QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:
Home | Help | Feedback | Subscriptions | Archive | Search | Table of Contents

This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Similar articles in this journal Similar articles in ISI Web of Science Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via ISI Web of Science (14) Citing Articles via Google Scholar Google Scholar Articles by Harrington, C. Articles by Carrillo, H. Search for Related Content PubMed PubMed Citation

State Nursing Home Enforcement Systems

Abstract.

This study presents interview and statistical data from a telephone and fax survey of state agency officials and statistical data from the Centers for Medicare & Medicaid Services' Online Survey Certification and Reporting (OSCAR) system. State survey activities for nursing facilities were reviewed and the number and types of intermediate sanctions issued by states in l999 were reported, along with barriers to the use of such sanctions. Using five selected enforcement measures to create a summary score, states were classified by quartiles based on the stringency of their nursing facility enforcement activities. Controlling for the number of complaints as a proxy for quality, the predictors of a summary of state enforcement actions were: percentage of population at age eighty-five and above, Democratic governors, higher percentages of chain facilities, and lower facility occupancy rates. Regional differences in enforcement patterns also were shown. Many federal policies and resource constraints were identified as barriers to effective regulation. The findings identified nursing facility survey and enforcement issues that need to be addressed by policy makers.

This article has been cited by other articles:

				E. A. Miller and V. Mor Balancing Regulatory Controls and Incentives: Toward Smarter and More Transparent Oversight in Long-Term Care Journal of Health Politics Policy and Law, January 1, 2008; 33(2): 249 - 279. [Abstract] [PDF]

				M. Putnam, Fengyan Tang, A. Brooks-Danso, J. Pickard, and N. Morrow-Howell Professionals' Beliefs About Nursing Home Regulations in Missouri Journal of Applied Gerontology, June 1, 2007; 26(3): 290 - 304. [Abstract] [PDF]

				T. Tsoukalas, C. Rudder, R. J. Mollot, M. Shineman, H. Y. Lee, and C. Harrington The Collection and Use of Funds From Civil Money Penalties and Fines From Nursing Homes Gerontologist, December 1, 2006; 46(6): 759 - 771. [Abstract] [Full Text] [PDF]

				B. A. Kash, N. G. Castle, G. S. Naufal, and C. Hawes Effect of staff turnover on staffing: a closer look at registered nurses, licensed vocational nurses, and certified nursing assistants. Gerontologist, October 1, 2006; 46(5): 609 - 619. [Abstract] [Full Text] [PDF]

				D. G. Stevenson Nursing Home Consumer Complaints and Quality of Care: A National View. Med Care Res Rev, June 1, 2006; 63(3): 347 - 368. [Abstract] [PDF]

				D. M. Studdert and D. G. Stevenson Nursing Home Litigation and Tort Reform: A Case for Exceptionalism Gerontologist, October 1, 2004; 44(5): 588 - 595. [Abstract] [Full Text] [PDF]