An overwhelming majority of operators (72 percent) reported having prior experience in the health care sector. Almost 70 percent of the operators received training on operating a board and care home and caring for residents before becoming an operator (Exhibit 4-2).
Operator training, however, differed considerably for licensed homes by whether it was in an extensively regulated State or not. Seventy percent of operators in the extensively regulated States were trained prior to becoming a board and care operator compared to 57 percent of those in States with limited regulations.
EXHIBIT 4-3. Prior Health Care Experience of Operators by Facility Licensure Status and Size
There were also differences between licensed and unlicensed homes in operators’ prior health care experience (Exhibit 4-3). Operators of small licensed homes were much more likely to have previously worked in health care institutions (e.g., nursing home, hospital, home health agency) than operators in small unlicensed homes. This pattern persisted across all sizes of licensed and unlicensed homes.