title: Nursing home ownership trends and their impacts on quality of care: a study using detailed ownership data from Texas.
abstract: The role of ownership in the provision of nursing home care has long been a challenging issue for policy makers and researchers. Although much of the focus historically has been on differences between for-profit and not-for-profit facilities, this simple distinction has become less useful in recent years as companies have employed more complicated ownership and management structures. Using detailed ownership data from the state of Texas, we describe the evolution of nursing home corporate structures from 2000 to 2007, analyze the effect of these structures on quality of care and staffing in nursing homes, and discuss the policy implications of these changes.
authors.affiliation: Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts 02115, USA. stevenson@hcp.med.harvard.edu
authors.forename: David G
authors.initials: DG
authors.lastname: Stevenson
authors.forename: Jeffrey S
authors.initials: JS
authors.lastname: Bramson
authors.forename: David C
authors.initials: DC
authors.lastname: Grabowski
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D001509:Bed Occupancy; D006707:Homes for the Aged / Q000458:organization & administration* / Q000592:standards; D006801:Humans; D008484:Medicaid; D006278:Medicare; D009735:Nursing Homes / Q000458:organization & administration* / Q000592:standards; D010067:Ownership / Q000458:organization & administration* / Q000706:statistics & numerical data*; D062072:Patient Acuity; D010561:Personnel Staffing and Scheduling / Q000458:organization & administration; D057766:Policy; D011787:Quality of Health Care / Q000458:organization & administration* / Q000592:standards; D013781:Texas; D014481:United States