The Gerontologist
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Phillips, C. D.
Right arrow Articles by Hawes, C.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Phillips, C. D.
Right arrow Articles by Hawes, C.
The Gerontologist 43:690-696 (2003)
© 2003 The Gerontological Society of America

Effects of Facility Characteristics on Departures From Assisted Living: Results From a National Study

Charles D. Phillips, PhD, MPH1,, Yolanda Munoz, MS2, Michael Sherman, PhD2, Miriam Rose, MEd3, William Spector, PhD4 and Catherine Hawes, PhD1

Correspondence: Address correspondence to Charles D. Phillips, Department of Health Policy and Management, School of Rural Public Health, Texas A & M University System Health Science Center, 3000 Briarcrest Drive, Suite 310, Bryan, TX 77802. E-mail: phillipscd{at}srph.tamushsc.edu

Purpose:Assisted living is an increasingly important residential setting for the frail elderly person. How often and why residents leave such facilities are important issues for consumers, for clinicians advising frail patients on their options for living arrangements, and for policymakers. This research investigated the impact of facility and individual characteristics on residents' departures from assisted living.Design and Methods:This research is based on data on 1,483 residents in a nationally representative sample of 278 assisted living facilities (ALFs). Analyses of these data from 1998 and 1999 especially focused on those residents who left a study ALF between baseline and follow-up data collection. Multinomial logit models were estimated to investigate the impact of facility and individual factors on residents' status at follow-up.Results:Over three quarters of those leaving their baseline ALF did so because they needed more care. The multivariate analyses indicated that poorer functional status and being married affected residents' relative odds of death before follow-up. Moving to another setting, other than a nursing home, was more likely for residents in for-profit ALFs. Functional status, cognitive status, and the presence of a full-time RN affected residents' odds of moving from an ALF to a nursing home.Implications:Both facility-level and individual-level factors affected residents' relative odds of leaving an ALF. The findings with the most potentially interesting policy implications are those concerning the factors that affected residents' relative likelihoods of entering a nursing home.

Key Words: Nursing homes • Nursing home placement • Assisted living • Housing with supportive services




This article has been cited by other articles:


Home page
 GerontologistHome page
R. I. Stone and S. C. Reinhard
The Place of Assisted Living in Long-Term Care and Related Service Systems
Gerontologist, December 1, 2007; 47(suppl_1): 23 - 32.
[Abstract] [Full Text] [PDF]

Home page
 GerontologistHome page
C. Hawes and C. D. Phillips
Defining Quality in Assisted Living: Comparing Apples, Oranges, and Broccoli
Gerontologist, December 1, 2007; 47(suppl_1): 40 - 50.
[Abstract] [Full Text] [PDF]

Home page
 GerontologistHome page
J. Hyde, R. Perez, and B. Forester
Dementia and Assisted Living
Gerontologist, December 1, 2007; 47(suppl_1): 51 - 67.
[Abstract] [Full Text] [PDF]

Home page
 J. Gerontol. B Psychol. Sci. Soc. Sci.Home page
D. Street, S. Burge, J. Quadagno, and A. Barrett
The Salience of Social Relationships for Resident Well-Being in Assisted Living
J. Gerontol. B. Psychol. Sci. Soc. Sci., March 1, 2007; 62(2): S129 - S134.
[Abstract] [Full Text] [PDF]

Home page
 AJGPHome page
D. T. Maust, C. U. Onyike, J.-M. E. Sheppard, L. S. Mayer, Q. M. Samus, J. Brandt, P. V. Rabins, C. G. Lyketsos, and A. Rosenblatt
Predictors of Caregiver Unawareness and Nontreatment of Dementia Among Residents of Assisted Living Facilities: The Maryland Assisted Living Study
Am J Geriatr Psychiatry, August 1, 2006; 14(8): 668 - 675.
[Abstract] [Full Text] [PDF]

Home page
 AJGPHome page
D. Dobbs, J. Hayes, R. Chapin, and P. Oslund
The Relationship Between Psychiatric Disorders and the Ability to Age in Place in Assisted Living
Am J Geriatr Psychiatry, July 1, 2006; 14(7): 613 - 620.
[Abstract] [Full Text] [PDF]

Home page
 GerontologistHome page
S. Howell-White, D. Gaboda, N. Scotto Rosato, and J. A. Lucas
Creating Needs-Based Tiered Models for Assisted Living Reimbursement.
Gerontologist, June 1, 2006; 46(3): 334 - 343.
[Abstract] [Full Text] [PDF]

Home page
 J. Gerontol. B Psychol. Sci. Soc. Sci.Home page
S. Zimmerman, P. D. Sloane, J. K. Eckert, A. L. Gruber-Baldini, L. A. Morgan, J. R. Hebel, J. Magaziner, S. C. Stearns, and C. K. Chen
How Good Is Assisted Living? Findings and Implications From an Outcomes Study
J. Gerontol. B. Psychol. Sci. Soc. Sci., July 1, 2005; 60(4): S195 - S204.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
All GSA journals Journals of Gerontology Series A: Biological Sciences and Medical Sciences Journals of Gerontology Series B: Psychological Sciences and Social Sciences
Copyright © 2003 by The Gerontological Society of America.