The Effects of For-Profit and Not-for-Profit Facility Status on the Quality of Care for Nursing Home Residents with Mental Illnesses

Abstract

This article examines whether a relationship exists between ownership status (for-profit and not-for-profit) of nursing homes and the quality of care for residents who are mentally ill. Rather than looking for an overall indicator of differences in quality between these ownership types, as other studies have done, three quality indicators are examined: structure, process, and outcome. Also, different types of nursing homes are examined by size and certification level. The authors fail to find consistent evidence that for-profit nursing homes provide poorer quality care to mentally ill residents using measures of structure, process, and outcome; they did find, however, that nursing homes may modify their approach to caring for these residents. That is, the size of the facility and the certification level could be important factors in the quality of the mental health care of nursing home residents.

Faith-Based Assumptions About Performance

“…Internal organizational factors include size (Boyne, 2003;Moynihan & Pandey, 2005), network participation (Boyne, 2003;Harrington, Woolhandler, Mullan, Carrillo, & Himmelstein, 2001;O'Neill et al, 2003;Rainey & Steinbauer, 1999), human and monetary resources (Boyne, 2003;Brewer & Coleman, 2000), and the presence of organized resident groups. In addition, we control for a variety of environmental factors based on past research, including competition (Buchanan & Tullock, 1962;Castle & Shea, 1998;Milward & Provan, 2000;E. Ostrom, 1990;V.…”

Provider category and quality of care in the Norwegian nursing home industry

“…Many studies based on US data have concluded that nursing homes that run for profit are associated with lower quality of care (Steffen and Nystrom, 1997;Harrington et al, 2001Harrington et al, , 2002O'Neill et al, 2003;Amirkhanyan et al, 2008;Amirkhanyan, 2009). However, some studies have failed to find a significant relationship between running for profit and quality of care (Castle and Shea, 1998;Weisbrod and Schlessinger, 1986). Comondore et al (2009) have done a meta-analysis of such studies, and they suggest that, on average, not for-profit nursing homes have a trend towards higher quality of care than for-profit nursing homes, but for a large proportion of the studies, this trend is not significant.…”

Nursing home report card and performance gap

“…In an effort to improve nursing home quality, many researchers have explored its determinants, such as staffing (Bostick, Rantz, Flesner, & Riggs, 2006;Bowblis, 2011;Kim et al, 2009;McDonald, Wagner, & Castle, 2013;Shin, 2013;Spilsbury, Hewitt, Stirk, & Bowman, 2011), nursing home report cards (Grabowski & Town, 2011;Mukamel, Weimer, Spector, Ladd, & Zinn, 2008;PesisKatz et al, 2013), ownership (Aaronson, Zinn, &Rosco, 1994;Castle & Shea, 1998;Grabowski, Feng, Hirth, Rahman, & Mor, 2013;Harrington, Woolhandler, Mullan, Carrillo, & Himmelstein, 2001;Stevenson, Bramson, & Grabowski, 2013;Worth, 2008), and market conditions (Bowblis, 2012;Starkey, Weech-Maldonado, & Mor, 2005;Zinn, 1994). In addition, the Centers for Medicare & Medicaid Services launched the Five-Star Quality Rating System in 2008, which provides information about health inspections, staffing, and quality and is consolidated in the Nursing Home Compare (NHC) database.…”