Objective: This study examines the relationship between increasing certified nursing assistants (CNAs) and licensed nurse staffing ratios and deficiencies in Florida nursing homes over a 4-year period. Methods: Data from Florida staffing reports and the Online Survey Certification and Reporting database examine the relationship among staffing…

Purpose of the study: Studies have shown that patient safety culture (PSC) is poorly developed in nursing homes (NHs), and, therefore, residents of NHs may be at risk of harm. Using Donabedian's Structure-Process-Outcome (SPO) model, we examined the relationships among top management's ratings of NH PSC, a process of care, and safety outcomes.…

Purpose: This study describes Florida's model of Medicaid nursing home (NH) reimbursement to compensate NHs for disaster-related expenses incurred as a result of 8 hurricanes within a 2-year period. This Florida model can serve as a demonstration for a national model for disaster-related reimbursement. Design and Methods: Florida reimburses NHs…

Estimated impoverishment risk for two samples of community-living elderly (N=900+). Found that for elders over age 75, 46 percent of those living alone and 2 percent of couples would spend lifetime assets and current income, becoming impoverished in 13 weeks if institutionalized in skilled nursing facility. Rates were comparable for elders over…

Considers impoverishment as a consequence of continuous institutionalization in a nursing home to be a public policy problem and the plight for any older Americans. Discusses one form of long-term care (LTC) insurance, the continuing care retirement community or life care community, and contrasts this small LTC self-insurance group with two other…