Nursing Homes

139 Results

number of items to display at a time

Research

Feb 17, 2025

Sociodemographic Disparities in the Use of Hospice by U.S. Nursing Home Residents: A Systematic Review

We conducted a review of English-language, peer-reviewed articles 2008 to 2023 describing variation in NH hospice use to characterize disparities and inform educational and quality initiatives to improve End-of-Life care in NHs.
Research

Oct 17, 2024

A Pragmatic Approach to Identifying Goal-Concordant Care for Nursing Home Residents With Alzheimer's Disease or Related Dementias

We developed an innovative, pragmatic approach to identify goal-concordant care among nursing home (NH) residents with ADRD using existing EHR data from one large NH chain for future use in pragmatic trials.
Research

Oct 8, 2024

Improving the Identification of and Responses to Victims of Elder Mistreatment

Results of a workshop conducted by RAND and RTI International indicate that the greatest need in the area of elder mistreatment is research to support evidence-based, culturally appropriate approaches and widespread adoption of effective programs.
Research

Sep 11, 2024

Nursing Home Certificate of Need Moratoria During the COVID-19 Pandemic Had Little Impact on Access

During COVID-19, several states paused Certificate of Need laws to increase health care supply. This study found little evidence that these laws led to more nursing home beds, suggesting CON deregulation was ineffective in addressing supply issues.
Research

Jun 27, 2024

Differences in Care Provided in Urban and Rural Nursing Homes in the United States: Literature Review

Limited evidence supported that rural nursing homes (NHs), compared to urban NHs, provided sparse mental health support and limited access to hospice care after controlling for facility and resident characteristics.
Research

Sep 18, 2023

Changes Over Time in POLST Use and Content by Race and Ethnicity Among California Nursing Home Residents

Racial and ethnic differences in POLST intensity of care orders increased between 2011 and 2016 suggesting that efforts to mitigate factors underlying differences were ineffective.
Research

Aug 28, 2023

Relationship of POLST to Hospitalization and ICU Care Among Nursing Home Residents in California

This paper links Physician Orders for Life Sustaining Treatment (POLST) document status with actual intensity of care for nursing home residents in California.
Research

Jul 26, 2023

Using Pulse Oximeters in Care Homes for Residents with COVID-19 and Other Conditions: A Rapid Mixed-Methods Evaluation

Through a rapid mixed-methods evaluation of care homes in England, this article explores whether use of pulse oximeters in care homes during the COVID-19 pandemic was beneficial to care home staff and residents.
Research

Jul 11, 2023

Changes in Nursing Home Use Following Medicaid-Supported Expanded Access to Home- and Community-Based Services for Older Adults With Dementia

New York State's Medicaid managed long-term care (MLTC) program expanded access to home- and community-based services. This cohort study evaluated changes in nursing home use among older adults with dementia following MLTC implementation.
Expert Insights

Jun 26, 2023

Home and Community-Based Services: Veterans' Issues in Focus

As VA expands its home and community-based services for aging veterans and those living with disabilities, it is important to ensure that these services meet the needs of veterans and caregivers and are available to all veterans who would benefit.
Research

Apr 11, 2023

Does Integration of Palliative Care and Infection Management Reduce Hospital Transfers Among Nursing Home Residents?

We evaluated integration of palliative care and infection management (i.e. merging the goals of palliative care and infection management at end of life) in nursing homes and its association with hospital transfers for residents with advanced illness.
Research Summary

Nov 9, 2022

Infection Control in Long-Term Care: Decisionmaking Lessons from the COVID-19 Pandemic

The COVID-19 pandemic highlighted a need to transform the decisionmaking culture in long-term care to make it more inclusive of residents, staff, and others who are affected by infection-control policies in these facilities.

Nursing Homes

Nursing Homes

Explore RAND’s Work on this Topic

Error

Sociodemographic Disparities in the Use of Hospice by U.S. Nursing Home Residents: A Systematic Review

A Pragmatic Approach to Identifying Goal-Concordant Care for Nursing Home Residents With Alzheimer's Disease or Related Dementias

Improving the Identification of and Responses to Victims of Elder Mistreatment

Nursing Home Certificate of Need Moratoria During the COVID-19 Pandemic Had Little Impact on Access

Differences in Care Provided in Urban and Rural Nursing Homes in the United States: Literature Review

Changes Over Time in POLST Use and Content by Race and Ethnicity Among California Nursing Home Residents

Relationship of POLST to Hospitalization and ICU Care Among Nursing Home Residents in California

Using Pulse Oximeters in Care Homes for Residents with COVID-19 and Other Conditions: A Rapid Mixed-Methods Evaluation

Changes in Nursing Home Use Following Medicaid-Supported Expanded Access to Home- and Community-Based Services for Older Adults With Dementia

Home and Community-Based Services: Veterans' Issues in Focus

Does Integration of Palliative Care and Infection Management Reduce Hospital Transfers Among Nursing Home Residents?

Infection Control in Long-Term Care: Decisionmaking Lessons from the COVID-19 Pandemic

Oops! An unexpected error has occurred.

RAND Headquarters

Federally Funded Research Divisions

Social and Economic Policy Divisions

International

Nursing Homes

Nursing Homes

Explore RAND’s Work on this Topic

Error

Sociodemographic Disparities in the Use of Hospice by U.S. Nursing Home Residents: A Systematic Review

A Pragmatic Approach to Identifying Goal-Concordant Care for Nursing Home Residents With Alzheimer's Disease or Related Dementias

Improving the Identification of and Responses to Victims of Elder Mistreatment

Nursing Home Certificate of Need Moratoria During the COVID-19 Pandemic Had Little Impact on Access

Differences in Care Provided in Urban and Rural Nursing Homes in the United States: Literature Review

Changes Over Time in POLST Use and Content by Race and Ethnicity Among California Nursing Home Residents

Relationship of POLST to Hospitalization and ICU Care Among Nursing Home Residents in California

Using Pulse Oximeters in Care Homes for Residents with COVID-19 and Other Conditions: A Rapid Mixed-Methods Evaluation

Changes in Nursing Home Use Following Medicaid-Supported Expanded Access to Home- and Community-Based Services for Older Adults With Dementia

Home and Community-Based Services: Veterans' Issues in Focus

Does Integration of Palliative Care and Infection Management Reduce Hospital Transfers Among Nursing Home Residents?

Infection Control in Long-Term Care: Decisionmaking Lessons from the COVID-19 Pandemic

Oops! An unexpected error has occurred.