Administration and Policy in Mental Health and Mental Health Services Research

, Volume 29, Issue 2, pp 157–171

Deficiency Citations for Mental Health Care in Nursing Homes

  • Nicholas G. Castle

DOI: 10.1023/A:1014340731399

Cite this article as:
Castle, N.G. Adm Policy Ment Health (2001) 29: 157. doi:10.1023/A:1014340731399


The Centers for Medicare and Medicaid Services (CMS) certifies approximately 17,000 nursing homes per year. When a facility does not meet a standard, a deficiency citation is issued. Using 1998 citations, we examined the structure and process characteristics of nursing homes that were associated with mental health deficiencies. Our findings showed that (a) some nursing homes have a high number of deficiencies in the area of mental health care; (b) these deficiencies do not appear to be associated with specific processes used in nursing homes; and (c) some structural factors such as staffing, private-pay occupancy, and Medicare occupancy appear to have an important influence on the number of mental health care deficiencies.

deficiency citationsMedicaidMedicarenursing homes

Copyright information

© Human Sciences Press, Inc. 2001

Authors and Affiliations

  • Nicholas G. Castle
    • 1
  1. 1.RANDPittsburgh