Incorporating staffing instability in the nursing home Five-Star Staffing Composite.

ABSTRACT: Staffing is an important indicator of nursing home quality and resident health outcomes. The Five-Star staffing ratings in Nursing Home Care Compare, the report card published by the Centers for Medicare and Medicaid Services, is based on average hours per resident-day and turnover measures. Studies have shown that a new measure of staffing instability, capturing day-to-day staffing variation, is associated with resident outcomes and provides additional information about quality not reflected in the current Five-Star staffing ratings. In this paper we simulate the impact of including the new staffing instability measure on staffing ratings for 13 641 nursing homes nationwide, using data for the third quarter of 2023. We found that, under a conservative scenario, 21% of nursing homes perfor

SUBMITTER: Mukamel DB 

PROVIDER: S-EPMC11646700 | biostudies-literature | 2024 Dec

REPOSITORIES: biostudies-literature