Nursing Homes - AARP New York Consumer Information Survey

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2 2002 AARP New York Nursing Home Consumer Information Survey Data Tabulation by Woefel Research, Inc. Report Prepared by Susan L. Silberman, Ph.D. Copyright 2002 AARP Knowledge Management 601 E Street NW Washington, D.C., Reprinting with Permission Only

3 AARP is the nation s leading organization for people age 50 and older. It serves their needs and interests through information and education, advocacy, and community services, which are provided by a network of local chapters and experienced volunteers throughout the country. The organization also offers members a wide range of special benefits and services, including Modern Maturity and My Generation magazines and the monthly Bulletin. Active in every state, the District of Columbia, Puerto Rico, and the U.S. Virgin Islands, AARP celebrates the attitude that age is just a number and life is what you make it. Acknowledgements AARP staff from State Member Research, Knowledge Management, State Affairs, and the New York State Office contributed to the design of this study. Special thanks go to Ilene Henshaw, Fred Greisbach, Bill Ferris, John Luehrs, Gretchen Straw, Darlene Matthews, Joanne Binette, Jennifer Sauer, Kate Bridges, Rachelle Cummins, and Erica Dinger. Susan L. Silberman, Knowledge Management, was the project manager. For more information, contact Susan L. Silberman at (202)

4 AARP New York Nursing Home Consumer Information Survey Background Americans are facing major long-tem care challenges as the United States population ages and people live longer lives. In 1999 there were over 112,000 New York residents in nursing homes 1. A national nursing home study found that 45% of Americans surveyed believe there is not enough government regulation of nursing homes. Moreover, almost seven in ten respondents (65%) believe government is not enforcing quality standards for nursing homes 2. Citizens are concerned about nursing home quality. Having access to information can ease concerns and help consumers make informed decisions as they manage their longterm care needs. The AARP New York Nursing Home Consumer Information Survey examines:!"the priority that AARP should place on work to improve the quality of nursing homes in the state!"the importance of New York providing timely information about individual nursing homes that might help the consumer judge the quality of a facility!"members likelihood of voting for a candidate who supports improving the availability and quality of information on nursing homes!"new York members experience with nursing homes This telephone survey was conducted between December 7 and 14, 2001 with a random sample of 806 New York AARP members. New York has approximately 2.5 million AARP members that make up 48% of the 50 and older population in the state. 1 2 Across the States 2000: Profiles of Long-Term Care Systems. AARP National Survey on Nursing Homes. The Kaiser Family Foundation. October AARP New York Nursing Home Consumer Information Survey 1

5 Highlights Eight in ten New York members say it should be a priority for AARP to work to improve the quality of nursing homes. Forty-three percent of members consider it a top priority while 36 percent consider it a high priority. New York AARP members believe it is very important for the state to provide timely information about nursing home quality.!"93 percent of New York members believe it is very important for the state to provide information about whether a nursing home has failed to correct serious problems!"88 percent of members believe it is very important for New York to provide information about whether a nursing home has been subject to fines, penalties, or otherwise cited for deficient care!"87 percent of members believe it is very important for the state to provide information about how well a nursing home has done on its most recent inspections Members report that nursing home issues would likely affect their voting behavior: Seven in ten New York members would be more likely to vote for a candidate who supports improving the availability and quality of information about nursing homes. Report Organization The findings section presents the survey data. The results are reported as percentages 3. A demographic profile of the respondents is included on page 6. An annotated questionnaire, appended to the report, discloses all survey responses. 3 Percentages may not sum to 100% due to rounding. Also some graphs do not include respondents who refused to answer or said Don t Know. Similarly, graphs do not include categories with less than 1% response. AARP New York Nursing Home Consumer Information Survey 2

6 Findings Eight in Ten Members Rate Working to Improve Nursing Home Quality as a Top or High Priority for AARP Improving nursing home quality is a priority issue for AARP members in New York. Almost eight in ten members think it should be a top (43%) or high priority (36%) for AARP to work to improve the quality of nursing homes in their state. 100% 75% 50% 25% 0% Priority for AARP to Work on Im proving Nursing Hom e Quality (n = 806) 43% Top Priority 36% High Priority 12% Medium Priority 1% Low Priority 1% Not a Priority Members Want New York to Provide Timely Information About the Quality of Nursing Homes Members were asked to rate the importance of six types of information that could be provided by the state:!"whether a nursing home has failed to correct serious problems!"whether a nursing home has been subjected to fines, penalties, or otherwise cited for deficient care!"how well a nursing home did on its most recent inspection!"how many hours of face-to-face or hands-on care residents in nursing homes receive!"the availability of special care units in nursing homes!"the financial stability of a nursing home Virtually all members say it is important for the state to provide timely information related to quality of care in nursing homes. Over nine in ten members believe that information on failure to correct quality problems is very important, and almost as many rate information on whether a home has been subjected to fines or penalties and information on the results of recent inspections as very important. AARP New York Nursing Home Consumer Information Survey 3

7 Other types of information are also important to consumers. About three in four say it is very important for the state to provide information on the hours of face-to-face or hands-on care provided, the availability of special care units, and the financial stability of the nursing home. Importance for New York to Provide Timely Information About Nursing Home Quality n = 806 Correct serious problems 93% 5% Subjected to fines/penalties 88% 10% Recent inspections 87% 11% Hours of face-toface/hands-on care 75% 19% Availability of special care units 74% 22% Financial stability 73% 22% 0% 20% 40% 60% 80% 100% Very Important Somewhat Important AARP New York Nursing Home Consumer Information Survey 4

8 Members Would Vote for Candidates Who Support Improving the Availability and Quality of Information About Nursing Homes The level of importance New York members place on nursing home consumer information carries over to their voting behavior. Seven in ten members say they are more likely to vote for a candidate who supports improving the availability and quality of information about nursing homes. Vote for Candidate Who Supports Improving Information About Nursing Homes (n=806) 100% 75% 70% 50% 25% 0% 1% 14% 13% 2% More Likely Less Likely Makes No Difference Don't Know Refused One in Three New York Members Have Experience with Nursing Homes Twenty-nine percent of New York members have spent time or have had a family member or a friend spend time as a resident of a nursing home in the last five years. Thus, the nursing home experience has touched about 725,000 New York AARP members in the past five years. In the last five years, have you, a family member, or a friend spent any time as a resident of a nursing home? (n = 806) No 71% Yes 29% AARP New York Nursing Home Consumer Information Survey 5

9 A Profile of New York Respondents AARP New York members are politically active. Eighty-four percent of respondents have voted in nearly all (69%) or most (15%) of the state elections held in the last ten years. In the past five years, 38 percent of New York respondents have phoned, faxed, or written a public official on matters of concern to them. Twenty-eight percent of responding members have contributed money to a candidate or political party in the same time period. More women than men (58% vs. 42%) responded to the survey. Most of the respondents are Caucasian (83%), married (54%), and have at least some college education (61%). While some respondents are still active in the work force (30%), the majority is retired (69%). Thirty-nine percent of respondents have incomes above $35,000. Conclusions New York members are politically engaged people with strong opinions about nursing home quality and consumer information. They are concerned about the quality of nursing homes and want more information so they can make informed choices. Respondents overwhelmingly favor the State of New York providing more nursing home consumer information. In each of the six areas surveyed, at least 94 percent of respondents want timely consumer information about nursing homes. Importantly, respondents indicate they will vote for state office candidates who support improving the availability and quality of nursing home consumer information. Methodology AARP contracted with Woelfel Research, Inc., a national opinion survey research firm, to conduct a telephone survey of New York AARP members. From a random sample of 5,541 AARP members with known telephone numbers, 806 interviews were completed from December 7 14, 2001, yielding a 17 percent response rate 4 and an 88 percent cooperation rate. The sampling error is ± 3.45 percent 5. 4 The response rate is Response Rate 3 and the cooperation rate is Cooperation Rate 3 from the following publication: The American Association for Public Opinion Research Standard Definitions: Final Dispositions of Case Codes and Outcome Rates for Surveys. Ann Arbor, Michigan: AAPOR. 5 Sampling error means that in 95 out of 100 samples of the same size (806), the results obtained in the sample would fall in a range of ± 3.45 percentage points of what would have been obtained if every single AARP member in New York had been surveyed. AARP New York Nursing Home Consumer Information Survey 6

10 Appendix Annotated Questionnaire AARP New York Nursing Home Consumer Information Survey 7

11 2001 New York Nursing Home Consumer Information Survey Hello this is (name) from VENDOR, a national opinion research firm. We are conducting an important research study among New York AARP members about nursing home consumer information. This is not a sales call and you will not be asked to buy anything either now or later. We would really like to include your opinions in our study and assure you that all of your answers would remain completely confidential. The survey should take only about 6 or 7 minutes to complete. 1) Within the last 5 years, have you or any member of your family, or a friend spent any time as a resident of a nursing home? 29% Yes 71% No <.5 Not sure (Do not read) 0% Refuse (Do not read) 2) How much of a priority should it be for AARP to work to improve the quality of nursing homes in New York? 43% Top Priority 36% High Priority 12% Medium Priority 1% Low Priority 1% Not a Priority 6% Don t know (Do not read) <.5 Refused (Do not read) 3) There are various kinds of information about specific nursing homes that might help consumers evaluate those homes. How important is it for the State of New York to provide timely information to consumers about a. How well a nursing home has done on its most recent inspections? Is it.. 87% Very important 11% Somewhat important <.5 Not very important 1% Not at all important 2% Not sure (Do not read) <.5 Refused (Do not read) b. How many hours of face-to-face or hands-on care residents in a nursing home receive in an average day? Is it.. 75% Very important 19% Somewhat important 1% Not very important 1% Not at all important 4% Not sure (Do not read) 1% Refused (Do not read) AARP New York Nursing Home Consumer Information Survey 8

12 c. The availability of special care units such as Alzheimer's units in a nursing home? Is it... 74% Very important 22% Somewhat important 1% Not very important 1% Not at all important 2% Not sure (Do not read) <.5 Refused (Do not read) d. The financial stability of a nursing home? Is it 73% Very important 22% Somewhat important 2% Not very important 1% Not at all important 2% Not sure (Do not read) <.5 Refused (Do not read) e. Whether a nursing home has been subjected to fines, penalties, or otherwise cited for deficient care? Is it 88% Very important 10% Somewhat important <.5 Not very important <.5 Not at all important 1% Not sure (Do not read) <.5 Refused (Do not read) f. Whether a nursing home has failed to correct serious problems? Is it 93% Very important 5% Somewhat important <.5 Not very important <.5 Not at all important 1% Not sure (Do not read) <.5 Refused (Do not read) 4. If a candidate for state office in New York supported improving the availability and quality of information about nursing homes, would you be more likely to vote for that candidate, less likely to vote for them or would it not make any difference? 70% More likely 1% Less likely 14% Makes no difference 2% Don t know (Do not read) 13% Refused (Do not read) <.5 Depends on other factors (Do not read) AARP New York Nursing Home Consumer Information Survey 9

13 I just need some statistical information and we will be done. 95) How old were you on your last birthday? 29% % % 75 or older 2% Refused 96) What is the highest level of education you have completed? 7% Less than high school graduate 32% High school graduate 26% Some college or technical school 35% College graduate or more <.5 Refuse (Do not read) 97) What is your current marital status? Are you currently? 54% Married 9% Never been married 9% Divorced/separated 2% Not married, living together 26% Widowed <.5 Not sure/refuse (Do not read) 98) Now, for statistical purposes only, please stop me when I get to the category that includes your household s income before taxes in % Less than $15,000 14% $15,000 but less than $25,000 14% $25,000 but less than $35,000 12% $35,000 but less than $50,000 15% $50,000 but less than $75,000 12% $75,000 or more 24% Refuse (Do not read) 99) Gender (Do not ask, simply record from voice.) 42% Male 58% Female 910) Are you currently (Read List. Record One RESPONSE) 21% Employed full time 10% Employed part-time 60% Retired, not working 4% Homemaker 2% Unemployed and looking for work 4% Something else 0% Don t know (Do not read) <.5 Refused (Do not read) AARP New York Nursing Home Consumer Information Survey 10

14 911) Which of the following best describes your voting behavior in state elections, that is elections for New York Governor and State Legislators? Would you say you have voted in Nearly all, Most, Some or A few of the elections for New York Governor and State Legislators, held in the past ten years? 69% Nearly all 15% Most 6% Some 6% A few 1% Don t know (Do not read) 1% Refused (Do not read) 2% Never voted (Do not read) 912) In the past five years, have you phoned, faxed, written or ed a public official to make your views known on an issue of concern to you? 38% Yes 61% No <.5 Don t know (Do not read) 1% Refused (Do not read) b. Contributed money to a candidate or political party? 28% Yes 71% No <.5 Don t know (Do not read) 1% Refused (Do not read) 913) What is your race? 83% White/Caucasian 11% Black/African American <.5 Asian 1% Native American or Alaskan Native 3% Other <.5 Don't know (Do not read) 2% Refused (Do not read) 914) Are you Hispanic, Spanish, or Latino? 4% Yes 94% No <.5 Don't know (Do not read) 2% Refused (Do not read) Thank you for your time and responses to this survey. AARP New York Nursing Home Consumer Information Survey 11

15 AARP Knowledge Management For more information, contact Susan L. Silberman at (202)