To determine whether the risk of nursing home-to-nursing home transfer is higher among long-term nursing home residents with intellectual and developmental disabilities (IDD), or serious mental illness (SMI), and/or Alzheimer's disease and related dementias (ADRD), relative to residents without these ...
Even though more than 25% of Americans die in nursing homes, end-of-life care has consistently been found to be less than adequate in this setting. Even for those residents on hospice, end-of-life care has been found to be problematic. This study had 2 research questions; (1) How do family members of hospi...
Recent rampant spread of COVID-19 cases in nursing homes has highlighted the concerns around nursing homes’ ability to contain the spread of infections. The ability of nursing homes to invest in quality improvement initiatives may depend on resource availability. In this study, we sought to examine whether...
High-quality care at the end of life supports freedom from pain and other potentially burdensome symptoms. Lowering symptom burden at the end of life is an urgent and achievable goal in delivering services in nursing home settings. Few published reports describe symptom burden among older adults in nursing...
This study assessed individual and organizational context (work environment) factors that influence use of best practices by care aides (nursing assistants) in nursing homes. Little scientific attention has been focused on understanding best practice use in nursing homes and almost none on care aides.
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The older population of United States is growing, with more adults having complicated medical conditions being admitted into nursing facilities and assisted living facilities. With the COVID-19 pandemic, the biggest challenge has been falls prevention, with an increasing number of patients being placed in ...
CMS has officially ended the use of Focused Infection Control Surveys (FICS) as part of routine surveys, according to revised guidance in memo QSO-25-23-ALL, issued on July 30, 2025.
Nursing home administrator (NHA) and director of nursing (DON) are the 2 key leadership positions in nursing homes (NHs) and play an important role in delivering high-quality long-term care services. However, the impact of DON turnover has not been well investigated compared with that of NHA. This study ai...
Medicaid is the primary payer for most nursing home residents and reimburses below the cost of care, limiting the ability of nursing homes to increase staffing levels. This study examined the association of nursing staff levels and expenditures with Medicaid payer-mix and determined whether these associati...