ArticleJAMA network open2020
Comparative Performance of Private Equity-Owned US Nursing Homes During the COVID-19 Pandemic.
Article in JAMA network open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 3 of them syntheses that pooled it.
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Who cites it
38 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Evaluating trends in private equity ownership and impacts on health outcomes, costs, and quality: systematic review.BMJ (Clinical research ed.) · 2023Pooled it
- A systematic review of long-term care facility characteristics associated with COVID-19 outcomes.Journal of the American Geriatrics Society · 2021Pooled it
- A systematic review of the associations between care home ownership and COVID-19 outbreaks, infections and mortality.Nature aging · 2021Pooled it
- Evaluating Differences in Disaster-Related Staffing for Nursing Homes by Ownership Status.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026Article
- Private Equity Acquisition in Primary Care and Avoidable Hospitalizations.JAMA health forum · 2026Article
- Demystifying Quality Metrics and Unveiling the True Measure of Quality of Care in Nursing Homes: Mixed Effects Analysis.JMIR human factors · 2026Article
- Lifecycle regulation of private equity in healthcare: a transatlantic governance framework.Frontiers in health services · 2026Article
- Factors affecting the supply of long-term care services in China: a supply-side perspective on designated facilities.BMC health services research · 2025Article
- Addressing Staffing Shortages in Nursing Homes: Does Relaxing Training and Licensing Requirements Increase Nurse Aide Staffing?Health services research · 2025Article
- Measures to Prevent and Control COVID-19 in Skilled Nursing Facilities: A Scoping Review.JAMA health forum · 2025Article
- Growth of the Program of All-Inclusive Care for the Elderly and the role of for-profit programs.Health affairs scholar · 2025Article
- SARS-CoV-2 outbreak management in nursing homes in Ireland: reflections of COVID-19 response teams from earlier to later waves of the pandemic.BMC public health · 2024Article
- Health and sociodemographic determinants of excess mortality in Spanish nursing homes during the COVID-19 pandemic: a 2-year prospective longitudinal study.Zeitschrift fur Gerontologie und Geriatrie · 2024Article
- Nursing Home Compare star ratings before versus after a change in nursing home ownership.Journal of the American Geriatrics Society · 2024Article
- Hospital behavior over the private equity life cycle.Journal of health economics · 2024Article
- Factors influencing long-term care facility performance during the COVID-19 pandemic: a scoping review.BMC health services research · 2024Article
- Nursing home finances associated with real estate investment trust and private equity investments.Health affairs scholar · 2024Article
- Life cycle of private equity investments in physician practices: an overview of private equity exits.Health affairs scholar · 2024Article
- Private equity and its effect on patients: a window into the future.International journal of health economics and management · 2023Article
- COVID-19 risks in private equity nursing homes in Hesse, Germany - a retrospective cohort study.BMC geriatrics · 2023Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Importance: It is not known whether nursing homes with private equity (PE) ownership have performed better or worse than other nursing homes during the coronavirus disease 2019 (COVID-19) pandemic. Objective: To evaluate the comparative performance of PE-owned nursing homes on COVID-19 outcomes. Design, Setting, and Participants: This cross-sectional study of 11 470 US nursing homes used the Nursing Home COVID-19 Public File from May 17, 2020, to July 2, 2020, to compare outcomes of PE-owned nursing homes with for-profit, nonprofit, and government-owned homes, adjusting for facility characteristics. Exposure: Nursing home ownership status. Main Outcomes and Measures: Self-reported number of COVID-19 cases and deaths and deaths by any cause per 1000 residents; possessing 1-week supplies of personal protective equipment (PPE); staffing shortages. Results: Of 11 470 nursing homes, 7793 (67.9%) were for-profit; 2523 (22.0%), nonprofit; 511 (5.3%), government-owned; and 543 (4.7%), PE-owned; with mean (SD) COVID-19 cases per 1000 residents of 88.3 [2.1], 67.0 [3.8], 39.8 [7.6] and 110.8 [8.1], respectively. Mean (SD) COVID-19 deaths per 1000 residents were 61.9 [1.6], 66.4 [3.0], 56.2 [7.3], and 78.9 [5.9], respectively; mean deaths by any cause per 1000 residents were 78.1 [1.3], 91.5 [2.2], 67.6 [4.5], and 87.9 [4.8], respectively. In adjusted analyses, government-owned homes had 35.5 (95% CI, -69.2 to -1.8; P = .03) fewer COVID-19 cases per 1000 residents than PE-owned nursing homes. Cases in PE-owned nursing homes were not statistically different compared with for-profit and nonprofit facilities; nor were there statistically significant differences in COVID-19 deaths or deaths by any cause between PE-owned nursing homes and for-profit, nonprofit, and government-owned facilities. For-profit, nonprofit, and government-owned nursing homes were 10.5% (9.1 percentage points; 95% CI, 1.8 to 16.3 percentage points; P = .006), 15.0% (13.0 percentage points; 95% CI, 5.5 to 20.6 percentage points; P < .001), and 17.0% (14.8 percentage points; 95% CI, 6.5 to 23.0 percentage points; P < .001), respectively, more likely to have at least a 1-week supply of N95 masks than PE-owned nursing homes. They were 24.3% (21.3 percentage points; 95% CI, 11.8 to 30.8 percentage points; P < .001), 30.7% (27.0 percentage points; 95% CI, 17.7 to 36.2 percentage points; P < .001), and 29.2% (25.7 percentage points; 95% CI, 16.1 to 35.3 percentage points; P < .001) more likely to have a 1-week supply of medical gowns than PE-owned nursing homes. Government nursing homes were more likely to have a shortage of nurses (6.9 percentage points; 95% CI, 0.0 to 13.9 percentage points; P = .049) than PE-owned nursing homes. Conclusions and Relevance: In this cross-sectional study, PE-owned nursing homes performed comparably on staffing levels, resident cases, and deaths with nursing homes with other types of ownership, although their shortages of PPE may warrant monitoring.
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