Table 1.
Survey participating nursing homes (n = 1201), mean (SD)/% | All random sample nursing homes (n = 6700), mean (SD)/% | p | |
---|---|---|---|
Outcome measures | |||
In-hospital death | 22.03 | 23.75 | <0.001 |
Hospice use | 44.50 | 45.15 | 0.006 |
Facility characteristics | |||
Ownership—for profit | 61.96 | 69.22 | <0.001 |
Chain membership | 51.64 | 54.69 | 0.027 |
Number of health deficiency citations | 5.38 (4.97) | 5.91 (4.97) | 0.0001 |
Number of beds | 124 (60) | 107 (62) | <0.001 |
Occupancy rate | 0.85 (0.12) | 0.82 (0.15) | <0.001 |
Rural location | 30.11 | 27.92 | 0.064 |
Total nurse staffing per resident day | 4.01 (0.78) | 3.91 (0.76) | <0.001 |
Skill mix (RN+LNP hours/total nursing hours per resident day) | 0.38 (0.08) | 0.38 (0.08) | 0.92 |
Based on survey items | |||
Full-time medical director | 81.66 | ||
Board-certified geriatrician | 36.11 | ||
Regularly rounds in facility | 75.81 | ||
Palliative care team in facility | 30.95 | ||
Palliative care team on contract | 69.19 | ||
CNA turnover | |||
<15% | 27.60 | ||
15%–24% | 24.22 | ||
≥25% | 48.18 | ||
LPN turnover (≥15%) | 36.79 | ||
RN turnover (≥15%) | 24.42 |
CNA, certified nursing aid; LPN, licensed practical nurse; RN, registered nurse; SD, standard deviation.