Risk adjustment of nursing home quality indicators

Greg Arling, Sarita L. Karon, Francois Sainfort, David R. Zimmerman, Richard Ross

Research output: Contribution to journalArticle

46 Scopus citations


The purpose of this study was to develop a method for risk adjusting nursing home quality indicators (QI's). The QI's measure incidence and prevalence of resident-level care processes and outcomes which are indicative of care quality. Risk adjustment was carried out by stratifying residents into risk groups (high and low), calculating QI rates within groups, and then drawing comparisons across facilities. The method was examined through analysis of data from over 800 nursing homes in four states. Results showed that facilities differed substantially in QI rates even after risk had been taken into account. Also, results suggested differences in care quality which may not have been apparent without controlling for risk.

Original languageEnglish (US)
Pages (from-to)757-766
Number of pages10
Issue number6
StatePublished - Jan 1 1997
Externally publishedYes


  • Assessment
  • Long-term care
  • Measurement
  • Outcomes
  • Quality indicators
  • Risk adjustment

ASJC Scopus subject areas

  • Gerontology
  • Geriatrics and Gerontology

Fingerprint Dive into the research topics of 'Risk adjustment of nursing home quality indicators'. Together they form a unique fingerprint.

  • Cite this

    Arling, G., Karon, S. L., Sainfort, F., Zimmerman, D. R., & Ross, R. (1997). Risk adjustment of nursing home quality indicators. Gerontologist, 37(6), 757-766. https://doi.org/10.1093/geront/37.6.757