Failure to Meet Nurse Staffing Standards: A Litigation Case Study of a Large US Nursing Home Chain

Inquiry : a Journal of Medical Care Organization, Provision and Financing
Charlene Harrington, Toby S Edelman

Abstract

Large for-profit nursing home chains in the United States have generally reported low nurse staffing levels. This historical case study examined a class action litigation case regarding staffing levels, resident rights, and quality outcomes in 12 Arkansas nursing homes owned by a large for-profit chain. The questions were as follows: (1) How did the residents' care needs compare with actual nurse staffing levels? (2) How did the staffing levels compare with federal and state nurse staffing requirements and professional staffing standards? (3) Did the facilities comply with state and federal residents' rights and quality of care requirements? The findings showed staffing levels marginally above state minimum standards, staffing shortages that violated state standards, staffing levels not adjusted for resident acuity, and shortages that resulted in omitted care. Staffing levels were lower than needed according to nursing directors, lower than average facilities in the state, and lower than professional standards. The findings showed many resident grievances regarding basic care and residents' rights, clinical measures of poor quality, and state deficiencies. A large settlement was agreed on to compensate the residents. The case s...Continue Reading

References

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Jun 22, 2017·Health Services Insights·Charlene HarringtonMarta Szebehely

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Citations

May 31, 2020·Journal of Clinical Nursing·Kristiana LudlowJeffrey Braithwaite
Jul 14, 2020·Journal of Trauma Nursing : the Official Journal of the Society of Trauma Nurses·Haley EhrlichAdel Elkbuli
Jan 20, 2022·Research in Gerontological Nursing·Cynthia BeynonConnie Madden

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Methods Mentioned

BETA
MDS
sedation

Software Mentioned

On Survey Certification and Reporting System ( OSCAR

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