ArticleJournal of health economics2022
Nursing home quality, COVID-19 deaths, and excess mortality.
Article in Journal of health economics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
47 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Timing of Goals of Care Discussions in Nursing Homes: A Systematic Review.Journal of the American Medical Directors Association · 2023Pooled it
- Implementation of COVID-19 infection control best practices in nursing homes amid the pandemic.BMC health services research · 2024Trial
- Factors Associated With Mortality in Appalachian Nursing Homes During the COVID-19 Pandemic.The Permanente journal · 2026Article
- Ownership change in American nursing homes during the COVID-19 pandemic and the relationship with measures in Donabedian's model of care quality.The Gerontologist · 2026Article
- Exposure to Quaternary Ammonium Compounds (QACs) in Assisted Living Facilities: Implications for Older Adults.Environmental science & technology · 2026Article
- Demystifying Quality Metrics and Unveiling the True Measure of Quality of Care in Nursing Homes: Mixed Effects Analysis.JMIR human factors · 2026Article
- A Cross-Sectional Descriptive Study Using Health Administrative Data to Examine the Characteristics of Older Adults Incurring Delayed Discharge Days for Non-Clinical Reasons During the COVID-19 Pandemic in Alberta, Canada.Canadian geriatrics journal : CGJ · 2025Article
- Nursing home visitor policy and COVID-19 infection rates.American journal of infection control · 2025Article
- Identifying indicators of "success" in managing the COVID-19 pandemic in Europe: insights from an interdisciplinary expert consultation.Archives of public health = Archives belges de sante publique · 2025Article
- Impact of a Collaboration-Focused Intervention to Prevent Healthcare-Associated Infections Before and During the COVID-19 Pandemic.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025Article
- Addressing Staffing Shortages in Nursing Homes: Does Relaxing Training and Licensing Requirements Increase Nurse Aide Staffing?Health services research · 2025Article
- Adaptive immune responses against common viruses are sustained and functional in end-of-life patients.iScience · 2025Article
- Measures to Prevent and Control COVID-19 in Skilled Nursing Facilities: A Scoping Review.JAMA health forum · 2025Article
- Shifts in COVID-19 mortality throughout pandemic: a five-year analysis of healthcare responses.Einstein (Sao Paulo, Brazil) · 2025Article
- Engaging Essential Patient Support Personnel in Research as Patient Partners: A Survey Study.Risk management and healthcare policy · 2025Article
- Association between strategies to prevent COVID-19 infection in long-term care facilities and mortality: the PIANO-COVID-19 study, a French multicentre cohort study.BMJ public health · 2025Article
- Place-Based Disparities Among Nursing Homes During the COVID-19 Pandemic: A Systematic Literature Review.Health equity · 2025Review
- Management of a COVID-19 outbreak using a multidisciplinary approach and infection prevention control practices at a community living center in Veterans Administration Hospital, North Texas.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2025Article
- All-cause nursing home mortality rates have remained above pre-pandemic levels after accounting for decline in occupancy.Health affairs scholar · 2024Article
- Model-based estimates of age-structured SARS-CoV-2 epidemiology in households.BMC public health · 2024Article
Corrections and comments
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Authors and funding
2 authors.
Funding
Abstract
The COVID-19 pandemic in the US has been particularly devastating for nursing home residents. A key question is how have some nursing homes been able to effectively protect their residents, while others have not? Using data on the universe of US nursing homes, we examine whether establishment quality is predictive of COVID-19 mortality. Higher-quality nursing homes, as measured by CMS overall five-star rating, have substantially lower COVID-19 mortality through September of 2020. Quality does not predict the ability to prevent any COVID-19 resident or staff cases, but higher-quality establishments prevent the spread of resident infections conditional on having one. Preventing COVID-19 cases and deaths may come at some cost, as high-quality homes have substantially higher non-COVID deaths. The positive correlation between establishment quality and non-COVID mortality is strong enough that high-quality homes also have more total deaths than their low-quality counterparts and this relationship has grown with time. As of late April 2021, five-star homes have experienced 8.4 percent more total deaths than one-star homes.
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