To document and highlight the variation in the types of assisted living (AL) licensed settings eligible for Medicaid home and community-based services (HCBS) payment.
Assisted living is a common place of care for dying residents, with extensive variation in residents' outcomes such as hospice enrollment. This research aimed to gather national evidence about end-of-life care processes in assisted living.
Bathing and hygiene routines can be stressful for individuals living with dementia or other cognitive disabilities in residential care. Cold or unfamiliar bathrooms and limited staff resources often contribute to distress.
The COVID-19 pandemic had a profound impact on long-term care facilities, particularly nursing homes and assisted living communities (ALCs), leading to high mortality rates among residents. Vaccination of residents and staff in long-term care mitigated virus spread. However, we know little about vaccine up...
To examine (1) whether hospice staff visits are associated with end-of-life (EOL) transitions, place of death (POD), and live discharges among assisted living (AL) residents, and (2) whether state AL regulations on staffing and medication administration influence these outcomes. We hypothesized that more f...
In the years following the COVID-19 pandemic, immunization coverage has declined among frontline post-acute and long-term care (PALTC) staff, such as nurses, certified nursing assistants, and kitchen staff. We took a novel approach to addressing these declines by engaging frontline staff in design of immun...
Professional caregivers (ie, direct care workers) provide the majority of support for long-term care residents. Unfortunately, they have consistently high turnover, which is associated with low job satisfaction and decreased care quality. Most research on this topic has been conducted in nursing homes; in ...
To examine trends in home health care (HHC) use in congregate living and compare characteristics of HHC use between Medicare patients in congregate living and those in other home settings.
To examine how risk of hospitalization among assisted living (AL) residents differs by dual enrollment in Medicare and Medicaid and by the percent of dually enrolled individuals in an AL community.