Abstract
IntroductionThis study examines the impact of COVID-19 on older adults in traditional nursing homes, Green Houses (GHs), and Continuing Care Retirement Communities-Nursing Homes (CCRCNHs). MethodsCOVID-19 cases and deaths from CMS and LTCFocus data across 11 states from 6/2020 to 9/2022 were used, and Poisson regressions to compare care settings while adjusting for covariates. ResultsCCRCNH and GH residents were older (84.4 and 83.1 years) than those in traditional NHs (77.5 and 77.6 years, p < 0.0001), with more female and White individuals. COVID-19 risk was higher in CCRCNHs (RR 1.51, 95 % CI 1.10–2.07), large NHs (RR 1.57, 95 % CI 1.14–2.15), and highest in small NHs (RR 1.80, 95 % CI 1.32–2.47). Mortality rates across NH types showed no significant difference. ConclusionThe study shows that smaller, person-centered GHs are more effective in controlling COVID-19 infection, suggesting a need to rethink care models to incorporating GH features for better outcomes.GEORGE2 07-AUG-2024 11:31.
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