Deficiency Citations in Nursing Homes That Predominantly Serve Residents With Serious Mental Illness
| Autor: | John R. Bowblis, Dylan J. Jester, Kathryn Hyer |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Health (social science) business.industry fungi education Long-Term Care II: Challenges in Caring Mental illness medicine.disease Health Professions (miscellaneous) Abstracts mental disorders Medicine Session 2862 (Poster) AcademicSubjects/SOC02600 Life-span and Life-course Studies Nursing homes business Psychiatry health care economics and organizations |
| Zdroj: | Innovation in Aging |
| ISSN: | 2399-5300 |
| DOI: | 10.1093/geroni/igaa057.292 |
| Popis: | Studies suggest that nursing homes (NHs) that predominantly serve residents with serious mental illness (SMI) are of worse quality due to poor resources (i.e., high Medicaid-paying census) and lower staffing. We used national Certification and Survey Provider Enhanced Reports (CASPER) data to examine the deficiencies issued to NHs from 37,800 recertification inspections of 14,582 unique NHs from 2014 to 2017. NHs were categorized into “low-SMI” and “high-SMI” facilities using the lowest and highest quartiles, respectively, of the proportion of residents in the NH with SMI. Bivariate analyses were used to assess for differences between low-SMI and high-SMI NHs in the number of deficiencies, the deficiency score (a point-based metric developed by the Centers for Medicare & Medicaid Services), and the scope and severity of deficiencies. In total, there were 245,178 deficiencies issued. In comparison to low-SMI NHs, high-SMI NHs received a greater deficiency score and more deficiencies per survey (p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|