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.
Skilled Nursing Facilities (SNFs)
Reports
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Advanced SearchResearch Brief
Trends in Ownership Structures of U.S. Nursing Homes and the Relationship with Facility Traits and Quality of Care (2013-2022)
ASPE Issue Brief
Ownership of Skilled Nursing Facilities: An Analysis of Newly-Released Federal Data
To enhance transparency in health care markets, in September 2022, the Centers for Medicare & Medicaid Services (CMS) publicly released comprehensive data on the ownership of all U.S. skilled nursing facilities (SNFs) that are enrolled in Medicare. This report provides an overview of the available data, a methodology for calculating the ownership shares by individuals vs.
ASPE Issue Brief
Resident and Facility Factors Associated with High Risk of Discharge from Nursing Facilities, 2012-2017: Issue Brief
This project tracked resident and facility factors associated with high risk of live discharges from nursing facilities.
Report
Resident and Facility Factors Associated with High Risk of Discharge from Nursing Facilities, 2012-2017: Final Report
This project tracked resident and facility factors associated with high risk of live discharges from nursing facilities.
ASPE Issue Brief, Report
High Risk of Discharge from Nursing Facilities
People can be discharged from nursing homes for many reasons. Discharges may be a positive outcome and at an individual’s choice. In other cases, discharges may be at the direction of the facility and against the will of the resident. There are strict rules about when involuntary facility-initiated discharges (FIDs) are allowed.
Report
Opioid Use in Long-Term Care Settings: Final Report
Opioid use was very common among the long-term care (LTC) residents in our sample. Perhaps reflecting their post-acute rehabilitative needs, discharged residents were more likely to have opioid use prior to LTC admission and at the beginning of the LTC stay.
Research Brief
Changes in Ownership of Skilled Nursing Facilities from 2016 to 2021: Variations by Geographic Location and Quality
Newly released CMS skilled nursing facilities (SNF) Change of Ownership data (CHOW) data allows for a better understanding of how the nursing home ownership financial structures are changing. A total of 3,258 SNFs have been sold since 2016. Roughly 3.5% of skilled nursing facilities are sold in the US each year since then.
ASPE Data Point
Changes in Ownership of Hospital and Skilled Nursing Facilities: An Analysis of Newly-Released CMS Data
This report analyzes newly-released data from CMS that provides information on changes in ownership among hospitals and skilled nursing facilities (SNFs), based on information reported to CMS through the Provider Enrollment, Chain, and Ownership System (PECOS).
ASPE Issue Brief
Antipsychotic Medication Prescribing in Long Term Care Facilities Increased in the Early Months of the COVID-19 Pandemic Issue Brief
Prescriptions dispensed for antipsychotics in nursing homes and assisted living facilities increased since the beginning of the pandemic, with 20.8 thousand dispensed in 2020 compared to 20.5 thousand in 2019. This represents a 1.5% increase in total prescriptions since the beginning of the pandemic despite lower resident census levels in long-term care facilities (LTCFs).
Drug Use and Spending for Medicare Beneficiaries During Part A Qualifying Skilled Nursing Facility Stays and Non-Qualifying Long-Term Care Facility Stays
This Policy Brief helps fill an important gap in our understanding of medication patterns in long-term care facilities (LTCFs) by comparing use and spending for prescription and over-the-counter drugs during skilled nursing facility (SNF) stays and related non-qualifying long-term care facility episodes.