Alison M Trinkoff1, Jung Min Yoon2, Carla L Storr2, Nancy B Lerner2, Bo Kyum Yang3, Kihye Han4. 1. University of Maryland School of Nursing, Baltimore, MD. Electronic address: atrinkoff@umaryland.edu. 2. University of Maryland School of Nursing, Baltimore, MD. 3. Towson University, Towson, MD. 4. Red Cross College of Nursing, Chung-Ang University, Seoul, South Korea.
Abstract
BACKGROUND: Nursing homes (NHs) are federally regulated under uniform standards, whereas assisted living facilities (ALFs) use individual state regulations for staffing, training, and oversight of care quality and safety. PURPOSE: To describe ALF staffing, training, inspection, and enforcement regulations for 50 U.S. states and the District of Columbia, and compare them to NH regulations. Publication of ALF quality and safety outcomes data also was assessed and compared to NHs. METHODS: Regulatory data were compiled from administrative and regulatory data sources, state websites, and regulatory compendia. FINDINGS: NHs followed a standard set of regulations, whereas ALF regulations varied widely. Overall, state ALF regulations were less stringent than NH in all categories. DISCUSSION: As ALF populations and acuity levels increase, staffing, training, nursing presence, and outcomes data requirements are warranted, and could be tailored from NH regulations to protect ALF quality and safety.
BACKGROUND: Nursing homes (NHs) are federally regulated under uniform standards, whereas assisted living facilities (ALFs) use individual state regulations for staffing, training, and oversight of care quality and safety. PURPOSE: To describe ALF staffing, training, inspection, and enforcement regulations for 50 U.S. states and the District of Columbia, and compare them to NH regulations. Publication of ALF quality and safety outcomes data also was assessed and compared to NHs. METHODS: Regulatory data were compiled from administrative and regulatory data sources, state websites, and regulatory compendia. FINDINGS: NHs followed a standard set of regulations, whereas ALF regulations varied widely. Overall, state ALF regulations were less stringent than NH in all categories. DISCUSSION: As ALF populations and acuity levels increase, staffing, training, nursing presence, and outcomes data requirements are warranted, and could be tailored from NH regulations to protect ALF quality and safety.
Authors: Helena Temkin-Greener; Yunjiao Mao; Susan Ladwig; Xueya Cai; Sheryl Zimmerman; Yue Li Journal: J Am Med Dir Assoc Date: 2020-11-13 Impact factor: 4.669
Authors: Cassandra L Hua; Wenhan Zhang; Portia Y Cornell; Momotazur Rahman; David M Dosa; Kali S Thomas Journal: J Am Med Dir Assoc Date: 2020-07-06 Impact factor: 4.669