{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T17:28:47Z","timestamp":1789147727427,"version":"build-2803163510"},"reference-count":32,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2023,5,12]],"date-time":"2023-05-12T00:00:00Z","timestamp":1683849600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["R01AG060581-01"],"award-info":[{"award-number":["R01AG060581-01"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Appl Gerontol"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:p>\n                    We examined the effect of Winter Storm Uri on daily direct-care nurse staffing levels in 1,173 Texas nursing homes (NHs) from February 13\n                    <jats:sup>th<\/jats:sup>\n                    to 19\n                    <jats:sup>th<\/jats:sup>\n                    , 2021. We used data from Payroll-Based Journaling and the Care Compare website. Linear mixed effects models were used to estimate the linear and non-linear change in staffing. During Winter Storm Uri, Texas NHs experienced a linear decrease in daily staffing levels with subsequent non-linear increase for registered nurses (RNs; p &lt; .001) and certified nursing assistants (CNAs; p &lt; .001), and staffing increased linearly for licensed practical nurses (LPNs; p &lt; .001). Compared to 1\u00a0week before the storm, Texas NHs reported lower staffing levels across all three types of staff, but most dramatically among LPNs and CNAs. In supplemental analyses, urban and lower quality NHs fared slightly poorer than rural and higher-quality NHs. Winter storms pose a particular challenge to NHs and their ability to maintain direct-care nurse staffing levels.\n                  <\/jats:p>","DOI":"10.1177\/07334648231175428","type":"journal-article","created":{"date-parts":[[2023,5,12]],"date-time":"2023-05-12T13:54:11Z","timestamp":1683899651000},"page":"2148-2157","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Winter Storm Uri Reduced Availability of Daily Direct-Care Nurse Staff in Texas Nursing Homes"],"prefix":"10.1177","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9878-9633","authenticated-orcid":false,"given":"Dylan J.","family":"Jester","sequence":"first","affiliation":[{"name":"Women\u2019s Operational and Military Exposure Network (WOMEN), War Related Illness and Injury Study Center (WRIISC), VA Palo Alto Health Care System, Palo Alto, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1129-0931","authenticated-orcid":false,"given":"Lindsay J.","family":"Peterson","sequence":"additional","affiliation":[{"name":"Florida Policy Exchange Center of Aging, School of Aging Studies, University of South Florida, Tampa, FL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ross","family":"Andel","sequence":"additional","affiliation":[{"name":"Edson College of Nursing and Health Innovation, Arizona State University, Phoenix, AZ, USA"},{"name":"Department of Neurology, Charles University, Second Faculty of Medicine and Motol University Hospital, Prague, Czech Republic"},{"name":"International Clinical Research Center, St. Anne\u2019s University Hospital, Brno, Czech Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David M.","family":"Dosa","sequence":"additional","affiliation":[{"name":"Center of Innovation in Long-Term Services and Supports, Providence Veterans Affairs Medical Center, Providence, RI, USA"},{"name":"School of Public Health, 6752Brown University, Providence, RI, USA"},{"name":"Infectious Diseases Research Program, Providence Veterans Affairs Medical Center, Providence, RI, USA"},{"name":"Warren Alpert School of Medicine, 6752Brown University, Providence, RI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,5,12]]},"reference":[{"key":"bibr1-07334648231175428","doi-asserted-by":"publisher","DOI":"10.1162\/ajhe_a_00096"},{"key":"bibr2-07334648231175428","doi-asserted-by":"publisher","DOI":"10.1002\/met.1714"},{"key":"bibr3-07334648231175428","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gnt167"},{"key":"bibr4-07334648231175428","volume-title":"Design for care compare nursing home five-star quality rating system: Technical users\u2019 guide","author":"Centers for Medicare &amp; Medicaid Services","year":"2022"},{"key":"bibr5-07334648231175428","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2011.04.001"},{"key":"bibr6-07334648231175428","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2021.104036"},{"key":"bibr7-07334648231175428","doi-asserted-by":"publisher","DOI":"10.1126\/science.abi9167"},{"issue":"2","key":"bibr9-07334648231175428","first-page":"95","volume":"33","author":"Dellefield M. 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