Does investor ownership of nursing homes compromise the quality of care?

C. Harrington, S. Woolhandler, J. Mullan, H. Carrillo and D.U. Himmelstein

American Journal of Public Health, 2001, vol. 91, issue 9, 1452-1455

Abstract: Objectives. Two thirds of nursing homes are investor owned. This study examined whether investor ownership affects quality. Methods. We analyzed 1998 data from state inspections of 13693 nursing facilities. We used a multivariate model and controlled for case mix, facility characteristics, and location. Results. Investor-owned facilities averaged 5.89 deficiencies per home, 46.5% higher than nonprofit facilities and 43.0% higher than public facilities. In multivariate analysis, investor ownership predicted 0.679 additional deficiencies per home; chain ownership predicted an additional 0.633 deficiencies. Nurse staffing was lower at investor-owned nursing homes. Conclusions. Investor-owned nursing homes provide worse care and less nursing care than do not-for-profit or public homes.

Date: 2001
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:2001:91:9:1452-1455_3

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