Publication Date

2024

Document Type

Dissertation/Thesis

First Advisor

Kim, Jinsook

Degree Name

Ph.D. (Doctor of Philosophy)

Legacy Department

School of Health Studies

Abstract

This study examines the influence of admission and discharge policies on the number of resident move-outs from assisted living facilities (ALFs). Using a cross-sectional quantitative design, data from the 2010 National Survey of Residential Care Facilities (NSRCF) were analyzed to explore the relationship between these policies and resident departures. The study controlled for various facility factors, including facility size, occupancy rate, chain ownership, ownership type, years in operation, Medicaid certification, number of resident deaths, number of RNs, LPNs or LVNs, and aides employed by the facility, meal policies, and the percentage of residents aged 85 or older. The significance level was set at α = .01. Ordinal logistic regression revealed that admission policies did not significantly influence the number of resident departures (p > .01). In contrast, discharge policies related to Hoyer lift or two-person transfers (OR = 1.578, p < .01) and those allowing discharge for reasons other than those specified in the discharge policy (OR = 1.602, p < .001) were significantly associated with higher odds of resident departures. Conversely, not discharging residents with moderate to severe cognitive impairment (OR = 0.610, p < .01) was significantly associated with lower odds of resident departures. These findings underscore the importance of tailoring admission and discharge policies to enhance resident stability and minimize the number of departures from facilities.

Extent

132 pages

Language

en

Publisher

Northern Illinois University

Rights Statement

In Copyright

Rights Statement 2

NIU theses are protected by copyright. They may be viewed from Huskie Commons for any purpose, but reproduction or distribution in any format is prohibited without the written permission of the authors.

Media Type

Text

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