residential facilities


Summary: Long-term care facilities which provide supervision and assistance in activities of daily living with medical and nursing services when required.

Top Publications

  1. Picardi A, Rucci P, de Girolamo G, Santone G, Borsetti G, Morosini P. The quality of life of the mentally ill living in residential facilities: findings from a national survey in Italy. Eur Arch Psychiatry Clin Neurosci. 2006;256:372-81 pubmed
    ..To date no large-scale study has been conducted in residential facilities (RFs)...
  2. Chin A Paw M, van Poppel M, van Mechelen W. Effects of resistance and functional-skills training on habitual activity and constipation among older adults living in long-term care facilities: a randomized controlled trial. BMC Geriatr. 2006;6:9 pubmed
    ..Six months of moderate intensity exercise training neither enhances habitual physical activity nor affects complaints of constipation among older people living in long-term care facilities. ..
  3. Clare L, Rowlands J, Bruce E, Surr C, Downs M. 'I don't do like I used to do': a grounded theory approach to conceptualising awareness in people with moderate to severe dementia living in long-term care. Soc Sci Med. 2008;66:2366-77 pubmed publisher
    ..Understanding more about the capacity for retained awareness and the specific ways in which awareness can be compromised may assist care staff in responding effectively to residents' needs. ..
  4. Greenspan S, Schneider D, McClung M, Miller P, Schnitzer T, Bonin R, et al. Alendronate improves bone mineral density in elderly women with osteoporosis residing in long-term care facilities. A randomized, double-blind, placebo-controlled trial. Ann Intern Med. 2002;136:742-6 pubmed
    ..Alendronate produced greater decreases from baseline in biochemical markers of bone turnover than did placebo (P < 0.001). Alendronate increased BMD at both the spine and hip in elderly female residents of long-term care facilities. ..
  5. Bowman C, Whistler J, Ellerby M. A national census of care home residents. Age Ageing. 2004;33:561-6 pubmed
    ..Alternatives to institutional long-term care should only be considered in the context of current resident profiles, the practicality of providing alternative models and likely projected population needs. ..
  6. Wójkowska Mach J, Gryglewska B, Czekaj J, Adamski P, Grodzicki T, Heczko P. Infection control: point prevalence study versus incidence study in Polish long-term care facilities in 2009-2010 in the Ma?opolska Region. Infection. 2013;41:1-8 pubmed publisher
    ..As a marker, one could point to the low score in the Barthel or Katz scales or low physical activity/bedridden persons. ..
  7. Boyd M, Broad J, Kerse N, Foster S, von Randow M, Lay Yee R, et al. Twenty-year trends in dependency in residential aged care in Auckland, New Zealand: a descriptive study. J Am Med Dir Assoc. 2011;12:535-40 pubmed publisher
    ..The increased dependency over 20 years directly affects care requirements for this population. ..
  8. Somers M, Rose E, Simmonds D, Whitelaw C, Calver J, Beer C. Quality use of medicines in residential aged care. Aust Fam Physician. 2010;39:413-6 pubmed
    ..There may be substantial scope to improve prescribing for older people with dementia living in RACFs. ..
  9. Beer C, Flicker L, Horner B, Bretland N, Scherer S, Lautenschlager N, et al. Factors associated with self and informant ratings of the quality of life of people with dementia living in care facilities: a cross sectional study. PLoS ONE. 2010;5:e15621 pubmed publisher
    ..Informant ratings underestimate self ratings of QoL of people with dementia, and appear to be associated with factors which are not associated with self ratings. ..

More Information


  1. Simons D, Brailsford S, Kidd E, Beighton D. The effect of chlorhexidine acetate/xylitol chewing gum on the plaque and gingival indices of elderly occupants in residential homes. J Clin Periodontol. 2001;28:1010-5 pubmed
    ..The long-term use of a chlorhexidine acetate/xylitol chewing gum may therefore support oral hygiene routines for an elderly dependent population. ..
  2. Willumsen T, Solemdal K, Wenaasen M, Ogaard B. Stannous fluoride in dentifrice: an effective anti-plaque agent in the elderly?. Gerodontology. 2007;24:239-43 pubmed
    ..21, p = 0.02). A post hoc test showed that SnF(2) produced a statistically significantly lower PI than did NaF. SnF(2) in toothpaste may be effective in inhibiting plaque accumulation in the elderly. ..
  3. Bundle A. Health of teenagers in residential care: comparison of data held by care staff with data in community child health records. Arch Dis Child. 2001;84:10-14 pubmed
    ..Important information about the health needs of looked after teenagers was not known to the children's home staff. Community paediatricians should be proactive in identifying and addressing these needs. ..
  4. O Halloran P, Cran G, Beringer T, Kernohan G, O Neill C, Orr J, et al. A cluster randomised controlled trial to evaluate a policy of making hip protectors available to residents of nursing homes. Age Ageing. 2004;33:582-8 pubmed
    ..This research does not support the introduction of a policy of providing hip protectors to residents of nursing homes. ..
  5. Tuckett A, Hughes K, Gilmour J, Hegney D, Huntington A, Turner C. Caring in residential aged-care. Qualitative findings from an e-cohort sub-study. J Clin Nurs. 2009;18:2604-12 pubmed publisher
    ..These findings have implications for aged-care sector recruitment, retention and workforce planning within residential aged-care facilities. ..
  6. Dowling G, Burr R, Van Someren E, Hubbard E, Luxenberg J, Mastick J, et al. Melatonin and bright-light treatment for rest-activity disruption in institutionalized patients with Alzheimer's disease. J Am Geriatr Soc. 2008;56:239-46 pubmed
    ..Future studies should resolve the question of whether these improvements can be attributed to melatonin or whether the two zeitgebers interact to amplify efficacy. ..
  7. Splett P, Roth Yousey L, Vogelzang J. Medical nutrition therapy for the prevention and treatment of unintentional weight loss in residential healthcare facilities. J Am Diet Assoc. 2003;103:352-62 pubmed
    ..The new MNT protocol for UWL in residential facilities emphasized assessment; intervention (including weighing frequency); communication with staff, medical ..
  8. Cox H, Puffer S, Morton V, Cooper C, Hodson J, Masud T, et al. Educating nursing home staff on fracture prevention: a cluster randomised trial. Age Ageing. 2008;37:167-72 pubmed
    ..64 [1.23, 2.18] P<0.01). the intervention significantly increased the prescription of bisphosphonates and calcium/vitamin D, but was not associated with a significant effect on the rate of falls or fractures. ..
  9. van den Berg M, Lett K, Sackley C. A workshop to maintain residents' mobility and activity. Nurs Times. 2006;102:32-4 pubmed
    ..A workshop was devised to enable staff to learn simple strategies to improve and maintain residents' mobility and activity. This article describes its design, content and delivery. ..
  10. Gallagher C, Dobrin A. Deaths in juvenile justice residential facilities. J Adolesc Health. 2006;38:662-8 pubmed
    To provide the first national description of death in juvenile justice residential facilities. Data come from recent censuses of all public and private juvenile justice facilities in the United States...
  11. Lo E, Luo Y, Tan H, Dyson J, Corbet E. ART and conventional root restorations in elders after 12 months. J Dent Res. 2006;85:929-32 pubmed
    ..7% and 87.0% (p > 0.05). It is concluded that the survival rates of both types of root restorations were high and similar. ..
  12. Triemstra M, Winters S, Kool R, Wiegers T. Measuring client experiences in long-term care in the Netherlands: a pilot study with the Consumer Quality Index Long-term Care. BMC Health Serv Res. 2010;10:95 pubmed publisher
    ..This standardized instrument enables a nationwide comparison of the quality of long-term care for the purpose of transparency and quality assurance. ..
  13. Furaker C, Nilsson A. The competence of certified nurse assistants caring for persons with dementia diseases in residential facilities. J Psychiatr Ment Health Nurs. 2009;16:146-52 pubmed publisher
    In Sweden, a majority of elderly persons living in residential facilities have some form of dementia, and caring for them is a demanding and complex task. The formal education level of personnel in residential facilities is low...
  14. Rust T, Wagner L, Hoffman C, Rowe M, Neumann I. Broadening the patient safety agenda to include safety in long-term care. Healthc Q. 2008;11:31-4 pubmed
    ..The background paper subsequently informed an invitational round-table discussion. Key findings from the key-informant interviews as well as implications for research are described in this article. ..
  15. Orrell M, Hancock G, Liyanage K, Woods B, Challis D, Hoe J. The needs of people with dementia in care homes: the perspectives of users, staff and family caregivers. Int Psychogeriatr. 2008;20:941-51 pubmed publisher
    ..Users' views on their needs should be sought even when the person has dementia and lives in a care home. Reliance solely on assessment by staff or carers may lead to under recognition of unmet needs. ..
  16. Brailsford S, Fiske J, Gilbert S, Clark D, Beighton D. The effects of the combination of chlorhexidine/thymol- and fluoride-containing varnishes on the severity of root caries lesions in frail institutionalised elderly people. J Dent. 2002;30:319-24 pubmed
    ..The procedure could be performed by a dental hygienist and may be usefully applied in other high-risk groups including persons with Parkinson's disease, debilitating neuromuscular conditions and dry mouth from whatever cause. ..
  17. Flicker L, Mead K, Macinnis R, Nowson C, Scherer S, Stein M, et al. Serum vitamin D and falls in older women in residential care in Australia. J Am Geriatr Soc. 2003;51:1533-8 pubmed
    ..01), implying a 20% reduction in the risk of falling with a doubling of the vitamin D level. Vitamin D deficiency is common in residential care in Australia. A low level of serum vitamin D is an independent predictor of incident falls. ..
  18. Dyer C, Taylor G, Reed M, Dyer C, Robertson D, Harrington R. Falls prevention in residential care homes: a randomised controlled trial. Age Ageing. 2004;33:596-602 pubmed
    ..Several risk factors were reduced in the intervention arm. falls risk factor reduction is possible in residents of care homes. A modest reduction in falls rates was demonstrated but this failed to reach statistical significance. ..
  19. Santone G, de Girolamo G, Falloon I, Fioritti A, Micciolo R, Picardi A, et al. The process of care in residential facilities--a national survey in Italy. Soc Psychiatry Psychiatr Epidemiol. 2005;40:540-50 pubmed
    Although residential facilities (RFs) have largely replaced mental hospitals (MHs) in most developed countries for the long-term residential care of severely impaired patients, the process of care in RFs has not been well studied...
  20. Stolee P, Hillier L, Webster F, O Callaghan C. Stroke care in long-term care facilities in southwestern Ontario. Top Stroke Rehabil. 2006;13:97-108 pubmed
    ..This study identified challenges and barriers to providing optimal stroke care in LTC facilities. Recommendations for enhancing stroke care are suggested. ..
  21. Sweeney M, Williams C, Kennedy C, Macpherson L, Turner S, Bagg J. Oral health care and status of elderly care home residents in Glasgow. Community Dent Health. 2007;24:37-42 pubmed
    ..Increased emphasis on implementation of standard oral care protocols and improved education of staff is essential if the oral health of elderly institutionalised residents is to improve. ..
  22. Woo J, Chau P. Aging in Hong Kong: the institutional population. J Am Med Dir Assoc. 2009;10:478-85 pubmed publisher
    ..Issues of quality of care would be all the more important with anticipated future increase in the institutional population of older people. ..
  23. Beer C, Horner B, Almeida O, Scherer S, Lautenschlager N, Bretland N, et al. Current experiences and educational preferences of general practitioners and staff caring for people with dementia living in residential facilities. BMC Geriatr. 2009;9:36 pubmed publisher
    ..The effectiveness and sustainability of an educational intervention based on these findings needs to be tested. In addition, future interventions should focus on supporting cultural change to facilitate sustainable improvements in care. ..
  24. Leeds L, Meara J, Hobson P. The impact of discharge to a care home on longer term stroke outcomes. Clin Rehabil. 2004;18:924-8 pubmed
    ..60 compared with 0.35). Poorer outcome in subjects discharged to care homes may be remediable and could respond to better rehabilitative efforts and increased social support and encouragement for this group of stroke survivors. ..
  25. Clare L, Rowlands J, Bruce E, Surr C, Downs M. The experience of living with dementia in residential care: an interpretative phenomenological analysis. Gerontologist. 2008;48:711-20 pubmed
    ..The participants' experience emphasizes the importance of improving the living situation of elders with dementia in residential care settings. ..
  26. Dowling G, Hubbard E, Mastick J, Luxenberg J, Burr R, Van Someren E. Effect of morning bright light treatment for rest-activity disruption in institutionalized patients with severe Alzheimer's disease. Int Psychogeriatr. 2005;17:221-36 pubmed
    ..The results indicate that only subjects with the most impaired rest-activity rhythm respond significantly and positively to a brief (one hour) light intervention. ..
  27. Yuen H, Huang P, Burik J, Smith T. Impact of participating in volunteer activities for residents living in long-term-care facilities. Am J Occup Ther. 2008;62:71-6 pubmed
    ..029). Findings provide preliminary support for engaging LTC residents in volunteer mentoring activities to improve their well-being. ..
  28. Stuijt C, Franssen E, Egberts A, Hudson S. Reliability of the medication appropriateness index in Dutch residential home. Pharm World Sci. 2009;31:380-6 pubmed publisher
    ..84 (all schemes). In a Dutch institutionalised setting with representative raters, the unmodified MAI can be used as an instrument to quantify changes in appropriateness of prescribing. ..
  29. Jensen J, Nyberg L, Rosendahl E, Gustafson Y, Lundin Olsson L. Effects of a fall prevention program including exercise on mobility and falls in frail older people living in residential care facilities. Aging Clin Exp Res. 2004;16:283-92 pubmed
    ..Benefits were found in residents with both lower and higher cognitive impairment, but were not found to be associated with a reduced risk of falling. ..
  30. Flicker L, Macinnis R, Stein M, Scherer S, Mead K, Nowson C, et al. Should older people in residential care receive vitamin D to prevent falls? Results of a randomized trial. J Am Geriatr Soc. 2005;53:1881-8 pubmed
    ..68 (95% CI=0.38-1.22). Older people in residential care can reduce their incidence of falls if they take a vitamin D supplement for 2 years even if they are not initially classically vitamin D deficient. ..
  31. Rosendahl E, Gustafson Y, Nordin E, Lundin Olsson L, Nyberg L. A randomized controlled trial of fall prevention by a high-intensity functional exercise program for older people living in residential care facilities. Aging Clin Exp Res. 2008;20:67-75 pubmed
    ..9 falls per PY), incidence rate ratio (95% CI) 0.44 (0.21-0.91), p=0.03. In older people living in residential care facilities, a high-intensity functional exercise program may prevent falls among those who improve their balance. ..
  32. Picardi A, Girolamo G, Santone G, Falloon I, Fioritti A, Micciolo R, et al. The environment and staff of residential facilities: findings from the Italian 'progres' national survey. Community Ment Health J. 2006;42:263-79 pubmed
    We administered structured interviews to managers and staff of a random sample of 265 Italian psychiatric Residential Facilities (RFs). Most are independent buildings, located in urban and suburban areas...
  33. Kerse N, Butler M, Robinson E, Todd M. Fall prevention in residential care: a cluster, randomized, controlled trial. J Am Geriatr Soc. 2004;52:524-31 pubmed
    ..There was no difference in the injurious fall incidence rate or incidence of serious injuries. This fall-prevention intervention did not reduce falls or injury from falls. Low-intensity intervention may be worse than usual care. ..
  34. Szczepura A, Nelson S, Wild D. In-reach specialist nursing teams for residential care homes: uptake of services, impact on care provision and cost-effectiveness. BMC Health Serv Res. 2008;8:269 pubmed publisher
    ..Residents are enabled to stay in familiar surroundings rather than unnecessarily spending time in hospital or being transferred to a higher dependency nursing home setting. ..
  35. Lopman B, Adak G, Reacher M, Brown D. Two epidemiologic patterns of norovirus outbreaks: surveillance in England and wales, 1992-2000. Emerg Infect Dis. 2003;9:71-7 pubmed
    ..A distinct outbreak pattern in health-care institutions suggests a combination of host, virologic, and environmental factors that mediate these divergent epidemiologic patterns. ..
  36. Smith P, Hansen K, Sayles H, Brodersen B, Medcalf S. A long-term care facility pandemic influenza preparedness planning assessment tool. Am J Disaster Med. 2011;6:219-30 pubmed
    ..The LTCF should focus on the identified key plan elements and exercise their plan before a disaster occurs. ..
  37. Buchholtz K, King R. Policy and proposals that will help improve access to oral care services for individuals with special health care needs. N C Med J. 2012;73:124-7 pubmed
    ..This commentary provides an overview of this issue and discusses a recent policy and several proposals that will help improve outcomes and access to oral care for individuals who require special care dentistry services. ..
  38. Sim J, Bartlam B, Bernard M. The CASP-19 as a measure of quality of life in old age: evaluation of its use in a retirement community. Qual Life Res. 2011;20:997-1004 pubmed publisher
    ..Further modification of the scale may be fruitful from a psychometric point of view. ..
  39. Lee S, Chaudhury H, Hung L. Exploring staff perceptions on the role of physical environment in dementia care setting. Dementia (London). 2016;15:743-55 pubmed publisher
  40. Hartter J, Dowhaniuk N, Mackenzie C, Ryan S, Diem J, Palace M, et al. Perceptions of risk in communities near parks in an African biodiversity hotspot. Ambio. 2016;45:692-705 pubmed publisher
  41. Abbott R, Whear R, Thompson Coon J, Ukoumunne O, Rogers M, Bethel A, et al. Effectiveness of mealtime interventions on nutritional outcomes for the elderly living in residential care: a systematic review and meta-analysis. Ageing Res Rev. 2013;12:967-81 pubmed publisher
    ..Further large scale pragmatic trials, however, are still required to establish full efficacy of such interventions. ..
  42. Hadid K, Galiano B, Eynard N, Pascual M. [The nurse's role in a residential facility for disabled adults]. Rev Infirm. 2013;:24-7 pubmed
    ..To do that, it is essential to support the person in a global care approach, the pillars of which are regained awareness of the forgotten body and a positioning as a player in their own health. ..
  43. Stuart R, Wilson J, Bellaard Smith E, Brown R, Wright L, Vandergraaf S, et al. Antibiotic use and misuse in residential aged care facilities. Intern Med J. 2012;42:1145-9 pubmed publisher
    ..Antibiotic stewardship is of paramount importance in RACF. Programmes to promote the rational use of antibiotics and minimise the emergence of resistant pathogens are urgently required in Australian RACF. ..
  44. Nakanishi K, Hanihara T, Mutai H, Nakaaki S. Evaluating the quality of life of people with dementia in residential care facilities. Dement Geriatr Cogn Disord. 2011;32:39-44 pubmed publisher
    ..The staff tended to underestimate QoL. The main determinants of QoL were the functional status and depression. Improving physical function and mood may be beneficial in providing a better QoL. ..
  45. Samuelson K. What does quality look like to the resident?. Healthc Pap. 2011;10:24-9; discussion 58-62 pubmed
    ..And it is here where I make my prime contribution to the conversation. ..
  46. Rose J. How do staff psychological factors influence outcomes for people with developmental and intellectual disability in residential services?. Curr Opin Psychiatry. 2011;24:403-7 pubmed publisher
    ..Further research is required, particularly, to evaluate the specific impact of staff psychological factors on resident outcome. ..
  47. Stolt R, Blomqvist P, Winblad U. Privatization of social services: quality differences in Swedish elderly care. Soc Sci Med. 2011;72:560-7 pubmed publisher
    ..Our conclusion is that private care providers seem to emphasize service aspects rather than structural prerequisites for good care. ..
  48. van der Zwaluw C, Valentijn S, Nieuwenhuis Mark R, Rasquin S, van Heugten C. Cognitive functioning in the acute phase poststroke: a predictor of discharge destination?. J Stroke Cerebrovasc Dis. 2011;20:549-55 pubmed publisher
    ..Functional status improved the predictive value of the model; the MMSE was not suitable for prediction. A comprehensive set of various predictors, including cognition, is recommended to support discharge planning. ..
  49. Minnes P, Woodford L, Carlson P, Johnston J, McColl M. The needs of aging parents caring for an adult with acquired brain injury. Can J Aging. 2010;29:185-92 pubmed publisher
    ..The information gathered provides a base for further research in other sectors. Implications of these initial findings for clinical practice and policy and program development are discussed. ..
  50. Rodgers V, Welford C, Murphy K, Frauenlob T. Enhancing autonomy for older people in residential care: what factors affect it?. Int J Older People Nurs. 2012;7:70-4 pubmed publisher
    ..This paper will discuss the three most pertinent factors that are discussed repeatedly in the literature, and they are as follows: the organisations approach to care, person-centred care and life planning. ..
  51. Teramura Grönblad M, Bell J, Pöysti M, Strandberg T, Laurila J, Tilvis R, et al. Risk of death associated with use of PPIs in three cohorts of institutionalized older people in Finland. J Am Med Dir Assoc. 2012;13:488.e9-13 pubmed publisher
  52. Gerber F, Bessero S, Robbiani B, Courvoisier D, Baud M, Traoré M, et al. Comparing residential programmes for adults with autism spectrum disorders and intellectual disability: outcomes of challenging behaviour and quality of life. J Intellect Disabil Res. 2011;55:918-32 pubmed publisher
    ..The PAMS programme has a positive and indirect influence on QoL by reducing CB. ..
  53. Ladbury G, Morroy G, van Hoeven Dekkers S, Botermans C, Veelenturf C, Bastiaens M, et al. An outbreak of scabies in multiple linked healthcare settings in The Netherlands. Infect Control Hosp Epidemiol. 2012;33:1047-50 pubmed publisher
    ..The outbreak demonstrated how the complex system of care provision to vulnerable groups facilitated extensive scabies transmission among multiple linked healthcare settings and the community. ..