Variability and Potential Determinants of Assisted Living State Regulatory Stringency.

ABSTRACT:

Objectives

We examined state variations in assisted living (AL) regulatory policies for admission/retention, staffing/training, medication management, and dementia care. Factors associated with domain-specific and overall regulatory stringency were identified.

Design

This observational study used the following data sources: 2019 review of state AL regulations; 2019 national inventory of AL communities; 2014 Government Accountability Office survey of Medicaid agencies; 2016 Genworth Cost of Care Survey; and the 2018 Nursing Home Compare.

Setting and participants

Final analyses included 46 states (excluding Alaska, Kentucky, Louisiana, and West Virginia) and the District of Columbia.

Methods

For each regulatory domain of interest (dependent variables), we generat

SUBMITTER: Temkin-Greener H 

PROVIDER: S-EPMC8116343 | biostudies-literature | 2021 Aug

REPOSITORIES: biostudies-literature