Abstract
This study explores the relationship between financial condition and selected quality measures for 1,197 nursing homes in Florida. Data sources included the Online Survey, Certification and Reporting (OSCAR) data reports and the Center for Medicare and Medicaid Services (CMS) Medicare cost report from 2002-2005. Quality measures included surveyor-reported deficiencies and facility-reported incidents of urinary catheterisation, restraint use, and pressure sores. The study conducted multivariate regression analyses using a cross-sectional time series generalised estimating equation (GEE) model to examine the effect of nursing home financial performance on each of these quality measures. Nursing homes in the lowest financial performance category had significantly higher total deficiencies, higher rates of catheterisation and higher incidences of pressure sores when compared to top performers. Policymakers need to closely monitor the financial performance of these poorest performers to ensure that they can survive financially while ensuring a safe environment and delivery of high quality care.
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