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A Facility-Level Analysis of Nursing Home Compare Five Star Rating and Maryland’s Family Satisfaction with Care Survey Get access Arrow

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dc.contributor.authorKusmaul, Nancy
dc.contributor.authorMillar, Roberto J
dc.contributor.authorDiehl, Christin
dc.contributor.authorStockwell, Ian
dc.date.accessioned2024-01-22T08:58:23Z
dc.date.available2024-01-22T08:58:23Z
dc.date.issued2023-12-18
dc.description.abstractBackground and Objectives: Nursing facilities care for individuals with cognitive and/or physical disabilities. Poor quality is associated with greater disease and mortality. Quality comprises many factors and different stakeholders value different factors. This study aimed to compare two care quality frameworks, one based on observable factors and one on family satisfaction. Research Design and Methods: We merged publicly available 2021 Maryland nursing facility data. The Maryland Health Care Commission surveys long-term care residents’ family satisfaction across seven domains. CMS’ five-star ratings aggregate inspections, staffing, and quality measures. We used univariate and bivariate statistics to compare the frameworks. Results: The dataset included 220 facilities and 4,610 survey respondents. The average facility rating was 7.70/10 and overall 77% of respondents would recommend the facility. Eighty-six percent of respondents from 5-star facilities, 79% from 4-star facilities, and 76% from 3-star facilities would recommend the facility compared to 65% from 1-star facilities (p < 0.001, p < 0.01 and p < 0.05, respectively). Four or 5-star facilities received significantly higher ratings (8.33, p < 0.001; 7.75, p < 0.05, respectively) than 1-star facilities (7.07). Discussion and Implications: Our results corroborated earlier findings of strong associations between CMS ratings and satisfaction at the extremes of the five-star system. These associations are inconsistent across family-reported domains. This suggests overlap between the frameworks. CMS ratings address care quality; family satisfaction measures quality of life and care quality. High satisfaction is associated with high care quality and quality of life; lower satisfaction is associated with lower care quality.
dc.description.sponsorshipThis work was supported by the CIDER (Center and Institute Departmentally-Engaged Research) program at the University of Maryland Baltimore County.
dc.description.urihttps://academic.oup.com/gerontologist/advance-article-abstract/doi/10.1093/geront/gnad166/7477447
dc.format.extent31 pages
dc.genrejournal articles
dc.genrepostprints
dc.identifier.citationKusmaul, Nancy, Roberto J Millar, Christin Diehl, and Ian Stockwell. “A Facility-Level Analysis of Nursing Home Compare Five Star Rating and Maryland’s Family Satisfaction with Care Survey.” The Gerontologist, December 18, 2023, gnad166. https://doi.org/10.1093/geront/gnad166.
dc.identifier.urihttps://doi.org/10.1093/geront/gnad166
dc.identifier.urihttp://hdl.handle.net/11603/31375
dc.language.isoen_US
dc.publisherOxford University Press
dc.relation.isAvailableAtThe University of Maryland, Baltimore County (UMBC)
dc.relation.ispartofSocial Determinants of Health (The Hilltop Institute, UMBC)
dc.relation.ispartofUMBC Faculty Collection
dc.relation.ispartofUMBC Sociology, Anthropology, and Public Health Department
dc.relation.ispartofUMBC Information Systems Department
dc.relation.ispartofA. All Hilltop Institute (UMBC) Works
dc.relation.ispartofD. Aging & Disability (The Hilltop Institue, UMBC)
dc.rightsThis is a pre-copyedited, author-produced version of an article accepted for publication in The Gerontologist following peer review. The version of record Kusmaul, Nancy, Roberto J Millar, Christin Diehl, and Ian Stockwell. “A Facility-Level Analysis of Nursing Home Compare Five Star Rating and Maryland’s Family Satisfaction with Care Survey.” The Gerontologist, December 18, 2023, gnad166. https://doi.org/10.1093/geront/gnad166. is available online at: https://doi.org/10.1093/geront/gnad166.
dc.rightsAccess to this item will begin on 12/18/2024
dc.titleA Facility-Level Analysis of Nursing Home Compare Five Star Rating and Maryland’s Family Satisfaction with Care Survey Get access Arrow
dc.typeText
dcterms.creatorhttps://orcid.org/0000-0003-2278-8495
dcterms.creatorhttps://orcid.org/0000-0002-3995-339X

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