Comparative Performance of Private Equity-Owned US Nursing Homes During the COVID-19 Pandemic
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. To evaluate the comparative performance of PE-owned nursing homes on COVID-19 outcomes. This cross-sectional study...
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| description | 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.
To evaluate the comparative performance of PE-owned nursing homes on COVID-19 outcomes.
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.
Nursing home ownership status.
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.
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 |
| doi_str_mv | 10.1001/jamanetworkopen.2020.26702 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmed_primary_33112402</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2667895875</sourcerecordid><originalsourceid>FETCH-LOGICAL-a473t-f3f011cf62c30ac79636308b21eb3205d6c2abcdc071eaf95106ef0c46ed72ee3</originalsourceid><addsrcrecordid>eNpdkVFPFDEQxxujEYJ8BdPoiy97TNtte-uDiTlASIh3ieKbaXrdKfS83R7t7hG-vT1Agjy1TX_zz8z8CPnAYMIA2NHKdrbH4TamP3GD_YQDhwlXGvgrss-lrisxBfn62X2PHOa8AiggE42Sb8meEIzxGvg--T2L3cYmO4Qt0gUmH1PJd0ijp4sUtnZAenIzhuGumt_22NLLH_T7mHLor-hZ7DDT4zHtHsM10tn81_lxxRq6sH2LXXDvyBtv1xkPH88Dcnl68nN2Vl3Mv53Pvl5UttZiqLzwwJjzijsB1ulGCSVguuQMl4KDbJXjdulaB5qh9Y1koNCDqxW2miOKA_LlIXczLjtsHfZDsmuzSaGz6c5EG8z_P324Nldxa7Rsyop0Cfj0GJDizYh5MF3IDtfrsus4ZsNrKZmua60K-vEFuopj6st4hiulp42calmozw-USzHnhP6pGQZmJ9K8EGl2Is29yFL8_vk4T6X_tIm_TjKe7A</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2667895875</pqid></control><display><type>article</type><title>Comparative Performance of Private Equity-Owned US Nursing Homes During the COVID-19 Pandemic</title><source>MEDLINE</source><source>DOAJ Directory of Open Access Journals</source><source>EZB-FREE-00999 freely available EZB journals</source><source>Alma/SFX Local Collection</source><creator>Braun, Robert Tyler ; Yun, Hyunkyung ; Casalino, Lawrence P ; Myslinski, Zachary ; Kuwonza, Farai M ; Jung, Hye-Young ; Unruh, Mark Aaron</creator><creatorcontrib>Braun, Robert Tyler ; Yun, Hyunkyung ; Casalino, Lawrence P ; Myslinski, Zachary ; Kuwonza, Farai M ; Jung, Hye-Young ; Unruh, Mark Aaron</creatorcontrib><description>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.
To evaluate the comparative performance of PE-owned nursing homes on COVID-19 outcomes.
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.
Nursing home ownership status.
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.
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.
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.</description><identifier>ISSN: 2574-3805</identifier><identifier>EISSN: 2574-3805</identifier><identifier>DOI: 10.1001/jamanetworkopen.2020.26702</identifier><identifier>PMID: 33112402</identifier><language>eng</language><publisher>United States: American Medical Association</publisher><subject>Aged ; Aged, 80 and over ; Betacoronavirus ; Coronavirus Infections - epidemiology ; Coronavirus Infections - mortality ; Coronavirus Infections - virology ; Coronaviruses ; COVID-19 ; Cross-Sectional Studies ; Equipment and Supplies ; Government ; Health Facilities, Proprietary ; Health Policy ; Homes for the Aged ; Humans ; Investments ; Medical supplies ; Nurses ; Nursing Homes ; Online Only ; Original Investigation ; Ownership ; Pandemics ; Personal Protective Equipment ; Personnel Management ; Pneumonia, Viral - epidemiology ; Pneumonia, Viral - mortality ; Pneumonia, Viral - virology ; Private Sector ; Public Sector ; Quality of Health Care ; SARS-CoV-2 ; Skilled Nursing Facilities ; Workforce planning</subject><ispartof>JAMA network open, 2020-10, Vol.3 (10), p.e2026702-e2026702</ispartof><rights>2020. This work is published under https://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Copyright 2020 Braun RT et al. .</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a473t-f3f011cf62c30ac79636308b21eb3205d6c2abcdc071eaf95106ef0c46ed72ee3</citedby><cites>FETCH-LOGICAL-a473t-f3f011cf62c30ac79636308b21eb3205d6c2abcdc071eaf95106ef0c46ed72ee3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,860,881,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33112402$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Braun, Robert Tyler</creatorcontrib><creatorcontrib>Yun, Hyunkyung</creatorcontrib><creatorcontrib>Casalino, Lawrence P</creatorcontrib><creatorcontrib>Myslinski, Zachary</creatorcontrib><creatorcontrib>Kuwonza, Farai M</creatorcontrib><creatorcontrib>Jung, Hye-Young</creatorcontrib><creatorcontrib>Unruh, Mark Aaron</creatorcontrib><title>Comparative Performance of Private Equity-Owned US Nursing Homes During the COVID-19 Pandemic</title><title>JAMA network open</title><addtitle>JAMA Netw Open</addtitle><description>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.
To evaluate the comparative performance of PE-owned nursing homes on COVID-19 outcomes.
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.
Nursing home ownership status.
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.
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.
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.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Betacoronavirus</subject><subject>Coronavirus Infections - epidemiology</subject><subject>Coronavirus Infections - mortality</subject><subject>Coronavirus Infections - virology</subject><subject>Coronaviruses</subject><subject>COVID-19</subject><subject>Cross-Sectional Studies</subject><subject>Equipment and Supplies</subject><subject>Government</subject><subject>Health Facilities, Proprietary</subject><subject>Health Policy</subject><subject>Homes for the Aged</subject><subject>Humans</subject><subject>Investments</subject><subject>Medical supplies</subject><subject>Nurses</subject><subject>Nursing Homes</subject><subject>Online Only</subject><subject>Original Investigation</subject><subject>Ownership</subject><subject>Pandemics</subject><subject>Personal Protective Equipment</subject><subject>Personnel Management</subject><subject>Pneumonia, Viral - epidemiology</subject><subject>Pneumonia, Viral - mortality</subject><subject>Pneumonia, Viral - virology</subject><subject>Private Sector</subject><subject>Public Sector</subject><subject>Quality of Health Care</subject><subject>SARS-CoV-2</subject><subject>Skilled Nursing Facilities</subject><subject>Workforce planning</subject><issn>2574-3805</issn><issn>2574-3805</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpdkVFPFDEQxxujEYJ8BdPoiy97TNtte-uDiTlASIh3ieKbaXrdKfS83R7t7hG-vT1Agjy1TX_zz8z8CPnAYMIA2NHKdrbH4TamP3GD_YQDhwlXGvgrss-lrisxBfn62X2PHOa8AiggE42Sb8meEIzxGvg--T2L3cYmO4Qt0gUmH1PJd0ijp4sUtnZAenIzhuGumt_22NLLH_T7mHLor-hZ7DDT4zHtHsM10tn81_lxxRq6sH2LXXDvyBtv1xkPH88Dcnl68nN2Vl3Mv53Pvl5UttZiqLzwwJjzijsB1ulGCSVguuQMl4KDbJXjdulaB5qh9Y1koNCDqxW2miOKA_LlIXczLjtsHfZDsmuzSaGz6c5EG8z_P324Nldxa7Rsyop0Cfj0GJDizYh5MF3IDtfrsus4ZsNrKZmua60K-vEFuopj6st4hiulp42calmozw-USzHnhP6pGQZmJ9K8EGl2Is29yFL8_vk4T6X_tIm_TjKe7A</recordid><startdate>20201001</startdate><enddate>20201001</enddate><creator>Braun, Robert Tyler</creator><creator>Yun, Hyunkyung</creator><creator>Casalino, Lawrence P</creator><creator>Myslinski, Zachary</creator><creator>Kuwonza, Farai M</creator><creator>Jung, Hye-Young</creator><creator>Unruh, Mark Aaron</creator><general>American Medical Association</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>COVID</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20201001</creationdate><title>Comparative Performance of Private Equity-Owned US Nursing Homes During the COVID-19 Pandemic</title><author>Braun, Robert Tyler ; Yun, Hyunkyung ; Casalino, Lawrence P ; Myslinski, Zachary ; Kuwonza, Farai M ; Jung, Hye-Young ; Unruh, Mark Aaron</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a473t-f3f011cf62c30ac79636308b21eb3205d6c2abcdc071eaf95106ef0c46ed72ee3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Betacoronavirus</topic><topic>Coronavirus Infections - epidemiology</topic><topic>Coronavirus Infections - mortality</topic><topic>Coronavirus Infections - virology</topic><topic>Coronaviruses</topic><topic>COVID-19</topic><topic>Cross-Sectional Studies</topic><topic>Equipment and Supplies</topic><topic>Government</topic><topic>Health Facilities, Proprietary</topic><topic>Health Policy</topic><topic>Homes for the Aged</topic><topic>Humans</topic><topic>Investments</topic><topic>Medical supplies</topic><topic>Nurses</topic><topic>Nursing Homes</topic><topic>Online Only</topic><topic>Original Investigation</topic><topic>Ownership</topic><topic>Pandemics</topic><topic>Personal Protective Equipment</topic><topic>Personnel Management</topic><topic>Pneumonia, Viral - epidemiology</topic><topic>Pneumonia, Viral - mortality</topic><topic>Pneumonia, Viral - virology</topic><topic>Private Sector</topic><topic>Public Sector</topic><topic>Quality of Health Care</topic><topic>SARS-CoV-2</topic><topic>Skilled Nursing Facilities</topic><topic>Workforce planning</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Braun, Robert Tyler</creatorcontrib><creatorcontrib>Yun, Hyunkyung</creatorcontrib><creatorcontrib>Casalino, Lawrence P</creatorcontrib><creatorcontrib>Myslinski, Zachary</creatorcontrib><creatorcontrib>Kuwonza, Farai M</creatorcontrib><creatorcontrib>Jung, Hye-Young</creatorcontrib><creatorcontrib>Unruh, Mark Aaron</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Coronavirus Research Database</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>JAMA network open</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Braun, Robert Tyler</au><au>Yun, Hyunkyung</au><au>Casalino, Lawrence P</au><au>Myslinski, Zachary</au><au>Kuwonza, Farai M</au><au>Jung, Hye-Young</au><au>Unruh, Mark Aaron</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparative Performance of Private Equity-Owned US Nursing Homes During the COVID-19 Pandemic</atitle><jtitle>JAMA network open</jtitle><addtitle>JAMA Netw Open</addtitle><date>2020-10-01</date><risdate>2020</risdate><volume>3</volume><issue>10</issue><spage>e2026702</spage><epage>e2026702</epage><pages>e2026702-e2026702</pages><issn>2574-3805</issn><eissn>2574-3805</eissn><abstract>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.
To evaluate the comparative performance of PE-owned nursing homes on COVID-19 outcomes.
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.
Nursing home ownership status.
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.
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.
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.</abstract><cop>United States</cop><pub>American Medical Association</pub><pmid>33112402</pmid><doi>10.1001/jamanetworkopen.2020.26702</doi><oa>free_for_read</oa></addata></record> |
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| subjects | Aged Aged, 80 and over Betacoronavirus Coronavirus Infections - epidemiology Coronavirus Infections - mortality Coronavirus Infections - virology Coronaviruses COVID-19 Cross-Sectional Studies Equipment and Supplies Government Health Facilities, Proprietary Health Policy Homes for the Aged Humans Investments Medical supplies Nurses Nursing Homes Online Only Original Investigation Ownership Pandemics Personal Protective Equipment Personnel Management Pneumonia, Viral - epidemiology Pneumonia, Viral - mortality Pneumonia, Viral - virology Private Sector Public Sector Quality of Health Care SARS-CoV-2 Skilled Nursing Facilities Workforce planning |
| title | Comparative Performance of Private Equity-Owned US Nursing Homes During the COVID-19 Pandemic |
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