Sandra F. Simmons

Learn More
OBJECTIVE To compare nursing homes (NHs) that report different staffing statistics on quality of care. DATA SOURCES Staffing information generated by California NHs on state cost reports and during onsite interviews. Data independently collected by research staff describing quality of care related to 27 care processes. STUDY DESIGN Two groups of NHs(More)
OBJECTIVE To evaluate a three-phase, behavioral intervention to improve fluid intake in nursing home (NH) residents. DESIGN Controlled clinical intervention trial. SETTING Two community NHs. PARTICIPANTS Sixty-three incontinent NH residents. INTERVENTION Participants were randomized into intervention and control groups. The intervention consisted of(More)
AIM The purpose of this pilot study was to determine if a diagnosis of dementia influenced pain self-reports and pain medication use in a group of verbally communicative nursing home (NH) residents. METHODS The study design was a between groups, cross-sectional chart audit and a seven-question structured pain interview comparing outcomes in residents with(More)
OBJECTIVES To examine clinical outcomes and describe the staffing requirements of an incontinence and exercise intervention. DESIGN Randomized controlled trial with blinded assessments of outcomes at three points over 8 months. SETTING Four nursing homes. PARTICIPANTS Two hundred fifty-six incontinent residents. INTERVENTION Research staff provided(More)
OBJECTIVES To determine if two physical activity programs of varying intensity would result in improved sleep among incontinent and physically restrained nursing home residents. DESIGN Controlled trials of two physical activity programs. SETTING Seven community nursing homes in the Los Angeles area. PARTICIPANTS Residents were included if they had(More)
PURPOSE To evaluate the effects of an exercise and scheduled-toileting intervention on appetite and constipation in nursing home (NH) residents. METHODS A controlled, clinical intervention trial with 89 residents in two NHs. Research staff provided exercise and toileting assistance every two hours, four times per day, five days a week for 32 weeks. Oral(More)
PURPOSE The objective of this work was to determine if nursing homes that score differently on prevalence of depression, according to the Minimum Data Set (MDS) quality indicator, also provide different processes of care related to depression. DESIGN AND METHODS A cross-sectional study with 396 long-term residents in 14 skilled nursing facilities was(More)
OBJECTIVES To determine the effects of a feeding assistance intervention on food and fluid intake and body weight. DESIGN Crossover controlled trial. SETTING Four skilled nursing homes (NHs). PARTICIPANTS Seventy-six long-stay NH residents at risk for unintentional weight loss. INTERVENTION Research staff provided feeding assistance twice per day(More)
OBJECTIVE To determine if an exercise intervention, Functional Incidental Training (FIT), results in improvements in mobility endurance and physical activity when compared with prompted voiding (PV) among cognitively and mobility impaired nursing home residents. DESIGN Residents from four nursing homes were randomized into either a PV only (PV) or a PV(More)
BACKGROUND The current approach to assessing nutritional intake requires nursing home (NH) staff to document total percentage of food and fluid consumed at each meal. Because NH staff tend to significantly overestimate total food intake, methods need to be developed to improve the accuracy of food intake measurement. OBJECTIVE To compare three methods of(More)