Jacqueline S. Zinn

TL;DR: A proactive policy stance is recommended to mitigate the consequences of quality competition in nursing home care, which may result in driving poor homes out of business and will disproportionately affect nonwhite residents living in poor communities.

TL;DR: Investigating both the organizational and environmental factors associated with an emerging health care service delivery innovation, the provision of specialty care in designated units in nursing care facilities finds results indicate that facilities with fewer Medicare patients are more likely to operate a dedicated Alzheimer's Disease or subacute care unit.

TL;DR: The racial segregation in U.S. nursing homes is described and its relationship to racial disparities in the quality of care is described, with blacks much more likely than whites to be located in nursing homes that have serious deficiencies, lower staffing ratios, and greater financial vulnerability.

TL;DR: Evidence is provided that NFPs provide significantly higher quality of care to Medicaid beneficiaries and to self-pay residents than do FPs, as evidenced by better staffing and better outcomes among nursing homes with residents at higher risk for adverse outcomes.

TL;DR: Factors that distinguish nursing facilities with very high and very low nursing assistant turnover rates from a middle referent group are examined, exploring the possibility that high and low turnover are discrete phenomena with different antecedents.