Nursing Home Deficiency Citations for Safety

Abstract

Deficiency citations for safety violations in U.S. nursing homes from 2000 to 2007 are examined (representing a panel of 119,472 observations). Internal (i.e., operating characteristics of the facility), organizational (i.e., characteristics of the facility itself) and external (i.e., characteristics outside of the influence of the organization) factors associated with these deficiency citations are examined. The findings show that nursing homes increasingly receive deficiency citations for resident safety issues. Low staffing levels, poor quality of care, and an unfavorable Medicaid mix (occupancy and reimbursement) are associated with the likelihood of receiving deficiency citations for safety violations. In many cases, this likely influences the quality of life and quality of care of residents.

Impact of Voluntary Accreditation on Short-Stay Rehabilitative Measures in U.S. Nursing Homes

“…Table lists the staffing, facility, and market variables that were used in this analysis as independent variables. The variables included in our analyses were derived from prior research in this area that has examined nursing home quality (Castle, Wagner, Ferguson & Handler, ). These variables were divided into external, organizational, and internal control variables.…”

“…These variables were divided into external, organizational, and internal control variables. The nature of these categories is described further by Castle et al (2011).…”

Psychometric properties of the Nursing Home Survey on Patient Safety Culture in Norwegian nursing homes

“…Adverse events also seem to be common in long-term care, including nursing homes [2, 3]. One of the most discussed areas within the field of patient safety is how to develop a culture where staff are actively aware of the potential for adverse events [3–6].…”

“…Based on previous research and the original structures and theoretical domains our hypothesis was that the original factor structure of the NHSOPSC could be replicated in a Norwegian context [1, 2, 17]. …”

Understanding infection prevention and control in nursing homes: A qualitative study

“…Yet, 15% of U.S. NHs receive deficiency citations for infection control annually, indicating a clear need for improvement. 6 Therefore, the Department of Health and Human Services (DHHS) has identified IPC in NHs as a priority area. 7 …”