Nursing homes. Medical search

Nursing Homes: Facilities which provide nursing supervision and limited medical care to persons who do not require hospitalization.Home Care Services: Community health and NURSING SERVICES providing coordinated multiple services to the patient at the patient's homes. These home-care services are provided by a visiting nurse, home health agencies, HOSPITALS, or organized community groups using professional staff for care delivery. It differs from HOME NURSING which is provided by non-professionals.Homes for the Aged: Geriatric long-term care facilities which provide supervision and assistance in activities of daily living with medical and nursing services when required.Home Care Agencies: Public or private organizations that provide, either directly or through arrangements with other organizations, home health services in the patient's home. (Hospital Administration Terminology, 2d ed)Accidents, HomeHome Care Services, Hospital-Based: Hospital-sponsored provision of health services, such as nursing, therapy, and health-related homemaker or social services, in the patient's home. (Hospital Administration Terminology, 2d ed)Hemodialysis, Home: Long-term maintenance hemodialysis in the home.Home Childbirth: Childbirth taking place in the home.Home Health Aides: Persons who assist ill, elderly, or disabled persons in the home, carrying out personal care and housekeeping tasks. (From Slee & Slee, Health Care Terms. 2d ed, p202)Housing: Living facilities for humans.House Calls: Visits to the patient's home by professional personnel for the purpose of diagnosis and/or treatment.Group Homes: Housing for groups of patients, children, or others who need or desire emotional or physical support. They are usually established as planned, single housekeeping units in residential dwellings that provide care and supervision for small groups of residents, who, although unrelated, live together as a family.Home Infusion Therapy: Use of any infusion therapy on an ambulatory, outpatient, or other non-institutionalized basis.Parenteral Nutrition, Home: The at-home administering of nutrients for assimilation and utilization by a patient who cannot maintain adequate nutrition by enteral feeding alone. Nutrients are administered via a route other than the alimentary canal (e.g., intravenously, subcutaneously).Long-Term Care: Care over an extended period, usually for a chronic condition or disability, requiring periodic, intermittent, or continuous care.Air Pollution, Indoor: The contamination of indoor air.Home Health Nursing: A nursing specialty in which skilled nursing care is provided to patients in their homes by registered or licensed practical NURSES. Home health nursing differs from HOME NURSING in that home health nurses are licensed professionals, while home nursing involves non-professional caregivers.Foster Home Care: Families who care for neglected children or patients unable to care for themselves.United States Community Health Nursing: General and comprehensive nursing practice directed to individuals, families, or groups as it relates to and contributes to the health of a population or community. This is not an official program of a Public Health Department.Health Services for the Aged: Services for the diagnosis and treatment of diseases in the aged and the maintenance of health in the elderly.Residential Facilities: Long-term care facilities which provide supervision and assistance in activities of daily living with medical and nursing services when required.Patient-Centered Care: Design of patient care wherein institutional resources and personnel are organized around patients rather than around specialized departments. (From Hospitals 1993 Feb 5;67(3):14)Activities of Daily Living: The performance of the basic activities of self care, such as dressing, ambulation, or eating.Housing for the Elderly: Housing arrangements for the elderly or aged, intended to foster independent living. The housing may take the form of group homes or small apartments. It is available to the economically self-supporting but the concept includes housing for the elderly with some physical limitations. The concept should be differentiated from HOMES FOR THE AGED which is restricted to long-term geriatric facilities providing supervised medical and nursing services.Nurses' Aides: Allied health personnel who assist the professional nurse in routine duties.Caregivers: Persons who provide care to those who need supervision or assistance in illness or disability. They may provide the care in the home, in a hospital, or in an institution. Although caregivers include trained medical, nursing, and other health personnel, the concept also refers to parents, spouses, or other family members, friends, members of the clergy, teachers, social workers, fellow patients.Homing Behavior: Instinctual patterns of activity related to a specific area including ability of certain animals to return to a given place when displaced from it, often over great distances using navigational clues such as those used in migration (ANIMAL MIGRATION).Patient Discharge: The administrative process of discharging the patient, alive or dead, from hospitals or other health facilities.Geriatric Nursing: Nursing care of the aged patient given in the home, the hospital, or special institutions such as nursing homes, psychiatric institutions, etc.Institutionalization: The caring for individuals in institutions and their adaptation to routines characteristic of the institutional environment, and/or their loss of adaptation to life outside the institution.Tobacco Smoke Pollution: Contamination of the air by tobacco smoke.Geriatric Assessment: Evaluation of the level of physical, physiological, or mental functioning in the older population group.Hospice Care: Specialized health care, supportive in nature, provided to a dying person. A holistic approach is often taken, providing patients and their families with legal, financial, emotional, or spiritual counseling in addition to meeting patients' immediate physical needs. Care may be provided in the home, in the hospital, in specialized facilities (HOSPICES), or in specially designated areas of long-term care facilities. The concept also includes bereavement care for the family. (From Dictionary of Health Services Management, 2d ed)Cross-Sectional Studies: Studies in which the presence or absence of disease or other health-related variables are determined in each member of the study population or in a representative sample at one particular time. This contrasts with LONGITUDINAL STUDIES which are followed over a period of time.Environmental Exposure: The exposure to potentially harmful chemical, physical, or biological agents in the environment or to environmental factors that may include ionizing radiation, pathogenic organisms, or toxic chemicals.Telemedicine: Delivery of health services via remote telecommunications. This includes interactive consultative and diagnostic services.Residence Characteristics: Elements of residence that characterize a population. They are applicable in determining need for and utilization of health services.Protective Devices: Devices designed to provide personal protection against injury to individuals exposed to hazards in industry, sports, aviation, or daily activities.Self Care: Performance of activities or tasks traditionally performed by professional health care providers. The concept includes care of oneself or one's family and friends.Frail Elderly: Older adults or aged individuals who are lacking in general strength and are unusually susceptible to disease or to other infirmity.Dementia: An acquired organic mental disorder with loss of intellectual abilities of sufficient severity to interfere with social or occupational functioning. The dysfunction is multifaceted and involves memory, behavior, personality, judgment, attention, spatial relations, language, abstract thought, and other executive functions. The intellectual decline is usually progressive, and initially spares the level of consciousness.Housekeeping: The care and management of property.Hospices: Facilities or services which are especially devoted to providing palliative and supportive care to the patient with a terminal illness and to the patient's family.Socioeconomic Factors: Social and economic factors that characterize the individual or group within the social structure.Accidental Falls: Falls due to slipping or tripping which may result in injury.Terminal Care: Medical and nursing care of patients in the terminal stage of an illness.Risk Factors: An aspect of personal behavior or lifestyle, environmental exposure, or inborn or inherited characteristic, which, on the basis of epidemiologic evidence, is known to be associated with a health-related condition considered important to prevent.Dust: Earth or other matter in fine, dry particles. (Random House Unabridged Dictionary, 2d ed)Family: A social group consisting of parents or parent substitutes and children.Safety: Freedom from exposure to danger and protection from the occurrence or risk of injury or loss. It suggests optimal precautions in the workplace, on the street, in the home, etc., and includes personal safety as well as the safety of property.Dependency (Psychology): The tendency of an individual or individuals to rely on others for advice, guidance, or support.Quality of Health Care: The levels of excellence which characterize the health service or health care provided based on accepted standards of quality.Health Care Surveys: Statistical measures of utilization and other aspects of the provision of health care services including hospitalization and ambulatory care.Household Articles: Various material objects and items in the home. It includes temporary or permanent machinery and appliances. It does not include furniture or interior furnishings (FURNITURE see INTERIOR DESIGN AND FURNISHINGS; INTERIOR FURNISHINGS see INTERIOR DESIGN AND FURNISHINGS).Medicaid: Federal program, created by Public Law 89-97, Title XIX, a 1965 amendment to the Social Security Act, administered by the states, that provides health care benefits to indigent and medically indigent persons.Social Environment: The aggregate of social and cultural institutions, forms, patterns, and processes that influence the life of an individual or community.Medicare: Federal program, created by Public Law 89-97, Title XVIII-Health Insurance for the Aged, a 1965 amendment to the Social Security Act, that provides health insurance benefits to persons over the age of 65 and others eligible for Social Security benefits. It consists of two separate but coordinated programs: hospital insurance (MEDICARE PART A) and supplementary medical insurance (MEDICARE PART B). (Hospital Administration Terminology, AHA, 2d ed and A Discursive Dictionary of Health Care, US House of Representatives, 1976)EnglandInfant, Newborn: An infant during the first month after birth.Ownership: The legal relation between an entity (individual, group, corporation, or-profit, secular, government) and an object. The object may be corporeal, such as equipment, or completely a creature of law, such as a patent; it may be movable, such as an animal, or immovable, such as a building.Homebound Persons: Those unable to leave home without exceptional effort and support; patients (in this condition) who are provided with or are eligible for home health services, including medical treatment and personal care. Persons are considered homebound even if they may be infrequently and briefly absent from home if these absences do not indicate an ability to receive health care in a professional's office or health care facility. (From Facts on File Dictionary of Health Care Management, 1988, p309)Interviews as Topic: Conversations with an individual or individuals held in order to obtain information about their background and other personal biographical data, their attitudes and opinions, etc. It includes school admission or job interviews.Heating: The application of heat to raise the temperature of the environment, ambient or local, or the systems for accomplishing this effect. It is distinguished from HEAT, the physical property and principle of physics.Accident Prevention: Efforts and designs to reduce the incidence of unexpected undesirable events in various environments and situations.Midwifery: The practice of assisting women in childbirth.Family Characteristics: Size and composition of the family.Patient Satisfaction: The degree to which the individual regards the health care service or product or the manner in which it is delivered by the provider as useful, effective, or beneficial.Parents: Persons functioning as natural, adoptive, or substitute parents. The heading includes the concept of parenthood as well as preparation for becoming a parent.Blood Pressure Monitoring, Ambulatory: Method in which repeated blood pressure readings are made while the patient undergoes normal daily activities. It allows quantitative analysis of the high blood pressure load over time, can help distinguish between types of HYPERTENSION, and can assess the effectiveness of antihypertensive therapy.Prospective Studies: Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.Patient Transfer: Interfacility or intrahospital transfer of patients. Intrahospital transfer is usually to obtain a specific kind of care and interfacility transfer is usually for economic reasons as well as for the type of care provided.Parenteral Nutrition, Home Total: The at-home administering of nutrients for assimilation and utilization by a patient whose sole source of nutrients is via solutions administered intravenously, subcutaneously or by some other non-alimentary route.Outcome Assessment (Health Care): Research aimed at assessing the quality and effectiveness of health care as measured by the attainment of a specified end result or outcome. Measures include parameters such as improved health, lowered morbidity or mortality, and improvement of abnormal states (such as elevated blood pressure).Time Factors: Elements of limited time intervals, contributing to particular results or situations.Patient Care Team: Care of patients by a multidisciplinary team usually organized under the leadership of a physician; each member of the team has specific responsibilities and the whole team contributes to the care of the patient.Nursing Services: A general concept referring to the organization and administration of nursing activities.Patient Admission: The process of accepting patients. The concept includes patients accepted for medical and nursing care in a hospital or other health care institution.Urban Population: The inhabitants of a city or town, including metropolitan areas and suburban areas.Architectural Accessibility: Designs for approaching areas inside or outside facilities.Community Health Services: Diagnostic, therapeutic and preventive health services provided for individuals in the community.Nursing Assessment: Evaluation of the nature and extent of nursing problems presented by a patient for the purpose of patient care planning.Data Collection: Systematic gathering of data for a particular purpose from various sources, including questionnaires, interviews, observation, existing records, and electronic devices. The process is usually preliminary to statistical analysis of the data.Length of Stay: The period of confinement of a patient to a hospital or other health facility.Mothers: Female parents, human or animal.Quality of Life: A generic concept reflecting concern with the modification and enhancement of life attributes, e.g., physical, political, moral and social environment; the overall condition of a human life.Wounds and Injuries: Damage inflicted on the body as the direct or indirect result of an external force, with or without disruption of structural continuity.Pilot Projects: Small-scale tests of methods and procedures to be used on a larger scale if the pilot study demonstrates that these methods and procedures can work.Treatment Outcome: Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.Health Services Research: The integration of epidemiologic, sociological, economic, and other analytic sciences in the study of health services. Health services research is usually concerned with relationships between need, demand, supply, use, and outcome of health services. The aim of the research is evaluation, particularly in terms of structure, process, output, and outcome. (From Last, Dictionary of Epidemiology, 2d ed)Floors and Floorcoverings: The surface of a structure upon which one stands or walks.Rural Population: The inhabitants of rural areas or of small towns classified as rural.Health Facilities, Proprietary: Health care institutions operated by private groups or corporations for a profit.Pressure Ulcer: An ulceration caused by prolonged pressure on the SKIN and TISSUES when one stays in one position for a long period of time, such as lying in bed. The bony areas of the body are the most frequently affected sites which become ischemic (ISCHEMIA) under sustained and constant pressure.Self-Help Devices: Devices, not affixed to the body, designed to help persons having musculoskeletal or neuromuscular disabilities to perform activities involving movement.Prevalence: The total number of cases of a given disease in a specified population at a designated time. It is differentiated from INCIDENCE, which refers to the number of new cases in the population at a given time.Costs and Cost Analysis: Absolute, comparative, or differential costs pertaining to services, institutions, resources, etc., or the analysis and study of these costs.Child Welfare: Organized efforts by communities or organizations to improve the health and well-being of the child.Insurance, Long-Term Care: Health insurance to provide full or partial coverage for long-term home care services or for long-term nursing care provided in a residential facility such as a nursing home.Monitoring, Ambulatory: The use of electronic equipment to observe or record physiologic processes while the patient undergoes normal daily activities.Palliative Care: Care alleviating symptoms without curing the underlying disease. (Stedman, 25th ed)Retrospective Studies: Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.Follow-Up Studies: Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease.Age Factors: Age as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or the effect of a circumstance. It is used with human or animal concepts but should be differentiated from AGING, a physiological process, and TIME FACTORS which refers only to the passage of time.Health Services Accessibility: The degree to which individuals are inhibited or facilitated in their ability to gain entry to and to receive care and services from the health care system. Factors influencing this ability include geographic, architectural, transportational, and financial considerations, among others.Great Britain Longitudinal Studies: Studies in which variables relating to an individual or group of individuals are assessed over a period of time.Patient Compliance: Voluntary cooperation of the patient in following a prescribed regimen.Fires Health Services Needs and Demand: Health services required by a population or community as well as the health services that the population or community is able and willing to pay for.Centers for Medicare and Medicaid Services (U.S.): A component of the Department of Health and Human Services to oversee and direct the Medicare and Medicaid programs and related Federal medical care quality control staffs. Name was changed effective June 14, 2001.Environment: The external elements and conditions which surround, influence, and affect the life and development of an organism or population.Health Facility Size: The physical space or dimensions of a facility. Size may be indicated by bed capacity.Patient Education as Topic: The teaching or training of patients concerning their own health needs.Infant Care: Care of infants in the home or institution.Environmental Monitoring: The monitoring of the level of toxins, chemical pollutants, microbial contaminants, or other harmful substances in the environment (soil, air, and water), workplace, or in the bodies of people and animals present in that environment.Cohort Studies: Studies in which subsets of a defined population are identified. These groups may or may not be exposed to factors hypothesized to influence the probability of the occurrence of a particular disease or other outcome. Cohorts are defined populations which, as a whole, are followed in an attempt to determine distinguishing subgroup characteristics.Disabled Persons: Persons with physical or mental disabilities that affect or limit their activities of daily living and that may require special accommodations.Personnel Staffing and Scheduling: The selection, appointing, and scheduling of personnel.Models, Organizational: Theoretical representations and constructs that describe or explain the structure and hierarchy of relationships and interactions within or between formal organizational entities or informal social groups.Feasibility Studies: Studies to determine the advantages or disadvantages, practicability, or capability of accomplishing a projected plan, study, or project.Firearms: Small-arms weapons, including handguns, pistols, revolvers, rifles, shotguns, etc.Comprehensive Health Care: Providing for the full range of personal health services for diagnosis, treatment, follow-up and rehabilitation of patients.Cost-Benefit Analysis: A method of comparing the cost of a program with its expected benefits in dollars (or other currency). The benefit-to-cost ratio is a measure of total return expected per unit of money spent. This analysis generally excludes consideration of factors that are not measured ultimately in economic terms. Cost effectiveness compares alternative ways to achieve a specific set of results.Independent Living: A housing and community arrangement that maximizes independence and self-determination.Health Status: The level of health of the individual, group, or population as subjectively assessed by the individual or by more objective measures.Qualitative Research: Any type of research that employs nonnumeric information to explore individual or group characteristics, producing findings not arrived at by statistical procedures or other quantitative means. (Qualitative Inquiry: A Dictionary of Terms Thousand Oaks, CA: Sage Publications, 1997)Exercise Therapy: A regimen or plan of physical activities designed and prescribed for specific therapeutic goals. Its purpose is to restore normal musculoskeletal function or to reduce pain caused by diseases or injuries.Program Evaluation: Studies designed to assess the efficacy of programs. They may include the evaluation of cost-effectiveness, the extent to which objectives are met, or impact.Health Knowledge, Attitudes, Practice: Knowledge, attitudes, and associated behaviors which pertain to health-related topics such as PATHOLOGIC PROCESSES or diseases, their prevention, and treatment. This term refers to non-health workers and health workers (HEALTH PERSONNEL).Needs Assessment: Systematic identification of a population's needs or the assessment of individuals to determine the proper level of services needed.Interior Design and Furnishings: The planning of the furnishings and decorations of an architectural interior.Pregnancy: The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH.Social Support: Support systems that provide assistance and encouragement to individuals with physical or emotional disabilities in order that they may better cope. Informal social support is usually provided by friends, relatives, or peers, while formal assistance is provided by churches, groups, etc.Patient Readmission: Subsequent admissions of a patient to a hospital or other health care institution for treatment.Intermediate Care Facilities: Institutions which provide health-related care and services to individuals who do not require the degree of care which hospitals or skilled nursing facilities provide, but because of their physical or mental condition require care and services above the level of room and board.Health Care Costs: The actual costs of providing services related to the delivery of health care, including the costs of procedures, therapies, and medications. It is differentiated from HEALTH EXPENDITURES, which refers to the amount of money paid for the services, and from fees, which refers to the amount charged, regardless of cost.Psychomotor Agitation: A feeling of restlessness associated with increased motor activity. This may occur as a manifestation of nervous system drug toxicity or other conditions.Death: Irreversible cessation of all bodily functions, manifested by absence of spontaneous breathing and total loss of cardiovascular and cerebral functions.Multivariate Analysis: A set of techniques used when variation in several variables has to be studied simultaneously. In statistics, multivariate analysis is interpreted as any analytic method that allows simultaneous study of two or more dependent variables.Regression Analysis: Procedures for finding the mathematical function which best describes the relationship between a dependent variable and one or more independent variables. In linear regression (see LINEAR MODELS) the relationship is constrained to be a straight line and LEAST-SQUARES ANALYSIS is used to determine the best fit. In logistic regression (see LOGISTIC MODELS) the dependent variable is qualitative rather than continuously variable and LIKELIHOOD FUNCTIONS are used to find the best relationship. In multiple regression, the dependent variable is considered to depend on more than a single independent variable.Bed Occupancy: A measure of inpatient health facility use based upon the average number or proportion of beds occupied for a given period of time.New York Child Health Services: Organized services to provide health care for children.Cost Savings: Reductions in all or any portion of the costs of providing goods or services. Savings may be incurred by the provider or the consumer.Telemetry: Transmission of the readings of instruments to a remote location by means of wires, radio waves, or other means. (McGraw-Hill Dictionary of Scientific and Technical Terms, 4th ed)Delivery, Obstetric: Delivery of the FETUS and PLACENTA under the care of an obstetrician or a health worker. Obstetric deliveries may involve physical, psychological, medical, or surgical interventions.Patient Acceptance of Health Care: The seeking and acceptance by patients of health service.Household Products: Substances or materials used in the course of housekeeping or personal routine.Northern Ireland Occupational Therapy: Skilled treatment that helps individuals achieve independence in all facets of their lives. It assists in the development of skills needed for independent living.Community Health Workers: Persons trained to assist professional health personnel in communicating with residents in the community concerning needs and availability of health services.Child Care: Care of CHILDREN in the home or in an institution.Primary Health Care: Care which provides integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health care needs, developing a sustained partnership with patients, and practicing in the context of family and community. (JAMA 1995;273(3):192)Blood Pressure Determination: Techniques for measuring blood pressure.Consumer Satisfaction: Customer satisfaction or dissatisfaction with a benefit or service received.Netherlands: Country located in EUROPE. It is bordered by the NORTH SEA, BELGIUM, and GERMANY. Constituent areas are Aruba, Curacao, Sint Maarten, formerly included in the NETHERLANDS ANTILLES.Poverty: A situation in which the level of living of an individual, family, or group is below the standard of the community. It is often related to a specific income level.Oxygen Inhalation Therapy: Inhalation of oxygen aimed at restoring toward normal any pathophysiologic alterations of gas exchange in the cardiopulmonary system, as by the use of a respirator, nasal catheter, tent, chamber, or mask. (From Dorland, 27th ed & Stedman, 25th ed)Family Practice: A medical specialty concerned with the provision of continuing, comprehensive primary health care for the entire family.Nursing Evaluation Research: Research carried out by nurses that uses interviews, data collection, observation, surveys, etc., to evaluate nursing, health, clinical, and nursing education programs and curricula, and which also demonstrates the value of such evaluation.Sex Factors: Maleness or femaleness as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or effect of a circumstance. It is used with human or animal concepts but should be differentiated from SEX CHARACTERISTICS, anatomical or physiological manifestations of sex, and from SEX DISTRIBUTION, the number of males and females in given circumstances.Asthma: A form of bronchial disorder with three distinct components: airway hyper-responsiveness (RESPIRATORY HYPERSENSITIVITY), airway INFLAMMATION, and intermittent AIRWAY OBSTRUCTION. It is characterized by spasmodic contraction of airway smooth muscle, WHEEZING, and dyspnea (DYSPNEA, PAROXYSMAL).Parent-Child Relations: The interactions between parent and child.Outcome and Process Assessment (Health Care): Evaluation procedures that focus on both the outcome or status (OUTCOMES ASSESSMENT) of the patient at the end of an episode of care - presence of symptoms, level of activity, and mortality; and the process (ASSESSMENT, PROCESS) - what is done for the patient diagnostically and therapeutically.Risk Assessment: The qualitative or quantitative estimation of the likelihood of adverse effects that may result from exposure to specified health hazards or from the absence of beneficial influences. (Last, Dictionary of Epidemiology, 1988)Ambulatory Care: Health care services provided to patients on an ambulatory basis, rather than by admission to a hospital or other health care facility. The services may be a part of a hospital, augmenting its inpatient services, or may be provided at a free-standing facility.Quality Indicators, Health Care: Norms, criteria, standards, and other direct qualitative and quantitative measures used in determining the quality of health care.Nurse Midwives: Professional nurses who have received postgraduate training in midwifery.Durable Medical Equipment: Devices which are very resistant to wear and may be used over a long period of time. They include items such as wheelchairs, hospital beds, artificial limbs, etc.Organizations, Nonprofit: Organizations which are not operated for a profit and may be supported by endowments or private contributions.Attitude to Death: Conceptual response of the person to the various aspects of death, which are based on individual psychosocial and cultural experience.

Organizational and environmental factors associated with nursing home participation in managed care. (1/1708)

OBJECTIVE: To develop and test a model, based on resource dependence theory, that identifies the organizational and environmental characteristics associated with nursing home participation in managed care. DATA SOURCES AND STUDY SETTING: Data for statistical analysis derived from a survey of Directors of Nursing in a sample of nursing homes in eight states (n = 308). These data were merged with data from the On-line Survey Certification and Reporting System, the Medicare Managed Care State/County Data File, and the 1995 Area Resource File. STUDY DESIGN: Since the dependent variable is dichotomous, the logistic procedure was used to fit the regression. The analysis was weighted using SUDAAN. FINDINGS: Participation in a provider network, higher proportions of resident care covered by Medicare, providing IV therapy, greater availability of RNs and physical therapists, and Medicare HMO market penetration are associated with a greater likelihood of having a managed care contract. CONCLUSION: As more Medicare recipients enroll in HMOs, nursing home involvement in managed care is likely to increase. Interorganizational linkages enhance the likelihood of managed care participation. Nursing homes interested in managed care should consider upgrading staffing and providing at least some subacute services. (+info)

Prevalence and treatment of pain in older adults in nursing homes and other long-term care institutions: a systematic review. (2/1708)

BACKGROUND: The high prevalence of pain in older adults and its impact in this age group make it a public health issue, yet few studies of pain relief focus on older adults. Residents of long-term care facilities have more cognitive impairment than their community-living counterparts and may have difficulty reporting the presence and severity of pain. This systematic literature review was conducted to determine the prevalence of pain, and the type and effectiveness of interventions that have been used to treat pain in residents of nursing homes. METHODS: Studies were identified by searching MEDLINE (from January 1966 to May 1997), HEALTH (from January 1975 to May 1997), CINAHL (from January 1982 to April 1997), AGELINE (from January 1978 to April 1997) and the Cochrane Library (1997, issue 1) and by performing a manual search of textbooks and reference lists. Studies of any methodological design were included if they estimated the prevalence of pain in nursing homes or other long-term care institutions or evaluated interventions for the treatment of pain in residents. Of the 14 eligible studies, 12 were noncomparative studies, 1 was a comparison study with nonrandomized contemporaneous controls, and 1 was a randomized controlled trial. Information on several factors was extracted from each study, including study design, number of patients and facilities, main outcomes measured, methods used to identify and detect pain, prevalence and types of pain, and interventions used to treat pain. The strength of the evidence provided by each study was also assessed. RESULTS: In the 6 studies with data from self-reporting or chart reviews, the prevalence of pain ranged from 49% to 83%. In the 5 studies with data on analgesic use only, the prevalence of pain ranged from 27% to 44%. Only 3 studies, with just 30 patients in total, evaluated an intervention for the treatment of pain. INTERPRETATION: Despite the high prevalence of pain in residents of nursing homes, there is a lack of studies evaluating interventions to relieve their pain. The authors make recommendations for future studies in this area. (+info)

The economic value of informal caregiving. (3/1708)

This study explores the current market value of the care provided by unpaid family members and friends to ill and disabled adults. Using large, national data sets we estimate that the national economic value of informal caregiving was $196 billion in 1997. This figure dwarfs national spending for formal home health care ($32 billion) and nursing home care ($83 billion). Estimates for five states also are presented. This study broadens the issue of informal caregiving from the micro level, where individual caregivers attempt to cope with the stresses and responsibilities of caregiving, to the macro level of the health care system, which must find more effective ways to support family caregivers. (+info)

Can we create a therapeutic relationship with nursing home residents in the later stages of Alzheimer's disease? (4/1708)

1. Despite their entrance into advanced illness, the majority (83%) of participants in the study displayed evidence of having begun a therapeutic relationship with their assigned advanced practice nurse. 2. With one exception, those participants who did not evidence development of the relationship had severely limited speech, perseverative speech, or did not speak at all. 3. It is time to challenge the assumption that individuals in the middle and later stages of Alzheimer's disease are not good candidates for developing a therapeutic relationship. (+info)

An analysis of predictors of prescription drug costs among Medicaid nursing home residents in Texas. (5/1708)

A study was conducted to examine the relations among patient-specific demographic characteristics, previous prescription costs and utilization, and subsequent prescription costs for a population of 55,677 Medicaid nursing home residents in Texas. Patient-specific factors, based on previous patient utilization and cost levels, exist within the Texas Medicaid nursing home population that may serve as predictors of subsequent prescription costs. Although some statistically significant relations exist between prescription costs and patient demographic factors such as age, sex, and location, these demographic factors are of little or no practical value in prediction of prescription costs for subsequent periods of time. (+info)

Nursing home characteristics and the development of pressure sores and disruptive behaviour. (6/1708)

OBJECTIVE: To determine how nursing home characteristics affect pressure sores and disruptive behaviour. METHOD: Residents (n = 5518, aged > or =60 years) were selected from 70 nursing homes in the National Health Care chain. Homes were classified as high- or low-risk based on incidence tertiles of pressure sores or disruptive behaviour (1989-90). Point-prevalence and cumulative incidence of pressure sores and disruptive behaviour were examined along with other functional and service variables. RESULTS: The overall incidence of pressure sores was 11.4% and the relative risk was 4.3 times greater in high- than low-risk homes; for disruptive behaviour, the incidence was 27% and the relative risk was 7.1 times greater in the high-risk group. At baseline, fewer subjects in homes with a high risk of pressure sores were white or in restraints, but more had received physician visits monthly and had had problems with transfers and eating. High-risk homes also had fewer beds and used less non-licensed nursing staff time. At follow-up (1987-90), 52% of homes in the low-risk group and 35% of those in the high-risk group had maintained their risk status; low-risk homes were more likely to have rehabilitation and maintenance activities. Having multiple clinical risk factors was associated with more pressure sores in high- (but not low-) risk homes, suggesting a care-burden threshold. By logistic regression, the best predictor of pressure sores was a home's prior (1987-88) incidence status. Interestingly, 67% of homes with a high risk of pressure sores were also high-risk for disruptive behaviour, while only 27% of homes with a low risk of pressure sores were high-risk for disruptive behaviour. A threshold effect was also observed between multiple risk factors and behaviour. More homes with a high risk of disruptive behaviour (68%) remained at risk over 4 years, and the best predictor of outcome was a home's previous morbidity level. CONCLUSION: Nursing-home characteristics may have a greater impact than clinical factors on pressure sores and disruptive behaviour in long-stay, institutionalized elders. (+info)

Use of nursing home after stroke and dependence on stroke severity: a population-based analysis. (7/1708)

BACKGROUND AND PURPOSE: There are few population-based data available regarding nursing home use after stroke. This study clarifies the use of a nursing home after stroke, as well as its dependence on stroke severity, in a defined population. METHODS: All first stroke events among residents of Rochester, Minn, during 1987-1989 were ascertained, subtyped, and assigned Rankin disability scores (RS) before the event, at maximal deficit, and at specified intervals after stroke. Persons were followed from the date of stroke event to death, emigration from Rochester, or December 31, 1994, in complete community-based medical records and Minnesota Case Mix Review Program data tapes to determine nursing home residency before stroke and at 90 days and 1 year after stroke, proportion of survival days in a nursing home, and cumulative risk of admission to a nursing home. RESULTS: There were 251 cases of first cerebral infarction, 24 intracerebral hemorrhages, and 15 subarachnoid hemorrhages among residents of Rochester during 1987-1989. The maximal deficit RS was 1 or 2 for 62 (25%), RS 3 for 72 (29%), and RS 4 or 5 for 117 (47%) of the cerebral infarct patients. Among patients surviving to 90 days or 1 year after cerebral infarction, 25% were in nursing home at 90 days and 22% at 1 year, respectively. Within these maximal deficit RS categories, the percentages of follow-up time spent in a nursing home during the first post-cerebral infarction year are as follows: RS 1 to 2, 4%; RS 3, 10%; and RS 4 to 5, 54%. Multivariate logistic regression revealed that increasing age and RS 4 to 5 at maximal deficit were independent predictors (P<0.0001) of nursing home residency at 90 days and 1 year after stroke, whereas stroke type was not an independent predictor. At 1 year after cerebral infarction, the Kaplan-Meier estimates of proportion of people with at least 1 nursing home admission were 11% for RS 1 to 2, 22% for RS 3, and 68% for RS 4 to 5. CONCLUSIONS: This study provides unique population-based data regarding the short- and long-term use of a nursing home after stroke and its dependence on stroke severity. More than 50% of people with a severe cerebral infarction are in a nursing home 90 days and 1 year after the stroke, and by 1 year, nearly 70% will have required some nursing home stay. Age and stroke severity are independent predictors of nursing home residency after stroke. (+info)

Small bowel bacterial overgrowth in subjects living in residential care homes. (8/1708)

OBJECTIVES: in elderly people, bacterial overgrowth of the small bowel may be occult. The significance of positive breath tests are uncertain: many fit elderly subjects with positive tests show no evidence of malabsorption. We assessed the prevalence and significance of bacterial overgrowth in the small bowel in a relatively unselected elderly population. METHODS: residents of seven elderly people's homes had a glucose hydrogen breath test. A medical history and anthropomorphic measurements were recorded. Volunteers with positive breath tests were given doxycycline. After 4 months all volunteers were reassessed. RESULTS: of 140 residents, 62 were tested. Nine (14.5%) had a positive breath test. There was no difference in anthropomorphic and bowel habit data between those with positive and those with negative breath tests. After 4 months of antibiotic treatment, volunteers with a positive breath test had increased weight and body mass index, while those with a negative test had decreased weight and body mass index. CONCLUSIONS: the percentage of volunteers with a positive breath test was much lower than in previous studies. This may be due to the relatively unselected nature of the volunteers. Treatment of bacterial overgrowth resulted in a small but significant improvement in anthropometric indices. The lack of association of positive breath tests with baseline anthropomorphic measurements or bowel habit highlights the occult nature of the bacterial overgrowth and questions its clinical importance. (+info)

No data available that match "nursing homes"

this year, 24 states have cut funds for nursing home care and other health services needed by low-income people who are elderly ... A Medicare rate adjustment that cuts an estimated $16 billion in nursing home funding over the next 10 years was enacted at ... The nations nursing homes are perilously close to laying off workers, cutting services - possibly even closing - because of a ... The nations 16,000 nursing homes housed 1.85 million people last year, up from 1.79 million in 2007, U.S. Census Bureau ...

timesunion.com

... but state lawmakers are befuddled about what to do to prevent it.More than one in seven nursing homes in the state have ... Floridas nursing-home industry is on the verge of a crisis, ... the nursing-home industry spokesman, contends that nursing ... a spokesman for the nursing-home lobbying group Florida Health Care Association, said the insurance problems facing the homes ... TALLAHASSEE - Floridas nursing-home industry is on the verge of a crisis, but state lawmakers are befuddled about what to do ...

articles.orlandosentinel.com

Data for the 1977 National Nursing Home Survey were collected in a nationwide sample of nursing homes, personal care homes ( ... Data for the 1977 National Nursing Home Survey were collected in a nationwide sample of nursing homes, personal care homes ( ... Decker, Frederic H. Nursing Homes, 1977--99: What Has Changed, What Has Not? Facts from the National Nursing Home Surveys. ... Chronic mental patients in nursing homes: Reexamining data from the National Nursing Home Survey. Hospital and Community ...

icpsr.umich.edu

Again The Dispatchs bias against the nursing-home profession rears its ugly head (Wheelchair windfall, editorial, Thursday ... Newspaper continues nursing-home rant. Monday. Dec 10, 2012 at 12:01 AM Dec 10, 2012 at 8:12 AM ... John Kasich controlled this profession, we would go back to the darker ages when nursing homes were considered warehouses for ... Again The Dispatchs bias against the nursing-home profession rears its ugly head ("Wheelchair windfall," editorial, Thursday). ...

dispatch.com

... nursing homes, home health agencies, and hospice agencies. NSLTCP uses administrative data for the nursing home sector obtained ... National Nursing Assistant Survey. The first national probability survey of nursing assistants working in nursing homes in the ... The National Nursing Home Survey (NNHS) is a series of nationally representative sample surveys of United States nursing homes ... they all provided some common basic information about nursing homes, their residents, and their staff. All nursing homes ...

cdc.gov

Learn how to prepare and respond to COVID-19 in nursing home and long-term care facilities. ... Nursing Homes & Long-Term Careplus icon*Infection Control for Nursing Homes ... Preparing for COVID-19 in Nursing Homes. Preparing for COVID-19 in Nursing Homes ... CDC Strategy for COVID-19 Testing Nursing Homes.. *Considerations for Performing Facility-wide SARS-CoV-2 Testing in Nursing ...

cdc.gov

A nursing home is a place for people who dont need to be in a hospital but cant be cared for at home. Learn about choosing a ... A nursing home is a place for people who dont need to be in a hospital but cant be cared for at home. Most nursing homes have ... There might be a nurses station on each floor. Other nursing homes try to be more like home. They try to have a neighborhood ... Eldercare at Home: Choosing a Nursing Home (AGS Foundation for Health in Aging) ...

medlineplus.gov

There are many other options for elderly care other than nursing homes. Here are some of the options available and the costs ... The market is opening up for seniors and their families looking for options beyond nursing homes. Many seniors see nursing ... Homes that have fewer than six elderly individuals living there are sometimes called adult family homes. Homes that have seven ... Nurses, caregivers and therapists come into the seniors home to aid him or her. With housing out of the picture, costs are ...

investopedia.com

Only 15.9 percent of all nursing homes received a five-star rating in 2012, while 32 percent of all Relias Learnings nursing ... "The most successful nursing home facilities form smart partnerships," says Jim Triandiflou, CEO of Relias Learning.. ... "The most successful nursing home facilities form smart partnerships," says Jim Triandiflou, CEO of Relias Learning. "We value ... 32 percent of Relias Learnings nursing home customers receive five-star rating from CMS, doubling the nationwide percentage.. ...

prweb.com

Two private nursing homes - the New Care Hospital at Brahma Nagar and the Divine Nursing Home near New Bus Stand - were sealed ... During the raid, it was found that there was not a single doctor present in these two nursing homes. One patient, who had been ... also cracked down on some private nursing homes and ice factories.. ...

telegraphindia.com

They come to nursing homes to be cared for. ... They come to nursing homes to be cared for. Instead, they are ... Three nursing homes. And the man accused of rape and abuse. Luis Gomez appeared to many to be the perfect nursing aide. He ... The third time a resident of a Texas nursing home was raped by a nurse, the assailant ejaculated in the victims mouth and on ... A little training could go a long way." -- Tony Chicotel, staff attorney at California Advocates for Nursing Home Reform ...

cnn.com

The Maryland delegate says a nursing-home residents room is their home.Hecht says nursing home employees should understand ... The Maryland bill would give nursing home residents the right to install surveillance cameras in their rooms. Nursing homes ... The nursing-home industry objects to the so-called "grannycam" proposal, calling it an invitation to lawsuits. Industry ... It is important to understand that in a nursing home a great deal of intimate care takes place at the patients bedside." ...

abcnews.go.com

Nursing homes are ground zero for the pandemic, and each resident, family and worker connected to these facilities has their ... Nursing homes are ground zero for the pandemic. Millions of Americans are connected to these facilities - each one has a story ... Track COVID-19 Nursing Home Cases and Deaths by State. What states are reporting and how to find it ... Speak Up for Nursing Home Patients During the Pandemic. Learn how you can take action ...

aarp.org

Medicare does not cover long-term stays in skilled nursing facilities such as nursing homes. Some parts may cover medical ... How to fund nursing home care. Most people who live in a nursing home will need to pay for their care out-of-pocket from ... Finding a nursing home. Medicare provides a database called Nursing Home Compare that contains the details of every Medicare- ... However, not all nursing homes accept Medicaid payments.. A persons social security benefit will not help with nursing home ...

medicalnewstoday.com

Title: NHI_News_Spring_2013, Author: Nursing Homes Ireland, Name: NHI_News_Spring_2013, Length: 36 pages, Page: 1, Published: ... "It is important nurses are aware the private and voluntary nursing home sector has excellent opportunities available for nurses ... Best Practice is a feature in NHI News that focusses on best and innovative practices in nursing homes. Nursing Homes are ... "I hope shortly to know whether private nursing home residents, funded under the Nursing Home Support Scheme, will be enabled to ...

issuu.com

74 granted nursing homes average Medicaid rate increases of 19%, while costs at sample 10 NYC homes rose only 8.7%; health dept ... NY Met Nursing Home Assn counsel Stanley H Lowell comments on shortfalls; decline in costs at Eugene Hollanders Congress ... 70-million windfall for homes, little of which appears recoverable immediately; NYS Health Dept in ... 74 financial repts of NYS nursing homes disclose costs far lower than estimates on which their Medicaid reimbursements were ...

nytimes.com

In all, 1,755 medical care providers across the U.S., including hospitals, skilled nurse facilities and home health providers, ... New data from research firm Avalere Health indicates about 9% of U.S. acute care hospitals and 7% of skilled nursing facilities ...

forbes.com

Governor Andrew Cuomo s nursing home policy contributed significantly to this. On March 25, Cuomo ordered nursing homes to ... More than 4,500 COVID-19 deaths in Pennsylvania are associated with nursing homes or personal care homes. That high rate is ... been insisting that the thousands of nursing home deaths had nothing to do with his March 25 order that required nursing homes ... nursing homes can have visitors again?. 07/28/2020 3:26:24 PM PDT · by lightman · 35 replies Pennlive ^ , 28 July A.D. 2020 , ...

freerepublic.com

Nurses: Pictures of Service and Pride *. Examine these postcard images of US nurses from the last century. Then create a ... Students use four nursing postcards from the Pictures of Nursing website in order to develop and practice visual literacy ... Continue to explore many topics related to nurses lives and the nursing profession with these lists of suggested K-12 readings ... Historically, Americans have viewed nursing as a feminine profession. While nurses and other women have always been involved in ...

nlm.nih.gov

... listed in ratings on Medicares Nursing Home Compare Web site.. "If far more than 136 nursing homes boast the bleakest ... Currently, the CMS judges the state of nursing homes on a state-by-state level, but the option to evaluate them on a national ... However, a recent report from the GOA found that the Medicare and Medicaid program may have overlooked 580 nursing homes in its ... "For example, Indiana had 52 nursing homes listed as among the worst performing, but only four are on the special list; ...

redorbit.com

Board of Registration in Podiatry developed a foot screening assessment tool for nurses working in long term care facilities to ... The members of the Board of Registration in Podiatry have developed this assessment tool for nurses working in long term care ... The Board members suggest that a licensed nurse screen all long term care facility residents for actual or potential foot ... problems upon admission to a facility, and that the nurse initiate a request to the primary care physician for evaluation by a ...

mass.gov

21, news, 7 Nursing Homes Fined For Errors]. On a positive note, nursing homes are places where dog parades happen, where the ... There is more to nursing homes than errors and fines [Aug. ... 7 Nursing Homes Fined For Errors]. On a positive note, nursing ... Rather than just attack nursing homes in big bold letters in the newspaper, there are many good things that happens in these ... There is more to nursing homes than errors and fines [Aug. 21, news, ...

courant.com

Nursing Home Compare provides detailed information such as Quality Ratings, Staffing Information, Health and Fire Safety ... Whether the nursing home participates in Medicare, Medicaid or both. The nursing homes included on Nursing Home Compare are ... expandGeneral information about nursing homes. When you search for nursing homes using Nursing Home Compare, you can find ... Nursing Home Compare provides details on nursing homes across the country. This includes nursing home inspection results, ...

medicare.gov

What Is a Nursing Home?. Nursing homes, SeniorLiving.org explains, are also known as skilled nursing facilities. As that name ... The NIA says that some people require nursing home care for only a short period, often after being in the hospital, and go home ... Board and care homes. Known as residential care facilities or group homes, are small homes of 20 or fewer residents living in ... Medicaid does cover nursing home care as states are required to do so under federal law. That is often the only way some can ...

wtop.com

PRNewswire/ -- U.S. News & World Report today released its annual Best Nursing Homes ratings, which offer important guidance to ... U.S. Newss evaluation of nursing homes is based on data from Nursing Home Compare, a consumer website run by the Centers for ... U.S. News updates each nursing homes ratings data quarterly. To earn a place on the 2012 Honor Roll, a home had to receive ... and New York-have three or more nursing homes on the Honor Roll. States with two homes on the list are: California, Illinois, ...

prnewswire.com

... today released the 2020-21 Best Nursing Homes. As nursing homes and... ... In addition to helping families find the best nursing home for their loved one, U.S. News published pieces on nursing home ... U.S. News Names Best Nursing Homes for 2020-21 Nursing Home profiles to also include new patient safety information, ... today released the 2020-21 Best Nursing Homes. As nursing homes and facilities across the nation cope with the impacts of the ...

prnewswire.com

Compromised Care: Nursing home part-owned by state lawmaker may lose its license. David Jackson and Gary Marx, Tribune ... Nursing homes launch 'desperate attempt' to keep psychiatric patients, ACLU says. David Jackson and Gary Marx, ... Nursing home industry, advocates for elderly wrangle over changes. Gary Marx and David Jackson, Tribune reporters ... For-profit nursing home operators are using scare tactics to persuade psychiatric patients to stay in the facilities instead of ...

chicagotribune.com

You must be majoring in nursing and demonstrate a capacity to contribute to the nursing profession to be eligib... ... The Bea Holmes Nursing Scholarship is available to students at Cedarville University. ... The Bea Holmes Nursing Scholarship is available to students at Cedarville University. You must be majoring in nursing and ... Licensed Practical/Vocational Nurse Training (Lpn, Lvn, Cert., Dipl, Aas). *Nurse/Nursing Assistant/Aide And Patient Care ...

fastweb.com

Whether a nursing home resident is harmed as a result of an accident, or by conduct that might also qualify as a crime, a civil ... Its an unfortunate fact that a small percentage of nursing home residents suffer avoidable injuries because of a care ... Elder Abuse and Nursing Home Injuries FAQ. Answers to common questions about elder and nursing home abuse, and how to get help. ... Who is Liable for Nursing Home Injury or Abuse?. Is the nursing home facility always liable for a residents abuse or injury? ...

nolo.com

We reviewed the PIR for this home. We spoke with people and observed care and support being delivered by staff and their ... We spoke with three relatives and eight members of staff including; the director of nursing for the registered provider, the ... We received feedback from two health and social care professionals who supported people who lived at the home and reviewed ... Before the inspection we reviewed the information we held about the home, including previous inspection reports. We reviewed ...

cqc.org.uk

Theres no need for the service to take further action. If this service has not had a CQC inspection since it registered with us, our judgement may be based on our assessment of declarations and evidence supplied by the service ...

cqc.org.uk

... challenge for nursing home patients over hospitalized patients is the different level of staffing seen in nursing homes. ... The increased challenge for nursing home patients is the different level of staffing seen in nursing homes. ... Nursing Home. A recent study in the United Kingdom found that a significant number of diabetes-related medical errors in ... Given the overlap in type of care delivery between nursing homes and hospitals, many of the same elements that would improve ...

niddk.nih.gov

April Brown was a nurse and single-mother of two, struggling to make ends meet in the sleepy town of ... "She plans to lead a quiet farm life with her two children and to keep serving as a nurse to the poor and elderly in her ... In 2009, April Brown was a nurse and single-mother of two, struggling to make ends meet in the sleepy town of Monroeville, ... According to Barger, things became so difficult for Brown after losing her job at Amedisys that at one point her home was under ...

prweb.com

According to the National Nursing Home Survey (2004) there were over 16,000 nursing homes in the United States providing care ... What is a Nursing Home?. According to the National Nursing Home Survey (2004) there were over 16,000 nursing homes in the ... A nursing home can be a hospital-like environment or a home-like environment. Which one is available or best for you or your ... A nursing home provides care for people who dont need to be hospitalized, but cant be cared for at home anymore. The staff in ...

empowher.com

Conclusions - Although a substantial number of nursing home residents receive inappropriate drug therapy, the prevalence of inappropriate prescriptions in our cohort declined after nursing home admission despite an overall increase in drug use. (ices.on.ca)
Most residents in nursing homes and long-term care (LTC) facilities take at least one or more prescription medications daily. (hupy.com)
But for many nursing home residents, it's not uncommon for staff at these facilities to make medication errors and improperly monitor individuals on blood thinners. (hupy.com)
A 2007 study in the American Journal of Medicine suggested that nursing home residents suffer 34,000 fatal or life-threatening complications due to common blood thinners each year. (hupy.com)
However, many understaffed and under-resourced nursing homes are unable to properly monitor residents on this medication to the degree that is necessary. (hupy.com)
mistreatment of nursing home residents seems to be a growing epidemic in our country and abroad. (rosenbaumfirm.com)
Many people of varying ages are also residents of nursing homes due to some disability, whether mental or physical which prevents them from taking care of themselves at home. (rosenbaumfirm.com)
One of the biggest problems encountered in these homes is abuse and neglect of the residents by employees. (rosenbaumfirm.com)
Meal and snack times are very important to the health, wellbeing and safety of nursing home residents. (rosenbaumfirm.com)
It is important to be able to identify signs of abuse since many residents in these homes are unable to state what is happening to them. (rosenbaumfirm.com)
These surveys of nursing home residents, staff, and facilities were used to examine aged nursing home resident's characteristics using the Grade of Membership (GoM) model. (iospress.com)
Age heterogeneity in nursing home residents, and age-related clustering of medical conditions and functional status, were found. (iospress.com)
Our updates to Nursing Home Compare reflect more transparent and meaningful information about the quality of care that each nursing home is giving its residents," CMS Administrator Seema Verma said in announcing the changes. (reliasmedia.com)
Objective: To identify facility and market factors affecting transitions of nursing home residents back to the community. (umn.edu)
Results: Rates of community discharge (Empirical Bayes residual) were highest in facilities with more residents preferring community discharge, more Medicare days, higher nurse staffing levels, and higher occupancy. (umn.edu)
In addition, facilities had higher community discharge rates if they were located in markets with a greater ratio of home and community-based services recipients to nursing home residents and with larger populations. (umn.edu)

Conclusions: State Medicaid programs should undertake system-level interventions that encourage nursing facilities to reduce unused bed capacity, balance the mix of payers, invest in nurse staffing, and take other steps to promote community discharges. (umn.edu)

Data for the 1977 National Nursing Home Survey were collected in a nationwide sample of nursing homes, personal care homes (with or without nursing), and domicilary care homes. (umich.edu)

Nursing home-acquired pneumonia (NHAP) is defined as pneumonia occurring in a resident of a long-term care facility or nursing home. (medscape.com)
The study sample included 395 cancer patients who had participated in a trial of palliative care, 260 ( 66%) patients died in hospital, 80 (20%) at home and 55 (14%) in nursing homes. (lu.se)
Further research on frail elderly cancer patients is warranted to improve their care, to evaluate the appropriateness of nursing home placement and for future planning of palliative care services. (lu.se)
Nursing home (NH) stay is the highest level of formal care. (aldringoghelse.no)
Nursing homes are a blessing for those who need to ensure that loved ones are well cared for when they are unable to provide care at home. (rosenbaumfirm.com)
In many cases, family members are unable to provide the needed care at home so they turn to these institutions as a kind of home away from home. (rosenbaumfirm.com)
Nursing homes and home care, however have received much less attention. (scienceopen.com)
An increasing number of people need health services in nursing homes and at home, and the services are struggling with fragmentation of care, discontinuity and restricted resource availability. (scienceopen.com)
The aim of the study was to explore the current challenges in quality and safety work as perceived by managers and employees in nursing homes and home care services. (scienceopen.com)
The study is a multiple explorative case study of two nursing homes and two home care services in Norway. (scienceopen.com)
Despite contextual differences due to the structure, size, nature and location of the nursing homes and home care services, the challenges were similar across settings. (scienceopen.com)
it can be and is acted upon in negotiations and interactions to better support managers' and employees' work on quality and safety in nursing homes and home care. (scienceopen.com)
The English version of the ACT was completed by 764 nurses (752 valid responses) working in seven Canadian pediatric care hospitals as part of its initial validation. (scienceopen.com)
To the Editor: In one of a series of articles appearing in the Journal concerning the nursing-home industry, Vladeck (Sept. 30 issue) 1 indicates that there is an implicit assumption that a positive relation exists between the quality of resident care and facility costs. (elsevier.com)

They are homes for the elderly who are unable to live alone as they can no longer effectively perform normal daily activities without assistance. (rosenbaumfirm.com)
Seven profiles explained individual variation in the health and functioning of the elderly (65+) nursing home population over time. (iospress.com)
Take-home point: Shared decision-making necessary for prescribing beta-blockers in the post-MI setting to frail elderly NH patients. (wordpress.com)

Objectives - To compare the prevalence of inappropriate prescribing before and after nursing home admission and to determine which patient and physician characteristics are associated with inappropriate prescribing in the nursing home setting. (ices.on.ca)
In this study, cancer patients' characteristics associated with death in nursing homes were explored. (lu.se)
Longitudinal changes in the characteristics of the nursing home population as represented in the most recent National Nursing Home Surveys (NNHS) were analyzed (1977 and 1985). (iospress.com)
Nursing-home quality may be more a function of staff and administrative attitudes - characteristics that may be independent of facility costs. (elsevier.com)

001). Most patients who had been prescribed an inappropriate agent before nursing home entry had that agent discontinued after admission. (ices.on.ca)
Which cancer patients die in nursing homes? (lu.se)
Patients dying in nursing homes reported severe functioning impairments and more fatigue and appetite loss compared with those dying elsewhere. (lu.se)

But in the event that a loved one has already been hurt by a nursing home's negligence in administering this medication, Hupy and Abraham is here to help. (hupy.com)

All facilities classified as nursing homes by the 1973 Master Facility Inventory with updated information on nursing homes that opened between 1973 and December 1976. (umich.edu)
Under current standards, facilities that report seven or more days in a quarter with no registered nurse on site are automatically assigned a one-star staffing rating. (reliasmedia.com)
Subjects: Annual cohort of first-time admissions (N=24,648) to 378 Minnesota nursing facilities in 75 nursing home markets from July 2005 to June 2006. (umn.edu)
I recently conducted an extensive study of New York nursing homes and obtained interesting results concerning the relation between the quality of facilities. (elsevier.com)

Measurements - For each patient in the cohort, a subset of the Beers criteria was used to characterize and compare the prevalence of inappropriate prescribing (as indicated by the prescription of one of 49 inappropriate drugs) before and after nursing home admission. (ices.on.ca)

Nursing Home Compare gives each nursing home a rating between 1 and 5 stars, with one overall 5-star rating for each nursing home, and a separate rating for health inspections, staffing levels, and quality measures. (reliasmedia.com)

Participants - Nineteen thousand nine hundred eleven individuals aged 66 and older, newly admitted to nursing homes in Ontario between April 1, 1997, and March 31, 1999. (ices.on.ca)

In the 1985 NNHS, a younger sick group and a young male group emerge for the first time as identifiable nursing home patient groups. (iospress.com)

If your loved one is taking a blood-thinning medication and resides in a nursing home or other LTC facility, please talk to the nursing home staff about the steps they will take to prevent a serious complication or tragedy. (hupy.com)
Background Research into nursing home transitions has given limited attention to the facility or community contexts. (umn.edu)

and nursing market population size, average occupancy, market concentration, and availability of home and community-based services. (umn.edu)
In addition, states should increase home and community-based services, particularly in markets with low community discharge rates. (umn.edu)

CMS recently announced significant changes to Nursing Home Compare and the Five-Star Quality Rating System. (reliasmedia.com)
The Nursing Home Compare website and Five-Star Quality Rating System are aimed at helping consumers, families, and caregivers compare nursing homes. (reliasmedia.com)
CMS also is implementing changes intended to improve how it identifies differences in quality among nursing homes, raise expectations for quality, and incentivize continuous quality improvement. (reliasmedia.com)
Ullmann, SG 1983, ' Quality and Costs in the Nursing-Home Market ', New England Journal of Medicine , vol. 308, no. 11. (elsevier.com)

In 2012, NCHS initiated the National Study of Long-Term Care Providers (NSLTCP)-a biennial study of adult day services centers, residential care communities, nursing homes, home health agencies, and hospice agencies. (cdc.gov)
Some nursing homes have special care units for people with serious memory problems such as Alzheimer's disease . (medlineplus.gov)
Nursing homes are not only for older adults, but for anyone who requires 24-hour care. (medlineplus.gov)
There are groups providing home care to the elderly such as Meals on Wheels and services that provide nurses and doctors who will make regular house calls. (investopedia.com)
This service helps seniors receive medical care while they live in communities rather than in nursing homes. (investopedia.com)
All health care institutions -- from hospitals and nursing homes to hospice providers and drug and alcohol treatment inpatient centers -- are included in this category. (opensecrets.org)
Though hospitals, nursing homes and the health care industry overall now face significant up-front costs to comply with provisions of the Affordable Care Act, they supported the law. (opensecrets.org)
But both hospitals and nursing homes have been accused of exploiting certain features of the Affordable Care Act. (opensecrets.org)
In 2014, nursing homes came under fire for reportedly manipulating Medicare ratings that had been refined under provisions of the health care bill. (opensecrets.org)
Two private nursing homes - the New Care Hospital at Brahma Nagar and the Divine Nursing Home near New Bus Stand - were sealed as they were violating statutory rules,' said Berhampur sub-collector Laxmikant Sethi. (telegraphindia.com)
It is important to understand that in a nursing home a great deal of intimate care takes place at the patient's bedside. (go.com)
The Maryland delegate says a nursing-home resident's room is their home.Hecht says nursing home employees should understand that cameras are just another tool for improving the quality of care. (go.com)
The guide describes the types of care available at each nursing home, such as whether it accepts patients with Alzheimer's disease or non-violent psychiatric disorders, and whether it offers tube feeding. (sun-sentinel.com)
Does Medicare pay for nursing home care? (medicalnewstoday.com)
It does not usually cover long-term nursing home costs, but some plans may fund temporary stays in a skilled nursing facility (SNF) if a person needs specialized care. (medicalnewstoday.com)
This article looks at how Medicare can help with some nursing home costs, what help is available for hospice care insurance, and how to find a nursing home. (medicalnewstoday.com)
What type of nursing home care does Medicare cover? (medicalnewstoday.com)
Medicare classifies nursing home care as either skilled or custodial. (medicalnewstoday.com)
A person with professional medical training, such as a registered nurse or physical therapist, delivers this level of care. (medicalnewstoday.com)
Custodial, or nonmedical, care usually means a continuous, long-term stay in a nursing home. (medicalnewstoday.com)
Which Medicare parts pay for nursing home care? (medicalnewstoday.com)
It does not usually cover long-term custodial nursing home care. (medicalnewstoday.com)
A doctor must verify that the person requires daily skilled nursing care. (medicalnewstoday.com)
We realized at a certain point that he just needed more professionalized care than he could get at home. (msnbc.com)
arly into 2013, concern is increased once again concerning our commitment as a society to meet the needs of our population requiring nursing home care. (issuu.com)
The fact remains that inadequate provision of long term care is a significant risk to the delivery of the entire Service Plan because people requiring nursing home care will remain, inappropriately, in the acute system and the resultant challenges this will pose to the broader delivery of health services to the wider population. (issuu.com)
The HSE Performance Report for year end 2012 (December) illustrates the growing requirement for nursing home care and the financial support provided by Fair Deal. (issuu.com)
Older persons will remain in hospital awaiting approval on the scheme or will remain at home with inadequate care provision. (issuu.com)
Fair Deal was designed to ensure nursing home care is "accessible, affordable and anxiety-free", but the Service Plan negates against the core principles of the scheme. (issuu.com)
It has expressed concern older people who are sick, frail, or no longer able to live at home, will be left waiting for somebody to vacate a nursing home bed before they can receive the care they need. (issuu.com)
Mr. Hollander now faces a proceeding by the State Health Department to revoke the licenses of his homes because of alleged poor food and care. (nytimes.com)
As a Veteran, you may be able to get assisted living, residential (live-in), or home health care through VA. Find out how to access these long-term care services. (va.gov)
What are my options for nursing home care through VA? (va.gov)
You can get nursing home care in 1 of the 3 different nursing home settings listed below. (va.gov)
In each, you'd live there full time and have access to nursing and medical care, as well as help with daily tasks 24 hours a day. (va.gov)
You may be able to get VA benefits to help pay for nursing home care. (va.gov)
What if I don't need nursing home care, but I can't live alone because of physical or mental health conditions and I don't have family to help me? (va.gov)
Nursing homes and adult care facilities have been hard hit by the coronavirus pandemic, recording 3,477 total deaths as of Monday, April 20. (nypost.com)
Assisted living , the NIA says, is for those who require some help with daily care, but not as much as what a nursing home can offer. (wtop.com)
Some but not all skilled nursing facilities also offer memory care for patients suffering from Alzheimer's disease or other forms of dementia . (wtop.com)
The NIA says that some people require nursing home care for only a short period, often after being in the hospital, and go home once they recover. (wtop.com)
The NIA identifies board and care homes and continuing care retirement communities as alternative options. (wtop.com)
Like assisted living facilities, these homes can provide personal care and meals, but not nursing or medical care. (wtop.com)
Sometimes called life care communities, offer different levels of service in one location, such as independent housing, assisted living and a skilled nursing facility all on one campus. (wtop.com)
Homes earn an overall rating of one to five stars, as well as up to five stars in each of three underlying categories: health inspections, nurse staffing, and quality of care. (prnewswire.com)
WASHINGTON , Oct. 27, 2020 /PRNewswire/ -- U.S. News & World Report, the global authority in health care rankings, today released the 2020-21 Best Nursing Homes . (prnewswire.com)
As nursing homes and facilities across the nation cope with the impacts of the coronavirus pandemic, U.S. News remains committed to providing data-driven information and guidance to help patients, families and caregivers understand their long-term and short-term care options. (prnewswire.com)
The 11th year of the U.S. News Best Nursing Homes combines comprehensive information about care, health inspections and staffing with COVID-19 outbreaks, flu and pneumonia vaccination rates, and infection control violations listed on the patient safety summary. (prnewswire.com)
The Best Nursing Homes reflect U.S. News' analysis of data collected and published by the federal government using a methodology defined by U.S. News that evaluates factors that U.S. News has determined most impact patient and resident care, safety and outcomes. (prnewswire.com)
The Best Nursing Home finder features ratings on both long-term and short-term care. (prnewswire.com)
Out of 13,433 nursing homes that received a Long-Term Care Rating, 1,139 were designated as High-Performing. (prnewswire.com)
We spoke with people and observed care and support being delivered by staff and their interactions with people in all areas of the home including communal lounges and in people's individual rooms. (cqc.org.uk)
the director of nursing for the registered provider, the registered manager and the deputy manager, a registered nurse, a kitchen assistant, and three care staff. (cqc.org.uk)
We received feedback from two health and social care professionals who supported people who lived at the home and reviewed feedback other health and social care professionals had sent to the home. (cqc.org.uk)
The ISMP and others have provided observations and recommendations to ensure a smooth and safe transition from acute care to nursing home-level care . (nih.gov)
Given the overlap in type of care delivery between nursing homes and hospitals, many of the same elements that would improve care delivery in hospitals could apply to the nursing home setting. (nih.gov)
The TeamSTEPPS 2.0 Long-Term Care Version curriculum module adapts TeamSTEPPS principles for long-term care settings such as nursing homes. (nih.gov)
Diabetes medication patient safety incident reports to the National Reporting and Learning Service: the care home setting. (nih.gov)
A nursing home provides care for people who don't need to be hospitalized, but can't be cared for at home anymore. (empowher.com)
The staff in a nursing home provides medical care, physical, speech and occupational therapy. (empowher.com)
Although nursing homes are often associated with elderly care, they are available to anyone who requires 24-hour care. (empowher.com)
More indoor visits will now be allowed in Michigan nursing homes, permitting more people to see their loved ones in care facilities during the COVID-19 pandemic. (freep.com)
It states that most nursing homes are able to conduct point-of-care testing with rapid turnaround. (freep.com)
DCH's nursing home inspection unit has suffered from chronic understaffing that has slowed its ability to conduct regular oversight and inspections of nursing homes that care for more than 30,000 sick or frail Georgians. (ajc.com)
Tony Marshall, president of the Georgia Health Care Association, which represents most nursing homes across Georgia, said he doesn't see inspection frequency determing the quality of care. (ajc.com)
That analysis found approximately 3 percent of the targeted inspections identified violations during a crisis that has led to some 50,000 deaths in nursing homes and other long-term care facilities. (ajc.com)
Health IT plays an important role in a new government initiative to improve nursing home care, including the coordination of care with hospitals and physicians. (informationweek.com)
Moreover, the initiatives proposed by the grantees focus on having nurses and nurse practitioners improve the monitoring and care of patients within the long-term-care facilities. (informationweek.com)
Many nursing homes have EHRs that they use to supply required clinical data to CMS, but most of those systems are not made by the same vendors that supply hospital and ambulatory-care EHRs. (informationweek.com)
Nursing home EHRs also are not designed to generate clinical summaries known as continuity of care documents (CCDs), which are used to exchange data between disparate EHRs in other care settings. (informationweek.com)
The American Health Care Association (AHCA), the leading U.S. trade group for nursing homes, and other long-term care advocates criticized the order. (aarp.org)
Nursing homes are the accelerant for COVID-19," said Los Angeles-area geriatrician Michael Wasserman, president of the California Association of Long Term Care Medicine. (aarp.org)
Ultimately, the surges come from nursing homes if we don't put a moat around the long-term care continuum. (aarp.org)
The American Health Care Association says discharged hospital patients should return only to nursing homes with separate COVID-19 units. (aarp.org)
I currently work in a not-for-profit aged care facility as a Registered Nurse. (theage.com.au)
I have recently taught clinical nursing care in a Sydney University. (theage.com.au)
The health department on its own began an aggressive drive to visit all nursing homes, achieving that goal in May before shifting to other types of residential-care facilities, including assisted-living homes. (denverpost.com)
Westbury Medical Care & Rehab in Jackson is among nursing homes in Georgia that have had to adjust to meet the new requirements that took effect this month. (ajc.com)
From the outset of the coronavirus pandemic, nursing homes and other long-term care facilities in Georgia struggled to control a virus that can easily be passed by those who may not show symptoms. (ajc.com)
The new requirements will mean nursing homes each week will have to test up to 60,000 staff, according to the Georgia Health Care Association, which represents nursing home providers across the state. (ajc.com)
Move people out of long-stay nursing facilities and back into their communities, and give them flexibility to spend government dollars on the care they need. (forbes.com)
PLANNING FOR A CARING FUTURE Nursing home care is intrinsic for healthcare delivery. (issuu.com)
80 per cent of long-term residential care is provided by private and voluntary nursing homes. (issuu.com)
One-in-ﬁve persons aged 85 and over require the continuous, specialist care provided by nursing homes. (issuu.com)
The Department of Health Review of the Fair Deal Scheme states private and voluntary nursing homes provide care for fees that are an overall average 58 per cent below those being paid to HSE nursing homes. (issuu.com)
The integration of healthcare and term nursing care. (issuu.com)
elcome to Nursing Homes: Securing a Sustainable Future, a Nursing Homes Ireland/Irish Independent supplement, that informs regarding nursing home care. (issuu.com)
This 12-page publication outlines the very significant challenges facing the private and voluntary nursing home sector in care provision. (issuu.com)
With our population rapidly ageing, and the requirement for the specialist care provided by nursing homes growing in tandem, the State must bring stakeholders together to ensure we appropriately plan for this considerable growth in healthcare. (issuu.com)
From a social and health perspective, we must address the significant challenges facing Ireland in providing nursing home care. (issuu.com)
Addressing these obstacles with a suitable strategy will ensure the health and social care nursing homes specialise in providing is available to the increasing numbers requiring it. (issuu.com)
Read also of the experiences of nurses who are providing this person-focused care and how imperative it is we plan now for our increasing gerontological care requirements. (issuu.com)
The high standards delivered in NHI member homes are celebrated on an annual basis at the NHI Care Awards. (issuu.com)
Dr. Salib and coauthor Jessica Thompson, MD, from Peasley Cross Hospital, St. Helens, United Kingdom, compared 127 patients who were prescribed cholinesterase inhibitors in 2006 with 212 patients who were not to see whether they had been placed in care or had remained in their own home during a 4-year period. (medscape.com)
The mean survival from the time patients were first seen at the clinic was 33 months, and the mean survival time in a care home was 18 months. (medscape.com)
The authors found that during the first 30 months of follow-up there was a delay in care home placement by a median of 12 months in those patients who took cholinesterase inhibitors compared with those who did not. (medscape.com)
Board and care homes have never been approved by community planning as intermediate care facilities (ICFs), or even the emblematic group homes, often falling far short at health and community gates. (wikipedia.org)
Board and Care homes were the subject of exposés for lacking medical personnel at the time of the 1990s reviews. (wikipedia.org)
citation needed] Nursing homes have been the subject of decades of efforts by states and at the national levels to reform health and residential care for "frail" elders, especially those with lower incomes in the US. (wikipedia.org)
citation needed] A major nursing home reform initiative occurred in 1996 when the Health Care Financing Administration studied its own facilities and reported to the US Congress on the effectiveness of its current system and certification of nursing homes. (wikipedia.org)
By 2000, minimum staffing ratios and implementation of Nursing Home Quality of Care were introduced. (wikipedia.org)
And I would remind them that if they just do a quick Google search - looking at the [state Agency for Health Care Administration] website or Nursing Home Compare [run by Medicare administrators] - it's chock-full of inspection information for nursing homes and assisted living facilities that is public. (orlandosentinel.com)
It is a place where Veterans can receive nursing home level of care, which includes help with activities of daily living (e.g., bathing and getting dressed) and skilled nursing and medical care. (va.gov)
The VA will provide Community Living Center (VA Nursing Home) care IF you meet certain eligibility criteria involving your service connected status, level of disability, and income. (va.gov)
You can use a Veteran Decision Aid for Care at Home or in the Community to help you figure out what home care services or long term care services may best meet your needs now or in the future. (va.gov)
If nursing home care seems right for you, your VA social worker can help you locate one and assist with making arrangements. (va.gov)
Learn about senior care, nursing homes, independent and assisted living. (bankrate.com)
Find resources on home health care, caregiving, retirement communities and estate planning. (bankrate.com)
Seniors can have a power of attorney in place, a health care directive and a will, but all of that planning can be overturned by a guardianship being established by a nursing home. (bankrate.com)
Pillemer and Meador also received a grant from the Commonwealth Fund to conduct research on the effect of the new technologies on so-called "residence-centered care" in a sample of the homes. (cornell.edu)
The Consumer Voice, formerly known as the National Consumer Voice for Quality Long-Term Care, is an advocacy group formed in the 1970s to address public concern about substandard care in nursing homes. (bizjournals.com)
All longterm care facilities and nursing homes that participate in CMS programs were required to comply by Aug. 13 with the standards. (bizjournals.com)
Among the most puzzling local sites mentioned was Terrace View Longterm Care Facility, the new nursing home opened earlier this year by Erie County Medical Center. (bizjournals.com)
Marla Weston, chief executive officer of the American Nurses Association Enterprise, discusses the transformation of US health care and how Boston College is preparing its students to meet the needs of patients and families. (bc.edu)
Demand for home care nurses is projected to grow a whopping 71% between 2010 and 2020. (cnn.com)
A Senate health-care panel is expected today to approve a bill that would raise the minimum staffing at all facilities and force improvement at homes that have, through neglect or design, allowed the number of nurses and nurse's aides to fall to unacceptable levels. (sptimes.com)
The vote -- the first major committee test for nursing-home legislation this year -- could prove a constructive, albeit only partial, response to what all parties agree is Florida's looming crisis in long-term care. (sptimes.com)
According to the nursing-home task force created last year, inadequate staffing remains one of Florida's major problems and is the No. 1 complaint logged by the ombudsmen who monitor nursing-home care. (sptimes.com)
The amended bill, expected to be stripped of all but its quality-of-care provisions, would increase the daily time a nurse's aide must spend with every resident from 1.7 to 2.9 hours (and one hour for nurses) and give homes five years to adjust. (sptimes.com)
The top respondents for the job title Nursing Home Administrator are from the companies HCR ManorCare, Genesis HealthCare and Sava Senior Care. (payscale.com)
Some parents worked hard all their lives and never made enough money to pay for expensive things like nursing home care. (forbes.com)
NURSING home owners are predicting a deeper crisis in care for the elderly as they say Berkshire social services chiefs are trying to get old folks' care on the cheap. (getreading.co.uk)
Mr Ursell said: 'Research by the foundation suggests a fair price for nursing home care would be around £459 per week taking into account average wages paid to care staff across the country as well as all the other costs involved in running a nursing home including land and property prices. (getreading.co.uk)
He warned: 'New care standards laid down by the Government are also making it harder to meet the costs of caring for the elderly and I predict there will be an exodus of home owners in the next few years with fees a lot closer to £1,000 a week. (getreading.co.uk)
Nursing Homes offer round-the-clock nursing care for either short-term or long-term stays. (caring.com)
Assisted Living, which are usually more homelike and less expensive than nursing homes, are well suited to those who need daily assistance but not 24-hour care. (caring.com)
As Medicare does not cover permanent, long-term stays in nursing homes, seniors in the U.S. must privately pay for their nursing home care. (empowher.com)
Glangarnant Nursing Home provides a high level of care for over 40 elderly people. (triodos.co.uk)
We provide first-class 24-hour nursing care alongside expert care for those with dementia in our Memory Lane Community. (housingcare.org)
Ruby Washington/The New York Times I wrote last week about the poor choices facing patients, most very old and within six months of death, who need nursing home care after a hospitalization. (1callcare.com)
A quality nursing home will provide the kind of care which requires specific skills of a qualified nurse. (consumersresearchcncl.org)
Nursing homes fill a need when the persons health requires constant nursing care. (consumersresearchcncl.org)
A nursing home provides care to people who cannot be cared for at home or in the community. (consumersresearchcncl.org)
For people who can't take care of themselves due to physical, emotional, or mental problems, nursing homes can provide a wide range of personal care and health services. (consumersresearchcncl.org)
Care in a nursing home can be very expensive. (consumersresearchcncl.org)
Nursing homes usually provide 24-hour medical care as well as room, meals, activities, and some personal care. (consumersresearchcncl.org)
Most nursing homes charge a basic fee for room, meals, and some personal care. (consumersresearchcncl.org)
A nursing home may not be your only choice for your personal care and health services. (consumersresearchcncl.org)
A significant change in nursing facilities has been the addition of what has been called special care or subacute care units within nursing facilities. (encyclopedia.com)
The number of dementia-specific special care units has also grown and "as of 1996, nearly one in four nursing homes had at least one organized dementia care unit, wing, or program" (NIA, p. 41). (encyclopedia.com)
These types of units continue to be viewed by operators, staff, and family members as a better alternative to traditional nursing-facility care. (encyclopedia.com)
A deadly drug-resistant bacteria is spreading to elderly patients in nursing and long-term care facilities in Los Angeles County, according to CBS Local Los Angeles . (treehugger.com)
Programs designed to help elderly people with coronavirus are creating a perverse financial incentive for nursing homes with bad track records to bring in sick patients, raising the risks of spreading infections and substandard care for seriously ill patients, according to advocates for the elderly and industry experts. (politico.com)
who live in nursing homes and assisted living facilities, and the 3 million workers who care for them. (stltoday.com)
But too many have fallen needlessly sick, victims of neglect and greed by nursing home operators who have fallen far short in their care and compassion. (stltoday.com)
A nurse tried to tell the world about the failures and lack of care at the home where she worked, and she ended up dying of the virus herself. (stltoday.com)
The policy was said to advocate for patients needing care, but nursing homes were soon hit by outbreaks and higher death tolls. (stltoday.com)
Dr. David Gifford , senior vice president for quality and regulatory affairs at the American Health Care Association, a nursing home industry group, says facilities have gotten better at handling disasters after each one. (npr.org)
Dr. David Marcozzi , a former director of the federal emergency preparedness program for health care, says that inspectors - also known as surveyors - should observe nursing home staff demonstrating their emergency plans rather than just checking that they have been written down. (npr.org)
On Monday, the State of New York released a partial dataset of some of the nursing homes and long-term care facilities that are reporting coronavirus cases to the state. (thedailybeast.com)
For weeks, it was unclear just how many individuals in New York and New Jersey nursing homes and other assisted care facilities had tested positive for the coronavirus and how many people had died because of it. (thedailybeast.com)
Despite the increased focus by officials and doctors on the vulnerability of the elderly population, the states' coronavirus data sets did not reflect nursing home or long-term care facilities' numbers. (thedailybeast.com)
The cornerstone to quality care in a nursing home is staffing. (chicagotribune.com)
Homes should be staffed to provide at least 3 1/2 to four hours of care per resident in a 24-hour period, says Larry Minnix, chief executive of the American Association of Homes and Services for the Aging, a non-profit organization that represents not-for-profit elder-care facilities. (chicagotribune.com)
The Public Services Ombudsman has warned that there could be many more examples of older people getting poor treatment in nursing homes, unless there's an improvement in the way care levels are monitored. (itv.com)
The Public Services Ombudsman has severely criticised the people who are in charge of inspecting care homes across Wales and ensuring standards for some of our most vulnerable elderly people. (itv.com)
Find out about care at home, adaptations and technology to help you stay independent in your own home for longer. (which.co.uk)
Use our directory to find local home care agencies anywhere across the UK. (which.co.uk)
Learn about funding options for home care, home adaptations and care homes, together with Attendance Allowance, gifting assets and Power of Attorney. (which.co.uk)
Consider your options and learn about sheltered housing, retirement villages and care homes. (which.co.uk)
How to make a shortlist of suitable care homes, and uncover key information to ensure your loved one's needs are met. (which.co.uk)
Explore the options for paying for a care home: local authority funding, paying for yourself or NHS support. (which.co.uk)
He's one of 67 inmates in the Kentucky State Reformatory's nursing care facility, which costs state taxpayers more than $4.4 million a year. (heraldnet.com)
That really isn't the mission of the department to provide nursing care for elderly folks," Kentucky Corrections Commissioner LaDonna Thompson said. (heraldnet.com)
But it's not the mission of private nursing facilities to cater to ex-convicts, said Steve McClain, communications director for the Kentucky Association of Health Care Facilities. (heraldnet.com)
Kentucky nursing homes have among the highest liability costs in the country, according to a 2013 study from the American Health Care Association and Aon Global Risk Consulting. (heraldnet.com)
Of the 67 inmates in the nursing care facility, three have already been denied medical parole. (heraldnet.com)
The American Health Care Association, a nursing home industry group, has launched a program that each year recognizes homes that it says are working to improve the quality of care. (propublica.org)
Nursing homes in Ohio need child care, more personal protection equipment, and video chat tech so loved ones can talk to each other with visitation now suspended. (daytondailynews.com)
Kathryn Brod, president and CEO of LeadingAge Ohio, which represents nonprofit long term care providers such as nursing homes, said many of LeadingAge's members are extremely concerned about child care options, knowing that it is likely that child care is the next to go in the series of restrictions they are seeing. (daytondailynews.com)
Pete Van Runkle, executive director of the Ohio Health Care Association, which represents nursing homes, said workers who were let go by restaurants and bars should consider seeking a position at a nursing home for work such as dining services as well as other jobs. (daytondailynews.com)
The report is based on visits by Human Rights Watch researchers to more than 100 nursing facilities in six states and more than 300 interviews with people living in facilities, their families, staff, long-term care and disability experts, government officials, and advocates. (insurancenewsnet.com)
In societies with an increasing number of elderly which are not able to care for themselves any longer and thus decide-or others may have decided for them-to live in protected housing estates (i.e., residential homes, assisted accommodation, or residential nursing homes), there is a need to care not only for their physical health but also for their psychosocial aspects. (hindawi.com)
Following is a list of companies operating nursing homes in the U.S.: Americare - multi-service health care agency Bailey-Boushay House Brookdale Senior Living Catholic Health Services Cedar Community, West Bend, Wis. (wikipedia.org)
Nursing homes are a type of residential care that provide around-the-clock nursing care for elderly people. (wikipedia.org)
Twenty-four-hour nursing care is available. (wikipedia.org)
Nursing homes may also be referred to as convalescent care, skilled nursing or a long-term facility. (wikipedia.org)
Nursing homes may offer memory care services or have a separate area specified for memory care. (wikipedia.org)
These new residential living homes were called board-and-care homes or also known as convalescent homes. (wikipedia.org)
These board-and-care homes would provide basic levels of care and meals in a private setting for a specific fee. (wikipedia.org)
Board-and-care homes proved to be a success and by World War 2, the new way of nursing homes began to take shape. (wikipedia.org)
To combat these long stays in short term settings, board-and-care homes began to convert into something more public and permanent that was state and federally funded. (wikipedia.org)
Nursing homes were a permanent residence where the elderly and disabled (poor elderly and disabled specifically) could receive any necessary medical care and receive daily meals. (wikipedia.org)
The RN's job duties include implementing care plans, administering medications, recording and maintaining accurate reports for each resident, monitoring and recording medical changes and providing direction to the nursing assistant and licensed practical nurses or licensed vocational nurses. (wikipedia.org)
A nursing assistant provides basic care to patients while working directly under an LPN/LVN or RN. (wikipedia.org)

According to the Centers for Disease Control and Prevention (CDC), around 1.3 million adults in the United States live in a nursing home. (medicalnewstoday.com)
Inadequate supplies of personal protective equipment, staff members working with symptoms and staff members working at multiple facilities helped fuel the outbreak in nine Seattle nursing homes, the U.S. Centers for Disease Control and Prevention said in a report released Wednesday. (dailyherald.com)

Nursing homes have many of the same concerns as hospitals, though their interests tend to be more aligned with those of the elderly population. (opensecrets.org)
Four-year program in 145 nursing facilities aims to reduce hospital readmissions, including exploring how electronic records can be more easily shared with hospitals. (informationweek.com)
These include linking nursing homes to health information exchanges (HIEs) and customizing their existing electronic health records to facilitate data exchange with hospitals. (informationweek.com)
Transferring COVID patients from hospitals to nursing homes threatens to make the problem worse. (aarp.org)
There is considerable demand for nurse administrators and they can potentially find jobs in hospitals, clinics, nursing homes, rehabilitation centers, etc. (excite.com)
Councillor Pete Ruhemann, lead councillor for social services in Reading, said a recent government grant of £350,000 to deal with 'bed blocking' in hospitals had enabled the council to pay higher rates for nursing home places than before. (getreading.co.uk)
Last week, I wrote about older people in nursing homes who are transferred to hospitals when their health takes a turn for the worse, even if they don't want aggressive medical interventions. (1callcare.com)
States including California, Massachusetts, Michigan and New Mexico, wanting to relieve pressure on crowded hospitals, are providing extra incentives for nursing homes to accept such patients. (politico.com)
The places hospitals want to send these Covid-positive patients turn out to be the places least equipped to take them, places that are already the most dangerous facilities in the United States," said Mike Dark, an attorney at California Advocates for Nursing Home Reform. (politico.com)
March 25 - New York state required nursing homes to accept COVID-19 patients who have been discharged from hospitals. (stltoday.com)
On March 31, New York Gov. Andrews Cuomo added a provision to the state's budget negotiations to shield nursing homes and hospitals from lawsuits that claim they failed to protect patients from COVID-19. (stltoday.com)

The rulings have applied ever more pressure on the more than 15,000 nursing homes across the country, many reeling from COVID-19 as resident deaths mount and stressed staff members search for elusive masks, gloves and gowns. (aarp.org)

For 2020-21, 14,126 facilities received a Short-Term Rating, while only 2,362 homes earned a High-Performing Rating. (prnewswire.com)
Mr Ursell said 750 nursing homes closed in Britain last year with the loss of 13,000 beds yet research showed demand for beds would be 65 per cent higher by 2020. (getreading.co.uk)

In this April 14, 2016 photo, Phyllis Hotchkiss talks to her son, Glen Hotchkiss, at her nursing home in Adrian, Mich. Phyllis, 93, who has dementia and is confined to a wheelchair, was involuntarily discharged from her nursing home earlier in the year, to one further away from her family. (dailymail.co.uk)
The Shreveport Times reported that a resident with dementia at a Bossier City, La., nursing home went missing for more than 3½ hours last year before staff went looking for her. (propublica.org)
How Nursing Homes in the United States Overmedicate People with Dementia," estimates that every week in US nursing facilities, more than 179,000 people, mostly older and living with dementia, are given antipsychotic drugs without an appropriate diagnosis. (insurancenewsnet.com)
Statistics from a collaborative effort to reduce the use of antipsychotic drugs to control troublesome behavior by people with dementia in nursing homes shows that North Carolina led the nation in achieving reductions. (governing.com)

The report found that 64 of Georgia's nursing homes had been cited for infection prevention and control deficiencies in 2017. (ajc.com)
For a five-year period, from 2013 to 2017, there were 30 homes in Georgia with multiple citations for this problem. (ajc.com)

From pre-licensure programs to Master's, DNP, and Ph.D. programs, the Connell School of Nursing offers a range of possibilities to get you started on your nursing adventure. (bc.edu)

Grannycam" advocates say that if nursing home personnel do nothing wrong they will have nothing to fear. (go.com)
But half of the Massachusetts nursing homes that have created dedicated wings for Covid-19 patients are either rated "below average" or "much below average" - two-star or one-star -- on the federal scale, according to a review by the advocacy group Massachusetts Advocates for Nursing Home Reform. (politico.com)

In addition, a third of U.S. nursing homes have been cited for failing to inspect their generators each week or to test them monthly. (npr.org)
Our Nursing Home Inspect news app now contains more than 134,600 deficiencies from nearly every nursing home in the United States. (propublica.org)
Today, we are refreshing our Nursing Home Inspect app to include thousands more deficiencies found by government inspectors in nursing homes around the country. (propublica.org)
Rather, Nursing Home Inspect relies on the government, which first began publishing the narrative portions of inspections last month. (propublica.org)
Nursing Home Inspect allows users to search all inspection reports by keyword to look for problems that may appear across the country. (propublica.org)

WASHINGTON , Feb. 7, 2012 /PRNewswire/ -- U.S. News & World Report today released its annual Best Nursing Homes ratings, which offer important guidance to families and healthcare providers caring for people in need of a nursing home. (prnewswire.com)
In addition, U.S. News released an Honor Roll of 39 nursing homes that earned the highest possible ratings in all four quarters of 2011. (prnewswire.com)
In addition to helping families find the best nursing home for their loved one, U.S. News published pieces on nursing home patient safety during COVID-19 and what to expect as nursing homes resume in-person visits . (prnewswire.com)
U.S. News also profiles Assisted Living Communities , which in many cases provide services that overlap with traditional nursing homes. (prnewswire.com)
WEDNESDAY, Oct. 8, 2014 (HealthDay News) -- Infection rates within U.S. nursing homes are on the rise, and that trend will continue until better hygiene practices are put in place, a new study suggests. (medicinenet.com)
News organizations have identified many problems at homes in their communities. (propublica.org)

The most expensive nursing homes in Palm Beach County have fewer beds than the cheaper homes haveand boast of more personalized service. (sun-sentinel.com)
We have a lot more help per resident,' said Steve Mulder, administrator of Whitehall Boca, a nursing home in Boca Raton that has 73 beds and costs $153 a day for a private room. (sun-sentinel.com)
New York led the way in late March, with a sweeping directive intended to free up much-needed hospital beds by ordering nursing homes to take COVID-19-positive patients. (aarp.org)
Genesis, based in Pennsylvania, is the largest nursing home company in the country, with 44,805 beds in 380 outlets and $4.8 billion in operating revenue, according to Providermagazine.com. (courthousenews.com)
These chains owned approximately 27 percent of all beds nationwide in 2000 with about 56 percent of all nursing homes in the United States being part of a chain. (encyclopedia.com)

Nursing homes are ground zero for the pandemic. (aarp.org)
These pieces join new Hospital Hero profiles featuring a nursing home activities director easing pandemic-related isolation and a public policy expert calling for nursing home employees' wages and benefits to reflect the current dangerous nature of their jobs. (prnewswire.com)
That's not enough to cover the costs of increased testing and other expenses and revenue losses from the pandemic, Georgia nursing homes say. (ajc.com)
The governor's office points to more than $20 million spent to provide staff support to 93 nursing homes that were short-staffed because of outbreaks or faced other challenges during the pandemic. (ajc.com)

A GAO report issued in May found that infection-control deficiencies are consistently among the top violations that inspectors find when they go into nursing homes, but it also found that states undercite the violations. (ajc.com)

Even more disturbing: In many cases, nursing homes and the government officials who oversee them are doing little -- or nothing -- to stop it. (cnn.com)
It is important to visit the nursing homes and ask the questions, officials said, because some of the nursing homes could have augmented their services or changed their rating or rates since the information was gathered. (sun-sentinel.com)
March 23 - Massachusetts officials announced the first case of COVID-19 at Holyoke Soldiers' Home, where eventually some 76 veterans died of the virus. (stltoday.com)
Nursing home industry officials have cautioned that while the reports can be of value when choosing a home, they are only a snapshot and don't highlight good practices in the home. (propublica.org)

Lee: In 2014, when Bob Sarlin was 68, his family moved him out of the apartment where he'd lived for four decades, and into the Mary Manning Walsh Nursing Home in Manhattan, owned by an organization called ArchCare. (msnbc.com)
It is essential for the success of any healthcare organization that all its activities especially the nursing tasks are organized meticulously and performed promptly. (excite.com)
American Nurses Credentialing Center (ANCC) is an organization working towards streamlining professional excellence among nurses. (excite.com)
An individual with a certificate in nursing administration can improve his/her job prospects by passing the various nurse executive exams conducted by the organization. (excite.com)
ANCC is the world's largest and most prestigious nurse credentialing organization, and a subsidiary of the American Nurses Association (ANA). (nursecredentialing.org)
ANCC is the only nurse credentialing organization to successfully achieve ISO 9001:2008 certification. (nursecredentialing.org)

Councils in Berkshire are falling a long way short of paying the weekly rate recommended in research for the independent think-tank the Joseph Rowntree Foundation, according to Frank Ursell, chief executive officer of the Registered Nursing Home Association. (getreading.co.uk)

about 1.4 million people occupy about 15,600 homes now. (dailymail.co.uk)

Given their congregate nature and resident population served (e.g., older adults often with underlying chronic medical conditions), nursing home populations are at high risk of being affected by respiratory pathogens like COVID-19 and other pathogens, including multidrug-resistant organisms (e.g. (cdc.gov)
In the absence of federal data, Suzy and colleague Laura Strickler began tracking the number of COVID-19 deaths in nursing homes across the country. (msnbc.com)
Nursing Home profiles to also include new patient safety information, highlighting up-to-date COVID-19 data. (prnewswire.com)
New Jersey instructed nursing homes that they could not reject medically stable patients diagnosed with COVID. (aarp.org)
At least 7,000 COVID-19 deaths have occurred among people living in or associated with nursing homes, according to a New York Times investigation, meaning 1 in 5 coronavirus deaths in the U.S. are tied to a nursing home. (aarp.org)
New York issued an order late last month that "No resident shall be denied re-admission or admission to [a nursing home] based on a confirmed or suspected diagnosis of COVID-19. (aarp.org)
In May, OSHA issued its first COVID-19 citation to a nursing home. (reuters.com)
Keep reading to discover how COVID-19 has impacted American nursing homes. (stltoday.com)

Historically, Americans have viewed nursing as a feminine profession. (nih.gov)
He notes that more than 3 million Americans will spend part of 2012 in a nursing home. (prnewswire.com)
In addition to housing the most vulnerable Americans, many nursing homes already have poor infection control records. (aarp.org)
Despite having a longer life expectancy than Whites and African-Americans, Latinos made up just 5 percent of the national nursing home population in 2014. (azcentral.com)

Nursing home inspectors cited Carrollton Manor nursing home in west Georgia for an infection-control violation during an inspection in March. (ajc.com)
And these nursing homes rarely face severe reprimands, even when inspectors identify repeated lapses. (npr.org)
In one visit last May, inspectors found that an El Paso, Texas, nursing home had no plan for how to bring wheelchair-dependent people down the stairs in case of an evacuation. (npr.org)
Nursing home inspectors issued 2,300 violations of emergency-planning rules during the past four years. (npr.org)
Nursing homes take surveys seriously and face closure if they do not fix flaws inspectors identify, he added. (npr.org)
A recent blog post said nursing home inspectors have increasingly cited homes for the failure of their staffs to wash their hands. (propublica.org)

The letter reflects growing concerns about access to testing to try to contain the rapid spread of the coronavirus devastating nursing homes in Seattle and now hitting the 150-bed Chateau Nursing and Rehabilitation Center in Willowbrook. (dailyherald.com)
For instance, New Mexico's first nursing home solely for coronavirus patients, Canyon Transitional Rehabilitation Center, was cited as having issues with infection control during regular inspections in both 2018 and last year, and was fined $13,605 by the federal government last year for a lack of proper procedures that led to a five-minute delay in performing CPR on a resident after he became unconscious. (politico.com)
The deaths at the Rehabilitation Center have focused attention on new federal disaster-planning rules, with which nursing homes must comply by mid-November. (npr.org)

And yet, months into this crisis, the federal government still has not released any data tracing the outbreak in these nursing homes. (msnbc.com)
They're talking about an outbreak in a home," he added. (orlandosentinel.com)
At least 30 deaths have been connected to the King County nursing home at the center of the Seattle outbreak. (dailyherald.com)
In-person visits are not allowed at the nursing home, at the center of the outbreak of new coronavirus. (daytondailynews.com)

In late March, Massachusetts also unveiled a plan to create nursing homes that were singularly dedicated to coronavirus patients. (politico.com)
On that day at the end of March, Deborah, whose name has been altered because she fears retribution from her facility's executives, found nurses wearing trash bags as makeshift gowns and treating patients without N95 respirators -one of the best systems of protection for doctors and nurses who come into contact with coronavirus patients. (thedailybeast.com)

The market is opening up for seniors and their families looking for options beyond nursing homes. (investopedia.com)

Completing that round of tests is a key part of the plan for allowing in-person visits to nursing homes something that hasn t happened in Pennsylvania since early March, and which experts say has grave medical consequences of its own. (freerepublic.com)
A recent study in the United Kingdom found that a significant number of diabetes-related medical errors in nursing homes were reported to the National Reporting and Learning System between 2005 and 2009. (nih.gov)
The nursing home was asked if it had any medical needs or emergencies, Broward County Mayor Barbara Sharief said in the center's statement. (cnn.com)
Often, the decision to enter a nursing home is made under the pressure of a sudden and immediate need brought on by an unexpected injury or medical condition. (wickedlocal.com)
We concur with Dr. Kanter 1 that nursing homes are an ideal site for medical education. (lww.com)
Given this kind of feedback, we enthusiastically echo your call for medical education to include the nursing home as a training venue. (lww.com)

Infection-control violations at nursing homes have been a widespread problem well before the coronavirus took hold. (ajc.com)
The home had been cited twice last year for infection control issues during inspections. (politico.com)

most prominent nursing home operators in exchange for access to a lucrative pool of patients, according to federal investigative reports obtained by the Tribune. (chicagotribune.com)
Local nursing home operators are questioning the validity of data in a new national report looking at the number of nursing homes operating without adequate fire sprinklers. (bizjournals.com)
But nursing home operators say the information used to compile the report is out of date or just plain wrong. (bizjournals.com)

The advisory prohibited nursing homes to require that a hospitalized resident deemed medically stable be tested before admission. (aarp.org)

Before the inspection we reviewed the information we held about the home, including previous inspection reports. (cqc.org.uk)

Some schools also offer a certificate in nursing administration for individuals with a master's degree in nursing who are interested in exploring other dimensions of the field and advancing their career. (excite.com)
The post-baccalaureate certificate in nursing administration requires at least a Bachelor of Science degree in Nursing (BSN) and a post-master certificate requires a master's degree. (excite.com)
To be allowed to work as a Registered Nurse, one must complete a nursing program at one of several educational levels, including associate and baccalaureate degree programs, hospital-based diploma programs and master's degree programs. (wikipedia.org)

March 14 - The federal government banned all non-essential visits to nursing homes. (stltoday.com)

This covers the cost of some or all of the prescription drugs for people who live long-term in a custodial nursing home. (medicalnewstoday.com)

At a soldiers' home in Massachusetts, veterans who survived Omaha Beach on D-Day and fought in Vietnam died by the dozens in the virus' unrelenting spread. (stltoday.com)

Diseases6

Chemicals and Drugs2

Analytical, Diagnostic and Therapeutic Techniques and Equipment49

Psychiatry and Psychology12

Phenomena and Processes4

Disciplines and Occupations11

Anthropology, Education, Sociology and Social Phenomena19

Technology, Industry, Agriculture7

Humanities1

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Named Groups11

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Organizational and environmental factors associated with nursing home participation in managed care. (1/1708)

Prevalence and treatment of pain in older adults in nursing homes and other long-term care institutions: a systematic review. (2/1708)

The economic value of informal caregiving. (3/1708)

Can we create a therapeutic relationship with nursing home residents in the later stages of Alzheimer's disease? (4/1708)

An analysis of predictors of prescription drug costs among Medicaid nursing home residents in Texas. (5/1708)

Nursing home characteristics and the development of pressure sores and disruptive behaviour. (6/1708)

Use of nursing home after stroke and dependence on stroke severity: a population-based analysis. (7/1708)

Small bowel bacterial overgrowth in subjects living in residential care homes. (8/1708)

No data available that match "nursing homes"

Organizational and environmental factors associated with nursing home participation in managed care. (1/1708)

Prevalence and treatment of pain in older adults in nursing homes and other long-term care institutions: a systematic review. (2/1708)

The economic value of informal caregiving. (3/1708)

Can we create a therapeutic relationship with nursing home residents in the later stages of Alzheimer's disease? (4/1708)

An analysis of predictors of prescription drug costs among Medicaid nursing home residents in Texas. (5/1708)

Nursing home characteristics and the development of pressure sores and disruptive behaviour. (6/1708)

Use of nursing home after stroke and dependence on stroke severity: a population-based analysis. (7/1708)

Small bowel bacterial overgrowth in subjects living in residential care homes. (8/1708)

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