Exhibit 4.
Adjusted Consumer Satisfaction Scores For Domains Of Care According To Selected Nursing Home Characteristics, 2009
| Domains of care | ||||||
|---|---|---|---|---|---|---|
| Characteristic | Administrative and direct care staff | Physical environment | Activities available | Personal care | Food and meals | Residents’ personal rights |
| RN, LPN, and LVN hours per resident day | ||||||
| <1.5 | 4.20 | 4.06 | 3.80 | 4.09 | 3.95 | 4.10 |
| 1.5-2.0 | 4.19 | 4.15 | 3.84 | 4.12 | 3.96 | 4.12 |
| ≥2.0 | 4.33 | 4.34 | 4.01 | 4.32 | 4.20 | 4.27 |
| Certified NA hours per resident day | ||||||
| <2.0 | 4.09*** | 3.96*** | 3.70*** | 4.00*** | 3.83*** | 4.00*** |
| 2.0-2.5 | 4.23*** | 4.15*** | 3.86*** | 4.14*** | 4.00*** | 4.15*** |
| ≥2.5 | 4.32*** | 4.28*** | 3.99*** | 4.28*** | 4.14*** | 4.26*** |
| Number of deficiency citations | ||||||
| 0 | 4.33 | 4.30*** | 3.97** | 4.29** | 4.09 | 4.25 |
| 1-10 | 4.21 | 4.13*** | 3.85** | 4.13** | 3.99 | 4.13 |
| ≥10 | 4.14 | 4.04*** | 3.74** | 4.04** | 3.90 | 4.06 |
| Profit status | ||||||
| For profit | 4.17*** | 4.07*** | 3.78*** | 4.07*** | 3.93 | 4.08*** |
| Nonprofit | 4.31*** | 4.30*** | 3.99*** | 4.26*** | 4.11 | 4.25*** |
| Government owned | 4.41*** | 4.20*** | 4.06*** | 4.43*** | 4.16 | 4.29*** |
SOURCE Authors’ analysis of Massachusetts nursing home satisfaction survey (see Note 21 in text) and the Centers for Medicare and Medicaid Services’ online survey, certification, and reporting databases of 2009.
NOTES Predictions of adjusted scores are based on linear regression models that adjusted for the nursing home characteristics listed in Exhibit 1 and for county fixed effects. Scores were coded on a five-point scale, with 1 meaning very dissatisfied and 5 very satisfied. Significance refers to within-group differences. See Appendix Exhibit A2 for additional characteristics and unadjusted results (see Note 24 in text). RN is registered nurse. LPN is licensed practical nurse. LVN is licensed vocational nurse. NA is nursing assistant.
p <0.05
p <0.01