Skip Navigation


The Journals of Gerontology Series B: Psychological Sciences and Social Sciences Advance Access originally published online on January 29, 2009
The Journals of Gerontology Series B: Psychological Sciences and Social Sciences 2009 64B(2):269-278; doi:10.1093/geronb/gbn019
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow All Versions of this Article:
64B/2/269    most recent
gbn019v1
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrowRequest Permissions
Google Scholar
Right arrow Articles by Kim, H.
Right arrow Articles by Mezey, M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Kim, H.
Right arrow Articles by Mezey, M.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

© The Author 2009. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org.

A Panel Data Analysis of the Relationships of Nursing Home Staffing Levels and Standards to Regulatory Deficiencies

Hongsoo Kim1, Christine Kovner1, Charlene Harrington2, William Greene3 and Mathy Mezey1

1 New York University College of Nursing, New York
2 Department of Social and Behavioral Sciences, University of California, San Francisco
3 Department of Economics, New York University Stern School of Business, New York

Address correspondence to Hongsoo Kim, PhD, MPH, RN, New York University College of Nursing, 246 Greene Street, Room 602 West, New York, NY 10003. Email: hk489{at}nyu.edu


  Abstract

Objective: To examine the relationships between nursing staffing levels and nursing home deficiencies.

Methods: This panel data analysis employed random-effect models that adjusted for unobserved, nursing home–specific heterogeneity over time. Data were obtained from California's long-term care annual cost report data and the Automated Certification and Licensing Administrative Information and Management Systems data from 1999 to 2003, linked with other secondary data sources.

Results: Both total nursing staffing and registered nurse (RN) staffing levels were negatively related to total deficiencies, quality of care deficiencies, and serious deficiencies that may cause harm or jeopardy to nursing home residents. Nursing homes that met the state staffing standard received fewer total deficiencies and quality of care deficiencies than nursing homes that failed to meet the standard. Meeting the state staffing standard was not related to receiving serious deficiencies.

Conclusions: Total nursing staffing and RN staffing levels were predictors of nursing home quality. Further research is needed on the effectiveness of state minimum staffing standards.

Key Words: Deficiencies • Nursing home quality • Nursing staffing • State staffing standard

Received July 10, 2008; Accepted October 27, 2008

Decision Editor: Kenneth F. Ferraro, PhD


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?




Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.