Evidence map›Paper›PMID 31260368›Full record

ArticleHealth affairs (Project Hope)2019

Daily Nursing Home Staffing Levels Highly Variable, Often Below CMS Expectations.

Fangli Geng, David G Stevenson, David C Grabowski

Erratum issuedAbstract read
PubMed Publisher
In one paragraph

Article in Health affairs (Project Hope), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 69 papers.

0numbers the graph read from it
0cells of the map it votes in
69citing papers in PubMed
33.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

69 citing papers in PubMed, 164 citations in OpenAlex.

  1. Trial
  2. Evaluating Differences in Disaster-Related Staffing for Nursing Homes by Ownership Status.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026
    Article
  3. Article
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  6. Article
  7. Article
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  9. Article
  10. Article
  11. Article
  12. Article
  13. Association of Racial and Ethnic Composition with Staff Levels in Nursing Homes: 2013-2019.Journal of the American Medical Directors Association · 2025
    Article
  14. Review
  15. Article
  16. Article
  17. Empowering a person-centered long-term care workforce.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024
    Article
  18. Article
  19. Article
  20. Article

9 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors at 3 institutions in 1 country.

Fangli GengFangli Geng ( fgeng@g.harvard.edu ) is a student in the PhD Program in Health Policy, Harvard University Graduate School of Arts and Sciences, in Cambridge, Massachusetts.
David G StevensonDavid G. Stevenson is a professor in the Department of Health Policy, Vanderbilt University School of Medicine, in Nashville, Tennessee. He is also affiliated with the Geriatric Research, Education and Clinical Center (GRECC) Service, Veterans Affairs Medical Center, Tennessee Valley Healthcare System, in Nashville.
David C GrabowskiDavid C. Grabowski is a professor in the Department of Health Care Policy, Harvard Medical School, in Boston, Massachusetts.
Harvard University · USHarvard University Press · USVA Tennessee Valley Healthcare System · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Staffing is an important quality measure that is included on the federal Nursing Home Compare website. New payroll-based data reveal large daily staffing fluctuations, low weekend staffing, and daily staffing levels often below the expectations of the Centers for Medicare and Medicaid Services (CMS). These data provide a more accurate and complete staffing picture for CMS and consumers.

Indexed as

Centers for Medicare and Medicaid Services, U.S.HumansNursing HomesNursing StaffPersonnel Staffing and SchedulingQuality Indicators, Health CareUnited StateselderlyHealth Care ProvidersNurse staffingNursing Home FacilitiesOrganization and Delivery of CareQuality of care

Identifiers

PMID31260368
OpenAlexW2956027529

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.