Comparing residential long-term care regulations between nursing homes and assisted living facilities

Alison M. Trinkoff; Jung Min Yoon; Carla L. Storr; Nancy B. Lerner; Bo Kyum Yang; Kihye Han

doi:10.1016/j.outlook.2019.06.015

Comparing residential long-term care regulations between nursing homes and assisted living facilities

Alison M. Trinkoff, Jung Min Yoon, Carla L. Storr, Nancy B. Lerner, Bo Kyum Yang, Kihye Han

Division of Nursing

Research output: Contribution to journal › Article › peer-review

18 Scopus citations

Abstract

Background: Nursing homes (NHs) are federally regulated under uniform standards, whereas assisted living facilities (ALFs) use individual state regulations for staffing, training, and oversight of care quality and safety. Purpose: To describe ALF staffing, training, inspection, and enforcement regulations for 50 U.S. states and the District of Columbia, and compare them to NH regulations. Publication of ALF quality and safety outcomes data also was assessed and compared to NHs. Methods: Regulatory data were compiled from administrative and regulatory data sources, state websites, and regulatory compendia. Findings: NHs followed a standard set of regulations, whereas ALF regulations varied widely. Overall, state ALF regulations were less stringent than NH in all categories. Discussion: As ALF populations and acuity levels increase, staffing, training, nursing presence, and outcomes data requirements are warranted, and could be tailored from NH regulations to protect ALF quality and safety.

Original language	English
Pages (from-to)	114-122
Number of pages	9
Journal	Nursing Outlook
Volume	68
Issue number	1
DOIs	https://doi.org/10.1016/j.outlook.2019.06.015
State	Published - 1 Jan 2020

Keywords

Assisted living
Long-term care
Nursing home
Outcomes
Regulation
Staffing

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title = "Comparing residential long-term care regulations between nursing homes and assisted living facilities",

abstract = "Background: Nursing homes (NHs) are federally regulated under uniform standards, whereas assisted living facilities (ALFs) use individual state regulations for staffing, training, and oversight of care quality and safety. Purpose: To describe ALF staffing, training, inspection, and enforcement regulations for 50 U.S. states and the District of Columbia, and compare them to NH regulations. Publication of ALF quality and safety outcomes data also was assessed and compared to NHs. Methods: Regulatory data were compiled from administrative and regulatory data sources, state websites, and regulatory compendia. Findings: NHs followed a standard set of regulations, whereas ALF regulations varied widely. Overall, state ALF regulations were less stringent than NH in all categories. Discussion: As ALF populations and acuity levels increase, staffing, training, nursing presence, and outcomes data requirements are warranted, and could be tailored from NH regulations to protect ALF quality and safety.",

keywords = "Assisted living, Long-term care, Nursing home, Outcomes, Regulation, Staffing",

author = "Trinkoff, {Alison M.} and Yoon, {Jung Min} and Storr, {Carla L.} and Lerner, {Nancy B.} and Yang, {Bo Kyum} and Kihye Han",

note = "Funding Information: This work was funded in part by the National Council of State Boards of Nursing under grant #R81006 (to A.M.T.). Publisher Copyright: {\textcopyright} 2019 Elsevier Inc.",

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AU - Yoon, Jung Min

AU - Storr, Carla L.

AU - Lerner, Nancy B.

AU - Yang, Bo Kyum

AU - Han, Kihye

PY - 2020/1/1

Y1 - 2020/1/1

N2 - Background: Nursing homes (NHs) are federally regulated under uniform standards, whereas assisted living facilities (ALFs) use individual state regulations for staffing, training, and oversight of care quality and safety. Purpose: To describe ALF staffing, training, inspection, and enforcement regulations for 50 U.S. states and the District of Columbia, and compare them to NH regulations. Publication of ALF quality and safety outcomes data also was assessed and compared to NHs. Methods: Regulatory data were compiled from administrative and regulatory data sources, state websites, and regulatory compendia. Findings: NHs followed a standard set of regulations, whereas ALF regulations varied widely. Overall, state ALF regulations were less stringent than NH in all categories. Discussion: As ALF populations and acuity levels increase, staffing, training, nursing presence, and outcomes data requirements are warranted, and could be tailored from NH regulations to protect ALF quality and safety.

AB - Background: Nursing homes (NHs) are federally regulated under uniform standards, whereas assisted living facilities (ALFs) use individual state regulations for staffing, training, and oversight of care quality and safety. Purpose: To describe ALF staffing, training, inspection, and enforcement regulations for 50 U.S. states and the District of Columbia, and compare them to NH regulations. Publication of ALF quality and safety outcomes data also was assessed and compared to NHs. Methods: Regulatory data were compiled from administrative and regulatory data sources, state websites, and regulatory compendia. Findings: NHs followed a standard set of regulations, whereas ALF regulations varied widely. Overall, state ALF regulations were less stringent than NH in all categories. Discussion: As ALF populations and acuity levels increase, staffing, training, nursing presence, and outcomes data requirements are warranted, and could be tailored from NH regulations to protect ALF quality and safety.

KW - Assisted living

KW - Long-term care

KW - Nursing home

KW - Outcomes

KW - Regulation

KW - Staffing

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Comparing residential long-term care regulations between nursing homes and assisted living facilities

Abstract

Keywords

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