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Am J Public Health. 2001 Sep;91(9):1452-5.

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

Author information

  • 1Department of Social and Behavioral Sciences, University of California at San Francisco School of Nursing, USA.

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 13,693 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.

PMID:
11527781
[PubMed - indexed for MEDLINE]
PMCID:
PMC1446804
Free PMC Article
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