State regulatory enforcement and nursing home termination from the medicare and medicaid programs.

ABSTRACT:

Objectives

Nursing homes certified by the Medicare and/or Medicaid program are subject to federally mandated and state-enforced quality and safety standards. We examined the relationship between state quality enforcement and nursing home terminations from the two programs.

Study design

Using data from a survey of state licensure and certification agencies and other secondary databases, we performed bivariate and multivariate analyses on the strength of state quality regulation in 2005, and nursing home voluntary terminations (decisions made by the facility) or involuntary terminations (imposed by the state) in 2006-2007.

Principal findings

Involuntary terminations were rarely imposed by state regulators, while voluntary terminations were relatively more common (2.16 p

SUBMITTER: Li Y 

PROVIDER: S-EPMC2976829 | biostudies-literature | 2010 Dec

REPOSITORIES: biostudies-literature