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Professionals' Beliefs About Nursing Home Regulations in Missouri

Washington University in St. Louis, mputnam{at}wustl.edu

Fengyan Tang

University of Pittsburgh

Ashley Brooks-Danso

National Center for Gerontological Social Work Education

Joseph Pickard

University of Missouri-St. Louis

Nancy Morrow-Howell

Washington University in St. Louis

The process of nursing home regulation continues to need improvement to ensure the best possible quality of care. This study uses mixed methods to explore opinions of nursing home professionals and state nursing home regulation inspection team members about the regulation process and ideas for changing it in the State of Missouri. Data come from a survey of nursing home professionals (n = 334) and state regulation inspectors (n =123) conducted in early 2004. Findings show disagreement about who is responsible for facilitating nursing home compliance; nursing home professionals desire state assistance in interpreting and applying regulations, whereas inspectors do not believe this will improve quality of care. Greater focus on resident needs may provide common ground for bridging this divide and developing interventions to ensure regulatory success.

Key Words: nursing home • regulation • inspection • quality of care

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