ArticleHealth services research2021
Connecting policy to licensed assisted living communities, introducing health services regulatory analysis.
Article in Health services research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.
- Governance of Assisted Living in Long-Term Care: A Systematic Literature Review.International journal of environmental research and public health · 2021Pooled it
- Employee background-check policies in long-term care facilities in the United States.The Gerontologist · 2026Article
- How do US states define person-centered and family-involved care in assisted living regulations.Frontiers in dementia · 2026Article
- Trends in Private Equity Acquisitions of Assisted Living Facilities.JAMA network open · 2025Article
- Do end-of-life outcomes differ by assisted living memory-care designation?Journal of the American Geriatrics Society · 2024Article
- Changes in Nursing Staff Levels and Injury-Related Emergency Department Visits among Assisted Living Residents with Alzheimers Disease and Related Dementias.Journal of the American Medical Directors Association · 2024Article
- Admission and Discharge Practices Among Assisted Living Communities: The Role of State Regulations and Organizational Characteristics.The Gerontologist · 2024Article
- A National Typology of Health Service Regulation in Assisted Living.The Gerontologist · 2024Article
- State Regulations and Assisted Living Residents' Potentially Burdensome Transitions at the End of Life.Journal of palliative medicine · 2023Article
- Pathways into Assisted Living Communities: Admission Limitations and Assessment Requirements Across the United States.Journal of the American Medical Directors Association · 2023Article
- State Variation in Antipsychotic Use Among Assisted Living Residents With Dementia.Journal of the American Medical Directors Association · 2023Observational
- Using Medicare Enrollment Data to Identify Beneficiaries in Assisted Living.Journal of the American Medical Directors Association · 2023Article
- Injury-related emergency department use among assisted living residents with Alzheimer's disease and related dementias.Journal of the American Geriatrics Society · 2023Article
- Association Between State Regulations Supportive of Third-party Services and Likelihood of Assisted Living Residents in the US Dying in Place.JAMA health forum · 2022Article
- Excess Mortality Among Assisted Living Residents With Dementia During the COVID-19 Pandemic.Journal of the American Medical Directors Association · 2022Article
- Promoting Quality of Life and Safety in Assisted Living: A Survey of State Monitoring and Enforcement Agents.Medical care research and review : MCRR · 2022Article
- Recommendations for Medical and Mental Health Care in Assisted Living Based on an Expert Delphi Consensus Panel: A Consensus Statement.JAMA network open · 2022Article
- The Imperative to Reimagine Assisted Living.Journal of the American Medical Directors Association · 2022Article
- The Relationship Between States' Staffing Regulations And Hospitalizations Of Assisted Living Residents.Health affairs (Project Hope) · 2021Article
- Connecting policy to licensed assisted living communities, introducing health services regulatory analysis.Health services research · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 4 institutions in 1 country.
Funding
Abstract
objectiveTo document dementia-relevant state assisted living regulations and their changes over time as they pertain to licensed care settings. DATA SOURCES: For all states, current directories of licensed assisted living communities and state regulations for each year, 2007-2018, were obtained from state agency websites and Nexis Uni, respectively. STUDY
designWe identified multiple types of regulatory classifications for each state and documented the presence or absence of specific dementia care provisions in the regulations for each type by study year. Maps and summary statistics were used to compare results to previous research and document change longitudinally. DATA COLLECTION/EXTRACTION
methodsWe used a policy analysis approach to connect communities listed in directories to applicable regulatory text. Then, we employed policy surveillance and question-based coding to record the presence or absence of specific policies for each classification and study year. PRINCIPAL
findingsOur team empirically documented provisions requiring dementia-specific training for administrators and direct care staff, and cognitive impairment screening for each study year. We found that 23 states added one or more of these requirements for one or more license types, but the states that had these provisions for all types of licensed assisted living declined from four to two.
conclusionsWe identified significant, previously undocumented, within-state policy variation for assisted living licensed settings between 2007 and 2018. Using the regulatory classification instead of the state as the unit of analysis revealed that many policy adoptions were limited to dementia-designated settings. This suggests that people living with dementia in general assisted living are not afforded the same protections. We call our approach health services regulatory analysis and argue that it has the potential to identify gaps in existing policies, an important endeavor for health services research in assisted living and other care settings.
Indexed as
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What OpenQuestion holds
Registered trials
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.