{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T06:06:56Z","timestamp":1783145216114,"version":"3.54.6"},"reference-count":28,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2005,1,26]],"date-time":"2005-01-26T00:00:00Z","timestamp":1106697600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2005,2]]},"abstract":"<jats:p>\n                    <jats:bold>Objectives:<\/jats:bold>\n                    To determine the prevalence of cognitive impairment (CI), dementia diagnosis and treatment, assistance with medications, and surrogate decision\u2010makers for residents of assisted living facilities (ALFs).\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Design:<\/jats:bold>\n                    Cross\u2010sectional study.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Setting:<\/jats:bold>\n                    Seven ALFs in Omaha, Nebraska, and the surrounding area. None of the ALFs in this study were designated \u201cAlzheimer's\u201d or \u201cdementia\u201d facilities.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Participants:<\/jats:bold>\n                    Four hundred seven of 455 ALF residents were solicited, and 230 consented. The average age \u00b1 standard deviation of participants was 83.3\u00b18.3.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Measurements:<\/jats:bold>\n                    ALF residents were examined using the Mini\u2010Mental State Examination (MMSE), and their medical charts were reviewed.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Results:<\/jats:bold>\n                    Fifty\u2010eight percent of ALF residents had CI according to the MMSE. Of those with CI, 63% had no diagnosis of dementia, 75% were not treated for dementia, 41% with a documented diagnosis of dementia were not treated for dementia, 22% self\u2010administered an average of 5.4\u00b13.4 medications daily, and 11% had surrogate decision makers.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Conclusion:<\/jats:bold>\n                    More than half of ALF residents in this study had CI and a significant percentage was undiagnosed. Even when diagnosed as dementia, CI is significantly undertreated in this setting. These deficits must be addressed to promote quality of care and the need for specialized attention.\n                  <\/jats:p>","DOI":"10.1111\/j.1532-5415.2005.53117.x","type":"journal-article","created":{"date-parts":[[2005,1,26]],"date-time":"2005-01-26T06:04:22Z","timestamp":1106719462000},"page":"295-298","source":"Crossref","is-referenced-by-count":55,"title":["Underrecognition of Cognitive Impairment in Assisted Living Facilities"],"prefix":"10.1111","volume":"53","author":[{"given":"Homa","family":"Magsi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timothy","family":"Malloy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2005,1,26]]},"reference":[{"key":"e_1_2_6_2_2","volume-title":"Progress Report on Alzheimer's Disease (NIH Publication no. 00\u20134859)","author":"National Institute on Aging, National Institutes of Health.","year":"2000"},{"key":"e_1_2_6_3_2","first-page":"S2","article-title":"Alzheimer's disease","volume":"51","author":"Cummings JL","year":"1998","journal-title":"Etiologies, pathophysiology, cognitive reserve, and treatment opportunities"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/089198878800100203"},{"key":"e_1_2_6_5_2","volume-title":"Alzheimer's Disease and Related Dementias: Acute and Long\u2010Term Care Services (NIH Publication no. 96\u20134136)","author":"Advisory Panel on Alzheimer's Disease.","year":"1996"},{"key":"e_1_2_6_6_2","volume-title":"A national study of assisted living for the frail elderly. 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