Rural nursing home quality rural long term care.Ĭopyright © 2013 American Medical Directors Association, Inc. When controlling for state and adjusting for nursing home size and ownership, rural nursing homes were not as likely to earn a 4-or higher star quality rating as nonrural nursing homes. Mixed model logistic regression analysis suggested that rural nursing home quality was not comparable to that of nonrural nursing homes. Although a higher percentage of nursing homes (44.8%-42.2%) received a 4-star or higher rating, regression analysis using an overall rating of 4 stars or higher as the dependent variable revealed that when controlling for state and adjusting for size and ownership, rural nursing homes were less likely to have a 4-star or higher rating when compared with nonrural nursing homes (OR =. The t test analysis comparing the overall, health inspection, staffing, and quality measure ratings of rural and nonrural nursing homes yielded statistically significant results for 3 measures, 2 of which (overall ratings and health inspections) favored rural nursing homes. Beginning in fall 2002, CMS plans to enhance the Nursing Home Compare Web site by publishing a much broader array of quality measures characterizing the per. Of the 15,177 nursing homes included in the study sample, 69.2% were located in nonrural areas and 30.8% in rural areas. A linear mixed binary logistic regression model controlling for state was performed to determine if the covariates of ownership, number of beds, and geographic locale were associated with a higher overall quality rating. The table indicates which QMs are associated with a CMS reporting module. A unique CMS identification number (ID) is specified for each QM. Independent-sample t tests were performed to compare the mean ratings on the reported quality measures of rural and nonrural nursing homes. The table below documents CMS quality measures (QM) calculated using MDS 3.0 data and reported in a CMS reporting module. The purpose of this study was to compare the quality of rural and nonrural nursing homes by using aggregated rankings on multiple quality measures calculated by the Centers for Medicare and Medicaid Services and reported on their Nursing Home Compare Web site. Despite this, few studies have investigated differences in the quality of nursing home care across the rural-urban continuum. Although nursing homes are highly regulated and scrutinized, their quality remains a concern and may be a greater issue to those living in rural communities. Advances in medicine and an aging US population suggest that there will be an increasing demand for nursing home services.
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