The quality of clinical care has not been among the top factors in consumers’ choice of a nursing home for long-term care, whether for themselves or a family member, according to researchers in a new.
Before the Centers for Medicare & Medicaid Services began publishing Nursing Home Compare in 2002, visits by prospective residents or their families were the primary way consumers collected information to inform their choice.
The researchers used available data on nursing homes in four states as of 2001 to create their own scorecard of the care quality issues reported in Nursing Home Compare (decline in ADLs since admission, pressure sores, physical restraints, hotel quality, and other facility characteristics).
None of the measures of clinical care quality were significantly associated with a facility’s probability of choice. The strongest predictor of choice for a nursing home was distance (closeness to prior residence), thus allowing continued interaction with friends and relatives.
More details are in Pesis-Katz et al. (2013). Making difficult decisions: The role of quality of care in choosing a nursing home. American Journal of Public Health, 103(5), e31-e37. doi:10.2105/AJPH.2013.301243