Impact of Implementing the Preferences for Everyday Living Inventory on Nursing Home Survey Deficiencies.

Abstract

The purpose of this study is to expand on previous work testing the relationship between person-centered care (PCC) and quality outcomes in the nursing home (NH) setting. We explore if the Preferences for Everyday Living Inventory (PELI) implementation is a predictor of NH quality, as defined by deficiencies. Secondary data analysis of repeated cross-sections. Data from 6 sources on Ohio NHs were merged to examine 1300 NH-year observations. Logistic regression techniques were used to evaluate the relationship between PELI implementation and 3 survey deficiency outcomes: whether the NH had a 4- or 5- deficiency star rating, deficiency score, and whether the NH had a deficiency score of0. NHs with complete PELI implementation increased the probability of having a 4- or 5- deficiency star rating by 6 percentage points (P= .039). Results also show complete PELI implementation is related to lower deficiency scores and an increased probability of having a deficiency score of 0, but only a 0 deficiency score was marginally significant. The findings indicate PCC stands to improve quality outcomes; however, benefits take time to show. Future research should seek to help improve NHs level of commitment to PCC and buy-in from policymakers.