Evidence map›Paper›PMID 42253874›Full record

ArticleHealth affairs scholar2026

Why and how is private equity involved in assisted living community development and operations?

Paula Carder, Sarah Dys, Jacklyn N Kohon, John R Bowblis, Yashaswini Singh, Sean Shenghsiu Huang, Jennifer N Bunker, Lindsey Smith, Momotazur Rahman, Kali S Thomas

Abstract read
In one paragraph

Article in Health affairs scholar, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Paula CarderInstitute on Aging, College of Urban and Public Affairs, Portland State University, Portland, OR 97207, United States.ORCID https://orcid.org/0000-0002-8584-5226
Sarah DysInstitute on Aging, College of Urban and Public Affairs, Portland State University, Portland, OR 97207, United States.ORCID https://orcid.org/0000-0002-4310-3048
Jacklyn N KohonInstitute on Aging, College of Urban and Public Affairs, Portland State University, Portland, OR 97207, United States.ORCID https://orcid.org/0000-0002-2800-0518
John R BowblisFarmer School of Business and Scripps Gerontology Center, Miami University, Oxford, OH 45056, United States.ORCID https://orcid.org/0000-0003-4776-4182
Yashaswini SinghSchool of Public Health, Brown University, Providence, RI 02912, United States.
Sean Shenghsiu HuangDepartment of Health Management and Policy, School of Health, Georgetown University, Washington, DC 20057, United States.ORCID https://orcid.org/0000-0001-8156-6177
Jennifer N BunkerSchool of Nursing, Johns Hopkins University, Baltimore, MD 21205, United States.ORCID https://orcid.org/0009-0009-9569-0350
Lindsey SmithOHSU-PSU School of Public Health, Portland, OR 97207, United States.ORCID https://orcid.org/0000-0003-4630-3114
Momotazur RahmanSchool of Public Health, Brown University, Providence, RI 02912, United States.ORCID https://orcid.org/0000-0002-8592-3511
Kali S ThomasSchool of Nursing, Johns Hopkins University, Baltimore, MD 21205, United States.ORCID https://orcid.org/0000-0003-3436-2184

Funding

Private Equity Expansion in Assisted Living: Implications for Dementia CareR01AG079868 · NIA · JOHNS HOPKINS UNIVERSITY · PI Md Momotazur Rahman, Kali St. Marie Thomas · 2023 to 2026
$2.9M
NIA NIH HHS R01 AG079868
6 · The paper itself

Abstract

Introduction: Assisted living (AL) cares for close to 1 million older adults who need long-term services and supports in the United States. Methods: This qualitative study examines private equity (PE) involvement in AL mergers, acquisitions, development, and operations based on interviews with 46 senior housing professionals (including AL owners, operators, and developers, real estate brokers, lenders, PE fund managers) and state agents (licensing and regulatory oversight staff and Long-term Care Ombudsman Program leaders). Results: Participants indicate that PE involvement in AL responds to strong demographic demand and attractive financial returns, need for private funding sources, perceived social benefits, and absence of federal AL requirements. PE is primarily involved in AL through property ownership, but to varying degrees may also be involved in facility operations, including selecting and supporting qualified operators, and facility management. Conclusion: A nuanced understanding of PE's multidimensional involvement in AL-distinct from healthcare settings-and the centrality of private capital to support the growing demand for AL is needed to guide future policymaking.

Indexed as

assisted livingprivate equitypublic policyqualitative research

Identifiers

PMID42253874
PMCPMC13234945

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.