Objectives: To assess the overall quality of life of long-stay nursing home residents with preserved cognition, to examine whether the Centers for Medicare and Medicaid Service's Nursing Home Compare 5-star quality rating system reflects the overall quality of life of such residents, and to examine whether residents' demographics and clinical characteristics affect their quality of life. Design/measurements: Quality of life was measured using the Participant Outcomes and Status Measures-Nursing Facility survey, which has 10 sections and 63 items. Total scores range from 20 (lowest possible quality of life) to 100 (highest). Setting/participants: Long-stay nursing home residents with preserved cognition (n = 316) were interviewed. Results: The average quality- of-life score was 71.4 (SD: 7.6; range: 45.1-93.0). Multilevel regression models revealed that quality of life was associated with physical impairment (parameter estimate = -0.728; P = 04) and depression (parameter estimate = -3.015; P =01) but not Nursing Home Compare's overall star rating (parameter estimate = 0.683; P =12) and not pain (parameter estimate = -0.705; P =47). Conclusion: The 5-star quality rating system did not reflect the quality of life of long-stay nursing home residents with preserved cognition. Notably, pain was not associated with quality of life, but physical impairment and depression were.
|Number of pages||6|
|Journal||Journal of the American Medical Directors Association|
|Publication status||Published - 2014 Mar|
Bibliographical noteFunding Information:
This study was funded by the American Geriatrics Society (Junior Researcher Seed Grant) and Korean Ministry of Education, Science, and Technology (Excellence of Quality of Care Project) . The funding sources had no role in design and conduct of the study; collection, management, analysis, and interpretation of the data; and preparation, review, or approval of the manuscript. All authors have no financial or personal relationship with a third party whose interests could be positively or negatively influenced by the article's content.
- Activity of daily living
- Nursing home
- Quality of health care
- Quality of life
ASJC Scopus subject areas
- Health Policy
- Geriatrics and Gerontology