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. 2017 Nov 22;54:0046958017742761. doi: 10.1177/0046958017742761

Table 3.

Median Scores for Golden Living Facilities for 2000-2012; Compared With Other For-Profit Facilities in California.

Variables\year Prepurchase
Postpurchase
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
Strategy
 Staffing hours ppd (California)
•  RN .33 .31 .31 .33 .39 .30 .22 .22 .28 .35 .45* .59** .68**
•  LVN .62 .63 .61 .61 .56 .63 .61* .71 .73 .72* .62** .50** .40**
•  CNA 2.15 2.21 2.26 2.33 2.39 2.38 2.57** 2.29* 2.29* 2.23** 2.24* 2.28* 2.31*
•  Total staffing (RN + LVN + NA) 3.10* 3.14 3.24 3.29 3.31 3.31 3.40 3.24** 3.29* 3.28** 3.31** 3.35** 3.44*
 Staffing hours ppd (US)a
•  RN .50** .51** .50** .50** .50** .55** .62** .68 .76* .76
•  Total staffing (RN + LVN + CNA) 3.06** 3.11** 3.11** 3.12** 3.16** 3.29** 3.35** 3.40** 3.44** 3.44**
 Skill mix .11 .11 .10 .11 .13 .10 .07 .09 .09 .12* .16* .21** .26**
 Payer mix
•  Medicare 11.70* 10.72* 10.11* 12.23 9.53 10.90 23.05** 12.19 13.13 12.36 12.19 11.81 11.57
•  Medi-Cal (Medicaid) 64.97 69.88 69.10 37.67 79.12 80.08 66.24 79.53* 79.03* 76.90* 79.27* 79.35* 79.86**
•  Other payers 23.90 20.91 17.47 17.58 9.58 6.94 8.28* 8.90* 7.84* 7.24* 7.82* 8.30* 6.92*
Financial performance
 Operating margin 5.56 9.87* 3.32 –3.81* –5.99* 1.33 12.54** 10.47** 9.13* 12.47** 11.34** 15.00** 8.99*
 Total margin −.77 –.82 –.91* –.96** –.87 −.81 −.62** −.83 −.74 −.72 −.64* −.71 −.60*
 Net income per patient day 5.18 9.69 3.19 –8.76* –5.82 1.49 25.35** 22.93** 20.82* 29.84** 18.23* 24.76* 13.61
 Long-term debt/asset ratio .78* .00 .00 .00 –66.67* –84.02* .00* 64.91** 68.77** .00 .00 .00 .00
Resident well-being
 Total deficiencies (US)a - - - 6.79** 6.29** 5.67** 7.47** 8.43 7.27** 7.95 7.29 7.67 7.19
 Harm deficiencies (US)a - - - .34** .33** .37** .52 .63 .41* .39 .43 .44 .27**

Note. Italic: Lower score than industry counterparts; all other scores are higher than those of industry counterparts. ppd = per patient day; RN = registered nurse; LVN = Licensed Vocational Nurse; CNA = Certified Nurse Assistant; NA = Nurse Assistant; OSCAR = Online Survey, Certification and Reporting; OSHPD = Office of Statewide Health Planning and Development. The scores for industry counterparts are available from the authors.

a

The mean US scores on staffing and deficiencies were derived from the OSCAR data set; the other scores were derived from the California OSHPD data.

*

P < .05. **P < .001.