Comparing Disaster-Related Surge Staffing Practices Across Rural and Non-Rural Nursing Homes.

ABSTRACT:

Background

Clarifying whether rural and non-rural nursing homes implement different disaster-related staffing approaches is vital to developing targeted preparedness strategies.

Methods

In this retrospective cohort study of 361 nursing homes exposed to Hurricane Michael (2018), we used a comparative interrupted time series design to assess changes in staffing intensity and composition from 30 days before landfall to 7 days after. We examined three outcomes using the Centers for Medicare & Medicaid Services (CMS) Payroll Based Journal: total staffing intensity (hours per resident per day), licensure composition (percentage of registered nurses (RN) and licensed practical nurses (LPN)), and employment composition (percentage of routine staff who are not independent contractors

SUBMITTER: Festa N 

PROVIDER: S-EPMC12670253 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature