Medicare gov nursing home compare full#
JAMA Network Open.Ĭorresponding Author: Paula Chatterjee, MD, MPH, Division of General Internal Medicine, Department of Medicine, Perelman School of Medicine, 423 Guardian Dr, Room 1318, Philadelphia, PA 19104 ( Contributions: Dr Chatterjee had full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis.Īcquisition, analysis, or interpretation of data: All authors.ĭrafting of the manuscript: Chatterjee, Kelly.Ĭritical revision of the manuscript for important intellectual content: Chatterjee, Qi, Werner.Īdministrative, technical, or material support: Kelly, Werner.Ĭonflict of Interest Disclosures: Dr Werner reported receiving personal fees from CarePort Health outside the submitted work. Open Access: This is an open access article distributed under the terms of the CC-BY License. Mean (SD) rates of COVID-19 were nearly twice as high in counties where facilities reported COVID-19 than in those without reported cases (428.2 per 100 000 residents vs 231.3 per 100 000 residents).
There were also more for-profit facilities in the group that reported cases than in the group that did not (2383 vs 4090 ), and facilities that reported cases had a higher mean (SD) percentage of Medicaid-insured residents than facilities that did not (59.3% vs 56.7% ). Compared with facilities that did not report COVID-19 cases, those that did had more mean (SD) health deficiencies (56.2 vs 67.0 ), emergency preparedness deficiencies (3.2 vs 3.9 ), reported incidents (1.1 vs 2.4 ), and substantiated complaints (4.0 vs 5.7 ). Facilities that reported COVID-19 cases had similar mean (SD) scores as those that did not on overall 5-star ratings (3.2 vs 3.2 ) as well as star ratings on deficiencies (2.7 vs 2.8 ) and staffing (2.9 vs 3.0 ) ( Table). The sample included 8943 nursing homes in 23 states and the District of Columbia, with 3021 (33.8%) reporting COVID-19 cases by April 29, 2020. All analyses were conducted with Stata version 15 (StataCorp). Tests of statistical significance were not performed given the purpose of description and the absence of formal hypothesis testing. We compared characteristics between nursing homes that did and did not report cases of COVID-19, including 5-star quality ratings (overall rating and ratings for deficiencies, staffing, and quality), deficiencies (total health deficiency score, number of deficiencies on emergency preparedness, reported incidents, and substantiated complaints), staffing hours per resident-day (for total direct care staff, registered nurses, licensed practical nurses, and nurse aides), facility characteristics (for-profit ownership, number of beds, and percentage of residents insured by Medicaid), and the county-level rate of COVID-19 in the general population. This study followed the Strengthening the Reporting of Observational Studies in Epidemiology ( STROBE) reporting guideline for cross-sectional studies. Per the Common Rule, this study was exempt from institutional review board review owing to the use of facility-level data with no patient-level identifiers. We also linked these data to county-level rates of COVID-19 cases per 100 000 residents as of April 29, 2020, using a combination of publicly available case rates 4 and data from the US Census. We then identified Medicare provider numbers for each facility and linked these to current data from Nursing Home Compare 3 for facility characteristics and quality and to the Certification and Survey Provider Enhanced Reporting data for additional characteristics. As states differed with respect to counting cases (ie, some included residents and staff while others only included residents), we did not collect data on the number of cases. This included the District of Columbia and the following 23 states: California, Colorado, Connecticut, Delaware, Florida, Georgia, Iowa, Illinois, Kentucky, Massachusetts, Maryland, Michigan, Minnesota, North Carolina, North Dakota, New Jersey, New Mexico, Nevada, New York, Ohio, Oklahoma, Oregon, and Tennessee. Shared Decision Making and Communicationįrom April 22 to April 29, 2020, we obtained publicly available data from state governments and departments of public health that were reporting nursing homes with cases of COVID-19.Scientific Discovery and the Future of Medicine.Health Care Economics, Insurance, Payment.Clinical Implications of Basic Neuroscience.Challenges in Clinical Electrocardiography.