Table 3.
Observation and Interview Measurement Domains
| (1) | (2) | (3) | ||
|---|---|---|---|---|
| Measurement Domains | Low Homes <25th Percentile | High Homes 75–90th Percentile | Highest Homes 91st+Percentile | Significant Comparisons |
| Out of Bed/Engagement | N=227 | N=205 | N=125 | |
| 1. Percent observations of residents in bed 7:00 a.m. to 7:00 p.m. | 41 | 50 | 26 | 1 and 2 vs. 3** |
| 2. Percent observations of residents engaged with nursing home staff, other residents, another person, or an organized group activity, or with an object (e.g., television, reading, sewing) | 47 | 44 | 52 | 1 and 2 vs. 3* |
| Nutrition: Feeding Assistance | N=407 meals | N=350 meals | N=252 meals | |
| 3. Percent of resident meals in dining room | 25 | 39 | 80 | 1 and 2 vs. 3** |
| 4. Average duration of feeding assistance to residents in minutes | 2.5 (5.9) | 4.11 (8.6) | 7.0 (11.7) | 1 and 2 vs. 3** |
| 5. Average resident tray access time in minutes | 26.9 (3.9) | 32.5 (5.3) | 38.2 (14.8) | 1 and 2 vs. 3** |
| Providing assistance to residents with low intake: | ||||
| 6. Percent of residents who eat < 50% and are provided≥1 minute of assistance | 19 (n=106) | 31 (n=96) | 46 (n=95) | 1 and 2 vs. 3** |
| Providing assistance to physically dependent residents: | ||||
| 7. Percent of residents feeding dependent, MDS>1, and who receive≥5 minutes assistance | 66 (n=83) | 48 (n=134) | 80 (n=72) | 1 and 2 vs. 3** |
| Accuracy of food intake documentation: | ||||
| 8. Percent of residents who ate less than 50%; NA recorded≤60% | 24 (n=106) | 50 (n=96) | 52 (n=95) | 1 and 2 vs. 3* |
| 9. Percent of mealtime observations with social interaction and verbal prompting | 18 (n=103) | 28 (n=137) | 25 (n=199) | – |
| 10. Percent residents responding yes to “Do you have food choice during meals?” | 84 (n=99) | 86 (n=104) | 98 (n=55) | 1 and 2 vs. 3* |
| Incontinence | ||||
| 11. Number of toileting assists received; MDS Recall Score≥2 | 1.76 (1.18) | 1.8 (1.25) | 2.8 (1.12) | 1 and 2 vs. 3** |
| (n=48) | (n=64) | (n=31) | ||
| 12. Percent residents responding yes to “Do you have to wait too long for assistance?” All Recall Scores | 49 (n=90) | 39 (n=89) | 31 (n=58) | 1 and 2 vs. 3* |
| Exercise Activities | N=42 | N=46 | N=30 | |
| 13. Number of exercise activities per hour (Day)—Thigh monitor (can't reposition or walk independently) | .20 (.15) | .18 (.13) | .27 (.20) | 1 and 2 vs. 3* |
| 14. Number of repositioning movements per hour (Night)—Thigh monitor (can't reposition independently) | .25 (.17) | .17 (.14) | .23 (.14) | |
| 15. Number of repositioning movements per hour (Day)—Thigh monitor (can't reposition independently) | .26 (.40) | .20 (.14) | .36 (.28) | 1 and 2 vs. 3** |
| 16. Number of walking assists received MDS Recall Score≥2 and can bear weight | .51 (.72) | .76 (.68) | .69 (1.1) | – |
*
P≤.05;
**
P≤.001.