The Division of Health Care Quality recently completed a survey of responsible party satisfaction with the personal care, services and environment for residents in nursing homes across Massachusetts . We are pleased to bring the results to consumers as they evaluate the quality of services of Medicare and Medicaid certified facilities. The survey measured the satisfaction of a daughter, son, spouse or other responsible party with a nursing home's staff and administration, physical aspects of the home, activities provided to residents, personal care, food and meals and residents' personal rights. These six measures are called domains. Additionally, the survey measured overall satisfaction and satisfaction that residents' needs are met. A full report on the survey and results can be found at the Executive Summary Report.
The survey asked a total of 53 questions. Respondents rated their satisfaction on a scale of 1-5, with 1 = very dissatisfied; 2 = dissatisfied; 3 = neither satisfied nor dissatisfied; 4 = satisfied; and 5 = very satisfied. This site displays the average domain scores for each facility that agreed to participate in the survey. In addition, statewide averages are displayed for each domain.
There are 22 facilities that agreed to participate, but had response rates that were too low to include on the individual facility results page. Their survey responses are included in the state averages, however. They are listed under Other Facilities. These facilities should not be confused with those nursing homes that chose not to participate. It should be noted that there were also a number of nursing homes in Massachusetts that did not meet the eligibility criteria for participation.
Market Decisions in Portland , Maine , a commercial research firm, first did a pilot study, then administered the survey and analyzed the results. The study was conducted with the assistance of the Massachusetts Extended Care Federation and Massachusetts Aging Services Association.
Surveys were first mailed in May, 2005 and responses through August, 2005 are represented in the results. A total of 297 out of 449 eligible nursing homes in Massachusetts participated. A total of 16,358 surveys were returned giving a response rate of 64%. A little over half of the respondents report that their resident had been in the facility for more than two years. Most visited at least once a week, usually during the day. They are listed under Other Facilities. Almost two thirds are female. The majority are between the ages of 50-69 years old.
About the Results
Average statewide scores for overall satisfaction and each domain are reported. Averages are calculated by adding up all the scores on the 1-5 scale for a domain and dividing by the total number of responses.
These scores are reported as weighted averages along with 95% confidence intervals. The confidence interval is a measure of statistical reliability of an average score. Caution should be exercised in comparing scores that are near each other since small differences in average scores may not be statistically significant. For more information on confidence intervals and interpreting differences in scores, please see the Executive Summary Report.
Interpreting the Results
The survey provides a baseline measure of satisfaction. Consumers can choose to look at an individual facility's results or at facilities within a particular town. They can make the following comparisons:
- Compare a facility's results to other facilities across the State.
- Compare a facility's averages to statewide averages.
- Compare a facility's average to those of others in the same town.
- Compare a facility's average to others for each of the six domains.
For further information on interpreting the results, please see the Executive Summary Report.
How to Use the Site
Individual facility scores are organized by facility name, which is in the first column on the left hand side of the page. Facilities are listed alphabetically. You need to scroll down the page until you find the facility for which you want to see the results. The next listing to the right is the city for each facility. The next set of columns, also to the right, contains the results:
- Overall Satisfaction
- Satisfaction that resident needs are met
- Satisfaction with the administration and staff
- Satisfaction with the physical aspects of the home
- Satisfaction with the activities provided residents
- Satisfaction with personal care
- Satisfaction with food and meals
- Satisfaction with protection of personal rights.
Please see Individual Questions to see the actual survey.
We are continuing to develop this site to provide searching and sorting capability to improve access to information on specific facilities.
Other Data Sources
The Massachusetts Department of Public Health continually updates the website Nursing Home Report Card, which provides survey results for all Medicare and Medicaid facilities in the State. The Federal Centers for Medicaid and Medicare Services has a similar site called Nursing Home Compare (www.medicare.gov/NHCompare/home.asp) that gives consumers current information on quality measures, staffing and survey results.
Both government organizations and private associations provide information and services to those residing in a nursing home, making a placement or seeking information on a variety of subjects.
Choosing a Nursing Home
<strong>Choosing a nursing home</strong> for yourself or a loved one is a very important decision. Discuss the issue thoroughly with the individual involved and his or her personal physician. Consider what the travel limits are for those who will be visiting the person receiving services and identify the communities and nursing homes within those limits.
Suggested Topics and Questions
As you seek to learn about a specific facility or are comparing facilities, you can consider a range of topics to assist you.
Copies of the Report and Questions
If you need a hard copy of the Executive Summary Report or if you have any questions about the survey, please call 617-753-8000.
Comments and Feedback
If you have any comments about using this website, please send us feedback.
This information is provided by the Division of Health Care Quality within the Department of Public Health.