title: Staffing-related deficiency citations in nursing homes.
abstract: There is evidence that staffing characteristics influence quality of care in nursing homes. Federal and state surveyors conduct inspections of homes to assess their compliance with regulatory standards, including requirements related to staffing. Deficiency citations are issued when these standards are not met. This article examines the relationship between operational, facility, and market characteristics and organizational performance measured as staffing-related deficiency citations. Online Survey Certification of Automated Records (OSCAR) data from 2000 through 2007 were used with multinomial logistic regression analyses to identify factors associated with deficiency citations for staffing. Chain members and facilities with poor quality of care were more likely to receive deficiency citations for staffing. Greater bed count and competition between nursing homes were associated with a decreased likelihood of deficiency citations for staffing. Staffing-related deficiencies within nursing homes vary according to various operational, facility, and market characteristics.
authors.affiliation: Department of Health Policy, Management, and Evaluation, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada. Shawna.mcdonald@utoronto.ca
authors.forename: Shawna M
authors.initials: SM
authors.lastname: McDonald
authors.forename: Laura M
authors.initials: LM
authors.lastname: Wagner
authors.forename: Nicholas G
authors.initials: NG
authors.lastname: Castle
mesh_terms: D000368:Aged; D001509:Bed Occupancy / Q000706:statistics & numerical data; D002568:Certification / Q000592:standards*; D004465:Economic Competition / Q000706:statistics & numerical data; D006707:Homes for the Aged / Q000458:organization & administration* / Q000592:standards; D006801:Humans; D008484:Medicaid / Q000706:statistics & numerical data; D009735:Nursing Homes / Q000458:organization & administration* / Q000592:standards; D009740:Nursing Staff / Q000458:organization & administration* / Q000592:standards; D062072:Patient Acuity; D010561:Personnel Staffing and Scheduling / Q000458:organization & administration* / Q000592:standards; D011787:Quality of Health Care / Q000458:organization & administration* / Q000592:standards; D014481:United States