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Role of Nursing Home Quality on COVID-19 Cases and Deaths: Evidence from Florida Nursing Homes.
Wang, Xiaochuan; Wilson, Courtney; Holmes, Khristen.
  • Wang X; School of Social Work, University of Central Florida, Orlando, Florida, USA.
  • Wilson C; Doctoral Program in Public Affairs, School of Public Administration, University of Central Florida, Orlando, Florida, USA.
  • Holmes K; Doctoral Program in Public Affairs, School of Public Administration, University of Central Florida, Orlando, Florida, USA.
J Gerontol Soc Work ; 64(8): 885-901, 2021 12.
Article in English | MEDLINE | ID: covidwho-1373516
ABSTRACT
The Coronavirus disease 2019 (COVID-19) disproportionately affects nursing home residents, resulting in an elevated risk for COVID-19 morbidity and mortality for this frail population. It is critical to understand whether nursing home quality is related to COVID-19 cases and deaths. Using publicly available data obtained from Centers for Medicare & Medicaid Services COVID-19 Nursing Home Dataset, Nursing Home Compare and Long-Term Care Focus, this study compares key nursing home characteristics, infection prevention and control deficiencies, and five-star ratings among Florida nursing homes with and without resident COVID-19 cases and deaths. The study further examines the association between facility and resident characteristics, quality indicators, and COVID-19 cases and deaths. Findings from our study indicate that through late October 2020, over 90% of Florida nursing homes have at least one resident case and 65% have at least one resident death. The likelihood of having COVID-19 cases is more related to ownership status, facility size and average occupancy rate, rather than quality indicators. Associations between infection prevention and control deficiencies, overall quality ratings, and presence of COVID-19 resident deaths varied across different phases of the pandemic (e.g., overall five-star rating was found related to the odds of having resident deaths after, but not during, the surging stage). Training, uptake, and adherence to infection control procedures are needed to better protect the vulnerable nursing home resident population.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 Type of study: Observational study / Prognostic study Limits: Aged / Humans Country/Region as subject: North America Language: English Journal: J Gerontol Soc Work Year: 2021 Document Type: Article Affiliation country: 01634372.2021.1950255

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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 Type of study: Observational study / Prognostic study Limits: Aged / Humans Country/Region as subject: North America Language: English Journal: J Gerontol Soc Work Year: 2021 Document Type: Article Affiliation country: 01634372.2021.1950255