Figure D

Effect of nursing care on Quality Measure and Health Inspection ratings, August 2023

Dependent variable:  (1) Quality Measure (2) Health Insp.
Total RN hours >= 24? 0.148 *** 0.0119
-0.0316 -0.0319
RN hours per resident
2nd quintile 0.0829 ** 0.229 ***
-0.0341 -0.034
3rd quintile 0.166 *** 0.396 ***
-0.0367 -0.0371
4th quintile 0.241 *** 0.581 ***
-0.0391 -0.0401
5th quintile 0.5 *** 0.942 ***
-0.0437 -0.0451
LPN hours per resident
2nd quintile -0.00137 -0.0215
-0.0324 -0.0329
3rd quintile -0.00577 0.023
-0.0336 -0.0346
4th quintile 0.0601 * 0.101 ***
-0.0351 -0.0363
5th quintile 0.096 *** 0.139 ***
-0.0359 -0.0375
NA hours per resident
2nd quintile 0.045 0.112 ***
-0.0305 -0.0315
3rd quintile 0.0478 0.2 ***
-0.0318 -0.0327
4th quintile 0.00486 0.247 ***
-0.0335 -0.0347
5th quintile 0.0166 0.409 ***
-0.0369 -0.038

Notes: Standard errors are shown in parentheses. Asterisks denote statistical significance (* p < 0.10, ** p < 0.05, *** p < 0.01). Baseline (not shown) is a facility providing the lowest quintiles of RN, LPN, and NA hours per resident. Regressions include controls for sector (government, non-profit, for-profit); number of residents; state; rural location; whether a facility is based in a hospital; and whether a facility is a continuing care retirement community.  

Source: Author’s analysis of CMS nursing home provider data, August 2023 (CMS 2023b). 

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