
Professor Emeritus
N_SBS Operations
+1 415 476-3047
Publications
Wealth Extraction from a Nursing Home Chain With Individual, Private Equity, and Real Estate Owners.
International journal of social determinants of health and health services
Nursing Home Guide to Adjusting Nurse Staffing for Resident Case-Mix.
Journal of the American Geriatrics Society
Medical director presence and time in U.S. nursing homes, 2017-2023.
Journal of the American Geriatrics Society
Proposed Minimum Nurse Staffing Levels in Nursing Homes.
Policy, politics & nursing practice
RN Staffing Shortages in Nursing Homes: Nursing Is Part of the Solution.
Research in gerontological nursing
United States' Nursing Home Finances: Spending, Profitability, and Capital Structure.
International journal of social determinants of health and health services
RN Staffing Shortages in Nursing Homes: Nursing Is Part of the Solution.
Journal of gerontological nursing
Advocating for the Vulnerable: The Clinical Nurse Specialist and Nursing Home Reform.
Clinical nurse specialist CNS
Examining California nursing home profitability and related factors before and during the COVID-19 pandemic.
Journal of the American Geriatrics Society
Nursing home financial transparency and accountability are needed to assure minimum staffing levels.
Journal of the American Geriatrics Society
Financial and Quality Metrics of A Large, Publicly Traded U.S. Nursing Home Chain in the Age of Covid-19.
International journal of health services : planning, administration, evaluation
Staffing Levels and COVID-19 Infections and Deaths in Korean Nursing Homes.
Policy, politics & nursing practice
Racial Disparities in Financial Security, Work and Leisure Activities, and Quality of Life Among the Direct Care Workforce.
The Gerontologist
COVID-19 had little financial impact on publicly traded nursing home companies.
Journal of the American Geriatrics Society
Expert nurse response to workforce recommendations made by the coronavirus commission for safety and quality in nursing homes.
Nursing outlook
A Call to the CMS: Mandate Adequate Professional Nurse Staffing in Nursing Homes.
The American journal of nursing
Time to Support Nursing Home Surveys and Enforcement: Response to the Position of the Society for Post-Acute and Long-Term Care Medicine.
Journal of the American Medical Directors Association
Untitled Publication
CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne
Policies Matter! Factors Contributing to Nursing Home Outbreaks During the COVID-19 Pandemic.
Policy, politics & nursing practice
COVID-19 and long-term care facilities: Does ownership matter?
CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne
Nurse Staffing and Coronavirus Infections in California Nursing Homes.
Policy, politics & nursing practice
Appropriate Nurse Staffing Levels for U.S. Nursing Homes.
Health services insights
U.S. Nursing Home Violations of International and Domestic Human Rights Standards.
International journal of health services : planning, administration, evaluation
An International Mapping of Medical Care in Nursing Homes.
Health services insights
Beneficiaries Respond To California's Program To Integrate Medicare, Medicaid, And Long-Term Services.
Health affairs (Project Hope)
Racial and Ethnic Differences in the Prevalence of Depressive Symptoms Among U.S. Nursing Home Residents.
Journal of aging & social policy
Assessing the Quality of Nursing Homes in Managed Care Organizations: Integrating LTSS for Dually Eligible Beneficiaries.
Inquiry : a journal of medical care organization, provision and financing
Failure to Meet Nurse Staffing Standards: A Litigation Case Study of a Large US Nursing Home Chain.
Inquiry : a journal of medical care organization, provision and financing
Predictors of Nursing Facility Entry by Medicaid-Only Older Adults and Persons With Disabilities in California.
Inquiry : a journal of medical care organization, provision and financing
Marketization in Long-Term Care: A Cross-Country Comparison of Large For-Profit Nursing Home Chains.
Health services insights
What Happens to a Nursing Home Chain When Private Equity Takes Over? A Longitudinal Case Study.
Inquiry : a journal of medical care organization, provision and financing
Observational Evidence of For-Profit Delivery and Inferior Nursing Home Care: When Is There Enough Evidence for Policy Change?
PLoS medicine
Health Care Use Before and After Entering Long-Term Services and Supports.
Journal of applied gerontology : the official journal of the Southern Gerontological Society
The Need for Higher Minimum Staffing Standards in U.S. Nursing Homes.
Health services insights
[Trade-off between quality, price, and profit orientation in Germany's nursing homes].
Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen
Disparities in Service Use and Expenditures for People With Intellectual and Developmental Disabilities in California in 2005 and 2013.
Intellectual and developmental disabilities
Nurse Staffing Hours At Nursing Homes With High Concentrations Of Minority Residents, 2001-11.
Health affairs (Project Hope)
Trade-off Between Quality, Price, and Profit Orientation in Germany's Nursing Homes.
Ageing international
Provider Perspectives on the Influence of Family on Nursing Home Resident Transfers to the Emergency Department: Crises at the End of Life.
Current gerontology and geriatrics research
Hidden Owners, Hidden Profits, and Poor Nursing Home Care: A Case Study.
International journal of health services : planning, administration, evaluation
Deficiencies In Care At Nursing Homes And Racial/Ethnic Disparities Across Homes Fell, 2006-11.
Health affairs (Project Hope)
A literature review of clinical outcomes associated with antipsychotic medication use in North American nursing home residents.
Health policy (Amsterdam, Netherlands)
Medicaid home and community-based services: how consumer access is restricted by state policies.
Journal of aging & social policy
Long-term services and supports in the community: toward a research agenda.
Disability and health journal
Comparing the nurse staffing in Korean and U.S. nursing homes.
Nursing outlook
The effects of cognitive impairment on nursing home residents' emergency department visits and hospitalizations.
Alzheimer's & dementia : the journal of the Alzheimer's Association
The effects of regulation and litigation on a large for-profit nursing home chain.
Journal of health politics, policy and law
The policy implications of the cost structure of home health agencies.
Medicare & medicaid research review
State Olmstead litigation and the Affordable Care Act.
Journal of social work in disability & rehabilitation
The effects of RN staffing hours on nursing home quality: a two-stage model.
International journal of nursing studies
Satisfaction with Massachusetts nursing home care was generally high during 2005-09, with some variability across facilities.
Health affairs (Project Hope)
What factors contribute to successful appeals of nursing homes' deficiencies in the informal dispute resolution process?
Journal of the American Medical Directors Association
Are staffing changes in California's hospitals sensitive to individual hospital characteristics?
Nursing economic$
The relationship of California's Medicaid reimbursement system to nurse staffing levels.
Medical care
The effect of state regulatory stringency on nursing home quality.
Health services research
Unintended consequences of steps to cut readmissions and reform payment may threaten care of vulnerable older adults.
Health affairs (Project Hope)
Factors associated with the use of advanced practice nurses/physician assistants in a fee-for-service nursing home practice: a comparison with primary care physicians.
Research in gerontological nursing
Nursing homes appeals of deficiencies: the informal dispute resolution process.
Journal of the American Medical Directors Association
Nursing home staffing standards and staffing levels in six countries.
Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing
Observing how RNs use clinical time in a nursing home: a pilot study.
Geriatric nursing (New York, N.Y.)
Change and inertia in the New York state Medicaid Personal Care Services program: an institutional case study.
Journal of aging & social policy
High rate of unemployment after liver transplantation: analysis of the United Network for Organ Sharing database.
Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society
Medicaid home- and community-based services: impact of the affordable care act.
Journal of aging & social policy
Emergency department use by nursing home residents: effect of severity of cognitive impairment.
The Gerontologist
Do Medicaid home and community based service waivers save money?
Home health care services quarterly
Staffing changes before and after mandated nurse-to-patient ratios in California's hospitals.
Policy, politics & nursing practice
Nurse staffing and deficiencies in the largest for-profit nursing home chains and chains owned by private equity companies.
Health services research
Ownership, financing, and management strategies of the ten largest for-profit nursing home chains in the United States.
International journal of health services : planning, administration, evaluation
State regulatory enforcement and nursing home termination from the medicare and medicaid programs.
Health services research
Nurses who do not nurse: factors that predict non-nursing work in the U.S. registered nursing labor market.
Nursing economic$
The effects of an inpatient palliative care team on discharge disposition.
Journal of palliative medicine
Long-term care: who gets it, who provides it, who pays, and how much?
Health affairs (Project Hope)
Medicare and medicaid in long-term care.
Health affairs (Project Hope)
Medicaid nursing facility rates, capacity, and utilization: a structural analysis.
Social work in public health
Factors associated with living in developmental centers in California.
Intellectual and developmental disabilities
Registered nurse staffing mix and quality of care in nursing homes: a longitudinal analysis.
The Gerontologist
A panel data analysis of the relationships of nursing home staffing levels and standards to regulatory deficiencies.
The journals of gerontology. Series B, Psychological sciences and social sciences
Do noninstitutional long-term care services reduce Medicaid spending?
Health affairs (Project Hope)
Focus group study of ethnically diverse low-income users of paid personal assistance services.
Home health care services quarterly
Disparities in service utilization and expenditures for individuals with developmental disabilities.
Disability and health journal
Variation in the use of federal and state civil money penalties for nursing homes.
The Gerontologist
Staffing characteristics, turnover rates, and quality of resident care in nursing facilities.
Research in gerontological nursing
Nurses working outside of nursing: societal trend or workplace crisis?
Policy, politics & nursing practice
Medicaid 1915(c) waiver use and expenditures for persons living with HIV/AIDS.
Medical care research and review : MCRR
Variation in types of service use and expenditures for individuals with developmental disabilities.
Disability and health journal
Shareholder value and the performance of a large nursing home chain.
Health services research
Nurse staffing levels and Medicaid reimbursement rates in nursing facilities.
Health services research
California nursing facility quality and union environments.
Journal of aging and health
Developing personal care programs: national trends and interstate variation, 1992-2002.
Inquiry : a journal of medical care organization, provision and financing
Estimating the expense of a mandatory home-and community-based personal assistance services benefit under Medicaid.
Journal of aging & social policy
Medicaid State Plan personal care services: trends in programs and policies.
Journal of aging & social policy
Paid personal assistance services:an exploratory study of working-age consumers' perspectives.
Journal of aging & social policy
State Medicaid home care policies: inside the black box.
Home health care services quarterly
The collection and use of funds from civil money penalties and fines from nursing homes.
The Gerontologist
Influencing health policy for older adults: initiatives by the John A. Hartford Centers of Geriatric Nursing Excellence.
Nursing outlook
The personal assistance workforce: trends in supply and demand.
Health affairs (Project Hope)
Residential care provision in Medicaid home- and community-based waivers: a national study of program trends.
The Gerontologist
Reflections on research and policy. The Doris Schwartz Award Lecture.
Journal of gerontological nursing
Assessing California's nursing home staffing standards.
Policy, politics & nursing practice
Institutional and community-based long-term care: a comparative estimate of public costs.
Journal of health & social policy
Strengthening home and community-based care through Medicaid waivers.
Journal of aging & social policy
Variation by disability in state predictors of Medicaid 1915c waiver use and expenditures.
The Gerontologist
Quality of care in nursing home organizations: establishing a health services research agenda.
Nursing outlook
Addressing the dramatic decline in RN staffing in nursing homes.
The American journal of nursing
Advanced nursing training in health policy: designing and implementing a new program.
Policy, politics & nursing practice
Nurses Improving Care for Health System Elders (NICHE).
The American journal of nursing
Discharge planning, nursing home placement, and the Internet.
Nursing outlook
Nurse staffing in nursing homes in the United States: Part II.
Journal of gerontological nursing
Nurse staffing in nursing homes in the United States.
Journal of gerontological nursing
Case study: development of and stakeholder responses to a nursing home consumer information system.
American journal of medical quality : the official journal of the American College of Medical Quality
Chain reaction: an exploratory study of nursing home bankruptcy in California.
Journal of aging & social policy
Medicaid home and community-based services: national program trends.
Health affairs (Project Hope)
Medicaid waiver programs for traumatic brain and spinal cord injury.
Journal of health & social policy
NPs in nursing homes: an issue of quality.
The American journal of nursing
Nursing expertise in caring for older adults.
The American journal of nursing
Explaining the diffusion of Medicaid home care waiver programs using VPRS decision rules.
Health care management science
Relationship of nursing home staffing to quality of care.
Health services research
Unmet need for personal assistance services: estimating the shortfall in hours of help and adverse consequences.
The journals of gerontology. Series B, Psychological sciences and social sciences
Nursing Facility and Home and Community Based Service Need Criteria in the United States.
Home health care services quarterly
State nursing home enforcement systems.
Journal of health politics, policy and law
Medicaid 1915(c) home and community-based services waivers: a national survey of eligibility criteria, caps, and waiting lists.
Home health care services quarterly
Smoke without fire: nursing facility closures in California, 1997-2001.
Inquiry : a journal of medical care organization, provision and financing
The U.S. long-term care field: a dialectic analysis of institution dynamics.
Journal of health and social behavior
Trends in state certificate of need and moratoria programs for long term care providers.
Journal of health & social policy
Quality of care in nursing homes: an analysis of relationships among profit, quality, and ownership.
Medical care
Nursing indicators of quality in nursing homes. A Web-based approach.
Journal of gerontological nursing
Nursing home staffing, turnover, and case mix.
Medical care research and review : MCRR
Hospital care for elderly.
The American journal of nursing
Designing a report card for nursing facilities: what information is needed and why.
The Gerontologist
Federal and state nursing facility websites: just what the consumer needs?
American journal of medical quality : the official journal of the American College of Medical Quality
Medicaid community-based programs: a longitudinal analysis of state variation in expenditures and utilization.
Inquiry : a journal of medical care organization, provision and financing
Nursing care in assisted living facilities.
The American journal of nursing
Nursing facility and home and community based service need criteria in the United States.
Home health care services quarterly
Challenges and accomplishments of the second-generation social health maintenance organization.
The Gerontologist
CMS study: correlation between staffing and quality.
The American journal of nursing
Who cares for older adults? Workforce implications of an aging society.
Health affairs (Project Hope)
Regulation of nursing facilities in the United States: an analysis of resources and performance of state survey agencies.
The Gerontologist
The changing picture of hospital nurses.
The American journal of nursing
Estimating paid and unpaid hours of personal assistance services in activities of daily living provided to adults living at home.
Health services research
Access to community-based long-term care: Medicaid's role.
Journal of aging and health
Does investor-ownership of nursing homes compromise the quality of care?
International journal of health services : planning, administration, evaluation
Germany's long-term care insurance model: lessons for the United States.
Journal of public health policy