Does the Volume of Post-Acute Care Affect Quality of Life in Nursing Homes?

Kathleen Abrahamson, Tetyana P. Shippee, Carrie Henning-Smith, Valerie Cooke

Research output: Contribution to journalArticlepeer-review

3 Scopus citations


Although short-stay, post-acute nursing home stays are increasing, little is known about the impact of volume of post-acute care on quality of life (QOL) within nursing homes. We analyzed data from the 2010 Minnesota QOL and Consumer Satisfaction survey (N = 13,433 residents within 377 facilities) and federal Minimum Data Set to determine the influence of living in a facility with an above-average proportion of post-acute care residents on six domains of resident QOL. In bivariate analyses, an above-average proportion of Medicare-funded post-acute care had a significant negative influence on four domains (mood, environment, food, engagement) and overall facility QOL. However, when resident and facility covariates were added to the model, only the food domain remained significant. Although the challenges of caring for residents with a diverse set of treatment and caregiving goals may negatively affect overall facility QOL, negative impacts are moderated by individual resident and nursing home characteristics.

Original languageEnglish (US)
Pages (from-to)1272-1286
Number of pages15
JournalJournal of Applied Gerontology
Issue number10
StatePublished - Oct 1 2017

Bibliographical note

Funding Information:
The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: Support for this research was partially provided by the Fesler–Lampert Chair in Aging Studies, University of Minnesota Center on Aging, and a grant from the National Center for Research Resources of the National Institutes of Health to the University of Minnesota Clinical and Translational Science Institute (1KL3RR033182-02) to the second author.

Publisher Copyright:
© 2015 Author(s).


  • nursing home
  • quality of life
  • transitional care


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