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Updated: Jun 2, 2026

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

Published on: September 30, 2020

Nursing home safety: does financial performance matter?

Reid M Oetjen¹, Mei Zhao, Darren Liu

¹Health Services Administration Undergraduate Program, University of Central Florida, Orlando, Florida, USA.

Journal of Health Care Finance

|May 3, 2011

Summary

This summary is machine-generated.

Nursing homes with poor financial performance often have lower resident safety. However, the best safety outcomes were found in facilities with the next-to-lowest financial performance, not the highest.

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Last Updated: Jun 2, 2026

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

Published on: September 30, 2020

Area of Science:

Healthcare Management
Gerontology
Public Health

Background:

Financial performance is a critical aspect of nursing home operations.
Assessing the link between financial health and resident safety is essential for quality care.
Previous research has explored this relationship with varying outcomes.

Purpose of the Study:

To investigate the correlation between nursing home financial performance and resident safety indicators in Florida.
To identify specific financial performance levels associated with better or worse safety outcomes.
To analyze the relationship between financial data and frequently cited deficiencies.

Main Methods:

Descriptive analysis of 1,197 nursing homes in Florida.
Utilized Online Survey, Certification and Reporting (OSCAR) data (2003-2005) for safety information.
Employed Medicare cost reports (2002-2004) for financial performance measures.

Main Results:

Facilities in the lowest financial performance quartile demonstrated poorer resident safety.
Nursing homes in the top two financial categories showed increased deficiencies.
The next-to-lowest financial performance quartile exhibited the best performance on most safety measures.

Conclusions:

Monitoring nursing home quality and resident safety is crucial, particularly for financially struggling facilities.
Financial performance has a complex, non-linear relationship with nursing home safety outcomes.
Findings highlight the need for targeted interventions and oversight in the nursing home sector.