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Complaints in for-profit, non-profit and public nursing homes in two Canadian provinces.

McGregor MJ, Cohen M, Stocks-Rankin CR, Cox MB, Salomons K, McGrail KM, Spencer C, Ronald LA, Schulzer M - Open Med (2011)

Bottom Line: In Fraser Health, the adjusted incident rate ratio of substantiated complaints in non-profit facilities compared with for-profit facilities was 0.18 (0.07-0.45).Compared with for-profit chain facilities, non-profit, charitable and public facilities had significantly lower rates of complaints in Ontario.Likewise, in British Columbia's Fraser Health region, non-profit owned facilities had significantly lower rates of complaints compared with for-profit owned facilities.

View Article: PubMed Central - PubMed

Affiliation: Department of Family Practice, University of British Columbia, Room 713, 828 West 10th Avenue,Vancouver, BC V5Z 1L8, Canada. mrgret@mail.ubc.ca

ABSTRACT

Background: Nursing homes provide long-term housing, support and nursing care to frail elders who are no longer able to function independently. Although studies conducted in the United States have demonstrated an association between for-profit ownership and inferior quality, relatively few Canadian studies have made performance comparisons with reference to type of ownership. Complaints are one proxy measure of performance in the nursing home setting. Our study goal was to determine whether there is an association between facility ownership and the frequency of nursing home complaints.

Methods: We analyzed publicly available data on complaints, regulatory measures, facility ownership and size for 604 facilities in Ontario over 1 year (2007/08) and 62 facilities in British Columbia (Fraser Health region) over 4 years (2004-2008). All analyses were carried out at the facility level. Negative binomial regression analysis was used to assess the association between type of facility ownership and frequency of complaints.

Results: The mean (standard deviation) number of verified/substantiated complaints per 100 beds per year in Ontario and Fraser Health was 0.45 (1.10) and 0.78 (1.63) respectively. Most complaints related to resident care. Complaints were more frequent in facilities with more citations, i.e., violations of the legislation or regulations governing a home, (Ontario) and inspection violations (Fraser Health). Compared with Ontario's for-profit chain facilities, adjusted incident rate ratios and 95% confidence intervals of verified complaints were 0.56 (0.27-1.16), 0.58 (0.34-1.00), 0.43 (0.21- 0.88), and 0.50 (0.30- 0.84) for for-profit single-site, non-profit, charitable, and public facilities respectively. In Fraser Health, the adjusted incident rate ratio of substantiated complaints in non-profit facilities compared with for-profit facilities was 0.18 (0.07-0.45).

Interpretation: Compared with for-profit chain facilities, non-profit, charitable and public facilities had significantly lower rates of complaints in Ontario. Likewise, in British Columbia's Fraser Health region, non-profit owned facilities had significantly lower rates of complaints compared with for-profit owned facilities.

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Number and type of verified complaints in Ontario, 2007/08
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table2: Number and type of verified complaints in Ontario, 2007/08

Mentions: There were a total of 604 facilities in Ontario and 299 verified complaints in 2007/08. Twenty-five percent of the facilities accounted for all complaints, and almost three-quarters of facilities had no complaints (Table 1). The most frequent complaint category was resident care (n = 156, 52.2%), followed by facility organization and/or administration (n = 44, 14.7%) (Table 2). Just over 1 in 10 complaints related to the facility environment (n = 34, 11.4%) and fewer than 1 in 10 (n = 22, 7.4%) were complaints about the food (Table 2). A small number related to abuse (n = 6, 2.0%). A mean of 0.45 (standard deviation [SD] 1.10) verified complaints were received per 100 beds per year in Ontario (data not shown).


Complaints in for-profit, non-profit and public nursing homes in two Canadian provinces.

McGregor MJ, Cohen M, Stocks-Rankin CR, Cox MB, Salomons K, McGrail KM, Spencer C, Ronald LA, Schulzer M - Open Med (2011)

Number and type of verified complaints in Ontario, 2007/08
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3345377&req=5

table2: Number and type of verified complaints in Ontario, 2007/08
Mentions: There were a total of 604 facilities in Ontario and 299 verified complaints in 2007/08. Twenty-five percent of the facilities accounted for all complaints, and almost three-quarters of facilities had no complaints (Table 1). The most frequent complaint category was resident care (n = 156, 52.2%), followed by facility organization and/or administration (n = 44, 14.7%) (Table 2). Just over 1 in 10 complaints related to the facility environment (n = 34, 11.4%) and fewer than 1 in 10 (n = 22, 7.4%) were complaints about the food (Table 2). A small number related to abuse (n = 6, 2.0%). A mean of 0.45 (standard deviation [SD] 1.10) verified complaints were received per 100 beds per year in Ontario (data not shown).

Bottom Line: In Fraser Health, the adjusted incident rate ratio of substantiated complaints in non-profit facilities compared with for-profit facilities was 0.18 (0.07-0.45).Compared with for-profit chain facilities, non-profit, charitable and public facilities had significantly lower rates of complaints in Ontario.Likewise, in British Columbia's Fraser Health region, non-profit owned facilities had significantly lower rates of complaints compared with for-profit owned facilities.

View Article: PubMed Central - PubMed

Affiliation: Department of Family Practice, University of British Columbia, Room 713, 828 West 10th Avenue,Vancouver, BC V5Z 1L8, Canada. mrgret@mail.ubc.ca

ABSTRACT

Background: Nursing homes provide long-term housing, support and nursing care to frail elders who are no longer able to function independently. Although studies conducted in the United States have demonstrated an association between for-profit ownership and inferior quality, relatively few Canadian studies have made performance comparisons with reference to type of ownership. Complaints are one proxy measure of performance in the nursing home setting. Our study goal was to determine whether there is an association between facility ownership and the frequency of nursing home complaints.

Methods: We analyzed publicly available data on complaints, regulatory measures, facility ownership and size for 604 facilities in Ontario over 1 year (2007/08) and 62 facilities in British Columbia (Fraser Health region) over 4 years (2004-2008). All analyses were carried out at the facility level. Negative binomial regression analysis was used to assess the association between type of facility ownership and frequency of complaints.

Results: The mean (standard deviation) number of verified/substantiated complaints per 100 beds per year in Ontario and Fraser Health was 0.45 (1.10) and 0.78 (1.63) respectively. Most complaints related to resident care. Complaints were more frequent in facilities with more citations, i.e., violations of the legislation or regulations governing a home, (Ontario) and inspection violations (Fraser Health). Compared with Ontario's for-profit chain facilities, adjusted incident rate ratios and 95% confidence intervals of verified complaints were 0.56 (0.27-1.16), 0.58 (0.34-1.00), 0.43 (0.21- 0.88), and 0.50 (0.30- 0.84) for for-profit single-site, non-profit, charitable, and public facilities respectively. In Fraser Health, the adjusted incident rate ratio of substantiated complaints in non-profit facilities compared with for-profit facilities was 0.18 (0.07-0.45).

Interpretation: Compared with for-profit chain facilities, non-profit, charitable and public facilities had significantly lower rates of complaints in Ontario. Likewise, in British Columbia's Fraser Health region, non-profit owned facilities had significantly lower rates of complaints compared with for-profit owned facilities.

Show MeSH
Related in: MedlinePlus