The Gerontologist, Vol 31, Issue 3 302-308, Copyright © 1991 by The Gerontological Society of America

ARTICLES

Agents of nursing home quality of care: ombudsmen and staff ratios revisited

RL Cherry
Gerontology Center, Purdue University Calumet, Hammond, IN 46323.

Many gerontologists have proposed that ombudsman programs and other forms of community presence should improve nursing home quality of care. This study compared these programs' effects on quality of nursing care on a random sample of 134 Medicare/Medicaid-certified long-term care facilities in Missouri. The presence of an ombudsman program was found to be the most important factor associated with quality for intermediate-care facilities, and it was significantly associated with quality for skilled nursing homes where there was ample staffing of registered nurses.

This article has been cited by other articles:

				G. Arling, R. L. Kane, C. Mueller, J. Bershadsky, and H. B. Degenholtz Nursing Effort and Quality of Care for Nursing Home Residents Gerontologist, October 1, 2007; 47(5): 672 - 682. [Abstract] [Full Text] [PDF]

				M. P. Hillmer, W. P. Wodchis, S. S. Gill, G. M. Anderson, and P. A. Rochon Nursing Home Profit Status and Quality of Care: Is There Any Evidence of an Association? Med Care Res Rev, April 1, 2005; 62(2): 139 - 166. [Abstract] [PDF]

				H. W. Nelson, F. E. Netting, R. Huber, and K. W. Borders Factors Effecting Volunteer Ombudsman Effort and Service Duration: Comparing Active and Resigned Volunteers Journal of Applied Gerontology, September 1, 2004; 23(3): 309 - 323. [Abstract] [PDF]

				D. C. Grabowski and N. G. Castle Nursing Homes with Persistent High and Low Quality Med Care Res Rev, March 1, 2004; 61(1): 89 - 115. [Abstract] [PDF]

				X. Zhang and D. C. Grabowski Nursing Home Staffing and Quality Under the Nursing Home Reform Act Gerontologist, February 1, 2004; 44(1): 13 - 23. [Abstract] [Full Text] [PDF]

				R. L. Kane, S. Flood, B. Bershadsky, and G. Keckhafer Effect of an Innovative Medicare Managed Care Program on the Quality of Care for Nursing Home Residents Gerontologist, February 1, 2004; 44(1): 95 - 103. [Abstract] [Full Text] [PDF]

				C. L. Estes, D. M. Zulman, S. C. Goldberg, and D. D. Ogawa State Long Term Care Ombudsman Programs: Factors Associated With Perceived Effectiveness Gerontologist, February 1, 2004; 44(1): 104 - 115. [Abstract] [Full Text] [PDF]

				N. G. Castle Providing Outcomes Information to Nursing Homes: Can It Improve Quality of Care? Gerontologist, August 1, 2003; 43(4): 483 - 492. [Abstract] [Full Text] [PDF]

				C. Harrington, J. O'Meara, M. Kitchener, L. P. Simon, and J. F. Schnelle Designing a Report Card for Nursing Facilities: What Information Is Needed and Why Gerontologist, April 1, 2003; 43(90002): 47 - 57. [Abstract] [Full Text] [PDF]

				J. Kayser-Jones, E. Schell, W. Lyons, A. E. Kris, J. Chan, and R. L. Beard Factors That Influence End-of-Life Care in Nursing Homes: The Physical Environment, Inadequate Staffing, and Lack of Supervision Gerontologist, April 1, 2003; 43(90002): 76 - 84. [Abstract] [Full Text] [PDF]

				C. Drebing, E. F. McCarty, and N. B. E. Lombardo Professional caregivers for patients with dementia: Predictors of job and career commitment American Journal of Alzheimer's Disease and Other Dementias, November 1, 2002; 17(6): 357 - 366. [Abstract] [PDF]

				K. Walshe and C. Harrington Regulation of Nursing Facilities in the United States: An Analysis of Resources and Performance of State Survey Agencies Gerontologist, August 1, 2002; 42(4): 475 - 487. [Abstract] [Full Text] [PDF]

				C. Harrington, S. Woolhandler, J. Mullan, H. Carrillo, and D. U. Himmelstein Does Investor Ownership of Nursing Homes Compromise the Quality of Care? Am J Public Health, September 1, 2001; 91(9): 1452 - 1455. [Abstract] [Full Text] [PDF]

				R. Huber, K. W. Borders, K. Badrak, F. E. Netting, and H. W. Nelson National Standards for the Long-Term Care Ombudsman Program and a Tool to Assess Compliance: The Huber Badrak Borders Scales Gerontologist, April 1, 2001; 41(2): 264 - 271. [Abstract] [Full Text]

				R. Huber, K. Borders, F. E. Netting, and H. W. Nelson Data From Long-Term Care Ombudsman Programs in Six States: The Implications of Collecting Resident Demographics Gerontologist, February 1, 2001; 41(1): 61 - 68. [Abstract] [Full Text]

				C. Harrington, D. Zimmerman, S. L. Karon, J. Robinson, and P. Beutel Nursing Home Staffing and Its Relationship to Deficiencies J. Gerontol. B. Psychol. Sci. Soc. Sci., September 1, 2000; 55(5): 278S - 287. [Abstract] [Full Text]

				R. A. Herring III and J. L. Mendleson Use of A Student Ombudsperson to Enhance Communication in University Classes Journal of Management Education, October 1, 1999; 23(5): 574 - 583. [Abstract] [PDF]

				J. I. Kosberg, J. L. Garcia, and I. M. Dulka Ensuring the adequacy of long term care of AD patients: Special challenges and advocacy mechanisms American Journal of Alzheimer's Disease and Other Dementias, January 1, 1997; 12(1): 3 - 9. [Abstract] [PDF]

				R. Huber, F. E. Netting, and J. R. Kautz III Differences in Types of Complaints and How They Were Resolved by Local Long-Term Care Ombudsmen Operating In/Not In Area Agencies on Aging Journal of Applied Gerontology, March 1, 1996; 15(1): 87 - 101. [Abstract] [PDF]

				R. Huber, F. E. Netting, and R. N. Paton In Search of the Impact of Staff Mix on Long-Term Care Ombudsman Programs Nonprofit and Voluntary Sector Quarterly, March 1, 1993; 22(1): 69 - 91. [Abstract]