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Citation |
Leland NE, Gozalo P, Teno J, Mor V. J. Am. Geriatr. Soc. 2012; 60(5): 939-945. |
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Affiliation |
Division of Occupational Science and Occupational Therapy, Herman Ostrow School of Dentistry and Davis School of Gerontology, University of Southern California, Los Angeles, California. |
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Copyright |
(Copyright © 2012, John Wiley and Sons) |
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DOI |
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PMID |
22587857 |
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Abstract |
OBJECTIVES: To examine the relationship between nursing home (NH) organizational characteristics and falls in newly admitted NH residents. DESIGN: Observational cross-sectional study from January 1, 2006, to December 31, 2006. SETTING: NHs in the United States in 2006. PARTICIPANTS: Individuals (n = 230,730) admitted to a NH in 2006 without a prior NH stay and with a follow-up Minimum Data Set (MDS) assessment completed 30 days or more after admission. MEASUREMENTS: The relationship between experiencing a fall noted on the MDS assessment and NH characteristics (e.g., staffing, profit and chain status, religious affiliation, hospital-based facility status, number of beds, presence of a special care unit, funding) was examined, adjusting for NH resident characteristics. RESULTS: Twenty-one percent of this cohort (n = 47,750) had experienced at least one fall in the NH at the time of the MDS assessment, which was completed for newly admitted NH residents who had at least a 30-day stay. NHs with higher certified nursing assistant (CNA) staffing had lower rates of falls (adjusted odds ratio = 0.97, 95% confidence interval = 0.95-0.99). CONCLUSION: For newly admitted NH residents, NHs with higher CNA staffing had a lower fall rate. In an effort to maximize fall prevention efforts, further research is needed to understand the relationship between CNA staffing and falls in this NH population. Language: en |