According to researchers in a new study, more stringent state regulation leads to better quality for four of seven measures of nursing home quality: certified nursing assistant staffing, licensed practical nurse staffing, risk-adjusted urinary incontinence, and decline in residents' activities of daily living.
Greater regulatory stringency did not affect either high-risk pressure sores or hotel expenditures (linens, laundry, housekeeping, and maintenance), and had a negative impact on registered nurse staffing by leading to fewer RNs.
Based on their cost-effectiveness estimates, researchers suggest increasing the stringency of regulation is an effective policy tool for improving quality in nursing homes.
For more info, see Mukamel et al. (2012). The effect of state regulatory stringency on nursing home quality. Health Services Research, 47(5), pp. 1791-1813. doi:10.1111/j.1475-6773.2012.01459.x