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External Research and Reports


Research and Reports Regarding Staffing Levels


Animal Care Standards vs. Nursing Home Resident Experiences (2020) An Appraisal of the Extent to which Nursing Home Conditions Fail to Meet the Standards of Care for Animals in Zoos and Other Settings


The Need for Higher Minimum Staffing Standards (2016)
This report eviews how nursing homes have serious quality problems, in part, because of inadequate levels of nurse staffing.  The report by Charlene Harrington, John F. Schnelle, Margaret McGregor and Sandra F. Simmons discusses the relationship between nursin ghome quality and staffing and the barriers to staffing reform.  Multiple studies have demonstrated a need for higher minimum nurse staffing standards in nursing homes as it is shown to have a positive relationship with nursing home quality.  Yet, many barriers prevent the implementation of higher staffing standards like concerns about cost and enforcement and strong nursing home industry political opposition.


Nursing Facilities, Staffing, Residents and Facility Deficiencies, 2005 Through 2010 (2011) by Charlene Harrington, Ph.D., et al. The October 2011 edition of this book shows trends in U.S. nursing homes by state for 2005 through 2010. The data are from the federal On-Line Survey and Certification System (OSCAR) reports that are completed at the time of the annual nursing home surveys by state Licensing and Certification programs for the U.S. Centers for Medicare and Medicaid Services. Book sections include: Introduction; Facility Characteristics; Resident Characteristics and Services Provided; Staffing Levels; Facility Deficiencies from State Survey Evaluations; Summary; References; and Technical Notes.


The Influence of Nurse Staffing Levels on Quality of Care in Nursing Homes (2011) This study examines the relationship between increasing certified nursing assistants (CNAs) and licensed nurse staffing ratios and deficiencies in Florida nursing homes over a four-year period.To view the full study, you must be a subscriber to the database.


Nursing Home Staffing Guide (second edition 2002) The Consumer Voice for Quality Long-Term Care guide for residents, families, friends, and caregivers


Appropriateness of Minimum Nurse Staffing Ratios in Nursing Homes - Report to Congress: Phase II Overview: Background, Study Approach, Findings, and Conclusions (2000) This purpose of this report is to complete the Report to Congress that was mandated by Public Law 101-508 which required the Secretary to report to the Congress on the appropriateness of establishing minimum caregiver ratios for Medicare and Medicaid certified nursing homes. A Phase I report of preliminary findings was delivered to Congress in July 2000.


(Consumer Voice Minimum Staffing Standards for nursing homes.1998) Nurse Staffing Standards Recommended by Consumer Voice: In 1998, Consumer Voice's members approved what are widely known as the Consumer Voice Minimum Staffing Standards for Nursing Homes


Consumer Perspective on Quality Care (Executive Summary) (1985). This 1985 document is still a seminal study of quality care as defined by the experts -- nursing home residents themselves. It recounts the research, discussions and findings of a Consumer Voice survey of 400 residents in 15 cities and shows their strong endorsement of nurse staffing as the most important component of care.


Research and Reports Concerning Misuse of Antipsychotic Medications