Do Nursing Home Chain Size and Proprietary Status Affect Experiences With Care?

Medical Care
Kai YouJane Banaszak-Holl

Abstract

In 2012, over half of nursing homes were operated by corporate chains. Facilities owned by the largest for-profit chains were reported to have lower quality of care. However, it is unknown how nursing home chain ownerships are related with experiences of care. To study the relationship between nursing home chain characteristics (chain size and profit status) with patients' family member reported ratings on experiences with care. Maryland nursing home care experience reports, the Online Survey, Certification, And Reporting (OSCAR) files, and Area Resource Files are used. Our sample consists of all nongovernmental nursing homes in Maryland from 2007 to 2010. Consumer ratings were reported for: overall care; recommendation of the facility; staff performance; care provided; food and meals; physical environment; and autonomy and personal rights. We identified chain characteristics from OSCAR, and estimated multivariate random effect linear models to test the effects of chain ownership on care experience ratings. Independent nonprofit nursing homes have the highest overall rating score of 8.9, followed by 8.6 for facilities in small nonprofit chains, and 8.5 for independent for-profit facilities. Facilities in small, medium, and larg...Continue Reading

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Citations

Jul 27, 2018·Inquiry : a Journal of Medical Care Organization, Provision and Financing·Justin BlackburnJane Banaszak-Holl
Dec 19, 2019·Journal of the American Geriatrics Society·Andrew C QiKaren E Joynt Maddox
Apr 25, 2017·Population Health Management·Sean Shenghsiu Huang, Hyunjee Kim
Oct 18, 2018·Research on Aging·Pamela NadashXiao Joyce Wang
Oct 7, 2020·Journal of the American Geriatrics Society·Diane M Gibson, Jessica Greene
Oct 24, 2020·Journal of Gerontological Nursing·Justine S SefcikAnn Kolanowski
Nov 8, 2020·Journal of Applied Gerontology : the Official Journal of the Southern Gerontological Society·Naomi YountRebecca Birch
Jun 9, 2021·Journal of the American Geriatrics Society·Diane M Gibson, Jessica Greene
Jul 18, 2020·Journal of the American Medical Directors Association·Mengying HeFang Fang

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Software Mentioned

OSCAR

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