Regulatory Violations in Nursing Homes: A State-Level Analysis

Brian K. Payne, Old Dominion University
Randy R. Gainey, Old Dominion University

Research on crimes in nursing homes have centered on explaining individual abuses committed by employees. Past research in this area suggests three factors lead to crimes against nursing home residents: characteristics of the nursing home, interactions between staff and residents, and characteristics of victims and offenders. In contrast, this study examines license violations of nursing homes across the United States to see what factors contribute to institutional abuses. The focus of the analysis is on state level characteristics (percent elderly, region, political climate) and their relationship with the extent and severity of violations. Implications for state-level policy and future research are discussed.

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Updated 05/20/2006