Family Satisfaction With Nursing Home Care: Findings and Implications From Two State Comparison

Tetyana P. Shippee, Weiwen Ng, Amy Restorick Roberts, John R. Bowblis

Research output: Contribution to journalArticlepeer-review

7 Scopus citations


Family satisfaction, while recognized as important, is frequently missing from validated measures of long-term care quality. This is the first study to compare family satisfaction across two states using validated measures and to compare the organizational and structural factors associated with higher family satisfaction with nursing home care. Data sources are family satisfaction surveys from Minnesota (MN) and Ohio (OH), linked to facility characteristics from Certification and Survey Provider Enhanced Reports (CASPER) for both states (N = 378 facilities for MN; N = 926 facilities for OH). Activities and food were among lowest rated items in both states. Relationships with staff were the highest rated domain. Higher occupancy rates, smaller facility size, and non-profit ownership consistently predicted better satisfaction in both states. Our findings show consistent organizational factors associated with family satisfaction and provide further evidence to the validity of family satisfaction as a person-centered measure of quality. This lays the foundation for tool development on the national level.

Original languageEnglish (US)
Pages (from-to)385-392
Number of pages8
JournalJournal of Applied Gerontology
Issue number4
StatePublished - Apr 1 2020

Bibliographical note

Funding Information:
We would like to thank Jane Karnes Straker for contributing her expertise regarding the Ohio Family Satisfaction Survey. The author(s) received no financial support for the research, authorship, and/or publication of this article.

Publisher Copyright:
© The Author(s) 2018.


  • family satisfaction
  • measure development
  • nursing home care
  • organizational factors

PubMed: MeSH publication types

  • Journal Article


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