Stakeholders, researchers, and policymakers have identified varying nursing home ownership structures and ownership transactions as potentially influencing the quality of care delivered to vulnerable residents. ASPE has conducted several research projects aimed at understanding the relationship between various aspects of nursing home ownership and quality of care to inform evidence-based policymaking. New research in 2023 was just completed examining more recent trends in nursing home ownership, particularly as it relates to private equity firms and real estate investment trust companies.
This research was compiled or funded by HHS/ASPE’s Office of Behavioral Health, Disability, and Aging Policy (BHDAP) and Office of Health Policy (HP). Additional research in this area is available at the ASPE Aging & Disability page and ASPE Long-Term Services & Supports/Long-Term Care page.
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- Trends in Ownership Structures of U.S. Nursing Homes and the Relationship with Facility Traits and Quality of Care (2013-2022)
- Ownership of Skilled Nursing Facilities: An Analysis of Newly-Released Federal Data Brief (2022)
- Changes in Ownership of Skilled Nursing Facilities from 2016 to 2021: Variations by Geographic Location and Quality Issue Brief (2022)
- Changes in Ownership of Hospital and Skilled Nursing Facilities: An Analysis of Newly Released CMS Data Issue Brief (2022)
- Tracking the Impact of Ownership Changes in Hospice Care Provided in Medicare Beneficiaries: Final Report (2017) [HTML version also available]
- Trends in Nursing Home-Hospice Contracting and Common Ownership between Hospice Agencies and Nursing Homes: Final Report (2016) [HTML version also available]
- Nursing Home Ownership Trends and Their Impact on Quality of Care (2009) [HTML version also available]