Measuring satisfaction with community residential care (CRC) is growing in importance but still in its infancy. The authors conducted interviews with 176 CRC residents and their providers. Logistic regression was used to identify resident and physical characteristics, policies and services, and aggregate resident characteristics associated with satisfaction. Residents had high levels of satisfaction, demonstrating most concern with the facility being able to meet their future needs and food quality. Resident demographics and health status were associated with satisfaction. Contrary to hypotheses, facility type (adult family home and assisted living) was the only facility characteristic strongly associated with satisfaction. Possible explanations include that the relationship between satisfaction and facility characteristics is more complex than expected, as well as significant challenges in measuring satisfaction and facility characteristics. The inconsistent results of previous satisfaction studies do not provide direction for imposition of uniform standards for facility characteristics, if the goal is improved satisfaction.
Assisted Living Workgroup. (2003, April). Assuring quality in assisted living: Guidelines for federal and state policy, state regulation, and operations. Retrieved August 12, 2004, from http://www.aahsa.org/alw.htm
2.
Cleary, P., & McNeil, B. (1988). Patient satisfaction as an indicator of quality care. Inquiry, 25, 25-36.
3.
Curtis, M. P., Kiyak, A., & Hedrick, S. (2000). Resident and facility characteristics of adult family home, adult residential care, and assisted living setting in Washington State. Journal of Gerontological Social Work, 34, 25-36.
4.
Geron, S., Smith, K., Tennstedt, S., Jette, A., Chassler, D., & Kasten, L. (2000). The home care satisfaction measure: A client-centered approach to assessing the satisfaction of frail older adults with home care services. Journal of Gerontology: Psychological Sciences and Social Sciences, 55, S259-S270.
5.
Geron, S. M. (1998). Assessing the satisfaction of older adults with long-term care services: Measurement and design challenges for social work. Research on Social Work Practice, 8, 103-119.
6.
Hall, J. A., Milburn, M. A., & Epstein, A. M. (1993).A causal modelof health status and satisfaction with medical care. Medical Care, 31, 84-94.
7.
Hawes, C. (2001). Introduction. In S. Zimmerman, P. D. Sloane, & J. K. Eckert (Eds.), Assisted living: Needs, practices, and policies in residential care for the elderly (pp. 1-6). Baltimore, MD: John Hopkins University Press.
8.
Hawes, C., Rose, M., & Phillips, C. D. (1999). A national study of assisted living for the frail elderly executive summary: Results of a national survey of facilities. Beachwood, OH: Menorah Park Center for Senior Living.
9.
Hedrick, S. C., Sales, A. E. B., Sullivan, J., Gray, S. L., Tornatore, J., Curtis, M., et al. (2003). Resident outcomes of Medicaid funded community residential care. The Gerontologist, 43(4), 473-482.
10.
Kane, R., Gaugler, J., Whitebird, R., Levin, C., Kelly, G., & Feldman, P. (2001). Apartment-style assisted living: Nature and outcomes. Paper presented at the 2001 Annual Meeting of the Gerontology Society of America, Chicago, IL.
11.
Kane, R. A. (1995). Expanding the home care concept: Blurring distinctions among home care, institutional care, and other long-term-care services. Milbank Quarterly, 73, 161-186.
12.
Kane, R. A., Caplan, A. L., Urv-Wong, E. K., Freeman, I. C., Aroskar, M. A., & Finch, M. (1997). Everyday matters in the lives of nursing home residents: Wish for and perception of choice and control. Journal of the American Geriatrics Society, 45, 1086-1093.
13.
Kane, R. A., Illston, L. H., Kane, R. L., & Nyman, J. A. (1989). Adultfoster care in Oregon: Evaluation. Minneapolis, MN: University of Minnesota, School of Public Health, Division of Health Services Research and Policy.
14.
Katzman, R., Brown, T., Fuld, P., Peck, A., Schechter, R., & Schimmel, H. (1983).Validation of a short Orientation-Memory-Concentration Test of cognitive impairment. American Journal of Psychiatry, 140, 734-739.
15.
Lemke, S., & Moos, R. H. (1986). Quality of residential settings for elderly adults. Journal of Gerontology, 41, 268-276.
16.
Marshall, G. N., Hays, R. D., & Mazel, R. (1996). Health status and satisfaction with health care: Results from the medical outcomes study. Journal of Consulting and Clinical Psychology, 64, 380-390.
17.
Mollica, R. L. (2001). State policy and regulations. In S. Zimmerman, P. D. Sloane, & J. K. Eckert (Eds.), Assisted living: Needs, practices, and policies in residential care for the elderly (pp. 9-33). Baltimore, MD: Johns Hopkins University Press.
18.
Mollica, R. L. (2003). Coordinating services across the continuum of health, housing, and supportive services. Journal of Aging and Health, 15, 165-188.
19.
Moos, R. H., & Lemke, S. (1994). Evaluating residential facilities: The multiphasic environmental assessment procedure. Thousand Oaks, CA: Sage.
20.
Morris, J. N., Hawes, C., Fries, B. E., Phillips, C. D., Mor, V., Katz, S., et al. (1990). Designing the National Resident Assessment Instrument for nursing homes. The Gerontologist, 30, 293-307.
21.
Sikorska, E. (1999). Organizational determinants of resident satisfaction with assisted living. The Gerontologist, 39, 450-456.
22.
Timko, C., & Moos, R. H. (1990). Determinants of interpersonal support and self-direction in group residential facilities. Journal of Gerontology, 45, S184-S192.
23.
Tornatore, J. B., Hedrick, S. C., Sullivan, J. H., Gray, S. L., Sales, A., & Curtis, M. (2003). Community residential care: Comparison of cognitively impaired and non-cognitively impaired residents. American Journal of Alzheimer’s and Other Dementias, 18(4), 240-246.
24.
Ware, J., Jr., Kosinski, M., & Keller, S. D. (1996). A 12-Item Short-Form Health Survey: Construction of scales and preliminary tests of reliability and validity. Medical Care, 34, 220-233.
25.
Wunderlich, G. S., & Kohler, P. O. (2001). Improving the quality of long-term care. Washington, DC: National Academy.
26.
Zimmerman, S., Sloan, P. D., & Eckert, J. K. (2001). Assisted living: Needs, practices, and policies in residential care for the elderly. Baltimore, MD: Johns Hopkins University Press.
