Nursing Home Organizational Factors Measurement Model

Nursing home (NH) organizational characteristics such as nurse staffing, profit status, and community size are important contributors to the quality of care. These organizational characteristics are linked to resident outcomes such as the prevalence of pressure injuries, rehospitalization, morbidity, and mortality. Guided by Campbell’s Systems Based Model for Assessing Care, this study tested a comprehensive measurement model of NH organizational factors. The hypothesized measurement model specified two latent factors: Operational (profit status, size, percent Medicaid) and Care Delivery (minutes per resident per day RN, LPN, CNA).