Table 4.
Results From Multilevel Models for Process Measures of Quality (Laplace Estimated Coefficients and p Values)
| Measure | Physical Restraints (N = 5,208) |
Toileting Program (N = 5,241) |
Range of Motion Training (N = 5,204) |
ADL Training (N = 5,204) |
|---|---|---|---|---|
| Unit-level direct care hours/day | ||||
| Avg. RN | 0.54 | −0.58 | −1.91 | −0.88 |
| Avg. LPN | −0.78 | −1.10 | 0.32 | 0.24 |
| Avg. unlicensed | −0.73 | 0.21 | 0.12 | −0.58 |
| Resident-level direct care hours/day | ||||
| RN | −0.06 | −0.13 | −0.05 | −0.11 |
| LPN | 0.11 | −0.11 | −0.06 | −0.05 |
| Aide | 0.78** | 0.60*** | 0.58*** | 0.42*** |
| Activity staff | −0.28 | 2.64*** | −0.43 | 1.11 |
| Unit-level risk adjustors | ||||
| Alzheimer special care unit | 1.28** | |||
| State – Colorado | — | 3.27** | 1.61** | |
| State – Indiana | — | 2.70** | 0.74 | |
| State – Minnesota | 1.27** | −2.52** | — | −1.34* |
| Unit % RUG Clinically Complex | 2.55 | |||
| Avg. ADL | 0.09** | 0.16** | ||
| Avg. CPS score | −0.83** | |||
| Resident-level risk adjustors | ||||
| Age | −0.10 * | 0.02** | −0.01* | 0.01 |
| CPS score | 0.48** | 0.08** | 0.10** | −0.16** |
| Dementia | −0.37** | |||
| Female | 0.15 | |||
| Length of stay <45 days | −0.55** | −1.71** | −0.98** | |
| RUG Special Care/ Extensive | −0.37** | −0.75** | ||
| Sum of range of motion limitations | 0.16** | |||
Notes: Covariates with p ≥ .10 were excluded from the final models; cells in the table corresponding to these covariates have been left blank. ADL = activity of daily living; Avg. = average; RN = registered nurse; LPN = licensed practical nurse; RUG = Resource Utilization Group III; CPS = Cognitive Performance Scale.
p < .05;
p < .01;
p < .001.