Factors Associated with Increasing Nursing Home Closures
- 15 May 2009
- journal article
- Published by Wiley in Health Services Research
- Vol. 44 (3), 1088-1109
- https://doi.org/10.1111/j.1475-6773.2009.00954.x
Abstract
We determine the rate of nursing home closures for 7 years (1999-2005) and examine internal (e.g., quality), organizational (e.g., chain membership), and external (e.g., competition) factors associated with these closures. The names of the closed facilities and dates of closure from state regulators in all 50 states were obtained. This information was linked to the Online Survey, Certification, and Reporting data, which contains information on internal, organizational, and market factors for almost all nursing homes in the United States. One thousand seven hundred and eighty-nine facilities closed over this time period (1999-2005). The average annual rate of closure was about 2 percent of facilities, but the rate of closure was found to be increasing. Nursing homes with higher rates of deficiency citations, hospital-based facilities, chain members, small bed size, and facilities located in markets with high levels of competition were more likely to close. High Medicaid occupancy rates were associated with a high likelihood of closure, especially for facilities with low Medicaid reimbursement rates. As states actively debate about how to redistribute long-term care services/dollars, our findings show that they should be cognizant of the potential these decisions have for facilitating nursing home closures.Keywords
This publication has 23 references indexed in Scilit:
- Why Do Nursing Homes Close? An Analysis of Newspaper ArticlesSocial Work in Public Health, 2012
- Has the Medicare Prospective Payment System Led to Increased Nursing Home Efficiency?Health Services Research, 2007
- Chain ReactionJournal of Aging & Social Policy, 2005
- Changes in health status subsequent to nursing home closureAgeing International, 2005
- Improving the Quality of Long‐Term Care with Better InformationThe Milbank Quarterly, 2005
- Nursing Home Spending Patterns in the 1990s: The Role of Nursing Home Competition and Excess DemandHealth Services Research, 2005
- Nursing Home Closures and Quality of CareMedical Care Research and Review, 2005
- Driven to Tiers: Socioeconomic and Racial Disparities in the Quality of Nursing Home CareThe Milbank Quarterly, 2004
- Recent Trends In State Nursing Home Payment PoliciesHealth Affairs, 2004
- Does an Increase in the Medicaid Reimbursement Rate Improve Nursing Home Quality?The Journals of Gerontology, Series B: Psychological Sciences and Social Sciences, 2001