Alliance for Pandemic Preparedness

January 7, 2021

Compress the Curve: A Cross-Sectional Study of Variations in COVID-19 Infections across California Nursing Homes

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Among 713 nursing homes in California, the size of outbreaks in for-profit nursing homes was 12.7 times larger than their non-profit counterparts. Nursing homes with higher ratings on Centers for Medicare & Medicaid Services (CMS) health inspections were associated with a lower number of infections among both staff and residents, while higher self-reported ratings were associated with a greater number of infections. Nursing homes with larger discrepancies between CMS and self-reported ratings had more infections among both staff and residents. Improvements in CMS-reported staff ratings were associated with fewer infections among residents, though this association was highly dependent on staff-to-resident ratio.

Gopal et al. (Jan 6, 2021). Compress the Curve: A Cross-Sectional Study of Variations in COVID-19 Infections across California Nursing Homes. BMJ Open. https://doi.org/10.1136/bmjopen-2020-042804