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The purpose of this article is to show which Nursing Home Reform Act (NHRA) regulations nursing homes are, and are not, complying with. This is achieved by using deficiency citations that are issued by state and federal inspectors when a facility does not meet a NHRA standard. Structural and process characteristics of nursing homes associated with these deficiency citations are presented. The results of these analyses are discussed in terms of their policy issues.
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Nicholas G. Castle (2001) studied this question.
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