Observational analysis reveals variable effects of staffing levels on injurious falls in nursing homes, suggesting complexities in quality improvements.
Although increased CNA staff levels were associated with fewer injurious falls in NHs that were well staffed, increased CNA levels were associated with an increase in injurious fall rates in low-staffed facilities. Utilization of agency staff had little impact on injurious falls. Efforts to improve quality outcomes in NHs through increasing staff hours may have a variable effect depending on an NH's baseline resource availability.
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Khoja et al. (2026) studied this question.
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