Table 3.

Adjusted Nursing Home Compare 5-star rating, experience-of-care survey ratings, and quality measures for Maryland nursing homes, according to social media 5-star ratings

	Social media 5-star rating
	< 2 stars (n = 32 nursing homes)	2–4 stars (n = 104 nursing homes)	≥4 stars (n = 60 nursing homes)
Adjusted NHC 5-star rating	2.07	2.80**	3.89***
Adjusted experience-of-care rating
Overall rating (1–10)	7.64	8.05*	8.82***
Recommendation rate, %	77.6	85.2**	95.0***
Staff & administration (1–4)	3.55	3.61	3.76*
Care provided to residents (1–4)	3.34	3.43	3.61**
Food & meals (1–4)	3.36	3.42	3.61**
Autonomy (1–4)	3.40	3.45	3.69
Physical environment (1–4)	3.26	3.34	3.58**
Adjusted quality measures
Number of deficiency citations	17.00	13.16	8.87**
Adjusted registered nurse staffing	0.49	0.57	0.73*
Adjusted total nurse staffing	3.56	3.79	4.31
Number of complaints	13.38	9.21**	2.67***

Note: prediction of each adjusted rating or quality measure was based on a linear regression model that had social media 5-star rating as the independent variable and adjusted for nursing home bed size, total number of residents, profit status, chain affiliation, case mix, percentages of Medicare and Medicaid residents, percentage of white residents, and market competition for nursing home care

*p < 0.10; **p < 0.05; and ***p < 0.01 when compared to the adjusted rating or quality measure in the reference group (social media rating < 2 stars)