NURSE STAFFING LEVELS AND OTHER FACTORS ASSOCIATED WITH NURSING HOME QUALITY
2024

Nurse Staffing Levels and Nursing Home Quality

Sample size: 13086 publication Evidence: high

Author Information

Author(s): Shin Juh Hyun, Harrington Charlene, Lee Soo-Kyoung, Ahn Jinhyun, Lee Yeonwoo, Ali Sanna

Hypothesis

Higher nurse staffing levels lead to better quality in nursing homes.

Conclusion

Adequate nurse staffing is essential for maintaining quality in nursing homes, as higher staffing levels correlate with fewer deficiency citations.

Supporting Evidence

  • Nursing homes with higher registered nurse hours per resident day had fewer deficiency citations.
  • Larger facilities and those with higher Medicaid coverage had more deficiencies.
  • Not-for-profit nursing homes generally had lower deficiency scores.

Takeaway

This study shows that having more nurses in nursing homes helps them provide better care and have fewer problems.

Methodology

The study used ordinary least squares (OLS) regression to analyze deficiency citations from CMS across all U.S. nursing homes for Fiscal Year 2019.

Limitations

The study is limited to data from Fiscal Year 2019 and may not reflect current conditions.

Participant Demographics

The study included data from all U.S. nursing homes, considering factors like ownership types and demographic characteristics.

Digital Object Identifier (DOI)

10.1093/geroni/igae098.4033

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