Nursing Home Ownership and Quality of Care

Abstract

This article examines the relationship between nursing home ownership and the quality of care. It was hypothesized that not-for-profit homes provide less inappropriate care than for-profit homes, and that not-for-profit residents make more functional improvement than for-profit residents. A multiple regression analysis of 3,149 Virginia nursing home residents in 174 homes found that not-for-profit homes provided less inappropriate care than for-profit homes. However, not-for-profit residents did not achieve more functional improvement than for-profit residents. It is unclear why ownership was related to inappropriate care and not related to functional improvement. Research is needed that examines the interaction between ownership and poten tially related factors, such as organizational culture, that could influence the quality of care.

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