Total care

Facilities

n = 541

Healthcare Facilities

n = 324

Medical Care Facilities

n = 202

Structural Indicators

M (SD)

M (SD)

M (SD)

Number of residents in facility

70.4 (26.6)

83.9 (26.3)

51.4 (26.4)

Rate of capacity utilization (%)

97.9 (5.5)

93.8 (6.4)

91.7 (13.7)

Level of care required for residents in facility (%)

Rate of level 1

2.2 (0.6)

6.1 (2.0)

1.7 (0.5)

Rate of level 2

9.5 (1.8)

16.9 (5.9)

7.1 (1.2)

Rate of level 3

21.2 (2.5)

24.5 (14.8)

28.0 (8.4)

Rate of level 4

30.2 (3.1)

25.8 (10.5)

30.8 (12.3)

Rate of level 5

37.0 (4.8)

26.9 ( 9.8)

32.5 (9.6)

Human resources

Number of residents per doctor

415.0 (199.8)

74.7 (22.1)

28.6 (14.3)

Number of residents per nurse

18.4 (13.4)

9.3 (7.1)

6.9 (4.7)

Number of residents per care staff member

2.5 (2.0)

3.7 (2.6)

3.8 (2.8)

Number of residents per physiotherapist

235.7 (104.6)

27.6 (15.8)

35.3 (20.6)

Number of residents per facility staff member (office worker and volunteer)

58.2 ( 31.7)

24.3 (13.9)

25.4 (16.7)

Process Indicators

n (%)

n (%)

n (%)

Annual revision of manuals to enhance safety management measures

422 (78.0)

272 (84.0)

187 (92.6)

Summarizing and statistically analyzing concerning incidents once a month

355 (65.7)

254 (78.4)

154 (76.2)

Monthly analysis of background factors at the time of accidents

414 (76.6)

254 (78.4)

151 (74.7)

Making rounds to identify on-site risks every three months

262 (48.4)

161 (49.7)

112 (55.4)

Increasing staff awareness of appropriate actions and enhancing safety management every three months

320 (59.1)

211 (65.1)

150 (74.2)

Holding review meetings and seminars related to measures to enhance safety management every three months

276 (51.0)

161 (49.7)

125 (62.1)

Reviewing incidents of tumbles and falls every three months

329 (60.8)

249 (76.9)

128 (63.5)

Understanding ADL using indexes of FIM and BI every three months

125 (23.1)

163 (50.3)

96 (47.6)

Understanding cognitive condition using HADS and MMSE every three months

56 (10.3)

124 (38.4)

47 (23.4)

Holding care conferences for the maintenance and enhancement of ADL and cognitive condition every three months

289 (53.4)

281 (86.8)

148 (73.4)

Holding care conferences to reduce and/or better manage incontinence problems every three months

299 (55.2)

283 (87.3)

131 (64.7)

Keeping an incontinence diary for each resident

447 (82.7)

234 (72.2)

137 (67.6)

Changing diapers and prompting residents to better manage their incontinence

436 (80.5)

265 (81.7)

142 (70.3)

Persuading residents to use training pants or pads

501 (92.6)

308 (95.2)

162 (80.4)

Allocating a staff member to watch over residents while bathing

531 (98.1)

318 (98.2)

190 (93.9)

Reviewing oral medicines (e.g., sleeping tablets and psychotropic drugs) for residents at high risk of falls

339 (62.7)

218 (67.4)

99 (48.8)