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. 2013 Jul-Aug;38(4):167-77.
doi: 10.1002/rnj.94. Epub 2013 May 17.

Impact of voluntary accreditation on short-stay rehabilitative measures in U.S. nursing homes

Laura M Wagner  1 , Shawna M McDonald, Nicholas G Castle
Affiliations

Impact of voluntary accreditation on short-stay rehabilitative measures in U.S. nursing homes

Laura M Wagner et al. Rehabil Nurs. 2013 Jul-Aug.

Abstract

Purpose: To examine accreditation from nursing homes accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF) and whether this is associated with improved rehabilitation care.

Design: Cross-sectional association of CARF accreditation and quality.

Methods: Comparison of the short-stay quality measures (influenza and pneumococcal vaccination; pain; delirium; pressures sores; five-star quality and health inspection scores) between the sample of 246 CARF-accredited homes compared with the 15,393 nursing homes in the 2010 On-Line Survey Certification of Automated Records (OSCAR).

Findings: CARF-accredited nursing homes demonstrate better quality with regard to the short-stay quality measures.

Conclusions: Approaches beyond traditional regulation and governmental inspections are necessary to improve the quality of care in nursing homes.

Clinical relevance: During a patient's rehabilitation stay, minimizing iatrogenic complications is paramount. Given the findings of this study, it is unfortunate that very few nursing homes are CARF accredited.

Keywords: Quality measures; accreditation; nursing home care; rehabilitation nursing.

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