Nursing Homes in Ohio: A Profile
A snapshot of the environment in Ohio based on a comprehensive analysis and survey responses from the long-term care industry.
Oksana Dikhtyar • Ian Matt Nelson • John R. Bowblis • Robert A. Applebaum
Long-Term Care
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Home- and Community-Based Services in Ohio: 1993-2023
A snapshot of the long-term services and supports environment in Ohio based on a comprehensive analysis and survey responses.
Ian Matt Nelson • Oksana Dikhtyar • John R. Bowblis • Robert A. Applebaum
Home- and Community-Based Services in Ohio: 1993-2023
A snapshot of the long-term services and supports environment in Ohio based on a comprehensive analysis and survey responses.
Ian Matt Nelson • Robert A. Applebaum • John R. Bowblis • Oksana Dikhtyar
Patterns and Predictors of Reopening Nursing Homes to Visitors During the COVID-19 Pandemic
Statewide restrictions on visitors to nursing homes were widely used during the COVID-19 pandemic.
Jennifer Heston-Mullins (Jennifer L. Heston) • Huiwen Xu • John R. Bowblis
This article explores an innovative new framework that addresses system-level complexity in long-term care research through the lens of culture change.
Kimberly Van Haitsma • Katherine M. Abbott • Molly Noble • Amy E. Elliot
The Minimum Data Set (MDS 3.0) for nursing home (NH) residents contains data collected at regular intervals that are vital to pragmatic research studies.
Allison R. Heid • Kimberly Van Haitsma • Molly Noble • Katherine M. Abbott
Eliminating Medicare bad debt payments: are critical access and rural hospitals at risk?
While Medicare Allowable Bad Debt (MBD), defined as unpaid patient financial obligations Medicare partially reimburses to hospitals, represents only 0.12% of patient revenue, policymakers and execu...
John R. Bowblis • Robert Tyler Braun • Dunc Williams
Nursing Home Leadership Turnover and Its Association With Star Ratings and Consumer Satisfaction
Nursing home administrator (NHA) and director of nursing (DON) are the 2 key leadership positions in nursing homes (NHs) and play an important role in delivering high-quality long-term care services.
Christopher Brunt • John R. Bowblis • Jenny Kwon • Huiwen Xu
Bridging the Care Gap for People Living Alone With Dementia
Federal policies and programs recognize that people living with dementia often experience an increasing need for care and support, and much of this care and support comes from family members who ty...
Nursing homes have historically struggled to maintain adequate nurse staffing.
Nursing homes (NH) are mandated to provide person-centered care (PCC).
Karen Eshraghi • Allison R. Heid • Kimberly Van Haitsma • Katherine M. Abbott
The Individualized Positive Psychosocial Intervention (IPPI) is an evidence-based program that engages people living with dementia (PLWD) in brief (i.e. 10 minute) one-to-one preference-based...
Amy Kotterman • Kimberly Van Haitsma • Katherine M. Abbott • Allison R. Heid • Molly Noble
Financial Retention Strategies Associated with Nurse Aide Turnover in Ohio Nursing Homes
Not only are high turnover rates associated with lower quality, they can potentially increase costs due to recruitment expenditures and wage increases necessary to fill open positions.
Robert A. Applebaum • John R. Bowblis • Christopher Brunt
We implemented a pilot embedded pragmatic clinical trial of the evidence-based Individualized Positive Psychosocial Interaction (IPPI) program for people living with dementia (PLWD) in nursing homes.
Amy Kotterman • Katherine M. Abbott • Kimberly Van Haitsma • Allison R. Heid • Molly Noble
Polypharmacy and Depressive Symptoms in Older Adults: Does Gender Matter?
This study examined the relationship between polypharmacy and depressive symptoms among U.S. community-dwelling older adults and whether it varied by gender.
Xiao Qui • Cassandra L. Hua • J. Scott Brown • Na Sun
Little work has explored how pragmatic data (i.e., usual care delivery data) can be used as an indicator of preference-based care delivery in nursing homes (NH) and how we can link these data to he...
Katherine M. Abbott • Kimberly Van Haitsma • Nahida Akter • Karen Eshraghi • Michael J. Rovine • Allison R. Heid
A Case Study of Aging and Intellectual and Developmental Disability Collaboration in Ohio
Service and research organizations in Ohio collaborated to develop and expand dementia-capable home and community-based service systems, with a focus on individuals living with intellectual and dev...
Jessica Bibbo • Salli Bollin • Megan Huth • Ashley Haas • Lauranne Scharf • Lyndi Wyrostek • Marty Williman • Jennifer Hudak • Jennifer Heston-Mullins (Jennifer L. Heston) • Bonnie Burman • Donna Barrett • Branka Primetica • Elizabeth Kinzig
Impact of adult day service on long-term care placement: A scoping review
Cognitive decline and dementia account for the highest number of cognitive disabilities, functional limitations, chronic healthcare conditions, and long-term care needs among older adults aged 65 a...
Heather L. Menne • Kingsley C. Udeh
Association of Racial and Ethnic Composition with Staff Levels in Nursing Homes: 2013-2019
The nursing home (NH) population has become increasingly diverse, yet many facilities remain de facto racially segregated.
Huiwen Xu • John R. Bowblis
The purpose of this paper is to describe the pre-implementation process utilized to identify potential substantive barriers and facilitators to implementing the Individualized Positive Psychosocial...
Jerry H Gurwitz • Amy Kotterman • Katherine M. Abbott • Molly Noble • Kimberly Van Haitsma • Heather L. Menne
Little work has explored how pragmatic data (i.e., usual care delivery data) can be used as an indicator of preference-based care delivery in nursing homes (NH) and how we can link these data to he...
Before the COVID-19 pandemic, for-profit nursing homes’ revenue generally covered their costs, whereas not-for-profit nursing homes often needed donations and other nonpatient revenue to cove...
Robert A. Applebaum • Christopher Brunt • John R. Bowblis
Little is known about how preference-based care impacts nursing home (NH) residents’ well-being over time.
Nahida Akter • Kimberly Van Haitsma • Michael J. Rovine • Allison R. Heid • Katherine M. Abbott • Karen Eshraghi
To Opt-In or Opt-Out? The Choice Behind Financial Alignment for Dual-Eligible Beneficiaries in Ohio
Eleven states implemented the Financial Alignment Initiative (FAI) to better align and care for beneficiaries eligible for Medicare and Medicaid.
Heather R. Reece • Katherine M. Abbott • John R. Bowblis • Jennifer Heston-Mullins (Jennifer L. Heston) • Athena Koumoutzis • Robert A. Applebaum
In the United States, long-term care providers, such as nursing homes and assisted living communities, are meeting consumer demand through housing and care options designed to support the growing p...
Amy E. Elliot • Heather L. Menne • Ian Matt Nelson • John R. Bowblis
In the United States, long-term care providers, such as nursing homes and assisted living communities, are meeting consumer demand through housing and care options designed to support the growing p...
John R. Bowblis • Heather L. Menne • Ian Matt Nelson • Amy E. Elliot
The Impact of Health Care Contracting on Community-Based Organizations
Abbe E. Lackmeyer (Abbe Linscott) • Suzanne R. Kunkel • Isha Karmacharya
Brief examines the financial viability of Ohio's nursing home industry.
John R. Bowblis • Robert A. Applebaum • Christopher Brunt
To assess the staffing patterns of direct care nursing staff by shift in nursing homes (NHs), assisted living communities (ALCs), and their corresponding memory care units (MCUs).
Ian Matt Nelson • Heather L. Menne • John R. Bowblis • Amy E. Elliot
Sustainability of the Preferences for Everyday Living Inventory Use in Ohio Nursing Homes Over Time
In 2015, the Ohio Department of Medicaid incentivized use of the Preferences for Everyday Living Inventory (PELI) as a quality initiative.
The Individualized Positive Psychosocial Interaction (IPPI) is an evidence-based program that supports engaging people living with dementia and their care partners in the nursing home (NH).
Molly Noble • Katherine M. Abbott • Kimberly Van Haitsma • Cassandra Keiser
This study assessed the readiness of The Individualized Positive Psychosocial Interaction (IPPI) program in the nursing home (NH) setting from the perspective of NH providers implementing the IPPI.
Katherine M. Abbott • Miranda C. Kunkel • Cassandra Keiser • Nahida Akter • Kimberly Van Haitsma • Kamryn Kasler • Alexis Talmage
Association Between Self-Direction and Personal Care Aide Wages
The supply of personal care aides (PCAs), who assist people receiving home care, is a growing concern.
Susan A. Chapman • Miku Fujita • Denise A. Tyler
The current study aimed to develop and preliminarily validate an initial version of an instrument to assess the leisure activity preferences of people receiving adult day services (ADS).
Kimberly Van Haitsma • Katherine M. Abbott • Martina Roes
A PROFILE OF NURSING HOMES IN OHIO
With more than 2 million individuals age 65 and older Ohio ranks sixth in the size of its older population.
MaKenna McClure • Robert A. Applebaum • Ian Matt Nelson • Oksana Dikhtyar • Negar Nik Bakht • John R. Bowblis
A Profile of Nursing Homes in Ohio
This study provides a comprehensive overview of the nursing home industry in Ohio.
Robert A. Applebaum • Ian Matt Nelson • Oksana Dikhtyar • Negar Nik Bakht • John R. Bowblis • MaKenna McClure
Nursing Homes Increasingly Rely On Staffing Agencies For Direct Care Nursing
When nursing homes experience a shortage in directly employed nursing staff, they may rely on temporary workers from staffing agencies to fill this gap.
John R. Bowblis • David C. Grabowski • Christopher Brunt • Huiwen Xu • Robert A. Applebaum
Nursing Homes Increasingly Rely On Staffing Agencies For Direct Care Nursing
When nursing homes experience a shortage in directly employed nursing staff, they may rely on temporary workers from staffing agencies to fill this gap.
John R. Bowblis • Christopher Brunt • Robert A. Applebaum • David C. Grabowski • Huiwen Xu
Adult Children’s Migration and Health-Related Quality of Life Among Older Nepali Adults
Traditionally, adult children have served as primary caretakers and providers for older Nepali adults.
Devendra Raj Singh • Sara J. McLaughlin • Hannah McCarren • Dhirendra Nath • Saruna Ghimire • Janardan Subedi
Uncovering subgroups of nursing home residents sharing similar preference patterns is useful for developing systematic approaches to person-centered care.
Yinfei Duan • Tetyana P Shippee • Odichinma Akosionu • John R. Bowblis • Weiwen Ng
Currently it is unknown what people receiving adult day services (ADS) understand as leisure and the activities they prefer remain unknown.
Katherine M. Abbott • Martina Roes • Christina Manietta • Mike Rommerskirch-Manietta • Kimberly Van Haitsma • Daniel Purwins
This study aims to assess the criterion validity of the Preferences for Everyday Living Inventory (PELI) Implementation Indicator with other culture change measures.
Caroline Madrigal • Victoria Crumbie • Katherine M. Abbott • Andrea Hulshult • Abby Spector • Kimberly Van Haitsma • Alexandra Heppner • Allison R. Heid • Karen Eshraghi
This study examined mean differences in demographic and clinical characteristics of residents for preferences showing the change.
Michael J. Rovine • Caroline Madrigal • Kimberly Van Haitsma • Victoria Crumbie • Allison R. Heid • Karen Eshraghi • Katherine M. Abbott
A Process Evaluation of Developing Older Adult Research Advisory Boards in Long Term Care Settings
Older adults residing in long-term care settings can contribute their lived experience to informing the development and implementation of programs, interventions, practices, and policies that affec...
Rachel Lessem • Darby J. Morhardt • Amy R. Eisenstein • Hailee M. Yoshizaki-Gibbons • Katherine M. Abbott • Erin McGaffigan • Jane Straker • Marc A. Cohen • Rebecca L. H. Berman
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 explores the experiences of bereaved lesbian, gay, and bisexual (LGB) older women to understand perspectives regarding advance care planning communication between clinicians, patients, a...
Kate de Medeiros • Leah M. Janssen • Valerie Flores (Valerie Kessler) • Susan Enguidanos
End-of-Life Educational Needs of State Tested Nurse Aides in Ohio Long-Term Care Facilities
This research brief shares the findings of a qualitative research study that solicited the opinions of current State Tested Nurse Aides (STNAs), registered nurses (RNs), and licensed practical nurs...
Kimberly K. Ogle • Alex D'Errico-Bronston
COVID-19 pandemic: Exacerbating racial/ethnic disparities in long-term services and supports
What services are available and where racial and ethnic minorities receive long-term services and supports (LTSS) have resulted in a lower quality of care and life for racial/ethnic minority users.
Teyana T. Shippee • Weiwen Ng • John R. Bowblis
The Centers for Medicare and Medicaid Services mandate the provision of person-centered care (PCC), but there is limited evidence on how PCC impacts nursing home (NH) residents’ care experien...
Karen Eshraghi • Katherine M. Abbott • Kimberly Van Haitsma • Whitney L. Mills • Liza L. Behrens • Jacqueline Mogle • Dennis Scanlon • Caroline Madrigal • Donna M. Fick
Skilled nursing facilities (SNFs) have received regulatory attention in relation to their emergency preparedness.
Cassandra L. Hua • Ian Matt Nelson • Katherine A. Kennedy
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.
J. Scott Brown • Katherine M. Abbott • Anjali B. K. • Jane Straker
Social lives and cliques in senior housing communities
This study examined residents’ perceptions of life in senior housing, social stigma, and cliques.
Ehirement Azugbene • Heidi H. Ewen • Kara B. Dassel • Amy Restorick Roberts • Jasleen Chahal
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
This article proposes a theoretical model of person-centered care (PCC).
Liza L. Behrens • Allison R. Heid • Lauren R. Bangerter • Annabelle Arbogast • Kimberly Van Haitsma • Caroline Madrigal • Katherine M. Abbott
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
Care managing together: A review of the Aetna and Area Agency on Aging MyCare partnership in Ohio
This study was a first step in gaining a better understanding of the care management plan models used in the Ohio MyCare Demonstration, focusing on the Aetna unified care management model implement...
Luyna Ducay • Robert A. Applebaum • Jennifer Heston-Mullins (Jennifer L. Heston) • Ian Matt Nelson
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
Mapping core concepts of person-centered care in long-term services and supports
This study used an empirical concept mapping approach to identify core components of person-centered care (PCC) used in long-term services and supports (LTSS). The aim is to help providers and rese...
Kimberly Van Haitsma • Yin Liu • Ann Marie Kolanowski • Donna M. Fick • Harleah G. Buck • Katherine M. Abbott • Gwen McGhan • Liza L. Behrens • Allison R. Heid • Martina Roes • Abby Spector
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
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
This study compared Dr. Sidney Katz's original dichotomous measure of dependence in performing activities of daily living (ADL) with the National Health and Aging Trends Study's (NHATS) b...
Shahla Mehdizadeh • Stephen Frochen
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
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
This report summarizes the implementation process and results from the 2016 Family Satisfaction Surveys conducted in Ohio nursing homes and residential care facilities.
Ryan Shanley • Jane Straker • Jyotsana Parajuli • Danielle Eynon-Black • Karl Chow • Ian Matt Nelson
Report tracks use long-term services and supports utilization trends from 1993 to 2015.
Shahla Mehdizadeh • Robert A. Applebaum • Jane Straker • Ian Matt Nelson
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
Multiple chronic conditions and hospitalizations among recipients of long-term services and supports
Among older adults receiving long-term services and supports (LTSS), debilitating hospitalizations is a pervasive clinical and research problem. Multiple chronic conditions (MCCs) are prevalent in ...
Activities in dementia care: A comparative assessment of activity types
This exploratory study compares the impact of five activity types on the well-being of institutionalized people with dementia: the intergenerational art program Opening Minds through Art, art and m...
Yue Li • Philip E. Sauer • Elizabeth Like Lokon
This article examines the natural history of changes in emotional status as measured through emotional well-being and depressive symptoms over a two-year period among older adults new to long-term ...
This brief describes the pilot implementation and evaluation of OMA For One (OMA41).
Joan Fopma-Loy
The study is based on a prospective, observational, longitudinal cohort design, with 470 older adults from nursing homes, assisted living facilities and community as participants.
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
This report documents two decades of progress in delivering long-term services in Ohio.
Shahla Mehdizadeh • Robert A. Applebaum • Ian Matt Nelson • Jane Straker
During February 2010 and April 2011, video data on people with dementia were collected during a person-centered and intergenerational arts activity program called Opening Minds through Art (OMA) at...
Elizabeth Like Lokon • Jennifer M. Kinney
The project sought to determine the role the Senior Community Service Employment Program (SCSEP) might play in supporting the Long-Term Care Ombudsman program in their expanded role in the HOME Cho...
Sarah G. Boehle • Phyllis A. Cummins • Suzanne R. Kunkel
Childless Elders in Assisted Living: Findings from the Maryland Assisted Living Study
We compared data drawn from a random sample of 399 current assisted living (AL) residents and a subsample of 222 newly admitted residents for two groups: childless AL residents and AL residents wit...
Kate de Medeiros
Implementation of the 2012 Ohio Nursing Home Family Satisfaction Survey
In 2012, the Scripps Gerontology Center conducted the sixth biennial Ohio Nursing Home Family Satisfaction Survey under a contract to the Ohio Department of Aging.
Xi Pan • Karl Chow • Jane Straker • Karel Kalaw
Providing Data to Improve Ohio's Long-Term Services and Supports System (First three indicators)
This project tracks Ohio’s progress toward a more balanced system of long-term care services and support. The study, funded by the Ohio Department of Job and family Services, began in 2010 an...
Robert A. Applebaum • Shahla Mehdizadeh
Criminal Offenders in Ohio Nursing Homes: Facility Practices, Prevalance, Problems
This brief report presents findings from the 2009 Ohio Biennial Survey of Nursing Facilities.
Pamela Brown • Jane Straker
Ohio Long-Term Services and Supports Factbook
This factbook provides a broad overview of Ohio's system of long-term services and supports.
Jane Straker • Denise Brothers-McPhail • Robert A. Applebaum
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
Opening Minds Through Art (OMA) at Colonial: Berkeley Square and Westover
This report covers activity from the start of implementation to the end of the first OMA term in May 2010.
Elizabeth Like Lokon
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
Providing Long-Term Services and Supports to an Aging Ohio: Progress and Challenges
This report details trends in Ohio long-term care service utilization over 14 years.
Malinda Deacon • Robert A. Applebaum • Jane Straker • Shahla Mehdizadeh
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
Access to Long-Term Care Services
This research brief provides key findings from the assessment as they relate to four topics: Current Status of Aging Network, Involvement in Choices Related Activities, Challenges, and Technical As...
Suzanne R. Kunkel • Abbe E. Lackmeyer (Abbe Linscott) • Jane Straker
This report examined the PASSPORT population for nursing home level of care and Medicaid financial eligibility.
Ian Matt Nelson • Shahla Mehdizadeh • Lauren Thieman
This report explores the costs of caring for a person age 60 and older in the community (through PASSPORT) versus caring for a person age 60 and older in a nursing home.
Shahla Mehdizadeh
This publication describes the current state of long-term care (LTC) in Ohio as well as projections of the state’s future disability rates and LTC needs.
Robert A. Applebaum • Denise Brothers-McPhail • Jane Straker
Scripps Gerontology Center
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