Following are summaries of research and evaluations on improving nursing home quality through modified staffing approaches, new lived-environment models, and improved transparency and accountability around private equity-owned nursing facilities.
Understanding Nursing Home Spending and Staff Levels in the Context of Recent Nursing Staff Recommendations
An analysis of a national sample of nursing homes finds a lack of association between proportion of revenue spent on nursing staff and nursing staff hours per resident.
Adoption of the Household Model Improves Nursing Home Quality
Case study on nursing home adoption of the household model shows positive impacts on quality and resident satisfaction.
The Need for Data Transparency in Skilled Nursing Facilities
Policy recommendations to improve accuracy and accessibility of skilled nursing facility regulatory data.
Association of Nursing Home Organizational Culture and Staff Perspectives with Variability in Advanced Dementia Care: The ADVANCE Study
Identifies opportunities for nursing homes to support more equitable and low-intensity care for nursing facility residents with advanced dementia.
Nontraditional Small House Nursing Homes Have Fewer COVID-19 Cases and Deaths
The Green House model for longer term care residents was associated with reduced COVID-19 death rates compared to traditional nursing homes.
Does Private Equity Investment in Healthcare Benefit Patients? Evidence from Nursing Homes
Study finds that private equity ownership of skilled nursing facilities leads to a significantly higher average mortality rate for residents.
Cost-Effective Adjustments to Nursing Home Staffing to Improve Quality
Higher staffing levels for specific types of staff improve quality of care in nursing homes.
The Relationship Between Nursing Home Quality and Costs: Evidence from the VA
Analysis of Veterans Health Administration nursing home cost and quality data shows association between higher quality of care and greater overall patient costs.
Evidence on the Green House Model of Nursing Home Care: Synthesis of Findings and Implications for Policy, Practice, and Research
A large study on the Green House nursing home model finds promising evidence for improved quality of care and offers implementation recommendations.
