A Description of Board and Care Facilities, Operators, and Residents. Appendix A. Facility Characteristics

12/01/1995

Data from the two operator instruments are displayed in the exhibits in Appendix A. Tables A-1 through A-8 summarize board and care facility characteristics by facility licensure status and size. The tables present point estimates (usually percentages) with standard errors. Additionally, we performed chi-square tests for differences between licensed and unlicensed facilities by each size stratum, as well as for the overall effect of licensure.

Tables A-9 through A-16 present data for licensed facilities only. We compare the characteristics of licensed facilities in extensively regulated States to those in States with limited regulations. Percentages, standard errors, and the results of the chi-square tests are presented.

TABLE A-1. Facility Characteristics by Licensure Status and Home Size: Background
  Small Medium Large Overall Effect of Licensure Status Chi-Square (Prob)
Licensed Percent (SE) Unlicensed Percent (SE) Licensed Percent (SE) Unlicensed Percent (SE) Licensed Percent (SE) Unlicensed Percent (SE)
OWNERSHIP
For Profit 84.2 (2.6) 61.1 (7.4) 81.1 (4.2) 69.6 (11.8) 77.9 (7.0) 54.0 (11.2) 14.8
(<0.01)
Non-Profit 15.8 (2.6) 38.9 (7.4) 18.9 (4.2) 30.4 (11.8) 22.1 (7.6) 48.0 (11.2)
LL Chi-Sq. 18.0 1.3 2.1
LL Probability (<0.01) (0.27) (0.17)
ATTACHED TO NURSING HOME
Yes 0.4 (0.4) 0.0 (0.0) 15.2 (5.3) 7.8 (5.3) 32.2 (9.3) 31.6 (10.6) 1.8
0.20
No 99.6 (0.4) 100.0 (0.0) 84.8 (5.3) 92.2 (5.3) 67.8 (9.3) 68.4 (10.6)
LL Chi-Sq. --- 0.8 0.0
LL Probability --- (0.38) (0.96)
OWNER/FACILITY LIVE IN HOME
Yes 82.9 (31.1) 85.1 (3.9) 23.9 (4.2) 32.1 (11.2) 2.5 (1.9) 14.5 (3.5) 1.41
(.26)
No 17.1 (3.1) 14.9 (3.9) 76.1 (4.2) 67.9 (11.2) 97.5 (1.9) 85.5 (5.5)
LL Chi-Sq. .15 .71 3.65
LL Probability (.71) (.42) (0.1)
AVE. MONTHLY FACILITY
Income/Resident 1000.1 711.9 915.6 624.9 1142.8 1270 <.01*
(Average for home) (79.2) (44.4) (23.7) 85.6 (72.5) (136.3)
P-Value of t-Test .01 .01 .37
Occupancy Rate .79 .71 .83 .82 .80 1.0 .76*
(Average for home) (0.2) (.05) (0.2) (0.6) (0.2) (.10)
P-Value of t-Test .13 .95 .09
* Probability value of regression coefficient for overall licensure effect

 

TABLE A-2. Facility Characteristics by Licensure Status and Home Size: Resident Case Mix Characteristics
  Small Medium Large Overall Effect of Licensure Status Chi-Square (Prob)
Licensed Percent (SE) Unlicensed Percent (SE) Licensed Percent (SE) Unlicensed Percent (SE) Licensed Percent (SE) Unlicensed Percent (SE)
SUMMARY CASE MIX MEASURE
Res. w/Beh. Prob. are 90%+ 22.5 (5.2) 42.1 (5.2) 22.5 (4.7) 41.5 (12.2) 4.7 (2.5) 7.0 (4.5) 3.9
(0.18)
Elderly Res. are 90%+ 56.0 (4.9) 36.8 (3.9) 45.5 (5.7) 35.1 (16.6) 73.4 (8.2) 87.8 (7.0)
Other Resident Mix 21.5 (1.8) 21.1 (4.9) 32.0 (7.9) 23.4 (12.6) 21.9 (7.5) 5.2 (3.7)
LL Chi-Sq. 7.0 3.4 8.7
LL Probability (0.06) (0.22) (0.04)
ANY BED FAST RESIDENTS
None 94.3 (2.1) 94.3 (2.1) 97.8 (1.7) 100.0 (0.0) 94.6 (4.0) 73.7 (14.5) 1.2
(0.29)
Some 5.7 (2.1) 5.7 (2.1) 2.2 (1.7) 0.0 (0.0) 5.4 (4.0) 26.3 (14.5)
LL Chi-Sq. 0.0 --- 2.6
LL Probability (1.0) --- (0.13)
ANY CHAIR FAST RESIDENTS
None 75.3 (3.4) 76.5 (6.1) 70.0 (5.4) 66.6 (9.2) 48.9 (7.3) 53.4 (13.0) 0.8
(0.37)
Some 24.7 (3.4) 23.5 (6.1) 30.0 (5.4) 33.4 (9.2) 51.1 (7.3) 46.6 (13.0)
LL Chi-Sq. 0.0 0.1 0.1
LL Probability (0.87) (0.76) (0.77)
ANY COGNITIVELY IMPAIRED RESIDENTS
None 32.6 (5.2) 53.7 (11.0) 24.5 (6.4) 28.4 (10.3) 8.8 (4.5) 14.7 (6.8) 1.7
(0.22)
Some 67.4 (5.2) 46.3 (11.0) 75.5 (6.4) 71.6 (10.3) 91.2 (4.5) 85.3 (6.8)
LL Chi-Sq. 3.2 0.2 0.6
LL Probability (0.10) (0.67) (0.44)
ANY RESIDENTS WITH ALCOHOL PROBLEMS
None 71.7 (2.8) 69.6 (8.0) 26.4 (6.4) 35.6 (11.4) 25.1 (5.6) 19.0 (7.1) 3.2
(0.10)
Some 28.3 (2.8) 30.4 (8.0) 73.6 (6.4) 64.4 (11.4) 74.9 (5.6) 81.0 (7.1)
LL Chi-Sq. 0.1 0.4 0.4
LL Probability (0.80) (0.53) (0.52)
ANY RESIDENTS WITH DRUG ABUSE
None 92.3 (2.5) 82.4 (5.0) 67.9 (3.7) 66.4 (11.0) 62.9 (5.3) 75.6 (10.1) 2.1
(0.18)
Some 7.7 (2.5) 17.6 (5.0) 32.1 (3.7) 33.6 (11.0) 37.1 (5.3) 24.4 (10.1)
LL Chi-Sq. 3.6 0.0 1.0
LL Probability (0.08) (0.90) (0.34)
ANY HIV+ RESIDENTS
None 100.0 (0.0) 96.5 (2.2) 96.1 (3.8) 85.6 (11.2) 100.0 (0.0) 89.6 (5.2) 4.4
(0.06)
Some 0.0 (0.0) 3.5 (2.2) 3.9 (3.8) 14.4 (11.2) 0.0 (0.0) 10.4 (5.2)
LL Chi-Sq. --- 1.1 ---
LL Probability --- (0.32) ---
ANY MR/DD RESIDENTS
None 68.8 (6.7) 61.8 (4.6) 61.6 (6.0) 69.9 (8.0) 57.0 (10.3) 78.2 (7.6) 0.1
(0.79)
Some 31.2 (6.7) 38.2 (4.6) 34.4 (6.0) 30.1 (8.0) 43.0 (10.3) 21.8 (7.6)
LL Chi-Sq. 0.6 0.6 1.8
LL Probability (0.47) (0.47) (0.21)
ANY RESIDENTS WITH PSYCHIATRIC HISTORY
None 52.0 (3.9) 34.4 (5.7) 25.6 (5.9) 32.5 (17.4) 16.2 (5.7) 44.2 (11.2) 0.9
(0.35)
Some 48.0 (3.9) 65.6 (5.7) 74.4 (5.9) 67.5 (17.4) 83.8 (5.7) 55.8 (11.2)
LL Chi-Sq. 5.6 0.2 3.9
LL Probability (0.03) (0.71) (0.07)
ANY INCONTINENT RESIDENTS
None 43.4 (3.4) 59.3 (7.1) 43.7 (3.2) 56.2 (11.0) 15.6 (5.7) 31.7 (12.2) 4.5
(0.05)
Some 56.6 (3.4) 40.7 (7.1) 56.3 (3.2) 43.8 (11.0) 84.4 (5.7) 68.3 (12.2)
LL Chi-Sq. 4.5 1.2 1.5
LL Probability (0.05) (0.30) (0.24)
PROPORTION OF RESIDENTS 65+
None 14.1 (3.5) 28.1 (6.8) 5.2 (3.2) 25.9 (8.4) 0.0 (0.0) 9.6 (6.7) 4.2
(0.16)
Some 24.1 (1.2) 22.6 (6.4) 56.6 (4.0) 34.8 (13.3) 72.7 (6.7) 44.3 (13.4)
All 61.7 (4.2) 49.2 (4.2) 38.2 (6.5) 39.4 (15.8) 27.3 (6.7) 46.0 14.9)
LL Chi-Sq. 4.0 7.3 ---
LL Probability (0.18) (0.06) ---
% of Residents >65 Years 75.1 60.2 71.6 53.8 84.5 86.2 1.63
(.13)
(Average per home) 4.4 4.6 4.3 11.9 3.9 7.0
P-Value of t-Test .05 .18 .85
% of Residents Chair or Bedfast 10.9 11.6 2.9 4.6 3.7 3.5 .48
(.64)
(Average for home) 2.4 3.2 0.5 1.4 1.0 1.4
P-Value of t-Test .88 .48 .92
% of Residents Paid for by SSI 44.8 28.4 41.4 41.4 26.6 6.8 3.16
(.01)
(Average for home) 4.0 5.2 5.2 9.6 5.3 3.3
P-Value of t-Test 0.5 1.0 .01
* Probability value of regression coefficient for overall licensure effect

 

TABLE A-3. Facility Characteristics by Licensure Status and Home Size: Facility Rules
  Small Medium Large Overall Effect of Licensure Status Chi-Square (Prob)
Licensed Percent (SE) Unlicensed Percent (SE) Licensed Percent (SE) Unlicensed Percent (SE) Licensed Percent (SE) Unlicensed Percent (SE)
RESIDENTS MANAGE OWN MEDICATION
None 4.6 (1.8) 11.6 (5.6) 3.3 (2.2) 17.4 (8.4) 9.3 (7.3) 59.5 (12.6) 23.7
(0.00)
Some 95.4 (1.8) 88.4 (5.6) 96.7 (2.2) 82.6 (8.4) 90.7 (7.3) 40.5 (12.6)
LL Chi-Sq. 2.0 6.0 6.8
LL Probability (0.18) (0.03) (0.02)
FACILITY WILL ADMIT MOBILITY IMPAIRED RES.
All Types 10.0 (4.5) 21.0 (8.0) 1.0 (1.1) 6.5 (5.5) 0.9 (0.9) 11.7 (5.2) 1.4
(0.51)
Some Types 41.9 (3.2) 34.0 (6.2) 49.4 (8.7) 45.4 (9.7) 68.5 (6.1) 70.8 (8.6)
None 48.1 (5.5) 45.0 (6.2) 49.6 (8.8) 48.1 (8.2) 30.6 (6.0) 17.5 (5.0)
LL Chi-Sq. 2.0 1.9 9.1
LL Probability (0.39) (0.42) (0.03)
FACILITY WILL DISCHARGE MOBILITY IMPAIRED RES.
ALL Types 39.6 (5.8) 45.8 (8.1) 53.1 (8.3) 34.7 (10.7) 48.4 (11.2) 13.7 6.3) 2.2
(0.36)
Some Types 31.1 (4.9) 23.1 (7.5) 37.9 (7.2) 49.3 (12.6) 40.0 (7.8) 57.8 (11.3)
None 29.4 (9.8) 31.2 (7.2) 9.0 (3.8) 16.0 (7.5) 11.6 (5.5) 28.5 (7.0)
LL Chi-Sq. 1.0 2.6 7.0
LL Probability (0.61) (0.30) (0.06)
FACILITY WILL ADMIT BEHAV. PROB. RES.
All Types 5.0 (0.8) 5.0 (2.8) 4.3 (2.3) 0.0 (0.0) 0.9 (0.9) 4.1 (3.1) 2.4
0.33
Some Types 93.0 (1.2) 91.8 (2.3) 92.2 (2.5) 97.7 (2.3) 97.0 (2.1) 87.9 (6.6)
None 2.0 (0.8) 3.2 (1.9) 3.5 (2.4) 2.3 (2.3) 2.1 (1.8) 8.1 (4.6)
LL Chi-Sq. 0.4 --- 3.4
LL Probability 0.80 --- (0.22)
FACILITY WILL DISCHARGE BEHAB. PROB. RES.
All Types 3.9 (1.5) 1.7 (1.2) 6.1 (4.8) 10.8 (9.1) 7.4 (6.2) 3.4 (3.3) 1.7
0.44
Some Types 86.0 (2.4) 89.4 (2.6) 85.0 (6.8) 86.6 (8.4) 91.5 (6.0) 92.1 (6.5)
None 10.2 (2.3) 8.9 (2.3) 8.9 (3.0) 2.6 (2.6) 1.0 (1.1) 4.5 (3.4)
LL Chi-Sq. 1.2 2.1 4.3
LL Probability (0.57) (0.38) (0.15)
FACILITY WILL ADMIT INCONTINENT RES.
All Types 54.2 (5.0) 42.6 (4.2) 34.0 (5.7) 32.5 (15.8) 29.8 (8.1) 39.1 (8.3) 3.7
(0.19)
Some Types 24.1 (5.0) 24.1 (8.2) 39.0 (6.5) 19.8 (8.1) 45.7 (5.8) 35.5 (13.0)
None 21.7 (3.5) 33.3 (7.3) 27.0 (4.5) 47.7 (13.1) 24.5 (6.1) 25.4 (8.7)
LL Chi-Sq. 6.4 9.5 0.7
LL Probability (0.07) (0.03) (0.71)
FACILITY WILL DISCHARGE INCONTINENT RES.
All Types 19.6 (4.1) 28.2 (5.6) 26.0 (4.9) 23.8 (8.1) 19.5 (6.9) 22.4 (10.6) 1.1
(0.59)
Some Types 11.2 (2.4) 7.6 (4.3) 18.9 (4.3) 18.0 (10.3) 34.5 (8.7) 24.3 (14.6)
None 69.2 (4.7) 64.2 (4.5) 55.1 (3.7) 59.0 (13.7) 46.0 (5.9) 53.3 (11.4)
LL Chi-Sq. 1.9 0.2 0.3
LL Probability (0.42) (0.92) (0.85)
FACILITY WILL ADMIT SSI RECIPIENTS
All Types 82.0 (4.9) 79.4 (4.7) 78.8 (3.9) 71.9 (9.7) 76.3 (7.4) 75.6 (7.0) 10.0
(0.02)
Some Types 0.3 (0.3) 6.1 (2.0) 2.6 (1.6) 1.6 (1.7) 0.0 (0.0) 6.1 (4.5)
None 17.7 (4.9) 14.5 (4.4) 18.6 (4.1) 26.5 (10.0) 23.7 (7.4) 18.3 (6.8)
LL Chi-Sq. 10.8 0.6 ---
LL Probability (0.02) (0.75) ---
FACILITY WILL DISCHARGE SSI RECIPIENTS
All Types 8.1 (3.8) 2.6 (2.2) 7.0 (5.3) 3.1 (3.2) 9.5 (5.4) 11.4 (4.8) 0.9
(0.64)
Some Types 0.1 (0.1) 0.0 (0.0) 1.0 (0.9) 1.2 (1.3) 0.0 (0.0) 0.0 (0.6)
None 91.8 (3.8) 97.4 (2.2) 92.0 (6.2) 95.7 (3.5) 90.5 (5.4) 88.6 (4.8)
LL Chi-Sq. --- 0.7 0.1
LL Probability --- (0.70) (0.72)
RESIDENTS NEED PERMISSION TO LEAVE HOME
Yes 48.5 (6.4) 49.6 (8.6) 42.5 (6.2) 34.9 (9.9) 32.5 (10.8) 17.4 (13.8) 4.1
(0.17)
No 29.9 (6.1) 28.9 (5.9) 45.2 (9.7) 53.5 (10.3) 52.7 (7.9) 82.6 (13.8)
Varies 21.6 (4.8) 21.5 (5.0) 12.2 (4.6) 11.6 (5.4) 14.8 (5.9) 0.0 (0.0)
LL Chi-Sq. 0.0 0.5 ---
LL Probability (0.99) (0.78) ---

 

TABLE A-4. Facility Characteristics by Licensure Status and Home Size: Social Environment
  Small Medium Large Overall Effect of Licensure Status Chi-Square (Prob)
Licensed Percent (SE) Unlicensed Percent (SE) Licensed Percent (SE) Unlicensed Percent (SE) Licensed Percent (SE) Unlicensed Percent (SE)
RESIDENTS AND OWNER/MANAGER EAT TOGETHER
Always 42.6 (3.3) 29.1 (6.3) 21.8 (7.3) 25.5 (8.7) 9.8 (5.7) 17.4 (9.5) 5.8
(0.09)
Sometimes 40.2 (4.1) 49.0 (4.0) 62.0 (7.0) 60.1 (12.0) 62.2 (6.0) 61.5 (11.0)
Never 17.2 (2.4) 21.9 (7.5) 16.2 (4.5) 14.3 (9.8) 28.0 (7.7) 21.2 (7.9)
LL Chi-Sq. 6.6 0.1 0.8
LL Probability (0.07) (0.95) (0.68)
RESIDENTS ALLOWED TO EAT WHENEVER THEY WANT
None 69.2 (3.7) 55.4 (8.2) 49.9 (4.7) 48.1 (5.6) 54.7 (7.6) 75.9 (9.0) 0.7
(0.42)
Some 30.8 (3.7) 44.6 (8.2) 50.1 (4.7) 51.9 (5.6) 45.3 (7.6) 24.1 (9.0)
LL Chi-Sq. 2.5 0.0 3.8
LL Probability (0.14) (0.14) (0.07)
OPERATOR OR FAMILY LIVE IN HOME
Yes 82.9 (3.1) 85.1 (3.9) 23.9 (4.2) 76.1 (4.2) 2.5 (1.9) 14.5 (5.5) 1.4
(0.26)
No 17.1 (3.1) 14.9 (3.9) 32.1 (11.2) 67.9 (11.2) 97.5 (1.9) 85.5 (5.5)
LL Chi-Sq. 0.2 0.7 3.6
LL Probability (0.71) (0.42) (0.08)

 

TABLE A-5. Facility Characteristics by Licensure Status and Home Size: Operator and Staff Training and Characteristics
  Small Medium Large Overall Effect of Licensure Status Chi-Square (Prob)
Licensed Percent (SE) Unlicensed Percent (SE) Licensed Percent (SE) Unlicensed Percent (SE) Licensed Percent (SE) Unlicensed Percent (SE)
OPERATOR EDUCATION LEVEL
HS Diploma 20.1 (4.7) 30.8 (9.7) 5.0 (1.2) 10.8 (5.7) 0.0 (0.0) 17.2 (13.7) 16.8
(0.02)
HS Graduate 18.8 (1.9) 27.2 (12.1) 12.7 (3.8) 20.7 (10.9) 18.3 (4.0) 1.5 (1.6)
Some Post HS 35.6 (3.8) 32.2 (7.6) 45.0 (9.7) 35.0 (15.5) 33.1 (8.6) 31.4 (8.6)
4 Yr. College Grad 14.4 (3.2) 4.5 (3.5) 27.6 (6.9) 8.6 (4.6) 21.5 (10.5) 16.9 (5.0)
Post Grad 11.0 (2.8) 5.2 (3.0) 9.7 (3.9) 24.9 (8.5) 27.1 (8.2) 32.9 (7.8)
LL Chi-Sq. 6.5 8.4 ---
LL Probability (0.23) (0.14) ---
OPERATOR PRIOR EXP. WORK IN HEALTH CARE
Yes 71.1 (5.0) 47.6 (10.4) 77.2 (4.3) 52.6 (12.3) 76.2 (7.6) 54.6 (12.8) 5.6
(0.03)
No 28.9 (5.0) 52.4 (10.4) 22.8 (4.3) 47.4 (12.3) 23.8 (7.6) 45.4 (12.8)
LL Chi-Sq. 4.8 3.3 2.7
LL Probability (0.05) (0.09) (0.12)
Years as Operator/Supervisor 7.5 6.8 7.4 6.2 5.5 3.5 2.5
(.03)*
(Average for home) 0.5 0.7 0.5 1.5 1.0 0.5
P-Value of t-Test .34 .41 0.06
TRAINED BEFORE BECOMING OPERATOR
Yes 64.3 (3.0) 52.9 (8.6) 71.5 (4.9) 69.8 (9.8) 80.0 (9.1) 51.5 (11.2) 2.8
(0.12)
No 35.7 (3.0) 47.1 (8.6) 28.5 (4.9) 30.2 (9.8) 20.0 (9.1) 48.5 (11.2)
LL Chi-Sq. 1.6 0.0 2.7
LL Probability 0.22 0.89 0.12
HOURS OF TRAINING PROVIDED TO CARE STAFF
None 24.7 (5.5) 59.5 (14.7) 13.5 (2.2) 43.7 (13.6) 1.5 (1.5) 25.2 (9.6) 13.9
0.02
1-16 27.4 (6.7) 26.6 (12.9) 35.7 (5.1) 23.6 (13.5) 25.5 (12.0) 58.0 (10.3)
17-40 36.4 (9.4) 8.4 (3.8) 36.7 (8.0) 25.3 (18.9) 38.6 (4.9) 7.9 (6.8)
>40 11.5 (2.7) 5.6 (5.0) 14.0 (3.5) 7.4 (6.0) 34.4 (13.0) 8.9 (5.1)
LL Chi-Sq. 15.4 9.0 17.7
LL Probability 0.01 0.07 0.01
Residents/Direct Care Staff Person 2.7 3.1 3.6 12.0 7.0 85.0 -3.7
(<.01)*
(Average per home) 0.1 0.2 0.5 3.1 1.2 27.0
P-Value of t-Test .14 .02 .01
* Probability value of regression coefficient for overall licensure effect

 

TABLE A-6. Facility Characteristics by Licensure Status and Home Size: Regulatory Issues
  Small Medium Large Overall Effect of Licensure Status Chi-Square (Prob)
Licensed Percent (SE) Unlicensed Percent (SE) Licensed Percent (SE) Unlicensed Percent (SE) Licensed Percent (SE) Unlicensed Percent (SE)
MORE THAN ONE INSPECTOR IN PAST 12 MONTHS
No 60.9 (7.0) 89.5 (3.0) 57.4 (17.3) 89.2 (6.7) 75.6 (6.8) 87.6 (6.2) 25.8
>(0.01)
Yes 39.1 (7.0) 10.5 (3.0) 42.6 (17.3) 10.8 (6.7) 24.4 (6.8) 12.4 (6.2)
LL Chi-Sq. 38.2 6.3 1.6
LL Probability (>0.01) (0.03) (0.22)
# Visits by Inspector in Last 12 Months 3.3 4.3 3.9 6.5 8.9 7.3 -1.5
(.15)*
(Average for home) 0.4 1.1 0.9 1.8 3.8 2.2
P-Value of t-Test .47 .21 .73
CORRECTIVE ACTION AGAINST HOME LAST 12 MONTHS
Yes 16.4 (4.6) 5.3 (2.9) 23.8 (7.7) 13.4 (10.1) 30.7 (8.4) 1.3 (1.3) 4.7
(0.05)
No 83.6 (4.6) 94.7 (2.9) 76.2 (7.7) 86.6 (10.1) 69.3 (8.4) 98.7 (1.3)
LL Chi-Sq. 3.8 0.5 6.9
LL Probability (0.07) (0.51) (0.02)
* Probability value of regression coefficient for overall licensure effect

 

TABLE A-7. Facility Characteristics by Licensure Status and Home Size: Services Provided by the Home
  Small Medium Large Overall Effect of Licensure Status Chi-Square (Prob)
Licensed Percent (SE) Unlicensed Percent (SE) Licensed Percent (SE) Unlicensed Percent (SE) Licensed Percent (SE) Unlicensed Percent (SE)
RESPONSIBLE PERSON IN BUILDING
Yes 98.9 (0.8) 95.6 (2.6) 99.7 (0.4) 88.9 (5.1) 98.9 (1.0) 87.7 (5.6) 16.8
(0.02)
No 1.1 (0.8) 4.4 (2.6 0.3 (0.4) 11.1 (5.1) 1.1 (1.0) 12.3 (5.6)
LL Chi-Sq. 6.5 14.0 5.2
LL Probability (0.23) (<0.01) (0.04)
PERSONAL CARE ASSISTANCE
Yes 91.9 (2.5) 79.4 (4.6) 91.2 (4.9) 52.3 (8.6) 93.5 (3.4) 40.3 (11.8) 2.5
(<0.01)
No 8.1 (2.5) 20.6 (4.6) 8.8 (4.9) 47.7 (8.9) 6.5 (3.4) 59.7 (11.8)
LL Chi-Sq. 7.7 9.0 11.7
LL Probability (0.02) (0.01) (<0.01)
TRANSPORTATION
Yes 88.6 (3.4) 92.4 (4.3) 87.0 (4.7) 93.2 (3.9) 95.0 (1.0) 70.4 (12.4) 0.2
(0.66)
No 11.4 (3.4) 7.6 (4.3) 13.0 (4.7) 6.8 (3.9) 5.0 (1.9) 29.6 (12.4)
LL Chi-Sq. 0.4 0.6 5.3
LL Probability (0.52) (0.45) (0.04)
NURSING CARE
Yes 20.6 (1.8) 17.2 (4.0) 32.2 (7.5) 27.4 (12.3) 40.7 (13.8) 43.0 (11.9) 0.2
(0.68)
No 79.6 (1.8) 82.8 (4.0) 67.8 (7.5) 72.6 (12.3) 59.3 (13.8) 57.0 (11.9)
LL Chi-Sq. 0.6 0.1 0.0
LL Probability (0.47) (0.8) (0.89)
THERAPY
Yes 15.4 (2.2) 4.4 (2.1) 18.8 (1.8) 6.6 (3.6) 20.8 (7.7) 8.9 (4.6) 6.7
(0.02)
No 84.6 (2.2) 95.6 (2.1) 81.2 (1.8) 93.4 (3.6) 79.2 (7.7) 91.1 (4.6)
LL Chi-Sq. 7.2 3.9 1.5
LL Probability (0.02) (0.07) (0.25)
REMINDERS TO TAKE MEDICATION
Yes 76.6 (4.3) 69.7 (5.4) 92.6 (2.2) 75.4 (9.4) 97.2 (1.4) 60.8 (11.1) 4.3
(0.06)
No 23.4 (4.3) 30.3 (5.4) 7.4 (2.2) 24.6 (9.4) 2.8 (1.4) 39.2 (11.1)
LL Chi-Sq. 1.0 5.1 12.9
LL Probability (0.33) (0.04) (<0.01)
MEDICATION STORAGE
Yes 99.0 (0.8) 93.4 (3.4) 98.9 (0.9) 73.8 (9.3) 98.2 (1.8) 47.1 (13.0) 17.9
(<0.01)
No 1.0 (0.8) 6.3 (3.4) 1.1 (0.9) 26.2 (9.3) 1.8 (1.8) 52.9 (13.0)
LL Chi-Sq. 4.1 12.9 8.2
LL Probability (0.06) (<0.01) (0.01)
ORGANIZED ACTIVITIES
Yes 83.1 (4.2) 73.8 (7.4) 97.8 (1.3) 87.0 (5.7) 100.0 (0.0) 89.1 (5.5) 0.9
(0.35)
No 16.9 (4.2) 26.2 (7.4) 2.2 (1.3) 13.0 (5.7) 0.0 (0.0) 10.9 (5.5)
LL Chi-Sq. 1.0 6.1 ---
LL Probability (0.33) (0.03) ---
RECREATIONAL TRIPS
Yes 78.9 (5.4) 72.2 (6.2) 75.1 (3.7) 79.9 (10.2) 94.3 (4.0) 75.4 (12.3) 0.9
0.37
No 21.1 (5.4) 27.8 (6.2) 24.9 (3.7) 20.1 (10.2) 5.7 (4.0) 24.6 (12.3)
LL Chi-Sq. 0.7 0.2 4.0
LL Probability (0.42) (0.65) (0.07)
MONEY MANAGEMENT
Yes 34.8 (5.4) 50.8 (5.9) 53.4 (4.1) 62.9 (15.4) 40.3 (7.5) 17.9 (7.8) 0.9
(0.35)
No 65.2 (5.4) 49.2 (5.9 46.6 (4.1) 37.1 (15.4) 59.7 (7.5) 82.1 (7.8)
LL Chi-Sq. 5.0 0.4 2.8
LL Probability (0.04) (0.54) (0.12)
# Health Services Provided by Home 2.1 1.8 2.4 1.8 2.6 1.6 3.3
(.01)
(Average for home) 0.1 0.1 0.1 0.3 0.2 0.3
P-Value of t-Test .02 .10 .01
# Social Services Provided by Home 3.8 3.7 4.0 3.8 4.2 2.9 2.8
(.01)
(Average for home) 0.1 0.2 0.1 0.2 0.05 0.2
P-Value of t-Test .75 .24 <.01
* Probability value of regression coefficient for overall licensure effect

 

TABLE A-8. Facility Characteristics by Licensure Status and Home Size: Outside Provided Services Arranged
  Small Medium Large Overall Effect of Licensure Status Chi-Square (Prob)
Licensed Percent (SE) Unlicensed Percent (SE) Licensed Percent (SE) Unlicensed Percent (SE) Licensed Percent (SE) Unlicensed Percent (SE)
HOME HAS FORMAL ARRANGEMENT FOR TEMPORARY NURSING
None 15.3 (2.9) 37.1 (6.3) 28.3 (4.0) 18.1 (5.8) 18.2 (6.3) 19.8 (9.3) 2.2
(0.14)
Some 84.7 (2.9) 62.9 (6.3) 71.7 (4.0) 81.9 (5.8) 81.8 (6.3) 80.2 (9.3)
LL Chi-Sq. 13.6 1.6 0.0
LL Probability (<0.01) (0.23) (0.90)
HOME HAS FORMAL ARRANGEMENT FOR LONG TERM NURSING
None 10.4 (2.2) 30.5 (6.4) 21.1 (4.4) 14.0 (4.6) 20.7 (6.4) 13.8 (6.0) 3.5
(0.08)
Some 89.6 (2.2) 69.5 (6.4) 78.9 (4.4) 86.0 (4.6) 79.3 (6.4) 86.2 (6.0)
LL Chi-Sq. 12.2 1.0 0.6
LL Probability (<0.01) (0.34) (0.46)
ARRANGE OUTSIDE PERSONAL CARE
Yes 18.7 (4.0 16.9 (6.6) 33.5 (5.3) 34.4 (10.1) 50.1 (9.4) 59.3 (10.6) 1.3
(0.28)
No 81.3 (4.0 83.1 (6.6) 66.5 (5.3) 65.5 (5.3) 49.9 (9.4) 40.7 (10.6)
LL Chi-Sq. 0.1 0.0 0.3
LL Probability (0.81) (0.94) (0.58)
ARRANGE OUTSIDE SR. CTR./ADULT DAY CARE
Yes 28.7 (3.7) 43.0 (12.0) 55.8 (11.5) 22.3 (7.1) 30.5 (5.2) 18.6 (7.6) 0.3
(0.61)
No 71.3 (3.7) 57.0 (12.0) 44.7 (11.5) 77.7 (7.1) 69.5 (5.2) 81.4 (7.6)
LL Chi-Sq. 1.5 8.7 1.7
LL Probability (0.24) (0.01) (0.21)
ARRANGE OUTSIDE TRANSPORTATION
Yes 50.0 (4.8) 51.3 (5.2) 67.1 (7.4) 35.2 (5.9) 68.3 (7.2) 37.0 (9.2) 4.2
(0.06)
No 50.0 (4.8) 48.7 (5.2) 32.9 (7.4) 64.8 (5.9) 31.7 (7.2) 63.0 (9.2)
LL Chi-Sq. 0.0 8.6 7.6
LL Probability (0.16) (0.23) (0.87)
ARRANGE OUTSIDE NURSING CARE
Yes 49.9 (3.5) 31.1 (11.2) 54.9 (6.7) 38.2 (11.8) 72.5 (8.6) 74.6 (9.8) 1.1
(0.32)
No 50.1 (3.5) 68.9 (11.2) 45.1 (6.7) 61.8 (11.8) 27.5 (8.6) 25.4 (9.8)
LL Chi-Sq. 2.3 1.6 0.0
LL Probability (0.16) (0.23) (0.87)
ARRANGE OUTSIDE THERAPY
Yes 33.8 (5.2) 24.2 (6.8) 49.2 (4.0) 20.0 (7.0) 68.5 (4.0) 77.8 (6.9) 0.6
(0.45)
No 66.2 (5.2) 75.8 (6.8) 50.8 (4.0) 80.0 (7.0) 31.5 (4.0) 22.2 (6.9)
LL Chi-Sq. 1.4 6.7 1.1
LL Probability (0.25) (0.02) (0.32)
ARRANGE OUTSIDE CASE MANAGEMENT
Yes 42.8 (4.2) 42.2 (4.8) 53.4 (6.1) 34.4 (12.8) 40.2 (10.9) 30.3 (9.9) 1.3
(0.28)
No 57.2 (4.2) 5738 (4.8) 46.6 (6.1) 65.6 (12.8) 59.8 (10.9) 69.7 (9.9)
LL Chi-Sq. 0.0 2.0 0.4
LL Probability (0.35) (0.62) (0.59)
ARRANGE OUTSIDE SHELTER WORKSHOP/DAY ACTIVITIES
Yes 29.2 (6.6) 38.0 (4.9) 48.5 (8.2) 40.4 (13.2) 17.5 (7.1) 12.0 (5.4) 0.0
(0.95)
No 70.8 (6.6) 62..0 (4.9) 51.5 (8.2) 59.6 (13.2) 82.5 (7.1) 88.0 (5.4)
LL Chi-Sq. 1.0 0.3 0.3
LL Probability (0.35) (0.62) (0.59)
# Health Services Provided by Others 0.8 0.6 1.6 0.6 1.4 1.5 1.1
(.28)
(Average for home) 0.1 0.2 0.1 0.2 0.1 0.1
P-Value of t-Test .15 .03 .59
# Social Services Provided by Others 1.7 1.9 2.6 1.7 2.1 1.6 1.1
(.29)
(Average for home) 0.1 0.1 0.3 0.2 0.2 0.3
P-Value of t-Test .16 .02 .20
* Probability value of regression coefficient for overall licensure effect

 

TABLE A-9. Licensed Facility Characteristics by Regulatory Environment: Background
Background Extensive Limited Log Likelihood Ratio Chi-Square P-Value Value of Test Statistic
% (SE) % (SE)
HOME SIZE
Small 73.1 (2.8) 61.9 (4.1) 5.6 .07
Medium 18.1 (2.3) 23.7 (3.5)
Large 8.8 (2.1) 14.4 (2.6)
OWNERSHIP
For-Profit 86.4 (2.4) 70.7 (3.8) 12.4 >.01
Non-Profit 13.6 (2.4) 29.3 (3.8)
ATTACHED TO NURSING HOME
Yes 5.0 (1.4) 11.9 (2.5) 6.3 .01
No 95.0 (1.4) 88.1 (2.5)
Ave. Monthly Facility Income/Resident (Average for home) 1076.7 (47.3) 711.6 (50.0) NA >.01*
Occupancy Rate (Average for home) .80 (.01) .80 (.01) NA .94*

 

TABLE A-10. Licensed Facility Characteristics by Regulatory Environment: Resident Case Mix Characteristics
Resident Case Mix Characteristics Extensive Limited Log Likelihood Ratio Chi-Square P-Value Value of Test Statistic
% (SE) % (SE)
SUMMARY CASE MIX MEASURE
Res. w/Beh. Prob. are 90%+ 16.4 (2.8) 35.7 (4.1) 19.5 <.01
Elderly Res. are 90%+ 61.7 (3.8) 35.7 (4.7)
Other Resident Mix 21.9 (3.0) 28.6 (4.1)
ANY BED-FAST RESIDENTS
None 95.0 (1.8) 95.0 (1.7) 0.0 .98
Some 5.0 (1.8) 5.0 (1.7)
ANY CHAIR-FAST RESIDENTS
None 68.0 (2.6) 84.0 (3.2) 9.8 <.01
Some 32.0 (2.6) 16.0 (3.2)
ANY COGNITIVELY IMPAIRED RESIDENTS
None 25.7 (3.6) 38.5 (4.7) 4.6 .04
Some 74.3 (3.6) 61.5 (4.7)
ANY RESIDENTS WITH ALCOHOL PROBLEMS
None 56.8 (4.0) 65.1 (4.0) 2.1 .15
Some 43.2 (4.0) 34.9 (4.0)
ANY RESIDENTS WITH DRUG ABUSE
None 85.9 (2.6) 82.0 (2.1) 1.4 .25
Some 14.1 (2.6) 18.0 (2.1)
ANY HIV+ RESIDENTS
None 99.0 (6.0) 100.0 (0.0) 2.6 .11
Some 1.0 (6.0) 0.0 (0.0)
ANY RESIDENTS WITH MR/DD
None 70.2 (4.4) 51.9 (4.3) 8.3 .01
Some 29.8 (4.4) 48.1 (4.3)
ANY RESIDENTS WITH PSYCHIATRIC HISTORY
None 44.2 (4.4) 39.8 (3.8) 0.6 .45
Some 55.8 (4.4) 60.2 (3.8)
ANY INCONTINENT RESIDENTS
None 36.4 (4.1) 55.6 (4.6) 9.3 >.01
Some 63.6 (4.1) 44.4 (4.6)
PROPORTION OF RESIDENTS 65+
None 8.6 (2.4) 20.0 (3.3) 15.1 >.01
Some 32.3 (3.2) 44.3 (4.0)
All 59.1 (3.7) 35.7 (4.5)
% of Residents >65 Years (Average per home) 79.9 (2.7) 59.2 (3.5) NA >.01*
% of Residents Chair or Bedfast (Average per home) 10.0 (1.3) 3.6 (.9) NA >.01*
% of Residents Paid for by SSI (Average per home) 40.5 (4.0) 48.1 (3.4) Na .15*
* Based on a t-test for the significance of the regression coefficient

 

TABLE A-11. Licensed Facility Characteristics by Regulatory Environment: Facility Rules
Facility Rules Extensive Limited Log Likelihood Ratio Chi-Square P-Value Value of Test Statistic
% (SE) % (SE)
RESIDENTS MANAGES OWN MEDICATION
Yes 5.2 (1.6) 3.6 (1.4) 0.5 .48
No 94.8 (1.6) 96.4 (1.4)
STAFF MANAGE RESIDENTS’ MEDICATION
Yes 93.4 (2.2) 91.0 (2.6) 0.5 .49
No 6.6 (2.2) 9.0 (2.6)
FACILITY WILL ADMIT MOBILITY IMPAIRED RES.
All Types 8.6 (2.4) 3.2 (1.4) 3.6 .17
Some Types 45.1 (4.5) 49.3 (3.9)
None 46.3 (4.4) 47.5 (3.9)
FACILITY WILL DISCHARGE MOBILITY IMPAIRED RES.
All Types 43.0 (3.3) 42.6 (4.0) 4.74 .10
Some Types 30.9 (3.2) 40.4 (3.3)
None 26.1 (3.6) 17.0 (3.1)
FACILITY WILL ADMIT BEHAV. PROBLEM RESIDENTS
All Types 4.0 (1.4) 5.8 (2.1) .92 .63
Some Types 93.6 (1.9) 92.4 (2.3)
None 2.5 (1.2) 1.8 (.8)
FACILITY WILL DISCHARGE BEHAV. PROBLEM RESIDENTS
All Types 5.4 (2.2) 1.8 (1.1) 2.19 .34
Some Types 85.7 (2.7) 88.5 (3.0)
None 8.9 (2.3) 9.7 (2.9)
FACILITY WILL ADMIT INCONTINENT RESIDENTS
All Types 49.6 (2.4) 41.9 (4.0) 3.28 .20
Some Types 29.4 (3.1) 28.5 (4.0)
None 21.0 (3.5) 29.6 (3.2)
FACILITY WILL DISCHARGE INCONTINENT RESIDENTS
All Types 20.8 (3.0) 19.0 (3.8) 1.97 .38
Some Types 14.8 (1.9) 15.0 (2.4)
None 64.40 (3.2) 66.0 (4.0)
FACILITY WILL ADMIT SSI RECPIENTS
All Types 78.7 (2.9) 87.8 (3.3) 9.62 .01
Some Types .3 (.35) 1.9 (1.2)
None 21.0 (2.9) 10.3 (2.7)
FACILITY WILL DISCHARGE RESIDENTS WHO GO ON SSI
All Types 9.6 (2.2) 2.9 (1.2) 6.93 .04
Some Types .2 (.2) .4 (.4)
None 90.2 (2.2) 96.8 (1.3)
RESIDENTS NEED PERMISSION TO LEAVE HOME
Yes 41.7 (4.4) 59.1 (4.7) 7.5 .03
No 37.1 (4.1) 28.9 (4.0)
Varies 21.3 (3.1) 12.0 (3.2)
* Based on a t-test for the significance of the regression coefficient

 

TABLE A-12. Licensed Facility Characteristics by Regulatory Environment: Social Environment
Social Environment Extensive Limited Log Likelihood Ratio Chi-Square P-Value Value of Test Statistic
% (SE) % (SE)
RESIDENTS AND OWNER/OPERATOR EAT TOGETHER
Always 31.4 (4.5) 47.8 (3.9) 9.8 .01
Sometimes 48.5 (4.2) 40.6 (4.6)
Never 20.0 (2.6) 11.6 (2.5)
RESIDENTS ALLOWED TO EAT WHENEVER THEY WANT
Yes 63.6 (3.4) 64.7 (3.9) 0.0 .83
No 36.4 (3.4) 35.3 (3.9)
FAMILY WORK
No 36.2 (3.0) 49.3 (5.4) 6.3 .05
Yes, Paid 33.2 (3.5) 22.8 (3.4)
Yes, Unpaid 30.7 (3.8) 27.9 (4.3)
OPERATOR OR FAMILY LIVE IN HOME
Yes 66.2 (3.5) 53.9 (3.8) 5.62 .02
No 33.8 (3.5) 46.0 (3.8)
* Based on a t-test for the significance of the regression coefficient

 

TABLE A-13. Licensed Facility Characteristics by Regulatory Environment: Operator and Staff Training and Characteristics
Operator and Staff Training Characteristics Extensive Limited Log Likelihood Ratio Chi-Square P-Value Value of Test Statistic
% (SE) % (SE)
OPERATOR EDUCATION LEVEL
HS Dip 12.8 (2.4) 22.6 (4.0) 15.25 .01
HS Grad 16.2 (2.5) 22.0 (3.6)
Some Post HS 38.2 (3.6) 33.9 (4.7)
4 Yr. College Grad 20.4 (2.5) 8.9 (2.0)
Post Grad 12.4 (2.7) 12.6 (3.5)
WHO IS IN HOME FOR OPERATOR RESPITE
Paid Staff 84.9 (3.2) 69.9 (5.1) 7.21 .03
Friends/Fam 13.3 (3.1) 29.2 (5.2)
None 1.8 (1.0) .9 (.9)
OPERATOR PRIOR EXP. WORK IN HEALTH CARE
Yes 76.9 (3.4) 59.3 (4.8) 8.94 >.01
No 23.1 (4.4) 40.8 (4.8)
Years as Operator/Supervisor (Average per home) 7.3 (.6) 7.3 (.5) NA .97*
TRAINED BEFORE BECOMING OPERATOR
Yes 70.4 (3.8) 56.9 (4.0) 5.84 .02
No 29.6 (3.8) 43.1 (4.0)
HOURS OF TRAINING PROVIDED TO CARE STAFF
None 15.9 (3.3) 36.3 (5.6) 22.63 >.01
1-16 28.7 (4.1) 29.5 (4.8)
17-40 42.3 (3.6) 17.9 (3.4)
>40 13.2 (2.5) 16.3 (4.1)
Residents/Direct Care Staff Person (Average per home) 3.4 (.2) 3.2 (.24) NA .60*
* Based on a t-test for the significance of the regression coefficient

 

TABLE A-14. Licensed Facility Characteristics by Regulatory Environment: Regulatory Issues
Regulatory Issues Extensive Limited Log Likelihood Ratio Chi-Square P-Value Value of Test Statistic
% (SE) % (SE)
MORE THAN 1 INSPECTOR VISITED HOME IN THE LAST 12 MONTHS
Yes 56.4 (3.5) 77.5 (2.4) 12.0 .01
No 43.6 (3.5) 22.5 (2.4)
# Visits by Inspector in Last 12 Months (Average) 3.7 (.6) 4.7 (.8) NA .34
CORRECTIVE ACTION AGAINST HOME LAST 12 MONTHS
Yes 22.0 (3.1) 10.1 (1.7) 12.46 >.01
No 78.0 (3.1) 89.9 (1.7)
* Based on a t-test for the significance of the regression coefficient

 

TABLE A-15. Licensed Facility Characteristics by Regulatory Environment: Services Provided by the Home
Home Provided Services Extensive Limited Log Likelihood Ratio Chi-Square P-Value Value of Test Statistic
% (SE) % (SE)
RESPONSIBLE PERSON IN BLDG
Yes 99.4 (.5) 97.8 (1.9) 1.34 .35
No .57 (.5) 2.23 (1.9)
PERSONAL CARE/ASSISTANCE
Yes 93.4 (1.7) 87.1 (3.2) 3.6 .06
No 6.6 (1.7) 12.9 (3.2)
MEDICATION STORAGE
Yes 99.2 (0.4) 98.1 (1.2) 0.9 .35
No 0.8 (0.4) 1.9 (1.2)
REMINDERS TO TAKE MEDICATION
Yes 79.3 (3.9) 89.8 (2.6) 5.1 .03
No 20.7 (3.9) 10.2 (2.6)
ORGANIZED ACTIVITIES
Yes 89.9 (2.3) 80.4 (3.5) 5.4 .02
No 10.1 (2.3) 19.6 (3.5)
RECREATIONAL TRIPS
Yes 80.0 (3.1) 78.7 (3.5) 0.1 .77
No 20.0 (3.1) 21.3 (3.5)
TRANSPORTATION
Yes 88.4 (2.4) 90.7 (2.5) 0.5 .49
No 11.6 (2.4) 9.3 (2.5)
NURSING CARE
Yes 24.3 (3.5) 26.8 (3.3) 0.3 .60
No 75.7 (3.5) 73.2 (3.3)
THERAPY
Yes 15.7 (2.8) 19.4 (3.6) 0.7 .41
No 84.3 (2.8) 80.6 (3.6)
MONEY MANAGEMENT
Yes 31.4 (4.4) 63.9 (3.9) 26.5 .01
No 68.6 (4.4) 36.1 (3.9)
# Health Services (Average per home) 2.2 (.1) 2.3 (.1) NA .12
# Social Services Provided by Home (Average per home) 3.8 (.1) 4.0 (.1) NA .15
* Based on a t-test for the significance of the regression coefficient

 

TABLE A-16. Licensed Facility Characteristics by Regulatory Environment: Outside Provided Services Arranged
Arrange for OutsideProvided Services Extensive Limited Log Likelihood Ratio Chi-Square P-Value Value of Test Statistic
% (SE) % (SE)
HOME HAS FORMAL ARRANGEMENT FOR TEMPORARY NURSING
Yes 17.0 (3.4) 22.0 (3.4) 1.1 .30
No 83.0 (3.4) 78.0 (3.4)
HOME HAS FORMAL ARRANGEMENT FOR LONG TERM NURSING
Yes 11.8 (2.7) 19.3 (3.5) 2.9 .09
No 88.2 (2.7) 80.7 (3.5)
PERSONAL CARE/ASSISTANCE
Yes 25.4 (2.9) 22.6 (3.9) 0.3 .57
No 74.6 (2.9) 77.4 (3.9)
SR. CTR/ADULT DAY CARE
Yes 33.6 (4.2) 35.6 (3.8) 0.1 .73
No 66.4 (4.2) 64.4 (3.8)
TRANSPORTATION
Yes 55.2 (5.0) 54.4 (4.2) 0.0 .90
No 44.8 (5.0) 45.6 (4.2)
NURSING CARE
Yes 55.3 (3.6) 45.8 (4.4) 2.8 .10
No 44.7 (3.6) 54.2 (4.4)
THERAPY
Yes 41.7 (4.5) 35.4 (3.8) 1.2 .29
No 58.3 (4.5) 64.6 (3.8)
CASE MANAGEMENT
Yes 43.8 (4.3) 47.4 (4.9) 0.3 .58
No 56.2 (4.3) 52.6 (4.9)
SHELTER WRKSHP/DAY ACTIVITIES
Yes 28.4 (3.8) 43.0 (3.8) 7.1 .01
No 71.6 (3.8) 57.0 (3.8)
# Health Services Provided by Others (Average per home) 1.0 (.1) .8 (.1) NA .09
# Social Services Provided by Others (Average per home) 1.9 (.1) 2.0 (.1) NA .36
* Based on a t-test for the significance of the regression coefficient

 

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