Charlene Harrington, PhD, RN, FAAN
Professor Emeritus
Social Behavioral Sciences
School of Nursing
Awards
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- Constantine Panunzio Distinguished Emeriti Award, University of California, 2022-2023
- The Nineteenth Helen Nahm Research Lecture, University of California San Francisco, 1999
- National Academy of Medicine, 1996
- American Academy of Nursing, 1987
Education & Training
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- Ph.D. Sociology & Higher Education University of California 1975
- M.S. Community Health Nursing University of Washington 1968
- B.S. Nursing University of Kansas 1963
Grants and Projects
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- Nursing Facilities, Staffing, Residents and Deficiencies,, Kaiser Commission on Medicaid and the Uninsured, 2015-2018
- Community Living Policy, National Institute on Disability, Independent Living, and Rehabilitation Research., 2013-2017
- Personal Assistance Services for the 21st Century., National Institute on Disability and Rehabilitation Research, 2008-2013
- California Nursing Home Search, California HealthCare Foundation, 2005-2013
- Meeting the Nation's Needs for Personal Assistance Services Conference, NIH, 2006-2007
- A Nursing Home Consumer Information System, NIH, 1995-1999
- Home Health and Nursing Home Market Analysis, NIH, 1989-1991
Publications (129)
Top publication keywords:
OwnershipOrganizational Case StudiesPersonnel Staffing and SchedulingHealth Facilities, ProprietaryLong-Term CareState Health PlansQuality of Health CareHome Care ServicesMedicaidNursing HomesHomes for the AgedState GovernmentDiagnosis-Related GroupsNursing StaffCommunity Health Services
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Wealth Extraction from a Nursing Home Chain With Individual, Private Equity, and Real Estate Owners.
International journal of social determinants of health and health services 2025 Harrington CA -
Nursing Home Guide to Adjusting Nurse Staffing for Resident Case-Mix.
Journal of the American Geriatrics Society 2025 Harrington CA, McLaughlin RA, Saliba D, Halifax E, Mollot RJ, Romano PS, Tancredi DJ, Mukamel DB -
Medical director presence and time in U.S. nursing homes, 2017-2023.
Journal of the American Geriatrics Society 2024 Goldwein EL, Mollot RJ, Dellefield ME, Wasserman MR, Harrington CA -
United States' Nursing Home Finances: Spending, Profitability, and Capital Structure.
International journal of social determinants of health and health services 2023 Harrington C, Mollot R, Braun RT, Williams D -
The association of facility ownership with COVID-19 outbreaks in long-term care homes in British Columbia, Canada: a retrospective cohort study.
CMAJ open 2023 Cox MB, McGregor MJ, Poss J, Harrington C
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Racial Disparities in Financial Security, Work and Leisure Activities, and Quality of Life Among the Direct Care Workforce.
The Gerontologist 2021 Muench U, Spetz J, Jura M, Harrington C -
U.S. Nursing Home Violations of International and Domestic Human Rights Standards.
International journal of health services : planning, administration, evaluation 2019 Harrington C, Mollot R, Edelman TS, Wells J, Valanejad D -
An International Mapping of Medical Care in Nursing Homes.
Health services insights 2019 Ågotnes G, McGregor MJ, Lexchin J, Doupe MB, Müller B, Harrington C -
Beneficiaries Respond To California's Program To Integrate Medicare, Medicaid, And Long-Term Services.
Health affairs (Project Hope) 2018 Graham CL, Liu PJ, Hollister BA, Kaye HS, Harrington C -
Racial and Ethnic Differences in the Prevalence of Depressive Symptoms Among U.S. Nursing Home Residents.
Journal of aging & social policy 2018 Li Y, Cai X, Harrington C, Hasselberg M, Conwell Y, Cen X, Temkin-Greener H -
Assessing the Quality of Nursing Homes in Managed Care Organizations: Integrating LTSS for Dually Eligible Beneficiaries.
Inquiry : a journal of medical care organization, provision and financing 2018 Graham C, Ross L, Bueno EB, Harrington C -
Failure to Meet Nurse Staffing Standards: A Litigation Case Study of a Large US Nursing Home Chain.
Inquiry : a journal of medical care organization, provision and financing 2018 Harrington C, Edelman TS -
Predictors of Nursing Facility Entry by Medicaid-Only Older Adults and Persons With Disabilities in California.
Inquiry : a journal of medical care organization, provision and financing 2018 Ko M, Newcomer RJ, Harrington C, Hulett D, Kang T, Bindman AB -
Marketization in Long-Term Care: A Cross-Country Comparison of Large For-Profit Nursing Home Chains.
Health services insights 2017 Harrington C, Jacobsen FF, Panos J, Pollock A, Sutaria S, Szebehely M -
What Happens to a Nursing Home Chain When Private Equity Takes Over? A Longitudinal Case Study.
Inquiry : a journal of medical care organization, provision and financing 2017 Bos A, Harrington C -
Observational Evidence of For-Profit Delivery and Inferior Nursing Home Care: When Is There Enough Evidence for Policy Change?
PLoS medicine 2016 Ronald LA, McGregor MJ, Harrington C, Pollock A, Lexchin J -
Health Care Use Before and After Entering Long-Term Services and Supports.
Journal of applied gerontology : the official journal of the Southern Gerontological Society 2016 Newcomer R, Harrington C, Hulett D, Kang T, Ko M, Bindman A -
The Need for Higher Minimum Staffing Standards in U.S. Nursing Homes.
Health services insights 2016 Harrington C, Schnelle JF, McGregor M, Simmons SF -
[Trade-off between quality, price, and profit orientation in Germany's nursing homes].
Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen 2016 Geraedts M, Harrington C, Schumacher D, Kraska R -
Health Care Expenditures After Initiating Long-term Services and Supports in the Community Versus in a Nursing Facility.
Medical care 2016 Newcomer RJ, Ko M, Kang T, Harrington C, Hulett D, Bindman AB -
Disparities in Service Use and Expenditures for People With Intellectual and Developmental Disabilities in California in 2005 and 2013.
Intellectual and developmental disabilities 2016 Harrington C, Kang T -
Nurse Staffing Hours At Nursing Homes With High Concentrations Of Minority Residents, 2001-11.
Health affairs (Project Hope) 2015 Li Y, Harrington C, Mukamel DB, Cen X, Cai X, Temkin-Greener H -
Trade-off Between Quality, Price, and Profit Orientation in Germany's Nursing Homes.
Ageing international 2015 Geraedts M, Harrington C, Schumacher D, Kraska R -
Provider Perspectives on the Influence of Family on Nursing Home Resident Transfers to the Emergency Department: Crises at the End of Life.
Current gerontology and geriatrics research 2015 Stephens C, Halifax E, Bui N, Lee SJ, Harrington C, Shim J, Ritchie C -
Hidden Owners, Hidden Profits, and Poor Nursing Home Care: A Case Study.
International journal of health services : planning, administration, evaluation 2015 Harrington C, Ross L, Kang T -
Deficiencies In Care At Nursing Homes And Racial/Ethnic Disparities Across Homes Fell, 2006-11.
Health affairs (Project Hope) 2015 Li Y, Harrington C, Temkin-Greener H, You K, Cai X, Cen X, Mukamel DB -
A literature review of clinical outcomes associated with antipsychotic medication use in North American nursing home residents.
Health policy (Amsterdam, Netherlands) 2015 Chiu Y, Bero L, Hessol NA, Lexchin J, Harrington C -
Medicaid home and community-based services: how consumer access is restricted by state policies.
Journal of aging & social policy 2015 Ng T, Stone J, Harrington C -
Long-term services and supports in the community: toward a research agenda.
Disability and health journal 2014 Kaye HS, Harrington C -
Comparing the nurse staffing in Korean and U.S. nursing homes.
Nursing outlook 2014 Lee HY, Shin JH, Harrington C -
The effects of cognitive impairment on nursing home residents' emergency department visits and hospitalizations.
Alzheimer's & dementia : the journal of the Alzheimer's Association 2014 Stephens CE, Newcomer R, Blegen M, Miller B, Harrington C -
The effects of regulation and litigation on a large for-profit nursing home chain.
Journal of health politics, policy and law 2014 Harrington C, Stockton J, Hooper S -
The policy implications of the cost structure of home health agencies.
Medicare & medicaid research review 2014 Mukamel DB, Fortinsky RH, White A, Harrington C, White LM, Ngo-Metzger Q -
State Olmstead litigation and the Affordable Care Act.
Journal of social work in disability & rehabilitation 2014 Ng T, Wong A, Harrington C -
The effects of RN staffing hours on nursing home quality: a two-stage model.
International journal of nursing studies 2013 Lee HY, Blegen MA, Harrington C -
Satisfaction with Massachusetts nursing home care was generally high during 2005-09, with some variability across facilities.
Health affairs (Project Hope) 2013 Li Y, Cai X, Ye Z, Glance LG, Harrington C, Mukamel DB -
What factors contribute to successful appeals of nursing homes' deficiencies in the informal dispute resolution process?
Journal of the American Medical Directors Association 2012 Mukamel DB, Li Y, Weimer DL, Spector WD, Bailey L, Harrington C -
Are staffing changes in California's hospitals sensitive to individual hospital characteristics?
Nursing economic$ 2012 Serratt T, Spetz J, Harrington C -
The relationship of California's Medicaid reimbursement system to nurse staffing levels.
Medical care 2012 Mukamel DB, Kang T, Collier E, Harrington C -
The effect of state regulatory stringency on nursing home quality.
Health services research 2012 Mukamel DB, Weimer DL, Harrington C, Spector WD, Ladd H, Li Y -
Unintended consequences of steps to cut readmissions and reform payment may threaten care of vulnerable older adults.
Health affairs (Project Hope) 2012 Naylor MD, Kurtzman ET, Grabowski DC, Harrington C, McClellan M, Reinhard SC -
Factors associated with the use of advanced practice nurses/physician assistants in a fee-for-service nursing home practice: a comparison with primary care physicians.
Research in gerontological nursing 2012 Bakerjian D, Harrington C -
Nursing homes appeals of deficiencies: the informal dispute resolution process.
Journal of the American Medical Directors Association 2012 Mukamel DB, Weimer DL, Li Y, Bailey L, Spector WD, Harrington C -
Nursing home staffing standards and staffing levels in six countries.
Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing 2012 Harrington C, Choiniere J, Goldmann M, Jacobsen FF, Lloyd L, McGregor M, Stamatopoulos V, Szebehely M -
Observing how RNs use clinical time in a nursing home: a pilot study.
Geriatric nursing (New York, N.Y.) 2012 Dellefield ME, Harrington C, Kelly A -
Change and inertia in the New York state Medicaid Personal Care Services program: an institutional case study.
Journal of aging & social policy 2012 Adelman T, Kitchener M, Ng T, Harrington C -
High rate of unemployment after liver transplantation: analysis of the United Network for Organ Sharing database.
Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society 2012 Huda A, Newcomer R, Harrington C, Blegen MG, Keeffe EB -
Medicaid home- and community-based services: impact of the affordable care act.
Journal of aging & social policy 2012 Harrington C, Ng T, Laplante M, Kaye HS -
Emergency department use by nursing home residents: effect of severity of cognitive impairment.
The Gerontologist 2011 Stephens CE, Newcomer R, Blegen M, Miller B, Harrington C -
Do Medicaid home and community based service waivers save money?
Home health care services quarterly 2011 Harrington C, Ng T, Kitchener M -
Staffing changes before and after mandated nurse-to-patient ratios in California's hospitals.
Policy, politics & nursing practice 2011 Serratt T, Harrington C, Spetz J, Blegen M -
Nurse staffing and deficiencies in the largest for-profit nursing home chains and chains owned by private equity companies.
Health services research 2011 Harrington C, Olney B, Carrillo H, Kang T -
Does state regulation of quality impose costs on nursing homes?
Medical care 2011 Mukamel DB, Li Y, Harrington C, Spector WD, Weimer DL, Bailey L -
Ownership, financing, and management strategies of the ten largest for-profit nursing home chains in the United States.
International journal of health services : planning, administration, evaluation 2011 Harrington C, Hauser C, Olney B, Rosenau PV -
State regulatory enforcement and nursing home termination from the medicare and medicaid programs.
Health services research 2010 Li Y, Harrington C, Spector WD, Mukamel DB -
Nurses who do not nurse: factors that predict non-nursing work in the U.S. registered nursing labor market.
Nursing economic$ 2010 Black L, Spetz J, Harrington C -
The effects of an inpatient palliative care team on discharge disposition.
Journal of palliative medicine 2010 Brody AA, Ciemins E, Newman J, Harrington C -
Long-term care: who gets it, who provides it, who pays, and how much?
Health affairs (Project Hope) 2010 Kaye HS, Harrington C, LaPlante MP -
Medicare and medicaid in long-term care.
Health affairs (Project Hope) 2010 Ng T, Harrington C, Kitchener M -
Medicaid nursing facility rates, capacity, and utilization: a structural analysis.
Social work in public health 2009 Swan JH, Kitchener M, Harrington C -
Factors associated with living in developmental centers in California.
Intellectual and developmental disabilities 2009 Harrington C, Kang T, Chang J -
Registered nurse staffing mix and quality of care in nursing homes: a longitudinal analysis.
The Gerontologist 2009 Kim H, Harrington C, Greene WH -
A panel data analysis of the relationships of nursing home staffing levels and standards to regulatory deficiencies.
The journals of gerontology. Series B, Psychological sciences and social sciences 2009 Kim H, Kovner C, Harrington C, Greene W, Mezey M -
Do noninstitutional long-term care services reduce Medicaid spending?
Health affairs (Project Hope) 2009 Kaye HS, LaPlante MP, Harrington C -
Focus group study of ethnically diverse low-income users of paid personal assistance services.
Home health care services quarterly 2009 Mullan JT, Grossman BR, Hernandez M, Wong A, Eversley R, Harrington C -
Disparities in service utilization and expenditures for individuals with developmental disabilities.
Disability and health journal 2008 Harrington C, Kang T -
Variation in the use of federal and state civil money penalties for nursing homes.
The Gerontologist 2008 Harrington C, Tsoukalas T, Rudder C, Mollot RJ, Carrillo H -
Staffing characteristics, turnover rates, and quality of resident care in nursing facilities.
Research in gerontological nursing 2008 Collier E, Harrington C -
Nurses working outside of nursing: societal trend or workplace crisis?
Policy, politics & nursing practice 2008 Black L, Spetz J, Harrington C -
Assistive technology in medicaid home- and community-based waiver programs.
The Gerontologist 2008 Kitchener M, Ng T, Lee HY, Harrington C -
Medicaid 1915(c) waiver use and expenditures for persons living with HIV/AIDS.
Medical care research and review : MCRR 2008 Miller NA, Elder KT, Kitchener M, Harrington C -
Variation in types of service use and expenditures for individuals with developmental disabilities.
Disability and health journal 2008 Kang T, Harrington C -
Shareholder value and the performance of a large nursing home chain.
Health services research 2007 Kitchener M, O'Meara J, Brody A, Lee HY, Harrington C -
Nurse staffing levels and Medicaid reimbursement rates in nursing facilities.
Health services research 2007 Harrington C, Swan JH, Carrillo H -
California nursing facility quality and union environments.
Journal of aging and health 2007 Swan JH, Harrington C -
Developing personal care programs: national trends and interstate variation, 1992-2002.
Inquiry : a journal of medical care organization, provision and financing 2007 Kitchener M, Ng T, Carrillo H, Miller N, Harrington C -
Estimating the expense of a mandatory home-and community-based personal assistance services benefit under Medicaid.
Journal of aging & social policy 2007 LaPlante MP, Kaye HS, Harrington C -
Medicaid State Plan personal care services: trends in programs and policies.
Journal of aging & social policy 2007 Kitchener M, Ng T, Harrington C -
Paid personal assistance services:an exploratory study of working-age consumers' perspectives.
Journal of aging & social policy 2007 Grossman BR, Kitchener M, Mullan JT, Harrington C -
State Medicaid home care policies: inside the black box.
Home health care services quarterly 2007 Kitchener M, Ng T, Harrington C -
The collection and use of funds from civil money penalties and fines from nursing homes.
The Gerontologist 2006 Tsoukalas T, Rudder C, Mollot RJ, Shineman M, Lee HY, Harrington C -
Influencing health policy for older adults: initiatives by the John A. Hartford Centers of Geriatric Nursing Excellence.
Nursing outlook 2006 Harrington C, Beverly CJ, Maas ML, Buckwalter KC, Bennett JA, Young HM, Sochalski J, Naylor M -
The personal assistance workforce: trends in supply and demand.
Health affairs (Project Hope) 2006 Kaye HS, Chapman S, Newcomer RJ, Harrington C -
Residential care provision in Medicaid home- and community-based waivers: a national study of program trends.
The Gerontologist 2006 Kitchener M, Hernandez M, Ng T, Harrington C -
Reflections on research and policy. The Doris Schwartz Award Lecture.
Journal of gerontological nursing 2006 Harrington C -
Assessing California's nursing home staffing standards.
Policy, politics & nursing practice 2006 Harrington C, O'Meara J -
Institutional and community-based long-term care: a comparative estimate of public costs.
Journal of health & social policy 2006 Kitchener M, Ng T, Miller N, Harrington C -
Strengthening home and community-based care through Medicaid waivers.
Journal of aging & social policy 2006 Miller NA, Rubin A, Elder KT, Kitchener M, Harrington C -
Variation by disability in state predictors of Medicaid 1915c waiver use and expenditures.
The Gerontologist 2005 Miller NA, Kitchener M, Elder KT, Kang Y, Rubin A, Harrington C -
Quality of care in nursing home organizations: establishing a health services research agenda.
Nursing outlook 2005 Harrington C -
Addressing the dramatic decline in RN staffing in nursing homes.
The American journal of nursing 2005 Harrington C -
Advanced nursing training in health policy: designing and implementing a new program.
Policy, politics & nursing practice 2005 Harrington C, Crider MC, Benner PE, Malone RE -
Nurses Improving Care for Health System Elders (NICHE).
The American journal of nursing 2005 Boltz M, Harrington C, Kluger M -
Discharge planning, nursing home placement, and the Internet.
Nursing outlook 2005 Collier EJ, Harrington C -
Nurse staffing in nursing homes in the United States: Part II.
Journal of gerontological nursing 2005 Harrington C -
Nurse staffing in nursing homes in the United States.
Journal of gerontological nursing 2005 Harrington C -
Case study: development of and stakeholder responses to a nursing home consumer information system.
American journal of medical quality : the official journal of the American College of Medical Quality 2005 O'Meara J, Kitchener M, Collier E, Lyons M, de Billwiller-Kiss A, Simon LP, Harrington C -
Chain reaction: an exploratory study of nursing home bankruptcy in California.
Journal of aging & social policy 2005 Kitchener M, O'neill C, Harrington C -
Medicaid home and community-based services: national program trends.
Health affairs (Project Hope) 2005 Kitchener M, Ng T, Miller N, Harrington C -
Medicaid waiver programs for traumatic brain and spinal cord injury.
Journal of health & social policy 2005 Kitchener M, Ng T, Grossman B, Harrington C -
NPs in nursing homes: an issue of quality.
The American journal of nursing 2004 Mezey M, Harrington C, Kluger M -
Nursing expertise in caring for older adults.
The American journal of nursing 2004 Mezey M, Harrington C, Kluger M -
Explaining the diffusion of Medicaid home care waiver programs using VPRS decision rules.
Health care management science 2004 Kitchener M, Beynon M, Harrington C -
Relationship of nursing home staffing to quality of care.
Health services research 2004 Schnelle JF, Simmons SF, Harrington C, Cadogan M, Garcia E, M Bates-Jensen B -
Unmet need for personal assistance services: estimating the shortfall in hours of help and adverse consequences.
The journals of gerontology. Series B, Psychological sciences and social sciences 2004 LaPlante MP, Kaye HS, Kang T, Harrington C -
Nursing Facility and Home and Community Based Service Need Criteria in the United States.
Home health care services quarterly 2004 Tonner MC, Harrington C -
State nursing home enforcement systems.
Journal of health politics, policy and law 2004 Harrington C, Mullan JT, Carrillo H -
Medicaid 1915(c) home and community-based services waivers: a national survey of eligibility criteria, caps, and waiting lists.
Home health care services quarterly 2004 Kitchener M, Ng T, Harrington C -
Smoke without fire: nursing facility closures in California, 1997-2001.
Inquiry : a journal of medical care organization, provision and financing 2004 Kitchener M, Bostrom A, Harrington C -
The U.S. long-term care field: a dialectic analysis of institution dynamics.
Journal of health and social behavior 2004 Kitchener A, Harrington C -
Trends in state certificate of need and moratoria programs for long term care providers.
Journal of health & social policy 2004 Harrington C, Anzaldo S, Burdin A, Kitchener M, Miller N -
Quality of care in nursing homes: an analysis of relationships among profit, quality, and ownership.
Medical care 2003 O'Neill C, Harrington C, Kitchener M, Saliba D -
Nursing indicators of quality in nursing homes. A Web-based approach.
Journal of gerontological nursing 2003 Harrington C, O'Meara J, Collier E, Schnelle JF -
Nursing home staffing, turnover, and case mix.
Medical care research and review : MCRR 2003 Harrington C, Swan JH -
Hospital care for elderly.
The American journal of nursing 2003 Rosenfeld P, Harrington C -
Designing a report card for nursing facilities: what information is needed and why.
The Gerontologist 2003 Harrington C, O'Meara J, Kitchener M, Simon LP, Schnelle JF -
Federal and state nursing facility websites: just what the consumer needs?
American journal of medical quality : the official journal of the American College of Medical Quality 2003 Harrington C, Collier E, O'Meara J, Kitchener M, Simon LP, Schnelle JF -
Medicaid community-based programs: a longitudinal analysis of state variation in expenditures and utilization.
Inquiry : a journal of medical care organization, provision and financing 2003 Kitchener M, Carrillo H, Harrington C -
Nursing care in assisted living facilities.
The American journal of nursing 2003 Kovner CT, Harrington C -
Nursing facility and home and community based service need criteria in the United States.
Home health care services quarterly 2003 Tonner MC, Harrington C -
Challenges and accomplishments of the second-generation social health maintenance organization.
The Gerontologist 2002 Newcomer R, Harrington C, Kane R -
CMS study: correlation between staffing and quality.
The American journal of nursing 2002 Kovner CT, Harrington C -
Who cares for older adults? Workforce implications of an aging society.
Health affairs (Project Hope) 2002 Kovner CT, Mezey M, Harrington C -
Regulation of nursing facilities in the United States: an analysis of resources and performance of state survey agencies.
The Gerontologist 2002 Walshe K, Harrington C -
The changing picture of hospital nurses.
The American journal of nursing 2002 Kovner CT, Harrington C -
Estimating paid and unpaid hours of personal assistance services in activities of daily living provided to adults living at home.
Health services research 2002 LaPlante MP, Harrington C, Kang T -
Access to community-based long-term care: Medicaid's role.
Journal of aging and health 2002 Miller NA, Harrington C, Goldstein E -
Does investor-ownership of nursing homes compromise the quality of care?
International journal of health services : planning, administration, evaluation 2002 Harrington C, Woolhandler S, Mullan J, Carrillo H, Himmelstein DU -
Germany's long-term care insurance model: lessons for the United States.
Journal of public health policy 2002 Harrington CA, Geraedts M, Heller GV