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. 2023 Mar 25;63(9):1428–1436. doi: 10.1093/geront/gnad032

Table 2.

Results of Estimating Model of Facility Quality

Variable (1) (2) (3) (4) (5)
MI CS
All facilities
MI CSIV
All facilities
MI REIV
All facilities
MI REIV
NH only
MI REIV
NH with skill mix
Facility structure
 Not for profit 0.056** 0.020 0.027 −0.009 −0.003
(0.015) (0.016) (0.016) (0.035) (0.035)
 Nursing home −0.038** −0.036** −0.037**
(0.012) (0.012) (0.012)
 Dementia care −0.044** −0.039** −0.043** −0.029 −0.025
(0.011) (0.011) (0.011) (0.017) (0.018)
 Size (log) 0.010 0.007 0.001 −0.021 −0.017
(0.014) (0.014) (0.013) (0.022) (0.022)
 Occupancy rate 0.004** 0.004** 0.004** 0.004** 0.004**
(0.0004) (0.0004) (0.0004) (0.001) (0.001)
 Competition (Herfindahl−Hirschman Index) 0.256** 0.245** 0.233** 0.416** 0.410**
(0.062) (0.063) (0.063) (0.105) (0.104)
Staffing
 Total staff (log) −0.028** −0.025 −0.018 −0.013 −0.016
(0.013) (0.014) (0.013) (0.025) (0.025)
 Direct care staff to resident ratio 0.190** 0.179** 0.175** 0.153 0.156
(0.047) (0.048) (0.047) (0.086) (0.086)
 Direct care staff to resident ratio squared −0.045** −0.047** −0.048** −0.042 −0.040
(0.017) (0.017) (0.017) (0.032) (0.032)
 Supervisor to direct care staff ratio 0.124* 0.111 0.111 0.134 0.139
(0.058) (0.059) (0.060) (0.129) (0.129)
 Female staff (%) 0.001 0.001 0.001 0.001 0.001
(0.0006) (0.0006) (0.0006) (0.001) (0.001)
 Registered nurse (%) 0.144
(0.109)
Training incidence
 Dementia trained staff (%) 0.001** 0.001** 0.001** 0.001* 0.001*
(0.0002) (0.0002) (0.0002) (0.004) (0.0003)
 Dignity/PCC trained staff (%) 0.0002 0.0002 0.0001 −0.000005 −0.0001
(0.0002) (0.0002) (0.0003) (0.0005) (0.0005)
Wage
 Direct care staff hourly wage (£2018) (log) 0.207** 0.785** 0.705** 0.897** 0.849**
(0.075) (0.125) (0.132) (0.235) (0.233)
 Local-area controls YES YES YES YES YES
 Year YES YES YES YES YES
 Region YES YES YES YES YES
 Observations 12,055 12,055 12,055 4,617 4,617
 Number of facilities 5,556 5,556 5,556 2,130 2,130
 Imputations 50 50 50 50 50
 Average RVI 0.143 0.153 0.187 0.168 0.182
 Largest FMI 0.385 0.414 0.484 0.447 0.444

Notes: CS = cross-section; FMI = fraction of missing information; IV = instrumental variable; MI = multiple imputation; NH = nursing homes; PCC = person-centered care; REIV = random effects instrumental variable; RVI = relative variance inflation. Robust standard errors in parentheses (clustered at facility level). All models estimated are linear probability models using OLS. Local-area controls are Job Seeker’s Allowance uptake, pension credit uptake, attendance allowance uptake, and average house price (log).

*p < .05. **p < .01.