Iowa nursing home characteristics associated with reported abuse.
OBJECTIVE
To evaluate the association of nursing home abuse reported by employees in Iowa licensed nursing homes with nursing home characteristics, inspection results, nursing staff hours, and census demographics.


METHODS
Mailed survey.


METHODS
Iowa's 409 Medicare-certified stand-alone nursing homes.


METHODS
Administrators and directors of nursing.


RESULTS
The annual rate of abusive events was 20.7 per 1000 nursing home residents, with a rate of 18.4 reported events and 5.2 substantiated events. A higher number of residents and a higher number of certified beds were significantly associated with higher incident, report, and substantiation rates. Higher incident and report rates were associated with nursing homes in metropolitan areas. Higher substantiation rates were associated with for-profit nursing homes.


CONCLUSIONS
Recognized abuse in nursing homes is not uncommon. Approximately 90% of events are reported to the state authorities with 29% of those being substantiated. Differences associated with nursing facility abuse rates are metropolitan area, ownership, occupancy rate, and number of residents and certified beds.
Jogerst
Gerald J
GJ
Department of Family Medicine, University of Iowa, Carver College of Medicine, Iowa City, IA 52242, USA. gerald-jogerst@uiowa.edu
Daly
Jeanette M
JM
Dawson
Jeffrey D
JD
Peek-Asa
Corinne
C
Schmuch
Gretchen
G
D000368:Aged; D001509:Bed Occupancy / Q000706:statistics & numerical data; D002568:Certification / Q000458:organization & administration; D004552:Elder Abuse / Q000706:statistics & numerical data*; D005161:Facility Regulation and Control / Q000458:organization & administration; D019538:Health Care Surveys; D006269:Health Facilities, Proprietary / Q000458:organization & administration; D006801:Humans; D015994:Incidence; D007484:Iowa / Q000453:epidemiology; D008004:Licensure / Q000706:statistics & numerical data; D016014:Linear Models; D019221:Mandatory Reporting; D008484:Medicaid / Q000458:organization & administration; D006278:Medicare / Q000458:organization & administration; D009718:Nurse Administrators; D009735:Nursing Homes / Q000458:organization & administration*; D009740:Nursing Staff / Q000458:organization & administration; D017063:Outcome Assessment, Health Care; D010067:Ownership / Q000706:statistics & numerical data; D010561:Personnel Staffing and Scheduling / Q000458:organization & administration; D008486:Physician Executives; D012111:Residence Characteristics / Q000706:statistics & numerical data; D012308:Risk Management / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires