Developing a typology of nursing home environments

Howard B. Degenholtz, Michael J. Miller, Rosalie A Kane, Lois J. Cutler, Robert L Kane

Research output: Contribution to journalArticlepeer-review

7 Scopus citations


Nursing homes are complex environments with large numbers of features that may impact resident quality of life. Multivariate analysis of the effects of individual features is difficult because many features are potentially confounded with one another. We used cluster analysis to identify four types of resident room environments and four types of unit/ facility environments. The data were collected using a new environmental assessment instrument in 1,988 resident rooms in 131 units in 40 nursing homes in 5 states. We lay out a series of testable hypotheses about the impact of specific environmental features on resident quality of life as an agenda for future research.

Original languageEnglish (US)
Pages (from-to)5-30
Number of pages26
JournalJournal of Housing for the Elderly
Issue number1-2
StatePublished - 2006

Bibliographical note

Funding Information:
This research was supported by a grant K01AG20516 from the NIA (“Quality of Life of Nursing Home Residents”; PI, Degenholtz) and by a contract from CMS (“Measures, Indicators and Improvement of the Quality of Life in Nursing Homes,” PI R. Kane).


  • Nursing homes
  • Physical environment
  • Quality of life
  • Typology


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