An Examination of Special Focus Facility Nursing Homes

Castle, Nicholas G.; Engberg, John
June 2010
Gerontologist;Jun2010, Vol. 50 Issue 3, p400
Academic Journal
Purpose: Nursing facilities that are determined to have a greater number of quality problems, more serious problems than average, and a demonstrated pattern of quality problems are included in the Special Focus Facility (SFF) initiative. The purpose of this research was to provide descriptive information on these SFFs and to examine the quality characteristics of these facilities. Design and Methods: The 1997 through 2008 On-line Survey, Certification And Reporting data and 2003 through 2008 Nursing Home Compare data were used. Descriptive analyses, including t tests, were used to compare the 2 groups of facilities (i.e., SFF nursing facilities and non-SFF nursing facilities). Results: Staffing for registered nurses and nurse aides was lower in SFFs; all citations, quality of care citations, and J, K, and L citations were more frequent in SFFs; and quality indicators such as pressure ulcers and use of antipsychotic drugs were more prevalent in SFFs. Implications: SFF targeting would appear to be accurate with respect to nursing facilities having multiple poor quality issues and chronic poor quality.


Related Articles

  • Role of the Social Worker in Old versus New Culture in Nursing Homes. Meyers, Sandy // Social Work;Jul2006, Vol. 51 Issue 3, p273 

    The article discusses social work in nursing homes and if the practice of social workers coincides with the values that they were taught. The author believes that the care, services, and treatment of nursing home residents often outweigh the practice of knowing and respecting the individual and...

  • ‘It is a completely new world you step into.’ How older clients and their representatives experience the operational access to Dutch long-term institutional care. Schipper, Lisette; Luijkx, Katrien G.; Meijboom, Bert R.; Schols, Jos M.G.A. // Journal of Aging Studies;Dec2015, Vol. 35, p211 

    Purpose of the study The access process is an important first step in the long-term institutional care for older people. Access can be seen as a concept consisting of three closely related dimensions: availability, affordability and acceptability (three A's). This study takes a new perspective...

  • Supporting the partners of residents admitted into a home. Bright, Les // Nursing & Residential Care;Jul2006, Vol. 8 Issue 7, p315 

    Discusses the report "Moving Stories: The Impact of Admission into a Care Home on Residents' Partners," issued by the Relatives and Residents Association in Great Britain. Experiences of spouses and partners of older people living in care homes; Involvement of spouses and partners of care home...

  • Big moves with little effort. White, Janet // Nursing Homes: Long Term Care Management;Dec2007, Vol. 56 Issue 12, p38 

    The article discusses the benefits of mechanical lifts to reduce caregiver and nursing home resident injury. It cites the reasons as to why despite the overwhelming evidence that mechanical lifts and other devices dramatically cut injuries to employees and residents, most long-term care...

  • Who cares? Clarke, Annette // Challenge Newsline;May2004, Issue 37, p6 

    Presents guidelines for caring for aged people who are making the transition to residential care. Creating a biography of their life in an album or scrap book; Showing respect for the aged person; Telling the home's staff about the client's favorite music, sports teams, and hobbies; Including...

  • Customer care. Bright, Les // Nursing Older People;Nov2009, Vol. 21 Issue 9, p8 

    The author reflects on the results of a survey on older people care in Great Britain. He says that the survey found that the number of private care homes rose despite the government policy towards public care. He adds that customers in private care homes spend more of Direct Payments. He...

  • NEWS notes. Edwards, Douglas J. // Nursing Homes: Long Term Care Management;Jun2005, Vol. 54 Issue 6, p14 

    Presents news briefs on issues concerning long-term care in the U.S. as of June 2005. Requirements for the computer system of nursing homes; Decline in the number of residents in Ohio nursing homes from 1994 to 2004; Significance of the home health performance measures released by the National...

  • Restraint reduction: A success story. Taube, Deborah // Nursing Homes: Long Term Care Management;Sep2007, Vol. 56 Issue 9, p56 

    The article describes how Saint Barnabas Senior Living Services (SBSLS) in downtown Chattanooga, Tennessee, attained a 2006 zero-restraints rating, exceeding the government's goal by 7.8%. According to SBSLS president and CEO Eric Boston, the organization's goal has always been to keep patients...

  • Creating Home and Building Community II: The Urban Experience. Brush, Jennifer A.; Calkins, Margaret P.; Kator, Mark J.; Wyatt, Ann; Miller, Hope // Long-Term Living: For the Continuing Care Professional;Sep2008, Vol. 57 Issue 9, p56 

    The article discusses the changes on approaches in delivering long-term care in the U.S. Apparently, every aspect of the setting, from staffing models and staff training, to organizational structure, to the physical design is under scrutiny and being re-engineered. There is an increasing numbers...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics