Date of Degree
12-2024
Document Type
Dissertation
Degree Name
Doctor of Business Administration (DBA)
Program
Business Administration
Advisor
Dr. Dawn Liguez
Advisor
Dr. Arthur E. Hernandez
Advisor
Dr. Ernesto Escobedo Jr.
Abstract
Through its comprehensive examination, this quantitative study provides a thorough assessment of the association between nursing home overall quality rating, nursing home ownership structures, RN staffing, and the impact that RN staffing has on long-stay quality measures. This study examined the secondary Minimum Data Set assessments from Texas nursing homes (N=1,062). This data set was obtained from the Centers for Medicare & Medicaid Services Provider (CMS) Information website. The first linear analyses indicated there is no statistically significant association between nursing homes with better organizational structures and overall quality ratings. The second linear analysis indicated that there is a statistically significant association between the overall quality rating of nursing home ownership with the profit incentive and the overall quality rating of government or non-profit-owned nursing homes, and finally, the multivariate response to the third research question found that RN staffing has a statistically significant effect on the success of specific quality measures. These findings, which add to the framework of the literature, may also help policymakers develop and implement Medicaid and Medicare RN staffing regulations to improve the quality of care for a vulnerable population segment.
Recommended Citation
Rawlins, Paget, "Unlocking the Nexus: Ownership Structures, Nursing Staff, and Quality of Care in Nursing Homes - A Quantitative Study" (2024). Theses & Dissertations. 443.
https://athenaeum.uiw.edu/uiw_etds/443