Measuring Quality of Nursing Home Service: Residents' Perspective

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Abstract
An inventory was developed to measure residents' perceptions of the quality of nursing home service. The content domain and dimensions of the inventory were derived from actual comments of nursing home residents. Independent studies employing a multiple-facility sample of 103 residents and 194 residents from a single institution supported a four-factor structure of the quality of nursing home service—Staff and Environmental Responsiveness, Dependability and Trust, Food-related Services and Resources, and Personal Control. The data provide preliminary support for the measure's reliability and validity so it may be used to study the antecedents and consequences of quality in nursing home service from the residents' perspective.