CDHA CAAR

September 25, 2017

CAAR – Australian Institute of Health and Welfare Report – September 25, 2017

Filed under: Reports and Articles — Tags: — admin @ 5:00 pm

Pathways to permanent residential aged care in Australia: a Pathways in Aged Care (PiAC) analysis of people’s aged care program use before first entry to permanent residential aged care in 2013–14,” (September 2017, .pdf format, 50p.).

www.aihw.gov.au/reports/aged-care/permanent-residential-aged-care-2013-14/contents/table-of-contents

September 12, 2017

CAAR – Proceedings of the National Academy Sciences Article Abstract – September 12, 2017

Distribution of lifetime nursing home use and of out-of-pocket spending,” by Michael D. Hurd, Pierre-Carl Michaud, and Susann Rohwedder (Vol. 114, No. 37, September 12, 2017, p. 9838–9842).

www.pnas.org/content/114/37/9838.abstract.html?etoc

August 3, 2017

CAAR – US Centers for Medicare and Medicaid Services Report – August 3, 2017

National Partnership to Improve Dementia Care in Nursing Homes: Antipsychotic Medication Use Data Report,” (July 2017, .pdf format, 3p.).

www.nhqualitycampaign.org/files/AP_package_20170717.pdf

July 11, 2017

CAAR – Care Quality Commission [UK] Report – July 11, 2017

Filed under: Reports and Articles — Tags: , — admin @ 5:02 pm

The state of adult social care services 2014 to 2017,” (July 2017, .pdf and Word format, 49p.).

www.cqc.org.uk/publications/major-report/state-adult-social-care-services-2014-2017

June 14, 2017

CAAR – Public Library of Science (PLoS) Article – June 14, 2017

Filed under: Reports and Articles — Tags: , — admin @ 5:32 pm

Effective strategies to motivate nursing home residents in oral care and to prevent or reduce responsive behaviors to oral care: A systematic review,” by Matthias Hoben, Angelle Kent, Nadia Kobagi, Kha Tu Huynh, Alix Clarke, and Minn N. Yoon (PLoS ONE 12(6): e0178913. doi.org/10.1371/journal.pone.0178913, XML, HTML, and .pdf format, 20p.).

journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0178913

May 17, 2017

CAAR – Care Inspectorate [Scotland] Report – May 17, 2017

Services for older people in Edinburgh,” (May 2017, .pdf format, 59p.).

www.careinspectorate.com/images/documents/3831/Edinburgh%20services%20for%20older%20people%20joint%20inspection%20report%20May%202017.pdf

May 16, 2017

CAAR – National Bureau of Economic Research Working Paper – May 16, 2017

Filed under: Working Papers — Tags: , — admin @ 5:07 pm

Links to an abstract are available. For full text availability check your organization’s library.
Are Recessions Good for Staffing in Nursing Homes?” by R. Tamara Konetzka, Karen B. Lasater, Edward C. Norton, and Rachel M. Werner (w23402, May 2017, .pdf format, 35p.).

www.nber.org/papers/w23402

May 11, 2017

CAAR – Scripps Gerontology Center [Miami University, Oxford, Ohio] Research Brief – May 11, 2017

Filed under: Reports and Articles — Tags: — admin @ 5:03 pm

Using National Data to Examine the Quality of Care in Ohio’s Skilled Nursing Facilities,” by John Bowlis and Robert Applebaum (May 2017, .pdf format, 6p.).

sc.lib.miamioh.edu/xmlui/handle/2374.MIA/6104

April 13, 2017

CAAR – Irish Longitudinal Study on Ageing/Staidear Fadaimseartha na h Eireann um Dhul in Aois [TILDA] (Trinity College, Ireland] Report – April 13, 2017

Filed under: Reports and Articles — Tags: , — admin @ 4:45 pm

Transport patterns in community-dwelling adults aged 50 years and over in Ireland,” by Orna Donoghue, Joanna Orr, Siobhan Leahy, and Rose Anne Kenny (April 2017, .pdf format, 30p.).

tilda.tcd.ie/assets/pdf/TransportTopicReport2016.pdf

March 9, 2017

CAAR – Public Library of Science (PLoS) Article – March 9, 2017

Filed under: Reports and Articles — Tags: , — admin @ 4:48 pm

Prevalence, risk factors and health outcomes associated with polypharmacy among urban community-dwelling older adults in multi-ethnic Malaysia,” by Li Min Lim, Megan McStea, Wen Wei Chung, Nuruljannah Nor Azmi, Siti Azdiah Abdul Aziz, Syireen Alwi, Adeeba Kamarulzaman, Shahrul Bahyah Kamaruzzaman, Siew Siang Chua, and Reena Rajasuriar (PLoS ONE 12(3): e0173466. doi:10.1371/journal.pone.0173466, XML, HTML, and .pdf format, 18p.).

journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0173466

February 7, 2017

CAAR – Pennsylvania Department of Health Report – February 7, 2017

Filed under: Reports and Articles — Tags: — admin @ 4:49 pm

2015-2016 Nursing Home Reports,” (2017, .pdf format, 368p.).

www.statistics.health.pa.gov/HealthStatistics/HealthFacilities/NursingHomeReports/Documents/Nursing_Home_Report_2015_2016.pdf

December 20, 2016

CAAR – Public Library of Science (PLoS) Article – December 20, 2016

Filed under: Reports and Articles — Tags: , — admin @ 4:59 pm

Physical Activity in Community Dwelling Older People: A Systematic Review of Reviews of Interventions and Context,” by Olawale Olanrewaju, Sarah Kelly, Andy Cowan, Carol Brayne, and Louise Lafortune (PLoS ONE 11(12): e0168614. doi:10.1371/journal.pone.0168614, XML, HTML, and .pdf format, 19p.).

journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0168614

December 15, 2016

CAAR – International Longevity Center [UK] Report – December 15, 2016

Means testing social care in England,” by Les Mayhew (December 2016, .pdf format, 36p.).

www.ilcuk.org.uk/index.php/publications/publication_details/means_testing_social_care_in_england

December 6, 2016

CAAR – US Government Accountability Office Report – December 6, 2016

Filed under: Reports and Articles — Tags: — admin @ 5:04 pm

Nursing Homes: Consumers Could Benefit from Improvements to the Nursing Home Compare Website and Five-Star Quality Rating System,” (GAO-17-61, November 2016, .pdf format, 47p.).

www.gao.gov/products/GAO-17-61

November 15, 2016

CAAR – UK House of Commons Library Briefing Note – November 15, 2016

Filed under: Reports and Articles — Tags: — admin @ 4:30 pm

Social care: recent funding announcements and the state of the care home market (England),” by Tim Jarrett and Hannah Cromarty (CBP-7463, November 2016, .pdf format, 28p.).

researchbriefings.parliament.uk/ResearchBriefing/Summary/CBP-7463

November 3, 2016

CAAR – Scripps Gerontology Center [Miami University, Oxford, Ohio] Brief – November 3, 2016

Filed under: Reports and Articles — Tags: — admin @ 4:48 pm

Neighborhood Assistants Pilot: A Program Evaluation of Person-Centered Staffing,” by Katherine M. Abbott, Justine S. Sefcik, Carol Burt, and Lisa Slater (October 2016, .pdf format, 4p.).

sc.lib.miamioh.edu/xmlui/handle/2374.MIA/6005

November 1, 2016

CAAR – Commonwealth Fund Issue Briefs – November 1, 2016

A. “Improving Benefits and Integrating Care for Older Medicare Beneficiaries with Physical or Cognitive Impairment,” by Amber Willink, Karen Davis, and Cathy Schoen (October 2016, .pdf and HTML format, 12p.).

www.commonwealthfund.org/publications/issue-briefs/2016/oct/improving-benefits-medicare-impairment

B. “Risks for Nursing Home Placement and Medicaid Entry Among Older Medicare Beneficiaries with Physical or Cognitive Impairment,” by Amber Willink, Karen Davis, and Cathy Schoen (October 2016, .pdf and HTML format, 13p.).

www.commonwealthfund.org/publications/issue-briefs/2016/oct/risks-nursing-home-medicaid-entry-impairment

October 26, 2016

CAAR – Australian Parliamentary Library Brief – October 26, 2016

Filed under: Reports and Articles — Tags: , — admin @ 4:53 pm

Aged Care: a quick guide,” by Alex Grove (October 2016, .pdf format, 5p.).

www.aph.gov.au/About_Parliament/Parliamentary_Departments/Parliamentary_Library/pubs/rp/rp1617/Quick_Guides/Aged_Care_a_quick_guide

October 4, 2016

CAAR – Asian Development Bank Brief – October 4, 2016

Filed under: Reports and Articles — Tags: , — admin @ 4:55 pm

Strengthening Elderly Care Capacity in Asia and the Pacific,” (No. 66, September 2016, .pdf format, 3p.).

www.adb.org/publications/strengthening-elderly-care-capacity-asia-and-pacific

September 16, 2016

CAAR – King’s Fund [UK] Report – September 16, 2016

Filed under: Reports and Articles — Tags: , — admin @ 4:57 pm

Social care for older people: Home truths,” by Richard Humphries, Patrick Hall, Anna Charles, Ruth Thorlby, and Holly Holder (September 2016, .pdf format, 96p.).

www.kingsfund.org.uk/publications/social-care-older-people

August 30, 2016

CAAR – New Zealand Ministry of Health/Manatu Hauora Report – August 30, 2016

Filed under: Reports and Articles — Tags: — admin @ 4:43 pm

Improving Outcomes in Age Residential Care,” by Prof. Stephen Neville, Prof. Valerie Wright-­-St. Clair, Dr. David Healee and Dr. Judith Davey (July 2016, .pdf and Word format, 12p.).

www.health.govt.nz/publication/improving-outcomes-age-residential-care

August 22, 2016

CAAR – National Bureau of Economic Research Working Paper – August 22, 2016

Filed under: Working Papers — Tags: , , — admin @ 5:06 pm

Links to an abstract are available. For full text availability check your organization’s library.

A. “Life-Cycle Consumption Patterns at Older Ages in the US and the UK: Can Medical Expenditures Explain the Difference?” by James Banks, Richard Blundell, Peter Levell, and James P. Smith (w22513, August 2016, .pdf format, 39p.).

www.nber.org/papers/w22513

B. “Do Hospital-Owned Skilled Nursing Facilities Provide Better Post-Acute Care Quality?” by Momotazur Rahman, Edward C. Norton, and David C. Grabowski (w22515, August 2016, .pdf format, 42p.).

www.nber.org/papers/w22515

August 11, 2016

CAAR – US Centers for Medicare and Medicaid Service Website of Interest – August 11, 2016

Filed under: Websites of Interest — Tags: , — admin @ 1:39 pm

CMS has added several new data sources to their “Nursing Home Compare” website. To learn more about the new data, go to the “Spotlight” box and follow the links to “Long-stay residents” or “Short-stay residents.”

www.medicare.gov/nursinghomecompare/search.html

July 27, 2016

CAAR – UK House of Commons Library Research Note – July 27, 2016

Filed under: Reports and Articles — Tags: , — admin @ 4:26 pm

Social care: paying for care home places and domiciliary care,” by Tim Jarrett (SN01911, July 2016, .pdf format, 21p.).

researchbriefings.parliament.uk/ResearchBriefing/Summary/SN01911

June 30, 2016

CAAR – Statistics Norway Data Tables – June 30, 2016

Filed under: Data Files — Tags: , — admin @ 4:37 pm

Nursing and care services, 2015,” (June 2016, comma-delimited and Excel format).

www.ssb.no/en/helse/statistikker/pleie/aar/2016-06-29

May 16, 2016

CAAR – Public Library of Science (PLoS) Articles – May 16, 2016

A. “Physician Payments from Industry Are Associated with Greater Medicare Part D Prescribing Costs,” by Roy H. Perlis and Clifford S. Perlis (PLoS ONE 11(5): e0155474. doi:10.1371/journal.pone.0155474, XML, HTML, and .pdf format, 12p.).

journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0155474

B. “The Incidence and Recurrence of Getting Lost in Community-Dwelling People with Alzheimer’s Disease: A Two and a Half-Year,” by Ming-Chyi Pai and Chih-Chien Lee (PLoS ONE 11(5): e0155480. doi:10.1371/journal.pone.0155480, XML, HTML, and .pdf format, 15p.).

journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0155480

CAAR – Tables of Contents – May 16, 2016

Filed under: Journal Table of Contents — Tags: , , — admin @ 4:35 pm

American Journal of Alzheimer’s Disease and Other Dementia (Vol. 31, No. 4, June 2016).

aja.sagepub.com/content/31/4.toc

Medical Care (Vol. 54, No. 6, June 2016).

journals.lww.com/lww-medicalcare/pages/currenttoc.aspx

Public Policy and Aging Report (Vol. 26, No. 2, 2016).

ppar.oxfordjournals.org/content/26/2.toc

May 12, 2016

CAAR – Genworth Financial Website of Interest – May 12, 2016

Filed under: Working Papers — Tags: , — admin @ 4:34 pm

2016 Cost of Care (May 2016)

www.genworth.com/about-us/industry-expertise/cost-of-care.html

Summary of Findings (.pdf format, 5p.).

www.genworth.com/dam/Americas/US/PDFs/Consumer/corporate/131168_050516.pdf

CAAR – Center for Economic Studies/Ifo Institute for Economic Research (CESifo) [Munich, Bavaria, Germany] Working Paper – May 12, 2016

Filed under: Working Papers — Tags: — admin @ 4:31 pm

Nursing Home Choice, Family Bargaining and Optimal Policy in a Hotelling Economy,” by Marie-Louise Leroux and Gregory Ponthiere (CESifo Working Paper No. 5892, May 2016, .pdf format, 41p.). Note: Links to the abstract and the full text of the paper available at:

www.cesifo-group.de/ifoHome/publications/working-papers/CESifoWP/CESifoWPdetails?wp_id=19204286

May 4, 2016

CAAR – Scottish Government/Riaghaltas na h-Alba Report- May 4, 2016

Filed under: Reports and Articles — Tags: , — admin @ 4:43 pm

Free Personal and Nursing Care, Scotland, 2014-15,” (May 2016, HTML, Excel, and .pdf format, 20p.).

www.gov.scot/Publications/2016/04/1769

April 28, 2016

CAAR – US Centers for Medicare and Medicaid Service News Release – April 28, 2016

Filed under: Reports and Articles — Tags: — admin @ 4:37 pm

New Quality Measures on Nursing Home Compare,” (April 2016).

www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2016-Fact-sheets-items/2016-04-27.html

Link to “Nursing Home Compare.”

www.medicare.gov/nursinghomecompare/search.html

April 14, 2016

CAAR – Health Information and Quality Authority [Ireland] Report – April 14, 2016

Filed under: Reports and Articles — Tags: — admin @ 4:25 pm

Annual overview report on the regulation of designated centres for older people — 2015,” (April 2016, .pdf format, 30p.).

www.hiqa.ie/publications/annual-overview-report-regulation-designated-centres-older-people-2015

March 9, 2016

CAAR – US National Center for Health Statistics Report – March 9, 2016

Filed under: Reports and Articles — Tags: — admin @ 4:59 pm

Residential Care Communities and Their Residents in 2010: A National Portrait,” by Galina Khatutsky, Catherine Ormond, Joshua M. Wiener, Angela M. Greene, Ruby Johnson, E. Andrew Jessup, Emily Vreeland, Manisha Sengupta, Christine Caffrey, and Lauren Harris-Kojetin (March 2016, .pdf format, 77p.).

www.cdc.gov/nchs/data/nsrcf/nsrcf_chartbook.pdf

March 1, 2016

CAAR – Kaiser Family Foundation Report – March 1, 2016

Medicaid Financial Eligibility for Seniors and People with Disabilities in 2015,” by Molly O’Malley Watts, Elizabeth Cornachione, and MaryBeth Musumeci (March 2016, .pdf and HTML format, 28p.).

kff.org/medicaid/report/medicaid-financial-eligibility-for-seniors-and-people-with-disabilities-in-2015/

February 29, 2016

CAAR – Canadian Institute for Health Information/Institut Canadien D’information Sur La Sante Report- February 29, 2016

Filed under: Reports and Articles — Tags: , — admin @ 5:10 pm

Use of Antipsychotics Among Seniors Living in Long-Term Care Facilities, 2014,” (February 2016, .pdf format, 26p.).

secure.cihi.ca/estore/productFamily.htm?locale=en&pf=PFC3094

February 16, 2016

CAAR – Tables of Contents – February 16, 2016

Aging and Mental Health (Vol. 20, No. 4, 2016).

www.tandfonline.com/toc/camh20/20/4

American Journal of Alzheimer’s Disease and Other Dementias (Vol. 31, No. 2, March 2016).

aja.sagepub.com/content/31/2.toc

Journal of Aging Studies (Vol. 36, January 2016).

www.sciencedirect.com/science/journal/08904065

Journal of Cross-Cultural Gerontology (Vol. 31, No. 1, March 2016).

link.springer.com/journal/10823/31/1/page/1

Medical Care (Vol. 54, No. 3, March 2016).

journals.lww.com/lww-medicalcare/pages/currenttoc.aspx

January 12, 2016

CAAR – UK House of Commons Library Briefing Paper – January 12, 2016

Filed under: Journal Table of Contents — Tags: — admin @ 4:48 pm

Social care: the state of the care home market (England),” by Tim Jarrett (CBP-7463, January 2016, .pdf format, 23p.).

researchbriefings.parliament.uk/ResearchBriefing/Summary/CBP-7463

CAAR – Tables of Contents – January 12, 2016

Filed under: Journal Table of Contents — Tags: , — admin @ 4:47 pm

Journals of Gerontology (A): Biological Sciences (Vol. 71A, No. 2, February 2016).

biomedgerontology.oxfordjournals.org/content/71/2.toc

Medical Care Research and Review (Vol. 73, No. 1, February 2016).

mcr.sagepub.com/content/73/1.toc

December 16, 2015

CAAR – Public Library of Science (PLoS) Article – December 16, 2015

Filed under: Reports and Articles — Tags: — admin @ 5:13 pm

Longitudinal Predictors of Institutionalization in Old Age,” by Andre Hajek, Christian Brettschneider, Carolin Lange, Tina Posselt, Birgitt Wiese, Susanne Steinmann, Siegfried Weyerer, Jochen Werle, Michael Pentzek, Angela Fuchs, Janine Stein, Tobias Luck, Horst Bickel, Edelgard Mosch, Michael Wagner, Frank Jessen, Wolfgang Maier, Martin Scherer, Steffi G. Riedel-Heller, and Hans-Helmut König, AgeCoDe Study Group (PLoS ONE 10(12): e0144203. doi:10.1371/journal.pone.0144203, XML, HTML, and .pdf format, 11p.).

journals.plos.org/plosone/article?id=10.1371/journal.pone.0144203

CAAR – Kaiser Family Foundation Report – December 16, 2015

Filed under: Reports and Articles — Tags: , , — admin @ 5:05 pm

“Medicaid and Long-Term Services and Supports: A Primer,” by Erica L. Reaves and MaryBeth Musumeci (December 2015, .pdf and HTML format, 12p.).

kff.org/medicaid/report/medicaid-and-long-term-services-and-supports-a-primer/

December 15, 2015

CAAR – International Longevity Centre [UK] Report – December 15, 2015

The End of Formal Adult Social Care?” by Ben Franklin (December 2015, .pdf format, 11p.).

www.ilcuk.org.uk/index.php/publications/publication_details/the_end_of_formal_adult_social_care

December 10, 2015

CAAR – European Centre for Social Welfare Policy and Research Brief – December 10, 2015

PB From care in homes to care at home: European experiences with (de)institutionalisation in long-term care,” by Stefania Ilinca, Kai Leichsenring, and Ricardo Rodrigues (December 2015, .pdf format, 14p.).

www.euro.centre.org/detail.php?xml_id=2566

December 7, 2015

CAAR – Scripps Gerontology Center Brief – December 7, 2015

Filed under: Reports and Articles — Tags: , — admin @ 4:38 pm

Are Ohio’s Nursing Homes Ready for an Emergency?” by Cassandra Hua, Matt Nelson, and Marc Molea (November 2015, .pdf format, 4p.).

dspace.lib.miamioh.edu/xmlui/handle/2374.MIA/5804

November 30, 2015

CAAR – US Government Accountability Office Report – November 30, 2015

Filed under: Reports and Articles — Tags: — admin @ 5:11 pm

Nursing Home Quality: CMS Should Continue to Improve Data and Oversight,” (GAO-16-33, October 2015, .pdf format, 52p.).

www.gao.gov/products/GAO-16-33

November 18, 2015

CAAR – US National Center for Health Statistics Data Briefs – November 18, 2015

Filed under: Reports and Articles — Tags: — admin @ 4:35 pm

A. “Variation in Residential Care Community Resident Characteristics, by Size of Community: United States, 2014,” by Manisha Sengupta, Lauren D. Harris-Kojetin, and Christine Caffrey (Data Brief No. 223, November 2015, .pdf and HTML format, 8p.).

www.cdc.gov/nchs/data/databriefs/db223.htm

B. “Variation in Operating Characteristics of Residential Care Communities, by Size of Community: United States, 2014,” Christine Caffrey, Lauren Harris-Kojetin, and Manisha Sengupta (Data Brief No. 222, November 2015, .pdf and HTML format, p.).

www.cdc.gov/nchs/data/databriefs/db222.htm

November 3, 2015

CAAR – UK House of Commons Library Briefing Paper – November 3, 2015

Filed under: Reports and Articles — Tags: — admin @ 4:38 pm

Social care: Recent changes to the CQC’s regulation of adult residential care (care homes),” by Tim Jarrett (CBP-7362, November 2015, .pdf format, 19p.).

researchbriefings.parliament.uk/ResearchBriefing/Summary/CBP-7362

October 15, 2015

CAAR – Care Quality Commission [UK] Report – October 15, 2015

Filed under: Reports and Articles — Tags: — admin @ 5:16 pm

State of Care 2014/15,” (October 2015, .pdf format, 118p.).

www.cqc.org.uk/content/state-care-201415

September 25, 2015

CAAR – Public Library of Science (PLoS) Article – September 25, 2015

Social Participation and the Prevention of Decline in Effectance among Community-Dwelling Elderly: A Population-Based Cohort Study,” by Kimiko Tomioka, Norio Kurumatani, and Hiroshi Hosoi (PLoS ONE 10(9): e0139065. doi:10.1371/journal.pone.0139065, HTML, XML, and .pdf format, 13p.).

journals.plos.org/plosone/article?id=10.1371/journal.pone.0139065

August 5, 2015

CAAR – Kaiser Family Foundation Report – August 5, 2015

Filed under: Reports and Articles — Tags: — admin @ 4:37 pm

Nursing Facilities, Staffing, Residents and Facility Deficiencies, 2009 Through 2014,” by Charlene Harrington, Helen Carrillo, and Rachel Garfield (August 2015, .pdf and HTML format, 40p.).

kff.org/medicaid/report/nursing-facilities-staffing-residents-and-facility-deficiencies-2009-through-2014/

August 4, 2015

CAAR – US Bureau of Economic Analysis Working Paper – August 4, 2015

Filed under: Working Papers — Tags: — admin @ 5:09 pm

Measuring Nursing Home Price Growth between 2000-2009,” by Tina Highfill and David Johnson (WP2015-8, 2015, .pdf format, 31p.).

Abstract:

The proper measurement of inflation in health care is important for policymakers to understand the drivers of price growth. For this reason, the U.S. Bureau of Economic Analysis (BEA) recently released an alternate presentation of inflation for the health care sector that examines prices by disease, such as treatment of diabetes, rather than by place of service, such as a hospital stay. This account does not yet incorporate spending on nursing home care, providing an incomplete picture of inflation in the health care sector. To fill this gap, this paper calculates price indexes by disease for nursing home care for 2000-2009. We find prices in the overall nursing home sector grew at an average annual rate of only 0.9% during the period using these indexes. Price growth was slower for long-term nursing home residents (1.4%) compared to short-term residents (2.8%). Diseases of the circulatory system was the most prevalent disease category, followed by mental illness for long-term residents and diseases of the musculoskeletal system and connective tissue for short-term patients. These three categories of diseases also received the largest allocations of spending, with the bulk going towards patients diagnosed with mental conditions. Overall, nursing home price growth in the 2000s was much slower than for other health care sectors. Incorporating disease-based price indexes for nursing homes into BEA’s new health care account will provide a more comprehensive picture of health care spending trends and inflation.

www.bea.gov/papers/pdf/Highfill%20Johnson_Nursing%20Homes%20MCE%20index.pdf

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