Relevant bibliographies by topics / Deficiency citations

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Academic literature on the topic 'Deficiency citations'

Author: Grafiati
Published: 4 June 2021
Last updated: 12 February 2022

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Journal articles on the topic "Deficiency citations"

1

Bhattacharyya, Kallol Kumar, Lindsay Peterson, John Bowblis, and Kathryn Hyer. "Analyzing Nursing Home Complaints: From Substantiated Allegation to Deficiency Citations." Innovation in Aging 4, Supplement_1 (December 1, 2020): 82–83. http://dx.doi.org/10.1093/geroni/igaa057.271.

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Abstract Complaints provide important information to consumers about nursing homes (NHs). Complaints that are substantiated often lead to an investigation and potentially a deficiency citation. The purpose of this study is to understand the relationship between substantiated complaints and deficiency citations. Because a complaint may contain multiple allegations, and the data do not identify which allegation(s) lead to a complaint’s substantiation, we identified all substantiated single allegation complaints for NHs in 2017. Our data were drawn from federally collected NH complaint and inspection records. Among the 369 substantiated single-allegation complaints, we found most were categorized as quality of care (31.7%), resident abuse (17.3%), or resident neglect (14.1%). Of the deficiency citations resulting from complaints in our sample, 27.9% were categorized as quality of care and 19.5% were in the category of resident behavior and facility practices, which includes abuse and neglect. While two-thirds (N=239) of the substantiated complaints generated from 1 to 19 deficiency citations, nearly one third had no citations. Surprisingly, 28% of substantiated abuse and neglect allegations resulted in no deficiency citations. More surprisingly, a fifth of complaints that were categorized as “immediate jeopardy” at intake did not result in any deficiency citations. We also found a number of asymmetries in the allegation categories suggesting different processes by Centers for Medicare and Medicaid Services (CMS) region. These results suggest that the compliant investigation process warrants further investigation. Other policy and practice implications, including the need for better and more uniform investigation processes and staff training, will be discussed.
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2

Castle, Nicholas G., Laura M. Wagner, Jamie C. Ferguson, and Steven M. Handler. "Nursing Home Deficiency Citations for Safety." Journal of Aging & Social Policy 23, no. 1 (December 30, 2010): 34–57. http://dx.doi.org/10.1080/08959420.2011.532011.

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3

Castle, Nicholas. "Nursing Home Deficiency Citations for Abuse." Journal of Applied Gerontology 30, no. 6 (August 4, 2010): 719–43. http://dx.doi.org/10.1177/0733464810378262.

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4

Sharma, Hari. "Trends in Deficiency Citations in Florida Assisted Living Facilities." Innovation in Aging 4, Supplement_1 (December 1, 2020): 86. http://dx.doi.org/10.1093/geroni/igaa057.283.

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Abstract Despite numerous anecdotal reports of poor quality and residential safety concerns in Assisted Living Facilities (ALFs), there is limited federal oversight of ALFs. Usually, state surveyors conduct inspections of ALFs for compliance with regulations and issue deficiency citations and/or fine non-compliant facilities. Florida is one of the few states that publicly releases inspections data. The aim of this study is to fill the gap in our understanding of ALF quality by examining the trends in deficiency citations in Florida. We obtain data on 1,047 ALFs with 25 or more beds operating in Florida between 2012-2018. We use descriptive methods to examine the trends in citations over time and further stratify by profit status. We also evaluate whether facilities get cited for the same deficiencies repeatedly. Every year, approximately, one third of the facilities were free of any deficiency citations. From 2012 to 2018, fewer facilities were cited for resident care and medication but more facilities were cited for training and staffing. Approximately 45.8% of not-for-profit and 35.1% of for-profit facilities were free of deficiency citations in 2018. A majority of facilities cited for a given deficiency were cited at least once again for that deficiency within the study period. Florida ALFs appear to be improving only in some deficiencies but getting worse in some other deficiencies. Furthermore, repeat citations are common suggesting that facilities fail to improve their care/service patterns to avoid repeat citations. More stringent regulations and stricter enforcements may deter facilities from repeat citations.
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5

Castle, Nicholas G., Kathryn Hyer, John A. Harris, and John Engberg. "Nurse Aide Retention in Nursing Homes." Gerontologist 60, no. 5 (March 6, 2020): 885–95. http://dx.doi.org/10.1093/geront/gnz168.

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Abstract Background and Objectives The association of nurse aide retention with three quality indicators is examined. Retention is defined as the proportion of staff continuously employed in the same facility for a defined period of time. Research Design and Methods Data used in this investigation came from survey responses from 3,550 nursing facilities, Certification and Survey Provider Enhanced Reporting data, and the Area Resource File. Staffing characteristics, quality indicators, facility, and market information from these data sources were all measured in 2016. Nurse aide retention was measured at 1, 2, and 3 years of employment. The quality indicators examined were a count of all deficiency citations, quality of care deficiency citations, and J, K, L deficiency citations. Negative binomial regression analyses were used to study the associations between the three different retention measures and these three quality indicators. Results The 1-, 2-, and 3-year nurse aide retention measures were 53.2%, 41.4%, and 36.1%, respectively. The regression analyses show low levels of retention to be generally associated with poor performance on the three deficiency citation quality indicators examined. Discussion and Implications The research presented starts to provide information on nurse aide retention as an important workforce challenge and its potential impact on quality. Retention may be an additional staffing characteristic of nursing facilities with substantial policy and practice relevance.
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6

Ye, Zhiqiu, and Bei Wu. "THE QUALITY OF DENTAL CARE IN NURSING HOMES: VARIATION BY FACILITY AND MARKET CHARACTERISTICS." Innovation in Aging 3, Supplement_1 (November 2019): S606—S607. http://dx.doi.org/10.1093/geroni/igz038.2259.

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Abstract Nursing home (NH) residents are disproportionately affected by poor oral health. But little we known about the root causes. We analyzed the 2000-2016 national inspection survey data for all certified-NHs (n=248,975 facility-years). Dental care performance was measured by two designated deficiency citations. Generalized estimating equation models were used to predict if the NH facility and market characteristics were associated with low performance. The rates of deficiency citation tripled from 1.2% in 2000 to 3.4% in 2016 (p<0.001) with substantial variation across states. NHs with more minority residents and poorer resources (higher share of Medicaid and lack of registered nurse), and NHs with high competing priorities (larger, for profit, chain-affiliated and urban locations) were more likely to receive deficiency citations. Residents in these facilities are at greater risks of poor oral health. This presentation will provide discussion on relevant policy and practice to improve dental care quality in nursing homes.
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7

McDonald, Shawna M., Laura M. Wagner, and Nicholas G. Castle. "Staffing-Related Deficiency Citations in Nursing Homes." Journal of Aging & Social Policy 25, no. 1 (January 2013): 83–97. http://dx.doi.org/10.1080/08959420.2012.705696.

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8

Castle, Nicholas, Laura Wagner, Jamie Ferguson, and Steven Handler. "Hand Hygiene Deficiency Citations in Nursing Homes." Journal of Applied Gerontology 33, no. 1 (August 2012): 24–50. http://dx.doi.org/10.1177/0733464812449903.

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9

Castle, Nicholas G., and John B. Engberg. "Nursing Home Deficiency Citations for Medication Use." Journal of Applied Gerontology 26, no. 2 (April 2007): 208–32. http://dx.doi.org/10.1177/0733464807300223.

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10

Castle, Nicholas G., Laura M. Wagner, Jamie C. Ferguson-Rome, Aiju Men, and Steven M. Handler. "Nursing home deficiency citations for infection control." American Journal of Infection Control 39, no. 4 (May 2011): 263–69. http://dx.doi.org/10.1016/j.ajic.2010.12.010.

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Dissertations / Theses on the topic "Deficiency citations"

1

Hansen, Kevin E. "Analyzing the effect of complaints, investigation of allegations, and deficiency citations on the quality of care in United States nursing homes (2007 – 2012)." Scholar Commons, 2015. http://scholarcommons.usf.edu/etd/5697.

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The quality of care in nursing homes has been evaluated from many varying perspectives, but few studies have analyzed quality in light of complaints made to state survey agencies by residents, their family members, or other individuals interacting with the nursing home. This study analyzed complaints, investigation of complaint allegations, and complaint-related deficiency citations to determine their effect, if any, on the quality of care in nationwide nursing homes. Using the Online Survey Certification and Reporting (OSCAR) survey dataset for facility characteristics and the complaint investigation dataset for outcomes of complaint investigation, analyses conducted included descriptives, correlations, conceptual mapping for complaint-related deficiencies, chi-square tests of independence, t-tests, and generalized estimating equations. At baseline, approximately 66% of nursing homes were for-profit and roughly 53% belonged to a chain membership, while the average percent of residents receiving Medicaid for care reimbursement was 60%. Results indicated that nursing homes differed significantly by profit status and chain membership on whether a complaint was received and whether a deficiency citation was issued following a complaint investigation. Additionally, certain facility and resident-aggregated characteristics, as indicated by odds ratios, were associated with an increase in the likelihood of receiving a complaint or a complaint-related citation. With respect to facility characteristics, for-profit nursing homes and those nursing homes belonging to a chain membership were found to have more complaints and more complaint-related deficiency citations than nonprofit nursing homes and non-chain facilities. Resident-aggregated characteristics, such as a nursing home having more residents restrained, more residents with a catheter, or more residents with a diagnosis of depression, indicated a greater likelihood of receiving a complaint or complaint-related deficiency citation in longitudinal analyses. While additional research could aid in interpreting the effect of complaints on quality of care in nursing homes, study results indicate several facility and resident-aggregated factors that may aid in better understanding of quality of care and improve the training of surveyors and nursing home staff to improve quality of care for residents.
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2

Kennedy, Katherine A. "Is Nurse Aide Retention Associated with Nursing Home Quality?" Miami University / OhioLINK, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=miami1618591173416498.

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Books on the topic "Deficiency citations"

1

Kenton, Charlotte. Childhood immunodeficiency disorders, January 1983 through April 1985, 343 citations in English. [Bethesda, Md.]: U.S. Dept. of Health and Human Services, Public Health Service, National Institutes of Health, 1985.

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2

Kenton, Charlotte. Acquired immunodeficiency syndrome (AIDS): Seventh update and supplement, May 1985 through August 1985, 747 citations, including addendum. [Bethesda, Md.]: U.S. Dept. of Health and Human Services, Public Health Service, National Institutes of Health, 1985.

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3

Kenton, Charlotte. Acquired immunodeficiency syndrome (AIDS): Fifth update and supplement, August 1984 through December 1984, 646 citations, including addendum. [Bethesda, Md.]: U.S. Dept. of Health and Human Services, Public Health Service, National Institutes of Health, 1985.

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4

Kenton, Charlotte. Acquired immunodeficiency syndrome (AIDS): Sixth update and supplement, January 1985 through April 1985, 582 citations, including addendum. [Bethesda, Md.]: U.S. Dept. of Health and Human Services, Public Health Service, National Institutes of Health, 1985.

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You might also be interested in the extended bibliographies on the topic 'Deficiency citations' for particular source types:
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