Staffing Levels in Rural Nursing Homes.

UNCG Author/Contributor (non-UNCG co-authors, if there are any, appear on document)
William N. Dudley, Professor Public Health Education (Creator)
The University of North Carolina at Greensboro (UNCG )
Web Site:

Abstract: This mixed methods study used multiple regression analyses to examine the impact of organizational and market characteristics on staffing hours and staffing mix, and qualitative interview to explore the challenges and facilitators of recruiting and retaining qualified staff. Rural nursing homes (NHs) certified by Medicare or Medicaid (N = 161) were sampled from the Online Survey Certification and Reporting system. A subsample (n = 23) was selected purposively for the qualitative analysis. Smaller NHs or government-affiliated homes had more total nursing hours per resident day and more hours of care by certified nursing assistants and RNs than larger and nongovernment-affiliated homes; however, almost 87% of NHs in this study were below the national recommendation for RN hours. Informants voiced challenges related to enough staff, qualified staff, and training staff. Development of nursing resources is critical, especially in rural locales where aging resources may not be well developed.

Additional Information

Language: English
Date: 2011
nursing homes, nursing home staff, gerontology, nursing, gerontological nursing, nursing education, rural nursing homes

Email this document to