine internal, organizational, and external factors associated with these closures.
Jan 1, 2009
Journal Article
The Health Consequences of Using Physical Restraints in Nursing Homes
Using a national longitudinal sample of nursing homes residents we examine whether physical restraint use contributes to subsequent physical or psychological health decline.
Jan 1, 2009
Journal Article
Use of Postacute Care By Nursing Home Residents Hospitalized for Stroke or Hip Fracture: How Prevalent and to What End?
This study found that a high percentage of nursing home residents hospitalized for hip fracture and stroke (80% and 64% respectively) used Medicare-paid skilled nursing facilities, yet had outcomes similar to those who did not use such care.
Aug 1, 2008
Journal Article
Prevention of Unintentional Weight Loss in Nursing Home Residents: A Controlled Trial of Feeding Assistance
Twice-daily feeding assistance promotes food and fluid intake and weight gain in nursing home residents at risk for weight loss. Delivery of snacks between meals requires less staff time than at mealtime and thus may be more practical to implement.
Aug 1, 2008
Journal Article
Nursing Home Assessment of Cognitive Impairment: Development and Testing of a Brief Instrument of Mental Status
Tests the accuracy of a brief cognitive assessment of nursing home (NH) residents and to determine whether facility nurses can reliably perform this assessment.
Jan 1, 2008
Journal Article
What the Resident Meant to Say: Use of Cognitive Interviewing Techniques to Develop Questionnaires for Nursing Home Residents
This study demonstrates how cognitive interviews can be used to improve questionnaires intended for nursing home residents.
Jan 1, 2008
Journal Article
The Relationship of Reported Pain Severity to Perceived Effect on Function of Nursing Home Residents
Finds that questions addressing the effect of pain on day-to-day functions are an important addition to standardized pain assessments in nursing homes, particularly for persons who report intermediate levels of pain severity.
Jan 1, 2008
Journal Article
Further Examination of the Influence of Caregiver Staffing Levels on Nursing Home Quality
Weak empirical evidence exists showing that nursing home staffing levels influence quality of care.
Jan 1, 2008
Journal Article
The Influence of Agency Staffing on Quality of Care in Nursing Homes
Data from a large sample of nursing homes were used to examine the cross-sectional association between use of agency staff, regular staff, and quality.
Jan 1, 2008
Journal Article
Nurse Aide Agency Staffing and Quality of Care in Nursing Homes
Nurse aide agency staff of less than 14 full-time equivalents per 100 beds has little influence on quality in nursing homes, whereas nurse aide agency staff of more than 25 full-time equivalents per 100 beds has a substantial influence on quality.
Jan 1, 2008
Journal Article
Use of Advance Directives for Nursing Home Residents in the Emergency Department
Finds variability in advance directive documentation for nursing home patients on transfer to the emergency department, and finds that emergency clinicians experience substantial difficulty in reliably obtaining information about advance directives.
Jan 1, 2008
Journal Article
The Influence of Staffing Characteristics on Quality of Care in Nursing Homes
The influence staffing levels, turnover, worker stability, and agency staff had on quality of care in nursing homes was examined.
Oct 1, 2007
Commentary
Saving Money and Saving Lives in Nursing Homes
Published commentary by RAND staff: Saving Money and Saving Lives in Nursing Homes, in Washingtonpost.com.
Mar 30, 2007
Journal Article
Nursing Home Administrators' Opinions of the Resident Safety Culture in Nursing Homes
Nursing homes in the near future would benefit by addressing the resident safety culture.
Jan 15, 2007
Journal Article
Collaborative Clinical Quality Improvement for Pressure Ulcers in Nursing Homes
The National Nursing Home Improvement Collaborative aimed to reduce pressure ulcer (PU) incidence and prevalence.
Jan 1, 2007
Journal Article
Job Satisfaction of Nurse Aides in Nursing Homes: Intent to Leave and Turnover
Training, rewards, and workload are particularly important aspects of nurse aides' jobs.
Jan 1, 2007
Journal Article
Have Nursing Home Compare Quality Measure Scores Changed Over Time in Response to Competition?
Examines changes in 15 quality measures for nursing homes, and assesses whether competition and/or excess demand have influenced these scores over a period of 1 year.
Jan 1, 2007

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RAND Topic:
Nursing Homes

Topic Synonyms:
Convalescent Home

Research conducted by

RAND Health Care

Researcher Spotlight

Catherine C. Cohen

Policy Researcher

Catherine "Katie" Cohen (she/her) is a nurse scientist and health services researcher at the RAND Corporation. Her work advances health care quality through research and policy. Her work often includes mixed-methods, including large data analysis and primary data collection, especially from…
Agne Ulyte

Senior Analyst

Agnė Ulytė is a senior analyst at the RAND Corporation. Working primarily with RAND Europe, her main focus is health services and health care policy research. Key areas of interest are health, nursing, and social care in long-term care settings; innovative health care delivery modalities such as…

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