ArticleHealth services research2013
Nursing home quality and financial performance: does the racial composition of residents matter?
Article in Health services research, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 5 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
27 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Building evidence to advance health equity: a systematic review on care-related outcomes for older, minoritised populations in long-term care homes.Age and ageing · 2024Pooled it
- Pooled it
- Racial/Ethnic Disparities in Nursing Home End-of-Life Care: A Systematic Review.Journal of the American Medical Directors Association · 2021Pooled it
- Racial/Ethnic Disparities in Influenza and Pneumococcal Vaccinations Among Nursing Home Residents: A Systematic Review.The Gerontologist · 2018Pooled it
- Postacute Care Setting, Facility Characteristics, and Poststroke Outcomes: A Systematic Review.Archives of physical medicine and rehabilitation · 2018Pooled it
- Staffing Audit Outcomes Among California Skilled Nursing Facilities, Prior to and After COVID-19-Related Staffing Waivers.Journal of the American Medical Directors Association · 2026Article
- Penalties in 2024 in Medicare's Skilled Nursing Facility Value-Based Purchasing Program.Journal of the American Geriatrics Society · 2025Article
- Unmet needs and nursing home placements in Black, Latino, and White people living with dementia.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025Article
- Financial performance of rural and urban nursing homes: A comparative analysis.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025Article
- Medicare skilled nursing facilities' occupancy and payer source: The moderating role of financial performance.SAGE open medicine · 2024Article
- Article
- Resident racial and ethnic composition, neighborhood-level socioeconomic status, and COVID-19 infections in California SNFs.Journal of the American Geriatrics Society · 2023Article
- Examining Regional Differences in Nursing Home Palliative Care for Black and Hispanic Residents.Journal of palliative medicine · 2022Article
- Nursing Home Profit Margins and Citations for Infection Prevention and Control.Journal of the American Medical Directors Association · 2021Article
- A framework for delivering nursing care to older adults with COVID-19 in nursing homes.Public health nursing (Boston, Mass.) · 2021Article
- Assessment of Coronavirus Disease 2019 Infection and Mortality Rates Among Nursing Homes With Different Proportions of Black Residents.Journal of the American Medical Directors Association · 2021Observational
- High-Minority Nursing Homes Disproportionately Affected by COVID-19 Deaths.Frontiers in public health · 2021Article
- Geographic Variation in Anticoagulant Use and Resident, Nursing Home, and County Characteristics Associated With Treatment Among US Nursing Home Residents.Journal of the American Medical Directors Association · 2021Article
- Inappropriate Antipsychotic Use: The Impact of Nursing Home Socioeconomic and Racial Composition.Journal of the American Geriatrics Society · 2020Article
- Examining Black-White Disparities Among Medicare Beneficiaries in Assisted Living Settings in 2014.Journal of the American Medical Directors Association · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
objectiveTo examine the effects of the racial composition of residents on nursing homes' financial and quality performance. The study examined Medicare and Medicaid-certified nursing homes across the United States that submitted Medicare cost reports between the years 1999 and 2004 (11,472 average per year). DATA SOURCE: Data were obtained from the Minimum Data Set, the On-Line Survey Certification and Reporting, Medicare Cost Reports, and the Area Resource File. STUDY
designPanel data regression with random intercepts and negative binomial regression were conducted with state and year fixed effects. PRINCIPAL
findingsFinancial and quality performance differed between nursing homes with high proportions of black residents and nursing homes with no or medium proportions of black residents. Nursing homes with no black residents had higher revenues and higher operating margins and total profit margins and they exhibited better processes and outcomes than nursing homes with high proportions of black residents.
conclusionNursing homes' financial viability and quality of care are influenced by the racial composition of residents. Policy makers should consider initiatives to improve both the financial and quality performance of nursing homes serving predominantly black residents.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.