To evaluate the impact of interventions aimed at improving data quality in resident documentation in the residential long-term care setting, and to explore the experiences related with the implementation strategies and key determinants influencing data quality.
Nearly everyone in America has someone they care about who has needed the services and care provided in a skilled nursing facility, nursing home, or assisted living facility. The impact that decreased Medicaid funding can have on the quality of care provided to frail older adults residing in post-acute car...
Skilled nursing facilities (SNFs) are experiencing significant regulatory scrutiny. Recent federal rules established guidelines for increased transparency in reporting of changes in SNF ownership and controversial minimum staffing levels for nurse occupations. This study examined whether SNF changes in own...
Variability in daily nursing staffing levels is an important factor associated with nursing home quality and has led to calls to incorporate it in the Centers for Medicare and Medicaid’s staffing star rating calculation. This study assessed 6 distinct daily staffing level variation measures for their valid...
Although frailty can increase the risk of premature death, whether reversal of frailty reduces the risk of premature death and what factors contribute to the reversal of frailty have not been thoroughly investigated. This study aimed to investigate the link between frailty reversal and all-cause mortality ...
Post-acute heart failure (HF) care presents significant management challenges, particularly among veterans with cognitive and behavioral impairments due to Alzheimer disease and related dementias (AD/ADRD) or severe mental illness (SMI). We hypothesized that comorbid AD/ADRD and SMI would reduce the likeli...
On March 10, 2025, the Centers for Medicare & Medicaid Services (CMS) announced an additional extension for the implementation of all revised surveyor guidance, now set for April 28, 2025, as detailed in QSO-25-14-NH. Initially released in November 2024, the guidance has seen multiple extensions from i...
Clinical decisions to continue or discontinue long-term opioid therapy (LTOT; ≥3 months) for older cancer survivors remain challenging due to limited evidence on the risks and benefits of this treatment practice. This study aims to examine the associations of discontinuing LTOT with clinical and opioid-rel...