ArticleHealth affairs (Project Hope)2021
The Relationship Between States' Staffing Regulations And Hospitalizations Of Assisted Living Residents.
Article in Health affairs (Project Hope), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06239688 (Evaluating a National Person-Centered Training Program to Strengthen the Dementia Care Workforce), which is not on this map. Cited by 17 papers.
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.
Evaluating a National Person-Centered Training Program to Strengthen the Dementia Care Workforce
Who cites it
17 citing papers in PubMed.
- A Mixed-Methods Study of End-of-Life Care in Assisted Living During the COVID-19 Pandemic: National Survey of Administrators and In-Depth Interviews With Bereaved Next of Kin.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026Article
- How do US states define person-centered and family-involved care in assisted living regulations.Frontiers in dementia · 2026Article
- A 10-state investigation of AD/ADRD-capable assisted living regulations using a comprehensive dementia care model.Frontiers in dementia · 2026Article
- Urinary Incontinence Is an Independent Risk Factor for Nursing Home Placement among Assisted Living Residents.Journal of the American Medical Directors Association · 2025Article
- 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
- Do end-of-life outcomes differ by assisted living memory-care designation?Journal of the American Geriatrics Society · 2024Article
- A National Typology of Health Service Regulation in Assisted Living.The Gerontologist · 2024Article
- Home time and state regulations among Medicare beneficiaries in assisted living communities.Journal of the American Geriatrics Society · 2024Article
- Article
- 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
- End-of-Life Care Transitions in Assisted Living: Associations With State Staffing and Training Regulations.Journal of the American Medical Directors Association · 2023Article
- Online Customer Reviews of Assisted Living Communities: Association with Community, County, and State Factors.Journal of the American Medical Directors Association · 2023Observational
- Are online reviews of assisted living communities associated with patient-centered outcomes?Journal of the American Geriatrics Society · 2023Article
- Injury-related emergency department use among assisted living residents with Alzheimer's disease and related dementias.Journal of the American Geriatrics Society · 2023Article
- Psychotropic medication prescribing in assisted living and nursing home residents with dementia after the National Partnership.Journal of the American Geriatrics Society · 2022Article
- Patient Safety Culture in Assisted Living: Staff Perceptions and Association with State Regulations.Journal of the American Medical Directors Association · 2022Article
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.
Funding
Abstract
Assisted living provides housing and long-term care services to more than 811,000 older adults in the United States daily and is regulated by the states. This article describes changes in the specificity of state regulations governing the staffing in assisted living settings (that is, requirements for sufficient staffing or staffing ratios or levels) between 2007 and 2018 and the association between these changes and rates of hospitalization among a national sample of assisted living residents, including a subgroup with dementia. We found that increased regulatory specificity for direct care workers (for example, a change from requiring "sufficient" direct care worker staffing to requiring a specific staffing ratio or level) was associated with a 4 percent reduction in the monthly risk for hospitalization among residents in our sample and a 6 percent reduction among the subgroup with dementia. However, an increase in regulatory specificity for licensed practical nurses was associated with a 2.5 percent increase in the monthly risk for hospitalization and a 5 percent increase among the subgroup with dementia. Given that no federal requirements exist for the number of staff members or composition of staff in assisted living, these findings can inform states' policy decisions about staffing requirements for assisted living settings.
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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.