title: Nursing home staffing requirements and input substitution: effects on housekeeping, food service, and activities staff.
abstract: OBJECTIVE
  To study the effect of minimum nurse staffing requirements on the subsequent employment of nursing home support staff.
  
  
  METHODS
  Nursing home data from the Online Survey Certification and Reporting (OSCAR) System merged with state nurse staffing requirements.
  
  
  METHODS
  Facility-level housekeeping, food service, and activities staff levels are regressed on nurse staffing requirements and other controls using fixed effect panel regression.
  
  
  METHODS
  OSCAR surveys from 1999 to 2004.
  
  
  RESULTS
  Increases in state direct care and licensed nurse staffing requirements are associated with decreases in the staffing levels of all types of support staff.
  
  
  CONCLUSIONS
  Increased nursing home nurse staffing requirements lead to input substitution in the form of reduced support staffing levels.
authors: Department of Economics, Farmer School of Business, Miami University, E. High Street, Oxford, OH 45056, USA. bowblijr@miamihio.edu
authors: John R
authors: JR
authors: Bowblis
authors: Kathryn
authors: K
authors: Hyer
mesh_terms: D005522:Food Services / Q000706:statistics & numerical data; D006796:Household Work / Q000706:statistics & numerical data; D006801:Humans; D009735:Nursing Homes / Q000458:organization & administration / Q000592:standards; D010561:Personnel Staffing and Scheduling / Q000458:organization & administration / Q000706:statistics & numerical data; D014481:United States; D000078329:Workforce
keywords: Nursing homes; activities staff; food service; housekeeping; regulation; staffing requirements; support staff