Nursing home residents, specifically those with diabetes, are not receiving the recommended amount of preventive care procedures, according to a new analysis.

Researchers for the Jagiellonian University Medical College in Kraków, Poland, assessed the care needs of  nursing home patients with diabetes and without diabetes in 59 facilities throughout seven European countries and Israel. More than 4,000 residents were included in the cohort study.

The results, published in the Journal of Post-Acute and Long-Term Care Medicine, found that the only preventative services residents received frequently were flu vaccinations and yearly blood pressure checkups. The comparison also showed residents with diabetes required a greater amount of clinically complex care and were hospitalized more frequently than the non-diabetes group.

Despite the increased amount of care for residents with diabetes, researchers concluded that neither group was receiving the proper amount of preventative care based on their assessed care needs.