Current Workforce and Quality Challenges in New York State Nursing Homes
This study provides background information about the current workforce and quality challenges faced by New York’s nursing homes.
Long-Term Care: Facilities
Search for Publications, Reports, and Presentations
Understanding Nursing Home Complaints in Ohio
This study provides an initial look at the characteristics of Ohio nursing homes and their associated complaints.
Jane Straker • Katherine M. Abbott • Xiao Qui • Jenny Kwon • Robert A. Applebaum
Presentation - Sleep & Dementia: Why Sleep Matters and How to Improve It
Among people living with dementia, sleep is important in slowing cognitive decline, preventing injuries, promoting a better mood, reducing negative interpersonal interactions, and helping balance t...
Julia Larimer
Validation of the Chinese version of the resident satisfaction in long-term care facilities
Accurate measurements of resident satisfaction in long-term care settings can provide administrators with valuable information to improve the quality of care.
Qiwei Li • Jane Straker • Xiaoli Li • Stan Ingman • Chi Zhang • Liam O`Neill
Preference importance ratings among African American and white nursing home residents
The Preferences for Everyday Living Inventory (PELI-NH) assesses the psychosocial preferences of nursing home (NH) residents. This study explored the association of race with importance ratings of ...
Kimberly Van Haitsma • Allison R. Heid • Kendall Leser • Katherine M. Abbott • Nytasia M. Hicks
This study implemented an online survey of family members or friends of residents in long-term care facilities (LTCFs) from April 28 to June 19, 2020, using convenience sampling.
Mi Sun Choi • Jane Straker
The purpose of this quality improvement project was to evaluate the implementation of a person-centered communication tool in nursing homes (NH).
Kimberly Van Haitsma • Abby Hermesch • Alexandra Heppner • Nytasia M. Hicks • Katherine M. Abbott
The coronavirus disease 2019 (COVID-19) has challenged the way nursing homes deliver person-centered care (PCC).
Katherine M. Abbott • Miranda C. Kunkel • Alexandra Heppner • Megan Kelley • Kimberly Van Haitsma • Kamryn Kasler
Residential Care: An Emerging Sector of the Ohio System of Long-Term Services
This report utilized data from the Biennial Survey of Long-Term Care Facilities to show the expansive growth of residential care facilities and assisted living in Ohio over the last couple decades.
Jessica Yauk • Meghan Young • Ian Matt Nelson • Robert A. Applebaum • Jane Straker
The Older Adult Population of Greene County Ohio
This report provides a socio-demographic snapshot of the older adult population of Greene County, Ohio
Abigail Helsinger • Ian Matt Nelson
Family satisfaction: Differences between nursing homes and residential care facilities
This study compared differences in overall family satisfaction, specific satisfaction domains, and correlates of satisfaction between nursing homes (NHs) and residential care facilities (RCFs), usi...
Nytasia M. Hicks • Katherine Wood • Jonathon M. Vivoda • Nader Mehri
The Preferences Assessment Tool (PAT) in the Minimum Data Set (MDS) 3.0 assesses 16 resident preferences for daily routines and activities.
Odichinma Akosionu • Beth A. Virnig • Yunfei Duan • Jasjit S. Ahluwalia • Weiwen Ng • Joseph E. Gaugler • Mark Woodhouse • John R. Bowblis • Haitao Chu • Teyana T. Shippee
Certified nursing assistant (CNA) turnover and retention are critical aspects of facilities’ ability to provide cost-effective, high-quality person-centered care.
John R. Bowblis • Katherine A. Kennedy • Robert A. Applebaum
Nursing home social work during COVID-19
This letter highlights a few of the many challenges facing nursing home social services workers and departments during COVID-19 and highlights the ways that researchers can support practice colleag...
Colleen Galambos • Nancy Kusmaul • Amy Restorick Roberts • Jennifer Heston-Mullins (Jennifer L. Heston) • Mercedes Bern-Klug
This is a test Medicaid nursing home (NH) reimbursement rates and bed-hold policies have been shown to be associated with hospitalization of urban NH residents, but their relationships with emergen...
Yue Li • John R. Bowblis • Thomas V. Caprio • Huiwen Xu • Orna Intrator
The purpose of this study was to investigate trends in racial/ethnic differences in nursing home (NH) residents’ quality of life (QoL) and assess these patterns within and between facilities.
Joseph E. Gaugler • Jasjit S. Ahluwalia • John R. Bowblis • Haitao Chu • Beth A. Virnig • Weiwen Ng • Mark Woodhouse • Yinfei Duan • Teyana T. Shippee • Odichinma Akosionu
Through the Montessori Looking-Glass: Barriers to Implementing a Montessori-Based Intervention
Montessori methods are used with individuals with dementia to create meaningful, inclusive, failure-free activities that enhance quality of life.
Kathleen M. Farfsing • Jennifer M. Kinney • Leah M. Janssen
Primary care competition and quality of care: Empirical evidence from Medicare
This paper explores the effects of primary care physician (PCP) practice competition on five distinct quality metrics directly tied to screening, follow-up care, and prescribing behavior under Medi...
Christopher Brunt • Joshua Hendrickson • John R. Bowblis
The family experience in long-term care during the COVID-19 visitation restriction
This report provides results from an online survey of families with residents in long-term care settings during the COVID-19 suspension of visiting to facilities.
Mi Sun Choi • Jane Straker
Prevalence of COVID-19 in Ohio Nursing Homes
This study examines the Prevalence of COVID-19 cases in Ohio nursing homes in the context of the Centers for Medicare and Medicaid Services (CMS) 5-star quality ratings.
The proportion of racial/ethnic minority older adults in nursing homes (NHs) has increased dramatically and will surpass the proportion of white adults by 2030.
Teyana T. Shippee • John R. Bowblis • Weiwen Ng
Nursing homes (NHs) are serving greater proportions of residents with serious mental illness (SMI), and it is unclear whether this affects NH quality.
John R. Bowblis • Kathryn Hyer • Dylan J. Jester
An increasing number of post-acute care patients are admitted to skilled nursing facilities (SNFs) with behavioral symptoms such as wandering and rejecting care, which can interfere with care and p...
Amy Restorick Roberts • John R. Bowblis • Austin C. Smith
Long-stay nursing home (NH) residents are at high risk of having emergency department (ED) visits, but current knowledge regarding risk-adjusted ED rates is limited.
Orna Intrator • Huiwen Xu • Thomas V. Caprio • John R. Bowblis • Yue Li
This research brief compares the quality of Ohio's nursing homes to the nation over three time periods from 2013 to 2017.
Skilled nursing facilities (SNFs) have received regulatory attention in relation to their emergency preparedness.
Cassandra L. Hua • Ian Matt Nelson • Katherine A. Kennedy
Dedicated Memory Care Units in Ohio's Long-Term Services Settings: Structure and Practices
This report provides information about memory care units in Ohio's nursing homes and residential care facilties.
Jane Straker • John R. Bowblis • Katherine A. Kennedy • A. Katherine Harrington
Culture change (CC) is an innovation to improve nursing home resident quality of life. Inconsistencies in how CC is measured make the interpretation of findings inconclusive.
Anjali B. K. • Jane Straker • J. Scott Brown • Katherine M. Abbott
This study examines the associations between the motivation to learn, basic skills, and organized adult education and training participation among the middle-aged and older adults in the USA.
John R. Bowblis • Austin C. Smith
Ohio Person-Centered Staff Engagement Project Evaluation
This report describes the Person-Centered Staff Engagement Project, funded by Resident Rights funds to the Ohio Department of Aging from the Ohio Department of Medicaid.
Cheyenne Kinsella • Xiao Qui • Jane Straker
This study investigated barriers to fulfilling food preferences from nursing home (NH) residents’ perspectives, and the reasons preferences changed (situational dependencies).
Amy Kotterman • Chelsea N. Goldstein • Katherine M. Abbott • Lauren R. Bangerter • Kimberly Van Haitsma
In 2018, the Scripps Gerontology Center conducted the ninth biennial Ohio Nursing Home and the second Ohio Residential Care Facility Family Satisfaction Surveys under a contract to the Ohio Departm...
Barbra J. Brottman • Leah M. Janssen • Jane Straker • Meghan Young • Ian Matt Nelson • Sara E. Stemen
The impact of long-term care ombudsman presence on nursing home survey deficiencies
This study examines whether deficiency outcomes from nursing home annual survey inspections vary with the presence of a long-term care ombudsman at the survey.
Josh Bornstein • John R. Bowblis • Diane Berish
Impact of social service staffing on nursing home quality and resident outcomes
Social service staff play a key role in nursing homes and are responsible for providing psychosocial services to residents and their families.
John R. Bowblis • Austin C. Smith • Amy Restorick Roberts
Excessive daytime sleepiness (EDS) is prevalent in older adults; however, data are lacking that examine EDS across living environments.
Mary D. Naylor • Karen B. Hirschman • Liming Huang • Katherine M. Abbott • Miranda V. McPhillips • Glenna S. Brewster • Barbara J. Riegel • Alexandra L. Hanlon
This study examined the rate of change in reports of importance of 27 autonomy-related everyday preferences from the Preferences for Everyday Living Inventory over 3-months and the demographic and ...
Allison R. Heid • Kimberly Van Haitsma • Michael J. Rovine • Katherine M. Abbott • Morton Kleban
This study sought to understand the consistency of ratings over a 3-day test-retest period for how satisfied long-term care recipients were with the fulfillment of important everyday preferences.
Eleanor Brnich • Karen Eshraghi • Kimberly Van Haitsma • Katherine M. Abbott • Allison R. Heid
It is not your parents' long-term services system: Nursing homes in a changing world
The article argues that administrative and regulatory practices have not kept pace with the dramatic changes in how nursing homes are now being used in the long-term services system.
Robert A. Applebaum • Shahla Mehdizadeh • Diane Berish
The change in nursing home residents' preferences over time
This study examined the change in nursing home residents' (n = 255) preferences for everyday living over a 3-month period. Participants were recruited from 28 NHs in the suburbs of a major met...
Allison R. Heid • Morton Kleban • Kimberly Van Haitsma • Michael J. Rovine • Katherine M. Abbott
Is the quality of nursing homes countercyclical? Evidence from 2001 through 2015
This study examines whether nursing homes (NHs) provide better quality when unemployment rates rise (countercyclical) and explores mechanisms contributing to the relationship between quality and un...
Sean Shenghsiu Huang • John R. Bowblis
Private equity ownership and nursing home quality: An instrumental variable approach
There is a concern that when private equity firms purchase nursing homes, they will lower quality of care in order to increase profits.
John R. Bowblis • Sean Shenghsiu Huang
Workforce retention and wages in nursing homes: An analysis of managerial ownership
Healthcare providers can be managed by salaried managers or owner-managers that have a significant equity stake in their facility.
Sean Shenghsiu Huang • John R. Bowblis
Family satisfaction with nursing home care: Findings and implications from two state comparison
Most studies of family satisfaction are restricted to one state. This study compares the organizational and structural factors associated with higher family satisfaction in the states of Minnesota ...
John R. Bowblis • Amy Restorick Roberts • Teyana T. Shippee • Weiwen Ng
This paper expands the literature on the heterogeneity among nursing home facilities by determining whether quality at for-profit nursing homes managed by owner-managers is different from those ope...
John R. Bowblis • Sean Shenghsiu Huang
Cost-effective adjustments to nursing home staffing to improve quality
This study holistically examines which type of nursing home staffing (nursing, social service, activities) yields better quality as measured by number of deficiencies and deficiency scores.
Nursing homes (NHs) using the Preferences for Everyday Living Inventory (PELI-NH) to assess important preferences and provide person-centered care find the number of items to be a barrier to using ...
Katherine M. Abbott • Nathan Martindale • Kimberly Van Haitsma • Alexandra Heppner • Gerald C. Gannod
This paper uses a sample of California nursing homes to causally identify whether higher staff turnover leads to worse quality.
Yaa Akosa Antwi • John R. Bowblis
The impact of state nursing home bed relocation policy in Ohio
As Ohio's population aged and shifted across county lines, an imbalance in the supply of nursing home beds to 65+ population has occurred.
Ian Matt Nelson • Shahla Mehdizadeh • Cassandra L. Hua • Philip E. Sauer
Although assessing individual consumer preferences is an important first step in providing person-centered care, the purpose of this study was to identify the top 10 shared preferences that are imp...
Rachel Klumpp • Katherine M. Abbott • Gerald C. Gannod • Jane Straker • Kimberly Van Haitsma • Kendall Leser
Area Agencies on Aging (AAAs)—which coordinate social services for older adults in communities across the US—regularly address social determinants of health, sometimes in partnership wi...
Suzanne R. Kunkel • Leslie A. Curry • Jane Straker • Amanda L. Brewster
Report tracks use long-term services and supports utilization trends from 1993 to 2015.
Shahla Mehdizadeh • Robert A. Applebaum • Jane Straker • Ian Matt Nelson
Family involvement in the nursing home and perceived resident quality of life
This study focuses on the relationship between family involvement and family perceptions of nursing home residents’ quality of life (QOL).
Karen J. Ishler • Amy Restorick Roberts
Managerial ownership in nursing homes: Staffing, quality, and financial performance
This paper uses facility-level data to determine whether staffing levels, quality, and financial performance is different among nursing homes operated as a nonprofit, a for-profit with an owner-man...
John R. Bowblis • Sean Shenghsiu Huang
Quality of life trajectories of older adults living in senior housing
Quality of life (QoL) in the face of declining health, mobility, and social losses is a central issue for older adults.
Kathryn Betts Adams • Amy Restorick Roberts
Using National Data to Examine the Quality of Care in Ohio's Skilled Nursing Facilities
This study compares the quality of Ohio's skilled nursing facilities to the nation overall.
Although nurse staffing has been extensively studied within nursing homes (NHs), social services has received less attention.
How does rurality influence the staffing of social service departments in nursing homes?
This paper examines how social service departments in nursing homes are staffed by rurality.
Animal-assisted activity programs are commonly used in long-term care facilities to enhance the well-being of older residents.
Sara J. McLaughlin • Kate de Medeiros
The Residential Long-Term Care Role in Health Care Transitions
The objective of the current study is to describe the activities long-term care facilities are undertaking to reduce hospital admissions and readmissions by working to improve health care transitions.
Jane Straker • Robert A. Applebaum
This report describes a project to update consumer surveys for residents and families in Ohio's nursing homes and residential care facilities.
Kathryn McGrew • Jennifer Dibert • Candace Burch • AviElle Raymore • Jane Straker
Nursing homes are embracing person-centered care, an approach that emphasizes “knowing the person” and honoring each individual’s preferences.
The objective is to advance knowledge about changes in multiple dimensions of health related quality of life (HRQoL) among older adults receiving long-term services and supports (LTSS) over time an...
Are Ohio's Nursing Homes Ready for an Emergency?
Study Identifies Strengths, Leads to Strategies for Improvement in Ohio Nursing Home Disaster Planning.
Cassandra L. Hua • Marc Molea • Ian Matt Nelson
The Role of the Family in Nursing Homes: Recommendations to Increase Family Satisfaction with Care
Families are important consumers of long-term care services who are likely to remain involved in the care of their resident loved one after placement.
Jane Straker • Amy Restorick Roberts
Implementation of the 2014 Ohio Nursing Home Family Satisfaction Survey
In 2014 the Scripps Gerontology Center conducted the 7th biennial Ohio Nursing Home Family Satisfaction Survey under a contract with the Ohio Dept. of Aging.
AviElle Raymore • Jane Straker • Karl Chow
Neighborhood Assistants Pilot: A Program Evaluation of Person-Centered Staffing
The purpose of this study was to pilot test and evaluate an innovative staffing approach called the Neighborhood Assistant (NA) at the Francis E. Parker Memorial Home.
Carol Burt • Lisa Slator • Katherine M. Abbott • Justine Sefcik
Predictors of adult education program satisfaction in urban community-dwelling older adults
Lifelong learning is receiving greater attention due to population aging in modern societies.
Takashi Yamashita • Jennifer M. Kinney
This report documents two decades of progress in delivering long-term services in Ohio.
Shahla Mehdizadeh • Robert A. Applebaum • Ian Matt Nelson • Jane Straker
"Make me feel at ease and at home" Differential care preferences of nursing home residents
Assessing and honoring older adults’ preferences is a fundamental step in providing person-centered care in long-term care facilities. Researchers and practitioners have begun to develop meas...
The Nursing Home Five Star Rating: How does it compare to resident and family views of care?
In 2008, the Centers for Medicare and Medicaid Services (CMS) implemented a five-star rating system of nursing homes in the United States.
Robert A. Applebaum • Jane Straker
Long-term care facilities have been impacted by the economic downturn and other changes in the long-term care system.
Phyllis A. Cummins • Jane Straker
The primary aim of this study is to elucidate the push-pull factors associated with moving into congregate senior housing.
Heidi H. Ewen • Jasleen Chahal
In a 16 year tracking of utilization trends for institutional and home and community-based services, we learned that Ohio has made considerable change in its approach to delivering and funding long...
Shahla Mehdizadeh • Ian Matt Nelson • Robert A. Applebaum • Jane Straker
Implementation of the 2010 Ohio Nursing Home Family Satisfaction Survey: Final Report
In 2010, the Scripps Gerontology Center conducted the fifth biennial Ohio Nursing Home Family Satisfaction Survey under a contract to the Ohio Department of Aging.
Karl Chow • Samuel Mwangi • Jane Straker • Luann Reddecliff
Nursing Home Use in Ohio: Who Stays, Who Pays?
This research brief follows a cohort of nursing home residents over a three-year period-- beginning with their first ever admission to a nursing home --in order to determine their stay patterns and...
Robert A. Applebaum • Shahla Mehdizadeh • Ian Matt Nelson
This research presents and discusses findings on how increased staff knowledge of an Ohio nursing homes residents' past improved communication and relations between resident and staff and, als...
Michael Payne
Pandemic Influenza Preparedness in Licensed Nursing Homes and Residential Care Facilities in Ohio
The purpose of this study was to determine the extent of influenza pandemic preparedness in nursing homes and other residential care facilities in Ohio.
William Ciferri
Technology in Ohio Nursing Homes: A Report on the State of the Art
This report examines the use of information technology in Ohio nursing homes.
Hallie Baker • Jane Straker • Malinda Deacon
These reports project the potential needs for long-term care services and supports in the two regions of the state of Ohio where the two Programs for All-inclusive Care for theElderly(PACE) operate.
Anthony R. Bardo • Shahla Mehdizadeh
An Evaluation of the Assisted Living Medicaid Waiver Program
This research project evaluates the state’s experiences in the implementation of the Ohio Assisted Living Medicaid Waiver Program.
Kathryn McGrew • Heather L. Menne • Lydia Manning • Hallie Baker • Robert A. Applebaum • J. Johnson • Karl Chow • Valerie Wellin • J. Scott Brown • K. Brown Wilson
Implementation of the 2008 Ohio Nursing Home Family Satisfaction Survey: Final Report
In 2008, the Scripps Gerontology Center conducted the third bi-annual nursing home family satisfaction survey under a contract to the Ohio Department of Aging.
Hallie Baker • Jane Straker • Samuel Mwangi • Karl Chow
Disability in Ohio: Long-Term Care Providers and Programs
This report describes the range of options used in Ohio’s long-term care system.
Shahla Mehdizadeh • Denise Brothers-McPhail
Worker Injuries and Safety Equipment in Ohio Nursing Homes
A survey of nursing homes was conducted in 2006 to evaluate a number of facility-specific characteristics including worker injury rates.
Stefan S. Stanev • Hanjin Li • A. John Bailer
Enhancing the Performance of Local Long-Term Care Ombudsman Programs in Ohio Chartbook
This is a state-level case-study of the performance of local Long-Term Care Ombudsman Programs in Ohio.
Cary Kart • Chris Wellin
2007 Ohio Residential Care Facility Resident Satisfaction Survey: Instrument Refinements
This report describes psychometric testing and other evaluation of the 2007 Ohio Residential Care Resident Satisfaction Survey.
Jane Straker • J. Scott Brown
This report is one among four that represents an evaluation of Ohio’s Assisted Living Medicaid Waiver program.
Farida Ejaz • Heather L. Menne
Evaluation of Ohio's Assisted Living Medicaid Waiver Program: Report on Program Costs
This report is one among four that represents an evaluation of Ohio's Assisted Living Medicaid Waiver program.
Evaluation of Ohio's Assisted Living Medicaid Waiver Program: Final Summary Report
This study evaluated the performance of Ohio’s Assisted Living Medicaid Waiver program during its initial implementation period; it is one report among four.
Valerie Wellin • J. Scott Brown • Keren Brown Wilson • Cary Kart • Robert A. Applebaum • Farida Ejaz • Heather L. Menne
Evaluation of Ohio's Assisted Living Medicaid Waiver Program: Consumer Access and Satisfaction
This report is one among four that represents an evaluation of Ohio's Assisted Living Medicaid Waiver program.
Valerie Wellin • Jennifer M. Kinney • Cary Kart
The Changing Face of Long-Term Care: Ohio's Experience 1993-2005
This report details trends in Ohio long-term care service utilization over 12 years.
Jane Straker • Shahla Mehdizadeh • Ian Matt Nelson • Hallie Baker • Robert A. Applebaum
Implementation of the 2006 Ohio Nursing Home Family Satisfaction Survey
In 2006, the Scripps Gerontology Center conducted the second annual nursing home family satisfaction survey under a contract to the Ohio Department of Aging.
Jane Straker • Farida Ejaz
Nursing home use in Ohio: Who stays, who pays?
This research brief follows a cohort of nursing home residents over a three-year period-- beginning with their first ever admission to a nursing home --in order to determine their stay patterns and...
Shahla Mehdizadeh • Ian Matt Nelson • Robert A. Applebaum
Long-term care utilization in Ohio 1993-2003
This research brief examines trends in nursing home care and home care use between the years 1993 and 2003.
Jane Straker • Shahla Mehdizadeh • Robert A. Applebaum
A review of nursing home resident characteristics in Ohio: Tracking changes from 1994-2004
This briefing paper presents the profile of Ohio nursing home residents in both 2004 and 1994, and describes trends over the past decade.
Robert A. Applebaum • Shahla Mehdizadeh
Scripps Gerontology Center
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