Use of multidimensional assessment to provide testimony on behalf of residents in a life-care home

Document Type


Peer Reviewed


Publication Date


NLM Title Abbreviation

J Gerontol Nurs

Journal/Book/Conference Title

Journal of gerontological nursing

PubMed ID


Start Page


End Page



City administrators challenged a life-care home's tax-exempt status. A successful, empirically-based case was made based on data collected by gerontological nurses using the Iowa Self-Assessment Inventory (ISAI) and related instruments (Mini-Mental State Examination [MMSE], Instrumental Activities of Daily Living Scale [IADLS], and Physical Self-Maintenance Scale [PSMS]) to describe the life-care population. Testimony by gerontological nurses included comparisons between these life-care residents and statewide data on elderly individuals currently residing in nursing homes and in the community. The data they presented showed not only that this life-care home provided a high quality of life, but also saved society substantial amounts of money in government-funded services that would otherwise be provided to residents of this home. The judge ruled in favor of continuing tax-exempt status for this life-care home because credible evidence clearly demonstrated that taxpayer savings from the services provided to life-care home residents and the life-care commitment dramatically outweighed the taxpayer costs associated with lost tax revenues.


Aged, Aged, 80 and over, Chronic Disease/economics/nursing/psychology, Consultants/legislation & jurisprudence, Cost Savings, Cost of Illness, Expert Testimony/legislation & jurisprudence, Female, Geriatric Assessment, Geriatric Nursing/legislation & jurisprudence/methods, Health Services Research, Housing for the Elderly/economics/legislation & jurisprudence/standards, Humans, Iowa, Male, Nurse Clinicians/legislation & jurisprudence, Nursing Assessment, Quality of Life, Taxes/economics/legislation & jurisprudence

Published Article/Book Citation

Journal of gerontological nursing, 26:12 (2000) pp.8-15.

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