Impact of Implementing the Preferences for Everyday Living Inventory on Nursing Home Survey Deficiencies

Miranda C. Kunkel, John R. Bowblis, Jane Straker, Kimberly Van Haitsma, Katherine M. Abbott

Research output: Contribution to journalArticlepeer-review

4 Scopus citations


Objectives: The purpose of this study is to expand on previous work testing the relationship between person-centered care (PCC) and quality outcomes in the nursing home (NH) setting. We explore if the Preferences for Everyday Living Inventory (PELI) implementation is a predictor of NH quality, as defined by deficiencies. Design: Secondary data analysis of repeated cross-sections. Setting and Participants: Data from 6 sources on Ohio NHs were merged to examine 1300 NH-year observations. Methods: Logistic regression techniques were used to evaluate the relationship between PELI implementation and 3 survey deficiency outcomes: whether the NH had a 4- or 5- deficiency star rating, deficiency score, and whether the NH had a deficiency score of 0. Results: NHs with complete PELI implementation increased the probability of having a 4- or 5- deficiency star rating by 6 percentage points (P = .039). Results also show complete PELI implementation is related to lower deficiency scores and an increased probability of having a deficiency score of 0, but only a 0 deficiency score was marginally significant. Conclusions and Implications: The findings indicate PCC stands to improve quality outcomes; however, benefits take time to show. Future research should seek to help improve NHs level of commitment to PCC and buy-in from policymakers.

Original languageEnglish (US)
Pages (from-to)113-118
Number of pages6
JournalJournal of the American Medical Directors Association
Issue number1
StatePublished - Jan 2023

All Science Journal Classification (ASJC) codes

  • General Nursing
  • Health Policy
  • Geriatrics and Gerontology


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