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Table 2 Frequencies of facility-level characteristics (N = 12,787 resident-quarters) as well as bivariate statistics for all-cause transfer (n = 2290) and potentially avoidable hospitalizations (n = 487)

From: Facility and resident characteristics associated with variation in nursing home transfers: evidence from the OPTIMISTIC demonstration project

 

Overall (N = 12,787)

Payment + Clinical Model Facilities (n = 5555)

All-cause Transfer (n = 2290)

Potentially Avoidable Hospitalization (n = 487)

%

%

%

P

%

P

Payment Only Facility

56.6

–

59.3

0.004

58.7

0.325

Payment + Clinical Model Facility

43.4

100

40.7

 

41.3

 

Staffing Ratio (NHPPD)

 1st Quartile (≤ 3.31)

23.8

16.4

25.8

< 0.001

26.7

0.004

 2nd Quartile (3.32–3.55)

24.3

25.7

24.1

 

23.4

 

 3rd Quartile (3.56–4.15)

24.9

25.8

27.2

 

29.2

 

 4th Quartile (≥ 4.15)

27.1

32.2

22.9

 

20.7

 

Number of Facility Beds

 1st Quartile (≤ 115)

23.9

30.1

26.4

< 0.001

26.1

0.003

 2nd Quartile (116–147)

27.5

31.9

28.8

 

27.5

 

 3rd Quartile (148–169)

23.8

11.2

23.9

 

28.1

 

 4th Quartile (≥ 170)

24.8

26.8

20.9

 

18.3

 

Overall CMS Star Rating

 1 Star

4.5

7.1

8.2

< 0.001

7.0

0.022

 2 Stars

10.4

7.5

12.2

 

12.1

 

 3 Stars

20.7

11.5

20.0

 

17.3

 

 4 Stars

28.5

29.1

26.9

 

28.1

 

 5 Stars

35.9

44.8

32.7

 

35.5

 

Rural-Urban Location

 Urban

72.8

51.8

73.5

0.367

  

 Rural

27.2

48.1

26.5

 

30.4

0.109

For-profit Status

 For-profit Facility

15.7

16.8

17.6

0.004

16.0

0.820

 Not for-profit Facility

84.4

83.3

82.4

   

Multi-facility Ownership

76.3

71.0

78.7

0.002

80.5

0.026

  1. Results are provided for the resident-quarter level. Residents were included in the analyses if they were eligible for at least 1 day of the quarter. Results provide descriptions of the population by the percent of resident-quarter observations for given characteristics and by residents experiencing at least one all-cause transfer or PAH during a given quarter
  2. Abbreviations: NHPPD nursing hours per patient day