U.S. flag
      An official website of the United States government, Department of Justice.
        Here's how you know
      Here's how you know**Official websites use .gov**
            
            A **.gov** website belongs to an official government organization in the United States.
      **Secure .gov websites use HTTPS**
            
            A **lock** (
            A locked padlock
            ) or **https://** means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites. Menu

      
        close

            
            
                                              About NIJ
        
                    
  
          About NIJ
      
    
          The NIJ Director
          How NIJ Is Organized
          Mission and Guiding Principles
          Research and Development Process
          Strategic Framework
          Assessments of NIJ
          Annual Reports & Reports to Congress
          Staff Directory
          Funding & Awards
        
                    
  
          Funding & Awards
      
    
          Current Funding
          Forthcoming Funding
          Expired Funding
          Awards: Listing of Funded Projects
          Guidance for Applicants and Awardees
          Fellowship & Student Programs
          Travel Scholarships
          NIJ Challenge Program
          Library & Multimedia
        
                    
  
          Library & Multimedia
      
    
          NIJ Journal
          Podcasts
          Publications Listing
          Multimedia Listing
          Rated Practices on CrimeSolutions
          Rated Programs on CrimeSolutions
          Software & Databases
          Datasets
          Patents
          Topics
        
                    
  
          Topics
      
    
          Article Listing
          Corrections
          Courts
          Crime Prevention
          Crimes
          Drugs and Crime
          Equipment and Technology
          Forensic Sciences
          Youth Justice
          Justice System Reform
          Law Enforcement
          Tribal Crime and Justice
          Victims of Crime
          Events
        
                    
  
          Events
      
    
          NIJ 2024 Research Conference
          Scheduled Events
          On-Demand Events
          Research Meetings & Workshops
          NIJ-Hosted Online Training

                            
                                About
          Contact Us
          Subscribe
          Topics A-Z
                  Share
FacebookXLinkedInRedditPinterestEmail Home
                            Library & Multimedia
 Mandatory Reporting of Nursing Home Deaths: Markers for Mistreatment, Effect on Care Quality, and Generalizability Final Report
NCJ Number
              221893

Author(s)
          Erik  Lindbloom M.D.;
                        Robin  Kruse Ph.D.;
                        Julie  Brand Ph.D.;
                        Mark  Malcolm;
                        Aubrey  Hough Jr., M.D.;
                        David  Zimmerman Ph.D.;
                        James  Robinson Ph.D.
Date Published

November 2008
Length
              97 pages
Annotation
              This study collected followup data for a previous study in exploring the potential impact of a 1999 Arkansas law that mandates the reporting of all nursing home deaths to the local coroner.
Abstract
              The study found that from 1999 through 2004, there were 3,174 nursing-home death investigations by the Pulaski County Coroner's Office. Ninety-two cases (2.9 percent of all investigations) were referred to the Attorney General or Office of Long-term Care for suspicion of mistreatment. Factors associated with these referrals were family dissatisfaction with care, being of a racial minority, tube feeding, the presence of a severe pressure sore, or a recent ostomy of some type. The current study found no differences in care-quality indicators between Pulaski County and other Arkansas counties over this time period. The coroner survey contributed to further insight into the attitudes and knowledge base regarding nursing home mistreatment, and it identified some of the significant barriers to generalizing such investigations to other locations. The diagnostic discrepancies identified in the autopsy case series show the importance of autopsies in the nursing home death investigations. Despite the lack of evidence of improvement in nursing home care as a result of the Arkansas law, this study is inconclusive because of the use of retrospective and self-reported data. This study expanded the database and analysis of Pulaski County Coroner's Office investigations, abstracting and analyzing all records from 1999 through 2004. In addition, cases from the Pulaski County Coroner's Office were matched with Minimum Data Set (MDS) data from each resident and facility to identify MDS items associated with higher suspicion for mistreatment. Coroners throughout Arkansas were surveyed to learn more about the potential generalizability of death investigations outside Pulaski County, and a case series of 20 autopsies from Pulaski county added to knowledge about pathologic findings in nursing home decedents. Tables, figures, and study instruments
      
  
          Additional Details
Grant Number(s)
        2004-IJ-CX-1012


  
  
        
  Agencies
        NIJ-Sponsored


  
  
        
  Publication Type
        Report (Study/Research)


  
  
        
  Award
        Mandatory Reporting of Nursing Home Deaths: Markers for Mistreatment, Effect on Care Quality, and Generalizability
    
  
  
Date Published: November 1, 2008
    
          Downloads
        
                      PDF

Side navigation
  

        

  
  
              NIJ Journal
    
      
            
            
            
      Podcasts
    
      
            
            
            
      Publications Listing
    
      
            
            
            
      Multimedia Listing
    
      
            
            
            
      Rated Practices on CrimeSolutions
    
      
            
            
            
      Rated Programs on CrimeSolutions
    
      
            
            
            
      Software & Databases
    
      
            
            
            
      Datasets
    
      
            
            
            
      PatentsRelated Topics
        
                Crimes against the elderly
        Criminology
        Medicolegal death investigations
        Elder abuse
        Institutional elder abuse



  
Similar Publications
        
                      Interactive Map: Medicolegal Death Investigation Data Flow
                  Genome Sequence of a Providencia stuartii Strain Isolated From Lucilia sericata Salivary Glands
                  Phylogenetic Relationships of Flesh Flies in the Subfamily Sarcophaginae Based on Three mtDNA Fragments (Diptera: Sarcophagidae)
 Top

      National Institute of Justice

        
        
                        About NIJ
                    About NIJ
      
    
                  How NIJ Is Organized
      
    
                  NIJ Director
      
    
                  Research Disclaimer
      
    
                  Funding & Awards
                    Funding & Awards Home
      
    
                  Awards Listing
      
    
                  Current Funding
      
    
                  Guidance for Applicants and Awardees
      
    
                  Resources
                    Events
      
    
                  Podcasts
      
    
                  Publications
      
    
                  Topics
      
    
                  Multimedia
      
    
                  Reuse Policy
      
    
                  Contacts
                    Contact NIJ
      
    
                  Staff Directory
      
    
                  Submit a FOIA Request
      
    
                  File a Civil Rights ComplaintFacebook
          
                      X
          
                      YouTube
  

      810 7th St. NW, Washington, D.C. 20531
      
              Secondary Footer link menu
            Accessibility
              Plain Language
              Privacy Policy
              Legal Policies and Disclaimer
              No FEAR Act
              Freedom of Information Act
              USA.gov
              Justice.gov