Search Results

open access

Nursing Homes: Despite Increased Oversight, Challenges Remain in Ensuring High-Quality Care and Resident Safety

Description: A letter report issued by the Government Accountability Office with an abstract that begins "Since 1998, GAO has issued numerous reports on nursing home quality and safety that identified significant weaknesses in federal and state oversight. Under contract with the Centers for Medicare & Medicaid Services (CMS), states conduct annual nursing home inspections, known as surveys, to assess compliance with federal quality and safety requirements. States also investigate complaints filed by family … more
Date: December 28, 2005
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
open access

Nursing Homes: Some Improvement Seen in Understatement of Serious Deficiencies, but Implications for the Longer-Term Trend Are Unclear

Description: Correspondence issued by the Government Accountability Office with an abstract that begins "Federal and state governments share responsibility for ensuring that nursing homes provide quality care in a safe environment for vulnerable elderly or disabled individuals who can no longer care for themselves. States survey nursing homes annually under contract with the Centers for Medicare & Medicaid Services (CMS), the federal agency responsible for ensuring the effectiveness of state surveys. To eva… more
Date: April 28, 2010
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
open access

Nursing Homes: Addressing the Factors Underlying Understatement of Serious Care Problems Requires Sustained CMS and State Commitment

Description: A letter report issued by the Government Accountability Office with an abstract that begins "Under contract with the Centers for Medicare and Medicaid Services (CMS), states conduct surveys at nursing homes to help ensure compliance with federal quality standards. Over the past decade, the Government Accountability Office (GAO) has reported on inconsistencies in states' assessment of nursing homes' quality of care, including understatement--that is, when state surveys fail to cite serious defic… more
Date: November 24, 2009
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
open access

Nursing Homes: Proposal To Enhance Oversight of Poorly Performing Homes Has Merit

Description: A letter report issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO reviewed the Health Care Financing Administration's (HCFA) proposal to expand the definition of "poor performing" nursing homes to include homes with repeated actual harm violations (G-level deficiencies)."
Date: June 30, 1999
Creator: United States. General Accounting Office.
Partner: UNT Libraries Government Documents Department
open access

Nursing Homes: Complaint Investigation Processes Often Inadequate to Protect Residents

Description: A letter report issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO provided information on how states implement the federal requirement that establishes a process for nursing home complaint investigations, focusing on the: (1) effectiveness of state complaint investigation practices as a component of the system to ensure sustained compliance with federal nursing home quality-of-care standards; and (2) Health Care Financing Administrati… more
Date: March 22, 1999
Creator: United States. General Accounting Office.
Partner: UNT Libraries Government Documents Department
open access

Nursing Homes: Sustained Efforts Are Essential to Realize Potential of the Quality Initiatives

Description: A letter report issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO provided information on federal and state initiatives to improve the quality of nursing homes, focusing on: (1) progress in improving the detection of quality problems and changes in measured nursing home quality; (2) the status of efforts to strengthen states' complaint investigation processes and federal enforcement policies; and (3) additional steps taken at the fede… more
Date: September 28, 2000
Creator: United States. General Accounting Office.
Partner: UNT Libraries Government Documents Department
open access

Nursing Homes: Complaint Investigation Processes in Maryland

Description: Testimony issued by the General Accounting Office with an abstract that begins "GAO discussed its recent findings on the effectiveness of federal and state nursing home complaint investigation processes, with a specific focus on its work in Maryland."
Date: June 15, 1999
Creator: United States. General Accounting Office.
Partner: UNT Libraries Government Documents Department
open access

Nursing Homes: Prevalence of Serious Quality Problems Remains Unacceptably High, Despite Some Decline

Description: Testimony issued by the General Accounting Office with an abstract that begins "Since 1998, the Congress and Administration have focused considerable attention on improving the quality of care in the nation's nursing homes, which provide care for about 1.7 million elderly and disabled residents in about 17,000 homes. GAO has earlier reported on serious weaknesses in processes for conducting routine state inspections (surveys) of nursing homes and complaint investigations, ensuring that homes wi… more
Date: July 17, 2003
Creator: United States. General Accounting Office.
Partner: UNT Libraries Government Documents Department
open access

Nursing Homes: Federal Efforts to Monitor Resident Assessment Data Should Complement State Activities

Description: A letter report issued by the General Accounting Office with an abstract that begins "Nursing homes that participate in Medicare and Medicaid must periodically assess the needs of residents in order to develop an appropriate plan of care. Such resident assessments are known as the minimum data set (MDS). According to officials in the 10 states with MDS accuracy review programs in operation as of January 2001, these programs were established to set Medicaid payments and identify quality of care … more
Date: February 15, 2002
Creator: United States. General Accounting Office.
Partner: UNT Libraries Government Documents Department
open access

Nursing Homes: Many Shortcomings Exist in Efforts to Protect Residents from Abuse

Description: Testimony issued by the General Accounting Office with an abstract that begins "Often suffering from multiple physical and mental impairments, the 1.5 million elderly and disabled Americans living in nursing homes are a highly vulnerable population. These individuals typically require extensive help with daily living, such as such as dressing, feeding, and bathing. Many require skilled nursing or rehabilitative care. In recent years, reports of inadequate care, including malnutrition, dehydrati… more
Date: March 4, 2002
Creator: United States. General Accounting Office.
Partner: UNT Libraries Government Documents Department
open access

Nursing Homes: Success of Quality Initiatives Requires Sustained Federal and State Commitment

Description: Testimony issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO discussed the quality of care in nursing homes, focusing on: (1) progress in improving the detection of quality problems during annual surveys; (2) how the prevalence of identified problems has changed; (3) the status of efforts to strengthen states' complaint investigation processes and federal enforcement policies; and (4) additional activities occurring at the federal leve… more
Date: September 28, 2000
Creator: United States. General Accounting Office.
Partner: UNT Libraries Government Documents Department
open access

Nursing Homes: Aggregate Medicare Payments Are Adequate Despite Bankruptcies

Description: Testimony issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO discussed the causes of the bankruptcies of large corporations owning nursing homes and the implications for nursing home residents, focusing on: (1) the adequacy of Medicare's payment rates for skilled nursing services furnished in nursing homes; (2) the relationship between the changes wrought by the Balanced Budget Act and recent nursing home bankruptcies; and (3) what exi… more
Date: September 5, 2000
Creator: United States. General Accounting Office.
Partner: UNT Libraries Government Documents Department
open access

Nursing Homes: HCFA Initiatives to Improve Care Are Under Way but Will Require Continued Commitment

Description: Testimony issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO discussed the Health Care Financing Administration's (HCFA) progress in implementing its recent initiatives to strengthen efforts to ensure the quality of care provided by the nation's nursing homes."
Date: June 30, 1999
Creator: United States. General Accounting Office.
Partner: UNT Libraries Government Documents Department
open access

Nursing Homes: HCFA Should Strengthen Its Oversight of State Agencies to Better Ensure Quality Care

Description: Testimony issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO discussed its study of the Health Care Financing Administration's (HFCA) implementation of two of its nursing home initiatives."
Date: November 4, 1999
Creator: United States. General Accounting Office.
Partner: UNT Libraries Government Documents Department
open access

Nursing Homes: Stronger Complaint and Enforcement Practices Needed to Better Ensure Adequate Care

Description: Testimony issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO discussed the effectiveness of complaint and enforcement practices to protect nursing home residents, and to ensure that homes participating in Medicare and Medicaid comply with federal standards, focusing on the: (1) effectiveness of states' complaint practices in protecting residents; (2) Health Care Financing Administration's (HCFA) role in establishing standards and condu… more
Date: March 22, 1999
Creator: United States. General Accounting Office.
Partner: UNT Libraries Government Documents Department
open access

Nursing Homes: Private Investment Homes Sometimes Differed from Others in Deficiencies, Staffing, and Financial Performance

Description: A letter report issued by the Government Accountability Office with an abstract that begins "Private investment (PI) firms' acquisition of several large nursing home chains led to concerns that the quality of care may have been adversely affected. These concerns may have been in part due to PI firms' business strategies and their lack of financial transparency compared to publicly traded companies. In September 2010, GAO reported on the extent of PI ownership of nursing homes and firms' involve… more
Date: July 15, 2011
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
open access

The Role of Social Capital in Organizations: The Precursors and Effects of Social Capital among Certified Nurse Aides in Nursing Homes

Description: The role of social capital in forming organizational commitment is the focus of this research. Organizational social capital is the idea that social relationships have value in the organization. The theoretical framework is based on Kanter's (1993) structure of organizational commitment. This research views the structure within organizations based on global empowerment, job satisfaction, organizational commitment, and social capital. In addition, the role that race, income, and education affect… more
Date: May 2007
Creator: Potts, Helen
Partner: UNT Libraries
open access

Characteristics of Development Directors in Charitable Homes for the Aged

Description: This study concerns the characteristics of fund development directors employed in selected homes for the aged. The first purpose of this study is to develop a profile of job functions, through task analysis, among development directors in charitable homes for the aged. The second purpose of this study is to develop a profile of personal characteristics of development directors of charitable homes for the aged based on the following characteristics: age, sex, educational background, experience o… more
Date: May 1988
Creator: Wuenschel, Douglas F. (Douglas Ferdinand)
Partner: UNT Libraries

Teamwork in the Nursing Home: The Art of Caring for Long-Term Care Residents

Description: The effects of teamwork in a long-term care setting were explored, and four key elements of teamwork in the long-term care facility were discovered. These elements--clarity of purpose, clear communication, well-defined decision-making procedures, and participative leadership--are presented in detail. The literature reviewed as well as observations from personal participation in a case study show that employing the teamwork concept in a nursing home environment significantly enhances the quality… more
Access: Restricted to UNT Community Members. Login required if off-campus.
Date: May 2000
Creator: Saxon, Juliane M.
Partner: UNT Libraries

Tuberculosis in the Nursing Home: A Policy and Procedure Manual

Description: Tuberculosis in the nursing home is an ever-growing problem for the health care community. The incidence of tuberculosis in the United States has risen alarmingly since 1982, and high-population environments such as nursing homes are among the places where it is most prevalent. The first part of this document is an introduction to the current concerns faced by nursing home infection control personnel. It includes information about the history, symptoms, and epidemiology of the disease, as well … more
Access: Restricted to UNT Community Members. Login required if off-campus.
Date: May 2000
Creator: Mounts, Camilla M.
Partner: UNT Libraries

Disaster Preparedness: A Procedure Manual for a Nursing Home

Description: Disaster or emergency situations have the potential for serious impact on the safety and security of both residents and staff in a nursing home. Furthermore, federal and state laws require that all nursing facilities be prepared in case of an emergency or disaster. The first part of this document is an introduction and rationale for the development of a nursing home disaster plan. The second part is a procedure manual developed for a nursing home in Oklahoma, outlining emergency actions and rec… more
Access: Restricted to UNT Community Members. Login required if off-campus.
Date: May 2000
Creator: Reimer, Carmen Schmidt
Partner: UNT Libraries
captions transcript

[News Clip: Nursing home]

Description: Video footage from the KXAS-TV/NBC station in Fort Worth, Texas, to accompany a news story.
Date: May 14, 1980, 6:00 p.m.
Duration: 1 minute 54 seconds
Creator: KXAS-TV (Television station : Fort Worth, Tex.)
Partner: UNT Libraries Special Collections
captions transcript

[News Clip: Rockin Seniors (2)]

Description: Video footage from the KXAS-TV/NBC station in Fort Worth, Texas, to accompany a news story.
Date: February 26, 1980, 6:00 p.m.
Duration: 1 minute 39 seconds
Creator: KXAS-TV (Television station : Fort Worth, Tex.)
Partner: UNT Libraries Special Collections
captions transcript

[News Clip: Nursing home fires]

Description: Video footage from the KXAS-TV/NBC station in Fort Worth, Texas, to accompany a news story.
Date: January 14, 1979, 5:30 p.m.
Duration: 2 minutes 01 second
Creator: KXAS-TV (Television station : Fort Worth, Tex.)
Partner: UNT Libraries Special Collections
Back to Top of Screen