Nicholas G. Castle
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View article: Which Nursing Homes Received Paycheck Protection Program Funding?
Which Nursing Homes Received Paycheck Protection Program Funding? Open
Background Nearly 90% of nursing homes in the US experienced severe staffing shortages during COVID‐19, which disproportionately affected over 50% of nursing home residents living with Alzheimer’s Disease and Related Dementia (ADRD). One m…
PUBLISHING ON A GLOBAL SCALE IN GERONTOLOGY: A VIEW FROM THE EDITORS’ DESKS Open
Global aging has proceeded at an unprecedented and accelerating rate. The aging of the population creates both opportunities and challenges for older adults, their families, and society. Importantly, there is substantial variation in the e…
Paying a Heavy Price: Costs of Care for People With Severe Obesity in Nursing Homes Open
Background and Objectives The prevalence of resident obesity in nursing homes has increased dramatically from 22% to 28% between 2005 and 2015. To provide care for people with obesity, nursing homes have changed their admissions, staffing,…
Environmental and structural factors driving poor quality of care: An examination of nursing homes serving Black residents Open
Background Poor quality of care in nursing homes (NHs) with high proportions of Black residents has been a problem in the US and even more pronounced during the COVID‐19 pandemic. Federal and state agencies are devoting attention to identi…
Nursing Home Satisfaction Surveys: Differences by Race, Age, and Gender Open
Nursing home satisfaction information has gained substantial traction as a quality indicator representing the consumers perspective. However, very little research has examined differences in satisfaction related to race, age and gender. As…
Women with Obesity Are More Likely to Have Long-Term Indwelling Bladder Catheterization in U.S. Nursing Homes Open
Reducing indwelling catheters and increasing clean intermittent catheterization is a key element of effective infection control and maintaining functional independence in nursing homes. Nursing care is often more difficult as obesity incre…
Qualitative Assessment of Resident Obesity in Nursing Homes by Medical Providers Open
We present qualitative themes from an ongoing five-year AHRQ-funded project (R01HS026943) examining the various ways nursing homes provide care for residents with obesity to determine the most effective way to prevent adverse safety events…
The Longitudinal Study of Turnover and the Cost of Turnover in Emergency Medical Services Open
Few studies have examined employee turnover and associated costs in emergency medical services (EMS). The purpose of this study was to quantify the mean annual rate of turnover, total median cost of turnover, and median cost per terminatio…
Effective Care Practices in Patients Receiving Prolonged Mechanical Ventilation. An Ethnographic Study Open
Rationale: Patients receiving prolonged mechanical ventilation experience low survival rates and incur high healthcare costs. However, little is known about how to optimally organize and manage their care.Objectives: To identify a set of e…
CONSISTENT ASSIGNMENT: AN UPDATE ON THE QUALITY IMPACT Open
The association of consistent assignment of Nurse Aides (NAs) with nursing home quality indicators is examined. Consistent assignment is defined as the same caregivers consistently caring for the same residents almost (80% of their shifts)…
LACK OF POLICIES, TRAINING, AND SPECIAL CARE UNITS FOR OBESITY CARE IN PENNSYLVANIA NURSING HOMES Open
It is unclear how nursing homes in the U.S. prepare for the specific needs of residents with obesity at a population level in terms of equipment availability, policies, staff training, and special care units. Using a mail survey of Directo…
THE INFLUENCE OF STAFF RETENTION ON NURSING HOME QUALITY Open
The association of retention of Nurse Aides (NAs) with nursing home quality of care is examined. Retention is defined as staff continuously employed in the same facility for a defined period of time. Deficiency citations were used as quali…
USING A UNIVERSAL SATISFACTION SCORE IN LONG-TERM CARE SETTINGS Open
The CoreQ (not an acronym) consists of a limited number of satisfaction items (3-4 items, depending on setting) that are used to create an overall satisfaction score for long-term care facilities. This measure has been used in assisted liv…
Exploring social‐based discrimination among nursing home certified nursing assistants Open
Certified nursing assistants (CNAs) provide the majority of direct care to nursing home residents in the United States and, therefore, are keys to ensuring optimal health outcomes for this frail older adult population. These diverse direct…
Organizational and Geographic Nursing Home Characteristics Associated With Increasing Prevalence of Resident Obesity in the United States Open
Nursing home resident obesity increases the complexity of nursing care, and nursing homes report avoiding residents with obesity when choosing which prospective residents to accept. The objective of this study was to examine the associatio…
RISE IN ASSISTED LIVING LAWSUITS INDICATES THE NEED FOR A CONSUMER-CENTERED MODEL OF CARE Open
Across the United States, 60% of Assisted Living administrators noticed an increase in legal claims; meanwhile nearly 75% noticed an increase in lawsuits and 71% noticed an increase in settlements.This article asks whether or not the rise …
Obesity and Nursing Home Care in the United States: A Systematic Review Open
Although obesity affects about one in four nursing home residents in the United States, relatively limited evidence exists on the complex challenges of obesity for their residents and their care. A continued focus on resident quality of li…
ALCOHOL USE DISORDERS (AUDS) AND MISUSE FOR SENIORS LIVING IN LONG-TERM CARE (LTC) Open
Alcohol use disorders (AUDs) and misuse for seniors living in long-term care (LTC) settings (i.e., assisted living facilities, nursing homes, and senior high-rise communities) will be examined during this session. AUDs among seniors has be…
DEVELOPMENT OF A UNIVERSAL SATISFACTION SCORE FOR LONG-TERM CARE FACILITIES Open
Collecting satisfaction information from long-term care residents is important. We have seen a philosophical change in healthcare that now includes the patient and their preferences, as an integral part of the system of care. However, nume…
Implementation of Electronic Health Records in US Nursing Homes Open
While electronic health records have emerged as promising tools to help improve quality of care, nursing homes have lagged behind in implementation. This study assessed electronic health records implementation, associated facility characte…
Central Nervous System Medication Burden and Serious Falls in Older Nursing Home Residents Open
Objectives To examine the association between CNS medication burden and serious falls in those with a recent fall history. Design Nested‐case control study; cases matched to four controls by age, gender, and date. Setting US nursing homes.…
Antidepressant Use and Recurrent Falls in Community-Dwelling Older Adults Open
Background: Few studies have compared the risk of recurrent falls across various antidepressant agents—using detailed dosage and duration data—among community-dwelling older adults, including those who have a history of a fall/fracture. Ob…